A complete guide to dental implant complications

A complete guide to dental implant complications

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Complete guide to dental implant complications

from East Star Writers Team / July 26, 1404

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This article has been reviewed and approved by a medical professional.

Dr. Shima Borji implant specialist

Dental implant is one of the most reliable methods to replace lost teeth; But like any surgical treatment, it is not without the possibility of complications. Many complications of dental implants are mild and temporary, but others can be more serious and require specialized treatment.

In this article, we answer the question of what are the complications of dental implants, what factors contribute to their occurrence, and how they can be prevented or treated.

Common and temporary side effects Dental implant

Many people who have dental implants may experience symptoms in the first days, which are usually normal and temporary. Recognizing these complications reduces worry and their better management.

Pain and discomfort after surgery

Feeling pain after implant placement is a normal thing. This pain is usually felt more in the first 2-3 days and gradually decreases. The pain may be throbbing in the surgical area or around the jaw. Using painkillers prescribed by the dentist, avoiding chewing hard foods and getting enough rest can help reduce pain.

Swelling and bruising

Swelling around the cheek or gums in the implant area is one of the body's common reactions to surgery. In some people, bruising may also appear, which is mostly seen in the skin of the lower jaw or cheek area.

The reason for this is damage to soft tissues and increased blood flow at the surgical site, and usually it can last for 3 to 5 days. Using a cold compress during the first 24 hours and then a warm compress in the following days, according to the doctor's order, helps to reduce swelling and bruising.

Mild bleeding

In the first few hours after surgery, blood or secretions may come out from the implant site. This situation is normal as long as it is limited and controllable. Applying sterile gauze to the site and gentle pressure with the mouth closed, avoiding vigorous mouth washing or sucking water can help stop bleeding. If the bleeding continues, it is necessary to contact the dentist.

Rare and more serious dental implant complications

Some dental implant complications occur rarely; But if they are not controlled, they can threaten the health of the implant and surrounding tissues. Familiarity with these cases helps in early diagnosis and timely action.

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Implant infection (pre-implantitis)

One of the most serious complications of dental implants is infection around the implant or pre-implantitis. This inflammation may occur in the soft tissue or bone around the implant screw.

  • Symptoms: constant pain, swelling of the gums, redness, bleeding or purulent discharge
  • Causes: poor oral hygiene, smoking, gum disease, weak immune system
  • Treatment: professional cleaning, antibiotic use or in advanced cases, corrective surgery

damage to Nerve

If an implant is placed near the nerves of the jaw (especially in the lower jaw), there is a possibility of nerve damage.

  • Symptoms: numbness or tingling in the lips, chin or tongue, constant pain
  • Prevention: careful examination of the radiology photo and choosing the right angle and depth for implantation
  • Treatment: in case of damage, sometimes re-neurosurgery or drug therapy to restore function is suggested

Failure of the implant to fuse with the bone (implant failure)

For the success of the implant, the titanium base must be completely connected to the jaw bone. This process, known as osseointegration, means a direct and stable connection between the surface of the implant and the living tissue of the bone; Without there being an intermediate tissue between them. This bond is the basis for the durability and long-term performance of the implant. In some cases, this connection is not established or remains incomplete, and as a result, the dental implant fails functionally.

  • Causes: low bone density, smoking, infection, uncontrolled diabetes
  • Solution: removal of the implant, bone regeneration and reimplantation after healing

Complications associated with bone grafting Dental implant

In patients who do not have enough jaw bone, bone grafting is done before the implant. This operation can also have certain complications.

  • Possible side effects: pain, inflammation, bleeding, non-union of the graft or tissue retraction
  • Effective measures: choosing an experienced surgeon and strict adherence to post-surgery care

Implant loosening or falling out

Even after successful fusion, excessive pressure or diseases around the gums can cause The implant becomes loose.

  • Reasons: high pressure while chewing, grinding teeth, gingivitis
  • Necessary measures: immediate examination, examination of the surrounding bone, possibility of implant replacement

implant fracture or cover

Implants are made of resistant alloys such as titanium and usually perform well against the natural pressures of chewing. However, in cases such as teeth grinding, direct impact or improper design of the cover, there is a possibility of cracking or failure of the implant components.

  • Solution: replace the cover in case of failure of the crown part; And if the base is damaged, consider the option of replanting after evaluating the jaw bone

Gum receding around the implant

One of the cosmetic and functional side effects of the dental implant is the decay of the gum tissue around the base. This issue causes the metal part of the implant to be exposed and in some cases, sensitivity or chronic inflammation.

  • Reasons: Chronic inflammation due to mild infection, inappropriate mechanical pressure or improper placement of the implant
  • Treatment: soft tissue grafting or corrective surgery to reconstruct the gum line and protect the base

Allergic reactions

Since the implants are made of biocompatible materials In very rare cases, the body may react to titanium or other alloy compounds. These reactions can be chronic, mild or delayed.

