Читать книгу Management of Complications in Oral and Maxillofacial Surgery - Группа авторов - Страница 80

It is clear that, since the introduction of the principles of osseointegration by Branemark and its worldwide acceptance, the clinical practice of dental implantology has completely changed the prosthodontic, surgical, and orthodontic rehabilitation of partially edentulous, fully edentulous, and, in some cases, fully dentate patients. Although there is a low incidence of integration failure of an implant fixture, and the clinical and radiographic features of implant condition are well known (Table 3.1), an implant that has achieved success or satisfactory osseointegration may be considered a failure from a restorative or functional standpoint. Fortunately, many complications that are associated with dental implant placement are considered salvageable, even if the plan would include implant removal and replacement. However, certain types of dental implant failures may have devastating consequences on the physical, psychosocial, and financial well‐being of a patient, and may also impact negatively upon surgeon confidence. This chapter will focus on the more common complications associated with dental implant surgery, in the preoperative, intraoperative, and postoperative phases of treatment, with strategies for avoidance as well as management of these implant‐related complications. Consideration will be given to (i) preoperative planning and the avoidance of complications during the treatment planning phase; (ii) intraoperative contributions to integration failure and acute intraoperative complications; (iii) early postoperative failures; and (iv) late postoperative failures including peri‐implantitis (Table 3.2).