Dental Implant Complications
Etiology, Prevention, and Treatment
Herausgeber: Froum, Stuart J
Dental Implant Complications
Etiology, Prevention, and Treatment
Herausgeber: Froum, Stuart J
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Dental implants have become one of the most popular and rapidly growing techniques for replacing missing teeth. While their predictability, functionality, and durability make them an attractive option for patients and clinicians alike, complications can arise at any stage from patient assessment to maintenance therapy. Dental Implant Complications: Etiology, Prevention, and Treatment, Second Edition, updates and expands the hallmark first edition, which was the first comprehensive reference designed to provide clinicians of all skill levels with practical instruction grounded in evidence-based…mehr
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Dental implants have become one of the most popular and rapidly growing techniques for replacing missing teeth. While their predictability, functionality, and durability make them an attractive option for patients and clinicians alike, complications can arise at any stage from patient assessment to maintenance therapy. Dental Implant Complications: Etiology, Prevention, and Treatment, Second Edition, updates and expands the hallmark first edition, which was the first comprehensive reference designed to provide clinicians of all skill levels with practical instruction grounded in evidence-based research. Featuring cases from a variety of dental specialties, the book covers the most commonly occurring implant complications as well as the unique. Dental Implant Complications: Etiology, Prevention, and Treatment, Second Edition, is organized sequentially, guiding the reader through complications associated with the diagnosis, treatment planning, placement, restoration, and maintenance of implants at any stage. Complications associated with various bone augmentation and sinus lift procedures are also discussed in detail with emphasis on their etiology and prevention. Each chapter utilizes a highly illustrated and user-friendly format to showcase key pedagogical features, including a list of "take home tips" summarizing the fundamental points of each chapter. New chapters include discussions of complications from drug prescribing, implant naturalization, cemented restorations, loose implant restoration syndrome, and craniofacial growth. Readers will also find more case presentations to see how complications have been managed in real-world situations. Dental Implant Complications: Etiology, Prevention, and Treatment, Second Edition, brings together contributions from leading experts in the field under the superior editorship of Dr. Stuart Froum. With its pragmatic approach to preventing and managing implant complications, this expertly crafted text continues to serve as an indispensable clinical reference and guide for all dentists placing or restoring implants.
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Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
Produktdetails
- Produktdetails
- Verlag: John Wiley & Sons / Wiley
- 2nd edition
- Seitenzahl: 736
- Erscheinungstermin: 23. November 2015
- Englisch
- Abmessung: 284mm x 222mm x 40mm
- Gewicht: 2218g
- ISBN-13: 9781118976456
- ISBN-10: 1118976452
- Artikelnr.: 42949605
- Verlag: John Wiley & Sons / Wiley
- 2nd edition
- Seitenzahl: 736
- Erscheinungstermin: 23. November 2015
- Englisch
- Abmessung: 284mm x 222mm x 40mm
- Gewicht: 2218g
- ISBN-13: 9781118976456
- ISBN-10: 1118976452
- Artikelnr.: 42949605
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. Dr. Froum is Past President of the American Academy of Periodontology. He lectures nationally and internationally, has authored over 100 published research articles, and has authored and contributed to several books related to periodontics and implant dentistry.
List of contributors xiii Foreword xvii Myron Nevins Introduction xix
Stuart J. Froum 1 Implant complications: scope of the problem 1 Stuart J.
Froum Introduction 1 Etiology 1 Prevention and treatment 6 Acknowledgments
7 References 8 2 Implant complications associated with systemic disorders
and medications 10 Louis F. Rose and Brian L. Mealey Introduction 10
Etiology 10 Prevention 24 Treatment 36 Take-home hints 41 References 41 3
Complications of drug prescribing in implant therapy 49 Mea A. Weinberg
Introduction 49 Etiology of drug prescribing complications 49 Types of drug
and drug prescribing complications 49 Prevention of drug prescribing
complications 51 Antibiotic prescribing in dental implant therapy 52
Analgesic prescribing 60 Steroid prescribing 63 Conclusions 63 Take-home
hints 64 References 64 4 Complications associated with implant planning:
etiology, prevention, and treatment 68 Hans-Peter Weber and Panos
Papaspyridakos Introduction 68 Etiology 68 Prevention through careful
diagnosis and risk assessment 71 Prevention of complications through
careful treatment planning 81 Take-home hints 98 Acknowledgments 98
References 99 5 Implant complications associated with two- and
three-dimensional diagnostic imaging technologies 102 Scott D. Ganz Case 1:
Complications due to scanographic templates 103 Case 2: Long-term
complications due to nerve perforation 104 Case 3: Sinus augmentation
complications diagnosed by three-dimensional imaging 109 Case 4:
Complications related to improper surgical technique, diagnosis, and
free-hand implant placement 118 Case 5: Complications in the mandibular
symphysis - related to diagnostic imagery 122 Conclusions 129 Take-home
hints 129 References 129 6 Implant fractures: etiology, prevention, and
treatment 132 Steven E. Eckert, Thomas J. Salinas, and Kivanç Akça
Introduction 132 Incidence 132 Etiology 133 Treatment of the fractured
implant 142 Conclusion 142 Take-home hints 143 References 143 7 Implant
naturalization: restoring osseointegrated dental implants with damaged
platforms and connections 145 Dennis E. Waguespack and Brian C. Butler
Introduction 145 Etiology and prevention 145 Etiology 147 Treatment 149
Take-home hints 152 Acknowledgments 152 References 152 8 Implant failure:
prevalence, risk factors, management, and prevention 153 J. Kobi Stern,
Emily E. Hahn, Cyril I. Evian, Jonathan Waasdorp, and Edwin S. Rosenberg
Introduction 153 Definition and classification of implant failure 153
Incidence of implant failures 155 Etiology and risk factors 156 Prevention
of implant failures 162 Treatment for implant failure 162 Take-home hints
