Dental Implant Complications
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Dental Implant Complications

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Questions and Answers

What is a common complication in the anterior esthetic regions due to high esthetic demands and lack of hard and soft tissue support?

  • Bleeding
  • Esthetic harmony
  • Phonetic complications (correct)
  • Palatal contours

    • What is a reconstructive procedure to develop a natural emergence profile of the implant crown?

  • Periodontal therapy
  • Bone grafting
  • Nerve repositioning
  • Tissue recontouring (correct)

    • What is a possible cause of maxillary sinusitis post-operatively?

  • Bone fracture
  • Ostium obstruction (correct)
  • Nerve damage
  • Soft tissue trauma

    • What is a common complication observed in severe atrophied maxilla?

    <p>Spaces under and around the superstructure of implant</p> Signup and view all the answers

    What is a management option for maxillary sinusitis?

    <p>Implant assisted maxillary-overdenture</p> Signup and view all the answers

    What is a possible contamination source of the maxillary sinus?

    <p>Oral pathogens</p> Signup and view all the answers

    What type of complications occur during the surgical procedure?

    <p>Accidents</p> Signup and view all the answers

    What type of complications arise during the process of osseointegration?

    <p>Late-stage complications</p> Signup and view all the answers

    What is considered an iatrogenic act?

    <p>A deficient praxis of the professional</p> Signup and view all the answers

    What type of disturbances can occur as a complication of dental implant surgery?

    <p>Neurosensory disturbances</p> Signup and view all the answers

    Which of the following is a local complication of dental implant surgery?

    <p>All of the above</p> Signup and view all the answers

    What occurs when the professional and/or the patient do not obtain the desirable results?

    <p>A failure</p> Signup and view all the answers

    What is a potential cause of neurosensory disturbances in dental implant placement?

    <p>Surgical technique</p> Signup and view all the answers

    What is a possible complication of dental implant placement that may lead to respiratory distress?

    <p>Emphysema</p> Signup and view all the answers

    What is a potential cause of bleeding during dental implant placement?

    <p>Surgical trauma</p> Signup and view all the answers

    What is a potential complication of dental implant placement that can cause nerve damage?

    <p>Nerve lesions</p> Signup and view all the answers

    What is a potential cause of implant complications during dental implant placement?

    <p>Surgical technique</p> Signup and view all the answers

    What is essential in preventing complications during dental implant placement?

    <p>Precise surgical techniques</p> Signup and view all the answers

    What percentage of the time can osseointegration be expected between an endosseous titanium implant and bone?

    <p>Greater than 85%</p> Signup and view all the answers

    What medication is used to prevent postsurgery obstruction of the ostium after sinus augmentation?

    <p>Xylomethazoline 0.05%</p> Signup and view all the answers

    What is a potential local factor that can contribute to implant failure?

    <p>Bone quantity/quality</p> Signup and view all the answers

    What is a potential systemic factor that can contribute to implant failure?

    <p>Smoking</p> Signup and view all the answers

    What is provided to the patient perioperatively to prevent infection?

    <p>Antibiotic prophylaxis</p> Signup and view all the answers

    What is a potential consequence of failed osseointegration?

    <p>Nerve lesions</p> Signup and view all the answers

    What is a possible cause of bleeding during implant surgery?

    <p>Lesions in the sublingual artery</p> Signup and view all the answers

    Which of the following is a type of surgical complication?

    <p>Hemorrhage</p> Signup and view all the answers

    What is a possible consequence of damage to adjacent teeth?

    <p>Nerve lesions</p> Signup and view all the answers

    What is a possible cause of neurosensory disturbances?

    <p>Surgical trauma</p> Signup and view all the answers

    What is a type of Esthetic complication?

    <p>Phonetic complications</p> Signup and view all the answers

    What is a possible type of implant complication?

    <p>Fracture of restorative materials</p> Signup and view all the answers

    What is the primary purpose of administering a nasal decongestant and topical corticosteroid postsurgery in sinus augmentation?

    <p>To prevent postsurgery obstruction of the ostium</p> Signup and view all the answers

    What is the minimum expected percentage of successful osseointegration between an endosseous titanium implant and bone?

    <p>85%</p> Signup and view all the answers

    Which of the following is a local factor that can contribute to implant failure?

    <p>Oral hygiene</p> Signup and view all the answers

    What is the primary reason for administering perioperative antibiotic prophylaxis in dental implant placement?

