Prosthodontic problems and limitations associated with osseointegration.

When compared with any other surgical or prosthodontic procedure, osseointegration has offered the greatest improvement in quality of life for patients who suffer with the effects of an edentulous condition. Results have been dramatic both functionally and from the aspect of patient satisfaction. However, a level of complication and compromise remains that limits overall patient and practitioner satisfaction. This article critically analyzes the existing literature relative to prosthodontic problems and complications of osseointegration for the edentulous patient. An attempt is made to compare the documented frequency of complication versus the perceived potential for complications, including implant failure, prosthesis misfit, component fracture, and screw loosening.