It should be understood that the process of implanting dental implants is a rather complex and sometimes traumatic procedure. The healing of the tissue afterward does not always go smoothly: possible swelling, bleeding, pain due to injury of the gum and jaw. However, all of this is a normal consequence of operation, which in itself disappears in a few days. But there are complications requiring doctors’ surgical interventions, and perhaps the most unlikely of them – the rejection of tooth implants. The first symptoms of the problem are usually acute pain, mobility of structures, smell, as well as redness and mucous membrane edema along the outer part of the implants (carriers, caps).
Generally speaking, rejection of implants is a fairly rare occurrence today, and patients do not have to re-think about the unfavorable outcome of the surgery. However, learn to recognize the typical signs of initial rejection is always helpful to prepare for possible complications, or in theory, to prevent their occurrence in practice.
When does implant rejection occur?
The average grafting period of the implant is about 2-4 months in the mandible and about half a year – at the top. This difference is explained by the fact that the lower jaw of the bone is better supplied with blood, generally larger and stronger and makes a higher chewing burden. Maxillary bone tissue is near nasal sinuses, which often introduces additional difficulties in implanting. According to statistical data, if implant rejection occurs, in most cases they are noticed in the first days after the installation. In other words, if something went wrong, the first symptoms of complications wouldn’t have to wait long. However, the patient must not lose his alertness if, after a successful operation, inflammation occurs after implant surgery, the rejection may last even several years. For more trustworthy surgeons you may check out Nationwidedentalimplants.com
Signs of implant rejection
After the implantation procedure, a visit to the doctor is very common: the first admission should be 2-3 days after surgery. Such reviews are very important for early detection of potential problems, as noted above. The dentist will evaluate the stability of the implants and the condition of the tissues around it. During the examination, it becomes clear how well a good implant is attached to the bones, whether there are signs of dangerous inflammation and whether additional intervention is needed to prevent unwanted complications.
Some of the symptoms of implant rejection (or peri-implantitis tissue inflammation around the structure) are very similar to the usual postoperative consequences (swelling and gum redness, jaw pain after an implant). However, they tend to be even more pronounced and have lasted for a long time:
- Acute pain lasting 1-2 weeks after insertion of the implant;
- prolonged bleeding from the wound, as well as the constant release of so-called exudates (ichor). If this phenomenon lasts for more than 7 days – it’s ungood;
- if there is a bad smell under the plug mounted on the implants;
- gingival manure – abscess can be near the implants and communicate with the hotspot of inflammation through the fistula or manure can also go directly from the implant (sometimes with the occurrence of breathing from the mouth);
- painful pressure on the implant – a very typical sign that there are serious problems with the integration of design. In such cases, it is better not to wait for everything to be sustained and “resolved”;
- increase body temperature;
All these symptoms can talk about the possible rejection of implants. Their appearance at any stage of treatment requires immediate consultation with a specialist.
The “implant inflammation” of the tooth (or, more precisely, its surrounding tissue) can occur without symptoms, especially several years after implantation in the bone structure. The patient can not pay attention to less pain and gum defects – a pronounced reaction to implant rejection may be absent, and inflammation in the meantime will lead to the destruction of bone tissue and, as a consequence, increase the mobility of implants. This situation is further complicated by the fact that additional jawbone surgery is required before re-implantation.
Why dental implants are sometimes rejected?
The reasons for rejecting dental implants, in general, are there, but not so much. In most cases, the problem arises with errors in the dentist’s procedure. Unfortunately, implants are often rejected due to dentist errors – this may be due to lack of experience, especially when they encounter severe medical cases, unprofessional or simply negligible. A special challenge for a doctor is the lack of sufficient bone to provide an implant (for example, due to atrophy) and acute inflammatory processes.
Much more rarely – if you opt for low-quality implants or even fake implants (again, medical errors can be considered). Large dental practices collaborate with dealer networks that provide implants directly from the manufacturer, which eliminates the chance of forgery. Also, quality plays an important role in the implant itself: a more expensive system, so as a rule, more advanced materials and technologies applied in the construction of the implants. Large-scale implant-makers with big budgets are committed to improving products and developing innovative technologies.
But do not forget the patient – because of nature or health state of the mismatch with certain behavioral rules during the rehabilitation period, implant rejection can occur. It should be kept in mind that even if the doctor does everything to make the implant work perfect, wrong tracking of the patient can deny even the best outcome. Symptoms of the beginning of rejection in almost all cases will be the same, regardless of their causes. Another cause that leads to rejection of the implant is a health deterioration. It leads to rejection of implants, mostly several years after the installation. If the implants are not torn off in the first two years, we can say with certainty the success of treatment. But the problem can occur many years after installation. This happens very rarely and mainly due to mechanical injury or deterioration and development of certain diseases: cardiovascular, diabetes, immunological (AIDS), tuberculosis or even cancer.