The importance of looking after dental implants
Once the patient has completed all of the necessary tests and has their new teeth in place, it is necessary to monitor their prostheses fitted on to their dental implants.
We have to think that the fact of chewing involves a series of movements of the jaw on the maxilla. In these movements many muscles of the face are involved, some of which can make a tremendous force when chewing. In addition, the jaw not only has opening and closing movements, but also laterality and zincing. The natural teeth are endowed with defense mechanisms against those traumas that they suffer daily; among them one of the most important is the periodontal ligament, a structure that surrounds the roots inside the bone and acts as a cushion against masticatory trauma. There are also pressure receptors that warn us when we should stop tightening.
The teeth that are fixed to the dental implants do not have this ligament or the pressure sensors, and instead the implant is connected directly to the bone without any flexibility. It is therefore essential to ensure that the union between teeth and dental implants is passive so as not to subject them to extra loads. On the other hand, it is essential to correctly adjust the occlusion. When biting, there must be a perfect balance between the teeth of the upper and lower jaw, taking into account the laterality and protrusive movements, so that the dental implants are not forced in certain movements of the mouth. These checks must be made on the same day the definitive teeth are installed and on subsequent days.
In the mid term, it is necessary to check for the buildup of plaque and tartar. We must not forget that in adults the first cause of tooth loss is periodontal disease, and the evolution of this disease is linked to the presence of plaque and tartar on the teeth of people genetically predisposed to it. Many people receive implants because they have lost teeth due to gum disease, meaning their new teeth emerge through the gum on abutments that can also accumulate plaque and tartar. As a result, it is necessary to control and regularly clean off these deposits that are harmful to the gums, and therefore to the implants inside the bone.
Teeth replaced using dental implants do not have exactly the same anatomy as natural teeth. In general there are more fissures in dental implants, meaning patients have to take extra care and use the special products for cleaning them. Of course, people who have not taken care of their teeth throughout their life and have lost them for this reason will have to change their habits, and may not be suitable candidates for receiving dental implants.
On many occasions, especially when a large number of teeth are replaced, a mouthguard has to be fitted to the teeth to relax the face muscles and prevent major stresses on the dental implants.
Obviously, teeth replaced using dental implants will not be damaged by caries, but nevertheless it is important to take special care of your new teeth and remember that "nothing lasts forever".