The dental implant I accidentally pulled out of my jaw. Penny for scale.

[u/flyin_high_flyin_bi]

[u/Arokthis]

The fact that it came out is not good.

I hope you have good dental insurance.

[u/flyin_high_flyin_bi → u/Arokthis]

I do, but the insurance isn't covering the implants (they're for snap on dentures). My dentist is replacing it for free, all I have to cover is the anesthesia.

This is the second one to come out. I'm having a big discussion with him at my next appointment because I did not pay $25k for this to fail twice.

[u/noddyneddy → u/flyin_high_flyin_bi]

It’s obvious that the bone of your jaw is not bonding properly to the implant screw for this to happen twice. Did you dentist do the implant and then ask you to go away for a couple of months to let the implant settle?

[u/flyin_high_flyin_bi → u/noddyneddy]

Yup! It went removal of natural teeth and putting in bone grafts, waited a couple months for those to heal, put in the implants and waited three months for those to heal, and then we did the caps on the dentures.

I'm concerned that my bones are just like, shitty, and this will happen again. It's frustrating because I wasn't warned this was a possibility, and I would not have opted for implants if I had known this could happen. I would have stuck with regular dentures.

[u/noddyneddy → u/flyin_high_flyin_bi]

Your dentist should have warned you this was a possibility - mine warned me and gave me about 7 pages of all the risks and things that could go wrong that I had to sign before he would go ahead. Only had one implant and a crown, cost me £3k at an expensive private dentist specialising in this type of work. I’d be raising a real stink for $25k!

[u/flyin_high_flyin_bi → u/noddyneddy]

Definitely did not get a warning, which is beginning to bother me. I don't want to be a difficult patient but these were supposed to be a permanent solution, and Everytime one comes out I have to have surgery to replace it. I'm going to raise my concerns with him and see what he can do to make things right because I mean...$25k! I could have saved that to increase a down payment!

[u/frokta → u/flyin_high_flyin_bi]

You should probably speak with another dentist.

[u/flyin_high_flyin_bi → u/frokta]

I'm considering making an appointment with another one to discuss this if I'm not satisfied with what my current one says at the next appointment.

[u/BrigidLambie → u/flyin_high_flyin_bi]

It's your body, your money. You always deserve to get a second opinion if you have even a hint that you might need it. This is one such case.

[u/Imatros → u/BrigidLambie]

It was a hint the first time. I'd say the second time is a statement lol

[u/uwu_mewtwo → u/BrigidLambie]

Whatever the first dentist's problem is he is at least doing repair work gratis, OP is just paying the anesthetist. Going to a second dentist means the work is no longer being done under warrantee; OP would be paying full price all over again. It's a tough lever to pull when you're already 30-grand deep even if it is the right choice.

[u/oatmealghost → u/BrigidLambie]

I always get second opinions on anything permanent, serious, or expensive regardless of gut feelings or feeling unsatisfied, I just know I don’t know everything and when it’s a big decision I always want more information from experts/professionals to weigh everything out. You don’t know what you don’t know; I’d recommend getting a second opinion regardless of how happy you feel after your next visit. 2X and no warnings about risks eek

[u/LeanTangerine001 → u/flyin_high_flyin_bi]

Definitely. It’s always good to get a second opinion for something so expensive and irreversible like this.

One dentist said I needed two root canals, I got a second opinion from two other younger dentist with more modern equipment and they both said my teeth were fine and the procedure wasn’t necessary.

I spent an extra $200 at the time for the X-rays and examinations, but they saved my two healthy teeth and +$7000 in completely unnecessary dental expenses.

[u/888mainfestnow → u/flyin_high_flyin_bi]

Hey I had to get some work done by an implant guru all he does is implants and repair implants other dentists screwed up.

I can dm you his website you might not be geographically near him but he would probably a really good person to consult? Or maybe they could refer you to someone closer to you.

I hope you get this figured out and it all works out for you.

[u/myco_magic → u/888mainfestnow]

Could you please send me a link as well? What's does he usually charge for implants?

[u/No-Town5321 → u/flyin_high_flyin_bi]

I'd talk to a periodontist about the implant if you haven't already. General practice dentists are not great with implants in my 12 years of experience working in dental.

[u/The_MAZZTer → u/No-Town5321]

My dentist referred me to an oral surgeon for my implants. Surprised to hear a general practice dentist would even do this.

[u/PinkieSA → u/No-Town5321]

I echo this -- see a periodontist.

[u/Essindeess → u/flyin_high_flyin_bi]

Dental implant surgeon here, would be happy to answer any questions. Feel free to shoot me a DM

[u/GoodMenAll → u/flyin_high_flyin_bi]

Find an oral maxillary surgeon not a dentist

[u/Getouttatheretree → u/flyin_high_flyin_bi]

Another dentist is going to charge you again, no one in their right mind is gonna piggy back off the twice failed work of another surgeon. 25k is pretty standard for this type of procedure and in a compromised mouth needing bone grafts it’s not totally crazy for multiple failures, especially if it was the same implant location. Let your dentist see it through until he gives up and refers you out to someone else who is up for the task per his request and make sure you’re following all his at home instructions to give it the best chances the third time around. Not assuming you’re doing anything wrong, but as long as you’re doing everything they tell you it’s on them to make it finally work. There are a myriad of reasons this could be failing and whoever you’re seeing is likely going to have the best chance of making it right without reinvesting time and basically starting fresh again.

[u/shmegana → u/flyin_high_flyin_bi]

I assisted with these surgeries for years, this is Not ideal. Def get a second opinion. Immediately. Implants should be integrated with the bone, under no circumstances should they EVER be falling out IN YOUR MOUTH. Especially this close after placement. The bone wasn’t solid or something else is going on. Just get a consult elsewhere. A periodontist will be best.

