Remove dental implants
If the dental implant is already loose and no longer or barely connected to the bone, it can be easily removed with pliers or tweezers. Neglected dental care and inflamed implants with bone loss can even cause the implant and its restoration (e.g. a bridge) to “fall out”. If the implant has not yet completely grown together with the bone a few weeks after insertion, one could try to unscrew it again.
However, this can also lead to bone splintering or fractures. If the dental implant was completely free of complaints and was firmly seated in the bone, there is no reason to remove it. It is problematic, for example, if it was placed incorrectly and has already grown together with the bone.
It is not easy to pull it out like a tooth, because an implant is not connected to the bone via a fiber apparatus, but is screwed directly into the bone. The bond between the implant and the bone is therefore very firm and strong. In such a case, the oral or maxillofacial surgeon must mill the implant out of the jaw along with the surrounding bone. This results in involuntary bone loss.
History
The insertion of dental implants was first used in the 1950s. However, it was not until 30 years later that implantology was recognized by the dental community as a useful and proven therapy. Initially, these were the so-called leaf implants.
In order for these to be inserted into the temporomandibular joint, large grooves had to be cut into the bone. Today these implants are therefore no longer used. The research was mainly concerned with the development of suitable materials.
These should be naturally tissue-compatible and achieve a firm connection with the jawbone. There were implants made of ceramic zirconium dioxide, titanium and ceramic-coated titanium. The shapes and surfaces of the implants were also varied in order to ensure the closest possible connection with the bone.
Especially the surfaces of the implants were redesigned again and again, partly by etching, in order to increase the surface area, always with the aim of improving the bone attachment. Today, dental implants are almost exclusively made of pure titanium, as this material has proven to be extremely well tolerated.There are now many different implantation systems available for dentists working in implantology, so that they can select the procedure required for the individual case. Implants replace the roots of the natural teeth.
They are used to attach bridges and prostheses. Dental implants should always be inserted by an experienced implantologist who has a variety of different implant systems at his disposal. Currently, pure titanium is the most compatible material.
Immediately loadable implant systems and those of a conventional type are offered. It is important that the implant is firmly anchored in the bone and that the superstructure is carefully planned. Due to the special anatomical conditions at the transition point between implant and mucosa, careful cleaning is absolutely necessary to preserve the implant.
