Surgical Complications in Oral Implantology

This exceptional new book is designed as a self-instruction guide to the diagnosis, management, and prevention of surgery-related complications in implant dentistry. It functions in two ways: First, it is a valuable resource for the implant surgeon seeking practical and succinct information about how to manage a complication in an emergency setting; and second, it can be read from cover to cover as a primer on implant surgery, from the initial consultation and treatment planning through the restorative phase of treatment. Besides addressing pre-, intra-, and postoperative implant surgery complications, the book also includes a comprehensive treatment-planning protocol that allows for the early detection of potential surgical complications and how to avoid them. Early detection of complications that are amenable to rescue therapies may reverse the fate of a failing implant or a bone-grafting procedure. Invaluable for the novice and experienced implant surgeon alike.

Contents

Part I Identifying Preoperative Conditions That Could Lead to Complications
Complications

1 Inadequate or Excessive Vertical Restorative Space
2 Inadequate Horizontal Restorative Space
3 Limited Jaw Opening and Interarch Distance
4 Inadequate Alveolar Width for Optimal Buccolingual Positioning
5 Maxillary and Mandibular Tori

Part II Intraoperative Complications in Implant Placement
Complications

6 Incorrect Implant Angulation
7 Malalignment
8 Nerve Injury
9 Irregular or Narrow Alveolar Crest
10 Extensive Resorption of the Mandible
11 Curved Extraction Socket
12 Injury to Adjacent Teeth During Implant Placement
13 Preoperative Acute and Chronic Infections at the Implant Site
14 Retained Root Tips in the Implant Site
15 Bleeding
16 Overheating of the Bone During Drilling
17 Stripping of the Implant Site
18 Sinus Floor Perforation
19 Nasal Floor Perforation
20 Accidental Partial or Complete Displacement of Dental Implants into the Maxillary Sinus
21 Accidental Displacement of Dental Implants into the Maxillary Incisive Canal
22 Deep Implant Placement
23 Shallow Implant Placement
24 Complications in Flapless Implant Placement
25 Aspiration or Ingestion of Foreign Objects
26 Mandibular Bone Fracture
27 Implant Fracture
28 Excessive Torque During Insertion and Compression Necrosis
29 Inadequate Initial Stability

Part III Postoperative Complications
Complications

30 Postoperative Pain
31 Tissue Emphysema Induced by Dental Procedures
32 Incision Line Reopening
33 Cover Screw Exposure During the Healing Period
34 Bone Growth over the Cover Screw
35 Soft Tissue Growth Between Implant Platform and Cover Screw
36 Bone Loss or Thread Exposure During the Healing Period
37 Implant Mobility During Stage-Two Surgery
38 Implant Periapical Lesion (IPL) and Retrograde Peri-implantitis
39 Cement Left in the Pocket
40 Radiotherapy, Osteoradionecrosis, and Dental Implants
41 Shallow Vestibule Secondary to Ridge Augmentation
42 Medicolegal Issues

Part IV Complications Associated with Lateral Window Sinus Elevation
Preoperative Complications

43 Preoperative Acute Sinusitis
44 Preoperative Chronic Sinusitis
45 Preoperative Fungal Sinusitis
46 Preoperative Cystic Structures and Mucoceles
47 Other Preoperative Sinus Lesions

Intraoperative Complications

48 Hematoma During Anesthesia
49 Bleeding During Incision and Flap Reflection
50 Bleeding During Osteotomy
51 Damage to Adjacent Dentition
52 Perforation of the Sinus Membrane During Osteotomy
53 Perforation of the Sinus Membrane During Elevation
54 Incomplete Elevation
55 Bleeding During Membrane Elevation
56 Fracture of the Residual Alveolar Ridge
57 Excessive Elevation of the Membrane
58 Presence of a Mucus Retention Cyst
59 Blockage of the Maxillary Ostium
60 Unstable Implants

Early Postoperative Complications

61 Wound Dehiscence
62 Acute Graft Infection/Sinusitis
63 Exposure of the Bone Graft and/or Barrier Membrane
64 Sinus Congestion
66 Early Implant Migration into the Sinus Cavity

Late Postoperative Complications

66 Insufficient Quality and/or Quantity of Healed Graft
67 Implant Failure in the Augmented Sinus
68 Chronic Infection/Sinusitis
69 Infection of All Paranasal Sinuses/Intracranial Cavity
70 Delayed Implant Migration into the Sinus Cavity
71 Sinus Aspergillosis

Part V Pharmacology: Prevention and Management of Pain, Infection, and Drug-Related Complications

72 Intra- and Postoperative Infection
73 Intra- and Postoperative Pain
74 Bisphosphonate-Related Osteonecrosis of the Jaw
75 Bleeding Problems in Patients Taking Anticoagulants or Antiplatelet Agents

Appendices

A Implant Treatment Protocol
B Consent Forms
C Postoperative Instructions

248 pp; 711 illus (mostly color); ISBN 978-0-86715-506-8 (B5068)

©2011