woman looking at her new implants, happy she avoided risk with Twin Oaks Dentistry in Winston-Salem

Understanding the Complications and Risks of Dental Implants in Winston-Salem, NC

When you’re considering a dental implant, it’s natural to have questions—and even some concerns. At Twin Oaks Dentistry, we believe the best dental decisions are made when patients are informed, comfortable, and confident in their care. That’s why we take time to walk our patients through every step of the dental implant process, including the potential risks.

Dental implants are a safe and effective way to replace missing teeth, restore your smile, and improve overall oral health. But like any surgical procedure, implants come with some risks. Fortunately, these risks are rare—and with the right planning and professional care, many can be avoided entirely.

This article will address:

  • Common complications and risks of dental implants
  • How infections and implant failure can occur
  • Risk factors like smoking, diabetes, and poor hygiene 
  • Bone loss and how to monitor it
  • Sinus and nerve-related issues
  • Allergy concerns and material options
  • Why implants can be costly
  • Whether failed implants can be replaced

Common Dental Implant Complications and How They Occur

Dental implant complications are uncommon, especially when performed by experienced professionals using modern planning tools. Still, it’s important to be aware of potential issues so you know what to watch for—and how to respond.

Infection at the Implant Site

An infection can occur when bacteria enter the tissue around the implant. Symptoms may include:

  • Swelling and redness
  • Pain or tenderness
  • Pus or discharge
  • Fever

Prompt treatment is key. Our team will work with you to minimize infection risks and catch any early signs during your follow-up visits.

Implant Failure or Rejection

Dental implant failure occurs in about 2–3% of cases. When it does happen, it’s usually due to:

  • Smoking or vaping
  • Poor oral hygiene
  • Uncontrolled diabetes
  • Inadequate bone density

Fortunately, most implant failures can be addressed. In cases where an implant doesn’t integrate properly, it can be removed, followed by bone grafting if needed, and later replaced with a new implant.

Nerve or Tissue Damage

Placing an implant too close to a nerve can cause lingering discomfort or numbness. At Twin Oaks Dentistry, we use advanced imaging and digital planning tools to place implants safely and precisely.

Symptoms may include:

  • Tingling or numbness in the jaw, lips, or gums
  • Sharp or radiating pain

Bone Loss Around the Implant:

Even after successful placement, bone loss can still occur around the implant over time. This is one of the most important long-term risks to monitor. We recommend sticking to your regular cleaning schedule and getting routine X-rays to keep an eye on the health of the bone supporting your implant.

How Can Sinus Problems Arise from Dental Implants?

Dental implants placed in the upper back jaw come with unique considerations because of their proximity to the sinus cavities. If an implant extends too far into the sinus area, it can lead to complications.

Symptoms may include:

  • Sinus pressure
  • Congestion
  • Persistent sinus infections or discomfort

Our team uses 3D imaging and diagnostic scans to assess your sinus health and plan implant placement carefully. If additional space is needed, we may recommend a sinus lift to protect the area.

Are There Any Allergic Reactions Associated with Dental Implants?

While rare, some patients may experience a sensitivity or allergic reaction to the titanium commonly used in implants.

Signs may include:

  • Chronic inflammation
  • Skin rash or discomfort near the implant site

If you have a known metal allergy, we can explore alternative materials such as zirconia, which may be a better fit for your health and comfort.

What Increases the Risk of Dental Implant Complications?

Several factors can increase the chances of experiencing a complication either during or after dental implant surgery:

  • Smoking or vaping
  • Poor oral hygiene habits
  • Diabetes or autoimmune disorders that aren’t well-controlled
  • Insufficient bone structure in the jaw
  • Use of medications that affect bone healing or immune response

At your consultation, we’ll assess all these variables and build a treatment plan that minimizes your risk and supports long-term success.

How Can Patients Reduce Their Risk of Experiencing Dental Implant Complications?

When it comes to dental implants, prevention is key. You can reduce your risk by taking a few simple but important steps:

  • Choose a qualified provider with advanced technology and implant experience, like our team at Twin Oaks Dentistry
  • Practice excellent oral hygiene, brushing and flossing daily
  • Stop smoking or vaping
  • Follow all post-operative instructions carefully
  • Stay on track with your cleaning and check-up appointments

We’ll be here to support you every step of the way—from the first evaluation to your fully healed, functional smile.

Why Is a Single-Tooth Dental Implant So Expensive?

Many patients are surprised by the cost of a single implant—but what you’re paying for is a multi-step process with customized parts.

Each implant includes:

  • The implant screw, which replaces your tooth root
  • The abutment, which connects the implant to the crown
  • A custom-fabricated crown, made in a lab to precisely fit your smile

These components are built specifically for your mouth and designed to last, offering a natural-looking, fully functional result.

Can a Failed Dental Implant Be Redone?

Yes, a failed implant can often be corrected. In most cases, the original implant is removed, and a bone graft is placed to rebuild the area. After the graft has healed, a new implant can be placed. Our team will walk you through every step and determine the best timeline based on your individual case.

Why Choose Twin Oaks Dentistry for Dental Implants in Winston-Salem, NC?

We understand that any dental procedure can feel overwhelming—especially one that involves surgery. At Twin Oaks Dentistry, we take a personalized approach to every dental implant case, offering:

  • Comprehensive consultations and evaluations
  • Advanced 3D imaging for safe, precise planning
  • Honest, detailed discussions about costs and risks
  • A friendly, professional team that truly listens

We’re proud to offer implant solutions rooted in modern technique, professionalism, and patient-focused care.

Trust Your Smile to Twin Oaks Dentistry

Dental implants are one of the most reliable and life-changing treatments in modern dentistry—but knowing the risks is just as important as knowing the benefits. At Twin Oaks Dentistry in Winston-Salem, NC, we go beyond the basics to help you make a confident, informed decision. With trusted experience, modern tools, and a team that listens to your concerns, we’re ready to guide you toward a healthier, stronger smile.

Ready to take the next step? Call our office today to schedule your dental implant consultation.

Sources:

    Dr. Joyce - Twin Oaks Dentistry

    Chase Joyce, DMD

    Dr. Chase Joyce, a Winston-Salem native, is passionate about providing the best care to his patients. After earning his Doctor of Dental Medicine from LECOM School of Dental Medicine in 2017, Dr. Joyce returned home and now lives in Kernersville with his wife, Laura, and their young child. Outside of the office, he enjoys camping, fishing, hiking, and spending time with his family. Dr. Joyce understands that many patients feel uneasy about dental visits, and he works hard to create a comfortable, relaxed environment. Always committed to learning, he stays up to date with the latest in dentistry to offer the best care possible.

    Dr. Baust at Twin Oaks in Winston-Salem

    Edward Baust, DMD

    Dr. Edward Baust, originally from Georgia, graduated from LECOM School of Dental Medicine in 2017. After completing an implant training course with Dr. Joyce, he and his wife, Dr. Krysten Sherrod, moved to Winston-Salem to open Twin Oaks Dentistry. Dr. Baust is dedicated to making every patient feel welcome and ensuring they have a positive dental experience. Outside of the office, he enjoys traveling, exploring nature, flying, and cheering for the Georgia Bulldogs. A music lover and avid golfer, Dr. Baust is always eager to make meaningful connections with his patients.