Medicolegal Implications of Dental Implant Therapy

2013 ◽  
Vol 2 (2) ◽  
pp. 34-38 ◽  
Author(s):  
Jonathan Rees
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Early Stage ◽  
Treatment Plan ◽  
Economic Downturn ◽  
Risk Area ◽  
High Risk Area ◽  
Clinical Scenarios ◽  
Implant Therapy ◽  
Clinical Records

Despite the recent economic downturn, the dental implant market continues to grow year on year. Many more dentists are involved in the placement restoration of dental implants and dental implants are being placed in an extended range of clinical scenarios. Dental implant therapy remains a high risk area for the inexperienced in terms of civil negligence claims and General Dental Council hearings. Risk can be mitigated by: • Ensuring appropriate indemnity • Complying with the published requirements for training • Maintaining detailed and extensive clinical records • Completing the initial phases of history, examination and investigations robustly • Recording a diagnosis • Providing a bespoke written treatment plan that includes details of the need for treatment, the treatment options (the risks and benefits), the phases of treatment, the costs of treatment, the expected normal sequelae of surgery, the risks and complications of implant therapy and the requirement for future maintenance. The provision of treatment that is different in nature or extent to that agreed can result in a breach of contract as well as a claim for negligence • Engaging sufficiently with the patient to obtain consent • Providing written postoperative instructions detailing emergency arrangements, patients who are anxious or in pain may not retain oral information • Making a frank disclosure of complication or collateral damage • Considering referral at an early stage particularly if reparative surgery is required The stress of complications or failure may impair a dentist's normally sound judgement; there may be financial pressure, or concerns regarding reputation. In some cases, dentists avoid making a frank disclosure, feel obliged to undertake complicated reparative surgery, fail to make a timely referral, fail to respond appropriately to patient's concerns and in some cases attempt to alter the clinical records. However, in the best of hands and without negligence complications can and do occur. Complications that occur in the presence of good planning and communication and are managed appropriately do not amount to negligence, and are unlikely to lead to a successful claim.

scholarly journals Awareness among Patients regarding Dental Implants as a Treatment Option for replacing Missing Teeth in Melmaruvathur Population

2016 ◽  
Vol 6 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Venkatesan Narayanan ◽  
Prabhu Karuppiah ◽  
Arunkumar Rajasekar ◽  
Lakshmi D Mayavan
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Treatment Option ◽  
Tamil Nadu ◽  
Dental Education ◽  
Education Programs ◽  
Missing Teeth ◽  
Oral Rehabilitation ◽  
Implant Therapy ◽  
Knowledge And Attitude

ABSTRACT Background Treatment with dental implants has become increasingly important in the range of prosthodontic treatment. Significant improvements in oral rehabilitation particularly in edentulous individuals have been seen. In Adhiparasakthi Dental College, Melmaruvathur, a survey was made to evaluate awareness among patients for dental implants, their level of knowledge, and attitude toward replacement of missing teeth by dental implants. Materials and methods A survey of 480 people was conducted through a printed questionnaire and completed by willing respondents. The questionnaires were prepared in English and Tamil language to enable better understanding and completion. Results Of the 510 people surveyed, 480 responses were retrieved, of which 331 were aware of dental implant treatment in Melmaruvathur, Tamil Nadu. Among them, 304 respondents were aware that implants could be used for replacement of missing teeth. Most of the respondents stated that dental implants were placed in the jawbone, followed by gums. Only 41% respondents assumed that implants last for a lifetime and only 35% of respondents believe that poor oral hygiene was the most common cause of implant failure. Conclusion More dental education programs are needed to improve understanding of the importance of restoration of missing teeth. General implant awareness levels are satisfactory. However, increased awareness of patients for restoration of missing tooth with dental implants is necessary. Dental education programs with special emphasis on advantages, treatment, maintenance, and postoperative care of dental implant therapy are needed. More than two-thirds of the surveyed population is interested in knowing about and being treated with dental implants. How to cite this article Narayanan V, Karuppiah P, Rajasekar A, Mayavan LD. Awareness among Patients regarding Dental Implants as a Treatment Option for replacing Missing Teeth in Melmaruvathur Population. Int J Prosthodont Restor Dent 2016;6(1):6-9.

