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  • Writer's pictureAndrei Serdean

The right implant for periodontal disease

Periodontitis is the leading cause of tooth loss in adults. Dental implants are a common solution to replace them. However, gum health problems are linked to the potential complications of implants.


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Most patients battle with periodontal disease for several years.



It's usually a battle you lose, because it's a multi-factorial disease. There's genetics, then there's hygiene, then there are aggravating factors like alcohol consumption and smoking.


Then there are diseases such as diabetes, autoimmune problems (like rheumatoid arthritis), generalized inflammatory diseases and even cancers.


The list is long, and since problems never come alone, it's hard to win the battle. That's why it's essential to choose the right implant for each clinical situation.


The different possible dental implants

On the left is an implant with cortical attachment and on the right is an implant with cancellous attachment.

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In reality, we are talking about 2 types of aim which will be fixed either in the external part of the bone (the cortical, left) or in the internal part (the spongy, right)


Comparing two implants:

Cortical Implant (left)

​Spongy Implant (right)

​* anchorage in the hardest part of the bone, so immediate loading


*reduced diameter no bone graft or gingiva



* smooth surface, bacteria does not adhere



*72 hours to have your teeth


* anchorage in the soft part of the bone so 4 months waiting for loading


*large diameter requires bone graft and or gingiva


* rough surface, bacteria sticks easily


*6 to 12 months to have your teeth with risk of secondary infection



How do dental implants work?


Dental implantation to treat periodontal disease is a multi-step process. First, a consultation with your dentist is necessary to assess your oral condition.

In many cases, pre-existing dental images can be used to speed up the planning process.


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If you already have an X-ray and would like a quote, please contact me: contact@drserdean.fr







Once the implant plan has been established, the procedure can begin. A local anesthetic is administered to ensure your comfort. The dentist creates a small opening in the jawbone and places the implant, often using cortical implants for greater stability.



Once the bone has completely healed, an artificial crown, custom-designed to match the shape and color of your other teeth, is attached to the implant.


Finally, regular follow-up with your dentist is essential to ensure that the dental implant is working properly.


Case history of a patient resolved in 72 hours after dental implant placement





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