Dental implants are currently the preferred choice among patients and orthodontists when it comes to replacing missing teeth. The overwhelming majority of dental implant procedures go off without a hitch. However, it's possible for a select few to be impacted over the long term by a condition known as peri-implantitis.
What is Peri-Implantitis?
Peri-implantitis is a condition that involves the inflammation of both soft and hard tissue surrounding the dental implant. In most cases, the inflammation becomes severe enough to cause bone loss. The inflammation is usually the result of gingival bacteria infiltrating the area surrounding the dental implant. Two-stage compound implants are at particular risk, since the bacteria can infiltrate the gap between the abutment and implant.
Ongoing diabetes, osteoporosis and other medical issues can place those with dental implants at greater risk of developing the disease. Certain lifestyle factors, including smoking and poor dental hygiene, can also increase this risk. Complications that arise from surgery may also cause peri-implantitis. Oversized implants, loosely-placed implants and vertically grafted bone are common surgical factors that could lead to peri-implantitis later on.
For those with dental implants, peri-implantitis can be hard to detect unless dental X-rays are performed specifically to check for this disease. One of the hallmarks of peri-implantitis is a progressive loss of bone near the dental implant, which often occurs with little to no pain. Certain factors such as poor blood circulation and poor hygiene can actually accelerate this bone loss.
Once peri-implantitis has established itself, the following symptoms may occur:
The Treatment Process
When treating peri-implantitis, the primary goal is to eliminate any bacteria that could cause inflammation and accelerate bone loss. In most cases, the gum tissue near the area of infection has to be opened up and the underlying bacteria neutralized with iodine and other antibacterial medicines. The implant itself may be examined for any signs of defect or improper installation.
Bone grafts are usually needed in order to restore lost bone around the implants. In some cases, dental implants that have been compromised by peri-implantitis may need to be replaced entirely, usually with a new implant. Reliable recovery often depends on the level of bone loss that's occurred prior to treatment, as well as other factors including smoking, other periodontal issues and oral hygiene. For more information, contact your dentist (like John P Poovey DMD PC).
I have never liked my teeth. I had a lot of dental problems, including deep staining and oddly shaped teeth. Every tooth did not have the same shape, and some were rounded while others were more square. Not surprisingly, I never smiled in pictures and not even much in real life. This left people thinking I was mean before they even met me. My dentist told me my best bet to improve the look of my smile was a set of porcelain dental veneers. He said they could make all my teeth white and the same shape. I said I wanted them without any hesitation, and we scheduled my procedures. I love my new teeth, and they really did change my life. I created this blog to help other people living with teeth they don't like realize that they do have options that can improve their smiles and their lives.