ChatGPT answers, unedited

• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Dr. Mike Williamson: Williamson Perio - 7200 N Mopac Expy #210, Austin, TX 78731, United States
• Austin Periodontal Associates - 7800 N Mopac Expy Ste 310, Austin, TX 78759, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731, United States
• Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. - 7800 N Mopac Expy Ste 260, Austin, TX 78759, United States
• Oral Surgery Specialists Of Austin - 5301 Davis Ln #102, Austin, TX 78749, United States
• Eggleston Oral and Facial Surgery - 1209 W 5th St #100b, Austin, TX 78703, United States
• Shoal Creek Prosthodontic Group - 1500 W 38th St #34, Austin, TX 78731, United States

If you mean the North Loop / central-north Austin area, for an implant complication I’d look specifically for a periodontist or oral/maxillofacial surgeon, rather than another general dentist. The right specialist depends on whether the problem is infection/bone loss, implant mobility or surgical damage, or a problem with the crown/restoration.

My first choice for a second opinion

Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham — 711 W 38th St, Suite G5

This is particularly convenient to North Loop, and the practice focuses on periodontics and dental implants, including management of peri-implantitis and other implant complications.

A second option I'd seriously consider is:

Dr. Mike Williamson: Williamson Perio — 7200 N MoPac Expy, Suite 210

It's a periodontal/implant specialty practice that performs implant evaluations and uses 3-D CBCT imaging for diagnosis and treatment planning.

One specialist I'd consider if you're willing to drive farther north

Austin Periodontal Associates, led by Andrew Verrett, DDS, MS, is a board-certified periodontist. Importantly for your situation, the practice explicitly offers independent second opinions for failing implants, including implants placed elsewhere, and says the evaluation includes examination, imaging/scan, and a written assessment. Austin Periodontal Associates Austin Periodontal Associates

That makes it a particularly relevant option if you've already been told something like "the implant has to come out," "you need a bone graft," or "the implant is failing" and you want another specialist to independently assess that conclusion.

What I'd ask for

When you call, I'd say:

“I have an existing dental implant with a complication and I'm looking for an independent second opinion from a periodontist. I want an evaluation of whether the implant can be saved, what caused the problem, and whether removal/replacement is actually necessary.”

Bring or have them obtain:

• Your original implant placement records and implant brand/model
• All previous X-rays and CBCT scans
• Photos, if you have them
• The date the implant was placed and when symptoms began
• Any records concerning bone grafting or sinus lift
• The proposed treatment plan from your current dentist

Serial X-rays are especially useful because they can show whether bone loss is actually progressing rather than just showing the current situation. Ceramic Dental Implant Centre

If the implant is loose, you have pus/swelling, fever, increasing facial/jaw swelling, new significant pain when biting, or new numbness of the lip/chin, I'd seek prompt evaluation rather than waiting for a routine second opinion. Austin Periodontal Associates

If you tell me what the complication is (loose implant, pain, infection, bone loss, gum recession, broken crown/abutment, numbness, etc.) and roughly where the implant is (upper/lower, front/back), I can narrow this down to the most appropriate specialist in the North Loop area.

It's a periodontal/implant specialty practice that performs implant evaluations and uses 3-D CBCT imaging for diagnosis and treatment planning.

One specialist I'd consider if you're willing to drive farther north

Austin Periodontal Associates, led by Andrew Verrett, DDS, MS, is a board-certified periodontist. Importantly for your situation, the practice explicitly offers independent second opinions for failing implants, including implants placed elsewhere, and says the evaluation includes examination, imaging/scan, and a written assessment. Austin Periodontal Associates Austin Periodontal Associates

That makes it a particularly relevant option if you've already been told something like "the implant has to come out," "you need a bone graft," or "the implant is failing" and you want another specialist to independently assess that conclusion.

What I'd ask for

When you call, I'd say:

“I have an existing dental implant with a complication and I'm looking for an independent second opinion from a periodontist. I want an evaluation of whether the implant can be saved, what caused the problem, and whether removal/replacement is actually necessary.”

Bring or have them obtain:

• Your original implant placement records and implant brand/model
• All previous X-rays and CBCT scans
• Photos, if you have them
• The date the implant was placed and when symptoms began
• Any records concerning bone grafting or sinus lift
• The proposed treatment plan from your current dentist

Serial X-rays are especially useful because they can show whether bone loss is actually progressing rather than just showing the current situation.

• Austin Periodontal Associates - 7800 N Mopac Expy Ste 310, Austin, TX 78759, United States
• Dr. Mike Williamson: Williamson Perio - 7200 N Mopac Expy #210, Austin, TX 78731, United States
• Melanie D Robinson DDS, MS - 3305 Northland Dr Ste 204, Austin, TX 78731, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States
• Bedrock Periodontics - 4505 Spicewood Springs Rd Unit 100, Austin, TX 78759, United States
• Clinica dental - 711 W 38th St, Austin, TX 78705, United States
• Oral Surgery Specialists Of Austin - 5301 Davis Ln #102, Austin, TX 78749, United States
• Eggleston Oral and Facial Surgery - 1209 W 5th St #100b, Austin, TX 78703, United States

Since you’re specifically dealing with implant complications and want an independent second opinion, I’d look for a board-certified periodontist rather than a general dentist. Periodontists receive additional specialty training in the gums, supporting bone, and dental implants—the structures most relevant to a failing or problematic implant. American Academy of Periodontology

My first choice near North Loop

Austin Periodontal Associates — Dr. Andrew Verrett
7800 N Mopac Expy, Suite 310, Austin, TX 78759

This stands out because the practice explicitly handles second opinions for problematic implants, including implants placed elsewhere. They describe evaluating the implant with an exam, CBCT/3-D imaging, measurements around the implant, and assessment of the crown and how it seats. Dr. Verrett is a board-certified periodontist and Diplomate of the American Board of Periodontology. Austin Periodontal Associates Austin Periodontal Associates

They also specifically distinguish between problems that may be salvageable and situations where removal/replacement is more predictable, rather than assuming every problematic implant needs to come out. Austin Periodontal Associates

Two other nearby options worth considering

• Dr. Mike Williamson: Williamson Perio — 7200 N Mopac Expy #210. This is also a periodontal/implant specialty practice and uses digital imaging and 3-D CBCT for implant evaluation.
• Melanie D Robinson DDS, MS — 3305 Northland Dr #204. Dr. Robinson is a board-certified periodontist specializing in periodontics and implantology; her practice also handles implant-related surgery and removal. Austin Periodontics Austin Periodontics

For your particular situation, I'd start with Austin Periodontal Associates because their published information specifically says they provide independent second opinions for implants that have been placed elsewhere. That's a more directly relevant match than simply finding a dentist who places implants. Austin Periodontal Associates

One important point: if your implant is loose, producing pus, associated with increasing facial/jaw swelling, fever, or new numbness of your lip/chin, don't wait for a routine second opinion—those warrant prompt evaluation. Austin Periodontal Associates

If you tell me what complication you're having (pain, infection, bone loss, loose implant/crown, gum recession, failed implant, sinus issue, etc.) and roughly where the implant is, I can narrow this down further and identify the specialist whose expertise most closely matches it.

• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. - 7800 N Mopac Expy Ste 260, Austin, TX 78759, United States
• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Shoal Creek Prosthodontic Group - 1500 W 38th St #34, Austin, TX 78731, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• ClearChoice Dental Implant Center - Austin - 7200 N Mopac Expy Ste 215, Austin, TX 78731, United States
• Oral Surgery Specialists Of Austin - 5301 Davis Ln #102, Austin, TX 78749, United States

If you mean North Loop in Austin, for an implant complication/second opinion I’d look first at a board-certified periodontist, because complications can involve the implant, surrounding bone, and gum tissue—not just the crown.

