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Dental implants have revolutionized the field of restorative dentistry, providing patients with a reliable and aesthetically pleasing solution for missing teeth. However, the success of dental implant therapy is contingent upon the meticulous planning, precise execution, and comprehensive post-operative care. Despite advancements in implant technology and surgical techniques, complications can arise, jeopardizing the overall outcome of the treatment. Various complications associated with dental implants, encompassing both early and late post-operative issues have been reported. Early complications, such as infection, implant malposition, and nerve injuries, are often related to the surgical phase, whereas late complications, including peri-implantitis, implant fracture, and prosthesis-related problems, manifest in the long-term post-operative period. Moreover, this review delves into the etiological factors, clinical manifestations, diagnostic approaches, and management strategies for each complication. Additionally, the article explores recent developments in implant surface modifications, biomaterials, and surgical techniques aimed at minimizing these complications. A thorough understanding of these complications is crucial for dental practitioners to enhance patient outcomes, improve the longevity of dental implants, and ensure patient satisfaction.
Referências
Liaw K, Delfini RH, Abrahams JJ. Dental Implant Complications. Semin Ultrasound CT MR. 2015 Oct;36(5):427-33. doi: 10.1053/j.sult.2015.09.007.
Turkyilmaz I. A Proposal of New Classification for Dental Implant Complications. J Contemp Dent Pract. 2018 Aug 1;19(8):1025-1033.
Clark D, Levin L. In the dental implant era, why do we still bother saving teeth? Dent Traumatol. 2019 Dec;35(6):368-375. doi: 10.1111/edt.12492.
Brånemark PI, Hansson BO, Adell R, Breine U, Lindström J, Hallén O, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 1977;16:1-132.
Myshin HL, Wiens JP. Factors affecting soft tissue around dental implants: a review of the literature. J Prosthet Dent. 2005 Nov;94(5):440-4. doi: 10.1016/j.prosdent.2005.08.021.
Raghavendra S, Wood MC, Taylor TD. Early wound healing around endosseous implants: a review of the literature. Int J Oral Maxillofac Implants. 2005 May-Jun;20(3):425-31.
Bernstein S, Cooke J, Fotek P, Wang HL. Vertical bone augmentation: where are we now? Implant Dent. 2006 Sep;15(3):219-28. doi: 10.1097/01.id.0000226824.39526.71.
Lamas Pelayo J, Peñarrocha Diago M, Martí Bowen E, Peñarrocha Diago M. Intraoperative complications during oral implantology. Med Oral Patol Oral Cir Bucal. 2008 Apr 1;13(4):E239-43.
Raghoebar GM, Stellingsma K, Batenburg RH, Vissink A. Etiology and management of mandibular fractures associated with endosteal implants in the atrophic mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000 May;89(5):553-9. doi: 10.1067/moe.2000.105237.
Berteretche MV, Hüe O. Topical anesthesia for prosthetic implant procedures. J Prosthet Dent. 2009 Aug;102(2):128-9. doi: 10.1016/S0022-3913(09)60124-4.
Lee JH. An alternative topical anesthesia technique for prosthetic implant procedures. J Prosthet Dent. 2018 May;119(5):858-859. doi: 10.1016/j.prosdent.2017.11.009.
Valieri MM, de Freitas KM, Valarelli FP, Cançado RH. Comparison of topical and infiltration anesthesia for orthodontic mini-implant placement. Dental Press J Orthod. 2014 Mar-Apr;19(2):76-83. doi: 10.1590/2176-9451.19.2.076-083.oar.
Chackartchi T, Romanos GE, Sculean A. Soft tissue-related complications and management around dental implants. Periodontol 2000. 2019 Oct;81(1):124-138. doi: 10.1111/prd.12287.
Asnaashari M, Sadeghipour M, Bahrani Z, Valizadeh S, Moshfeghi M. The Effect of Changes in the Angular Position of Implants on Metal Artifact Reduction in Cone-Beam Computed Tomography Images: A Scoping Review. Radiol Res Pract. 2023 Jul 31;2023:5539719. doi: 10.1155/2023/5539719.
Park SH, Wang HL. Implant reversible complications: classification and treatments. Implant Dent. 2005 Sep;14(3):211-20. doi: 10.1097/01.id.0000173334.60107.1a.
Sailer I, Karasan D, Todorovic A, Ligoutsikou M, Pjetursson BE. Prosthetic failures in dental implant therapy. Periodontol 2000. 2022 Feb;88(1):130-144. doi: 10.1111/prd.12416.
