Re: Dental Implant failed after 2 years...


matika@xxxxxxxxxxxxx wrote:
Alexander Vasserman DDS wrote:

Alexander, many thanks for the detailed response. Very much
appreciated. Please see my comments below.

If the implant is solid I do not recommend its removal. The surface of
it needs to be treated and a bone graft done again.

This was exactly what the dentist did the last time. He opened it up
and cleaned it thoroughly and rebuilt the area with more bio-oss. After
about 1 week the bad taste and secretion returned.

Maybe the second
time around you should insist on using your own bone(autograft) vs from
a cow(bio-oss=xenograft) or from your dead neighbour(allograft).

To be honest I can't go through having bone taken from another part of
my body for this operation. I've been through so many painful
operations now for this one tooth. I was made to believe it was a very
easy procedure before I started and gradually I have been sucked into
more and more painful and evasive operations. For the past 4 years I
have spent so much time in the dentist chair it is unbelievable. I
regret the day I made this decision.

Right now the adjacent teeth with the crowns are OK and healthy, no
pain, smell etc when I rub or floss the gums around them. All the
problems I'm having are centred around the tooth on the implant. All
the secretions and bad taste and smell comes from that tooth. The gums
actually look OK but there is a constant build up of fluid inside the
gums that is causing the bad taste.

Have you seen this kind of secretion and bad taste/smell from an
implant patient before? Do you think this is an infection and if so how
can it be treated?

BTW the surgeon mentioned that he saw no infection in the area when he
opened the area to rebuild. My dentist doesn't seem to know exactly
what it is and what is causing it. He said it might be bodily fluids
because I mentioned I get salty taste sometimes. A few weeks after the
rebuild work I began getting a very strong salty taste in my mouth,
which remains till today, but not as strong as before. Any idea with
this could be?

I don't know the implant manufacturer but I remember being told it was
one of the best in the market.

I had the bone graft material in my mouth for almost 2 yrs before the
implant was inserted and not once during that time did I notice a bad
taste or smell from gums. Can bone graft take 4 years to suddenly
develop a problem?

The dentist mentioned that there was bone loss when he opened the area.
Any idea what could be causing the bone loss if there is no infection
there as he states?

Thanks again for your help.

George

I can understand why you are tired of the pain. Removing an implant is
not a pleasant experience and involves the same amount of pain if not
more than taking bone from your chin or back lower jaw(ramus). I can
not make that decision for you. However you still have infection coming
from somewhere and you need to find out from where. Again I suspect the
adjacent teeth. Somebody suggested to get a second opinion, sometimes
that is a good thing. when your doctors are focused on the implant
sometimes you need another pair of eyes to look at things objectively
to identify the problem. It does not mean that your current team is bad
at diagnosing or subpar clinicians, a lot of times it is that they are
too close to the problem to see something that may be obvious. A third
party may be able to help you identify the problem. Once identified it
is up to you who treats it. your current team may very well be
qualified to treat the problem once it is known.
At the same time if you do go get a second opinion, keep in mind that
everyone can look at the situation think they can do better and present
you with a proposed treatment that may involve starting from scratch.
Mind you the new person has never worked on you and may underestimate
your healing ability and success outcome because they are unfamiliar
with how your body responds. If the infection is coming from the
adjacent teeth then you may want to have an endodontist(root canal
specialist) evaluate the vitality of the adjacent teeth.
One thing I can tell you for sure is that it would be prudent to
resolve the infection and let everything heal before proceeding with
more grafts.

.

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