Surgical Complications After Implant Placement

Camargo, Igor Batista; Sickels, Joseph E. Van

doi:10.1016/j.cden.2014.08.003

Cited by 37 publications

(26 citation statements)

References 46 publications

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“…In particular, due to an increasing demand for augmenting atrophic posterior mandible and subsequent implant rehabilitation (Urban et al, ), a firm understanding of the biological structures in this region cannot be overemphasized. Surgical complications in the lingual posterior mandible may include mucosal tissue laceration, intrusion in the sublingual space, trauma to the branches of the lingual artery, and injury to the lingual nerve (Annibali, Ripari, La Monaca, Tonoli, & Cristalli, ; Camargo & Van Sickels, ; Greenstein et al, ; Isaacson, ; Longoni et al, ; Urban et al, ). These unfortunate adverse events may result in unfavorable bone augmentation outcomes, massive hemorrhage (Askar et al, ; Camargo & Van Sickels, ), neurosensory disturbances, and impaired mastication function.…”

Section: Introductionmentioning

confidence: 99%

“…Surgical complications in the lingual posterior mandible may include mucosal tissue laceration, intrusion in the sublingual space, trauma to the branches of the lingual artery, and injury to the lingual nerve (Annibali, Ripari, La Monaca, Tonoli, & Cristalli, ; Camargo & Van Sickels, ; Greenstein et al, ; Isaacson, ; Longoni et al, ; Urban et al, ). These unfortunate adverse events may result in unfavorable bone augmentation outcomes, massive hemorrhage (Askar et al, ; Camargo & Van Sickels, ), neurosensory disturbances, and impaired mastication function. Therefore, successful flap release and meticulous tissue management for achieving primary wound closure depend on a thorough anatomical understanding (Chan et al, ; Ritter et al, ; Urban et al, , ).…”

Section: Introductionmentioning

confidence: 99%

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Ultrasonographic characterization of lingual structures pertinent to oral, periodontal, and implant surgery

Barootchi

Chan

Namazi

et al. 2020

Clinical Oral Implants Res

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Objectives Increased applications of ridge augmentation in the lingual posterior mandible call for an urgent need to study its anatomy. Therefore, our first aim was to validate ultrasound in measuring the mandibular lingual structures in human cadavers. Secondarily, to test its feasibility in imaging the lingual nerve in live humans. Materials and methods Nine fresh un‐embalmed fully/partially edentulous cadaver heads were utilized for aim 1. Three areas in the lingual mandible were imaged (mandibular premolar, molar, and retromolar). Immediately after, biopsies were harvested from each site. The thickness of the mucosa, mylohyoid muscle, and lingual nerve diameter was measured via ultrasound and statistically compared to histology. Similarly, the lingual nerve in live humans was also imaged. Results None of the differences between the ultrasound and histology measurements reached statistical significance (p > .05). The mean mucosal thickness via ultrasound and histology was 1.45 ± 0.49 and 1.39 ± 0.50 mm, 5 mm lingual to the mylohyoid muscle attachment. At 10 mm beyond the attachment, the ultrasound and histologic values were 1.54 ± 0.48 and 1.37 ± 0.49, respectively. The mean muscle thickness measured via ultrasound and histology was 2.31 ± 0.56 and 2.25 ± 0.47 mm, at the 5 mm distance. At the 10 mm distance, the measurements were 2.46 ± 0.56 and 2.36 ± 0.5 mm, respectively. The mean ultrasonic lingual nerve diameter was 2.38 ± 0.44 mm, versus 2.43 ± 0.42 mm, with histology. The lingual nerve diameter on 19 live humans averaged to 2.01 ± 0.35 mm (1.4–3.1 mm). Conclusions Within its limitations, ultrasound accurately measured mandibular lingual soft tissue structures on cadavers, and the lingual nerve on live humans.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ultrasonographic characterization of lingual structures pertinent to oral, periodontal, and implant surgery

Barootchi

Chan

Namazi

et al. 2020

Clinical Oral Implants Res

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“…La cirugía implantológica es una técnica predecible y muy utilizada en odontología (16)(17)(18). En la literatura se refleja que el dolor asociado a la técnica, todo y que se lesionan los tejidos orales para su inserción es discreto (19), dependiendo entre otros aspectos de la predisposición del paciente frente al mismo (20).…”

