24.04.2019

Dental implantation is a risk of “losing face.” Is it worth getting a dental implant?

Despite the “horror stories” still circulating among people regarding dental implantation (they say that it is terribly harmful and there are many contraindications for it), today the installation of implants can be considered an even less traumatic procedure than, for example, the removal of complex wisdom teeth. That is, relatively speaking, in 95% of cases there is no talk of any terrible torment or “harshness”: modern dental implants are installed relatively painlessly, do not cause harm to the human body and can last for decades, as evidenced by numerous reviews from both doctors and and grateful patients.

However, why then is the installation of implants considered by some people to be harmful and dangerous to health - after all, this attitude probably arose for a reason?

Indeed, dental implantation, being essentially a surgical operation, in some cases sometimes involves quite complex, traumatic and lengthy manipulations by a dental surgeon (implantologist). As with any operation, not everything always goes smoothly - various complications and not very pleasant consequences are quite possible.

In addition, there are certain contraindications to the installation of implants and a list of diseases, without taking into account the presence of which implantation can have a negative impact both on the general condition of the body during and after implantation, and on the installed dental implants themselves (inflammation and suppuration in the area of the installed implants, their mobility, rejection and others harmful effects). Reviews of this kind, which are sometimes found on popular forums, precisely support the popular opinion about dental implantation as a harmful and very dangerous procedure for health.

About whether the installation of dental implants is really a harmful procedure, what unpleasant consequences at the same time, it can be observed what problems can occur due to the fault of the patient himself and due to the fault of the doctor - we will talk about all this further and in more detail...

“I want to tell everyone my story so that no one else ends up in the same situation. difficult situation by my own stupidity. About 3 years ago I wanted to get implants because I had nothing to chew and I didn’t want to wear false jaws like my grandma’s. During that period I grew malignant tumor in the jaw, but small in size, so I was actively treated at my own expense at the oncology center.

I understood perfectly well that my tumor could scare off the doctor, and there was no reason for me to walk around with dentures, so I didn’t say anything about my illness. The implants were placed quickly, all that was left was to wait for them to take root. At that time I was just taking a course radiation therapy, but they irradiated the place where there were several implants. Most of the screws came off. Later they explained to me that it was necessary to immediately say what and how it really was: the rays disrupt the process of fusion of bone with metal. In general, they told me that I had screwed up myself, and (naturally) they redid everything at my own expense. It took a whole year for my dentist and oncologist to work together to solve the problem with the new teeth. In short, I warn everyone: it’s better to immediately tell the doctor everything as it is, otherwise it will turn out either like mine or even worse. Don’t risk your health!”

Victoria, Moscow, 47 years old.

Five fictional horror stories about implants

If an unprepared person reads some, to put it mildly, not very professional articles on pseudo-dental sites, as well as reviews and discussions on forums, he may be horrified by the information, which in its essence is often far from medicine. Cases where unsuccessfully placed dental implants caused harm to the patient’s health are often described in a grotesque form, and there are also speculations and fears presented as truth.

In general, people who have not yet become happy owners of implants, but are just thinking about it, may be afraid to go to a dentist-implantologist even just for a consultation.

Let's look at 5 famous horror stories on this topic.

Myth #1: Dental implants can be “wrapped” so that they damage the orbit of the eye.

In fact, it is impossible to damage the orbit of the eye with dental implants for a number of reasons: the controlled length of the implants, monitoring the distance to important structures of the maxillofacial area using images, the experience and common sense of the doctor, etc.

Meanwhile, there are indeed rare cases of damage to maxillofacial structures close to the implantation zone. According to statistics, the following complications can be distinguished by frequency of occurrence:

Damage to the maxillary sinus;
Violation mandibular nerve;
Exit of the implant into the sublingual space;
Exit of the implant into the nasal cavity.

Each of these complications during implantation is rare, with the first place in occurrence of the three being “penetration” of the implant into the maxillary sinus. Currently, such cases are becoming less and less due to careful monitoring and control of the distance of the maxillary sinus using digital images in different projections, as well as due to the wide possibilities for building up additional bone (sinus lift). All this is used by professional dentists as part of prevention possible complications.

“I had an implant installed in Simferopol and was quite pleased. The most important thing is that nothing came out of the nose, like others, it’s not running, the lips and cheeks are not swollen, like a hamster, and the mood is good. It’s been 7 days since the screws were inserted, and I’m fine, although I thought it would hurt a lot. The only thing that was stressful was taking tests and the long preparation for implantation. I can say right away that I was lucky with the dentist, as he explained everything to me clearly, how and what would happen. That it depends not only on him how the implants will behave in the future, but also on my good behavior.

In general, guys, don’t be afraid - it’s not scary. The main thing is to find out thoroughly about the clinic and the doctor who implants implants in the jaw, do not sign anything if you have not read it in detail, find out about the guarantees in advance. They gave me a contract with a guarantee, so I can sleep peacefully. You just need to clean it all well and regularly, otherwise it will fly out in a few months along with the jaw to such and such a mother.”

Sergey, Simferopol

Myth No. 2: Dental implantation is always painful

In terms of anesthesia, the implantation process is almost no different from pain relief during tooth extraction, with the exception that in some cases a gradual “freezing” (local anesthesia) of different areas of the jaw is required. Modern level anesthetics allows you to individually select a drug suitable for each specific person, as well as administer anesthesia in various, most adapted ways to achieve 100% pain relief. Fortunately, such options, especially within large dental clinics, a lot.

In fact, most reviews indicate that the installation of implants takes place without much pain.

If there are contraindications to local anesthesia and (or) indications for anesthesia, then implantation is performed with loss of consciousness. The most important advantage in this case is that with such an operation it is possible to give a full guarantee that when installing implants during sleep, the patient will not feel any pain or any unpleasant emotions associated with the type of dental instruments (some sensitive people are afraid not only of pain, but but also the type of blood, instruments, as well as unpleasant sounds - drilling, crunching, etc.).

On a note

Under local anesthesia there is no pain in approximately 95-98% of cases, since one should take into account not only the professionalism of the doctor and the level of the clinic, but also anatomical features human jaws, individual characteristics of the nervous system, as well as some associated factors(alcohol, drugs, stress, panic fears, current reception medicines etc.).

Myth No. 3: Dental implants are always installed under anesthesia, and anesthesia is harmful to the brain

In practice, the situation is like this: the installation of dental implants is most often carried out under local anesthesia, when the person is conscious from the beginning to the end of the procedure and can directly or indirectly control the situation. Narcosis is good alternative in cases where local anesthesia either does not produce results or can even cause harm to the patient during the installation of dental implants due to contraindications to it.

In cases where a person, on a whim, insists on anesthesia, hiding his current illnesses from the doctor, the consequences can be very different, including very harmful to health and even life-threatening. Be that as it may, a highly professional doctor will do everything in his power to prevent possible problems and choose the appropriate tactics regarding anesthesia - it is only important to cooperate with the doctor, without concealing information about your health from him, no matter how insignificant it may seem to you .

There is an opinion that anesthesia causes significant damage to the brain, impairs memory and generally reduces intellectual abilities person. And although you can indeed find many similar reviews on the Internet, most experts consider horror stories about the dangers of anesthesia to be nothing more than a myth.

“I’ll share my personal experience. I underwent four operations on internal organs, all of them were performed under general anesthesia. After all this, my memory often began to fail me, I became very forgetful. Sometimes memory lapses happen altogether. I also began to suffer from frequent headaches.”

Oksana M., St. Petersburg

Doctor's review:

“As a person who uses anesthesia up to 5 times a day, I can say that it does not affect the brain, even if old age do. Yes, such patients sometimes experience an exacerbation of encephalopathy after anesthesia, but this goes away after about a week. In general, there are no drugs that we use that would lead to any irreversible changes in the functioning of the brain. So the damage from anesthesia occurs more on the liver and kidneys than on the brain, but the body quickly copes with this too.”

Sergey, Moscow.

Myth No. 4: after implantation, the gums always hurt for a long time, the cheek swells, and blood flows from the mouth for a long time.

In the first hours after the installation of implants, when the effect of the anesthetic wears off, a painful reaction and discomfort are indeed possible. Slight swelling and minor bleeding may also occur. To reduce the severity of these consequences, an experienced implantologist always prescribes a set of drugs that eliminate or reduce the body’s response to a traumatic factor.

In rare cases, there may be prolonged pain, significant swelling and bleeding, which with associated additional features(fever, prolonged numbness of the jaw, suppuration from the gums, bad smell from the mouth, etc.) is a dangerous complication, quite likely associated with the doctor’s incorrect tactics. By contacting your doctor in time, you can almost always quickly solve the problem, avoiding further harm to health in case of problems with the installed implant.

Myth #5: Implants sometimes fail, and when they fail, jaw gangrene occurs.

In fact, even if the implant was installed incorrectly and the doctor made many mistakes, gangrene of the jaw does not develop. In the worst case, inflammation and suppuration occurs in the implantation area, the implant becomes mobile and is rejected. It is impossible not to notice this, and pain in the early stages will simply force the patient to turn to the dentist again.

The photo below shows implants removed from the jaw:

In those few situations when, for some reason, whether or not dependent on the doctor, implants installed in the jaw are rejected, a banal loss occurs. bone tissue. Such bone loss can later be quite easily compensated for by its artificial restoration using a bone graft.

