A dental implant is a structure made of alloplastic materials implanted into the oral tissues beneath the mucosa and/or periosteum and/or within or through the bone to provide retention and support for a fixed or removable dental prosthesis. Proper knowledge of anatomical landmarks and its variations prior to implant placement is indispensable to ensure a precise surgical procedure and safeguard the patient against iatrogenic complications. The precise evaluation of distinct anatomical factors such as the position of the mandibular canal, maxillary sinus, the width of the cortical plates, the existing bone density, etc. is very important in appropriate implant selection and planning the most appropriate implant position in the existing clinical condition. Important anatomical structures in the maxilla are a nasal floor, nasopalatine canal anteriorly and maxillary sinus posteriorly. Iatrogenic sinus perforation is commonly encountered complication.
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