Implant Dentistry Standard of Care



 

Implant dentistry is a relatively new field and is not yet a recognized specialty area within dentistry. It is commonly understood that the delivery of acceptable implant dentistry care requires additional education beyond basic dental school. A dentist who has performed implant procedures without suitable additional training could expect to confront embarrassing questions about his or her lack of expertise should any problems arise as a result of his or her treatment.

The largest and most highly respected source for post-graduate education in implant dentistry is the International Congress of Oral Implantologists. Another highly respected source is the Misch Dental Implant Institute in Michigan. Dr. Chal, incidentally, has received extensive training from both of these entities.

There are two distinct divisions of implant dentistry treatment. The first is the surgical phase. This would ordinarily be performed by a dentist with specialty training in surgery, such as an oral surgeon or a periodontist. Some general dentists, however, are performing this surgery. Hopefully, they have had adequate surgical training.

The second division is the prosthetic phase of treatment—the placement of replacement teeth. This is commonly done by general dentists and by prosthodontists (specialists in crown and bridge work and in the replacement of missing teeth).

Elements of the standard of care for implant dentistry

The surgeon should place the dental implants according to a restorative treatment plan. The restorative dentist should outline a plan of treatment. The pre-surgical plan often involves model surgery and an implant placement guide.

A three-dimensional CT Scan is recommended before surgery as the contemporary standard of care.

The patient should be adequately informed of all options that could be pursued to remedy their problem. The risks and consequences of those options as well as the benefits and alternatives should be explained, the patient's questions should all be answered, and the consequences of no treatment should be explained.

Common instances of implant dentistry malpractice:

Implant dentistry, unfortunately, is rife with dental malpractice. Patients are very price sensitive, and, in an effort to compete with lower prices, dentists are cutting corners in implant care. However, we need to stress that dental implant failure, by itself, is not an indication of malpractice. Dental implants sometimes fail even when proper procedures have been followed. But the risk of failure should have been disclosed to the patient beforehand.

Indications of possible sub-standard care:

  • Implants placed in sinuses, the nasal cavity, or placed such that they either perforate the bone or are placed in inadequate supporting bone.
  • Pain in the mouth or face that was not present prior to the dental implant placement.
  • Nerve impairment, which could be manifest as numbness or altered sensation in the nerves to the mouth and face.
  • Damage to adjacent teeth when placing a dental implant serious enough to require extraction of the tooth or root canal treatment.
  • Recurrent and unresolved infection around dental implants.
  • Loose dental implants.
  • Use of non-FDA-approved dental implants.

For more information related to the implant dentistry standard of care, please see our pages about dental implant horror stories and dental implant failure.

 

 

 



 
 

Phoenix Dentist Dr. Arthur Chal
Arthur Chal DDS, FAGD, FICOI, AAACD
 

Contact Information

Dr. Arthur Chal
4715 N. 32nd St. Suite 106
Phoenix, AZ 85018

Telephone: (602) 957-5000

Fax: 602-957-0055

Office Hours:

Monday - Thursday 8 am -5 pm
Mountain Standard Time

(Note: Arizona is always on Standard Time. It does not observe Daylight Savings Time.)

 

 

 

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