Failure and Complications in Dental Implant Surgery »PeopleWhat

A dental implant is a metal pole that is surgically attached to the jawbone to support an artificial female. When placed in place, the dentist or oral surgeon installs a new tooth in the prosthesis. Dental implants have a high success rate, but some people experience dental implant failure. This failure rate is estimated to be about 5 to 10 percent, and may occur shortly after the dental implant insertion procedure, months or years later. Here are some things to know about implant failure and other possible complications:

What Factors Affect Dental Implant Success

Several factors can affect the success of a dental implant. Some of these factors are as follows:
1. Active gum diseases: Healthy gums are an important criterion for dental implant surgery and cannot be applied to people with active gum diseases. Gum disease is an infection that can damage the gums and jaw bone. An untreated infection may develop around the implant and lead to failure. A dental surgeon should be consulted to treat gum disease before implantation.
2. Smoking: Smoking can also cause dental implant failure, because gums restrict blood flow and slow down the healing process. In multiple studies, dental implant failure rate of smokers can be up to 20 percent. Although smoking does not mean that it is not suitable for a dental implant, quitting smoking one week before the dental implant and not smoking for at least two months after the implant is placed provide a better outcome
3. Weak jaw bone: It also depends on enough bone to support a successful implant procedure. Without adequate healthy bone, the surgeon cannot be surgically placed in the implant jaw. Osteoporosis may result in bone loss, which develops when bone density decreases. The bones become brittle and the risk of fracture increases. Severe gum disease can also cause disruption of bones in the mouth.
4. Medical conditions: When an autoimmune disease or conditions such as rheumatoid arthritis and diabetes are diagnosed, dental implant failure is likely to cause the body to heal more slowly. Slow healing may prevent osseointegration where the implant joins the jawbone . The use of certain drugs may also result in dental implant failure. Therefore, it is important to report the active medicines (prescription and non-prescription drugs) to the center where the implant is intended. In 2016, researchers at McGill University found that heartburn medications can reduce new bone growth, thereby affecting how an implant fuses with the jawbone. In 2016, researchers at the University of Buffalo reported similar results among those receiving antidepressant medication
. Poor dental care: Good oral hygiene after a dental implant also affects the success rate. If there are restrictions affecting the range of motion, or if it affects the complete cleaning of the teeth, it may not be a suitable candidate for the dental implant.
6. An inexperienced surgeon: Not all surgeons are capable of one, and an inexperienced surgeon may make a dental implant fail. An experienced surgeon knows how many implants will be used to support the dental prosthesis. This is important because very little can cause excessive stress and failure on the implant. In addition, working with a qualified surgeon may prevent iatrogenic trauma that damages the periodontal tissue by the dentist's activity.

Pre-planning of the Dental implant Procedure

Proper planning by a surgeon requires a doctor to complete a thorough examination of the mouth to assess gum and jaw health . Dental X-rays provide insight into general oral health, providing clues as to whether a dental implant will be successful. Planning also includes understanding the medical history. This includes medical conditions and medications taken. When there is a lack of understanding or appropriate planning, a surgeon can continue with the dental implant, even if he is not the right candidate for the person. this can cause infections or the growth of aerobic bacteria that can trigger an abscess. Careful planning is also how the surgeon identifies problems that may prevent the implant. For example, a sinus lift may be needed before receiving an implant to ensure its success. When looking for an experienced surgeon, you should discuss your dental implant with friends or family members and ask for their advice.

