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Essay IV: Ongoing alveolar growth, continuous tooth eruption, and implants
The International Journal of Esthetic Dentistry
|May 30, 2020
Summary
Dental implants in adolescents can cause esthetic issues due to fixed positioning during growth. This phenomenon may persist in adults, leading to complications like infraocclusion and contact loss, impacting smiles.
Area of Science:
- Dentistry
- Orthodontics
- Implantology
Background:
- Dental implants are contraindicated in adolescents due to potential growth-related complications.
- Implants act as ankylosed teeth, failing to erupt or move with surrounding dentition.
- This fixed behavior may extend into adulthood, affecting implant outcomes.
Purpose of the Study:
- To review the phenomenon of continued infraocclusion of dental implants in adult patients.
- To highlight the variability in onset, progression, and extent of this complication.
- To emphasize the importance of informing adult patients about potential esthetic risks.
Main Methods:
- Literature review on implant behavior in relation to skeletal and dental development.
- Analysis of case studies reporting infraocclusion and interproximal contact loss.
- Evaluation of esthetic outcomes in affected adult patients.
Main Results:
- Infraocclusion and interproximal contact loss are common complications in adult patients with dental implants.
- The phenomenon exhibits significant variability in its clinical presentation.
- Anterior maxilla cases are most frequently affected, with potential for severe esthetic compromise.
Conclusions:
- The fixed behavior of dental implants, similar to ankylosed teeth, can persist throughout adulthood.
- Adult patients must be thoroughly informed about the risks of infraocclusion and esthetic compromise when considering implants, especially in the anterior maxilla.
- Informed consent is crucial for managing patient expectations regarding long-term implant esthetics.
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