DENTAL IMPLANTS RISKS


GENERAL RISKS CONCERNING ANESTHESIA AND SURGERY

ALLERGIC REACTIONS

Allergies can have minor or major manifestations, which can even be life threatening, in lack of proper medical care. This is why it is highly important that you mention any allergies you have. If it is your first time with our anesthetic, it’s advisable you take a IDR test.


CARDIO – VASCULAR CONDITIONS

Patients with a high risk of cardio-vascular problems, we recommend anesthetics without vasoconstrictive, adapted to the risk level. We currently use five types of local anesthetics, so we can definitely find the one suitable for you.


HAEMORRHAGES

Haemorrhages can occur especially in patients with coagulation conditions, who follow anticoagulation treatments, etc. Whether mild or severe, all of them can be kept under control with proper medication. The main cause of haemorrhages is not following the post-operative indications to the letter. Hemorrhages can be prevented by applying sterile bandages with saline solution over the stiches, for about 1 hour. Also, soak a bandage in cold water and press it against the cheek. You must avoid vasoactive substances such as coffee and alcohol. The patient needs to be warned about protecting the stiches and the entire area, in order to prevent the edges from coming apart.

INFECTIONS

All procedures are done under conditions of utmost sterilization of machines, instruments, work space and under antibiotic protection, yet we should not forget about sterility of the oral cavity. Tartar removal, constantly rinsing the mouth with antiseptic solutions (mouthwash), applying antiseptic gels (Elugel) and reparatory gels (Gengigel) are mandatory before surgery.


SPECIFIC RISKS FOLLOWING DENTAL IMPLANTS SURGERY

REJECTION OF IMPLANTS AND BONE GRAFTS

The causes of implant rejection can be unknown and impossible to predict before surgery. The rate of success in our practice is 99%! for primary integration, which is tightly connected to local factors and the compatibility of receiving body.

LESIONS TO ADJACENT ANATOMICAL FORMATIONS

While drilling and inserting the implant, adjacent teeth might be damaged in case the instrument touches the root or the vascular-nervous pack (may require removing the nerve). The alveolar bone may suffer cracks or fractures, which are curable. The maxillary sinus can also be affected.

These are unwanted but minor complications, which do not impact on the chances of success.

SURGERY ON THE INFERIOR MAXILLA-LESION TO THE INFERIOR ALVEOLAR NERVE

If this nerve is damaged, you may feel a slight tingle, permanent anesthesia of certain areas of the lip, chin, tongue or cheek. The duration cannot be estimated, and in some cases it might be irreversible.

THE NEED FOR X-RAYS AND CT SCANS IN IMPLANT SURGERY

The risk of damaging adjacent anatomical formations can be minimized through exact measurements of the existing bone and intra-operating x-rays. A careful planning of the surgical procedures using mandatory CT scans (in our practice) and studying bone size and quality ensure a successful procedure and optimize the time required.

POST OPERATIVE PERIOD

Following surgery, swelling and bruising are not uncommon. They don’t constitute risks or complications to the implant and generally don’t require special treatment aside from the recommended medication. There are other causes which may delay healing or lead to failure of the procedure.

WHY IS SMOKING PROHIBITED

There are factors which might trigger complications. Smoking, which has a negative bearing on blood circulation and tissues, hinders the healing process, can affect the body’s capacity to accept implants and grafts and favors deposits of nicotine and tar on sensitive intra-oral formations, increasing the risk of implant insertion.

PAIN

Immediately following surgery, in order to control pain, we recommend a combination of pain killers and anti-inflammatory drugs.