Category: Implantology
Language(s): English
Publication year: 2009
Video source: 60 Jahre Quintessenz
Content
Scientific literature presents information on the occurrence
of complications when implant supported and
retained prostheses are provided to patients.
Traditionally these complications have been considered
equally but some require only minimal intervention to
rectify while others demand complete re-treatment.
This presentation will evaluate different categories of
complications on the basis of the time, expense and
expertise needed to rectify the treatment complications.
Likewise, maintenance issues and anticipated outcomes
related to aging will be differentiated from clinical
complications. The modern era of implant dentistry
began with the recognition that implants could reliably
achieve a state of clinical immobility whereby living
bone develops in direct physical contact to the alloplastic
implant. This process became known as "osseointegration".
Prior to the era of osseointegration dental
implants were prone to progressive bone deteriorationover time.
Infections associated with dental implants
were not uncommon and long-term survival of
implants was unpredictable. With the advent of osseointegration
early studies evaluated survival of implants
and very little else. Given the status of implant dentistry
at that time this limited analysis appeared prudent
however the process of osseointegration has now been
documented for over 40 years and is now appropriate
to consider more than simple implant survival. Over
this time period studies that assessed clinical complications
did so in a descriptive way rather than as a qualitative
assessment. Only two complications studies have
been published that look at more than 500 patients
and more than 1000 implants for five years or more.
Both of these studies were co-authored by the speaker.
This presentation will review the pertinent information
on clinical complications as documented in the literature
and in the speaker's practice at the Mayo Clinic.
Beyond evaluation of complications the speaker will
describe severity of complications in an attempt to differentiate
between clinical complications and issues
related to maintenance of prostheses. In addition careful
analysis of factors that influence the survival of
implants will be assessed in an effort to determine specific
risk factors. Factors that influence clinical performance
beyond implant survival will be discussed relative
to the design of implants and of prosthetic components.
Please note: I am enclosing two different synopses
for this presentation. The first one is quite short
while the second one provides more detail. I asked the
you choose the appropriate one given the space constraints
for the program brochure.