If you analyze popular reviews on the Internet about dental implants, you can be convinced that sometimes minor complications that arise do not harm a person’s health and are easily overcome by the body’s forces against the background recommended by an implantologist. drug therapy. Here is an example of such a review:

“...Two months ago, after installing the implants, I had the following complication: the gum next to one of the implants was very swollen, so that my cheek actually puffed out. I went back to the clinic. There they opened my gums and did a cleaning and prescribed rinses. Now, thank God, everything is fine! The new teeth have already taken root and I no longer feel any problems.”

Veronica, Neftegorsk

When implants are not necessary at all: absolute contraindications to implantation

Any surgical intervention has its limitations, and in this regard, dental implantation is no exception. Meanwhile, there is no consensus regarding the exact list of diseases that determine contraindications to the installation of implants.

Firstly, this is due to the fact that all contraindications are divided into relative (surmountable under certain conditions) and absolute. Secondly, due to the fact that modern medicine does not stand still, every year the indications for implantation are expanding, and those contraindications, ignoring which previously could directly or indirectly harm health during and after the installation of implants, are today overcome with the help latest technologies and drugs.

Today, most experts are of the opinion that dental implantation is not recommended for:

Severe diseases of the cardiovascular, endocrine and nervous systems;
The presence of malignant tumors;
Certain blood diseases;
Chronic renal and liver failure;
Allergies to local and general anesthesia drugs;
Chronic alcoholism and drug addiction.

For example, under certain conditions, the installation of implants is possible in the following cases:

In old age;
In case of diabetes mellitus type 2 (sometimes type 1) in the stage of compensation without impairment metabolic processes in bone tissue;
After suffering heart attacks and strokes;
When using a pacemaker;
After oncology;
For smokers.

There are two main reasons that force a doctor to refuse implantation:

Acute and/or severe forms diseases, especially in decompensated form;
And also when serious violations tissue regeneration.

However, this also does not mean that the installation of implants will be put to rest forever. For example, ARVI, an acute respiratory viral infection, at the height of the disease will be a contraindication to dental implantation. And this is quite obvious: against the background of reduced immunity, high fever, runny nose, cough and sore throat, it is impossible to carry out high-quality implantation, since this high probability may have a negative impact on the already unsatisfactory condition of the patient. However, already 1-2 weeks after recovery, the installation of implants can be carried out without any harm to health.

As for tissue regeneration disorders, this affects, first of all, the possibility of integration (engraftment) of the implant into the bone. There are often situations when this possibility tends to zero. For example, if a person undergoes radiation therapy for oncology in the maxillofacial area, the regeneration of bone tissue in the implantation zone will be impaired, so the implants are almost 100% likely to be rejected in the near future after their installation.

“They planned to have implants inserted up and down + also to have my gums corrected, since after my teeth were removed, my wounds healed very unevenly due to suppuration. In short, they will insert four implants at the top and the same number at the bottom. I’m a little afraid, although the operation will take place under anesthesia, so I’ll sleep and not think about anything. The only bad thing is that I have type 2 diabetes and my blood sugar sometimes goes over 20, which can affect how the implants heal. But my doctors reassured me and told me not to be afraid: I was not the first one with such a disease. Let’s hope everything goes 5+!”

Elena, Moscow

Dental implantation and pregnancy

Some experts speak out against dental implantation during pregnancy, since the process of installing dental implants can, with a certain probability, cause harm to the expectant mother, and through her condition, harm to the developing fetus.

Generally speaking, pregnancy is only relative contraindication to implantation, and installed and normally implanted implants themselves do not have negative impact on the health of the expectant mother and fetus.

However, when installing dental implants, there are two main potentially harmful factors for the health of the pregnant woman and the fetus:

Drug therapy;
X-ray radiation.

The second point is clear: before and during implantation, it is necessary to carry out diagnostics and quality control of installed implants, and for this, dentists take photographs of the teeth. This may be a CT scan (computed tomography), panoramic radiography or intraoral contact radiography. Be that as it may, harmful influence x-ray radiation during pregnancy is not justified (except in some emergency cases).

Drug therapy is carried out at the first stage of implantation, when it is required that the body accept external interference adequately and the person feels as comfortable as possible. For this purpose, antibiotics, analgesics, antihistamines, and topical medications (for the oral cavity) are usually prescribed. Moreover, most of the drugs on this list are contraindicated for pregnant women, so risk the health of the unborn child due to elective surgery Dental implantation would be the wrong decision.

On a note

There are cases when dental implantation for a pregnant woman is urgently necessary, especially in situations where nothing but implants can be offered. For example, if a pregnant woman suffered a mechanical injury that resulted in the removal of a front tooth, then so-called immediate implantation can be performed, when implants are installed in a short time together with aesthetic crowns (usually temporary). Depending on the chosen method, this process can take from 3-5 days to 2-3 weeks. And here the woman needs to decide, first of all, whether she is ready to go without her front teeth for several months or still risk the health of the fetus (even if the risk is insignificant) and install implants immediately.

Implantation for heart patients: harm or benefit?

Cardiovascular pathologies “scare” many implantologists no less than situations with pregnant women seeking help. Of course, no doctor wants a patient who has recently suffered a heart attack or stroke to die in his chair, ruining the reputation of the clinic and the specialist himself. But what about people with cardiovascular diseases who have the opportunity to get dental implants and get rid of problems with constantly falling and (or) uncomfortable removable dentures?

Let's deal with it right away acute forms diseases: in case of any cardiovascular pathology in the acute stage, the dentist will not install implants, since potential harm from surgery is too great (eg death). But in the compensation stage, implantation can be carried out for almost any cardiovascular disease, but again only if comprehensive health monitoring has been carried out and, if necessary, approval has been obtained from the attending physician (generalist, cardiologist, etc.). In rare cases, the practice of cooperation between the dentist and specialists from cardiology centers is used to ensure complete safety of the procedure.

On a note

The quality of life of any person depends not least on the condition of the maxillofacial area. Often, when normal chewing is impaired, a whole bunch of diseases are added to diseases of the heart and blood vessels digestive tract(not to mention psychological problems and nervous disorders due to “false jaws” and toothless mouth).

Often, for “core patients” in the risk category, the dentist chooses basal implantation, which is carried out in a short time (in 3-5 days). With some of its disadvantages this type installation of implants allows you to reduce the time a weakened patient spends in a chair and quite quickly returns to normal and full life in society.

What can objectively affect the quality of a doctor’s work?

First of all, it is necessary to understand that not even the most first-class implantologist will cope with his work if there are no certain conditions for his work. Most often, the quality of a doctor’s work is affected by:

Level of equipment of the clinic;
Sterility of the office, equipment and instruments;
Characteristics of instruments for implantation;
Dental implants used in work (and they come in different price categories and, accordingly, different quality).

In other words, you can hardly count on successful installation of implants in unsanitary conditions, with blunt cutters, drills, dubious Chinese implants, etc. The statistics of successfully performed operations are influenced by all the little things: from the disinfectant used to treat the premises to the choice of the manufacturer of the implantation system. And if the clinic tries in every possible way to save on purchases, then most often this leads to an increased likelihood of complications during and after implantation.

To prevent this from happening to you, you need to take a responsible approach to choosing a dental blade: analyze reviews (both positive and negative), take into account the recommendations of your friends and relatives, and also draw certain conclusions at a consultation with a potential attending physician. If the slightest suspicion arises regarding the qualifications of a specialist, the level of equipment of the office, and, especially, visible to the eye violations, it is better to go to another clinic.

An example showing that different dentistry can vary quite a lot:

“A year ago I had two implants placed. I’ll say right away that it didn’t hurt, but then within a couple of days there was swelling, which quickly went away. The implantation didn't last long, I wasn't even tired. It is important here that you get a normal doctor: an honest one. If he is only interested in the contents of your wallet, then he will persecute and torment you thoroughly until he takes out all the money, and his teeth are a fiasco. In general, choose only an experienced and honest doctor. And mine personal advice: install imported implants if you don’t want to have problems..."

Natalya, Murmansk

Problems with implants caused by the person himself

Unfortunately, there are factors associated with the behavior of the person (patient) that can lead to problems with implants after their installation, regardless of the level of the clinic and the professionalism of the implantologist.

The main reasons for implant rejection and the development of peri-implantitis due to the patient’s fault, when he harms himself, include the following:

Ignoring doctor's recommendations;
Poor oral hygiene;
“Malicious” smoking;
Lack of preventive visits to the doctor.

Poor oral hygiene causes the accumulation of plaque and tartar on installed implants, disrupting the periodontal attachment and provoking inflammatory processes. In such a situation, their natural teeth often become mobile due to periodontitis, and the implants also “get it” to the fullest.

“Girls, today the surgeon wanted to remove my gum formers, and there was a plaque as thick as a finger. I didn’t touch them at all when brushing my teeth, he didn’t tell me anything, but how do I know that these things almost had to be rubbed with a brush. Well, underneath there was blood and an unhealed sore gum. I'm terrified and in pain. But in the picture everything turned out to be fine: there was no inflammation in the bone. The doctor cleaned and put the formers back, now a week later I’m back to him like a bayonet. Now I’m cleaning everything as it should be and waiting for it all to be over.”

