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Complications in Oral Implant Placement

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Complications in Cranio-Maxillofacial and Oral Surgery

Abstract

The placement of dental endosseous implants is a safe and reliable routine method for functional and esthetic rehabilitation of partial or total edentulism. Even so, there is an immanent potential for both short- and long-term complications in oral implant placement leading to not only minor but also major impairments of the affected patients. Most of the complications occur unexpected while others will be iatrogenic.

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References

  1. Turrentine FE, Wang H, Simpson VB, Jones RS. Surgical risk factors, morbidity, and mortality in elderly patients. J Am Coll Surg. 2006;203(6):865–77.

    Article  PubMed  Google Scholar 

  2. Pedro RE, De Carli JP, Linden MS, Lima IF, Paranhos LR, Costa MD, et al. Influence of age on factors associated with peri-implant bone loss after prosthetic rehabilitation over osseointegrated implants. J Contemp Dent Pract. 2017;18(1):3–10.

    Article  PubMed  Google Scholar 

  3. Al-Nawas B, Grotz KA. Medically compromised patients in the dental office: demographics and progress in health care. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2011;54(9):1066–72.

    Article  CAS  PubMed  Google Scholar 

  4. Diz P, Scully C, Sanz M. Dental implants in the medically compromised patient. J Dent. 2013;41(3):195–206.

    Article  PubMed  Google Scholar 

  5. Kumar VV, Ebenezer S, Kämmerer PW, Jacob PC, Kuriakose MA, Hedne N, et al. Implants in free fibula flap supporting dental rehabilitation—implant and peri-implant related outcomes of a randomized clinical trial. J Craniomaxillofac Surg. 2016;44(11):1849–58.

    Article  PubMed  Google Scholar 

  6. Schiegnitz E, Al-Nawas B, Kämmerer PW, Grötz KA. Dental implants in irradiated patients: which factors influence implant survival? Clin Oral Investig. 2015;19(7):1691–2.

    Article  CAS  PubMed  Google Scholar 

  7. Jimenez M, Hu FB, Marino M, Li Y, Joshipura KJ. Type 2 diabetes mellitus and 20 year incidence of periodontitis and tooth loss. Diabetes Res Clin Pract. 2012;98(3):494–500.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Gomez-Moreno G, Aguilar-Salvatierra A, Rubio Roldan J, Guardia J, Gargallo J, Calvo-Guirado JL. Peri-implant evaluation in type 2 diabetes mellitus patients: a 3-year study. Clin Oral Implants Res. 2015;26(9):1031–5.

    Article  PubMed  Google Scholar 

  9. Oates TW Jr, Galloway P, Alexander P, Vargas Green A, Huynh-Ba G, Feine J, et al. The effects of elevated hemoglobin A(1c) in patients with type 2 diabetes mellitus on dental implants: survival and stability at one year. J Am Dent Assoc. 2014;145(12):1218–26.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Monje A, Catena A, Borgnakke WS. Association between diabetes mellitus/hyperglycaemia and peri-implant diseases: systematic review and meta-analysis. J Clin Periodontol. 2017;44(6):636–48.

    Article  PubMed  Google Scholar 

  11. Wiltfang J, Naujokat H, Bormann KH, Jakobs W, Wiegner J-U. AWMF S3-Leitlinie Zahnimplantate bei Diabetes mellitus. 2016.

    Google Scholar 

  12. Albandar JM, Streckfus CF, Adesanya MR, Winn DM. Cigar, pipe, and cigarette smoking as risk factors for periodontal disease and tooth loss. J Periodontol. 2000;71:1874–81.

    Article  CAS  PubMed  Google Scholar 

  13. Pereira ML, Carvalho JC, Peres F, Fernandes MH. Simultaneous effects of nicotine, acrolein, and acetaldehyde on osteogenic-induced bone marrow cells cultured on plasma-sprayed titanium implants. Int J Oral Maxillofac Implants. 2010;25:112–22.

    PubMed  Google Scholar 

  14. Chen H, Liu N, Xu X, Qu X, Lu E. Smoking, radiotherapy, diabetes and osteoporosis as risk factors for dental implant failure: a meta-analysis. PLoS One. 2013;8:e71955.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Chrcanovic BR, Albrektsson T, Wennerberg A. Smoking and dental implants: a systematic review and meta-analysis. J Dent. 2015;43:487–98.

