Implant Revisions
Implant revisions address dental implants that have failed, become compromised, or no longer meet the patient's functional or aesthetic expectations. Implant failure can occur for a variety of reasons, including infection around the implant (peri-implantitis), insufficient initial bone integration, hardware complications, poor positioning, or the gradual loss of supporting bone over time. Revision surgery evaluates the problem, removes or repositions the compromised implant when necessary, and establishes a plan to restore the site.
At Bensonhurst Dental Care, implant revisions are managed by Dr. Geoffrey Rubinshtein, whose board-certified periodontal expertise and experience with complex implant cases make him exceptionally well suited to diagnose and treat implant complications. Dr. Geoffrey begins with a thorough evaluation that includes clinical examination, advanced imaging, and a review of the patient's implant history. Understanding why the implant failed is essential to determining the right corrective approach and preventing recurrence.
Depending on the cause of failure, revision may involve removing the implant, treating infection in the surrounding bone and tissue, performing bone grafting to restore lost volume, and placing a new implant once the site has healed. In some cases, the existing implant can be salvaged by treating the surrounding tissues and modifying the restoration. For patients dealing with peri-implantitis, early intervention can sometimes prevent the need for full implant removal.
Implant revision cases require a higher level of clinical judgment and surgical skill than initial placement. Dr. Geoffrey approaches each case with the goal of restoring both function and confidence, ensuring that the corrected implant delivers the long-term result the patient expected from the beginning.
Frequently Asked Questions
How do I know if my implant is failing?
Signs of implant failure include pain or discomfort around the implant, swelling or redness of the surrounding gum tissue, loosening of the implant or crown, and visible bone loss on X-rays. If you experience any of these symptoms, a prompt evaluation is important.
Can a failed implant be replaced?
In most cases, yes. After the failed implant is removed and the site is treated and allowed to heal, often with bone grafting, a new implant can be placed. The timeline depends on the extent of bone loss and the healing required before the site is ready for a new implant.
What causes dental implants to fail?
Common causes include peri-implantitis (infection around the implant), poor osseointegration, excessive mechanical loading, inadequate bone support, smoking, uncontrolled diabetes, and poor oral hygiene. In some cases, the original implant was placed in a suboptimal position, contributing to long-term complications.
How can I prevent implant failure in the future?
Maintaining excellent oral hygiene, attending regular professional cleanings and implant maintenance appointments, avoiding smoking, and managing systemic health conditions all contribute to long-term implant success. Following Dr. Geoffrey's post-operative and maintenance instructions closely is the best way to protect your investment.
