Can we save these implants after CBCT shows bone graft failure?

i know it is not easy to here, but the above gentleman have advised you wisely. those fixtures are doomed, and if left for any period of time will cause more bone loss. cut your losses now, get them out, do proper ridge development, and then place them at improved angulation. you may want to consider doing it guided. best of luck.

Excellent question, the mandibular teeth appear to be in a class III relationship, there is something radio opaque on the ridge and the natural teeth are banging up against the implants. If this is a full denture then locators at 3,6,11,14 positions or canine molar bars bilaterally. I don 't get the lack of treatment planning and case analysis which makes these cases work and is the logical endpoint. When the oral surgery or implants fail then it is an out of body experience with no ownership of poor planning or poor technique. The secret is a good prosthetic plan, understanding the biology if oral and maxillofacial surgical principles, judgement, skill and knowing ones limitations. Throw in medical management which is learned in a true hospital residency not a dental grad program or weekend course. Then we get " it happens " or that's how we learn. The key is great prosthetic work up, this core is taught in dental school and good restorations! I can do the best surgery in the world but I will be set up to fail with a poor prosthetic plan, it's the real deal and as dentists we are uniquely trained in this.I'm sorry this is harsh but I am tired of telling the dentist to do his very important job while allowing me to do mine for th benefit of the patient who is the one that ultimately suffers. Dentistry is hard and unpredictable enough just because the market dictates a gadget, technique or course judgement can't be thrown out the window. I always respect and admire well done restorations that last it is talent and a gift to be respected and appreciated some if these posted cases are just ridiculous . Sorry I made you read this!

So glad that was said. Even if the implants WERE placed correctly, the facial trajectory of the bone along with the location and number of implants chosen would make the final prosthesis difficult if this is an edentulous maxilla.

Thanks it is very easy to get caught up in trying to be an oral surgeon which I still don't get since dental implants are complex enough. But one must remember the most important thing which most dentists already have, treatment planning and restorative skills. This is an important gift and the patient trusts us to do the best for them. There are a lot of things that can go wrong as these new implantologists will find out when the implants start failing at 5-8years out. Unfortunately this creates more business for me which could hav been avoided at the get go. It is not wise to cut corners and not have a good treatment plan. A good restorative dentist who sees the big picture is worth his weight in gold! I respect and applaud wise restorative dentists they are the key for patient care and I have my referring guys backs!