DENTAL IMPLANT COMPLICATIONS
The purpose of this page is to inform you about the potential complications and how they can be prevented and treated. We believe that our patients should know EVERYTHING. A knowledgeable patient is stronger, because they understand and willfully take on habits which constitute key factors in the healing process. Do not hesitate to ask us about any aspect of the treatment you may find not clear enough. Also, please keep us informed with respect to any event following the implant. We have a 24/7 number where you can talk to someone in the staff who is familiar with your case.
SWELLING AND BRUISING ARE COMMON DENTAL IMPLANT COMPLICATIONS
Following the insertion of the implant, sinus lift and bone graft (depending on the span of the procedure), it’s not uncommon to see swelling and bruising. They pose no risks to the implant and generally don’t require special medication in addition to the one recommended by your doctor. They will go away in a few days after surgery; with the mention that they can occur on the first three days if of the medication was not administered.
PAIN – DENTAL IMPLANT COMPLICATIONS
Post-operative pain is inexistent in 95% of the cases. Provided that you follow our advice.
Pain control is the same as with every other type of surgery, which is a combination of pain killers and anti-inflammatory drugs immediately after surgery.
INFECTIONS -DENTAL IMPLANT COMPLICATIONS
The risk of infections is very high if antibiotic treatment is lacking. In case of sinus surgery, a combination of a strong antibiotic and a nasal decongestionant is mandatory to avoid sinusitis. You must avoid putting pressure on the sinuses, so avoid blowing your nose, sneeze with your mouth closed and drinking through a straw.
WOUND DEHISCENCE AFTER SURGERY
It is an opening of the wound before it is completely healed. It does not lead to surgery failure, but it does require increased care by applying special gels and rinsing your mouth with disinfectant solutions and antibiotic treatments. The evolution is successful in almost 90% of the cases. Of the systemic factors which might influence healing, some are diabetes which leads to a redused tissue perfusion and low immune response. We do NOT perform surgery on patients who neglect their treatment or cannot control their blood sugar level.
FACTORS WHICH INFLUENCE THE HEALING OF THE SURGICAL WOUND
TISSUE INFLAMMATION AND HEALING
Healing is influenced by local and systemic factors. Gum inflammation and diseases have a negative effect on the healing. The procedures must be performed as long as there is no inflammation. Any cause must be eliminated by the hygienist, but also the patient must be informed regarding a correct hygiene at home before and after microsurgery.
Removal of plaque and other residue in the oral cavity are mandatory before surgery.
Microsurgery procedures determine a more efficient healing, with atraumatic and precision treatment.
Immunosuppressant such as cytostatic and corticosteroids weaken the immune response and delay healing. Keeping a strict hygiene is paramount.
AGE CAN INFLUENCE HEALING
Studies have shown that young people recover faster. Since so many factors contribute to the healing process, a good general health is essential.
SURGERY WOUND HEALING AT SMOKERS
Smoking has always been associated with several diseases of the oral cavity, such as periodontic disease, bone retraction, tooth loss and implant failure.
The impact of smoking over wound healing is determined by the effects of nicotine and secondary substances at cellular and systemic level. Smoking causes vasoconstriction of the veins inside the gums, reducing the blood intake and healing and slowing down the flow of oxygen into the wound.
In conclusion, smoking delays healing, increases the risk of dental implant complications and reduces the body’s response in qualitative and quantitative recovery of the jaw bones.
DENTAL IMPLANT COMPLICATIONS – IMPLANT FAILURE
The causes of implant rejection can be unknown and impossible to predict before surgery.
The rate of success in our practice is 99,8% for primary integration, which is exclusively dependent on local factors and compatibility with the receiving body. The most serious complication is rejection of the dental implant. The cause of such scenario is not intolerance to titanium, but a local factor (most likely) or a general unidentified factor. After a thorough investigation of all possible factors and taking proper measures, the implant is reinserted. The initial failure can be turned into a late success.
DENTAL IMPLANT COMPLICATIONS – PERIIMPLANTITIS
A dental implant does not rust and is immune to cavities, but can it can develop periimplantitis which is the inflammation of the gums or the bone around it, which untreated, can eventually lead to bone loss and even implant loss. Periimplantitis is curable! In most cases, it affects heavy smokers (over a pack a day), diabetics with constantly high sugar levels and patients with poor dental hygiene.