    Article  PubMed  Google Scholar 

  16. Alsaadi G, Quirynen M, Komarek A, van Steenberghe D. Impact of local and systemic factors on the incidence of oral implant failures, up to abutment connection. J Clin Periodontol. 2007;34:610–7.

    Article  PubMed  Google Scholar 

  17. Temmerman A, Rasmusson L, Kubler A, Thor A, Quirynen M. An open, prospective, non-randomized, controlled, multicentre study to evaluate the clinical outcome of implant treatment in women over 60 years of age with osteoporosis/osteopenia: 1-year results. Clin Oral Implants Res. 2017;28(1):95–102.

    Article  PubMed  Google Scholar 

  18. Wagner F, Schuder K, Hof M, Heuberer S, Seemann R, Dvorak G. Does osteoporosis influence the marginal peri-implant bone level in female patients? A cross-sectional study in a matched collective. Clin Implant Dent Relat Res. 2017;19(4):616–23.

    Article  PubMed  Google Scholar 

  19. de Medeiros F, Kudo GAH, Leme BG, Saraiva PP, Verri FR, Honorio HM, et al. Dental implants in patients with osteoporosis: a systematic review with meta-analysis. Int J Oral Maxillofac Surg. 2018;47(4):480–91.

    Article  PubMed  Google Scholar 

  20. Kotsakis GA, Ioannou AL, Hinrichs JE, Romanos GE. A systematic review of observational studies evaluating implant placement in the maxillary jaws of medically compromised patients. Clin Implant Dent Relat Res. 2015;17(3):598–609.

    Article  PubMed  Google Scholar 

  21. Neuprez A, Coste S, Rompen E, Crielaard JM, Reginster JY. Osteonecrosis of the jaw in a male osteoporotic patient treated with denosumab. Osteoporos Int. 2014;25(1):393–5.

    Article  CAS  PubMed  Google Scholar 

  22. Kanis JA, McCloskey EV, Johansson H, Cooper C, Rizzoli R, Reginster JY, et al. European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int. 2013;24(1):23–57.

    Article  CAS  PubMed  Google Scholar 

  23. Fernandez Ayora A, Herion F, Rompen E, Reginster JY, Magremanne M, Lambert F. Dramatic osteonecrosis of the jaw associated with oral bisphosphonates, periodontitis, and dental implant removal. J Clin Periodontol. 2015;42(2):190–5.

    Article  CAS  PubMed  Google Scholar 

  24. Grötz KA, Walter C, Al-Nawas B, Haßfeld S, Sader R, Ullner M. S3-Leitlinie: Zahnimplantate bei medikamentöser Behandlung mit Knochenantiresorptiva (inkl. Bisphosphonate). AWMF online. 2016.

    Google Scholar 

  25. Krennmair S, Weinlander M, Forstner T, Krennmair G, Stimmelmayr M. Factors affecting peri-implant bone resorption in four implant supported mandibular full-arch restorations: a 3-year prospective study. J Clin Periodontol. 2016;43(1):92–101.

    Article  PubMed  Google Scholar 

  26. Winnett B, Tenenbaum HC, Ganss B, Jokstad A. Perioperative use of non-steroidal anti-inflammatory drugs might impair dental implant osseointegration. Clin Oral Implants Res. 2016;27(2):e1–7.

    Article  PubMed  Google Scholar 

  27. Wu X, Al-Abedalla K, Abi-Nader S, Daniel NG, Nicolau B, Tamimi F. Proton pump inhibitors and the risk of osseointegrated dental implant failure: a cohort study. Clin Implant Dent Relat Res. 2017;19(2):222–32.

    Article  PubMed  Google Scholar 

  28. Lamas Pelayo J, Penarrocha Diago M, Marti Bowen E, Penarrocha DM. Intraoperative complications during oral implantology. Med Oral Patol Oral Cir Bucal. 2008;13(4):E239–43.