Tatyana, Yaroslavl

But there are mixed opinions regarding smoking. Smoking itself in most cases does not lead to problems with implants, but it is worth remembering that with insufficient oral hygiene, “hard” smokers risk periodontitis or periodontal disease, which often leads to peri-implantitis.

Some implant techniques, such as basal dental implants, are marketed as suitable for smokers. But even in this case, we should not forget that the tissues surrounding the implant are still damaged by smoking, which creates additional risks of inflammation even when installing basal implants.

Be healthy!

if you have personal experience If you encounter any problems related to the installation of implants, be sure to leave your feedback at the bottom of this page (in the comments field).

Interesting video: truth and fiction about dental implants

How much does dental implantation cost today?

The growing demand for the installation of implants raises no less questions regarding their functionality and durability.

The article discusses the main aspects of the selection and installation of artificial teeth, as well as the features of the operation. After reading it, you can decide for yourself whether it is worth getting a dental implant, and you will also find out whether it hurts, whether it can be placed immediately after tooth extraction, and much more.

In what cases is a dental implant placed?

A crown is fixed onto the implanted part, skillfully imitating a natural tooth.

If one or more teeth are lost, in addition to conventional prosthetics, implantation is recommended.

An implant is essentially an artificial tooth with a rod that takes up space in the jaw bone instead of the removed root.

A crown is fixed onto the implanted part, skillfully imitating a natural tooth.

Implantation is indicated in the following cases:

to restore the dentition when one or more teeth are lost (randomly);
correction of a defect in the absence of several teeth in a row;
to create supports when installing prostheses (removable and fixed);
with complete absence of teeth (for installation of fixed bridge structures);
when it is impossible to carry out single or cantilever prosthetics when most of the tooth is destroyed.

Inserting an implant is a worthy alternative removable dentures. Many patients feel discomfort after the installation of bridges, which indicates individual intolerance.

Then restoration of the dentition is practically the only way out. You cannot do without such technology even if you have damaged teeth.

It is not possible to place and hook a bridge to them; the preparatory process, including grinding down the supports, will only accelerate the destruction of the enamel structure. And if you install an implant, such problems are eliminated.

Reference! Implantation solves, in particular, the issue of restoring some functions of the dental system, in which the closure of the upper and lower jaws is disrupted.

Stages of dental prosthetics

What are the advantages and disadvantages of dental implants?

Before deciding to install an artificial tooth, you should familiarize yourself with the advantages and disadvantages of implantation:

Implantation teeth
pros	Minuses
an implanted tongue replaces the site of the root, preventing atrophy and deformation of bone tissue and gums	strict adherence to contraindications and restrictions for implant installation
any number of implants can be installed	inserting implants is expensive, the price is several times higher than other types of prosthetics
adjacent teeth, tissues and mucous membranes oral cavity during manipulations they are not exposed to negative influences	surgery required
high aesthetic qualities	the entire process of prosthetics takes long time
the load on the jaw is distributed evenly
long period of operation (at least 20 years)

Is it worth getting a dental implant?

Thanks to innovative technology it is possible to correct almost any dental defects

When thinking about choosing the type of dental prosthetics, it is recommended to familiarize yourself with the experience and new achievements in dentistry practiced in European countries.

Data from research institutes confirm the feasibility of implantation.

Leading specialists working in the best dental clinics share the same opinion.

The use of an implant helps not only restore missing teeth, but does not cause harm to neighboring ones, which is practiced with bridges.

Thanks to innovative technology, it is possible to correct almost any dental defect. Result achieved is always positively assessed by patients, because artificial teeth are in no way inferior in functionality to real teeth.

The main advantage of the implant is that its presence in the oral cavity does not cause discomfort, and food still brings pleasure, because the implanted tongues do not have any effect on the receptors.

What complications may arise after installation?

The decision about the possibility of implantation into the bone tissue is made by the dentist, who evaluates the condition of the oral cavity, the client’s tests and the presence of contraindications.

Implants are not placed in the following cases:

In addition to obvious prohibitions, there are temporary ones, which involve postponing the installation operation to a later time. This is necessary for treatment or strengthening the immune system.

You should not neglect the restrictions, because dental implantation is a surgical intervention using local anesthesia. All the risks that are characteristic of surgery cannot be excluded when implanting an implant.

Complications that sometimes arise during the procedure or after its completion may indicate an error by both the doctor and the patient.

Unpleasant consequences are expressed in the following symptoms:

pain;
heavy bleeding;
seam divergence;
perforation of the maxillary sinus and nose (with implantation in the upper jaw);
damage to the walls of the mandibular canal and nerves;
implant rejection.

The following complications are considered a medical error:

When choosing a specialist who will implant an implant, you should clarify his level of qualifications. The knowledge and experience that the dentist has may be insufficient to perform the operation.

In addition, lack of professionalism affects the level of implementation of preoperative measures. Sometimes the attending physician relies more on the patient’s words rather than on test results. The result is an inflammatory process and rejection of the implanted tongue.

The patient himself can cause complications.

First of all, this concerns following cases:

concealment of information about true health problems;
ignoring the recommended diet;
non-compliance with oral hygiene rules;
injury to the gums due to careless handling.

These and other reasons can provoke rejection of the implanted implant.

In what cases is implantation necessary?

Whether to install an implant or use another method of prosthetics is a question that everyone decides independently.

But there are cases when implantation is the only option:

Most acceptable solution Installation of implants is considered if 2-3 teeth are missing on the front part of the jaw.

Dental implantation - before and after the procedure

Myths about the dangers of implants

There are many myths surrounding the method of installing artificial teeth. Let's try to understand them in more detail.

Implantation can damage the eye.

This statement is misleading, since before preparing the material, photographs are taken that show the features of the jaw bone tissue. The implant pins used do not exceed the parameters of the roots of natural teeth, so they will definitely not damage the eyes. But due to the doctor’s negligence, you can really hurt a nerve or sinus.

Implantation is very painful.

The procedure of implanting the pin and putting on the crown is absolutely painless. This is achieved through the use of modern anesthetics, which are highly effective. The injection is made using a computer injector - a special device for anesthesia. Pain sensations completely disappear 2 days after the intervention, which indicates compliance with implantation protocols.

Required for implantation general anesthesia.

The process of installing dental implants does not involve the use of general anesthesia; local anesthesia is sufficient. But in fairness, it is worth noting that such cases, although rare, do occur. Only a doctor can make a decision on this method of pain relief, based on the characteristics of the body or the weak effectiveness of the injection on the spot surgical intervention.

After the procedure, the gums take a long time to heal and bleed.

The wound will take some time to heal. After the anesthetic wears off, pain may be felt for 2-3 days, and this is normal, because penetration was carried out surgically. By this time the others have disappeared too. alarming symptoms, in particular minor bleeding. But if there is heavy bleeding and severe pain, you should immediately consult a doctor; the signs indicate that a complication has begun. In this case, the doctor prescribes a certain treatment.

When the implant is rejected, gangrene occurs.

Even with the worst prognosis and mistakes made by the doctor, an inflammatory process and suppuration form. Signs of rejection cannot be ignored: the tongue becomes loose and falls out. In this case, gangrene does not threaten the jaw.

Who is implantation intended for?

This procedure is intended for all people who are missing one or more teeth.

However, once formation is complete, implantation is allowed at any age.

In the case of complete edentia (the absence of all teeth on both jaws), people with removable dentures can replace them with more comfortable ones - permanent ones. They are firmly attached using special adapters to the implants.

Restrictions

Despite the huge demand for dental implantation, it has quite a impressive list contraindications. Among them There are several groups, the elements of which relate to medical or physical signs.

The most important distinction is between absolute and relative contraindications.

Absolute

This list talks about those cases where implantation is not possible.

Diseases of the hematopoietic and blood organs, for example, clotting problems.
Diseases of the central nervous system. This includes not only congenital but also acquired pathologies.
Oncological diseases and the presence of malignant tumors in any organs.
Tuberculosis, its complex forms.
Severe depression or pathology immune system. Since implantation requires surgery, it will require intense work of the body’s own defense system for the successful implantation of the rod.
Some diseases of the oral mucosa (pemphigus, chronic aphthous stomatitis and others).
Diseases concerning connective tissue(rheumatoid and rheumatic, lupus, scleroderma and others).
Pathological hypertonicity of the masticatory muscles, bruxism.
Diabetes mellitus (type 1).

Temporary

The list is as follows:

Poor oral hygiene.
Some bad habits, for example, smoking, as well as drug addiction and alcoholism.
Presence of dental caries.
Pathological malocclusions.
Inflammation of the gums - gingivitis.
Inflammation of the periodontal tissues – periodontitis.
Inflammatory processes in the temporomandibular joint.
Atrophy of jaw bone tissue and its defects.
Periods of pregnancy and lactation.
Condition after radiation therapy (at least one year).

Medical

In some cases, a patient may be denied implantation if certain medical contraindications.

General grounds for refusing any surgical intervention.
Inability to relieve pain due to intolerance and allergic reactions for anesthesia.
Mental illnesses (central nervous system).
Simultaneous treatment that requires systematic administration of certain medicines that interfere with the normal engraftment process - cytostatics, antidepressants, anticoagulants, immunosuppressants and others.
Exhaustion or, otherwise, cachexia.
Prolonged severe stress (distress syndrome).
Some common diseases that can be worsened by implantation surgery.

