A tooth with movement
The crown, its connecting part or the implant's hold in bone could all be responsible. Do not push or rock it to find out. Give us a call and let us know if it started suddenly, after a blow or bite, or slowly.
Restorative Dentistry
Replacement of Failing Dental Implants in Mississauga
A second implant is one possibility, not an obligation. For people in Mississauga facing a failing implant, we explain what went wrong and compare keeping it, replacing it and other ways to fill the space.
Facing the replacement questionTalk through your options
Do you have to try another implant?
That is often the first thing people want to know, and the honest answer is no. Before the question even arises, though, the actual problem has to be named. A crown that has come loose, a broken or worn connector, inflammation in the gum and a loss of bone holding the implant are four quite different situations.
Replacement is weighed only after an assessment shows the current implant should not be kept. From there, removing it and placing another are two decisions in sequence. The cause, the bone and gum that remain, the type of tooth to be fitted and what matters most to you will shape which route is sensible.
From Mississauga, a first visit with us is a chance to hear the findings in plain language. We examine the implant and surrounding tissue, review any records you bring, and explain whether more imaging or a specialist's view would help. You will hear about implant and non-implant options alike before deciding.
What has changed for you
Symptoms are your job. Sorting the parts is ours.
Tell us the rough dates for the implant and its crown, and what has been different recently. Treatment notes and earlier images from the first office are welcome.
Soreness, bleeding or a bad taste
Gum changes around an implant are worth checking even when the tooth feels secure. Describe what happens when you brush or floss there and whether anything drains. The examination tells us about both gum and bone.
A problem seen on an image
Some concerns come up at a routine visit instead of through discomfort. Ask for the image to be explained and, if possible, compared with older ones. Seeing the change makes it far easier to follow the reasoning for treatment.
A loose or damaged crown does not settle whether the implant must go. The affected part is identified before replacement is ever discussed.
Deciding with the cause in view
The right plan answers why, not only what next.
The point of an assessment is to decide whether the existing implant can be kept healthy or whether removing it is wiser. If a new implant becomes part of the plan, the factors behind the first problem need addressing, since replacing an implant is not a guaranteed fresh start.
Day-to-day practicalities matter as much. Ask before treatment begins how the gap will look, what you will eat comfortably and whether a removable tooth is involved. When you can see the interim stage, any further procedures and the final tooth, comparing another implant with the alternatives gets much easier.
Patient information: ITI — assessing implant complications and removal
Clarity about the problem
Is it the tissue, the mechanical parts, the implant's position, or several at once? You do not need to know the technical names. You do need to understand which part is involved and why the recommendation follows.
Thought given to the site
Bone and gum condition affect every route, implant or not. Ask whether grafting or healing time would be required and how that alters the schedule. The area around the implant is central to planning.
A genuine comparison
Set a new implant against a bridge, a partial denture and other options, with maintenance, interim teeth, costs and possible changes in plan included. Only then is the choice really yours.
The sequence of care
Nothing moves forward until the last step is clear.
Expect several appointments, possibly with a specialist as well as our team. Ask who is in charge of each part and when the plan will be checked again.
Understand the history and examine
We assess your symptoms, the crown, the gum, stability and appropriate imaging. Details of the implant and earlier X-rays are helpful. Mention health changes, smoking, grinding, past treatment of the site and any trouble cleaning it.
Explore whether it can stay
Can repairing a part or treating the surrounding tissue resolve things? That comes first. If removal is advised, ask for the reasoning and alternatives. A specialist may be involved when the biological, surgical or restorative picture is complicated.
Carry out removal and plan the site
When removal goes ahead, the procedure, risks, aftercare and any graft or healing period are explained. A new implant can be considered later, but it is not presumed to go in immediately. Your temporary tooth is arranged in advance.
Check progress before the final tooth
Whatever replaces the implant has its own evaluation and follow-up. Healing may lead to changes. Ask when the new tooth can be used normally and how its maintenance will be organised.
Looking after yourself in between
Know which advice is current.
Care after an assessment is not the same as care after removal, grafting or a new implant. Keep the written instructions and the number for whichever clinician is overseeing this stage.
Leave a loose crown alone
Until it has been examined, chew on the opposite side and do not try to tighten or pull out anything. If a part has already come away, put it in a safe container and bring it in.
Follow your healing instructions
After a procedure, follow what you were told about cleaning, food and temporary appliances. Ask before putting an old denture over the site. If any instruction does not fit your life, say so and we can look at alternatives.
Keep up with reviews
Follow-up lets us monitor tissue, components and the new tooth as it develops. New looseness, discharge or soreness should be reported right away rather than at the next appointment. Mention any trouble cleaning.
Patient information: Cambridge University Hospitals — implant care and complications
Mississauga questions(905) 876-4488
Weighing an implant against the alternatives.
Ask for the diagnosis and planned steps in writing, especially if more than one clinician will be involved.
If I skip a new implant, what are my other choices?
Depending on the space and the teeth around it, a fixed bridge, a removable partial denture or leaving the space may be discussed. Each has different effects on cleaning, appearance and nearby teeth. The dentist can explain which are realistic in your mouth.
Does a bridge mean working on the teeth next to the gap?
A conventional bridge usually involves preparing the neighbouring teeth to support it. Whether that is reasonable depends on the condition of those teeth. Ask about the trade-offs compared with an implant or a removable option.
Is a second implant less likely to work than the first?
That cannot be stated in general. It depends on why the first had problems and the condition of the site now. Ask what would be done differently and what risks remain. No implant can be promised to succeed.
What happens if I leave the gap empty?
Some people choose this, especially for a back tooth. Over time, neighbouring or opposite teeth may shift, and chewing may change. Ask how this might apply to your situation before deciding.
Who decides whether my implant should come out?
The recommendation comes from the examining clinician, sometimes with a specialist’s input, but the decision is yours. You should understand the findings, the reasons and the alternatives, and you are free to take time or seek another opinion.
Can I come from Mississauga for the review only?
Yes. An assessment can stand on its own, and you can decide afterwards where treatment happens. We can explain which stages would take place at our practice and which might involve referral, so you can plan from there.
From Mississauga to our Milton practice
Hear every option before you choose one.
Arrange an implant review at our Bronte Street practice. Records and questions are welcome; we will explain what is happening, what more might be checked, and how the site and tooth could be managed.
For a loose implant, significant pain or swelling, call us directly. Online requests are for non-urgent matters.
Visit Milton Dental ClinicUnit 1, 342 Bronte St. S, Milton, ON L9T 5B7Get 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