167 References 167 9 Peri-implantitis: etiology, pathogenesis, prevention,
and therapy 170 Niklaus P. Lang and Maurizio S. Tonetti Etiology 170
Microbiological aspects 170 Pathogenesis of peri-implant diseases 172
Diagnostic aspects 175 Prevention: prophylactic procedures 178 Treatment:
therapeutic strategies 179 Conclusions and clinical implications 183
Take-home hints 184 Acknowledgments 184 References 184 10 Complications
related to cemented implant restoration 187 Chandur P.K. Wadhwani
Introduction 187 Advantages of the cement-retained implant restoration 187
Problems associated with cemented implant restorations 187 Cementing
restorations onto teeth versus implants - why the difference? 188 Etiology
193 Prevention 197 Treatment 201 The future of cement-retained implant
restorations 203 Take-home hints 206 Note 207 References 207 11 Esthetic
complications due to implant malpositions: etiology, prevention, and
treatment 209 Stephen T. Chen and Daniel Buser Introduction 209 Etiology
210 Prevention of implant malposition 217 Treatment of esthetic
complications due to implant malposition 223 Conclusions 230 Take-home
hints 230 References 231 12 Prosthetic-related dental implant
complications: etiology, prevention, and treatment 233 Charles J. Goodacre
and Mathew T. Kattadiyil Introduction 233 Etiology and timing of
complications and failure 233 Mechanical complications 234 Phonetic
complications 245 Esthetic complications 245 Biologic complications
attributable to the prosthesis 253 Conclusions 256 Take-home hints 257
References 257 13 The loose implant restoration syndrome 259 Harel Simon
Introduction 259 Scenario 1: Loose implant restoration emergency 259
Etiology of the loose implant restoration syndrome 263 Treatment protocol
263 Scenario 2: Loose screw-retained crown 263 Scenario 3: Loose
cement-retained posterior crown 269 Scenario 4: Loose cement-retained
anterior crown 272 Scenario 5: Loose anterior implant crown: screw-retained
or cement-retained? 275 Scenario 6: Loose screw-retained fixed partial
denture 280 Treatment considerations 284 Contributing factors and
prevention of screw loosening 288 Take-home hints 295 References 295 14
Management of complications associated with single-implant esthetics 298
Oswaldo Scopin de Andrade, Dario Adolfi, Maristela Lobo, and Maurício
Contar Adolfi Introduction 298 Possible failures, prevalence, and etiology
299 Targeted strategies for implant success in the esthetic zone 300 Tooth
extraction: an important factor in avoiding complications 301 Key elements
in implant placement and resolving esthetic complications 302 Case report:
step-by-step clinical procedures to resolve an implant complication in the
esthetic area 305 Conclusions 312 Take-home hints 313 Acknowledgments 313
References 313 15 Esthetic complications with adjacent implant restorations
316 Dennis P. Tarnow, Sang-Choon Cho, Stephen J. Chu, and Stuart J. Froum
Complications 316 Etiology 317 Prevention 318 Treatment 320 Case report 322
Conclusions 326 Take-home hints 330 References 330 16 Complications of
autogenous bone grafting 332 Craig M. Misch Introduction 332 Donor sites
332 Recipient site complications: early healing complications 344 Recipient
site complications: late healing complications 350 Take-home hints 357
References 358 17 Complications in guided bone regeneration 362 Filippo
Fontana, Isabella Rocchietta, and Massimo Simion Introduction 362
Literature review 363 Prevention of complications: surgical technique 364
Clinical management of GBR complications 370 Conclusions 379 Take-home
hints 380 References 380 18 Avoiding complications of alveolar segmental
osteoperiosteal flaps 383 Ole T. Jensen Alveolar distraction osteogenesis
383 Sandwich osteotomy 386 Alveolar width distraction 388 Island
osteoperiosteal flap 390 Book bone flap 392 Major orthognathic distraction
procedures 393 Summary 395 Take-home hints 395 References 395 19
Complications in lateral window sinus elevation surgery 396 Stephen S.
Wallace and Tiziano Testori Introduction 396 Intraoperative complications
396 Take-home hints 399 Take-home hints 413 Postoperative complications 413
Take-home hints 421 Conclusion 423 References 424 20 Complications with
transcrestal sinus floor elevation: etiology, prevention, and treatment 427
Michael Toffler and Paul S. Rosen Incidence 427 Etiology 430 Prevention 437
Management 445 Take-home hints 450 References 451 21 Implant complications
related to immediate implant placement into extraction sites 457 Barry D.
Wagenberg and Stuart J. Froum Introduction 457 Etiology and prevention 457
Immediate tooth replacement (non-occlusally loaded) at the time of
extraction of the natural tooth 463 Procedures to prevent failure using the
immediate implant placement protocol with a non-loading provisional 467
Treatment of maxillary molars with the IIP protocol 468 Treatment of
mandibular molars 470 Prevention 474 Treatment of complications 478
Take-home hints 479 References 479 22 Complications associated with
flapless surgery 481 Thomas G. Wilson, Jr. Introduction 481 Definition of
flapless surgery 481 Goals of therapy 481 Etiology 481 Prevention 482
Treatment 490 Summary 493 Take-home hints 493 Potential conflicts of
interest 493 References 493 23 Complications related to immediately loaded
dental implants 495 Jeffrey Ganeles and David Grossberg Failure to achieve
osseointegration 495 Surgical complications related to immediate loading
499 Esthetic complications 502 Implant malposition 511 Restorative
complications 513 Guided surgery and prefabricated restorations 518 Summary
532 Take-home hints 532 References 533 24 Prosthodontic complications
related to non-optimal dental implant placement 539 Lyndon F. Cooper
Introduction 539 Etiology 540 Implant location 541 Prevention 547 Treatment
553 Take-home hints 557 References 557 25 Prosthodontic management of
malpositioned implants and implant occlusion complications 559 Avinash S.
Bidra Introduction 559 Etiology of malpositioned implants 559 Prevention
562 Treatment 563 Etiologies of implant occlusion complications 565
Prevention of implant occlusion complications 566 Treatment 568 Conclusion
569 Take-home hints 570 References 570 26 Craniofacial growth in adults and
its implications for implant reconstruction 572 Fereidoun Daftary, Ramin
Mahallati, Oded Bahat, and Richard M. Sullivan Introduction 572 Etiology
573 Prevention and treatment 575 Take-home hints 583 References 583 27
Implant complications encountered during maintenance therapy 585 Paul S.
