Sat - By Appointment
July 21, 2016
As with any other surgical procedure, there are a variety of internal and external factors that cause complications or even total failure of the treatment. Dental Implants are no exception. Dental implants are designed to be a permanent replacement for a missing tooth or teeth and are a popular alternative to removable dentures or fixed bridges. They anchor artificial teeth directly into the jawbone which makes them a more functional and aesthetically pleasing restoration. That said, they are also more expensive and have longer treatment and recovery times.
While the track record of successful dental implant procedures is impressive, some patients do experience some complications. The following are a few of the possible causes and reasons behind dental implant problems or failure that you should be aware of before deciding to get dental implants or as you start the post-surgery healing period.
More than 95% are completed without incident (up to 98% if they are cared for properly). The majority of the problems that do occur are minor and easily resolved. If something does go wrong, consult your dentist or surgeon as soon as possible. A fast response enables them to take corrective actions before you or the implant is threatened by additional (more serious) problems, which is why it’s important to be aware of the possible complications. Other ways to improve the chance of success include finding an experienced dentist, planning the treatment schedule carefully beforehand and following aftercare and oral hygiene instructions to the letter.
Failed Osseointegration (Implant is Loose or Fell Out)
Osseointegration describes the formation of a direct functional and structural connection between a person’s bone and an artificial implant. This process takes place over the course of several months after the implant is placed. Failure of an implant is often attributed to the failure of the jawbone to fuse together properly with the implant. An implant is deemed a failure if it is mobile, falls out or shows signs of bone loss of more than 1 mm after the first year and more than 0.2 mm after the second year. Several factors can cause this to happen including incorrect positioning, insufficient bone density or volume, overloading, damage to surrounding tissues, external force/sudden impact, fractured implants or even a reaction to anesthesia. Several of these causes are described below.
Before an implant can integrate properly into a jawbone, there must be a healthy volume and density of bone present. For patients who lack adequate bone height, width or length, procedures such as a sinus lift or bone graft can help add space and bone mass, but significantly add to both the total treatment time and cost.
It’s interesting to note that the density of bone beneath missing teeth deteriorates over time since it is not being stimulated by the forces of chewing. Patients who have been missing teeth for months or years often require bone grafts before they can get implants.
Peri-implantitis, or infection, can set in when bacteria is present during oral surgery or any time post-surgery without proper dental hygiene. It can also be caused by the dental cement used to secure crowns onto the abutments when it escapes from under the crown during cementation and gets caught in the gums.
It is a condition that involves inflammation of the gum and/or bone around the implant and is one of the common complications. A form of periodontal disease, peri-implantitis can cause bone loss and implant failure. It can sometimes be treated, but in most cases the implant must be removed. There are cases where it does not occur until several months or years following the surgery. Patients with diabetes, smokers, patients with thin gums and those with poor oral hygiene are at greater risk of developing the infection. Smoking in particular significantly decreases the success rate of an implant.
Nerve & Tissue Damage
Another possible but rare problem is damage to the tissue surrounding the implant, specifically the nerves. When an implant is placed too close to a nerve, patients may experience chronic pain, tingling or numbness in their cheek, gums, tongue, lips or chin. The nerve damage could be temporary or permanent and the implant might need to be removed. In almost all cases, this problem is caused by mistakes made by an inexperienced dentist.
As with other invasive surgeries, some tissue damage will occur during a dental implant procedure. Some bleeding and pain is to be expected for a couple days after the surgery, but if the pain is extreme, the bleeding excessive or they it last longer than a few days, you should contact your dentist.
In certain cases, the oral surgeon may decide to perform immediate loading during a dental implant procedure. Immediate loading is a one-stage treatment method where the crown and abutment are placed on the dental implant right after the post is surgically inserted. The normal process consists of two stages and provides time for the implant to integrate with the bone before adding the components that protrude above the gums. Benefits of this method if problems do not occur include less post-surgical care, quicker recovery and shorter treatment times. However, this all-in-one procedure can lead to complications since implant integration is incomplete.
Overloading is the term given to failures caused by undue pressure or forces placed on the protruding abutment and/or crown. These forces can easily disrupt the osseointegration process. Patients who have inadequate bone mass may not be eligible for immediate loading.
