Dental Implants that shouldn’t work

There are dental implants that should not be stable yet hold up well for years. The healing ability and individual response to the implant play a big role in the success or failure of a dental implant.

Dental implants that aren’t in bone

Before CBCT there was really no way to know if the implant was in solid bone or laying just outside bone, other than to do an unneeded exploratory surgery. Today we are taking CBCT imaging much more and are running across well functioning long lasting implants that just should not be working. Yet they are!

I know I have a few cases of implants that are in the maxillary sinus, facial or bone, or into the nasal area that are working fine.

Cases of dental implants outside of bone

Here is a case I have that I put on DT to ask what people would do. I believe it will be fine long term but time will tell.

Below are some photos I have seen online of implants that are holding up despite their poor placement. On a PA x-ray these implants would look fine, but when we look at the CBCT we see the truth.

A dental implant through the lingual concavity. This one is a pretty bad mess up and somewhat risky for serious bleeding.

Dental implants that shouldn’t work but do! Many are likely anteriors that just got away from the doc a little.

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