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Dental Implant Complications


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List of contributors xi Foreword xv Ray C. Williams Introduction xvii Stuart J. Froum 1 Implant complications: scope of the problem 1 Stuart J. Froum Introduction 1 Etiology 1 Prevention and treatment 5 Acknowledgment 6 References 6 2 Implant complications associated with systemic disorders and medications 9 Louis F. Rose and Brian L. Mealey Introduction 9 Etiology 9 Prevention 22 Treatment 34 Take-home hints 39 References 39 3 Complications associated with implant planning: etiology, prevention, and treatment 46 Nicolas Elian, Brian Ehrlich, and Geon U. Kim Diagnosis and treatment planning 46 Prevention of complications with proper planning 54 Avoiding implant complications 64 Take-home hints 66 References 66 4 Implant complications associated with two- and three-dimensional diagnostic imaging technologies 71 Scott D. Ganz Introduction 71 Case 1: Complications due to scanographic templates 71 Case 2: Long-term complications due to nerve perforation 74 Case 3: Sinus augmentation complications diagnosed by three-dimensional imaging 82 Case 4: Complications in the mandibular symphysis related to diagnostic imagery 89 Conclusions 96 Take-home hints 97 References 97 5 Implant fractures: etiology, prevention, and treatment 100 Steven E. Eckert and Thomas J. Salinas Introduction 100 Incidence 100 Etiology 100 Prevention 104 Treatment 107 Conclusion 108 Take-home hints 108 References 109 6 Implant failure: prevalence, risk factors, management, and prevention 110 J. Kobi Stern, Edwin S. Rosenberg, Cyril I. Evian, and Jonathan Waasdorp Introduction 110 Etiology and risk factors 112 Treatment 115 Clinical recommendations for prevention of implant failures 117 Take-home hints 117 References 117 7 Peri-implantitis: etiology, pathogenesis, prevention, and therapy 119 Niklaus P. Lang and Maurizio S. Tonetti Etiology: microbiologic aspects 119 Diagnostic aspects 123 Prophylactic procedures 126 Therapeutic strategies 127 Conclusions and clinical implications 130 Take-home hints 131 References 131 8 Esthetic complications due to implant malpositions: etiology, prevention, and treatment 134 Stephen T. Chen and Daniel Buser Introduction 134 Esthetic complications due to implant malpositions 135 Prevention of implant malposition 140 Treatment of esthetic complications due to implant malposition 148 Conclusions 154 Take-home hints 154 References 154 9 Prosthodontic complications related to non-optimal dental implant placement 156 John S. Cavallaro Jr. and Gary Greenstein Introduction 156 Three-dimensional determinants for correct implant placement 156 Positional issues 158 Angulation issues 163 Apico-occlusal issues (sink depth) 164 Take-home hints 170 References 170 10 Prosthetic-related dental implant complications: etiology, prevention, and treatment 172 Charles J. Goodacre and Mathew T. Kattadiyil Introduction 172 Etiology and timing of complications and failure 172 Mechanical complications 173 Phonetic complications 183 Esthetic complications 184 Biologic complications attributable to the prosthesis 191 Conclusions 194 Take-home hints 195 References 195 11 Complications associated with single-implant esthetics: prevalence, etiology, prevention, and treatment 197 Dario Adolfi and Oswaldo Scopin de Andrade Introduction 197 Prevalence of complications 197 Etiology of complications related to single implants 198 Prevention and treatment of complications 201 Prevention of complications 202 Prevention of single-implant complications 204 Conclusions 213 Take-home hints 213 Acknowledgments 214 References 214 12 Esthetic complications with adjacent implant restorations 216 Dennis P. Tarnow, Sang-Choon Cho, and Stuart J. Froum Complications 216 Etiology 216 Prevention 218 Treatment 219 Conclusions 224 Take-home hints 225 References 225 13 Complications of autogenous bone grafting 227 Craig M. Misch Introduction 227 Donor sites 227 Recipient site complications: early healing complications 238 Recipient site complications: late healing complications 244 Patient habits/systemic disease 248 Take-home hints 251 References 252 14 Complications in guided bone regeneration 256 Filippo Fontana, Isabella Rocchietta, and Massimo Simion Introduction 256 Literature review 256 Prevention of complications: surgical technique 257 Clinical management of guided bone regeneration complications 264 Conclusion 270 Take-home hints 271 References 271 15 Avoiding complications for alveolar distraction osteogenesis and osteoperiosteal flaps 273 Ole T. Jensen Introduction 273 Alveolar distraction osteogenesis 273 Major orthognathic distraction procedures 281 Take-home hints 283 References 283 16 Complications in lateral window sinus elevation surgery 284 Stephen S. Wallace Introduction 284 Intraoperative complications 284 Postoperative complications 298 Conclusion 307 References 307 17 Complications with the bone-added osteotome sinus floor elevation: etiology, prevention, and treatment 310 Paul S. Rosen Incidence 310 Etiology 311 Prevention 317 Management of complications 321 Take-home hints 322 Acknowledgment 323 References 323 18 Implant complications related to immediate implant placement into extraction sites 325 Barry D. Wagenberg and Stuart J. Froum Introduction 325 Etiology and prevention 325 Treatment of complications 338 Take-home hints 339 References 339 19 Complications associated with flapless surgery 341 Thomas G. Wilson, Jr. Introduction 341 Definition of flapless surgery 341 Goals of therapy 341 Etiology of complications 341 Prevention of complications 342 Treatment of complications 348 Summary 353 Take-home hints 353 Potential conflicts of interest 353 References 353 20 Complications related to immediately loaded dental implants 355 Jeffrey Ganeles and David Grossberg Introduction 355 Failure to achieve osseointegration: etiology 355 Surgical complications related to immediate loading 359 Esthetic complications 361 Implant malposition 364 Restorative complications 368 Guided surgery and prefabricated restorations 371 Summary 375 Take-home hints 375 References 376 21 Prosthodontic treatment of the malpositioned implant and implant occlusal complications 379 Thomas D. Taylor Introduction 379 Scope and frequency of problems 379 Etiology 379 Prevention 381 Treatment 382 Etiology of occlusal complications 382 Prevention of occlusal complications 384 Conclusion 386 Take-home hints 386 Acknowledgment 387 References 387 22 A potpourri of surgical complications associated with dental implant placement: 35 case reports common problems, avoidance, and management 388 Gary Greenstein and John S. Cavallaro Jr. Introduction 388 Diagnosis and treatment planning 388 Involved tissues: soft tissue, bone, and nerves 398 Implant placement 403 Postoperative problems 407 Sinus issues 409 Fractured mandible 412 Take-home hints 413 References 413 23 Implant complications related to maintenance therapy 415 Robert N. Eskow and Valerie Sternberg Smith Introduction 415 Inflammatory peri-implant disease 415 Loss of stability of restorative components 424 Peri-implant mucosal hyperplasia 426 Conclusion 426 Take-home hints 427 References 427 24 Medicolegal issues related to implant complications 429 Edwin J. Zinman Etiology of malpractice litigation 429 Prevention of litigation 431 Litigation risk management 436 Take-home hints 437 References 437 25 Management of implant complications by the experts 441 Introduction 441 Cases 441 Case 1: Treatment of midbuccal recession in the esthetic zone 441 Pamela K. McClain Case 2: Treatment of buccal soft-tissue recession on a restored central incisor implant 444 Jeffrey R. Lemler Case 3: Repair of failed esthetic implant case 447 Bobby Butler Case 4: Treatment of an osseous defect associated with an immediately placed implant 450 Donald S. Clem Case 5: Treatment of bone loss from an acute abscess around a dental implant 454 Bradley S. McAllister Case 6: Replacement of a failed implant in the esthetic zone 458 Abd Elsalam Elaskary Case 7: Treatment and replacement of a malpositioned implant in the esthetic zone 461 Scott H. Froum Case 8: Corrective treatment for a malpositioned implant in the esthetic zone 468 J. Daulton Keith Case 9: Treatment of implant malposition in the esthetic zone 473 Burton Langer and Laureen Langer Case 10: Treatment of a malpositioned implant in the esthetic zone 476 Stuart J. Froum and Jeffrey R. Lemler Index 481