Sinuses can be a major challenge for dental implants replacing teeth in the upper row. In addition to the presence of the sinuses, insufficient bone quality and quantity in the upper back jaw can make dental implant procedures in this area difficult.
To develop a strong bone foundation, an oral surgeon may perform a sinus augmentation. This procedure involves lifting the existing bone into the sinus cavity to create enough space that for a bone graft. The goal is to create more bone in that area in order to support a dental implant.
However, if the implant protrudes into the sinus cavity, the area can become infected and/or inflamed. An X-ray or CT scan can easily detect this problem and corrective surgery can then be performed. Patients should inform their oral surgeon of sinus issues prior to the implant procedure.
Other Risks & Causes of Failure
The following are other risks and causes of dental implant challenges for patients to consider.
Foreign body rejection – Similar to organ transplants, it is possible that a patient’s body will reject the dental implant. In this case, the patient’s body see the dental implant as a foreign object that does not belong and pushes it out.
Failure of the implant itself – Even though they are made of metal (usually titanium), it is possible for the post to bend or even break. This much less common than it was years ago thanks to advances in implant design and materials, but it is still possible. An implant can crack or fracture if it is subjected to excessive external forces. This could be a sudden impact like a blow to the face or excessive pressure over a period of time like grinding teeth or an unbalanced crown.
Allergic reaction – Most implants today are made of a titanium alloy that contains traces of nickel. While quite rare, some patients can have an allergic or inflammatory reaction to titanium. The symptoms can range from itchiness to Chronic Fatigue Syndrome. The MELISA test is the only scientifically-proven way to determine whether or not you have a titanium allergy and what the severity is.
In addition, there are a number of conditions and external factors that can be reason enough for a dentist to withhold dental implants from a particular patient. There are very few reasons that would absolutely prohibit implant dentistry, but the following points should be taken into consideration.
- Failure to locate a primary nerve in the lower jaw
- Insufficient bone height, width or length
- Uncontrolled Type II diabetes
- Oral or intravenous bisphosphonates
- Bruxism (tooth grinding or clenching)
While that might seem like a long list of highly-unpleasant problems, remember that serious problems are rare and success rates are 95%+ as long as you find a trusted dentist to do the surgery and look after your teeth. Regular visits to the dentist can help manage most problems easily thanks to early detection. That said, be sure to contact your dentist as soon as possible if you have any of the symptoms mentioned in order to prevent implant failure or at the very least avoid developing more serious health problems.
What to do if an Implant Has Failed
All is not lost if a dental implant fails. It is sometimes possible to save an implant (if help is sought quickly enough) by building up the bone & gum tissue surrounding it. However, in most cases the implant must often be removed and the area left to heal. An implant can be attempted once the area has recovered, which can take up to a year or until the dentist determines that the site is suitable. Depending on how well the area heals, a bone graft might be required to provide a better foundation for the implant and improve the chance of success.
If the implant fails a second or third time, then it’s a sign that either:
- The dentist doesn’t know what they’re doing/isn’t capable of successfully completing the procedure or
- You have insufficient bone density, an allergy or are otherwise unsuitable for implants
The best way to figure out which situation you’re in is to get an honest second opinion from another dentist to see if they think that implants will work for you and to inspect the work the other dentist did.
In the first case, there are two main courses of action:
- Ask for some or all of your money back and start looking for a new dentist.
- Consult a legal professional to determine if you have grounds to sue for negligence or malpractice.
If you fall into the second category (you are the cause of the problem), your dentist should be honest with you and suggest other tooth restoration solutions such as dentures or bridges as implants probably won’t ever work.
In either case, the most respectable dentists will refund you for the failed implants or offer you credit towards an alternative restoration. However, at the end of the day, your dentist’s responsibility depends on what it says in your agreement.
Share With Your Friends:
I switched my dentist because i was dissatisfied with their service and decided to go to Dr.Gorbotov's office for my wisdom tooth extraction. I never thought I would see the...
Oleg Solovey (Sunny Isles, FL)
This is IT!!!! As good as it gets!!! If you want a celebrity smile call his number.
Jacob F. (Miami)
Dr. Gorbatov placed an implant for me, I am extremely happy with the result, I had absolutely no pain during the procedure after few month doctor put a crown, looks...
