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CC BY-NC-ND 4.0 · Eur J Dent 2017; 11(01): 135-140
DOI: 10.4103/ejd.ejd_340_16
Review Article
Dental Investigation Society

Complications in implant dentistry

Ayesha Hanif
1   Division of Clinical Periodontology, Faculty of Dentistry, Ziauddin University, Karachi, Pakistan
,
Saima Qureshi
1   Division of Clinical Periodontology, Faculty of Dentistry, Ziauddin University, Karachi, Pakistan
,
Zeeshan Sheikh
2   Matrix Dynamics Group, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
,
Haroon Rashid
3   Division of Prosthodontics, Faculty of Dentistry, Ziauddin University, Karachi, Pakistan
› Author Affiliations
Further Information

Publication History

Publication Date:
25 September 2019 (online)

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ABSTRACT

After tooth loss, an individual may seek tooth replacement so that his/her function and esthetics could be restored. Clinical prosthodontics, during the past decade, has significantly improved and developed according to the advancements in the science and patient's demands and needs. Conventional options in prosthodontics for substituting a missing single tooth include the removable partial denture, partial and full coverage bridgework, and resin-bonded bridgework. Dental implants have gained increasing popularity over the years as they are capable of restoring the function to near normal in both partial and completely edentulous arches. With substantial evidence available, fixed implant-supported prosthesis are fully acknowledged as a reliable treatment option for the replacement of single or multiple missing teeth nowadays. While dental implants are increasingly becoming the choice of replacement for missing teeth, the impediments associated with them are progressively emerging too.

Key words:

