Can Dental Implants be Removed? Video

Can Dental Implants be Removed? Video

Can Dental Implants be Removed? Video

About 30% of what I do is actually remove and replace failing implants.

There are a couple of different ways implants can be removed: can the whole implant be removed out of the bone? And, can the crown from an implant be removed?

There’s a lot of work that goes into removing implants and in this video, I go into detail about what needs to happen in order to remove either the crown or the entire implant.

The procedure is involved and requires an experienced dentist as you’ll learn when you watch the video.

For more details watch the video below and if you have questions or comments, please post them below and subscribe to my channel to get more information about dental implants.

Can my dental implants be replaced or removed?

Video transcript lightly edited for easier readability.

The question today is can dental implants be removed? Interesting topic. About 30% of what I do is remove and replace failing implants. My practice is pretty unique as an implant-only practice in Southern California.

So, there are many different ways that implants be removed and it can mean a lot of different things – can the whole implant be removed out of the bone? Can the crown be removed? Let’s talk about both things. Let’s start with the simple part. Can a crown from an implant be removed? That’s the part that you see in the mouth.

So, a crown can either be uncemented or unscrewed, usually, as long as the implant has a screw on it. You can break the cement seal, you can drill a hole in the top of it and get to the screw called the abutment screw and hopefully unscrew it out, leaving the implant below. You would need that if you were having a new crown put on, it chipped, it broke, you’re trying to go attach that implant to another implant, or using it for a different purpose.

Some problems can be encountered, as sometimes the screws are stripped. Sometimes the dentist doesn’t know the kind of screw that was used or doesn’t have the right tool. Or, the abutment gets stuck because a friction lock type of abutment doesn’t actually just come off by unscrewing. It has to be pulled out of there. So removing crowns can be a little bit tricky to get out, but usually, it’s straightforward as long as the previous dentist set it up to get it out all right, and the current dentist knows what they’re doing and is familiar with implant dentistry because there are lots of different, proprietary screws. Gosh, I have so much stuff in my office. You can’t even believe all different types of screwdrivers and things to fit.

Also sometimes you have to remove the abutment as well. That’s the next level down. That requires special screwdrivers and oftentimes special tools to get that part out, to then get down to the implants. So let’s say the whole implant needs to be removed. Yes, it can. That’s inside of the bone. If the implants are loose because they’ve failed, then taking them out is pretty easy. It’s like taking out a tooth on one of my children. They’re loose. They move from side to side, and they come out pretty easily. They do bleed a lot when they come out.

Let’s say an implant has to come out that has half its bone still there or all of its bone. They don’t come out very easily, especially in the lower jaw. So, what are the methods to remove an implant?

Ideally, you can take off the crown, put something inside it, and just reverse it out. We call it reverse torquing. If it’s really stuck in there, bone has to be removed or something called a “trephine”  which is like a hole saw, to make it like a hole for a door to put in a doorknob. You have to drill a hole around. It’s invasive and destroys a lot of bone, so removing an implant can be a very destructive process.

Sometimes a new implant can be placed on the same day, always has to be a little bit wider or a little bit longer, but oftentimes it’s best to wait a little while or to do a bone graft and come back to it another time. Sometimes the implants are very deep. They’re close to nerves and the bottom jaw or they’re close to the sinuses and you can perforate a hole or make an injury to the nerve.

Oftentimes it’s better not to replace it on the same day. To remove a full arch, let’s say an all on four that’s failing, we would have to unscrew the whole bridge and then I would take out the abutments and then get each of the implants out. Sometimes I can use some of the existing implant. Sometimes they’re not deep enough, but again, can implants be removed? Certainly, yes they can.

On the upper jaw, it’s a little bit easier since the bone is softer, especially because that bone is not as high density. We call it cortical bone. If a lower, full mouth replacement needs to come out and the implants replaced, oftentimes there’s a lot of tissue loss or gum loss that came along with it as well as bone loss. Oftentimes the new implant and the level of bone is less than when it started.

Also, you have to be careful when removing implants, not to damage adjacent teeth, but say if the implants are placed between two teeth like this and there’s very little space, you can damage a tooth on either side.

Certainly, somebody with a lot of experience should be removing implants, especially if it’s something that’s integrated well. About half the cases I do and I’m doing a full mouth replacement includes at least one implant removal. Sometimes it just can’t be used with the other implants if I’m going to group one tool to others, but yes, implants can be removed.

Hopefully yours don’t have to be. We’ll go deeper into this topic at a later date.

Your questions and comments are welcome. To see more videos like this, please subscribe to my YouTube channel.