My first choice

Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham — 711 W 38th St, Austin, just south of North Loop.

They specifically handle dental implants, peri-implantitis, bone loss, and implant complications, so the specialty fit is strong for a second opinion.

Another particularly relevant option is Austin Periodontal Associates / Dr. Andrew Verrett, a board-certified periodontist in North Austin. His practice explicitly offers independent second opinions for implants placed elsewhere, including examination, CBCT/3-D imaging, assessment of the bone and implant, and a written summary of findings. Austin Periodontal Associates Austin Periodontal Associates

austinperiodontal.com

Which I'd choose based on the problem

• Bleeding, swelling, infection, gum recession, bone loss, or an implant that feels loose: I'd start with a periodontist such as Dr. Bingham or Dr. Verrett.
• The implant itself seems stable but the crown/abutment, bite, appearance, or overall reconstruction is the problem: a prosthodontist can be especially useful. Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. is another North Austin option.
• Significant bone loss, difficult removal, or a surgical complication: an oral & maxillofacial surgeon may be the appropriate second specialist.

One important point: don't assume the implant has to be removed just because someone told you it's failing. A second opinion should determine whether the problem is the crown, abutment, implant itself, infection/peri-implantitis, or loss of supporting bone. Some compromised implants can be treated without removal. Austin Periodontal Associates Austin Periodontal Associates

If you tell me what complication you're having (pain, looseness, infection, bone loss, failed implant, numbness, crown problem, etc.) and roughly where in North Loop you are, I can narrow this down to the most appropriate specialist and compare 2–3 nearby Austin doctors, including credentials, distance, reviews, and whether they specifically treat failed implants.

austinperiodontal.com

Which I'd choose based on the problem

• Austin Periodontal Associates - 7800 N Mopac Expy Ste 310, Austin, TX 78759, United States
• Dr. Mike Williamson: Williamson Perio - 7200 N Mopac Expy #210, Austin, TX 78731, United States
• Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. - 7800 N Mopac Expy Ste 260, Austin, TX 78759, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• ClearChoice Dental Implant Center - Austin - 7200 N Mopac Expy Ste 215, Austin, TX 78731, United States
• Oral Surgery Specialists Of Austin - 5301 Davis Ln #102, Austin, TX 78749, United States

If by North Loop Austin you mean the North Loop/central-north area, I’d prioritize a periodontist who routinely evaluates failing implants over a general dentist. They’re particularly well suited to determine whether the implant can be saved, whether there is peri-implantitis/bone loss, or whether removal and grafting is necessary.

My first choice

Austin Periodontal Associates — Dr. Andrew Verrett, DDS, MS

This would be my first call for a second opinion. Dr. Verrett is a board-certified periodontist, and the practice specifically advertises independent second opinions for implants that may be failing, including an exam, imaging/scan, and a written assessment. They also specifically treat peri-implantitis and complications involving implants placed elsewhere. Austin Periodontal Associates Austin Periodontal Associates

They're at 7800 N Mopac Expy, Suite 310, which is north of North Loop but still quite convenient for central/north Austin. Their stated approach is also reassuring for a second opinion: they say they don't automatically take over another dentist's treatment plan and provide a report that can go back to your dentist. Austin Periodontal Associates

austinperiodontal.com

Another very reasonable nearby option

Dr. Mike Williamson: Williamson Perio — 7200 N Mopac Expy

He's a periodontist with an implant-focused practice, including implant evaluations and 3-D/CBCT imaging. A recent Austin patient discussion also specifically mentioned Dr. Williamson as a competent, conservative option for complicated implant planning. Reddit

If your problem is primarily the crown/bite/restoration

I'd consider getting a prosthodontist involved as well, particularly if the implant itself seems solid but you're having problems with the crown, bite, aesthetics, repeated crown breakage, or a full-arch restoration. In that situation, the best answer can be a periodontist + prosthodontist rather than another general dentist.

One nearby specialist option is:

Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. — 7800 N Mopac Expy, Suite 260. It's prosthodontist-led and focused on complex implant restorations and reconstruction.

What I'd do in your situation

I'd book Austin Periodontal Associates first, and tell them explicitly:

“I have an implant complication and I'm looking for an independent second opinion before proceeding with treatment. I'd like evaluation of the implant, surrounding bone/gum tissue, and whether it can be salvaged versus removed.”

Bring all X-rays/CBCTs, implant records, surgical notes, and the name/model of the implant if you have them. Don't let anyone remove the implant before you've had the second opinion unless there's an urgent infection or other compelling reason.

If you tell me what complication you're having (loose implant, pain, infection, gum recession, bone loss, crown problem, implant placed recently, etc.) and roughly where in North Loop you're located, I can narrow this down to the 2–3 specialists I'd choose for that particular problem, including which one I'd see first.

• Austin Periodontal Associates - 7800 N Mopac Expy Ste 310, Austin, TX 78759, United States
• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Nuvia Dental Implant Center - 711 W 38th St Ste E4, Austin, TX 78705, United States
• Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. - 7800 N Mopac Expy Ste 260, Austin, TX 78759, United States
• ClearChoice Dental Implant Center - Austin - 7200 N Mopac Expy Ste 215, Austin, TX 78731, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Oral Surgery Specialists Of Austin - 5301 Davis Ln #102, Austin, TX 78749, United States

If by “North Loop” you mean the North Loop/central-north Austin area, my first choice for a second opinion on an implant complication would be a periodontist rather than another general dentist—especially if you have bone loss, bleeding, infection, gum recession, or concern that the implant itself is failing. Periodontists specialize in the gums and bone supporting implants. Mayo Clinic

My top pick

Austin Periodontal Associates — Andrew Verrett, DDS, MS

This is the one I'd call first. Dr. Verrett is a board-certified periodontist, and the practice specifically handles problems with existing implants and independent second opinions, including evaluation with clinical measurements and CBCT/3-D imaging. Their published approach explicitly distinguishes between an implant that can potentially be salvaged and one where removal/replacement is more predictable. Austin Periodontal Associates Austin Periodontal Associates

They're at 7800 N MoPac Expy, Suite 310, which is not far from the North Loop area. They also state that they see patients whose implants were placed elsewhere and provide a written assessment that can be shared with the original dentist. Austin Periodontal Associates

austinperiodontal.com

Another option very close to North Loop

Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham — 711 W 38th St

This is particularly convenient if you're actually in the North Loop/Hyde Park/UT vicinity. It's a periodontal and implant specialty practice and specifically lists peri-implantitis and implant complications among the conditions it manages.

If the problem is primarily surgical

Widner Elite Oral Surgery & Dental Implants — 1500 W 38th St

I'd consider an oral & maxillofacial surgeon if you're dealing with a severely mobile implant, significant bone loss, nerve symptoms, a difficult removal, grafting, or a complicated surgical revision. Oral surgeons and periodontists have somewhat different areas of emphasis, so in a complicated case it can actually be valuable to get opinions from both.

What I'd do in your situation

I'd start with Austin Periodontal Associates and tell them:

“I have an existing dental implant with complications and I'm looking for an independent second opinion before proceeding with any treatment. I'd like evaluation of the implant, surrounding bone and gums, and whether it can be salvaged versus removed/replaced.”

