Can a dentist give me an implant

Implants can also have risks and side effects

Lurid advertising for implants

Probably more than a million dental implants are used in Germany each year. Implants play an important role in public perception, they are synonymous with modern dentistry and are aggressively advertised.

In a non-representative study, the consumer advice centers analyzed over 100 websites nationwide for advertising statements on implants and information on risks. It is noticeable that many websites describe implant treatment as either extremely low-risk, gentle, problem-free or even indispensable. But what about the risks?

What are the risks?

The risks of dental implants are discussed much less often in public. Implants are anchored in the bone. Surgical intervention is therefore necessary, in which nerves, blood vessels or the roots of the teeth can be injured. If the dentist does not position the screw correctly, this can damage the neighboring teeth or make it more difficult to provide dentures.

Most of the time, implants are advertised as having a long lifespan. After 10 years, around 98 percent of the implants are still in the jaw. But that doesn't mean that there can't be complications. One of the most common complications is peri-implantitis, which usually takes several years to develop. This inflammation of the tissue around the implant is rapid, often unnoticed, difficult to treat, and leads to bone breakdown. According to studies, every fifth implant (20-22%) is affected.

The most important Risk factors for complications are known: a pre-existing periodontal disease (parodontosis), poor oral hygiene, poorly controlled diabetes, smoking and certain drugs such as bisphosphonates, which are prescribed for cancer or osteoporosis. In such cases, patients should check with their dentist whether implants are still possible.

Follow-up costs of an implant treatment

In addition, implants are one pure private service. The health insurance company pays a small fixed allowance for dentures, but the entire procedure is billed according to the dentists' private fee schedule (GOZ). If complications arise, patients with statutory health insurance have to pay for them themselves. Just like the advertised accompanying examinations, which are intended to convey "the greatest possible safety" to the patient: the most modern imaging processes and computer-aided navigation allow costs to rise rapidly.

An online survey conducted by the consumer advice center in North Rhine-Westphalia among 600 patients treated with implants revealed significant deficiencies in the explanation of an implant treatment. About one in three people is unaware that personal risk factors such as smoking, grinding teeth or poor oral hygiene can speak against implants. And almost every third person does not know that follow-up costs have to be paid in the event of complications. Although a good 90% of those questioned would opt for implants again, 34% of them would find out more about the risks and costs beforehand.

Download: Market check implants

Hence our tip:

Insist on your dentist giving you detailed advice - on health insurance treatment alternatives such as a bridge or a prosthesis, on your individual risks of implant treatment and on the total costs of the procedure!