Dental Implants With Bone Loss

Are you considering dental implants but concerned about potential bone loss? In this article, we’ll explore the topic of bone loss around dental implants and provide some valuable insights from Dr. Pav Khaira, a renowned expert in the field. We’ll also touch upon managing screw loosening, a common issue that can arise with dental implants. So, let’s dive in!

Dental Implants With Bone Loss
Dental Implants With Bone Loss

What is Normal Bone Loss?

When reviewing patients who have had implants placed elsewhere, it’s important to understand what level of bone loss is considered normal. Dr. Khaira explains that historically, acceptable bone loss is measured down to the first thread of the implant, with an average of 0.2 millimeters per year thereafter. However, with modern techniques, bone loss should ideally be minimal or non-existent.

Case-by-Case Consideration

While the general guideline suggests minimal bone loss, Dr. Khaira emphasizes that individual cases may vary. For patients who have had implants for a longer time, say 20 years, a few millimeters of thread exposure may not be a cause for concern. However, if an implant was placed recently and there is thread exposure, it might warrant attention. Therefore, it’s essential to evaluate each case individually and consider factors such as the patient’s overall oral health and the implant brand used.

Managing Screw Loosening

Another common issue with dental implants is screw loosening. If you receive an emergency call about a loose implant, the first step is to finger tighten it and refer the patient to a professional implant dentist. Dr. Khaira advises against attempting to tighten the screw yourself, as different implant systems have varying screw heads and torques. Without proper knowledge of the specific system, attempting to tighten the screw may lead to further complications.

The Need for Standardization

Dr. Khaira acknowledges the challenges that arise from the multitude of implant systems available, each with its unique specifications. He believes that a standardized universal driver across all implant systems would be ideal but recognizes that it’s unlikely to happen. Therefore, in cases where the implant system is unknown, it’s best to finger tighten the screw and seek assistance from a specialist.


Understanding bone loss around dental implants and managing screw loosening are crucial aspects of dental implant care. By keeping a close eye on bone levels and promptly addressing any issues, patients can enjoy long-lasting and successful implant outcomes. Remember, when it comes to implant treatment, seeking professional guidance is key to ensuring the best possible results.

If you’re interested in learning more about dental implants and gaining valuable insights from experts like Dr. Pav Khaira, don’t miss out on The Dental Implant Podcast. Tune in to discover a wealth of information and expert advice to enhance your implant knowledge.

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Remember, your smile is your greatest asset. Take care of it with the help of dental implant experts like Dr. Pav Khaira. Visit Make You Smile for more information and to explore a range of dental implant solutions.

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Disclaimer: This article is for informational purposes only and should not be considered medical advice. Always consult with a qualified dental professional for personalized recommendations and guidance.