Dental Implant failed after 2 years...

Discussion in 'Dental Archive' started by matika@tiscali.co.uk, Aug 2, 2006.

  1. Guest

    OK bear with me guys. This is a bit long as I try to provide a good
    background to the problem.

    I had a titanium implant installed 3 years ago in place of my missing
    upper front tooth. I broke the tooth in a fall as a kid and
    subsequently had the rest of it extracted in my teens when it got
    infected. In place of it I previously had a bridge which was installed
    about 10 years ago and before that I used a partial denture.

    Anyway about 4 years ago (2002) I decided to 'upgrade' to an implant
    and two adjacent crowns (for the 2 other teeth that made up the
    bridge). Implant technology was sold to me by my dentist (who is an
    implant specialist) like it was one of the easiest procedures in the
    world, a cake walk. So I went for it without hesitation. Since then it
    has been somewhat of a nightmare and lots of money wasted.

    First off I needed 2 bone grafts because there wasn't enough bone
    width in the area. I had 2 grafts because the 1st one (using a newly
    introduced product that was supposed to be better) didn't work. The
    dentist said it seems my body simply got rid of it. So he did the 2nd
    graft with the old tried & tested Bio-Oss. After about 8 months of
    allowing it to heal and set the dentist checked and said there was just
    about enough bone width for the titanium implant. He installed the
    implant and everything sailed OK from then on and about 10 months later
    I had the crown put in place. So the whole procedure took almost 2
    years before the crown was eventually installed on the implant!

    Anyway I was happy to have my implant and crown at last and followed
    all instructions diligently in terms if cleaning and getting dental
    checkups every 3 months. I don't smoke, take drugs or any
    medications. I'm a healthy fit man in my early 30s.

    I had the implant for about 2 years without any issues. Then about a
    year ago I began to get a strong taste in mouth. I later found out the
    taste was from the gums around the front crown (the one with the
    implant). When I rubbed the gum above the tooth my mouth would be
    flooded with the unpleasant (sometimes salty) taste and it had an
    unpleasant smell. Even after thoroughly brushing and flossing, when I
    rubbed the gum area I got the bad taste and smell. Apart from that
    everything seemed fine with the tooth. The gums around it looked
    healthy, I felt no pain and the tooth wasn't loose. I went to the
    dentist and he checked the implant by taking x-rays etc and said the
    implant was fine. He gave me antibiotics for what he said was a gum
    problem.

    Fast forward a few weeks later, the antibiotics did not stop the bad
    taste. I went back to my dentist several times but he insisted that
    there was no problem with the implant. He would take x-rays of the
    implant, examine the gums etc and always ends up saying everything is
    fine with the implant and there is no infection.

    About 4 months ago the situation got worse. At this point I was
    resigned to the intermittent bad taste and thought maybe this is just
    the side effect from having a titanium implant. Anyway as I was
    brushing one morning I noticed a whitish/transparent liquid secreting
    from between the gums and the implant crown. When I pressed on the gum
    above, more of the liquid came out. It looked like puss and smelled bad
    so I quickly visited the dentist again. This time he saw the liquid but
    said it wasn't puss. He cleaned up the area and gave me stronger
    antibiotics. However that didn't resolve the problem.

    A few weeks later he opened up the area and thoroughly cleaned it up
    and put more bone graft (Bio-Oss). He said he noticed a lot of bone
    loss and a slight bone defect to the side but not directly in the area
    of the implant. He said the implant wasn't exposed and there was no
    infection in the area at all.

    To cut the story short, all that didn't work. A few weeks later the
    bad taste and secretion returned.

    My dentist now agrees that the implant needs to be removed, however he
    says the problem is not with the failure of the implant itself but
    something to do with the bone graft that is not working with my body.
    He said a lot of the bone that was generated from the bone graft (and
    was there during the time he inserted the implant) has now turned to
    soft tissue. I find this hard to believe. Can bone that has already
    been generated turn back to soft tissue?

