Failed Dental Implant Treatment in Bandra West

A dental implant can fail early, before the bone integrates, or late, usually through infection and bone loss around an implant that had been stable for years. Signs include looseness, pain on biting, bleeding or pus around the implant, gum recession exposing the metal, or a crown that keeps coming loose. At Bliss Skin & Dental Polyclinic in Bandra West, failing implants are assessed with radiographs and periodontal measurements, and patients whose implants were placed at other clinics are seen for a second opinion.

Benefits of failed dental implant treatment

• Establishes what is actually happening — a loose crown and a loose implant are very different problems
• Stops ongoing bone loss, which makes every future option better
• A second opinion in writing, whether or not the implant was placed here
• Where the implant is salvageable, treatment to keep it
• Where it is not, a clear plan for removal, healing and replacement
• Identifies why it failed, so the next one is planned differently

Areas treated

• Any implant site in either arch
• The gum and bone immediately surrounding the implant, where peri-implantitis does its damage
• The implant crown and its margins, including residual cement left at fitting
• The opposing teeth and the bite, where overloading is a contributing cause
• The rest of the mouth, since peri-implantitis rarely occurs in isolation from gum disease

Conditions treated

Signs an implant is in trouble

• The implant or its crown feels loose or moves
• Pain or tenderness on biting, or a dull persistent ache
• Bleeding, swelling, pus or a bad taste around the implant
• Gum receding so that metal becomes visible
• The crown or screw repeatedly loosening
• Bone loss visible on a radiograph, sometimes with no symptoms at all

A loose crown and a loose implant are different problems with very different consequences. Distinguishing between them is the first thing the assessment establishes, and it is why “it just needs tightening” is not a safe assumption.

Why implants fail

Early failure — before integration

Insufficient primary stability, overheating of bone during placement, contamination, loading too early, poor bone quality, or smoking during healing.

Late failure — after integration

Peri-implantitis is the commonest cause: a bacterial inflammatory process around the implant that destroys supporting bone, driven by plaque, inadequate cleaning access, residual cement left under the crown, or untreated gum disease elsewhere in the mouth.

Mechanical and design causes

Implants placed in the wrong position or angle, a crown that cannot be cleaned around, overloading from grinding or an unbalanced bite, screw fatigue, or component fracture.

The procedure, step by step

How a failing implant is assessed

• Mobility testing to distinguish a loose restoration from a loose implant
• Periodontal probing around the implant and bleeding assessment
• Radiographs, and CBCT where three-dimensional bone assessment is needed
• Examination of the crown design, cleansability and any residual cement
• Assessment of the bite and of grinding habits
• Review of gum health across the whole mouth, since peri-implantitis rarely occurs in isolation

What can be done

Where the implant is still integrated

Non-surgical decontamination, correction of the restoration if it cannot be cleaned, removal of residual cement, bite adjustment, and a structured maintenance programme. Surgical access to decontaminate and, in some cases, regenerate lost bone may be appropriate.

Where the implant is mobile or the bone loss is advanced

The implant is removed. The site is allowed to heal, often with grafting, and a new implant may be placed later — or a bridge or denture used instead. Removing a failed implant is not a defeat; leaving one in place while bone is lost makes every subsequent option worse.

Downtime and recovery

After decontamination or surgical treatment

• Soreness and swelling for a few days where surgical access was needed
• Soft diet and careful cleaning of the area as instructed
• Antimicrobial rinse where prescribed
• No smoking — it is strongly associated with peri-implantitis progression

After implant removal

• Healing over weeks, often with grafting placed at the same time
• A temporary replacement tooth where the gap is visible
• Several months before a new implant can be considered
• Review appointments to confirm the site has healed and stabilised

Results timeline

• Assessment appointment: mobility testing, probing, radiographs and, where needed, CBCT
• Immediate: bite adjustment, decontamination or removal of a problem restoration where that is the issue
• Weeks: response to non-surgical treatment is re-measured before deciding anything further
• Where removal is needed: healing, often with grafting, over several months before a new implant
• Ongoing: a structured implant maintenance interval rather than ordinary check-ups

Cost of failed dental implant treatment in Bandra

Bliss does not publish treatment prices. A figure quoted before an assessment is a guess, and a published price goes stale and then misleads. You are given a written estimate after the examination and before treatment starts, and you are told before anything changes.

