TAILIEUCHUNG - Risk Factors in Implant Denistry: Simplified Clinical Analysis for Predictable Treatment

The use of implants has, little by little, been imposed on the world of dentistry. Some years ago, it was strongly suggested that the practitioners asked implant patients to sign a consent form to release the dentist from all responsibility in case of failure. Then, one day a patient in France sued his dentist for having prepared his teeth for a fixed partial denture without suggesting the implant alternative. The patient won the case. Soon it might be necessary to ask patients to sign a form indicating that they have refused implant treatment. However, an implant prosthetic reconstruction does not offer miracles. Complications and failures are possible. The mere knowledge of the technique of. | Risk Factors in Implant Dentistry Simplified Clinical Analysis for Predictable Treatment Foreword In all clinical procedures that interfere with the human body there is an element of risk. Carefully worded comments on this crucial issue must reach the patient often repeatedly to avoid unnecessary bodily mental or legal harm to the patient or those providing treatment. This requires that the clinician establish a relationship and interaction with the patient so that his or her needs demands anatomy and function can be understood and identified. Further it is necessary to explain and visualize what is possible to achieve based on established treatment modalities and the experience of those about to treat the patient. It is equally important to expose unrealistic expectations of the patient and amongst the patient s social surroundings. Clinical osseointegration derives from hardware and software that together create a reconstruction system. The therapeutic capacity relies on a team effort-not only to support clinical decisions and procedures but also to provide constructive critical comments advice and suggestions in the i ndividual case. Before any novel treatment procedure is considered or if new or modified compo nents that lack long-term data are used it is imperative that possible consequences of deviations from an established documented protocol be evaluated. Edentulism being a serious handicap should be treated with the utmost respect. A clinical approach should therefore include means to avoid or minimize complications and failures by optimizing treatment selection efforts and ambitions. When there is a doubt as to what to suggest or what to do it might be better to refrain from treatment at that time to allow for consultations outside the team or to refer the patient to another clinical unit. This book is intended to show clinicians how to identify prevent and avoid problems in implant treatment by following logical clinical protocols. Professor Per-Ingvar .

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