    <p>To prevent infection</p> Signup and view all the answers

    What is the primary consequence of failed osseointegration?

    <p>Implant failure</p> Signup and view all the answers

    What is the primary purpose of preoperative evaluation of sinus clearance-related factors in sinus augmentation?

    <p>To assess the risk of complications</p> Signup and view all the answers

    Which of the following is a systemic factor that can contribute to implant failure?

    <p>Vascular integrity</p> Signup and view all the answers

    What is the primary cause of implant failure due to surface roughness?

    <p>Increased bacterial adhesion</p> Signup and view all the answers

    What is the primary purpose of assessing the periodontal status of natural teeth in dental implant placement?

    <p>To assess the risk of implant failure</p> Signup and view all the answers

    What is the primary consequence of traumatic occlusion due to inadequate restorations?

    <p>Implant failure</p> Signup and view all the answers

    Study Notes

    Complications in Dental Implant Surgery

    • Accidents occur during surgery, while complications appear after surgery and can be classified as early-stage or late-stage complications
    • Early-stage complications occur in the immediate postoperative period, interfering with healing
    • Late-stage complications arise during the process of osseointegration
    • Iatrogenic acts are regarded as accidents, complications or failures caused by a deficient praxis of the professional

    Local Complications in Dental Implant Surgery

    • Infection
    • Edema
    • Ecchymoses and hematomas
    • Emphysema
    • Bleeding
    • Flap dehiscence
    • Sensory disorders
    • Perforation of the mucoperiosteum
    • Maxillary sinusitis
    • Mandibular fractures
    • Failed osseointegration
    • Bony defects
    • Periapical implant lesions

    Classification of Complications (Carranza)

    Surgical Complications

    • Hemorrhage and hematoma
    • Neurosensory disturbances
    • Damage to adjacent teeth

    Biologic Complications

    • Inflammation
    • Dehiscence and recession
    • Periimplantitis and bone loss
    • Implant loss or failure
    • Screw loosening and fracture
    • Implant fracture
    • Fracture of restorative

    Technical or Mechanical Complications

    • Materials
    • Esthetic complications
    • Phonetic complications

    Esthetic and Phonetic Complications

    • Bleeding
    • Phonetic complications

    Causes of Bleeding

    • Lesions in sublingual, lingual, perimandibular, or submaxillary artery
    • Surgeries in the lower and anterior area of totally edentulous patients with a deficit in bone quality and quantity
    • Lack of asepsis during sinus augmentation

    Management of Bleeding

    • Preoperative evaluation of sinus clearance-related factors
    • Postsurgery: nasal decongestant and topical corticosteroid to prevent ostium obstruction
    • Perioperative antibiotic prophylaxis

    Failed Osseointegration

    • Defined as a direct structural and functional connection between ordered living bone and the surface of a load-carrying implant
    • Factors affecting osseointegration:
      • Implant failure
      • Surface roughness
      • Surface purity and sterility
      • Fit discrepancies
      • Intra-oral exposure time
      • Mechanical overloading
      • Premature loading
      • Traumatic occlusion due to inadequate restorations
      • Patient local factors (oral hygiene, gingivitis, bone quantity/quality, adjacent infection/inflammation, presence of natural teeth, periodontal status of natural teeth)
      • Patient systemic factors (vascular integrity, smoking, alcoholism, predisposition to infection)

    Phonetic Complications

    • Unusual palatal contours (restricted or narrow palatal space)
    • Spaces under and around the superstructure of the implant
    • Management: implant-assisted maxillary overdenture

    Maxillary Sinusitis

    • Contamination of the maxillary sinus with oral or nasal pathogens
    • Ostial obstruction caused by postoperative swelling of the maxillary mucosa
    • Non-vital bony fragments floating freely in the maxillary sinus
    • Risk factors: age, obesity, steroid therapy, malnutrition, metabolic disease, chemotherapy/radiotherapy, hypersensitivity to implant components
    • Surgical technique/environment
    • Surgical trauma
    • Overheating (use of handpiece)
    • Perioperative bacterial contamination

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    Related Documents

    Dental Implant Complications PDF

    Description

    Learn about the different types of complications that can arise in implantology, including accidents and complications that occur during and after surgical procedures. Understand the importance of classifying and preventing these complications.

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