Top 5 Dental Clinics in Hanoi for Implant Removal & Replacement (2026)
Picasso Dental Clinic Hanoi: Implant Revision Specialists
Trusted by 70,000+ patients from 62 countries since 2013
Quick Summary
Dental implant failure happens to approximately 5-10% of patients worldwide, but a failed implant does not mean the end of your restoration journey. Picasso Dental Clinic Hanoi specializes in implant removal and replacement procedures, treating patients from across the globe who need expert revision care. With implant removal from just $77, bone grafting from $154, and replacement implant packages starting at $962 (OSSTEM) to $1,731 (Straumann BLX), Picasso offers world-class implant revision at a fraction of Western prices. Two convenient Hanoi locations, internationally trained surgeons, and 3D CBCT planning ensure predictable outcomes for even the most complex revision cases.
Introduction: When Dental Implants Fail
Dental implants boast an impressive 90-95% long-term success rate, making them the gold standard for tooth replacement. However, that still leaves a significant number of patients who experience implant complications or outright failure. Whether due to infection, mechanical issues, or biological factors, a failing implant demands prompt professional attention.
For international patients who received implants abroad or at home, traveling to Vietnam for implant revision surgery offers a compelling combination of expert care, advanced technology, and substantial cost savings. Picasso Dental Clinic has built a reputation for handling complex implant cases, including removals and replacements, drawing patients from Australia, the United States, Canada, the United Kingdom, and throughout Southeast Asia.
This comprehensive guide covers everything you need to know about implant removal and replacement in Hanoi: why implants fail, what the removal process involves, when bone grafting is necessary, what replacement options are available, and how much the entire process costs at Picasso Dental Clinic.
Why Dental Implants Fail: Common Causes
Understanding why implants fail is the first step toward successful revision treatment. Implant failure generally falls into two categories: early failure (within the first few months) and late failure (after osseointegration has occurred).
Peri-implantitis (Infection Around the Implant)
Peri-implantitis is the leading cause of late implant failure, affecting an estimated 12-22% of implant patients to varying degrees. This inflammatory condition is essentially gum disease around the implant, caused by bacterial biofilm accumulation. Without treatment, the infection progressively destroys the bone supporting the implant, eventually leading to implant loosening and loss.
Risk factors include poor oral hygiene, smoking, diabetes, a history of periodontal disease, and insufficient soft tissue around the implant. Patients who neglect regular dental check-ups after implant placement are particularly vulnerable.
Implant Fracture or Component Failure
While modern implants are engineered from medical-grade titanium or zirconia, mechanical failure can still occur. Implant body fractures, abutment screw loosening, and prosthetic component breakage account for a meaningful percentage of implant revisions.
Common causes include bruxism (teeth grinding), improper bite alignment placing excessive forces on the implant, the use of narrow-diameter implants in high-stress areas, and manufacturing defects in lower-quality implant systems. A fractured implant cannot be repaired and must be surgically removed.
Malposition (Improperly Placed Implants)
An implant placed at the wrong angle, depth, or position can lead to a cascade of problems: difficulty attaching a natural-looking crown, interference with adjacent teeth, nerve damage, sinus perforation, or chronic discomfort. Malpositioned implants may also be subject to abnormal bite forces that accelerate wear and failure.
This issue often arises when implants are placed without adequate 3D imaging and digital planning, or by practitioners with limited implant experience. At Picasso Dental Clinic, every implant case begins with comprehensive 3D CBCT scanning and digital treatment planning to ensure optimal positioning from the start.
Failed Osseointegration
Osseointegration is the biological process by which the jawbone fuses with the implant surface. When this process fails, the implant remains loose and cannot support a restoration. Early failure of osseointegration can result from surgical trauma, contamination during placement, premature loading (placing a crown too soon), insufficient bone quality, uncontrolled diabetes, or smoking.
Patients who smoke are 2-3 times more likely to experience osseointegration failure. Certain medications, including bisphosphonates and some immunosuppressants, can also interfere with bone healing around implants.
Insufficient Bone or Soft Tissue
Implants placed into inadequate bone volume are set up for failure from the beginning. Without sufficient bone height, width, and density to anchor the implant securely, the fixture cannot withstand functional forces over time. Similarly, a lack of healthy keratinized gingiva (firm gum tissue) around the implant can allow bacteria to infiltrate more easily, leading to peri-implantitis.
This is why bone grafting and soft tissue augmentation are sometimes necessary prerequisites for successful implant placement, and why their omission during initial treatment can contribute to later failure.
