DENTAL IMPLANTS GONE WRONG!
Dental implants are one of the most in demand treatments
currently in the world. It’s the permanent solution for tooth replacement as it
is consists of a surgically placed titanium post in the jaw with a tooth like
crown mounted on it.
Dental implants have a high success rate, but some people
experience treatment failure. It’s estimated that about 5 to 10 percent of dental
implants fail, either shortly after a procedure or months or years later.
Implant surgery may have complications, due to: incorrect placement, poor oral
hygiene maintenance, uncontrolled systemic medical conditions, etc.
A worrying case:
A patient reported with symptoms of pain, pus discharge from the
nose. Patient had undergone extraction of upper back teeth and immediate
implant placement weeks ago. Examination revealed the dental implant placed
encroaching the sinus space. Because of the incorrect implant placement, the
sinus got infected leading to the problems faced currently.
Dental implants placed in the
upper jaw need some expertise as there is a chance of failure because of the
low density of the maxillary bone and the shortness of the ridge height. The
maxillary sinus is a structure right above the upper back teeth i.e the
premolars, molars. Thus improper bone drilling or fixation of implant can
easily lead to complications related to the maxillary sinuses. Implants placed
close to the maxillary sinus offer a route for infection from the oral cavity
to the sinus.
How to identify if your implant is showing signs of
- Loosening of implant
- Pain in the implant even after the healing
- Bad taste or smell from the mouth or nose
- Symptoms of sinusitis
What was done for the
The patient was admitted in the hospital and administered
antibiotics immediately for the infection. Surgical removal of the displaced
implant was done. All the infected tissue was scraped and pus drained. After a
healing period of 2 months, the patient is planned for grafting with implant
Dental implant treatment may-be provided by most of the clinics
and hospitals these days, but in certain challenging conditions precision of
the surgery is important. One needs to be aware that like all surgeries there
are risks of complications if not planned or executed well.
At the Richardson’s,
thorough evaluation of bone available, proximity to important structures,
systemic condition of the patient are considered for implant placement.