Complex Dental Implant Cases: Algorithms, Subjectivity, and Patient Cases Along the Complexity Continuum

Oral Maxillofac Surg Clin North Am. 2019 May;31(2):219-249. doi: 10.1016/j.coms.2018.12.003.


Algorithms for predictable outcomes, or checklists in health care, have been widely supported due to their highly effective outcomes. This article shares "algorithmic roadmaps" to restore single-tooth, partially edentulous, and fully edentulous complex dental implant cases in the patient population. A review of the current literature is presented to provide systematic assessments followed by criteria in a checklist format that allows the surgeon and restorative dentist to determine whether a removable or fixed implant prosthesis is the best patient option. Several cases have been chosen to illustrate the algorithms the authors used to provide an optimized prognosis for surgical/restorative success.

Keywords: Algorithms; Complex implant restorations; Interdisciplinary collaboration; Maxillary and mandibular ridge classification; Provider subjectivity.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Dental Implantation, Endosseous
  • Dental Implants*
  • Dental Prosthesis, Implant-Supported
  • Humans
  • Jaw, Edentulous, Partially / rehabilitation
  • Jaw, Edentulous, Partially / surgery*
  • Mandible / surgery*


  • Dental Implants