    Throughout the time I was having bone grafts, before the implant was
    inserted, I never once noticed a bad taste or smell coming from my
    gums, even when the first bone graft failed. So I find it had to
    believe that my body's rejection of the bone graft material is what
    is causing the problem here.

    My dentist doesn't seem to know quite what has gone wrong, although
    we both agree that the implant needs to be removed because there is
    obviously something wrong. I have made an appointment in month's time
    to remove the implant. My dentist warns me that it would result in a
    massive bone defect in the area as the bone would collapse inwards
    after the implant has been removed.

    I was thinking about getting a 2nd opinion before proceeding but I'm
    not sure what another dentist can tell me without access to the full
    records of my implant work. Consultations for implants are quite
    expensive here in the UK. I don't want to pay a lot of money for a
    consultation only to be told I have to go back to my dentist for a
    proper assessment of the problem

    Right now I don't know if this bad taste in my mouth and what I can
    smell when I rub the gum around the tooth is giving me bad breath. It
    is causing me a lot of stress and wreaking havoc on my social life.

    I feel deflated. I can't believe I spent up to £5,000 on this
    treatment that was supposed to be the best option out there only to be
    left with this stress, fear of bad breath and now being told that
    I'll have to go back to a denture after the implant is removed. Going
    back to the bridge like what I had before is not even an option now
    because the two adjacent crowns have been hard cemented with crowns.
    The crowns would have to be cut to fit a bridge and my dentist said
    that could damage those teeth.

    Has anyone had a similar experience with dental implants? What was the
    outcome in your case?

    Can anyone shed any light on my situation from reading my case, i.e.
    from past experience or knowledge in this subject matter?

    Any tips/advice/information will be very much appreciated.

    Thanks

    George
     
    , Aug 2, 2006
    #1
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  2. Dear George

    This is a terrible situation you are in. I can tell you it is not
    supposed to turn out like this and for some reason something is not
    compatable with you.
    Bio-Oss is a matrix of cortical bone taken from a cow. It is possible
    that within this bone mineral is hormones that were given to this cow
    during its lifetime. Your body may not be compatible with this type of
    bone graft although if you talk to the manufacturer of Bio-Oss they
    will swear it is safe and can not be the problem. We really do not know
    how much truth there is to this.
    I've work with bio-oss all the time and I have to say it takes much
    longer for this graft material to fuse with your own bone and having
    good bleeding during placement helps. Some clinicians mix tetracycline
    with the bio-oss to help with bacterial contamination which you can not
    avoid in the mouth unlike heart or brain surgery. Others say adding
    tetracycline make the site more acidic and it is not favourable to the
    graft.
    What I can tell you is this Biooss by itself in 6months still is
    destinguishable from your own bone but is hard. Bio-oss with
    tetracycline looks yellow with white particles both during placement
    and at 6 months. Generally Bio-oss seems to stick around the site
    longer than your own bone which would be the ideal choice of material
    but will require a donor site surgery such as the chin area or back jaw
    bone(ramus area).
    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. 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). Freeze
    dried bone no matter how well it is cleaned is not vascularized and
    hence it is dependent on getting your own blood from surrounding bone
    and sometimes taken from your vein centrifuged (PRP=Plasma Rich
    Protiens) which helps in the grafts success. Having given you bone
    grafting 102 course, you should also consider that either cement got
    under the gums which caused this infection, or more likely the
    infection is coming from a neighbouring tooth which abscessed sine it
    was preppared for a bridge once and then once again for a single crown.
    Best bet is to check the lateral incisor since it is a smaller tooth
    and could be the culprit.
    Do not get discouraged with implants it is still the best long term
    alternative you just had a lot of bad luck. And going back to a bridge
    does not mean you can not encounter abscess of the adjacent teeth since
    this would be the third time they would have to be preppared getting
    smaller each time and the risk of them fracturing at the gum line
    increases as well. Also do you happen to know the implant
    manufacturer???


    wrote:
     
    Alexander Vasserman DDS, Aug 4, 2006
    #2
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  3. Farmer Giles Guest

    Alexander Vasserman DDS wrote:
    What a very knowledgeable and helpful post. Good man. (I'm lurking
    because I'm considering implants).
     