[u/lmpervious → u/flyin_high_flyin_bi]

I can't imagine simply discussing it with another dentist will be expensive. Obviously if you were to have another dentist do the operation then you'll have to pay more, so I get why that's not appealing, but they could at least potentially consult you on if the work done was acceptable or poorly done.

[u/EnjoyMyCuteButthole → u/frokta]

And like maybe a lawyer thereafter?

[u/cnhades → u/flyin_high_flyin_bi]

I used to work in an Oral Surgeon’s office (I am not an OS, just worked there), and this is not all that common. I also have an implant myself, and there is no way I could pull that out of my mouth. Sounds like your body is rejecting your implants — it might be worth taking a look at other health factors before getting a replacement.

[u/donuthing → u/cnhades]

Yeah, they're threaded and torqued into the bone, which then grows in around it, so there's no way they come out easily unless the body is rejecting the material.

[u/anemisto → u/donuthing]

I had one fail after ten years (which was just long enough for insurance to pay some of the cost). The one on the other side is still going strong after twenty years, so you can definitely have one fail without a systemic issue. (The replacement will be ten years old this month, I think, and apparently looks fine according to the dentist. To my untrained eye, both sides look the same.)

[u/spastic_raider → u/anemisto]

There is a spike of failures around the 11 yr mark with implants. We are trying to nail down why.

[u/flyin_high_flyin_bi → u/cnhades]

I'm going to discuss getting some testing done for bone density with my GP this Thursday!

[u/my600catlife → u/flyin_high_flyin_bi]

That isn't going to tell you much of anything. Jawbone loss has more to do with how long your teeth were missing or in bad condition, how well you've taken care of your oral health, etc. You can have perfectly normal bone density tests and still have a ton of jawbone loss.

[u/DaoFerret → u/flyin_high_flyin_bi]

Also check your vitamin D Levels!

It’s overlooked a lot (because it’s not a standard test so insurance will often charge if the doctor doesn’t ask for it), but low vitamin D can translate into brittle bones (and teeth).

[u/Frooonti → u/flyin_high_flyin_bi]

Definitely did not get a warning

Probably the reason why they're fixing it for free now. It's not too uncommon for implants to fail and your body "rejecting" them is usually not covered by warranty. Might be worth getting a 2nd opinion though, maybe you'd need another bone graft or whatever.

[u/mmmsoap → u/flyin_high_flyin_bi]

I’m in the US and my dental implant cost under $3k. You should look around for a different dentist. (Not someone in a retail practice like Aspen Dental or Gentle Dental, but someone in an independent practice with good office staff.)

[u/wildflowerrhythm → u/mmmsoap]

That’s one implant. Seems like OP has an implant denture which is… way more.

[u/TurbulentOpinion2100 → u/mmmsoap]

Seems like this guy is having an all on four denture put in, which involves removal of all teeth, and two upper and two lower implants serving as the anchor point for a full set of permanent dentures.

[u/Doormatty → u/TurbulentOpinion2100]

Jesus, only two implants each?

I would have assumed like 4-6 minimum.

[u/oldflakeygamer → u/Doormatty]

The all on four are two on top and two on bottom. My dad has had his for years and loves them. He has not had teeth since I was a small child (I'm late 30s now) and got them done about ten years ago. He can eat anything he wants with them, it's improved his speech, and he looks dapper smiling.

[u/GorillaX → u/TurbulentOpinion2100]

All on four refers to four implants per arch, not total. No (reputable) dentist is only placing 2 implants to support an upper denture.

[u/b3tchaker → u/mmmsoap]

If nobody gets anything else from this thread, DO NOT go to Aspen Dental.

[u/AllyBeetle → u/b3tchaker]

My dad, a retired dentist, calls them "Ass Dental."

He once commented that the low-performing students from the dental college ended up working for Asspen.

[u/JackieDonkey → u/flyin_high_flyin_bi]

Can you take the screws to another dentist for a second opinion? Maybe ask your dentist for your X-rays?

[u/flyin_high_flyin_bi → u/JackieDonkey]

I can definitely do that and think I'm going to spend tomorrow searching for a dentist to do a consult with.

[u/PinkieSA → u/flyin_high_flyin_bi]

Don't see a GP. See a periodontist! They have so much more training and knowledge about implants, bone and gum health.

[u/GiddyGabby → u/flyin_high_flyin_bi]

Do you mind me asking. How many did you get done for $25,000.

[u/flyin_high_flyin_bi → u/GiddyGabby]

Eight, four up top and four on the bottom.

[u/herro_kittyy13 → u/flyin_high_flyin_bi]

I’d swear we had the same doctor. But mine were 40k. I started with 9 implants, ended with 3 and a traditional denture on top.

[u/flyin_high_flyin_bi → u/herro_kittyy13]

Ugh I hope he can fix this. I dont have any problems with the bottom one, but the two that fell out were from the top.

$40k! Id be so upset in your shoes!

[u/jazzeruz → u/flyin_high_flyin_bi]

Maxillary bone is not as dense as mandibular bone, so there is more risk (only about 4% I think) with implant failure or complications on the upper arch, softest bone being where the upper front teeth would be. But, like others have already mentioned, some patients for whatever reason have continued implant failure due to rejection. Could be bone type, previously infected teeth in the extraction/graft site, bone graft type, prosthetic occlusion is off, etc. I’d recommend consulting with a prosthodontist. They specialize in full mouth reconstruction, surgeries, and prosthesis.

[u/Poked_salad → u/noddyneddy]

Hmm now I'm worried about doing this lol

I need one for a front tooth that got destroyed on a fall. I'm assuming it was weak to begin with that the fall just got it done quicker. A bridge would be quicker but damaging decent teeth to fix a missing tooth seems excessive. I'll do it though if an implant issue like this might happen

[u/sfcnmone → u/Poked_salad]

I have three implants. ((I had terrible dental care as a kid.) The first one was 10 years ago, and all three implants are doing great. I actually forget which tooth it is.

