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Risk management when operating in the posterior mandible
1Department of Prosthodontics, Temple University School of Dentistry, Philadelphia, USA. drscher@dental-implants.co.uk
Implant Dentistry
|March 28, 2002
Summary
Implementing a risk management protocol for posterior mandible implants is crucial for preventing nerve damage and potential litigation. Careful planning, including CT scans and specific surgical procedures, minimizes risks associated with dental implant placement.
Area of Science:
- Dental Implantology
- Surgical Risk Management
- Oral and Maxillofacial Surgery
Background:
- Nerve damage is a significant risk during posterior mandible implant placement.
- Litigation is a potential consequence of implant-related complications.
- Current protocols may not adequately address all risk factors.
Purpose of the Study:
- To present a risk management protocol for posterior mandible implant surgery.
- To identify key procedures for minimizing nerve damage.
- To enhance patient safety and reduce medico-legal risks.
Main Methods:
- Review of existing risk factors in posterior mandible implantology.
- Identification of critical procedural steps: incision, anesthesia, imaging, implant selection, and pharmacotherapy.
- Development of a comprehensive risk management protocol.
Main Results:
- The proposed protocol integrates careful treatment planning and diagnostic imaging (CT scans).
- Specific procedural recommendations are provided to mitigate nerve damage.
- The protocol addresses multiple risk factors from surgical approach to post-operative care.
Conclusions:
- A structured risk management protocol is essential for safe posterior mandible implant placement.
- Adherence to the protocol can significantly reduce the incidence of nerve damage.
- This approach supports better patient outcomes and reduces the likelihood of litigation.