I am considering replacing an older implant placed about 20 years ago. I originally lost the tooth due to infection...2nd from the front.
My dentist is finding it difficult to remove. He was able to remove the screw, but the implant did not budge. I do not like the way the current implant looks.
Also, I am concerned about the bone and tissue healing if I start over. Should I just live with it the way it is? ... Visitor from AZ
Optimal osseointegration of a dental implant is THE primary goal of implant dentistry. Once "function" is rock solid, then the "restorative" procedure is implemented to create basic function needed along with a quality of cosmetic fit.
Completely redoing an implant site for the sake of how the "functional part" looks may be a valid interest that should be weighed against the cost and benefit of doing something that may have little or no differential impact upon the final function and restoration of the tooth.
The likelihood is high that successful efforts in removing the implant will create more bone loss that may require new graft material that accompanies the new implant.
Your dentist or periodontist is in the best position to predict the success of a new osseointegration of a different implant.
In terms of benefit versus overall cost and treatment time, with all factors considered, the patient is in the best position to determine value.
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