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Complexity of the Presenting Problem: Not all situations are equal. Two people presenting for a dental implant for the same tooth can have polar opposite presenting conditions. One person may have a large amount of available bone, while the next person may have very little bone and the location is near important anatomy, such as a sinus or nerve.

Peri-implantitis requires intervention. Depending upon the level of the problem, different modalities are available. Reshaping of bone, grafting, treatment with different medications or chemicals, or laser treatments are options. If the problem is advanced enough, implant removal is oftentimes advised. Not removing a failing or infected implant can affect surrounding teeth or implants.

Medications: certain medications, such as SSRIs, SNRIs, and PPIs can affect bone metabolism and put dental implant patients at risk for complications.

Past History of Gum Disease: a past history of gum disease increases a person’s risk of having dental implant complications.

Bite Patterns / Occlusion: replacing one or more missing teeth without paying

So what do you do about an implant that is starting to lose bone, develop deep pockets, bleeds, or is tender? Or sometimes you’re not even aware of problems, and your dentist or hygienist is making you aware of concerns. There are two terms: “peri-implant mucositis” and “peri-implantitis” used often within dental implantology. The first identifies that there is no bone loss around your implant and the problem is limited to the gums, and the second indicates you are starting to see

You should not necessarily expect the dentist who placed your implant to be capable of treating peri-implantitis. They may not have the proper equipment, supplies, or be aware of the techniques. By no means is this a negative reflection upon the practitioner: interception of an ailing or failing implant can be very difficult, and the knowledge base changes often.

Success rates of treating failing implants is not always very high: please remember the treatment is not being performed in a “bubble.” The factors mentioned above

Dr. Goldberg is a leading expert on dental implants. He is a Diplomate of the American Board of Oral Implantology/Implant Dentistry, which is a degree held by only 1% of dentists worldwide. Whether you require a single implant or complex full-mouth rehabilitation, a free consultation with Dr. Goldberg should be considered.

Dr. Goldberg treats entire families, from toddlers to seniors. Services include cleanings, check-ups, fillings, Invisalign, dentures, cosmetics, and more! He and his staff enjoy the long-term relationships they build with their patients.

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