What are the risky factors in dental implants? The importance of the patient's periodontal health;
One of the most important factors in the success of dental implants is correct patient selection. The two most important factors in this selection are the patient's age and systemic condition. Problems may arise in elderly patients in terms of their systemic condition, the medications they have to use constantly, and patient motivation. Since the implants will be placed through a surgical procedure, necessary precautions should be taken before the surgical procedure in individuals with systemic diseases.
Some systemic disorders can be very effective in the success of the dental implant. In uncontrolled diabetics, there is a higher risk of complications and implant failure due to increased tendency to periodontal disease, impaired carbohydrate metabolism, and low resistance to infection. However, there are also new studies reporting high success rates in patients with controlled diabetes.
One of the most risky groups in terms of treatment is patients receiving chemo-radiotherapy. The immune systems of such patients are suppressed, and there is a risk of osteoporosis in patients receiving radiotherapy as a result of changes in the mucous membranes and vascular structure of the bone. The probability of implant success after radiotherapy, especially in the maxilla, is quite low.
Apart from this, there are many opinions about how long after radiotherapy to start implant treatment. A study reported that this period should be at least 1 year.
It is the health of the patient's periodontal tissues. When evaluating the patient's periodontal status, many factors such as the person's oral hygiene status, smoking habit, presence of a systemic disease, and psychological state should be taken into consideration. The use of implants together with natural teeth in individuals with advanced periodontal disease is controversial. The difference in movement between the tooth and the implant requires the evaluation of some biomechanical factors.
The physician's case experience and aesthetic foresight are among the most important factors affecting success.
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