Dental prosthetics is a technically sophisticated process that can lead to unpleasant complications right after the procedure, and 2-4 months later. Complications after dental implantation can occur because of low professionalism of a doctor, failure to ensure sterile conditions, when a patient doesn’t follow hygiene rules, or some contra-indications and individual intolerance were not defined. Complications can be treated different ways. Sometimes drugs can help, and in some cases, the old implant must be removed to install a new one.
Complications are typically classified according to the time of appearance:
- Complications during implantation: severe bleeding, bone perforation into Highmore's sinus, overheating of tissue because of mechanical processing (by a drill or a dental engine). The main reason of complications is low professional skills of a surgeon and lack of experience. Modern multifunctional equipment allows reducing all these risks to a zero, even if it’s used by a doctor with minor experience.
- Complications of a post-surgery period. During the first 5-10 days after a surgery, a patient can experience persisting pain in jaws. The reasons of complications can be different: individual peculiarities of body, technical inaccuracy during preparation, non-compliance with care recommendations.
- Problems with survival of prosthesis. During this period, inflammatory processes can occur around the implanted tooth; if there’s no proper treatment, inflammation destroys jaw tissue and weakens fixation of prosthesis. The main cause of inflammation is bleeding and rotting of soft tissues, incorrect preparation of bone site, or violation of sterility. To solve this problems, doctors cut the abscess out, disinfect the area to prevent bacterial and viral contamination and improve oral hygiene. If it doesn’t help, the implant is removed. Treatment is aimed at restoration of jaw bones.
- Rejection of prostheses is another problem that can happen during implant taking, or later on. It’s a rare case that is characterized by inflammation, overheating of bone tissues, and formation of granules that hinder prosthesis survival. Rejection can happen in people with osteoporosis that can develop because of difficulty with blood flow. Bones tissues don’t develop and cannot hold the implant. Therefore, it has to be removed.
During two stage implantation, the following problems can occur:
- Twisting of root prosthesis: this is the first stage of rejection that occurs when survival process goes wrong. If there are no inflammatory processes accompanying it, the implant can be installed back, and drug therapy with calcium is administered – it stimulates growth of tissues. When an inflammation develops, antibiotics are prescribed. In more complicated processes, prosthesis is removed.
- A prosthesis advances into maxillary antrum. While complications after implantation of lower teeth are less dangerous, such phenomenon is serious. It usually occurs when the implant doesn’t take, or a doctor makes a mistake. In this case, implants should necessarily be removed, jaw bones are to be restored, and bone tissue should be built up.
- Excessive growth of hard tissues over an implant. This isn’t a serious complication that’s easy to eliminate. A dentist simply removes overgrowth.
In well-established clinics, the risk of such problems doesn’t exceed 1-2%, and prosthetic surgeries are mostly successful. This is a fact proved officially.
Raise of temperature after dental implantation is a normal body reaction to a foreign body. In some cases, during 2-3 days after the procedure, a person may experience some unpleasant symptoms, including raise of temperature up to 37.5 °C. If a high temperature persists and/or is accompanied by purulent discharge, this is an inflammatory process that requires invasion of specialists.
Don’t worry, but watch out
As it has been mentioned, in most cases, patients suffer from subfebrile temperature after implantation. The body spends all powers to heal the wound which triggers reddening and swelling. The last condition also causes active blood flow to the tissues around the implant.
However, there can be some other reasons for poor well-being:
- stitches were put incorrectly and a gap developed, which caused dirtying and development of purulent areas;
- bleeding and hematoma developed near the new tooth;
- low-quality material of implant has been rejected by body tissues, which caused a high temperature and swelling;
- destructive inflammatory process affecting the soft and hard tissues surrounding dental implants (peri-implantitis).
The last condition happens when a surgery is performed incorrectly. Unfortunately, there’s lack of qualified and talented doctors in low-budget clinics. This is why in some dental clinics, dentists cut the dental site incorrectly, oral cavity is not disinfected properly, or an implant is fixed incorrectly, or it overheats. Overheating of implant takes place when the area is not moisturized sufficiently. Some dentists moisturize only a dental drilling machine, but not the treated area – it’s a big mistake.
As the result of doctor’s mistakes, patient can develop atrophy. A patient can start feeling unwell, swelling develops, and temperature rises.
Sometimes such symptoms are accompanied by development of sinusitis (if maxillary sinus cavity was affected during implantation). Removal of implant and anti-inflammatory medications can be necessary for treatment.
In order to protect yourself from complications and risks, you should follow the next recommendations:
- Don’t hurry to choose a clinic and a specialist. Read the reviews about medical center and the doctor thoroughly, check what his experience is like, look at the photographs showing the results of operations. Also check how the medical center is equipped. It should feature advanced devices with the main focus on safety.
- Right choice of material. Of course, it depends on patient’s budget mostly, but trying to save you should keep in mind that not all materials are equally compatible with bone tissues. Titanium, its alloys and zirconium have the highest survival rate, and the risk of rejection with such materials is minimal. Consult with your dentist before making a decision.
- Methods of implantation can also differ. The choice depends on overall health or mouth cavity and jaws. When bone tissues are too thin, some ways of implantation simply cannot be performed.
- Complications after implantation of the upper teeth are much harder to deal with. Therefore, if you are to go through such procedure, it’s crucial to figure out suitable materials for implants and the entire construction.
- It’s also important to follow doctor’s recommendations concerning methods of oral hygiene and cleaning.
- Minimal load on implants can be rendered after 2 weeks only.
If you want to avoid the above mentioned problems, you should choose specialists who deserve your trust. Being a patient of a high-quality clinic you can be sure to get decent treatment without complications and side effects. However, if you didn’t manage to avoid complications and medical malpractice, contact with us, and we will find a good specialist for you.
German Medical Group company organizes treatment in well-reputable European clinics and helps to get a long-distance consultation to get a “second opinion”. We work with patients from all over the world and offer high-quality services in leading European dental clinics.