Early Dental Implant Failure and Problems

Problems or complications caused by dental implant surgery may occur shortly after the procedure or years later. Early dental failure occurs during the first three to four months of the procedure. It should be kept in mind that there will be some pain or discomfort after surgery that can cope with pain medication. Even so, if the pain does not heal after five to seven days, talk to the surgeon. And it may take three to six months to fully heal. While postoperative pain and swelling are common, complications that may develop should be considered. These complications are as follows:
• Implant site infection: An infection may develop during or after surgery. Risk factors for an infection include having an autoimmune disease, smoking and poor oral hygiene.
• Implant micro-motions: Implant micro-motions may occur when a dental implant is sometimes unstable after an emergency dental prosthesis . Typically, an implant is not inserted until an artificial tooth is properly integrated with the jaw bone implant. Sometimes, however, a surgeon performs a dental prosthesis immediately after implantation. This method requires less physician visits, but may put extra stress on the implant and lead to failure.
• Poor bone support: Early stage failure can also occur when there is not enough bone for the dental implant, but the surgeon still completes the procedure. Without sufficient bones, the implant cannot join the jaw.
• Allergic reaction: If you are allergic to titanium alloy, a metal in some dental implants, it may develop a reaction. Symptoms of allergy are swelling, loss of taste and perhaps tingling sensations. The surgeon should talk about titanium allergy and discuss the inclusion of an implant with a different material if necessary.
Activities and habits also have an impact. To reduce the risk of complications, it is essential that you follow your surgeon's post-operative instructions. Soft food should be consumed until the implant site is healed, good oral hygiene applied, and hard candies avoided.

Late Dental Implant Failure and Problems

Dental implant surgery may fail with complications that occur years later. Some long-term complications of a dental implant are as follows:
• Nerve or tissue damage may occur when a surgeon places an implant too close to a nerve. Signs of harm include numbness or tingling in the tongue, lips, gums, or face.
• Foreign body rejection is uncommon, but can occur. This is when the body rejects an implant. Signs of rejection include increased pain, swelling and fever in the implant site.
• A dental implant placed in the upper jaw can enter the sinus cavity.
• Injury of the area surrounding a dental implant may cause failure by loosening the implant.
To minimize the possibility of long-term problems, continue to maintain good hygiene. mouth, implants and gums should be kept healthy. It should be brushed and flossed at least twice a day. It is also important to wash the mouth with mouthwash and to see a dentist for routine checks.

What are the Symptoms of Dental Implant Failure? ] • Gingivitis
• Stagnation of the gum
• Increased swelling
• Loosening of an implant or replaced tooth
• Severe pain or discomfort

Preventive Maintenance

Some dental implant malfunctions Although it cannot be prevented, it may take steps to reduce the risk of failure:
• Proper care should be taken with dental implants. It should be brushed daily, flossing and mouthwashing should be used.
• Checked at the dentist every six months.
• Smoking should be stopped
• To support strong bones, calcium intake should be increased. A supplement should be taken or calcium-rich foods such as milk, yogurt, broccoli, orange and cheese should be consumed.
• Bruxism (tooth grit) treatment should be asked to the dentist for oral protection.
• Should change teeth immediately after the implant procedure
• Avoid habits that damage teeth (eat ice and sugar)

Dental Implant Alternatives

A dental implant can restore a smile However, this procedure is not suitable for everyone. Alternatives to consider:
Tooth bridge: This is a fixed prosthesis device used to fill missing tooth cavities. A tooth bridge may be suitable for adolescents whose bones are growing. There are several tooth bridges:
Resin-bonded bridge: Also known as the Maryland bridge, it consists of a false tooth in the form of wings on both sides. The blades are attached to the existing teeth on either side of the cavity in the mouth with the resin.
Conventional bridge: The fixed bridge also uses existing teeth as a support for false teeth. In this case, the false tooth is bridged by using crowns in the existing teeth on both sides of the cavity it fills. Due to the closure of existing threads, such a bridge is considered to be more robust than resin-bonded bridges.
Console tooth bridge: This bridge supports only the false tooth on one side. Otherwise, it is the same as a conventional bridge by using and closing an existing tooth to support the false bridge.
Removable partial dentures: This is a removable substitute for missing teeth and is a cheaper alternative to the dental implant. With a partial denture, one or more replacement teeth are attached to a gum-colored plastic base that connects to the natural tooth. It sits in the mouth, similar to a holding table. Complete or complete dentures are required when all teeth are missing.
The success rate of dental implants is high, but they may fail for various reasons. It is important to know the potential risks so that steps can be taken to increase the likelihood of success. This includes investigating treatment for any gum or bone problem before surgery, selecting an experienced surgeon, and oral hygiene practices before and after surgery.

References:

doi.org
aaid-implant.org
jispcd.org
mcgill.ca

Author: Jack PeopleWhat

PeopleWhat / The Art Of Knowledge

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