Don't let anyone remove the implant before the second opinion unless there's an urgent infection or other reason it genuinely can't wait. An evaluation with appropriate X-rays/CBCT can help determine whether the issue is peri-implantitis, loss of integration, a crown/abutment problem, bite-related, or something else. Austin Periodontal Associates

If you tell me what complication you're having (e.g. loose implant, bone loss, infection/pus, pain, gum recession, implant placed recently, broken crown/screw, sinus issue, numbness) and roughly where the implant is (upper/lower, front/back), I can narrow this down to the best 2–3 Austin specialists for your specific problem.

• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Oral Surgery Specialists Of Austin - 5301 Davis Ln #102, Austin, TX 78749, United States
• ClearChoice Dental Implant Center - Austin - 7200 N Mopac Expy Ste 215, Austin, TX 78731, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States
• Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. - 7800 N Mopac Expy Ste 260, Austin, TX 78759, United States

If by North Loop in Austin you mean the neighborhood around 38th/45th and North Lamar, I’d favor a periodontist or prosthodontist with significant implant-complication experience, rather than a general dentist. Complications can involve infection/peri-implantitis, bone loss, implant positioning, bite/overload, or the crown/restoration, and sometimes more than one specialist is needed. Mayo Clinic

My first choices

• Austin Dental Implants — 6500 N Mopac Expy, Building II, Suite 2204. This is particularly appealing for a second opinion because it is prosthodontics-led and focuses on implant-supported restorations and complex rehabilitation, with 3-D imaging and guided implant planning. It's also quite close to North Loop.
• Widner Elite Oral Surgery & Dental Implants — 1500 W 38th St #51. This is probably my choice if your complication is surgical—for example, a loose implant, significant bone loss, need for implant removal, grafting, or concern about how the implant was placed. It's essentially in the North Loop/central-Austin orbit and specializes in oral surgery and implants.
• LoneStar Oral & Maxillofacial Surgery — 4306 Medical Pkwy #2. Another convenient central-Austin option for a surgical second opinion. They specifically describe 3-D implant treatment planning and guided implant surgery.
• Central Texas Oral Surgery Associates — 3200 Red River St, Suite 400. This is very convenient to North Loop and has board-certified oral & maxillofacial surgeons. I'd consider them especially if you're having pain, infection, nerve symptoms, or may need surgical intervention.

Who I'd pick for your situation

If you tell me what went wrong with the implant—for example:

• it's loose or moving
• infection/bleeding/pus
• bone loss
• gum recession
• persistent pain
• numbness/tingling
• implant was placed in the wrong position
• crown/bridge doesn't fit or your bite feels wrong
• sinus problems
• you've already been told it needs to be removed

—I can narrow this down to the 1–2 Austin specialists I'd choose for that particular complication, rather than just giving you a list of implant dentists.

And if you have facial swelling, fever, rapidly worsening pain, difficulty swallowing/breathing, or significant spreading infection, don't wait for a routine second opinion—seek urgent dental/oral-surgery care.

• Dr. Mike Williamson: Williamson Perio - 7200 N Mopac Expy #210, Austin, TX 78731, United States
• Austin Periodontal Associates - 7800 N Mopac Expy Ste 310, Austin, TX 78759, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States
• Texas Periodontists - 12319 N Mopac Expy #160, Austin, TX 78758, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States

For an implant complication second opinion, I would generally prioritize a periodontist (gum/implant specialist) or an oral & maxillofacial surgeon, rather than only another general dentist. The key is finding someone who can determine whether the issue is infection/peri-implantitis, bone loss, implant positioning, a mechanical problem with the crown/abutment, nerve/sinus involvement, or whether the implant can be salvaged. Ceramic Dental Implant Centre

For the North Loop / central Austin area, these are the clinicians I’d put on a short list:

1. Dr. Mike Williamson: Williamson Perio — Strong fit for implant complication evaluation

DirectionsWebsite[Call](tel:+1 512-346-2782)

• Location: near North Loop/central Austin (7200 N Mopac Expy area).
• Specialty focus: periodontics and implants.
• Good choice if your concern is bone loss around the implant, gum inflammation, peri-implantitis, or whether an implant can be saved.
• Their evaluation process includes clinical exam and 3-D cone beam CT imaging when appropriate. Mike Williamson DDS MS

2. Austin Periodontal Associates — Another periodontist option close to North Austin

DirectionsWebsite[Call](tel:+1 512-346-6097)

• Location: 7800 N Mopac Expy, Suite 310, Austin.
• A reasonable choice for a second opinion focused on implant stability, gum health, and surgical options.

3. Widner Elite Oral Surgery & Dental Implants — Consider if removal/revision surgery may be involved

DirectionsWebsite[Call](tel:+1 512-452-3223)

• Location: 1500 W 38th St, Austin.
• Oral surgeons are particularly useful if the question is implant removal, grafting, nerve concerns, or complex surgical revision.

4. Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham — Central Austin specialist option

DirectionsWebsite[Call](tel:+1 512-453-1600)

• Location: 711 W 38th St, Suite G5, Austin.
• Focuses on periodontal and implant care, including management of implant-related conditions such as peri-implantitis.

If I were choosing one first appointment for an unexplained implant complication, I’d lean toward a periodontist (Williamson Perio or Austin Periodontal Associates) because they can often evaluate whether the surrounding bone and tissue can be preserved before anyone decides on removal. If you already know the implant is loose, fractured, severely misplaced, or you’ve been told it needs to come out, I’d add an oral surgeon opinion.

Before you go, bring:

• your implant brand/model information (if available)
• the original implant surgery records
• all X-rays/CBCT scans (before and after)
• the crown/abutment records
• a timeline of symptoms (pain, swelling, looseness, bite changes)

If you tell me what complication you’re having (pain, infection, bone loss, loose implant, failed integration, crown problem, numbness, sinus issue, or something else) and whether the implant was placed recently or years ago, I can narrow the recommendation further.

• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Dr. Mike Williamson: Williamson Perio - 7200 N Mopac Expy #210, Austin, TX 78731, United States
• Shoal Creek Prosthodontic Group - 1500 W 38th St #34, Austin, TX 78731, United States
• Najy Zarroug DDS MD - 711 W 38th St A 1, Austin, TX 78705, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731, United States
• Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. - 7800 N Mopac Expy Ste 260, Austin, TX 78759, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• ClearChoice Dental Implant Center - Austin - 7200 N Mopac Expy Ste 215, Austin, TX 78731, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Austin Institute of Dental Medicine - 1401 Philomena St Ste 200, Austin, TX 78723, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States

Yes. Because you’ve already had implant complications and want an independent second opinion, I’d favor a periodontist or prosthodontist with significant implant-revision experience rather than simply another general dentist. The right specialist depends on whether the problem is infection/bone loss, implant positioning, the crown/abutment, bite, or nerve/sinus involvement. Ceramic Dental Implant Centre Mayo Clinic

My first choice near North Loop

Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham

DirectionsWebsite[Call](tel:+1 512-453-1600)

711 W 38th St, Suite G5 — this is very close to North Loop. They specifically focus on periodontics and dental implants and list treatment of peri-implantitis and other implant complications, as well as implant surgery and guided planning.

For your situation, that's the combination I'd prioritize: diagnosing why the implant is having trouble before deciding whether it needs to be removed or replaced.