    PubMed  Google Scholar 

  29. Kämmerer PW, Wolf JM, Frerich B, Ottl P. Correction of malpositioned dental implants via LeFort osteotomy. J Oral Maxillofac Surg. 2018 [submitted].

    Google Scholar 

  30. Misch CE, Bidez MW. Implant-protected occlusion: a biomechanical rationale. Compendium. 1994;15:1330, 2, 4 passim; quiz 44.

    CAS  PubMed  Google Scholar 

  31. Cariati P, Fernandez-Solis J, Marin-Fernandez AB, Valencia-Laseca A, Monsalve-Iglesias F. Accidental displacement of a dental implant into the sublingual space: a case report. J Clin Exp Dent. 2016;8(4):e459–e61.

    PubMed  PubMed Central  Google Scholar 

  32. Lee SC, Jeong CH, Im HY, Kim SY, Ryu JY, Yeom HY, et al. Displacement of dental implants into the focal osteoporotic bone marrow defect: a report of three cases. J Korean Assoc Oral Maxillofac Surg. 2013;39(2):94–9.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Chan HL, Benavides E, Yeh CY, Fu JH, Rudek IE, Wang HL. Risk assessment of lingual plate perforation in posterior mandibular region: a virtual implant placement study using cone-beam computed tomography. J Periodontol. 2011;82(1):129–35.

    Article  PubMed  Google Scholar 

  34. Watanabe H, Mohammad Abdul M, Kurabayashi T, Aoki H. Mandible size and morphology determined with CT on a premise of dental implant operation. Surg Radiol Anat. 2010;32(4):343–9.

    Article  PubMed  Google Scholar 

  35. Berberi A, Le Breton G, Mani J, Woimant H, Nasseh I. Lingual paresthesia following surgical placement of implants: report of a case. Int J Oral Maxillofac Implants. 1993;8:580–2.

    CAS  PubMed  Google Scholar 

  36. Schneider D, Marquardt P, Zwahlen M, Jung RE. A systematic review on the accuracy and the clinical outcome of computer-guided template-based implant dentistry. Clin Oral Implants Res. 2009;20(Suppl. 4):73–86.

    Article  PubMed  Google Scholar 

  37. Damlar I. Disappearance of a dental implant after migration into the maxillary sinus: an unusual case. J Korean Assoc Oral Maxillofac Surg. 2015;41:278–80.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Galindo-Moreno P, Padial-Molina M, Sánchez-Fernández E, Hernández-Cortés P, Wang HL, O’Valle F. Dental implant migration in grafted maxillary sinus. Implant Dent. 2011;20:400–5.

    Article  PubMed  Google Scholar 

  39. González-García A, González-García J, Diniz-Freitas M, García-García A, Bullón P. Accidental displacement and migration of endosseous implants into adjacent craniofacial structures: a review and update. Med Oral Patol Oral Cir Bucal. 2012;17:e769–74.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Flanagan D. Arterial supply of maxillary sinus and potential for bleeding complication during lateral approach sinus elevation. Implant Dent. 2005;14:336–8.

    Article  PubMed  Google Scholar 

  41. Temmerman A, Hertele S, Teughels W, Dekeyser C, Jacobs R, Quirynen M. Are panoramic images reliable in planning sinus augmentation procedures? Clin Oral Implants Res. 2011;22(2):189–94.

    Article  PubMed  Google Scholar 

  42. Lustig JP, London D, Dor BL, Yanko R. Ultrasound identification and quantitative measurement of blood supply to the anterior part of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96(5):625–9.

    Article  PubMed  Google Scholar 

  43. Law C, Alam P, Borumandi F. Floor-of-mouth hematoma following dental implant placement: literature review and case presentation. J Oral Maxillofac Surg. 2017;75(11):2340–6.

    Article  PubMed  Google Scholar 

  44. Kilic E, Doganay S, Ulu M, Celebi N, Yikilmaz A, Alkan A. Determination of lingual vascular canals in the interforaminal region before implant surgery to prevent life-threatening bleeding complications. Clin Oral Implants Res. 2014;25(2):e90–3.

    Article  PubMed  Google Scholar 

  45. Dubois L, De Lange J, Baas E, Van Ingen J. Excessive bleeding in the floor of the mouth after endosseus implant placement: a report of two cases. Int J Oral Maxillofac Surg. 2010;39:412–5.

