Discomfort With an Implant — Where Should You Look First? Sorting the Problem Into Three Routes: Prosthetic, Biological and Mechanical｜證據鏈

FAQ

My prosthesis feels a little loose — has something gone wrong with the implant?

Not necessarily. A feeling of looseness may come from the prosthetic screw or from the implant itself, and the two are managed quite differently. A systematic review shows that screw loosening is one of the mechanical complications seen more often in people who grind their teeth (odds ratio 3.40) [F1], and retrieval of a fractured screw also follows an established stepwise approach [F3]. Let your dentist examine it and determine which level is involved.

補綴装置が少し緩んでいます。インプラント体に問題が起きたのでしょうか — 必ずしもそうとは限りません。動揺感は補綴用スクリューから来ていることも、インプラント体そのものから来ていることもあり、対処はまったく異なります。システマティックレビューは、スクリューの緩みがブラキシズムのある人により多く現れる機械的合併症の一つであることを示しており（オッズ比 3.40）[F1]、折れたスクリューの取り出しにも定まった段階的な進め方があります [F3]。どの層に当たるかは歯科医師の検査を経て判断してもらってください。

My prosthesis feels a little loose — has something gone wrong with the implant? — Not necessarily. A feeling of looseness may come from the prosthetic screw or from the implant itself, and the two are managed quite differently. A systematic review shows that screw loosening is one of the mechanical complications seen more often in people who grind their teeth (odds ratio 3.40) [F1], and retrieval of a fractured screw also follows an established stepwise approach [F3]. Let your dentist examine it and determine which level is involved.