About the Author

Stuart J. Froum, DDS, is a Diplomate of American Board of Periodontology, Clinical Professor Department of Periodontology and Implant Dentistry, New York University Krieser Dental Center, Director of Clinical Research at the Department of Periodontology and Implant Dentistry, NYU Dental Center, and maintains a Private Practice limited to Periodontics & Implant Dentistry in New York City. He has lectured nationally and internationally, has authored close to 100 published research articles, and authored and contributed to 5 books related to periodontics and implant dentistry.


A unique feature of this book is its inclusion of 10interesting cases illustrating different complications and how theywere managed by experts It is my own belief that this bookbelongs in the library of every dental student and practitionerconsidering using dental implants. (Compendium,1 January 2012)"This comprehensive reference textbook would appeal to bothinexperienced and senior clinicians, involved in implant dentistry.It provides 494 pages of lucid text embellished with high qualityimages. In relation to dental implant complications and theirmanagement, it is the first of its kind and it is excellent valuefor money." ( British Dental Journal, November 2010) "In essence, this textbook is not only a worthwhile read butalso an essential addition and a very welcome addition to theliterature of implant dentistry. Dr. Froum has undertaken,compiled, edited, and co-authored a book for which he deserves ourcollective thank you". (Book Reviews, November2010). "In essence, this text book is not only a worthwhile read butalso an essential addition and a very welcome addition to the tothe literature of implant dentistry." (Dentistry Line,October 2010) "This reference for clinicians at all skill levels presentsdetailed cases from a variety of dental specialties, coveringcommon and less common dental implant complications." (BookNews, September 2010) "The editor of this monumental text, which is sure to become aclassic, is also a major contributor along with 49 other cliniciansand researchers...As the saying goes, no stone is leftunturned,' be it a surgical stone' or aprosthetic/restorative stone'...In essence, this textbook isnot only a worthwhile read but also an essential addition and avery welcome addition to the literature of implant dentistry."(Morton L. Perel, Implant Dentistry, October 2010)

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