Avoid Peri-Implant Disease
Although the dental implant is now the new gold standard solution for tooth loss, it is still possible for complications to arise, sometimes even years after the implant was originally placed. Peri-implant disease is an example of such a complication. Dental implants are increasingly becoming more popular as the standard treatment for partial or complete tooth loss. When successfully placed, dental implants provide an elevated level of predictability and can be utilized in a range of treatment options.
Peri-implant disease has two distinct forms, either peri-implant mucositis or peri-implantitis. Both diseases are identified by an inflammation in the tissue around the implant as the result of bacterial buildup. Peri-implant mucositis is contained in the soft tissue surrounding the dental implant and does not affect any supporting bone. Peri-implantitis is more serious, affecting both the soft tissue and the surrounding bone supporting the implant. Without proper treatment, peri-implant mucositis can progress into peri-implantitis and could result in bone loss around the implant, causing the implant to fail.
Including a Preventative Strategy in the Planning Stage
When planning an implant for a restoration, it is beneficial to consider the possibility of peri-implant disease. Placing the implant in the correct location, and in good healthy bone increases the chances of a successful long-term outcome. In some cases, it can be useful to use a custom abutment extension to help establish the proper reach to the gum surface, which will make it easier for you to maintain proper oral hygiene. When placing a cement-retained restoration, additional care needs to be taken to find and remove any residual cement from the crown and abutment.
Minimizing Your Risk of Developing Peri-Implant Disease
Based on your risk factors for developing peri-implant disease, proper daily maintenance is imperative for the long-term success of your dental implant treatment. Your medical and dental history will help determine the appropriate preventative maintenance schedule. Your history should include the date of your implant placement, the manufacturer, and the type and design. Your records should also show the type of restoration on the implant, when it was first placed, and whether a screw or cement-retained restoration was chosen. If you have previously suffered from periodontitis you may benefit from a shorter maintenance schedule. One of the problems with peri-implant disease is that it is usually not painful. You may be unaware your implant has become inflamed or infected until more significant symptoms arise, at which stage your implant may have become loose and will need to be removed.
Patient Education
You should be educated on proper oral care and advised of potential risks if you choose to neglect your oral hygiene. If you have demonstrated a lack of oral hygiene, you may not be a viable candidate for dental implant treatment. Correct oral hygiene instruction should be provided, including a demonstration of the correct cleaning techniques and proper brushing methods. A schedule of regular professional cleanings every six months will allow your oral hygiene to be monitored and for any ongoing treatment to be adjusted as required.