dental implants gone wrong

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. The 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.

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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 the 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 Dental implants are showing signs of failing?

  • Loosening of implant
  • Pain in the implant even after the healing period
  • Bad taste or smell from the mouth or nose
  • Symptoms of sinusitis

What was done for the patient?

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 placement.

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.


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