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FOR Introduction Video
00:00 - 02:25
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1
Introduction and PI Brånemark Tribute
02:25 - 07:17
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2
Pre-Surgery Complications: Treatment Planning
07:17 - 13:58
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3
During Surgery Complications
13:58 - 19:48
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4
Post-Surgery Complications: Early and Late
19:48 - 35:32
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5
Prosthetic Complications and Closing
35:32 - 43:09
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6
Q&A Session
43:09 - 55:00
- 7 Community questions
Complications in Implant Dentistry- avoidance, prevention and management
Video highlights
- PI Brånemark's 5 P's philosophy: Proper Planning Prevents Poor Performance
- CBCT interpretation and treatment planning for complication avoidance
- Prevention and management of neurosensory disturbances after implant placement
- Managing peri-implant mucositis and peri-implantitis: diagnosis and treatment protocols
- Surgical complication avoidance: aspiration prevention and vital structure protection
- Prosthetic complication management: screw loosening, fracture, and component failure
- All-on-X treatment considerations and full-arch rehabilitation complications
This comprehensive webinar, presented by Dr. Peter Moy from UCLA School of Dentistry, provides an in-depth exploration of complications in implant dentistry. Hosted by the Foundation for Oral Rehabilitation (FOR) and moderated by Dr. Jay Malmquist, this educational session covers the full spectrum of implant complications—from pre-surgical planning through prosthetic rehabilitation—offering evidence-based strategies for avoidance, prevention, and management.
Dr. Moy, a distinguished oral and maxillofacial surgeon with decades of experience in implant dentistry, begins by honoring the legacy of Professor Per-Ingvar Brånemark, the father of modern implant dentistry. He emphasizes Brånemark's famous "5 P's" philosophy: Proper Planning Prevents Poor Performance—a principle that forms the foundation for complication avoidance throughout the presentation.
Pre-Surgery Complications and Treatment Planning
The webinar addresses critical pre-surgical considerations including proper patient selection, comprehensive treatment planning, and the essential role of CBCT imaging in identifying anatomical structures. Dr. Moy discusses how inadequate planning leads to complications such as implant malpositioning, nerve damage, and prosthetic failures. Key topics include assessing bone quality and quantity, identifying the inferior alveolar nerve and mental foramen, and planning for optimal implant positioning.
Intraoperative Surgical Complications
During surgery, clinicians must be vigilant about several potential complications. Dr. Moy covers hemorrhage control, prevention of implant aspiration (a potentially life-threatening emergency), damage to adjacent teeth, sinus membrane perforation during maxillary implant placement, and mandibular fracture in atrophic ridges. The presentation emphasizes surgical protocols and safety measures to minimize these risks.
Post-Surgical Complications: Early and Late
Post-operative complications are categorized into early and late presentations. Early complications include infection, wound dehiscence, neurosensory disturbances affecting the inferior alveolar or lingual nerves, and implant mobility. Late complications encompass peri-implant mucositis and peri-implantitis, which represent inflammatory conditions affecting the soft and hard tissues surrounding dental implants. Dr. Moy provides detailed protocols for diagnosis and management of these conditions, including non-surgical and surgical treatment approaches.
Prosthetic Complications
The webinar concludes with an examination of prosthetic complications including abutment screw loosening, screw fracture, ceramic chipping or fracture, implant fracture, and cement-retained versus screw-retained considerations. Special attention is given to All-on-X full-arch rehabilitation complications and the importance of proper occlusal design and maintenance protocols.
Q&A Session Highlights
The interactive Q&A session addresses practical clinical questions from attendees, covering topics such as management of persistent neurosensory deficits, treatment timing for peri-implantitis, and strategies for managing failing implants. Dr. Moy shares valuable clinical pearls from his extensive experience at UCLA.
This webinar is essential viewing for dental professionals seeking to enhance their understanding of implant complications and improve patient outcomes through evidence-based prevention and management strategies.
References
References
[1]- Moy PK, Medina D, Shetty V, Aghaloo TL. Dental implant failure rates and associated risk factors. Int J Oral Maxillofac Implants. 2005;20(4):569-577.
[2]- Brånemark PI, Hansson BO, Adell R, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 1977;16:1-132.
[3]- Berglundh T, Armitage G, Araujo MG, et al. Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89 Suppl 1:S313-S318.
[4]- Schwarz F, Derks J, Modern A, Wang HL. Peri-implantitis. J Periodontol. 2018;89 Suppl 1:S267-S290.
[5]- Rosen PS, Froum SJ. Dental Implant Complications: Etiology, Prevention, and Treatment. 2nd ed. Wiley-Blackwell; 2015.
[6]- Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications with implants and implant prostheses. J Prosthet Dent. 2003;90(2):121-132.
[7]- Aghaloo TL, Moy PK. Which hard tissue augmentation techniques are the most successful in furnishing bony support for implant placement? Int J Oral Maxillofac Implants. 2007;22 Suppl:49-70.
[8]- Tarnow DP, Cho SC, Wallace SS. The effect of inter-implant distance on the height of inter-implant bone crest. J Periodontol. 2000;71(4):546-549.
