Dental Implants Problems

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Risks of Having Dental Implants

The Dental Implants Center in Manhattan only uses top-quality dental implants from Straumann, headquartered in Basel, Switzerland. It’s the largest and most advanced dental implant company in the world. 

Dr. Navid Rahmani is an internationally recognized, Board Certified Periodontist and top-rated dental implant specialist. Dr. Rahmani performs all dental implant treatments in NYC in our Midtown Manhattan dental center.

Long-term Success and Prognosis

Long-term dental implants success and prognosis often depends on the successful management of a variety of dental implant risk factors (e.g., uncontrolled diabetes, history of periodontal disease, bruxism, occlusal trauma etc.)

According to the American Dental Association, many failures and complications occur when using implants to support restorations. With proper treatment planning, Dr. Rahmani can prevent the most implant failures.

Dental Implant failures can be largely classified into four main categories:

  • Loss of integration, osseointegration
  • Positional failures
  • Soft tissue defects
  • Biomechanical failures

Failure of the Implant Post to Fully Integrate

For implant treatment to be successful, the implant post inserted into the jawbone must fully integrate with the surrounding bone. New bone cells must grow on and around the post, which will help to stabilize it, ensuring it is held firmly in place. This process, called osseointegration, can take several months to complete.

Dental implant posts are often specially treated to encourage the osseointegration process. Still, there is always a chance that the implant post could fail to integrate fully, leaving it unable to support a replacement tooth ultimately and adequately, increasing the risk of failure.

Damage to Nearby Anatomic Structures

Dental Implant
Dental Implant

Your jawbone doesn’t just consist solely of bone, as it also contains other vital structures that include nerves, blood vessels, and sinus cavities. There is a potential that the placement of the implant could damage some of the structures. Sometimes placing a dental implant too close to a nerve could damage it, resulting in numbness or even pain that may be temporary or permanent.

Damage to your sinus cavities may occur if you have dental implants to replace your upper back teeth. If there is insufficient room to place the implants in this area, then there is a risk the sinus cavity could become perforated. One problem with restoring upper back teeth is that the bone in this area is often naturally thinner because of the sinus cavities, which are large air-filled cavities.

People requiring dental implants in the upper back area of their mouth often need a sinus lift or sinus augmentation, a procedure to build up the bone in this area to ensure this cannot happen.

Bone Loss

Bone loss around the dental implant can affect its stability, and it’s something that requires treatment as soon as possible. Sometimes, it may be necessary to remove the dental implant and place a bone graft, replacing the implant later.

If you have bone loss between your dental implants and natural teeth, this can create dark triangles that would have previously been filled with gum tissue. These can affect the appearance of your dental implant-supported teeth and may make it more challenging to keep your dental implants thoroughly clean.

Infection

Infection is a risk that may occur soon after implant placement or even years later when treatment seemed to have been a complete success. Quite often, an implant dentist Dr. Rahmani provides a prescription for antibiotics to take before implant treatment, to help the implant integrate with the surrounding bone more successfully. Still, these antibiotics may not necessarily reduce the risk of infection.

When infection occurs years later, it may be due to poor oral hygiene. If you have dental implants, you must remain committed to looking after them by maintaining a good daily oral care regime combined with ongoing professional dental care that includes regular dental care checkups and hygiene treatments.

Implant Fracture or Breakage

It is rare for implants to fracture, especially if your implant dentist has used implant components from a reputable implant manufacturer, such as Straumann. An implant might fracture if it comes under excessive stress, for example, if you grind or clench your teeth or if the implant has been improperly placed.

Sometimes it’s possible to fix a damaged implant, replacing specific components, but other times it might be necessary to replace the implant altogether.

Dental Implants Risks

  • Smoking – associated with increased risk of peri-implant infection
  • History of Periodontal Disease – Many studies report lower implant survival and success rates in individuals with a history of untreated periodontitis.
  • Uncontrolled diabetes
  • Occlusal Conditions and LoadingPeri-implant bone loss happens as a result of plaque-induced inflammation. The direct relationship between dental plaque and peri-implant disease has been demonstrated
  • Age and Gender – No evidence to suggest that age or gender affects the outcome of osseointegration in the short or the long term.
  • The Treatment Planning Process – Adequate case assessment and treatment planning is a prerequisite for satisfactory implant placement

Contraindications For Implant Treatment

  • Radiotherapy to the jaw bone
  • Untreated intraoral pathology or malignancy
  • Untreated periodontal disease
  • Uncontrolled drug or alcohol use (abuse)
  • Uncontrolled psychiatric disorders
  • Recent myocardial infarction (MI) or cerebrovascular accident (CVA) or valvular prosthesis surgery
  • Intravenous bisphosphonate (anti-resorptive) therapy
  • Immunosuppression – for example following organ transplant or treatment of systemic disease
  • Inability to maintain high levels of plaque control (e.g. reduced manual dexterity or mental capacity)

source: Association of Dental Implantology

Can Titanium Cause Any Side Effects in the Body?

