What to Do if the Implant Screw Falls Out? Complete Guide for Implant Treatment

Imagine enjoying a meal when suddenly you feel something shift or fall in your mouth. With some concern, you realize that your dental implant screw has loosened or even fallen out! While this situation is uncommon, when it does occur, it can raise worries such as the possibility of swallowing the implant screw or damaging the gums. Don’t worry.

The falling out of an implant screw does not always mean treatment failure. If you have enough information and take the right actions, you can prevent further complications and manage the problem in a timely manner.

In this article, we will thoroughly discuss what to do if the implant screw falls out, what causes this to happen, and what professional methods exist for preventing and securing the implant screw. Don’t panic! Losing a dental implant screw can be an unpleasant and worrying experience.

However, there is no need to be concerned! With enough knowledge and taking the correct steps, you can quickly manage this problem and avoid more serious complications.

 

Description	Topic
Includes fixture screw, abutment, healing cap, crown, and retainer; each has a specific function.	Types of Implant Screws
Preserve the part, contact the dentist promptly, avoid chewing, keep the area clean.	Immediate Actions After Screw Falls Out
Improper installation, excessive force, bruxism, bone loss, trauma, infection, or poor care.	Causes of Implant Screw Loosening or Falling
Usually due to insufficient tightening, tongue pressure, or chewing; prompt visit to prevent gum closure.	Healing Cap Falling Out
Indicates connection problems or excessive force; requires examination and tightening by the dentist.	Loose Abutment or Crown
The most severe treatment failure; caused by bone loss, infection, or premature loading.	Fixture Coming Out
Persistent pain, inflammation, pus discharge, bad odor, movement or loosening of the fixture.	Warning Signs of Implant Rejection
Movement of the base, pain during chewing, bleeding, weak connection on imaging.	Signs of Implant Not Integrating
Clinical examination, X-ray imaging, screw tightening or replacement, bone grafting, or reinstallation.	Diagnosis and Treatment

 

Understanding Types of Implant Screws and Their Uses

Each component of an implant is identified by a specific implant screw name. These screws are usually threaded and made from durable metals like titanium to withstand chewing pressures. Sometimes, the falling out of a temporary implant screw used for shaping the gums may cause concern for the patient, while this type of screw is replaceable and doesn’t harm the implante fixture.

• Abutment screw: For connecting the abutment to the fixture
  
  
• Healing screw: Temporary and used for shaping the gums
  
  
• Crown screw: To hold the dental implant crown in place
  
  
• Fixture screw: The main base placed in the bone
  
  
• Final retention screw: For stabilizing and applying controlled torque
  
  

 

Immediate Actions After the Implant Screw Falls Out

What to do if the implant screw falls out? If you notice that the implant screw has fallen out or loosened, you need to act quickly and carefully. Ignoring the issue can lead to gum infections, damage to the implant base, or even the need for re-surgery.

Sometimes, due to lack of knowledge or accidental swallowing, there is a risk of ingesting the implant screw, which requires medical evaluation. By following these steps, you can prevent these risks:

• Keep the fallen piece in a clean and dry container.
  
  
• Avoid attempting to reattach the screw yourself.
  
  
• Contact the implant specialist and report the issue.
  
  
• Refrain from chewing on the implant side until you visit the dentist.
  
  
• Keep the fallen area clean to prevent infection.
  
  

If the implant screw falls out, you must visit the dentist promptly. Don’t lose the screw and store it properly, as it may be reusable.

 

 

Main Causes of Implant Screw Falling Out

Loosening, breaking, or loosening of the implant screw is usually related to technical or biomechanical reasons. A precise understanding of these factors helps the dentist prevent the recurrence of the issue. Even poor-quality parts or errors in adjusting the bite (teeth alignment) can place uneven pressure on the screw.

• Incorrect installation or insufficient tightening of the screw during treatment
  
  
• Excessive pressure from chewing hard foods or teeth grinding
  
  
• Bite disorders and improper teeth alignment
  
  
• Decay or infection in the implant area
  
  
• Weakness in the material or design of the screw
  
  
• Bone resorption in the jaw
  
  
• Trauma or accident in the oral area
  
  
• Temperature changes or acidic substances
  
  
• Failure to follow post-treatment care
  
  

Ultimately, the implant screw falling out can be due to multiple factors such as excessive pressure, installation errors, bone resorption, or failure to follow post-treatment care. Identifying the exact cause by the dentist plays a key role in preventing further damage and maintaining the function of the implant.