Recognizing the Signs of Implant Failure
Catching implant problems early can sometimes allow for intervention that saves the implant. However, some signs indicate that removal may be the best course of action.
Symptoms That Require Immediate Evaluation
- Implant mobility: Any perceptible looseness or movement of the implant is a serious sign that osseointegration has failed or bone has been lost
- Persistent pain: While some discomfort is normal immediately after placement, ongoing pain weeks or months later suggests a problem
- Swelling or pus: Infection around the implant site requires prompt treatment to prevent further bone destruction
- Receding gums: Gum tissue pulling away from the implant, exposing metal threads, indicates bone loss underneath
- Difficulty chewing: Pain or instability when biting down on the implant-supported crown
- Numbness or tingling: Nerve damage from a malpositioned implant may cause persistent numbness in the lip, chin, or tongue
The Implant Removal Process at Picasso Dental Clinic
Implant removal is a surgical procedure that requires precision, experience, and the right equipment. At Picasso Dental Clinic Hanoi, the process follows a carefully structured protocol designed to minimize trauma to surrounding bone and tissue, preserving as much healthy structure as possible for future replacement.
The process begins with a thorough evaluation including 3D CBCT scanning, periapical X-rays, and clinical examination. The scan reveals the exact position, angulation, and depth of the failed implant, the extent of bone loss around it, and proximity to vital structures such as the inferior alveolar nerve or maxillary sinus.
Based on the diagnostic findings, your implant surgeon develops a customized removal plan. This includes determining the best removal technique, whether simultaneous bone grafting is advisable, and the timeline for replacement implant placement. All options, risks, and costs are discussed transparently before proceeding.
Under local anesthesia (with sedation available for anxious patients), the surgeon carefully removes the failed implant. For osseointegrated implants that are still partially fused to bone, specialized reverse-torque instruments or trephine burs are used to loosen and extract the fixture while preserving surrounding bone. Loose implants can often be removed with simple forceps. The procedure typically takes 30-60 minutes.
After removal, the surgical site is thoroughly cleaned and any infected or granulation tissue is removed. The remaining bone is evaluated to determine its quality and quantity. This assessment guides the decision on whether immediate bone grafting is needed or if the site can heal on its own.
In many implant revision cases, bone grafting is recommended to restore the bone volume lost due to infection or the removal process itself. The graft material fills the extraction socket and is covered with a barrier membrane to promote guided bone regeneration. Healing typically takes 3-6 months.
After surgery, patients receive detailed aftercare instructions, prescribed medications (antibiotics and pain management), and a follow-up schedule. For international patients, Picasso provides ongoing WhatsApp support and can coordinate with your home dentist for local follow-up during the healing period.
Bone Grafting After Implant Removal
Bone grafting is a critical step in many implant revision cases. When an implant fails due to peri-implantitis or other causes, the surrounding bone is often compromised. Without adequate bone volume, placing a replacement implant would have a high risk of repeated failure.
Types of Bone Grafts Available at Picasso Dental Hanoi
| Graft Type | Description | Price From |
|---|---|---|
| Socket Preservation | Graft placed immediately into the extraction site to maintain bone volume | $154 |
| Ridge Augmentation | Building up the width or height of a deficient ridge for implant support | $192 |
| Block Bone Graft | Larger graft for significant bone deficiency, using autogenous or allograft block | $385 |
| Sinus Lift | Elevating the sinus membrane and grafting for upper jaw implant sites | $385 |
Picasso Dental Clinic uses premium bone graft materials from established manufacturers including Bio-Oss (Geistlich), SureOss, and other clinically proven products. The choice of graft material depends on the size of the defect, the patient's healing capacity, and the planned timeline for replacement implant placement.
Replacement Implant Options & Pricing
Once the site has healed adequately after removal and any necessary bone grafting, a replacement implant can be placed. Picasso Dental Clinic Hanoi offers multiple implant systems at different price points, all from internationally recognized manufacturers.
| Implant System | Origin | Package Price | Warranty |
|---|---|---|---|
| OSSTEM | South Korea | $962 | 10 years |
| Straumann BLX | Switzerland | $1,731 | Lifetime |
Package prices include the implant fixture, abutment, and porcelain crown. For patients whose original implant failed due to using a budget brand, upgrading to a premium system like Straumann BLX can significantly reduce the risk of repeated failure. The Straumann BLX features a revolutionary design with Roxolid material and SLActive surface technology that promotes faster and more reliable osseointegration, even in compromised bone.
