Removing and Replacing Old Dental Implants
Removing and Replacing Old Dental Implants
While dental implants are designed to last for decades, sometimes old implants fail or become problematic, requiring removal and replacement. Here’s an overview of the process and what to expect.
1. Reasons for Implant Removal
- Peri-implantitis: Infection and bone loss around the implant
- Implant mobility: Loosening due to insufficient bone support
- Crown or prosthetic failure: Damage to the crown or bridge that cannot be repaired
- Poor positioning: Misaligned implants affecting function or aesthetics
2. Evaluation and Planning
- Comprehensive dental examination and imaging (X-ray, CBCT scan)
- Assessment of bone quality and quantity to determine if bone grafting is needed
- Planning the timing of removal and replacement to minimize downtime and complications
3. Removal Procedure
- Local anesthesia or sedation as required
- Carefully unscrewing or extracting the failed implant
- Cleaning the site and removing infected or damaged tissue
- In cases of severe bone loss, bone grafting may be performed simultaneously or prior to replacement
4. Replacement Options
- Immediate replacement: Placing a new implant during the same procedure if conditions allow
- Delayed replacement: Waiting for bone and gum healing (typically 3–6 months) before placing a new implant
- Prosthetic considerations: New crown, bridge, or full arch restoration to restore function and aesthetics
Example Cost Snapshot for Seoul
- Implant removal: approx ₩300,000–₩800,000 (USD $240–$640) per implant
- Bone grafting (if needed): approx ₩500,000–₩1,500,000 (USD $400–$1,200)
- Replacement implant and crown: approx ₩1,000,000–₩3,000,000 (USD $800–$2,400)
- Costs vary depending on complexity, materials, and clinic location
Final Thoughts
Removing and replacing old dental implants is a complex but manageable procedure. Proper evaluation, careful removal, appropriate bone and gum management, and skilled replacement can restore function, aesthetics, and long-term oral health.