    Article  CAS  PubMed  Google Scholar 

  46. Del Castillo-Pardo de Vera JL, Lopez-Arcas Calleja JM, Burgueno-Garcia M. Hematoma of the floor of the mouth and airway obstruction during mandibular dental implant placement: a case report. Oral Maxillofac Surg. 2008;12:223–6.

    Article  PubMed  Google Scholar 

  47. Isaacson T. Sublingual haematoma formation during immediate placement of mandibular endosseous implants. J Am Dent Assoc. 2004;135(2):168–72.

    Article  PubMed  Google Scholar 

  48. Givol N, Chaushu G, Halamish-Shani T, Taicher S. Emergency tracheostomy following life-threatening hemorrhage in the floor of the mouth during immediate implant placement in the mandibular canine region. J Periodontol. 2000;71(12):1893–5.

    Article  CAS  PubMed  Google Scholar 

  49. Remonda L, Schroth G, Caversaccio M, Ladrach K, Lovblad KO, Zbaren P, et al. Endovascular treatment of acute and subacute hemorrhage in the head and neck. Arch Otolaryngol Head Neck Surg. 2000;126:1255–62.

    Article  CAS  PubMed  Google Scholar 

  50. Bavitz JB, Harn SD, Homze EJ. Arterial supply to the floor of the mouth and lingual gingiva. Oral Surg Oral Med Oral Pathol. 1994;77:232–5.

    Article  CAS  PubMed  Google Scholar 

  51. Gonzalez-Garcia R, Schoendorff G, Munoz-Guerra MF, Rodriguez-Campo FJ, Naval-Gias L, Sastre-Perez J. Upper airway obstruction by sublingual hematoma: a complication of anticoagulation therapy with acenocoumarol. Am J Otolaryngol. 2006;2:129–32.

    Article  Google Scholar 

  52. Cameron SM, Whitlock WL, Tabor MS. Foreign body aspiration in dentistry: a review. J Am Dent Assoc. 1996;127:1224–9.

    Article  CAS  PubMed  Google Scholar 

  53. Jain A, Baliga SD. Accidental implant screwdriver ingestion: a rare complication during implant placement. J Dent (Tehran). 2014;11(6):711–4.

    Google Scholar 

  54. Barkmeier WW, Cooley RL, Abrams H. Prevention of swallowing or aspiration of foreign objects. J Am Dent Assoc. 1978;97(3):473–6.

    Article  CAS  PubMed  Google Scholar 

  55. Knowles JE. Inhalation of dental plates: a hazard of radiolucent materials. J Laryngol Otol. 1991;105:681–2.

    Article  CAS  PubMed  Google Scholar 

  56. Summers RB. A new concept in maxillary implant surgery: the osteotome technique. Compendium. 1994;15(152):4–6.

    Google Scholar 

  57. Cavicchia F, Bravi F, Petrelli G. Localized augmentation of the maxillary sinus floor through a coronal approach for the placement of implants. Int J Periodontics Restorative Dent. 2001;21:475–85.

    CAS  PubMed  Google Scholar 

  58. Zijderveld SA, van den Bergh JP, Schulten EA, ten Bruggenkate CM. Anatomical and surgical findings and complications in 100 consecutive maxillary sinus floor elevation procedures. J Oral Maxillofac Surg. 2008;66:1426–38.

    Article  PubMed  Google Scholar 

  59. Doud Galli SK, Lebowitz RA, Giacchi RJ, Glickman R, Jacobs JB. Chronic sinusitis complicating sinus lift surgery. Am J Rhinol. 2001;15:181–6.

    Article  CAS  PubMed  Google Scholar 

  60. Saker M, Ogle O. Benign paroxysmal positional vertigo subsequent to sinus lift via closed technique. J Oral Maxillofac Surg. 2005;63:1385–7.

    Article  PubMed  Google Scholar 

  61. Niederquell B, Brennan PA, Dau M, Moergel M, Frerich B, Kämmerer PW. Bilateral postoperative cyst after maxillary sinus surgery—report of a case and systematic review of the literature. Case Rep Dent. 2016;2016:6263248.

