What to do if the implant is loose in the restoration

Hello, generally speaking, there will be slight loosening within a week of implant installation because the implant and alveolar bone are not completely healed well. After the implant is osseointegrated with the jaw (more than 6 months for the upper jaw and more than 3 months for the lower jaw), it is basically fixed. Until 40-50 years of use, there is no problem at all, unless the bone mass, bone density is not enough, the implanted artificial bone meal or artificial periosteum is not completely closed with the alveolar bone before the implant nail is installed.

Basically, implant nails can be installed only after the artificial bone meal or periosteum is completely anastomosed and absorbed by the alveolar bone. In order to carry out the follow-up **, I hope to provide professional advice.

Hello, there are many reasons for the loosening of dental implants, different methods should be used for the loosening of dental implants caused by different symptoms, such as for the bone around the implant is absorbed, but the loosening of the implant is not obvious, the flap curettage can be carried out, the inflammatory tissue and other soft tissues around the implant can be removed, and the hydroxyapatite mixed with blood, or other bone substitutes, and then tightly sutured, and for the implant has been significantly loosened and completely unable to exercise its support function, under the premise of the lack of bone tissue support around the implant, The implant can be removed before treatment.

Dental implants covered by attachments, strictly a technical group, are most commonly sleeved crown implants. It uses the splint principle to re-fix 4-6 loose teeth without extraction. The location of the missing tooth is restored by implantation, which is especially suitable for the elderly with more loose tooth stubs.

After dental implants, the loose adjacent teeth will recover in about a week, and it is also necessary to take good care of the teeth in the mouth. If there is a tooth loss in the mouth, most of them will choose dental implants to do it, and a suitable implant will be implanted into the pulp bone, which can have a good fixing effect. It will be in an unstable state for a short period of time, so do not eat foods with strong chewing ability.

Dental Implant Notes:

1. Brush your teeth 24 hours after surgery, and apply ice cubes wrapped in gauze within 48 hours after surgery. 2. Take the medicine at the specified time.

3. Don't overheat the food, try to eat soft foods such as eggs, milk, broth, porridge noodles, etc.

4. Rinse your mouth with mouthwash or saline more than 3 times a day until the sutures are removed.

5. It is normal to have swelling after surgery, if there is obvious bleeding, you can call the doctor or bite a piece of gauze and cold compress.

6. Pay attention to rest after surgery, and do not drive, smoke, drink alcohol and exercise vigorously on the day.

7. Eat a semi-liquid diet for 1-3 days after surgery, such as eggs, broth, etc.

8. Routine 7-10 days follow-up to check the wound healing and remove the sutures in time.

Xiamen Dent Stomatological Hospital is a second-level dental hospital, adhering to the core value concept of "focus and innovation", and everything is patient-centered. The goal of oral diagnosis and treatment is to sublimate from restoring oral function to achieving the goal of facial rejuvenation. Strictly follow the oral "four-hand operation" and double high-temperature and high-pressure disinfection standards.

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It can be said that it is a normal phenomenon. After a dental implant, there is a possibility of inflammation of the surrounding soft tissues, and there is a possibility that the surrounding teeth may become loose. This condition can be recovered, we just need to keep our mouth clean, or we can rinse our mouth with vitamin oral solution to prevent local infections, and it will soon return to normal.

Some patients may experience loose dental implants after dental implant restoration surgery, so what should patients do at this time? According to the dental experts of the Digital Dental Center of Fujian Armed Police Hospital, if the patient has loose dental implants, remember not to deal with them by themselves, and must go to a regular dental hospital to ask a professional dentist for treatment: 1. For those who have obvious loosening of the implant and are completely unable to exercise its support function, the implant should be removed on the premise of clearly judging the lack of bone tissue support around the implant.

Treatment: Do not damage the tissue when removing, all connective tissue in the implant socket must be carefully and thoroughly scraped, carefully check to confirm that there is no fibrous connective tissue remaining, thoroughly rinse the implant site, make it full of blood clots, if necessary, fill bone meal, hydroxyapatite, etc. The gingival tissue of the implant neck is excised, the mucoperiosteal flap is relaxed, and the suture is tightly sutured without tension so that it completely covers the implant area.

After the implant has been removed, if there are enough other implants left to support the denture, it is not necessary to re-implant it, otherwise it can be re-implanted in the original implant site after one year, when the new bone has been formed. 2. For those who have resorption of the bone around the implant but the implant is not obvious, the flap scraping can be performed to remove the inflammatory tissue and other soft tissues around the implant, add hydroxyapatite mixed with blood, or other bone substitutes, and then suture tightly. Notes:

The diagnosis of incomplete osseointegration is not only based on the presence of a fluoroscopic area around the implant on x-rays, but also by clinical examination of the implant's mobility. It is important not to make a judgment based on the translucent area around the implant on the X-ray film, especially in the first year after surgery, because the bone reconstruction has not yet been finalized, it is possible to see a thin layer of translucent area around the implant on the X-ray, so do not judge the removal lightly. After reading the introduction of the above experts, if you still have questions about other aspects of dental implants, you can also find experts to consult, and experts will consult through the Internet to analyze the specific condition in detail, so that you can understand your own condition more clearly and help you solve the problem as soon as possible.

Dental implant restoration is currently one of the most popular ways to repair missing teeth, and it can be used for a long time if it is well maintained in the later stage. After the tooth implant is loose in the later stage, you should go to a regular dental hospital for follow-up in time** to avoid trouble such as falling out in the later stage! Generally, regular follow-up visits are required after dental implants, and I hope you can have follow-up visits on time.

Poor oral hygiene will lead to redness, swelling and bleeding of the gums, and if there is no timely intervention, it will lead to the recession of the gums, and in severe cases, it will even lead to the recession of the alveolar bone. The loosening of the wisdom teeth is mostly due to the atrophy of the periodontal bone, resulting in inflammation around the implant, and if the implant is loose, the implant can generally only be removed.

According to the experts of Evergreen Dentistry: the main reasons for the loosening of implants are:

Cause. 1. Due to the failure to strictly follow the principles of implant surgery, the trauma of the operation is too large or the periosteal is perforated in the healing stage, resulting in poor healing. During the dental implant operation, there is no good cooling water to cool down, and the temperature is not controlled below 47, and the high temperature for a long time causes bone cell death, so that bone healing cannot be formed, and the implant is implanted due to the early micro-movement of the implant due to the operation, so the bone healing cannot be formed.

Cause. 2. Due to the unreasonable design of the restoration, the required accuracy cannot be achieved during production, and the local overload is caused, resulting in subtle fractures of the bone around the implant, or the accuracy of the restoration is insufficient, after the completion of the restoration of the dental implant, there is a greater stress on the implant, bone resorption occurs, and there may also be progressive bone resorption at the tooth implant site due to persistent gingivitis, peri-implantitis, and uneven distribution of dental force.

There are two main reasons for the loosening of dental implants, one is the unreasonable operation of the implant dentist, who does not strictly follow the principles of implant surgery for surgery; The second is that the design of the restoration is unreasonable, and the required accuracy cannot be achieved during production, which causes excessive load locally. Whatever the reason, if the implant is loose, you should go to the hospital for examination and treatment in time.

Hello: It is recommended that you find your attending physician for examination in time to see if it is a human factor or a problem due to implantation, so as to facilitate early diagnosis and treatment!