Dental implants are known for their durability, reliability, and natural appearance. Although they’re designed to last for many years—often decades—problems can occasionally arise that leave patients wondering: Can this implant be repaired, or does it need to be replaced entirely? Understanding how implant complications are evaluated and treated can help set expectations if an issue develops.
How Common Are Problems with Dental Implants?
Dental implants have a long-term success rate of over 95%. Still, like any dental restoration, they can develop issues over time. Problems may include a loose crown or abutment, bone loss, infection (such as peri-implantitis), or trauma to the site. Many of these complications can be addressed without removing the implant, especially when diagnosed early.
Can a Loose Crown Be Repaired?
One of the most common concerns is a loose crown. Fortunately, this doesn’t necessarily mean the implant has failed. A crown may loosen due to regular wear, bite pressure, or an issue with the abutment screw. In many cases, a dentist or oral surgeon can tighten or replace the crown without disturbing the implant itself. If the crown is damaged, misaligned, or worn, it may need to be replaced, but the underlying implant can often remain in place.
What Happens If the Abutment Is Damaged?
The abutment connects the implant to the crown. Damage may occur due to trauma, improper fit, or stress on the implant. Replacing a damaged abutment is typically straightforward and does not involve removing the implant fixture embedded in the jawbone. A new abutment can be fitted to support the crown, allowing the restoration to function normally again.
Can Infection or Bone Loss Be Treated Without Removing the Implant?
Yes—especially when detected early. Conditions like peri-implantitis can lead to gum inflammation and bone loss around the implant. Treatments may include deep cleaning, antimicrobial therapy, and procedures to regenerate bone and soft tissue. If the infection is severe or the bone loss is significant, however, the implant may need to be removed. After the site heals—often with the help of bone grafting—a new implant can sometimes be placed in the same area.
When Is an Implant Considered Beyond Repair?
In certain cases, an implant cannot be salvaged. This may include:
- Severe bone deterioration around the implant.
- Chronic or unmanageable infection.
- A fractured implant post.
- Inability of the gum tissue to heal properly.
- Medical conditions that impair healing.
In these situations, the implant is removed, and the site is often treated with bone grafting. After healing, a new implant may be placed.
How Long Will a Repaired or Replaced Implant Last?
When treated properly, repaired or replaced components—whether a crown, abutment, or implant fixture—can last just as long as the original restoration. Their longevity depends on factors like oral hygiene, regular dental visits, and avoiding damaging habits such as teeth grinding or smoking. With proper care, implants can function for decades.
What Should I Do if My Implant Feels Loose or Painful?
If you notice pain, swelling, bleeding, or movement around your dental implant, don’t wait. These symptoms may signal early complications. Prompt evaluation can often prevent the need for full implant replacement. A comprehensive assessment will determine whether the problem lies with the crown, abutment, implant, or surrounding tissue.
Speak with a South Jersey Oral Surgeon About Implant Repair or Replacement
If you’re experiencing symptoms or have concerns about your dental implant, contact the team at Lanzi Burke Oral & Maxillofacial Surgeons. Our South Jersey oral surgeons can assess your situation and recommend the right course of action for long-term oral health. Call 856-582-4222 or fill out our online contact form to schedule your consultation. With locations in Washington Township, Haddonfield, and Woolwich Township, we proudly serve patients throughout South Jersey.