Replacement of Failed Dental Implant?

Question

I have a dental implant placed at #19 6 yrs ago. 2 yrs ago, it has periimplantitis. Another periodontist treated it by removing crown and flap and GBR. Though the X-ray shows bone level backs to 1st thread, my general dentist feels the buccal side bone is little thin. periodontist feels it's hard to grow the thickness. Now IF the implant fails in several years, how likely I could get another success dental implant if I will be careful about oral hygiene and wearing night guard.

Scott Young, DDS · Answer

From what you are describing, it sounds as though the procedure performed by your periodontist was successful. That being said, should that dental implant ever fail bone grafting could be performed. Once the graft is deemed a success, a new implant could be placed. Make sure that you see your periodontist approximately every three months for a cleaning and bacterial reduction around the implant to help minimize the risk of implant failure. Good luck.

Nick M. Mobilia, DDS · Answer

It seems like your periodontist has done a great job in regenerating bone. If there is not enough buccal bone and if threads are exposed, you need to have your hygiene kept at a very high and meticulous level. Otherwise you may develop additional peimplantitis. If that were the case and if it is more agressive that your prior episode, your implant might have to come out. When that time comes, your implantologist may decide to place a wider diameter implant or just graft the area and come back in the future to place the implant. In the meantime, good luck and work with your doctor on ways to keeping your oral hygiene meticulously clean and reducing any excessive load with your oral appliance/mouthguards. Good luck and keep us informed.

Frank Orlando, DDS · Answer

It sounds like things are going better at this point. If an implant fails, you can usually get a graft and replace the implant. Try to get in every 3 months for a cleaning. Prevention is the key to long term success!

Kevin Coughlin, DMD · Answer

Implant periodontal disease is caused by poor hygiene getting another implant after the old implant is removed should not be a problem. Allow the area to heal for 6-12 weeks and another implant can be placed however if you don't keep it clean and can happen again. If you can lose natural teeth you can lose an implant good luck

	 

	Kevin Coughlin DMD, MBA, MAGD       CEO Baystate Dental PC

Anthony J. Rega, DDS · Answer

From your description it sound like you Had some problems with your implant. If your implant is stable, it may last you another 6 years or more. If it does fail. A bone graft can can be done and another implant can be placed.

Replacement of Failed Dental Implant?

Answers (5)