If you want to learn about all things implants, Dr. Rob is one of the best teachers I have ever encountered. Thank you Dr. Rob for your tireless efforts to educate other practitioners.
The iatrogenic risks associated with removing zirconia or titanium implants would be the same. That said, the vast preponderance of time we are retrieving implants because they were placed in the wrong location, meaning often times a good portion of the implant is not in bone and with proper surgical technique, these come out quite readily with a very low risk to the patient.
Great summary doc. When using the Ash forceps to reverse torque an implant that is sub crestal, where are you getting your purchase point? I’ve seen these reverse-torque kits that have a recapture tool that is left-hand threaded and goes inside the implant so when you reverse torque, it gets tighter and gives you something to hold onto
The easy out tools are great for reverse torquing stripped implants. I always start with placing a regular implant driver and reverse torquing all implants designated for retrieval. In most cases the reason for removal is because the implant is failing so it is rare to find one without some crestal region exposed. If neither of these techniques work I then go to my piezoelectric to create space and then use the Ashe forcep.
I have a question Dr. My deep central incisor E implant has failed to osteointegrate. When I went for my second surgery after 3 months when the torque was applied to the abutment the implant moved. The implant was angular bone tunnel had been done in surgery 1.After he saw the situation, The implantologist said to come back in 4 weeks. He will try again to fully screw the abutment into the implant. Now I got 4 weeks of waiting with eating rather carefully waiting for the next appointment. From your experience is it a lost cause and the implant is more than likely going to be removed. Hopefully it comes out easy is it quite invasive? That 90 minutes on surgery 2 was rather long and painful. I seem to want my maryland bridge back.
I am sorry to hear about your misfortunes. Unfortunately, your implant is not going to integrate. It will have to be removed and after healing an additional attempt can be made.
I’m sorry to hear about your unfortunate outcome and persistent discomfort. Healing can vary depending on the issue at hand. However, if the pain has not changed or gotten worst over the three weeks then I would return to the clinic for an evaluation. I hope you heal soon.
I’ve never seen someone explain something so well and easy to follow. You’re a blessing to the dental community.
Thank you!
If you want to learn about all things implants, Dr. Rob is one of the best teachers I have ever encountered. Thank you Dr. Rob for your tireless efforts to educate other practitioners.
Thank you!
Is there a risk of cracking the jaw bone removing a zirconium implant in the lower 2nd molar spot.
The iatrogenic risks associated with removing zirconia or titanium implants would be the same. That said, the vast preponderance of time we are retrieving implants because they were placed in the wrong location, meaning often times a good portion of the implant is not in bone and with proper surgical technique, these come out quite readily with a very low risk to the patient.
Great summary doc. When using the Ash forceps to reverse torque an implant that is sub crestal, where are you getting your purchase point?
I’ve seen these reverse-torque kits that have a recapture tool that is left-hand threaded and goes inside the implant so when you reverse torque, it gets tighter and gives you something to hold onto
The easy out tools are great for reverse torquing stripped implants. I always start with placing a regular implant driver and reverse torquing all implants designated for retrieval. In most cases the reason for removal is because the implant is failing so it is rare to find one without some crestal region exposed. If neither of these techniques work I then go to my piezoelectric to create space and then use the Ashe forcep.
I have a question Dr. My deep central incisor E implant has failed to osteointegrate. When I went for my second surgery after 3 months when the torque was applied to the abutment the implant moved. The implant was angular bone tunnel had been done in surgery 1.After he saw the situation, The implantologist said to come back in 4 weeks. He will try again to fully screw the abutment into the implant. Now I got 4 weeks of waiting with eating rather carefully waiting for the next appointment. From your experience is it a lost cause and the implant is more than likely going to be removed. Hopefully it comes out easy is it quite invasive? That 90 minutes on surgery 2 was rather long and painful. I seem to want my maryland bridge back.
I am sorry to hear about your misfortunes. Unfortunately, your implant is not going to integrate. It will have to be removed and after healing an additional attempt can be made.
I just had a dental implant removed three weeks ago. I’m still in pain. Is this normal? How long does it take to recover?
I’m sorry to hear about your unfortunate outcome and persistent discomfort. Healing can vary depending on the issue at hand. However, if the pain has not changed or gotten worst over the three weeks then I would return to the clinic for an evaluation. I hope you heal soon.
What kind of implant did you have removed? Did the implant fail? Hope you’re feeling better?
Great content.
Thanks brother
Dr. Stanley, are you by chance going to a wedding in Green Bay this summer?
Yes. It’s me. Unfortunately, I cannot make the date. Knowing this crowd, I won’t be missed;-).