23321 El Toro Road, Suite B, Lake Forest, CA 92630

Failed Dental Implant? The First Step Is Figuring Out Why It Failed.

Five categories of dental implant failure — osseointegration, infection, mechanical, overload, positioning

The five main categories of implant failure

  • Failure of osseointegration
  • Peri-implantitis (infection-related bone loss)
  • Mechanical or prosthetic failure
  • Bite force overload
  • Surgical positioning errors
CBCT 3D cone-beam CT evaluation of a failed dental implant

How we evaluate a failed implant case

Thorough history review, 3D cone-beam CT imaging (non-negotiable), then cause identification before planning the replacement.

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What replacing a failed implant typically involves

1

Removal of the failed implant

Under local anesthesia or IV sedation.

2

Bone grafting (most cases)

Rebuilds the compromised site.

3

Healing period

3–6 months, temporary interim solution worn.

4

Replacement implant placement

Protocols designed to avoid the original failure mode.

5

Final restoration

Placed after integration; sometimes only prosthetic components need replacement.

Common questions about failed implants

Looseness, pain on biting, gum recession, swelling, pus, or visible separation from the gum.
Save the implant if possible and call the office; typically seen within a few days.
Typically 3–6 months after removal and grafting; some cases allow immediate replacement.
High chance of long-term success when the original failure cause is identified and addressed.
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