Khalid Almas, Walid Sadig.
The other side of Implant Dentistry: ailing, failing implants and their management.
J Pak Dent Assoc Jan ;11(4):203-14.

Success is a relative term in social life but it is objectively defined in scientific arena. There are various objective measures to assess the success of clinical procedures, clinical outcomes and long-term maintenance of treatment items. Those measures not only help in the quality care but also improve the quality of social and functional life of our patient. Various factors are responsible for implant failure. These factors may influence failure directly or indirectly. Improper patient selection, accumulation of bacterial plaque because of poor oral hygiene, traumatic occlusion, debris retention resulting from improper prosthetic restoration, and bone preparation without the sufficient cooling, low torque, slow-speed hand pieces, have been the factors contributing to the failure of dental implants. The aim of this article is to highlight the reasons of dental implants failure, their classification, prevention and management. Finally, a dental implants failure checklist is adopted to guide the practitioner in defining the cause of implants failure. It is hoped that implant practitioners will be benefited from the article and optimize the quality of dental implants, service, and care of their patients.

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