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A 47-year-old member asked:

How do you know if your dental implant is failing?

27 doctor answers35 doctors weighed in
Dr. Dale Rottman
Dentistry 45 years experience
Symtoms: An implant is failing if you are having pain, swelling, or the implant is loose. An x-ray will confirm if the implant is failing consult your dentist immediately if you are having any of these symptoms.
Dr. Richard Stiles
17 years experience
See your dentist: Only a dentist can tell for certain if an implant is failing, however signs you may notice yourself include a loose tooth or teeth connected to an implant or implants. Pain, swelling, and/or oozing can also be problem indications.
Dr. Harvey Shiffman
Cosmetic Dentistry 38 years experience
Have it.chcked: Pain, swelling and looseness of the implant are indications that it is failing. X-rays can determine this too along with electronic means.
Dr. Ronald Achong
Oral &Maxillofacial Surgery 19 years experience
Many signs: You can experience pain, inflamed gums, drainage, swelling and irritation at the implant site. Your dentist will take an x-ray and see bone missing around the dental implant.
Dr. Scott Bobbitt
Dentistry 33 years experience
Mobility: Best sign of pending loss is mobility. Only your dentist can tell for sure (could be just a loose screw internally), so get it checked early. Other signs: bleeding gums, pus, loose gum tissues, pain when chewing or clenching.
Dr. William Dapper
Dentistry 37 years experience
Many factors: Mobility is a sure sign that it must be removed. Other signs and symptoms may include bleeding, swelling, pus or drainage, pain, bone loss seen on an x-ray (usually more than half the length).
Dr. Ahmad Eslami
Periodontics 45 years experience
Implant Failure: Signs of implant failure are: pain mobility/loose implant bleeding swelling, abscess bone loss best option is seeing your dentist to evaluate, diagnose and advise you as the proper course of action. The signs mentioned above could have other reasons as well.
Dr. Gary Sandler
Dentistry 55 years experience
Dentist knows best: By the time you yourself are aware of the symptoms of a failing dental implant, namely looseness, swelling, pain on biting, sore and bleeding gums (not in itself a sign of failure), it's probably too late to save the implant. This is why it is so important to go for routine dental exams and x-rays. Your dentist can hopefully catch problems in their very early stage and prevent implant failures.
Dr. Brian Dorfman
Oral and Maxillofacial Surgery 20 years experience
Pain, pus, mobility: Signs of a failing implant can include pain mobility, bleeding, pus and swelling. That beig said, sometimes there are no symptoms of a failing implant and the only sign there is a problem is a radiograph taken by your dentist or surgeon as a routine check. If you have any symptom see your dentist or surgeon.
Dr. John Thaler
Prosthodontics 42 years experience
Pain, looseness: The most common symptoms are pain and movement. Sometimes you will get drainage, but not as often as you might think. Typically when an implant fails, the bone is replaced by soft tissue. As this occurs, the tissue grows in the gap between the bone and implant and there may be little pain. Other times part of it is still in bone and this may exhibit pain with pressure. Hope yours is ok.
Dr. James Vito
Prosthodontics 38 years experience
Sore and puffy gums: The gum tissue becomes puffy and sore and yellow exudate comes out from the area. A successful implant should feel as though nothing is in your mouth. If you are aware of the implant then there could be a.Problem. If you feel there is a problem get it checked out.
Dr. Robert Tupac
Specializes in Prosthodontics
Pain: Dental implants usually have no feeling. If they become painful, the tissue becomes swollen or shows signs of infection, there may be trouble!
Dr. James Courey
Specializes in Prosthodontics
Have it evaluatead: In the immediate period after placement of dental implants, infection, although rare, can be a potential complication. You may note increase in pain, possible drainage, swelling, and redness around the implant. Depending on where it is originating from, it may require some antibiotics and local irrigation or removal of the implant altogether.
Dr. Dinh Bui
Dr. Dinh Buianswered
Dentistry 24 years experience
