Terry Walton, BDS, MDSc, MS, DDSc
Clinicians juggle data about outcomes and complications to help guide treatment decisions, but complication reporting is confusing and often misleading. A single complication type can have significantly different biological, mechanical and fiscal consequences. Mechanical complications are easily identified, but identifying biologic complications is not as straightforward. Diagnostic parameters – bleeding on probing and evaluation of radiographs – are unreliable and misleading and can result in unwarranted therapeutic remedies. This lecture will explore complications, how they can be identified and classified, the limitations of radiographic evaluation, and demonstrate the use of a new fiscal-based classification system allowing comparison of different treatment modalities.
Upon completion of this presentation, participants should be able to: 1) classify complications according to biological and mechanical consequences; 2) identify the diagnostics of radiographic assessment of biological complications, 3) quantify the fiscal burden of complications; and 4) effectively compare the complication burden of different modalities of treatment.