{"id":1050,"date":"2024-01-10T10:31:00","date_gmt":"2024-01-10T01:31:00","guid":{"rendered":"https:\/\/smiledigitaldc.com\/implant-revision-surgery-removal-and-replacement\/"},"modified":"2026-10-11T23:52:10","modified_gmt":"2026-10-11T14:52:10","slug":"implant-revision-surgery-removal-and-replacement","status":"publish","type":"post","link":"https:\/\/smiledigitaldc.com\/en\/implant-revision-surgery-removal-and-replacement\/","title":{"rendered":"Implant Revision Surgery in Seomyeon, Busan: Removing a Failing Implant and Placing a New One"},"content":{"rendered":"<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"773\" height=\"547\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-cover.png\" alt=\"Cover image: implant revision surgery case\" class=\"wp-image-1027\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-cover.png 773w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-cover-300x212.png 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-cover-768x543.png 768w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-cover-18x12.png 18w\" sizes=\"(max-width: 773px) 100vw, 773px\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Hello.<br>From the heart of Seomyeon,<br>drawing tomorrow's smile,<br>this is Smile Digital Dental Clinic \ud83d\ude42<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Today we cover dental implants, and specifically the topic that worries and concerns many patients the most:<br>implant revision surgery.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">A loose implant does not always have to be removed and placed again right away.<br>First we need to check whether the implant itself is moving, whether the problem lies in the restoration or the screw,<br>and whether there is bone loss or inflammation around it.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Today we introduce a real case of a patient in her 70s in which a problem with an existing implant was found during a regular checkup of implants in another area,<br>and, after re-diagnosis with CT,<br>the existing implant was removed,<br>followed by bone grafting and re-placement.<\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>Table of contents<\/h2><nav><ul><li class=\"\"><a href=\"#sec-1\">Why We Did Not Place a New Implant Right After Removing the Old One<\/a><\/li><li class=\"\"><a href=\"#sec-2\">What Matters Most in Implant Revision Surgery Is Finding the Cause<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"sdc-case-banner\" style=\"background:#000;color:#fff;padding:28px 24px;text-align:center;margin:0 0 8px\"><div style=\"font-size:.95rem;font-weight:700\">Treatment Stage 1<\/div><div style=\"border-top:2px dotted #888;width:60%;margin:8px auto\"><\/div><div style=\"font-size:1.6rem;font-weight:700;line-height:1.3\">Why the Patient Visited<\/div><\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"773\" height=\"353\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-before.jpg\" alt=\"Panoramic X-ray before implant revision surgery\" class=\"wp-image-1028\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-before.jpg 773w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-before-300x137.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-before-768x351.jpg 768w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-before-18x8.jpg 18w\" sizes=\"(max-width: 773px) 100vw, 773px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-3 wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"386\" height=\"278\" data-id=\"1029\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-left.jpg\" alt=\"\uce58\ub8cc \uc804 \uc88c\uce21 \uad6c\uac15 \ub0b4 \uc0ac\uc9c4, \uae30\uc874 \uc784\ud50c\ub780\ud2b8 \ubcf4\ucca0\" class=\"wp-image-1029\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-left.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-left-300x216.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-left-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1030\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-front.jpg\" alt=\"\uce58\ub8cc \uc804 \uc815\uba74 \uad6c\uac15 \ub0b4 \uc0ac\uc9c4, \uae30\uc874 \uc784\ud50c\ub780\ud2b8 \ubcf4\ucca0\" class=\"wp-image-1030\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-front.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-front-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-front-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1031\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-right.jpg\" alt=\"\uce58\ub8cc \uc804 \uc6b0\uce21 \uad6c\uac15 \ub0b4 \uc0ac\uc9c4, \uae30\uc874 \uc784\ud50c\ub780\ud2b8 \ubcf4\ucca0\" class=\"wp-image-1031\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-right.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-right-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-right-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n<\/figure>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-2 wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"257\" data-id=\"1032\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-upper.jpg\" alt=\"Before treatment, upper occlusal intraoral view\" class=\"wp-image-1032\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-upper.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-upper-300x200.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-upper-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"235\" data-id=\"1033\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-lower.jpg\" alt=\"Before treatment, lower occlusal intraoral view\" class=\"wp-image-1033\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-lower.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-lower-300x183.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-before-lower-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">The patient is a woman in her 70s.<br>She already had implants in several places, but for implant treatment of a loose tooth<br>she visited our clinic.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Because her lower teeth were loose, the front teeth were connected to the existing implant crowns from another clinic<br>and restored with new prostheses,<br>and a single implant was placed for each of the premolars to complete the treatment.