Back Up Plan for Implant Failure?

Because we are dealing with an imperfect science in the variable environment of the human body some implants will inevitably fail so every time an implant is placed it is logical to think of adverse outcomes and how to remedy them. Prevention is always a good game plan. There can be many strategies here, but one of them certainly is to create an over-engineered condition i.e. More implants, longer implants, wider implants. Early detection of problems is paramount, so regular imaging is important because in some cases recovery procedures can be undertaken. When an implant fails beyond recovery, the back-up plan is to remove, graft and re-implant if possible. The back-up plan of course, will not work if the skill sets and training are not present. As in every dental procedure that one does, it is critical to know what you are doing and how to extripate yourself and your patient out of an unfortunate outcome. Never guarantee a result, however, properly inform your patient as to the statistics of success and potential for problems.

Dr. Nimchuck, Well stated, just yesterday one of my patients came in with severe decay on the distal abutment on a max roundhouse (patient did not come in for years even though I tried to bring him for recall). This is the process I go through when I plan my cases. Again well stated!

A follow up question regarding Dr. ER last question- what is an appropriate time frame to warranty on implants, and when- day of placement or restoration?. Our patients are spending $$$$ on implants, then what is their expectation on their investment. At our office, when our patients ask, we offered a limited warranty for 24months. This is from the date of restoration, providing that patients MUST come to their recall appointments every 3, 4, or 6months- depend on their periodontal health. If it's a referred/one time, then he/she must provide proof of recall follow up with their drs. Does that seem adequate?. What is everyone else's office policy?.

Does any one have any experience of placing implants in patients with LYME DISEASE ? The patient has been advised a metal free bridge as an option to prevent any metal allergy,still wanted some info. Regards

Be careful, Lyme can be transmitted via saliva. As we all know Lyme is an infectious disease that can affect various tissues and organs. You may want to consult with an infectious disease physician. I have seen cardiac, neurologic, joint issues etc.

Dear Richard Thank you for your prompt reply,i've placed a Rp 10 mm today with double mask/gown/glove technique. i got clearance from her physician.Let's see how it goes. Sincerely