Dental Implant: Causes of Failure

Dental implants are designed to be a permanent replacement for a missing tooth or teeth and are also growing to be popular alternative to removable dentures or fixed bridges.

Still some patients do experience some complications. The following are a few of the possible causes and reasons behind dental implant failure:

Success Rates

The majority of the problems that occur after the implant placement are generally minor and easily resolved. If something goes wrong, consult your dentist or surgeon.

Osseo-Integration

Osseo-integration is the formation of functional and structural bond between bone and an artificial implant. This process takes place over several months after the implant is placed in the bone.

The failure of the jawbone to fuse together properly with the implant is considered to be a failed osseo-integration. An implant is failed if it is mobile, falls out of bone or shows signs of bone loss of more than 1 mm even after the first year.

For patients who don’t have adequate bone height, width or length, procedures such as a sinus lift or bone graft can help in increasing space and bone mass loss.

Peri-Implantitis (Infection)

Peri-implantitis, or infection, is a condition that involves inflammation of the gum and/or bone around the implant. A form of periodontal disease, peri-implantitis can cause bone loss and implant failure.

 

Nerve & Tissue Damage

When an implant is placed too close to a nerve, patients may experience chronic pain, tingling or numbness in their cheek, gums, tongue, lips or chin.

Some bleeding and pain is to be considered normal for a couple days after the surgery, but if the pain is extreme, the bleeding excessive or they it last longer than a few days, one should contact their dentist as soon as possible

Overloading

Immediate loading is a all-in-one stage treatment method where the crown and abutment are placed on the dental implant right after the implant placement.

The normal process consists of a two stages and provides time for the implant to integrate with the bone before adding the external components.

Overloading refer to failures caused by excessive pressure or forces placed on the protruding abutment and/or crown. These forces easily disrupt the osseo-integration process.

Sinus Problems

An oral surgeon may perform a sinus augmentation procedure, to develop a strong bone foundation. The goal is to create more bone in that area in order to support a dental implant.

Sometimes if the implant protrudes into the sinus cavity, that area can become infected and/or inflamed. Patients should always inform their oral surgeon about sinus related issues prior to the implant procedure.

Other Risks & Causes Of Failure

The following are other risks and causes are:

  • Foreign body rejection–it is possible that a patient’s body will reject the dental implant.
  • Failure of the implant itself–An implant can crack or fracture if it is subjected to excessive external force impact like a blow to the face or excessive pressure over a period of time like grinding teeth or an unbalanced crown.
  • Allergic reaction–While it is quite rare, some patients can have an allergic or inflammatory reaction to titanium.

Contraindications

  • Bruxism (tooth grinding or clenching)
  • Failure to locate a primary nerve in the lower jaw
  • Uncontrolled Type II diabetes
  • Insufficient bone height, width or length
  • Oral or intravenous bisphosphonates
  • Smoking

 

What Are Dental Emergencies? How To Deal With Them

 

  • Are you suffering from severe pain?
  • Does your mouth bleed while brushing?
  • Are your teeth mobile/loose?
  • Do you have any swelling in your mouth inside or outside?

Dental emergencies are very common, but one should have the knowledge to handle the situation in case of stress or emergency. Proper maintenance of oral hygiene and regular visit to dentist can help to reduce the chances of experiencing a dental emergency.

The most common dental emergencies may include teeth that are –

Forced out of position causing loosening of tooth

  • Facial trauma
  • Fractured facial bones.
  • Chipped, Broken or fractured tooth
  • Infection indicating an abscess

Treatment will depend on the severity of the damage. For example a chipped tooth is slightly damaged; it can be corrected by smoothening, of maybe restoring the tooth by bond and composite filling material. If the damage is beyond dentin and pulp involvement with severe pain, then the tooth should be treated (RCT).

Here are few scenarios where you may prevent the symptoms before they get worse, or even you get an idea that the time is right to see a dentist now:

  1. Chipped Tooth Or Broken Tooth

If it fairly visible and you are afraid about your looks then call your dentist and explain the situation.

Try to find and retain the chipped particle or any pieces and place it in a moist cloth with a few drops of water or saliva (If kept in good condition, it may be possible to reattach it).

