The most common causes are peri-implantitis, insufficient bone support, excessive bite forces from grinding or clenching, poor oral hygiene, certain medications including SSRIs and bisphosphonates, and systemic conditions like diabetes. In some cases, poor implant positioning or esthetic problems are the primary concern. Dr. Sung identifies the specific cause before recommending any treatment.

Ongoing pain or tenderness, swelling, redness, discharge, a loose feeling, difficulty chewing, gum recession exposing the metal post, or a crown that looks mismatched or out of position. If something feels or looks wrong, book an evaluation. Early detection consistently leads to better outcomes.

Often yes. When the implant post is still structurally integrated and the issue is related to surrounding tissue, infection, or esthetic problems, targeted treatment can stabilize and preserve the implant. When the implant itself has lost integration, removal and replacement after proper site healing is the path forward.

Evaluation is non-invasive. If removal is needed, it is performed under local anesthesia or sedation and is typically less uncomfortable than patients expect. Most patients are surprised by how straightforward the process is once they commit to addressing the problem.

Progressive bone loss continues and accelerates, narrowing your future treatment options significantly. An implant that could have been saved with early intervention may require removal, grafting, and a longer, more complex path to replacement. Acting early always preserves more options.

Yes. Implant failure does not disqualify you from future treatment. Many patients have outstanding outcomes after the underlying cause is resolved and the site is properly prepared. Dr. Sung evaluates each case individually and gives you an honest assessment of your candidacy.