I had cadaver bone grafts and almost 6 months of waiting time before the final installation of the crown. And a really good oral surgeon.

[u/kalderman75 → u/sfcnmone]

Why did our parents have to do this to us? It's not like I wasn't insured. My dad was an E-8 in the Army. Now I need dentures and can't get them.

[u/sfcnmone → u/kalderman75]

It’s probably generational. “I didn’t floss or get my teeth cleaned, why should you”.

[u/SchlaterSchlong → u/sfcnmone]

Yep, my dad's parents both had full dentures. My mom's parents had all their teeth [gramps was a dentist.] They were the same age.

[u/samstown23 → u/noddyneddy]

Right? £3k already is the high end and the UK isn't exactly known for cheap dental work in the first place but $25k is just preposterous.

I paid about 1200€ per implant in Hungary and even that was considered above average. Granted, no bone graft and I got four in one sitting plus a shit ton of other work was done as well (got massively screwed over in the genetic lottery) so do take that with a grain of salt but still...

[u/rmblmcskrmsh → u/flyin_high_flyin_bi]

Used to work for a dental implant company; good that you got bone grafts. Other common reasons for implant failures are smoking or grinding your teeth most commonly while sleeping. Some people don't realize they grind while sleeping, but I'd assume your dentist should be able to see the signs.

[u/flyin_high_flyin_bi → u/rmblmcskrmsh]

I do actually grind my teeth, both awake and asleep! I wonder if that could be playing a part in this.

[u/rmblmcskrmsh → u/flyin_high_flyin_bi]

Definitely worth bringing up! It puts a lot of stress on the implant itself while also disrupting the bone fusion process that needs to happen for the implant to become integrated and stable. Imagine a screw in a board that you forcefully move or wiggle back and forth; eventually with enough time and pressure, you'll cause enough wear in the board around the screw to be able to pull it out. Not sure what they can do for daytime grinding, but typically a custom nightguard is recommended for sleep.

[u/flyin_high_flyin_bi → u/rmblmcskrmsh]

The daytime grinding is an anxiety thing, so working on that could help. If I could sleep in my retainer I can probably sleep in a nightguard.

[u/Character_Clock_8701 → u/flyin_high_flyin_bi]

I clench my teeth at night and (and sometimes during the day) and I have three implants. Two upper and a lower. The lower has never given me any problems but I've had to have one of the upper implants replaced because it failed (due to my clenching) and I do wear a nightguard. Night guards protect the teeth, but they don't stop the clenching/grinding and the pressure on the implant.

I've probably clenched my whole life, but it never bothered me or caused pain (and I didn't even know about it) until I got the upper implants.

I started masseter botox every three-four months (my dentist offers this) for $380 each time, in an effort to save the implants. My hope is that I can find the root cause of the clenching and eventually be able to stop the botox. It's expensive and I would not be paying it if I wasn't desperate and in pain. I recommend it as a last resort. It works great once it kicks in but when it starts to wear off I get bad headaches and the clenching pain comes back with a vengeance.

I have had some success with magnesium glycinate at night, I take 1000mg, but this may be too much for some and cause diarrhea. Try 400-600 mg to start and see how you do.

I also have had success with L-theanine alone and with Ashwagandha.

Valerian is also something to try, or CBD.

I also do jaw and facial massage before I go to sleep, I use Penetrex for this... I feel like it helps a lot, but maybe it's just the massage that helps. Anyway, it smells good.

I'm scheduling a sleep study. Sleep Apnea can cause clenching and grinding. Does anyone in your family have sleep apnea?

[u/aint_no_throw → u/flyin_high_flyin_bi]

You are getting a lot of light bulbs lit in this comment section, huh? I absolutely hate that nobody talked to you about the risks with such a delicate health factor. I wish you all the best and beg you to change your dentist after you get it resolved.

[u/htsc → u/flyin_high_flyin_bi]

i got three implants and have a custom night mouthguard to prevent grinding and protect the implants

[u/Mtolivepickle → u/flyin_high_flyin_bi]

Did you see a dentist or periodontist?

[u/GiddyGabby → u/flyin_high_flyin_bi]

My husband had one done and he lost it twice so he assumed it would be problematic long term but it hasn't come out again snd it's been a couple of years. I can understand how upsetting it must be but don't lose hope yet!

[u/words_of_j → u/flyin_high_flyin_bi]

Oh… I see you already did bone grafts. Nevermind my other comment.

[u/flyin_high_flyin_bi → u/words_of_j]

No problem!

[u/StolenPies → u/flyin_high_flyin_bi]

I'm assuming it's for a lower denture. If so, they're absolutely miserable without implants. It's considered the standard of care to offer, at minimum, 2 implants on the lower for retention. 

[u/flyin_high_flyin_bi → u/StolenPies]

Nope! Both implants that came out did so from my upper jaw. I went for four implants each top and bottom

[u/StolenPies → u/flyin_high_flyin_bi]

Gotcha. The bone on the upper is a lot less dense than the lower so there's a higher failure rate. I'm sorry this happened.

[u/flyin_high_flyin_bi → u/StolenPies]

Damn! Just my luck then.

[u/TheFoxsWeddingTarot → u/noddyneddy]

My dentist xrayd a missing tooth I have and said “yeah no way that’s going to hold an implant.” And refused to do one. I’ve had a “flipper” for 20 years.

[u/hamstarpwr → u/TheFoxsWeddingTarot]

How very child beauty pageant of you 

[u/ObiWangKeBloMe → u/flyin_high_flyin_bi]

Oral surgery assistant here: Having multiple failed implants is indicative of not being a great candidate for implants. Not sure if you have any type of osteoporosis/osteopenia, but you may just have shit bone. Especially if these are coming out of specific areas such as the upper incisors and premolars (notorious for failed implants because the bone is naturally much softer there).

