I had all on four on top and bottom on 5/25/18. Last week I went in because it was having pain on biting down on the left top implants. It turns out they have failed. I believe a bottom implant on the right did too because it feels the same. I’m going in next week to have those replaced and some extras added. I do have an autoimmune type of arthritis but withheld my immune suppressant while healing. Will my body reject the new ones? I’m so scared and discouraged.
July 16, 2018
Answer: Implant failure It’s a simplistic answer, and likely an incorrect one as well, to say that you shouldn’t have had implants placed..... there’s a reason that you considered the All-on-4 in the first place, likely your teeth were in poor condition and you were looking for full arch options. The All-on-4, when done correctly, is far and away the best option to replace a full arch of teeth. While your autoimmune condition may have played a part in the failure of these implants, it’s impossible to truly determine the cause of failure without seeing the full picture. The success rate of the All-on-4 is as a matter of routine in the range of 97-99%. This is verifiable through studies that date back to 1990. Your autoimmune condition may have lowered the success rate somewhat, but I’d still expect a success rate in the range of >90%. There are multiple reasons why implants fail as part of the All-on-4 procedure and it almost always points back to the provider completing the procedure. I wish I could say that your experience is uncommmon, but as the All-on-4 becomes more mainstream, many dentists and “specialists” are jumping into providing treatment with both feet without having a true understanding of what they’re doing.... As an Oral Surgeon, I am seeing more and more salvage cases; these are cases that were initially completed by another provider and are now needing to be redone. While I do not want to make accusations without having the full picture, you may want to consider getting a 2nd opinion in an effort to better understand what happened, and to avoid a repeat occurrence.
Helpful
July 16, 2018
Answer: Implant failure It’s a simplistic answer, and likely an incorrect one as well, to say that you shouldn’t have had implants placed..... there’s a reason that you considered the All-on-4 in the first place, likely your teeth were in poor condition and you were looking for full arch options. The All-on-4, when done correctly, is far and away the best option to replace a full arch of teeth. While your autoimmune condition may have played a part in the failure of these implants, it’s impossible to truly determine the cause of failure without seeing the full picture. The success rate of the All-on-4 is as a matter of routine in the range of 97-99%. This is verifiable through studies that date back to 1990. Your autoimmune condition may have lowered the success rate somewhat, but I’d still expect a success rate in the range of >90%. There are multiple reasons why implants fail as part of the All-on-4 procedure and it almost always points back to the provider completing the procedure. I wish I could say that your experience is uncommmon, but as the All-on-4 becomes more mainstream, many dentists and “specialists” are jumping into providing treatment with both feet without having a true understanding of what they’re doing.... As an Oral Surgeon, I am seeing more and more salvage cases; these are cases that were initially completed by another provider and are now needing to be redone. While I do not want to make accusations without having the full picture, you may want to consider getting a 2nd opinion in an effort to better understand what happened, and to avoid a repeat occurrence.
Helpful