Carelessness.

As a dental implant surgeon, you work with small components. Multi-unit screws that are about 1mm *4mm in size. Now carelessness in handling these small screws can prove costly. Your staff might lose them, the lab to which you have sent that amazing all-on-6 implant case can lose these vital screws.

Carelessness can also be on the part of the technicians when they do not follow the instructions. You did not want a cantilever in the mandible because it was an all-on-4 and loading it immediately. You planned to give the patient a screw-retained denture till the 2nd pre-molar molar and even after repeated reminders the final prosthesis comes with two big cantilever first molars.

What do you do then? You just end up doing some jugaad in the clinic, shaving off the cantilever on your own. Three days later, the patient sends you a picture with a big ulcer on the lateral surface of his tongue because the denture surface was now rough. All your work has gone down the drain because the technician did not follow the instructions, and you had to load the case in five days.

Sometimes carelessness proves costly, monetary wise and for your own reputation. I have been trying to find a solution for this. If you know one, please comment in the comments section and let me know.