Dental Implants for Patients with Periodontitis

2019 ◽  
Vol 8 (4) ◽  
pp. 54-61
Author(s):  
Rajiv M. Patel
Keyword(s):  
Treatment Planning ◽  
Dental Implants ◽  
Dental Implant ◽  
Narrative Review ◽  
Professional Support ◽  
Implant Therapy ◽  
Plaque Control ◽  
Partially Dentate ◽  
Implant Treatment

This article provides a narrative review of the use of dental implants in patients with periodontitis. Using clinical examples where possible, consideration is given to the survival and success of implants, peri-implantitis, comparison of periodontally compromised teeth to implants and to treatment planning to help achieve favourable outcomes. The challenges associated with restoring an edentulous arch or partially dentate dentition with implants where significant alveolar atrophy has occurred can be considerable. Compromised outcomes may be commonplace. Dental implant treatment is more likely to be successful for those patients who attain and maintain excellent plaque control. Professional support should focus on managing underlying periodontitis prior to commencing implant therapy and providing long term, regular supportive periodontal care upon completion of treatment.

scholarly journals Diagnosis and Treatment Planning for Dental Implants – A Review

2021 ◽  
pp. 80-88
Author(s):  
. Saransh ◽  
Yasir S. Khan ◽  
Nikita Jain ◽  
Divya Dubey
Keyword(s):  
Treatment Planning ◽  
Dental Implants ◽  
Clinical Examination ◽  
Laboratory Tests ◽  
Treatment Plan ◽  
Radiographic Analysis ◽  
Sequential Process ◽  
Treatment Needs ◽  
Diagnosis And Prognosis ◽  
Implant Therapy

Establishing and arriving at a diagnosis is the key to treatment planning and often practitioners tend to create a treatment plan overlooking the fundamental principles that must be taken into consideration prior to performing implant surgeries. The sequential process of clinical examination, laboratory tests, radiographic analysis, diagnostic protocols, casts wax ups, along with the treatment needs and desires of the patient have to be factored in for the overall diagnosis and prognosis of implant therapy. A step-by-step methodology has been created to help the implant practitioner with a checklist that aims to create the optimal treatment plan for each case.

scholarly journals Estrogenic Hormones and Dental Implant Therapy: The Effects of Estrogen and Progesterone Levels on Osseointegration of Dental Implants

1997 ◽  
Vol 162 (9) ◽  
pp. 582-585 ◽  
Author(s):  
Michael F. Cuenin ◽  
Michael A. Billman ◽  
Val L. Kudryk ◽  
Benjamin S. Hanson
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Estrogenic Hormones ◽  
Implant Therapy

STUDY ON THE EVALUATION OF ORAL REHABILITATION USING DENTAL IMPLANT BY QANTIFYING OSTEOPROTEGERIN AND INTERLEUKIN

2020 ◽  
Author(s):  
Florin Ciprian Badea ◽  
Elvis Sachir Erdogan ◽  
Gheorghe Raftu ◽  
Victoria Badea ◽  
Mircea Grigorian
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Treatment Plan ◽  
Statistical Significance ◽  
Clinical Status ◽  
Severe Form ◽  
Control Group ◽  
Real Problem ◽  
Oral Rehabilitation ◽  
Crevicular Fluid

Partial and total edentation has been a real problem worldwide and at all times. The realization of an individualized treatment plan for each form of edentation takes into account the particularities of the edentulous prosthetic field and the materials used as well as the conventional or modern techniques applied. The study group consisted of 220 patients in whom dental implants were inserted; the control group was randomized from 10 patients with a favorable evolution out of the 210 (94.55%). At 7 and 60 days after the insertion of the dental implants and 6 months after their prosthetic loading, crevicular fluid and peri-implant fluid was harvested, for the quantitative determination of Osteoprotegerin (OPG) and Interleukin 1β (IL1-β). Of the 220 patients studied, 10 developed peri implantitis (5.45%) as follows: 4 patients with mucositis and 6 patients with severe form. The results obtained show that there are differences with statistical significance between the OPG values obtained in crevicular fluid in healthy compared to patients with mucositis after 7 days (p <0.001). Regarding IL1-β, there are differences with high statistical significance between the levels in healthy patients and those with peri-implantitis after 7 days (p <0.001). Our results show the existence of a high correlation between the clinical status and these two parameters, especially after the determinations performed at 7 and 60 days. In conclusions, the present study shows that the OPG and IL1-β can be considered useful markers in the evaluation of the patient after the insertion of the dental implant and after its prosthetic loading.

