Complications from India

Reconstructive Dentistry Perth - Centre for Prosthodontics Reconstructive Dentistry Perth - Centre for Prosthodontics

34 year old, Female.

  • Recurrent peri-implantitis (gum and bone infection around dental implant) – upper left central incisor tooth. Cemented dental crown (unretrievable) on unknown dental implant system
  • Poor dental implant placement – unsatisfactorily subcrestal (deep below bone height) implant placement and extreme buccal position and angulation (towards upper lip rather than palate) – leading to
    • Cemented dental implant crown use – (not screw retrievable).
    • Severe gum and bone loss on the front surface of the dental implant.
Treatment Options:
  • Removal and replacement of dental implant crown (screw retrievable) – accepting gum and bone defect, impact on gum and dental crown aesthetics / cosmetic appearance and unfavourable mechanical load (vertical and horizontal cantilever forces) during masticatory function (eating and chewing) and parafunction (clenching and grinding).
  • Alternative treatment declined by patient: Surgical removal of dental implant, extensive gum and bone grafting, placement and crown restoration of new dental implant.
  • Removal of existing cemented dental implant crown use – using CTScan as guide for drill entry to locate dental implant abutment screw.
  • Construction of new dental implant crown (screw retrievable) – using
    • Pink ceramic to mimic and camouflage gum and bone tissue loss.
    • Cross-pinned crown design – to allow for dental crown retrievability which can aid any future gum and bone assessment and remediative peri-implant tissue surgery if required.


While you can access our services without a referral, we strongly suggest you speak to your dentist first. Our team are available to help discuss your options.