Loose implant ?

90 Rating(s).


Posted on By Manoj Patel In Failures

# 30 immediate implant placed in Aug 2016. No complication during healing. After 7 month, Abut/ Crown placed and had no bone loss or any radiolucency noted. Then 2 months later crown became loose. After crown removal; Implant felt loose and minor Radiolucency noted round apex and mesial side of implant. Also Implant felt loose with healing abutment on. Patient has Upper fix implant supported hybrid restoration. Lower arch only # 30 implant and other teeth have minor perio with mild-moderate bone loss.
# 30 Failure ? because of
1) Not osseointegration from day one ?
2) Lost osseointegration because of over load / Premature contact ?
3) Other : Patient just start Antiestrogen 1 tab every day since 6 months.

Treatment :
1) I placed healing abutment
2) Inject PRF liquid around implant under periosteum ( It is just my thought. I don't know that will help )
3) How long should I wait to check ?
4) Should I removed implant and place Bone graft ?

Thank you.

Preop
Immediate implant

6 months later impresion
7 months later abutment / Crown placed


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5 Comments

If the implant is mobile then it has failed to integrate, best to remove, do a good curretage due to likely fibrous encapsulation. Once bone is nice and clean then bone graft the site.


Reply

Thank you Doctor.


Reply

Agreed....with above. Dr. Salama


Reply

Thank you Doctor.


Reply

After removing the implant and place Bone graft is the best way out in my opinion.


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