Dental implants are often preferred because they are a permanent and fixed solution for missing teeth. Although dental implants are largely successful, in some cases early or late failure can be seen. Apart from this, different factors or patient preferences may be in favour of removing the implant, which raises an important question: can a dental implant be removed and replaced with a denture?
Yes, it can. However, this depends entirely on the individual situation. Implant removal is possible but not commonly necessary.
In this article, we will examine why implants sometimes have to be removed, how the removal process takes place, and whether switching to dentures is a favourable option in the long term.
Can dental implants be removed?
Implants are firmly attached to the jawbone like real tooth roots. This fusion makes them very stable. Although dental implants are robust and have a high success rate, in some cases they have to be removed:
Implant has not integrated with the bone.
There is an infection around the implant.
The surrounding bone tissue is weakened or resorbed.
There are aesthetic or functional problems with the position or appearance of the implant.
Although these situations are rare, the implant should be removed before it causes further damage. Once healing is complete, a new treatment should be chosen.
If implant is new and has failed before it has fully fused with the bone, the dentist simply removes it. However, if the implant has failed after many years, removal may require minor bone surgery. Dentists use special instruments to preserve the bone structure as much as possible during the procedure. Since the implant is integrated into the bone, it must be removed without damaging other bones.
Implant failure
Implant failure is when the implant does not fuse properly with the jawbone or becomes loose and painful over time. Implant failure occurs early (within the first few months) or late (after several years) for various reasons.
Infection
Infection (peri-implantitis) is a condition in which the soft and hard tissues around the implant become inflamed due to bacterial build-up. If not treated in time, the infection can lead to bone loss, implant failure, and implant removal.
Bone loss
Bone loss around a dental implant is a serious complication that can affect both the health and stability of the implant. The jawbone plays an important role in keeping the implant secure. When this bone begins to shrink or deteriorate, the implant becomes loose and eventually fails. If the bone around an implant is severely damaged, it must be removed. Before placing a new implant or prosthesis, a bone graft is required to regenerate the lost tissue in the jawbone.
Aesthetic issues
Although dental implants are praised for their natural appearance, sometimes an unfavourable picture occurs. If implant is poorly placed or the underlying structure is compromised, it is better to remove the implant and explore other options such as a removable prosthesis or a new implant in a better position. The resorption of the bone around the implant can impair the aesthetic appearance.
Can you replace implants with dentures?
Are there risks in replacing implants with dentures?
Yes, replacing implants with dentures is possible and usually successful, but the procedure comes with some risks and limitations. These risks depend on factors such as how long the implant has been in place, the condition of the surrounding bone and gums, and the patient's overall oral health.
Removing an implant that is fully integrated into the bone requires cutting or reshaping the bone. This slows down the healing of the tissues.
Patients who have been using implants for many years find it difficult to adapt to removable prostheses. Dentures are more mobile, so there is discomfort associated with speaking, eating, and aesthetic appearance.
Implant removal is a surgical procedure. Getting this treatment from a qualified oral surgeon reduces your risk of encountering risks.
Ensure that the procedure is performed by a qualified oral surgeon or implant specialist.
When is it not recommended?
Removing dental implants and replacing them with dentures is not preferred unless it is absolutely necessary. In some cases, it is not advisable to remove the implants:
If the problem is limited to crown or gums,
If the problem is purely cosmetic and can be addressed with a new crown or soft tissue treatment,
Patients with uncontrolled diabetes, immune system disorders, or poor wound healing may face higher risks from the procedure.
This procedure is completely case-specific. Generalised information does not reflect the truth. After a detailed assessment, the dentist will remove dental implant and recommend a denture if the dentist considers it necessary.
Which is better: implants or dentures?
Dental implants are the gold standard for tooth replacement. They are stable, durable, and protect the jawbone and promote bone growth. They look and feel like natural teeth. They provide ease of chewing and speaking thanks to high stability. On the other hand, they require sufficient bone density, good general health, and higher investment. Although these are known disadvantages, All-on-4 and All-on-6 treatments are available for patients with insufficient bone density. Moreover, dental implant treatments in Turkey are much more affordable than in the UK. If your dental implant treatment has failed and you cannot get it again due to cost, please contact Lisa Smile Studio.
On the other hand, dentures are more affordable and non-invasive. This makes them suitable for patients who avoid surgery. They need to be replaced from time to time. As bone resorption continues, it is common to see collapse of the cheeks over time. The right choice depends on individual needs, oral condition, and long-term goals.