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"sdc-case-banner\" style=\"background:#000;color:#fff;padding:28px 24px;text-align:center;margin:0 0 8px\"><div style=\"font-size:.95rem;font-weight:700\">Treatment Stage 2<\/div><div style=\"border-top:2px dotted #888;width:60%;margin:8px auto\"><\/div><div style=\"font-size:1.6rem;font-weight:700;line-height:1.3\">Diagnosis and Treatment Plan<\/div><\/div>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-2 wp-block-gallery-3 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"176\" data-id=\"1034\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-diag-1.jpg\" alt=\"Panoramic X-ray at the regular checkup, view 1\" class=\"wp-image-1034\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-diag-1.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-diag-1-300x137.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-diag-1-18x8.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"176\" data-id=\"1035\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-diag-2.jpg\" alt=\"Panoramic X-ray at the regular checkup, view 2, showing a gap between implants\" class=\"wp-image-1035\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-diag-2.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-diag-2-300x137.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-diag-2-18x8.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">After the implant treatment was finished, she came in for a checkup every six months.<br>In the upper left (upper right in the photo), the gap between the existing implants<br>had opened up.<br>Natural teeth can move.<br>That is why teeth can be moved with orthodontic treatment.<br>Implants, however, fuse completely with the alveolar bone,<br>so they hardly move even if you try to move them on purpose.<br>The checkup showed that the alveolar bone around the implant had resorbed and the implant was no longer attached to the bone.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"773\" height=\"422\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-ct.jpg\" alt=\"CT scan used to check the placement direction of the existing implants\" class=\"wp-image-1036\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-ct.jpg 773w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-ct-300x164.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-ct-768x419.jpg 768w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-ct-18x10.jpg 18w\" sizes=\"(max-width: 773px) 100vw, 773px\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-center has-small-font-size wp-block-paragraph\">On the CT, we checked the placement direction of the existing implants together with the direction of the restoration.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong style=\"color:#1a5fb4\">For a more precise diagnosis, we took a CT scan.<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong style=\"color:#1a5fb4\">On the CT, a difference was seen between the placement direction of the existing implants<br>and the direction of the final restoration.<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong style=\"color:#1a5fb4\">We checked the placement direction of the existing implants, the shape of the restoration, the bite,<br>and the bone loss around the implants together.<br>After evaluating all of these factors together,<br>we judged that it would be difficult to keep the existing implants and planned removal followed by re-placement.<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">We explained the findings from the imaging and the treatment plan to the patient.<br>She agreed to the implant revision surgery, and we proceeded with treatment.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"sdc-case-banner\" style=\"background:#000;color:#fff;padding:28px 24px;text-align:center;margin:0 0 8px\"><div style=\"font-size:.95rem;font-weight:700\">Treatment Stage 3<\/div><div style=\"border-top:2px dotted #888;width:60%;margin:8px auto\"><\/div><div style=\"font-size:1.6rem;font-weight:700;line-height:1.3\">Treatment in Progress<\/div><\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"773\" height=\"516\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-probe-before.jpg\" alt=\"Checking the gum around the existing implant before revision surgery\" class=\"wp-image-1037\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-probe-before.jpg 773w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-probe-before-300x200.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-probe-before-768x513.jpg 768w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-probe-before-18x12.jpg 18w\" sizes=\"(max-width: 773px) 100vw, 773px\" \/><\/figure>\n\n\n\n<h2 id=\"sec-1\" class=\"wp-block-heading has-text-align-center\" style=\"color:#0b9b3f;font-size:1.15rem\">Why We Did Not Place a New Implant Right After Removing the Old One<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">After checking the condition of the bone and soft tissue where the existing implants were removed,<br>we waited for a period of healing.<br>Afterward, we re-placed the implants and performed alveolar bone grafting in the areas that needed it.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Implant revision surgery is not done the same way for every patient.<br>After the existing implant is removed, we check the amount and shape of the remaining bone, the state of inflammation, and whether a new implant can achieve initial stability, and then decide whether to re-place the implant immediately or after a healing period.<br>The director decided to proceed with treatment in a way that also restores the gum that had receded.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-3 wp-block-gallery-4 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1038\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-removal-site.jpg\" alt=\"Surgical site after removing the existing implants\" class=\"wp-image-1038\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-removal-site.