Turning Failures into Foundations: Triumphs in Dental Implantology

Authors

  • Rohit Nandan
  • Madhurima Sharma
  • Rohit Sharma
  • Nikita Tomar
  • Raina Agarwal
  • Samra Ashraf
  • Kshitiz Tyagi
  • Amisha Agarwal

Keywords:

Dental Implant Failure, Implant Stability, Re-implantation, Bone Loss

Abstract


Dental implants are an innovative solution in dental restoration, providing a reliable and long-lasting replacement for missing teeth. Despite high success rates, failures continue, leading to significant clinical challenges. This article explores the causes and treatment of dental implant failure. We categorise failure into early and late stages and identify key contributing factors, including surgical trauma, infection, occlusal overload, and systemic health issues. Treatment strategies include a thorough diagnosis, careful removal of the failed implant, implant bed preparation, and reimplantation. Preventive measures such as proper patient evaluation, surgical technique, regular follow-up examinations, and patient education are also emphasised. Understanding the causes of implant failure and effective treatments can significantly improve patient outcomes and implant longevity

Downloads

Download data is not yet available.

References

Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int j oral maxillofac implants. 1986 Jan 1;1(1):11-25.

Berglundh, T., Persson, et al.: A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. Journal of Clinical Periodontology. 29:197-212. 10.1034/j.1600-051x.29.s3.12.x

Esposito M, Grusovin MG, Worthington HV: Interventions for replacing missing teeth: antibiotics at dental implant placement to prevent complications. Cochrane Database of Systematic Reviews. 2013, 10.1002/14651858.CD004152.pub4

Salvi GE, Bragger U: Mechanical and technical risks in implant therapy. The. International journal of oral & maxillofacial implants. 2009, 24:69-85.

Cochran DL, Schenk RK, Lussi A, Higginbottom FL, Buser D. Bone response to unloaded and loaded titanium implants with a sandblasted and acid‐etched surface: A histometric study in the canine mandible. Journal of Biomedical Materials Research: An Official Journal of The Society for Biomaterials, The Japanese Society for Biomaterials, and the Australian Society for Biomaterials. 1998 Apr;40(1):1-1.

Renvert S, Polyzois I, Claffey N: Surgical therapy for the control of peri‚Äêimplantitis. Clinical oral implants research. 2012, 23:84-94. 10.3390/dj11030061

Pjetursson BE, Br√§gger U, Lang NP, Zwahlen M: Comparison of survival and complication rates of tooth‚Äêsupported fixed dental prostheses (FDPs) and implant‚Äêsupported FDPs and single crowns (SCs). Clinical oral implants research. 2007, 18:97-113. 10.1111/j.1600-0501.2007.01439.x

Misch CE, Bidez MW: Implant-protected occlusion: a biomechanical rationale. Compendium (Newtown, Pa. 1994, 15(11):1330-32.

Kochar SP, Reche A, Paul P: The etiology and management of dental implant failure: a review. Cureus. 202219, 14:10.7759/cureus.30455

Mishra SK, Chowdhary R: Heat generated by dental implant drills during osteotomy-a review: heat generated by dental implant drills. The. Journal of Indian Prosthodontic Society. 2014, 14:131-43. 10.1007/s13191-014-0350-6

Tettamanti L, Andrisani C, Bassi MA, Vinci R, Silvestre-Rangil J, Tagliabue A: Immediate loading implants: review of the critical aspects. ORAL & implantology. 2017, 10:129. 10.11138/orl/2017.10.2.129

Durand R, Kersheh I, Marcotte S, et al.: Do postoperative antibiotics influence one‚Äêyear peri‚Äêimplant crestal bone remodelling and morbidity? A double‚Äêblinded randomized clinical trial. Clinical Oral Implants Research. 2021, 32:1318-27. 10.1111/clr.13832

Smeets R, Henningsen A, Jung O, Heiland M, Hamm√§cher C, Stein JM: Definition, etiology, prevention and treatment of peri-implantitis-a review. Head & face medicine. 2014, 10:1-3. 10.1186/1746-160X-10-34

Sadowsky SJ: Occlusal overload with dental implants: a review. International journal of implant dentistry. 2019, 23:29. 10.1186/s40729-019-0180-8

Dutta SR, Passi D, Singh P, Atri M, Mohan S, Sharma A: Risks and complications associated with dental implant failure: Critical update. National Journal of Maxillofacial Surgery. 20201, 11:14-9. 10.4103/njms.NJMS_75_16

Chankhore P, Khubchandani SR, Reche A, Paul P: Prosthetic Design Factors Influencing Peri-Implant Disease: A Comprehensive Review. Cureus. 2023, 13:15. 10.7759/cureus.48737

Lang NP, Berglundh T: Working Group 4 of the Seventh European Workshop on Periodontology. Periimplant diseases: where are we now?-Consensus of the Seventh European Workshop on Periodontology. Journal of clinical periodontology. 2011, 38:178-81. 10.1111/j.1600-051X.2010.01674.x

Misch CE: Contemporary implant dentistry. Implant Dentistry. 19991, 8:90.

