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A diagram of dental implant at Periodontal Associates. Dental implants are a highly effective solution for lost teeth. Crowns mimic natural teeth in their form and function and titanium posts bond with and stimulate your jaw bone, allowing the Dental Implants to act just like a natural tooth would.

Unfortunately, implants can occasionally fail, and if this happens we will need you to come in so we can repair or replace them.

The Structure of an Implant

Most dental implants are made of a titanium post that is embedded in the jaw bone, a ceramic crown that acts as a replacement tooth and an abutment that connects the post and the crown. If one of these parts loosens or breaks, all three can become compromised.

Titanium is usually chosen for implants because it bonds with the jaw bone in a process known as osseointegration. If this process doesn't occur properly then you'll end up with an implant that isn't firmly in place. This will lead to problems later on.

Signs that an Implant May Fail

If the bone doesn't grow around the implant in the right way, mobility is often the primary signal that the implant may fail. This mobility is often very slight at first and usually only a dentist can see it, but as time goes on an implant that hasn't integrated properly can shift when you chew or speak. Implants that have failed completely with frequently.

Other warnings signs of impending failure include pain, inflammation, and infection, but these do not always occur. If Dr. Eshraghi notices that your implant is moving, he may conduct an x-ray to make sure the bone is growing. If the implant is failing, the x-ray may reveal considerable bone loss around the metal area.

Repair and Replacement

In cases where the implant crown becomes cracked or detached, it is an easy matter for us to attach a new, or make any other repairs if necessary. However, if the damage to the implant is too severe, we will need to remove and replace it.

It is easy for us to remove a failed dental implant, but we will need to use a local anesthetic for this procedure. Once the implant is removed Dr. Eshraghi will carefully clean the area. Then we can begin the process of inserting a new implant, making careful note of what went wrong the first time. If there is enough healthy bone in the same area, we won't need a bone graft.

However, in cases of significant bone loss, we may need to place a bone graft to improve the site of the removed implant before placing a new one. Once the bone graft is complete, your mouth may need several months to heal before we can put in a new implant. During the healing period, Dr. Eshraghi may ask you to quit smoking, postpone cancer treatment or make other lifestyle adjustments that will reduce the risk of the next implant failing as well.

Always remember to take good care of your implants by brushing and flossing daily. Also take care to eat a balanced diet and abstain from using your teeth as tools, as this can chip them. If you experience any problems with your Dental Implants, contact us right away.

If you have any other questions or concerns, please give us a call at (971) 317-8414.
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How Could Your Gums Turn Necrotic?

Posted on 7/26/2021 by Periodontal Associates
How Could Your Gums Turn Necrotic?Necrosis means the death of tissue, which can happen if periodontitis is left untreated. Necrotizing periodontal disease is a term used to describe a rare infection that can affect eh mouth leading to ulceration with necrosis. Periodontal disease starts by untreated plaque and tarter left in the gums or teeth.

What is Necrotizing Periodontal Disease?

There are three major forms of necrotizing periodontal disease. Necrotizing gingivitis affects only the gums, and necrotizing periodontitis affects the specialized tissue that surrounds and attaches to the teeth. The third form is necrotizing stomatitis, which is when extensive mucosal and bone loss occurs beyond the gums and tissues supporting the teeth. Ultimately, necrotic gums are those that are dying. Necrotizing periodontal disease involves a mixture of many different microorganisms that are found in the normal oral cavity including bacteria, viruses, and fungi.

Who Gets Necrotizing Periodontal Disease

Aside from periodontal disease leading to necrosis, there are other factors that may make necrotic gums more likely. Immunodeficiencies can make necrosis more likely including HIV, leukemia, neutropenia/agranulocytosis, diabetes mellitus, and immunosuppressant medications. Malnutrition, psychological and physical stress, smoking, and genetic predispositions may lead to a higher risk of necrosis. The symptoms of necrotizing gingivitis may include constant pain or discomfort, or frequent bleeding and that may occur spontaneously. Less commonly, necrotizing gingivitis is associated with a low-grade fever or frequent bad breath. Necrotizing periodontitis is associated with other signs and symptoms including more severe discomfort, bleeding, bad breath, bone loss, pseudo membrane formation, lymph gland enlargement, and low-grade fever.

Getting regular oral care is important in recognizing any signs or symptoms that there is risk for necrosis. If you have questions about necrosis or the symptoms associated, please call our office and our periodontists will be happy to assist you.

Periodontal Associates in Beaverton, OR

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