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Dental Implant Complications, Surgical Placement of Dental Implants
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Mary, a dental implant patient, asks:
I just had a dental implant put in a couple of weeks ago. I’m
experiencing quite a bit of pain.
I would like the dental implant removed, since
I don’t want to deal with constant pain. Since the dental implant is not
integrated with the bone, will the removal be a somewhat easy procedure? This is for an implant placed in the upper jaw. What specifically are the criteria for dental implant removal? What are my other options? Thank you.
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20 Responses to “ Dental Implant Removal ”
Go back to your clinician
Have you talked to the doctor that put in your implant? What are they recommending? You should get this implant evaluated by another dentist/oral surgeon/periodontist/ or prosthodontist if there is a problem and your dentist isn’t addressing it properly.
Some kind of light pain is absolutely normal, this postoperative pain may be due to a normal healing, or some gum compression by the implant, go back to your clinician and ask him ´bout this pain
Any pain at 2 or 3 weeks is bad news NOt sure without seeing it but I think it should be removed as there is a problem
Peter: please contact your dr regarding this pain and if this dentist does not seem to care please ask him to refer you to a dr who does. You should not be suffering after 2 weeks from an implant.
sorry Peter it was Mary I wanted to address.
Mary - Where were the implants placed and what kind of pain are you suffering from?
Yes, if the implant is not yet integrated it should be easy to take it out. But there are some procedures that can be done to save it. All depends in symtoms and Professional advice
What happens if the implant has integrated with the bone and you start having issues? Can it still be removed??
When is it safe to remove an implant? and what is the approximate time fram when the implant starts to integrate with the bone. What are some of the dangers that could occur if an implant is removed? What do you do with the hole it leaves in your jaw? Please advise me.
Excellent quesiton. Is it safe to remove an implant that has integrated in the bone?
Implants are simply titanium or titanium alloy screws with a very special surface that allows bone to grow into the roughened surface to increase bone to metal contact.
Osseointegration is considered when approximately 40%-50% of the implant surface area have intimate contact with the bone. This is achieved depending on the surface characteristics within 6 months or as early as 3 months.
The implant never becomes a part of your body, it simply exists in an environment where the bone does not react to the metal, unless gum disease and periodontal disease affect the integrity of the bone. There are no nerves that attach to it, there are no arteries or blood vessels that attach to it. Therefore, once the implant is removed, the bone will repair the empty void or space, just as if you had a tooth removed.
Removing an osseo-integrated implant requires a trephine bur, which is used to cut the bone around the implant and the implant is removed. Depending on the size of the implant and what vital structures exist around the implant (ie other teeth, nerves, vessels) it may be a simple or difficult task.
Another option is to treat the implant like an impacted tooth and remove bone using a surgical bur around the implant. This technique is more destructive around the implant and will require more bone removal than a trephine bur. Metal shavings from metal to metal contact can cause incorporation of titanium into tissues which can result as tattooing.
So to answer the questions, it depends on your own clinical situation. Find a reputable clinician who has experience with dental implants and seek a consultation.
Dear SF OMS, Thank you for your help in educating patients. I am so scared since learning that my implant may have to be extracted. You see, the tooth next to it is healthy, but the implant is very close. Unfortunately, they are both in the front. It looks like I’m going to lose my tooth and the implant. Again, thank you so much for helpting us.
Annette: Don’t waste you time crying to these docs. They only care about money not your well being. As you can see, none of them have even tried to console you. Good luck to you and steer clear of dental implants.
Annette,
I am anxious to know what happened with your situation. I am experiencing trouble with my implant and would possibly like it removed after reading all the things that go wrong on here. I am amazed that the only issues i ever heard about prior to surgery were the possibility of the implant not integrating….which then they would just try again after a healing period. I NEVER heard about the infections….etc. that can happen. I was told they were supposed to preserve bone and stop bone loss….but so many people on here have bone loss because of them. It’s very scary and I really want thing thing removed.
Hello,
I had perfectly healthy teeth and gums all my life and never even a cavity. However, five years ago I was told that I needed a root canal on my front tooth, #9. The tooth was supposedly traumatized in my childhood so it was slowly turning darker than my other teeth. The dentist assured me it would be an easy procedure and that I could keep my original tooth after it is bleached internally. Well, to make a very long story short, I had it done and a year later the root broke while I was eating and I was told I needed to get an implant. SO….I went through the long and painful implant procedure and was thrilled when it was over last August! However, since then I developed an infection on my gum (a boil) right over the implant. My prostodontist simply cleaned it out and gave me antibiotics and said I should be fine. About two months later the infection returned–exactly in the same spot. I went back for a gum lift procedure that cleaned out the area. He said it could have been cement remnants from the crown. I also was put back on antibiotics for throbbing pain I experienced in the implant area. He took an x-ray and the implant looked fine. He said I should be okay and did not think I needed a follow up appointment. That was in mid-February and now the area still has not healed and I don’t know what could be the problem if the implant looks good in the xray. I am wondering what can be wrong, and what should I do? I don’t believe my prostodontist knows what is wrong, or cares for that matter. I am very worried and absolutely dread the thought of complications. I greatly appreciate any advice you can offer. Thank you so much.
I have a similar story as Lauren. The dentist built a bridge of 11 teeth across the top of my mouth. 2 implants on the right side hold it there and a post in my eye tooth on the left held it there. After about a year the tooth with post began to hurt. The pain was constant and I couldn’t sleep. In Nov. after numerous trips to the dentist and treatments, he pulled the tooth and inserted a base for an implant in the same procedure. In Jan. it started to hurt again. He claims there is nothing wrong and treated it with antibiotics. Last weekend the bridge fell out, and there is an abscess over the implant. There is a constant throbbing pain. My face is swollen particularly under my eye and around the nose. Today he x-rayed the area and says he sees nothing wrong. More amoxicillin and he put the bridge back in. I want to scream and can’t stand it. The whole staff at his office down plays it and one woman said that maybe the redness was due to too much make-up!!
My impression is that he doesn’t know what is wrong and is afraid to admit it. He is probably frustrated that he can’t solve the problem and sometimes takes it out on me. My spouse works in the medical device field and says some times surgical implants just do not stay in. The foreign body response just continues and the body rejects the implant. This can show up as unusual scarring, infection, erosion or just inflammation.
Tomorrow we will find a surgeon who can evaluate the area and maybe take the implant base out. The description by SF OMS of what it entails to remove the implant was very informative and I thank you. Finding the right surgeon to remove the implant may be a challenge. But I just can’t continue on this way.
I have 4 implants in my upper jaw 2 on the right and 2 on the left.The crowns were fitted 5 weeks ago.I have no comfort now as the left and right end implants having been adjusted for bite still make too strong a contact. This is causing me to clench a lot as if too reduce them in a desire to put my mouth in a better state of rest. What’s wrong?
I think your crowns are to high and there is no free way space. Normally when we have our mouth in a rest position we have 2 till 4 mm inbetween the two arches. I think you have to see your dentist again and letting him/ her check your bite and adjust the crowns. Too much pressure can give more risk for implant faillure
I had an implant placed in November and also bone around sinus cavity. I have a history of Rheumatic Fever as a child so I dosed with antibiotics prior to procedure. After the implant, I began having heart palpitations, sinus pressure and low grade fever. I have been to a Cardioligist with all tests being negative. All my symptoms have increased including my temperature. I am scheduled Monday to have my implant removed and exploritory procedures of the sinus bone placed. My question is should I just look at the sinus for the cause of fever, pain etc. or have it all taken out?
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