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Dental implant complications: How to recognize and prevent them

The land is surveyed and graded in accordance with the site's success strategy prior to construction. In the same way, a dentist must examine the area where dental implants will be inserted, whether they are being used to replace a single tooth or an entire arch.

 Common Dental Implant Problems:



Osteoporosis or inflammation around a dental implant is referred to as peri-implantitis. The only thing this phrase really indicates is that the tissue surrounding an implant may be screwed up. The question remains, though, why the tissue is inflamed and unhealthy. Whatever the underlying cause, this condition frequently results in implant failure and necessitates implant removal and replacement.


Implant infection


Implant Implant-related infections can occur for a variety of causes. It typically occurs soon after the implant has been inserted. Implant rejection will typically result from an infection of an implant. Since the implant will be loose, the issue is simple to fix because it can simply be taken out and afterwards replaced. If left untreated, infections around implants can get serious and spread to other parts of your body. After an infected implant is removed, healthy patients often recover quickly and with minimal problems. If you are not in good health, you should not obtain a dental implant. For instance, if your immune system is weak or if you have uncontrolled diabetes. 


 Dental Implant Allergies


In the event of allergies or sensitivities to titanium and zirconia, implants may encounter acute rejection. Rejection may result from allergies to the substance itself. There are numerous material testing methods including the Melisa and Biocomatibility tests. The testing can reveal whether a person is sensitive to titanium or zirconia. Although reactions to either zirconia or titanium are uncommon, they do happen occasionally. Just keep in mind that if you are sensitive, a zirconia implant is preferable because you are more likely to reject a titanium implant years down the road. It's also not a guarantee that you won't react tomorrow just because you don't react today. Sometimes allergies develop days or years after first being exposed to a substance.


Protocol for treating Peri-Implantitis


  1. injecting oxygen O2 and ozone O3. Any bacterial infection that has seeped into the bone at the peri-implantitis will be neutralised by ozone. It will help somewhat lessen the inflammation brought on by the malfunctioning implant.

  2. Make sure you remove the complete implant, taking care not to leave any little bits of titanium, zirconia, or dental equipment or debris behind. Oftentimes, if the treatment is not done thoroughly, implant fragments can be left behind. Particles from the implant may break off into numerous tiny fragments and enter the bone's pores. Particles are foreign bodies, and the objective is to eliminate the foreign substance in order to improve bone health and stop the immune response.

  3. From the implant extraction site, remove the cyst and granulation tissue. In the areas of bone loss surrounding the failed implant, the body frequently develops cysts. Bacterial and fungal infections will still be present in the extraction site if the cysts are not removed. The cysts exchange nutrients and waste with the blood supply and lymph. They also have their own blood supply.

  4. Insert oxygen and ozone into the implant extraction site that has been cleansed. The gases can quickly pass through the bone's pores to eliminate any infections and speed up recovery. Bone has an extremely limited blood supply, making it very prone to infection.

  5. Fill the extraction socket thoroughly with platelet-rich fibrin (PRF). No foreign or off-the-shelf bone graft materials should be used. There will most certainly be an immune reaction and more inflammation if the body rejects the substance.

  6. In the event that there are significant areas of bone loss, incorporate bone graft materials with the PRF. Placing membranes to hold PRF and bone graft products may also be necessary.

  7. Any loose gum tissue should have stitches applied as tightly as possible. The sutures may also serve to secure the PRF at the location of extraction.

  8. Allow the area to recover for 4 to 12 weeks before reassessing the spot to ensure appropriate healing. If extra ozone is required, administer it. If there is no infection and enough bone, placing new implants can be thought about now. Bone grafting and PRF treatments can be carried out if necessary. Grafting and implants can occasionally be applied simultaneously.

  9. Additional novel implant surgeries

Contact Dr. Aman Ahuja if you have any questions or comments regarding this or any other topic covered in Implants Today.

02/17/2023 Back

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