Studio Calesini · Via della Croce 77, Rome
When implants placed in Turkey, Hungary, or elsewhere produce problems, what can be evaluated, what can be salvaged, and how to proceed without starting over unnecessarily.
A growing number of patients treated at lower-cost dental clinics abroad return to Italy, or visit Rome from elsewhere, with implants that have failed, restorations that are unsatisfactory, or ongoing symptoms with no clear diagnosis. The reasons vary: some cases involve genuine clinical errors; others involve appropriate treatment followed by inadequate maintenance or no continuity of care; others are cases where the original plan was underpowered for the patient’s clinical situation. Arriving at the right conclusion requires a complete independent evaluation, not a judgment based on where treatment was performed.
Peri-implantitis: bacterial infection with progressive bone loss around one or more implants. Implant failure: non-osseointegration or late failure after loading. Nerve proximity or involvement: altered sensation in the lower lip, chin, or tongue after lower jaw surgery. Sinus involvement following upper jaw implant placement. Bone loss or infection at graft sites. Implant fracture from overloading or incorrect design.
Poorly fitting or unstable restorations: crowns or bridges that do not seat correctly, creating instability or bite discrepancies. Incorrect occlusion: contacts that generate unphysiological forces on the implants. Aesthetic failure: colour mismatch, unnatural contour, disproportionate or asymmetric result. Ceramic fractures. Screw loosening or fracture of the prosthetic components. Full-arch framework fracture.
Before committing to explantation or extensive revision, it is essential to determine what is actually failing and why. In many cases, the clinical options are less drastic than the patient fears, or was told.
The assessment determines what is salvageable, what requires replacement, and what requires surgery, before any treatment is proposed or started.
Complete review of all available records from the original treatment: surgical reports, radiographs (panoramic, periapical, CBCT where available), prosthetic records, and any correspondence from the treating clinic. If documentation is incomplete or unavailable, the assessment notes this and adjusts accordingly.
Three-dimensional imaging is typically necessary to evaluate implant position, bone levels, proximity to nerves or sinuses, and the extent of any bone loss. Where CBCT was provided from the original treatment, it is reviewed; where it is absent or outdated, new imaging is requested before any conclusions are reached.
Systematic clinical examination: peri-implant probing to detect bone loss, assessment of soft tissue health, mobility testing, occlusal analysis, photographic documentation. The clinical picture is formed independently of the original treatment records.
The outcome of the assessment is provided in writing: diagnosis, interpretation of findings, clinical reasoning, and a presentation of treatment options with honest prognosis for each. No treatment is initiated at the assessment visit. The patient leaves with a written document. There is no obligation to proceed with treatment at Studio Calesini.
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Dr. Gaetano Calesini evaluates implant cases placed in other countries, regardless of where or by whom the original treatment was performed. The assessment is structured, independent, and provided in writing. Italian, English, and any language via AI-assisted communication. For international patients unable to travel multiple times, the consultation timeline and logistics can be discussed at the first contact.
A mobile implant is a clinical emergency. Implant mobility means osseointegration has failed: the implant is no longer fused to bone. This is not recoverable; the implant will need to be removed. The relevant clinical question is why it failed and whether the site can be reconstructed for a new implant. Contact a specialist immediately rather than waiting to see if the situation resolves, it will not.
Yes, in most cases. Provided the implants are osseointegrated and peri-implantitis-free, new prosthetic components can be fabricated regardless of the implant brand, as long as the implant connection type can be identified. Most major implant systems have identifiable components. The assessment determines which implant system was used and whether prosthetic reconstruction is feasible above the existing implants.
Everything you have from the original treatment: surgical reports or consent forms, any radiographs (panoramic, periapical, or CBCT) provided by the treating clinic, photographs if available, invoices or treatment plans, and any correspondence with the treating practice. Do not worry if documentation is incomplete, this is common in dental tourism cases and the assessment accounts for it.
In most cases, the cause of the complication can be identified with reasonable certainty from the available clinical evidence. In some cases, causation is multi-factorial or not fully determinable from the available records. The assessment is honest about what can and cannot be concluded: what is known with confidence, what is probable, and what remains uncertain.
The initial consultation requires one visit. The number of subsequent visits depends entirely on what the assessment finds. For cases requiring only prosthetic revision above integrated implants, treatment can be structured to minimise travel. For cases requiring surgery, the planning, surgical, and review phases are separated. For international patients, the practice can discuss whether remote pre-consultation (sharing records and imaging before the visit) is appropriate to make the first physical visit more efficient.
Studio Calesini · Via della Croce 77, Rome
Italian, English, and any language via AI-assisted communication. By appointment only.
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