Unfortunately, there are situations of dental implant failure despite a high level of dental implant procedure, which require immediate decisions. This situation is not pleasant, but like everything in the world, it has its decision and, like everything in medicine, it raises the question why it has happened so. Therefore it is very important to find out all the reasons that could lead to this state in order to solve this situation as comfortable as possible for a patient and create all possibilities for a successful re-implantation.
What kind of reasons cause loss of osseointegration in 1-2% of patients? There are several reasons:
– the features of our organism: the exacerbation of chronic diseases which causes low immunity or metabolic disorders in the tissues and cells;
– anatomic features of the jaw bone or bone structure;
– the doctor’s mistake because of low level of professional skills, carelessness or lack of experience, treatment protocol violations or inflammation in the surrounding tissues;
– the wrong choice of implants: type and kind do not fit the clinical situation;
– overloading and jaw injury, which caused the displacement of an implant and inflammation of tissue in periimplant zone;
– improper care of teeth and implants and lack of oral hygiene;
– ignoring the doctor’s advice and self-treatment without prior consultation.
All these factors are predictable and they can not be allowed. The thorough preliminary examination conducted for this purpose helps to find out concomitant diseases, absolute and relative contraindications, which can lead to the implant failure. The whole procedure of dental implantation and dental prosthetic is carefully planned and simulated on the computer. All manufacturing companies of high-quality implants consider it necessary to organize lots of educational courses, seminars and trainings for implantologists to work with their products. All these conditions help to decrease the risk of rejection to a minimum, but some things we can not predict. What should we do in case of dental implant failure? Who makes the decision? And what kind of decision is it?
After a thorough and careful analysis and removal of all the possible reasons caused the dental implant failure, with consent of the patient, the reimplantation is performed in 8-9 months, if the treatment took place without any complications. In a situation when dental re-implantation is unacceptable it is necessary to use other techniques of restorative dentistry: to place a tooth-supported bridge, removable dentures or other dental designs offered by an orthopedist.
The implant failure symptoms – a strong pain, bleeding or other discharge from the implantation site, the swelling and discoloration of the gums, the rise of temperature. To avoid all of these symptoms, it is important to be constantly are under medical supervision of the attending dentist after the implant placement. At first, it is recommended more frequent visits to a dentist and then only 1-2 visits per year. It is necessary to avoid the rejection not only in the short- term period, but in the medium and long- term periods as well.