Implant complications - implant failures - peri-implantitis
 

  • REFERENCES

  • 1 Murray H, Locker D, Kay EJ. Patterns of and reasons for tooth extractions in general dental practice in Ontario, Canada. Community Dent Oral Epidemiol 1996; 24: 196-200
    CrossrefPubMedGoogle Scholar
  • 2 Reich E, Hiller KA. Reasons for tooth extraction in the Western states of Germany. Community Dent Oral Epidemiol 1993; 21: 379-83
    CrossrefPubMedGoogle Scholar
  • 3 Ong G, Yeo JF, Bhole S. A survey of reasons for extraction of permanent teeth in Singapore. Community Dent Oral Epidemiol 1996; 24: 124-7
    CrossrefPubMedGoogle Scholar
  • 4 Angelillo IF, Nobile CG, Pavia M. Survey of reasons for extraction of permanent teeth in Italy. xCommunity Dent Oral Epidemiol 1996; 24: 336-40
    Google Scholar
  • 5 Haseeb M, Ali K, Munir MF. Causes of tooth extraction at a tertiary care centre in Pakistan. J Pak Med Assoc 2012; 62: 812-5
    PubMedGoogle Scholar
  • 6 Chan R, Tseng T. Single tooth replacement-expanded treatment options. Aust Dent J 1994; 39: 137-49
    CrossrefPubMedGoogle Scholar
  • 7 Zarb G, Albrektsson T. editors Introduction to osseointegration. In: Branemark PI, editor Tissue-Integrated Prosthesis: Osseointegration in Clinical Dentistry. Chicago, Berlin: Quintessence; 1985
    Google Scholar
  • 8 Jung RE, Pjetursson BE, Glauser R, Zembic A, Zwahlen M, Lang NP. A systematic review of the 5-year survival and complication rates of implant-supported single crowns. Clin Oral Implants Res 2008; 19: 119-30
    CrossrefPubMedGoogle Scholar
  • 9 Jung RE, Zembic A, Pjetursson BE, Zwahlen M, Thoma DS. Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res 2012; 23 (Suppl. 06) 2-21
    CrossrefPubMedGoogle Scholar
  • 10 Pjetursson BE, Tan K, Lang NP, Brägger U, Egger M, Zwahlen M. A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. Clin Oral Implants Res 2004; 15: 625-42
    CrossrefPubMedGoogle Scholar
  • 11 Pjetursson BE, Brägger U, Lang NP, Zwahlen M. Comparison of survival and complication rates of tooth-supported fixed dental prostheses (FDPs) and implant-supported FDPs and single crowns (SCs). Clin Oral Implants Res 2007; 18 (Suppl. 03) 97-113
    CrossrefPubMedGoogle Scholar
  • 12 Henry PJ, Laney WR, Jemt T, Harris D, Krogh PH, Polizzi G. et al. Osseointegrated implants for single-tooth replacement: A prospective 5-year multicenter study. Int J Oral Maxillofac Implants 1996; 11: 450-5
    Google Scholar
  • 13 Taylor RC, McGlumphy EA, Tatakis DN, Beck FM. Radiographic and clinical evaluation of single-tooth Biolok implants: A 5-year study. Int J Oral Maxillofac Implants 2004; 19: 849-54
    Google Scholar
  • 14 Pjetursson BE, Thoma D, Jung R, Zwahlen M, Zembic A. A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. Clin Oral Implants Res 2012; 23 (Suppl. 06) 22-38
    CrossrefPubMedGoogle Scholar
  • 15 Gammage DD, Bowman AE, Meffert RM. Clinical management of failing dental implants: Four case reports. J Oral Implantol 1989; 15: 124-31
    PubMedGoogle Scholar
  • 16 Tolman DE, Laney WR. Tissue-integrated prosthesis complications. Int J Oral Maxillofac Implants 1992; 7: 477-84
    Google Scholar
  • 17 Weinberg LA, Kruger B. A comparison of implant/prosthesis loading with four clinical variables. Int J Prosthodont 1995; 8: 421-33
    PubMedGoogle Scholar
  • 18 Abrahams JJ. Dental CT imaging: A look at the jaw. Radiology 2001; 219: 334-45
    CrossrefPubMedGoogle Scholar
  • 19 Rieger MR, Mayberry M, Brose MO. Finite element analysis of six endosseous implants. J Prosthet Dent 1990; 63: 671-6
    CrossrefPubMedGoogle Scholar
  • 20 Katona TR, Goodacre CJ, Brown DT, Roberts WE. Force-moment systems on single maxillary anterior implants: Effects of incisal guidance, fixture orientation, and loss of bone support. Int J Oral Maxillofac Implants 1993; 8: 512-22
    Google Scholar
  • 21 Liaw K, Delfini RH, Abrahams JJ. Dental Implant Complications. Semin Ultrasound CT MR 2015; 36: 427-33
    CrossrefPubMedGoogle Scholar
  • 22 Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications with implants and implant prostheses. J Prosthet Dent 2003; 90: 121-32
