A Case of Implant Reimplantation in Cheonho-dong: I Thought It Would Last a Lifetime? If this applies to you, you may need a repeat surgery.
Hello.
I am the director of Seoul Bardi Dental Clinic.
No matter how expensive and well-equipped
full-option car you buy,
can you really drive it for more than 10 years
without changing the engine oil even once
and without washing it?
The same goes for implants.
Even if they are placed perfectly with the best materials,
without regular washing (scaling) and
checkups (examinations), they will eventually fail.
Today, I’ll share a case of implant reimplantation in a patient whose gum foundation had collapsed, like a wheel about to come off a car that had been running well.
Let’s look together at why an implant that was thought to last a lifetime developed a problem.
The biggest enemy of implants,
What is peri-implantitis?
A Case of Implant Reimplantation in Cheonho-dong: I Thought It Would Last a Lifetime? If this applies to you, you may need a repeat surgery.
An implant is an artificial tooth,
so unlike a natural tooth,
there is no need to worry about cavities.
However, that does not mean
maintenance can be neglected.
The surrounding gum and jawbone that firmly support the implant
can develop inflammation at any time,
which is called peri-implantitis.
A Case of Implant Reimplantation in Cheonho-dong
Usually, food debris left between teeth is not removed in time,
turns into hard tartar,
and the bacteria inside release toxins,
slowly dissolving the jawbone.
In particular, people who smoke or
have underlying conditions such as diabetes
have weaker resistance to bacteria,
so inflammation can progress more quickly,
which means extra caution is needed.
The most common symptoms are swollen gums,
bleeding, or an unpleasant-looking discharge of pus.

What is truly frightening is that implants have no nerves,
so even when the jawbone is severely dissolving,
many people do not feel much pain.
If caught early, it can be treated simply by disinfecting the inflammation,

but...
If more than half of the bone has already been lost,
it is difficult to avoid removing the existing implant
and performing a repeat surgery to place a new one.
A patient case of reimplantation due to peri-implantitis
A Case of Implant Reimplantation in Cheonho-dong: I Thought It Would Last a Lifetime? If this applies to you, you may need a repeat surgery.
A patient recently visited our clinic saying that pus kept coming out of the implant area placed at another hospital.
She had two implants placed long ago in the lower left area,
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and pus was leaking from the gum around the farthest implant (#37),
and the implant root was exposed outside the gum.

The X-ray made the condition even clearer.
The adjacent implant (#36) was fully surrounded by bone,
while
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the farthest implant (#37) had bone around the root blackened and dissolved,
leaving it empty.
Normally, when bone is dissolved to this extent,
the implant should be severely loose.
However, this patient had the prostheses of the front and back implants connected as one,
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so the damaged implant was fixed to the front implant,
and she did not feel any looseness at all.
Because there was no pain and no looseness,
she did not know until the bone had completely melted away.ㅠㅠ
The treatment process from removal to reimplantation
A Case of Implant Reimplantation in Cheonho-dong: I Thought It Would Last a Lifetime? If this applies to you, you may need a repeat surgery.
If left untreated, the inflammation could spread to the healthy front implant,
so it was an urgent situation...
We decided to act quickly.
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First, the #37 implant, which had lost its function due to severe inflammation, was removed and scheduled for reimplantation.
Fortunately, the front implant (#36)
had not lost much bone and could be preserved.

Since the #37 area had already lost a great deal of jawbone due to peri-implantitis,
we performed reimplantation surgery together with careful bone grafting
so that the new implant could be firmly stabilized.
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Two months later, we checked how well the implant and bone had integrated.
Fortunately, we could see that the jawbone had filled in very firmly
all the way to the tip of the implant root.
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After confirming that the foundation had been perfectly established,
we removed the old prosthesis that had connected the two implants as one,
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and completed the treatment by fabricating a new zirconia prosthesis with excellent strength and aesthetics.
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Because implants do not hurt,
it is difficult to notice when a problem develops.
That is why regular checkups are so important.
I thought implants would last a lifetime...
If maintenance is not done properly,
like in this case,
repeat surgery may be necessary.
Before it gets any later, through a precise diagnosis,
we will help you find a way to protect your important implant.
Thank you.
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A Case of Implant Reimplantation in Cheonho-dong: I Thought It Would Last a Lifetime? If this applies to you, you may need a repeat surgery.
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| This post was written directly by Seoul Bardi Dental Clinic for the purpose of providing medical information in compliance with Article 56, Paragraph 1 of the Medical Service Act. The information provided is for reference only, and we recommend visiting a medical institution and receiving guidance from a medical professional for symptom assessment and accurate management methods. All procedures/surgeries performed at the dental clinic may carry risks that vary by individual (inflammation, bleeding, swelling, etc.). Please make decisions after sufficient consultation with the medical staff in advance. The treatment cases in this post were photographed with the consent of the patients who actually completed treatment at our clinic, and the before-and-after photos were taken under the same conditions. |