Cost Comparison: Implant Removal & Replacement
removal + new implant
removal + new implant
removal + new implant
removal + new implant
The total cost of implant removal ($77) plus a replacement implant ($962 - $1,731) at Picasso Dental Clinic ranges from $1,039 to $1,808. Even with bone grafting (from $154) factored in, the total remains well below what most Western clinics charge for the removal procedure alone.
Why Choose Picasso Dental Clinic Hanoi for Implant Revision
Experienced Implant Revision Surgeons
Implant removal and replacement is significantly more complex than initial implant placement. It requires surgeons who understand the challenges of working in compromised bone, managing infection, and planning for long-term success in a previously failed site. Picasso Dental's implant team has handled thousands of implant cases since 2013, including complex revisions from patients who had initial treatment elsewhere.
The team includes dentists with advanced training from institutions such as the International Congress of Oral Implantologists (ICOI), Harvard School of Dental Medicine, and specialized implant training programs in South Korea, Japan, and Europe.
Advanced 3D Diagnostic Technology
Successful implant revision depends on precise diagnostics. Picasso Dental Clinic's 3D CBCT scanner provides detailed three-dimensional visualization of the failed implant, surrounding bone levels, nerve pathways, and sinus positions. This enables the surgical team to plan the safest and most effective removal approach, minimizing bone loss during extraction and optimizing the site for future replacement.
Digital treatment planning software allows the team to simulate the removal process and plan replacement implant positioning before surgery begins, reducing chairside time and improving predictability.
Comprehensive In-House Services
From diagnostic imaging and surgical removal to bone grafting, replacement implant placement, and final crown fabrication, every step of the revision process is handled in-house at Picasso Dental Clinic. There is no need for referrals to external specialists or separate labs, which reduces costs, shortens timelines, and ensures seamless coordination throughout your treatment.
Transparent Pricing with No Hidden Costs
Picasso Dental Clinic provides itemized quotes before treatment begins. You will know the exact cost of implant removal, any bone grafting required, the replacement implant and crown, and all associated procedures. There are no surprise charges. This transparency has earned the clinic consistent praise from international patients accustomed to receiving vague estimates elsewhere.
Multi-City Network for Treatment Flexibility
As part of Picasso Dental Clinic's 6-clinic network across Hanoi, Da Nang, Ho Chi Minh City, and Da Lat, patients can begin their revision treatment in Hanoi and complete follow-up appointments at any other Picasso location. All patient records are maintained centrally, enabling seamless continuity of care across cities. This is particularly valuable for dental tourists who want to explore different regions of Vietnam between treatment visits.
Treatment Timeline for International Patients
The implant revision process typically requires two visits to Hanoi, separated by a healing period. Here is a typical timeline for international patients:
Visit 1: Removal & Bone Grafting (3-5 Days in Hanoi)
- Day 1: Comprehensive examination, 3D CBCT scan, treatment planning, and consultation
- Day 2: Implant removal surgery and simultaneous bone grafting (if needed)
- Days 3-5: Post-operative check-ups, suture monitoring, and recovery. Explore Hanoi's Old Quarter, Truc Bach Lake, or West Lake area near our clinic locations
Healing Period: 3-6 Months at Home
During this period, the bone graft integrates with your natural bone. Picasso's team monitors your progress via WhatsApp, reviewing photos and any X-rays taken by your local dentist. A temporary prosthetic solution (removable partial denture or flipper) can be provided to maintain aesthetics during healing.
Visit 2: Replacement Implant & Crown (5-7 Days in Hanoi)
- Day 1: Follow-up CBCT scan to confirm bone regeneration, treatment planning for implant placement
- Day 2: Replacement implant placement surgery
- Days 3-5: Post-operative monitoring and initial healing
- Days 5-7: Impression for crown fabrication (or return for a third short visit after 3-4 months for the final crown, depending on the case)
Complete Pricing Guide: Implant Removal & Replacement at Picasso Hanoi
The following prices are accurate as of February 2026. All prices are in USD. Visit Picasso Dental's porcelain crowns page for additional crown upgrade options.
