Thursday 28 June 2018

New study finds troubling rates of dental implant complications

The study evaluated rates of dental implant loss and peri-implantitis as the result of dental implants.

Any dental procedure comes with the chance of infection, but a recent study out of Sweden has discovered that patients with dental implants run a high risk – and that several contributing factors can exacerbate this risk.


The research out of the University of Gothenburg aimed to evaluate the correlation between dental implants, implant loss and peri-implantitis, a destructive infection that affects the tissue surrounding dental implants and can result in loss of supporting jawbone. Researchers also explored the relationship between periodontitis and rates of implant loss.
The study consisted of 4,716 randomly selected participants that had all had dental implants in 2003-2004. Researchers sent out a survey and received dental records and charts for 2,765 patients in the study. 596 patients were also examined at a nine-year follow-up appointment. The results found that almost eight percent of patients with dental implants experienced the loss of at least one implant within that timeframe.

More research on dental implants with dental implant motor: New discovery can prevent dental implant infections
“Altogether, 7.6 percent of patients had lost at least one implant and 14.5 percent had developed peri-implantitis with pronounced bone loss,” reported Dr. Jan Derks, a researcher at Sahlgrenska Academy. 50 percent of patients presented with some signs of peri-implantitis, but only 14.5% were considered to have moderate to severe implications (equating to a crestal bone loss exceeding 2 mm). The 7.6 percent that had lost an implant showed an average loss of 29 percent of bone support.

Dr. Derks’ research also found that patients with preexisting periodontitis experienced an increased risk of peri-implantitis. Smoking was also identified as a risk factor contributing to early implant loss. The study also reported that “progression of peri-implantitis occurred in a non-linear, accelerating pattern, and, in the majority of cases, the onset of the disease had occurred early.”

More emerging research: Study finds protein can inhibit bone loss from periodontitis
Interestingly, the rate of implant failure did not differ between the general practice and specialty practices. “22% of all patients in the present sample received their implants in a general practice setting, and implant los in this subgroup was not different from outcomes in patients treated in specialist clinics,” the study stated.

“Peri-implantitis appears to develop within a few years and then progresses quickly at an accelerating pace,” said Dr. Derks. He hopes that the information gained from the study can help dentists minimize the risk of peri-implantitis and implant loss.



Friday 22 June 2018

The problems following a titanium dental implant

Over the course of this year I have been having a dental implant installed. When I look back over my medical diary, I can see that about 3 days after every part of the procedure I've started to feel generally unwell - like flu without the fever. It seems to last about 4 weeks then pass off.
The problems following a titanium dental implant


On 26 September I had the final part of the procedure, the permanent crown. Since then I've been feeling especially rubbish. To the extent that I'm only really functioning with the help of steroids (15mg/day seems to be the minimum required) and paracetamol. No fever, so not an infection.

I learn that there can be serious allergic issues with titanium (despite what dentists say), and particularly in autoimmune patients (oh goodee!). Which could be what's going on here and if so, that'll be a right pain in the whatsit as I guess the only solution would be to remove the implant and insert a bridge instead. No doubt at my (very great) expense.

BUT - is it that? In April this year I had the temporary crown replaced - with anaesthetic, but involving no new materials in my mouth (that I'm aware of) and had a similar, if milder, reaction then. Also, when I had the titanium dental implant surgically inserted, again I only had a milder version of my current symptoms. The final part of the procedure on 26/9 didn't involve anaesthetic or surgery or, again as far as I'm aware, any new materials in my mouth, yet I'm feeling much worse this time.

Has anyone else experienced similar problems? And did they resolve in time or did you have to take more drastic action?