In today’s world, it’s hard not to imagine the worst-case scenario—broadcast news and social media certainly aren’t helping! If you’re one of the millions of Americans with dental implants, it’s perfectly natural to worry about them failing despite their 95% success rate and 30+ year average lifespan. But even if that happens, the process to get it fixed is fairly straightforward and reliable—learning how it works should calm some of those errant thoughts.
Step 1: Identifying Implant Failure
Dental implant failure means that the new tooth root has NOT formed a strong enough bond with the surrounding jawbone. This can happen for many reasons, with the most common being infection in the area, an oral injury disrupted healing, the implant was placed incorrectly, or the bone isn’t thick enough to offer enough support.
Sometimes immediately and sometimes years after the surgery, a patient may begin to notice that their new tooth feels loose or sore and appears irritated. Rather than ignoring it, it’s wise for them to contact their dentist and have it examined. A visual screening and X-rays will make it very clear if an implant is failing.
Step 2: Removing the Implant
This will involve removing a very, very thin band of bone around the implant so it can be taken out. Usually, this casing is only about .5 to 1mm thick, which is about the same as a contact lens.
The goal is to preserve as much bone as possible so it will be able to hold a new implant in the near future. While the post is out, a patient may need to undergo periodontal therapy to disinfect the gums and bone or receive a graft to strengthen the area. In most cases, a temporary tooth can be placed to fill the gap.
Step 3: Replacing the Replacement
After the treatment area has healed, the patient will undergo the implant placement surgery once again. This will be preceded by advanced imaging to ensure the bone is ready and the gums are free of infection.
Just like before, the implant will become attached to the surrounding jawbone over the next three to six months, during which the patient will attend check-in appointments so their dentist can make sure everything goes smoothly.
While a failing dental implant is certainly frustrating, it isn’t the end of the world or your renewed smile. And, by keeping up with your routine checkups and cleanings each year, your dentist can stop many of the small issues that could lead to implant failure down the line.
Early vs. Late Dental Implant Failure
Implant failure falls into two groups. Early failure happens in the first few months, when the implant doesn’t fuse with the jawbone, often because of infection, smoking, or too much pressure during healing. Late failure can show up years later, usually from gum disease around the implant, heavy grinding, or bone loss. Knowing which one you have helps your dentist choose the right fix.
Can a Failing Dental Implant Be Saved?
Sometimes, yes. If it’s caught early, an infection around the implant called peri-implantitis can often be treated with deep cleaning, antibiotics, and in some cases bone grafting, without removing the implant. That’s why it pays to act on the first signs. Read more about dental implant failure and salvage.
Is It the Implant, or Just the Crown?
Not every loose tooth is a failed implant. Often the crown or the connecting abutment has loosened, while the implant itself is still solid. That’s a much simpler repair: your dentist can tighten or replace the part in one short visit.
When Is a Failing Implant an Emergency?
Call right away if you have swelling, pus, fever, or severe pain, or if the implant is visibly moving. Quick care can protect the surrounding bone and improve your chances for a successful replacement. Learn about emergency dental implant care on Long Island.
Lower Your Risk of Another Failed Implant
- Quit smoking or vaping, which slows healing and bone fusion.
- Keep diabetes and other health conditions well managed.
- Wear a night guard if you clench or grind.
- Clean around implants daily and keep up with professional cleanings.
Failed Dental Implant FAQs
How do I know if my dental implant is failing?
Watch for gum swelling or bleeding around the implant, pain when chewing, a bad taste, or any movement. Gum recession that exposes metal is another warning sign.
Can a failed implant be replaced?
In most cases, yes. After the area heals, often with a bone graft, a new implant can be placed. Learn more about dental implants.
If you’re worried about your new tooth, just click here to schedule an appointment or call (516)541-7344.