Progression of bone loss: Progression of bone loss, failing to osseointegrated as reflected in mobility, persistent gingival swelling, infection, and drainage, and finally, loss of function (pain during function). If found out early, the implant can be saved.
Dr. Dinh Bui
Dr. Dinh Buianswered
Dentistry 24 years experience
Not together: After a car wreck, extraction could be done to remove the avulsed tooth/teeth and then interarch stabilization (wire the jaw together) but usually not grafting.
Dr. Dinh Bui
Dr. Dinh Buianswered
Dentistry 24 years experience
Maybe: Usually if the tooth just get fracture, there is no need for bone graft after extraction since bone should grow back on its own. Howver, if the area have extensive bone loss, it should be graft as to preserve as much bone as you can for implant placement at the later time.
Dr. Dinh Bui
Dr. Dinh Buianswered
Dentistry 24 years experience
NO.: Bone graft usually required antibiotic, anti-inflammatory, and pain meds. No need for antirejection drug.
Dr. Ronald Achong
Oral &Maxillofacial Surgery 19 years experience
A few things: If there is constant swelling and pain around the implant, bone loss on the x-ray and if it is loose. Your dentist will be able to assess the implant to determine of it is failing.
Dr. Kenneth Grossman
A Verified Doctoranswered
Endodontics 45 years experience
Pain: Pain in the area is a strong indication. Gum redness, swelling, discomfort, are all reasons to have the area checked.
Dr. Randy Nolf
Periodontics 43 years experience
Dentist check up: A failing implant is often difficult for the patient to detect. Anyone with implants should have regular check ups and occasional x-rays to catch problems in the early stages. A failed implant is loose and usually painful with pressure. A mobile implant may not be failed. A loose connecting screw can be the cause and is not typically painful.
Dr. Gregory LaMorte
Periodontics 43 years experience
Inflammation: There would be signs of the some or all of the following: looseness of the implant , swelling of the gum, pus, gum bleeding , pain, bone loss on a dental x-ray. I hope this helps.
Dr. Tarek Hamid
Dentistry 10 years experience
Mobility: If there is any mobility of the implant, that is usually is accompanied with inflammation , infection and or swelling.
Dr. Mark Venincasa
Dentistry - Cosmetic 36 years experience
Several indications.: A failing dental implant may feel loose. It may have a swelling, boil, or abscess associated with it. It may have some gum recession or bone loss adjacent to it. Some of these indications can be noticed by the patient themselves. Other indications can be more subtle and may only be identified by a dentist. I would recommend your seeing the dentist who placed the implant so it can be evaluated.
Dr. Kevin Owoc
Dentistry - Prosthodontics 20 years experience
Pain, Pus, Swelling: Your dental implant should be immobile. If you are having pain at the site of the implant, pus, bleeding, swelling, fever, a draining 'bubble' or fistula, or increased redness, you should see your implant surgeon immediately. Additionally, if an x-ray shows abnormal bone loss, your implant may be failing. Keep smiling !
Dr. Alvis Burris
24 years experience
Implant failure : First see your dentist or surgeon for evaluation is the best answer.
Dr. Peter Karsant
Dentistry 40 years experience
The restoration may become loose, the tissue may be swollen,generally not painful
Sep 3, 2013
Dr. Joel Piehl
Periodontics 52 years experience
Loose, pain?: If it is loose and there is pain it could be failing. See your dentist.
Dr. Wayne ORoark
Dentistry 58 years experience
the looseness could be from the set screw backing out and not be the implant itself. see an implant experienced dentist to find out which. pain could indicate a failing implant , but not necessarilly. if it is the screw, it can be tightened.
Sep 3, 2013
Dr. Don Millner
Dentistry - Cosmetic 44 years experience
Mobility / function : Initially an implant is considered a failure if it's surrounding bone does not integrate/attach to it. However, even osteo/bone integrated implants can fail from excess cement causing supporting bone loss, poor angulation resulting in lack of function or unacceptable esthetics.

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Last updated Apr 12, 2020

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