New Dental Implant Terminology for Exposing and Mitigating the Root Causes of Installation Related Treatment Complications
Citation: Svoboda ELA. New Dental Implant Terminology for Exposing and Mitigating the Root Causes of Installation-Related Treatment Complications.
Abstract: As knowledge about dental implant treatment increases, there is a compelling need to add new words and phrases to the dental glossary to support easier and more precise communication, and to open new frontiers for dental research. The intent of this publication is to define new terminology that exposes the root causes of prosthesis installation related treatment complications, and to show how their negative effects can be mitigated.
Existing Terms are discussed to provide context for New Concepts and Terminology: Standard of Care and New Standard of Care; Optimized Fit of connecting implant parts; Government Regulated Fit of implant parts sold in Canada and the USA; Optimized Fit of implant parts; Clinically Acceptable Fit of implant parts; Root Causes of Peri-implant Disease; Screw Retained Prosthesis; Complications inherent to the Screw-in System of Prosthesis Installation; Prosthesis Retrievability; Retrievability Features; Complications Related to the current Cement-in System of Prosthesis Installation.
New Concepts and Related New Terminology: The Root Causes of misfit implant parts, poor prosthesis margins, and subgingival cement are Prosthesis Dimensional Error and the Tissue Effects. The Tissue Effects include Resistance to Displacement and the Gingival Effects; Screw-in System of Prosthesis Installation; Cement-in System of Prosthesis Installation; Trans-Tissue Portal; Reverse Margin System of Prosthesis Installation; Upgrading the Current Screw-in and Cement-in Prosthesis Installation Systems; The Svoboda Way of Prosthesis Installation; Installing the All-On-X Prosthesis the Svoboda Way.
It is the author’s hope, that understanding the root causes of procedure-related complications will encourage dentists to consider and integrate new solutions into their treatment protocols and guide future improvements in the predictability of dental treatment. Extrapolated from the study of Wilson 2009, preventing residual subgingival cement could reduce implant treatment complications by 60%. This document is intended to help usher in a New Standard of Dental Care.