Illustrative consultation about concerns with an existing dental implant
Restorative Dentistry

Replacement of Failing Dental Implants in Brampton

Worried about a visible gap while a failing implant is sorted out? For people coming from Brampton, we plan the temporary tooth alongside the diagnosis, so you know how you will look and eat at every stage.

The in-between months

Plan the gap as carefully as the implant.

For many people, the hardest part of a failing implant is not the diagnosis but picturing the weeks after it. Will there be a space when you smile at work? Can you still eat dinner with the family? Those are fair questions, and they come after a more basic one: what exactly has gone wrong?

A crown that has worked loose, a damaged screw or abutment, gum inflammation and lost bone support are distinct problems. Only when the findings show that the implant should not stay does replacement come up, and even then taking it out and putting in another are decided separately. Cause, remaining tissue, the future tooth and your preferences guide that.

When you come in from Brampton, we start with an examination, suitable imaging and any records you have. You hear what we found, whether a specialist would add useful insight, and what each route would mean for appearance and chewing along the way. Decisions wait until you have that full picture.

Plan a review and interim tooth
A dentist examining an illustrative jaw teaching model with an implant crown
Tell us what you have noticed

Describe it in your words.

Approximate dates for the implant surgery and crown, plus what has changed, give us a starting point. Old X-rays or notes are a bonus.

Looseness when you bite

A shifting feeling might come from the crown, the connector or the implant itself. Rather than testing it, call us. Mention whether the change was abrupt, linked to an impact, or has been building gradually.

Gum that is red, sore or bleeding

Even a firm implant needs attention if the gum around it changes. Tell us what you notice while cleaning and whether there is pain, swelling or discharge. Examination reveals the state of the gum and the bone below.

An unexpected comment at a checkup

Sometimes a dentist mentions bone loss or another concern you had not felt at all. Ask what was seen and how it compares with past images. Knowing what changed makes it much easier to understand the advice you received.

Problems with the visible tooth do not decide the fate of the implant underneath. That part needs to be identified on its own.

Why the reason matters

A replacement plan built on the first one's lesson.

Careful assessment determines whether the implant can be maintained or whether removal is the more appropriate step. If another implant is considered, the plan has to tackle what contributed to the original trouble. Starting over with new hardware does not, by itself, remove those risks.

This is also where the temporary tooth gets planned. Before treatment, talk about how the space will look, which foods will be manageable and whether you will wear a removable tooth or another short-term option. Knowing the interim stage, any extra steps and the finished tooth helps you judge whether another implant fits your life.

Patient information: ITI — assessing implant complications and removal

Knowing what failed

Ask whether the problem is biological, mechanical, related to position, or a mix. The vocabulary is optional. Understanding which part is affected, and the evidence behind that, is not.

Respect for the surrounding tissue

Bone and gum quality influence how and when a replacement can happen. Ask if a graft or healing interval is likely and how it affects timing. The site is a core part of the plan.

A realistic comparison

Put the full replacement route next to the alternatives, including temporary teeth, maintenance, costs and the possibility that things change after further assessment. That makes the decision a well-informed one.

How care is staged

From assessment to a finished tooth, in order.

Some cases involve a specialist and several appointments. Ask who looks after each part and when the plan will be revisited as healing progresses.

  1. Review your history and the implant

    We look at symptoms, the crown, gum health, stability and relevant images, along with any details from the original treatment. Tell us about medical changes, smoking, grinding, earlier treatment in the area and how well you can clean around it.

  2. See whether it can be saved

    Repair of a component or treatment of the gum and bone may be enough, and we consider that first. If removal is recommended, you should understand why and what else is possible. Complex cases may be referred for specialist assessment.

  3. Remove it with a temporary tooth ready

    Should removal proceed, the procedure, its risks and aftercare are explained, along with any graft or healing stage. Your interim tooth is agreed before the day. A new implant may come later, but immediate placement is not assumed.

  4. Reassess and complete the restoration

    A new implant and its crown have their own checks and follow-up, and healing can change the plan. Ask when you can chew normally and how maintenance will be scheduled once everything is finished.

Daily life during treatment

Care instructions change from stage to stage.

Advice after an assessment, a removal, a graft and a new implant all differ. Keep the written versions and the contact number for the clinician treating you at that point.

Protect a crown that moves

Until we have seen it, chew elsewhere and avoid fiddling with the tooth. Do not try to tighten or take anything off. If a piece has already come loose, bring it to the appointment in a small container.

Look after the temporary tooth and site

Follow the instructions for cleaning, eating and wearing any temporary appliance. Check with us before putting an older denture over the area. If something does not work with your schedule, let us know so the advice can be adapted.

Keep every follow-up

Reviews track healing, the components and the developing tooth. Report fresh movement, discharge or increasing soreness without waiting for your next visit, and raise any cleaning difficulty.

Patient information: Cambridge University Hospitals — implant care and complications

Where you can go from here

Repair, replace or rethink.

