Reviewed by Dr. DJ Lemieux, DMD

A loose dental implant can be alarming, but it’s not always a dental emergency. While some cases require urgent care, others can wait a day or two. 

This blog will explain the parts of a dental implant, why they might become loose, and how to tell if the situation is a dental emergency.

Table of Contents

Key Takeaway

If the implant post feels loose, there is pain, or signs of infection, it is a dental emergency. 

If only the crown or abutment is loose and there are no symptoms, it can wait a day or two. Either way, contact a dental implant specialist for prompt treatment to avoid extensive treatment or implant failure.

Understanding the Parts of a Dental Implant

Each part of the implant system plays a different role. Knowing what might be loose helps determine the urgency.

  • Implant post: This titanium screw fuses with the jawbone. If this is loose, it may signal implant failure.
  • Abutment: This small connector links the implant post to the crown. A loose abutment can loosen without affecting the implant itself.
  • Crown: This is the visible replacement tooth. A loose crown often results from wear or cement breakdown and is usually not urgent.

When a Loose Implant Is an Emergency

Not every case requires an emergency visit, but certain symptoms may signal serious problems that need prompt attention.

Seek same-day care if you notice:

  1. Pain or swelling around the implant: This could indicate infection, gum disease, or bone loss.
  2. Bleeding or pus: This may indicate peri-implantitis, a bacterial infection that can cause severe infection and bone damage.
  3. The entire implant feels mobile: Movement of the implant post signals implant failure or poor bone quality.
  4. Difficulty chewing or biting: Sudden loss of function suggests the implant is compromised.
  5. Recent trauma: A fall or blow to the face can loosen even a well-integrated artificial tooth root.

In these cases, contact your oral surgeon immediately. Prompt evaluation improves the success rate of saving the implant and surrounding bone structure. If you are a patient at AZ Max Oral and Maxillofacial Surgeons, contact our office immediately for evaluation. If after normal business hours, you will receive a phone call from the surgeon on call. 

When It Can Wait

If there are no signs of infection or pain, it could be that a component of the implant is loose, such as the crown or abutment.

Call your oral surgeon within a day or two if you notice:

  • The crown is loose but the implant feels stable
  • There is no pain, swelling, or bleeding
  • The issue developed gradually over time

These cases are often due to mechanical problems, such as a loose abutment screw or worn cement. Implant crown loosening is common and still needs attention by a dental professional but can wait until normal clinic hours. If the problem is with the restoration, contact your dentist for evaluation. 

Common Reasons for a Loose Dental Implant

A loose dental implant can happen for several reasons. Knowing what’s behind the movement is key to finding the right solution.

  • Crown or abutment loosening: Happens due to wear, improper placement, or chewing sticky foods. Implant crown loosening often results from weakened cement or screw instability.
  • Bone loss around the implant: Often from poor oral hygiene or untreated gum disease. May require deep cleaning or bone grafting.
  • Failed osseointegration: If the implant never fully fuses with the healthy bone, it may loosen over time. Dental implant loosening caused by poor integration may need revision procedures.
  • Infection: Bacterial infection can destroy gum tissue and bone, increasing the risk for infection and additional damage.
  • Excessive pressure or grinding: Can weaken the implant or its components. A night guard may help protect dental restorations.

What to Do if Your Implant Feels Loose

  1. Do not chew on it: Stick to soft foods and avoid using that side of your mouth.
  2. Call your oral surgeon or dental implant specialist: Describe your symptoms and request a timely assessment.
  3. Keep the area clean: Gently rinse with warm salt water and maintain proper care.
  4. Do not try to fix it yourself: This can worsen the problem and lead to complete failure.

FAQs

Can a loose dental implant get infected?

Yes, a loose implant can create pockets where bacteria grow, leading to bacterial infection, gum disease, or bone loss if not treated quickly.

Can a loose dental implant fix itself?

No, once an implant or its parts become loose, professional dental care is needed. Ignoring it can lead to underlying issues and implant failure.

Will a loose dental implant fall out?

If the implant post has lost its attachment to the jaw bone, it may eventually fall out. This signals serious failure and may require a bone graft before re-implantation.

AZ Oral & Maxillofacial Surgery: Experts in Dental Implants

If you suspect your implant is loose, do not wait. Our dental surgeons will assess the issue and determine the best treatment options. We offer effective solutions that support long-term success and help you maintain a confident smile.To schedule a free dental implant consultation at one of our 5 locations, call (480) 830-5866 or complete the online inquiry form. We have locations in Mesa, North Mesa, Queen Creek, Tempe or Show Low.