Dealing with 20-Year-Old Dental Implants: Inflammation and Care Tips

Issues with dental implants after 20 years?

Hello, Doctor.
I had my dental implant for 20 years, and this year I've been experiencing frequent inflammation and sensitivity while brushing.
My current dentist says that the implant appears to be fine, but it seems that I am unable to clean it thoroughly, which is causing the inflammation.
However, since I don't know the brand or material used for the implant, they cannot assist me further.
They are concerned that using the wrong tools for cleaning might scratch the implant, leading to more issues in the future.
They suggested that I go back to the original dentist who performed the implant or obtain a copy of my original treatment records.
Unfortunately, since so much time has passed, I can no longer find the original dental clinic (it may have relocated or closed down).
What should I do?

Mandy, 40~49 year old female. Ask Date: 2017/04/12

Dr. Huang Tingfang reply Dentistry

Dear Ms.
Mandy,
Hello! As mentioned, it is indeed quite troubling! Currently, the main issue with dental implants is cleanliness; they need to be brushed very thoroughly! Alternatively, you may ask your dentist for assistance with cleaning! Please communicate more with your physician.
Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2017/04/12

More Info

Dealing with dental implants that have been in place for 20 years can be challenging, especially when inflammation and discomfort arise. It’s important to address these issues promptly to maintain oral health and the longevity of the implants. Here are some steps and considerations for managing your situation.

Understanding the Issues
1. Inflammation and Pain: The inflammation you are experiencing could be due to peri-implantitis, a condition where the tissues surrounding the implant become inflamed, often due to plaque accumulation. This can lead to discomfort and, if left untreated, may result in bone loss around the implant.

2. Cleaning Challenges: Your dentist's assessment that you may not be able to clean the area thoroughly is crucial. Implants require meticulous care, similar to natural teeth, but they can be more challenging to clean due to their structure and the materials used.

3. Material and Brand Concerns: The uncertainty regarding the brand and material of your implant complicates matters. Different implant systems have specific cleaning protocols and tools that are best suited for them. Using the wrong tools could indeed risk damaging the implant surface.

Steps to Take
1. Seek a Specialist: Since you cannot locate your original dentist, consider seeking out a dental specialist, such as a periodontist or an oral surgeon, who has experience with implants. They can assess your situation and provide appropriate care, even without the original records.

2. Diagnostic Imaging: A new dental examination, including X-rays, can help determine the health of the implant and surrounding bone. This imaging can provide insights into any bone loss or other complications that may need to be addressed.

3. Professional Cleaning: A professional cleaning by a dental hygienist experienced with implants is essential. They can use specialized tools designed for implant care, minimizing the risk of scratching the implant surface while effectively removing plaque and tartar.

4. Home Care Routine: Enhance your home care routine. Use a soft-bristled toothbrush and non-abrasive toothpaste. Consider using interdental brushes or floss designed for implants to clean around the implant effectively. Regular rinsing with an antimicrobial mouthwash can also help reduce inflammation.

5. Regular Check-ups: Schedule regular dental check-ups, ideally every six months, to monitor the health of your implants and surrounding tissues. Early detection of issues can prevent more significant problems down the line.

6. Documentation: If you can’t find your original dental records, document your current dental health and any treatments you receive moving forward. This information can be helpful for any future dental care providers.

Additional Considerations
- Diet and Lifestyle: Pay attention to your diet and lifestyle choices. A balanced diet rich in vitamins and minerals can support oral health. Avoiding tobacco products and excessive alcohol can also help reduce inflammation and promote healing.

- Managing Pain and Inflammation: If you experience significant pain or swelling, over-the-counter anti-inflammatory medications may help. However, consult with your dentist before starting any medication to ensure it’s appropriate for your situation.

- Long-term Care: Given the longevity of your implant, it’s essential to maintain a proactive approach to your oral health. This includes being aware of any changes in your oral condition and addressing them promptly.

In summary, while the situation may seem daunting due to the age of your implant and the challenges in locating your original dentist, there are effective steps you can take to manage inflammation and maintain your oral health. Seeking the help of a qualified dental professional and adhering to a rigorous oral hygiene routine will be key to ensuring the longevity of your dental implants.

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