Rosen, Stuart J. Froum, Scott H. Froum, and Chris Salierno Introduction 585
Diagnosis 585 Prevention 587 Treatment 594 Take-home hints 597 References
597 28 Medicolegal issues related to implant complications 600 Edwin J.
Zinman Etiology of malpractice litigation 600 Etiology of implant-related
legal claims 603 Take-home hints 616 References 617 Appendix 28.1: Example
of an informed consent form 620 Appendix 28.2: Release of liability form
625 29 Management of implant complications by the experts (part 1) 626
Introduction 626 Case 1: Treatment of midbuccal recession in the esthetic
zone 627 Pamela K. McClain Case 2: Treatment of buccal soft tissue
recession on a restored central incisor implant 629 Jeffrey R. Lemler Case
3: Repair of failed esthetic implant case 632 Bobby Butler Case 4:
Treatment of an osseous defect associated with an immediately placed
implant 635 Donald S. Clem Case 5: Treatment of bone loss from an acute
abscess around a dental implant 639 Bradley S. McAllister Case 6:
Replacement of a failed implant in the esthetic zone 643 Abd Elsalam
Elaskary Case 7: Treatment and replacement of a malpositioned implant in
the esthetic zone 646 Scott H. Froum Case 8: Corrective treatment for a
malpositioned implant in the esthetic zone 653 J. Daulton Keith Case 9:
Treatment of implant malposition in the esthetic zone 658 Burton Langer and
Laureen Langer Case 10: Treatment of a malpositioned implant in the
esthetic zone 661 Stuart J. Froum and Jeffrey R. Lemler 30 Management of
implant complications by the experts (part 2) 666 Case 1: Long-term
retention of a "hopeless" implant 666 Kirk Pasquinelli Case 2: Treatment of
implant malposition in the esthetic zone 671 Burton Langer and Laureen
Langer Case 3: Examples of esthetic implant complications - soft tissue
repairs 676 Bobby Butler Case 4: Treatment of peri-implantitis due to
residual cement around an implant 681 Pamela K. McClain Case 5: The
importance of occlusion in success of implant-supported restorations 685
Farhad Vahidi Case 6: Nonsyndromic oligodontia interdisciplinary approach:
challenges and possible complications 688 Farhad Vahidi Case 7: Successful
replacement of a failed dental implant: 5-year follow-up 692 William Becker
Case 8: Management of a failed implant in the esthetic zone 695 Donald S.
Clem Index 701
Stuart J. Froum 1 Implant complications: scope of the problem 1 Stuart J.
Froum Introduction 1 Etiology 1 Prevention and treatment 6 Acknowledgments
7 References 8 2 Implant complications associated with systemic disorders
and medications 10 Louis F. Rose and Brian L. Mealey Introduction 10
Etiology 10 Prevention 24 Treatment 36 Take-home hints 41 References 41 3
Complications of drug prescribing in implant therapy 49 Mea A. Weinberg
Introduction 49 Etiology of drug prescribing complications 49 Types of drug
and drug prescribing complications 49 Prevention of drug prescribing
complications 51 Antibiotic prescribing in dental implant therapy 52
Analgesic prescribing 60 Steroid prescribing 63 Conclusions 63 Take-home
hints 64 References 64 4 Complications associated with implant planning:
etiology, prevention, and treatment 68 Hans-Peter Weber and Panos
Papaspyridakos Introduction 68 Etiology 68 Prevention through careful
diagnosis and risk assessment 71 Prevention of complications through
careful treatment planning 81 Take-home hints 98 Acknowledgments 98
References 99 5 Implant complications associated with two- and
three-dimensional diagnostic imaging technologies 102 Scott D. Ganz Case 1:
Complications due to scanographic templates 103 Case 2: Long-term
complications due to nerve perforation 104 Case 3: Sinus augmentation
complications diagnosed by three-dimensional imaging 109 Case 4:
Complications related to improper surgical technique, diagnosis, and
free-hand implant placement 118 Case 5: Complications in the mandibular
symphysis - related to diagnostic imagery 122 Conclusions 129 Take-home
hints 129 References 129 6 Implant fractures: etiology, prevention, and
treatment 132 Steven E. Eckert, Thomas J. Salinas, and Kivanç Akça
Introduction 132 Incidence 132 Etiology 133 Treatment of the fractured
implant 142 Conclusion 142 Take-home hints 143 References 143 7 Implant
naturalization: restoring osseointegrated dental implants with damaged
platforms and connections 145 Dennis E. Waguespack and Brian C. Butler
Introduction 145 Etiology and prevention 145 Etiology 147 Treatment 149
Take-home hints 152 Acknowledgments 152 References 152 8 Implant failure:
prevalence, risk factors, management, and prevention 153 J. Kobi Stern,
Emily E. Hahn, Cyril I. Evian, Jonathan Waasdorp, and Edwin S. Rosenberg
Introduction 153 Definition and classification of implant failure 153
Incidence of implant failures 155 Etiology and risk factors 156 Prevention
of implant failures 162 Treatment for implant failure 162 Take-home hints
167 References 167 9 Peri-implantitis: etiology, pathogenesis, prevention,
and therapy 170 Niklaus P. Lang and Maurizio S. Tonetti Etiology 170
Microbiological aspects 170 Pathogenesis of peri-implant diseases 172
Diagnostic aspects 175 Prevention: prophylactic procedures 178 Treatment:
therapeutic strategies 179 Conclusions and clinical implications 183
Take-home hints 184 Acknowledgments 184 References 184 10 Complications
related to cemented implant restoration 187 Chandur P.K. Wadhwani
Introduction 187 Advantages of the cement-retained implant restoration 187
Problems associated with cemented implant restorations 187 Cementing
restorations onto teeth versus implants - why the difference? 188 Etiology
193 Prevention 197 Treatment 201 The future of cement-retained implant
restorations 203 Take-home hints 206 Note 207 References 207 11 Esthetic
complications due to implant malpositions: etiology, prevention, and
