{"id":1607,"date":"2020-06-21T20:51:31","date_gmt":"2020-06-22T02:51:31","guid":{"rendered":"http:\/\/drdavidfrench.ca\/?page_id=1607"},"modified":"2021-01-21T15:49:24","modified_gmt":"2021-01-21T22:49:24","slug":"dental-articles","status":"publish","type":"page","link":"https:\/\/drdavidfrench.ca\/dental-articles\/","title":{"rendered":"Dental Articles"},"content":{"rendered":"[vc_row type=”full_width_background” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” bg_image=”1126″ bg_position=”center top” bg_repeat=”no-repeat” scene_position=”center” top_padding=”16%” bottom_padding=”16%” text_color=”light” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” id=”intro” row_name=”Intro” enable_gradient=”true” color_overlay=”rgba(16,16,16,0.2)” color_overlay_2=”#101010″ overlay_strength=”0.3″ gradient_direction=”top_to_bottom” shape_divider_position=”bottom” bg_image_animation=”none” parallax_bg=”true” parallax_bg_speed=”fast” shape_type=””][vc_column column_padding=”padding-6-percent” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” centered_text=”true” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” column_border_width=”none” column_border_style=”solid” bg_image_animation=”none”][vc_row_inner column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” text_align=”left”][vc_column_inner column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” column_border_width=”none” column_border_style=”solid” bg_image_animation=”none” enable_animation=”true” animation=”fade-in-from-bottom”][vc_custom_heading text=”Dental Articles of Interest” font_container=”tag:h4|font_size:70|text_align:center|color:%23ffffff|line_height:116px” use_theme_fonts=”yes”][\/vc_column_inner][\/vc_row_inner][vc_row_inner column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” text_align=”left”][vc_column_inner column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” column_border_width=”none” column_border_style=”solid” bg_image_animation=”none” enable_animation=”true” animation=”grow-in” delay=”200″][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row type=”full_width_background” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” full_height=”yes” scene_position=”center” top_padding=”63″ top_padding_phone=”60″ constrain_group_5=”yes” bottom_padding_phone=”60″ text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” column_border_width=”none” column_border_style=”solid” bg_image_animation=”none”][vc_column_text]\n

Implant survival and complications<\/h4>\n

Survival rate for\u00a0implants<\/strong><\/a>. \u00a04592 implants followed over\u00a01-10 years in\u00a0private periodontal practice<\/strong>\u00a0 with\u00a0overall implant survival rates \u00a0for 5 and 7 years \u00a0of \u00a099.0%,\u00a0and 98.4%.\u00a0<\/strong><\/p>\n

Generalist success rates<\/a><\/strong>. \u00a0\u00a0Evaluated\u00a0 922 implants placed in\u00a087 general practices. \u00a0I<\/span>mplant<\/span>\u00a0survival &\u00a0success rates in general dental practice were lower than from\u00a0academia or specialists;\u00a0<\/span>( 93% implant survival at 4 years\u00a0with another 18%\u00a0failing due to bone loss >2mm).<\/span><\/strong><\/p>\n

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Other risk factors<\/h4>\n

Risk\u00a0relative to training<\/a><\/strong>. potential increased failures as implant therapy is adopted by surgeons of various skill set.<\/p>\n

Unsplinted implant risk<\/strong>.<\/a> \u00a0Multiple implants in upper molars that are not connected to\u00a0each other\u00a0may fail more often.<\/p>\n

Computer guided surgery<\/strong>.<\/a> \u00a0This article points to inherent limitations and complictions with\u00a0fully guided procedure, \u00a0the technology is not a replacement for skill and training.<\/p>\n

Penicillin Allergy<\/a><\/strong> . \u00a0 Since penicillin or amoxicillin is a beneficial antibiotic post surgically there is a documented higher risk for implant failure in some case types if it can not be used.\u00a0in particular, with certain types of implant-related procedures such as bone grafting, lateral window sinus augmentation and immediate Implant placement in extraction socket.<\/p>\n

Peridontal diease<\/a>.<\/strong> \u00a0If you have gum diease such as heavy bleeding of the gums \u00a0or have lost teeth to gum disease then you are at more risk for loss of your implant. \u00a0It is critical to manage the overall health including periodontal diease as part of implant treatment.<\/p>\n

Peri implant bone loss <\/a><\/strong>. This summary article show stopping bone loss on failing implants is not always predictable. It is important to get referral for proper evaluation if you suspect a failing implant.<\/p>\n

Heavy bite forces<\/strong><\/a>. \u00a0If you are a bruxer or heavy grinder then implant forces are higher and this can increase risk for implant failure and or progressive bone loss.<\/p>\n

Smoking.<\/a><\/strong> \u00a0Smoking can afffect implant survival both by causing more complications at time of surgery \u00a0as well as \u00a0potential increase bone loss and peri implantitis over time.<\/p>\n

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Controversies and concepts<\/h4>\n

Socket Grafting.<\/a><\/strong> \u00a0There is limited long term data\u00a0with the\u00a0majority \u00a0of data \u00a0< 1 yr . \u00a0 In a recent\u00a0systematic review of Random controlled studes\u00a0 and prospective cohort studies with 3months or more duration found minor\u00a0difference bone \u00a0preserved vs non grafted site \u00a0height = 1.4 mm, \u00a0\u00a0width = 1.8 mm<\/p>\n

No evidence on superior biomaterial, or procedure and No data on the consequences long-term for implant survival.[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"

[vc_row type=”full_width_background” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” bg_image=”1126″ bg_position=”center top” bg_repeat=”no-repeat” scene_position=”center” top_padding=”16%” bottom_padding=”16%” text_color=”light” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” id=”intro” row_name=”Intro” enable_gradient=”true” color_overlay=”rgba(16,16,16,0.2)” color_overlay_2=”#101010″ overlay_strength=”0.3″ gradient_direction=”top_to_bottom” shape_divider_position=”bottom” bg_image_animation=”none” parallax_bg=”true” parallax_bg_speed=”fast” shape_type=””][vc_column column_padding=”padding-6-percent” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” centered_text=”true” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” column_border_width=”none” column_border_style=”solid” bg_image_animation=”none”][vc_row_inner column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” text_align=”left”][vc_column_inner column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” column_border_width=”none” column_border_style=”solid” bg_image_animation=”none” enable_animation=”true” animation=”fade-in-from-bottom”][vc_custom_heading text=”Dental Articles of…<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/drdavidfrench.ca\/wp-json\/wp\/v2\/pages\/1607"}],"collection":[{"href":"https:\/\/drdavidfrench.ca\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drdavidfrench.ca\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drdavidfrench.ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/drdavidfrench.ca\/wp-json\/wp\/v2\/comments?post=1607"}],"version-history":[{"count":0,"href":"https:\/\/drdavidfrench.ca\/wp-json\/wp\/v2\/pages\/1607\/revisions"}],"wp:attachment":[{"href":"https:\/\/drdavidfrench.ca\/wp-json\/wp\/v2\/media?parent=1607"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}