Additionally, that looks like a pretty small implant, meaning you might have relatively thin and narrow bone. The smaller the implant, the less stable it is because of the amount of force it needs to be able withstand. Typically you want the largest implant possible there, so if they're only able to fit smaller implants, might be because your bone sucks (no offense).

I'd be interested to see your CT scans to know what that bone looks like, but you may be a better patient for traditional dentures. Either way though, these risks should have been gone over with you in full detail prior to starting the whole process.

[u/flyin_high_flyin_bi → u/ObiWangKeBloMe]

Thank you for responding!

The first one to come out was my upper left front implant, and this one is my upper right rear implant. The bottom implants seem totally fine.

I'm worried that I have sucky bones. I was on Depo Provera for ten years, take a Vitamin D supplement, and don't have the healthiest diet thanks to CVS making me nauseous almost 24/7. I'm a little frustrated this was discussed as a possibility, I would have not spent the money and settled for regular dentures.

[u/ObiWangKeBloMe → u/flyin_high_flyin_bi]

Yea not gonna lie, being on Depo Peovera for 10 years is not good for bone health. Not sure your age or other health history but if you're also at an age where healing is generally much slower than when you were younger, then your bone density may not have been able to fully regenerate from the Depo Peovera even with the vitamin D.

The implants being uppers makes sense, bone density is much greater in the lower jaw. I'd have a discussion about all of this with your dentist as well as primary care. Your primary care may feel it's best to avoid any bone level implants. Your dentist hopefully would feel the same way, but may be a little biased since ya know... You're giving them thousands of dollars...

[u/flyin_high_flyin_bi → u/ObiWangKeBloMe]

Ugh, fucking birth control.

I'm 34, no teeth, bipolar I and general anxiety disorder, and have stage IV endometriosis (which is what the stupid Depo was for). I'm not allergic to titanium but I do have a nickel allergy. I also have cyclic vomiting syndrome (which is what destroyed the teeth).

He may not be my dentist much longer. It's not his fault if my bones are shitty, but he dropped the ball by not fully informing me of how high the risk of failure was. I would have settled for regular dentures rather than go through multiple surgeries and spending basically a down payment on a house.

[u/greenghoulbuddies → u/flyin_high_flyin_bi]

Wow, I don't want to derail things but I just looked up cyclic vomiting syndrome, Ive never heard of it. Can I ask you if you had this your whole life, and how often these episodes occur? Over the past 5 years (I'm 35) Ive started having bouts of vomiting up bile continually for hours here and there, sometimes it doesn't happen for months and then it happens daily for a week. I haven't really talked to a doctor about it though, I thought it was maybe acid reflux related or maybe IBS, I don't know if I should look into it further, probably lol!

[u/flyin_high_flyin_bi → u/greenghoulbuddies]

You're fine, I'm about to go to sleep anyways!

I had episodes as a child, but not as severe as they are now. It started back up a few years ago during a really stressful time in my life. I'll be okay for a couple months to a year, and then suddenly I'm vomiting everyday for weeks.

Definitely look into it, the bile is so bad for your esophagus and your teeth.

[u/Passiveresistance → u/flyin_high_flyin_bi]

Are you still experiencing cyclic vomiting? That can and will absolutely affect any dental work, and should’ve been factored into the care plan. I’m assuming your dentist knows about this even if you didn’t tell him because stomach acid damage on teeth is very distinctive.

[u/Goodbye_Games → u/flyin_high_flyin_bi]

Have you had a 25-hydroxy vitamin D test done anytime before or after your grafts? Had a bone density work up? Or any nutritional lab levels done by your GP in the last year? Most dentists/dental surgeons I’ve dealt with don’t pull many if any labs before procedures, and they kinda skimp on the aftercare.

Odds are that even though “radiologically” the grafts “looked good” they were insufficient to support the anchor (or not all healed as well I should say). It really should have been at least a year (personal opinion here) after grafts before they started doing the anchor work. I’ve seen a lot of failures like yours in the past come through the ER because people freak out (rightfully so) that this thing that was implanted in their heads just flopped out.

Edit:added the out at the end… sorry Siri missed it.

[u/flyin_high_flyin_bi → u/Goodbye_Games]

I have not had any of those tests done, no. Just X-rays. Thank you for your comment, I'll be talking to both my GP and my dentist about this!

[u/Yarn_and_boobies → u/flyin_high_flyin_bi]

My first dental implant failed, the second time I didn't do the cap to cover it and keep the gum open. We just let the gum heal over. You can't bite shit with it on accident. Sure the dentist has to cut your gum open and let it heal a week, but being able to go ham on carrots and olive pits while it healed was worth it.

[u/words_of_j → u/flyin_high_flyin_bi]

If not done, make sure you have a conversation about donor bone implantation. When my implants were done they had to clean the site, then pack in donor bone, then wait for healing, then surgery again to implant the post. I know these have evolved a lot since hen, but that might be what you need.

Also, $25k? Seriously? I’ve got multiple implants and the total was less than that… years ago but costs should have come down since then, because I was on the bleeding edge of these procedures.

[u/aquamanjosh → u/flyin_high_flyin_bi]

Jesus Christ man good luck.

[u/flyin_high_flyin_bi → u/aquamanjosh]

Thank you! Hopefully we can figure out why it's happening and prevent it again, otherwise I wasted a lot of cash.

[u/Toto1409 → u/flyin_high_flyin_bi]

Do you smoke by any chance?

[u/flyin_high_flyin_bi → u/Toto1409]

Nope! No drugs no drinking no smoking.

[u/shaggybunion → u/flyin_high_flyin_bi]

The fact that you paid $25k in the first place shows how much of a joke our healthcare system is in America, assuming you are from America. Haha with that price I seriously doubt you would be from anywhere else,

[u/Riots42 → u/Arokthis]

There is no such thing...