    CrossrefPubMedGoogle Scholar
  • 23 Balshi TJ, Hernandez RE, Pryszlak MC, Rangert B. A comparative study of one implant versus two replacing a single molar. Int J Oral Maxillofac Implants 1996; 11: 372-8
    Google Scholar
  • 24 Jemt T. Single implants in the anterior maxilla after 15 years of follow-up: Comparison with central implants in the edentulous maxilla. Int J Prosthodont 2008; 21: 400-8
    PubMedGoogle Scholar
  • 25 Pjetursson BE, Asgeirsson AG, Zwahlen M, Sailer I. Improvements in implant dentistry over the last decade: Comparison of survival and complication rates in older and newer publications. Int J Oral MaxIllOfac IMplants 2014; (Suppl. 29) 308-24
    PubMedGoogle Scholar
  • 26 Haas R, Mensdorff-Pouilly N, Mailath G, Watzek G. Brånemark single tooth implants: A preliminary report of 76 implants. J Prosthet Dent 1995; 73: 274-9
    CrossrefPubMedGoogle Scholar
  • 27 McGlumphy EA, Mendel DA, Holloway JA. Implant screw mechanics. Dent Clin North Am 1998; 42: 71-89
    CrossrefPubMedGoogle Scholar
  • 28 Sadid-Zadeh R, Kutkut A, Kim H. Prosthetic failure in implant dentistry. Dent Clin North Am 2015; 59: 195-214
    CrossrefPubMedGoogle Scholar
  • 29 Malathi G, Chandra R. Mechanical complications with implants. IJDA 2011; 3: 555-8
    Google Scholar
  • 30 Schwarz MS. Mechanical complications of dental implants. Clin Oral Implants Res 2000; 11 (Suppl. 01) 156-8
    CrossrefPubMedGoogle Scholar
  • 31 Gupta S, Gupta H, Tandan A. Technical complications of implant-causes and management: A comprehensive review. Natl J Maxillofac Surg 2015; 6: 3-8
    CrossrefPubMedGoogle Scholar
  • 32 Piattelli A, Scarano A, Piattelli M, Vaia E, Matarasso S. Hollow implants retrieved for fracture: A light and scanning electron microscope analysis of 4 cases. J Periodontol 1998; 69: 185-9
    CrossrefPubMedGoogle Scholar
  • 33 Rangert B, Krogh PH, Langer B, Van Roekel N. Bending overload and implant fracture: A retrospective clinical analysis. Int J Oral Maxillofac Implants 1995; 10: 326-34
    Google Scholar
  • 34 Goodacre CJ, Kan JY, Rungcharassaeng K. Clinical complications of osseointegrated implants. J Prosthet Dent 1999; 81: 537-52
    CrossrefPubMedGoogle Scholar
  • 35 Balshi TJ. An analysis and management of fractured implants: A clinical report. Int J Oral Maxillofac Implants 1996; 11: 660-6
    Google Scholar
  • 36 Eckert SE, Meraw SJ, Cal E, Ow RK. Analysis of incidence and associated factors with fractured implants: A retrospective study. Int J Oral Maxillofac Implants 2000; 15: 662-7
    Google Scholar
  • 37 Sánchez-Pérez A, Moya-Villaescusa MJ, Jornet-Garcia A, Gomez S. Etiology, risk factors and management of implant fractures. Med Oral Patol Oral Cir Bucal 2010; 15: e504-8
    PubMedGoogle Scholar
  • 38 Zarb GA, Schmitt A. The longitudinal clinical effectiveness of osseointegrated dental implants: The Toronto study. Part III: Problems and complications encountered. J Prosthet Dent 1990; 64: 185-94
    CrossrefPubMedGoogle Scholar
  • 39 Walia MS, Arora S, Luthra R, Walia PK. Removal of fractured dental implant screw using a new technique: A case report. J Oral Implantol 2012; 38: 747-50
    CrossrefPubMedGoogle Scholar
  • 40 Kreissl ME, Gerds T, Muche R, Heydecke G, Strub JR. Technical complications of implant-supported fixed partial dentures in partially edentulous cases after an average observation period of 5 years. Clin Oral Implants Res 2007; 18: 720-6
    CrossrefPubMedGoogle Scholar
  • 41 Tagger Green N, Machtei EE, Horwitz J, Peled M. Fracture of dental implants: Literature review and report of a case. Implant Dent 2002; 11: 137-43
    CrossrefPubMedGoogle Scholar
  • 42 Brunski JB, Puleo DA, Nanci A. Biomaterials and biomechanics of oral and maxillofacial implants: Current status and future developments. Int J Oral Maxillofac Implants 2000; 15: 15-46
    Google Scholar
  • 43 Mericske-Stern R, Assal P, Mericske E, Bürgin W. Occlusal force and oral tactile sensibility measured in partially edentulous patients with ITI implants. Int J Oral Maxillofac Implants 1995; 10: 345-53
    Google Scholar