Sergey Kasatkin (Sunny Isles Beach, FL)
I have been having a lot of issues with my teeth for quiet some time, including broken molars and bad procedures at other dental facilities. I came to Dr. Gorbatov...
Felix Spengler (Miami, FL)
The receptionist goes above and be on for the customers. Excellent service the doctor treats you with all his attention feels like I’m right at home and explain everything detailed....
Sophie Garcia (Royal Palm Beach, FL)
Well I’ve been going to Dr. Gorbatov since 1996.... Yes ! I’m a loyal. With all the dental issues I’ve had, he’s been able to resolve them and been keeping...
Burke Crump (Wellington, FL)
Love the staff and great service!!
Rebeca Saravia (Dania Beach, FL)
I've been looking for a good dentist since So. FL lacks them. Not anymore, great professional services, and best of all, you will find a personal touch. You will truly...
ML GG (Hollywood, FL)
I’ve been coming here for almost 10 years now and can surely say that the customer service provided is one of the best in town. Make sure to be nice...
Hype Kay (Royal Palm Beach, FL)
The atmosphere in this office is beyond believe, I instantly felt comfortable with Dr Dimitiri and his assistant Yuri. They work great together. I had 6 veneers put in and...
Ruslan Gahramanov (Sunny Isles Beach, FL)
Benjamin R. (West Pam Beach, FL)
Incredible how I was just taking my mother to her dentist appointment to me ending up becoming a patient, Jessica greeted me with such warmth and compassion and immediately noticed...
Aracelis Figueroa (Wellington, FL)
My experience was great.Doctor is very professional.I really recommend.The best place to go for your dental.
Olga Meverden (Sunny Isles Beach, FL)
Painless, professional and efficient. Dr Gorbatov is great!
Suzanne Wilt (West Palm Beach, FL)
Very professional nice staff great service.
I had a procedure done by Dr. Gorbatov, it was amazing, I didn't feel anything, he has very gentle hands and techniques and I didn't even feel the shot! I...
Jessica Y Montero (West Palm Beach, FL)
Entire office & staff is very accommodating and attentive to all your needs. The dentist was very nice and professional and really took the time to explain to me everything...
Tiffany D. (Hollywood, FL)
Since me and my wife moved to Florida from Nj several years ago, we were looking for good dentist, the one we can trust. We tried a few but were...
Tatiana Lapushchik (Hollywood, FL)
I recommend this place to anyone that needs any type of dental work done , I always feel welcome from the moment i sign in untill my visit is over...
Lyn F (Wellington, FL)
Wonderful facility and staff, very professional.
(Sunny Isles, FL)
For me, dental work always came with the presumption of pain and discomfort. That's why it was always very difficult to get any recommended work done, because all I'd have...
Iry T. (Hallandale Beach, FL)
I are retired dentist and visit dr Gorbatov,s office like a patien for dental works. We graduate the same school New York university and l can tell you the dr...
Shmuil Aronovich (Hallandale Beach, FL)
Loved coming here, very nice Doctor and wonderful experience with a great cleaning. Receptionist is awesome too.
Lina Lobo (Greenacres, FL)
Great service Knowledgeable doctor Friendly staff 5+ stars!! Someone hacked into my account and gave false review. Not me!!! Outstanding service @ Dr Gorbatov Dentistry!!!!
Ellen Zlobinskiy (Hallandale Beach, FL)
Very helpful and amazing response time! Found them on Instagram and I'm happy I did!
Cece Esk (Hollywood, FL)
Thank you personally and from the bottom of my heart for the kindness and consideration you showed my mom, Catherine the other day! ?
Patrizia Rondelli (Hollywood, FL)
I take my 90yr great grandmother to this office and they are so kind and she feels so loved here. Every visit she receives excellent service and quality work. Thank...
Farron Ann (Wellington, FL)
Excellent Service! Friendly, Clean and Prompt!
Deidre Reid-Thomas (West Palm Beach, FL)
I went to the office to get teeth cleaning! The receptionist was overwhelmed with something, but she was the sweetest. My dental hygienist did great job, made sure I feel...
Elizaveta C. (Miami, FL)
Very impressed with Dr. Gorbatov's ethics. He truly cared about my situation, the fact that I was from another city and had limited time off of work to address my...
