Replacing Dental Implants: Why It Happens & What To Do

Replacing dental implants involves removing or repairing an implant or its attached crown, followed by restoring both function and appearance. This post is for anyone in Rapid City who has an implant that hurts, feels loose, or shows signs of infection. You will learn common causes, how dentists diagnose problems, treatment choices, recovery expectations, and clear next steps for replacing dental implants in Rapid City.

Common reasons for replacing dental implants

Implants can fail for several reasons. Peri-implantitis (a gum infection around the implant) is a top cause. Failed osseointegration—when the bone fails to bond to the implant—also leads to failure. Implants or abutments can fracture or become loose. Crowns and prosthetics wear, crack, or break. Trauma from an injury can damage hardware. Systemic health issues like uncontrolled diabetes or osteoporosis can impair healing and put an implant at risk.

Signs you may need to consider replacing dental implants

Watch for pain around the implant, movement of the crown or implant, swollen or bleeding gums, or a chronic bad taste or odor. Changes in your bite, recurring infections, or loose screws also signal trouble. These signs range from urgent (severe pain, spreading infection) to less urgent (minor mobility, recurring soreness). If you notice any of these, schedule an exam quickly to limit bone loss and increase options for repair.

How dentists diagnose the need for replacing dental implants in Rapid City

Dentists use a step-by-step exam to find the problem. They examine the gums and assess mobility using periodontal probing. Digital x-rays reveal bone levels; many offices add CBCT imaging for 3D views of bone and implant position. Intraoral scans (iTero) and photos assess prosthetic fit and wear. These tests reveal bone loss, infection, loose parts, or misaligned prosthetics, allowing the team to plan for repair or full replacement.

Treatment options when replacing dental implants

Treatment ranges from conservative fixes to complete implant replacement. The choice depends on the severity of bone loss, the extent of infection, and the condition of the prosthetic device. Sometimes the implant can be saved with cleaning and prosthetic repair. At other times, the implant must be removed, bone grafting performed, and a new implant placed later. Timing, patient health, and cosmetic needs guide whether to act immediately or stage treatment.

Repair and conservative care

Conservative care focuses on saving the implant when possible. This can include deep cleaning around the implant, laser-assisted periodontal therapy, targeted antibiotics, or replacing a worn crown. Relining or refitting a bridge and tightening loose screws may restore function. These steps are most effective when bone loss is minimal nd the infection can be controlled.

Removing and replacing an implant

Complete removal is needed when bone loss, severe infection, or a fractured implant prevents repair. After removal, your dentist may place a bone graft or use socket preservation to rebuild bone. Replacement can be immediate in select cases or delayed for several months to allow healing. Guided-surgery planning helps place the new implant precisely, reducing future complications.

Recovery timeline and outcomes after replacing dental implants in Rapid City

Recovery varies by procedure. Minor repairs may need only a few days of soreness. Implant removal and bone grafting can take weeks to months for complete healing before a new implant is placed. Temporary restorations are often used to allow you to eat and smile during the healing process. Follow-up visits typically occur within a week, one month, three months, and then as needed. When treatment is done well, long-term success rates are high with proper maintenance.

How Carpenter Dental approaches replacing dental implants

Carpenter Dental uses an evidence-based workflow to increase predictability. They utilize CBCT imaging and guided-surgery planning (nSequence) for precise placement, along with in-house lab work featuring CEREC milling and 3D printing, to achieve faster turnarounds. Photogrammetry and iTero scanning enhance prosthetic accuracy, while diode lasers facilitate the management of soft tissue with reduced discomfort. Dr. Chad Carpenter brings focused implant training and nearly two decades of experience to complex cases, aiming for predictable, durable results.

How to reduce the risk of future implant problems

Preventive steps lower the chance that you’ll need to replace dental implants again. Brush and floss around implants daily, using a soft interdental brush or a water flosser as recommended. Keep regular periodontal checkups and professional cleanings. Quit smoking and control diabetes or other systemic conditions. Attend scheduled maintenance visits and consider digital monitoring to catch early changes before they progress.

Next steps for replacing dental implants in Rapid City

If you think you need an implant evaluation, please bring your previous X-rays, a list of medications, and your medical history to the first visit. Many practices offer financing and work with insurance—ask about options when you call. A consultation will include an exam, imaging, and a clear plan with timelines and costs. To schedule an exam with Carpenter Dental, request a consultation to find the safest, most predictable option for replacing dental implants in Rapid City.