  • 44 Möllersten L, Lockowandt P, Lindén LA. Comparison of strength and failure mode of seven implant systems: An in vitro test. J Prosthet Dent 1997; 78: 582-91
    CrossrefPubMedGoogle Scholar
  • 45 Kwon K, Sim K, Cha J, Kim E, Lee J. Clinical and scanning electron microscopic analysis of fractured dental implants: A retrospective clinical analysis. J Korean Assoc Oral Maxillofac Surg 2012; 38: 371-8
    CrossrefGoogle Scholar
  • 46 Proceedings of the 4th international symposium on implant dentistry: Focus on esthetics San Diego, California, January 27-29, 1994. Abstracts. J Prosthet Dent 1994; 72: 623-34
    CrossrefPubMedGoogle Scholar
  • 47 Brägger U, Aeschlimann S, Bürgin W, Hämmerle CH, Lang NP. Biological and technical complications and failures with fixed partial dentures (FPD) on implants and teeth after four to five years of function. Clin Oral Implants Res 2001; 12: 26-34
    CrossrefPubMedGoogle Scholar
  • 48 Jemt T. Failures and complications in 391 consecutively inserted fixed prostheses supported by Brånemark implants in edentulous jaws: A study of treatment from the time of prosthesis placement to the first annual checkup. Int J Oral Maxillofac Implants 1991; 6: 270-6
    Google Scholar
  • 49 Sahin S, Cehreli MC. The significance of passive framework fit in implant prosthodontics: Current status. Implant Dent 2001; 10: 85-92
    CrossrefPubMedGoogle Scholar
  • 50 Kan JY, Rungcharassaeng K, Bohsali K, Goodacre CJ, Lang BR. Clinical methods for evaluating implant framework fit. J Prosthet Dent 1999; 81: 7-13
    CrossrefPubMedGoogle Scholar
  • 51 Wee AG, Aquilino SA, Schneider RL. Strategies to achieve fit in implant prosthodontics: A review of the literature. Int J Prosthodont 1999; 12: 167-78
    PubMedGoogle Scholar
  • 52 Fusayama T, Wakumoto S, Hosada H. Accuracy of fixed partial dentures made by various soldering techniques and onepiece castings. J Prosthet Dent 1964; 14: 334-42
    CrossrefGoogle Scholar
  • 53 Kallus T, Bessing C. Loose gold screws frequently occur in full-arch fixed prostheses supported by osseointegrated implants after 5 years. Int J Oral Maxillofac Implants 1994; 9: 169-78
    Google Scholar
  • 54 Nicholls JI. The measurement of distortion: Theoretical considerations. J Prosthet Dent 1977; 37: 578-86
    CrossrefPubMedGoogle Scholar
  • 55 Nicholls JI. The measurement of distortion: Mathematical considerations. J Prosthet Dent 1978; 39: 339-43
    CrossrefPubMedGoogle Scholar
  • 56 Nicholls JL. The measurement of distortion: Concluding remarks. J Prosthet Dent 1980; 43: 218-23
    CrossrefPubMedGoogle Scholar
  • 57 Yanase RT, Binon PP, Jemt T, Gulbransen HJ, Parel S. Current issue forum. How do you test a cast framework for a full arch fixed implant supported prosthesis?. Int J Oral Maxillofac Implants 1994; 9: 471-4
    Google Scholar
  • 58 Binon PP. The spline implant: Design, engineering, and evaluation. Int J Prosthodont 1996; 9: 419-33
    PubMedGoogle Scholar
  • 59 Riedy SJ, Lang BR, Lang BE. Fit of implant frameworks fabricated by different techniques. J Prosthet Dent 1997; 78: 596-604
    CrossrefPubMedGoogle Scholar
  • 60 Zoidis PC, Winkler S, Karellos ND. The effect of soldering, electrowelding, and cast-to procedures on the accuracy of fit of cast implant bars. Implant Dent 1996; 5: 163-8
    CrossrefPubMedGoogle Scholar
  • 61 Thoupos GA, Zouras CS, Winkler S, Roussos VG. Connecting implant framework segments. Implant Dent 1995; 4: 97-9
    CrossrefPubMedGoogle Scholar
  • 62 Phillips KM, Nicholls JI, Ma T, Rubinstein J. The accuracy of three implant impression techniques: A three-dimensional analysis. Int J Oral Maxillofac Implants 1994; 9: 533-40
    Google Scholar
  • 63 Spector MR, Donovan TE, Nicholls JI. An evaluation of impression techniques for osseointegrated implants. J Prosthet Dent 1990; 63: 444-7
    CrossrefPubMedGoogle Scholar
  • 64 Assif D, Fenton A, Zarb G, Schmitt A. Comparative accuracy of implant impression procedures. Int J Periodontics Restorative Dent 1992; 12: 112-21
    PubMedGoogle Scholar