    PubMed  PubMed Central  Google Scholar 

  62. Kayabasoglu G, Nacar A, Altundag A, Cayonu M, Muhtarogullari M, Cingi C. A retrospective analysis of the relationship between rhinosinusitis and sinus lift dental implantation. Head Face Med. 2014;10:53.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Timmenga NM, Raghoebar GM, Boering G, van Weissenbruch R. Maxillary sinus function after sinus lifts for the insertion of dental implants. J Oral Maxillofac Surg. 1997;55(9):936–9; discussion 40.

    Article  CAS  PubMed  Google Scholar 

  64. Raghoebar GM, van Weissenbruch R, Vissink A. Rhino-sinusitis related to endosseous implants extending into the nasal cavity. A case report. Int J Oral Maxillofac Surg. 2004;33(3):312–4.

    Article  CAS  PubMed  Google Scholar 

  65. Jung JH, Choi BH, Jeong SM, Li J, Lee SH, Lee HJ. A retrospective study of the effects on sinus complications of exposing dental implants to the maxillary sinus cavity. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(5):623–5.

    Article  PubMed  Google Scholar 

  66. Zhong W, Chen B, Liang X, Ma G. Experimental study on penetration of dental implants into the maxillary sinus in different depths. J Appl Oral Sci. 2013;21(6):560–6.

    Article  PubMed  PubMed Central  Google Scholar 

  67. Quiney RE, Brimble E, Hodge M. Maxillary sinusitis from dental osseointegrated implants. J Laryngol Otol. 1990;104(4):333–4.

    Article  CAS  PubMed  Google Scholar 

  68. Anzalone JV, Vastardis S. Oroantral communication as an osteotome sinus elevation complication. J Oral Implantol. 2010;36(3):231–7.

    Article  PubMed  Google Scholar 

  69. Troeltzsch M, Pache C, Troeltzsch M, Kaeppler G, Ehrenfeld M, Otto S, et al. Etiology and clinical characteristics of symptomatic unilateral maxillary sinusitis: a review of 174 cases. J Craniomaxillofac Surg. 2015;43(8):1522–9.

    Article  PubMed  Google Scholar 

  70. Manor Y, Garfunkel AA. Brain abscess following dental implant placement via crestal sinus lift - a case report. Eur J Oral Implantol. 2018;11(1):113–7.

    PubMed  Google Scholar 

  71. Puglisi S, Privitera S, Maiolino L, Serra A, Garotta M, Blandino G, et al. Bacteriological findings and antimicrobial resistance in odontogenic and non-odontogenic chronic maxillary sinusitis. J Med Microbiol. 2011;60(Pt 9):1353–9.

    Article  CAS  PubMed  Google Scholar 

  72. Little RE, Long CM, Loehrl TA, Poetker DM. Odontogenic sinusitis: a review of the current literature. Laryngosc Investig Otolaryngol. 2018;3(2):110–4.

    Article  Google Scholar 

  73. Karlis V, Bae RD, Glickman RS. Mandibular fracture as a complication of inferior alveolar nerve transposition and placement of endosseous implants: a case report. Implant Dent. 2003;12(3):211–6.

    Article  PubMed  Google Scholar 

  74. Tolman DE, Keller EE. Management of mandibular fractures in patients with endosseous implants. Int J Oral Maxillofac Implants. 1991;6(4):427–36.

    CAS  PubMed  Google Scholar 

  75. Boffano P, Roccia F, Gallesio C, Berrone S. Pathological mandibular fractures: a review of the literature of the last two decades. Dent Traumatol. 2013;29(3):185–96.

    Article  PubMed  Google Scholar 

  76. 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;89(5):553–9.

    Article  CAS  PubMed  Google Scholar 

  77. Bartling R, Freeman K, Kraut RA. The incidence of altered sensation of the mental nerve after mandibular implant placement. J Oral Maxillofac Surg. 1999;57:1408–12.

    Article  CAS  PubMed  Google Scholar 

  78. Ellies LG. Altered sensation following mandibularvimplant surgery: a retrospective study. J Prosthet Dent. 1992;68:664–71.

