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Introduction to Complications in Full Arch Implant Surgery
00:00 - 07:30
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1
Complications in Maxillary Implant Surgery
07:31 - 18:58
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2
Complications in Mandibular Full Arch Implant Surgery
18:59 - 28:45
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3
Computer-Assisted and Robotic Implant Surgery
28:46 - 34:54
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Conclusion and Future Perspectives
34:55 - 35:39
- 5 Community questions
Complications with Full-Arch Surgeries and How to Manage
Video highlights
- Classification of complications in full arch implant surgery into minor and major categories.
- Detailed discussion of maxillary and mandibular surgical risks, including sinus lift complications, bleeding, infection, nerve injury, and fractures.
- Preventive strategies emphasized over complication management.
- Exploration of advanced technologies, including computer-assisted and robotic implant surgery.
- Future perspectives highlighting risk management, emergency preparedness, and technological integration.
Full arch implant surgery presents a wide range of potential complications, which can be classified as minor or major depending on severity and management complexity. Minor complications are typically manageable with standard clinical interventions, whereas major complications can pose serious risks to patient safety and long-term outcomes. These complications may appear immediately during surgery or be delayed, underscoring the importance of identifying human, patient, and surgical factors that contribute to adverse events.
In maxillary implant surgery, unique challenges arise due to anatomical and patient-related considerations. Common complications include iatrogenic issues during sinus lift augmentation, intraosseous anastomosis with bleeding, and delayed infections. The use of the buccal fat pad as a management option for certain complications is discussed, alongside strategies for reducing risk factors associated with patient health conditions and surgical approach.
Mandibular full arch implant procedures carry their own set of complications, particularly with regard to profuse bleeding, atrophic mandibles, and the risk of damaging the inferior dental nerve. Severe complications such as mandibular fractures require careful preventive planning and immediate management if they occur. Emphasis is placed on understanding the biomechanical challenges of the mandible and applying strategies that minimize fracture risk while ensuring stable implant outcomes.
The presentation also reviews technological advances in implant surgery, focusing on computer-assisted and robotic approaches. While computer-aided systems enhance surgical accuracy and planning, they require specific infrastructure and training for successful application. Robotic-assisted implant placement is introduced as an emerging innovation, with high accuracy demonstrated in initial studies. The speaker concludes by stressing prevention over management, the necessity of preparing for emergencies, and the transformative potential of future surgical technologies.
References
- Sala, Y. M., Lu, H., & Chrcanovic, B. R. (2024). Clinical outcomes of maxillary sinus floor perforation by dental implants and sinus membrane perforation during sinus augmentation: a systematic review and meta-analysis. Journal of Clinical Medicine, 13(5), 1253.
- Schiavo-Di Flaviano, V., Egido-Moreno, S., González-Navarro, B., Velasco-Ortega, E., López-López, J., & Monsalve-Guil, L. (2024). Influence of Schneiderian membrane perforation on implant survival rate: systematic review and meta-analysis. Journal of Clinical Medicine, 13(13), 3751.
- Proussaefs, P., & Lozada, J. (2003). The" Loma Linda pouch": a technique for repairing the perforated sinus membrane. International Journal of Periodontics & Restorative Dentistry, 23(6).
- Rosano, G., Taschieri, S., Gaudy, J. F., Weinstein, T., & Del Fabbro, M. (2011). Maxillary sinus vascular anatomy and its relation to sinus lift surgery. Clinical oral implants research, 22(7), 711-715.
- Elian, N., Wallace, S., Jalbout, Z. N., & Froum, S. (2005). Distribution of the maxillary artery as it relates to sinus floor augmentation. International Journal of Oral & Maxillofacial Implants, 20(5).
- Mardinger, O., Abba, M., Hirshberg, A., & Schwartz-Arad, D. (2007). Prevalence, diameter and course of the maxillary intraosseous vascular canal with relation to sinus augmentation procedure: a radiographic study. International journal of oral and maxillofacial surgery, 36(8), 735-738.
- Mason, M. E., Triplett, R. G., & Alfonso, W. F. (1990). Life-threatening hemorrhage from placement of a dental implant. Journal of oral and maxillofacial surgery, 48(2), 201-204.
- Juodzbalys, G., Wang, H. L., & Sabalys, G. (2011). Injury of the inferior alveolar nerve during implant placement: a literature review. Journal of oral & maxillofacial research, 2(1), e1.
- Soehardi, A., Meijer, G. J., Manders, R., & Stoelinga, P. J. (2011). An inventory of mandibular fractures associated with implants in atrophic edentulous mandibles: a survey of Dutch oral and maxillofacial surgeons. International Journal of Oral & Maxillofacial Implants, 26(5).
- Esposito, M., Hirsch, J. M., Lekholm, U., & Thomsen, P. (1998). Biological factors contributing to failures of osseointegrated oral implants. European Journal of Oral Sciences, 106(1), 527–551.
- Goodacre, C. J., Bernal, G., Rungcharassaeng, K., & Kan, J. Y. (2003). Clinical complications with implants and implant prostheses. Journal of Prosthetic Dentistry, 90(2), 121–132.
- Pjetursson, B. E., Tan, K., Lang, N. P., Brägger, U., Egger, M., & Zwahlen, M. (2004). A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. Clinical Oral Implants Research, 15(6), 625–642.