Section: Discussionunclassified

Chitosán más clorhexidina (Bexident®Post) en el control del dolor y la inflamación posoperatoria en implantología oral: estudio piloto

López

Palli

Arisó

et al. 2015

Avances en Periodoncia

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RESUMENObjetivos: Evaluación de la eficacia del chitosán más la clorhexidina en el control del dolor y la inflamación posoperatoria en cirugía implantológica oral. Material y métodos: Es un estudio clínico piloto prospectivo en pacientes a los que se les colocan implantes. A todos los pacientes se les pauta después de la cirugía Bexident ® Post en gel, tres veces al día durante siete días. Se valora la inflamación, la apertura bucal, el nivel de dolor, el grado de cicatrización y la opinión sobre el producto. Resultados: Se han colocado 138 implantes en 54 pacientes. El 64% eran varones y la media de tiempo quirúrgico fue de 76 minutos. La inflamación y apertura bucal pre y postoperatoria no es significativa con una p= 0,000. Se han consumido 11 unidades analgésicas de media en los 7 días del posoperatorio. El EVA ha sido de 3,0 (DS= 2,0) a las 6 horas, 2,0 (DS= 2,0) a las 24 horas, 2,02 (DS= 1,0) el segundo día, 1,0 (DS= 1,0) el tercer y cuarto día y 0,0 el quinto, sexto y séptimo día. El grado de cicatrización es bueno en el 88,9% (48 pacientes); regular, en el 7,4% (4 pacientes) y malo, en el 3,7% (2 pacientes). 45 pacientes (83,3%) responden positivamente a todas las preguntas referentes al producto. Conclusiones: El producto se muestra fácil de usar, el sabor es adecuado y en este estudio la inflamación, el dolor y el consumo de medicamentos han sido mínimos. PALABRAS CLAVE:Chitosán, clorhexidina, bexident ® post, Implantes, cirugía oral. SUMMARYObjectives: Evaluation of the effectiveness of chitosán and chlorhexidine in controlling postoperative pain and inflammation in oral implant surgery. Material and methods: A prospective pilot clinical study in patients with implants. Bexident®Post gel are prescribed three times a day during 7 days to all patients. Inflammation, bucal opening, level of pain, degree of healing and opinion about the product are valued. Results: 138 implants were placed in 54 patients. 64% were males and the mean operative time was 76 minutes. The inflammation, pre and post-operative mouth opening are not significant at p= 0.000.

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“…This would probably cause an incidence of implant fixture displacement inside the body of the mandible [4,5]. Such serious complication can occur immediately with the surgical insertion of dental implants or postoperatively because of a deficiency in the primary stability of implants [6,7].…”

Section: Introductionmentioning

confidence: 99%

Dental implant placement in focal osteoporotic bone marrow defect: A case report

Alghamdi¹

2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. These are because of their ability to osseointegrate directly into the jawbone and then support dental prosthesis. However, a challenged bone condition may prevent the achievement of an optimal implants placement and then cause clinical complications. One of these conditions could be the focal osteoporotic bone marrow defects (FOBMD). Case Report: A 22-year-old female was referred with complaint of missing tooth #35. The void was filled using Bio-Oss® bone grafts. Thereafter, Straumann® ITI Dental Implant (Ø 3.3 mm, Roxolid®, SLActive®) was immediately placed with a torque wrench with adequate primary stability. Four months after placement, the implant was fully integrated and showed good healing. No clinical abnormality was noted. IJCRI publishes Conclusion:The presence of FOBMD does hinder the mechanical stability of dental implants, although it is not negatively affect implants osseointegration from biological point of view. Therefore, we recommend securing the initial stability of dental implants using bone grafting procedure simultaneous the implant placement.(This page in not part of the published article.) The presence of FOBMD does hinder the mechanical stability of dental implants, although it is not negatively affect implants osseointegration from biological point of view. Therefore, we recommend securing the initial stability of dental implants using bone grafting procedure simultaneous the implant placement.

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Surgical Complications After Implant Placement

Cited by 37 publications

References 46 publications

Ultrasonographic characterization of lingual structures pertinent to oral, periodontal, and implant surgery

Ultrasonographic characterization of lingual structures pertinent to oral, periodontal, and implant surgery

Chitosán más clorhexidina (Bexident®Post) en el control del dolor y la inflamación posoperatoria en implantología oral: estudio piloto

Dental implant placement in focal osteoporotic bone marrow defect: A case report

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