    Article  CAS  PubMed  Google Scholar 

  79. Tay AB, Zuniga JR. Clinical characteristics of trigeminal nerve injury referrals to a university centre. Int J Oral Maxillofac Surg. 2007;36(10):922–7.

    Article  CAS  PubMed  Google Scholar 

  80. Kämmerer PW, Adubae A, Buttchereit I, Thiem DGE, Daubländer M, Frerich B. Prospective clinical study comparing intraligamentary anesthesia and inferior alveolar nerve block for extraction of posterior mandibular teeth. Clin Oral Investig. 2018;22:1469–75.

    Article  PubMed  Google Scholar 

  81. Dau M, Buttchereit I, Ganz C, Frerich B, Anisimova EN, Daubländer M, et al. Influence of needle bevel design on injection pain and needle deformation in dental local infiltration anaesthesia—randomized clinical trial. Int J Oral Maxillofac Surg. 2017;46(11):1484–9.

    Article  CAS  PubMed  Google Scholar 

  82. Hegedus F, Diecidue RJ. Trigeminal nerve injuries after mandibular implant placement—practical knowledge for clinicians. Int J Oral Maxillofac Implants. 2006;21:111–6.

    PubMed  Google Scholar 

  83. Juodzbalys G, Wang HL, Sabalys G. Injury of the inferior alveolar nerve during implant placement: a literature review. J Oral Maxillofac Res. 2011;2(1):e1.

    Article  PubMed  PubMed Central  Google Scholar 

  84. Leckel M, Kress B, Schmitter M. Neuropathic pain resulting from implant placement: case report and diagnostic conclusions. J Oral Rehabil. 2009;36(7):543–6.

    Article  CAS  PubMed  Google Scholar 

  85. Abarca M, van Steenberghe D, Malevez C, De Ridder J, Jacobs R. Neurosensory disturbances after immediate loading of implants in the anterior mandible: an initial questionnaire approach followed by a psychophysical assessment. Clin Oral Investig. 2006;10(4):269–77.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  86. Alhassani AA, AlGhamdi AST. Inferior alveolar nerve injury in implant dentistry: diagnosis, causes, prevention, and management. J Oral Implantol. 2010;36(5):401–7.

    Article  PubMed  Google Scholar 

  87. Seddon HJ, Medawar PB, Smith H. Rate of regeneration of peripheral nerves in man. J Physiol. 1943;102:191–215.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  88. Ghali GE, Epker BN. Clinical neurosensory testing: practical applications. J Oral Maxillofac Surg. 1989;47:1074–8.

    Article  CAS  PubMed  Google Scholar 

  89. Poort LJ, van Neck JW, van der Wal KG. Sensory testing of inferior alveolar nerve injuries: a review of methods used in prospective studies. J Oral Maxillofac Surg. 2009;67:292–300.

    Article  PubMed  Google Scholar 

  90. Kim ST, Hu KS, Song WC, Kang MK, Park HD, Kim HJ. Location of the mandibular canal and the topography of its neurovascular structures. J Craniofac Surg. 2009;20:936–9.

    Article  PubMed  Google Scholar 

  91. Nortje CJ, Farman AG, Grotepass FW. Variations in the normal anatomy of the inferior dental (mandibular) canal: a retrospective study of panoramic radiographs from 3612 routine dental patients. Br J Oral Surg. 1977;15:55–63.

    Article  CAS  PubMed  Google Scholar 

  92. Grover PS, Lorton L. Bifid mandibular nerve as a possible cause of inadequate anesthesia in the mandible. J Oral Maxillofac Surg. 1983;41:177–9.

    Article  CAS  PubMed  Google Scholar 

  93. Langlais RP, Broadus R, Glass BJ. Bifid mandibular canals in panoramic radiographs. J Am Dent Assoc. 1985;110:923–6.

    Article  CAS  PubMed  Google Scholar 

  94. Vazquez L, Saulacic N, Belser U, Bernard JP. Efficacy of panoramic radiographs in the preoperative planning of posterior mandibular implants: a prospective clinical study of 1527 consecutively treated patients. Clin Oral Implants Res. 2008;19:81–5.

