Complications and Complication Management in Oral Surgery and Implant Dentistry

Participants of the event will be issued certificates that comply with the SAM procedure.
All lectures and practical sessions will be held in English.
Separate seat reservations apply to lectures and practical sessions.

Complications and their retreatment are common occurrences in dentistry, so knowledge of managing these cases is of utmost importance.

This lecture will provide dentists with surgical and implant protocols with a realistic, open and practical overview of possible complications in oral surgery and implantology, how to overcome them, achieving successful and predictable treatment results and, if necessary, re-treatment methods.

Case studies and treatment options will be used to illustrate strategies for managing complications.

The lecture is designed as a short guide to the diagnosis, prevention and management of complications in oral surgery and implantology. It will show how to avoid errors in the surgical and implantation processes and how to manage complications.

The aim of the lecture is to understand the mechanics of these errors, to help the clinician create a more reliable treatment plan and to reduce the fear of possible complications.

Pre-operative complications

Intraoperative complications of implantation

Patch design; Improper implant angulation; Too deep/superficially placed implant; Damage to adjacent teeth; Nerve damage; Bleeding; Bone overheating during drilling; Excessive screwing force and necrosis due to compression; Perforation of the sinus floor; Partial or complete insertion of the implant into the maxillary canthus; Insertion of the implant into the maxillary or neural canal; Aspiration or ingestion of foreign bodies; Fracture of the implant; Fracture of the lower jaw; Insufficient primary stability; Bleeding when making an incision and opening the patch; Perforation of the sinus membrane during lifting during;Insufficient membrane lift;Presence of mucosal cysts;Obstruction of maxillary sinus;Unstable implants.

Post-operative complications

Post-operative pain;Tissue emphysema caused by dental procedures;Open cap during healing ;Bone growth on the lid.

Complications related to the sinuses of the lateral window with elevation

Acute graft infection/sinusitis;Chronic infection/sinusitis;All sinus/intracranial infections;Delayed migration of the implant into the sinus cavity.

Day 1: Complications in oral surgery and implantology

Purpose: This course will examine complications in oral surgery and implantology, their recognition, prevention and management. We will also discuss protocols for re-treatment in unsuccessful cases.

09:00 - 10:30

Introduction and lecture - Part I: Overview of complications in oral surgery and implantology

Bleeding: Causes, management strategies and methods of prevention.Schneider's membrane Perforation Management: Recognition and Management of Perforation During Sinus Lift Procedures Oroantral Fistula Closure: Oroantral Fistulas and Sinus Perforations treatment. Chronic sinusitis: Management of chronic sinusitis after implantation and sinus lift.

10:30 - 10:50
Coffee break

10:50 - 12:20
Lecture - Part II: Intraoperative and postoperative complications

Sinus/nasal floor perforation: Recognition and management of perforation. Foreign body dislocation (sinus, neural canal): Methods of management and removal of dislocation of foreign bodies (e.g. implants) into the sinus or nerve canal. Implant fracture: Causes and treatment of implant fractures. Bone overheating: Prevention and management of bone overheating during implantation.

12:20 – 12:45
Question-answer session: Open discussion and discussion of specific questions.

12:45 – 13:45
Lunch break

13:45 – 14:00
Question and answer session: Further discussions and consideration of questions.

14:00 – 15:00
Lecture - Part III: Postoperative complications

Trauma: Management of trauma during implantation and after procedures.Osteolytic processes: Treatment of osteolytic processes after implantation.Neurological complications, nerve lesions: Management of nerve damage during implantation. Wound dehiscence: Causes and prevention of wound dehiscence after surgery.

15:00 – 15:20
Coffee break

15:20 – 16:50
Lecture - Part IV: Additional Complications and Their Management

Membrane Prolapse: Management of Membrane Prolapse and Impact on Treatment Outcomes. Anesthesia Needles fracture: How to manage broken anesthesia needles. Flap necrosis: Causes and treatment of flap necrosis. Tissue emphysema: Pathophysiology, prevention and treatment of tissue emphysema. Endodontic complications: Management of endodontic complications in implantology.

