Welcome to DFW Dental Implant Repair Center
We manage dental implant complications!
Welcome to DFW Dental Implant Repair Center
We manage dental implant complications!
DENTAL IMPLANT DISEASES
Classifications of Peri-implant Disease:
The 2017 World Workshop on Periodontology and Implantology issued new classifications of peri-implant disease:
1. Peri-Implant Health.
2. Peri-Implant Mucositis
3. Peri-Implantitis.
PER-IMPLANT HEALTH
A Healthy dental implant is characterized by the absence of erythema, bleeding, swelling, and suppuration (puss).
Signs of peri-implant diseases are similar to that of periodontal diseases — red or tenderness gum around dental implants, bleeding when brushing, or suppuration (puss) when pushing around the gum area.
Properly placed and restored dental implants will last for a long time.
PERI-IMPLANT MUCOSITITS
Peri-implant mucositis is an inflammation confined to the soft tissues surrounding a dental implant, with no signs of radiographic bone loss. The main clinical characteristic of peri-implant mucositis is bleeding, erythema, swelling, and/or suppuration. Some patients also report implant crown clicking or moving slightly during chewing.
Evidence suggests that peri- implant mucositis can be successfully and predictably treated, and is reversible if caught early.
Peri-implant mucositis has been identified as a precursor to peri-implantitis.
Poor restoration resulting in infection, bleeding and swelling around dental implant crowns.
PERI-IMPLANTITIS
Peri-implantitis is a plaque‐associated pathological condition occurring in dental implant supporting tissues, characterized by inflammation in the peri‐implant tissues and subsequent progressive radiographic loss of supporting bone. Other clinical signs are bleeding, increased pocket depths, suppuration, and possibly recession of the gingival margin around the crown.
Peri-implantitis usually requires surgical treatment to prevent progressive bone loss and/or implant failure.
Several studies have suggested that as many as 80 percent of patients will develop peri-implant mucositis, and as many as 40 percent of implants and 18.5 percent of patients will develop peri-implantitis. An even greater frequency of peri-implant diseases was recorded for smokers, diabetics, excessive luting cement, and individuals with active periodontal disease elsewhere in the mouth.
One study followed 2,300 implants for ten years and found that patients with severe periodontal disease had eight times the risk of implant failure than patients with healthy supporting tissue and bone.
Severe boneloss around dental implants (peri-implantitis)
PERI-IMPLANT DISEASE TREATMENT:
Typically surgical treatment is required to properly treat peri-implantitis. Gum around the infected dental implant is elevated to completely visualize the implant surface. The implant can then be mechanically debrided to fully remove any retained cement, the adherent biofilm, or inflamed granulomatous tissue. There are many methods available to debride a plaque- contaminated abutment or implant surface including appropriate use of sonic and ultrasonic scalers, lasers, air- powder abrasion, and various chemical solutions such as citric acid, hydrogen peroxide and saline. However, these conventional methods have been shown to cause damage and oxidation of the implant surface which can lead to impaired healing.
This is why Dr. Chang uses the latest and most advanced method to remove bacterial pathogen from diseased implant surfaces. The Erbium laser has been shown to target the bacteria that cause peri-implantitis without disrupting the stability of the implant itself and even aids in regeneration of lost bone around disinfected dental implants.
The optimal outcome of peri- implantitis treatment is regeneration of the lost hard tissue around the implant. Following successful implant surface decontamination, Dr. Chang will then attempt to rebuild the lost bone around the implant utilizing various advanced bone regenerative techniques. These include utilizing autogenous, allograft or xenographt bone and growth factors (bone morphogenetic proteins (BMPs), recombinant human platelet-derived growth factor (rPDGF), autologous platelet-rich fibrin (PRF) and barrier membranes.
DENTAL IMPLANT DISEASE PREVENTION
Poor plaque control and lack of regular maintenance constitute the major risk factors for peri-implantitis.
Strict adherence to regular periodic maintenance is the most important preventive measure, permitting early detection of peri-implant disease.
Whether you have just one dental implant replacing a single tooth or several dental implants replacing all of your missing teeth, Dr. Chang has developed a maintenance protocol that has been proven to minimize the risk of developing peri-implantitis. Please call us to schedule for an evaluation and be placed on our implant maintenance program.