Risk management in clinical practice. Part 9. Dental implants.
Patients have high expectations of dental implants in terms of appearance, function and longevity. It is essential that these expectations are realistically managed and that treatment of the highest standard is provided. This involves very careful evaluation, including clinical and radiographic, and presentation of the pros and cons of treatment alternatives. Provision of a successful implant restoration requires many skills including a surgical procedure to place the implant in the best possible position and prosthodontic techniques to provide an aesthetic restoration in occlusal harmony with the rest of the dentition. Recognition of risk factors and long-term maintenance requirements are equally important. Clinicians involved in these treatments must obtain adequate training and develop skills through treatment of straightforward cases using well established protocols before embarking on more demanding cases.
Professor of Implant Dentistry and Periodontology, King's College London Dental Institute, Department of Restorative Dentistry, Floor 25 Tower Wing, Guy's Hospital Campus, London, SE1 9RT. richard.m.palmer@kcl.ac.uk
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D002983:Clinical Competence; D003758:Dental Implantation, Endosseous; D015921:Dental Implants / Q000592:standards; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D019232:Dental Restoration Failure; D003812:Dentist-Patient Relations; D004498:Education, Dental, Continuing; D004955:Esthetics, Dental; D005500:Follow-Up Studies; D006801:Humans; D010347:Patient Care Planning; D018579:Patient Selection; D010808:Physical Examination; D011215:Practice Management, Dental; D011861:Radiography, Dental; D012307:Risk Factors; D012308:Risk Management; D059039:Standard of Care; D016896:Treatment Outcome
D015921:Dental Implants