  1. What To Do When Tooth Is Knocked Out Of Socket?

If your tooth is knocked out due to a blunt force trauma causing severe facial injury, try first to find the lost tooth. If the appropriate emergency steps are followed immediately after the tooth has been knocked out, the chances are very good that the tooth can be reinserted and preserved by a dentist.

  • Handle the tooth only by the crown not by the root. If you try to touch the root, u may damage the fragile cells on the root necessary for its reattachment back into the bone.
  • If the tooth is dirty, very gently rinse it in water to ensure that the tooth is clean but do not scrub the tooth or remove any tissue attachment.
  • If you want to then try placing the clean tooth gently back in the socket without touching the root and make sure that the tooth is facing the right direction. Do not force it into the socket. If it is not possible to put the tooth back in position then wrap it in a clean cloth or gauze. Soak it in a container of cold milk or if milk is not available, put the tooth in water that contains a pinch of table salt.
  • It is important to see the dentist for an emergency appointment for the best chances of retaining the tooth.

 

  1. What To Do When Tooth Is Fractured Or Cracked?


  • Rinse your mouth immediately to clean the area with warm water.
  • Take medication prescribed by your physician or dentist.
  • Do not attempt to put any painkiller directly on the site of injury to avoid any burning sensation, it may worsen the situation.
  • Avoid chewing with the injured site and always avoid extreme temperatures that may affect the already traumatized area.
  • Immediately contact your dentist as only he can tell how bad the condition is. The dentist might need to do an X-ray for evaluation of the severity of the situation.
  • See your dentist as soon as possible. Not receiving the proper treatment may result in progression of infection or further decay or damage.

IN CASE OF:

 

Lost Filling

As a temporary measure, you stick a piece of softened sugarless chewing gum at the place where filling is missing.  You should be sure that the gum is truly sugarless, as sugar can cause pain when in contact with the tooth and can lead to bacterial infections in the area.
See your dentist as soon as possible for the proper treatment and care.

Lost Crown

If you dropped out a crown of the mouth, make sure to visit your dentist as soon as possible without waiting for extra days. The tooth portion now exposed that has lost its support could easily be damaged or break off or crumble.

Keep the crown in a cool, safe place because if the crown is not damaged your dentist can reinsert it.

If the crown is out of the mouth for a long period of time, the teeth may shift causing further damage and the old crown will not fit at this stage.

Broken or Loose Brackets, Wires Or Bands

If a wire breaks or sticks out of a bracket it may cause discomfort by poke in cheeks, tongue, or gum.

Try to cover the pointed end with something soft substance like orthodontic wax, sugarless gum, or piece of gauze to avoid discomfort until you visit your orthodontist.

You should never try to cut the wire as you could swallow it or breathe it into your lungs.

Abscess

 

Dental abscess or tooth abscess is an accumulation of pus inside the teeth or gums. It should not be ignored as the infection may spread into nearby spaces affecting other teeth as well.

You may try to gargle with pinch of table salt in lukewarm water for a brief time for some relief.

Contact your dentist for proper care and treatment for the dental abscess before the infection spreads.

Possible Broken Jaw

To control the swelling in the traumatized area apply cold compressions. Stabilize the jaw with bandage wrapped beneath the jaw and tied on top of the head.
A broken or dislocated jaw may cause breathing problems or significant bleeding. If it is not treated properly, a broken jaw can leave you with devastating effects on a person’s ability to eat and breathe.

Sip on ice water and hold for sometime in your mouth until you see your dentist.

 

For more information, you can book an appointment at Dr. Sachdeva’s Dental Aesthetic & Implant Center  I 101 Ashok Vihar Phase 1, Delhi- 110052

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How to overcome dental anxiety

Have a visit due to your dentist that you have been avoiding for a long time? Is there a general sense of fear associated with that dental chair and the various sounds and noises it produces? Do not worry. You are not the only one. The idea of going to a dentist can cause as much anxiety as the pain that a decayed tooth may be causing. The responses are not age related. Different people could have different reactions dealing with dental anxiety. Some may be calm and composed and some may be total wrecks. A lot depends on the dentist and the environment he/ she creates for the patients. Understanding the patients and their levels of anxiety could be crucial in assessing their levels of anxiety and help them overcome it.

Assessment of dental anxiety

There are numerous ways available to assess dental anxiety, both in children and adults. A five point scale that is reliable and quick to administer. It has cut-offs for mild, moderate, and phobic levels of anxiety.