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-removal-site-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-removal-site-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1039\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-removed-implants.jpg\" alt=\"Existing implant fixtures after removal\" class=\"wp-image-1039\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-removed-implants.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-removed-implants-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-removed-implants-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1040\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-removed-abutment.jpg\" alt=\"Existing implant abutment after removal\" class=\"wp-image-1040\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-removed-abutment.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-removed-abutment-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-removed-abutment-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">(First photo) We first removed the implant abutment and crown,<br>(Second photo) and then removed the existing implant roots.<br>(Third photo) This is the abutment that was removed.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">After removing the existing implants, we waited about a month for healing,<br>and then performed implant revision surgery with a bone graft (alveolar bone grafting).<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"773\" height=\"352\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-after-removal.jpg\" alt=\"Panoramic X-ray after removing the existing implants\" class=\"wp-image-1041\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-after-removal.jpg 773w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-after-removal-300x137.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-after-removal-768x350.jpg 768w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-after-removal-18x8.jpg 18w\" sizes=\"(max-width: 773px) 100vw, 773px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-2 wp-block-gallery-5 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1042\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-surgery-bone-graft.jpg\" alt=\"Bone graft site during implant revision surgery\" class=\"wp-image-1042\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-surgery-bone-graft.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-surgery-bone-graft-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-surgery-bone-graft-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1043\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-surgery-implant.jpg\" alt=\"Implant re-placement surgery\" class=\"wp-image-1043\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-surgery-implant.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-surgery-implant-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-surgery-implant-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Once the area where the implants had been removed had healed, we performed implant revision surgery and a bone graft.<br>After re-placement and bone grafting, we allowed about three months of healing, checked the condition,<br>and then performed the second-stage surgery.<br>After the healing period, we check X-rays and the condition inside the mouth,<br>and measure implant stability (ISQ) with the DIO IDx to decide when to proceed with the restoration.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"773\" height=\"352\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-after-placement.jpg\" alt=\"Panoramic X-ray after implant re-placement\" class=\"wp-image-1044\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-after-placement.jpg 773w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-after-placement-300x137.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-after-placement-768x350.jpg 768w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-after-placement-18x8.jpg 18w\" sizes=\"(max-width: 773px) 100vw, 773px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-2 wp-block-gallery-6 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1045\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-second-stage-1.jpg\" alt=\"Healing abutments after second-stage surgery, view 1\" class=\"wp-image-1045\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-second-stage-1.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-second-stage-1-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-second-stage-1-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1046\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-second-stage-2.jpg\" alt=\"Healing abutments after second-stage surgery, view 2\" class=\"wp-image-1046\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-second-stage-2.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-second-stage-2-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-second-stage-2-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">For this patient, taking into account the condition of the bone and soft tissue around the implants,<br>we carried out additional procedures in the areas that needed them.<br>Because so much of the jawbone had been lost in this patient, during the second-stage surgery<br>we performed alveolar bone grafting once more in the areas where bone was lacking.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"sdc-case-banner\" style=\"background:#000;color:#fff;padding:28px 24px;text-align:center;margin:0 0 8px\"><div style=\"font-size:.95rem;font-weight:700\">Treatment Stage 4<\/div><div style=\"border-top:2px dotted #888;width:60%;margin:8px auto\"><\/div><div style=\"font-size:1.6rem;font-weight:700;line-height:1.3\">Final Restoration (Before and After)<\/div><\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"773\" height=\"352\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-final.jpg\" alt=\"Panoramic X-ray after the final restoration\" class=\"wp-image-1047\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-final.jpg 773w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-final-300x137.