What are the possible problems with dental implants?
The dental implant has been the most promising tooth replacement solution for decades. It is most similar to natural teeth in functionality and appearance and dramatically improves the quality of life. Since they implant them in the tooth bone, like a natural tooth root, it can securely hold a crown, bridge, or even a set of teeth. There are two implant families in use in our country. One is the two-phase implant, and the other is the one-phase immediate loading implant. The title is a bit misleading since when the topic is possible problems with dental implants, in almost 99% of the cases, the problem is not with the implant itself! As with everything, there can be problems with implants, and it is essential to discuss them.
What are the causes of dental implant problems?
Experience shows that problems can arise in two main areas with dental implant-based tooth replacement. One is the implant itself, and the other is the bone tissue. We already pointed out that one source of the problem could be the implant material itself, but this happens so rarely that it can hardly measure in practice and is not essential.
The problems associated with implantation can be various. However, the most common is that the bone tissue considered suitable for implantation can still not safely hold the implant. To successfully implant a traditional, two-phase implant, it is essential to have an adequate amount and quality of dental bone. A so-called healing and ossification period is required after the tooth implantation for the implanted two-phase implant to remain stable during use. In most cases, this time is about five months.
In dentistry with a high-quality imaging system (CT, panoramic X-ray) and working with a highly experienced implantologist, mistakes during implantation occur very rarely. The reason for most of these errors is a poor assessment of the quality of the available bone tissue. Based on experience, we can say that with a one-phase implant, errors directly attributable to the implantation occur less frequently.
In this regard, the one-phase implant is also more advantageous than the two-phase one since it consists of a single piece and can be longer and thicker according to the current need, so the stability is less affected by the state of the bones. Fortunately, there are few known problems to worry about, but it is also true that possible issues with dental implants can occur.
Implant ossification problem during the healing period
Despite the overwhelmingly positive experiences, possible problems with dental implants and implant placement, in general, can rarely occur. It is a fact that healthy gums and bones are necessary to fix implants properly. Because if these conditions are missing, the implant cannot firmly fix the dental prosthesis. The two-phase implant is particularly delicate to implant in good-quality bone. For adequate stability, bone replacement may sometimes be necessary.
The lack of desirable ossification may be the implantation of the implant in the wrong place or insufficient bone density, which is also more sensitive to the two-phase, traditional implant. It also slows down or even prevents the ossification of the implant if the given bone tissue part is permanently damaged due to inflammation.
The so-called ossification during the healing process means the union of the bone and the implant, becoming one, which is necessary for the implant to fulfill its function, the safe holding, and the fixation of the artificial teeth. One of the most common is unsuccessful ossification. It occurs when, for some reason, an implant does not integrate, does not ossify, and therefore becomes loose or falls out.
Possible problems with dental implants later on
The human body undergoes an aging process over time, even though aging as such is not programmed into our genes. In practice, this is the most typical problem with dental implants. During the procedure, more and more cells become defective, which causes the body to age, including our bones. Osteoporosis, which mainly occurs at an older age, is known to everyone, which means the deterioration and loss of bone quality.
Osteoporosis does not avoid the dental bone either, which can negatively affect the implant’s stability. If the bone surrounding the implant begins to thin, it may lose its stability, negatively affecting the prosthesis’s strength. If there is no intervention and the quality of the bone continues to deteriorate, the implant may fall out.
Is there a solution?
Of course, there is, especially for a one-phase implant. One-phase, also known as immediate loading implant, is more advanced and has many positive features compared to the traditional two-phase one. If the problem described above occurs with this implant, it is replaceable with a thicker or longer implant belonging to the implant family. That not only avoids further surgical intervention and the implantation of a new implant in another place, but the replacement implant also fulfills its function perfectly. Another significant advantage of one-phase implants is that it minimizes the need for bone replacement.
From the article, we learned that the possible problems with dental implants are, first and foremost, not implant problems but an issue of the bone receiving the implant. Deterioration of bone quality affects both biphasic and monophasic implants, but when solving the problem, an immediate loading implant has definite advantages.
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