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Avoiding Complications in Oral Implantology

Ferguson, Rick, DMD

doi: 10.1097/ID.0000000000000780
Book Review

Davie, FL 33330, e-mail:

All Book Reviews are the sole wording and opinions of the reviewer and are not those of the Editorial Staff, the Editor-In-Chief, the International Congress of Oral Implantologists, or of the publisher, Lippincott, Williams and Wilkins.

It is my honor and privilege to have been asked to review: “Misch's Avoiding Complications in Oral Implantology” by Drs. Randolph Resnick and Carl Misch. This text is an absolute must for any implantologist. Dr. Resnick and the late Dr. Misch, along with an impressive list of internationally recognized contributors, have succinctly shared their years of experience and expertise to produce a comprehensive text with information that both the novice and the experienced clinician will benefit from. Included is a touching in memoriam to the late Dr. Carl Misch.

Dr. Randolph Resnick is the primary author (with over 25 years of teaching at the Misch International Implant Institute, as well as his vast private practice expertise) and seemed to approach the writing of this book with the fact that “If you do enough procedures, whether surgical or prosthetic, complications will arise.”

The text is 864 pages of comprehensive information with an extensive list of references at the end of each chapter. The content, as well as the flow of the text, is well thought out and can be read from start to finish in order of succession or can be accessed for review or reference by individual chapter. Each of the 19 chapters follow in logical order, with clear illustrations and photographs, beginning with the initial evaluation and treatment planning (biomechanics and soft tissue considerations). Intraoperative complications are considered next (management of bleeding, infection, and neurosensory concerns). Postoperative complications are then examined (pharmacologic protocols, cover-screw exposures, incision line openings, displacement/migration complications). Immediate implant placement considerations and prosthodontic complications for both fixed and removable prosthesis (screw stripping and/or fracture, cement vs screw-retained, impression techniques, splinting vs nonsplinting of implants, considerations of splinting implants to natural teeth) are completely explored.

The last chapters cover complications found in the maintenance phase of treatment including occlusion and periodontal concerns. There is also a thorough chapter on medicolegal aspects that include a list of statute of limitations for each state, the prerequirements for litigation, the anatomy of the litigation process, what should and should not be discussed and with whom, and what to expect with an emphasis on how to best maintain accurate and concise records of treatment.

The possible and probable list of complications is exhaustive, covering complications that are avoidable and how to spot them ahead of time. Also covered are those complications that are not avoidable, how to evaluate their probability, as well as how to successfully manage them. It is no wonder why this text has been translated into so many languages, as every implantologist should include this text in their library.

As stated by Dr. Resnick: “It is inevitable that the implant clinician today will be confronted with some sort of complication during the implant treatment process. It is my hope that this book encourages clinicians to be conscious of potential complications, whether benign or life threatening, so they lead to better overall treatment outcomes for patients.” This text shows how the legacy of the Misch Institute continues to elevate the standard of care in implant dentistry with Dr. Resnick at the helm. I highly recommend this text; no dental implantologist should be without it.

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