 

Cause of Healing Implant Screw Loosening

In the early stages of implant treatment, a temporary piece called the healing abutment or healing screw is placed on the implant base to properly shape the gums. This piece does not serve a functional role, but if it loosens or falls out, it can disrupt the treatment process. Many people are unsure of what to do if the implant screw falls out, whereas a proper response at this stage is crucial.

• The temporary implant screw falling out could result from improper tightening during installation.
  
  
• Pressure from tongue movement or chewing can cause the temporary implant screw to loosen.
  
  
• Sudden impact or biting a hard object can loosen the screw.
  
  
• Plaque buildup and poor oral hygiene can lead to inflammation around the healing screw.
  
  
• If the screw falls out and gets lost in the mouth, there is a risk of swallowing the implant screw, which requires immediate evaluation.
  
  
• If loosening or falling out occurs, a quick visit to the dentist is essential to secure the screw and prevent the gum from closing over the fixture.

 

 

Cause and Factors of Implant Abutment Falling Out

The abutment is the connecting piece between the fixture and the crown. If its connecting screw loosens or falls out, not only will the implant’s stability be compromised, but the entire treatment system may be at risk. In such cases, it is essential to keep the piece and visit the dentist to secure the implant screw.

• Insufficient tightening of the abutment screw during installation
  
  
• Excessive pressure on the implant from teeth grinding or chewing hard objects
  
  
• Bone resorption or infection in the tissue surrounding the implant
  
  
• Failure of the fixture to properly integrate with the jawbone
  
  
• Poor design or construction of the abutment or screw
  
  

If the signs are ignored, the problem could damage the implant base and may require replacement.

 

Causes of Implant Crown Loosening

The implant crown is the visible part that provides both aesthetics and functionality. Loosening of this part may indicate a problem with the underlying connections or may be related solely to the crown itself. In either case, a specialized examination is needed for proper treatment.

• Loosening of the abutment screw, which connects the abutment to the crown
  
  
• Mechanical damage to the crown due to chewing hard objects or teeth grinding
  
  
• Loss of dental cement in crowns that are bonded with adhesive
  
  
• Uneven pressure from bite issues and improper teeth alignment
  
  
• In rare cases, crown loosening may be related to the implant screw falling out or the fixture loosening
  
  

For a thorough examination, imaging and assessment of the fixture and abutment will be carried out. In some cases, an image of the implant screw can help with a more accurate diagnosis.

 

 

Causes of Implant Fixture Failure

In the structure of dental implants, the implant fixture, or implant base, plays a crucial role in connecting the implant to the jawbone. When this part dislodges or encounters a problem, it is called implant screw failure or implant rejection, which is considered one of the most severe types of treatment failure. Therefore, understanding the cause of fixture failure can help prevent more serious issues. The main reasons include:

• Poor quality of bone or failure to follow surgical protocols during implant installation
  
  
• Early pressure, such as excessive chewing, before the fixture has stabilized
  
  
• The occurrence of peri-implantitis infection and bone resorption
  
  
• Severe trauma or impact to the implant area
  
  
• Chronic diseases such as diabetes or tobacco use
  
  

In such cases, complete removal of the implant and performing bone graft surgery followed by reinstallation is necessary.

 

Warning Signs of Implant Rejection

Early detection of symptoms can prevent higher treatment costs and increase the likelihood of saving the implant. If you are wondering what to do if the implant screw falls out, the first answer is to accurately identify the signs. Important signs include:

• Severe and persistent pain even with pain relief
  
  
• Swelling gums around the implant
  
  
• Movement or loosening of the fixture when touched or while chewing
  
  
• Bad taste in the mouth, unpleasant odor, or difficulty in speaking and eating
  
  
• Observing position changes in the implant screw on an X-ray or bone resorption in the radiological image
  
  

 

Signs of Implant Failure to Integrate

The success of a dental implant depends on the integration of the implant base with the jawbone, a process known as "osseointegration." If this process does not occur properly, the implant base may gradually loosen or fall out.

