The success of implant treatment is 98-99%, which means that from 1000 implants only a few for one reason or another do not survive. It should be noted that to get into these few is not easy, especially being healthy, responsible and avoiding harmful habits. Besides, speaking about survival rate as about osseointegration failure, you should know that it is possible only immediately after implantation. When it comes to problems with implant survival in more distant from the surgery period, in this case it is referred to an independent disease, which is called periimplantitis. Thus, if complications arise in some time after implant placing and cause its loss, it is often associated with inflammatory disease surrounding the implant tissues.
Periimplantitis is the most serious complication of implantation, which is occurred by inflammation around the implant soft tissues with a gradual decrease in its volume and the decrease of tightness of fitting to implant. The main symptoms for the first time will be pain and redness of the gum tissue with a gradual increase in intensity and later swelling. After redness and swelling, the formation of “pockets” or “gap” is possible between the soft tissue and the implant, and therefore, it becomes movable and it must be removed with a subsequent treatment. In some cases, it can be abscess and bleeding. Why is it happening?
The main reason that causes periimplantitis is a bacterial infection that can get into the socket during the surgery or after it. Therefore all aseptic and antiseptic activities are very important during any dental procedures. Immunity of the patient can be low either, which can cause unexpected inflammation, despite keeping all rules of sterilization and disinfection. In order to avoid it, the preparation for implantation is made in the form of a thorough preliminary examination, including the immune status of the patient.
The other reasons are the lack of a serious attitude towards oral hygiene after surgery, damage or shifting of the implant due to excessive loading or injury, hematoma formation under the graft or too loose implant site that gives high probability to the penetration of bacteria. Actually, all this can be easily avoided, as such complications happen very rarely. The quality of the implants, the professionalism of the doctor, the patient’s responsibility create all conditions for a successful process of restoring a beautiful smile and maintaining health.
Periimplantitis always requires treatment. It is necessary to remove surgically the source of infection, to antiseptisize, to have physiotherapeutic and antibiotics treatments, to rinse carefully out the mouth and use other methods of oral cavity sanation.
As you know forewarned is forearmed! Please pay attention to this indeed rare complication and be sure that coming down to the question of implantation with all responsibility you will have the whole arsenal of a successful recovery of a smile, which modern dental implantation can offer, you only need to be more attentive to your health.