Implants are made of pure titanium, a material that is inert to the human body. In the 40 years that implants have been used worldwide, only a few cases of allergies have been identified in several million implants. Other prosthetic components are also made from hypoallergenic materials.
Yes, but smoking increases the risk of complications and reduces the predictability of treatment success. It is recommended that you stop smoking.
Yes, but the disease process must be well controlled with medication (stabilized diabetes). If this is not the case, the changes in tissue metabolism (especially in the gums) lead to considerable complications during implant treatment. If in doubt, a consultation with a diabetologist is recommended.
Yes, the absolute contraindications include
unstable diabetes
osteoporosis
rheumatoid diseases
certain blood diseases
cancer
Mental illnesses.
Some diseases do not preclude implantation, but require detailed consultation with a specialist (so-called relative contraindications). These include
Cardiovascular diseases (high blood pressure, heart failure, etc.), congenital heart defects, prosthetic heart valves,
rheumatic diseases,
endocrine diseases, i.e., endocrine glands
Parkinson's disease
Diseases of the bone marrow, i.e., the hematopoietic system
Diseases of the respiratory system (asthma, chronic bronchitis, history of tuberculosis)
Kidney diseases
Liver diseases
Implants are not used in pregnant patients.
Yes, there are no contraindications. Physical activity is only prohibited for the first few days or weeks (depending on the type of treatment).
The implants themselves do not interact with medications, but the long-term use of steroids, for example, changes the reaction of the immune system and impairs healing. Taking anticoagulants (anticoagulant drugs, aspirin derivatives), on the other hand, carries the risk of increased bleeding. In such cases, it is necessary to consult the implantologist with the patient's general practitioner.
The patient's bone growth must be complete for implantation. This happens at the earliest at the age of 18.
Yes, of course. We also insert implants in 70 to 80-year-old patients, provided their general state of health permits this.
The implants do not affect the function of the pacemaker in any way.
No — titanium is not ferromagnetic. In addition, the mass of implants, such as dentures, is too small to excite the metal control sensors.
There are two types of failure in implantology — early and distant failure:
Early failures — when there is no integration of the implant into the bone. After a few days, there is slight pain, redness, sometimes purulent exudate, and the doctor can feel the mobility of the implant during the examination. This is the result of infection of the implant site (due to neglect of hygiene on the part of the patient or due to non-compliance with post-operative instructions — not taking antibiotics, smoking after the procedure, etc.), improper surgical technique or poor planning. It must be acknowledged that this type of failure is extremely rare in reputable clinics.
Remote failure — when the previously achieved osseointegration is lost.
Negligent hygiene can lead to inflammatory processes around the implants. These are initially asymptomatic (no pain) and the patient is unaware of the severity of the problem. The patient often presents to the clinic without experiencing any discomfort when the disease process is already very advanced (sometimes requiring removal of the implant). To avoid this, regular check-ups every 6 to 12 months are necessary, because frequently only the doctor can recognize the first signs of an impending issue. If in doubt, he or she will carry out an X-ray examination to see if there are any worrying changes in the bone. Sometimes the cause of distant failure is the gradual loss of remaining teeth and the resulting overloading of the implant-based restoration. This is why it is so important to replace newly formed defects in the teeth. Unfortunately, it also happens that the reason for failure is poor planning of the procedure (insufficient number, size, and type of implants in relation to the quantity and quality of bone and occlusion conditions) and the subsequent prosthetic restoration. This is why it is so significant to perform a complete preoperative diagnosis (pantomogram, CT scan) and create a precise plan for the implant-prosthetic treatment.
In any case, the implant that has not grown in must be removed (this is painless) and the area left behind must heal. As soon as the reasons for the failure have been analyzed (usually after a few weeks), the implant can be implanted again.
Symptoms of dental implant rejection include fever, inflammation of the gums near the inserted prosthesis, redness and, more rarely, bleeding. This is a very rare situation, but it is worth being aware of this possibility and consulting a specialist. It is also important to remember that implantation is a surgical procedure and that temporary bruising, slight swelling or minor bleeding are normal reactions that will subside over time. Do you suspect inflammation after implantation and want to rule out the possibility that it is a reaction to the procedure? Consult a specialist.
After implantation, as after any surgical procedure, pain, swelling, bruising or slight bleeding may occur. However, these symptoms can be eliminated with the pharmacological agents currently available. There is also a risk of complications such as bleeding or damage to the inferior alveolar nerve. However, this is extremely low.
