Overloading is a problem that can occur during dental implant surgery if the surgeon tries to complete the surgery in one procedure. Usually the abutment and the crown are added shortly after the titanium screw is placed in the jaw bone. This gives time for the jaw bone to bond with the implant. When a doctor uses this all in one method it is called immediate loading. When no problems arise it can be very beneficial as it shortens recovery time, treatment time and lessens post-surgical care. However immediate loading has shown in the past to cause problems.
Intermediate loading could produce problems with your implant as the bone and the titanium rod haven’t integrated yet. When an implant procedure failed due to intermediate loading it is called overloading. When too much pressure is forced on the freshly laid titanium rod or if the abutment and or crown is added too early it can interrupt the Osseointegration process. Thus leaving the implant unstable and likely to fall out.
Patients with insufficient bone mass are more unlikely to be offered intermediate loading as their bones aren’t a strong enough to take the pressure. It is important that you don’t disrupt Osseointegration because this is what sets the implant in your mouth. The bone between your jaw bone and your implant is vital for a successful implant. If not bonded properly then other problems can occur and your implant may fail.
Problems caused by failed Osseointegration include the wearing of bone surrounding the implant. As the implant can move it will rub against the jaw bone when chewing which can cause chronic pain.
Forced pressure during surgery can lead to a number of problems outside of the implant itself. If the crown and abutment isn’t laid with care then the cement can seep from the sides and cause peri-implantitis in the mouth. Peri-implantitis is a common infection that can sprout if bacteria is present during or after surgery. The infection can result in bone loss and in worst cases, permanent damage to your mouth.
You should definitely consolidate intermediate loading with your surgeon before entering the opposition room. You should know and be confident with what is going to happen during your procedure and not leave yourself with any surprises that could turn nasty. You’re putting your oral health in someone else’s hands so should trust that they are experienced and will provide you with the best service possible. Dental implants are a fantastic treatment option but can come with many problems.