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Surgical and Prosthetic Complications in Implantology: Challenges and Resolutions 2025

Surgical and Prosthetic Complications in Implantology: Challenges and Resolutions 2025

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Professors

Gianluca Paniz

Target audience

General dentists; Periodontists; Dental hygienists; Oral & maxillofacial surgeons

Nb of lessons

9

Nb of modules

Course duration

9 h 07 min

Delivery method

Google Drive Link, Offline

Course Overview

Surgical and Prosthetic Complications in Implantology: Challenges and Resolutions

This course, presented by the Italian Academy of Osseointegration (IAO), provides expert insights on how to effectively manage implant complications and peri-implantitis. With a focus on key procedures like Guided Bone Regeneration (GBR), Sinus Lift, Zygomatic Implants, and neurological lesions, this course covers the essential aspects of both surgical and non-surgical complications.

Contents:

  • Surgical, neurological, and prosthetic implant complications
  • Common errors in planning, evaluation, and implant positioning
  • Bone, tissue, and integration issues during implant placement
  • Surgical and non-surgical peri-implant disease management
  • The relationship between hygienists and surgeons in treating peri-implant diseases
  • Complication management in GBR, Sinus Lift, and Zygomatic Implantology
  • Management of nerve injuries in the oral cavity

The course is enriched with real-life clinical cases and expert discussions, offering invaluable practical references and deepening your understanding of how to prevent, identify, and manage implant-related issues effectively.

Full Course Program

Lesson 1: Surgical Complications in Implantology

This lesson addresses complications that may arise during or after implant surgery. Dr. Roberto Pistilli highlights common errors in soft and hard tissue management, as well as mistakes in implant positioning. The lesson also explores cases of peri-implant diseases, sinus issues, and failures due to poor biomaterial integration, offering preventive strategies and solutions for these challenges.

Key Topics Covered:

  • Implant positioning errors
  • Soft and hard tissue evaluation and management
  • Sinus lift complications and corrective approaches
  • Biomaterial integration failures
  • Peri-implant disease management

Duration: 1 h 02 min · Presented by: Roberto Pistilli

Lesson 2: Neurological Complications in Implant Surgery

Prof. Federico Biglioli explores nerve injuries in the oral cavity, such as loss of sensation and facial paralysis, caused by implant placement. This lesson covers advancements in microsurgery for nerve reconstruction and discusses strategies to minimize and manage these injuries effectively.

Key Topics Covered:

  • The culture of nerve reconstruction
  • Nerve injuries: reversible vs. irreversible
  • Perforations of the incisive, infraorbital, and lingual nerves
  • Endodontic therapy-related nerve injuries
  • Surgical management and prevention

Duration: 54 min · Presented by: Federico Biglioli

Lesson 3: Prosthetic Complications

Focusing on implant-supported prostheses, this lesson covers common prosthetic complications encountered during full edentulism reconstructions. Dr. Gianluca Paniz presents clinical cases illustrating mechanical, technical, biological, and aesthetic-functional complications, and explores solutions for achieving optimal restorative outcomes.

Key Topics Covered:

  • Defining success in implant prosthetics
  • Screw-retained vs. cemented prostheses
  • Managing mechanical, technical, biological, and aesthetic-functional complications
  • Combining surgical and prosthetic approaches

Duration: 57 min · Presented by: Gianluca Paniz

Lesson 4: How to Treat Peri-Implantitis

Drs. Grusovin and Sironi discuss the management of peri-implant disease, emphasizing both surgical and non-surgical treatments. This lesson provides insight into the collaborative role of periodontists and hygienists and explores strategies for preventing and managing peri-implant disease through biofilm removal and maintenance.

Key Topics Covered:

  • Definition and diagnosis of peri-implant disease
  • Diagnostic protocols: probing, bleeding, and suppuration
  • Biofilm removal techniques (mechanical, chemical, and laser)
  • Surgical vs. non-surgical therapies
  • Peri-implant disease management from the hygienist's perspective

Duration: 1 h 03 min · Presented by: Maria Gabriella Grusovin

Lesson 5: Surgical and Non-Surgical Treatment of Peri-Implantitis

This lesson delves into surgical treatments for peri-implant disease, focusing on the importance of defect containment and regenerative potential. Dr. Roberto Abundo explains how surgical therapies target implant surface modification, bone defects, and soft tissues to ensure effective outcomes.

Key Topics Covered:

  • Defect containment and regenerative potential
  • Surgical biofilm removal
  • Post-surgical maintenance and supportive therapy
  • Patient motivation for hygienic maintenance
  • Long-term post-operative care

Duration: 1 h 08 min · Presented by: Roberto Abundo

Lesson 6: Complications in GBR

Prof. Massimo Simion examines complications in Guided Bone Regeneration (GBR), including neurological and vascular issues. The lesson covers flap release techniques, membrane exposure prevention, and how to manage severe complications such as abscess formation during the healing phase.

Key Topics Covered:

  • Neurological and vascular complications in GBR
  • Flap release techniques to avoid complications
  • Preventing and managing early membrane exposure
  • Abscess formation during healing
  • Precautions to minimize complications

Duration: 1 h 06 min · Presented by: Massimo Simion

Lesson 7: Complications in Maxillary Sinus Lift Techniques

Prof. Claudio Stacchi covers complications associated with maxillary sinus lift procedures, both lateral and crestal techniques. Learn about pre-operative assessments, membrane perforation, and techniques for membrane repair, along with strategies for preventing complications during the procedure.

Key Topics Covered:

  • Membrane perforation and sinus elevation difficulty
  • Pre-operative assessments and radiographic evaluations
  • Techniques for membrane repair
  • Post-operative complications and management strategies

Duration: 1 h 07 min · Presented by: Claudio Stacchi

Lesson 8: Complications in Zygomatic Implantology

Dr. Pietro Felice discusses post-operative complications in zygomatic implant procedures. The lesson emphasizes the importance of 3D planning and accurate pre-surgical evaluation to prevent complications like fractures and instability, enhancing long-term outcomes in zygomatic implantology.

Key Topics Covered:

  • Immediate complications: nerve paresthesia, fractures, and instability
  • Late complications: sinusitis, fistulas, and abutment fractures
  • Role of 3D planning in preventing complications
  • Achieving primary stability and preventing biomechanical failures

Duration: 52 min · Presented by: Pietro Felice

Lesson 9: Iatrogenic Nerve Injuries

This lesson addresses nerve injuries caused by endodontic treatments, focusing on the evolution of microsurgery for nerve reconstruction. It provides insight into various types of nerve injuries and introduces techniques for nerve regeneration, offering solutions to improve patients' quality of life.

Key Topics Covered:

  • Nerve injuries from endodontic therapy
  • Types of nerve injuries: compression, stretching, and neuromas
  • Microsurgical techniques for nerve function restoration
  • Nerve regeneration through microsurgery

Duration: 56 min · Presented by: Federico Biglioli

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