February 12, 2021


Dear Valued Patients,


Serving you for 26 years has transformed me and my profession as a dentist. For this, I feel honored to serve each of you in managing your dental health. It is time for me to pass the baton. I am privileged to pass the dental practice that I hold in my heart, Aesthetic and General Dentistry, to Dr. Peter Kelly, a qualified and knowledgeable dentist with a myriad of talents and experience.


I will still be here to offer my services in the next few months, to assist Dr. Kelly and his partners in this transition. I am also happy to inform you that our entire outstanding dental team will remain with Dr. Kelly. I have confidence that Dr. Kelly will continue the practice’s mission of providing excellent dental care.


Thank you so much for all the experience in becoming a better dentist to you. My personal journey is taking me along another pathway. I will remember you, the relationship, and the memories.


With best wishes and deep gratitude,


Alfredo M. Gapuz, Jr., DMD

Causes of Dental Implant Failure By Alfredo M. Gapuz, Jr., DMD on June 25, 2020

man in blue shirt tearing a cigarette in half

Treating tooth loss is essential for long-term oral health and function. Dental implants are commonly cited as the most successful tooth replacement option available, boasting a success rate of over 98 percent in the first five years after placement. However, there are still instances in which dental implants can fail. A comprehensive understanding of the placement and recovery processes are beneficial in maximizing the life of your dental implant.

In this article, Dr. Alfredo M. Gapuz explores the most common causes of dental implant failure. Our Orlando, FL, team will also discuss steps patients can take to maintain their implant for many years to come.

#1: Healing Issues

For a dental implant to last, it must be surrounded by dense, healthy bone. Additionally, the implant post must fuse to the existing bone during osseointegration. During this process, the bone tissue actually grows into tiny pores on the implant surface. This maximizes stability and allows you to use the implant like a natural tooth. If there are issues with osseointegration, the implant could fail.

#2: Periodontal Disease

Many of our Orlando, FL, patients assume that gum disease only affects natural teeth. However, many dental implants are lost every year due to peri-implantitis, a type of gum disease that develops around an implant. When infection and oral bacteria travel beneath the gums, they start to erode the supporting bone. In turn, this can lead to implant mobility and eventual failure.

#3: Tobacco Use

It is no surprise that smoking is bad for your overall health, but it can have a devastating effect on dental implants, as well. Smoking shrinks the blood vessels and capillaries, effectively reducing blood supply to the surgical site. If you use tobacco products of any kind, it is best to kick the habit altogether. However, if you do not, it is imperative that you, at minimum, avoid these products for several weeks before and after your dental implant procedure.

#4: Certain Medical Conditions

Any condition that impedes the body’s natural healing process can drastically increase the risk of dental implant failure. Patients with auto-immune diseases must take extra precautions when undergoing any type of surgery, including implant placement. Uncontrolled diabetes is another concern. However, if the disease is controlled by medication, implants are generally safe and successful.

Some medications can also compromise the healing process. Drugs to look out for include antidepressants, NSAIDS, and bisphosphonates.

#5: Bruxism

Individuals who clench or grind their teeth together have an increased risk for implant failure. Left untreated, bruxism can loosen the implant in its socket and damage the attached restoration. If you suffer from bruxism, treat the condition before pursuing dental implants. Typically, a custom oral appliance can prevent damage and alleviate symptoms of bruxism. 

#6: Loading the Implant Too Soon

Once a dental implant has been placed, it takes time for the osseointegration process to complete. In many cases, this means the implant should not have a restoration attached until it is strong enough to withstand normal biting and chewing pressures.

This also depends on the location of the implant. If it has been placed near the front of the jaw, an immediate crown might be added because the patient can simply avoid biting into things with the implant during the osseointegration process. However, if the implant was placed near the back of the jaw, it will likely require three to six months of healing before a crown can be attached.

Learn More about Dental Implants

If you are currently exploring teeth replacement options, schedule an appointment at our Orlando, FL, practice. We can help determine if dental implants are right for you. Contact us online anytime or give us a call at (407) 871-6798.

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Dr. Gapuz

Aesthetic and General Dentistry

Dr. Alfredo Gapuz was recently recognized in local publications as an Orlando Dentist of the Year and as a 2019 Top Dentist. He holds several other distinctions, such as:

  • Member of the American Academy of Cosmetic Dentistry
  • Member of the International Congress of Oral Implantology
  • Graduate of the Las Vegas Institute for Advanced Dental Studies
  • Fellow of the International Congress of Oral Implantologists
  • Fellow of the Academy for Dental-Facial Esthetics

To schedule your consultation at our Orlando office, contact us online or call us at (407) 251-5100.

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