Dental Implant Moving

Dental Implant Moving
Those who have lost one or more teeth find in dental implants one of the most effective solutions not only to regain a beautiful smile, but also to solve various problems related to chewing and phonation that often accompany the fall of several dental elements, however it happens that for different reasons a dental implant must be removed and replaced with a new one. If you have noticed a dental implant that moves, you may have a problem related to your dental implant and, therefore, need the intervention of your dentist or oral surgeon to resolve the matter. This type of complication is quite serious and should not be underestimated. Just because your implant is moving, it doesn’t necessarily mean that your implant needs to be removed, but you must see your dentist as soon as you notice movement in the implant.

The greatest fear of those who have to undergo an implant surgery is the risk of implant rejection. In reality this is a completely unfounded fear because the rejection of an implant does not exist, since titanium is a biocompatible material, rather over time a series of other problems can occur that may cause movement.

Peri-implantitis
Peri-implantitis, an infection caused by the same pathogens that cause periodontitis, is one of the first causes of the movement of a dental implant. If diagnosed in the early stages, it can be remedied through careful professional dental hygiene sessions (carried out every three months in periodontal disease patients), while in the event that peri-implantitis has already attacked the bone hosting the implant, surgery is required.

When the shape of the bone resorption allows it, it is possible through surgery to regenerate the bone around the implant, or at most stabilize the peri-implantitis by eliminating the pocket.

In the most serious cases, the implant must be removed to eliminate the infection and, if necessary, regenerate the bone in order to subsequently apply a new implant.

Badly positioned implant
In the event that an implant is misplaced due to a mistake by the dentist it is often necessary to remove it.
In fact, it can happen that it is placed too close to a nerve causing its compression or that it is inserted too external or inclined, making prosthetics impossible or creating great aesthetic discomfort for the patient.

Breakdown of the implant
Although the materials with which dental implants are made are very resistant and durable, it can happen that it can break or bend, which can cause movement. In these cases, the only viable solution is to remove the old system to replace it with a new one. Today, with the innovative titanium and zirconia alloy, it is possible to insert implants of only 3 millimeters safely as it is a much more resistant alloy than type IV titanium.

Lack of osseointegration
If the implant is not perfectly integrated into the bone, it must be removed. This can occur due to a number of factors attributable to either a patient error or more often an operator error. The loss of the implant in the months following the surgery occurs, for example, if the surface of the implant is contaminated with salivary fluids or other fluids at the time of its insertion, if in the preparation of the implant site there was not sufficient irrigation and overheating of the bone has occurred, if the implant has undergone a masticatory load for which instead of having an osseointegration we have a fibrointegration, if the patient has not followed the dentist’s instructions (smoking, antibiotic, oral hygiene, etc.).

Generally in this case, the removal of the implant is quite simple as it can be removed simply by unscrewing it. In case of system mobility, this is NEVER recoverable and therefore must always be removed as soon as possible.

Request from the patient
While most patients experience the application of the dental implant and the recovery of a beautiful smile as a victory, a release from the embarrassment of missing one or more teeth, there are rare cases in which it is the same implant that causes a physical or psychological discomfort in the wearer. In these cases, it may happen that the patient himself requests the removal of the implant. In circumstances like these, after verifying that there is no real complication that justifies the extraction of the implant, the dentist should try to guide the patient in this choice by explaining the procedure and the consequences of removing the dental implant.

How to remove the implant
The removal of a dental implant is a delicate operation as it also affects the bone which must be rebuilt immediately afterwards. For this reason, before proceeding, it is important to carry out a thorough investigation that allows you to accurately assess each individual case and establish how and if it is necessary to perform the extraction of the dental implant. The extraction of an implant is not a simple procedure like extracting a tooth.

In fact, the tooth is connected to the bone by a periodontal ligament. By applying force using levers and pliers, we literally tear this ligament that connects the tooth to the bone.

The implant, on the other hand, after being screwed in, binds to the bone in the months following its insertion through a very intimate and strong osseointegration bond. The bone-to-implant bond has been shown to be stronger than the bone-to-bone bond. To be clear, applying enormous force would fracture the bone, but the implant would not detach from the bone. All this makes the extraction of the implant very difficult. Fortunately, progress and technology today allow us to remove an implant faster and less destructive to the bone.

Dental-implant-removal
In any case, it is important to treat the site immediately after extracting the implant through regeneration maneuvers to allow for the maintenance of bone volume in order to subsequently replace the removed implant with a new implant.

Replacement of the old system
Before replacing the old dental implant with a new one, it is necessary to evaluate the amount of bone available to ensure the success of the surgery. If the bone that must accommodate the implant screw is not sufficient, then bone regeneration maneuvers with bio-compatible materials are used.