It is necessary to examine whether the implant and the bone fuse or not in two stages. We should consider the failures that may occur in the first 2-3 months after implant placement as early loss, and the failures experienced in the following years as late period loss. The loss of a fused implant over the years, that is, its late loss, is mostly due to the patient's inadequate oral hygiene and failure to follow the doctor's checks, and sometimes due to excessive loads on the implants as a result of the physician's incorrect planning.
The early success of a placed implant, that is, with the bone. Whether or not it fuses depends on 3 important factors
Factors related to the physician
The physician who places the implant must have sufficient knowledge, experience and experience and the implant surgery must be performed in accordance with the sterilization rules.
Patient-related factors
Patient-related factors should be evaluated in two separate ways: the general health condition of the patient to whom the implant will be placed and the amount and density of bone in the area where the implant will be placed.
The amount of density (width and height) of the bone in the area where the implant will be placed is of great importance for the smoothness of the implant. It is a condition that the amount and density of bone may vary from individual to individual and may even differ in the lower jaw, upper jaw, front and back regions of the same individual. In cases where bone density or bone amount is insufficient, the existing area should be supported with bone enhancing methods or the number of implants should be increased and care should be taken to avoid excessive loads on the implants. This is very important for the long-term success of implants.
3. Factors depending on the implant brand used
Dental implants have been used for almost 50 years. There are many different implant systems available on the market. What needs to be taken into consideration here is that the implant used has been produced in accordance with certain criteria and has quality certificates. In addition, this operation will be more comfortable and successful if the physician is familiar with the implant system, has been using the same product for years, and has long-term follow-up.
Problems in the fusion of the implant and bone may occur in the presence of uncontrolled diabetes, in those who smoke a lot, in the presence of gingivitis in the mouth, and in patients who have received radiotherapy in the head and neck area within the last year. In addition, if the antibiotics given for post-operative prophylaxis are ignored and not used by our patients, infection and related problems may occur.
The amount of density (width and height) of the bone in the area where the implant will be placed is of great importance for the success of the implant. It is a condition that the amount and density of bone may vary from individual to individual and may even differ in the lower jaw, upper jaw, front and back regions of the same individual. In cases where bone density or bone amount is insufficient, the existing area should be supported with bone enhancing methods or the number of implants should be increased and care should be taken to avoid excessive loads on the implants. This is very important for the long-term success of implants.
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