treatment 209 Stephen T. Chen and Daniel Buser Introduction 209 Etiology
210 Prevention of implant malposition 217 Treatment of esthetic
complications due to implant malposition 223 Conclusions 230 Take-home
hints 230 References 231 12 Prosthetic-related dental implant
complications: etiology, prevention, and treatment 233 Charles J. Goodacre
and Mathew T. Kattadiyil Introduction 233 Etiology and timing of
complications and failure 233 Mechanical complications 234 Phonetic
complications 245 Esthetic complications 245 Biologic complications
attributable to the prosthesis 253 Conclusions 256 Take-home hints 257
References 257 13 The loose implant restoration syndrome 259 Harel Simon
Introduction 259 Scenario 1: Loose implant restoration emergency 259
Etiology of the loose implant restoration syndrome 263 Treatment protocol
263 Scenario 2: Loose screw-retained crown 263 Scenario 3: Loose
cement-retained posterior crown 269 Scenario 4: Loose cement-retained
anterior crown 272 Scenario 5: Loose anterior implant crown: screw-retained
or cement-retained? 275 Scenario 6: Loose screw-retained fixed partial
denture 280 Treatment considerations 284 Contributing factors and
prevention of screw loosening 288 Take-home hints 295 References 295 14
Management of complications associated with single-implant esthetics 298
Oswaldo Scopin de Andrade, Dario Adolfi, Maristela Lobo, and Maurício
Contar Adolfi Introduction 298 Possible failures, prevalence, and etiology
299 Targeted strategies for implant success in the esthetic zone 300 Tooth
extraction: an important factor in avoiding complications 301 Key elements
in implant placement and resolving esthetic complications 302 Case report:
step-by-step clinical procedures to resolve an implant complication in the
esthetic area 305 Conclusions 312 Take-home hints 313 Acknowledgments 313
References 313 15 Esthetic complications with adjacent implant restorations
316 Dennis P. Tarnow, Sang-Choon Cho, Stephen J. Chu, and Stuart J. Froum
Complications 316 Etiology 317 Prevention 318 Treatment 320 Case report 322
Conclusions 326 Take-home hints 330 References 330 16 Complications of
autogenous bone grafting 332 Craig M. Misch Introduction 332 Donor sites
332 Recipient site complications: early healing complications 344 Recipient
site complications: late healing complications 350 Take-home hints 357
References 358 17 Complications in guided bone regeneration 362 Filippo
Fontana, Isabella Rocchietta, and Massimo Simion Introduction 362
Literature review 363 Prevention of complications: surgical technique 364
Clinical management of GBR complications 370 Conclusions 379 Take-home
hints 380 References 380 18 Avoiding complications of alveolar segmental
osteoperiosteal flaps 383 Ole T. Jensen Alveolar distraction osteogenesis
383 Sandwich osteotomy 386 Alveolar width distraction 388 Island
osteoperiosteal flap 390 Book bone flap 392 Major orthognathic distraction
procedures 393 Summary 395 Take-home hints 395 References 395 19
Complications in lateral window sinus elevation surgery 396 Stephen S.
Wallace and Tiziano Testori Introduction 396 Intraoperative complications
396 Take-home hints 399 Take-home hints 413 Postoperative complications 413
Take-home hints 421 Conclusion 423 References 424 20 Complications with
transcrestal sinus floor elevation: etiology, prevention, and treatment 427
Michael Toffler and Paul S. Rosen Incidence 427 Etiology 430 Prevention 437
Management 445 Take-home hints 450 References 451 21 Implant complications
related to immediate implant placement into extraction sites 457 Barry D.
Wagenberg and Stuart J. Froum Introduction 457 Etiology and prevention 457
Immediate tooth replacement (non-occlusally loaded) at the time of
extraction of the natural tooth 463 Procedures to prevent failure using the
immediate implant placement protocol with a non-loading provisional 467
Treatment of maxillary molars with the IIP protocol 468 Treatment of
mandibular molars 470 Prevention 474 Treatment of complications 478
Take-home hints 479 References 479 22 Complications associated with
flapless surgery 481 Thomas G. Wilson, Jr. Introduction 481 Definition of
flapless surgery 481 Goals of therapy 481 Etiology 481 Prevention 482
Treatment 490 Summary 493 Take-home hints 493 Potential conflicts of
interest 493 References 493 23 Complications related to immediately loaded
dental implants 495 Jeffrey Ganeles and David Grossberg Failure to achieve
osseointegration 495 Surgical complications related to immediate loading
499 Esthetic complications 502 Implant malposition 511 Restorative
complications 513 Guided surgery and prefabricated restorations 518 Summary
532 Take-home hints 532 References 533 24 Prosthodontic complications
related to non-optimal dental implant placement 539 Lyndon F. Cooper
Introduction 539 Etiology 540 Implant location 541 Prevention 547 Treatment
553 Take-home hints 557 References 557 25 Prosthodontic management of
malpositioned implants and implant occlusion complications 559 Avinash S.
Bidra Introduction 559 Etiology of malpositioned implants 559 Prevention
562 Treatment 563 Etiologies of implant occlusion complications 565
Prevention of implant occlusion complications 566 Treatment 568 Conclusion
569 Take-home hints 570 References 570 26 Craniofacial growth in adults and
its implications for implant reconstruction 572 Fereidoun Daftary, Ramin
Mahallati, Oded Bahat, and Richard M. Sullivan Introduction 572 Etiology
573 Prevention and treatment 575 Take-home hints 583 References 583 27
Implant complications encountered during maintenance therapy 585 Paul S.
Rosen, Stuart J. Froum, Scott H. Froum, and Chris Salierno Introduction 585
Diagnosis 585 Prevention 587 Treatment 594 Take-home hints 597 References
597 28 Medicolegal issues related to implant complications 600 Edwin J.
