Dental implants are one of the most reliable and long-lasting tooth replacement options available today, boasting success rates of over 95 percent. However, like any medical procedure, complications can occasionally occur. When a dental implant fails — whether due to infection, bone loss, or improper integration — removal may be necessary to protect your oral health and pave the way for future restoration.
Here’s a detailed look at why implants sometimes fail, how dentists remove them, and what recovery looks like.
Why Dental Implants Fail
Before discussing removal, it’s important to understand why implants sometimes fail. Implant failure can occur early (shortly after placement) or late (months or years later). Common causes include:
- Poor osseointegration: This happens when the implant doesn’t properly fuse with the jawbone, often due to inadequate bone density or excessive movement during healing.
- Peri-implantitis: A bacterial infection that causes inflammation and bone loss around the implant.
- Excessive stress or bite pressure: Grinding teeth (bruxism) or misaligned bites can place too much strain on the implant.
- Systemic health issues: Conditions such as uncontrolled diabetes or smoking can interfere with healing and bone integration.
- Surgical or placement errors: In rare cases, improper placement or insufficient planning can lead to instability.
When an implant fails, patients may notice symptoms like pain, swelling, gum recession, or loosening of the implant. If you experience any of these signs, it’s crucial to see your dentist or oral surgeon immediately.
How Dentists Remove a Failed Dental Implant
Removing a failed implant is typically a straightforward and minimally invasive procedure, especially when performed by an experienced oral surgeon. The method depends on the extent of bone loss and the implant’s condition.
Evaluation and Imaging
Your dentist will begin with X-rays or 3D scans to assess bone levels, surrounding structures, and the implant’s position. This step helps determine the safest removal technique.
Numbing the Area
A local anesthetic is administered to ensure you remain comfortable throughout the procedure. In some cases, mild sedation is also available for anxious patients.
Counter-Torque Technique
When possible, the dentist unscrews the implant using special instruments that apply reverse torque without damaging the bone.
Piezoelectric or Laser-Assisted Removal
For implants that are tightly integrated, advanced ultrasonic or laser tools gently remove surrounding bone to loosen the implant with minimal trauma.
Cleaning and Bone Grafting (If Needed)
Once the implant is removed, the site is cleaned to eliminate infection or debris. If there’s significant bone loss, your dentist may recommend a bone graft to rebuild the area and prepare it for a future implant.
Recovery and Next Steps
After implant removal, you may experience mild soreness or swelling for a few days. Over-the-counter pain relievers and a soft-food diet usually help manage discomfort. Most patients recover quickly and can return to normal activities within a few days.
Depending on your bone health, your dentist will discuss options for replacing the failed implant — whether that means placing a new implant after healing, using a bridge, or fitting a partial denture.
While dental implant failure is rare, knowing what to expect can ease anxiety if it happens. With modern techniques, removing a failed implant is safe, comfortable, and preserves your long-term oral health. If you suspect a problem with your dental implant, don’t wait — early evaluation can prevent further complications and help you get back to a confident, healthy smile.
About the Author
Dr. Steven Kendrick is originally from Indianola, Oklahoma. He earned his Doctor of Dental Surgery Degree at the Oklahoma University College of Dentistry and has furthered his education training at the Misch International Implant Institute, where he learned how to place and restore dental implants. Have your dental implants failed you? No worries – we have implant salvage treatment to get your smile back looking good. Schedule an appointment online or call our Midwest City office at (405) 732-0431.