Tatiana Safonova (Sunny Isles Beach, FL)
Absolutely amazing. Jess and Jessica at the front made me feel so comfortable and helped me conquer my fear of the dentist. The office is clean and welcoming I completely...
Hayley Kaplan (Wellington, FL)
I always have a great experience when I come here, the staff is wonderful and I would not change my dental office for anything in the world.. Jessica is amazing...
Shiloh Robinson (Wellington, FL)
Very good cleaning
Riley Purdy (West Palm Beach, FL)
Fast service and the best staff! I highly recommend this Dentist. I've been going to this Dentist for 2 years and I travel far now just to come here. They...
Christine (Orlando, FL)
No teeth fell out mid cleaning. 10/10
Erik Purdy (West Palm Beach, FL)
I've been looking for a good dentist since So. FL lacks them. Not anymore, great professional services, and best of all, you will find a personal touch. You will truly...
ML GG (Aventura, FL)
Dr. Gorbatov was very thorough and went over all concerns I had (I'm not really a fan of the dentist). He is definitely the nicest Dentist I have ever been...
Sofia Rodriguez (Hallandale Beach, FL)
This is the best dentist in the world who really cares about each and every patient and makes your smile look perfect! After visiting the new office you will be...
Kseniia Dursinova (Sunny Isles, FL)
Had a great experience with Dr.Gorbatov, he is really professional and doing great his job always with a smile)) Definitely recommending him
Tanya Kusiumova (Sunny Isles Beach, FL)
I would like say that this office is at the TOP of my list. The staff is awesome, it is very clean and you made at home as soon as...
Jazlyne Jimenez (Lake Worth, FL)
I finally found a great dentist who does its all, root canals, caps, and implants. I needed major work on my mouth all at once, although it was expensive because...
Diane O’Brocki (Loxahatchee, FL)
Great staff I was nervous but they made me feel at ease. I am confident that they will give me the smile that I airways wanted. The receptionist personality is...
Uuggh uggh (West Palm Beach, FL)
Hello, Dr.Gorbatov is truly THE BEST ,so please just forget about all the rest! I truly witnessed MIRACLE IN MAKING!!! My sister now have a MOVIE STAR SMILE! Thank you...
Valnea Del Bianco (Hallandale Beach, FL)
Awesome service. Highly recommended
Iliana Gonzalez (Royal Palm Beach, FL)
Dr. Gorbatov is an outstanding dental surgeon and professional in every sense of the word. He and his entire staff are wonderful--- by far the most knowledgeable and compassionate of...
Salt&Light (West Palm Beach, FL)
S u p e r b ...Immaculate dentistry! I was impressed with a GREAT attention to details! His work is truly an ART and priceless! Everyone in the office is...
Gordana Skracic (Aventura, FL)
I want to say that I never write reviews. However I have to say that this dentist center is amazing! From the moment you enter you feel like family. Everyone...
Lisa Jerkins (Wellington, FL)
I have been Dr. Gorbatov's patient for over 8 years and have always received excellent service. The facility and staff are wonderful. I would highly recommend A Center for Dental...
Teresita Camacho (Lake Worth, FL)
Everyone in the office is super amazingly fantastic! They're informative and understanding. Dr. Gorbatov has done great work on my teeth! The dental hygienist has been a charm, makes every...
John Kern (Hollywood, FL)
Been going here forever and they do an excellent job with all your dental needs and even with cosmetic dentistry as well!
Lauren Harris (Lake Worth, FL)
Good quality office, and dental work.
Igor Gonchar (Hallandale Beach, FL)
I had been looking for a dentist for a few months and I was referred to Dr. Gorbatov and I can certainly see why. I've always been a little skeptical...
Jazlyne Jimenez (Hallandale Beach, FL)
I know Dr. Gorbatov and use his service already for 15 years since we moved to Florida. He is an amazing doctor capable to do all types of dental and...
Eugenia Aulov-Volchek (Sunny Isles Beach, FL)
You are the best guys! You definitely make me smile more :) Thank you sooooo much! Olga Aksenova ❤️
Olga Axenova (Hallandale Beach, FL)
Very professional office. Good dentist.Clean dental office
Anna K. (Hollywood, FL)
Thank you Dr. Gorbatov for the great experience, your gentle touch and quality work you have done on my teeth. I have been very pleased with your professional, yet personable...
