DAVID A. GOLDBERG, D.M.D.

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908-756-7619

Implant Dentistry in NJ

Implant dentistry outcomes are generally very positive with dental implant success rates in the 90th percentile. However, dental implant problems and failures including loss of integration and non-integration still occur.

As more and more implant procedures are performed by dental professionals of varying skill levels and clinical backgrounds, the number of patients experiencing peri-implant disease is increasing. It is important to recognize the symptoms of failing implants. If recognized early, many problems can be rectified by early intervention with the help of a dental implant expert who is not only well versed in performing dental implant surgery, but is dually skilled in providing proper gum and bone health maintenance around teeth and implants.

Reasons for Implant Failure

The most common reasons for dental implant problems or total implant failure may include:

  • Poor placement/positioning of the implant
  • Overtaxing the implant with a tooth that is too long, large or creates too heavy a bite
  • The implant does not fuse/integrate with the jaw bone
  • Excess cement was used when the tooth is glued onto the implant causing an inflammatory reaction leading to bone loss
  • Excessive biting and clenching habits of patient
  • Genetic susceptibility of a patient to implant complications and/or failures
  • High health risk factors of patient (see below)

Risk Factors

Patients with untreated periodontal disease (symptoms include gum bleeding, gum swelling, and bad breath), smokers, diabetics, immuno suppressed patients, and alcoholics are all at greater risk for dental implant problems and even dental implant failure. However, many of these patients can still have dental implant procedures by an experienced implant professional provided there is a willingness to incorporate some behavior modifications.

Implant Failure Results

Some of these may include the following:

  • Persistent infection
  • Loss of supporting bone accompanied by inflammation (Peri-implantitis)
  • Permanent loss of implant
  • Nerve impairment resulting in persistent pain, numbness, and/or tingling of the lip, tongue, or cheek
  • Sinus problems caused when dental implants placed in upper jaw protrude into sinus cavities through the sinus membrane

Treating Peri-Implant Disease

If Peri-Implant Mucositis is present, treatment will include labwork to determine the specific bacterial profile followed by a program using appropriate systemic or localized antibiotics and debridement of the implant problem area to help resolve the gum pain and swelling.

If the implant problems progress to Peri-Implantitis and the supporting bone is being lost, surgical procedures using bone grafting procedures with a growth protein will be used to replace the lost bone before a total loss of integration occurs.

If an implant is lost it can often be replaced although additional bone grafting may be required.