During my 6 month full-mouth All-on-4 post op check up, 1 of 5 dental implants in my lower arch was found loose and could be connected to the implant bridge. Is it safe to leave the loose implant in mouth? What needs to be done to correct it?
August 2, 2017
Answer: 1 loose implant out of 5 Hi and thank you for your question. The answer to your question is no, it is not safe, as this implant can become infected and affect the others at some point. Now the question is whether the implant is loose or the top component of the implant is loose. If it is the top component, that potentially could be an easy fix, and the implant could be used to stabilized the restoration. Visit your surgeon for an evaluation. Good Luck to you!!. Dr. Juan C. arroyo Oral & Maxillofacial Surgeon
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August 2, 2017
Answer: 1 loose implant out of 5 Hi and thank you for your question. The answer to your question is no, it is not safe, as this implant can become infected and affect the others at some point. Now the question is whether the implant is loose or the top component of the implant is loose. If it is the top component, that potentially could be an easy fix, and the implant could be used to stabilized the restoration. Visit your surgeon for an evaluation. Good Luck to you!!. Dr. Juan C. arroyo Oral & Maxillofacial Surgeon
Helpful
Answer: What to do? Loose Implant on All on 4 Case If its verified that the actual implant is mobile and not just one of the multi-unit connectors, then ideally replacing the implant would be a good choice. However, if there is no infection and the oral surgeon feels that the implant can be stabilized by performing, perhaps, a debridement followed by bone grafting, this may be something to consider. Of course the implant will be left dormant, or out of occlusion, during osseo integration to insure that the implant is not affected by your biting forces while it heals.You had mentioned that 1 of 5 implants are loose. If the implant has to be removed, its good to know that Fixed hybrid restorations (Used with the All on 4 treatment) can work with as little as 4 implants. So while a new implant heals you should still be able to wear your fixed hybrid denture. Given that this does not affect the load distribution on the denture or cause unnecessary force on the other implants.
Helpful
Answer: What to do? Loose Implant on All on 4 Case If its verified that the actual implant is mobile and not just one of the multi-unit connectors, then ideally replacing the implant would be a good choice. However, if there is no infection and the oral surgeon feels that the implant can be stabilized by performing, perhaps, a debridement followed by bone grafting, this may be something to consider. Of course the implant will be left dormant, or out of occlusion, during osseo integration to insure that the implant is not affected by your biting forces while it heals.You had mentioned that 1 of 5 implants are loose. If the implant has to be removed, its good to know that Fixed hybrid restorations (Used with the All on 4 treatment) can work with as little as 4 implants. So while a new implant heals you should still be able to wear your fixed hybrid denture. Given that this does not affect the load distribution on the denture or cause unnecessary force on the other implants.
Helpful