How to avoid surgical complications and failures in implantology

Implants have evolved to a rapidly growing techniques for replace the missing teeth. The total number of implants being placed has increased significantly over the years, as the prevalence of complications. In oral implantology, the most serious complications and those most frequently described in the literature occur during surgery. They may result from inadequate planning, overworking of the implant bed, contamination of the implant by incorrect manipulation or mishandling; by poor implant orientation, or by the surgical procedure itself, which is not without risk. There are several reasons for the increased number of implant complications in the last years, mainly related to the increased number of implants being placed, the increased number of dentists, and the lack of adequate training. Intraoperative complications may be related with surgery such as hemorrage, neurosensory alterations, damage to adjacent teeth and mandibular fractures. Otherwise complications may be associated with implant placement such as absence of primary stability, fenestration or displacement into maxillary sinus. A spectrum of surgical implant complication is reported, and the author provide a detailed analysis of the etiology, prevention and treatment. The possibility of potential complications has to be considered before placing or restoring implants, and knowledge, learning, and experience are paramount to reducing the number and the severity.