Physical

Sometimes physical features the patient's body, his condition or behavior become a reason to refuse implantation.

Negligent attitude towards oral hygiene.
Unfavorable location of the nasal and maxillary sinuses.
Various acute diseases.
Periods of recovery and rehabilitation after various problems with health.
Pregnancy.
Inappropriate (for example, too loose) structure of the jaw bone tissue or its insufficient volume.

Does it hurt to put it on?

The implant installation procedure is one of the indicators of the high-tech nature of modern implantology and its comfort for the patient. First of all, the operation must be performed with the use of strong painkillers or complete anesthesia.

During surgery and several hours after the patient feels practically nothing, except perhaps slight discomfort.

In most cases, dental restoration using implants carried out using a two-stage technology:

The first stage is the direct installation of the rod itself, after which the gums are sutured.
It then takes time for osseointegration, or the implantation of the artificial root into the bone.
Only after this the crown is installed. However, the installation operation itself lasts no more than half an hour, usually about 15 minutes.

If the operation is performed on the front teeth, a temporary crown is installed during the healing period. Some Korean implants have a design that facilitates and shortens the healing process.

The same applies to soft tissue swelling, which is completely natural after surgery.

What mistakes can a doctor make?

In some cases, the surgeon performing the operation may make a mistake. In particular, this may be due to insufficiently complete diagnostics. Errors are quite rare, but they need to be mentioned.

Here is a list of the most possible ones.

Perforation (breaking through) the bottom of the maxillary sinus, as well as exit of the implant into the nasal cavity. This occurs due to insufficient data on the location of the sinuses or the small volume of bone tissue in this section.
With a small distance and thickness of the bone, the implant can easily penetrate the bottom of the sinus.

Damage to the mandibular nerve. If the nerve passes too close to the area where installation is planned, it may be affected during the operation.
This usually results in mild numbness in the lips, cheeks, or chin that goes away after a few days.
Injury to the wall of the mandibular canal. This can happen due to an incorrectly prepared bone bed or an incorrectly sized implant.
In this case, if the numbness does not go away within one to two weeks, the implant may be removed for appropriate treatment.
Exit of the implant into the sublingual space can provoke bleeding from the artery of the same name, which differs in duration and profuseness.
Such damage requires urgent surgical care and placement in a hospital, but practically does not happen thanks to high level training of implantologists.

A professional will never allow himself to make a mistake. Equally important is the correct choice of the best implant, which a competent dentist will make based on diagnostic data and reviews of other patients.

It is worth remembering this when choosing a doctor and clinic for dental implantation.

U good specialist, like the clinic where he practices, must have certificates confirming the level of qualifications and admission to such work.

Therefore, if you are confident in your doctor, then the implantation will go smoothly, according to plan and painlessly.

Problems caused by the patient himself

Quite often there are situations when unpleasant consequences and complications arise after successful installation of the implant, and through the fault of the patient himself.

In particular, peri-implantitis sometimes occurs, which is fraught with serious consequences.

Consequences of complications

You can also talk about such a complication as implant rejection, which happens quite rarely.

In most cases, rejection occurs for reasons independent of the patient and the doctor, but it can be a consequence of smoking and infection in the postoperative period, as well as various injuries during the operation that were not immediately corrected.

How to protect yourself from possible complications, watch the video:

Opinions about the procedure

Many people can talk about implantation from their own experience, as it is becoming increasingly popular, replacing inconvenient or unsuitable dentures, relatively short-lived crowns, etc.

Most reviews about the procedure say: in a positive way. After all, sometimes installing implants becomes the only solution.

Natural consequences - slight swelling and discomfort in the first few days - are mentioned by almost everyone. But this is expected and does not frighten patients.

With your feedback (you can leave it in the comments to the article), you can help those interested in this procedure make their choice.

www.your-dentist.ru

Five fictional horror stories about implants

In general, people who have not yet become happy owners of implants, but are just thinking about it, may be afraid to go to a dentist-implantologist even just for a consultation.

Let's look at 5 famous horror stories on this topic.

Myth #1: Dental implants can be “wrapped” so that they damage the orbit of the eye.

Damage to the maxillary sinus;
Disorder of the mandibular nerve;
Exit of the implant into the sublingual space;
Exit of the implant into the nasal cavity.

“I had an implant installed in Simferopol and was quite pleased. The most important thing is that nothing came out of the nose, like others, it’s not running, the lips and cheeks are not swollen, like a hamster, and the mood is good. It’s been 7 days since the screws were inserted, and I’m fine, although I thought it would hurt a lot. The only thing that was stressful was taking tests and the long preparation for implantation. I can say right away that I was lucky with the dentist, as he explained everything to me clearly, how and what would happen. That it depends not only on him how the implants will behave in the future, but also on my good behavior.

In general, guys, don’t be afraid - it’s not scary. The main thing is to find out thoroughly about the clinic and the doctor who implants implants in the jaw, do not sign anything if you have not read it in detail, find out about the guarantees in advance. They gave me a contract with a guarantee, so I can sleep peacefully. You just need to clean it all well and regularly, otherwise it will fly out in a few months along with the jaw to such and such a mother.”

Sergey, Simferopol

Myth No. 2: Dental implantation is always painful

In terms of anesthesia, the implantation process is almost no different from pain relief during tooth extraction, with the exception that in some cases a gradual “freezing” (local anesthesia) of different areas of the jaw is required. The modern level of anesthetics allows you to individually select a drug that is suitable for each specific person, as well as administer anesthesia in various, most adapted ways to achieve 100% pain relief. Fortunately, there are many such options, especially within large dental clinics.

In fact, most reviews indicate that the installation of implants takes place without much pain.

On a note

Under local anesthesia there is no pain in approximately 95-98% of cases, since it is necessary to take into account not only the professionalism of the doctor and the level of the clinic, but also the anatomical features of the human jaw, the individual characteristics of the nervous system, as well as some associated factors (alcohol, drugs, stress, panic fears, current use of medications, etc.).

Myth No. 3: Dental implants are always installed under anesthesia, and anesthesia is harmful to the brain

In practice, the situation is like this: the installation of dental implants is most often carried out under local anesthesia, when the person is conscious from the beginning to the end of the procedure and can directly or indirectly control the situation. Anesthesia is a good alternative in cases where local anesthesia either does not produce results or can even cause harm to the patient during the installation of dental implants due to its contraindications.

In cases where a person, on a whim, insists on anesthesia, hiding his current illnesses from the doctor, the consequences can be very different, including very harmful to health and even life-threatening. Be that as it may, a highly professional doctor will do everything in his power to prevent possible complications during and after the installation of implants, and will choose the appropriate tactics regarding anesthesia - it is only important to cooperate with the doctor, without withholding information about your health from him, no matter how insignificant it may seem to you.

There is an opinion that anesthesia causes significant damage to the brain, impairs memory and generally reduces a person’s intellectual abilities. And although you can indeed find many similar reviews on the Internet, most experts consider horror stories about the dangers of anesthesia to be nothing more than a myth.

“I’ll share my personal experience. I underwent four operations on internal organs, all of them were performed under general anesthesia. After all this, my memory often began to fail me, I became very forgetful. Sometimes memory lapses happen altogether. I also began to suffer from frequent headaches.”

Oksana M., St. Petersburg

Doctor's review:

“As a person who uses anesthesia up to 5 times a day, I can say that it does not affect the brain, even if done in old age. Yes, such patients sometimes experience an exacerbation of encephalopathy after anesthesia, but this goes away after about a week. In general, there are no drugs that we use that would lead to any irreversible changes in the functioning of the brain. So the damage from anesthesia occurs more on the liver and kidneys than on the brain, but the body quickly copes with this too.”

Sergey, Moscow.

Myth No. 4: after implantation, the gums always hurt for a long time, the cheek swells, and blood flows from the mouth for a long time.

In rare cases, there may be prolonged pain, significant swelling and bleeding, which, with accompanying additional symptoms (fever, prolonged numbness of the jaw, suppuration from the gums, bad breath, etc.) is a dangerous complication, quite likely associated with incorrect doctor's tactics. By contacting your doctor in time, you can almost always quickly solve the problem, avoiding further harm to health in case of problems with the installed implant.

Myth #5: Implants sometimes fail, and when they fail, jaw gangrene occurs.

The photo below shows implants removed from the jaw:

In those rare situations when, for some reason, whether or not dependent on the doctor, implants installed in the jaw are rejected, a banal loss of bone tissue occurs. Such bone loss can later be quite easily compensated for by its artificial restoration using a bone graft.

If you analyze popular reviews on the Internet about dental implants, you can be convinced that sometimes minor complications that arise do not harm a person’s health and are easily overcome by the body’s forces against the background of drug therapy recommended by an implantologist. Here is an example of such a review:

“...Two months ago, after installing the implants, I had the following complication: the gum next to one of the implants was very swollen, so that my cheek actually puffed out. I went back to the clinic. There they opened my gums and did a cleaning and prescribed rinses. Now, thank God, everything is fine! The new teeth have already taken root and I no longer feel any problems.”

Veronica, Neftegorsk

When implants are not necessary at all: absolute contraindications to implantation

Today, most experts are of the opinion that dental implantation is not recommended for:

Severe diseases of the cardiovascular, endocrine and nervous systems;
The presence of malignant tumors;
Certain blood diseases;
Chronic renal and liver failure;
Allergies to local and general anesthesia drugs;
Chronic alcoholism and drug addiction.

