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Turkey Dental Clinic

Why My Dental Implant Screw Fell Out?

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  • Why My Dental Implant Screw Fell Out?
Why my dental implant screw fell out

CONTENTS

  • Excessive pressure on the implant screw
  • Poor oral hygiene
  • Low bone density
  • Incorrect implant placement
  • Patient's jaw anatomy
  • Smoking and implant failure
  • What to do if your implant falls out?
  • How is a fallen implant screw treated?

A properly placed dental implant screw is expected to stay firmly in place. If your dental implant feels loose after a while or wiggles when biting, you should consult your dentist. However, in rare situations, the screw may become loose or even come out. We will talk about the causes, precautions, and treatment.

Antalya Dental implant screw

The failure rate of implant is 5 per cent. This is an general acceptable rate. Modern dentistry minimises the possibility by working effectively on this issue. In a study with a total of 1,928 implants and 837 patients, screw loosening occurred in 7.2% of implants. The most common screw loosening was seen in single crown implant prostheses (14.0%). As a result of this study, the factors affecting the frequency of screw loosening differed according to the implant placement position, implant type and manufacturer, implant diameter, implant-abutment connection type.

Excessive pressure on the implant screw

A dental implant screw is actually an artificial tooth root. Therefore, just as the roots of our teeth do not move, dental implants should not move either. However, sometimes individuals can put pressure here during or after the healing process. As a result, the protected dental implant screw falls out.

So how are dental implants damaged by applying pressure? Teeth grinding or clenching, not fixing the implant screws at the correct angle, biting nuts, using the dental implant as an opener, and playing hard with the implanted area... These things cause damage to dental implants and even implant failure.

What should you do to protect your dental implants under pressure?


  • Utilising a night guard to protect your implants from pressure.
  • Avoid chewing on the implant side until the healing is complete.
  • Follow a soft diet during the early recovery period.
  • If the implant feels unstable, discuss this with your dentist.
  • Even long after healing, biting with too much force can damage the implant system.

Poor oral hygiene

In order to use dental implants for many years, oral care is required. When tooth and mouth cleaning is not performed well, bacteria easily settle in the parts between the implant and the gum. If infection develops as a result, the implant may fail.

Again, in cases where implant cleaning is not done effectively, plaque and tartar form. These environments are ideal places for bacteria. Bacteria developing here can again cause the implant screw to fail.

To ensure the long-term success of implants, it is very important to maintain meticulous oral care habits. You should not neglect to brush the teeth gently twice a day with a soft toothbrush, as if sweeping from the gum to the tip. In addition, you should use dental floss, water floss, or interdental brushes to clean the implants. If you want better cleaning, you can use an alcohol-free mouthwash. When you have your routine check-ups with your dentist, you can request professional cleaning if necessary.

Low bone density

Bone density plays an important role in allowing a dental implant screw to hold firmly. The solid fusion of the implant screw with the jawbone, known as the osseointegration process, influences the success of the treatment. If the jawbone is soft, the implant screw cannot hold tightly and may loosen or fall out over time.

Low bone density is caused by ageing, gum disease, osteoporosis, or long-term tooth loss. After tooth extraction, the area begins to lose bone and shrink. There may even be facial collapse due to the prolonged loss of multiple teeth. If a dental implant is considered, wound healing after tooth extraction is expected first. Then, the implant is placed within a short time.

Since dental implants are not suitable for patients with low bone density, modern dentistry has introduced new solutions. With bone grafting, bone material is added to the patient's jaw to create a stronger base for the implant. In this way, bone density reaches a suitable level. The implant screw is then placed securely, and the osseointegration period begins.

Maintaining good oral hygiene and attending regular check-ups will help preserve your bone health after implant placement. If you have gum disease, you should get it under control, as advanced dental diseases cause jawbone loss and damage the implant.

Incorrect implant placement

The positioning of a dental implant screw is very strategic. Dentists use imaging devices for this and place the implant in the most appropriate place. Correctly aligned implants ensure that the pressure is evenly distributed during chewing. Implants are placed at a different angle for Antalya All on 4 and at a different angle for Antalya All on 6 dental implants. If implant screws are placed at the wrong angle or depth, it can lead to complications such as bite problems, screw loosening, bone loss.

To avoid these risks, Seçil Dental Clinic and dental clinics in Antalya use modern clinical 3D imaging, digital scanning systems. These tools allow dentists to perform implant placement very precisely.

Patient's jaw anatomy

Each patient's jaw structure is unique. This leads to individualised treatment. The size, shape, and bone structure of the jaw play a role in the integration of the implant with the bone, and this plays a critical role in the planning and success of dental implant treatment. For this reason, dentists overcome these problems by applying different types of dental implants for some patients.

Each patient the dentist encounters is a different case and therefore requires individualised treatment.

Smoking and implant failure

Smoking is a habit that negatively affects implant success. During implant treatment, smoking should be reduced or stopped. The nicotine in cigarettes reduces blood flow and the amount of oxygen and nutrients to the implant site decreases. This increases the risk of infection in the area and then the risk of implant failure.

What to do if your implant falls out?

If any part of your dental implant falls off or moves, contact your dentist. Rinse your mouth with saline from time to time until you are examined. This helps prevent bacterial growth in the area. Do not try to replace the fallen part. Do not touch the area with your finger or any other object. You may unintentionally make the problem worse.

Your dentist will give you some suggestions, be sure to follow these instructions.

How is a fallen implant screw treated?

When an implant screw fells out, the dentist first tries to understand which part has fallen out. Then, if the falling part can be easily inserted, it is inserted and the problem is solved. However, if the implant has fallen completely or the implant has failed, then the area is cleaned thoroughly. Then, healing time is allowed After the healing is complete, the implant is re-implanted. The important thing here is that the dentist understands the cause of the failure. If this is understood, the problem does not recur and a healthy treatment process takes place.

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