Inflammation after implant placement | Risks of a dental implant

Inflammation after implant placement

If an inflammation occurs after placing an implant, several causes can be considered. Bacteria are usually involved whose metabolism only runs under exclusion of oxygen (anaerobes). Microcontaminations on the implant are extremely rare, since industrially manufactured implants are subject to strict quality management during their manufacturing process.

Also unclean, non-sterile work of the surgeon and his team can be a cause. Furthermore, a hypersensitivity or intolerance reaction to the implant material (very rare!) can lead to typical inflammatory symptoms.

An open healing method also carries risks, for example. “Open” means that the mucosa has not been sutured over the placed implant, which means that the upper part of the implant protrudes into the oral cavity where it also has contact with all the germs present in the oral cavity. The implant thus provides direct access to the jawbone.

Even therapy on the wrong basis can cause an implant to cause inflammation. This is the case, for example, if a patient takes bisphosphonates to treat osteoporosis and the bone structure is unsuitable for implants. In this case no implant should be placed.

Both possibilities can be avoided by a careful and comprehensive anamnesis (questioning the patient), whereas the healing method is left to the choice of the surgeon. However, once an inflammation has formed around an implant, this is known as peri-implantitis. Here, after prior germ determination and ozone vaporization with subsequent antibiotic treatment, an attempt can be made to stop the process.

Implant does not grow in

If it should happen that a dental implant does not grow in properly, there can be many different reasons. One of many reasons is, for example, osteoporosis. The bone structure is then loosened and offers the implant neither the necessary hold nor the necessary bone-building cells, which are necessary for the necessary ingrowth of the bone into the implant thread.

Immediate loading of the implant site is also discussed.While some implantologists advertise the fact that the patient leaves the practice with finished fixed dentition, others prefer to rely on the conventional method of 3-6 months of healing and only then put pressure on the patient. Similarly, patients treated with bisphosphonates during their cancer may experience a rejection reaction. Bone necrosis (dying off of the bone) around the placed implant can be the most serious reaction.