Early implant failures are due to the failure of the initial osseointegration between the surface of the implant and the surrounding bone due to the change in the treatment plan. The main causative factors are contamination, infection, peri-implantitis, trauma during or after surgery, inadequate healing and early burden.
dental implantscan fail for a variety of reasons, but the most common (and the most preventable) are infections and bone loss. Peri-implantitis is one of the main causes of dental implant failure.
There is some debate as to whether it should be classified as a disease or as a complication due to the placement of a foreign body in the oral cavity. In any case, an inflammatory response can sometimes occur soon after completing the procedure, caused by the formation of bacteria in the mouth. The mechanostatic theory of bone remodeling1 (originally tested on the tibia) may be relevant to implants. While dental implant failure is quite rare (with a success rate greater than 95 percent), it can still occur.
Similarly, Canullo and his co-workers13 demonstrated that a poorly positioned implant has a 48.2 chance (CI 11.4-204) of having periimplantitis. When given the right care, some dental implants will even last the rest of their lives. While peri-implantitis is widely recognized as a major cause of bone loss and peri-implant implantation, some leading researchers do not yet recognize peri-implantitis as a disease. The first is somewhat easier to treat, since the causes could be related to surgical trauma, such as bone overheating (dense type I), poor bone quality, underlying systemic disease, infection, premature implant loading, or inadequate primary implant stability, to name just a few reasons.
The incidence of this is more common in inexperienced dental implant dentists or when the dentist does not use treatment planning as part of their practice. Biological implant complications caused by a degree of bone loss may sometimes require removal of the implant. This may be due to the placement of the implant in a poor quality bone (that is, the rear jaw) or because of insufficient natural bone, or because the osteotomy is too large. A dental implant can fail due to a variety of reasons, including the patient's general health factors, the standard of post-procedure care, and the skill and competence of the dentist.
A treatment plan is what helps the dentist identify all the factors that could affect the implant procedure, such as identifying the ideal location of the implant in relation to critical structures and nerves in the mouth. Especially with low-cost suppliers and foreign laboratories, who may use substandard materials, causing complications with size and fit, compromising the stability of the implant. Patients often approach Spyrakis to fix faulty dental treatments and implants, which were performed by other dentists. If the prosthesis is related, the implant may need to be removed because it cannot be restored properly; this is usually due to a poor angulation or position of the implant in the arch.
In cases where a gum infection causes implant failure, called peri-implantitis, treatment may simply consist of cleaning the implant and focusing on better oral hygiene practices in the future.