★★★★★ 4.9 Rated (184 Google Reviews)  •  Main Line Dental Arts • Specialized Periodontics & Dental Implants  •  Dr. Milita Borguet, DMD • Dr. Margaret Hodgson, DMD • Dr. Peter Susanin, DMD  •  Call (610) 664-9510  •  110 N Essex Ave, Narberth, PA 19072
Dental Implant Services

Failed Implant Treatment / Implant Revision

Failed Implant Treatment / Implant Revision
Board-Certified Periodontal Care Narberth, PA

Rescue & Revision for Ailing or Failing Dental Implants in Narberth, PA

Specialized Periodontal Interventions to Treat Peri-Implantitis, Save Failing Fixtures, or Replace Them Safely

Duration 1–2 Hours Typical
Comfort Local & Sedation
Clinician Board-Certified
Partnership Dentist Coordinated

While dental implants enjoy an extraordinary 95-98% success rate, complications can occasionally occur. When an implant develops bone loss, deep bleeding pockets, purulent discharge, or starts becoming loose, it requires immediate intervention from an experienced periodontal specialist.

At Main Line Dental Arts, our doctors specialize in failing implant rescue therapies and implant revision surgery. Utilizing 3D CBCT imaging, we diagnose the exact underlying cause—whether it is bacterial peri-implantitis, retained dental cement, occlusal overload, or inadequate bone coverage.

Depending on the severity, our periodontists can detoxify the implant surface using lasers, regenerate lost bone with bioactive grafts and PRF membranes, or, if the fixture is unsalvageable, gently remove it and reconstruct the site for successful re-implantation.

Who Is a Candidate?

You may benefit from this treatment if you experience any of the following:

Bleeding, swelling, or persistent pus discharge around an existing dental implant
Implant threads becoming visibly exposed through the gumline
Pain, throbbing, or discomfort when biting or chewing on the implant
A loose crown, loose screw, or mobile implant post
Recent dental X-ray showing circular saucer-shaped bone loss around an implant

What to Expect: Step-by-Step

1

1. 3D CBCT Diagnostic Root Cause Analysis

We obtain high-resolution cross-sectional scans to measure remaining bone contact, examine screw integrity, and check for hidden retained cement.

2

2. Surface Decontamination & Laser Therapy

For salvageable implants, we use specialized titanium brushes and lasers to chemically and physically eradicate biofilm from microscopic thread crevices.

3

3. Guided Bone Regeneration & PRF Grafting

Mineralized particulate bone graft combined with concentrated Platelet-Rich Fibrin (PRF) and collagen barrier membranes are placed to regenerate lost bone height.

4

4. Revision Explantation & Reconstruction (If Necessary)

If an implant is completely mobile or non-integrated, it is removed using reverse-torque explantation kits without cutting away healthy bone, followed by immediate site augmentation for future replacement.

Key Clinical Advantages

Salvages Failing Implants

Early intervention can arrest bone destruction and save your existing implant investment.

Trauma-Free Explantation

If removal is required, reverse-torque tools extract the post without damaging adjacent bone.

Advanced Biologic Regeneration

Autologous PRF growth factors stimulate real cellular bone and tissue repair.

Eliminates Chronic Infection

Stops active bacterial infection from spreading to adjacent natural teeth and bone.

Patient Preparation & Recovery Guide

Practical instructions to ensure an anxiety-free visit and smooth, rapid healing.

Pre-Procedure Preparation
  • Health & Medication Review: Continue taking prescribed routine medications unless specifically advised by our doctors.
  • Pre-Op Nutrition: Eat a light, nourishing meal prior to procedures performed under local anesthesia. (If conscious sedation is scheduled, follow fasting guidelines provided).
  • Comfort Attire: Wear comfortable, loose-fitting clothing. Feel free to bring earbuds to listen to relaxing music during care.
  • Escort for Sedation: If receiving conscious oral sedation, arrange a trusted companion to drive you home and assist you afterward.
Post-Procedure Recovery Care
  • Rest & Cold Therapy: Rest quietly with your head slightly elevated. Apply an ice pack externally (20 minutes on, 20 off) to reduce swelling.
  • Gentle Soft Diet: Enjoy nutritious soft foods (protein shakes, Greek yogurt, broths, scrambled eggs). Never drink through a straw.
  • Gentle Oral Hygiene: Do not spit or rinse vigorously during the first 24 hours. After 24 hours, begin gentle warm salt-water rinses after meals.
  • Dedicated Follow-Up: Our clinical team phones you to check on your comfort, and we coordinate digital records directly with your general dentist.

Treatment Roadmap & Clinical Milestones

What to expect from your initial specialist consultation through complete recovery.

Phase 1
3D Planning & Imaging

High-resolution 3D CBCT scan to map bone density, nerve paths, and simulate virtual implant placement.

Phase 2
Guided Placement

Atraumatic surgical fixture placement with gentle local anesthesia and optional relaxation sedation.

Phase 3
Osseointegration

Biological fusion where bone cells integrate directly onto titanium surface over 8 to 12 weeks.

Phase 4
Final Restoration

Custom zirconia or porcelain crown/bridge delivery, co-managed with your restorative dentist.

The Specialist Advantage

Why Choose a Board-Certified Periodontist?

Periodontists undergo 3 additional years of accredited university surgical residency beyond dental school, focusing exclusively on jawbone biology, tissue regeneration, and micro-precision implant placement. We partner closely with your family dentist to deliver lasting clinical excellence.

Frequently Asked Questions

Yes, if caught in the early-to-moderate stages of peri-implantitis. Through thorough laser surface detoxification, antibiotic therapy, and regenerative bone grafting, many implants can be successfully stabilized.

The most common causes are bacterial plaque buildup (peri-implantitis), excess residual dental cement trapped beneath the gumline, unmanaged teeth grinding, smoking, uncontrolled diabetes, or poor initial bone integration.

In almost all cases, yes. Once the site is cleaned, grafted, and healed over 3 to 6 months, a new dental implant can be safely and predictably placed.

No. We administer thorough local anesthesia and offer sedation options to ensure complete comfort throughout any diagnostic or corrective procedure.
Main Line Dental Arts

Schedule Your Personal Consultation Today

Our board-certified periodontists, Dr. Borguet, Dr. Hodgson, and Dr. Susanin, are here to help restore your oral health with compassionate, personalized care.