    PubMed  Google Scholar 

  95. Sammartino G, Marenzi G, Citarella R, Ciccarelli R, Wang HL. Analysis of the occlusal stress transmitted to the inferior alveolar nerve by an osseointegrated threaded fixture. J Periodontol. 2008;79(9):1735–44.

    Article  CAS  PubMed  Google Scholar 

  96. Anderson LC, Kosinski TF, Mentag PJ. A review of the intraosseous course of the nerves of the mandible. J Oral Implantol. 1991;17:394–403.

    CAS  PubMed  Google Scholar 

  97. Kraut RA, Chahal O. Management of patients with trigeminal nerve injuries after mandibular implant placement. J Am Dent Assoc. 2002;133:1351–4.

    Article  PubMed  Google Scholar 

  98. Worthington P. Injury to the inferior alveolar nerve during implant placement: a formula for protection of the patient and clinician. Int J Oral Maxillofac Implants. 2004;19:731–4.

    PubMed  Google Scholar 

  99. Heller AA, WEn S. Alternative to the inferior alveolar nerve block anesthesia when placing mandibular dental implants posterior to the mental foramen. J Oral Implantol. 2001;27:127–33.

    Article  CAS  PubMed  Google Scholar 

  100. Heraud J, Orofino J, Trub M, Mei N. Electrophysiologic evidence showing the existence of sensory receptors within the alveolar bone in anesthetized cats. Int J Oral Maxillofac Implants. 1996;11(6):800–5.

    CAS  PubMed  Google Scholar 

  101. Jensen O, Nock D. Inferior alveolar nerve reposition in conjunction with placement of osseointegrated implants: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol. 1987;63:263–8.

    Article  CAS  Google Scholar 

  102. Luna AH, Passeri LA, de Moraes M, et al. Endosseous implant placement in conjunction with inferior alveolar nerve transposition: a report of an unusual complication and surgical management. Int J Oral Maxillofac Implants. 2008;23:133–6.

    PubMed  Google Scholar 

  103. Rosenquist B. Implant placement in combination with nerve transpositioning: experience with the first 100 cases. Int J Oral Maxillofac Implants. 1994;9:522–31.

    Google Scholar 

  104. Da Costa Ribeiro R, Luna AH, Sverzut CE, Sverzut AT. Failure of osseointegrated dental implant after alveolar nerve transposition: a report of an unusual complication and surgical management. Implant Dent. 2017;26(4):645–8.

    Article  PubMed  Google Scholar 

  105. Basa O, Dilek OC. Assessment of the risk of perforation of the mandibular canal by implant drill using density and thickness parameters. Gerodontology. 2011;28(3):213–20.

    Article  PubMed  Google Scholar 

  106. Burstein J, Mastin C, Le B. Avoiding injury to the inferior alveolar nerve by routine use of intraoperative radiographs during implant placement. J Oral Implantol. 2008;34(1):34–8.

    Article  PubMed  Google Scholar 

  107. Khawaja N, Renton T. Case studies on implant removal influencing the resolution of inferior alveolar nerve injury. Br Dent J. 2009;206:365–70.

    Article  CAS  PubMed  Google Scholar 

  108. Kämmerer PW, Palarie V, Daubländer M, Bicer C, Shabazfar N, Brüllmann D, et al. Comparison of 4% articaine with epinephrine (1:100.000) and without epinephrine in inferior alveolar block for tooth extraction—double blind, randomized clinical trial of anesthetic efficacy. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;113(4):495–9.

    Article  PubMed  Google Scholar 

  109. Camps-Font O, Figueiredo R, Valmaseda-Castellon E, Gay-Escoda C. Postoperative infections after dental implant placement: prevalence, clinical features, and treatment. Implant Dent. 2015;24(6):713–9.

    Article  PubMed  Google Scholar 

  110. Anitua E, Aguirre JJ, Gorosabel A, Barrio P, Errazquin JM, Roman P, et al. A multicentre placebo-controlled randomised clinical trial of antibiotic prophylaxis for placement of single dental implants. Eur J Oral Implantol. 2009;2(4):283–92.

    PubMed  Google Scholar 

  111. Figueiredo R, Camps-Font O, Valmaseda-Castellon E, Gay-Escoda C. Risk factors for postoperative infections after dental implant placement: a case-control study. J Oral Maxillofac Surg. 2015;73(12):2312–8.

