Can a Failed Dental Implant Be Repaired, or Will It Need to Be Replaced?

Dental implants are a highly regarded solution for replacing missing teeth, providing a robust and aesthetically pleasing alternative to traditional dentures and bridges. Despite their high success rate of over 95% and their greater predictability compared to many other medical and dental procedures, there is still a risk of failure. In the event of an implant failure, it’s important to assess whether the issue can be resolved through repair or if a replacement is needed. Understanding the potential causes of implant failure and the available corrective options is essential for ensuring the best outcome from your implant treatment. Oral surgeons employ various techniques to minimize these risks and address any complications effectively.

Can a Dentist Repair Your Failed Implant?

If a dental implant or its connector becomes broken or defective, your dentist will typically opt to replace it rather than attempt a repair. However, implant failure can stem from factors other than just a damaged fixture. The treatment approach may require more than simply replacing the implant, depending on the root cause of the issue.

What Affects Treatment Options for Dental Implant Failure?

The timing of dental implant failure plays a crucial role in determining its cause and the appropriate treatment. The AAOMS (American Association of Oral and Maxillofacial Surgeons) classifies implant failure as either short-term or long-term and outlines the corresponding treatment options for each type.

Short-Term Dental Implant Failure

Short-term or early dental implant failure occurs within three to four months after the implant is placed if the jawbone and implant fail to integrate properly. Several factors can contribute to this failure, including:

• Smoking
• Uncontrolled diabetes
• Low bone density
• Implant location
• Quality or type of implant fixtures

Treatment for short-term failure typically involves assessing the implant site with a 3-D cone beam CT scan. Based on this evaluation, your dentist may recommend:

• Removing the failed implant
• Treating any diseased gum or bone tissue
• Using a bone graft to repair the implant site
• Allowing three to four months for the bone to heal
• Replacing the implant in a more suitable location

Alternative treatments may also be considered depending on the specific circumstances.

Long-Term Dental Implant Failure

Even after successful integration of the dental implant with the jawbone, long-term failure can still occur. While issues such as broken or loose implant fixtures may be factors, peri-implantitis is often the primary cause of late implant failure. This condition results from bacterial buildup around the implant, leading to:

• Chronic gum infection, inflammation, and bleeding
• Bone loss
• Loose implants

Treatment for long-term implant failure typically involves your oral surgeon outlining a plan that may include:

• Removing the failed implant
• Addressing peri-implantitis, if present
• Repairing the affected area with a bone graft
• Allowing three to four months for bone healing
• Replacing the implant in an optimal position

Alternative treatments might also be considered based on your specific situation.

Will Your Dental Implant Replacement Be Successful?

To assess the cause of your implant complication, your Spokane dentist will use a 3-D cone beam CT scan in conjunction with a visual inspection. Following this evaluation, your dentist will:

• Discuss ways to minimize any risk factors that may have contributed to the initial implant failure
• Identify the optimal placement for your replacement implant
• Closely monitor the progress and integration of your new dental implant

While a failed dental implant may sometimes be repaired, there are situations where replacement is necessary. Understanding the causes of implant failure and the available treatment options can help you make informed decisions and work with your dentist to restore your oral health. If you experience any issues with your dental implants, consult your dentist promptly to determine the best course of action for repair or replacement. With proper care and attention, dental implants can provide a durable and effective solution for missing teeth.