Dental Implants: Success Rates, Longevity, and Risks - Dentistry

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Dental implant issues


Hello Doctor: I have periodontal disease and had the last two teeth extracted from my upper right jaw.
My wisdom tooth is also loose.
The doctor suggested dental implants, but I have insufficient bone length and will need surgery to harvest bone from my jaw and elevate the sinus.
I would like to ask: 1.
Is dental implant technology well-established in the country? What is the success rate? 2.
If the dental implant is successful, how long can it last? 3.
Will elevating the sinus lead to any complications, such as increased susceptibility to allergies or pain during weather changes? Thank you for your time.
HANK

HANK, 40~49 year old female. Ask Date: 2004/07/07

Dr. Wu Jinjun reply Dentistry


Hello,
1.
Generally speaking, if there are no specific contraindications for dental implants (such as severe diabetes, significant alveolar bone resorption, or coagulation disorders), the success rate of dental implants is over 90%.
In Taiwan, dental implants have been performed for over twenty years, and experienced practitioners should have no issues with the procedure.
2.
After a successful dental implant, it is essential to maintain diligent oral hygiene and to be cautious during use to avoid excessive loading, which helps to ensure the stability of the implant.
Typically, most implants last over five years, with some cases reported to last up to forty years internationally.
3.
If there is no infection, there should be no sinusitis.

Reply Date: 2004/07/07

More Info


Hello HANK,
Thank you for your questions regarding dental implants, particularly in the context of your recent dental challenges due to periodontal disease. Let's delve into your queries one by one.

1. Maturity of Dental Implant Technology and Success Rates:
Dental implant technology has indeed matured significantly over the past few decades. In the United States and many other countries, the success rate of dental implants generally ranges from 90% to 95% over a period of 10 years. Factors influencing this success rate include the patient's overall health, the quality and quantity of the bone where the implant is placed, and adherence to post-operative care instructions. Given your situation with periodontal disease and the need for bone grafting, it’s crucial to ensure that the underlying conditions are well-managed before proceeding with the implant.

2. Longevity of Dental Implants:
If a dental implant is placed successfully and maintained with good oral hygiene, it can last a lifetime. However, the longevity can be affected by various factors such as the patient's oral hygiene practices, lifestyle choices (like smoking), and regular dental check-ups. Studies suggest that with proper care, implants can remain functional for 10 to 20 years or even longer. Regular dental visits for cleanings and check-ups are essential to monitor the health of the implant and surrounding tissues.

3. Risks Associated with Sinus Lift Surgery:
The procedure you mentioned, where the sinus floor is elevated (sinus lift), is commonly performed when there is insufficient bone height in the upper jaw for implant placement. While this procedure is generally safe, there are potential risks and complications. Some patients may experience sinus-related issues post-surgery, such as sinus infections, nasal congestion, or discomfort. However, these complications are relatively rare. It’s also possible for some individuals to experience sensitivity or discomfort in the sinus area, particularly during weather changes, but this is not universally experienced. It’s essential to discuss these risks with your oral surgeon, who can provide personalized insights based on your specific health profile.

In addition to your questions, I would like to emphasize the importance of maintaining good oral hygiene, especially after undergoing procedures like bone grafting and implant placement. This includes brushing twice a day, flossing daily, and possibly using an antibacterial mouthwash as recommended by your dentist. Regular follow-ups with your dental care provider are crucial to ensure that your implants and surrounding tissues remain healthy.

Lastly, if you have any concerns about allergies or sensitivities, especially related to the sinus lift procedure, it’s advisable to discuss these with your healthcare provider. They can help you understand what to expect and how to manage any potential side effects.

In summary, dental implants are a reliable and effective solution for tooth replacement, especially when proper protocols are followed. With advancements in dental technology and techniques, the success rates are high, and with good care, implants can last many years. However, it’s essential to be aware of the risks associated with procedures like sinus lifts and to maintain open communication with your dental team throughout your treatment journey.

Best wishes for your dental health and recovery!
Sincerely,
Doctor Q&A Teams

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