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Dr. Mitchell Pohl
2900 N. Military Trail Suite 105 Boca Raton 33431 South Florida Dentistry (561) 368-3440                                                      Office Tour |
Dental Implant FailuresCause and Effect Factors in Implant DentistryDental Implants, as discussed elsewhere on our website, are considered to be the Gold Standard of Tooth Replacement. No other dental technology duplicates the accuracy and efficiency of an implanted tooth and the benefits derived from it. The artificial root structure is second only to Mother Nature herself.
Early Preliminary DiagnosisRestorative Component FailureAn accurate diagnosis should be obtained as soon as an implant is suspected of failure.A restored implant may be loose, wobbly or create pain symptoms due to a failure in the restoration itself which can involve abutments, thread devices within certain types of implants, broken threads or perhaps a loosening of the abutment materail (e.g., zirconium). Repairs and replacements of these restoration failures can be completed by Dr. Pohl fairly quickly, returning the implant tooth to the normal occlusal relationship that was designed into the original treatment. Extended delays in completing the restorative repair does pose some functional risk for adjacent tooth structures, depending on treatment history. Implants used in bridgework that are suspected of failing will affect the entire bridge structure and should also undergo differential diagnosis asap (see picture below). Implant Device Failure
While root form implants are known for their healthful bone stimulating qualities..... that specific benefit exists only when osseointegration is "text book perfect". Implant technology is unsurpassed in maintaing healthy jawbone that prevents common resorption.
Repairing an implant that has gone bad due to the loss of the fused state between the jawbone and implant device can involve one or more combinations of: a change in implant design, additional bone grafting, a change in type of bone graft material used (e.g., pulverized vs chin block or ramus, changing occlusal relationship (restoration height or width), etc. Implant Failure: An AnatomyThe causes or reasons for dental implant failure are complicated and can even be confusing.Implants that fail early, or quickly.... generally have causal factors that may be related to:
Early Failures
Late FailuresImplants that become wobbly, loose or fall out after a significant period of optimal function typically result from excessive forces on the implant... which most commonly arises out of a shifting bite or changes in the vertical dimension (normal height of upper and lower jaws in the resting position).Adjacent, normal teeth wear differently from a porcelain restoration. A perfectly placed and functional implant can fail in the future if the the occlusal relationship between the implant tooth and natural teeth is not monitored (routine checkups should never be minimized). Teeth clenching, in particular, should be monitored on a routine basis. If a bite - occlusal relationship should change, it is possible that opposing biting forces can become redistributed to the extent they create a lateral force that exerts pressure horizontally, something a dental implant is not designed to withstand. Implant Supported BridgeworkImplants used in bridgework offer excellent choices in multiple tooth replacements that are affordable and provide attractive dental cosmetics.Maintaining good oral health with bridgework does require the practice of routine hygiene habits. While anchor teeth that are implant supported are superior to cemented bridgework (bridge is mounted on natural anchor teeth), poor habits can lead to an accumulation of bacteria and eventual infection. Discolorations, seepage of bacterial contaminants and occlusal damage can occur with one tooth or even all of the teeth in a bridge. Early diagnosis and timely treatment of a failed implant anchor can prevent this type of damage. Contact us at 561-368-3440 or use our convenient Ask The Dentist form to arrange a private consultation. Learn more about the cutting edge implant procedures that can be applied to your dental need... whether it is a tooth replacement or complete reconstructive makeover. Dr. Pohl will provide you with the objective details and available treatment options you can have and need for making an informed decision about which combinations of implant dentistry treatment you would gain the most benefit from.
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