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FAILING TO PLAN
is
PLANNING TO FAIL
FIVE HAZARDOUS ATTITUDES
Renouard F, Amalberti R, Renouard E. Are "Human Factors" the Primary Cause of Complications in the Field of Implant
Dentistry? Int J Oral Maxillofac Implants. 2017 Mar/Apr;32(2):e55-e61.
ACCIDENTS
COMPLICATIONS
FAILURES
happen during surgical procedure
appear after surgery; Early or Late
desired endpoint is not reached
Annibali, S., La Monaca, G., Tantardini, M. & Cristalli, M.P. (2009).
The Role of the Template in Prosthetically Guided Implantology, Journal of Prosthodontics Vol. 18 (No. 2); 177183.
Misch K, Wang HL. Implant surgery complications: etiology and treatment. Implant Dent. 2008 Jun;17(2):159 -68.
A+ GUIDELINES FOR PREVENTING AND
MANAGING IMPLANT COMPLICATIONS
Misch K, Wang HL. Implant surgery complications: etiology and treatment. Implant Dent. 2008 Jun;17(2):159 -68.
A1: ACCUMULATE DATA
A2: ASSEMBLE TREATMENT PLAN
A3: APPROVE TREATMENT PLAN
A4: ANTICIPATE PROBLEMS
A5: ACTIVATE TREATMENT
A6: ACCOMPLISH TREATMENT
A1
A2
“Failing to plan is planning to fail”*
“In Implantology, plan the ending- the
beginning will automatically reveal itself”**
*Alan Lakein **Carl E Misch
A2 Assemble a treatment plan……..
A2 Assemble a treatment plan……..
A2 Assemble a treatment plan……..
PorterJA,vonFraunhoferJA.
Successorfailureofdentalimplants?Aliteraturereviewwithtreatment
considerations.GenDent.2005Nov-Dec;53(6):423-32.
A3
http://www.iti.org/SAC-Assessment-Tool
Wright SP et al. Factors affecting the complexity of dental implant restoration - what is the
current evidence and guidance? Br Dent J. 2016 Nov 18;221(10):615-622.
A3 Approve Rx Plan…….
A+ GUIDELINES FOR PREVENTING AND
MANAGING IMPLANT COMPLICATIONS
A4
Porter JA, von Fraunhofer JA. Success or failure of dental implants? A literature review with treatment
considerations. Gen Dent. 2005 Nov-Dec;53(6):423-32.
A4AnticipateProblems………
A+ GUIDELINES FOR PREVENTING AND
MANAGING IMPLANT COMPLICATIONS
A5
A5Activatetreatment………
A5Analyzesituation………
Biotype
RULE OF FIVE TRIANGLES
Primary
stability
Implant
design
Jumping Gap
Alveolar height/
Buccal Plate
A5Analyzesituation………
Alveolar height/
Buccal Plate
Biotype Jumping GapPrimary
stability
Tolstunov L, Journal of Oral Implantology. 2014;40(S1):365-370.
10-POINT RIDGE ASSESSMENT
1 Type of grafting
2 Graft Resorption
3 Donor site morbidity
4 Recipient site morbidity
5 Wound closure
6 Buccal flap
7 Wound healing
8 Immediate implant placement
9 Delayed implant placement
10 Environmental factors
A5Accommodateproblem………
Graft Resorption Recipient site morbidity
Wound closure
10
days
Yoon TYH, Muntean SA, Michaud RA, Dinh TN. Investigation of Dental Implant Referral Patterns
Among General Dentists and Dental Specialists: A Survey Approach. Compendium 2018;39(1).
A5Auxiliary………
A+ GUIDELINES FOR PREVENTING AND
MANAGING IMPLANT COMPLICATIONS
A6
Prevent/ Correct Pre-prosthetic complications
At any point, we are as apt to harm
as we are to heal.
-Atul Gawande
THANK YOU

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Implant failures complications and management