This situation is different from the falling out of a temporary implant screw, as temporary screws are only used for shaping the gums, and their loosening typically does not cause significant issues. Key signs include:

• Feeling movement or looseness in the implant base
  
  
• Pain when chewing or applying pressure
  
  
• Inflammation, bleeding, or discharge around the implant
  
  
• Weak connection observed in X-rays or radiological imaging
  
  

If these signs are noticed, it is essential to visit the dentist for examination and to make decisions about continuing the treatment.

 

Diagnosis of Implant Rejection

For accurate evaluation, the dentist uses specialized tools and methods for diagnosis. One common cause of failure is the loosening of the implant screw, which often happens due to sudden pressures or non-standard installation.

If the screw completely falls out, patients may worry that they have swallowed the implant screw. In such cases, abdominal imaging may be recommended. Diagnostic methods include:

• Clinical examination and mobility test of the implant
  
  
• Reviewing CBCT or panoramic images to assess bone condition
  
  
• Observing the position of the abutment screw in implant screw images
  
  
• Inquiring about underlying factors such as chronic diseases and lifestyle

 

 

Treatment and How to Secure an Implant Screw

The treatment for implant screw failure or dislodgement depends on the severity of the issue. In mild cases, only the screw needs to be tightened or replaced. However, in more severe cases, surgery and bone repair are necessary before reinstalling the implant. Treatment options include:

• Prescribing antibiotics to control infection
  
  
• Re-tightening or replacing the abutment or crown screw
  
  
• Removing the damaged implant and preparing the treatment area
  
  
• Performing bone grafting in case of jawbone resorption
  
  
• Reinstalling the implant after a full recovery period
  
  

Addressing this issue in a timely manner prevents further damage and increases the chances of successful treatment.

 

Ways to Prevent Implant Screw or Fixture Failure

To prevent issues such as the falling out of a temporary implant screw or fixture rejection, it is essential to follow proper care guidelines:

• Choosing an experienced implantologist
  
  
• Carefully evaluating bone quality and implant positioning
  
  
• Regular oral hygiene maintenance
  
  
• Quitting smoking and managing conditions like diabetes
  
  
• Using a night guard to prevent teeth grinding
  
  
• Periodic check-ups to monitor the implant and screws
  
  
• Avoiding chewing hard objects or applying excessive pressure

 

Implant Installation at Dr. Ebadian's Dental Clinic

If dental implant treatment is performed correctly and proper aftercare is followed, it can last for many years. However, sometimes issues such as the implant screw falling out or loosening may arise. In these situations, it's crucial to know what to do if the implant screw falls out to prevent potential damage.

For example, you should keep the fallen piece, contact the dentist, and avoid handling it yourself. Dr. Ebadian's Dental Clinic, with its extensive experience, complete equipment, and specialized team, can prevent further damage by providing accurate diagnosis and securing the implant screw in case this problem occurs.

If you're looking for a lasting smile and strong teeth And you are looking for the best dental clinic in Tehran, it's time to experience professional implant placement at Dr. Ebadian's Dental Clinic. This clinic uses the latest equipment and a skilled team to perform implants with high precision and guaranteed quality.

 

 

 

Frequently Asked Questions

• Can a fallen implant screw be reused?
   In most cases, a fallen implant screw cannot be reused. The dentist will usually replace the screw with a new one to ensure the quality and strength of the connection and prevent further issues.
• What is the difference between a loose screw and complete implant rejection?
   A loose implant screw refers to the loosening or removal of the connecting screw of the abutment or crown, which is usually resolved by tightening or replacing the screw. Complete implant rejection refers to the fixture not integrating with the bone or being lost due to infection or bone resorption, which is a more serious condition.
• Can I eat after the implant screw falls out?
   After the implant screw falls out, it is recommended to avoid chewing on the side with the implant. Consuming soft foods and liquids until you see the dentist and receive treatment helps maintain the health of the area.
• How long does it take for a rejected implant to heal?
   The healing time for a rejected implant depends on the cause and severity of the issue. In simple cases like a loose screw, treatment is immediate. However, if the implant needs to be removed and bone grafting is required, it may take several months to a year for the bone to heal, and then the reimplantation can be done.