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How to treat infection around dental implant?

Oct 2, 2023Dental implants

How to treat infection around dental implant?

To avoid dental implant infections, the most effective option is to practice proper oral hygiene and follow your dentist’s post-operative instructions carefully after the placement surgery. Preventative measures are key in protecting yourself from any potential complications. It is important to maintain proper oral hygiene if you have had dental implants for an extended period of time in order to ensure their protection. Brushing and flossing are both critical components of dental hygiene. Minimizing risk of infection can also be achieved through refraining from using tobacco products, as well as carefully monitoring any diseases that have an impact on one’s immune system, for example diabetes.

In the event an infection develops around one of your implants, despite preventive efforts, a simple adjustment to your oral hygiene routine and antibiotic treatment may resolve the situation if it is not a serious infection. If bone damage has already taken place, a specialist may need to be consulted for interventional care. Removal of the implant followed by a course of antibiotics to treat the infection, allowing the area to heal and then replacing the implant could potentially be necessary.

It is important to be aware of the potential risks associated with infection and failure, but there is no need to be unreasonably fearful. By taking proper measures to protect your restored teeth, you can help minimize the chances of experiencing complications.

Diagnosing and Treating implant infection

An X-ray should be taken as the first step to identify any potential bone loss. Periodontal probing should then be conducted in order to accurately diagnose the stage of infection. Upon completion, a dentist will provide guidance on the appropriate course of action.

Popular remedies typically require a combination of strategies to be effective.

Mechanical Cleaning

Submucosal debridement can be achieved by utilizing a carbon fiber curette or an ultrasonic device to cleanse shallow mucosal pockets. This process involves using high-frequency waves to remove any contamination that may be present in the area surrounding the implant.

Your dentist may recommend the use of mechanical flossing or more precise scaling instruments if the depth of the mucosal pockets measure 5mm or deeper. If this is the case, these instruments must be inserted further into the cavities and care should be taken to avoid causing any roughening or abrasion of the bone surface. Following debridement with mechanical tools, localized antiseptics may be applied if the depth of the pocket is greater than 4mm.

Surgical procedure

A surgical treatment method known as open-flap debridement is typically used when placing implants in an aesthetically unpleasing area. This procedure involves cutting and retracting a flap of gum to gain improved access to the infected area before mechanically cleaning the region in addition to incorporating antiseptics.

Implant removal

In the event that peri-implant mucositis progresses to peri-implantitis and a considerable amount of bone is lost, an implant may need to be surgically removed. A trephine, a specialized surgical instrument, can be utilized for this purpose.

If bone loss progresses, the dentist can consider removing the implant with forceps when it has hardened enough to do so. Generally, this procedure is only performed when the supportive bone tissue is less than 3-4mm in thickness. Patients who have undergone a bone graft and have allowed ample time for healing may be candidates for reimplantation.

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