Illnesses or injuries sometimes lead to tooth loss. This affects not only the decrease in the functionality of the oral cavity, but also affects the aesthetic perception and self-esteem. The very quality of life can be determined by the quality of the teeth. And you can fill the gap with both bridges, crowns and pins, as well as implants. At the same time, the latter is visually indistinguishable from a real tooth, does not require grinding of neighboring teeth, does not force special structures to be fixed, for which it is valued. However, no matter how wonderful dental implantation is, there are still contraindications and possible complications.
A little digression into history
The first dental implants were tried by people in ancient times. Archaeological finds indicate that gold was in Ancient Egypt, Indians were made of semi-precious stones, ancient Chinese from ivory, ancient Roman from metal. But then it was extremely difficult to do, accompanied by high risks. Dental implantation itself was dangerous,complications after implantation were even more deplorable.
The main problem was that the materials used with the human jaw simply could not get along, so problems arose sooner or later. But in the 60s of the 20th century, scientists revealed the amazing properties of titanium, which turned out to be biologically inert, and since the 80s they have already learned how to integrate this material into human bone, starting the era of implantation. It is titanium that can grow into the bone, therefore, screw cylindrical implants were created on its basis.
Not everything is so simple: contraindications and complications
On the one hand, you can put an implant at any age on any vacant place in the jaw. Even if it was damaged, then its integrity is restored by modern medicine by building up bone tissue, into which a new tooth is then placed. On the other hand, this procedure is not available to everyone. There are a number of contraindications that will not allow you to restore a beautiful smile with this method.
So, let's look at the categories of clients who are not suitable for dental implantation, who cannot perform it for one reason or another.
The level of medicine is now high, the technology is proven, the materials are reliable. It would seem that dentistry is not dangerous, even if it is dental implantation. Are there any complications? Some don't even think about it. In fact, this is still an operative intervention, which has a number of risks, so the issue must be taken seriously. Provide absolutelyeverything is not always possible, but doctors are doing everything possible so that complications do not arise.
General absolute contraindications
Do not provide this service to people who have blood diseases, bone marrow cancer, tuberculosis, immune disorders and autoimmune diseases, as well as type I diabetics. They do not perform surgery on clients with certain congenital or acquired diseases of the central nervous system, including mental ones. These diseases are among the absolute contraindications. Even bruxism can become an obstacle, i.e. gnashing of teeth, and hypertonicity of the masticatory muscles, which will not allow the implant to fix normally and the wounds to heal. Intolerance to anesthesia also becomes an obstacle to the operation.
Among medical contraindications, there are also relative ones that are temporary. So, if a person has a distress syndrome or is taking medications that will negatively affect healing, then intervention may be denied. Do not perform surgery on patients who have recently undergone radio or chemotherapy, but over time, this procedure may become available to them.
Relative and temporary contraindications
According to the above indications, from the point of view of medicine, dental implantation is not performed. Contraindications and possible complications may also be associated not with diseases, but with the physical condition. The specialist may not allow persons to the procedure who have nerve endings of the jaw or the bone itself in poor condition.the cloth. This question is individual and is revealed during a personal examination. Misdiagnosis can lead to complications. So, if a patient has osteoporosis, i.e. the bone tissue is sparse, then the implant is difficult to implant.
A relative contraindication is the presence of problems with other teeth. But it is enough to perform the sanitation of the oral cavity so that there are no carious teeth and other diseases, so that the issue is reconsidered. It is also necessary to cure periodontitis and gingivitis first. Pathological bite, arthrosis of the temporomandibular joint can become an obstacle. Implantation is not performed for pregnant women. Also on the list of adverse events are alcoholism, smoking and drug addiction.
Contraindications are not a cause for despair
But under certain conditions, dental implantation is still possible, to whom contraindications were not allowed at first. Many relative and temporary causes can be eliminated, cured, wait a certain time, etc. Sometimes it is possible to completely get rid of contraindications, and sometimes it is enough to minimize their possible influence to make successful implantation possible.
