Management of Failure and Implant-Related Complications in Graftless Implant Reconstructions (for Atrophic Jaws)
This chapter examines the management of some of the complications associated with graftless implant solutions which may lead to and include implant failure for patients with atrophic jaws. In an anatomically constrained environment, the use of a limited number of angled or short implants and, in extremely atrophic maxillae, the use of zygomatic implants are becoming widespread. Though such treatment has been shown to be predictable and generally trouble free, failure can not only lead to loss of function, but in the graftless treatment there is the potential to create a range of complications, such as sinus infection and extra-oral infection which may be more serious than those encountered in conventional dental implant treatments. Managing failure can be complex, and so careful forethought is required to avoid complication and leave scope to salvage a compromised reconstruction. Failure and complication will cause disruption and upset for the dentist and for the patient, who must be carefully counselled and consented. Treatment should be undertaken by well-trained and skilled operators with the support of an experienced team.
KeywordsAngled implants Short implants Zygomatic implants Extra-oral complications Implant apicoectomy 3D planning
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