Causes of infection after implant surgery

The article was professionally consulted by Specialist Doctor II Nguyen Khanh Nam - Doctor of Odonto-Stomatology - Department of General Surgery - Vinmec Nha Trang International General Hospital.

Infection after implant placement is a dangerous complication leading to a high risk of failure. If infection occurs, the intervention process is often difficult, loss of implant integration. Therefore, to prevent infection after implant placement surgery, you need to go to reputable medical facilities, ensuring quality to minimize infection.

Infection after implant placement surgery usually occurs 3 days after surgery or infection after surgery 7-10 days implant placement. The cause of infection after implant placement surgery can be caused by many factors as follows:
In case of infection after early implant surgery, it is usually due to the surgical environment is not sterile, the sterilization equipment is not good or manipulation Aseptic surgery by a doctor is not guaranteed. In case of infection after surgery to place the implant late, the cause may be an infection from the oral cavity due to improper oral hygiene or an infection near the implant surgery area.

As a dangerous complication, patients need to be aware of the symptoms of infection after implant placement surgery for timely treatment. Symptoms include:
Prolonged painful swelling: In case of prolonged swelling and pain, it may be a warning sign of infection after implant placement. If this condition is left untreated for a long time, the symptoms of swelling and pain will gradually spread to the cheeks, the area under the tongue, slight pressure may have fluid or pus. Disseminated infection: This is a systemic manifestation of infection, symptoms may include fever, fatigue. If not treated in time, it will lead to damage and seriously affect the jawbone, causing the newly implanted Implant to be rejected; gingivitis, periodontitis, tooth abscess, infection of the tooth root; The bone around the implant site is lost, the Implant posts are loose, so it is necessary to remove the entire Implant root. If you notice the symptoms of infection after implant surgery, the patient should see the surgeon as soon as possible to be examined, assess the level of infection for appropriate treatment. Absolutely do not arbitrarily massage, inject solutions into the surgical area to avoid further infection.

The treatment of infection after implant placement is usually based on the cause and the symptoms. Specific treatment methods include:
Peri-implantitis: If the infection after placing the implant causes the gums to be red and swollen, there is a pocket around the implant, then it is necessary to clean, cure the pocket, smooth the surface and remove the elements. risk of other infections. In more severe cases, surgical cleaning, gingival curettage, connective tissue transplantation, and a combination of antibiotics may be required. In case the implant is shaken at level 3 horizontally over 0.5mm or level 4 is wobbly both horizontally and vertically, visible to the naked eye, it is necessary to quickly remove the implant and clean the implant area. graft and wait for the wound to heal before placing another implant.

To ensure that the implant procedure is safe and effective, there should be close cooperation between the doctor and the patient. Specifically:
On the side of the doctor:
The process of preparing for surgery: The doctor instructs the patient on how to properly clean their teeth; control dental plaque, treat gingivitis, periodontitis, root infection, use antibiotics and prophylactic mouthwash... for patients. Surgical process: Strictly adhere to the principle of sterilization and aseptic; Correct surgical procedure and technique of implant placement. The surgical site should be equipped with an ultraviolet disinfection system,... After surgery: Depending on the patient's condition, the doctor should have appropriate indications such as antibiotic use, mouthwash solution. , oral care regimen, eating habits. Prosthetic installation process: When attaching the abutment, the doctor needs to use a gel with a disinfecting factor called chlorhexidine to prevent infectious complications. Re-examination and care: In the first year, patients are required to have a follow-up examination every 2-3 months, after the first year, every 6-12 months. On the side of the patient:
The patient should strictly follow the instructions of the treating doctor such as: scheduled re-examination, oral hygiene after placing the implant in the correct method. Patients should not use toothpicks or rough tools to floss, because this can cause trauma to the gum tissue, create inflammation and lose adhesion. It is recommended to use oral hygiene tools such as floss, specialized thread, interdental brush, mouthwash with chlorhexidine 1.2%....

Cause: Infection after implant placement surgery is usually caused by the non-sterile surgical environment, the surgical manipulation of the doctor is not good. Due to infection from the oral cavity, due to improper oral hygiene or there is an infection cluster near the surgical site.
After implantation, there will be pain and swelling for 1-3 days, then gradually decrease, in case of infection, pain may spread to the face, pressing with fluid or pus. Symptoms are often fever, fatigue if the infection is widespread. Infection after implant surgery is a serious complication with a very high risk of implant rejection, mostly due to manipulation or non-sterile environment and tools.
Infection after implantation is a dangerous complication leading to high failure, when infected, the intervention process is often very difficult, possibly losing implant integration. Therefore, the method of preventing infection after implantation is to choose a reputable medical facility with a team of experienced doctors and a sterile system to minimize infection.
Vinmec International General Hospital with a system of modern facilities, medical equipment and a team of experts and doctors with many years of experience in medical examination and treatment, patients can rest assured to visit. examination and implant surgery at the hospital.