Prosthetics for periodontal disease: is it possible to put implants, reviews

Diseases leading to partial or complete loss of teeth are in the first place among other pathological conditions of the oral cavity. To hide a cosmetic defect from the absence of teeth, they resort to installation implants and prostheses. But, unfortunately, prosthetics for periodontal disease and periodontitis are associated with certain risks and are not always successful.

Periodontal Danger

Periodontal disease Is a pathological disease that affects nearby dental tissues - periodontium. The disease is characterized by the loss of the gums, as well as the exposure of the tooth necks and roots. During the course of the disease, the inflammatory process and pathological periodontal pockets are not observed.

Periodontitis Is a common periodontal disease that differs from periodontal disease by the presence of an inflammatory course and deep

periodontal pockets. The inflammatory disease is accompanied by bleeding gums, pain and tooth loss at the last stage of development.

As you know, in severe stages of such gum disease, there is a partial or complete loss of the dentition. To eliminate a cosmetic defect, dentists recommend prosthetics. To choose the right treatment tactics, a highly qualified specialist must take into account several nuances:

• the nature and stage of the course of the disease;
• type of bite;
• structural features of the upper and lower jaw.

We assess the risks

Some experts believe that prosthetics and implants for gum disease are questionable treatments. Despite this, other dentists are confident in the high efficiency and reliability of these procedures. As a rule, these types of treatment for periodontitis and periodontal disease can be carried out only after special preparation of the oral cavity.

But it is important to understand that there are a number of risks associated with dental prosthetics and implantation for periodontal disease:

• the presence of gum disease under orthopedic structures (prostheses);
• insufficient amount of bone tissue;
• incorrect and unreliable installation pin in the jaw bone;
• implant rejection.

By choosing a highly qualified specialist with sufficient experience in serious treatment of gum disease, these risks can be minimized or avoided altogether.

Prosthetic methods for gum disease

Based on the severity of the development of the disease and the individual characteristics of the structure of the jaws, the specialist selects the most suitable type of prosthetics.

Type of prosthetics	Characteristics
Crowns from zirconium dioxide	Installation of orthopedic structures made of zirconium dioxide is possible only at the first stages of the development of the disease. Often used for prosthetics of incisors. The peculiarity of zirconium dioxide crowns is to create aesthetic beauty, an obstacle penetration of microorganisms and saliva through the structure to the tooth, thereby preventing further development of the disease.
Veneers	Like crowns, veneers are used to restore the anterior dentition at the initial stage of the disease.
Bridges	Currently, they are rarely used due to increased mechanical pressure on the abutment teeth. The installation of bridges is accompanied by splinting.
Removable dentures	Used for advanced stages of periodontal disease. The prosthesis is attached using clasps and occlusal patches. With the help of a removable structure, lost teeth are restored, and the correct position of the affected elements is fixed.
Implantation	It is characterized by the installation of orthopedic structures on the implant itself. Used after the loss or removal of affected teeth. Before the procedure itself, bone augmentation is performed.

Each type of prosthetics has its own positive features and is indicated for certain clinical cases.

Some patients are interested in whether it is possible to place implants for periodontal disease.

In terms of efficiency and aesthetic beauty, it is implantation that is considered the best procedure. However, before placing the implants, it is necessary to remove all the affected teeth in order to ensure a quality treatment.

Sometimes, due to the pathological condition of the gums, rejection of the installed implants occurs.

If there are a number of teeth that can be preserved, orthopedic prostheses are installed.

The results of prosthetics in the photo:

Stages

Prosthetics for periodontal diseases includes several mandatory stages:

1. Treatment of the underlying disease. In order for the prosthetics to be of high quality and take place without complications, it is first necessary to treat periodontal diseases. This can be done with physiotherapy, gum massage, the use of local antiseptic drugs. After the treatment is carried out oral cavity sanitation (treatment of cariogenic diseases, removal of decayed teeth and roots). It is also very important to carry out professional oral hygiene: cleaning teeth from soft and mineralized plaque.
2. Installation of temporary prostheses. It is carried out in the last stages of the disease and is skipped in the initial forms of development. In order for the jawbone to get used to the load, both removable and fixed orthopedic prostheses. In some cases, the installation of a removable denture is supplemented with splinting. This helps to evenly distribute the load on the teeth, as well as prevent tooth loss.
3. Prosthetics. The most important and crucial stage. The doctor needs to pay attention to the type of bite, the shape of the jaw, the condition of the bone tissue, as well as the degree of development of the disease.

The most common types of prosthetics are:

• clasp prostheses;
• kappa devices;
• frequent splinting;
• metal-ceramic dental bridges (in the absence of dental mobility);
• basal implantation.

When carrying out basal implantation of teeth with periodontal disease and periodontitis, an implant is implanted into the jaw bone, which is covered with an artificial crown.

Rules for the care of orthopedic structures

Take care of dentures and implanted implants follows in the same way as for natural teeth. Basic rules for maintaining the integrity of prostheses and implants:

1. Visit the dentist once every six months for a preventive examination and professional oral hygiene.
2. Brush your teeth 2 times a day using antiseptic rinses.
3. Use additional oral care items (dental floss, irrigators).
4. To preserve the integrity of the structures, it is recommended to refuse hard food that can injure prostheses and implants.
5. Give up bad habits (smoking, alcohol).

Gum augmentation

Gum augmentation Is a surgical operation necessary to preserve the functionality of the teeth and improve the aesthetics of the smile. Basically, this procedure is relevant for prosthetics and implantation. With the help of gum extension, the following is achieved:

1. Improving the aesthetic appearance.
2. Restoration of the gums in case of periodontal diseases.
3. An increase in the volume of the gums after the removal of certain groups of teeth.

The reason for the mobility of the implanted element

In some, after the operation, the implanted tooth is loose. This suggests that the implant itself is not able to safely take root in the jaw bone.

Additional symptoms of mobility may be: hyperemia of the oral mucosa, pain. In this case, you will need an additional operation to restore the jawbone and re-implantation.

Reviews

Reviews of implantation and prosthetics show the effectiveness of these procedures for periodontal disease.