Failed immediate implant: thoughts?

I placed a 3.75x13mm implant immediately after extraction.  I used 45Ncm on insertion and achieved primary stability.  I grafted with TCP (Beta-tricalcium phosphate).  The healing period was uneventful.  The patient is a heavy smoker (cigars).  After 4 months, I tried to manually unscrew the cover screw and the implant unscrewed with it.  What are your thoughts and recommendations?

2 thoughts on “Failed immediate implant: thoughts?

  1. Paul says:

    Based on one experience only I can share that I have a patient who is a smoker and placed a single implant and covered the implant completely with soft tissue.
    On the same patient I placed an implant in a different location of the maxilla with an immediate temporary restoration because patient insisted and signed uninformed consent against my advice because of smoking.
    Four months later that implant failed before a permanent restoration was provided. Patient did not experience any symptoms and the radiograph affirmed failure. On the other hand the implant that experienced osseous integration “under cover” is successful.

  2. WJ Starck DDS says:

    Not enough info to make an educated guess.

    But it looks to me like you were planning to replace a molar with a 3.75 mm implant. What was your reasoning for that?

Leave a Comment:

Comment Guidelines: By posting comments you agree to accept our Terms of Use, Disclaimer and Privacy Policy. For more details, read our comment guidelines. Though we require an email to comment, we will NEVER publish your email.
Required fields are marked *

Posted in Clinical Cases, Surgical.
Bookmark Failed immediate implant: thoughts?

Videos to Watch:

Ridge Splitting and Immediate Load

If there is enough bone vertically, and the ridge split in only used to increase[...]

Watch Now!
Immediate Implant after Extraction

This video provides some excellent drilling tips, in cases where a decision has been made[...]

Watch Now!
Flapless Surgery and Immediate Loading

This video shows flapless immediate implant placement on a mandibular molar, and issues when considering[...]

Watch Now!
Sinus Lateral Approach followed by Immediate Placement

Immediate loading of implants, is generally considered quite difficult following sinus lift surgery. This video[...]

Watch Now!
Flapless 3-D Computer Guided Implant Surgery

This video shows flapless implant surgery assisted by implant planning software which allows 3D printing[...]

Watch Now!
Sinus Lift Crestal Approach using Hydraulic Pressure

This video demonstrates the crestal approach for sinus lift, following extensive maxillary sinus pneumatization after[...]

1 Comment

Watch Now!
GBR in Labial Plate Bone Fracture

This video case shows guided bone regeneration in a patient who presented with root and[...]

1 Comment

Watch Now!
Ridge Split Technique using Vestibular Incision Approach

The alveolar ridge split technique is a predictable and reliable procedure, though case selection is[...]


Watch Now!
Lateral Sinus Lift: Perforation, Repair, and Implants

These two videos demonstrate the lateral window sinus technique, and implant placement following the repair[...]

Watch Now!
Single Tooth Replacement with Implants in the Esthetic Zone

Dr. Jack Hahn provides tips and reviews cases for implant placement in the esthetic zone.[...]

Watch Now!
Surgical Consideration for the Flapless Approach

In this video, Dr. Jack Hahn discusses and presents cases to review the surgical considerations[...]

Watch Now!
Bond Apatite: Socket Preservation Cases

These 2 videos show the use of Bond Apatite in socket preservation cases, one with[...]

Watch Now!