Implant Removal & Related Procedures
| Procedure | Price (USD) | Notes |
|---|---|---|
| Implant Removal | $77 | Includes local anesthesia, surgical extraction, and post-op care |
| Bone Grafting (Socket Preservation) | From $154 | Graft material placed into extraction site |
| Ridge Augmentation | From $192 | Building up deficient bone ridge |
| Sinus Lift | From $385 | For upper jaw sites with insufficient bone height |
Replacement Implant Packages (Implant + Abutment + Crown)
| Implant Brand | Origin | Package Price | Warranty |
|---|---|---|---|
| OSSTEM | South Korea | $962 | 10 years |
| Straumann BLX | Switzerland | $1,731 | Lifetime |
Total Estimated Cost Scenarios
| Scenario | OSSTEM Package | Straumann BLX Package |
|---|---|---|
| Removal + Immediate Replacement (no grafting needed) | $1,039 | $1,808 |
| Removal + Socket Graft + Delayed Replacement | $1,193 | $1,962 |
| Removal + Ridge Augmentation + Delayed Replacement | $1,231 | $2,000 |
| Removal + Sinus Lift + Delayed Replacement (upper jaw) | $1,424 | $2,193 |
Prices include all surgical fees, materials, anesthesia, and post-operative care. Final pricing is confirmed after diagnostic evaluation at the clinic. Multiple implant revisions may qualify for package discounts.
Frequently Asked Questions
How much does dental implant removal cost at Picasso Dental Clinic Hanoi?
Dental implant removal at Picasso Dental Clinic Hanoi costs $77. This includes the surgical extraction, local anesthesia, and post-operative care. Bone grafting after removal starts from $154, and replacement implant packages range from $962 (OSSTEM) to $1,731 (Straumann BLX), including the implant, abutment, and porcelain crown.
What are the signs that a dental implant needs to be removed?
Key signs include persistent pain or discomfort around the implant, swollen or bleeding gums, implant mobility or looseness, receding gums exposing implant threads, pus or discharge around the site, and difficulty chewing. If you notice any of these, send your X-rays via WhatsApp to +84 989 067 888 for a preliminary assessment.
Can a failed dental implant be replaced with a new one?
Yes, in most cases a failed implant can be replaced. After removal, the site is evaluated for bone quality. If sufficient bone remains, a new implant can sometimes be placed immediately. More commonly, bone grafting is performed first, with a healing period of 3-6 months before placing the replacement implant.
How long does the implant removal and replacement process take?
The removal procedure itself takes 30-60 minutes. The total treatment timeline depends on whether bone grafting is needed. Without grafting: two visits over 3-4 months. With grafting: two visits over 4-8 months. Each visit requires 3-7 days in Hanoi. Picasso's WhatsApp follow-up maintains continuity between visits.
Does Picasso Dental Clinic offer bone grafting after implant removal?
Yes, Picasso Dental Clinic Hanoi provides comprehensive bone grafting services starting from $154. Options include socket preservation, ridge augmentation, block bone grafts, and sinus lifts. The clinic uses premium graft materials from Bio-Oss, Geistlich, and other established brands to ensure reliable bone regeneration.
Where is Picasso Dental Clinic located in Hanoi?
Picasso Dental Clinic has two Hanoi locations: 16 Pho Chau Long in Ba Dinh District (near Truc Bach Lake and the Old Quarter) and LKC22 Hoang Minh Thao in Bac Tu Liem District (Embassy Garden, Westlake area). Both clinics are open Monday-Sunday, 8:30 AM - 6:00 PM.
Is it safe to have implant revision surgery in Vietnam?
Yes, when performed at a reputable clinic like Picasso Dental. The clinic uses the same implant systems available at top Western practices (Straumann, OSSTEM), follows international sterilization protocols, and employs internationally trained dentists. With over 70,000 patients treated from 62 countries since 2013 and success rates exceeding 95%, Picasso Dental has demonstrated consistent clinical excellence.
Contact Picasso Dental Clinic Hanoi
Picasso Dental Clinic Hanoi - Old Quarter Branch
Address: 16 Pho Chau Long, Truc Bach, Ba Dinh, Ha Noi, 100000, Vietnam
Phone/WhatsApp: +84 989 067 888
Email: cs@picassodental.vn
Hours: Monday - Sunday: 8:30 AM - 6:00 PM
Location Highlights: 5-minute walk from Truc Bach Lake, 10 minutes from the Old Quarter
Picasso Dental Clinic Hanoi - Westlake Square Branch
Address: LKC22 Hoang Minh Thao, Bac Tu Liem, Hanoi, 100000, Vietnam
Phone/WhatsApp: +84 989 067 888
Email: cs@picassodental.vn
Hours: Monday - Sunday: 8:30 AM - 6:00 PM
Location Highlights: Westlake area, Embassy Garden complex, convenient parking
Dealing with a Failed Implant? Get Expert Help.
Send your X-rays or dental photos via WhatsApp for a free preliminary assessment. Our implant revision specialists will review your case and provide a detailed treatment plan with transparent pricing.
WhatsApp: +84 989 067 888
Email: cs@picassodental.vn