For example, under certain conditions, the installation of implants is possible in the following cases:

In old age;
In case of diabetes mellitus type 2 (sometimes type 1) in the stage of compensation without disruption of metabolic processes in bone tissue;
After suffering heart attacks and strokes;
When using a pacemaker;
After oncology;
For smokers.

There are two main reasons that force a doctor to refuse implantation:

Acute and (or) severe forms of diseases, especially in decompensated form;
And also in case of serious violations of tissue regeneration.

However, this also does not mean that the installation of implants will be put to rest forever. For example, ARVI, an acute respiratory viral infection, at the height of the disease will be a contraindication to dental implantation. And this is quite obvious: against the background of reduced immunity, high fever, runny nose, cough and sore throat, it is impossible to carry out high-quality implantation, since this can most likely negatively affect the already unsatisfactory condition of the patient. However, already 1-2 weeks after recovery, the installation of implants can be carried out without any harm to health.

“They planned to have implants inserted up and down + also to have my gums corrected, since after my teeth were removed, my wounds healed very unevenly due to suppuration. In short, they will insert four implants at the top and the same number at the bottom. I’m a little afraid, although the operation will take place under anesthesia, so I’ll sleep and not think about anything. The only bad thing is that I have type 2 diabetes and my blood sugar sometimes goes over 20, which can affect how the implants heal. But my doctors reassured me and told me not to be afraid: I was not the first one with such a disease. Let’s hope everything goes 5+!”

Elena, Moscow

Dental implantation and pregnancy

Generally speaking, pregnancy is only a relative contraindication to implantation, and installed and normally implanted implants do not in themselves have a negative impact on the health of the expectant mother and fetus.

However, when installing dental implants, there are two main potentially harmful factors for the health of the pregnant woman and the fetus:

Drug therapy;
X-ray radiation.

The second point is clear: before and during implantation, it is necessary to carry out diagnostics and quality control of installed implants, and for this, dentists take photographs of the teeth. This may be a CT scan (computed tomography), panoramic radiography or intraoral contact radiography. Be that as it may, the harmful effects of X-ray radiation during pregnancy are not justified (except in some emergency cases).

Drug therapy is carried out at the first stage of implantation, when it is required that the body accept external interference adequately and the person feels as comfortable as possible. For this purpose, antibiotics, analgesics, antihistamines, and topical medications (for the oral cavity) are usually prescribed. Moreover, most of the drugs on this list are contraindicated for pregnant women, so risking the health of the unborn child due to a planned dental implant surgery would be the wrong decision.

On a note

There are cases when dental implantation for a pregnant woman is urgently necessary, especially in situations where nothing but implants can be offered. For example, if a pregnant woman suffered a mechanical injury that resulted in the removal of a front tooth, then so-called immediate implantation can be performed, when implants are installed in a short time together with aesthetic crowns (usually temporary). Depending on the chosen method, this process can take from 3-5 days to 2-3 weeks. And here the woman needs to decide, first of all, whether she is ready to go without her front teeth for several months or still risk the health of the fetus (even if the risk is insignificant) and install implants immediately.

Implantation for heart patients: harm or benefit?

Let's deal with acute forms of diseases right away: in case of no cardiovascular pathology in the acute stage, the dentist will not install implants, since the potential harm from the operation is too great (for example, death). But in the compensation stage, implantation can be carried out for almost any cardiovascular disease, but again only if comprehensive health monitoring has been carried out and, if necessary, approval has been obtained from the attending physician (generalist, cardiologist, etc.). In rare cases, the practice of cooperation between the dentist and specialists from cardiology centers is used to ensure complete safety of the procedure.

On a note

The quality of life of any person depends not least on the condition of the maxillofacial area. Often, when normal chewing of food is impaired, a whole bunch of diseases of the digestive tract are added to diseases of the heart and blood vessels (not to mention psychological problems and nervous disorders due to “false jaws” and a toothless mouth).

Often, for “core patients” in the risk category, the dentist chooses basal implantation, which is carried out in a short time (in 3-5 days). Despite some of its disadvantages, this type of implant installation can reduce the time a weakened patient spends in a chair and quite quickly returns to a normal and fulfilling life in society.

What can objectively affect the quality of a doctor’s work?

First of all, it is necessary to understand that not even the most first-class implantologist will cope with his work if certain conditions for his work are not created. Most often, the quality of a doctor’s work is affected by:

Level of equipment of the clinic;
Sterility of the office, equipment and instruments;
Characteristics of instruments for implantation;
Dental implants used in work (and they come in different price categories and, accordingly, different quality).

To prevent this from happening to you, you need to take a responsible approach to choosing a dental blade: analyze reviews (both positive and negative), take into account the recommendations of your friends and relatives, and also draw certain conclusions at a consultation with a potential attending physician. If you have the slightest suspicion regarding the qualifications of a specialist, the level of equipment in the office, and, even more so, any violations visible to the eye, it is better to contact another clinic.

An example showing that different dentistry can vary quite a lot:

“A year ago I had two implants placed. I’ll say right away that it didn’t hurt, but then within a couple of days there was swelling, which quickly went away. The implantation didn't last long, I wasn't even tired. It is important here that you get a normal doctor: an honest one. If he is only interested in the contents of your wallet, then he will persecute and torment you thoroughly until he takes out all the money, and his teeth are a fiasco. In general, choose only an experienced and honest doctor. And my personal advice: get imported implants if you don’t want to have problems...”

Natalya, Murmansk

Problems with implants caused by the person himself

The main reasons for implant rejection and the development of peri-implantitis due to the patient’s fault, when he harms himself, include the following:

Ignoring doctor's recommendations;
Poor oral hygiene;
“Malicious” smoking;
Lack of preventive visits to the doctor.

“Girls, today the surgeon wanted to remove my gum formers, and there was a plaque as thick as a finger. I didn’t touch them at all when brushing my teeth, he didn’t tell me anything, but how do I know that these things almost had to be rubbed with a brush. Well, underneath there was blood and an unhealed sore gum. I'm terrified and in pain. But in the picture everything turned out to be fine: there was no inflammation in the bone. The doctor cleaned and put the formers back, now a week later I’m back to him like a bayonet. Now I’m cleaning everything as it should be and waiting for it all to be over.”

Tatyana, Yaroslavl

Be healthy!

If you have personal experience of any problems associated with the installation of implants, be sure to leave your feedback at the bottom of this page (in the comments field).

Interesting video: truth and fiction about dental implants

plomba911.ru

Contraindications for implant installation

The implantation of an artificial root will help not only eliminate isolated defects, but also completely restore the dentition. Implantation is considered appropriate when there are indications for it and an appropriate dental examination has been carried out, which includes:

X-ray examination.
Assessment of the oral mucosa, condition of the teeth and bite.
Establishing the height of the mucosa in the place where it is planned to implant the implant.
Determination of the thickness of the alveolar area.

Installation of implants is not feasible for some reasons. The doctor installs them, and he also decides whether to perform surgery or not. All contraindications are divided into two large groups: absolute and relative. The first includes:

Blood clotting disorder. The risk of bleeding during surgery increases if the patient's hematopoietic system is imperfect and periodically fails.
Mental illnesses.
Oncology. Implantation can give impetus to the growth of tumors and the occurrence of metastases.
Scleroderma.
Tuberculosis and related complications.
Periodontal inflammation.
Rheumatism.
Systemic lupus erythematosus.
Malfunction of the skeletal, immune, and endocrine systems.
Diabetes mellitus of the insulin-dependent type.
Presence of HIV and sexually transmitted diseases.
Allergy to anesthetics.
Bruxism.

To prevent complications, dental implantation is not performed if absolute contraindications have been identified. The relative ones include:

Caries.
Oral hygiene is carried out without due diligence.
Periodontitis (complication of pulpitis).
Malocclusion.
Inflammation of the gums.
Addictions and bad habits (tobacco smoking).
Atrophy of the alveolar process.
Pregnancy.

With proper preparation for surgery, which includes:

thoroughness of carrying out hygiene procedures lasting for several months before implantation;
quitting smoking 1.5-2 weeks before surgery, as nicotine reduces the survival rate of the implant in the gum;
Aspirin or other blood thinning medications should be stopped about a week before the artificial root is implanted.

A significant part of the contraindications are eliminated, as a result of which the likelihood of implantation increases sharply.

Potential Hazards

Surgery involving invasion of the body foreign body, leads to complications in the case of:

Low qualification doctor.
Improper preparation of bone tissue, anesthetic, shape and size of the implant.
Wrong angle of implantation.

Violation of osseointegration or inflammation of an unhealed wound is also provoked by the patient’s actions, for example, poor quality care or smoking. Availability of reliable methods and technologies, proven over time for a long time, and statistical data suggest that the percentage of complications during implantation ranges from 1 to 4% of the total number of operations.

It could be:

Loosening of the installed artificial root.
Infection.
Development inflammatory process.

With the help of modern medical supplies all possible complications are treated.

Intense pain

Potential dental clients have concerns regarding wound healing, painful procedures, and harm from dental implants. First of all, let us clarify that the operation is performed under general anesthesia. Pain relief occurs through conduction anesthesia, that is, by injecting an anesthetic along the location of the nerve canals.

