Anatomic Basis of Dental Implant Complications
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This is a review of the pertinent surgical anatomy of the maxillofacial region as it relates to common complications seen in the surgical placement of implants. The range of complications as evidenced in this textbook can be substantial: from bone loss due to infection, to bleeding, hematomas, sinus injury, nerve injury, and osseous fractures. This chapter will also include a section in the aberrant placement or migration of implants hence a review of fascial spaces is covered. Some management recommendations will be covered in dealing with vascular and neurologic injuries and need repeating as they are the most morbid and worrisome. John Hunter is said to believe that surgery is anatomy. Obtaining excellence in surgical skills in trainees comes with time, practice, and respect (knowledge) of anatomy. A textbook like this, filled with many combinations of troubling outcomes, requires the reader to review and remember the very complex anatomy of the head and neck. This chapter is not meant to substitute the large body of work in Head and Neck Anatomy, but we hope to provide an anatomic key to common recurring problems. Knowledge of the osseous, vascular, neurologic, and soft tissue structures intimately related to the maxillofacial region in relation to implant therapy should be intuitively embedded in the surgeon’s hands as they meander through all possible procedures.
KeywordsSurgical anatomy Anatomy Complications Morbidity Oral maxillofacial surgery Anatomy of maxillofacial complex
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