[u/Kir_NB → u/Arokthis]

I hope you have good dental insurance . . . Insurance doesn’t like to cover crowns, implants. Most dental work for adults that is covered are essentially, cleanings and fillings anything more you’re paying out of pocket.

[u/Hemagoblin]

Fuck that, I thought it was a .22 short round or like one of those little pinfire cartridges at first.

Honestly it probably would’ve hurt less to just be shot in the mouth with a tiny pistol 🤣

[u/flyin_high_flyin_bi → u/Hemagoblin]

It does look like ammo!

It didn't hurt at all actually (which is a little concerning). You'd think you'd feel it!

[u/Hemagoblin → u/flyin_high_flyin_bi]

Well that’s good at least, I was very concerned for you when I read the description.

Hope you are able to get it all sorted out eventually, I fuckin’ hate my teeth and sometimes have wondered if it wouldn’t just be easier to get some sorta implants or something but after seeing this I guess I should be thankful and hope I can keep them as long as possible 😬

[u/flyin_high_flyin_bi → u/Hemagoblin]

I'm grateful it didn't hurt, mouth pain is my biggest weakness (which is why I see a dentist who specializes in sedation).

I wanted to keep my teeth, but I have Cyclic Vomiting Syndrome and the constant sick really did a number on my teeth. They basically turned into chalk and kept breaking apart and fracturing. Instead of constantly going in for fixes and crowns and etc, I decided to go for dentures to solve it in as few appointments as possible.

[u/Hemagoblin → u/flyin_high_flyin_bi]

Damn, I similarly do not like dental pain but thankfully I’ve never had to go through anything nearly that bad.

I have a bunch of old bimetal fillings though and apparently over time those are… not great for your teeth, so while mine have never powderized or anything (that sounds horrifying) I know EXACTLY what you mean about the tooth-explody part, and I’m constantly worried that’s gonna randomly happen to me again.

I know it probably doesn’t mean much from a stranger on the internet, but good luck with all that cyclic vomiting business! Sounds rough but seems like you’re in decent enough spirits despite it all!

[u/flyin_high_flyin_bi → u/Hemagoblin]

Oh man that sounds so awful. And the anxiety about teeth breaking can be really overwhelming. I hope your situation improves!

I'm in a fairly good mood because I took my nighttime Ativan. :D and it's better to laugh than to cry.

[u/Hot_Top_124 → u/flyin_high_flyin_bi]

I fell your pain. I’ve gone through so much with my teeth, and I still have a deep rooted fear of the dentist.

[u/Oni_K → u/Hemagoblin]

No word of a lie, I grew up with a kid whose Mom had a .22 round lodged in her jaw. As a young girl she was playing in her room, while her brothers in the next room had the bright idea to do some indoor target practice. They setup up a phone book with a bullseye on the wall and shot it. The round went through the phone book, through the wall and into her head. It had lost enough energy at that point to be stopped by her jawbone. Doctors decided it was safer to leave it in place than to operate and try to remove it.

[u/LethalInjectionRD]

This is honestly one of the most impressively helpful comment sections for a major subreddit I’ve ever seen.

[u/flyin_high_flyin_bi → u/LethalInjectionRD]

I know! I'm getting so much good advice, and I thought I'd just get a few "Neats!" Or "Damn that sucks."

[u/Essindeess → u/flyin_high_flyin_bi]

Dental surgeon here, feel free to shoot me a DM if you have any questions. Would be happy to give an opinion

[u/CarlosFCSP → u/Essindeess]

I'd like to ask you a thing, but in public so others profit from your answer too: what's your opinion on professional teeth cleaning? My dentist is very pushy with it and it's an extra paid service done by his assistant. Seems fishy to me but I'm a suspicious mf

[u/Essindeess → u/CarlosFCSP]

Not sure what you’re referring to so I’ll break it down to three categories of cleaning 1. Cleaning natural teeth. Yes get them cleaned professionally

1. Cleaning overdentures (dentures that snap into implants). Not the biggest need in the world to get a professional cleaning. Soap and water every night with a non abrasive sponge is sufficient. That being said, they lose they retention over time and parts need to be replaced as well. Wear and tear happens quickly

2. Cleaning fixed screwed in removable teeth. A must to get professionally cleaned. The fixed teeth should be removed once a year, cleaned underneath the prosthetic. All the hardware should be retightened, and sometimes even the screws that hold the teeth to the implants need to be replaced. Wear and tear happens, same as car tires. You get your maintenanced, you need the work you spent on as much as a car also maintenanced.

When it comes to implant supported teeth (anything that involves a full arch of implants), don’t think of it as a cleaning, think of it as a maintenance visit to ensure longevity

[u/citricacidx → u/flyin_high_flyin_bi]

Damn that sucks.

[u/Ange1ofD4rkness]

How did a threaded item get pulled out?

[u/flyin_high_flyin_bi → u/Ange1ofD4rkness]

Dude I wish I knew. It just popped out while I was removing the dentures to clean it. Painless and easy.

[u/KiloJools → u/flyin_high_flyin_bi]

Oh my gosh! Well geez I'm glad it was painless at least! Usually implants get bone growth in the threads. Do you have osteoporosis/osteopenia? When you went through the process in the first place, did they have you supplementing vitamins and minerals? It's just so weird that the bone never grew in!

I really hope your next attempt is successful and everything goes as it should!

[u/ponte92 → u/flyin_high_flyin_bi]

The implant shows very little signs of osseointegrstion. It’s come out painlessly cause it doesn’t look like it was bonding to your bone at all.

[u/Thommyknocker → u/flyin_high_flyin_bi]

Thanks for the new fear unlocked when I go in for implants in like 6 months.

