Common Dental Implant Problems (and Solutions)

woman in dental chair with tooth pain

Dental implants have revolutionized the way we approach tooth loss, offering a durable and aesthetically pleasing solution. In this blog, we’ll explore what dental implants are, how they are placed, and delve into some common issues and their solutions.

What are Dental Implants?

Dental implants are artificial tooth roots, usually made of titanium, that are surgically placed into the jawbone. Over time, they fuse with the bone, providing a stable foundation for artificial teeth, such as crowns, bridges, or dentures.

The Placement Procedure

  1. Initial Consultation: A dentist or oral surgeon evaluates the patient’s oral health, bone density, and the need for any preliminary procedures.
  2. Preparation of the Jawbone: If necessary, bone grafting may be performed to strengthen the jawbone.
  3. Implant Placement: The implant is surgically inserted into the jawbone. This is typically done under local anesthesia.
  4. Healing and Osseointegration: The implant integrates with the bone over several months.
  5. Abutment Placement: Once healing is complete, an abutment, which holds the artificial tooth, is attached to the implant.
  6. Artificial Tooth Attachment: Finally, the artificial tooth (crown, bridge, or denture) is attached to the abutment.

Common Problems and Solutions


Infection is a notable concern in the context of dental implants, potentially arising from poor oral hygiene or contamination during the surgical procedure. This complication can compromise the success of the implant and lead to discomfort and additional health issues. To prevent infections, patients should maintain rigorous oral hygiene practices, including regular brushing, flossing, and using antiseptic mouthwash. Additionally, choosing a skilled and experienced dental surgeon can minimize the risk of contamination during the implant procedure. Should an infection occur, it is typically addressed with a course of antibiotics prescribed by the dentist. In more severe cases, where the infection has led to significant damage or the risk of spreading, the implant may need to be removed and the area thoroughly cleaned before considering a replacement. Regular follow-ups with the dental professional post-surgery can also help in early detection and management of any potential infections, ensuring the long-term success and health of the dental implant.

Implant Rejection

Implant rejection, though rare, is a serious concern in dental implant procedures. It can occur due to the body’s immune response, which perceives the implant as a foreign object, or due to an allergic reaction to the implant material, typically titanium. To prevent implant rejection, thorough pre-surgical evaluations are crucial. This includes assessing the patient’s medical history for allergies or conditions that might increase the risk of rejection. Utilizing biocompatible materials can also minimize the risk. If rejection does occur, the implant must be promptly removed to prevent further complications. In such cases, dentists may explore alternative materials for the implant, such as ceramic or other hypoallergenic options, or consider different dental restoration methods. Continuous monitoring and regular follow-ups after the implant surgery are key to early detection and management of any signs of rejection, ensuring a better outcome for the patient.

Nerve Damage

Nerve damage is a significant risk associated with dental implant procedures, particularly when implants are placed in the lower jaw. It occurs when an implant comes in too close proximity to the nerves, leading to numbness, pain, or a tingling sensation in the mouth, lips, or chin. To prevent this, careful planning and precise imaging techniques, such as 3D scans or CBCT (Cone Beam Computed Tomography), are essential before surgery. These advanced imaging methods allow the surgeon to accurately map out the placement of the implant, avoiding critical nerve structures. If nerve damage does occur, it’s crucial to address it promptly. The course of action typically involves the immediate removal or adjustment of the implant to alleviate pressure on the nerve. In some cases, medication or therapy may be required to manage pain and aid in nerve recovery. Continuous follow-up and monitoring after the procedure are vital for early detection and management of any symptoms related to nerve damage. As with any surgical procedure, selecting a skilled and experienced dental surgeon can greatly reduce the risk of such complications.

Sinus Problems

Sinus problems associated with dental implants typically occur when implants in the upper jaw protrude into the sinus cavities, a condition that can lead to discomfort and complications such as sinusitis. To prevent this, a key step is thorough pre-operative planning, including detailed imaging like CT scans to assess the relationship between the jawbone and sinus cavity. For patients with insufficient bone height in the upper jaw, a procedure known as a sinus lift or sinus augmentation is often performed. This involves elevating the sinus membrane and adding bone graft material, thereby providing adequate bone height for implant placement without encroaching on the sinus. In cases where sinus issues do arise post-implantation, the course of action depends on the severity of the problem. Mild issues might be resolved with medications such as decongestants or antibiotics, while more significant complications may require surgical intervention, such as the repositioning of the implant or additional sinus surgery. Regular follow-ups and clear communication with the dental professional are crucial for early detection and effective management of any sinus-related concerns.

Failure to Osseointegrate

Failure to osseointegrate, where a dental implant doesn’t properly bond with the jawbone, can be caused by poor bone quality, health conditions, or lifestyle habits like smoking. To prevent this, a thorough evaluation of the patient’s bone density and overall health is essential before the implant procedure. Bone grafting might be necessary to strengthen the jawbone for those with low bone density. If an implant fails to integrate, it’s usually removed, and the area is allowed to heal before trying another implant or considering alternative dental treatments. It’s crucial for patients to follow their dentist’s care instructions and attend regular check-ups to ensure the implant is healing correctly and to catch any issues early.


Dental implants are a significant advancement in dental care, offering a reliable and long-term solution for tooth loss. While complications can occur, they are generally manageable with prompt and appropriate care. Always consult with a dental professional to understand the best options for your oral health needs.

Dr. Sam Sadati wearing black suite portrait

Dr. Sadati possesses extensive experience in all aspects of advanced restorative dentistry, with an emphasis in cosmetic and implant dentistry.  He has attained Accredited Fellow status in the American Academy of Cosmetic Dentistry (AACD), the most rigorous, demanding credentialing process in the world. He is the only AACD Accredited Fellow in South Florida.