Lifetime or Not? The Longevity of Dental Implants

When it comes to restoring lost teeth, dental implants have transformed the area of restorative dentistry. These synthetic tooth roots are surgically inserted into the jawbone to serve as the sturdy base for prosthetic teeth. The longevity of dental implants varies based on factors such as oral hygiene, overall health, and implant placement techniques. Many patients’ dental implants can last a lifetime with the right upkeep and care. However, individual experiences may differ, and routine check-ups with a dentist are crucial to monitor the implant’s health and address any potential issues promptly, ensuring the maximum possible lifespan of these transformative dental devices.

Mock-up of dental implants in Albania

How long do teeth implants last?

Dental implants are meant to last a lifetime. This is so that they can integrate, or become linked with the surrounding bone tissue, directly with the jawbone. The implant’s component and the surrounding bone have bonded by the time osseointegration is finished. As a result, the implant can act as a substitute for a tooth root, creating a sturdy base for a prosthetic tooth.

The linked crown may ultimately need to be replaced owing to normal wear and tear, even though the implant is intended to last a lifetime. It’s important to remember that a sizable portion of crowns could require replacement in 15 to 20 years. 

Image illustrating dental implants in Albania

Types of dental implants

There are two main types of dental implant procedures available:

Endosteal implants

The most typical form of dental implant is called an endosteal implant, which resembles a little screw or cylinder. They can also be constructed of ceramic but are frequently made of titanium. These implants are normally placed in your jawbone directly throughout two steps. During the procedure, you will be under the effect of anesthesia so that you won’t feel any discomfort and pain along the way.

To insert a subperiosteal implant, your dentist will need to make an incision in your gums to make room for the implant. After the implant is in place, your gums and jawbone will need time to heal. It’s important to follow your dentist’s instructions for aftercare to get the best results. If you have any more questions or concerns, please feel free to ask. During the following appointment, a metal post called abutment is often used to affix a crown to the implant. In rare situations, a separate method may be required before placing an endosteal implant. This is carried out to provide the new implant with a more stable foundation in your jawbone. Such practices include, for instance:

  • bone grafts
  • ridge expansion
  • sinus lift

Subperiosteal implants

Subperiosteal implants are positioned beneath the gums and above the jawbone. They are made up of a metal framework and tiny extensions that barely protrude from the gums. People who are unable or unwilling to have further therapy, such as a bone transplant, before obtaining an implant, might consider these implants. Additionally, they are recommended for people who lack adequate healthy jawbone for an endosteal implant.

Subperiosteal implants are inserted under anesthesia, the same as endosteal implants. Placement of an implant involves several steps. Making an imprint on the jawbone is the first step. This is carried out to ensure optimal implant fit during implantation. To expose your jawbone and take an imprint, your surgeon will need to create an incision.

It’s time to put the implant in when the region has healed. The metal implant frame is positioned so that it rests on top of your jawbone following a gum incision. On the metal implant frame, crowns may be affixed during a subsequent appointment. The little extensions that stick out from your gums are joined to these.

Dental implant consultation with a dentist in Albania

Not All Implants Last Forever

The most long-lasting alternative for dental repair that can replace lost teeth is an implant. However, the implant’s real lifespan will vary depending on your health. Some people who have dental implants can anticipate having them for the remainder of their lives. As with any other dental restoration, others will need to be ready for the possibility of future repair and replacement.

The titanium post and abutment often have a lifetime lifespan. Throughout your lifespan, the repair on top will likely sustain further damage and may eventually need to be replaced. 

If there is a problem with the post, it is probably present at first and can be resolved with additional oral surgery or therapies that promote osseointegration. 

The adhesion is often irreversible once the post attaches to the jaw tissue. At that period, a separation could only result from accidents or trauma. If you take good care of the implant, only minimal deterioration should necessitate having the restoration fixed.

However, repair materials that are positioned above the abutment will probably need to be changed. The most frequent repair, crowns, normally require replacement every 15 to 20 years. 

The lifespans of other tooth replacement solutions, such as partial dentures and bridges, can range from three years to ten years, but not much longer.  Even for people who ultimately need to have some of the implant’s components replaced, dental implants will outlast all of them.

Any dental operation, including dental implants, has a chance of failing. However, most issues arise in the early weeks following installation. The success rate can reach 98% once the first osseointegration and health phase has passed. Dental implants have a 93% to 98% total success rate, even after accounting for early survival rates.  Although the majority of individuals who get dental implants will benefit from them for a lifetime without any issues, not every implant can endure indefinitely.

What factors can influence whether a dental implant will fail?

While many people’s dental implants can last a lifetime, they occasionally fail. Generally speaking, osseointegration, or the healing process is hampered, which leads to implant failure. The following elements might contribute to implant failure:

Insufficient care and maintenance

Maintaining good oral health is just as crucial for implants as for natural teeth. Plaque buildup can cause gum disease, which can harm your jawbone and gums. Peri-implant disease is a condition that affects the region around an implant due to plaque accumulation. The peri-implant disease has reversible early phases. However, if it is not treated, it can develop into peri-implantitis, a disease that can result in implant failure. Because of this, maintaining proper oral hygiene is crucial if you have an implant. This includes the following:

  • Flossing every day and brushing at least twice a day
  • Reducing your consumption of sweets
  • Having six-monthly appointments at the dentist

Insufficient bone

Endosteal implants require a solid foundation in your jawbone to stay in place. Because of this, an implant might fail if an insufficient jawbone is present to firmly anchor it in place. A complete evaluation of the jawbone is done before implant insertion. X-rays and 3D modeling may be used in this to assess the quality of the bone at the possible implant location.

