In periodontal disease and periodontitis of the gum disease, bone resorption is unavoidable. Quite often, patients are convinced that with such a diagnosis, implant placement is impossible because they are not accepted by the body. The implant is not impossible, but rather one of the few solutions to this problem. Surgery can help stop the disease from progressing. Nevertheless, the operation needs to be performed at the remission stage - when the symptoms have significantly worsened. For this reason, it is necessary to first undergo gum treatment with a periodontist.
Periodontitis is characterized by tissue damage that causes damage to the blood supply to the gums, inflammation of the teeth and thinning of the teeth. The disease is relatively rare and occurs in 1-8% of patients. The causes of the disease have not been precisely identified. It is expected to be based on hereditary predisposition and systemic diseases (diabetes, vegetovascular dystonia, hypertension, atherosclerosis). In the first stage of periodontitis, the stability of the teeth is maintained. As the tooth neck thins, there are no gum pockets and no inflammation. The movement of the teeth occurs at a difficult stage and leads to their falling out.
Periodontitis makes dental implants difficult but is not contraindicated. Classical two-stage implantation is difficult to perform because the disease involves bone thinning and the alveolar bone should have sufficient volume to insert the implant.
Bone grafting and sinus lift do not always give good results. The process of adopting the transplanted material is very long. The most acceptable way to restore teeth is basal implantation. This method allows the implants to adapt, despite a significant lack of bone volume.
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