In principle, the procedure is almost no different from a complex tooth extraction. A person feels pain after surgery for 3 days, and its intensity gradually fades away.

Seam divergence

Careless behavior while eating, smoking, make the wound surface vulnerable. Failure to follow doctor's recommendations quite often leads to negative consequences: the applied sutures begin to come apart and require repeated intervention by a professional.

Screwing the structure to a greater depth

The rod has a certain size, but despite this, there is still a risk of damaging the jaw when screwing it in. Similar troubles occurred due to the doctor’s dishonest or unprofessional work. The most common occurrence is perforation of the walls of the maxillary sinus, however, when installing the implant under the supervision of digital equipment, such operational errors are completely eliminated.

Poor wound healing

Cleansing the wound surface and tightening it depend on local immunity. If, however, the process is delayed, then this may be a consequence of an infection.

Presence of a foreign body in the gum

Implants are made of titanium, a metal that does not react with surrounding tissues and does not decompose over time. In addition, it does not cause allergic reactions and takes root well (according to statistics, 97%).

Bleeding and swelling after surgery

At first, the patient observes swelling of the operated area, which normally persists for 2-4 days. In the case of wound bleeding, we are talking about the development of an inflammatory process that requires additional treatment.

Negative reviews about dental implants that are found online are related to poor quality of the operation. However, many patients are silent about non-compliance with doctor’s orders, which undoubtedly played an important role in the development of complications.

skzub.ru

Arguments against implants

In addition to a large number of positive aspects, the products also have certain negative aspects:

Taking into account all the arguments for and against, each dental patient has the right to independently choose the method of restoring the integrity of the dentition. The presence of indications and contraindications, the patient’s financial capabilities, and the condition of bone tissue and adjacent teeth also play an important role. Bridges are harmful due to the necessary grinding of adjacent units to install the structure. This can cause teeth to decay. Therefore, you need to carefully weigh the pros and cons of implantation and choose the best option for yourself.

tvoyzubnoy.ru

Dental implants and specialist qualifications

The main threat during the operation may lie in the specialist’s insufficient training and his making wrong decisions, which lead to damage to the jaw bones and facial nerve. An implant installed at the wrong angle can injure the maxillary sinus, which will serve as a trigger for an inflammatory reaction in it. For post-Soviet countries, prosthetics on implants is a new thing, so there are not so many dentists with sufficient qualifications and experience.

In addition, any surgical intervention is stressful for the body. Unpleasant moments may occur, such as an inadequate reaction to anesthesia or spikes in blood pressure.

Postoperative danger

The rehabilitation process is a period during which the body adapts to new conditions. But, despite the use of absolutely inert titanium alloys, the body’s reactions can be not only adaptive, but also protective.

There is a possibility of implant rejection with accompanying inflammation at the site of its contact with living tissue.
With classical implantation, about 5% of postoperative complications are associated with disturbances in the processes of osteogeneration - bone tissue transplanted from other parts of the jaw does not take root. The result is increased stress on the implant and its loosening.
Long-term absence of teeth often causes degeneration and poor quality of bone tissue. In this case, implants can penetrate into the maxillary sinus and create the preconditions for the development of inflammation in it.
Despite the use antiseptic drugs, we should not exclude the possibility of bacteria entering the surgical wound. Lack of hygiene can also contribute to this - the infectious process develops quite rapidly, and can cover the gum along its entire length.

It is almost impossible to prevent the processes of rejection or penetration of implants into the maxillary sinus, but to minimize the risk, tests and radiography of the upper jaw should be performed before surgery. Based on the information received, a qualified specialist will always be able to draw conclusions and select the most suitable prosthetic options.

One of the solutions for dystrophy and small thickness of the upper jaw is basal prosthetics, in which the implant is fixed not to the socket, but to the base of the bone. At the same time, tissue regeneration processes are enhanced, and the entry of metal structure in the sinuses is completely eliminated.

Are implants dangerous in the long term?

One of the significant disadvantages of a titanium screw embedded in the jaw is the inability to transfer pressure to the muscles. In this regard, the chewing muscles of the face with several implants located nearby remain in good shape for a long time. Overexertion causes headaches and increased intracranial pressure.
According to dentists, dental implants can last for decades, because over time they are firmly fixed in the bone. Meanwhile, the possibility of penetration of prosthetic materials into the body has been poorly studied. The titanium itself, from which screws for prosthetics are made, is chemically inert, but when forming a crown, other compounds are also used, particles of which can penetrate the body.

When considering the long-term prospects of wearing implants, one fact that is often overlooked is the hassle of undergoing modern diagnostic procedures. Thus, the presence of a titanium screw is a contraindication to MRI - the most informative method research. Therefore, the patient has to choose other, less accurate options or endure pain in the gums throughout the magnetic scan.

Despite all the possible complications, dental implantation is the best solution for dental prosthetics. The maximum proximity to natural teeth and the absence of the need for special care have made implants truly the best solution for those who, for many reasons, have lost their own teeth.

Dental implants pros and cons

Dental implantation is currently becoming an increasingly popular procedure that allows one to completely restore the functionality of the dentition. With the help of implantation of an artificial root, it is possible to fill both single defects and complete absence of teeth.

Often, dental patients doubt whether to opt for implantation. Firstly, price this procedure is sufficient high. Secondly, the installation of the metal root is carried out surgically , which has a lot of contraindications and negative consequences.

Some people are frightened by the presence of a foreign body in the jaw bone tissue and the duration of the procedure. One of the common reasons for refusing implantation is mistrust to the professionalism of the doctor.

Despite numerous frightening rumors about implantation, this method is considered no more traumatic than the complex removal of multi-rooted teeth and allows you to forget about the absence of crowns for many decades to come.

Potential Hazards

There is an opinion among some people that implantation is associated with negative consequences. In some situations this statement is quite legitimate. The procedure is a surgical procedure foreign body invasion.

Therefore, any change in the general condition of the body, unqualified dentist and other factors can affect the result. provoke inflammation and osseointegration disorder, cause rejection of the established root, may regular smoking or poor hygiene care.

The main danger from implants is wrong choice of technique implantation and bone tissue preparation, medications, shape and size of artificial root. An implant placed in a bone of inappropriate width will cause it to fracture.

During surgery, it may be facial nerve affected. Incorrect implantation angle will result in misaligned crowns. At the moment, these consequences are observed only in isolated cases and with a highly qualified dentist, they can be excluded.

Most often, future patients are concerned about issues related to the pain of the procedure, healing of the wound surface and possible damage jaws:

Implants are very painful to place

Modern methods of pain relief allow implantation to be performed completely painless. To block pain, conduction anesthesia is performed by injecting the drug along the location of the nerve canals.

In fact, the procedure is not much different from a complex tooth extraction. Painful sensations accompany a person only after traumatic implantation. As a rule, the pain decreases in intensity within 3 days.

Is general anesthesia necessary?

Modern methods of pain relief involve the use of drugs with minimal impact on the body, not harming him. Most the best option local anesthesia is considered.

Most often used for this Ultracaine. It is perfect for people with heart and vascular diseases and can be used even during pregnancy.

If there is a contraindication for local anesthesia or at the request of the patient, general anesthesia may be given. The drug for this is selected depending on the implantation method and the general condition of the body.

Damage to the jaw due to deep screwing of the structure

Despite the fact that the metal rod has a limited length and width, damage to the jaw during implantation is still possible Maybe. Such situations were observed due to the doctor’s unprofessionalism and negligent attitude towards the operation.

Basically, these are the following damages:

violation of the integrity of the walls maxillary sinus;
damage mandibular nerve;
exit of artificial root into the area nasal or oral cavity.

Of all the listed injuries, the first option was most often observed. But the possibility of such errors is currently minimized, since digital data obtained during the survey is increasingly used for installation.

Seam divergence

The divergence of the applied sutures is very common occurrence , which can be the result of both a medical error and non-compliance with recommendations by the patient. The main reasons for the discrepancy are smoking and careless mechanical impact to the operated area.

If the seams have come apart in a place that is invisible during conversation, then dentists recommend do not disturb stitched surface. Most often, the wound heals on its own.

If the stitches come apart in the smile area, they need to be reapplied. In isolated cases, when the neck of the implant is exposed, it is removed.

Long-term non-healing of the wound

A long wound healing process is quite rare. As a rule, a preliminary detailed examination eliminates all risks for such a manifestation.

With the changed general condition, decreased immunity and accession infectious diseases, poor healing it's still possible.

With timely relief of symptoms, the prognosis will be positive. If wound healing does not occur for a long time and no measures are taken, then it is possible development of reimplantitis And rejection metal root.

Severe swelling after surgery

In the first days after surgery, slight swelling of the operated tissues may appear. As a rule, with a positive course of the process, swelling subsides within 2–4 days. If swelling lasts longer and is accompanied by pain, then the onset of inflammation can be assumed.

Prolonged bleeding

The postoperative period involves the presence of a small amount bloody discharge. Prolonged bleeding is usually provoked by the patient. Most often, the cause is the use of certain medications, high blood pressure and injury.

Possibility of rejection

If medical error is excluded, installation technology and dentist’s recommendations are strictly followed, the survival rate of implants latest generation is approaching 100%. Currently, statistics show that this figure is 97% .

Peri-implantitis

Allergy to titanium: myth or reality?

