I need some advice about my dental implant case. My implant had to be removed about six months into the procedure. When he removed it, he said there were no problems with the removal because it never integrated with the bone. There was some minor perforation of my sinus cavity by a few millimeters, but if I took Flonase I should be fine. He didn’t prescribe an antibiotic at first, but did when I had some signs of infection a few days later. He said after we give the area time to heal we could try again. Should I give up on this idea or try again? Is there a chance it can work?
While I do think it is possible for you to have a successful dental implant case, I have two serious concerns about how your last procedure went.
Concern One: Sinus Perforation
There has been the occasional instance where an oral surgeon will perforate the sinus cavity by a single millimeter and think it is no big deal (though I may disagree); however, I think even they would say a few millimeters is too much. If your dentist does the appropriate diagnostics, such as 3-dimensional x-rays (CT Scan), then they should understand the landscape well enough to avoid perforating your sinus cavity.
Some dentists will cut corners and skip some diagnostics. At times that is because of pressure from the patient to save money too. However, if I were going to skip any diagnostics for this procedure, the CT scan wouldn’t be the one I would skip.
Concern Two: Lack of Bone Integration
You didn’t mention why the dental implant had to be removed, but did say it had not integrated with the bone. That combined with the fact that it went straight through to your sinus cavity tells me there was not enough bone there to begin with. If your surgeon had done the appropriate diagnostics, he should have recognized that.
When that occurs, it doesn’t mean you can’t have dental implants. It does mean that you will need some bone grafting done in order for it to be successful When you need bone in the area your implant struggled, that usually requires a sinus lift.
Your dentist is talking about re-doing the procedure, but if he didn’t mention those additional requirements, I wouldn’t trust him to work on your implant any further. You’ll be better served with a different surgeon.
One hint. If you are not seeing a dentist who does both the surgery and the implant restoration, make sure to see the dentist before the surgeon. It really is the dentist who should lead the case and determine the right placement.
This blog is brought to you by Midtown Manhattan Dentist Dr. Marianna Farber.