Safi Y, Amid R, Zadbin F, Ghazizadeh Ahsaie M, Mortazavi H. The occurrence of dental implant malpositioning and related factors: A cross-sectional cone-beam computed tomography survey. Imaging Sci Dent. 2021 Sep;51(3):251-260. doi: 10.5624/isd.20200331.
Alevizakos V, Mosch R, von See C. Influence of Multiple Used Implant Drills on Their Cutting Performance and Fracture Resistance. Materials (Basel). 2023 Jul 27;16(15):5271. doi: 10.3390/ma16155271.
Kihara H, Hatakeyama W, Kondo H, Yamamori T, Baba K. Current complications and issues of implant superstructure. J Oral Sci. 2022 Oct 1;64(4):257-262. doi: 10.2334/josnusd.21-0534.
Sindel A, Dereci Ö, Hatipoğlu M, Altay MA, Özalp Ö, Öztürk A. The effects of irrigation volume to the heat generation during implant surgery. Med Oral Patol Oral Cir Bucal. 2017 Jul 1;22(4):e506-e511. doi: 10.4317/medoral.21880.
Waltenberger L, Wied S, Wolfart S, Tuna T. Effect of different dental implant drilling template designs on heat generation during osteotomy - an in vitro study. Clin Oral Implants Res. 2022 Jan;33(1):53-64. doi: 10.1111/clr.13864.
Bajkin BV, Wahl MJ, Miller CS. Dental implant surgery and risk of bleeding in patients on antithrombotic medications: A review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020 Nov;130(5):522-532. doi: 10.1016/j.oooo.2020.07.012.
Zou L, Hua L. Risk of bleeding with dental implant surgery in patients on anticoagulant or antiplatelet drugs: a systematic review and meta-analysis. Acta Odontol Scand. 2023 Mar;81(2):98-104. doi: 10.1080/00016357.2022.2085324.
Fee LM. Success of surgical interventions for direct dental implant-related injuries to the mandibular nerve: a review. Br J Oral Maxillofac Surg. 2020 Sep;58(7):795-800. doi: 10.1016/j.bjoms.2020.04.012.
Steinberg MJ, Kelly PD. Implant-related nerve injuries. Dent Clin North Am. 2015 Apr;59(2):357-73. doi: 10.1016/j.cden.2014.10.003.
Diakonoff H, Moreau N. Inferior alveolar nerve injury following dental implant placement: A medicolegal analysis of French liability lawsuits. J Stomatol Oral Maxillofac Surg. 2022 Apr;123(2):158-162. doi: 10.1016/j.jormas.2021.06.008.
Hamdoon Z, Talaat W, Aziz A, Abdul Sattar A, Kheder W, Jerjes W. The consequences and outcomes associated with dental implants encroaching on adjacent teeth. Clin Implant Dent Relat Res. 2021 Dec;23(6):851-856. doi: 10.1111/cid.13047.
Misch K, Wang HL. Implant surgery complications: etiology and treatment. Implant Dent. 2008 Jun;17(2):159-68. doi: 10.1097/ID.0b013e3181752f61.
Mücke T, Krestan CR, Mitchell DA, Kirschke JS, Wutzl A. Bisphosphonate and Medication-Related Osteonecrosis of the Jaw: A Review. Semin Musculoskelet Radiol. 2016 Jul;20(3):305-314. doi: 10.1055/s-0036-1592367.
Merli M, Merli I, Raffaelli E, Pagliaro U, Nastri L, Nieri M. Bone augmentation at implant dehiscences and fenestrations. A systematic review of randomised controlled trials. Eur J Oral Implantol. 2016 Spring;9(1):11-32.
Chiapasco M, Zaniboni M. Clinical outcomes of GBR procedures to correct peri-implant dehiscences and fenestrations: a systematic review. Clin Oral Implants Res. 2009 Sep;20 Suppl 4:113-23. doi: 10.1111/j.1600-0501.2009.01781.x.
Nimigean VR, Nimigean V, Bencze MA, Dimcevici-Poesina N, Cergan R, Moraru S. Alveolar bone dehiscences and fenestrations: an anatomical study and review. Rom J Morphol Embryol. 2009;50(3):391-7.
Greenstein G, Cavallaro J. Implant Insertion Torque: Its Role in Achieving Primary Stability of Restorable Dental Implants. Compend Contin Educ Dent. 2017 Feb;38(2):88-95; quiz 96.
Almutairi AS, Walid MA, Alkhodary MA. The effect of osseodensification and different thread designs on the dental implant primary stability. F1000Res. 2018 Dec 5;7:1898. doi: 10.12688/f1000research.17292.1.
