Can Dental Implants fail and what to do if they do?

Black and white man with tooth pain accented with red

Introduction


Hello, smile enthusiasts!

I’m coming at you from iDental in Racine, Wisconsin and today, I'm here to discuss a topic that, while relatively rare, can be of concern to some of our patients: dental implant failures. At iDental, your oral health and smile are our top priorities, and we want to ensure you have all the information you need to make informed decisions about your dental care. So, let's dive into this topic and explore not only why dental implant failures occur but also the comprehensive range of options available to address them.

Understanding Dental Implant Failures

Dental implants have undoubtedly revolutionized the world of dentistry. They offer a highly successful and long-lasting solution for replacing missing teeth, enhancing not only your smile but also your overall quality of life. The success rates for dental implants are indeed impressive, but it's essential to acknowledge that failures can occur.

Implant failures are not something you should dwell on, but it's valuable to understand why they happen. Several factors can contribute to dental implant failures, including:

1. Patient-Related Factors: These include the patient's overall health, smoking habits, oral hygiene maintenance, and the quantity and quality of available bone. These factors play a significant role in the success of dental implant procedures.

2. Implant Characteristics: The type, dimensions, coating, and loading of the implant can affect its long-term success. Not all implants are the same, and selecting the right one for your specific needs is crucial.

3. Implant Location: The position of the implant in your mouth can impact its success. Different areas of your mouth have varying levels of stress and pressure during daily activities like chewing and speaking.

4. Clinician Experience: The skill and expertise of your dental clinician are vital. An experienced dentist like those at iDental can minimize the risk of complications.

lower jaw dental model depicting failed dental implants in a cartoon style

Identifying a Failing Implant

One of the most critical aspects of managing dental implant failures is early detection. While some failing implants may cause noticeable symptoms like persistent pain or mobility, others may only exhibit marginal bone loss (MBL) around the implant site. MBL refers to the gradual loss of bone surrounding the implant.

Traditionally, a criterion for implant success allowed for a specific rate of MBL during the first year after abutment connection, followed by a slower rate in subsequent years. However, recent research has shown that these criteria may not be accurate for today's diverse implant systems. This evolving understanding of MBL highlights the importance of regular check-ups and follow-up appointments with your dentist.

Options When Dental Implants Fail

Now, let's delve into the available options when dental implants fail. At iDental, we offer a comprehensive range of solutions to ensure your smile remains healthy and beautiful:

1. Implant Replacement: In some cases, it's possible to replace a failed implant with a new one at the same site. This procedure involves initially covering the area to allow for proper healing. After several months, a new implant can be placed, provided the conditions are favorable. The success of this approach depends on various factors, including the type and size of the implant and the condition of the site.

2. Short Arch: It's important to note that not every missing tooth needs immediate replacement. Depending on your specific needs and oral health, your dentist at iDental may recommend leaving the treated area edentulous (without teeth) as a viable, usually temporary, option.

3. Fixed Partial Denture (FPD): Fixed dental prostheses, also known as FPDs, offer an alternative to dental implants. They are designed to replace missing teeth and restore your smile's function. However, it's essential to keep in mind that FPDs may have a higher rate of technical complications compared to implants.

4. Removable Denture: For partially edentulous patients, removable partial dentures (RPDs) remain a valid treatment option. While RPDs come with certain limitations, they can be an appropriate choice when dental implants are not feasible or economically viable.

5. Implant Tooth-Supported Removable Partial Denture (RPD): This innovative approach combines dental implants with RPDs, enhancing stability, retention, and overall function. It is particularly beneficial when dealing with challenging arch configurations and can provide excellent results.

6. Ongoing Monitoring and Maintenance: Regardless of the treatment option chosen, ongoing monitoring and maintenance of your oral health are essential. Regular check-ups with your dentist at iDental will help ensure the long-term success of your dental restoration.

Conclusion

In conclusion, while dental implant failures are quite rare, they are a possibility that should be understood and addressed. Your smile's health and beauty are of utmost importance to us at iDental, and even in the face of a dental implant setback, there are still numerous ways to achieve the radiant smile you deserve. Don't hesitate to reach out to your dentist to discuss your options and regain your confidence in your smile. We are here to support you on your journey to optimal oral health and a bright, beautiful smile.



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