Loose Dental implant – Is a Bridge My Only Option?

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A dental implant I’ve had on my top left incisor for 15 years is beginning to feel loose. My dentist of 8 years says he needs to remove the implant because I have an infection around it. He recommends replacing the implant with a bridge. I don’t understand why I can’t take antibiotics and get another implant instead of a bridge that requires grinding down the teeth next to the incisor. Could the bridge be my only option? Should I see another dentist? – Thank you. Patrick from Oklahoma City

 

Patrick,

Thank you for your question. Dr. Brooksher would need to examine your implant and gums and take a 3-D CT scan of the bone around it to determine why the implant is loose. Afterward, he could explain your treatment options.

Can You Replace a Loose Dental Implant?

A dental implant with the crown, abutment, and root form identified, for information on loose dental implants due to infection

An implant root form needs healthy gums and enough jawbone volume to stay in place

An implant dentist may replace a loose dental implant with or without bone grafting. After a 3-D CT scan, the dentist will explain whether you need a bone graft to support another implant or if you need a dental bridge or an alternative.

What Causes Infection Around a Dental Implant?

A buildup of bacteria around an implant can cause infection in the gums and bone supporting the implant. The infection causes bone deterioration, and the implant will loosen. Practicing diligent oral hygiene, getting regular dental checkups, and not smoking promote healthy gums and jawbone.

Will Antibiotics Get Rid of an Infection Around Dental Implants?

Antibiotics may eliminate the infection around an implant but will not resolve bone loss. The bone will not grow back over time, and only a grafting procedure can rebuild it.

Schedule a Second Opinion

If you lack confidence in your dentist’s recommendation for replacing your dental implant with a bridge, look for an oral surgeon or dentist with advanced training in implants. An accurate diagnosis requires a thorough oral exam and 3-D CT scan, so expect the dentist to recommend those procedures. After the second-opinion implant dentist explains your treatment options, you can decide whether you want a bridge from your current dentist or to switch to a new provider.

Dr. Steven Brooksher, a Baton Rouge dentist, sponsors this post. Dr. Brooksher is a Fellow of the International Congress of Oral Implantologists.

 

My dental implants failed in five days

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In September, I received four dental implants for $1850 each. I was supposed to receive three more implants. But I have stopped the process because two of the five implants came out the five days after surgery. Should I be charged for two implants that failed? Is this a common occurrence or do I have good reason to distrust my dentist? Thank you. Sheldon from GA

 

Sheldon,

Authority Dental estimates that dental implants have a 5% failure rate. And most failures occur over months or years—not days. Half of your dental implants failed. You should not have to pay your dental for failed implants.

Why Do Dental Implants Fail?

Dental implants fail due to infection, shortcuts, cheap implant fixtures, premature restoration, and sometimes health reasons.

  • Infection – Poor-fitting implant fixtures allows bacteria to grow around the implants and cause an infection.
  • Diagnostic shortcuts – Successful dental implants require 3-D CT scans to reveal your bone structure and surrounding areas. The scans show if you need bone grafting and where to place your implants for the best results.
  • Cheap implant fixtures – Low-quality dental implants don’t last. And they can cause infection.
  • Incorrect implant placement – Implants placed in the wrong location can loosen and fail.
  • Premature restoration – If a dentist places dental crowns or dentures on implants before the implants fuse with the jawbone, they will fail.
  • Smoking – Smoking restricts your blood flow and inhibits the healing process. Healing time will be slower, or dental implants might have.
  • Medical condition – If you have uncontrolled diabetes or a medical condition that decreases your ability to heal, it can affect the success of your dental implants.

What to Do When Your Dental Implants Fail

Diagram of the phases of a dental implant for a comparison to a partial denture.

When your dentist plans carefully, a dental implant fuses with the bone and anchors a crown

When dental implants fail, it’s wise to get a second opinion. Look for a specialist or a dentist with a fellowship in a dental implant organization like the International Congress of Oral Implantologists or the American Academy of Implant Dentistry. If two of your four implants failed on the fifth day, you’re at risk of losing the remaining implants.