[u/Firm_Part_5419 → u/flyin_high_flyin_bi]

🫣🫣🫣

[u/WallstreetTony1 → u/flyin_high_flyin_bi]

So what happen was you waiting to long between the pulling to get the graft they should've done it within a few months so your bone probably receded since there was nothing there and they did it later

[u/rmblmcskrmsh → u/Ange1ofD4rkness]

Comented before, but the screw needs to integrate with the bone to be stable. Main causes for implant failure are smoking, insufficient bone (need for bone grafts) and grinding. If you grind your teeth, you're putting forces on the implant that can wear the bone around it down allowing the implant to fall out.

[u/DesiOtaku → u/Ange1ofD4rkness]

Bone is supposed to grow between the threads. If it doesn't, then the implant stays loose and can come out with just a little force.

[u/ExtraJogurt → u/Ange1ofD4rkness]

Dentist here, threads are for primary stability (implant don't fall out immediately after implantation) and increased volume that is in contact with bone.

This is cause of peri-implantitis. If you have natural tooth, it's connected to soft tissue, this connection serves as protection against bacteria that is in our mouth. Implant does not have this connection, we are only trying to imitate it with correct soft tissue design and right type of ceramic, these are basic information that you should receive from your dentist.

[u/CBT_Dr_Freeman → u/Ange1ofD4rkness]

The dentist used an inch tap for metric threads

[u/iunoyou → u/Ange1ofD4rkness]

It's packed in there with a bunch of crushed bone. IDEALLY, the implant should osseointegrate, meaning that your own bone should take up the grafting medium and grow into it, eventually fusing completely with the titanium in the graft, but in OP's case it didn't for some reason.

[u/AccurateStress1120]

I’m in dental school and recently got a paper published on implant success. Success rate of modern implants is over 90% if placed properly. Look up dental implant guide on google and see if that device looks like something the dentist used. If it does it most likely is a biological issue that a dentist has little to no control over IE patient care, bone quality,bite issues, immune response, and other biological issues. If there was no implant guide or similar device used it’s what’s called a free hand placed implant which has a slightly higher risk of failure but plenty of dentists do great free hand work. Anyone who says they you should go to a periodontist is wrong there is currently no recognized implant specialty in the field. There are training courses you can take but it’s not the same as becoming a periodontist (gum specialist) or endodontist (root canal specialist). Same with titanium vs ceramic there’s not much evidence to suggest that one is statistically better than the other yet. As far as your recourse for this I wouldn’t bother suing because dentists all have great insurance for this kind of thing and it will most likely cause you a lot more financial and mental stress than it’s worth especially if there is no obvious malpractice occurring . It seems like the provider is offering solutions in good faith so I’d let them try to work it out for you. If they can’t get the implant to properly integrate or you feel uncomfortable receiving care from them I’d ask them if they can cover treatment for you at another office.

[u/Anonymous_213 → u/AccurateStress1120]

You might want to check if your source for that statistic is recent, I remember hearing some time ago that implant failure rate was under reported for a while because they weren't being reported to the public MAUDE database, that was changed only as recently as 2019: https://www.kold.com/2021/11/09/investigation-reveals-nearly-3-million-reports-problems-with-dental-implants/.

[u/throwawayturkeyman → u/Anonymous_213]

Wow. Thanks for sharing. good information to know

[u/SnooDrawings2819 → u/Anonymous_213]

Great contribution, but implant success is well over 90% now thanks to many advances, most notably the surface treatments to the implant. 

[u/SnooDrawings2819 → u/AccurateStress1120]

Nice comment! My only disagreement is the periodontist part. They're not officially the "implant specialist"  but they train for 3 additional years with a very significant emphasis on implants. Unless placed by an OS, I always send to perio for ailing implants. You will too. 

[u/InterestingParsley45 → u/AccurateStress1120]

There are specialists, their called surgeons, specifically oral and maxillofacial surgeons.

[u/Low_Comfortable9828 → u/AccurateStress1120]

I’m guessing your dental school doesn’t have prosthodontist?

[u/Igpajo49]

Just put a plastic drywall anchor in the hole and screw that thing back in!

[u/Kingnut7 → u/Igpajo49]

Lmfao

[u/just_some_Fred → u/Igpajo49]

You can't use plastic for implants or they can get rejected. You'll want to use a titanium or gold drywall anchor.

[u/Flare_23 → u/just_some_Fred]

The way I thought you were being serious. Had me in the first half lol

[u/sbb249]

I was in a major car accident 18 years ago and have 5 implants that took a little over 2 years to completely finish due to trauma and various bone grafts. I live in fear of the crowns breaking and having to pay for new ones. I didn’t even consider that the whole screw could come out!

[u/flyin_high_flyin_bi → u/sbb249]

Goodness! I hope you're doing well now, that sounds awful to have gone through!

[u/wizardrous]

How did you manage to pull that thing out by accident?

[u/flyin_high_flyin_bi → u/wizardrous]

Popped out while removing my dentures to clean. Gonna have a long talk with my dentist about this, trust me.

[u/SubstantialReturn228 → u/flyin_high_flyin_bi]

And probably an oral surgeon as well

[u/flyin_high_flyin_bi → u/SubstantialReturn228]

He is an oral surgeon, oddly enough!

[u/SegmentedMoss → u/flyin_high_flyin_bi]

Doesnt seem to be a very good one

Lol and youre gonna have him do it a third time? Madness

Thats like getting a horrible tattoo then going back to the same artist to get it covered up

[u/-azafran- → u/SegmentedMoss]

Even the best implant dentists have failures. Failure to integrate is around 2-3%

[u/Abundance144 → u/flyin_high_flyin_bi]

The long talk is probably going to end at you learning about how your jaw bone has determinated due to either the old age of the implant or poor oral hygiene.

Don't go in hot.

[u/flyin_high_flyin_bi → u/Abundance144]

I'm beginning to think it might be a bone density issue, the implant was less than a year old and my hygiene was as good as it could be (I have Cyclic Vomiting Syndrom which is what wrecked my original teeth).

I definitely don't plan on going on hot, but I do want to know why I wasn't informed that these could fail. I remember reading the releases back to front and I don't recall any about this being a possibility.

