Dental Implants Failure: What Are the Symptoms?


Dianne asks:

I just had a dental implant placed(#18) two weeks ago. Since the placement, I have been becoming increasingly more uncomfortable everyday. I have throbbing in my jaw, a horrid taste in my mouth, foul smell, and some sort of sore. I really want this implant to work, and so I'm wondering what the symptoms are for failure of dental implants? Is what I am experiencing normal? What would be abnormal and indicate failure? Thanks.

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Expert Advice and Comments
mtischler's picture

Dental Implants Failure: What Are the Symptoms?

Answered By: Dr. Michael Tischler - Woodstock , NY


The symptoms of implant failure are persistent pain, mobility of the implant, bone loss on the X-Ray greater than 50%, and purulence that can't be resolved. What you are experiencing could be a soft tissue problem around the implant. I would have the dentist that placed the implant look at the soft tissue first if you haven't already.

Hope that helps,

Michael Tischler, DDS

Dr. Michael Tischler

drkazemi's picture

Signs of dental implant failure

Answered By: Dr. H. Ryan Kazemi - Bethesda , MD

In the immediate period after placement of dental implants, infection, although rare, can be a potential complication. You may note increase in pain, possible drainage, swelling, and redness around the implant. Depending on where it is originating from, it may require some antibiotics and local irrigation or removal of the implant altogether. You may see an oral surgeon for evaluation.

I hope this is helpful.

Dr. H. Ryan Kazemi

ekusek's picture

I would have the dentist who

Answered By: Dr. Edward Kusek - Sioux Falls , SD

I would have the dentist who placed the implants take a x-ray and evaluate the tissue. Your symptoms could be a failed implant, but could also be some minor infection. The use of laser therapy is also great adjunct with antibiotics to treat a implant with infection around the tissue. You do not need to see a Oral Surgeon unless that is who placed the implant. Hopefully you can get this resolved without any major treatment, but do see someone soon.
good luck
Dr Kusek

Dr. Edward Kusek

tgrossman's picture

Post-op Implant Infection

Answered By: Dr. Theodore M. Grossman - Aventura , FL

Hi Dianne

Treatment of this progressive infection is already overdue. It has been present since placement and should be treated by an experienced implant practicioner immediately.

The signs and symptoms described are not common if you were placed on antibiotics pre and post-op and were prescribed a disinfectant rinse(Chlorhexidene). Tenderness and mobility would indicate a failing fixture.The initial weeks after placement are critical for healthy cells to attach themselves to a uncontaminated implant surface.

I hope this was helpful.

Theodore M Grossman DMD

Dr. Theodore M. Grossman

Anonymous's picture

I just wanted to thank you

I just wanted to thank you all for your responses. I have been back to see both my Dentist and the Dentist who placed my implant. My Dentist expressed concerns about the sore which has a bone fragment growing out of it and is new and only appeared after the implant surgery and the possibility that I am rejecting it. The following day I saw the Dentist who placed it and he was extremely dismissive of all of my symptoms and told me it was probably a canker sore from one of the shots he had given me. He also told me that it is all in my head and to use ambesol on the canker sore. I am still not on any antibiotics and still greatly concerned as I want this implant to be successful. What concerns me is that because of great stomach distress I had to discontinue the antibiotic after only 2 days and informed the Dentist and his
only response was oh you will be fine. I am going back to my regular dentist in the am, is there anything I should ask him or say that will help me get the treatment that I need. I am a nurse and well aware of the importance of antibiotics in general surgery and thought that would apply to dentistry as well. I also was not given any instruction on how to care for the implant nor a antiseptic mouthwash. From what I can gleam from your responses and my own reading these are not normal symptoms. Is it even possible to develop a canker sore from a novocaine Injection? Why would a sharp non mobile piece of bone be protruding from a canker sore that was caused by a shot of novocaine? Isn't is rational to believe that if my dentist felt that something was not going well and mentioned possible rejection that the one who placed the implant would actually do what he could to preserve the implant instead of sending me home in more pain and discomfort then I experienced following the procedure? Again thank you for all for expert advice and the speed in which you got back to me!

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