Dr. Dt. Laçin


Implant 101



What are the Problems with Dental Implant?



You can find basic information about dental implants on this page. The Implant 101 (basic training) page expands further with questions from you.


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What is a Complication?




As in every medical procedure, there are various problems that can be experienced when implants are made. These problems are generally called complications. Complication word; When a procedure is performed, it is called the situation where the treatment does not progress as desired. However, these possible situations are predetermined and although it is not desired to be encountered, it is accepted as a normal process as well as a positive recovery. And there are things to be done according to this negative situation. Among these things to be done, sometimes just waiting, sometimes there are situations such as repeating the process.



Can the Implant not Fuse with the Jawbone?



There may be a situation where the implant does not fuse with the jawbone. Whether there is fusion or not is usually evident in the first 6 months after implant placement. Absence of fusion may occur due to operation, planning, or because the patient does not comply with the warnings, smokes, and does not protect oral health adequately. If the bone quality is not good or the bone thickness - length is insufficient, the risk of non-fusion increases. When temporary teeth are made, they should not be used like permanent teeth and it is very important to follow the diet recommended by the doctor. Because the forces on the temporary teeth will be transmitted directly to the implant, the fusion process is directly affected. If the correct planning, correct implant selection, operation method and necessary warnings are followed, the probability of problems that may occur in implant fusion is very low.


If the implant does not fuse, the implant is removed from the area where it was placed or removed by the physician. If there is a deformity in the bone, necessary procedures are applied in this area. If the bone is suitable for re-implantation, a dental implant can be placed. What to do is planned and decided by the doctor.



Does the Implant Wiggle or Move?



It is not possible for an implant fused with bone to wiggle even 1 mm. Because the bone tissue is directly fused with the implant and there is no gap between them.


Sometimes, the wiggle of the prosthesis on the implant can create a feeling of wiggling the implant. However, the implant and the crown on it are two different structures, and as a result of screw loosening or the breakage of a special bonding agent called cement, the prosthesis on the implant may wobble. This problem can be solved immediately if there is no problem in the prosthesis or the structure that connects the prosthesis to the implant, which we call abutment , when you come to the clinic.


If the implant is wobbly, it means that it has not fused with the bone or there is insufficient bone around it as a result of an infection or bone loss.



Does Implant Cause Pain?



Osseointegration process of the implant with the bone has been completed and a fused implant does not cause pain. When chewing, talking or standing still, it feels the same as our own teeth. If there is pain, there may be a problem with the bone or gums, there may not be a fusion with the bone. Sometimes, if the tissue compatibility of the prosthesis is not adjusted well, a pain may occur. And this pain can be felt as if it is caused by an implant.



Does Calculus Form on the Implant?



Since the implant is located in the bone, calculus does not form on its surface. However, if the prosthesis area on the implant is not kept clean with sufficient brushes and interdental care products, calculus may form on the prosthesis surface. These tartars can be easily cleaned by the dentist with the normal tartar cleaning process.



Does Implant Have Gingival Disease?



Implants do not cause Gingival disease. However, gingival diseases around the teeth can also be seen around the implant. Since the implant is a material compatible with biological tissues, it does not have an effect on the gingiva, such as causing a disease .



İmplant Kırılır mı?



As with any material, it is possible for the implant to break. However, it is not very easy. Because the implant is made of titanium alloy and after it is placed in the bone, it is combined with the bone all around during the fusion. Therefore, it is a very durable structure. However, in the following years , oscillations that may occur in the part called abutment , which connects the prosthesis within the implant , may cause fractures in the abutment screw or itself. The abutment , which is left wobly for a long time , may rarely cause fracture or crack in the implant. However, it is not possible to wait for a long time with a swinging prosthesis. Because having a prosthesis swinging in the mouth will be very uncomfortable and you will see your doctor in a short time.


Rarely, our patients told our clinic "my implant was broken". they apply. However, the situation we usually encounter is a crack or rupture in the prosthesis on the implant. Because the fracture of the implant is not a very common situation and it is very difficult.



İmplant Bölgesinde Siyahlık Görünmesi



This situation is usually a problem for aesthetic reasons when it is seen in the area of implants placed in the anterior region of the upper jaw. This black stain occurs in the presence of thin gingival structure. In order to avoid this problem , we, periodontsts , if we foresee this blackness when placing the implant, and if the tissues are suitable, we perform a procedure to increase the soft tissue thickness with a process called connective tissue operation or pediculated connective tissue operation before the end of the surgical procedure. Thanks to this procedure, two healings occur simultaneously with a single operation. Connective tissue or pediculated connective tissue operation can also be performed when blackness appears. However, in both cases, it is important that the soft tissues allow this operation and the healing process is important. This blackness can sometimes be resolved by replacing the prosthesis. Solutions vary according to the amount of blackness and from which region it is reflected.


Since anterior implant applications are aesthetically sensitive processes besides function, they are more difficult than posterior implant applications and require more knowledge and attention.



Is there a feeling of numbness in the lip after the implant?



A feeling of numbness in the lower lip may rarely occur after the implant operation on the lower jaw. In this case, it is thought that there is damage to the nerve canal passing through the lower jaw. Sometimes, although the nerve canal is not destroyed, the feeling of pressure created by the implant, which is located very close to the nerve, can disrupt the nerve transmission and cause numbness.


Sometimes this numbness may not be related to the nerve canal. Because there may be thin lateral branches adjacent to the main nerve canal, and it is often not possible to see these branches. In such cases, the feeling of drowsiness may pass within 1 -12 months. When a feeling of numbness occurs in the lip and this is due to damage to the main nerve canal, it is necessary to remove the implant as soon as possible. After the implant is removed, the injured area can repair itself and the healing process can begin. Sometimes the implant can be removed and a shorter implant can be placed at the same time. This decision is made by the doctor.


There is no nerve channel or line that allows us to feel the lips in the areas where implants are made in the upper jaw, as in the lower jaw. Therefore, there is no risk of lip numbness in the upper jaw.



İmplant Koku Yapar mı?



Implant material is not likely to create odor. Since implant materials do not dissolve in the mouth and they are biocompatible materials, they do not smell.


However, if odor is felt in the implant area, the patient may not clean the area around the implant well, or if the prosthesis is not adjusted well, the patient may not be able to clean it even though he or she tries to clean it. Sometimes , cement residues may remain around the prosthesis during the cementation of the prosthesis on the implant, which may cause nutrient accumulation.


In short, unless an environment that can cause nutrient accumulation occurs around the implant, there is no possibility of odor coming from around the implant.



"The information on the website is provided for informational reasons only; it is not intended to substitute a doctor's examination or medical diagnosis of a patient”



İncirli Cad 86/A Bakırköy​
İstanbul-Turkey
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+90 554 850 38 91