16:50 – 17:00
Question and Answer Session: For questions related to the complications discussed, discussion.

Day 2: Direct Implantation, Direct Loading, and Ridge Preservation

Purpose: This day is focused on ridge preservation, direct implantation, and direct loading. Contemporary decision-making processes and therapeutic approaches will be introduced, as well as practical sessions.

9:00 - 10:30
Introduction and Lecture - Part I: Conservation of the Reef

Biology and Literature Review : Scientific basis of ridge preservation, indications and techniques for bone preservation after tooth extraction. Therapeutic concepts and clinical cases: Ridge preservation treatment concepts, including autogenous, allogeneic and xenogeneic methods.

10:30 – 10:50
Coffee break

10:50 – 12:20
Lecture – Part II: Direct implantation and direct loading

Decision Making Process: Decision Making for Direct Implantation and Direct Loading in the Esthetic Zone Key Factors (A-Z): Selection Criteria for Direct Implantation Including Bone quality, primary stability, soft tissue contour and patient factors.Hard and soft tissue augmentation in the aesthetic area: Techniques for hard and soft tissue augmentation.

12:20 – 12:45
Question and answer session: Discussion and discussion of questions .

12:45 – 13:45
Lunch break

13:45 – 14:00
Question-and-answer session: Further discussions and examination of questions.

14:00 - 15:00
Practical session - Ridge conservation: Technical execution and choice of materials.

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15:00 – 15:20
Coffee break

15:20 – 16:50
Practical session – Direct implantation and loading: Implant placement, soft tissue management and direct loading techniques.

16:50 – 17:00
Question and answer session: Discussion of questions and discussion of the topics covered.

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Complications and Management of Complications, Retreatment of Failures in Implant Dentistry and Oral Surgery

Complications and their retreatment are frequent occurrences in dental practice and knowledge of the management of such cases is essential.

This lecture will provide the dentist with surgical and implant protocols with a realistic, honest and practical overview of possible complications in dental surgery and implantology, how to overcome them with successful and predictable management outcomes, and retreatment that may be necessary and indicated.

Case documentation and treatment options will be used to illustrate complication management strategies.

The presentation is designed as a brief guide to the diagnosis, prevention and management of complications in dental surgery and implant dentistry. It will demonstrate how to prevent errors in surgical and implant procedures and how to manage complications.

The goal of the lecture is to understand the mechanics of these errors and to enable the clinician to formulate a more predictable treatment plan and to reduce the fear of possible complications.

Preoperative Complications

Intraoperative complications of implant placement

Implant Complications

- Flap design

- Incorrect implant angulation

- Deep/shallow implant placement

- Injury to adjacent teeth

- Nerve injury

- Bleeding

- Bone overheating during drilling

- Excessive torque during insertion and compression necrosis

- Perforation of the sinus floor

- Accidental partial or complete dislodgement of dental implants into the maxillary sinus

- Accidental dislodgement of dental implants into the maxillary incisive canal or alveolar nerve canal

nerve canal

- Aspiration or ingestion of foreign material

- Implant fracture

- Mandibular bone fracture

p>- Insufficient initial stability

- Bleeding during incision and flap reflection

- Perforation of sinus membrane during elevation

- Incomplete elevation

- Bleeding during elevation

- Excessive elevation of the membrane

- Presence of mucous retention cyst

- Blockage of the maxillary ostium

- Unstable implants

Postoperative complications

- Postoperative pain

- Tissue emphysema induced by dental procedures

- Cover screw exposure during healing

- Bone growth over the cover screw

Complications associated with lateral window sinus elevation

- Acute graft infection/sinusitis

- Chronic infection/sinusitis

- All sinus/intracranial infection

- Delayed migration of the implant into the sinus cavity

Day 1: Complications in Oral Surgery and Implantology

Objective: This course will address specific complications in oral surgery and implantology, focusing on their recognition, prevention, and management. Additionally, it will explore retreatment protocols for failed cases.

