Failing Dental Implants

Common Causes of Dental Implant Failure

Several reasons may cause a failing dental implant:

• Peri-implantitis (Infection): Peri-implantitis is a bacterial infection that affects the gum and bone around the implant, similar to gum disease. If untreated, it can cause bone loss and implant loosening. Poor oral hygiene, smoking, or pre-existing periodontal disease increase the risk.
• Osseointegration Failure: Osseointegration is the process where the implant fuses with the jawbone. If this process fails due to insufficient bone density, excessive force, or improper placement, the implant may become unstable.
• Overloading: Excessive pressure on the implant, such as from teeth grinding (bruxism) or premature loading before full healing, can disrupt integration and lead to failure.
• Medical Conditions: Conditions like uncontrolled diabetes, autoimmune disorders, or osteoporosis can impair healing and bone health, increasing the risk of implant failure.
• Poor Surgical Technique: Inexperienced dentists or improper dental implant placement can lead to complications, such as nerve damage or misalignment, causing the implant to fail.
• Lifestyle Factors: Smoking, heavy alcohol consumption, and poor nutrition can hinder healing and compromise implant success.

Symptoms of a Failed Implant

Early detection is critical to addressing implant complications. Common signs of implant failure include:

• Persistent Pain or Discomfort: Mild soreness after surgery is normal, but ongoing or worsening pain may indicate a problem.
• Swelling or Redness: Inflammation around the implant site, especially months after placement, could signal infection.
• Implant Mobility: A loose or wobbly implant is a red flag for osseointegration failure or bone loss.
• Gum Recession: Receding gums around the implant may expose the metal post, increasing infection risk.
• Difficulty Chewing: Pain or instability when biting or chewing can indicate an issue with the implant or surrounding bone.
• Bad Breath or Taste: Persistent bad breath or a metallic taste may point to peri-implantitis or infection.

Experiencing dental implant failure? Don’t fret! Our Wakefield implant dentist can help. Contact our dental office at (781) 245-7714.

Risk Factors for Dental Implant Failure

Certain factors can increase the likelihood of implant failure:

• Smoking: Nicotine restricts blood flow, slowing healing and increasing infection risk. Studies show smokers have a 10 to 20% higher implant failure rate.
• Poor Oral Hygiene: Inadequate brushing, flossing, or professional cleanings can lead to plaque buildup and peri-implantitis.
• Insufficient Bone Density: A thin or weak jawbone may not support the implant, especially without bone grafting.
• Uncontrolled Medical Conditions: Diabetes, cancer treatments, or medications like bisphosphonates can impair healing.
• Bruxism: Chronic teeth grinding can place excessive force on implants, leading to mechanical failure.

 

How We Diagnose a Failing Implant

If you suspect an issue, Dr. Jeffrey B. Kravitz will perform a thorough evaluation, which may include:

1. Clinical Examination: Checking for gum inflammation, implant stability, and signs of infection.
2. X-Rays or CBCT Scans: Imaging to assess bone loss, implant positioning, and surrounding structures.
3. Probing: Measuring gum pocket depth around the implant to detect peri-implantitis.
4. Bite Analysis: Evaluating how your teeth align to identify overloading or stress on the implant.

Treatment Options for Failing Dental Implants

Non-Surgical Treatments

• Professional Cleaning: Scaling and root planing to remove plaque and bacteria from the implant site.
• Antibiotics: Oral or topical antibiotics to treat infections like peri-implantitis.
• Laser Therapy: Used to disinfect the area and promote gum healing.
• Mouthguards: For patients with bruxism to reduce pressure on the implant.

Surgical Interventions

• Bone Grafting: To rebuild lost bone and stabilize the implant.
• Implant Removal and Replacement: If the implant is unsalvageable, it may be removed, and the site allowed to heal before placing a new implant in another dental implant procedure.
• Soft Tissue Grafting: To address gum recession and improve aesthetics.

Don’t let implant failure discourage you. Our Wakefield dentist near you has the expertise needed to treat your failing dental implant and get your smile back. Contact us today at (781) 245-7714.

Preventing Dental Implant Failure

Fortunately, dental implant failure is rare and can often be prevented:

• Maintain Excellent Oral Hygiene: Brush twice daily, floss around the implant, and use an antimicrobial mouthwash. You may consider a water flosser for hard-to-reach areas.
• Attend Regular Dental Checkups: Professional teeth cleanings and exams at Jeffrey B. Kravitz, DDS, DICOI every 6 months help catch issues early.
• Quit Smoking: Smoking cessation programs can improve healing and reduce infection risk.
• Manage Health Conditions: Work with your doctor to control diabetes, osteoporosis, or other conditions that affect healing.
• Wear a Nightguard: If you grind your teeth, a custom nightguard can protect your implants.
• Choose an Experienced Implant Dentist: Research your dentist’s credentials, reviews, and success rates with implants.

 

Frequently Asked Questions

Can a failed dental implant be saved?

In many cases, yes. Treatments like antibiotics, professional cleanings, or bone grafting can stabilize the implant. However, severe cases may require removal and replacement.

Is peri-implantitis reversible?

Early-stage peri-implantitis can often be reversed with professional cleanings and improved oral hygiene. Advanced cases may require surgery.

Can I get a new dental implant if one fails?

Yes, after addressing the underlying cause and allowing the site to heal, a new dental implant can often be placed successfully.

Dental Implants That Last a Lifetime at Jeffrey B. Kravitz, DDS, DICOI

If you suspect signs of dental implant failure, don’t hesitate to reach out to our Wakefield dentist. With extensive experience in implant dentistry, we can get your oral health back on track.

Contact our dental office in Wakefield today by calling (781) 245-7714.