Numerous studies have proven that titanium is a material that fuses with bone tissue as quickly as possible and practically does not cause allergies.

Of 100% of patients, only 3% had an allergic reaction to titanium.

Who should not have surgery

Implantation is a procedure that requires surgery, which can affect the body, and therefore it has certain contraindications.

Absolute contraindications

Absolute contraindications include pathologies in which implantation may cause irreversible Negative consequences for the body. Such diseases include:

Epilepsy. This operation is severe stress, which can cause a seizure during the implantation procedure, which can lead to injury to the patient.
Low blood clotting. In this case, there is a risk of large blood loss.
Diseases of a psychoneurological nature. The patient’s inadequate reaction to the doctor’s actions can cause damage to himself and the staff. In addition, psychological stress often causes exacerbation of pathologies.
Immunodeficiency. The main factor for successful implantation is stable immunity. With immunodeficiency, the risk of developing inflammation in the operated area increases.
Syphilis and tuberculosis. The procedure is not possible due to increased fragility and damage to bone tissue and a high risk of spreading infection.
Diabetes mellitus type 1. With this pathology, the regeneration of soft tissues is very long, as a result of which the implant is rejected.
Rheumatism (severe form). The restoration of bone tissue in this disease is impaired, so the fusion of a metal rod with it is impossible.
Malignant neoplasm is an absolute contraindication, since implantation provokes its growth.
Recovery period after a stroke, which is characterized by a violation of the body's metabolic processes. In addition, drugs used for pain relief can cause relapse of the disease.
Allergic reactions for medications and materials used during implantation.
Endocrine system disorders. Complications in this case include inflammation and root rejection.

In the Live Healthy program, experts spoke in detail and in a fascinating way about some contraindications to implantation:

Relative contraindications

Except absolute contraindications, there are also relative ones, when eliminated, implantation is possible. These include:

Heart diseases and circulatory system in the acute stage. An operation to implant a root in this situation will lead to a deterioration in the patient’s condition, up to a threat to his life.
Diabetes mellitus type 2. The decision to perform surgical intervention in this case should be made by an endocrinologist.
Narcotic and nicotine addiction , which limits the effect of anesthetic drugs and worsens the trophism of oral tissues, which negatively affects engraftment.
Poor quality and insufficient volume of bone tissue. In this case, before implantation, measures are taken to strengthen and restore it.
Bruxism. Installation of an artificial root is possible if the patient uses special mouth guards while sleeping.
Periodontal diseases. Soft tissue infections often cause metal root rejection and must be treated first.

Common Myths

Dental restoration with implants is shrouded in a large number of myths that scare people away and make them better refuse to use this method.

Implantation takes a very long time

The procedure for installing a metal root, in terms of time frame, is not much different from tooth extraction and takes from 15 to 40 minutes.

As for the period required to fully complete all turnkey procedures, it is indeed long. From the moment of implantation to the installation of permanent crowns, it must take from 3 to 6 months.

There is a myth that all this time the patient is without a tooth. In fact, after the wound has healed, a temporary orthopedic structure can be installed; it will not be functional, but will create the necessary aesthetic effect.

The osseointegration process is completely completed in one and a half to two years, until this time, it is advisable not to put a strong load on the tooth and be especially careful about the hygiene of the operated area.

But all this is ultimately compensated by a full-fledged tooth, which is no different from the real one, which allows forget for life about the presence of a prosthesis in the mouth.

It's too expensive

This technique for restoring teeth is indeed considered one of the most expensive. But it has a huge advantage over others: adjacent teeth remain intact, and the functionality of the dentition is completely restored.

The minimum cost in Moscow when installing Mirell implants, made in Israel, is 21,000 rubles. The price includes: titanium root, gum former, abutment and metal-ceramic crown.

The Swedish Nobel implant systems are considered the most expensive. An implant, gum former and crown made of zirconium dioxide cost on average from 53 to 60,000 rubles.

Same prostheses, but more expensive

This statement is completely false. Crowns on dentures are often stand out from the general series, due to the unnaturalness along the gum line. Implantation avoids this problem.

It takes a long time to prepare for the implantation process

In long preparation before similar procedure, not necessary. As a rule, this period includes the collection of tests, examinations and preparation of the oral cavity.

Here (in Russia) they do it badly

Currently, this statement is a myth, since high qualification dentists and modern equipment allow implantation with the same positive result, as well as abroad. In addition, the cost of the procedure with us is often lower than in foreign clinics.

Long addiction

Accustoming to implants passes in 95% of cases in 1–2 days, as it does not cause any discomfort.

Cases

In most cases this procedure celebrated from positive side. You can also leave your feedback about implantation in the comments to this article.

If you find an error, please highlight a piece of text and click Ctrl+Enter.

2 Comments

Marina
June 27, 2016 at 10:52 am
When you lose a tooth, there is not much time to think. And if it is also in a visible place... I encountered such an unpleasant problem. I became interested in the topic on the Internet before I went to the dentist. I was very worried, plus I’m afraid of dentists. Implantation in my case turned out to be a life-saving procedure. The healing period passed very quickly.
Karina Morozova
June 28, 2016 at 8:19 am
Dear Marina! I envy you as a woman striving for beauty and ideal. But after reading all the information I could find about implants, I couldn’t overcome my fear! There are too many contraindications in my opinion... You can say about me that I am a coward))) Therefore, I found a way out for myself - I put artistic restoration on the missing tooth in my smile)
Masyutka
December 6, 2016 at 10:50 pm
Everything is somehow complicated with this implantation. So many complications and nuances for such and such money. And now there are so many crooked dentists who are ready to perform the procedure despite the presence of contraindications, just to make money at any cost. However, there are no less patients who are ready to take pointless risks. That's why there are scary stories about these terrible implantations everywhere.
Eugene
April 5, 2017 at 03:06 pm
Got dental implants. When I made this decision, I no longer had any options for treating my teeth. The operation was painless. Since I am afraid of dentists, I expected everything to be much worse. American implants were inserted. They were a little more expensive, but due to the purity of the metal in their composition, they take root better. The operation lasted no more than 30 minutes. Painful sensations I didn't feel any pain after anesthesia. Well, the implants are screwed directly into the bone. I visited the doctor once a week. Everything is fine. I'm glad that now all my teeth are in place.
Elena
October 24, 2017 at 19:00
Is it true that after a sinus lift there may be complications after 3-5 years, such as, for example, sinusitis? I would like to hear the opinion of a specialist.
Patina
December 25, 2017 at 04:39 pm
Dental implantation is torture that I would not wish on anyone. Each visit for the procedure lasted 1.5-2 hours. After taking painkillers, my entire jaw hurts. Difficulty eating. As soon as the wounds heal after 3-4 months, they make cuts again and wedge in some glands with all their might. stitched up again. again the wound and soreness and discomfort for several days. The next visit is for teeth shaping. They spend hours drilling, wedging, hammering into these pieces of iron that were driven in there. again pain, inflammation in a fresh wound, discomfort in the mouth for some time. then there will be a fitting!!! It is unknown what kind of torture she will give. I regretted a thousand times that I got involved with this procedure and all this torture for quite a lot of money. ..and you don’t need a coat and you don’t need money.

The most modern way to restore an irretrievably lost tooth is implantation. In this case, the root is replaced with a specially shaped rod that is implanted directly into the jaw bone, and instead of the coronal part, an artificial crown is installed on the rod.

Thus, a fairly quick operation allows you to restore even single teeth without injuring neighboring ones. And the answer to the question of how long implants last and how they take root depends on many factors, which we will talk about in this article.

Who is implantation intended for?

This procedure is intended for all people who are missing one or more teeth.

Age restrictions are defined only for lower limit– 18-20 years old. Until this age, the dental system may not yet be fully formed.

However, once formation is complete, implantation is allowed at any age.

Restrictions

Despite the enormous demand for dental implantation, it has a fairly impressive list of contraindications. Among them There are several groups, the elements of which relate to medical or physical signs.

The most important distinction is between absolute and relative contraindications.

Absolute

This list talks about those cases where implantation is not possible.

Diseases of the hematopoietic and blood organs, for example, clotting problems.
Diseases of the central nervous system. This includes not only congenital but also acquired pathologies.
Oncological diseases and the presence of malignant tumors in any organs.
Tuberculosis, its complex forms.
Severe suppression or pathology of the immune system. Since implantation requires surgery, it will require intense work of the body’s own defense system for the successful implantation of the rod.
Some diseases of the oral mucosa (pemphigus, chronic aphthous stomatitis and others).
Diseases related to connective tissue (rheumatoid and rheumatic, lupus, scleroderma and others).
Pathological hypertonicity of the masticatory muscles, bruxism.
Diabetes mellitus (type 1).

Temporary

They can also be called relative - after eliminating the problems from this list (and in the absence of other contraindications), implantation becomes possible.

The list is as follows:

Poor oral hygiene.
Some bad habits, such as smoking, as well as drug addiction and alcoholism.
Presence of dental caries.
Pathological malocclusions.
Inflammation of the gums - gingivitis.
Inflammation of the periodontal tissues – periodontitis.
Inflammatory processes in the temporomandibular joint.
Atrophy of jaw bone tissue and its defects.
Periods of pregnancy and lactation.
Condition after radiation therapy (at least one year).

Medical

In some cases, a patient may be denied implantation if certain medical contraindications.