  • 65 Humphries RM, Yaman P, Bloem TJ. The accuracy of implant master casts constructed from transfer impressions. Int J Oral Maxillofac Implants 1990; 5: 331-6
    Google Scholar
  • 66 Romero GG, Engelmeier R, Powers JM, Canterbury AA. Accuracy of three corrective techniques for implant bar fabrication. J Prosthet Dent 2000; 84: 602-7
    CrossrefPubMedGoogle Scholar
  • 67 Hebel KS, Gajjar RC. Cement-retained versus screw-retained implant restorations: Achieving optimal occlusion and esthetics in implant dentistry. J Prosthet Dent 1997; 77: 28-35
    CrossrefPubMedGoogle Scholar
  • 68 Segal BS. Retrospective assessment of 546 all-ceramic anterior and posterior crowns in a general practice. J Prosthet Dent 2001; 85: 544-50
    CrossrefPubMedGoogle Scholar
  • 69 Ekfeldt A, Fürst B, Carlsson GE. Zirconia abutments for single-tooth implant restorations: A retrospective and clinical follow-up study. Clin Oral Implants Res 2011; 22: 1308-14
    CrossrefPubMedGoogle Scholar
  • 70 Sailer I, Mühlemann S, Zwahlen M, Hämmerle CH, Schneider D. Cemented and screw-retained implant reconstructions: A systematic review of the survival and complication rates. Clin Oral Implants Res 2012; 23 (Suppl. 06) 163-201
    CrossrefPubMedGoogle Scholar
  • 71 Vigolo P, Mutinelli S, Givani A, Stellini E. Cemented versus screw-retained implant-supported single-tooth crowns: A 10-year randomised controlled trial. Eur J Oral Implantol 2012; 5: 355-64
    PubMedGoogle Scholar
  • 72 Berglundh T, Persson L, Klinge B. A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. J Clin Periodontol 2002; 29 (Suppl. 03) 197-212
    CrossrefPubMedGoogle Scholar
  • 73 Klinge B, Hultin M, Berglundh T. Peri-implantitis. Dent Clin North Am 2005; 49: 661-76, vii-viii
    CrossrefPubMedGoogle Scholar
  • 74 Quirynen M, De Soete M, van Steenberghe D. Infectious risks for oral implants: A review of the literature. Clin Oral Implants Res 2002; 13: 1-19
    CrossrefPubMedGoogle Scholar
  • 75 Snauwaert K, Duyck J, van Steenberghe D, Quirynen M, Naert I. Time dependent failure rate and marginal bone loss of implant supported prostheses: A 15-year follow-up study. Clin Oral Investig 2000; 4: 13-20
    CrossrefPubMedGoogle Scholar
  • 76 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: 721-64
    CrossrefPubMedGoogle Scholar
  • 77 Quirynen M, Teughels W. Microbiologically compromised patients and impact on oral implants. Periodontol 2000 2003; 33: 119-28
    CrossrefPubMedGoogle Scholar
  • 78 Tonetti MS. Risk factors for osseodisintegration. Periodontol 2000 1998; 17: 55-62
    CrossrefPubMedGoogle Scholar
  • 79 Mombelli A, Lang NP. The diagnosis and treatment of peri-implantitis. Periodontol 2000 1998; 17: 63-76
    CrossrefPubMedGoogle Scholar
  • 80 Heitz-Mayfield LJ. Peri-implant diseases: Diagnosis and risk indicators. J Clin Periodontol 2008; 35 (Suppl. 08) 292-304
    CrossrefPubMedGoogle Scholar
  • 81 Mombelli A, Müller N, Cionca N. The epidemiology of peri-implantitis. Clin Oral Implants Res 2012; 23 (Suppl. 06) 67-76
    PubMedGoogle Scholar
  • 82 Rashid H, Sheikh Z, Vohra F, Hanif A, Glogauer M. Peri-implantitis: A re-view of the disease and report of a case treated with allograft to achieve bone regeneration. Dent Open J 2015; 2: 87-97
    CrossrefGoogle Scholar
  • 83 Lang NP, Wilson TG, Corbet EF. Biological complications with dental implants: Their prevention, diagnosis and treatment. Clin Oral Implants Res 2000; 11 (Suppl. 01) 146-55
    CrossrefPubMedGoogle Scholar
  • 84 Georgiev T. Kamen Nogalchev Local complications occurring during dental implantation. J IMAB: Annual Proceeding (Scientific Papers) 2010; 16: 35-7
    Google Scholar
  • 85 Prathapachandran J, Suresh N. Management of peri-implantitis. Dent Res J (Isfahan) 2012; 9: 516-21
    CrossrefPubMedGoogle Scholar
  • 86 Albrektsson T, Isidor F. Consensus report: Implant therapy. In: Lang NP, Karring T, editors. Proceedings of the 1st European Workshop on Periodontology Berlin: Quintessence; 1994: 365-9
    Google Scholar
  • 87 Lang NP, Lindhe J. Clinical Periodontology and Implant Dentistry. Blackwell Munksgaard: Copenhagen, Denmark: John Wiley and Sons; 2015
    Google Scholar