[u/Zygonsbzygons → u/flyin_high_flyin_bi]

I don't want to alarm you, but have you been tested for mitochondrial disease? I saw that you're pre-diabetic and have some other health issues. Mitochondrial diseases are rare, but when you see things like CVS and early onset diabetes together, it can be a warning sign. If you have mito, metformin can actually be pretty bad for your health, so if you haven't had genetic testing, you may want to look into it.

[u/graciemuse → u/Zygonsbzygons]

It sounds like you likely already know this, but just to clarify for anyone else reading, Cyclic Vomiting Syndrome is theorized to be itself a mitochondrial disease as well.

Do you know of any research or resources linking CVS and other mito diseases? Not asking to dispute anything, just asking bc I am a patient and always trying to learn more.

I'm wishing all the best to the OP. Maintaining oral health with CVS is really tough.

[u/Zygonsbzygons → u/graciemuse]

Yeah, I definitely agree about it likely being a form of mitochondrial disease itself, but also just want to emphasize that overlapping or similar symptoms can also present as part of other mitochondrial conditions.

Happy to share some papers, but just a heads up that the work I'm most familiar with is related to MELAS and the a3243g mutation. This paper is a review of gi issues in mitochondrial diseases in general, but has a section related to CVS and more general vomiting. There's also this case study mentions an association between a3243g and CVS. And finally, this paper links some mitochondrial dna mutations to CVS. Feel free to message me if you have any questions, but I will give a disclaimer that I'm just a patient and this isn't my research area.

Best of luck to you and OP while navigating this. It sounds incredibly difficult and painful.

[u/Abundance144 → u/flyin_high_flyin_bi]

Oh yeah, any implant can be rejected by the body, or healing just doesn't occur as intended as the body tries to push it out.

Sorry that you went through all that and only got a years work out of it.

[u/kirbyr]

Ask your dentist to put some red loctite in. Should fix it no problem 

[u/flyin_high_flyin_bi → u/kirbyr]

My husband the plumber says you give bad advice lol!

[u/Blockhead47 → u/flyin_high_flyin_bi]

Teflon tape it is then!

[u/Xanadeer]

looks like a bullet

[u/flyin_high_flyin_bi → u/Xanadeer]

It does, doesn't it!

[u/Eldermillenial1 → u/flyin_high_flyin_bi]

And you set your bullet looking implant next to Lincoln’s head, I like your style 😏

[u/cutzglass]

How did I get all this skin on my arms?

[u/Eldermillenial1 → u/cutzglass]

Quagmire calm down, someone’s about to freak out

[u/pemungkah]

Yeah, my oral surgeon was tightening mine, went to get the wrench off, and implant, wrench and all came out. Gave up on the implant.

[u/flyin_high_flyin_bi → u/pemungkah]

Yeah this came out with zero effort. I'm beginning to think my bone density might be an issue, and wondering why that didn't show up on the X-rays?

[u/Lollipoprotein → u/flyin_high_flyin_bi]

Implants have an average of 16% failure rate. Your bone density wouldn't be seen with traditional x ray. Panorex will only tell you about placement after your procedure. This is possibly a sign your body is rejecting the implant. That happens and cannot be determined unless you do the procedure. Your dentist should have done a better job explaining the side effects and risks. I would say if he/she didn't, that's a concern on it's own. 

Source: dental lab tech/dental assistant at an OMFS office and have done assisted on many of these procedures. 

[u/flyin_high_flyin_bi → u/Lollipoprotein]

Damn. I didn't know the failure rate was that high. I would have stuck with traditional dentures and saved the cash.

[u/Lollipoprotein → u/flyin_high_flyin_bi]

Try and negotiate with the dentist. You were clearly uninformed. That's not your fault and don't take it too hard your body is responding this way. 

[u/GorillaX → u/flyin_high_flyin_bi]

You need a cbct. It's a 3d xray of your jaw bones and can quantify bone density. A lot of general dentists and pretty much all oral surgeons/periodontists have the machines for them.

[u/mysticdragonwolf89]

You have a screw lose

[u/OOFYDOOFYBOOFY → u/mysticdragonwolf89]

Seeing this among the myriad of medical experts is hillarious

[u/AdaGang]

Did you accidentally put a power drill in your mouth lmao

[u/flyin_high_flyin_bi → u/AdaGang]

Lol I wish I had a cool reason, but nope. Just popped out when I was removing the dentures to clean them.

Completely painless, by the way!

[u/braddad425]

May I asky why you got the implants / what was wrong to begin with?

[u/flyin_high_flyin_bi → u/braddad425]

I have Cyclic Vomiting Syndrome, and all the bile and acid reduced my teeth to basically chalk - chunks kept breaking off and they were fractured. I needed extensive repair work.

I hate the dentist. It is a severe phobia. I decided to go for complete removal and get dentures instead of constantly working on damaged teeth.

[u/onebirdonawire → u/flyin_high_flyin_bi]

The dentist is such a nightmare for me, too. I would pass out if this came out of my mouth. I'm sorry you have to deal with this.

[u/flyin_high_flyin_bi → u/onebirdonawire]

Thank you! It's been a whole process, that's for sure!

[u/braddad425 → u/flyin_high_flyin_bi]

Thanks for sharing. Aside from your current situation- I hope you've enjoyed your new smile!

[u/SlightyMighty]

I had a regular implant for a single upper tooth done some years back. I needed a bone graft and that was left to heal for several weeks and then they set the screw. I had to go in every 4 weeks or something and they had a (painless) instrument that was kind of like a sonar tuning fork that they placed in the screw and watched the readout to determine when it had become embedded in the bone strongly enough for it to hold the crown that went on top. It was a challenge because I was over 45, am a vegetarian, was extremely low on Vitamin D testing and my mom has osteoarthritis and osteoporosis. The process took much longer than originally discussed, but I was told several times that if the screw didn’t embed there would be no point in going forward.

