Healthy Chewing System

The Truth About Implants: Why They Can Fail—and How to Set Them Up for Success

Nicole Mariano
Dr. Nicole Mariano
May 6, 2025

Dental implants are one of the most powerful tools in modern dentistry. They allow us to replace missing teeth with something that looks, feels, and functions like your natural tooth. And when they’re placed into the right conditions, they can last for many years.

But here’s the truth: Dental implants can fail. And they often fail for the same reasons natural teeth do.

At Voyage to Vitality, we believe implants should never be placed as a quick fix. They are not immune to disease or dysfunction. Before we ever consider replacing a tooth with an implant, we ask a much more important question: Why was the tooth lost in the first place? Because if we don’t solve that, we’re just rebuilding on the same unstable foundation.

A. The 3 Most Common Causes of Implant Failure

Peri-implantitis (Infection & Inflammation)

Peri-implantitis is the implant version of gum disease. Bacteria accumulate around the implant, triggering inflammation that leads to bone loss and, eventually, implant failure. It happens for the same reason natural teeth are lost—bacterial imbalance, poor oral hygiene, and inflammatory stress.

If a patient had gum disease before the implant, they’re more likely to get peri-implantitis unless the root bacterial cause is addressed.

Occlusal Trauma (Bite Imbalance & Excessive Force)

An implant doesn't have the same cushioning ligament as a natural tooth. That means it can’t adapt to pressure or stress—it either absorbs it, or it breaks. If your bite is imbalanced or overloaded, the implant may loosen, fracture, or cause damage to surrounding structures.

This is the same reason natural teeth crack, shift, and wear down: the chewing system isn’t balanced.

Body Rejection or Incompatibility (Material Sensitivity)

Though rare, some people may have a reaction to the metal in the implant—especially titanium, the most commonly used material. This could be an immune response, sensitivity, or inflammatory reaction that interferes with healing and long-term integration.

If your body struggled to hold onto a tooth due to chronic inflammation or autoimmunity, that same biology could affect your implant.

B. Teeth and Implants Fail for the Same Reasons

Teeth aren’t lost randomly. Neither are implants.
Both can fail because of:

  • Bacteria and inflammation (gum disease or peri-implantitis)
  • Excessive force and imbalanced function (occlusal trauma)
  • Systemic or immune issues (inflammatory load or material sensitivity)

So before we ever consider placing an implant, we must first ask:

  • Was the environment healthy enough to hold onto the original tooth?
  • If not, what needs to change to make it healthy enough now?

C. Implants Shouldn’t Be Placed into Problems—They Should Be Placed into Health

At Voyage to Vitality, we don’t believe in rushing to replace what was lost. We believe in learning from it.

Implants are a long-term investment. And to protect that investment, we must:

  • Restore a healthy oral microbiome
  • Balance the bite and chewing system
  • Assess material compatibility and systemic health
  • Build a foundation where healing and longevity are possible

Because implants don’t last forever. But when placed in the right environment—with intention and insight—they can last a long time. And more importantly, they won’t repeat the cycle of breakdown.

D. Your Health. Your Future. Your Power.

If you’ve lost a tooth, don’t just replace it—understand why it was lost. That’s where healing begins. That’s where prevention lives.

At Voyage to Vitality, we’ll help you not just rebuild your smile—but create a system that supports it for years to come. Because health doesn’t start with hardware—it starts with insight.