Monje A, Ravidà A, Wang HL, Helms JA, Brunski JB. Relationship Between Primary/Mechanical and Secondary/Biological Implant Stability. Int J Oral Maxillofac Implants. 2019 Suppl;34:s7-s23. doi: 10.11607/jomi.19suppl.g1.
Marin S, Kirnbauer B, Rugani P, Payer M, Jakse N. Potential risk factors for maxillary sinus membrane perforation and treatment outcome analysis. Clin Implant Dent Relat Res. 2019 Feb;21(1):66-72. doi: 10.1111/cid.12699.
Díaz-Olivares LA, Cortés-Bretón Brinkmann J, Martínez-Rodríguez N, Martínez-González JM, López-Quiles J, Leco-Berrocal I, et al. Management of Schneiderian membrane perforations during maxillary sinus floor augmentation with lateral approach in relation to subsequent implant survival rates: a systematic review and meta-analysis. Int J Implant Dent. 2021 Jul 12;7(1):91. doi: 10.1186/s40729-021-00346-7.
Arana Ribeiro J, Martins Natal R, Matos Gomes R. Dental implant screwdriver aspiration. Pulmonology. 2022 May-Jun;28(3):239-240. doi: 10.1016/j.pulmoe.2022.01.003.
Huh J, Lee N, Kim KY, Jung S, Cha J, Kim KD, et al. Foreign body aspiration and ingestion in dental clinic: a seven-year retrospective study. J Dent Anesth Pain Med. 2022 Jun;22(3):187-195. doi: 10.17245/jdapm.2022.22.3.187.
Law C, Alam P, Borumandi F. Floor-of-Mouth Hematoma Following Dental Implant Placement: Literature Review and Case Presentation. J Oral Maxillofac Surg. 2017 Nov;75(11):2340-2346. doi: 10.1016/j.joms.2017.07.152.
Khouly I, Braun RS, Ordway M, Alrajhi M, Fatima S, Kiran B, et al. Post-operative pain management in dental implant surgery: a systematic review and meta-analysis of randomized clinical trials. Clin Oral Investig. 2021 May;25(5):2511-2536. doi: 10.1007/s00784-021-03859-y..
Camps-Font O, Martín-Fatás P, Clé-Ovejero A, Figueiredo R, Gay-Escoda C, Valmaseda-Castellón E. Postoperative infections after dental implant placement: Variables associated with increased risk of failure. J Periodontol. 2018 Oct;89(10):1165-1173. doi: 10.1002/JPER.18-0024.
Ibraheem AG, Blanchard SB. Alveolar Ridge Augmentation Around Exposed Mandibular Dental Implant With Histomorphometric Analysis. Clin Adv Periodontics. 2021 Mar;11(1):11-16. doi: 10.1002/cap.10090..
Chang JR, Rajaii F, McCulley TJ. Delayed Orbital Emphysema Mimicking Orbital Cellulitis: An Uncommon Complication of Dental Surgery. Middle East Afr J Ophthalmol. 2019 Sep 30;26(3):175-177. doi: 10.4103/meajo.MEAJO_241_18.
La Monaca G, Pranno N, Annibali S, Vozza I, Cristalli MP. Subcutaneous Facial Emphysema Following Open-Flap Air-Powder Abrasive Debridement for Peri-Implantitis: A Case Report and an Overview. Int J Environ Res Public Health. 2021 Dec 16;18(24):13286. doi: 10.3390/ijerph182413286.
Calderon PS, Dantas PM, Montenegro SC, Carreiro AF, Oliveira AG, Dantas EM, et al. Technical complications with implant-supported dental prostheses. J Oral Sci. 2014 Jun;56(2):179-84. doi: 10.2334/josnusd.56.179.
De Kok IJ, Duqum IS, Katz LH, Cooper LF. Management of Implant/Prosthodontic Complications. Dent Clin North Am. 2019 Apr;63(2):217-231. doi: 10.1016/j.cden.2018.11.004.
Fu JH, Wang HL. Breaking the wave of peri-implantitis. Periodontol 2000. 2020 Oct;84(1):145-160. doi: 10.1111/prd.12335.
Klinge B, Klinge A, Bertl K, Stavropoulos A. Peri-implant diseases. Eur J Oral Sci. 2018 Oct;126 Suppl 1:88-94. doi: 10.1111/eos.12529.
Chapple ILC, Mealey BL, Van Dyke TE, Bartold PM, Dommisch H, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun;89 Suppl 1:S74-S84. doi: 10.1002/JPER.17-0719.
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