Dental implants can fail for a variety of reasons, but the most common, and the most preventable, are infections and bone loss. Certain medications and procedures, such as radiation therapy, can affect bone density. Always be sure to review your medications and supplements with your dentist in advance. If you don't have enough bone, they can investigate whether it's related to your medication regimen or to an inflammatory response before recommending something like a supportive bone graft.
Even with good oral hygiene, certain medications contraindicate tooth replacement with implants. When necessary, your implant specialist should contact your primary care doctor and specialists so that they can give you the go-ahead in advance. Gum disease is an infection that can damage the gums and jaw. An untreated infection could develop around the implant and cause failure.
Consult a dentist for gum disease before getting an implant. Smoking can also cause dental implants to fail because it restricts blood flow to the gums, delaying the healing process. Several research studies show that smokers can have a dental implant failure rate of up to 20 percent. Planning also involves understanding your medical history.
This includes any medical conditions you have, as well as any medications you take. An infection may develop during or after surgery. Risk factors for infection include having an autoimmune disease, smoking, and poor oral hygiene. Early failure can also occur when the immediate placement of the implant is performed at a site where there was a periapical pathology in the extracted tooth, or when an implant placed immediately and immediately provisioned is overloaded.
An implant may not bone integrate for several reasons, such as overheating of the bone at the time of implant placement, contamination of the implant surface, or systematic problems that interfere with bone integration (i.e., bisphosphonate necrosis, bone irradiation during treatment of malignant neoplasia, autoimmune disease). Although peri-implantitis is widely recognized as a major cause of peri-implant bone and implant loss, some leading researchers do not yet recognize peri-implantitis as a disease. However, untreated progressive bone loss in the presence of inflammation of the peri-implant mucosa appears to be a major etiological factor of implant failure. Smoking can cause failure and, if you're a classic tooth grinder, constant rubbing can affect your new pearly white spots.
Without proper training and experience, especially in the most complicated cases, a dentist can place the implant in a way that is prepared to fail right from the start. Although dental implant failure is rare, defective dental implants can occur even if the surgeon took all the extreme precautions and used the most innovative techniques. Before receiving their dental implants, patients often ask if failure is a possibility, how often it can occur, and what is the likelihood of success in a second attempt in the event of a failure. The first is somewhat easier to treat, since the causes could be related to surgical trauma, such as bone overheating (dense type I), poor bone quality, underlying systemic disease, infection, premature implant load or inadequate primary implant stability, to name just a few reasons.
Instead, the failure is due to their general state of health, as well as to the surgery process or to postoperative care. However, the success or failure of your dental implants depends on a variety of factors, many of which are under your control. By learning, preparing, and understanding the common causes of dental implant failure, you can protect the health of your mouth, teeth, implants and gums for decades to come. .
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