Meredith N: Assessment of implant stability as a prognostic determinant. International Journal of Prosthodontics. 1998, 1:11.

Renvert S, Roos‐Jansåker AM, Claffey N: Non‐surgical treatment of peri‐implant mucositis and peri‐implantitis: a literature review. Journal of clinical periodontology. 2008, 35:305-15. 10.1111/j.1600-051X.2008.01276.x

Albrektsson T. Consensus report of session IV. InProceedings of the first European workshop on periodontology 1994 (pp. 365-369). Quintessence Publishing. DOI. 10.1111/j.1600-051X.2008.01283.x

Albrektsson T, Zarb G, Worthington P, Eriksson AR: The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int j oral maxillofac implants. 19861, 1:11-25.

Tomasi C: Derks J.Etiology, occurrence , and consequences of implant loss. Periodontology 2000. 2022, 88:13-35. 10.1111/prd.12408

Tafuri G, Santilli M, Manciocchi E, Rexhepi I, D'Addazio G, Caputi S, Sinjari B: A systematic review on removal of osseointegrated implants: un update. BMC Oral Health. 2023 Oct. 13:756. 10.1186/s12903-023-03438-5

Cheng FC, Wang CY, Chiang CP: Removal of failed implants by bone removal technique with a trephine bur: A case report. Journal of Dental Sciences. 2023, 18:1444. 10.1016/j.jds.2023.02.014

Seshan H, Konuganti K, Zope S: Piezosurgery in periodontology and oral implantology. Journal of Indian Society of Periodontology. 2009, 1:155-6. 10.4103/0972-124X.60229

Magrin GL, Sigua-Rodriguez EA, Goulart DR, Asprino L: Piezosurgery in bone augmentation procedures previous to dental implant surgery: a review of the literature. The open dentistry journal. 2015, 9:426. 10.2174/1874210601509010426

Kang DW, Kim SH, Choi YH, Kim YK: Repeated failure of implants at the same site: a retrospective clinical study. Maxillofacial Plastic and Reconstructive Surgery. 2019, 41:1-9. 10.1186/s40902-019-0209-1

Alfaraj TA, Al-Madani S, Alqahtani NS, et al.: Optimizing Osseointegration in Dental Implantology: A Cross-Disciplinary Review of Current and Emerging Strategies. Cureus. 2023, 30:15. 10.7759/cureus.47943

Rathithya V, Vandana S, Reddy J: Dental Implant Imaging and Its Current Update: A Review. Annals of SBV. 20242, 12:43-8. 10.5005/jp-journals-10085-9121

Greenstein G, Cavallaro J, Romanos G, Tarnow D: Clinical recommendations for avoiding and managing surgical complications associated with implant dentistry: a review. Journal of periodontology. 2008, 79:1317-29. 10.1902/jop.2008.070067

Esposito M, Worthington HV, Coulthard P, Jokstad A: Interventions for replacing missing teeth: maintaining and re-establishing healthy tissues around dental implants. The. Cochrane database of systematic reviews. 2002, 1:003069. 10.1002/14651858.CD003069.pub4

Romandini M, De Tullio I, Congedi F, et al.: Antibiotic prophylaxis at dental implant placement: Which is the best protocol? A systematic review and network meta‚Äêanalysis. Journal of clinical periodontology. 2019, 46:382-95. 10.1111/jcpe.13080

Renvert S, Polyzois I, Claffey N: Surgical therapy for the control of peri‚Äêimplantitis. Clinical oral implants research. 2012, 23:84-94. 10.1111/j.1600-0501.2012.02554.x

Gómez-de Diego R, Romero-Pérez MJ, Cutando-Soriano A, López-Valverde-Centeno A: Indications and contraindications of dental implants in medically compromised patients: update. Medicina oral, patologia oral y cirugia bucal. 2014, 19:483. 10.4317/medoral.19565

Maheshwari R, Punia V, Khandelwal M, Sharma DV, Malot DS, Porwal DA: Implant failure and management: A review. Int J Appl Dent Sci. 2018, 4:293-8..

Downloads

Published

2025-07-08

How to Cite

1.
Nandan R, Sharma M, Sharma R, Tomar N, Agarwal R, Ashraf S, et al. Turning Failures into Foundations: Triumphs in Dental Implantology. J Neonatal Surg [Internet]. 2025 Jul. 8 [cited 2026 Apr. 17];14(8):667-78. Available from: https://jneonatalsurg.com/index.php/jns/article/view/8084