Zinman Etiology of malpractice litigation 600 Etiology of implant-related
legal claims 603 Take-home hints 616 References 617 Appendix 28.1: Example
of an informed consent form 620 Appendix 28.2: Release of liability form
625 29 Management of implant complications by the experts (part 1) 626
Introduction 626 Case 1: Treatment of midbuccal recession in the esthetic
zone 627 Pamela K. McClain Case 2: Treatment of buccal soft tissue
recession on a restored central incisor implant 629 Jeffrey R. Lemler Case
3: Repair of failed esthetic implant case 632 Bobby Butler Case 4:
Treatment of an osseous defect associated with an immediately placed
implant 635 Donald S. Clem Case 5: Treatment of bone loss from an acute
abscess around a dental implant 639 Bradley S. McAllister Case 6:
Replacement of a failed implant in the esthetic zone 643 Abd Elsalam
Elaskary Case 7: Treatment and replacement of a malpositioned implant in
the esthetic zone 646 Scott H. Froum Case 8: Corrective treatment for a
malpositioned implant in the esthetic zone 653 J. Daulton Keith Case 9:
Treatment of implant malposition in the esthetic zone 658 Burton Langer and
Laureen Langer Case 10: Treatment of a malpositioned implant in the
esthetic zone 661 Stuart J. Froum and Jeffrey R. Lemler 30 Management of
implant complications by the experts (part 2) 666 Case 1: Long-term
retention of a "hopeless" implant 666 Kirk Pasquinelli Case 2: Treatment of
implant malposition in the esthetic zone 671 Burton Langer and Laureen
Langer Case 3: Examples of esthetic implant complications - soft tissue
repairs 676 Bobby Butler Case 4: Treatment of peri-implantitis due to
residual cement around an implant 681 Pamela K. McClain Case 5: The
importance of occlusion in success of implant-supported restorations 685
Farhad Vahidi Case 6: Nonsyndromic oligodontia interdisciplinary approach:
challenges and possible complications 688 Farhad Vahidi Case 7: Successful
replacement of a failed dental implant: 5-year follow-up 692 William Becker
Case 8: Management of a failed implant in the esthetic zone 695 Donald S.
Clem Index 701
List of contributors xiii Foreword xvii Myron Nevins Introduction xix
Stuart J. Froum 1 Implant complications: scope of the problem 1 Stuart J.
Froum Introduction 1 Etiology 1 Prevention and treatment 6 Acknowledgments
7 References 8 2 Implant complications associated with systemic disorders
and medications 10 Louis F. Rose and Brian L. Mealey Introduction 10
Etiology 10 Prevention 24 Treatment 36 Take-home hints 41 References 41 3
Complications of drug prescribing in implant therapy 49 Mea A. Weinberg
Introduction 49 Etiology of drug prescribing complications 49 Types of drug
and drug prescribing complications 49 Prevention of drug prescribing
complications 51 Antibiotic prescribing in dental implant therapy 52
Analgesic prescribing 60 Steroid prescribing 63 Conclusions 63 Take-home
hints 64 References 64 4 Complications associated with implant planning:
etiology, prevention, and treatment 68 Hans-Peter Weber and Panos
Papaspyridakos Introduction 68 Etiology 68 Prevention through careful
diagnosis and risk assessment 71 Prevention of complications through
careful treatment planning 81 Take-home hints 98 Acknowledgments 98
References 99 5 Implant complications associated with two- and
three-dimensional diagnostic imaging technologies 102 Scott D. Ganz Case 1:
Complications due to scanographic templates 103 Case 2: Long-term
complications due to nerve perforation 104 Case 3: Sinus augmentation
complications diagnosed by three-dimensional imaging 109 Case 4:
Complications related to improper surgical technique, diagnosis, and
free-hand implant placement 118 Case 5: Complications in the mandibular
symphysis - related to diagnostic imagery 122 Conclusions 129 Take-home
hints 129 References 129 6 Implant fractures: etiology, prevention, and
treatment 132 Steven E. Eckert, Thomas J. Salinas, and Kivanç Akça
Introduction 132 Incidence 132 Etiology 133 Treatment of the fractured
implant 142 Conclusion 142 Take-home hints 143 References 143 7 Implant
naturalization: restoring osseointegrated dental implants with damaged
platforms and connections 145 Dennis E. Waguespack and Brian C. Butler
Introduction 145 Etiology and prevention 145 Etiology 147 Treatment 149
Take-home hints 152 Acknowledgments 152 References 152 8 Implant failure:
prevalence, risk factors, management, and prevention 153 J. Kobi Stern,
Emily E. Hahn, Cyril I. Evian, Jonathan Waasdorp, and Edwin S. Rosenberg
Introduction 153 Definition and classification of implant failure 153
Incidence of implant failures 155 Etiology and risk factors 156 Prevention
of implant failures 162 Treatment for implant failure 162 Take-home hints
167 References 167 9 Peri-implantitis: etiology, pathogenesis, prevention,
and therapy 170 Niklaus P. Lang and Maurizio S. Tonetti Etiology 170
Microbiological aspects 170 Pathogenesis of peri-implant diseases 172
Diagnostic aspects 175 Prevention: prophylactic procedures 178 Treatment:
therapeutic strategies 179 Conclusions and clinical implications 183
Take-home hints 184 Acknowledgments 184 References 184 10 Complications
related to cemented implant restoration 187 Chandur P.K. Wadhwani
Introduction 187 Advantages of the cement-retained implant restoration 187
Problems associated with cemented implant restorations 187 Cementing
restorations onto teeth versus implants - why the difference? 188 Etiology
193 Prevention 197 Treatment 201 The future of cement-retained implant
restorations 203 Take-home hints 206 Note 207 References 207 11 Esthetic
complications due to implant malpositions: etiology, prevention, and
treatment 209 Stephen T. Chen and Daniel Buser Introduction 209 Etiology
210 Prevention of implant malposition 217 Treatment of esthetic
complications due to implant malposition 223 Conclusions 230 Take-home
hints 230 References 231 12 Prosthetic-related dental implant
complications: etiology, prevention, and treatment 233 Charles J. Goodacre
and Mathew T. Kattadiyil Introduction 233 Etiology and timing of
complications and failure 233 Mechanical complications 234 Phonetic
complications 245 Esthetic complications 245 Biologic complications
attributable to the prosthesis 253 Conclusions 256 Take-home hints 257
References 257 13 The loose implant restoration syndrome 259 Harel Simon
Introduction 259 Scenario 1: Loose implant restoration emergency 259
Etiology of the loose implant restoration syndrome 263 Treatment protocol
263 Scenario 2: Loose screw-retained crown 263 Scenario 3: Loose
cement-retained posterior crown 269 Scenario 4: Loose cement-retained
anterior crown 272 Scenario 5: Loose anterior implant crown: screw-retained
or cement-retained? 275 Scenario 6: Loose screw-retained fixed partial