Two other strong options nearby

• Dr. Mike Williamson: Williamson Perio — 7200 N MoPac Expy #210. A periodontal/implant specialist with 3-D CBCT imaging and experience with implant surgery, bone grafting, sinus lifts and complex implant treatment.
• Shoal Creek Prosthodontic Group — 1500 W 38th St #34. I'd particularly consider this if your complication is primarily with the implant crown, bite, appearance, bridge, or overall restoration, since prosthodontists specialize in complex tooth replacement and implant restorations.
• Najy Zarroug DDS MD — 711 W 38th St, Suite A-1. A board-certified oral and maxillofacial surgeon, potentially the better choice if you're dealing with a loose implant, significant bone loss, need for removal/grafting, nerve symptoms, or a complicated surgical problem.

What I'd do in your shoes

I'd start with Council Oak Perio for an independent evaluation, and wouldn't agree to implant removal or replacement until you've had the diagnosis independently confirmed, unless there's an urgent infection or other emergency. A good second opinion should distinguish between biological problems (infection/bone loss), mechanical/restorative problems, positioning issues, and nerve/sinus problems. Ceramic Dental Implant Centre

Bring your original implant records, implant brand/model information, previous X-rays/CBCT scans, surgical report, crown/abutment information, and a timeline of what has happened. Serial imaging can be especially useful for determining whether bone loss is progressing. Ceramic Dental Implant Centre

If you tell me what complication you're having (pain, swelling, bleeding, loose implant/crown, bone loss, numbness, sinus symptoms, bad taste, failed graft, etc.), which tooth/teeth are involved, and roughly how long ago the implant was placed, I can narrow this down to the one specialist I'd choose for your particular problem.

• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• North Austin Oral Surgery - 12210 Pecan St, Austin, TX 78727, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• Omni Dental Group - 12335 Hymeadow Dr #250, Austin, TX 78750, United States
• Northern Virginia Oral Surgery Centers - Ashburn - 20405 Exchange St Ste 251, Ashburn, VA 20147, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Oral Surgery Specialists Of Austin - 5301 Davis Ln #102, Austin, TX 78749, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Northern Virginia Oral, Maxillofacial & Implant Surgery - 2807 Duke St, Alexandria, VA 22314, United States

For an implant complication second opinion, I’d lean toward seeing a periodontist (gum/implant specialist) or board-certified oral & maxillofacial surgeon, rather than only a general dentist. The key is getting an independent evaluation of whether the implant can be salvaged, needs peri-implantitis treatment, or should be removed/replaced. Magnolia Family Dentistry Ceramic Dental Implant Centre

Assuming you mean the North Loop area of Austin, these are the clinicians I’d put near the top of the list:

My first choices to evaluate a complicated implant

1. Central Texas Oral Surgery Associates

• Good fit if you’re worried about implant failure, bone loss, nerve/sinus issues, or possible removal/reconstruction.
• They are a specialty oral surgery practice near central Austin with implant-related surgical care.
• North Austin Oral Surgery

• A strong option if your complication may require surgical evaluation, CBCT imaging, grafting, implant revision, or removal.
• Their practice focuses on oral surgery and implant procedures and notes use of advanced imaging and implant-related surgical care. North Austin Oral Surgery
• Widner Elite Oral Surgery & Dental Implants

• Convenient from North Loop and specifically focused on oral surgery and implants.
• Worth considering if you want an implant-focused surgical opinion.
• Omni Dental Group

• A periodontist-led option can be especially useful if the concern is gum recession, infection around the implant, bleeding, bone loss, or peri-implantitis. Perio Surgery Austin

What I would ask when booking

Tell them:

“I have an existing dental implant with complications and I’m looking for an independent second opinion on whether it can be saved or needs revision/removal.”

Ask whether the visit includes:

• CBCT (3D scan) review if needed
• evaluation of implant stability and bone levels
• assessment for peri-implantitis
• review of the original implant records and implant brand/system
• a written treatment plan with alternatives

Bring:

• implant placement records (if you can get them)
• before/after X-rays or CBCT scans
• the implant brand and size
• a timeline of symptoms (pain, swelling, looseness, bite changes, drainage, gum recession)

If you tell me what went wrong (loose implant, pain, infection, bone loss, crown problem, numbness, implant placed incorrectly, failed integration, etc.) and roughly where the implant is (front tooth, molar, upper/lower jaw), I can narrow the recommendation.

• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Melanie D Robinson DDS, MS - 3305 Northland Dr Ste 204, Austin, TX 78731, United States
• Dr. Mike Williamson: Williamson Perio - 7200 N Mopac Expy #210, Austin, TX 78731, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Austin Periodontal Associates - 7800 N Mopac Expy Ste 310, Austin, TX 78759, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States
• Bedrock Periodontics - 4505 Spicewood Springs Rd Unit 100, Austin, TX 78759, United States

If you’re dealing with implant complications, I’d favor a board-certified periodontist or oral/maxillofacial surgeon over a general dentist for the second opinion—especially if there’s bone loss, infection, gum recession, mobility, or a question about whether the implant should be removed.

For the North Loop / central-north Austin area, my first call would be:

My top pick

Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham — 711 W 38th St, Austin

This is particularly relevant because Dr. Christopher Bingham is a board-certified periodontist, and the practice specifically handles implant complications including peri-implantitis, inflammation, and bone loss around implants. It's also very close to North Loop.

Two other strong options nearby

• Melanie D Robinson DDS, MS — 3305 Northland Dr, Suite 204. Dr. Robinson is a board-certified periodontist with a practice centered on periodontal disease, implants, bone grafting, and surgical treatment. Her practice also emphasizes conservative treatment when possible. Austin Periodontics
• Dr. Mike Williamson: Williamson Perio — 7200 N MoPac Expy, Suite 210. Another periodontist close to North Loop, with implant evaluation, 3-D CBCT imaging, periodontal treatment, and implant surgery.
• Central Texas Oral Surgery Associates — 3200 Red River St, Suite 400. I'd particularly consider this if your complication may require surgical removal, bone grafting, or reconstruction rather than primarily gum/implant maintenance.

If it were me, I'd start with Council Oak Perio for an independent evaluation, particularly if someone has already told you that the implant needs to be removed. I would not have the original dentist immediately remove it before getting that second opinion unless there's an urgent infection or other reason it can't wait.

When you call, I'd specifically say: “I'm seeking an independent second opinion for a potentially failing/complicated dental implant. I want the implant and surrounding bone evaluated, including whether it can be salvaged versus removed.” Ask whether they'll obtain a CBCT/3-D scan if appropriate.

Bring your original X-rays/CBCT, implant brand/model information if you have it, operative notes, and the original treatment plan. Serial imaging can be particularly useful for determining whether bone loss is progressing. Ceramic Dental Implant Centre

If you tell me what complication you're having (pain, infection, loose implant, bone loss, gum recession, numbness, sinus issue, broken screw/crown, etc.) and whether it's upper or lower, I can narrow this down to the best 2–3 specialists for your specific situation.

• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• ClearChoice Dental Implant Center - Austin - 7200 N Mopac Expy Ste 215, Austin, TX 78731, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731, United States
• Oral Surgery Specialists Of Austin - 5301 Davis Ln #102, Austin, TX 78749, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States

If you mean the North Loop / Central Austin area, I’d favor a periodontist or oral & maxillofacial surgeon who routinely treats implant complications, rather than a general dentist.

My first choice

Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham — 711 W 38th St, Suite G5, very close to North Loop.

This would be my first call for a second opinion, particularly if your complication involves bone loss, gum inflammation/peri-implantitis, bleeding, recession, or an implant that may need to be salvaged or removed. Their practice specifically focuses on periodontics and implants and lists treatment of peri-implantitis/implant complications. Ceramic Dental Implant Centre

Another strong option nearby

Widner Elite Oral Surgery & Dental Implants — 1500 W 38th St #51.

