Comprehensive Management of Surgical, Periodontal, and Prosthetic
Complications in Dental Implantology
Prof. Enis Redjep, DDS, PhD, Dean Faculty of Dental Medicine
International Balkan University Skopje, North Macedonia
Abstract
A guide through complications in implantology – surgical/periodontal and prosthetic
diagnostics and management of clinical cases Tooth loss in a population is one of the main issues regarding oral health, which varies geographically and culturally between countries. A very attractive alternative to conventional dentures and bridges became available with the introduction of implants into dental industry. Today, both single crown implants and implant-supported fixed partial dentures are the available options.
Since the introduction of the dental implants, the dental community started to explore
the possibilities of placing implants in extraction wounds, atrophic jaws, elevating the
maxillary sinus, ridge split, guided bone regeneration, distraction osteogenesis etc.
In general, the complications can be divided in complications in patients with chronic
diseases, complications related to poor planning, surgical complications (grafting, GBR,
sinus lift) and prosthetic complications.
Some of the main reasons for the rise of complications are: growing number of implants
used or repeated in the last 10 – 15 years; growing number of dentists in various
educational levels, knowledge, skills and experience who do implants;
unformal/insufficient education of dentists; implanting without exact prosthetic plan and implanting in compromised sites; the use for more aggressive protocols for implanting and also loading; incorrect information presented by “experts” in various meetings; lack of risk assessment and / or understanding of risk and inexperience of dentists in dealing with problems during implant surgery. One of the most serious complications are related to damage the inferior alveolar nerve, violating the maxillary sinus or acute infections.
Learning Objectives
- To identify and classify the major categories of complications in implantology,
including patient-related risks, diagnostic and planning errors, surgical
challenges, and prosthetic failures. - To understand evidence-based diagnostic and therapeutic strategies for
managing complications associated with grafting, guided bone regeneration,
sinus elevation, and prosthetic rehabilitation. - To enhance clinical decision-making through risk assessment and case-based
analysis, improving the clinician’s ability to prevent, recognize, and manage
complex complications in implant dentistry.