  • Symptoms: inflammation without a clear cause, burning or itching sensation, chronic pain in the implant area
  • Solution: checking metal sensitivity before implantation, using zirconia or ceramic implants in susceptible patients

Sinus problems

In implanting implants in the posterior areas of the upper jaw, if the bone thickness is sufficient If not, there is a possibility of penetration of the base into the sinus cavity. This can cause dysfunction of the sinuses and chronic discomfort.

  • Symptoms: Sinus headaches, feeling of fullness in the face, sinus inflammation and nasal congestion
  • Treatment: performing sinus lift surgery before implanting or removing the implant in advanced cases

Ear pain after implant

Some patients after implant implant, especially in the jaw Down, they experience pain or pressure in the ear area. This pain is often of dental or nerve origin and may be related to inflammation around the implant.

  • Causes: stimulation of the maxillary nerve, soft tissue inflammation, sinus communication in the upper jaw
  • Management: expert examination of the implant condition, use of anti-inflammatory drugs and, if necessary, diagnostic imaging

Implant

In many cases, the causes of dental implant complications go back to individual conditions or the surgical process. In this section, we examine the most important factors.

General health of the patient

Underlying diseases such as uncontrolled diabetes, immune system problems, or the use of certain medications can disrupt the healing process of the wound and connecting the implant to the bone.

Patient habits

Behavior such as smoking, excessive alcohol consumption, or teeth grinding are among the most important factors that have a negative impact on The gum and bone surrounding the implant increase the possibility of inflammation or bone loss.

Quality and quantity of jawbone

Insufficient density or improper shape of the jawbone may prevent the implant base from welding properly. In such situations, there is usually a need for bone grafting for the implant to find the necessary stability.

Expertise and experience of the dentist

Surgical errors such as improper angle, penetration into the sinus or excessive pressure on the base, are often caused by the lack of sufficient skill of the dentist. It is exposed to the risk of infection or receding gums. Daily implant care plays an important role in its success and long-term durability.

Tooth

Although some complications of dental implant implantation seem inevitable; But by observing a few key principles, the probability of their occurrence can be greatly reduced.

Choosing an expert and experienced dentist

The most important decision before starting the treatment is choosing a dentist who has enough skills, experience and expertise in the field of implants. Referring to the best implant specialist in East Tehran not only reduces the possibility of surgical complications; Rather, it will guarantee the quality and durability of the implant.

Full assessment of the patient's health before surgery

A detailed examination of the general health status, jaw bone conditions, history of diseases and medications taken should be done and presented to the doctor before any procedure.

Leaving harmful habits

To increase the chance of implant success, it is better for the patient to stop smoking and limit alcohol consumption at least some time before the surgery. These simple changes speed up the healing process and reduce the possibility of infection.

Careful oral hygiene

Daily brushing, flossing, and antibacterial mouthwashes are essential for implant care. Keeping the implant area clean is the best defense against infection and gingivitis.

Regular visits to the dentist

Periodical examination of the condition of the implant, gums and surrounding bone is essential for post-treatment care. These regular visits allow any change or possible problem to be identified and treated in the early stages.

Ways to diagnose and treat implant complications

If a problem occurs, quick diagnosis and timely treatment will prevent more serious injuries.

Warning signs of implant complications

Abnormal pain, swelling, continuous bleeding, loosening of the base or bad breath can be a sign of the beginning. are a complication and should not be ignored.

Diagnostic methods of implant complications

For detailed investigation, oral examination, three-dimensional imaging (CBCT) and sometimes basic movement test are used to evaluate the state of the gums, bone and implant connection.

Treatment options

Depending on the severity of the problem, treatment can include medication, specialized cleaning, or in more serious cases, Corrective surgery or implant removal and reimplantation.

Frequently asked questions about dental implant complications

Does tooth decay occur after the implant?

No; The base of the implant is made of metal or ceramic and is resistant to decay.

Do dental implants cause cancer?

There is no valid scientific evidence that shows that dental implants cause cancer.

Doing an implant at an implant center in East Tehran

Choosing a specialized implant center in East Tehran plays an important role in reducing complications and increasing the success of treatment. These centers provide safe and reliable conditions for patients with the presence of experienced specialists, modern equipment and the possibility of installment implants.

Conclusion

Dental implants are a safe, durable and effective way to replace lost teeth. However, being aware of the dental implant side effects and the effective factors in their occurrence will help you to enter the treatment path with full preparation. Observing oral hygiene, choosing a specialist dentist, checking the general condition of the body and adhering to post-surgery care are the most important steps for success in this path.

If you have any questions or are worried about dental implants and its complications, contact Setera Sharq Tehran Clinic right now and make an appointment for expert advice or booking. An informed decision can save your smile for years.

Last updated on 27 July 1404 by East Star Writers Team

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