Can Dental Implants Cause Inflammation in the Body?

Sometimes, dental implants can become infected and cause soft tissue inflammation and bone loss around the implant, often due to a condition called periimplantitis. In some cases, a person may notice that the gum tissue surrounding the implant begins to regress. This can cause swelling and pain. Getting an immediate evaluation from a dentist is essential to avoid implant removal.Patients with metal on metal support surfaces represent special cases, in which the corrosion and wear (tribocorrosion) of the implants release metal ions or particles in the joint, which stimulates an immune response and causes an adverse local tissue reaction, a pseudotumor and, possibly, prosthetic failure.

The degree of release of proinflammatory cytokines is determined by polymorphisms in the genes of the respective cytokines and therefore varies individually. The causes of these different patterns of inflammation are unknown, but the association between the extent of inflammation and visible metal particles (but not zirconium particles) supports the concept of an immune reaction to metal and illustrates that the process is not specific to metal-on-metal constructions. Repeated or prolonged exposure to metals or other substances found in jewelry, clothing, or implanted devices sensitizes T cells, which respond to an implanted device with a foreign body reaction.If this is not recognized, there can be harmful consequences for the local and systemic health of the host, which are hidden by the apparent success of a “stable” implant. However, if the pain and swelling persist for more than a week, it is important for a person to book an appointment with their follow-up dentist.

Patients with known nickel allergy who require the ORIF of a fracture, for example, may be better treated with titanium implants when such devices are available. In modern dentistry, one of the most established and proven methods is the replacement of missing or missing teeth with dental implants.Rough, sandblasted, or grooved surfaces increase the surface area available for ion release from the implant and, therefore, increase local levels of dissolved metal. The signs and symptoms of hypersensitivity to nickel or another metal to an implanted orthopedic device vary, but they usually consist of the complaints expected of a patient with a hardware failure. In the rare event that a patient presents symptoms such as recurrent pain and aseptic loosening related to the implanted hardware, it is important to consider the differential diagnosis of hypersensitivity to metals.

As a result, an osteoimmunological scenario is conceivable in the case of implantation.Local exposure of metal surfaces also affects the release of ions and may be a factor in the development of hypersensitivity reactions secondary to an implant. Radiolucences around the hardware, migration of screws and changes in position of implants can all lead to loosening which could be due to hypersensitivity to metal or could be what triggers a strong immune response. Several researchers have discovered that titanium implants can induce inflammation in surrounding tissue over time leading to expression of certain mediators known to cause local and systemic health problems. The effect patch testing has on surgical practices and results in orthopedic patients with metal implants should also be taken into account.

Noah Williams
Noah Williams

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