When is it necessary to extract a tooth implant with an infection?Dental
Hi, I am 32 this year. I was told that the gum around my tooth implant was infected - it was swollen and bled with some pus. My dentist adviced that the bone density holding the implant was pretty thin, and if not extracted immediately, the infection might infect the neighbouring teeth and the implant will come loose. When is it absolutely necessary to extract a tooth implant with an infection? I would appreciate some help before I can make my decision to go ahead with the extraction. Thank you very much!
Dear Xiphias, what you're experiencing is one of the complication that arises from dental implants. It is called peri-implantitis, a type of gum disease/gum infection that causes bone loss and eventually, implant failure.
Depending on the dental condition, treatment options include:
1) treating the infection of the surrounding tissues without removing dental implant
2) removing dental implant and treat the infection
For the latter, it is done in more serious cases of peri-implantitis so as to prevent the infection from spreading further.
If the infection is not too bad, bone graft can be done immediately to restore the bone loss. However, if the infection is too great, then the area will be left to heal first.
Depending on the extent of infection, we would generally wait 2 to 3 months before placing a new dental implant to replace the missing tooth.
In order to advise on the suitable treatment option, you will need to be examined clinically and radiographically.
Dr Ho Kok Sen