Can I remove the implant and leave it without grafting?

Is it mandatory to graft the site after removal of a failed implant? If the site is not grafted, will the site heal on its own like an extraction socket? How long should we wait for bone healing to occur in the site of previous failed implant, after thorough debridement of the area, but without any graft?

7 Comments on Can I remove the implant and leave it without grafting?

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CRS
5/31/2014
Depends on why it failed.
Rateb Sadek
6/1/2014
Did you discuss this topic more if allowed please? Thank you Dr CRS and thanks for the Dr who asked.
Prashant
6/1/2014
Yes , why not , but don't choose the same site for reimplantation then! The quality and quantity of the bone will be low because of resorption as well as due to less no. of osteoblast and if u graft then theoritically u can place an implant after 3-4 weeks but i usually suggest to place after 3 months , let the graft resorb
Carlos Boudet, DDS DICOI
6/1/2014
This is a topic that could get lengthy. The implant can fail for varied reasons, but once the implant is removed, the site heals in the same manner. It is not mandatory to graft the site of a failed implant that is removed, but if the area allows, it is always a good idea, especially if you are planning to go back and place another implant at a later time. You want to remove any infected tissue, fibrous encapsulation tissue, etc.. by carefully curetting the site to expose the bone and create bleeding from the bone. This will allow a source of cells and factors to promote angiogenesis in the area and start infiltrating the clot or graft material. The number of walls in the defect also influences the recommended treatment. It would require several months for the bone to regenerate, unless the area permits the placement of a wider implant, in which case no waiting time is necessary, and sometimes it is done immediately. As a dentist, even if you do not place implants, it is important to familiarize yourself with bone biology and healing. Good luck and I hope this helps
CRS
6/1/2014
Well said.
peter Fairbairn
6/2/2014
Yes well said Carlos.
Dr. Gerald Rudick
6/12/2014
said Carlos....... we must start to understand the reasons for the failure in the ifrst place; and take the time for the pathogens and unhealthy cells to vanish...................." from my mouth to God's ears"

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