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Can Dental Implants Fail? Understanding Risks and Prevention

July 22nd, 2024 | 4 min read

By NYC Smile Design

Dental Implant Display

Dental implants are widely recognized as a highly effective solution for replacing missing teeth, offering benefits that go beyond aesthetic enhancement to restore functionality. 

At NYC Smile Design, with our extensive experience in implantology, we understand that while dental implants have a high success rate, they are not immune to complications. 

This blog will delve into the potential risks associated with dental implants and discuss strategies for managing and preventing these risks. It's crucial for anyone with implants or considering them to understand these aspects to ensure the longevity and success of their treatment, and we are here to guide you through every step of the process.

Understanding Dental Implants

Dental implants consist of three main components: the implant itself, which is a titanium screw that serves as a root for the new tooth; the abutment, which is attached to the implant and supports the crown; and the crown, which is the visible part that resembles a real tooth. Together, these elements replace the natural structure of a missing tooth.

The benefits of dental implants are significant. They are designed to be durable, functional, and a long-term solution for tooth loss. Unlike dentures, implants provide stability without affecting nearby teeth, preserving overall oral health. Moreover, they can help maintain the facial structure by preventing the bone deterioration that occurs with tooth loss. Dental implants have a success rate of 90-95% over 10+ years. Research has shown when placed and restored correctly, and when properly cared for, dental implants may last a lifetime.

Deltal Implant Diagram

Common Causes of Dental Implant Failure

Understanding why dental implants might fail is essential for ensuring their success and longevity. Here’s a closer look at some frequent issues:

Infection and Poor Healing

One of the primary reasons for implant failure is infection, specifically peri-implantitis, which is inflammation of the tissue around the implant. This condition can cause the supporting bone to deteriorate, leading to implant failure. Maintaining excellent oral hygiene by brushing twice a day, flossing daily, and regular dental cleanings can help prevent infections. Additionally, attending follow-up appointments with your dentist ensures early detection and treatment of any potential issues.

Insufficient Bone Density or Volume

Dental implants require a solid foundation, which means sufficient bone density and volume are crucial for their support. If the bone quality or quantity is inadequate, the implant might not integrate properly with the jawbone, leading to instability. In some cases, dentists can perform procedures like bone grafting to enhance the bone structure before implant placement, ensuring a stronger base for the implants.

Medical Conditions

Certain systemic conditions such as diabetes and osteoporosis significantly affect bone health. Diabetes can slow down healing, increasing the risk of infection post-surgery, while osteoporosis can lead to a decrease in bone density, both of which can compromise implant stability. Managing these conditions with medical help is crucial for the success of dental implants.

Improper Placement or Overloading

The success of an implant also heavily depends on its correct placement and the amount of pressure it can bear. If an implant is not correctly positioned, it can be subjected to excessive force during biting or chewing, which might lead to its failure. This underscores the importance of choosing a skilled dental surgeon who can ensure proper implant placement and a skilled restorative dentist who understands and has experience in managing your occlusion or dental bite. Additionally, following a dentist’s advice on care post-implantation, such as avoiding hard foods during the healing period, can prevent undue stress on the implant.

Preventing Dental Implant Failure

To safeguard the success of dental implants and ensure their longevity, it is vital to adopt several preventive measures that help mitigate common complications:

Proper Planning and Assessment

The foundation of a successful dental implant lies in meticulous planning. This process includes comprehensive assessments such as 3D X-rays such as Cone Beam Computerized Tomography and 3D scans to meticulously evaluate the bone structure identify the optimal placement for the implant and evaluate the patient's bite. This step ensures that the implant will be supported adequately by the jawbone and after restored in the proper bite, reducing the risk of implant failure due to inadequate bone density or improper positioning and an unfavorable bite position.

Good Oral Hygiene

Maintaining excellent oral hygiene is paramount for the health of dental implants. Regular brushing and flossing remove plaque and food particles that can lead to bacterial buildup around the implant site. Additionally, using an antimicrobial mouthwash can help reduce the risk of infection, a leading cause of implant failure. It’s important for patients to follow specific cleaning instructions tailored to their dental implants, as advised by their dentist.

Regular Dental Visits

Routine dental check-ups are crucial for the long-term success of dental implants. During these visits, dentists can closely monitor the implants and the surrounding tissue for any signs of trouble, such as inflammation or bone loss. Your occlusion or bite can be evaluated and adjusted if necessary. Regular cleanings by dental professionals also help maintain the health of the gums and prevent peri-implant diseases.

Lifestyle Adjustments

Making certain lifestyle changes can significantly improve the outcome of dental implant treatments. For instance, quitting smoking is strongly advised, as tobacco use can hinder the healing process and increase the risk of implant failure. Smokers are at a higher risk for infections and have a slower recovery rate, which can jeopardize the stability of the implant.

Treatment Options for Failed Implants

Should a dental implant fail, there are effective treatment options available to address the issue and restore oral health. Prompt action is crucial to manage complications and ensure the best possible outcomes.

Immediate Steps

If you suspect that an implant has failed—for instance, if you experience increased mobility of the implant, pain, or unusual swelling—it is imperative to contact your dentist immediately. Early evaluation allows for the timely identification of problems, whether they stem from infection, mechanical failure, or other issues. Prompt intervention can help prevent further damage to the surrounding bone and tissue, potentially saving the implant or preparing the site for future treatment options.

Possible Treatments

When addressing a failed implant, the first step often involves removing the implant to prevent any ongoing infection and to allow the area to heal. After the removal, the dentist will treat any infections present, which may involve antibiotics or localized treatments to ensure the infection is fully eradicated. Once the site is healthy and free of infection, and sufficient bone density is confirmed, a new implant may be placed. In some cases, additional procedures such as bone grafting might be necessary to strengthen the area before a new implant can be successfully installed.

Implementing a dental implant into a smile

Preventive Measures

Understanding the risks associated with dental implants and adhering to preventive measures are key to ensuring the long-term success of your implants. While implants generally offer a reliable and lasting solution for tooth loss, they require careful management and regular dental care.

If you are considering dental implants or have concerns about your existing implants, we invite you to schedule a consultation with us at NYC Smile Design. Our team of experts is equipped to provide personalized advice and treatment plans tailored to your specific needs and conditions, helping you achieve the best possible outcomes. Contact NYC Smile Design today to ensure your dental health is in the best hands.