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Implant placement with gum disease
مقاله تخصصی

Implant placement with gum disease

3 months ago
487 بازدید
Dr. Mehsa Ensi

Dr. Mehsa Ensi

Tehran

Specialist in gum surgery - implant

**Implant planting** is a special challenge for patients with gum disease, because gum inflammation and infection increases the risk of implant failure.. Gum diseases, especially periodontitis (severe inflammation of the gums), cause bone loss and damage to the tooth-supporting tissues, which may affect the success of the implant. It must remain healthy. We state the successful outcome of the implant so that you can proceed with full knowledge of the implant procedure... Is it possible to implant an implant if there is gum disease? Yes, but it depends on the severity of the gum disease and the amount of jaw bone loss. There are some that should be checked.... Gum disease warning signs before gum implants.. Periodontal disease can cause inflammation, gingivitis and eventually tooth loss.. For prevention and implant placement, see your dentist as soon as you notice any of the following symptoms: - Inflamed, red or swollen gums Bleeding while brushing or flossing - Loose teeth or space between them - Persistence of bad smell or unpleasant taste in the mouth > Read more: price of implant with cover The effect of gum disease on installed implants Gum disease, especially periodontitis, seriously affects the success of dental implants... Since dental implants need a healthy environment for osseointegration, gum disease disrupts this process... #### 1... Increased risk of infection (peri-implantitis) Gum disease, especially if left untreated, causes inflammation in the tissues around the implant... This inflammation, known as peri-implantitis, leads to bone loss around the implant and may eventually cause the implant to fail. - Gum inflammation and redness around the implant - Bleeding when brushing or touching the implant - Pus discharge from the implant site - Pain and feeling of loosening of the implant #### 2.... Reducing the welding process of the implant to the bone (Osseointegration Failure): Dental implants must be welded to the jaw bone within a few months after implantation... Gum disease can cause: (complete implant welding tips you need to know) - Impaired new bone formation around the implant.... - Decreased stability of the implant due to loss of jaw bone.... - Increased risk of implant rejection due to infection or lack of proper connection.... In case of gingivitis, the body cannot adapt well to the implant and the implant may loosen and fall out after a short time.. Advanced gum disease (periodontitis), the bone that holds the tooth or implant gradually It gets worse.. If this disease is not treated, there is not enough bone left to hold the implant and the implant may: - Be loose and move.... - Need for more complex care such as bone grafting.... - Causing severe pain and discomfort in the surgical area....> When do you need bone grafting in a dental implant?... #### 4.... Increasing recovery time and causing problems in gum repair Healthy gums after implant placement play an important role in the healing process... If gum disease is not controlled, it is possible: (Also read: Dental implant duration) - The gum recovery time increases after surgery.... - The implant fuses to the bone later.... - The gum does not adhere well to the abutment (implant base), which can lead to infection.... #### 5.... The possibility of implant rejection and the need for retreatment In patients with gum disease, the probability of implant rejection is higher.... In this condition, the patient may: - The need to remove the implant and perform repeated treatments.... - He has to wait longer to replant the implant.... - To correct the damage caused by gum disease, he needs a bone and gum transplant.... > Read more: Do you know the cause and symptoms of implant rejection?... ### What to do in case of gum disease?.. If a person suffers from gum disease and intends to implant an implant, he must go through certain steps to ensure the success of the treatment and prevent further complications.. In the following, the necessary steps are explained in order: #### 1 .... Examination and initial assessment of gum and jaw bone health In the first step, the dentist or implant specialist examines the condition of the gums and jaw bone. This examination includes: - Clinical examination to evaluate the level of inflammation and gingivitis - Panoramic radiography or CBCT to see the extent of jaw bone degeneration - Examining the level of infection and the depth of gum pockets (using a periodontal probe) - Diagnostic tests are performed to check the strength of the bone and the condition of the soft tissue.... If the jawbone is severely depleted, a bone graft may be needed... #### 2... Treatment of gum disease before implant implantation... If the patient has gingivitis (mild inflammation of the gums), he can improve the condition of the gums and maintain his condition after time passes... Implant... But in periodontitis (advanced gum disease), treatment It is more complex and includes the following: - Scaling and root exfoliation: to clean infection and bacteria under the gum line - **Gum flap surgery:** In severe cases, it is used to remove infected tissues and modify the shape of the gum... - **Gum graft or soft tissue graft:** If the gum is too weak, gum graft is used for restoration... - **Drug therapy:** Local or oral antibiotics may be prescribed to reduce the infection... > Note: As long as the gum disease is completely under control, in the absence of implantation, it is possible to implant There is no implant... #ja#### Gum disease often causes the loss of jaw bone... Since the implant needs strong bone to last, if there is no bone density, bone grafting will be necessary... #### 4... Implant implantation and ossification process After bone preparation and control of gum disease, the stage of implant implantation begins... #### 5... Implant base surgery: The implant (titanium screw) is placed inside the jaw bone... #### 6.... The process of fusion of the implant to the bone (Osseointegration): It takes about 3 to 6 months for the bone around the implant to grow and keep it strong. During this time, the patient must take special care of the gums and the implant to prevent infection. ### Bone strengthening methods for successful implant placement - **Bone grafting:** If the bone volume is not enough, artificial materials, the patient's own bone or other sources are used to strengthen the jaw bone.. This process takes between 3 and 6 months to prepare the bone for implant placement... implants) or angled implants: ** In cases where the patient does not wish to have a shorter design graft, a shorter design graft may be used.. Tooth loss after gingivitis Loss of gum and bone is one of the most important challenges that can complicate the process of replacing lost teeth.. Since teeth are supported by the jaw bone and gum tissue, the loss of these structures can affect the success of tooth replacement methods. One of the best ways to replace lost teeth is dental implants... but this method requires healthy bone and gum tissue. In patients who suffer from gum and bone loss, bone grafting or gum grafting is usually done before implant implantation to create a suitable substrate for implant implantation. to have.. link, Shorter or angled implants are used that do not require a lot of bone... Although this method is very durable and natural, it is more expensive than other options and the treatment process may take several months... (Also read to learn more about gum disease) ### Removable dental prostheses (complete or partial artificial teeth) If a patient cannot use an implant due to excessive gum and bone loss, removable dentures are a good option. These dentures are designed in both full (for patients who have lost all of their teeth) and partial (for those who still have some of their natural teeth). ### Dental bridge If the patient has lost several teeth but his jawbone and gums are still in acceptable condition, dental bridge can be a suitable option.. In this method, artificial teeth are placed on the adjacent natural teeth and used as a base. To avoid this problem, some patients use implant-based bridges, which do not require the shaving of healthy teeth, but the cost is more than a normal bridge... ### New methods such as All-on-4 and All-on-6 For patients who have lost a large number of teeth and suffered from gum and bone loss, new methods such as All-on-4 and All-on-6 implants are offered as a suitable alternative to removable artificial teeth. In these methods, instead of using one implant for each tooth, a hand full of artificial teeth is placed on 4 or 6 implants in each jaw, and this technique does not need to increase the ability of bone grafting in many cases. tooth.. and creates a function similar to natural teeth... > Read more: Comparison of dental bridge and implant Of course, the high cost of this method is one of its main challenges, and due to the need for specialized surgeries, it must be performed by experienced dentists. Gum disease threatens the health of the tissue around the implant... if the gum becomes inflamed or infected; The bone supporting the implant and the adjacent teeth may be damaged... Gum tissue analysis Even if the implant itself is healthy and fused with the bone, the area around the implant causes loosening, loss of stability and aesthetic problems in the implant... Regular care and control of gum disease is necessary for the durability of the implant. ####
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