Implant Failure: Is the Implant placed too close to adjacent tooth?

[Betty_]

I had an implant done roughly a year ago and had multiple bone grafts prior to it. Unfortunately after months of checkups I was notified the implant did not integrate and has to be taken out. Is the implant placed too close to the adjacent tooth? Could that be the reason of failure, and is there any potential harm in the future to that adjacent tooth? I'm a little worried about taking this out because it's been a long time and I already have many small scars and a cleft on my gum from all the previous procedures. Any answers would be greatly appreciated!

 

[honestdoc]

There is a lot of information we don't know. It seems that the adjacent front tooth has an incomplete root canal. The x-ray can be misleading since it only provides a 2 dimensional view. Did a specialist or a general dentist place the implant? Where did you get the implant? Do you have diabetes and or do you smoke? I'm not an implant specialist and I suggest you consult with a periodontist or oral surgeon on your condition.

 

[Dr M]

Good day

Usually there has to be a minimum of 2mm between the implant and the adjacent teeth. Since this is only a 2-D x-ray, it is difficult to give an opinion on the spacing, but it is rare that this is a cause of failure. In your case bone grafts was done, since there might not have been sufficient bone quality and quantity prior to the implant placement. It happens quite often that the bone grafts also become problematic.
After an implant is placed, some time is given in order for it to achieve stability in the bone. If no stability is achieved, the implant cannot be loaded, which means a crown cannot be placed on it. That is what is meant with the implant " did not take".
If you are scared to remove the implant immediately, get a second opinion from another specialist like a periodontist or oral surgeon.

 

[Betty_]

Good day

Usually there has to be a minimum of 2mm between the implant and the adjacent teeth. Since this is only a 2-D x-ray, it is difficult to give an opinion on the spacing, but it is rare that this is a cause of failure. In your case bone grafts was done, since there might not have been sufficient bone quality and quantity prior to the implant placement. It happens quite often that the bone grafts also become problematic.
After an implant is placed, some time is given in order for it to achieve stability in the bone. If no stability is achieved, the implant cannot be loaded, which means a crown cannot be placed on it. That is what is meant with the implant " did not take".
If you are scared to remove the implant immediately, get a second opinion from another specialist like a periodontist or oral surgeon.

Thank you Dr.M for the response. Would you suggest to get a cbct done to check the the spacing? I read somewhere else that if the implant is too close it could ruin the adjacent tooth in the long run. I'm just hesitant due to the high price of the scan. would there be another way to correctly evaluate the spacing?

 

[Betty_]

There is a lot of information we don't know. It seems that the adjacent front tooth has an incomplete root canal. The x-ray can be misleading since it only provides a 2 dimensional view. Did a specialist or a general dentist place the implant? Where did you get the implant? Do you have diabetes and or do you smoke? I'm not an implant specialist and I suggest you consult with a periodontist or oral surgeon on your condition.

Thank you for the answer. I don't have diabetes nor smoke and the implant was placed by a specialist. I saw another specialist but he just suggested to go with a bridge after taking out this implant.