Osseointegration of Dental Implants and Osteoporosis

2021 ◽  
Author(s):  
Sara Gibreel ◽  
Hasaan Gassim Mohamed ◽  
Amartya Raj Suraj ◽  
Sukumaran Anil
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Bone Quality ◽  
Bone Fragility ◽  
Bisphosphonate Therapy ◽  
Mineral Density ◽  
Implant Placement ◽  
Antiresorptive Agents ◽  
Implant Therapy ◽  
Maxilla And Mandible

Osteoporosis is a disease characterized by low bone mass and microarchitectural deterioration of bone tissue, leading to enhanced bone fragility and susceptibility to fractures. Osteoporosis also results in loss of bone mineral density throughout the body, including the maxilla and mandible. Successful osseointegration of dental implants is attributed to their ability to integrate well with bone. The influence of bone quality on dental implant osseointegration has been discussed in several studies, and higher rates of dental implant failure have been reported in patients with low bone quality and an inadequate bone volume. Osteoporosis represents a risk factor for osseointegration, and this relationship may be derived from the association of the disease with a deficiency in bone formation. This condition would compromise the healing capacity and the apposition of bone at the implant interface. Currently, there is no clear consensus regarding dental implant treatment in osteoporotic individuals. Studies have revealed contradictory reports regarding the success and failure of dental implants in patients with osteoporosis. Antiresorptive agents have been widely used to treat osteoporosis. Dental implant placement in patients on bisphosphonate therapy may trigger osteonecrosis of the bone. Hence, it is important to analyze factors that have to be taken into consideration prior to implant therapy in patients with osteoporosis and those undergoing treatment. This chapter outlines dental implant osseointegration under osteoporotic conditions. The possible effect of bisphosphonate therapy on dental implant survival will also be discussed based on the current literature.

scholarly journals A survey study to assess the knowledge and awareness of the indian sub-population regarding the effects of diabetes on dental implants

2021 ◽  
pp. 01-07
Author(s):  
Nishreen Parekh ◽  
Revati Keluskar ◽  
Bhavini Sotaa ◽  
Shachi Ajmera ◽  
Fazil Saiyed ◽  
...  
Keyword(s):  
Bone Metabolism ◽  
Dental Implants ◽  
Dental Implant ◽  
Treatment Plan ◽  
Large Population ◽  
Survey Study ◽  
Diabetic Patients ◽  
Negative Effects ◽  
Social Media Platforms ◽  
Diabetic Person

Background: Diabetes is a chronic metabolic disease having various negative effects on bone metabolism. Dental Implants are widely used in recent times for rehabilitation of missing teeth, therefore there is a need for evaluation of risk factors of bone metabolism. Since a large population in India is suffering from diabetes, it is essential to evaluate their knowledge regarding dental implant placement in diabetic patients. Therefore, this survey aims to address this issue and raise knowledge and awareness regarding the same. Materials and Methods: A well-structured survey consisting of 14 questions was carried out among the general population in Mumbai through various social media platforms. Results: A total of 512 people participated in the survey, with around 59.8% male and 40.2% female participation. 80.9% of the participants were of the opinion that implants could be placed in a diabetic person. 73.4% felt that informing their dentist about diabetic status will cause a change in their treatment plan. However only 20.5% of the participants received any information regarding diabetes affecting the success of dental implants. Conclusion: There is sufficient knowledge among the participants regarding effects of diabetes on the oral health in dental implant therapy. Patients should be educated regarding the possibilities of placing dental implants in a diabetic patient regardless of their glycemic control with the help of dental professionals and healthcare practitioners. Keywords: Diabetes; Implant; Survey; Indian population

Intricate Assessment and Evaluation of Effect of Bruxism on Long-term Survival and Failure of Dental Implants: A Comparative Study

2016 ◽  
Vol 17 (8) ◽  
pp. 670-674 ◽  
Author(s):  
SK Agarwal ◽  
Kajal Yadav ◽  
Abhishek Nagpal ◽  
Aarti Kochhar
Keyword(s):  
Comparative Study ◽  
Dental Implants ◽  
Dental Implant ◽  
Smoking Habit ◽  
Term Survival ◽  
Long Term Survival ◽  
Assessment And Evaluation ◽  
Significant Difference ◽  
Clinical Records

