A modern view on complications in dental implantation

  • O. V. Dobrovolska Ukrainian Medical Dental Academy, Poltava
Keywords: dental implantation, mucositis, peri-implantitis, bone grafting, osseointegration, implant

Abstract

Summary. The development of dentistry at the present stage opens up new possibilities in the treatment of adentia by means of the intraosseous implantation of artificial supports for dentures, which opened up new opportunities for improving the quality of comprehensive rehabilitation of dental patients. The development of new methods of surgical interventions and prosthetics, the creation of new implant systems help to increase the life of dentures on implants, improve the quality of life of patients.

The aim of the study literary sources analysis with the study of possible complications and their causes at various stages of patient rehabilitation with dental implants.

Materials and Methods. The review and analysis of scientific-medical literature for the years 2013–2019 was conducted, according to the databases Scopus, Web of Science, Med Line, The Cochrane Library, EMBASE, Global Health, CyberLeninka, RINC. Attention is focused on the main causes of complications of dental implantation.

Results and Discussion. The method of dental implantation is increasingly used in practical dentistry in the replacement of various defects in the dentition. Dental implants dramatically increased the quality of orthopedic rehabilitation of patients due to the possibility of using fixed dentures in the replacement of dentition defects in both partial and complete adentia. It is worth noting that along with the positive results of implantation, complications are also observed. Complications are caused by errors made at any stage: during planning, directly during bone grafting and dental implantation, in the early and long-term postoperative periods, both related to objective and subjective reasons. The success of comprehensive rehabilitation of patients by dental implantation in conditions of jaw bone deficiency is determined by many factors that play an important role at various stages of treatment. The most important stage ensures the further success of the proposed comprehensive treatment of patients, a thorough examination, diagnosis, determination and compliance with indications and contraindications for dental implantation in conditions that are far from optimal. Inadequate consideration of the characteristics of the somatic and dental anamnesis, complaints, motivation and expectations of the patient from the upcoming treatment, examination data, clinical examination, assessment of the functional state of the patient’s dentofacial system, level of oral hygiene, can lead to unjustified expectations of the patient, local and general complications. Among the objective reasons that directly lead to inaccuracies in diagnosis are the imperfection and lack of informational content of radiation methods, incorrect scaling when determining the size of the proposed site for implantation.

Conclusions. The problem of finding optimal implantation technologies, as well as methods for the prevention and treatment of complications, is relevant and includes not only the development of new surgical procedures, the use of additional measures during prosthetics, but also the creation of new implant systems that fully comply with the requirements for the prevention of inflammatory diseases in the peri-implant zone. Undoubtedly, new advances in this area will help reduce the number of complications after implantation in dental patients, and improve their quality of life.

References

Ponomarenko, V.O., Khrebor, M.V., & Sylenko, Yu.I. (2017). Viddaleni rezultaty neznimnoho protezuvannia khvorykh pokhyloho viku z povnoiu vtorynnoiu adentiieiu nyzhnoi shchelepy z oporoiu na implantaty [Long-term results of permanent prosthetics of elderly patients with complete secondary adenitis of the mandible with support for implants]. Ukrainskyi stomatolohichnyi almanakh – Ukrainian Dental Almanac, 3, 29-31 [in Ukrainian].

Mashchenko, I.S., Gudar'yan, A.A., & Shirinkin, S.V. (2013). Faktory riska i prognozirovaniya razvitiya vospalitelnykh oslozhneniy i lokalnoho vtorichnogo osteoporoza v kostnykh strukturakh chelyustey pri dentalnoy vnutrikostnoy implantatsii u zdorovykh patsiyentov [Risk factors and prediction of the development of inflammatory complications and local secondary osteoporosis in the bone structures of the jaws with dental intraosseous implantation in healthy patients]. Medychni perspektyvy – Medical Prospects, 1, 19-27 [in Russian].

