Dental implant removal is a topic that is not often discussed in the field of dentistry because of how rarely it is required. Most of the time, dental implants are placed with the intention of lasting a lifetime, but in some situations, dental implant removal can be necessary. In order to determine if it is necessary to remove dental implants, it is important to understand the reasons why dental implants may need to be removed in the first place. This article looks into the most common reasons dental implants need to be removed and what to expect during the process.
When Do Dental Implants Need to be Removed?
Peri-Implantitis
One of the most common causes of dental implant removal is peri-implantitis, which is an inflammatory disease that affects the tissue around the implant. This condition is typically caused by bacteria and can lead to implant failure if not treated properly. If left untreated, peri-implantitis can cause dental implant removal to be necessary.
Maxillary Sinusitis
Another common reason dental implants may need to be removed is if they are placed too close to the maxillary sinus, which can cause complications known as maxillary sinusitis. Maxillary sinusitis is an inflammation of the maxillary sinus, which is one of the four pairs of sinuses located in the skull. The maxillary sinus is located in the cheekbone area and is the largest of the four pairs of sinuses. The symptoms of maxillary sinusitis include facial pain and pressure, nasal congestion, and thick nasal discharge.
Broken Implant
Dental implants may need to be removed if they become fractured or broken. This can occur due to trauma, severe grinding of teeth (bruxism), fatigue of the materials used in the implant, and advanced bone loss. The likelihood of dental implant failure increases with age, so it is important to be aware of the symptoms associated with dental implant failure and to seek treatment if any of these symptoms occur. If a dental implant becomes fractured or broken, it is important to seek medical attention as soon as possible in order to prevent further damage from occurring.
What Can I Expect During Dental Implant Removal?
Dental implant removal can be performed by a dentist, however, it is usually recommended that dental implant removal is done by an oral and maxillofacial surgeon. The general steps for dental implant removal are as follows:
Step 1: Preparing for the Procedure
Before the procedure, the oral surgeon will examine the area and take x-rays to determine the best approach for removing the implant. The patient will be given a local anesthetic to numb the area, and the oral surgeon will explain the process and answer any questions the patient may have.
Step 2: Removing the Implant
One of the most common techniques for removing dental implants is by using a cutting instrument called a trough bur. This device is used to safely cut the bone tissue that’s holding the implant in place. Only a small portion of bone tissue is cut, typically no more than 1 mm. This is often enough to loosen the implant so that it can be removed.
Another technique that is becoming more common is the use of an adapter device. This allows the oral surgeon to remove the implant without having to cut through bone tissue. The adapter generates high amounts of torque to loosen and remove the implant from the bone. However, not all implants can be removed solely using an adapter, so the oral surgeon will determine the best approach based on the individual case.
Step 3: Cleaning the Area
Once the implant is removed, the area is cleaned, and the oral surgeon will examine the area to see if bone grafting is required to replace lost bone tissue. This is necessary to restore the area in preparation for a replacement.
Step 4: Replacing the Implant
Once the area is cleaned and the bone graft is completed, a new dental implant can be placed. However, this may or may not be recommended depending on your exact needs. The process of dental implant placement is much simpler than dental implant removal, and typically requires only one visit to the oral surgeon’s office.
Conclusion
In conclusion, dental implant removal can be necessary in some cases. However, following good dental practices and attending regular dental check-ups can help to prevent dental implant removal. If you suspect that dental implant removal may be necessary, it is important to seek medical attention as soon as possible in order to prevent further damage and complications.
An experienced oral surgeon can help you determine the best approach for dental implant removal and provide expert advice on how to prepare for the procedure. With the right care and treatment, dental implants can last a lifetime.
Disclaimer
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No two mouths are the same, and each oral situation is unique. As such, it isn’t possible to give comprehensive advice or diagnose oral conditions based on articles alone. The best way to ensure you’re getting the best dental care possible is to visit a dentist in person for an examination and consultation.
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