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The human skull has several cavities or air spaces called sinuses. When the sinus is enlarged and intrudes on areas where we want to place dental implants, bone or bone growth stimulation material is placed into the sinus. This procedure only affects the maxillary sinuses, which are located just over the molar teeth in the upper jaw. The side of the maxillary sinus is opened and the bottom is raised so it will fill in with bone. Several months later, dental implants can be placed in solid bone.
An "Osteotome Lift" is a surgical procedure that raises the floor of the sinus directly over where the implant is placed. This can be done without actually opening the sinus.
Peri-implantitis is a destructive inflammatoryprocess that causes break down of the surrounding gum and bone of an already integrated dental implant, leading to the loss of supporting bone. This can occur for many reasons, but primarily it is related to bacteria and dental plaque. The signs/symptoms of peri-implantitis could be one or many of the following:
- Deep pocketing around the implant
- Bleeding at the gum line
- Metal thread exposure
- Redness, irritation or swelling of the gums around the implant
- Generalized discomfort at the implant site
Many times peri-implantitis is asymptomatic, meaning that there is no pain at all. The treatment for peri-implantitis is varied and tailored to every patient. There are several options when considering the best treatment for peri-implantitis. These options include: conventional bone grafting and laser therapy. LAPIP therapy (laser) can many times be used to clean and sterilize the implant surface and allow for the body to grow bone in the previously infected area. Peri-implantitis is yet another reason why dental cleanings and check-ups are so important. The sooner it is addressed, the better the prognosis.
Mucositis around an implant is bacteria driven. This is the pre-cursor to Peri-implantitis. Typically, the tissue around the implant becomes red and inflamed. At this point in time, the bone around the implant has not been affected. When identified early, there is high success in treating Peri-implantitisMucositis. The sooner it is addressed, the better the prognosis.