Popov, N.V., Ishchenko, Ye.A., Novikova, Ye.V., Ippolitov, A.A., & Borisova M.A. (2019). Kharakteristika oslozhneniy pri ispolzovanii metoda dentalnoy implantatsii v usloviyakh atrofii alveolyarnoy kosti chelyustey [Characterization of complications when using the method of dental implantation in conditions of atrophy of the alveolar bone of the jaw]. Vestnik meditsinskogo instituta “Reaviz”: reabilitatsiya, vrach i zdorovye – Bulletin of the Medical Institute "Reaviz": Rehabilitation, Doctor and Health, 1 (37), 97-102 [in Russian].

Petrov, I.Yu,. Petrov, A.I., Ippolitov, Yu.A., & But, L.V. (2014). Ispolzovaniye kompyuternykh tekhnologiy dlya analiza oshibok i oslozhneniy dentalnoy implantatsii [Use of computer technologies for the analysis of errors and complications of dental implantation]. Vestnik novykh meditsinskikh tekhnologiy. Elektronnoye izdaniye – Bulletin of New Medical Technologies. Electronic edition, 1. doi:10.12737/4798 [in Russian].

Garayev, Z.I., Dzhavadov, R.A., & Nasirova, Kh.B. (2014). Snizheniye riska razvitiya oslozhneniy dentalnoy implantatsii [Reducing the risk of complications of dental implantation]. Sovremennaya stomatologiya – Modern Dentistry, 2 (59), 74-76 [in Russian].

Kotelnikov, G.P., Trunin, D.A., Kolsanov, N.V., Popov, L.V., Limanova, L.V., & Novikova Ye.V. (2019). Kolichestvennaya otsenka rentgenologicheskikh parametrov alveolyarnoy kosti chelyustey v rezultate rekonstruktivnykh operatsiy [Quantitative assessment of the radiological parameters of the jaw alveolar bone as a result of reconstructive operations]. Meditsinskiy vestnik Severnogo Kavkaza – Medical Bulletin of the North Caucasus, 1, 97-100 [in Russian].

Kulakov, A.A., Nadtochiy, A.G., Braylovskaya, T.V., Bedretdinov, R.M., & Magomedov, R.N. (2015). Otsenka sostoyaniya alveolyarnoy kosti vokrug dentalnykh implantatov, ustanovlennykh posle vypolneniya kostnoplasticheskikh operatsiy, po dannym rentgenologicheskogo analiza [Assessment of the state of the alveolar bone around dental implants installed after osteoplastic surgery, according to x-ray analysis]. Meditsinskiy almanakh – Medical Almanac, 3 (38), 178-179 [in Russian].

Matchin, A.A., Barkov, V.N., Mats, Ye.G., Bakanov, N.A., & Ovcharenko, T.Yu. (2019). Kliniko-rentgenologicheskoye obosnovaniye implantatsii iskusstvennykh opor zubnykh protezov na verkhney chelyusti [Clinical and radiological substantiation of implantation of artificial supports of dentures in the upper jaw]. Vyatskiy meditsinskiy vestnik – Vyatsky Medical Bulletin, 2 (62), 8-12 [in Russian].

Mikhalchenko, D.V., Yakovlev, A.T., Badrak, Ye.Yu., & Mikhalchenko, A.V. (2015). Problema vospaleniya v periimplantatnykh tkanyakh i faktory, vliyayushchiye na yego techeniye (obzor literatury) [The problem of inflammation in peri-implant tissues and factors influencing its course (literature review)]. Volgogradskiy nauchno-meditsinskiy zhurnal – Volgograd Scientific Medical Journal, 4 (48), 15-18 [in Russian].

Golovina, Ye.S., Kuznetsova, Ye.A., Tlustenko, V.P., Sadykov, M.I., & Tlustenko, V.S. (2014). Kliniko-rentgenologicheskaya diagnostika periimplantatnogo mukozita i dentalnogo periimplantita khronicheskogo techeniya [Clinical and radiological diagnosis of peri-implant mucositis and chronic dental peri-implantitis]. Izvestiya Samarskogo nauchnogo tsentra RAN – Bulletin of Samara Scientific Center of the Russian Academy of Sciences, 6-1, 330-335 [in Russian].

