Diseases or injuries sometimes lead to loss.teeth. This affects not only the reduction of the functionality of the oral cavity, but also affects the aesthetic perception and self-esteem. The quality of life itself can be determined by the quality of the teeth. And you can fill the gap with bridges, crowns and pins, and implants. At the same time, the latter is indistinguishable from a real tooth visually, does not require grinding of the neighboring teeth, does not force to mount special structures, for which it is valued. However, no matter how beautiful the implantation of teeth, contraindications and possible complications are still present.
A short digression into the history
People tried to do the first dental implantsancient times. The findings of archaeologists indicate that the gold was in ancient Egypt, the Indian was made of semi-precious stones, ancient Chinese ivory, ancient Roman metal. But then it was extremely difficult to do, accompanied by high risks. Dental implantation itself was dangerous, complications after implantation were even more deplorable.
The main problem was that usedmaterials with a human jaw could not live, so that sooner or later there were problems. But in the 60s of the 20th century, scientists discovered the amazing properties of titanium, which turned out to be biologically inert, and since the 80s they have already learned how to integrate this material into human bone, starting the era of implantation. It is titanium that can grow into the bone, so screw cylindrical implants were created on its basis.
Not so simple: contraindications and complications
On the one hand, you can put the implant inany age at any vacant spot in the jaw. Even if it has been damaged, its integrity is restored by modern medicine with the help of bone grafting, into which a new tooth is then placed. But on the other hand, this procedure is not available to everyone. There are a number of contraindications that will not allow to restore a beautiful smile by this method.
So, consider the categories of clients who are not suitable for implantation of teeth, who can not perform it for one reason or another.
Уровень медицины сейчас высокий, технология proven, reliable materials. It would seem that dentistry is not dangerous, even if it is dental implantation. Are there any complications? Some do not even think about it. In fact, this is still a surgical intervention, which has a number of risks, so you need to take the issue seriously. Absolutely everything can not be foreseen, but doctors do everything possible so that complications do not arise.
General absolute contraindications
Do not provide this service to people who haveblood diseases, bone marrow cancer, tuberculosis, immunity disorders and autoimmune diseases, as well as type I diabetics. Do not operate on clients with certain congenital or acquired CNS diseases, including mental ones. These diseases are among the absolute contraindications. Even bruxism can become an obstacle, i.e. gnashing of teeth, and hypertonus of the masticatory muscles, which will not allow the implant to properly fix and heal the wounds. Intolerance to anesthesia also becomes an obstacle to the operation.
Among the medical contraindications arerelative, which are temporary. So, if a person has distress syndrome or he takes medications that will negatively affect healing, then intervention may be refused. Do not perform the operation in patients who have recently undergone radio or chemotherapy, but over time this procedure may become available.
Relative and temporary contraindications
According to the above indications from the point of viewMedicine does not implant teeth. Contraindications and possible complications may also be associated not with illness, but with a physical condition. The specialist may prevent the procedure from persons who have nerve endings of the jaw or bone tissue in poor condition. This question is individual and is revealed during a personal examination. Mistakes with the diagnosis can cause complications. So, if a patient has osteoporosis, i.e. bone tissue is sparse, then the implant implantation is difficult.
Relative contraindication isproblems with other teeth. But it is enough to perform the sanation of the oral cavity so that there are no carious teeth and other diseases, so that the question can be revised. It is also necessary to cure periodontitis, gingivitis. An obstacle can be pathological bite, arthrosis and temporomandibular joint. Implantation is not performed pregnant. Also on the list of adverse events listed alcoholism, smoking and drug addiction.
Contraindications are not a reason for despair
But under certain conditions it is still possible.implantation of teeth, who was not allowed to contraindications at first. Many relative and temporary causes can be eliminated, cured, wait a certain time, etc. Sometimes it turns out to completely get rid of contraindications, and sometimes it is enough to minimize their possible impact so that successful implantation becomes possible.
In some cases, treatment may be performed.or special preliminary preparation, which evens out the situation. For example, if the matter is in insufficient volume of bone tissue in the right place, then bone plastics can be performed, which will then allow the implant to be placed. And there are a number of procedures that counteract osteoporosis, stimulate the growth of bone tissue and help it recover over time.
Possible complications
Has dental implants contraindications andpossible complications. Some of them may occur even during the installation of a titanium rod and / or shaper with a crown, others occur in the postoperative period, and some may occur after quite a long time. The qualification of a specialist and his experience are very important in order to correctly assess the condition of the client’s tissues before the operation, as well as to perform the procedure professionally. According to some estimates, complications occur in 5% of operations.
It is worth noting that in some cases the complicationsarise through the fault of the patients themselves. Medical recommendations must be carried out strictly: carefully monitor hygiene, give up certain bad habits and, not least, observe the mode of stress that falls on the implant. Do not skip and scheduled periodic examinations to keep under control the process of osseointegration, and in case of complications to identify and eliminate them at the initial stage.
Complications during surgery
During the procedure itself, there may bedamaged soft tissues, alveolar canals, or even the facial artery. Sometimes there are reviews that there was a perforation of the maxillary sinus or nasal cavity. When working with the lower jaw, nerve damage and bone penetration into the mandibular canal are sometimes encountered. There are also dangerous bleeding, or the bone tissue overheats during the formation of the bed for a future implant.
Sometimes in such cases, the procedure has tojust interrupt, but there is a risk that this implantation of teeth will be inaccessible at all. Contraindications and possible complications are described here as the most unpleasant. Thus, overheating of the bone tissue will no longer allow the titanium rod to take root in this place. Bone perforation and sinus penetration are even more dangerous. Fortunately, the risk is minimal, such cases are extremely rare.
Postoperative and long-term complications
Assume that the implantation of teeth has already passed.What can be complications after it? Sometimes there is a gap in the seams, the occurrence of pain and inflammation. The titanium rod may simply not settle down, not fully locking or loosening. Sometimes around it bone can collapse, which is called perimplantitis. Sometimes the opposite - around the place of fixation appear bone growths. Implant rejection is also possible due to an allergy to titanium, osteoporosis or as a result of a bone burn, which prevents the implantation to continue.
Selection of a specialist
Haste and economy in this matterare not allowed. This operation is not cheap, but also associated with the most expensive - health, and therefore requires the most serious approach. To find out for certain whether dental implantation is suitable, to clarify contraindications and possible complications, you should contact at least two specialists from good clinics. This advice is given by experienced people regarding all doctors, but here it is also very important. This approach will allow a better understanding of the issue, listening to the opinions of various doctors, perhaps, to identify some contradictions and to sort them out in a timely manner.
It is also worth learning more about the clinic and the doctor asfrom official sources, and from real patients who performed implantation here. Ideally, if it will be familiar people, whose words can be fully trusted. But the reviews of others will not be superfluous.
Tips and reviews from real customers
Most owners of new implants are notdistinguishable from real teeth, very pleased with the acquisition. But there are those who experience pain or discomfort when biting for a long time, and those that have gone through inflammation. By the way, you should immediately understand what is implantation of teeth, what are the complications and what should be done in these cases.
Так, при том же воспалении производится «чистка» in the clinic, treatment is prescribed, after which the problems can be forgotten forever. In no case should the process be allowed to drift. If anti-inflammatory therapy does not produce results, then the implant can be removed.
The first time after surgery always takes place.numbness associated with anesthesia. But if the sensitivity did not recover after 4 or more hours, then this may indicate damage to the mandibular nerve. Also in the first hours after surgery, bleeding from the wound may be observed. If after a week it has not stopped, we can say that during the operation the vessel was touched. These complications require the intervention of specialists.