Before obtaining an endosteal implant, some patients may choose to have a treatment like bone grafting or sinus lifting if there is insufficient bone. An implant may become unstable over time if the bone is lost. This may be caused by conditions like peri-implant disease or additional medical disorders that affect bone health besides osteoporosis.

Smoking, a factor that can affect the longevity of dental implants

Smoking

Dental implants have been proven to have a decreased success rate among smokers. In fact, according to some studies, smokers had an overall implant failure rate of 11% compared to nonsmokers’ 5%. Smoking can interfere with blood flow to the injured region, which can harm osteointegration and the healing process, which can lead to implant failure. Gum disease is also increased by smoking.

Teeth grinding

A fracture of the implant, a loosening or fracture of the screw, or a fracture of the porcelain on the crown may result from grinding your teeth or from any occlusal stress. A protection case can be placed in your teeth to prevent this from happening. This is so that the osseointegration process won’t be hampered by the frequent grinding motions or stress that might cause the implant to shift very little.

Medical conditions

Several illnesses, including the following, have been associated with dental implant failure:

  • Diabetes
  • Osteoporosis
  • Immune system deterioration
  • Bleeding problems
  • Cardiovascular diseases

Age

Age can be another factor that impacts the success rate of dental implants. Older persons may have a higher failure rate for dental implants. This is due to potential underlying bone or medical issues. Older people may also heal more slowly.

Medications that can sometimes affect the longevity of dental implants

Medications or treatments

Additionally, specific medications or therapies may contribute to implant failure. These consist of:

  • immunosuppressive medications
  • drugs that thin the blood
  • radiation treatment

An inexperienced surgeon

It’s important to have an experienced surgeon place your dental implants. If you go to an inexperienced dentist, the procedure will not be very safe and many problems will be caused along the way. Some of his wrongdoings can be:

  • Implants that are designed poorly
  • tissue trauma during implant placement
  • Putting the crown before the implant is stable
  • Not proper placement of the implant

What happens if an implant fails?

If you see any signs that may lead to a failing implant it is important to contact your dentist as he will look at the symptoms and decide on what to do. Some indications of implant failure include:

  1. Moving implants
  2. Pain when you’re eating
  3. Signs of peri-implantitis

Treating a failed implant

Local anesthesia can be used to remove a failed implant. An implant can occasionally be changed. According to some studies, replacing one dental implant at the same site has a 71 percent success rate overall.

Before a new implant can be put in cases where there has been bone loss surrounding the implant, a bone graft may be required to assist in restoring bone tissue. In this instance, it can take a while until you get your replacement implant.

There are alternative potential treatments if you decide against replacing a faulty implant or are unable to repair it. Dentures or dental bridges are examples of these. If there hasn’t been a lot of bone loss, peri-implantitis may be managed without removing the implant. This entails a course of antibiotics as well as a complete cleaning and disinfection of the implant and the surrounding region.

Dental implant surgery in Albania

What to Do with a Failed Implant?

Often, a failure doesn’t mean that dental implants should be discontinued. In many instances, we only need to replace the implant or the damaged portion. We could suggest a bone graft to provide the post extra room for osseointegration if it doesn’t adhere to the bone.

We can always switch to giving you bridges or dentures if we feel there may be reasons the new implant won’t succeed either. There is a strong possibility that the problem can be managed and failure can be avoided if you are experiencing implant problems but the implant hasn’t failed yet. 

It may take a thorough cleaning of the area around the implant and a course of antibiotics to preserve the implant. This ends peri-implantitis, a disease that frequently shortens an implant’s lifespan. In some cases when just the repair is damaged, your dentist can design a new piece and just replace it without needing any further procedures. 

Dental implant care and cleaning

What Can I Do to Make My Dental Implant Last Longer?

For a dental implant to last for a long time, you have to consider taking some precautions. For example:

  • Try to brush and floss your teeth regularly.

 Maintaining good dental hygiene habits is crucial for your oral health. Brush your teeth twice a day and floss once a day. Not just individuals having dental implants are advised to do this. However, sustaining your dental implant depends on maintaining your teeth. Even if your dental implant is not prone to deterioration, maintaining your other teeth and the condition of your gums directly supports it. 

  • Go to the dentist every 6 months.

Regular dental visits are also essential to the longevity of your implant. Maintaining healthy gums and clean teeth will help your implant stay firmly in place. These examinations also reveal any possible problems, including gum disease, that can endanger your implant. 

  • Avoid smoking.

One of the biggest risks to the health of your dental implant is smoking. Your implant may never solidify because it inhibits blood flow in the gums’ blood capillaries, which can have an impact on both the healing and osseointegration processes. 

  • Live a healthy lifestyle.

Your overall health is crucial to maintaining good oral health. Bone health is essential because weakened bones may make your jaw less able to sustain your implant than it can your other teeth. With your doctor’s consent, take vitamins and supplements, especially calcium and potassium for healthy bones. 

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