    Article  PubMed  Google Scholar 

  112. Elian N, Mitsias M, Eskow R, Jalbout ZN, Cho SC, Froum S, et al. Unexpected return of sensation following 4.5 years of paresthesia: case report. Implant Dent. 2005;14(4):364–7.

    Article  PubMed  Google Scholar 

  113. Rodriguez Sanchez F, Rodriguez Andres C, Arteagoitia I. Which antibiotic regimen prevents implant failure or infection after dental implant surgery? A systematic review and meta-analysis. J Craniomaxillofac Surg. 2018;46(4):722–36.

    Article  PubMed  Google Scholar 

  114. Schlund M, Raoul G, Ferri J, Nicot R. Mandibular osteomyelitis following implant placement. J Oral Maxillofac Surg. 2017;75(12):2560 e1–7.

    Article  Google Scholar 

  115. Esposito M, Hirsch JM, Lekholm U, Thomsen P. Biological factors contributing to failures of osseointegrated oral implants. (I). Success criteria and epidemiology. Eur J Oral Sci. 1998;106:527–51.

    Article  CAS  PubMed  Google Scholar 

  116. Antoun H, Karouni M, Abitbol J, Zouiten O, Jemt T. A retrospective study on 1592 consecutively performed operations in one private referral clinic. Part I: Early inflammation and early implant failures. Clin Implant Dent Relat Res. 2017;19:404–12.

    Article  PubMed  Google Scholar 

  117. Chrcanovic BR, Albrektsson T, Wennerberg A. Reasons for failures of oral implants. J Oral Rehabil. 2014;41(6):443–76.

    Article  CAS  PubMed  Google Scholar 

  118. AlGhamdi AS. Successful treatment of early implant failure: a case series. Clin Implant Dent Relat Res. 2012;14(3):380–7.

    Article  PubMed  Google Scholar 

  119. Esposito M, Hirsch JM, Lekholm U, Thomsen P. Biological factors contributing to failures of osseointegrated oral implants. (II). Etiopathogenesis. Eur J Oral Sci. 1998;106(3):721–64.

    Article  CAS  PubMed  Google Scholar 

  120. Pinholt EM, Haanaes HR, Roervik M, Donath K, Bang G. Alveolar ridge augmentation by osteoinductive materials in goats. Scand J Dent Res. 1992;100(6):361–5.

    CAS  PubMed  Google Scholar 

  121. Deas DE, Mikotowicz JJ, Mackey SA, Moritz AJ. Implant failure with spontaneous rapid exfoliation: case reports. Implant Dent. 2002;11(3):235–42.

    Article  PubMed  Google Scholar 

  122. Fujioka M, Oka K, Kitamura R, Yakabe A, Endoh H. Extra-oral fistula caused by a dental implant. J Oral Implantol. 2011;37(4):477–9.

    Article  PubMed  Google Scholar 

  123. Harris D, Horner K, Grondahl K, Jacobs R, Helmrot E, Benic GI, et al. E.A.O. guidelines for the use of diagnostic imaging in implant dentistry 2011. A consensus workshop organized by the European Association for Osseointegration at the Medical University of Warsaw. Clin Oral Implants Res. 2012;23(11):1243–53.

    Article  PubMed  Google Scholar 

  124. Dau M, Edalatpour A, Schulze R, Al-Nawas B, Alshihri A, Kämmerer PW. Presurgical evaluation of bony implant sites using panoramic radiography and cone beam computed tomography-influence of medical education. Dentomaxillofac Radiol. 2017;46(2):20160081.

    Article  PubMed  PubMed Central  Google Scholar 

  125. Guerrero ME, Noriega J, Jacobs R. Preoperative implant planning considering alveolar bone grafting needs and complication prediction using panoramic versus CBCT images. Imaging Sci Dent. 2014;44(3):213–20.

    Article  PubMed  PubMed Central  Google Scholar 

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Kämmerer, P.W., Al-Nawas, B. (2020). Complications in Oral Implant Placement. In: Gassner, R. (eds) Complications in Cranio-Maxillofacial and Oral Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-40150-4_6

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