Dental Implants with Bone Loss: Is it Possible and How?

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Can you have dental implants with bone loss?

Dental Implants with Bone Loss

Yes, with the advancements in dental technology, it is now possible to successfully place implants even when bone loss occurs. 

The most prevalent kind of dental implant is the endosteal implant. It goes into your jawbone and holds one or more replacement teeth, also called prosthetic teeth. Your doctor might suggest an endosteal implant if you wear bridges or dentures.

A subperiosteal implant is placed on or above your jawbone. You may get a subperiosteal implant if you can’t wear regular dentures, don’t have enough natural jawbone to hold an endosteal implant, or don’t want to do a bone augmentation procedure to build up the bone.

When considering dental implants, where there’s bone loss and not enough to lay down a proper foundation, bone grafting might be required to build an appropriate foundation; for the upper jaw, a sinus lift could be an option. These additional procedures increase the healing time and can incur extra costs compared to traditional implant placement.

A qualified oral surgeon or periodontist is best equipped to recommend the best course of action for your particular case. Your dentist will thoroughly assess the level of bone loss and suggest appropriate treatment options accordingly.

Understanding Dental Implants with Bone Loss

How does bone loss affect dental implants?

Bone loss is one of the most common consequences of missing teeth that majorly influence the lifespan and success of dental implants. If the quality or quantity of bone is not adequate, there would be a lack of proper osseointegration that increases the possibility of failure.

This also raises the risk of complications, such as peri-implantitis, which might lead to further bone loss and implant failure. In such cases, a bone grafting procedure might be necessary to address bone loss and improve the chances of success of the implant.

A trained oral surgeon or periodontist will assess the extent of bone loss and develop a treatment plan best suited to your needs. Early diagnosis and treatment prevent further bone loss and increase the chances of successful dental implant procedures.

Importance of choosing the right dental implants with bone loss

Choosing the right dental implant is crucial for success. Biocompatibility, implant design, surgical technique, and treatment planning are essential for treatment success. Biocompatibility guarantees that the implant material is compatible with the body, whereas implant designs and sizes are better suited to different levels of bone loss. 

Type of Implant

The surgeon’s expertise and experience are crucial for successful implant placement and to avoid future problems. A thorough treatment plan considers all the factors and additional procedures, like sinus lifts or necessary bone grafting. Consulting a skilled periodontist or oral surgeon guarantees your chances of a successful outcome.

Benefits of Dental Implants for Individuals with Bone Loss

  • Restoring oral function and aesthetics: Dental implants offer numerous benefits for individuals with bone loss. They’re a natural-looking and durable solution for missing teeth, restore oral function and aesthetics, and improve eating, chewing, speech, and appearance.
  • Preventing further bone loss: Dental implants are the only treatment option that helps prevent further bone loss by providing a stable foundation that stimulates the surrounding bone. 
  • Long-term durability and stability: Dental implants are a long-term solution for missing teeth and can last many years when properly cared for. They provide a solid foundation for securing crowns, bridges, or dentures, ensuring a secure and comfortable fit. The implant placement procedure is complex, requiring careful planning and preparation to provide the best results.

What factors should be considered when choosing the right dental implants?

Severity of bone loss

Dentists use imaging methods like cone beam computed tomography (CBCT), which produces a comprehensive three-dimensional image of the jawbone, to assess the severity of bone loss. Based on the imaging results, bone loss can be categorized as mild, moderate, or severe.

Once the severity of bone loss is determined, the dentist can discuss appropriate treatment options, such as bone grafting procedures or specialized implants designed for severe bone loss.

The extent of bone loss has to be considered while selecting dental implants. Mild bone loss happens after a short tooth loss, and endosteal implants are mostly appropriate.

Dental Implants Bone Graft

Moderate bone loss might require additional procedures, such as bone grafting, to provide a proper foundation for the implant. Severe bone loss can significantly impact implant placement and may require more advanced techniques.

Types of dental implants

Endosteal and subperiosteal implants are the two most widely used dental implants. The primary distinction is how they connect to your jawbone.

The endosteal implant is shaped like a small screw, cylinder, or blade. It goes into your jawbone and holds one or more replacement teeth, also called prosthetic teeth, making them a good choice for patients who already

have dentures or bridges.

A subperiosteal implant is placed on or above your jawbone. It’s a metal post put under your gum and sticks through it to hold it in place.

You may get a sub-periosteal implant if you can’t wear regular dentures, don’t have enough natural jawbone to hold an endosteal implant, or don’t want to do a bone augmentation procedure to build up the bone.

Consultation with a dental professional 

Customized treatment plan

Anyone considering dental implants should consult with a trained dentist or oral surgeon. A thorough evaluation helps determine if an implant would be the best treatment choice for you and develop a customized treatment plan.

Importance of a comprehensive oral examination

After thoroughly assessing the patient’s dental health and the degree of bone loss, the dentist will create a customized treatment plan, including implant selection, surgical planning, and any additional procedures like bone grafting.

Postimplant care and maintenance

Proper oral hygiene, scheduling routine examinations, and avoiding harmful habits are all part of post-implant care and maintenance. Schedule routine dental checkups to monitor the health of implants and treat potential problems.

Postimplant care and maintenance

Preventing problems and guaranteeing the long-term success of implants requires practicing proper dental hygiene, which includes brushing, flossing, and using mouthwash. Quitting habits like alcohol and smoking can also enhance implant health and longevity.

FAQS

Q. Is it possible to get dental implants if I have bone loss?

Yes, it is possible to get dental implants if you have bone loss. The final treatment plan, however, will be determined by the severity of bone loss.

Q. What are the different types of dental implants for bone loss?

Endosteal and sub-periosteal implants are the main types used. Endosteal implants are placed directly into the jawbone, while sub-periosteal implants are placed beneath the gum tissue.

Q. Is bone grafting always necessary with dental implants for bone loss? 

No, the extent of bone loss determines the need for bone grafting.

Q. How long does bone grafting take to heal?

Healing time varies depending on the type of bone graft and the extent of bone loss, but it can typically take several months.

Q. How long does the healing process take?

Healing time varies depending on the individual and the complexity of the procedure. The implant can generally take several months to integrate with the bone.

Conclusion 

Dental implants can be a successful and long-lasting solution for individuals with bone loss. Understanding the available options, speaking with a knowledgeable dental practitioner, and following proper care instructions can all help to boost your chances of success.

Remember that early action is crucial. Don’t delay to make an appointment with a dentist if you have concerns about bone loss or missing teeth. 

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