Failing dental implants · Los Angeles

An implant that is failing can usually be saved.

Implants succeed about 98 percent of the time nationwide. When one does not, the cause is usually infection around it, and infection can be treated. Bring the implant, whoever placed it.

A model showing peri-implantitis around a dental implant
A dental diode laser with its handpiece and protective glasses
  • Any implantPlaced here or elsewhere
  • FreeSecond opinion
  • LaserFor infected tissue
  • GraftingWhere bone was lost
The Signs

Seven things to notice.

Any one of these is a reason to be seen this week, not next year.

0warning signs
  • 01A loose implantMovement of any kind, however slight.
  • 02Sore, inflamed gumsTenderness or redness around the implant.
  • 03Blood or pusOn the gums when you brush, or at any time.
  • 04Deep pocketsThe gum pulling away from the implant.
  • 05A visible postMetal showing where gum used to be.
  • 06Receding gumsThe crown looking longer than it did.
  • 07Receding boneSeen on an X-ray, felt as looseness.
The Reality

Peri-implantitis is gum disease around an implant. Left alone, it takes the gum, the bone, then the implant.

Poor grafting, a bad extraction, bad bridgework or an implant placed at the wrong angle can all start it. Whatever started it, the treatment begins by removing every trace of infection.

The Rescue

How a failing implant is treated.

  1. Step 01

    Diagnosis

    A 3D cone-beam scan shows how much bone remains around the implant and whether it can be kept. Dr. Barriere gives this opinion free, whoever placed the implant.

  2. Step 02

    Clearing the infection

    Bacteria are destroyed below the gum line and any diseased tissue that cannot recover is removed. A diode laser does much of this with less discomfort and faster healing.

  3. Step 03

    Rebuilding the foundation

    Where bone has been lost, it is rebuilt with grafting so the implant sits in solid support again.

  4. Step 04

    Replacing, if needed

    An implant that cannot be saved is removed, the site is grafted, and a new implant is planned and placed with Yomi® guidance once the bone has healed.

A dentist reviewing a panoramic X-ray on screen with a patientA hygienist treating a relaxed older patientModel of a dental implant set in the jaw boneThe Yomi surgical robot in the operatory
The Prevention

Protecting the investment.

Implants do not decay. The gums around them still get gum disease, and the same habits that protect teeth protect implants.

Brush twice a day and floss once. Keep your hygiene visits. Tobacco is the single biggest avoidable risk for peri-implantitis.

If you are noticing any of the signs above, call. Early peri-implantitis is treated in one visit; late peri-implantitis may cost the implant.

  • Brush and flossDaily, around every implant
  • Hygiene visitsEvery six months
  • No tobaccoThe biggest avoidable risk
  • Call earlySooner is simpler
A hygiene visit at West LA Implants
A West LA Implants patient smiling after his implant treatment
Cleaning along the gumline with a water flosser
The Questions

Failing implant questions.

Yes. Most failing implants the practice sees were placed elsewhere. The second opinion is free.

Not usually. If the infection is treated and the bone rebuilt, many implants are kept. An implant that has lost too much bone is removed, the site grafted, and a new one placed.

Infection of the gum and bone around an implant, caused by bacteria in plaque and tartar. It is the most common reason implants fail, and the one you have the most control over.

By destroying the bacteria below the gum line, removing diseased tissue, and rebuilding lost bone with grafting where needed. Sedation is available.

The Invitation

Bring the implant.

A second opinion on a failing implant is free. A 3D scan, an honest read, and a plan to keep it or replace it.

New patients(310) 692-9316
Current patients(310) 481-0111
HoursMonday to Friday, 9am to 5pm
Same-day emergency appointments

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