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Table of Contents


Title Page
Copyright Page
DEDICATION
CONTRIBUTORS
PREFACE
ACKNOWLEDGMENTS
PART 1 - Identifying Preoperative Conditions That Could Lead to Complications
COMPLICATION 1 - Inadequate or Excessive Vertical Restorative Space
COMPLICATION 2 - Inadequate Horizontal Restorative Space
COMPLICATION 3 - Limited Jaw Opening and Interarch Distance
COMPLICATION 4 - Inadequate Alveolar Width for Optimal Buccolingual Positioning
COMPLICATION 5 - Maxillary and Mandibular Tori
PART 2 - Intraoperative Complications in Implant Placement
COMPLICATION 6 - Incorrect Implant Angulation
COMPLICATION 7 - Malalignment
COMPLICATION 8 - Nerve Injury
COMPLICATION 9 - Irregular or Narrow Alveolar Crest
COMPLICATION 10 - Extensive Resorption of the Mandible
COMPLICATION 11 - Curved Extraction Socket
COMPLICATION 12 - Injury to Adjacent Teeth During Implant Placement
COMPLICATION 13 - Preoperative Acute and Chronic Infections at the Implant Site
COMPLICATION 14 - Retained Root Tips in the Implant Site
COMPLICATION 15 - Bleeding
COMPLICATION 16 - Overheating of the Bone During Drilling
COMPLICATION 17 - Stripping of the Implant Site
COMPLICATION 18 - Sinus Floor Perforation
COMPLICATION 19 - Nasal Floor Perforation
COMPLICATION 20 - Accidental Partial or Complete Displacement of Dental Implants into the Maxillary Sinus
COMPLICATION 21 - Accidental Displacement of Dental Implants into the Maxillary Incisive Canal
COMPLICATION 22 - Deep Implant Placement
COMPLICATION 23 - Shallow Implant Placement
COMPLICATION 24 - Complications in Flapless Implant Placement
COMPLICATION 25 - Aspiration or Ingestion of Foreign Objects
COMPLICATION 26 - Mandibular Bone Fracture
COMPLICATION 27 - Implant Fracture
COMPLICATION 28 - Excessive Torque During Insertion and Compression Necrosis
COMPLICATION 29 - Inadequate Initial Stability
PART 3 - Postoperative Complications
COMPLICATION 30 - Postoperative Pain
COMPLICATION 31 - Tissue Emphysema Induced by Dental Procedures
COMPLICATION 32 - Incision Line Reopening
COMPLICATION 33 - Cover Screw Exposure During the Healing Period
COMPLICATION 34 - Bone Growth over the Cover Screw
COMPLICATION 35 - Soft Tissue Growth Between Implant Platform and Cover Screw
COMPLICATION 36 - Bone Loss or Thread Exposure During the Healing Period
COMPLICATION 37 - Implant Mobility During Stage-Two Surgery
COMPLICATION 38
COMPLICATION 39 - Cement Left in the Pocket
COMPLICATION 40 - Radiotherapy, Osteoradionecrosis, and Dental Implants
COMPLICATION 41 - Shallow Vestibule Secondary to Ridge Augmentation
COMPLICATION 42 - Medicolegal Issues
PART 4 - Complications Associated with Lateral Window Sinus Elevation
Anatomical Considerations of the Maxillary Sinus
COMPLICATION 43 - Preoperative Acute Sinusitis
COMPLICATION 44 - Preoperative Chronic Sinusitis
COMPLICATION 45 - Preoperative Fungal Sinusitis
COMPLICATION 46 - Preoperative Cystic Structures and Mucoceles
COMPLICATION 47 - Other Preoperative Sinus Lesions
COMPLICATION 48 - Hematoma During Anesthesia
COMPLICATION 49 - Bleeding During Incision and Flap Reflection
COMPLICATION 50 - Bleeding During Osteotomy
COMPLICATION 51 - Damage to Adjacent Dentition
COMPLICATION 52 - Perforation of the Sinus Membrane During Osteotomy
COMPLICATION 53 - Perforation of the Sinus Membrane During Elevation
COMPLICATION 54 - Incomplete Elevation
COMPLICATION 55 - Bleeding During Membrane Elevation
COMPLICATION 56 - Fracture of the Residual Alveolar Ridge
COMPLICATION 57 - Excessive Elevation of the Membrane
COMPLICATION 58 - Presence of a Mucus Retention Cyst
COMPLICATION 59 - Blockage of the Maxillary Ostium
COMPLICATION 60 - Unstable Implants
COMPLICATION 61 - Wound Dehiscence
COMPLICATION 62 - Acute Graft Infection/Sinusitis
COMPLICATION 63 - Exposure of the Bone Graft and/or Barrier Membrane
COMPLICATION 64 - Sinus Congestion
COMPLICATION 65 - Early Implant Migration into the Sinus Cavity
COMPLICATION 66 - Insufficient Quality and/or Quantity of Healed Graft
COMPLICATION 67 - Implant Failure in the Augmented Sinus
COMPLICATION 68 - Chronic Infection/Sinusitis
COMPLICATION 69 - Infection of All Paranasal Sinuses/ Intracranial Cavity
COMPLICATION 70 - Delayed Implant Migration into the Sinus Cavity
COMPLICATION 71 - Sinus Aspergillosis
PART 5 - Pharmacology: Prevention and Management of Pain, Infection, and Drug-Related Complications
Introduction
COMPLICATION 72 - Intra- and Postoperative Infection
COMPLICATION 73 - Intra- and Postoperative Pain
COMPLICATION 74 - Bisphosphonate-Related Osteonecrosis of the Jaw
COMPLICATION 75 - Bleeding Problems in Patients Taking Anticoagulants or Antiplatelet Agents
Appendices
INDEX

ACKNOWLEDGMENTS

I would like to express sincere gratitude to my parents, Omar Al-Faraje and Nadia Al-Rifai, for their extraordinary sacrifices for too many years. Thank you for your unconditional love and support.

Also to my wife Rana, my lifelong companion and “book widow.” Her support was invaluable as I was hunched over my computer, sometimes for 12 hours a day. And to our children—Nadia, Omar, and Tim—who contributed immensely to this book by sacrificing their precious time with “Papa.”

In addition, I would like to thank my teachers at each of the medical institutions I attended. I was indeed fortunate to have had outstanding anatomical, clinical, and surgical training at the medical institutes in Russia, the Ukraine, and the United States.

Three special individuals have profoundly influenced my career:

Dr Nizar Al-Tair, my dental mentor, who spent countless hours challenging my knowledge and skills to deliver excellence and to be my best.

Dr Igor Persidsky, who taught me how to connect patients’ medical problems with their dental needs and to think like a dental surgeon with internal medicine in mind. I treasure our years of friendship.

Dr Dewhirst Floyd, who gave me a helping hand and believed in me. This book would not have seen the light without his support during my early years in the dental field.

Finally, I would like to thank all of my students at the California Implant Institute. It is always a pleasure and an honor to share with you my knowledge and expertise in implant dentistry. For the last few years, my greatest professional joy has been interacting with my students and colleagues at the California Implant Institute.

I also would like to express my gratitude to Dr Christopher Church and Dr James Rutkowski for their contributions to this textbook.

Special thanks to Lisa Bywaters and her editorial team at Quintessence Publishing Company. Their tremendous support throughout the project allowed the creation of this modern, easy-to-consult textbook.