There are differences between non-integration and rejection of a tooth. The risk of non-integration is 1-2%, while the risk of rejection is 4-5%.
In the short term of (up to 6 months after placement), non-integration of the titanium root is discussed. In the long term (from 2 to 5 years), rejection is discussed.
osteoblasts begin to grow into the micro-rough surface of the implant.
they connect with the trabeculae - cells of the spongy bone of the alveolar process, and with the osteons - cells of the compact bone. A bone matrix forms around the titanium post, increasing in density each day.
spongy bone forms around the implant. It is not yet fully stable, and the newly formed bone is loose. Chewing forces on the new root are not recommended.
dense bone forms. During this period, the primary stability of the post is maintained, and it can be loaded with a permanent structure.
the artificial root fully integrates with the jawbone. The gap disappears - a strong mature bone forms. Proper care of the new tooth will make it an integral part of the dental system within a year.
What Ensures Successful Integration
Factors influencing successful implant integration:
EXPERT OPINIONThe success of implantation depends equally on professionals and patients. A responsible attitude to their duties before and after the procedure guarantees satisfaction with the results.
There are three stages:
the implant may not integrate due to inflammation, allergies, or the risk of mucositis.
rejection of the titanium root can occur due to excessive loads, poor oral hygiene, or bad habits.
rejection may happen because of issues with the endocrine system, flare-ups of chronic diseases, or jaw diseases.
During rehabilitation, it's important to follow the doctor's advice and not skip check-ups. This can help identify and treat inflammation in time, preventing implant rejection.
After implantation, it's important to monitor oneself. Signs that indicate rejection include:
Symptoms | Normal | Complication |
---|---|---|
Swelling | Swelling and redness decrease by the 2nd-3rd day. | Swelling does not decrease on the 3rd day and increases. |
Bleeding | Serous fluid is released on the first day. | Bleeding on the 2nd-3rd day after surgery. |
Pain | Pain is felt for the first 3 days. | Severe pain on the 5th-7th day. |
Body temperature | Temperature up to 38°C for 1-2 days. | Temperature above 38°C for more than three days. |
Pus | No pus. | Discharge of pus with an unpleasant mouth odor. |
Gum color | Gum redness. | Gums are blue. |
Mobility of the tooth | The tooth is immobile. | The tooth is mobile with the exposure of the neck. |
If symptoms disappear within 3-5 days after surgery, there is no cause for concern – this is a normal response to the surgical intervention. If symptoms do not subside by the 5th day or worsen, an urgent visit to the doctor is required.
Replacing a rejected implant with a new one is possible. The procedure involves several steps: removal of the crown, removal of the implant, treating the cause of rejection, antibiotic therapy, osteoplasty, crown adjustment, and placing a new root after healing.
Dental implant rejection is relatively rare, with the success rate of operations usually exceeding 90%. Factors influencing the success rate include the patient's overall health, the quality of the jawbone, adherence to postoperative care instructions, and the dentist's skill.
Rejection of a dental implant can be accompanied by pain or discomfort, especially if an infection is present. However, not all implant rejections cause severe pain. Some signs of rejection, like a loosened implant, may not immediately cause pain. Any discomfort or unusual symptoms around the implant should prompt a visit to the dentist.
Implant rejection means that the body's immune response negatively affects the implant's integration, which is quite rare. Implant failure, more commonly, refers to the implant's inability to osseointegrate (properly bond with the bone) or maintain this bond over time, often due to infection, insufficient bone density, or excessive force on the implant.