General grounds for refusing any surgical intervention.
Impossibility of pain relief due to intolerance and allergic reactions to anesthesia.
Mental illnesses (central nervous system).
Simultaneous treatment that requires the systematic use of certain medications that interfere with the normal engraftment process - cytostatics, antidepressants, anticoagulants, immunosuppressants and others.
Exhaustion or, otherwise, cachexia.
Prolonged severe stress (distress syndrome).
Some common diseases that can be worsened by implantation surgery.

Physical

Sometimes physical characteristics of the patient’s body, his condition or behavior become a reason to refuse implantation.

Negligent attitude towards oral hygiene.
Unfavorable location of the nasal and maxillary sinuses.
Various acute diseases.
Periods of recovery and rehabilitation after various health problems.
Pregnancy.
Inappropriate (for example, too loose) structure of the jaw bone tissue or its insufficient volume.

Does it hurt to put it on?

During surgery and several hours after the patient feels practically nothing, except perhaps slight discomfort.

In most cases, dental restoration using implants carried out using a two-stage technology:

The first stage is the direct installation of the rod itself, after which the gums are sutured.
It then takes time for osseointegration, or the implantation of the artificial root into the bone.
Only after this the crown is installed. However, the installation operation itself lasts no more than half an hour, usually about 15 minutes.

If the operation is performed on the front teeth, a temporary crown is installed during the healing period. Some Korean implants have a design that facilitates and shortens the healing process.

After the anesthesia wears off, the patient will feel unpleasant, sometimes quite painful sensations in the jaw, which is caused by interference with its structure. However, within a few days this soreness decreases and goes away.

The same applies to soft tissue swelling, which is completely natural after surgery.

What mistakes can a doctor make?

In some cases, the surgeon performing the operation may make a mistake. In particular, this may be due to insufficiently complete diagnostics. Errors are quite rare, but they need to be mentioned.

Here is a list of the most possible ones.

Perforation (breaking through) the bottom of the maxillary sinus, as well as exit of the implant into the nasal cavity. This occurs due to insufficient data on the location of the sinuses or the small volume of bone tissue in this section.
With a small distance and thickness of the bone, the implant can easily penetrate the bottom of the sinus.
Damage to the mandibular nerve. If the nerve passes too close to the area where installation is planned, it may be affected during the operation.
This usually results in mild numbness in the lips, cheeks, or chin that goes away after a few days.
Injury to the wall of the mandibular canal. This can happen due to an incorrectly prepared bone bed or an incorrectly sized implant.
In this case, if the numbness does not go away within one to two weeks, the implant may be removed for appropriate treatment.
Exit of the implant into the sublingual space can provoke bleeding from the artery of the same name, which differs in duration and profuseness.
Such damage requires emergency surgery and hospitalization, but practically never happens due to the high level of training of implantologists.

It is worth remembering this when choosing a doctor and clinic for dental implantation.

A good specialist, like the clinic where he practices, must have certificates confirming his level of qualifications and admission to such work.

Therefore, if you are confident in your doctor, then the implantation will go smoothly, according to plan and painlessly.

Problems caused by the patient himself

Quite often there are situations when unpleasant consequences and complications arise after successful installation of the implant, and through the fault of the patient himself.

It is imperative to follow your doctor’s recommendations for oral care after implantation. Insufficient hygiene can lead to infection - first of the gums, and then of the bone tissue.

In particular, peri-implantitis sometimes occurs, which is fraught with serious consequences.

Consequences of complications

You can also talk about such a complication as implant rejection, which happens quite rarely.

How to protect yourself from possible complications, watch the video:

Opinions about the procedure

Many people can talk about implantation from their own experience, as it is becoming increasingly popular, replacing inconvenient or unsuitable dentures, relatively short-lived crowns, etc.

Most reviews about the procedure are positive. After all, sometimes installing implants becomes the only solution.

Natural consequences - slight swelling and discomfort in the first few days - are mentioned by almost everyone. But this is expected and does not frighten patients.

Those who, for various reasons, delayed the operation for too long, in most cases had to go to additional procedures and costs, as there was a need for bone tissue restoration.

With your feedback (you can leave it in the comments to the article), you can help those interested in this procedure make their choice.

If you find an error, please highlight a piece of text and click Ctrl+Enter.

Tatiana
June 21, 2016 at 9:28 am
Fortunately, my experience with implants was successful. But before this procedure, at the request of a specialist, I also had to undergo an examination and then treatment of bone tissue. After installing the implants, the sensations were standard; slight swelling and some discomfort. The procedure was carried out 2 years ago, but now I am satisfied with its consequences. The cost of this procedure was quite high for me. That’s why I try to take care of my teeth and don’t forget to go for preventive examinations.
Inna
June 21, 2016 at 11:53 pm
I read about possible risks implantation and, to be honest, I was horrified. Nerve damage and tissue perforation are some kind of nightmare, hence the conclusion - you need to contact only qualified specialists with extensive experience. Installing an implant is not filling a tooth, but a serious operation, do not forget about it. But with high-quality installation, the result is excellent.
Michael
August 20, 2016 at 3:50 am
Implantation is the most painful issue for me. When you're not in the know, all these medical terms and the pictures do not evoke the most positive feelings. It’s rare that a doctor will tell you in detail about dental implants and the procedure itself. And I am the kind of person that until I understand what and how they will do, I will not go to the procedure. I came across the article just in time; I need to remove a bad tooth and install an implant. Now I know what points to pay attention to and what to ask the doctor about.
Maria
September 28, 2016 at 01:59 pm
I remember when my tooth completely crumbled, the doctor advised me to put a metal crown, because, according to him, another one simply would not fit on my teeth. I almost burst into tears then. I really didn’t want those “gypsy” teeth! I scoured the entire Internet looking for information about implants. When I saw the price of the issue, I was, of course, upset, but my determination did not go away. But after reading the consequences, I was already in shock. I don't have a particularly strong immune system. My gums did not accept the crown for a long time; it hurt and bled. It’s good that I didn’t get implants. Still, you need to weigh the benefits and harms of such procedures, and make the choice that is best for your health.
Igor Sergeevich
October 1, 2016 at 6:08 pm
I wanted to get implants, but I was refused for two reasons. Firstly, I have had an incorrect bite since childhood, which has remained for the rest of my life; we had never heard of orthodontists in the 60s. Secondly, there is not enough bone tissue. In fact, orthopedists have told me before that I have weak and narrow arches. So my wish was not destined to come true. You will have to wear traditional removable dentures.

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Five fictional horror stories about implants

Myth #1: Dental implants can be “wrapped” so that they damage the orbit of the eye.

Myth No. 2: Dental implantation is always painful

Myth No. 3: Dental implants are always installed under anesthesia, and anesthesia is harmful to the brain

Myth No. 4: after implantation, the gums always hurt for a long time, the cheek swells, and blood flows from the mouth for a long time.

Myth #5: Implants sometimes fail, and when they fail, jaw gangrene occurs.

When implants are not necessary at all: absolute contraindications to implantation

Dental implantation and pregnancy

Implantation for heart patients: harm or benefit?

What can objectively affect the quality of a doctor’s work?

Problems with implants caused by the person himself

Interesting video: truth and fiction about dental implants

How much does dental implantation cost today?

In what cases is a dental implant placed?

What are the advantages and disadvantages of dental implants?

Is it worth getting a dental implant?

What complications may arise after installation?

In what cases is implantation necessary?

Myths about the dangers of implants

Popular questions

Who is implantation intended for?

Restrictions

Absolute

Temporary

Medical

Physical

Does it hurt to put it on?

What mistakes can a doctor make?

Problems caused by the patient himself

Consequences of complications

Opinions about the procedure

Five fictional horror stories about implants

Myth #1: Dental implants can be “wrapped” so that they damage the orbit of the eye.

Myth No. 2: Dental implantation is always painful

Myth No. 3: Dental implants are always installed under anesthesia, and anesthesia is harmful to the brain

Myth No. 4: after implantation, the gums always hurt for a long time, the cheek swells, and blood flows from the mouth for a long time.

Myth #5: Implants sometimes fail, and when they fail, jaw gangrene occurs.

When implants are not necessary at all: absolute contraindications to implantation

Dental implantation and pregnancy

Implantation for heart patients: harm or benefit?

What can objectively affect the quality of a doctor’s work?

Problems with implants caused by the person himself

Interesting video: truth and fiction about dental implants

Contraindications for implant installation

Potential Hazards

Intense pain

Seam divergence

Screwing the structure to a greater depth

Poor wound healing

Presence of a foreign body in the gum

Bleeding and swelling after surgery

Arguments against implants

Dental implants and specialist qualifications

Postoperative danger

Are implants dangerous in the long term?

Potential Hazards

Implants are very painful to place

Is general anesthesia necessary?

Damage to the jaw due to deep screwing of the structure

Seam divergence

Long-term non-healing of the wound

Severe swelling after surgery

Prolonged bleeding

Possibility of rejection

Allergy to titanium: myth or reality?

Who should not have surgery

Absolute contraindications

Relative contraindications

Common Myths

Implantation takes a very long time

It's too expensive

Same prostheses, but more expensive

It takes a long time to prepare for the implantation process

Here (in Russia) they do it badly

Long addiction

Cases

2 Comments

Marina

Karina Morozova

Masyutka