Why would an implant fail?

Dental implants can fail for a variety of reasons, but the most common, and the most preventable, are infections and bone loss. Periimplantitis is a type of infection that forms around the implant and inside the gums. Factors related to implant design can trigger early implant infection and cause implant failure. These factors include the use of non-biocompatible implant material or surface coating, contaminated implants, and an incorrect design of macroimplants or microimplants, which may hinder the stability of the primary implant.

This incidence is more common among inexperienced dental implant dentists or when the dentist does not use treatment planning as part of their consultation. Biological complications of implants caused by a degree of bone loss may sometimes require removal of the implant. The etiology is believed to be multifactorial and includes peri-implant insertion lesions, excessive mechanical stress and corrosion, all in the presence of pathogenic bacteria. Especially with low-cost suppliers and foreign laboratories, which may use lower quality materials, which can cause complications with size and fit, compromising the stability of the implant.

The crown of the dental implant (the false tooth) must match the surrounding teeth perfectly; there must be a perfect fit. 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. Having a dental implant is more than just improving your smile, it can help prevent the many health problems associated with missing teeth. Froum, clinical professor at the DDS and director of clinical research in the Department of Periodontics and Implantology, New York University School of Dentistry, New York, New York; private practice, New York, New York.

While this abutment in standard implants has a diameter of 3.8 to 5 millimeters (mm), in mini-implants it is less than 3.3 millimeters. Other contributing factors are, among others, a history of chronic periodontitis, poor plaque control, inadequate maintenance, uncontrolled diabetes, smoking, excess cement, lack of peri-implant keratinized mucosa, fine mucosa, residual titanium particles, products induced by biocorrosives, implant placement, failed or incorrect bone augmentation, and adjacent pathology (for example, an apical lesion caused by endodontics or a pathology), genetics and poor placement of the implant. Some dental implant failures are the fault of the oral surgeon and occur due to poor placement of the abutment or involuntary damage to surrounding tissues and bones. 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.

The bone of the upper jaw (upper jaw) or jaw (lower jaw) must be strong enough to support the dental implant. Patients often come to Spyrakis to correct dental treatments and failed implants, which were performed by other dentists. It is imperative that your dental hygienist uses appropriate protocols, such as sterility, prevention of bone overheating, right flap design, stable insertion, and placement of implants where there is enough bone.

Diana Macall
Diana Macall

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