Inexperience or malpractice?

OpenAlex İngilizce

The number of practitioners performing implant surgery has increased dramatically over the last 20 years. As confidence is gained practitioners tend to perform challenging cases and it is to be expected that the incidence of complications will increase. We present an unusual dental implant case, placed onto the broken root of the left mandibular second premolar, causing a submandibular abcess and lower lip paresthesia. 36 years old female patient presented to our department with a severe pain and submandibular abcess. The dental history of the patient revealed that she had her left mandibular second premolar extracted and an immediate dental implant had been placed at the extraction site simultaneously by a general dental practioner three months ago. Oral examination revealed a mobile dental implant, a remarkable swelling with a purulent drainage and left sided lower lip paresthesia. A dental panoramic radiography revealed a dental implant placed onto the broken root of the left mandibular second premolar. Placing an implant through a residual root can be considered if only clinically and radiographically asymptomatic residual roots covered with bone or at least with healthy gingiva exist on the path with anticipation of possible complications. Comprehensive training on implant surgical procedures that includes patient selection, risk management, and complications allows dentists to incorporate implant placement into their practices with less risk to patients and less risk of serious legal consequences. With respect to our literature review, this is a very unusual case and we believe that it was resulting from inadequate training.