Poorly positioned dental implant

 What to do with a poorly positioned dental implant?

Poorly positioned dental implants exist for many reasons. These dental implants can end up in really bad positions for various reasons and are difficult for us to try to restore. So, what do you do if you encounter an implant in a bad position? Keeping in mind that sometimes implants in bad positions still work, just don’t count on it.

Steps for an implant in a bad position.

First you need to verify it is in fact in a bad position. I have seen dentists complain about a bad implant from one x-ray. We must remember that the angle of the x-ray highly impacts how an implant looks and can be deceiving.

Angle of x-ray can be deceiving on where the dental implant is.

An example of where the angle of the x-ray can make a dental implant appear terrible when it is in fact fine.

The dental implant is poorly positioned.

If you need the implant in that position then you should strongly consider removing the dental implant and placing a new one in the correct position. The poor position of the dental implant can lead to implant failure. Alternatively, may want to just bury it and not use. A dentist can cantilever off individual implant or make small bar if have room. Using a custom abutment is almost certainly a requirement.

Subapical osteotomy for a vertical ridge deficiency. 12 Oct Would have been better to do a DO first if doing it this way???

If there are multiple implants at odd angles use an open tray.

I have word document of article on this in implant folder called “Implant prosthetic challenges article”

Anterior implant in a bad position.

A common issue seen from a less meticulous surgeon is a dental implant in the anterior that is outside the bone. We can avoid restoring these by checking the placement as seen in our failed dental implant blog. Some people get lucky and have poorly placed dental implants work.

CBCT of a poorly positioned dental implant that will require removal.

CBCT of a poorly positioned dental implant that we caught before restoring. This implant was from another office and we know from experience to take a scan BEFORE putting a tooth on it if we did not place it.

Implants that fall into a hollow jaw

If an implant falls into an empty or nearly empty portion of the jaw bone it is best to remove but not at the risk for paralysis.

Implant falling into hollow jaw.Dental implant into a hollow jaw.

 

Patient management of a dental implant that you are not happy with.

Best to be honest and simply say you are not happy with the placement and want to redo it.

Poor placement of dental implant.

Quote from Bill Schaeffer that is really good.

 

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