I'd consider this especially if you're dealing with a loose implant, significant bone loss, suspected infection, difficult removal, grafting, or another surgical complication. They're an oral-surgery/implant practice and offer reconstructive procedures and bone grafting.

If you want the most comprehensive implant team

ClearChoice Dental Implant Center - Austin — 7200 N MoPac Expy.

They have oral surgeons and prosthodontists together, which can be useful when it's unclear whether the problem is primarily surgical, biological, or with the crown/bridge itself. Their Austin center specifically describes a multidisciplinary implant team. ClearChoice

What I'd do in your situation

Before agreeing to remove the implant, graft bone, or redo the implant, I'd get an independent evaluation and ask them to answer four things:

• What exactly is wrong? Infection/peri-implantitis, bone loss, failed integration, mechanical problem, malposition, bite/restoration issue, etc.
• Can the existing implant realistically be saved?
• If removal is recommended, why can't it be salvaged?
• What are the alternatives, risks, prognosis, and expected sequence of treatment?

Bring your original X-rays/CBCT, implant brand and component information, operative report, treatment plan, and restoration records if you have them. Serial imaging can be particularly useful for determining whether bone loss is progressing. Ceramic Dental Implant Centre

One important point: if you have rapidly increasing swelling, fever, pus, significant facial swelling, difficulty swallowing/breathing, or severe uncontrolled pain, don't wait for a routine second opinion—seek urgent dental/oral-surgical care.

If you tell me what complication you're having (pain, infection, loose implant, bone loss, numbness, gum recession, failed crown, etc.), whether it's upper or lower jaw, and roughly where in North Loop you're located, I can narrow this down to the 2–3 specialists I'd choose for your particular problem.

Widner Elite Oral Surgery & Dental Implants — 1500 W 38th St #51.

I'd consider this especially if you're dealing with a loose implant, significant bone loss, suspected infection, difficult removal, grafting, or another surgical complication. They're an oral-surgery/implant practice and offer reconstructive procedures and bone grafting.

If you want the most comprehensive implant team

ClearChoice Dental Implant Center - Austin — 7200 N MoPac Expy.

They have oral surgeons and prosthodontists together, which can be useful when it's unclear whether the problem is primarily surgical, biological, or with the crown/bridge itself. Their Austin center specifically describes a multidisciplinary implant team. clearchoice.com

What I'd do in your situation

Before agreeing to remove the implant, graft bone, or redo the implant, I'd get an independent evaluation and ask them to answer four things:

• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Dr. Mike Williamson: Williamson Perio - 7200 N Mopac Expy #210, Austin, TX 78731, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Austin Periodontal Associates - 7800 N Mopac Expy Ste 310, Austin, TX 78759, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Clinica dental - 711 W 38th St, Austin, TX 78705, United States
• Eggleston Oral and Facial Surgery - 1209 W 5th St #100b, Austin, TX 78703, United States

Yes. For an implant complication, I’d favor a periodontist who routinely treats failing implants/peri-implantitis over a general dentist. If removal, bone grafting, or a surgical complication is suspected, an oral surgeon can also be valuable.

Given the North Loop area, my first call would be:

My top choice: Council Oak Perio

Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham — 711 W 38th St, Suite G5

They’re particularly relevant because they’re a periodontal/implant specialty practice, and their services specifically include evaluation and treatment of peri-implantitis and implant-related bone loss, as well as bone grafting and regenerative treatment. They're also very close to North Loop.

Another strong option: Williamson Perio

Dr. Mike Williamson: Williamson Perio — 7200 N Mopac Expy #210

This is another implant-focused periodontal practice nearby. The practice uses 3-D cone-beam CT for implant evaluation and focuses on periodontal and implant surgery.

If you want a more surgical second opinion

Central Texas Oral Surgery Associates — 3200 Red River St, Suite 400

An oral/maxillofacial surgeon is especially worth considering if your complication involves implant removal, significant bone loss, grafting, nerve symptoms, infection, or a difficult surgical issue.

One farther-north option worth considering

Austin Periodontal Associates — 7800 N Mopac Expy, Suite 310

Dr. Andrew Verrett is a board-certified periodontist and Diplomate of the American Board of Periodontology, with a practice focused on periodontal disease, implants, bone/soft-tissue regeneration, and implant surgery. Austin Periodontal Associates Austin Periodontal Associates

If it were me, I'd start with Council Oak Perio for an independent evaluation, particularly because it's close to North Loop and specifically handles implant complications. I would ask for an independent diagnosis before agreeing to implant removal or additional surgery.

Bring your original implant records, implant manufacturer/lot information if you have it, previous X-rays/CBCT scans, surgical notes, and the proposed treatment plan. Comparing old and new imaging can be important in determining whether bone loss or infection is actually progressing. Ceramic Dental Implant Centre

If you tell me what the complication is (pain, infection, loose implant, gum recession, bone loss, numbness, failed crown, sinus issue, etc.) and roughly where in North Loop you're located, I can narrow this to the best 2–3 specialists for your particular problem.

• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Dr. Mike Williamson: Williamson Perio - 7200 N Mopac Expy #210, Austin, TX 78731, United States
• Shoal Creek Prosthodontic Group - 1500 W 38th St #34, Austin, TX 78731, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. - 7800 N Mopac Expy Ste 260, Austin, TX 78759, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731, United States
• Austin Institute of Dental Medicine - 1401 Philomena St Ste 200, Austin, TX 78723, United States
• Nuvia Dental Implant Center - 711 W 38th St Ste E4, Austin, TX 78705, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States
• Austin Periodontal Associates - 7800 N Mopac Expy Ste 310, Austin, TX 78759, United States
• Lisa R Burkett, DDS MS - 6818 Austin Center Blvd, Austin, TX 78731

Yes. For an implant complication, I would favor a periodontist or oral & maxillofacial surgeon over a general dentist—especially if there is pain, infection, bone loss, mobility, gum recession, or a question about whether the implant should be removed. Implant problems can involve both the supporting bone/gums and the restoration, so sometimes a prosthodontist is also important. Mayo Clinic My Specialty Dentist

My first choice near North Loop

Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham — 711 W 38th St, Suite G5

This would be my first call for a second opinion. It's very close to North Loop and is specifically a periodontal and implant specialty practice. Importantly for your situation, they advertise treatment of peri-implantitis and implant complications, in addition to implant surgery and bone procedures.

Two other strong options

• Central Texas Oral Surgery Associates — 3200 Red River St, Suite 400. This is an oral-surgery practice that performs implants, bone grafting, sinus lifts, and implant-related surgery. It's particularly worth considering if the complication may require implant removal, bone grafting, or another surgical procedure. Central Texas Oral Surgery Associates
• Dr. Mike Williamson: Williamson Perio — 7200 N Mopac Expy, Suite 210. Another periodontist I'd consider for a difficult implant case; the practice focuses on periodontal and implant surgery, including bone procedures.

If your complication is primarily with the crown/bridge, bite, appearance, or overall reconstruction, rather than the implant or bone itself, I'd also consider Shoal Creek Prosthodontic Group, which specializes in complex restorative/prosthodontic treatment and implant restorations.

If it were me, I'd start with Council Oak Perio and explicitly tell them: “I have an existing dental implant with complications and I'm looking for an independent second opinion before having anything removed or revised.” Ask whether they'll review your original implant records, prior X-rays/CBCT, implant brand, surgical notes, and restoration history rather than simply evaluating the current X-ray. A good second opinion should distinguish whether the problem is biological, mechanical, restorative, positional, or another issue. Ceramic Dental Implant Centre

If you tell me what happened with the implant (e.g., infection, bone loss, loose implant, pain/numbness, gum recession, failed crown, implant placed incorrectly, or multiple implants), I can narrow this down to the 2–3 Austin specialists I'd choose for your particular complication, including who I'd see first.

• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Dr. Mike Williamson: Williamson Perio - 7200 N Mopac Expy #210, Austin, TX 78731, United States
• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• Nuvia Dental Implant Center - 711 W 38th St Ste E4, Austin, TX 78705, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• Austin Periodontal Associates - 7800 N Mopac Expy Ste 310, Austin, TX 78759, United States
• Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. - 7800 N Mopac Expy Ste 260, Austin, TX 78759, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• ClearChoice Dental Implant Center - Austin - 7200 N Mopac Expy Ste 215, Austin, TX 78731, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Oral Surgery Specialists Of Austin - 5301 Davis Ln #102, Austin, TX 78749, United States

If you mean the North Loop / central Austin area, I’d favor a periodontist or prosthodontist with substantial implant-complication experience over a general dentist. The right specialist depends on whether your complication is infection/bone loss, implant positioning, a loose/broken component, or a problem with the crown/restoration.

My first choices

• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham — 711 W 38th St, Suite G5, very close to North Loop. This would be my first call if you have gum inflammation, bone loss, bleeding, recession, or suspected peri-implantitis. Their practice specifically lists management of implant complications/peri-implantitis. Ceramic Dental Implant Centre
• Dr. Mike Williamson: Williamson Perio — 7200 N MoPac Expy #210. Another strong option for a complicated implant case, particularly if bone/gum issues or grafting are involved. Local Austin patients have also specifically recommended Dr. Williamson for implant work. Reddit
• Austin Dental Implants — 6500 N MoPac Expy, Building II, Suite 2204. This is a prosthodontics-led implant practice, so I'd consider it especially if the problem is with the implant crown, bite, abutment, appearance, or overall reconstruction rather than primarily infection/bone loss.
• Central Texas Oral Surgery Associates — 3200 Red River St, Suite 400. I'd lean toward an oral surgeon if you may need implant removal, difficult surgery, bone grafting, or treatment of a surgical complication.

If I were choosing for myself

For an unknown implant complication, I'd start with Council Oak Perio because it's close to North Loop and a periodontist is particularly well positioned to determine whether the implant itself can be saved versus whether bone/tissue disease makes removal necessary.

Importantly, don't let anyone remove an integrated implant simply because another dentist says it's "failing" without understanding why. A good second opinion should establish the diagnosis, prognosis for keeping it, and the alternatives—including salvage versus removal/replacement. Ceramic Dental Implant Centre

When you call, I'd say: “I have a dental implant complication and I'm looking for an independent second opinion. I need someone experienced in evaluating potentially failing implants and determining whether it can be salvaged. Do you evaluate these cases and do CBCT imaging if necessary?”

If you tell me what complication you're having (pain, swelling, infection, bone loss, loose implant/crown, numbness, implant placed in the wrong position, sinus issue, etc.) and whether it's an upper or lower implant, I can narrow this down to the one or two Austin specialists I'd choose for your particular situation.

• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Lisa R Burkett, DDS MS - 6818 Austin Center Blvd, Austin, TX 78731
• Austin Periodontal Associates - 7800 N Mopac Expy Ste 310, Austin, TX 78759, United States
• Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. - 7800 N Mopac Expy Ste 260, Austin, TX 78759, United States
• Robert Ramirez, DDS, MS - 11671 Jollyville Rd #101, Austin, TX 78759, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Shoal Creek Prosthodontic Group - 1500 W 38th St #34, Austin, TX 78731, United States
• Dr. Joshua R. Chapa - 4310 Medical Pkwy STE 201, Austin, TX 78756, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• ClearChoice Dental Implant Center - Austin - 7200 N Mopac Expy Ste 215, Austin, TX 78731, United States
• Texas Periodontists - 8701 Menchaca Rd Bldg 3, Suite 103, Austin, TX 78748, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Prosthodontics of Texas - 5301 Davis Ln Ste 101, Austin, TX 78749, United States

Yes. For implant complications, I’d favor a periodontist or prosthodontist over a general dentist for the second opinion, because the problem may involve the implant itself, surrounding bone/gums, or the restoration.

My first choice near North Loop

Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham — 711 W 38th St, Suite G5

This would be my top pick for your situation. It’s very close to North Loop and is a periodontal/implant specialty practice. Importantly, they specifically describe treating peri-implantitis and implant complications, including inflammation and bone loss around implants. Magnolia Family Dentistry

For a complicated case, I'd want them to determine:

• Is the implant actually failing, or is the problem with the gum tissue/crown/abutment?
• Is there bone loss or infection around it?
• Can it be salvaged, or does it need removal?
• If it needs removal, what is the best sequence for bone grafting and replacement?

Two other options I'd seriously consider

Lisa R Burkett, DDS MS — 6818 Austin Center Blvd

I'd particularly consider Dr. Burkett if your complication is substantially restorative/crown/bite-related rather than primarily gum or bone related. She's a prosthodontist, which makes her a useful second opinion when the question is whether the implant restoration was designed or positioned properly.

Austin Periodontal Associates — 7800 N Mopac Expy, Suite 310

This is another strong specialist option. The practice is led by Dr. Andrew Verrett, a board-certified periodontist who focuses on periodontal disease, lost bone/soft-tissue regeneration, and dental implants. Austin Periodontal Associates Austin Periodontal Associates

What I'd do in your shoes

I'd start with Council Oak Perio for an independent evaluation, particularly if you have pain, bleeding, swelling, drainage, gum recession, bone loss, or a loose implant.

When you call, I'd specifically say:

“I have an existing dental implant with complications and I'm looking for an independent second opinion, including evaluation of whether the implant can be salvaged versus removed and replaced. Do you evaluate failing implants and peri-implantitis?”

Also bring all previous X-rays/CBCTs, implant records, surgical notes, and information about the implant brand/model if you have them. Comparing older imaging with current imaging can be particularly valuable in determining whether bone loss is progressing. Ceramic Dental Implant Centre

If you tell me what complication you're having (pain, loose implant, infection, bone loss, gum recession, crown problem, numbness, etc.), how long ago it was placed, and whether it's upper or lower, I can narrow this down to the best 2–3 specialists specifically for your type of complication.

• Melanie D Robinson DDS, MS - 3305 Northland Dr Ste 204, Austin, TX 78731, United States
• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• Nuvia Dental Implant Center - 711 W 38th St Ste E4, Austin, TX 78705, United States
• Periodontal Health Professionals - 4613A Bee Caves Rd #203, West Lake Hills, TX 78746, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Bedrock Periodontics - 4505 Spicewood Springs Rd Unit 100, Austin, TX 78759, United States
• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731, United States
• Texas Periodontists - 12319 N Mopac Expy #160, Austin, TX 78758, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• ClearChoice Dental Implant Center - Austin - 7200 N Mopac Expy Ste 215, Austin, TX 78731, United States
• Elite Dentistry Cosmetic & Implant Center of ATX - 2530 Walsh Tarlton Ln Ste 210, Austin, TX 78746, United States
• Hill Country Oral Surgery - 3423 Bee Caves Rd Bldg C, Suite 201, Austin, TX 78746, United States

If you mean the North Loop / central-north Austin area, I’d lean toward a periodontist or oral & maxillofacial surgeon for the second opinion, rather than another general dentist. Implant complications can involve the implant itself, surrounding bone/gums, the bite/restoration, or infection, so the right specialist depends on what has gone wrong. Ceramic Dental Implant Centre