ABSTRACT Introduction Dental implants are one of the common lines of treatment used for the treatment of missing tooth. Various risk factors are responsible for the failure of the dental implants and occurrence of postoperative complications. Bruxism is one such factor responsible for the failure of the dental implants. The actual relation between bruxism and dental implants is a subject of long-term controversy. Hence, we carried out this retrospective analysis to assess the complications occurring in dental implants in patients with and without bruxism. Materials and methods The present study included 1100 patients which were treated for rehabilitation by dental implant procedure at 21 dental offices of Ghaziabad (India) from 2004 to 2014. Analyzing the clinical records of the patients along with assessing the photographs of the patients was done for confirming the diagnosis of bruxism. Clinical re-evaluation of the patients, who came back for follow-up, was done to confirm the diagnosis of bruxism. Systemic questionnaires as used by previous workers were used to evaluate the patients about the self-conscience of the condition. Estimation of the mechanical complications was done only in those cases which occurred on the surfaces of the restoration of the dental implants. All the results were analyzed by Statistical Package for Social Sciences (SPSS) software. Student's t-test and Pearson's chi-square test were used to evaluate the level of significance. Results In both bruxer and non-bruxers, maximum number of dental implants was placed in anterior maxillary region. Significant difference was obtained while comparing the two groups for dimensions of the dental implants used. On comparing the total implant failed cases between bruxers and non-bruxers group, statistically significant result was obtained. Statistically significant difference was obtained while comparing the two study groups based on the health parameters, namely hypertension, diabetes, and smoking habit. Conclusion Success of dental implant is significantly affected by bruxism. Special attention is required in such patients while doing treatment planning. Clinical significance For the long-term clinical success and survival of dental implants in patients, special emphasis should be given on the patient's deleterious oral habits, such as bruxism as in long run, they influence the stability of dental implants. How to cite this article Yadav K, Nagpal A, Agarwal SK, Kochhar A. Intricate Assessment and Evaluation of Effect of Bruxism on Long-term Survival and Failure of Dental Implants: A Comparative Study. J Contemp Dent Pract 2016;17(8):670-674.

scholarly journals Dental implant therapy in the Brazilian Public System

2020 ◽  
Vol 19 ◽  
pp. e200126
Author(s):  
Mateus de Azevedo Kinalski ◽  
Ana Luiza Cardoso Pires ◽  
Júlia Machado Saporiti ◽  
Mateus Bertolini Fernandes dos Santos
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Descriptive Analysis ◽  
Secondary Data ◽  
Total Sample ◽  
Public System ◽  
Unified Health System ◽  
Stratified Sample ◽  
Implant Therapy ◽  
Single Implant

Aim: This retrospective study aims to describe and analyze the number of dental implants and implant-retained prostheses performed by the Unified Health System (SUS) in the last decade. Methods: This study is based on secondary data from the official government database (DATASUS) performed from January 2010 to December 2019 and is reported following the STROBE. A descriptive analysis was performed of the total sample and the stratified sample divided by Brazilian states. Results: A total of 143,037 dental implants and 93,325 implant-retained prostheses were provided by SUS. It is possible to observe that some states played a massive role on the provision of dental implants and implant-retained prostheses (Parana state: 58.4% and 55.9% and Paraiba state: 21.1% and 25.2% of the total amount of dental implants and implant-retained prostheses, respectively) while some states did not provide a single implant-retained prosthesis. Also, inland cities were mostly responsible for the number of procedures compared to the state capitals. Conclusion: Although dental implant therapy is available in SUS across the country, the number of treatments provided in the last decade is still very limited and is also mainly concentrated in the southeastern region of Brazil.

Periodic monitoring of vampire bats and rabies: a new framework for animal restoration projects in the Neotropics

2020 ◽  
Author(s):  
Fernando Gonçalves ◽  
Daniel G. Streicker ◽  
Mauro Galetti
Keyword(s):  
Disease Transmission ◽  
Lessons Learned ◽  
Multidisciplinary Teams ◽  
Risk Area ◽  
Food Web Structure ◽  
Land Bridge ◽  
High Risk Area ◽  
Restoration Project ◽  
Vampire Bats

Nowadays, restoration project might lead to increased public engagement and enthusiasm for biodiversity and is receiving increased media attention in major newspapers, TED talks and the scientific literature. However, empirical research on restoration project is rare, fragmented, and geographically biased and long-term studies that monitor indirect and unexpected effects are needed to support future management decisions especially in the Neotropical area. Changes in animal population dynamics and community composition following species (re)introduction may have unanticipated consequences for a variety of downstream ecosystem processes, including food web structure, predator-prey systems and infectious disease transmission. Recently, an unprecedented study in Brazil showed changes in vampire bat feeding following a rewilding project and further transformed the land-bridge island into a high-risk area for rabies transmission. Due the lessons learned from ongoing project, we present a novel approach on how to anticipate, monitor, and mitigate the vampire bats and rabies in rewilding projects. We pinpoint a series of precautions and the need for long-term monitoring of vampire bats and rabies responses to rewilding projects and highlighted the importance of multidisciplinary teams of scientist and managers focusing on prevention educational program of rabies risk transmitted by bats. In addition, monitoring the relative abundance of vampire bats, considering reproductive control by sterilization and oral vaccines that autonomously transfer among bats would reduce the probability, size and duration of rabies outbreaks. The rewilding assessment framework presented here responds to calls to better integrate the science and practice of rewilding and also could be used for long-term studying of bat-transmitted pathogen in the Neotropical area as the region is considered a geographic hotspots of “missing bat zoonoses”.

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