    Farmer Giles, Aug 4, 2006
    #3
  4. Guest

    >Alexander Vasserman DDS wrote:

    Alexander, many thanks for the detailed response. Very much
    appreciated. Please see my comments below.
    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.
    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
     
    , Aug 4, 2006
    #4
  5. JimSocal Guest

    On 2 Aug 2006 15:14:16 -0700, wrote:
    First off, I am so sorry to hear of your problems. I am not a dentist,
    I just come here for information, as I am currently in the process of
    getting SEVEN implants! I hope to goodness, I have no such problems as
    your's. Fortunately, I do not need any bone grafting, only a sinus
    lift, which is giving me some concern.

    Secondly, thanks so much for Dr. Vasserman for providing us patients
    here with such good informatin re implants and other things!

    Now, as I said, I am not a dentist. But as a fellow patient, I would
    strongly urge you to get a SECOND OPINION. I think you should be up
    front with your oral surgeon, tell him you have been advised to get a
    2nd opinion, and that you would like to take the xrays etc. to another
    oral surgeon.

    Then, do whatever it takes to make SURE the guy you go to for the 2nd
    opinion is among the top in the field. Not sure how to find out, maybe
    ask at the nearest dental/oral surgery school. Find out who
    specializes in implants and ask around who is the best. Then go to him
    and explain everything, show all the xrays and get his opinion as to
    how to proceed.

    I understand that money is an issue. However, this is your LIFE. Beg,
    borrow, or steal the money to get this 2nd opinion and beg borrow or
    steal the money to get whatever treatment this 2nd oral surgeon says
    you need.

    I have no way of knowing if the first guy is good or not. He may be
    great. However, I do know that Human Nature is that IF he made a
    mistake, he is not likely to admit it. That's why you need a 2nd
    opinion. Also, if he does not really know how to proceed, he may be
    the type to guess rather than to ask for help.

    So as a patient who has had much bad dentistry in the past, I strongly
    advise you to get a GOOD 2nd OPINION!

    Good luck! I'll send positive energy your way.
     
    JimSocal, Aug 5, 2006
    #5
  6. Re: Dental Implant failed after 2 years... s.m.d.

    Matt, Alex: thanks for sharing - good info there.
    Matt - at least you got cow bone instead of stolen body parts* !
    I had a creep break my front tooth long ago. I've had it replaced a
    three times with resin - mentioned it in this thread** - every 5 or so
    years.
    I plan to choose options that preserve as much tooth as possible.
    Seems like the smart thing for long term health.
    I was pressured to get a whole bunch of porcelain laminates and to have
    my amalgm fillings replaced. I declined the laminates, as the dentists
    who suggested them couldn't give me any facts (or anything at all in
    writing) on how long they could be expected to last. There are
    apparently no research results showing that they're a good idea. EBM
    (Evidence-Based Medicine) and EBD (E-B Dentistry) seem to be crazy
    newfangled ideas in the dental business. I OK'd having one of the
    amalgms replaced, and I regret that too - the replacement didn't last
    long at all - I had to have it replaced soon after, leading to a crown
    and root canal, while all the other amalgms are doing just fine! I'm
    an EBM (Evidence-Based-Man) myself. (Yes, I just made that acronym up.)
    Anyway, seems to me that most dentists are filling the demand for
    short-term fixes and short-term profits - damn the long term
    repercussions. Respect and kudos those that resist the temptations.

    * http://www.npr.org/templates/story/story.php?storyId=5230544

    **
    http://groups.google.com/group/sci.med.dentistry/browse_frm/thread/4eb7522302b35896?hl=en
     
    Bill Gates(Email to me without 'this is not spam' , Aug 5, 2006
    #6
  7. Bill Gates(Email to me without 'this is not spam' , Aug 6, 2006
    #7
  8. Guest

    > Has anyone had a similar experience with dental implants? What was the
    Yes, I'm afraid so, although my two implants (front teeth) failed after
    eight years despite having excellent oral hygience before and after the
    placement, and even though I'm a youngish non-smoker, moderate drinker
    and otherwise in good health. Three specialists have been unable to
    provide a good explanation as to why this should have happened.