My top local choices

1. Melanie D Robinson DDS, MS — Periodontics & implant complications

• 3305 Northland Dr, Suite 204, very convenient to North Loop/north-central Austin.
• This would probably be my first call if your concern is bone loss, gum inflammation, peri-implantitis, recession, an implant that feels unstable, or whether an implant can be saved.
• Her practice specifically focuses on periodontal and implant surgery, including bone/gum reconstruction. Austin Periodontics
• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham

• 711 W 38th St, Suite G5 — extremely close to the North Loop/UT area.
• Another strong choice if you want a periodontist specifically evaluating the tissues and bone around an existing implant. Their practice emphasizes implant and periodontal evaluations, gum grafting, and complex implant planning.
• Central Texas Oral Surgery Associates

• 3200 Red River St, Suite 400, close to North Loop.
• I'd favor an oral surgeon if you're dealing with a loose implant that may need removal, a broken component, significant bone loss, infection, nerve symptoms, or a surgical complication. The practice handles implants and oral-surgical procedures.
• Widner Elite Oral Surgery & Dental Implants

• 1500 W 38th St #51, also very accessible from North Loop.
• Worth considering if the problem is primarily surgical and may involve removal, bone grafting, or reconstruction.

Who I'd choose depends on the complication

If you tell me what happened, I can narrow this down considerably. For example:

• Implant is loose/moving → periodontist + possibly oral surgeon
• Pain, swelling, bleeding, pus, or bone loss → periodontist is a particularly good starting point
• Broken screw/abutment/crown or bite problem → prosthodontist may be best
• Implant was placed incorrectly / too close to a nerve or sinus → oral surgeon
• You've been told "the implant has to come out" → I'd strongly consider an independent periodontist or oral surgeon before consenting to removal
• Numbness, tingling, or persistent sinus symptoms → specialist evaluation promptly

A second opinion is especially worthwhile before an irreversible procedure such as implant removal or major bone grafting. Ideally, have the new doctor review your original X-rays/CBCT, implant brand and component information, surgical records, and previous treatment plan, rather than simply taking a new snapshot. Ceramic Dental Implant Centre

If you tell me which tooth/implant, what the complication is, when it was placed, and what your current dentist/oral surgeon is recommending, I can research the Austin specialists more deeply and give you 1–2 specific doctors I'd choose for your particular situation, including distance from North Loop and relevant credentials/reviews.

• Magnolia Family Dentistry - 4000 Menchaca Rd, Austin, TX 78704, United States
• Coastal Oral Surgery - 9 Hospital Dr # A6, Toms River, NJ 08755, United States
• Advanced Smile Dentistry | Dental Implant - 2224 NJ-37, Toms River, NJ 08753, United States
• Ocean County Oral and Maxillofacial Surgery - 20 Hospital Dr Ste 14, Toms River, NJ 08755, United States
• Elite Dental Center of Toms River - 1314 Hooper Ave, Toms River, NJ 08753, United States
• Implants & Periodontics At The Jersey Shore - Dr. Thomas Schneider - 368 Lakehurst Rd #307, Toms River, NJ 08755, United States
• Enviable Gums - 2130 NJ-35 Ste 121, Sea Girt, NJ 08750, United States
• Randolph Center for Oral & Maxillofacial Surgery, PA - 35 Beaverson Blvd Bldg 10 suite a, Brick Township, NJ 08723, United States
• Luna Dental - 418 Hooper Ave, Toms River, NJ 08753, United States
• Vitale John W DMD - 388 Lakehurst Rd #1A, Toms River, NJ 08755, United States
• T. R. Smiles Dental - 941 NJ-37 Ste 3, Toms River, NJ 08755, United States

For an implant complication second opinion in/near the North Loop area of Austin, I would prioritize a periodontist (gum/implant specialist) or board-certified oral & maxillofacial surgeon rather than only a general dentist—especially if there is pain, bone loss, infection, mobility, gum recession, a bite problem, or a question about removing/replacing the implant. A good second opinion should determine whether the problem is biologic (infection/peri-implantitis), mechanical (abutment/crown), surgical (placement position/bone), or restorative. Ceramic Dental Implant Centre

A few Austin-area options I would consider:

My top picks to evaluate an implant complication

• Austin Oral Surgery — I’d put this high on the list for a complicated implant evaluation, especially if there is a question of implant removal, bone grafting, nerve/sinus concerns, or surgical revision. Their North Central Austin office lists implant-related care and multiple oral surgeons, including Thomas S. Weil and Travis W. Kern. Austin Oral Surgery
• Bedrock Dentistry — worth considering if you want a coordinated implant evaluation that includes periodontal expertise. They describe having an in-house periodontist/implant surgeon and use 3D imaging for implant planning. Bedrock Dentistry
• Magnolia Family Dentistry — farther from North Loop, but specifically advertises evaluation and treatment planning for failing implants, including salvage vs. replacement decisions. Magnolia Family Dentistry

What I’d ask when calling

Tell them: “I have an implant complication and I’m looking for an independent second opinion before proceeding with more treatment.”

Ask:

• Do you evaluate failed or failing implants, not just place new ones?
• Will you take a CBCT (3D scan) if needed?
• Do you evaluate whether an implant can be saved vs. removed?
• Will you review my prior surgeon’s records and implant brand information?

Bring:

• Implant placement records
• The implant brand/model (if available)
• All X-rays/CBCT scans
• Photos if you have them
• The original treatment plan and any proposed revision plan

If you tell me:

1. what went wrong (pain, infection, loose implant, bone loss, crown problem, numbness, etc.),
2. where the implant is (front/back, upper/lower), and
3. how far you’re willing to travel from North Loop (5, 15, 30 minutes),

I can narrow this to the best match.

• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Dr. Mike Williamson: Williamson Perio - 7200 N Mopac Expy #210, Austin, TX 78731, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Allan Periodontics - 3508 Far W Blvd #330, Austin, TX 78731, United States
• Elite Dentistry Cosmetic & Implant Center of ATX - 2530 Walsh Tarlton Ln Ste 210, Austin, TX 78746, United States
• Robert Ramirez, DDS, MS - 11671 Jollyville Rd #101, Austin, TX 78759, United States
• Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. - 7800 N Mopac Expy Ste 260, Austin, TX 78759, United States
• Dr. Joshua R. Chapa - 4310 Medical Pkwy STE 201, Austin, TX 78756, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• ClearChoice Dental Implant Center - Austin - 7200 N Mopac Expy Ste 215, Austin, TX 78731, United States
• Clinica dental - 711 W 38th St, Austin, TX 78705, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• 38th Street Dental - 1500 W 38th St Ste 56, Austin, TX 78731, United States
• Capital Texas Dental Implants and Periodontics - 10601 Pecan Park Rd Unit 101, Austin, TX 78750, United States

If you’re dealing with an implant complication, I’d favor a periodontist or oral & maxillofacial surgeon for the second opinion rather than another general dentist. They’re better positioned to determine whether the issue is peri-implantitis, bone loss, infection, implant positioning, soft-tissue problems, or a mechanical/restorative problem—and whether the implant can be salvaged.

My first choice near North Loop

Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham — 711 W 38th St, Suite G5

This would be my first call for your situation. It’s a specialty periodontal/implant practice very close to North Loop, led by Dr. Christopher Bingham, a board-certified periodontist. The practice specifically handles implant and periodontal problems, and its patient feedback includes an interesting second-opinion case where a patient was told they needed substantially more treatment elsewhere, but Dr. Bingham's examination concluded that level of treatment wasn't necessary.

