Complications of dental implants: implications
Complications of dental implants occur infrequently, modern technology well developed, and unpleasant symptoms may disturb the patients in very rare cases. Dental implant complications can be caused as a few days, and in a few years.
What reasons can cause complications
First, it can be individual characteristics of the patient. Second, the reason may be the insufficient examination of the body before implantation. Incorrect diagnosis, neglect of the contra-indications for surgical intervention. Thirdly, complications of dental implants can be related to the low professionalism of the doctor. Fourth, if the patient is not observed after implantation of the tooth recommendations given to him by a doctor.
Dental implantation is a small operation, which for the body in any case is the stress, and the response may be different. For example, if the patient has heart disease or high blood pressure, after manipulation can occur arrhythmia, pressure surges, poor health. Therefore, it is necessary to understand that any latent disease can cause complications after implantation. There are also risks of allergic reactions to drugs used in conducting dental procedures — anesthesia substances in the composition of crowns and stuff.
If before the manipulation implant is not performed an x-ray or CT, then this greatly complicates the work of the doctor. During the surgery may be nerve damage, and this will be known only after complications occur. The patient will come complaining of a sharp pain, swelling on the gums, etc.
Upon implantation of the dental implants in the wound can get infected. This can happen through the fault of the implant or if the patient is well enough to care for crowns. When this occurs the inflammation, which is accompanied by redness of the gums, pain, suppuration and produces an abscess, in this case, you may need to even remove imlant.
It happens that the implant is implanted in the thin bone, and then eventually the tooth becomes mobile. It can also be, if the expert chose the wrong angle and implant much pressure on the bone. The patient complains of aching pain, while the entire structure needs to be removed.
In the absence of proper experience and professional skills of the implant dentist can place the implant on the upper jaw, but do not build bone. In the case of the negligence of a rod can penetrate into the maxillary sinus and cause infection and sinusitis. Rarely, but it happens that the installation can negatively affect the jawbone, causing unpleasant effects of dental implants, if such a phenomenon occurs, the necessary complete removal of all structural elements.
Complications of surgery
Complications of dental implants is also sometimes found. Here again, much depends on qualification and professionalism of the doctor. Not enough experienced doctor can implant design on an insufficient depth or too overzealous and pierce the submandibular or nadalutti channels. During surgery can open up the bleeding, if the patient has poor blood clotting or the doctor accidentally broke the vessel. In the absence of x-rays, doctor is working almost blind and could hurt the nerve.
In some cases, the patient does not react to the anesthesia and feel pain through it. These problems can be a result of inexperience of the physician and improper behavior of the patient.
We should say that pain is inevitable as soon as the anesthesia, the place of manipulation will begin to hurt. The norm is, if the tooth aches for three days after the procedure was carried out implantation. The doctor warns about this and recommends a dose of painkillers. If pain persists, it may be formed of the inflammatory process or during the procedure was nerve damage.
Swelling is a normal reaction of the organism in tissue damage. The swelling appears a few hours after surgery, and if he disappears for weeks, then there is no danger. It is advisable to apply to the swelling cold. If after a week the swelling was not gone, presumably in tissue inflammation.
A little bleeding is acceptable and is the norm in the early days. In addition to the natural causes of bleeding, she could still be related to the fact that the patient takes drugs that impair blood clotting. But if the bleeding is strong or she does not stop for 10 days, probably when the manipulation was injured vessels, and there is a danger of occurrence of hematoma. One of the dangerous consequences of hematoma may be the formation of abscess.
In most cases after the operation the patient’s temperature rises, if it does not exceed the 37ºС and decreases after a couple of days, this phenomenon can be considered normal. This often happens during implantation of the canine.
In inflammatory process, the temperature will be higher and not subside in 2-3 days. Within a few hours after the manipulation is observed numbness is anesthesia.
But if after 5-7 hours the gum continues to be insensitive, then was injured the nerves, it often occurs during implantation of the teeth in the lower jaw, because there is the facial nerve. After injury the nerve heals very long, this might take several months.
During the operation, the doctor stitches that should hold soft tissue. If the patient notices that the integrity of the threads is damaged, it should immediately consult a doctor to prevent the joints opening.
The inflammatory process
If the inflammation occurs near a titanium «root» that is called periimplantitis. This complication occurs very rarely, the cause of his infection in the soft tissues. The complication may appear if:
- occurred injury to the walls of the nasal sinuses;
- hygiene is not observed in the wound closure;
- there are inflammatory processes in closely spaced teeth;
- the doctor chose the wrong crown;
- a patient is not caring for the oral cavity.
This raises the pain, the gums are red, swollen, numbness. You must contact your doctor to conduct a surgical treatment, otherwise the disease will become chronic and will eat away at the jaw bone.
Rejection of the implant.
If the doctor is experienced and the patient to responsibly perform all the recommendations, then such a pathology can not occur. The reasons for the rejection of the titanium rod following:
- trauma during surgery;
- accrued enough bone tissue;
- Smoking immediately after the procedure;
- exacerbation of chronic diseases;
- an allergic reaction to the material.
When rejection of the structure of the bone and gums ache, and the design shattered.
Basically, all the negative effects that may occur after implantatsii teeth — it is the fault of the patient. After all manipulation is complete, the doctor gives very detailed recommendations on nutrition, procedures on a daily basis should produce the patient, explains the nuances of medication. But not always, these recommendations are executed in a strict order.
For my own sake, the doctor recommends to get rid of such harmful habits as Smoking, or at least to refrain from it for 2 months. It is not recommended to eat spicy, bitter and sweet foods, as they can cause swelling and irritate the mucosa. Absolutely all viscous and solid products, the patient is forbidden to eat for 2 months after completion of all procedures.
It is very important to choose a good clinic and specialist. Competent doctor before implantation definitely explains all health problems that exist at the patient, he carefully examines the mouth and if necessary, makes cleaning of the teeth. The doctor must ask the patient to do x-rays of the jaw to determine bone thickness and its integrity. During all studies can detect contraindications to dental implantation. Tooth decay is one of the contraindications before you start the implantation, the physician needs to cure all the carious teeth.
After implantation need to take the painkillers that the doctor prescribed, and the necessary calcium, vitamins, the oral cavity need rinsing with an antiseptic. While the wound does not heal, you must eliminate all physical exertion and overheating, to keep the blood flows to the gums and cause its swelling.
Dental implantation is absolutely impossible to carry out if:
- the patient has impaired blood clotting;
- diabetes mellitus type 1;
- there are connective tissue pathologies;
- nervous diseases;
- malignant neoplasms;
- problems with the immune system;
- an open form of tuberculosis;
- hypertonicity of the masticatory muscles.
Not recommended for implantation, at least until persists a problem:
- carious cavity;
- inflammation in the gums;
- a large number of cigarettes smoked per day;
- defects of the jaw;
- in temporomandibular joint acute form of arthritis or arthritis.
Also with the operation should wait if the patient is exhausted. If vital signs have the patient take medications that affect blood clotting or can be a cause of poor wound healing, it is necessary to wait for the drugs may be discontinued. Is not necessary to carry out the operation if the patient has depression or chronic stress.