Dental implants are one of the most reliable and long-lasting solutions for replacing missing teeth. With a success rate of over 95%, they offer many patients the opportunity to regain full function and confidence. However, like any surgical procedure, complications can occasionally arise.
So, what are the most common dental implant complications in long-term cases? Some of the most frequently seen issues include peri-implantitis (infection), crown screw loosening, crown porcelain fractures, and gum recession. The good news? These complications are manageable, especially when identified early and treated by your oral surgeon.
In this post, we’ll break down the most common dental implant issues, what symptoms to watch for, how each complication is typically managed, and when to seek expert care.
1. Infection at the Implant Site (Peri-Implantitis)
What it is:
Peri-implantitis is an infection that affects the gum tissue and bone around the implant. It’s similar to gum disease and can lead to bone loss if untreated.
Symptoms to watch for:
- Red or swollen gums
- Bleeding when brushing or flossing
- Bad breath or a foul taste in the mouth
- Pus around the implant
- Pain or tenderness near the implant
How it’s treated:
Early-stage infections may be managed with a deep cleaning and antibiotics. In more advanced cases, surgical intervention may be necessary to clean the area and regenerate lost bone. Regular hygiene and professional cleanings are key to preventing this complication.
2. Crown Screw Loosening
What it is:
The screw that secures your implant crown can sometimes loosen over time due to regular biting and chewing forces.
Symptoms to watch for:
- A feeling that the crown is moving
- Clicking noises when chewing
- A slightly off bite or discomfort
How it’s treated:
Your oral surgeon or restorative dentist can easily tighten or replace the screw. In most cases, the implant itself remains secure, and the crown can be stabilized during a routine appointment.
3. Porcelain Crown Fracture
What it is:
Although implant crowns are made from strong, durable materials like porcelain or zirconia, they can still crack or chip under excessive force—especially if you grind your teeth or chew hard foods frequently.
Symptoms to watch for:
- A visible crack or chip in the crown
- Pain when chewing
- Rough or sharp edges near the implant
How it’s treated:
Depending on the severity of the fracture, your dentist may be able to repair the crown or may recommend a full replacement. Wearing a nightguard if you grind your teeth can help prevent future damage.
4. Gum Recession or Aesthetic Issues
What it is:
Sometimes, the tissue around an implant may recede, exposing the metal post or creating an uneven gum line. This is more of a cosmetic issue, but it can also increase the risk of infection.
Symptoms to watch for:
- Visible implant post
- Thinning or receding gums
- Asymmetry in your smile
How it’s treated:
Soft tissue grafting can rebuild the gum line around the implant, improving both appearance and protection. Careful planning and ongoing hygiene help minimize the risk of tissue complications.
What to Do if You Suspect a Complication
If you notice discomfort, swelling, or changes around your dental implant, the most important thing you can do is contact your oral surgeon immediately. Prompt care helps prevent minor issues from turning into major problems.
At Innovative Oral Surgery, we use advanced 3D imaging, best-practice surgical techniques, and personalized care plans to minimize risks and set every patient up for success. Whether you’ve recently had implants placed or you’re experiencing new symptoms, we’re here to help.
Concerned About a Dental Implant Issue? Let’s Talk.
If you’re experiencing discomfort or noticing changes around your implant, don’t wait. Our team of board-certified surgeons is here to assess your situation and provide expert guidance.
Contact us to schedule an appointment and get the answers you need.
Looking to learn more about how dental implants work? Visit our dental implants page for a detailed overview of the process and benefits.
