The predictability and long-term success rate of dental implants is well documented in the literature. Nevertheless, complications and failures do occur, requiring implant removal. Failing implants and the consequences of implant removal usually results in significant loss of hard and soft tissues and jeopardize efforts to achieve satisfactory function and esthetics. This lecture will discuss treatment modalities to deal with dental implant failure in the esthetic zone. When an implant fails, a customized treatment plan should be provided for each patient depending on the relevant needs. Patients should be informed regarding all possible treatment options and that achieving an ideal esthetic result in the compromised site is often elusive and in many cases, impossible.
Upon completion of this presentation, participants should be able to: 1) identify risk factors associated with early and late implant failures; 2) explain the difference between patient-related versus site-related etiology for implant failures; and 3) describe treatment options for managing and replacing failed implants in the esthetic zone.