Periimplantit – a complication after implantation of teeth

07-09-2009

Dental implant failure associated with multiple factors. They include as an integral component of the implant and surrounding tissue structures.

The need for corrective procedures are often determined in the process of clinical evaluation of dental status in patients with dental implants at:
mobility of the prosthetic design drawing on the implant;
mobility of the artificial support;
traumatic occlusion;
broken or lost components of the dental implant;
inflammation / infection;
progressive loss of hard and soft tissues around the implant;
presence of pain;
neuropathy / paresthesia.

Unsatisfactory response to conduct corrective action increases the risk of breakage of prostheses and / or removal of implants.

Failures when using the method, unfortunately, quite common and occur more frequently than to talk about them, let alone take them into account when evaluating the results of treatment. This circumstance makes the doctors look for new, often overseas and on the expensive implantation systems to improve the efficiency of the method of dental implantation, sometimes without realizing that the key to understanding the processes of healing, adaptation and operation of artificial support in the oral cavity is in the current knowledge anatomy, morphology, biology and physiology of tissue structures surrounding the implant.

In the period during which there is engraftment of the implant, the most frequent complication is inflammation of the surrounding tissue, called «periimplantit».

For successful treatment periimplantita, in our opinion, management should implement the following activities:
Surgical benefits, aimed at the elimination of the inflammatory process.
Active impact on the microflora periimplantatnoy zone.
Physiotherapeutic impact, cupping promotes inflammation and optimize regeneration of damaged tissues.
Overall antibiotic therapy.
The reduction of bone resorption and its prevention in periimplantatnoy zone.
Local hygienic measures to prevent recurrence of inflammation.

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