ICE Centre for Diagnosis & Management of Implant Failures

Failing implants and mediolegal cases

We accept referrals and give second opinion for the diagnosis and management of failing or failed implant cases, at our Centre for the Diagnosis and Management of Implant Failures at ICE Postgraduate Institute for Dental Implantology. We understand that implant failures can be a most distressing time for the patient and their clinician. We endeavor to provide appropriate advice and recommendations and will be available to undertake the remedial procedures necessary to resolve the situation in a holistic and cost effective manner.

Implants may fail due to:

   Failure to osseointegrate if planning and placement protocols are not followed

   Peri-implantitis

   Restorative failure

   Functional failure through occlusal factors

   Aesthetic failures

   Fractured implants/mechanical failures but these are rare in well planned cases

Peri-implantitis

Peri-implantitis is, in simple terms, when periodontal disease affects the tissues supporting an implant. The pathogens involved are also very similar to those involved in periodontal disease.

Prevention of peri-implantitis is critical by reducing various risk factors before proceeding with implant therapy and maintaining the implants long term. Risk factors include smoking, uncontrolled periodontal disease, unstable diabetes and other immunological disorders. If peri-implantitis is detected then various procedures can be used to stabilize the disease process and prevent its progress. This involves cleansing the implant surface with or without flap reflection, the use of various medications, guided tissue regeneration techniques or, in advanced cases, explantation. ICE runs the Centre for Treatment of Peri-Implant Diseases where patients are referred by their dentists and implant surgeons for the diagnosis and management of peri implant diseases.

Explantation

Implant removal may be necessary due to a variety of reasons. This can usually be performed in a controlled and atraumatic procedure using special equipment. An additional implant can often be planned subsequently.

Restorative failure

Crowns, bridges and implant-retained overdentures can fail and fracture with time. This may be due to de-cementation, or screw loosening or due to fracture to the porcelain or substructure. The underlying cause needs to identified and corrected prior to proceeding with repairing or replacing the prosthesis.

Aesthetic failures

Dental implants are a functional replacement for missing teeth which can blend harmoniously with the adjacent teeth. However dental implants are prostheses which are used to replace missing teeth often in difficult and challenging situations. The effects of gum recessions, bone resorption and tooth movement need to be properly assessed and considered before a realistic aesthetic outcome can be realized. Our experience in this area allows us to take on these cases, remedy difficult circumstances and deliver predictable and stable results. This may mean additional surgical correction, orthodontics or the clever use of gum coloured porcelains and composite to disguise the effects of tissue loss.

 



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Prof C Ucer 01612371842
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