Dental Implant Not Feeling Right: What to Do Next

Signs of dental implant failure need a clinician and radiographs. Bleeding, pus, deeper pockets, and bone loss are published disease signs.

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  • Peri-implant health means no redness, no bleeding on probing, no swelling, and no pus.
  • Peri-implantitis adds progressive bone loss to inflammation. A clinician and a radiograph make that call.
  • A sore mouth after surgery is not the same list. Do not self-diagnose failure from a feeling.
  • If you already have an implant that does not feel right, call the clinic. The quiz does not examine you.
Health and disease around an implant, from the 2017 World Workshop
StateWhat the consensus report requires
Peri-implant healthNo redness, no bleeding on probing, no swelling, and no pus
Peri-implant mucositisBleeding on gentle probing. Redness, swelling, or pus may be present. Plaque is the cause they name
Peri-implantitisPlaque-related inflammation plus progressive loss of supporting bone. Bleeding or pus, deeper pockets or recession, and radiographic bone loss

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What do published disease signs include?

Berglundh, Armitage, and the 2017 World Workshop define peri-implant health as the absence of erythema, bleeding on probing, swelling, and suppuration. Peri-implant mucositis is bleeding on gentle probing. Erythema, swelling, and suppuration may be there. They name plaque as the cause. Peri-implantitis is plaque-associated inflammation of the mucosa together with progressive loss of supporting bone. The clinical signs they list are bleeding on probing and/or suppuration, increased probing depths and/or recession, plus radiographic bone loss.[1]

That list is not a photograph you can take in a bathroom mirror. Probing depths and radiographs are clinic measurements.

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Is soreness after surgery the same list?

No. The workshop definitions are for peri-implant mucositis and peri-implantitis, not for the first days after an operation. This page does not turn a tight feeling, a bruise, or a tender gum into a failed implant. It also does not say a loose feeling proves failure. If the timing is the early weeks after All-on-4, read what the studies do and do not time, and still call if you are worried. Longer follow-up, which is not the same question as this week's soreness, is in how long All-on-4 implants last.

Why call instead of taking the quiz?

The quiz asks people who are choosing a treatment which path to explore. It does not look in your mouth, and it does not read a radiograph. If Renew treated you, call 613-841-6111 or use the contact page.[2] If another office treated you, call them. The risks hub on this site is that contact path, not a self-test.

Tom Szarski, DD, is the denturist. The implant surgeon places implants. Either way, a mouth that already hurts needs a person on the phone, not a score on a form.

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Sources

  1. Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop — Journal of Clinical Periodontology
  2. Contact Renew Implant Centre — Renew Implant Centre

Frequently asked questions

What are published signs of peri-implant disease?

The 2017 World Workshop says peri-implant mucositis shows bleeding on gentle probing, and may show redness, swelling, or pus. Peri-implantitis adds progressive loss of supporting bone, with bleeding or pus, deeper pockets or recession, and bone loss on a radiograph.

Can I tell at home that an implant has failed?

No. Those signs are diagnosed by a clinician with probing and radiographs. A feeling that something is loose or sore is a reason to call, not a diagnosis you can finish yourself.

Who should I call?

If Renew treated you, call 613-841-6111 or use the contact page. If another clinic treated you, call that clinic. The implant candidate quiz is for people planning treatment, not for someone who already has a problem.

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