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Complications and treatment errors in peri-implant hard tissue management
Istvan Urban1,2,3, Ignacio Sanz-Sánchez4, Alberto Monje5,2,3
1Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.
Bone augmentation procedures for dental implants can have complications. Careful patient selection, surgical knowledge, and proper management are crucial for successful outcomes and minimizing risks.
Area of Science:
- Oral and Maxillofacial Surgery
- Regenerative Medicine
- Dental Implantology
Background:
- Bone augmentation is essential for dental implant placement in deficient alveolar ridges.
- These procedures are invasive and carry risks of complications and errors.
- Patient selection and preparation are critical for minimizing complications.
Purpose of the Study:
- To review the incidence of complications in bone augmentation procedures.
- To summarize evidence-based strategies for preventing and managing these complications.
- To provide clinical guidance for demanding bone regeneration interventions.
Main Methods:
- Narrative review of scientific literature.
- Analysis of complication incidence, prevention, and management strategies.
- Presentation of clinical cases for illustration.
Main Results:
- Wound dehiscence is a common complication, reducible with surgical technique and anatomical knowledge.
- Postoperative infections and nerve injuries are other potential complications.
- Treatment varies from medication to surgical intervention based on severity.
Conclusions:
- Adequate prevention and management of complications are vital for clinicians performing bone augmentation.
- Careful patient assessment, including cost-benefit and quality of life impact, is necessary.
- Successful outcomes depend on meticulous surgical execution and post-operative care.
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