  • 2. FIVE HAZARDOUS ATTITUDES Renouard F, Amalberti R, Renouard E. Are "Human Factors" the Primary Cause of Complications in the Field of Implant Dentistry? Int J Oral Maxillofac Implants. 2017 Mar/Apr;32(2):e55-e61.
  • 3. ACCIDENTS COMPLICATIONS FAILURES happen during surgical procedure appear after surgery; Early or Late desired endpoint is not reached Annibali, S., La Monaca, G., Tantardini, M. & Cristalli, M.P. (2009). The Role of the Template in Prosthetically Guided Implantology, Journal of Prosthodontics Vol. 18 (No. 2); 177183.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. Misch K, Wang HL. Implant surgery complications: etiology and treatment. Implant Dent. 2008 Jun;17(2):159 -68.
  • 9. A+ GUIDELINES FOR PREVENTING AND MANAGING IMPLANT COMPLICATIONS Misch K, Wang HL. Implant surgery complications: etiology and treatment. Implant Dent. 2008 Jun;17(2):159 -68. A1: ACCUMULATE DATA A2: ASSEMBLE TREATMENT PLAN A3: APPROVE TREATMENT PLAN A4: ANTICIPATE PROBLEMS A5: ACTIVATE TREATMENT A6: ACCOMPLISH TREATMENT
  • 10. A1
  • 11. A2 “Failing to plan is planning to fail”* “In Implantology, plan the ending- the beginning will automatically reveal itself”** *Alan Lakein **Carl E Misch
  • 12. A2 Assemble a treatment plan……..
  • 13. A2 Assemble a treatment plan……..
  • 14. A2 Assemble a treatment plan…….. PorterJA,vonFraunhoferJA. Successorfailureofdentalimplants?Aliteraturereviewwithtreatment considerations.GenDent.2005Nov-Dec;53(6):423-32.
  • 15. A3
  • 16. http://www.iti.org/SAC-Assessment-Tool Wright SP et al. Factors affecting the complexity of dental implant restoration - what is the current evidence and guidance? Br Dent J. 2016 Nov 18;221(10):615-622. A3 Approve Rx Plan…….
  • 17. A+ GUIDELINES FOR PREVENTING AND MANAGING IMPLANT COMPLICATIONS A4
  • 18. Porter JA, von Fraunhofer JA. Success or failure of dental implants? A literature review with treatment considerations. Gen Dent. 2005 Nov-Dec;53(6):423-32. A4AnticipateProblems………
  • 19. A+ GUIDELINES FOR PREVENTING AND MANAGING IMPLANT COMPLICATIONS A5
  • 21. A5Analyzesituation……… Biotype RULE OF FIVE TRIANGLES Primary stability Implant design Jumping Gap Alveolar height/ Buccal Plate
  • 23. Tolstunov L, Journal of Oral Implantology. 2014;40(S1):365-370. 10-POINT RIDGE ASSESSMENT 1 Type of grafting 2 Graft Resorption 3 Donor site morbidity 4 Recipient site morbidity 5 Wound closure 6 Buccal flap 7 Wound healing 8 Immediate implant placement 9 Delayed implant placement 10 Environmental factors
  • 24. A5Accommodateproblem……… Graft Resorption Recipient site morbidity Wound closure 10 days
  • 25.
  • 26. Yoon TYH, Muntean SA, Michaud RA, Dinh TN. Investigation of Dental Implant Referral Patterns Among General Dentists and Dental Specialists: A Survey Approach. Compendium 2018;39(1).
  • 28. A+ GUIDELINES FOR PREVENTING AND MANAGING IMPLANT COMPLICATIONS A6 Prevent/ Correct Pre-prosthetic complications
  • 29. At any point, we are as apt to harm as we are to heal. -Atul Gawande

Editor's Notes

  1. By Alan Lakein.
  2. Foundation for Oral Rehabilitation
  3. Flower bouquet
  4. Ganz SD. The triangle of bone—a formula for successful implant placement and restoration. Article in The Implant Society: [periodical]· January 1995 Garcia JJ et al. A new protocol for immediate implants. The rule of the 5 triangles: A case report – EAO 2014
  5. A historical area of referral involves the placement of dental implants. Because there is a high demand for dental implant therapy and relatively few general dentists participating in the surgical aspect, it is important to investigate referral characteristics to specialists. The authors conducted a study in which 6,769 general dentists and specialists were emailed an anonymous online survey. Study participants were given a series of eight questions and asked to rank the importance levels of each when dealing with dental implant referrals. General dentists found that office location and insurance were important factors when making a dental implant referral. Specialists did not find any particular attribute to be significantly important. When the two groups were evaluated, communication, quality of work, and, to a lesser extent, accepted insurance were found to be important attributes to both general dentists and specialists. The results of this research suggest there is a positive correlation among general dentists and specialists in regard to communication, quality of work, and, to a lesser extent, accepted insurance.