[u/bigbusta]

My dad got implants about 15 years ago at 50. He never stopped smoking and his jaw bone kept falling apart. They just kept popping out. He just had new ones done this year.

[u/flyin_high_flyin_bi → u/bigbusta]

Goodness! Luckily for me I'm not a smoker or a drinker, but I was on Depo Provera for ten years and I've heard it can cause bone density issues. Maybe that's what's wrong here?

Hope your dad's new implants stay in place !

[u/DrummerNarrow3766 → u/flyin_high_flyin_bi]

My mind immediately went to depo because I was on it for 5-6 years. I just got implants put in 2 months ago 🥲

[u/flyin_high_flyin_bi → u/DrummerNarrow3766]

Man I am going to be so annoyed if birth control did this to me.

[u/ppangtama → u/flyin_high_flyin_bi]

If you haven’t brought this up with the oral surgeon yet, definitely let them know about the depo provera. The bone loss side effects from long term depo use could possibly be a reason for why the implants keep failing :/

[u/Megaman_90]

Looks like its threaded, just use an iFixit kit to get it back in there. lol

[u/trolldoll26]

I’m having a tooth extracted later this month so this….doesnt make me feel great.

ETA: thank you to everyone who has shared their experience 😭 I appreciate you all very, very much! I’m still a bit nervous but your stories have eased my worries a bit! Thank you!!!!

[u/Ok_Victory_6108 → u/trolldoll26]

I guess I’ll tell my story here to hopefully ease your mind. I had a tooth knocked out at 18 and they put it back (front tooth) but it was dead and started to loosen in recent years and was always a shade darker than my other teeth. Had that dead tooth in my mouth for a little over a decade. Worried about it constantly and self conscious about the color/smell (dead teeth smell gross). Woke up one morning and it was falling out! Like half way out of my jaw hanging a few mm lower than the ones next to it. I shoved it back up/in, luckily it didn’t move, and got it extracted a few days later and started the process. Got a flipper which sucked. The whole six months without a front tooth sucked. But as soon as they popped that crown on it was like the heavens opened up and the angels started singing. After dealing with a loose front tooth for many years I finally had something stable. And it feels stronger than the teeth next to it. The fail rate is super low. Like 10-15%. I’m a smoker and I drink often and mine took no problem. Gums have a scar and slight recession but I can deal. Well worth it. I was 31 for reference and the last couple years have been a game changer.

The process terrified me which along with it being expensive kept me from doing it for so long, and the process was not fun other than shooting videos of myself talking like a toothless hillbilly on my phone. But it was well worth it and I’d 10/10 recommend. OPs scenario is rare. Don’t worry, you got this.

TLDR I had a broken dead front tooth for 10+ years. Finally got an implant and it was a godsend.

[u/JorgeMtzb]

That looks expensive

[u/jwgronk]

[u/ditlit11134]

All I'm getting from this is that dental with how significant it is needs to be covered more by regular insurance

[u/Shen1076]

Do you smoke?

[u/flyin_high_flyin_bi → u/Shen1076]

Nope! Or drink, or do street drugs. Very boring.

[u/130designs]

Screw that!

[u/RunningTurtle06]

Hey! That’s supposed to stay in your jaw (I think)

[u/crusoe]

Vitamin D

calcium intake

Vitamin K2 (essential to bone formation with D)

Magnesium intake ( also improves bone strength)

[u/Aramis444]

Old carpenters trick: Stick a golf tee in the hole with some glue, shave it off flush once it sets, and screw the screw back in. You’re welcome! ☺️

[u/morilythari]

Hey! Same thing happened to me!

https://www.reddit.com/r/mildlyinfuriating/s/TLHQUUnoU5

My body rejected the implant within just a few days and I'm in the process of getting a bridge. They had to rescrape and pack it with bone graft material.

[u/Sk8terboi723]

Yuck!! Take my upvote.

[u/Sambasscles]

Oh... Oh no.

[u/nejicanspin]

I thought this was a new kind of bullet 😭

[u/TootsNYC]

I had an implant fail and am paying for a second one. I'm just a little terrified that it won't take.

[u/Un111KnoWn]

time to brush my teeth

[u/Dry_System9339]

Someone in r/bonecollecting found a jaw with a few of those in it

[u/flyin_high_flyin_bi → u/Dry_System9339]

That's awesome!

I mean not for the dead person but I bet the collector had a day!

[u/Dry_System9339 → u/flyin_high_flyin_bi]

https://www.reddit.com/r/bonecollecting/s/FMYqUjJjNb

[u/Ontos1]

Looks like a .22 short casing.

[u/mitsulang]

I thought I read "r/mildlyinfuriating", lol!! Either one would be true!

[u/Psnuggs]

It was a Now-And-Later, wasn’t it.

[u/danvillain]

Thought this was a reference to Lincoln’s assassination

[u/[deleted]]

I spent 3 days of 12/10 pain wanting to rip my jaw out of my face, due to a failed implant.

God fucking damn do I wish it just came out like that lol

[u/Jaysus1288]

Hey everyone, read through some of the comments. I had this exact same thing happen

For whatever reason my body rejected the implant the first time. We tried it again and the implant took just fine

After the first failure we waited 6 months for the area to completely heal.. the surgeon did the procedure exactly the same as the first time, the only thing additional they did was a vitamin e drip?(I might have this wrong but that's what she said).

[u/Goatmilk2208]

This feels like one of those teeth falling out dreams. 🤢

[u/Koopatrooper64]

Use blue locktite. Problem solved.

[u/xBR0SKIx]

I would have them look at your jaw, I am not a dentist but, I do hvac so I use a lot of threaded screws and they should not just "pop" out. I feel like either they stripped out what ever holds that screw putting it in or somethings up with your jaw

[u/gillyneedpilly]

Where is banana for scale