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Reconstructive Cosmetic and Implant Dentistry

East Setauket bad implant fix

Dental Implant Failure

Most implants placed today are root form implants.

Root form implants problems can be classified as ailing, failing, or failed:
  • Failed implant - if the implant has any mobility the only acceptable treatment is removal
  • Failing implant - if checkup x-rays show increased bone loss around the top of the implant, the cause must be determined and corrected. The cause could be poor oral hygiene, a bad bite or a host of other reasons. After correcting the problem the resorbed bone should be grafted
  • Ailing implants - the least severe of the three categories. Any signs of inflammation, redness or mild bone loss may be signs that the implant is not completely healthy.
Broken or fractured implant screws: The crown or abutment are attached to the implant by a screw. If the screw is fractured it must be properly removed to prevent damage to the implant.

Repair parts Loosening screws: Make sure that a prosthetic screw is used, not a laboratory screw. The framework does not have a passive fit and the screw is used to compress the framework to the implants, the bridge is retained by implants and natural teeth that are mobile, the occlusion (bite) is off.

Osseointegration Failure: Unfortunately, a popular cause of implant failure if certain protocols are not followed closely. Optimal integration of the implant device into the jawbone requires an acceptable level of healthy bone (porosity values + ample blood supply), matching of implant size to location in jaw, proper site preparation and suitable bone augmentation (bone grafts) deemed necessary.

Bad Implant Dentistry
Osseointegration Tissue Regeneration Failure
Osseointegration can also fail due to premature loading of the implant restoration. It is generally accepted that osseointegration can require 3-6 months or more, depending on preoperative oral health conditions.

Fractured implants: Using the wrong type, size, quantity, position or length of implant, thereby causing over loading, may result in implant failure. It is imperative that the fractured implant be removed as traumatically as possible.

Fractured abutments: The principle concern is to maintain the health of the implant. In some cases the abutment may simply require a new screw. Other cases may require remaking the abutment and/or crown.

Implant Screws Break
Broken Implant Screw
Prosthetic failures: The initial design of the prosthesis plays a large role in the servicablity. Large multi-unit bridgework should be screw retained. Although they are more costly and complex inititally, they generally do not have to be completely remade in the event a repair is necessary.

Tooth material failures: Implant restorations can also fail due to the type of crown material and the health of opposing teeth. Porcelain and acrylic products are available for fabricating cosmetically appealing crowns.

In some instances the choices of acrylic versus porcelain may require extra consideration of unusual occlusal forces or dynamics. Inadequate assessment can sometimes lead to unusal wear of opposing, natural tooth structures.

Questions?

Contact us at (631) 689-9777 or use our convenient on-line Consult Request form to arrange a private consultation with Dr. Koeppel. Learn more about the rapid advancements in implant dentistry that can be applied to your dental need... whether it is a tooth replacement or complete reconstructive makeover.

Patients with specific questions about implant failure, whether current or suspected, are invited to contact Dr. Koeppel directly with our Ask The Dentist form. Dr. Koeppel will respond to you directly with the answers or information you are seeking.

Visit our Smile Dream Maker website to see a complete gallery of Cosmetic and / or Reconstructive Full Mouth Makeovers for our Long Island and Manhattan patients.





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New York Reconstructive Dentist
Ira Koeppel, D.D.S.
126 Gnarled Hollow Road
East Setauket Long Island New York NY 11733
(631) 689-9777
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