    The problems started as a slight swelling under the gum (no bad taste
    though), which was diagnosed as being due to a defect in the bone
    around one of the implants. The defect was initially treated with
    Bio-Oss, but that actually didn't solve the problem at all. In fact, it
    seemed to accelerate things, as within two or three months more bone
    was lost and both the implants became loose necessitating their
    removal.

    Of course, that left an even larger defect which needed a bone graft
    (taken from my hip) before an attempt could be made to replace the
    implants. A bridge is not a consideration for me as all the adjacent
    teeth are intact (no crowns or even fillings) and I'm not prepared to
    damage those for the sake of two missing teeth. The bone grafting
    procedure wasn't too bad at all - it was almost painless where the bone
    was placed in the jaw, and there was only moderate discomfort in the
    hip area for about a month afterwards.

    However, the complication was a lack of gum tissue to stretch over the
    newly-placed bone, because this had obviously shrunk where the original
    bone was lost. Although the surgeon initially managed to get coverage
    of the graft, this shrank back after about a week to leave a nice area
    of exposed bone. Six months later, new gum has actually grown back over
    most of this area, although there's still a couple of small spots that
    are still not completely covered. Although some of the graft has
    resorped and small bits have flaked-off over time, it otherwise seems
    to have taken which is apparently a bit unusual according to my
    surgeon. My whole case appears to be less than routine though, so
    perhaps this is only to be expected!

    The next stage is to try and place the implants and see if they work
    after all the recent fun and games. There seems to be a bit of
    uncertainty about the chances of success after prolonged exposure of
    the graft, although the remaining bone seems healthy with a decent
    blood supply.

    BTW - GBP 5K seems a lot to pay for a single implant in the UK.
     
    , Aug 7, 2006
    #8
  9. wrote:
    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.
     
    Alexander Vasserman DDS, Aug 8, 2006
    #9
  10. Re: Dental Implant failed after 2 years... s.m.d.

    Anyway, seems to me that most dentists are filling the demand for
    short-term fixes and short-term profits - damn the long term
    repercussions. Respect and kudos those that resist the temptations.


    The problem is you have some crappy products out there and lots of
    marketing promising the world.
    When new stuff comes out everyone wants to try it some turns out to be
    good the rest is junk.
    There are some very good materials out there and you just need to go
    somewhere where they are being used.
    As a patient unfortunately you have no way of knowing about which
    materialls are good and which dentist has the proper skills and
    knowledge to use these materials.
    If you are EBD then you should seek an EBD dentist who will not
    recommend or use a new material until there has been some data on their
    success.

    As far as your question with veneers, if they are done right and you
    have enough tooth structure, and you've been honest about your medical
    health history, and you do not have some underlining conition, they
    should last decades.
     
    Alexander Vasserman DDS, Aug 8, 2006
    #10
  11. Re: Dental Implant failed after 2 years... s.m.d.

    Again, thanks for your reply. If I move to LA, my thanks will be
    becoming a patient. Looks like you helped a lot of people:
    http://groups.google.com/groups/pro...ABrr0yNK71koTrBWvnD7AHFX6yfqVqfFrsd59S0-h0xkw

    Yes, there's blame to go around. I was given a free lunch <sic> by
    some drug reps the other day, and then read
    http://www.scu.edu/ethics/publications/submitted/morreim/prescribing.html
    ! The HMOs are unspeakable too. These 2 parties in effect push the
    good guys in a big way to join the dark side (by promoting the
    "everyone else is doing it"... argument) too!

    I don't envy the dedicated dentists and doctors who actually dig
    through the marketing crap (or throw 'em out and read the FDA dislosure
    inserts in 6 point type) to determine whether a product is any good.
    Buyer beware seems to apply doubly so in medicine.
    I read this
    http://www.scielo.br/scielo.php?pid=S1678-77572004000500004&script=sci_arttext
    a couple days ago, and went back to reread it too; I got something out
    of it, but there's lots of info in there I couldn't understand well
    enough to apply to decision making in my own care.

