implantoloq.azDR. BAKHTIYAR ALIYEV
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All treatmentsABOUT THIS TREATMENT

Implant removal

An implant that has not integrated, is fractured or inflamed can be removed while preserving the surrounding bone. The next step, socket repair or a new implant, is planned after examination.

An implant that has failed to integrate, broken or become inflamed is removed under local anaesthesia while preserving as much surrounding bone as possible. It is the start of a new plan, not the end of treatment.

Key facts

When it is needed
Failed integration, advanced peri-implantitis, wrong position, fracture, persistent pain or nerve injury
Decision
After examination, a mobility check and 3D CBCT
Anaesthesia
Local
Technique
Reverse unscrewing; if needed, minimal bone removal or a trephine
Stitches
Usually removed after 7–14 days
In-depth article
QUESTIONS & ANSWERS

Your questions, answered.

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The most common reasons are: the implant has not bonded with the bone and is mobile; advanced peri-implantitis means its stability cannot be saved; it was placed at such an angle or depth that a functional, natural-looking prosthesis cannot be made on it; the implant itself or its internal thread has broken; or there is persistent pain or signs of nerve injury.

Removal is done under local anaesthesia. A mobile implant can usually be taken out without an extra incision. An implant that has fused with the bone is released with special kits by unscrewing it in the reverse direction, which preserves the most surrounding bone. If that is not possible, a minimal amount of bone is removed or a trephine drill is used. The socket is then cleaned of inflamed tissue.

Depending on the clinical situation, filling the socket with bone graft material in the same visit, or in suitable cases placing a new implant straight away, may be considered. If there is a lot of inflammation, healing comes first and the new implant is planned a few months later. The decision is made after examination and imaging.

Mild swelling and discomfort for a few days are normal. In the first days it is advisable to eat soft food, avoid chewing on that side and follow the hygiene instructions your dentist gives you. Stitches are usually removed after 7–14 days. Follow-up visits make it possible to track healing and set the timing of the next stage.

At the first examination three questions are clarified together with you: why the implant failed, whether that cause can be removed, and what options there are to restore the tooth in that area. Sometimes bone grafting, a sinus lift or soft tissue grafting is needed; sometimes a different position for the new implant or a different prosthetic solution is more suitable.

No. First the loose part is identified: sometimes a screw has loosened or the crown cement has failed, and these can be fixed. If the titanium body itself moves inside the bone, the bond with the bone has been lost and the implant is usually removed. The decision is never made on appearance alone; it is confirmed by examination and 3D CBCT.
STEP BY STEP

From first visit to a new smile.

Knowing what comes next helps you feel more at ease.

STEP 01 / 04

Meet and examine

At your first visit, we discuss your health, expectations and questions. An examination and, when needed, 3D imaging help us assess your starting point.

We listen

We listen to your wishes and assess your oral health.

Other treatments

Single dental implantImplant-supported bridgeAll-on-4 / All-on-6Bone augmentationSinus liftGuided implant surgeryPeri-implantitis treatmentPeri-implant soft tissue grafting
YOUR FIRST STEP

Let’s talk about your smile.

Ask your questions and let’s plan a convenient appointment together.

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