The removal of dental implants is a rather traumatic procedure that scares even those people who usually do not suffer from the fear of visiting the dentist by default. Patients are afraid of a whole list of possible side effects and serious consequences, such as the need to lose part of the bone.
But if it so happened that even a rooted implant cannot be removed, then it is better not to delay the procedure. According to statistics, the number of failed manipulations associated with the installation of dental substitutes is about 10%. This is a rather small percentage, which is due to a number of reasons, not always dependent on the victim himself.
Grounds for removal
According to all the same statistics, implant rejection in a natural way happens even less often – no more than 2% annually. All this happens within six months after admission to the dental office.
If this happens, then it is necessary to remove the damaged base immediately, since the risks of the inflammatory process are extremely high. It is able to affect not only the immediate area where the rod was introduced, but also the surrounding area, up to the provocation of decay of the bone structure of the oral cavity.
The easiest way to get rid of the structure is if it turned out to be movable. The doctor simply uses a technique that is used to extract a loose natural tooth.
But if the implant has managed to take root to the jawbone, then powerful local anesthesia will have to be used. For the success of the surgical intervention, the medical staff of the clinic must conduct an allergic test to eliminate the risks of anaphylactic shock.
After the extraction of the damaged material is completed, the hole formed in the bone tissue heals on its own. After a while, you can repeat the intervention to establish a more reliable design.
If we consider the main reasons for the need for removal, then osseointegration appears in the first place. It indicates that the system could not take root in the oral cavity and needs to be removed. Moreover, the probability of successful engraftment of a second implant is 99%. Most private clinics give a guarantee for their work for a year, so with classical osseointegration, redoing the work will be free of charge.
Other grounds for manipulation include:
- structure overload;
- inflammatory process of the type of periimlantitis or perimucositis;
- structural problems such as improper placement;
- expired replacement.
You should not assume that inflammation appears only during the first half of the year, which is considered the optimal period for engraftment. Sometimes a problem of this nature arises much later, which is often caused by a medical error. Another catalyst for the development of an unforeseen scenario is often non-compliance with medical recommendations in the period after surgery.
Separately, situations are considered that induce a quite high-quality-looking substitute to suddenly fail. The most common primary sources of this kind of difficulty are:
- exacerbation of a chronic disease;
- non-compliance with oral hygiene;
- non-compliance with the rules of the preparatory stage before surgery;
- unprofessionalism of the dentist;
- reduced immunity due to a severe illness or emotional overload;
- mechanical trauma to the jaw.
Experienced professionals say that most of the difficulties associated with improper dental implantation are rooted in medical errors. Only the doctors themselves are in no hurry to admit their mistakes, which are based on:
- using outdated or incorrect equipment;
- use of low-quality tools;
- incorrect localization of the dental artificial base;
- violation of the precepts of asepsis and antisepsis;
- ill-conceived planning of surgical intervention;
- lack of detailed information regarding the current state of health of the patient;
- ignoring some contraindications;
- low-grade implant;
- wrong treatment strategy.
Most often, the stumbling block is the use of blunt cutters or the abandonment of the cooling stage in order to save money. But it is the overheating of the bone structure that negatively affects the state of the surrounding tissue, provoking cell necrosis or the formation of fibrous tissue.
Anxiety symptoms
The first sign that something has gone wrong is the presence of pain in the supposedly affected area. No painkillers can cope with the relief of acute pain. You also need to pay attention to some other signs:
- swelling of the gums;
- purulent discharge emanating from the gums;
- bleeding.
If the victim has severe bleeding immediately after the operation, which cannot be stopped by standard means, then this is also an alarming bell for the dentist.
If you have at least one of these symptoms, you should immediately seek help at the place of intervention. The expert on site will decide to carry out the operation in reverse order to get rid of the problematic part. For this, the same local anesthesia is used as for the first time.
First, the master removes the crown, and then removes the interfering part from the jaw. In addition to providing emergency assistance, the doctor is obliged to eliminate the primary source, which became the impetus for the development of osseointegration. To do this, treatment is prescribed individually, based on specific indications based on the thematic results of the analysis.
The victim will only have to strictly follow the medical instructions in order to avoid the negative consequences of operational alteration. It is about proper oral care on an ongoing basis.
To minimize the risks of possible rejection, the patient undergoes a series of tests before the operation. They allow you to nullify the risks of malignant neoplasms in the specified area. If you do not pay attention to the tumor next to the future artificial tooth, then this leads to osseointegration with almost a XNUMX% guarantee. Such categoricalness is explained by the need to conduct chemical irradiation for a patient who will undergo a therapeutic course in an oncological dispensary. With a decrease in bone reparative processes, the implant will definitely not take root, which will require reimplantation with subsequent prosthetics.
Another risk factor is the establishment of braces. The procedure itself in orthodontics is useful, but not when bone grafting is involved along the way. If you do not remove the braces at the time of installation of a new tooth, then the titanium rod was squeezed by two adjacent teeth. This provokes rejection. To redo the work, you still have to remove the braces, so it’s best to do it right away.
When to remove the implant, and when can it be kept?
When the inflammatory process is already running, then the urgent intervention of the surgeon is indispensable. If you do not provide qualified assistance in the first two weeks after the onset of the spread of inflammation, then the implant will definitely have to be pulled back.
If a decision has already been made about the need to get rid of an implant that has become unnecessary, it should not be delayed. If you start to time, then you can hold out until the complete and irreversible destruction of the jawbone area. This indicates that re-engraftment will be at risk even with highly skilled bone grafting.
It is also worth remembering that when the error correction is delayed, the recovery period increases. In especially advanced cases, it can stretch even for a couple of years.
After detecting deviations in the functioning of the implant, or with a strong painful syndrome in the indicated area, you should contact the same clinic where the primary operation was performed. They are not only obliged to remove the problematic part for free, but also provide related services up to re-installation. Moreover, the local dentist already knows the characteristics of the organism of his ward.