>Is there anyone who had bitter experiences or clearly failed cases of dental >implants on a long-term basis?
>Is there anyone who had bitter experiences or clearly failed cases of dental >implants on a long-term basis?
Yes, I can tell you about my experience - and you can read about the
ongoing consequences in another thread. I don't want to put you off,
because implants can achieve an excellent result, and if the rest of
your teeth are perfectly healthy, they could well be the only decision.
However, there's almost no information about their long-term survival
rate in the public domain, yet it's become increasingly clear to me
there are still substantial problems.
In my case, I had two Straumann implants placed in 1996 (original teeth
lost due to trauma) and they'd started to fail by 2004.
Straumann not too crazy about these implants.
Implantologists
will tell you that certain bad habits make long-term failure more
likely, but none apply to me. I was young, fit, didn't smoke (never
have), had excellent oral hygiene, and drank in moderation. I had
regular dental checkups, and took scrupulous care of the gum tissue
around the implant. Despite this, my implants still failed after 8
years.
Your natural teeth failed in that area of the mouth as well. My guess
the inderlining issue of your occlusion was not addressed and implants
were simply put it without even telling you that you may still have a
problem.
I initially started noticing a shrinkage of the gum around the implants
and immediately went back to the specialist who did the implants. An
x-ray revealed a small defect in the bone on one side of one the
implants, which was treated with a bone-graft material. However, after
another six months, I started to experience pain when biting, even
though further x-rays did not show any obvious problems. Eventually, I
insisted on the crowns being removed, which revealed that both implants
were in fact loose, necessitating their removal.
SEE the underlining problem was never fixed and most likely you lost
your natural teeth to the same problem.
In fact, it transpired there was substantial bone loss around the
implants, so I'm not quite sure how that didn't show-up on x-ray
(although I think it may have been in front of implants, and a normal
is only 2-dimensional). So much so, that a large bone graft was
required before an attempt could be made to replace the implants.
Would I do it again knowing what I know now? Quite probably, as I had
healthy teeth on either side of where the implants went, and a bridge
was just not an acceptable option to me. However, you need to be aware
that no matter how much you take care of them, implants can still fail
regardless.
There are unknown long term side effects with implants although they
are 95%
successful and although not always preferable by the patient due to
extra surgery the failures
can be corrected either by redoing the procedure after grafting or just
grafting.
robertphillips1820@yahoo.co.uk - 09 Apr 2006 13:21 GMT
>Straumann not too crazy about these implants.
Can I ask what's the specific issue with them?
> Your natural teeth failed in that area of the mouth as well.
They failed because someone randomly hit me in face in the street. The
rest of my teeth were fine, and did not seem to have any other obvious
underlying issues. The analysis of my mouth before placing the implants
seemed pretty thorough (panoramic x-ray, normal x-rays, checking bite
patterns etc..), and the specialist who originally placed the implants
also appears to have had a good success rate over the years.
> SEE the underlining problem was never fixed
Of course, there must be some reason why the implants failed, but the
two specialists that I saw - the original one, plus an oral surgeon,
seemed somewhat mystified as to why they should have failed in my case
(yes - good reason to get a third opinion). One theory advanced is
having a slightly blocked nostril leading to excessive breathing
through mouth and thus drying things out too much, but that doesn't
seem overly convincing to me.
> There are unknown long term side effects with implants although they are 95% successful
95% successful within what time period though? I don't claim to be an
expert on the statistics, but it strikes me that quoted 90-95% rate has
been increasingly moderated to 'within 15 years' in the past few years
as implants have become more widespread. Still a good success rate of
course, but perhaps not the panacea once forseen.