DentaltownUK October/November 2019 - 32

"I have often placed implants that looked
excellent on placement and had them fail in
a few months. On the contrary, I have placed
implants that I thought were not going to survive
and have had them serve well."

Discover more about
the physics behind
implant placement-
and earn CE credit
Dr. Charles Schlesinger's online CE
course, "Dental Implants from Planning
to Restoration: The Physics Affecting
Implants and Restorations," delves into
the physics surrounding implantology
and the effect both the patient and the
restoration can have on the peri-implant
tissue. To discover more, and take the
test to earn 1.5 CE credits, visit
dentaltown.com/schlesinger-physics.

Commentary
The complexity of the potential causes of peri-implantitis and peri-implant mucositis
and subsequent implant failure is evident. The vast amount of research that will be necessary
to know the reasons is also evident. I have often placed implants that looked excellent on
placement and had them fail in a few months. On the contrary, I have placed implants
that I thought were not going to survive and have had them serve well. The factors listed
in this article should stimulate researchers to become involved with attempting to find
finite reasons for this perplexing challenge.

Conclusions

Fig. 5: Implants placed carefully,
with no hint of future failure.

Why some dental root-form implants have peri-implantitis and peri-implant mucositis
and some eventually fail continues to be a mystery. Significant research is needed to provide
direction on how to reduce this problem. Numerous potential causative factors are identified
in this article, some with research and others lacking research. Often, meta-analyses provide
only neutral conclusions with legitimate research projects on both sides of the question and
a call for more research. In the meantime, I call for an overt emphasis on the part of the
profession to retain natural teeth for as long as possible and to condemn the current, often
wanton removal of teeth and bone to facilitate the unnecessary placement of implants.
There is nothing quite like a natural tooth! n

References
1.

Derks, J. et al, Journal of Dental Research Vol 95 (1) pp. 43-49, 2016, Effectiveness of Implant Therapy Analyzed in a Swedish Population: Prevalence of Peri-Implantitis

Fig. 6: The same implants from
Fig. 5, shown several years later.

32

OCTOBER/NOVEMBER 2019 // dentaltownuk.com


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DentaltownUK October/November 2019

Table of Contents for the Digital Edition of DentaltownUK October/November 2019

Cover
Table of Contents
Mike Gow: In Honor of the late Dr Anoop Maini
Howard Speaks
Message Boards: Zirconia Crowns Came Off
Office Visit: Dr Manu Dua
Why are Implants Failing?
Oral Health, Periodontal Pathogens and Carcinogenesis
Finding and Keeping the Ideal Team
A Monstrous Regiment of Women?
Students
DentaltownUK October/November 2019 - Cover
DentaltownUK October/November 2019 - Cover2
DentaltownUK October/November 2019 - Table of Contents
DentaltownUK October/November 2019 - 4
DentaltownUK October/November 2019 - Mike Gow: In Honor of the late Dr Anoop Maini
DentaltownUK October/November 2019 - 6
DentaltownUK October/November 2019 - 7
DentaltownUK October/November 2019 - Howard Speaks
DentaltownUK October/November 2019 - 9
DentaltownUK October/November 2019 - Message Boards: Zirconia Crowns Came Off
DentaltownUK October/November 2019 - 11
DentaltownUK October/November 2019 - Office Visit: Dr Manu Dua
DentaltownUK October/November 2019 - 13
DentaltownUK October/November 2019 - 14
DentaltownUK October/November 2019 - 15
DentaltownUK October/November 2019 - 16
DentaltownUK October/November 2019 - 17
DentaltownUK October/November 2019 - 18
DentaltownUK October/November 2019 - 19
DentaltownUK October/November 2019 - 20
DentaltownUK October/November 2019 - 21
DentaltownUK October/November 2019 - 22
DentaltownUK October/November 2019 - 23
DentaltownUK October/November 2019 - 24
DentaltownUK October/November 2019 - 25
DentaltownUK October/November 2019 - 26
DentaltownUK October/November 2019 - 27
DentaltownUK October/November 2019 - Why are Implants Failing?
DentaltownUK October/November 2019 - 29
DentaltownUK October/November 2019 - 30
DentaltownUK October/November 2019 - 31
DentaltownUK October/November 2019 - 32
DentaltownUK October/November 2019 - Oral Health, Periodontal Pathogens and Carcinogenesis
DentaltownUK October/November 2019 - 34
DentaltownUK October/November 2019 - 35
DentaltownUK October/November 2019 - 36
DentaltownUK October/November 2019 - 37
DentaltownUK October/November 2019 - Finding and Keeping the Ideal Team
DentaltownUK October/November 2019 - 39
DentaltownUK October/November 2019 - 40
DentaltownUK October/November 2019 - A Monstrous Regiment of Women?
DentaltownUK October/November 2019 - 42
DentaltownUK October/November 2019 - 43
DentaltownUK October/November 2019 - Students
DentaltownUK October/November 2019 - Cover4
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