In some cases, treatment or special preliminary preparation may be carried out, which evens out the situation. For example, if the case is due to insufficient volume of bone tissue in the right place, then bone grafting can be performed, which will then allow the implant to be placed. And there are a number of procedures that counteract osteoporosis, stimulate bone growth and help it over time.recover.
Possible Complications
Has dental implantation contraindications and possible complications. Some of them may occur even during the installation of a titanium rod and / or shaper with a crown, others appear in the postoperative period, and some may occur after a rather long time. The qualifications of a specialist and his experience are very important in order to correctly assess the condition of the client's tissues even before the operation, as well as professionally perform the procedure itself. According to some estimates, complications occur in 5% of operations.
It is worth noting that in some cases complications arise due to the fault of the patients themselves. Medical recommendations must be strictly followed: carefully monitor hygiene, give up certain bad habits and, importantly, observe the load regime that falls on the implant. You should not miss the scheduled periodic examinations in order to keep the process of osseointegration under control, and in case of complications, identify and eliminate them at the initial stage.
Complications during surgery
During the procedure itself, soft tissues, alveolar canals or even the facial artery can be damaged. Sometimes there are reviews that there was a perforation of the maxillary sinus or nasal cavity. When working with the lower jaw, sometimes there is damage to the nerves, penetration of bone tissue into the mandibular canal. There are also dangerous bleeding, or the bone tissue overheats in the process of forming a bed forfuture implant.
Sometimes in such cases, the procedure has to be simply interrupted, but there is a risk that this dental implantation will become unavailable at all. Contraindications and possible complications reviews here are characterized as the most unpleasant. So, overheating of the bone tissue will no longer allow the titanium rod to take root in this place in the future. Bone perforation and sinus penetration are even more dangerous. Fortunately, the risk is minimal, such cases are extremely rare.
Postoperative and long-term complications
Assume that the implantation of teeth has already passed. What complications can there be after it? Sometimes there is a divergence of the seams, the occurrence of pain and inflammation. The titanium rod may simply not take root, not fully fixed or loosened. Sometimes the bone tissue around it can collapse, which is called peri-implantitis. Sometimes, on the contrary, bone growths appear around the place of fixation. It is also possible that the implant will fail due to titanium allergy, osteoporosis, or a bone burn, preventing further implantation.
Specialist choice
Hurry and economy in this matter are unacceptable. This operation is not cheap, and it is also associated with the most expensive - he alth, and therefore requires the most serious approach. To find out for sure whether dental implantation is suitable, to clarify contraindications and possible complications, you should contact at least two specialists from good clinics. This advice is given by experienced people regarding all doctors,but here it is also very important. This approach will allow you to better understand the issue, listen to the opinions of different doctors, perhaps identify some contradictions and sort them out in a timely manner.
It is also worth learning more about the clinic and the doctor, both from official sources and from real patients who performed implantation here. Ideally, if these are familiar people, whose word can be completely trusted. But it will not be superfluous to study the reviews of others.
Tips and testimonials from real customers
Most owners of new implants, indistinguishable from real teeth, are very satisfied with the purchase. But there are those who experience pain or discomfort when biting for a long time, and those who have gone through inflammation. By the way, you should immediately understand what is dental implantation, what are the complications and what should be done in these cases.
So, with the same inflammation, a “cleansing” is performed in a clinic, treatment is prescribed, after which it will be possible to forget about problems forever. Under no circumstances should the process be left to chance. If anti-inflammatory therapy fails, the implant may be removed.
The first time after surgery there is always numbness associated with anesthesia. But if the sensitivity is not restored after 4 or more hours, then this may indicate damage to the mandibular nerve. Also, in the first hours after the operation, bleeding from the wound may occur. If after a week it did not stop, we can say that a vessel was hit during the operation. These complications require the intervention of specialists.
