Dental Implant Problems: What’s The Worst That Can Happen?
Dental implants have a 95% success rate but that doesn’t mean dental implant problems don’t happen.
While some of the issues are preventable by the patient, some develop as a result of poor procedural planning.
Although the risk of dental implant problems is low, it never hurts to be as informed as possible. In this article, we’ll share with you what can happen if you choose this type of dental procedure and it goes wrong.
What are Dental Implants?
Dental implants are a modern alternative to dentures. During the procedure, a dental surgeon places a titanium fixture or frame into the jawbone. An artificial tooth is custom-made to affix to the fixture.
Over a few months’ time, the rod will fuse with the bone. In other words, the implant itself acts as a replacement root as the artificial tooth acts as a replacement tooth.
Types of dental implants
There are two main types of dental implants: endosteal and subperiosteal.
Endosteal implants get placed directly into the jawbone. After the surrounding gum tissue heals, another procedure connects the post to the implant. A dental professional attaches the artificial tooth to the post.
A subperiosteal implant is a metal frame with posts that fit onto the jawbone, below the gum. The gum tissue heals and the frame fuses to the bone. The posts protrude through the gums which the artificial teeth get mounted to.
Benefits of Dental Implants
There are many benefits to dental implants, which is why the procedure is so common today. These include:
- Improved appearance/Self-esteem –
- Improved speech.
- Improved comfort.
- Eating is easier.
- Improved oral health.
- Durability.
- Convenience.
Your dental professional will speak to you about the reasons why you’re a suitable candidate for dental implants.
Common Dental Implant Problems
While there is a chance that things go wrong with dental implants, many of the problems are short-lived. Most of these occur during the early stages before the tooth gets attached.
Infection and Poor Healing
Receiving dental implants is surgery. The dentistry staff will follow all aseptic and sterile techniques, leading to a low chance of infection from the procedure itself. But, the mouth is full of bacteria and you can develop an infection.
You can expect swelling, mild pain, or discomfort for 1-4 days after your procedure. Beyond that, something may be wrong and you should consult your dentist.
Most issues involved with infections and poor healing are a result of patients not following the proper post-surgery directions. On rare occasions, an infection develops more than a month after surgery. In most cases, an underlying issue that wasn’t detected before the procedure took place caused the infection.
If an infection or poor healing gets caught early, it’s dealt with accordingly and the later stages can carry on with success.
A Medical Condition Affects Healing
If you suffer from cancer, gum disease, or diabetes, you may have delayed healing. This is also the case for people who smoke, drink alcohol, and take medications for other ailments.
You must make your dental surgeon aware of any pre-existing condition during the medical history screen.
Surgical Technique
It is important to find a reputable dentist who has gone through proper certification and has registered with the General Dental Council and is a member of the British Dental Association.
These dentists will be keen to the importance of aseptic and sterile techniques. They will understand the proper procedures and guidelines. This reduces your risk of infection and other dental implant problems.
Micromovement of the Dental Implant
Dental implants must be immobile for several weeks to allow osseointegration to take place. Any movement hinders this process will result in unstable implants.
During the first 8-12 weeks, the implant is vulnerable to not growing into the bone, and soft-tissue ingrowth occurs instead. This is very painful and you could end up back under the knife.
Follow the dietary recommendation from your dentist after the procedure. You may be on a liquid diet for a period of time.
Lack of Bone
Successful implants happen when it fuses with the bone on all sides. If your bone is less dense or deficient in any way, your dentist may need to perform extra steps to ensure the bone will have enough growth around the implant.
If your tooth is missing for an extended time, you could have lost bone volume. An experienced implant dentist can increase your volume with bone grafts or another technique. Sometimes, this may take an extra procedure.
Not Following Doctor’s Instructions
Not following doctor’s orders will result in implant failure or problems.
The instructions will be straightforward like reducing physical activity and keeping the site clean. You will also need to follow dietary restrictions and take your medication as prescribed.
Complications from Biphosphonates
Biphosphonates are a class of medication taken for bone loss or osteoporosis. The four most common bisphosphonates are Fosamax, Actonel, Boniva, and Reclast.
These drugs work to inhibit osteoclastic activity. This means they prevent osteoclast cells from destroying bone. But, osteoclasts play an important role in osteoblast which are the bone cells that produce the matrix that makes up bone.
Extensive research on the dental implant complications from biphosphonates shows that Fosamax causes the greatest risk for developing bisphosphonate-induced osteonecrosis of the Jaw (BIONJ). This condition is a severe bone disease often called “death of the jawbone.”
The risk is small but you must tell your dentist if you take a bisphosphonate to prevent osteoporosis or as a cancer medication.
Signs of Dental Implant Infection
A common implant infection is peri-implantitis which is a type of gum disease. If left untreated, serious oral complications can occur like bone loss or implant failure. Dental implant infection signs include:
- Bad taste/bad breath that doesn’t go away.
- Pus or bleeding of the gums or implant area.
- Pain or fever.
- Difficulty chewing.
- Swollen or red gums.
- Loose implant.
If you experience signs of an infection, call your dentist immediately.
It’s Time to Experience Excellent Patient Care
If you’re experiencing dental implant problems, you need a dental practice that understands how unnerving it can be. At Smile Spa, we strive to provide an excellent patient experience through relaxing and calming techniques.
Our dentists are members of the British Dental Association, the British Academy of Cosmetic Dentistry, and registered with the General Dental Council. We are professional, thorough, and dedicated to providing you with the highest quality care possible.
From dental implants to preventative care, we treat each patient with the highest quality standards. Contact us today at either our Knowle or Sutton Coldfield offices and find out how we can provide you with the dental care you deserve.
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