Implants dentaires All-on-6 avec maladie des gencives : Guide complet du patient

Table des matières

Can I Get All-on-6 Dental Implants with Gum Disease?
Pre-Treatment Requirements for All-on-6 with Gum Disease
All-on-6 vs Traditional Implants for Gum Disease Patients
Success Rates and Long-Term Outcomes
Conclusion et enseignements clés
FAQ
Références

All-on-6 dental implants offer hope for those with gum disease looking for a permanent tooth replacement solution.

But can you get All-on-6 implants if you have active gum disease?

Can I Get All-on-6 Dental Implants with Gum Disease?

Oui, vous pouvez obtenir Implants dentaires All-on-6 with gum disease but proper treatment is required. The process involves:

Treating existing gum disease
Bone assessment
Placing six titanium implants in the jawbone
4-6 months for osseointegration
Permanent prosthesis attachment

Requirement	Description	Importance
Gum Disease Treatment	Treatment of existing gum disease to ensure a healthy environment for implant placement[1][5][3].	Critical for preventing complications and ensuring implant success.
Bone Health Assessment	Evaluation of bone density and structure to determine suitability for All-on-6 implants[1][5][2].	Essential for ensuring stable implant placement and preventing bone loss.
Immune System Considerations	Assessment of immune system health to prevent complications in immunocompromised patients[3][6][3].	Crucial for preventing implant failure and ensuring proper osseointegration.
Procédures supplémentaires	Possible need for bone grafting, sinus lifts, or other procedures to prepare the jawbone[4][1][3].	Important for ensuring a stable foundation for implant placement.

Pre-Treatment Requirements for All-on-6 with Gum Disease

Gum Disease Treatment Process

Patients with gum disease can get All-on-6 dental implants but proper treatment is required.

The process involves removing all infected tissue and compromised teeth in one visit, creating a healthy environment for implant placement (5).

This approach reduces the risk of peri-implantitis as removing the source of infection reduces the chances of complications.

Bone Assessment

Enough bone density is required for All-on-6 implant placement.

Patients with severe bone loss may require bone grafting before implant surgery (6).

A full bone quality and quantity assessment is needed to determine if additional procedures are required to support the implants

Immune System

Underlying health conditions, especially those affecting the immune system can affect All-on-6 implant success.

Patients with uncontrolled diabetes or autoimmune diseases may be at higher risk for implant failure (3).

A full health assessment is required to identify and address any potential complications before implant surgery.

All-on-6 vs Traditional Implants for Gum Disease Patients

Moins de greffes osseuses

All-on-6 implants have an advantage for patients with gum disease who have had bone loss.

This technique requires less bone grafting compared to traditional implant methods as the implants are placed to utilise available bone (4).

This is especially beneficial for patients with severe periodontal disease who would otherwise require extensive bone augmentation.

Strategic Implant Placement

The All-on-6 technique involves precise placement of implants to maximise stability and support.

This strategic placement helps to distribute forces more evenly across the jaw which can reduce stress on individual implants (2).

For patients with a history of gum disease, this approach may lead to better long-term results and a lower risk of implant failure.

Bone Stimulation

All-on-6 implants can provide continuous stimulation to the jawbone, which can help prevent further bone loss associated with tooth loss and gum disease (3).

This continuous stimulation is especially beneficial for patients who have had significant bone resorption due to advanced periodontal disease, to improve overall oral health.

Success Rates and Long-Term Outcomes

Factors Affecting Integration

All-on-6 implant success depends on several factors: bone quality, proper placement, and patient health.

Patients with gum disease history may have additional challenges.

Studies have shown that patients with treated chronic periodontitis have implant failure rates 10 times higher than natural tooth loss rates (5).

But with proper care and maintenance, implant survival rates can be high.

Maintenance

Long-term success of All-on-6 implants depends on patient compliance with supportive periodontal care (SPC).

A 20-year study showed that patients with gum disease history who followed SPC had similar implant survival rates to periodontally healthy patients.

But those who were non-compliant with SPC had 14.59 times higher odds of implant loss (OR 1.30-164.29) (3).

Regular dental check-ups and good oral hygiene are essential to maintain implant health and prevent peri-implantitis.

Conclusion et enseignements clés

All-on-6 dental implants can be an option for patients with gum disease but careful consideration of the risks and benefits is necessary. Key points:

Pre-treatment of gum disease and thorough bone assessment is essential for success.
All-on-6 implants have advantages such as less bone grafting and strategic placement for stability.
Long term success depends on patient oral hygiene and regular dental check-ups.
Complications include infection, implant failure and nerve damage but these can be minimised with proper care and experienced practitioners.
Patients with certain medical conditions or those taking specific medications may need additional evaluation before proceeding with implant surgery.

FAQ

Quel est le pays le moins cher de l'UE pour cette procédure ?

This procedure can cost up to 70% cheaper in Albania for the same EU-certified-premium quality of materials and treatment as in your country.

Combien coûte le traitement mentionné dans cet article ?

The average cost of All-on-6 dental implants in countries where this treatment is expensive can range from €20,000 to €30,000 per arch. However, prices may vary depending on the specific clinic, materials used, and additional procedures required.

How long does the All-on-6 implant procedure take?

The All-on-6 implant procedure typically takes one day for the surgical phase and implant placement. However, the entire process, including initial consultation, planning, and final prosthesis installation, can span several months.

Can All-on-6 implants be removed for cleaning?

No, All-on-6 implants are permanently fixed in place and cannot be removed by the patient. However, they can be cleaned effectively with proper oral hygiene techniques, including regular brushing, flossing, and the use of specialized tools like water flossers.

Références

Chrcanovic BR et al. Dental implants in patients with osteoporosis: a systematic review with meta-analysis. Int J Oral Maxillofac Surg. 2019;48(8):1096-1116.
Article : Dental implants in patients with osteoporosis: a systematic review with meta-analysis
Monje A et al. Impact of maintenance therapy for the prevention of peri-implant diseases: a systematic review and meta-analysis. J Dent Res. 2016;95(4):372-379.
Article : Impact of maintenance therapy for the prevention of peri-implant diseases: a systematic review and meta-analysis
Papaspyridakos P et al. Success criteria in implant dentistry: a systematic review. J Dent Res. 2012;91(3):242-248.
Article : Success criteria in implant dentistry: a systematic review
Mombelli A et al. The epidemiology of peri-implantitis. Clin Oral Implants Res. 2012;23 Suppl 6:67-76.
Article : The epidemiology of peri-implantitis
Derks J et al. Effectiveness of implant therapy analyzed in a Swedish population: prevalence of peri-implantitis. J Dent Res. 2016;95(1):43-49.
Article : Effectiveness of implant therapy analyzed in a Swedish population: prevalence of peri-implantitis
Schwarz F et al. Peri-implantitis. J Clin Periodontol. 2018;45 Suppl 20:S246-S266.
Article : Péri-implantite