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Loosening or falling out of the implanted tooth

Do dental implants fall out? A dental implant can be one of the best ways to replace a missing tooth. Even when you have lost two or more teeth, with the help of an implant, it can be restored to its natural state. However, dental implant falling and loosening of the implant cover is one of the problems of some patients. In some cases, the tooth crown falls after some time, which causes people to worry. In this article, we are going to investigate the cause of this problem. So stay with us until the end of this article.

Complications of falling dental implants

Implants may fail for various reasons. Failures can happen before or after placing the veneer. The cause of failures before the application of the coating is due to the lack of fusion of the base with the bone, which several factors can be effective in this matter. Like the forces caused by grinding teeth. For example, not properly integrating the implant with the metal base, breaking the crown, using low-quality materials to make the crown, etc. will damage this surgery.

Severe pain or discomfort and swelling or inflammation of the gums will be the consequences of implant failure.

How many sessions do dental implants take?

When do dental implants fall out?

According to famous dentists around the world, the failure of implant surgery happens in two times:

  • Before the metal base is grafted to the jaw bone
  • After placing and welding the abutment (connecting the crown to the fixture or base) to the jaw bone and placing the crown

If this operation fails before the metal base is grafted to the jaw bone, the maxillofacial surgeon will place the base in the gum during a re-examination and the crown will not be placed on it until complete recovery.

The cause of falling and loosening of the implant cover

There are many reasons that cause the tooth crown to fall after a while and the implant to lose its beauty. Note that knowing these causes can prevent further problems including infection and gingivitis. The reasons for the implant not being installed and falling are:

Inconsistency of the implant with the jaw bone

One of the most important challenges of implant science is placing the titanium base inside the jaw bone. This should be done in such a way that this metal base is completely surrounded by the bone. If the dental implant surgeon does not have enough experience and expertise in this work, he/she is not able to diagnose the condition of the bone.

First, the condition of the bone should be checked in terms of the position for the dental implant. Sometimes the patient’s jaw bone is not suitable for this work.

When the implant is not aligned with the patient’s jawbone, the crown also looks unnatural. After some time, the gum will decay and the silver metal of the titanium base will be seen around the gum. It is a bit difficult to correct implants that are not placed in the right place and ideally on the bone. On the other hand, removing it may damage the adjacent bone and teeth.

Oral and facial misperceptions from examinations

Before the dental crown is placed on the healing screw and abutment (metal base), the patient’s tooth is first molded. In fact, the size of the crown should be determined in advance and then this mold should be sent to the laboratory.

Of course, it is not only the appearance of the teeth and the smile design that is ruined. Rather, over time, bacteria enter the gums and lead to gum abscess. On the other hand, a crown that is too big will damage the adjacent teeth. A small crown can also damage the implant tooth. As a result, it is moved from its place over time, which leads to the falling of the crown.

Gum inflammation and infection

Another reason for loosening of the implant cover is infection and gingivitis. In dental terms, this complication is called “peri-implantitis”, which is one of the main reasons for dental implant failure. In this condition, the gums and jaw bone become severely infected and inflamed. The reason is the formation of harmful bacteria in the mouth.

Peri-implantitis can damage the bone and gum around the implant. so that it loosens the crown of the implant and the healing screw and causes it to fall after a while. Although this disease is treatable and if you see the relevant specialist on time, you can prevent its further consequences.

One of the causes of peri-implantitis is lack of health care, smoking or diabetes.

Premature laying of the crown

It usually takes a few weeks to a few months for the fixture to bond with the jawbone. Sometimes the metal base does not integrate with the jawbone even after several months. This causes the implant to loosen and even destroy it. Examining the bone density and the overall health of the patient’s jaw bone is a topic that few implant surgeons ignore.

If the jaw bone is not enough, the conditions for implant implantation should be provided by bone grafting and other necessary methods.

Nerve damage to implant

The treatment plan is what helps the dentist identify all the factors that cause the dental implant to fall out. For example, it becomes important to determine the ideal place to place the metal base in relation to the nerves and oral tissue. Damage to the oral nerves causes numbness and long-lasting pain, tingling sensation around the gums, cheeks and tongue. Addressing these issues will prevent implant failure.

Loosening or breaking of the metal base and implant crown

Although the abutment and heeling screw are made of strong metals, they may loosen in place. The movement of the metal base also causes the crown to collide with the surrounding teeth and eventually break. Now, thanks to advances in implant technology, this cause of dental implants falling out is rare.

But the implant crown is often made of poor quality materials that break very quickly. In order to make an implant crown, which is also a type of prosthesis, high-quality materials must be used that can resist chewing and even unwanted teeth grinding. Using the best materials can prevent this problem.

Allergic reaction of the implant to some materials

Sometimes the cause of dental implant falling is due to an allergic reaction in the body. On the other hand, chewing hard food or breaking snacks and candies, etc., with implant covers will damage it a lot. Even when first-class materials are used to make dental crowns, there is a possibility of lip filling in such cases. To avoid this problem, the only way is to take care of implant teeth like natural teeth. Maybe it’s better to say that you should take care of the implant more.

What to do if the dental implant falls?

After loosening the implant cover, the reason must be determined first. For this, visit the maxillofacial specialist where you had the implant done. If you get peri-implantitis after tooth implantation, it is necessary to treat the infection with antibiotic drugs. In these cases, the faster you see a specialist, the faster the infection and inflammation can be controlled.

Even if the fall of the dental implant has damaged the bone around the implant, it can be treated. Of course, for the treatment, the maxillofacial surgeon may use the method of bone removal and bone re-transplantation.

This can also be treated if there is damage to the bone around the implant. But the treatment involves removing the bone and then doing a bone graft to put the implant back in place.


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