Titanium dental implants are specifically used because of their high biocompatibility with the body which makes any side effects very rare.

It is extremely unlikely that you will experience any adverse side effects of having a titanium dental implant. Still, a small percentage of people may have an allergy or sensitivity towards titanium or, more likely, one of the other metals used in titanium alloy.

Side effects due to a titanium dental implant may manifest months or even years after the implant is inserted and can include swelling in the mouth, loss of taste, or a tingling sensation.

Mouth ulcers may develop, or there could be purple or red patches on the palate. If an implant becomes corroded, it can release metal ions into the mouth. Frictional wear and tear on an implant can have the same effect.

It is hard to test for allergy to metal, but if you think you may have any sensitivity to titanium, discuss it with Dr. Rahmani before the implant surgery. If you are concerned about having titanium implants, it could be worth considering entirely metal-free zirconia implants.

What Are the Potential Risks of Having Dental Implants?

Dental implant placement is a skilled procedure that does require extensive planning and experience to maximize the chances of treatment being a complete success and to minimize any risks.

With any oral surgery, there is always a small risk that something could go wrong, but you can rest assured that Dr. Rahmani takes extensive precautions so any risks are minimal, and the success rate of this treatment is very high.

Possible risks can arise as a result of poor planning and insertion, including:

Poor Placement

Nerves damage: There is the risk of damage to any nerves or blood vessels surrounding the dental implant if your implant dentist positions the dental implant too close to these structures.

Numbness: This can cause numbness in your gums, chin, or lips that may be temporary if the nerve is only slightly bruised or which could even be permanent. In this case, the implant may need to be removed to get rid of the numbness, and the area would have to be left to heal before trying to insert another dental implant.

Risk of failure: It is also vital that the implant is inserted into a minimum amount of bone. It must be surrounded by several millimeters of healthy bone to become properly integrated. If the dental implant is poorly placed, there is a greater risk of failure as the implant may not integrate fully and is more likely to loosen.

Poor Planning

While the actual implant procedure in NYC is relatively quick, extensive dental implant planning should have gone on behind the scenes.

Extensive planning ensures that the implant is correctly placed and helps make the procedure much smoother and more comfortable for patients. Dr. Rahmani will carry out extensive tests to properly plan a dental implant surgery, including a cone beam CT scan.

Cone beam CT scan provides a highly detailed 3-D image of the jaws and shows precisely where the sinus cavities, nerves, and blood vessels are to be avoided during implant surgery.

At the same time, correctly placing the implant helps ensure that the final aesthetics are pleasing. The implant has to be angled perfectly, and there must be sufficient room for the implant crown, bridge, or denture to be correctly made and fitted to look fantastic and fully functional.

Patient
Testimonials

★★★★★

I’m extremely happy with my results. The entire staff was absolutely amazing, I needed to do this so long ago and held off I’m happy I found this office. I would highly recommend this office. Dr. Rahmani and Dr. Sawa did an amazing job on making my smile perfect. Thank you thank you thank you

Sixto Feliz

★★★★★

Beautiful and relaxing atmosphere. Such a professional and friendly staff. I got temps put in today. The doctor Sawa gave me her number and said call me if one of them cracks. Sure enough one cracked that day. I called doctor Sawa and she immediately met me at the office after hours and fixed it. Best dental experience I have ever had.

Marc Partial

Not Choosing a Specialist for Your Implant Surgery

Many general dentists now offer dental implant surgery, but they may have undergone minimal training, possibly over just one or two weekends. Additionally, they might only place a few dental implants each year and will lack the skill and experience that is so important for ensuring treatment is successful and comfortable.

As a dental implant specialist, Dr. Rahmani is trained to recognize and address any issues that may arise during surgery or the healing period. A dentist with limited experience in dental implants may refer patients to a specialist when they encounter complications. Dr. Rahmani schedules multiple follow-up appointments to ensure that the surgical site is healing properly and to address any concerns or questions you may have.

Failure to Provide a Stent or Surgical Guide

A stent or surgical guide is another essential part of planning an implant procedure. It is a template that uses the 3-D image of your jaws, showing precisely where to place the implant during surgery.

This high degree of precision is absolutely essential for treatment success but not every dentist bothers to provide a stent, or they may not have a cone beam CT scanner to produce 3-D images.

 

If you have any questions about Dental Implants in NYC or to make an appointment at the Upper East Side implant center with Dr. Rahmani, please call our Midtown Manhattan dental implants center:

NYC Dental Implants Center

121 East 60th St Ste 6C2
New York, New York 10065
(60th St. btw Park Ave / Lex Ave)
212-256-0000

Page Updated on Nov 24, 2023 by
Dr. Rahmani
(
Implant Dentist
) of
NYC Dental Implants Center
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