Missing or lost teeth owing trauma and accidents can pose serious threats related to function and aesthetics. Empty spaces created after tooth loss can result in tilting and drifting of adjacent teeth and over-eruption of opposing natural teeth causing disturbance in natural occlusion and alignment of teeth. Such harmful consequences can cause food lodgment and subsequent damage to remaining natural teeth. Periodontal problems do take place if one fails to get replacement of lost natural teeth. Dental health care professionals strongly recommend artificial tooth replacement of lost teeth to restore normal structure and function of the oral environment. In the past, Removable dentures were in common use as replacement prosthesis. Presently, people prefer to opt for permanent fixed replacement prosthesis for restoring their lost dentition. Dental bridges can restore missing teeth but it comes at the cost of removal of sound tooth structure from adjacent teeth for achieving support and stability. Dental implants are fixed dental replacement restorations which can easily fulfill the required goal without sacrificing natural tooth structure.
Dental implants can identically replace the lost natural dental roots and provide a strong foundation for the placement of artificial crown afterwards. Dental implants are documented to be quite reliable and safe dental replacement restorations and these form a strong bond with the underlying alveolar bone of tooth’s socket. This occurs through the process of Osseo-integration in which bone cells grow around the surface of titanium based dental implant materials and merge with it like the natural tooth’s root. The dental implants success rate is very high and people also get the lost feeling of proprioception just like natural teeth. However, dental implants cannot be placed in all patients. Adequate alveolar bone depth, height, amount and exact knowledge about the surrounding structures such as sinuses, nerves and blood vessels is necessary before treatment planning. Impingement of dental implants on vital structures in future can result in post implant diseases and failure. This article discusses various concerns regarding provision of dental implants and the necessity of preoperative evaluation.
Patients with new dental implants may be able to detect signs of trouble early enough to help prevent complications that can damage gums and bone, a British study suggests.
Because the mouth is a very sensitive part of the body, it’s not surprising that patients and clinicians had a similar opinion about post-implant oral health, said Bruno Chrcanovic, a researcher in odontology at Malmo University in Sweden who wasn’t involved in the study.
That doesn’t mean patients are forever in the clear or that all problems can be easily detected without regular dental checkups, he said.
Implants are artificial tooth roots — typically titanium posts — inserted into the bone of the jaw to replace missing teeth. An implant with an attached crown, functions like a normal tooth and can help preserve the jaw structure and prevent bone loss, unlike bridgework or dentures.
Researchers focused on five areas of post-implant health: aesthetics, loose restorations, bleeding or pus, fractured implants and what’s known as occlusion, when the upper and lower teeth collide when the mouth is closed.
“If the patient will not follow the advice of the dentist, there is a risk of undetected inflammation around the implants,” Strietzel, who wasn’t involved in the study, said by email. “A dental implant is a foreign body like a prosthesis, which requires regular observation.”