A tooth implant fell out after a few years — what to do?

Dental implants are widely used as an effective and permanent solution for people with missing teeth. Despite the high efficiency and longevity of this method, like any medical procedure, implantology is not free from potential complications. It happens, although rarely, that a tooth implant can fall out even after a few years after the procedure. It is a surprising and disturbing experience for the patient, however there are proven procedures and solutions that allow you to deal with this problem. In this article, we explain why an implant can fall out after years, how to prevent it, and what are the treatment options in such a situation.

What is the lifespan of dental implants?

Dental implants are one of the most durable solutions in dentistry. Their longevity depends on the quality of the materials used, modern technologies and the precision of the procedure. The durability of the implant is also influenced by individual factors, such as the patient's general health, oral hygiene, lifestyle and regularity of check-ups.

According to research, about 95% of implants will last at least 10 years, and 85-90% — even 15-20 years. Regular visits to the dentist and proper oral hygiene are crucial here.

Do dental implants need to be replaced?

Under ideal conditions, dental implants are a lifelong solution and do not require replacement. Their advantage over bridges or prostheses lies precisely in their durability. However, in order for the implant to serve for many years, it is necessary to follow the rules of hygiene and regular check-ups with the dentist.

Why does a tooth implant move after years?

Implant mobility after a few years is a signal of a more serious problem that requires immediate intervention. The most common causes are:

1. Tissue inflammation (periimplantitis)

This is the most common cause of implant loss. Periimplantitis is inflammation of the tissues around the implant, usually caused by the accumulation of bacterial plaque. Without treatment, it leads to bone loss and, consequently, to implant loss. Early diagnosis and treatment (professional cleaning, antibiotic therapy, restorative procedures) allow you to save the implant.

2. Implant overload

Excessive or uneven chewing forces (e.g. in people with bruxism, malocclusion, or abnormal habits) can lead to gradual loss of bone around the implant. As a result, the implant becomes mobile and may fall out. Treatment includes, among others, therapy for bruxism, correction of bite or change of eating habits.

3. Damage to the implant

Although implants are very durable, they can be damaged by injury, excessive load or — rarely — material defect. More often, however, the prosthetic crown is damaged, which can also lead to overload and loss of the implant.

4. Improper care after the procedure

Neglect of the doctor's recommendations after the procedure, improper hygiene or diet can lead to infections, healing disorders and problems with the integration of the implant into the bone. In the long term, lack of hygiene favors the development of periimplantitis and loss of the implant.

What diseases can cause the implant to fall out?

Some medical conditions increase the risk of implant loss:

Diabetes (especially uncontrolled)
Diseases of the gums and bones (periodontosis)
Osteoporosis
Autoimmune diseases (eg rheumatoid arthritis)
Heart diseases
Smoking tobacco — a significant risk factor, hinders healing and promotes infections

Despite this, many people with these conditions successfully use implants - the decision to treat is always made individually.

How to recognize dental implant rejection?

Symptoms of implant failure include:

Persistent or worsening pain
Swelling, redness, fever
Implant mobility
Bleeding around the implant
Problems chewing or speaking
Changes in the appearance of the gums or teeth

Early detection of the problem increases the chances of successful treatment. In case of alarming symptoms, you should contact your dentist as soon as possible.

What to do if the implant falls out?

1. Keep calm. This is a serious problem, but not a life-threatening condition.

2. Contact your dentist and make an urgent appointment. If possible, secure the fallen implant, but do not try to reinsert it yourself.

3. Avoid hard foods and gently brush your teeth in the area of the lost implant until the appointment.

summary

Dental implant prolapse is a rare complication, usually the result of a long-term process. The most important thing is prevention: proper hygiene, regular dental check-ups and a quick response to alarming symptoms. In case of loss of the implant, the rapid intervention of a specialist allows the implementation of appropriate treatment and increases the chance of successful implantation again.

Content author

Dr. Wojciech Gącienica-Ciułacz

Dentist/Dental implantologist

Dr. Wojciech Gącienica-Ciułacz is a dentist for whom dentistry is a true vocation. In his practice, he stands out for his extraordinary ability to listen carefully to patients, thanks to which he is able to precisely adjust the treatment plan to the individual needs and expectations of each person. His approach is based on the deep conviction that effective dental therapy must take into account not only the medical aspect, but also the comfort and well-being of the patient.