Ways to Manage Peri-implantitis

Cosmetic Dentistry, Dental Implants Leave a comment

Peri-implantitis is a destructive inflammatory that impacts both the soft and hard tissues surrounding the dental implants.

For individuals missing a single or several natural teeth, implant-based dental rehabilitation's have always been the preferred path. Even though the rate of success is as high as 95%, the dental implantation's are still faced with the challenge of diseases, which can destroy the implants entirely.

Peri-implantitis is one such major issue, affecting about 10 percent of implants. The unfortunate part is that the destructive inflammatory seems to be increasing in its severity as time passes.

As a result, failure to put proper management practices in place could spell doom to the future of your dental formula.

Peri-implantitis Risk Factors

Your lifestyle determines whether you’ll have a healthy body or not. What you do after receiving a dental implant is significant to its durability. There are quite a number of risk factors, including:

• Use of tobacco (smoking or chewing)
• Poor oral hygiene
• Periodontitis history
• Heavy smoking and drinking
• Lack of proper control of systematic conditions such as osteoporosis, diabetes mellitus, and post-irradiated jaws
• Latrogenic factors, including premature loading and unavailability of primary stability
• Badly made implants
• Excessive occlusal loads

Some signs that signal the onset of peri-implantitis are: continuous increase in probing depth; bleeding on probing; increasing reduction of the supporting bone, and emergence of inflamed tissue.

As peri-implantitis advances, you may notice dull aches as well as tenderness on palpation or brushing. However, the disease may not always be symptomatic and the individual may not feel any pain. An alarming symptom could be when you start feeling a bad taste, which is noticeable in cases of purulent exudates. There may also be an increased mobility which eventually makes the implant fail.

Peri-implantitis can be determined through radiographic and clinical evaluation.

Treatment Options

Generally, any treatment partaken is always geared towards stopping the disease from progressing further. It is also aimed at maintaining the implant site. The problem’s etiology will determine the treatment selected.

A periodontist is well-suited to manage peri-implantitis. The professional will determine whether the implant failure is caused by a bacterial infection or is a result of biomechanical forces. Once the causative agent is identified, appropriate treatment advice will be given.

It is a reality that dental implant patients have the potential to suffer from peri-implant disease. An understanding of the disease’s complexities can help mitigate some of the risk factors.

As always, talk to Dr. Langer about treatment options. Make sure to come in for regular appointments and checkups. If you're due for an appointment, contact our Brooklyn dental office at 718.395.5935 today.


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