While dental implants are highly successful and predictable for replacement of missing teeth, there are circumstances where dental implant complications may necessitate their removal. Extraction of failing dental implants, known as explantation, requires special techniques and instruments. Previously, the only way to remove a failing dental implant was to cut it from the supporting bone using trough burs essentially. This approach was not only difficult, but also quite traumatic resulting in significant loss of bone during its removal. The current recommended method for implant removal is the use of a unique reverse torque instrument. The technique involves placement of a special tool inside the implant and a high reverse torque force to break its contact with the bone. With adequate force, the implant is disintegrated from the bone and removed. Technique is completely atraumatic as it requires no incision and no removal of surrounding bone. The post-operative recovery is fast with little or no pain.
The most common indications for explantation are:
Dental implant removal aftercare is similar to what was recommended after the initial placement.
Drink only cold liquids and avoid eating until anesthesia has worn off. Try not to touch the affected area with your tongue or fingers. For the first two days you should rest rather than exercise or strain yourself otherwise.
Removed dental implant options include dentures or a new implant. Most cases will require bone grafting, which means a replacement won’t be installed until after a couple months of healing.
A dental implant can be replaced with a new one if the surgical site is free of infection and there is an appropriate amount of bone left. A course of antibiotics and a mechanical cleaning is sometimes undertaken if the area is contaminated.
Dentures are also a common solution. Your dentist may fit you with a full or partial restoration, depending on the situation in your mouth. The gums and bone may have to heal before such dental work can be made. If you want your smile full quickly, you can go for a dental bridge or flipper tooth.
At COSMO DENTAL, led by Dr. Segui and her skilled team, we provide expert dental care in a warm and welcoming environment.
With clinics in Quezon City and Makati, we offer a full range of services—from routine check-ups and preventive care to advanced cosmetic and restorative treatments.
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