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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.

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.

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.

Ostell Mentor Photo In our office, Dr. Marinic uses digital technologies (Ostell Mentor) to assess the degree of osseointegration for traditional implants. Guesswork is eliminated via assessments that are also used to determine need for bone fortification and for accurately treating suspected implant failures.

The use of the Ostell Mentor enables Dr. Marinic to provide implant opportunities for many patients who, historically, have been told they were marginal candidates due to unreliable predictability of treatment sucess. Click here to watch an animated video demonstrating how objective implant osseointegration is performed for our patients.

Improper implant placement: The implant is placed in an area that is unrestorable. A special trephine drill is available for most major implant systems to remove the implants. The drill is razor thin and fits on the outside of the implant. It is irrigated from the inside. This prevents additional bone loss and the irrigant reduces the overheating of the bone. They are very expensive drills, however they are the "kindest" to the tissue.

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 atraumatically 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 necessitate remaking the abutment and/or crown.

Prosthetic failures: The initial design of the prosthesis plays a large role in the servicablity. Large multi-unit cases 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: Often the patient is better served by the use of a compomer or acrylic surface in large prosthetic case rather than using porcelain. The physical properties are more forgiving than hard porcelain. This acts as a shock absorber to reduce the load on the implants.

Contact us at (847) 475-8700 or use our convenient Ask The Dentist contact form to arrange a private consultation. Learn more about the cutting edge implant procedures that can be applied to your dental need... whether it is a tooth replacement or complete reconstructive makeover.

Dr. Marinic will provide you with the objective details and available treatment options you can have and need for making an informed decision about which combinations of implant dentistry treatment you would gain the most benefit from.

Visit our Nobel Biocare specific Teeth In An Hour website to learn about computer based guided implant technologies and our new Sirona Galileos state of the art 3-D Imaging.



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Dental Health Center and Cosmetic Dentist Dr. Dan Marinic provides Cosmetic Dentistry for residents of the Chicago area communities of Prospect Heights, Glencoe, Glenview, Winnetka, Arlington Heights, Wilmette, Morton Grove, Lincolnwood, Vernon Hills, Kenilworth suburbs

Chicago Cosmetic Implant Dentist
Full Mouth Reconstructive Dental Surgeon
Daniel Marinic, D.D.S., F.I.O.C.I.
2611 Broadway Ave; Evanston
Chicagoland IL 60201
Cook County Illinois
(847) 475-8700
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