    Are the good products much more expensive (e.g closer to 3x the price
    or 30% more)? What are some of your favorites? I assumed veneers are
    new; are there ones with research (quality peer-reviewed) behind 'em
    showing them lasting a long time? (In the case of my molar crown, it
    seems like the porcelain-over-gold crown I chose was the best product
    available, but far from the most expensive.)

    Flat out asking any dentist if he practices EBD is going to elicit a
    yes even if they don't, so I have no idea how to find one. Pretend to
    be into alt. med. and see if they go along? E.g. say I avoid flouride
    toothpaste and see what they say. Seriously, that's the best (and
    only) idea I can think of.

    -RBG
     
    Bill Gates(Email to me without 'this is not spam' , Aug 9, 2006
    #11
  12. Guest

    Alexander Vasserman DDS wrote:
    Thanks for the advice. I have now booked an appointment to see another
    dental implant surgeon. I will make sure I get the adjacent teeth
    x-rayed and examined to make sure the problem is not coming from there.
    I'll also research more on the autograft option.

    My main fear is being sucked into more and more invasive (and
    expensive) operations to correct the problem only to end up with even
    more problems, like having other teeth damaged in the process like you
    suspect may have happened with the adjacent teeth.

    I'll update the forum on the outcome of my case.
     
    , Aug 11, 2006
    #12
  13. Guest

    Wow if I had read cases like yours before I started implant treatment,
    I doubt I would have gone for it. My bridge was OK and functional. I
    wanted the implant for aesthetic reasons and what I was made to believe
    is a "one-off, life time, solution to missing teeth".

    I was made to believe that the implant could fail in the first 6 months
    after insertion and if it did not fail in that time then it was a
    success and the likelihood if it failing after that time period was
    pretty much zero. Now I'm reading stories of implants that were
    initially successfully only to fail a few years down the road.

    My suspicion is that implants are vulnerable to some sort of infection
    or adverse reaction that can set in at any time after the implant has
    been inserted and begin to erode the bone in the area. It seems the
    infection/adverse reaction is still hard to diagnose i.e. a lot is not
    known about this technology yet. As in your case, the root cause of the
    problem was not diagnosed, instead it was treated with more bone graft
    but the infection carried on eroding the bone, resulting in the removal
    of the implants.

    Maybe this is what is currently happening in my case (but I hope not!).
    Like in your case, the bio-oss recently inserted to address my problem
    has not worked and I continue to get the bad taste.

    I have booked an appointment to see another dentist for a 2nd opinion.

    Thanks for sharing your experience.

    G

    wrote:
     
    , Aug 11, 2006
    #13
  14. Guest

    > Wow if I had read cases like yours before I started implant treatment,
    The implants were great whilst they worked, but if I already had a
    functional bridge, I don't think I would have replaced it. As I
    mentioned before though, a bridge was not a consideration in my case as
    I didn't want to damage the adjacent intact teeth.
    My original implantologist and oral surgeon hinted at long-term
    problems that are now starting to be seen in the years since implants
    became common. Presumably there is research literature about this, but
    it unfortunately seems to be difficult for the layman to find.

    I did ask about my oral surgeon about his success rate of implants, and
    he said that he's so far only had one other unexplained long-term
    failure which also occurred around the eight-year mark. If that's the
    case, then I suppose that's not a bad success rate, but it doesn't help
    those who it does happen to.
     
    , Aug 12, 2006
    #14
  15. I'd like to point out that once the implant intergrates it is solid.
    The problem is we do not know exactly when the integration process is
    completed we just estimate based on statistics of what has worked in
    the past and at the minimum amount of waiting time because we do not
    want patients to be in provisionals for too long because this can also
    be a problem.
    As far as infection. If the inegration process is not completed and you
    develop infection specifically from an adjacent tooth then this can
    cause the implant to fail.

    Bio-Oss although an alternative to taking your own bone or that from a
    dead person takes much much longer to integrate. The upside is that it
    produces very hard bone due to its particle size and quality of mineral
    material in it.