denture 280 Treatment considerations 284 Contributing factors and
prevention of screw loosening 288 Take-home hints 295 References 295 14
Management of complications associated with single-implant esthetics 298
Oswaldo Scopin de Andrade, Dario Adolfi, Maristela Lobo, and Maurício
Contar Adolfi Introduction 298 Possible failures, prevalence, and etiology
299 Targeted strategies for implant success in the esthetic zone 300 Tooth
extraction: an important factor in avoiding complications 301 Key elements
in implant placement and resolving esthetic complications 302 Case report:
step-by-step clinical procedures to resolve an implant complication in the
esthetic area 305 Conclusions 312 Take-home hints 313 Acknowledgments 313
References 313 15 Esthetic complications with adjacent implant restorations
316 Dennis P. Tarnow, Sang-Choon Cho, Stephen J. Chu, and Stuart J. Froum
Complications 316 Etiology 317 Prevention 318 Treatment 320 Case report 322
Conclusions 326 Take-home hints 330 References 330 16 Complications of
autogenous bone grafting 332 Craig M. Misch Introduction 332 Donor sites
332 Recipient site complications: early healing complications 344 Recipient
site complications: late healing complications 350 Take-home hints 357
References 358 17 Complications in guided bone regeneration 362 Filippo
Fontana, Isabella Rocchietta, and Massimo Simion Introduction 362
Literature review 363 Prevention of complications: surgical technique 364
Clinical management of GBR complications 370 Conclusions 379 Take-home
hints 380 References 380 18 Avoiding complications of alveolar segmental
osteoperiosteal flaps 383 Ole T. Jensen Alveolar distraction osteogenesis
383 Sandwich osteotomy 386 Alveolar width distraction 388 Island
osteoperiosteal flap 390 Book bone flap 392 Major orthognathic distraction
procedures 393 Summary 395 Take-home hints 395 References 395 19
Complications in lateral window sinus elevation surgery 396 Stephen S.
Wallace and Tiziano Testori Introduction 396 Intraoperative complications
396 Take-home hints 399 Take-home hints 413 Postoperative complications 413
Take-home hints 421 Conclusion 423 References 424 20 Complications with
transcrestal sinus floor elevation: etiology, prevention, and treatment 427
Michael Toffler and Paul S. Rosen Incidence 427 Etiology 430 Prevention 437
Management 445 Take-home hints 450 References 451 21 Implant complications
related to immediate implant placement into extraction sites 457 Barry D.
Wagenberg and Stuart J. Froum Introduction 457 Etiology and prevention 457
Immediate tooth replacement (non-occlusally loaded) at the time of
extraction of the natural tooth 463 Procedures to prevent failure using the
immediate implant placement protocol with a non-loading provisional 467
Treatment of maxillary molars with the IIP protocol 468 Treatment of
mandibular molars 470 Prevention 474 Treatment of complications 478
Take-home hints 479 References 479 22 Complications associated with
flapless surgery 481 Thomas G. Wilson, Jr. Introduction 481 Definition of
flapless surgery 481 Goals of therapy 481 Etiology 481 Prevention 482
Treatment 490 Summary 493 Take-home hints 493 Potential conflicts of
interest 493 References 493 23 Complications related to immediately loaded
dental implants 495 Jeffrey Ganeles and David Grossberg Failure to achieve
osseointegration 495 Surgical complications related to immediate loading
499 Esthetic complications 502 Implant malposition 511 Restorative
complications 513 Guided surgery and prefabricated restorations 518 Summary
532 Take-home hints 532 References 533 24 Prosthodontic complications
related to non-optimal dental implant placement 539 Lyndon F. Cooper
Introduction 539 Etiology 540 Implant location 541 Prevention 547 Treatment
553 Take-home hints 557 References 557 25 Prosthodontic management of
malpositioned implants and implant occlusion complications 559 Avinash S.
Bidra Introduction 559 Etiology of malpositioned implants 559 Prevention
562 Treatment 563 Etiologies of implant occlusion complications 565
Prevention of implant occlusion complications 566 Treatment 568 Conclusion
569 Take-home hints 570 References 570 26 Craniofacial growth in adults and
its implications for implant reconstruction 572 Fereidoun Daftary, Ramin
Mahallati, Oded Bahat, and Richard M. Sullivan Introduction 572 Etiology
573 Prevention and treatment 575 Take-home hints 583 References 583 27
Implant complications encountered during maintenance therapy 585 Paul S.
Rosen, Stuart J. Froum, Scott H. Froum, and Chris Salierno Introduction 585
Diagnosis 585 Prevention 587 Treatment 594 Take-home hints 597 References
597 28 Medicolegal issues related to implant complications 600 Edwin J.
Zinman Etiology of malpractice litigation 600 Etiology of implant-related
legal claims 603 Take-home hints 616 References 617 Appendix 28.1: Example
of an informed consent form 620 Appendix 28.2: Release of liability form
625 29 Management of implant complications by the experts (part 1) 626
Introduction 626 Case 1: Treatment of midbuccal recession in the esthetic
zone 627 Pamela K. McClain Case 2: Treatment of buccal soft tissue
recession on a restored central incisor implant 629 Jeffrey R. Lemler Case
3: Repair of failed esthetic implant case 632 Bobby Butler Case 4:
Treatment of an osseous defect associated with an immediately placed
implant 635 Donald S. Clem Case 5: Treatment of bone loss from an acute
abscess around a dental implant 639 Bradley S. McAllister Case 6:
Replacement of a failed implant in the esthetic zone 643 Abd Elsalam
Elaskary Case 7: Treatment and replacement of a malpositioned implant in
the esthetic zone 646 Scott H. Froum Case 8: Corrective treatment for a
malpositioned implant in the esthetic zone 653 J. Daulton Keith Case 9:
Treatment of implant malposition in the esthetic zone 658 Burton Langer and
Laureen Langer Case 10: Treatment of a malpositioned implant in the
esthetic zone 661 Stuart J. Froum and Jeffrey R. Lemler 30 Management of
implant complications by the experts (part 2) 666 Case 1: Long-term
retention of a "hopeless" implant 666 Kirk Pasquinelli Case 2: Treatment of
implant malposition in the esthetic zone 671 Burton Langer and Laureen
Langer Case 3: Examples of esthetic implant complications - soft tissue
repairs 676 Bobby Butler Case 4: Treatment of peri-implantitis due to
residual cement around an implant 681 Pamela K. McClain Case 5: The
importance of occlusion in success of implant-supported restorations 685
Farhad Vahidi Case 6: Nonsyndromic oligodontia interdisciplinary approach:
challenges and possible complications 688 Farhad Vahidi Case 7: Successful
replacement of a failed dental implant: 5-year follow-up 692 William Becker
Case 8: Management of a failed implant in the esthetic zone 695 Donald S.