Tlustenko, V.P., Bayrikov, I.M., Trunin, D.A., Gusyakova, O.A., & Komlev, S.S. (2019). Vliyaniye tekhnologii protezirovaniya zubov na dinamiku rannikh prediktorov vospalitelno-destruktivnogo protsessa v periimplantatnoy zone [Impact of dental prosthetics technology on the dynamics of early predictors of the inflammatory and destructive process in the peri-implant zone]. Vestnik RGMU – Herald of the RSMU, 2, 44-47 [in Russian].

Schwarz, F., Becker, K., Bastendorf, K.D., Cardaropoli, D., Chatfield, C., & Dunn I. (2016). Recommendations on the clinical application of air polishing for the management of peri-implant mucositis and peri-implantitis. Quintessence Int., 47 (4), 293-296.

Dobrovolskaya, O.V., Dobrovolskiy, A.V., Pavlish, I.V., & Lugovaya, L.A. (2016). Khirurgicheskiye metodiki formirovaniya desnevogo kraya na vtorom etape implantatsii [Surgical techniques of gingival margin formation at the second stage of implantation]. Ukrainskyi stomatolohichnyi almanakh – Ukrainian Dental Almanac, 4, 87-90 [in Russian].

Kalbayev, A.A., Nurbayev, A.Zh., & Tyncherov, R.R. (2017). Vozmozhnosti primeneniya korotkikh implantatov pri znachitelnoy atrofii alveolyarnogo otrostka chelyustey [Possibilities of using short implants with significant atrophy of the alveolar ridge of the jaw]. Problemy Nauki – Problems of Science, 5 (87), 84-88 [in Russian].

Deng, S., Hu, Y., Zhou, J., Wang, Y., Wang, Y., & Li, S. (2019). TLR4 mediates alveolar bone resorption in experimental peri-implantitis through regulation of CD45+ cell infiltration, RANKL/OPG ratio, and inflammatory cytokine production. J. Periodontol., doi:10.1002/JPER.18-0748.

Insua, A., Monje, A., Wang, H.L., & Miron, R.J. (2017). Basis of bone metabolism around dental implants during osseointegration and peri-implant bone loss. J. Biomed. Mater. Res. A.,105 (7), 2075-2089.

Schminke, B., Vom Orde, F., Gruber, R., Schliephake, H., Bürgers, R., & Miosge, N. (2015). The pathology of bone tissue during peri-implantitis. J. Dent. Res., 94 (2), 354-361.

Yu, X., Hu, Y., Freire, M., Yu, P., Kawai, T., & Han, X. (2018). Role of toll-like receptor 2 in inflammation and alveolar bone loss in experimental peri-implantitis versus periodontitis. J. Periodontal. Res., 53 (1), 98-106.

Al-Askar, M., Ajlan, S., Alomar, N., & Al-Daghri, N.M. (2018). Clinical and radiographic peri-implant parameters and whole salivary interleukin-1β and interleukin-6 levels among type-2 diabetic and nondiabetic patients with and without peri-implantitis. Med. Princ. Pract., 27 (2), 133-138.

Smeets, R., Henningsen, A., Jung, O., Heiland, M., Hammächer, C., & Stein, J.M. (2014). Definition, etiology, prevention and treatment of periimplantitis – a review. Head Face Med., 10. doi:10.1186/1746-160X-10-34.

Shevela, T.L., Pokhodenko-Chudakova, I.O., & Kabak, S.L. (2018). Eksperimentalno-morfologicheskoye obosnovaniye differentsirovannogo podkhoda k lecheniyu periimplantita [Experimental and morphological substantiation of a differentiated approach to the treatment of peri-implantitis]. Visnik problem biolohii i medytsyny – Bulletin of Problems of Biology and Medicine, 3 (145), 336-339 [in Russian].

Published
2019-11-08
How to Cite
Dobrovolska, O. V. (2019). A modern view on complications in dental implantation. Clinical Dentistry, (3), 32-39. https://doi.org/10.11603/2311-9624.2019.3.10572
Section
Surgical stomatology