    When an implant site is exposed or flapped to add more bone regardless
    of type or is exposed for another reason such as to clean the adjacent
    teeth thouroughly there is the risk of infection and loss of integrated
    bone around the implant. because when everything is stiched up there is
    some swelling that occurs and the skin puts pressure on the surrounding
    bone and causes it to diminish slightly.

    Also after an implant is placed if it is not cleaned and maintained by
    the patient adequatly you will see periodontal disease around the
    implant just as if it was a real tooth. So you need to consider why you
    think you lost the tooth in the first place, if it was due to gum
    disease??? are you ready to change your habits. If it was trauma that
    is different because that usually means or is assumed that you knew how
    to take take of the original tooth.
    At the same time gum disease is a very slow process it could take 15-30
    years for enough bone to be gone before a tooth or an implant is lost
    due to this so if you are 80 years old......... you understand that
    gum disease around the implant is going to outlive you. You need to see
    everything in perspective.

    I am not surprised you are having a hard time finding this information
    there are still lots of unknowns. except that for the majority of
    people getting an implant it is successful. The rare few that are
    having this problem like yourselves there is not much available as far
    as answers and guarantees. Everyone has had cases that start out great
    then for some unknown reason go a rye. If the patients stick with the
    program they eventually get fixed but about 50% that have one problem
    after the other give up and settle for something less or they leave the
    practice and we have no information as to what happened in the end. I
    think that if a decision is made to have the work either finished or
    redone is done somewhere else everyone would benefit from long term
    follow up information. For example if the implant has been retreated by
    someone else everyone who worked on you should be informed as to how
    things turned out good or bad and if good and then 20 years down the
    road it goes bad for what ever reason evryone should be informed of
    what happened. Not necessarily you having to go get an examination but
    a short email or letter or phone call would help. This way the
    information is placed in your chart and we as professionals know about
    what to expect. This will help us to tell the engeeners how to improve
    on the future implants so that we can have 100% success.
    If things are left in the dark and there have been failures dentists
    may switch to other implant systems without actually knowing what is
    was about one system that makes it better than the other. I can tell
    you in the past there was a good implant out there that intergrated
    well however it was made too hollow and when placed in certain area of
    the mouth it just broke in 2 or got bent. This implant is no longer
    being made but when a new implant comes out manufactures advertise how
    great it is only show the positive test results or the studies are
    biased and it ends up in your mouth with the promise that this is a top
    of the line implant. Then when these things begin to fail for whatever
    reason everyone is scratching their heads asking why. I guess what I am
    saying is that you are not going to be able to know what implant system
    to go with or how well it will work in your body you are going to have
    to trust the person who is putting it in. That this person did not just
    just on any implant system and asked around from others who have long
    term results. No dentist wants to set themselves up for failure it is
    not pleasant to hear that something you worked hard on was waorking and
    now it fails so in a sense dentists do not just jump on everything the
    manufactures recommend until they talk to colleagues who tested the
    waters. After all we do need to make progress. And this is why
    manufacturers' sales representatives can't seem to figure out why
    lasers for example aren't selling like hot cakes.



    wrote:
     
    Alexander Vasserman DDS, Aug 13, 2006
    #15
  16. Guest

    > Also after an implant is placed if it is not cleaned and maintained by
    Not sure if you're referring to the original poster here, but in my
    case, I really don't know what more could have been done. The teeth
    were lost due to external trauma (random attack in the street) that was
    nothing to do with my habits. In terms of my oral hygiene, well I have
    a handful of small fillings in eight molars (all of which were placed
    at least twenty years ago - and BTW still seem to be in reasonable
    condition), but the rest of my teeth are intact. I've had regular
    examinations and every dental healthcare professional I've seen has
    said I have good hygiene. I don't smoke, drink in moderation, appear to
    be fit with no underlying medical conditions, and was absolutely
    scrupulous about cleaning around the implants. I should have been an
    ideal candidate for implants, but despite that, they still failed.
     
    , Aug 13, 2006
    #16
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