Clem Index 701
Stuart J. Froum 1 Implant complications: scope of the problem 1 Stuart J.
Froum Introduction 1 Etiology 1 Prevention and treatment 6 Acknowledgments
7 References 8 2 Implant complications associated with systemic disorders
and medications 10 Louis F. Rose and Brian L. Mealey Introduction 10
Etiology 10 Prevention 24 Treatment 36 Take-home hints 41 References 41 3
Complications of drug prescribing in implant therapy 49 Mea A. Weinberg
Introduction 49 Etiology of drug prescribing complications 49 Types of drug
and drug prescribing complications 49 Prevention of drug prescribing
complications 51 Antibiotic prescribing in dental implant therapy 52
Analgesic prescribing 60 Steroid prescribing 63 Conclusions 63 Take-home
hints 64 References 64 4 Complications associated with implant planning:
etiology, prevention, and treatment 68 Hans-Peter Weber and Panos
Papaspyridakos Introduction 68 Etiology 68 Prevention through careful
diagnosis and risk assessment 71 Prevention of complications through
careful treatment planning 81 Take-home hints 98 Acknowledgments 98
References 99 5 Implant complications associated with two- and
three-dimensional diagnostic imaging technologies 102 Scott D. Ganz Case 1:
Complications due to scanographic templates 103 Case 2: Long-term
complications due to nerve perforation 104 Case 3: Sinus augmentation
complications diagnosed by three-dimensional imaging 109 Case 4:
Complications related to improper surgical technique, diagnosis, and
free-hand implant placement 118 Case 5: Complications in the mandibular
symphysis - related to diagnostic imagery 122 Conclusions 129 Take-home
hints 129 References 129 6 Implant fractures: etiology, prevention, and
treatment 132 Steven E. Eckert, Thomas J. Salinas, and Kivanç Akça
Introduction 132 Incidence 132 Etiology 133 Treatment of the fractured
implant 142 Conclusion 142 Take-home hints 143 References 143 7 Implant
naturalization: restoring osseointegrated dental implants with damaged
platforms and connections 145 Dennis E. Waguespack and Brian C. Butler
Introduction 145 Etiology and prevention 145 Etiology 147 Treatment 149
Take-home hints 152 Acknowledgments 152 References 152 8 Implant failure:
prevalence, risk factors, management, and prevention 153 J. Kobi Stern,
Emily E. Hahn, Cyril I. Evian, Jonathan Waasdorp, and Edwin S. Rosenberg
Introduction 153 Definition and classification of implant failure 153
Incidence of implant failures 155 Etiology and risk factors 156 Prevention
of implant failures 162 Treatment for implant failure 162 Take-home hints
167 References 167 9 Peri-implantitis: etiology, pathogenesis, prevention,
and therapy 170 Niklaus P. Lang and Maurizio S. Tonetti Etiology 170
Microbiological aspects 170 Pathogenesis of peri-implant diseases 172
Diagnostic aspects 175 Prevention: prophylactic procedures 178 Treatment:
therapeutic strategies 179 Conclusions and clinical implications 183
Take-home hints 184 Acknowledgments 184 References 184 10 Complications
related to cemented implant restoration 187 Chandur P.K. Wadhwani
Introduction 187 Advantages of the cement-retained implant restoration 187
Problems associated with cemented implant restorations 187 Cementing
restorations onto teeth versus implants - why the difference? 188 Etiology
193 Prevention 197 Treatment 201 The future of cement-retained implant
restorations 203 Take-home hints 206 Note 207 References 207 11 Esthetic
complications due to implant malpositions: etiology, prevention, and
treatment 209 Stephen T. Chen and Daniel Buser Introduction 209 Etiology
210 Prevention of implant malposition 217 Treatment of esthetic
complications due to implant malposition 223 Conclusions 230 Take-home
hints 230 References 231 12 Prosthetic-related dental implant
complications: etiology, prevention, and treatment 233 Charles J. Goodacre
and Mathew T. Kattadiyil Introduction 233 Etiology and timing of
complications and failure 233 Mechanical complications 234 Phonetic
complications 245 Esthetic complications 245 Biologic complications
attributable to the prosthesis 253 Conclusions 256 Take-home hints 257
References 257 13 The loose implant restoration syndrome 259 Harel Simon
Introduction 259 Scenario 1: Loose implant restoration emergency 259
Etiology of the loose implant restoration syndrome 263 Treatment protocol
263 Scenario 2: Loose screw-retained crown 263 Scenario 3: Loose
cement-retained posterior crown 269 Scenario 4: Loose cement-retained
anterior crown 272 Scenario 5: Loose anterior implant crown: screw-retained
or cement-retained? 275 Scenario 6: Loose screw-retained fixed partial
denture 280 Treatment considerations 284 Contributing factors and
prevention of screw loosening 288 Take-home hints 295 References 295 14
Management of complications associated with single-implant esthetics 298
Oswaldo Scopin de Andrade, Dario Adolfi, Maristela Lobo, and Maurício
Contar Adolfi Introduction 298 Possible failures, prevalence, and etiology
299 Targeted strategies for implant success in the esthetic zone 300 Tooth
extraction: an important factor in avoiding complications 301 Key elements
in implant placement and resolving esthetic complications 302 Case report:
step-by-step clinical procedures to resolve an implant complication in the
esthetic area 305 Conclusions 312 Take-home hints 313 Acknowledgments 313
References 313 15 Esthetic complications with adjacent implant restorations
316 Dennis P. Tarnow, Sang-Choon Cho, Stephen J. Chu, and Stuart J. Froum
Complications 316 Etiology 317 Prevention 318 Treatment 320 Case report 322
Conclusions 326 Take-home hints 330 References 330 16 Complications of
autogenous bone grafting 332 Craig M. Misch Introduction 332 Donor sites
332 Recipient site complications: early healing complications 344 Recipient
site complications: late healing complications 350 Take-home hints 357
References 358 17 Complications in guided bone regeneration 362 Filippo
Fontana, Isabella Rocchietta, and Massimo Simion Introduction 362
Literature review 363 Prevention of complications: surgical technique 364
Clinical management of GBR complications 370 Conclusions 379 Take-home
hints 380 References 380 18 Avoiding complications of alveolar segmental
osteoperiosteal flaps 383 Ole T. Jensen Alveolar distraction osteogenesis
383 Sandwich osteotomy 386 Alveolar width distraction 388 Island
osteoperiosteal flap 390 Book bone flap 392 Major orthognathic distraction
procedures 393 Summary 395 Take-home hints 395 References 395 19
Complications in lateral window sinus elevation surgery 396 Stephen S.
