Why did my dental implant, done two months ago, fail?

Hello,

Welcome to icliniq.com

I understand your concern.

I have assessed your X-ray (attachments hidden to protect patient identity). There are many reasons for implant failure. Some of them are listed below:

1. Most important is the systemic history of the patient’s uncontrolled diabetes, hypertension, etc.
2. Immediately place the implant after extraction if there is any persistent bacterial infection or pus that causes implant failure.
3. Bacterial infection is the most important cause of implant failure.
4. Bad oral hygiene.
5. Bad habits like smoking after implant placement.
6. The severity of surgical trauma greatly influences implant failure.
7. Implant failure occurs when the load placed on the implant is greater than what the bone can bear.
8. Low bone quality is also a result of implant failure.

To solve your issue, you need to answer a few questions-

1. How many months' gap was given between tooth extraction and implant placement?
2. What are the conditions of your systemic health, such as diabetes and hypertension?
3. Are you undergoing any medications?
4. Do you have a habit of smoking or chewing tobacco?
5. How is your oral hygiene?
6. Are you suffering from gingivitis (inflammation of the gums) or periodontitis (a severe gum infection that damages the soft tissue and destroys the bone that supports your teeth)?

Regards.

Hello,

Welcome back to icliniq.com.

Thank you for your reply,

1. Nine months are enough, so this is not the cause.

2. Systemic illness is also not a cause, as you are saying, these are under normal limits.

3. Immediate loading on the implant is most preferably the cause of failure.

Have you got the temporary crown placed on it?

If a temporary crown is also placed, and you have eaten from that crown, it might be the cause of failure. Because your bone is unable to bear that load, it all depends on the quality of the bone. Implant failure occurs when the load placed on the implant is greater than what the bone can bear.

In my opinion, you should now go for the removal of your implant and immediately place the bone graft at the time of removal of the implant, and wait for six months, so that the bone gets formed perfectly.

Then, after six months, go for a good-quality implant placement. Do not go for immediate loading of the prosthesis on the implant. Let the implant osseointegrate with the bone nicely. Then, go for prosthetic loading on the implant (the abutment and crown).

The probable cause can be the short implant quality or immediate loading on the implant.

The treatment plan can be the removal of the implant and the placement of a bone graft immediately. Wait for six months for the judgment of bone quality with a CBCT (cone beam computed tomography) scan.

After six months, go for good-quality implant placement. Wait for a minimum of three months, then go for placement of the prosthetic part (abutment and crown). Do not do immediate loading on the Implant.

I hope this helps.

Kindly follow up if you have more concerns.

Regards.