Each option has a goal and some unknowns. Ask about both. A past implant does not require you to choose a new one.

If it can be maintained

Keep the implant with treatment

Some implants respond to professional management of peri-implant disease or to repair of the crown and its parts. It depends on the findings and the healing response. Ask what will be monitored and what would change the plan.

If keeping it is not reasonable

Remove and replace it

Removal may be suggested when an implant cannot reasonably stay. A new implant depends on the condition of the site and the wider plan. Ask about any added procedures, healing time, a revised position and the final crown.

If you prefer not to have another implant

Choose a different tooth replacement

Based on the missing teeth and available support, a bridge, removable partial denture or another option may be discussed. Weigh up the effects on nearby teeth, cleaning, appearance and comfort.

Patient information: EFP — treatment of peri-implant disease

About the interim stage

Questions on looks, eating and timing.

You can ask for the diagnosis and the planned sequence in writing, which helps if more than one office is involved.

(905) 876-4488
Will people notice a gap while my implant site heals?
That depends on where the implant is and which temporary option is planned. For a visible tooth, a removable or other interim tooth is usually discussed before removal. Ask to see what it will look like and how it is worn.
What kinds of temporary tooth are there?
Options can include a small removable denture, a clear tray with a tooth in it, or in some cases a temporary bridge or crown. Suitability depends on the site and the plan. Ask how each is cleaned and what eating with it is like.
Can I eat normally with a temporary tooth?
Usually you will need some care, especially with hard or sticky food on that side. The dentist will explain what is sensible at each stage. Ask what to avoid and when restrictions are expected to ease.
Is it possible to replace the implant immediately after removing it?
It may be considered in some cases, depending on the site, the reason for removal, the available bone and the surgical plan. Often healing or grafting is needed first. Ask what in your case supports or rules out immediate placement.
Will a new implant need a new crown too?
Often, though not always. The old crown may not fit the position or connection of a new implant. Ask whether it can be reused or adapted, and request an estimate that lists the implant, the crown and the temporary tooth separately.
Can appointments be arranged around a Brampton work schedule?
We can outline the likely visits once the plan is clear, so you can book them around work and family. Our weekday hours run into the evening, and Friday to Sunday visits are by appointment. Ask which steps need healing time between them.
Implant reviews for Brampton

Know how you will look and eat at each stage.

Book a review at our Bronte Street practice. We will explain what has happened to the implant, what more needs checking, and how the site and a temporary tooth would be managed. Records and questions are welcome.

If the implant is moving, or you have severe pain or swelling, please call. Online requests are for non-urgent concerns only.

Visit Milton Dental Clinic
Unit 1, 342 Bronte St. S, Milton, ON L9T 5B7
Get directions Clinic hours
Monday–Thursday
11am–7pm
Friday–Sunday
By appointment only

Areas we serve

  • Milton
  • Oakville
  • Mississauga
  • Georgetown
  • Halton Hills
  • Acton
  • Campbellville
  • Brampton
  • Burlington
  • Puslinch
  • Rockwood
  • Erin
  • Caledon
  • Etobicoke
  • Old Milton
  • Bronte Meadows
  • Timberlea
  • Dorset Park
  • Dempsey
  • Clarke
  • Beaty
  • Coates
  • Harrison
  • Scott
  • Willmott
  • Ford
  • Bowes
  • Cobden
  • Walker
  • Mountain View
  • Milton Heights
  • Hawthorne Village
  • Valley View
  • Fallingbrook
  • Nassagaweya
  • Trafalgar
  • Esquesing
  • Nelson
  • Brookville
  • Moffat
  • Glen Williams
  • Norval
  • Limehouse
  • Stewarttown
  • Ashgrove
  • Hornby
  • Silver Creek
  • Speyside
  • Scotch Block
  • North Oakville
  • River Oaks
  • Glen Abbey
  • West Oak Trails
  • Palermo
  • Bronte Creek
  • College Park
  • Joshua Creek
  • Uptown Core
  • Preserve
  • Iroquois Ridge
  • Lisgar
  • Meadowvale
  • Meadowvale Village
  • Churchill Meadows
  • Erin Mills
  • Central Erin Mills
  • Streetsville
  • East Credit
  • Creditview
  • Heartland
  • Sheridan
  • Mount Pleasant
  • Credit Valley
  • Huttonville
  • Churchville
  • Springbrook
  • Northwest Brampton
  • Bram West
  • Fletcher's Meadow
  • Fletcher's Creek South
  • Alton Village
  • Orchard
  • Millcroft
  • Headon Forest
  • Tansley
  • Brant Hills
  • Tyandaga
  • Kilbride
  • Lowville
  • Aberfoyle
  • Morriston
  • Arkell
  • Hillsburgh
  • Freelton
  • Carlisle
  • Waterdown
  • Flamborough
  • Mountsberg

How can we help?

Milton Dental Clinic

Have a question about your smile? Choose the option that works best for you.

For urgent dental concerns, please call.
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