2 Comments

  1. I had two implants in my lower jaw which contain for teeth in the very front. They were at a different angle than the originals and came in contact with my upper teeth which eventually causing some to crack and break. The dentist then installed 3 very expensive crowns which ultimately collided with my Lord teeth and broke and fell out what would you suggest my recourse for correcting. can the bottom teeth be taken out and unscrewed and repositioned at a different angle?

    April 9, 2020 at 11:55 pm Reply
    1. Ramsey Amin

      I would suggest that the upper and lower teeth be made at the same time. The balance of the bite is critical. Something seems really wrong here. You may want to seek out an expert who routinely restores complex implants. The front of the mouth is always consider the most difficult for so many reasons. The me know how it works out. Stay safe during COVID 19!

      April 13, 2020 at 2:42 am Reply

Write a Comment

Monica D.
Monica D.
December 29, 2020.
There aren't enough words (and I have a lot of words) to tell you how grateful I am to have found Dr. Ramsey Amin and his wonderful staff. I had an enormous amount of bone loss and I was hopeless after being treated by a different doctor for two years. I had multiple procedures such as gum graft, extractions, and a sinus lift. After all of that, the doctor released me and told me he could not help me any longer. He sent me to a large teaching hospital - who also had no idea how to help me. I was terrified and embarrassed. I had been missing teeth due to those procedures since 2017. That sent me out on a journey of meeting with no less than five different dentist/oral surgeons. Most of them shamed me for the bone loss and wondered what I had done to cause this. In reality, I had done nothing. The bone loss is my body's immune system fighting me, as well as hereditary traits. In fact not only was I having difficulty being able to have implants, I also had so much bone loss that I was also not a candidate for dentures. I researched "what to do when you have bone loss and can't get implants" and I found Dr. Amin's website. Then I researched him, read his reviews, watched every one of his You Tube videos. I called and got an appointment, and kept going to consultations with other providers. I had long since stopped smiling and being social. Missing teeth and the shaming was affecting my life so adversely. When I met with Dr. Amin for my consultation he was ready. He had all of my records and had already reviewed my scans. But more than that, he genuinely wanted to get to know about my life. He was/is authentic, kind and extremely professional with so much success and experience in difficult cases like mine. He worked up a treatment plan & I came back two weeks later to discuss my options...and the journey began. I have had three procedures under IV sedation, no pain, no narcotics needed for aftercare. Dr. Amin is a consumate, experienced oral surgeon who cares about your health & understands your fears. He communicates every step of the way and will provide you with all the information you need to make a decision to improve your health. I am still working toward my end goal, and we had to zig from traditional implants and zag to zygomatic implants instead...which is the reason I chose him in the first place. If there was nothing else that could be done to get me healthy & smiling again, I knew he would have that option to help me. And of course 2020, the year of CV-19. Don't worry, Dr. Amin & his staff follow all health & safety protocols. This review is long, because it is important you know my journey, so you might understand how fortunate I feel to be healing. I'm torn, because this place is like a great restaurant, I want to shout from the rooftops how great it is, how great he is. And at the same time, I want to keep this all to myself. I come 75 miles each way to see him. I know people travel from all over the world for his expertise. Do yourself a favor, have a consultation. You won't regret it. Dr. Amin is amazing and so is his staff.
Jennifer B.
Jennifer B.
December 18, 2020.
I cannot speak highly enough of Dr. Amin and his professional staff. I have to start off and say that I am absolutely TERRIFIED of the dentist due to several past experiences. I found myself putting this off for YEARS until I was referred over to Dr. Amin. I was petrified on my first visit... but he along with his WONDERFUL staff made me feel so calm and at ease. I had quite a bit of work that needed to be done, but we found the perfect plan that worked out for me, and I couldn't be happier. Words cannot express my gratitude to each and every staff member that made me feel safe and comfortable. Dr. Amin was always so attentive in asking if I was ever in pain... and I never was. These are truly remarkable individuals, and I'm so lucky to have a dentist that I can trust. I ABSOLUTELY LOVE each and every one of you! Thank you,
D M.
D M.
December 17, 2020.
