Progressive loss of bone that supports the implants (around the implants) is called Periimplantitis. This disease causes gingival pockets which could be accompanied by bleeding and / or suppuration.
Clinically, this bone loss causes tissue inflammation, bleeding, and often dental implant exposure.
Treatments could include the following:
1. When bacterial accumulation is the cause, the dentist must educate and guide the patient in detail about the correct oral hygiene methods. Bacterial plaque or tartar removal is done with subgingival cleanings known as scaling and root planing or curettage and gingival surgery also known as Periodontal surgery.
There are two surgical techniques: guided bone regeneration or gingival pocket reduction by removal of gum tissue. This choice is determined depending on factors such as extent of bone loss, aesthetics and location in the arch. For bone regeneration surgeries it is necessary to use membrane barriers and bone graft materials whose careful selection is critical to successful treatment. Membrane Barriers could be resorbable or non-resorbable.
2. When the cause is mechanical overload the most common cause is occlusal trauma which means an incorrect bite. In such cases it will be necessary to adjust the occlusion (bite) for bone loss to stop its progression. Mechanical overload is one of the most common causes for implant failure. And one of the main reasons for this is placing too few dental implants because the patient cannot afford or does not want to pay for the adequate amount of implants. In such cases it is common for the dentist not to insist on placing the adequate amount of implants in order for the patient to be able to accept the treatment plan.
A prudent and detailed treatment plan should account for having a mechanical advantage over potential extra loads and forces during biting and parafunctional habits Like grinding and clenching. As a general rule in restorative implant dentistry when in doubt it is better to over engineer the system by placing more implants Because the more implants the greater the foundation and functional surface area. Since a lack of available bone is one of the main reasons for not being able to place the adequate amount of implants, it is common to perform bone graft surgeries and gum graft surgeries to create the adequate foundation to support the implants.
To minimize the complications inherent in implant treatments always consult a dentist who has experience and is specialized in dental implants. Primarily your dentist needs to study your case in detail with the appropriate x-rays in order to develop an optimal treatment plan. Since there are more than fifty variables to consider in most cases, the initial analysis needs to be carefully evaluated in order to minimize mid to long-term complications.
The mouth is the gateway to the body. Therefore it is one of the most common ways of infections and diseases spreading to the rest of the body. Many people are not aware of this fact.
Research has shown that excess tartar in the mouth or chronic infections Of teeth that need root canal therapy or have large carious lesions is one of the main sources of serious diseases of the mouth and the body.
Tartar comes from bacterial plaque. Every time we eat food residues get stuck between our teeth and are impacted under our gums. This food residue is part of the bacterial plaque which sticks tenaciously to our teeth. When our oral hygiene is not adequate such as using the correct brushing technique and flossing technique The bacterial plaque that adheres to our teeth starts to get calcified and then this calcified deposit is called tartar. Tarter structurally resembles rough And porous grains of sand which attracts millions of bacteria as a home. The presence of tartar under the gums causes irritation of the gums Which subsequently leads to inflammation of the gums which bleed easily on brushing or eating different foods. This bleeding is one of the signs of the body that There is something wrong.If this sign is ignored the charter starts to accumulate like a snowball effect which in turn refuge is more bacteria and causes more destruction. When there is excess tartar it is possible that tiny pieces of the tartar may enter the blood system and lodge in the muscle of the heart causing a heart disease called endocarditis. Also if a tiny piece of tartar lodges in the veins of the brain it May cause a stroke tartar is also responsible for Bad breath (Halitosis) and gum disease known as periodontal disease which involves bone loss and infections of the gum. The danger of periodontal disease is that it is a silent disease in the early and middle phases therefore the person usually may not be aware of it if they do not go for regular preventive check ups and cleanings to the dentist. By the time the disease is in the advanced stage it is too late to reverse the process. The teeth become loose and the person loses their teeth at a younger age.at this point there is a need for gum surgery (periodontal surgery) which may involve bone graft and gingival grafts. Periodontal surgery is traumatic, costly, may cause teeth sensitivity and compromises the aesthetics of the smile because dark black triangular spaces start to show between the teeth which ages the smile. Therefore it is common to need aesthetic dental treatment after surgery such as porcelain veneers or all ceramic crowns. When the bone loss is severe around the teeth there may be the need to extract the teeth and to replace the missing teeth with dental implants.Therefore periodontal disease and it’s culprit tartar is responsible for the majority of the tooth loss worldwide.
Other diseases that may be spread from the same bacteria that is in the mouth are diabetes, Alzheimer’s disease, bacteremia otherwise known as sepsis among others.Every year many people die and suffer from these diseases which may have the origin from their mouth. Public education and awareness is fundamental to reduce the incidence of these diseases
Dr. Arya Edalat Works together with physicians to diagnose more cases of these diseases being sourced from the mouth.
Dr. Edalat educates his patients on how to floss and brush properly to effectively reduce tartar accumulation
He has educational videos on his website and YouTube channel for his patients to learn preventive practices. He also educates his patients on the importance of having regular deep cleanings ideally every six months to remove any excess tartar buildup.
As a result his patients not only keep their breath fresh and their beautiful smiles intact throughout their years but they also have a better oral and systemic health which improves the quality of life and helps to economize on medical, dental and medicinal costs.
After all a healthy mouth leads to a healthy body.