Interventions for individuals with low levels of anxiety

 For children attending with low levels of dental fear, approaches that can be adopted include:

  • Rapport building: like use of a magic trick. The use of magic trick increases cooperation when compared to no intervention or the use of tell-show-do technique.
  • Voice control: using loud voice with deep tone is more effective in reducing disruptive behavior of a child & interaction more pleasurable than the normal voice level
  • Distraction: there are number of ways which can be used for distraction such as: the use of video-taped cartoons, audio-taped stories and video games. Distraction techniques are equally effective as relaxation-based techniques, and superior to no intervention.
  • Modeling: modeling has been used extensively with children and is generally most effective if the observed child is similar in age, gender and level of dental anxiety to the child watching, if the child enters and leaves the surgery without adverse consequences.
  • Environmental change: three studies have sought to make the dental environment more attractive to children attending the dental surgery.

Approaches can be used in patients with low dental fear:

  • Enhancing the sense of control: One of the most commonly used techniques to do this is the stop signal.  In this patient can raise the hand and give signal to the dentist.
  • Cognitive distraction: the patient is encouraged to think about something other than the dental situation, be in  a happy place or think of a less stress causing situation.
  • Environmental change: soothing smell of lavender in dental waiting area to reduce the immediate fear of the patient but it will not reduce the underlying cognitive factor.

Interventions for individuals with moderate levels of anxiety

 Patients with moderate levels of dental anxiety may benefit from the prior preparatory information.

  • Information about what will happen (procedural information)
  • Information about what sensations the individual will experience (sensory information)
  • Information about what the individual can do to cope with the situation (coping information).

Interventions for individuals with high levels of anxiety

Pharmacological management

This includes relative analgesia, conscious sedation and general anesthesia. These management techniques are not much used but there are ongoing needs for such services when patient is not regular to visit for treatment or to the point where they are in severe pain or with compromised oral health

Cognitive behavioural therapy

It is a synthesis of behaviour therapy and cognitive therapy and uses both behaviour modification techniques and cognitive restructuring procedures to change maladaptive beliefs and behaviours. Behavioural aspects of CBT include learning relaxation skills, conducting mini-experiments and systematic desensitization. An important principle underlying CBT is its focus on the ‘here and now’ as what started a problem is often not the same as what is keeping it going.

Something You Must Know Before Any Dental Implant

A dental implant is an artificial tooth root that is placed by your surgeon into your jaw to hold a replacement tooth. Dental implants can be helpful option for people who have lost a tooth or teeth due to an injury or some periodontal disease.

Available Types Of Dental Implants:

There are two types of dental implants and you must have a brief knowledge about them before going for Low Cost Dental Implants.

Endosteal Dental Implants:

This is the most commonly used type of implant which actually goes inside the bone. The various types include screws, blades surgically placed into the bone of your jaw. Each implant holds one or more prosthetic teeth.

Sub periosteal Dental Implants:

These dental implants are placed on top of the jaw with the metal framework’s posts protruding through the gum holding the prosthesis teeth.

I would suggest for trying the services of Sachdeva Dental care instead of searching on Google. They are good in this work and even imparting training in several Dental Implant Courses.

Most of us also have this question before this kind of surgery. Am I a candidate for dental implant? Well, if you have lost your teeth then you are a candidate for this. Certainly good health is vital in this type of treatment too as there are few health conditions and diseases that can affect whether dental implants are right for you or not. If you are having uncontrolled diabetes, any sort of addiction, radiation to the jaws, uncontrolled periodontal disease and cancer may affect whether dental implants will fuse to your bone or not. Where and how such implants are placed requires a detailed assessment of your overall stomato-gnathic system within which the teeth function.componeers

This sort of surgery will yield to a great help for your smile if it is done by expert hands. I had shared about Best Dental Implant Delhi in this post. You should try them. Always remember, it is pretty necessary to let your dental surgeon know all about your past and present medical status along with all medications you are taking nowadays.

Reach us at +918527017175. We look forward to making you our next satisfied

We look forward to helping you upgrade your smile and your quality of life!

Dr. Rajat Sachdeva
Dr. Sachdeva’s Dental Aesthetic &Implant Centre
I – 101, Ashok Vihar,
New Delhi -110052
Mobile: +919818894041
Clinic: 011-42464041, +918527017175
http://www.sachdevadentalcare.com/