Wallace and Tiziano Testori Introduction 396 Intraoperative complications
396 Take-home hints 399 Take-home hints 413 Postoperative complications 413
Take-home hints 421 Conclusion 423 References 424 20 Complications with
transcrestal sinus floor elevation: etiology, prevention, and treatment 427
Michael Toffler and Paul S. Rosen Incidence 427 Etiology 430 Prevention 437
Management 445 Take-home hints 450 References 451 21 Implant complications
related to immediate implant placement into extraction sites 457 Barry D.
Wagenberg and Stuart J. Froum Introduction 457 Etiology and prevention 457
Immediate tooth replacement (non-occlusally loaded) at the time of
extraction of the natural tooth 463 Procedures to prevent failure using the
immediate implant placement protocol with a non-loading provisional 467
Treatment of maxillary molars with the IIP protocol 468 Treatment of
mandibular molars 470 Prevention 474 Treatment of complications 478
Take-home hints 479 References 479 22 Complications associated with
flapless surgery 481 Thomas G. Wilson, Jr. Introduction 481 Definition of
flapless surgery 481 Goals of therapy 481 Etiology 481 Prevention 482
Treatment 490 Summary 493 Take-home hints 493 Potential conflicts of
interest 493 References 493 23 Complications related to immediately loaded
dental implants 495 Jeffrey Ganeles and David Grossberg Failure to achieve
osseointegration 495 Surgical complications related to immediate loading
499 Esthetic complications 502 Implant malposition 511 Restorative
complications 513 Guided surgery and prefabricated restorations 518 Summary
532 Take-home hints 532 References 533 24 Prosthodontic complications
related to non-optimal dental implant placement 539 Lyndon F. Cooper
Introduction 539 Etiology 540 Implant location 541 Prevention 547 Treatment
553 Take-home hints 557 References 557 25 Prosthodontic management of
malpositioned implants and implant occlusion complications 559 Avinash S.
Bidra Introduction 559 Etiology of malpositioned implants 559 Prevention
562 Treatment 563 Etiologies of implant occlusion complications 565
Prevention of implant occlusion complications 566 Treatment 568 Conclusion
569 Take-home hints 570 References 570 26 Craniofacial growth in adults and
its implications for implant reconstruction 572 Fereidoun Daftary, Ramin
Mahallati, Oded Bahat, and Richard M. Sullivan Introduction 572 Etiology
573 Prevention and treatment 575 Take-home hints 583 References 583 27
Implant complications encountered during maintenance therapy 585 Paul S.
Rosen, Stuart J. Froum, Scott H. Froum, and Chris Salierno Introduction 585
Diagnosis 585 Prevention 587 Treatment 594 Take-home hints 597 References
597 28 Medicolegal issues related to implant complications 600 Edwin J.
Zinman Etiology of malpractice litigation 600 Etiology of implant-related
legal claims 603 Take-home hints 616 References 617 Appendix 28.1: Example
of an informed consent form 620 Appendix 28.2: Release of liability form
625 29 Management of implant complications by the experts (part 1) 626
Introduction 626 Case 1: Treatment of midbuccal recession in the esthetic
zone 627 Pamela K. McClain Case 2: Treatment of buccal soft tissue
recession on a restored central incisor implant 629 Jeffrey R. Lemler Case
3: Repair of failed esthetic implant case 632 Bobby Butler Case 4:
Treatment of an osseous defect associated with an immediately placed
implant 635 Donald S. Clem Case 5: Treatment of bone loss from an acute
abscess around a dental implant 639 Bradley S. McAllister Case 6:
Replacement of a failed implant in the esthetic zone 643 Abd Elsalam
Elaskary Case 7: Treatment and replacement of a malpositioned implant in
the esthetic zone 646 Scott H. Froum Case 8: Corrective treatment for a
malpositioned implant in the esthetic zone 653 J. Daulton Keith Case 9:
Treatment of implant malposition in the esthetic zone 658 Burton Langer and
Laureen Langer Case 10: Treatment of a malpositioned implant in the
esthetic zone 661 Stuart J. Froum and Jeffrey R. Lemler 30 Management of
implant complications by the experts (part 2) 666 Case 1: Long-term
retention of a "hopeless" implant 666 Kirk Pasquinelli Case 2: Treatment of
implant malposition in the esthetic zone 671 Burton Langer and Laureen
Langer Case 3: Examples of esthetic implant complications - soft tissue
repairs 676 Bobby Butler Case 4: Treatment of peri-implantitis due to
residual cement around an implant 681 Pamela K. McClain Case 5: The
importance of occlusion in success of implant-supported restorations 685
Farhad Vahidi Case 6: Nonsyndromic oligodontia interdisciplinary approach:
challenges and possible complications 688 Farhad Vahidi Case 7: Successful
replacement of a failed dental implant: 5-year follow-up 692 William Becker
Case 8: Management of a failed implant in the esthetic zone 695 Donald S.
Clem Index 701