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Risks, tests and care in the postoperative period after dental implantation. Part 2.

We continue to analyze the most frequent questions from those patients who are just going to resort to dental implants. You can see the answers to the first 5 questions in the first part. Now the next similar portion.

Dental implants: risks and contraindications
Every year, the range of factors that will make even an experienced implantologist refuse to perform implantation narrows. What was considered a serious problem a few years ago is not so today. And, I must say, here doctors do not always agree. We have prepared a separate article for you about indications and contraindications to implantation

There is a high risk of problems when installing implants (i.e. in these cases, it is not recommended to resort to implantation) if the patient has:

Severe heart failure
Coagulation disorders
Active stage of cancer
Diseases of the immune system
Children under 16-18 years of age
Pregnant woman
Active inflammatory processes in the bone in the area of implant placement
Significant risks during dental implantation (that is, pre-treatment or other preparatory measures are required, as well as high alertness) also in cases of:

Heart problems (coronary artery disease, angina)
Nursing mother
Malicious Smoking (according to some studies, Smoking reduces the probability of implant integration by 10%, and is a contraindication for bone and gum surgery procedures)
Drug addiction and alcoholism
Rheumatoid arthritis
Inflammatory processes in the oral cavity
All these situations can be described briefly: “I want and prickles”…

That is, you can do implantation in principle, but carefully and with some reservations in the warranty obligations.

Postoperative care after dental implantation: is there a sick leave?
The operation to install a single implant usually takes about 20-30 minutes.it is performed under local anesthesia and is absolutely painless. As for the postoperative period, it also proceeds quite calmly. Usually, the doctor prescribes painkillers immediately after the implant is installed, and the next day they are usually no longer necessary. Some surgeons like to “hedge” by prescribing a course of antibiotics shortly before the operation, and accordingly, the patient finishes taking them a few days after the operation. In fact, in normal cases, there is no need for such “support”. In General, the installation of the implant is very traumatic, the wound is sutured, so the next day you will probably be able to completely calmly lead a normal lifestyle. The vast majority of patients who have undergone a simple installation of 1-2 implants note that this manipulation is even easier to tolerate than tooth extraction (especially if we are talking about removing a wisdom tooth). Therefore, you do not need to take a sick leave. In some rare cases, there may still be edema (swelling) at the site of the implant, bruising, and minor soreness. These reactions are all the same individual.

Another picture may be if a large intervention is planned, when the installation of implants is combined with the removal of teeth, bone grafting, when a large number of implants are installed at once in several segments of the jaw. Here, the operation time may increase to several hours, and it will be performed under General anesthesia or medication sleep, and the postoperative period will be a little less comfortable. However, as a rule, any discomfort passes 3-5 days after the procedure.

With the usual standard installation of 1-2 implants the next day you will be able to lead your usual lifestyle…

What tests should I take before dental implantation?
The answer to this question is quite easy. In all normal cases, no. You don’t do a lot of tests before you remove a tooth, do you? And we have already found out a little above that this procedure, sometimes, is even more traumatic than standard implantation. If the patient has some serious common diseases, a difficult General condition (for example, due to old age), a large amount of intervention is planned (installation of a large number of implants at the same time), if General anesthesia is planned (anesthesia or medication sleep), in such cases, the doctor may individually request some tests before dental implantation, which will help to make a decision about the risk of procedures.

Tests before dental implantation
In some clinics, you need to pass the same tests for dental implants as during a medical examination before a flight into space. Most often this is an unnecessary reinsurance, in the worst case-feeding friendly laboratories. A particularly long list can be offered in large medical centers, where Dentistry is only part of a large money pipeline. So if before the operation you are asked to do everything up to the analysis of feces for “egghead”, you should think about trusting such a honey.institution.

Which is better: an implant or a bridge?
This is the most frequent comparison that patients make when making a decision. A fairly common situation is when 1-2 teeth are lost, while there are still teeth-supports for the bridge prosthesis. What to choose? Let’s just go over the disadvantages of both options dryly.

Disadvantages of a bridge prosthesis:

Overloading of the supporting teeth, because they start working for themselves and “for that guy”, that is, for wear and tear. This will lead to a significant reduction in their service life.The need to sharpen teeth (most often absolutely healthy) for crowns. If we profess the principle Of “do no harm”, then the bridge is a bad way out, because we treat one thing and cripple the other. Ideally, it is better to fill in the teeth so that the dentist’s hand does not touch anything superfluous. Even the Golden hand. What to say about those handles that grow in some below the back.
Loss of bone tissue at the site of the removed tooth. It is so laid down by nature-everything that does not work withers. The same thing happens to the bone. The load on it hangs in the air, the tooth is not transmitted, and it atrophies. This means that then it will be even more difficult to resort to implantation. In the area of the front teeth with an open smile, in addition, it turns out an ugly aesthetic defect of the gums, which is not so easy to fix later.
Hygiene is difficult. Teeth in the prosthesis, soldered together in a single block, interfere with hygiene measures. This may cause bad breath and inflamed gums under the crowns.
Disadvantages of implantation:

Higher price.
Longer treatment periods.
This is probably all. There are rare exceptions when a small bridge can be a more rational solution than installing an implant, especially when it is associated with preparatory bone grafting. But these are exceptions.

This is the end of the block of questions for the undefined, although in the future, when new ones appear, I will make updates.