I cannot say enough positive things about Dr. Amin and his staff. I originally found them on Yelp about two years ago. I needed an implant, front tooth of all places, and was extremely nervous not only about surgery but about how it would turn out. Let me just say I just adore the staff. Everyone is crazy friendly and the whole office has a very positive vibe. The staff is adorable and always has me smiling by the time I leave. They are all thorough and on-point about what they do, and I truly appreciate it. They are quick to respond to my emails no matter the question, and their appointment reminders are great too. Dr. Amin is very thorough and reassuring, and answered any questions my husband or I had. My regular dentist had questions about the procedure and Dr. Amin's office even reached out to them at my request (my dentist said they never received a call, but Dr. Amin's staff had date, time and notes - love the thoroughness!). After surgery the Dr. called to leave me a message about how it went. Very minimal pain during healing, never any pain during any visits. It took a few tries to get everything just right for the permanent crown (color, etc), but the end result is beyond fantastic! At one point during healing I thought I was experiencing some looseness or wiggling but unfortunately couldn't make it to the office. When I was finally able to make it in the Dr. was so relieved, bless his heart. Luckily it was just a false alarm and everything checked out ok. They're a bit further out from me, but I wanted the best. I sure found it! I wish they were my regular dentist, and I'm looking forward to seeing them again for my check-up which was delayed due to COVID.
Melissa E.
Melissa E.
December 9, 2020.
I found Dr. Amin a few years back after I hadn't been to a dentist in a decade. Many traumatic dental experiences in childhood have made me so phobic that even getting a cleaning was a knee-knocking, heart-pounding trial. But finally I couldn't put off some things any longer. During my first anesthesia session, Dr. Amin replaced five old metal fillings, and during the second he did three more plus a crown. I was completely comfortable, and never felt a thing. Because they were extra-long sessions, I did sleep for about 12 hours after, but the next day I felt just fine. This past week, my back top tooth cracked in half and fell out of my mouth, and a couple days later the crown on the remainder of the tooth fell out too! Despite being nervous about Covid 19, I had to get it taken care of, so I called and quizzed the staff about precautions, which turned out to be even above and beyond what I would have expected. So yesterday I went for the tooth extraction and plug. After they put on the blood pressure cuff and put in the IV, I gradually got a little tired and closed my eyes. I sat there for about 10 minutes and thought Gee, I wonder if they're going to get started any time soon, and a minute later Dr. Amin said "Wake up, you're all done!" That was a short session, and I didn't have the kind of fatigue I did my first time. I stayed up most of the evening. Today, everything is good! I'm taking my antibiotic and eating soft foods, and there is surprisingly little pain now that the numbness has worn off. The tooth site and my cheek are a little sore, and the corner of my mouth, and I have a very slight headache, but nothing to any great level--I'm not even taking the acetaminophen. I feel good, and wide awake. Thanks to everyone at the office for a comfortable and professional job! I really REALLY appreciate you for giving me painless dental experiences!
Tanya S.
Tanya S.
December 3, 2020.
What can I say about Dr. Amin he is the best! I'm so grateful for him. He has literally changed my life and given me the confidence to smile more. I had major restorative dental work done and everything went smoothly. Dr. Amin is very compassionate and he really cares about his patients he made me feel comfortable and cared for. He is very knowledgeable and has a great sense of humor. His office is very clean and they take the patients health and safety very serious. His staff is also amazing they made me feel very welcomed and important. I'm so happy I did my research and found Dr. Amin.  Thank you Dr. Amin and team.
Sheila S.
Sheila S.
November 6, 2020.
Two implants done! Finished all procedures and I couldn't be happier. It's the first time in years I looked forward to going to the dentist. Even during Covid life the staff and Dr. Amin took care of me. There is a possibility I may move to Long Beach but I would still travel to keep Dr. Amin as my dentist.
Allison S.
Allison S.
November 4, 2020.
I could not ask for a more caring, exceptionally knowledgeable dental care provider. He's not just a dentist, but someone who looks after your immediate dental needs and helps you plan and prepare for the future.
Julia R.
Julia R.
October 8, 2020.
I've been going to Dr. Amin since I turned 16 and have been going since. Before going to Dr. Amin's dental office, I had 4 crowns that I was not happy with and dealt with it until finally I asked Dr. Amin and because I  feel comfortable and because I trust him with his work I recently had my crowns fixed and worked on by  Dr. Amin and have never loved my smile the way I do now, I can actually enjoy my pictures, I can enjoy my smile from either angle and that really mattered to me. Thank you so much Dr. Amin still and will be in love with MY smile
Aaron D.
Aaron D.
October 6, 2020.
I've been coming to Dr. Ramsey for about five years and I have to say, he is by far the best dentist I've had - ever. The staff is professional and kind, the office is exceptionally well maintained, and Dr. Ramsey is careful and extremely knowledgeable about current developments and research in dentistry. I recently had a dental implant which was a long process but well worth it. I required a sinus lift as well as a bone graft. The surgery went off without a hitch, I was comfortable and the healing process was quick and without complication. Highly recommend!!
Flo O.
Flo O.
September 21, 2020.
This is my 1st review of Dr. Amin, and in my over 17 years of being with him, my experiences with Dr. Amin and his staff have always been positive.  I don't recall a bad experience with the several implant procedures i have had.  They run an efficient office.  I like that they are proactive and reach out to their patients to remind us of routine care needed.  Dr. Amin's bedside care is impeccable.  They are also technologically up to date in terms of sending out texts as reminders, ability to incorporate any appointment into your mobile phone.  That is certainly a plus.  Keep up the great care!!!