Removed Dental Implant: How Do I Fix the Bone Defect?

Carolina asks:

I had an implant on left upper lateral incisor removed because of a peri implantitis on march 2009. In July 2009, a second implant was placed, however apparently it seems to be too deep in the bone and cannot be used. I am not willing to have a third implant, but I really would like to fix the bone defect. Can I do this? What else do you recommend? Your input is greatly appreciated.

Answered by: Dr. David R. Edenbaum

Marlton, NJ

Hi Carolina,

To specifically answer your question, the bone defect can be repaired once the implant has been 'put to sleep' (a cover screw placed and the tissue closed).

In order to regenerate the defect, a combination of hard tissue (bone) and soft tissue (gum) grafting is usually necessary. Rarely is some improvement beyond our ability.

However, using soft tissue techniques and a custom abutment, it is also likely that the implant can be used even though you have been told it is too deep in the bone. I would consult both a Periodontist and a Prosthodontist to investigate this option.