Irina D. (Port Orange, FL)
Noel Reyes (Lake Worth, FL)
This is the Best Dental Office I ever was. Great personality, gentle touch and perfectionism in all aspects of cosmetic dentistry. Thank you Dr. Gorbatov for creating Smile I always...
Yuriy Gorobets (Hallandale Beach, FL)
Very high professionalism, excellent atmosphere and responsiveness of employees have made this business one of the best. A well-functioning team led by one of the best professionals of the US...
Lili Ivanova (Sunny Isles Beach, FL)
I was very fortunate to find Dr. Gorbatov right when I had a major issue with an old crown that fell off and led to a major infection just a...
Octavian Miron (Aventura, FL)
I have lived and worked all over North America. One of the greatest challenges of relocating is finding the best dental practice. "Center For Dental Excellence" was recommended to me...
Gregory Sutton (Wellington, FL)
I feel I have the best care possible under Dr. Gorbatov and his team. His work is top quality and because of him I know my teeth and the health...
Alex P. (Fort Lauderdale, FL)
Thank you doctor for my beautiful smile!
V V (Hollywood, FL)
I had a great experience with Dr. Dmitry Gorbatov. He was able to save my tooth from getting a root canal. All the staff was really nice, and attentive. I...
Arthur R. (North Miami Beach, FL)
The dentist fit me in last minute when my normal dentist was unavailable I tried them on the recommendation of a friend after I broke a veneer and had 3...
Mark Krawiec (Hollywood, FL)
Dr. Gorbatov is an excellent dentist. I went to several other dentist and they all wanted to do a root canal, but Dr. Gorbatov was able to save my tooth....
Arthur Rubinovich (Sunny Isles, FL)
What a great experience at the dentist!! I wish I had found these guys years ago, maybe I wouldn't be so afraid of the dentist. Thought I needed a root...
Craig Balsam (Wellington, FL)
Dr. Gorbatov is an excellent dentist whose main priority is making sure his patients are comfortable and get the best dentistry he can offer. He provides an attentive service, and...
Natallia Harbacheuskaya (Hollywood, FL)
The dentist is very friendly and gentle during procedures.
Sofie M (Sunny Isles Beach, FL)
I have been going to this office now for the past 3 years. From Jessica working the front, to having my teeth cleaned, and both Drs. working on my teeth,...
Joanne Purdy (Wellington, FL)
Jessica at the front has helped me tremendously and the Dr has made the large amount of work that I have had done painless
Celeste Clossin (Wellington, FL)
From the minute I walked in the dr Gorbatov office till the and of my treatment I was pleasantly surprised with professionalism and care of Dr and his staff. I...
Anna (Hollywood, FL)
I have been going to Dr Gorbatov at A Center For Dental Excellence for many years now and their use of "Excellence" isn't just a marketing ploy and they definitely...
Lawrence F. (Lake Worth, FL)
Very happy with quick service, suggestions & prices. Will be a repeat customer
Jaclyn Franceschini (Fort Lauderdale, FL)
Love Dr. Gorbatov! He is skilled, professional, thorough, nice, and always keeps me comfortable. The assistants and office staff are great too. I highly recommend Dr. Gorbatov!
fannabl (Hallandale Beach, FL)
When I first found this office I was terrified of the dentist and I had constant anxiety when seeing dentists. Now I look forward to cleanings and my anxiety is...
Hayley Kaplan (Wellington, FL)
High-level professionals. Thank you, Dr. Gorbatov. I'm going to recommend your clinic to my friends. With best regards!
Vlad Shishko (Sunny Isles, FL)
I have been with the dentist for a few years now and love the care I receive. You are taken care of from the front desk person, through your visit!...
Juan Rodriguez (Greenacres, FL)
First time here the staff and Dr were so informative and professional thank you for making my experience run so smooth ?
Evelyn Garcia (Greenacres, FL)
Had an amazing experience. Staff was very caring and nice. They are very honest
Billie Selinsky (Wellington, FL)
Excellent service , friendly & professional !!!
Mauricio Bonifacio (Sunny Isles, FL)
A Center for Dental Excellence is fantastic. They’re understanding and extremely competent. Not only is the dental care itself excellent, but their quality of caring about their patients is unparalleled....