9:00 - 10:30
Introduction and Lecture – Part I: Overview of Complications in Oral Surgery and Implantology

Bleeding: Causes, management strategies, and preventive measures.Perforation Management of the Schneiderian Membrane: Identification and management of Schneiderian membrane perforation during sinus lift procedures. Oroantral Fistula Coverage: Treatment of oroantral fistulas and sinus perforations. Chronic Sinusitis: Management of chronic sinusitis post-implantation and sinus lift.

10:30 - 10:50
Coffee Break

10:50 - 12:20
Lecture – Part II: Intraoperative and Postoperative Complications

Sinus Floor / Nasal Floor Perforation: Identification and management of perforations in the sinus or nasal floor. Foreign Body Dislocation – Sinus, Nerve Canal: Displacement of foreign bodies (e.g., implants) into the sinus or nerve canal, management, and removal techniques. Implant Fracture: Causes and treatment of implant fractures. Overheating of the Bone: Prevention and management of bone overheating during implant placement.

12:20 - 12:45
Q&A Session

Open discussion and clarification of specific questions.

12:45 - 13:45
Lunch Break

13:45 - 14:00
Q&A Session

Further discussion and answering of questions.

14:00 - 15: 00
Lecture – Part III: Postoperative Complications

Trauma: Management of traumatic injuries during and after implant procedures.Osteolytic Processes: Treatments for osteolytic processes following implantation.Neurological Complications, Nerve Injuries: Management of neurological complications, particularly nerve injuries during implant placement. Wound Dehiscence: Causes and prevention of wound dehiscence after surgery.

15:00 - 15:20
Coffee Break

15:20 - 16:50
Lecture – Part IV: Additional Complications and Their Management

Membrane Exposure: Management of membrane exposure and its impact on treatment outcomes. Injection Needle Fracture during Local Anesthesia: How to handle broken needle fragments during local anesthesia. Necrosis of Flap: Causes and treatment of flap necrosis after surgical procedures. Tissue Emphysema: Pathophysiology, prevention, and treatment of tissue emphysema. Endodontic Complications : Management of endodontic complications in implantology.

16:50 - 17:00
Q&A Session

Final clarification of questions regarding the complications discussed.

Day 2: Immediate Implantation, Immediate Loading, and Ridge Preservation

Objective: This day will focus on ridge preservation and immediate implantation with immediate loading. Current decision-making processes and therapeutic approaches will be presented, followed by practical exercises.

9:00 - 10:30
Introduction and Lecture – Part I: Ridge Preservation

Biology and Literature Overview: Scientific foundations of ridge preservation, indications, and techniques to preserve bone after tooth extraction. Therapeutic Concepts and Case Studies: Treatment concepts for ridge preservation, including autogenous, allogenic, xenogenic materials.

10:30 - 10:50
Coffee Break

10:50 - 12:20
Lecture – Part II: Immediate Implantation and Immediate Loading

Current Decision-Making Process: Decision-making for immediate implantation and immediate loading in the aesthetic zone. Key Factors (A-Z) for Immediate Implantation and Loading: Selection criteria for immediate implants, including bone quality, primary stability, soft tissue contour, and patient factors. Hard and Soft Tissue Augmentation in the Aesthetic Zone: Techniques for hard and soft tissue augmentation to facilitate successful immediate implants in the aesthetic zone.

12:20 - 12:45
Q&A Session

Open discussion, answering questions related to ridge preservation and immediate implantation.

12:45 - 13:45
Lunch Break

13:45 - 14:00
Q&A Session

Further discussion and clarification of questions.

14:00 - 15:00
Hands-On Session – Ridge Preservation

Practical exercises in ridge preservation, focusing on technical execution and material selection.

15:00 - 15:20
Coffee Break

15:20 - 16:50
Hands-On Session – Immediate Implantation and Loading

Practical exercises on immediate implantation and immediate loading, focusing on implant placement, soft tissue management, and immediate loading techniques.

16:50 - 17:00
Q&A Session

Final clarification of any remaining questions on the topics covered.

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