What the figure reflects:

• Whether the implant can be saved or must be removed
• Whether treatment is non-surgical, surgical, or regenerative
• Grafting requirements after removal
• A replacement implant, bridge or denture afterwards
• Imaging, including CBCT where three-dimensional assessment is needed
• The assessment appointment itself, which is a defined appointment with a written report

Failed dental implant treatment compared with the alternatives

Save it, remove it, or replace it differently

• Save the implant: possible where it is still integrated and bone loss is limited. Lowest cost, but needs a maintenance commitment and does not always hold
• Remove and replace with a new implant: the most complete solution, but adds months of healing and often grafting
• Remove and bridge: quicker, but requires preparing the neighbouring teeth irreversibly
• Remove and accept the gap, or use a denture: least invasive and least expensive
• Leave it and hope: the one option that reliably makes every other option worse, because bone continues to be lost

Risks, suitability and important considerations

Reducing the risk next time

• Treat and stabilise gum disease before any new implant is placed
• Three-dimensional planning so position and angle allow cleaning
• Screw-retained or carefully cemented crowns to avoid residual cement
• A night guard where grinding is a factor
• Stopping smoking, which is the single biggest modifiable risk factor
• Scheduled implant maintenance reviews — not just ordinary check-ups

Second opinions

Patients are seen regardless of where the original implant was placed. The purpose of the appointment is to establish what is actually happening and what the realistic options are, in writing. If the original clinic can and should remedy it, that will be said.

Failed dental implant treatment at Bliss, Bandra West

The clinic is on the 2nd floor at 6 Hilton Apartment, 35-A Hill Road, opposite Elco Shopping Centre in Bandra West, a short walk from Hill Road and within easy reach of Bandra station, Khar, Santacruz and Mahim.

Frequently asked questions

My implant feels loose. Is it an emergency?

It should be seen promptly. A loose crown and a loose implant are different problems and the distinction changes everything, so it needs assessing rather than tightening at home.

Can a failed implant be saved?

Sometimes, where it is still integrated and the bone loss is limited. Where the implant is mobile or bone loss is advanced, removal is the better route.

Can a new implant go in the same place?

Often, after the site has healed and sometimes after grafting. It is not usually done at the same visit as removal.

Will you treat an implant placed at another clinic?

Yes. A large part of this work is second opinions on implants placed elsewhere.

Is peri-implantitis the same as gum disease?

It is closely related — a comparable inflammatory process around an implant rather than a tooth, and it tends to progress faster.

Why did my implant fail when I was told success rates were over 95%?

Population success rates are not predictions for an individual. Smoking, uncontrolled diabetes, untreated gum disease, grinding, implant position and crown design all shift the odds substantially.

How much will it cost to fix?

It depends entirely on what is found. You get a written plan with costs after the assessment, and the assessment itself is a defined appointment.

Who carries out this treatment

Dental and orthodontic treatment at Bliss Skin & Dental Polyclinic is led by Dr. Farhan Parkar, BDS, MDS (Orthodontics), registered with the Maharashtra State Dental Council under number A-18082. He completed his BDS at M A Rangoonwala College of Dental Sciences, Pune in 2009 and a three-year full-time MDS residency in Orthodontics at Manipal in 2013, and has practised since 2009, including a period working internationally. He is an author of a 2013 text on cone beam computed tomography in orthodontics.

Registration numbers are published here deliberately. Any patient in Maharashtra can verify a dental practitioner with the state council, and we would rather you did — here and at any other clinic you are considering.

Book an appointment

Call +91 93221 22111, message the clinic on WhatsApp, or book online. Bliss Skin & Dental Polyclinic, 2nd Floor, 6 Hilton Apartment, 35-A Hill Road, Opposite Elco Shopping Centre, Bandra West, Mumbai 400050.

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Related treatments at Bliss

• Dental Implants
• Dentist

Sources and further reading

• Indian Dental Association — Your Oral Health