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-final-768x350.jpg 768w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-pano-final-18x8.jpg 18w\" sizes=\"(max-width: 773px) 100vw, 773px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-2 wp-block-gallery-7 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1048\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-probe-after.jpg\" alt=\"Comparison photo of the gum around the implant before treatment\" class=\"wp-image-1048\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-probe-after.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-probe-after-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-probe-after-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1049\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-result.jpg\" alt=\"Final restoration after implant revision surgery\" class=\"wp-image-1049\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-result.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-result-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-implant-revision-result-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">These are the photos after treatment.<br>Before treatment, there was almost no gum around the implants in this area,<br>and only the part connecting directly to the mucosa and lip remained,<br>but comparing the before and after photos, you can see changes in the shape of the soft tissue around the implants and in the length and shape of the final restoration.<\/p>\n\n\n\n<h2 id=\"sec-2\" class=\"wp-block-heading has-text-align-center\" style=\"color:#0b9b3f;font-size:1.15rem\">What Matters Most in Implant Revision Surgery Is Finding the Cause<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Implant revision surgery is not a treatment that ends<br>with simply removing the existing implant and placing a new one.<br>It is important to re-check what was wrong with the existing implant, what the surrounding bone and gums are like,<br>and where a new implant can be placed;<br>this re-examination is the key step.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">For this patient as well, after finding a problem with the existing implant at a regular checkup,<br>we checked the condition with X-rays and CT,<br>and proceeded with treatment in this order: removal of the existing implant \u2192 healing period \u2192 bone graft and re-placement<br>\u2192 second-stage surgery \u2192 final restoration.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">If you are looking into implant revision surgery or implant retreatment in Busan or Seomyeon,<br>it is more important to first find out exactly why the current problem occurred<br>than to simply place the implant again.<br>The treatment method and duration may vary depending on the bone and gum condition around the implant,<br>the presence of inflammation, and other factors.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">*The before-and-after photos are published in this post<br>with the patient's consent<br>to help readers<br>understand the content.*<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">&#8211; Treatment results may differ from person to person,<br>so please<br>have a thorough consultation with your dental team.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Related cases:<br><a href=\"https:\/\/smiledigitaldc.com\/en\/digital-implant-zirconia-crown-70s-case\/\">Full Implants With a Digital Guide in Busan Seomyeon: A Case of a Man in His 70s<\/a><br><a href=\"https:\/\/smiledigitaldc.com\/en\/full-arch-implant-70s-digital-guide-case\/\">Full-Arch Implants in Seomyeon, Busan: A Case of a Patient in Her 70s Treated With a Digital Guide<\/a><br><a href=\"https:\/\/smiledigitaldc.com\/en\/digital-guide-implant-90s-patient-occlusion-recovery-case\/\">Digital Implant in Seomyeon, Busan: Guided Surgery and Bite Recovery for a 90-Year-Old Patient<\/a><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Related information: <a href=\"\/en\/oneday-crown\/\">Same-day crown &amp; one-day restoration guide<\/a> \u00b7 General dental information is also available on the <a href=\"https:\/\/www.kda.or.kr\/\" target=\"_blank\" rel=\"noopener\">Korean Dental Association<\/a>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"968\" height=\"1024\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/sdc-directions-map-2026-968x1024.webp\" alt=\"Map to Smile Digital Dental Clinic and office hours\" class=\"wp-image-1452\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/sdc-directions-map-2026-968x1024.webp 968w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/sdc-directions-map-2026-283x300.webp 283w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/sdc-directions-map-2026-768x813.webp 768w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/sdc-directions-map-2026-11x12.webp 11w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/sdc-directions-map-2026.webp 1219w\" sizes=\"(max-width: 968px) 100vw, 968px\" \/><\/figure>","protected":false},"excerpt":{"rendered":"<p>We introduce a case of a woman in her 70s in which a problem with an existing implant was found at a regular checkup, followed by CT re-diagnosis, removal, bone grafting, and re-placement.<\/p>","protected":false},"author":1,"featured_media":1027,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[8],"tags":[],"class_list":["post-1050","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-case"],"_links":{"self":[{"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/posts\/1050","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/comments?post=1050"}],"version-history":[{"count":6,"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/posts\/1050\/revisions"}],"predecessor-version":[{"id":1623,"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/posts\/1050\/revisions\/1623"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/media\/1027"}],"wp:attachment":[{"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/media?parent=1050"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/categories?post=1050"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/tags?post=1050"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}