Ask your current dentist for your dental records and x-rays before scheduling an appointment with an implant specialist. Although your current dentist should willingly refund you for failed dental implants, other steps you can take include:

  • Ask your new dentist to communicate with your former dentist in requesting a refund.\
  • Report your current dentist to the state dental board
  • Hire a malpractice attorney

 

We hope that your dentist will promptly refund you without resistance. Best wishes on your dental implant recovery. We hope you can soon smile with relief.

 

In Baton Rouge, you can get a dental implant second opinion from Steven Brooksher, DDS. Dr. Brooksher is a Fellow of the International Congress of Oral Implantologists.

Extract Remaining Teeth for Dentures? 6 Facts to Help You Decide

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I have advanced tooth decay and gum disease. My two center front teeth are healthy, and after a visit with the periodontist, he says that those two teeth are likely the only ones he can save. I have a cheap bulky partial, and I have an underbite. My dentist thinks that removing the two teeth and getting a complete denture would be healthier than partial dentures. I got a second opinion, and the dentist said that he could do either option, and it’s up to me. I guess that a full denture would look better than a partial. I’m asking a couple of dentists online for their help. My budget is limited, and I’m concerned about that too. But I’ve learned my lesson about neglecting my teeth, so although I’m not too fond of debt, if I need a loan to correct the situation, I’ll apply for financing.  Is it best to have my center front teeth removed or to get partial dentures around them? Thanks. Timothy from Huntsville, AL

Timothy,

For an accurate diagnosis and treatment options, Dr. Brooksher would need to examine your teeth personally and do x-rays.  We’ll give some principles based on your description of your oral health. But we can give you some principles that might help.

Save Your Teeth or Extract Them for Dentures?

The factors below and talking with your dentist can help you decide if you want to keep your teeth or get full dentures.

1. It’s usually best to save healthy natural teeth

When your natural teeth are healthy and won’t compromise your oral health, it’s usually best to save them. Replacing teeth with a removable appliance—a partial or full denture—has many disadvantages. The denture can move or slide if it’s not anchored, and it won’t be comfortable.

2. When few teeth remain, they are under stress

If you only have two upper teeth that are healthy, the force from your lower teeth when you bite and chew puts stress on the upper teeth. Pressure on the teeth can weaken them internally, even if they appear healthy on the outside.

3. A full upper denture increases comfort

Suction keeps a full upper denture in place, and it moves less than a lower denture. It’s more comfortable than a partial denture, and it’s easier to eat and chew with it.

4. A well-made upper denture is healthy for other teeth

A well-made upper removable denture is gentle on lower teeth. If you have a severe underbite, the force or impact of chewing can put stress on lower teeth.

5. When all your teeth are missing, your jawbone is affected

Teeth stimulate the jawbone, so when all your teeth are missing, the stimulation stops, and your body resorbs the bone. After 10 to 20 years, you’ll lack enough jawbone to support your facial muscles, and your face will sag and make you look older. The missing bone will make it difficult—if not impossible—to keep a lower denture in place. But you will still have some suction for an upper denture.

6. Implant-supported dentures increase function and comfort

Diagram of a snap-on denture. The denture is hovering above the jawbone that has two dental implants in it.

Affordable dental implants will secure your dentures

Your dentist can tell you if you’re a candidate for an implant-supported partial denture or an implant-supported denture. Either option might exceed your budget, but implants stimulate your jawbone to prevent further shrinkage. Your denture won’t slip around, and it will be comfortable to eat and speak with it.

Again, Dr. Brooksher hasn’t completed your oral exam or seen your x-rays, so you’ll have to rely on a local dentist for accurate diagnosis and treatment options.

Steven Brooksher, DDS of Baton Rouge sponsors this post. Dr. Brooksher is an accredited cosmetic dentist and a fellow of the International Congress of Oral Implantologists.