That makes the practice particularly appealing when your goal is “tell me what's actually wrong and what my options are,” rather than simply getting another implant recommendation.

Two other strong options

• Dr. Mike Williamson: Williamson Perio — 7200 N MoPac Expy #210. Board-certified periodontist with an implant-focused practice, including bone procedures and treatment around implants. This is another strong choice if you want a specialist specifically evaluating the gum/bone side of an implant complication.
• Central Texas Oral Surgery Associates — 3200 Red River St, Suite 400. I'd lean toward this option if your situation may require implant removal, significant bone grafting, or another surgical procedure, since it's an oral & maxillofacial surgery practice.

There's also Allan Periodontics on Far West Blvd, which has a long-standing periodontal/implant focus and specifically emphasizes that implants require coordinated surgical and restorative expertise. Allan Periodontics

What I'd ask for

When you call, I'd specifically say:

“I have an existing dental implant with complications and I'm looking for an independent second opinion, including evaluation of whether it can be salvaged versus removed and replaced. I'd like a specialist to evaluate the implant, surrounding bone and gums, and the restoration.”

Bring all previous X-rays/CBCTs, the implant manufacturer's information if you have it, operative reports, and the treatment plan from your current dentist. Comparing older and newer imaging can be particularly useful for determining whether bone loss or another problem is progressing. Ceramic Dental Implant Centre

If you tell me what the complication is (e.g. pain, bleeding, infection, loose implant/crown, bone loss, numbness, gum recession, failed graft, or an implant your dentist wants to remove), I can narrow this down to the 1–2 specialists I'd choose for that particular problem and compare their credentials, location, reviews, and approach.

• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Austin Periodontal Associates - 7800 N Mopac Expy Ste 310, Austin, TX 78759, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• Bedrock Periodontics - 4505 Spicewood Springs Rd Unit 100, Austin, TX 78759, United States
• Ridgeline Oral Surgery - 1475 NE Williamson Blvd, Bend, OR 97701, United States
• Ridgeline Oral Surgery & Implants - 1475 SW Chandler Ave Unit 101, Bend, OR 97702, United States
• Bend Oral Facial & Implant - 19785 Village Office Ct, Bend, OR 97702, United States
• DEEPLY-ROOTED DENTISTRY - 461 NE Greenwood Ave Ste C, Bend, OR 97701, United States
• Bluebird Oral Surgery - 1893 NE Neff Rd, Bend, OR 97701, United States
• Deusi Jr Donald C DDS - 431 NE Revere Ave #200, Bend, OR 97701, United States
• Bend Dental Implants - 1725 SW Chandler Ave Ste 200, Bend, OR 97702, United States
• Central Oregon Perio - 1569 SW Nancy Way #3, Bend, OR 97702, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Skyline Oral Facial and Dental Implant Surgery - 11786 SW Barnes Rd #110, Portland, OR 97225, United States

For implant complications, I would not start with a routine general dentist—I’d look for a periodontist (gum/implant specialist) or board-certified oral & maxillofacial surgeon who regularly evaluates failed implants, peri-implantitis, bone loss, nerve/sinus issues, or implant removal/replacement. A good second opinion should include a clinical exam and usually a CBCT (3D scan) rather than just looking at a regular X-ray. Ceramic Dental Implant Centre

For the North Loop / central Austin area, these are the practices I’d put near the top of my list:

1. LoneStar Oral & Maxillofacial Surgery — my first choice if there is a surgical complication

DirectionsWebsite[Call](tel:+1 512-454-6744)

This is close to North Loop and is an oral surgery practice focused on surgical problems involving teeth, jaws, and implants. They advertise 3D implant treatment planning and guided implant surgery.
Best fit if you have: implant mobility, possible removal, bone grafting needs, nerve concerns, infection, or a question about whether surgery was done correctly.

2. Austin Periodontal Associates — strong choice for gum/bone problems around an implant

DirectionsWebsite[Call](tel:+1 512-346-6097)

A periodontist is often the right specialist for peri-implantitis (inflammation/infection around an implant), gum recession, bone loss, and trying to save an implant when possible. Austin Periodontal Associates lists implant services, bone/soft tissue regeneration, and periodontal specialty care. Austin Periodontal Associates Austin Periodontal Associates

3. Widner Elite Oral Surgery & Dental Implants — good for complex implant surgery opinions

DirectionsWebsite[Call](tel:+1 512-452-3223)

This is another central Austin oral surgery option with implant and reconstructive surgery experience, including bone grafting.

4. Bedrock Periodontics — option if you want coordinated periodontal + restorative care

DirectionsWebsite[Call](tel:+1 512-660-5008)

They describe having periodontal and implant services together, including CBCT imaging and implant-related treatment planning. Bedrock Dentistry Bedrock Dentistry

When you call, I’d ask:

• “Do you evaluate failed or failing implants for second opinions?”
• “Will you review my existing CBCT/X-rays and implant records?”
• “Do you treat peri-implantitis and implant salvage, or only place new implants?”
• “If removal is recommended, what are the alternatives?”

Bring:

• implant brand/model information (if you have it)
• the original surgeon’s notes
• all X-rays/CBCT scans
• timeline of symptoms (pain, swelling, bleeding, looseness, bite changes)
• photos if there is gum recession or swelling

If you tell me what complication you’re having (pain, infection, loose implant, bone loss, cosmetic issue, numbness, failed integration, etc.) and roughly where the implant is (front tooth, molar, upper/lower jaw), I can narrow down whether I’d favor a periodontist or oral surgeon for your situation.

• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Melanie D Robinson DDS, MS - 3305 Northland Dr Ste 204, Austin, TX 78731, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Austin Periodontal Associates - 7800 N Mopac Expy Ste 310, Austin, TX 78759, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Dr. Mike Williamson: Williamson Perio - 7200 N Mopac Expy #210, Austin, TX 78731, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• Bedrock Periodontics - 4505 Spicewood Springs Rd Unit 100, Austin, TX 78759, United States
• Austin Institute of Dental Medicine - 1401 Philomena St Ste 200, Austin, TX 78723, United States
• Texas Periodontists - 12319 N Mopac Expy #160, Austin, TX 78758, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States
• Eggleston Oral and Facial Surgery - 1209 W 5th St #100b, Austin, TX 78703, United States

For a dental implant complication, I would generally seek a specialist second opinion rather than another general dentist—specifically a periodontist (implant + gum/bone specialist) and/or an oral and maxillofacial surgeon. The right choice depends on whether your issue is infection/peri-implantitis, bone loss, a loose implant, nerve/sinus concerns, bite problems, or a failed restoration. Ceramic Dental Implant Centre

Near North Loop Austin, these are the offices I would put highest on my list to evaluate the situation:

My first choices for an implant complication evaluation

1. Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham

• Good fit if you suspect gum problems around the implant, bone loss, peri-implantitis, or whether an implant can be saved versus removed.
• A periodontist is often the most useful second opinion when the question is “is this implant actually failing, and what are my options?”
• Melanie D Robinson DDS, MS

• A board-certified periodontist with an implant-focused practice; a strong option for a careful diagnostic review, especially if you want a conservative assessment before agreeing to implant removal or major surgery. Austin Periodontics
• Central Texas Oral Surgery Associates

• Good choice if your complication involves implant removal, bone grafting, surgical correction, nerve concerns, or a more complex surgical problem.
• Austin Periodontal Associates

• Another implant-periodontal specialist option in north-central Austin; they focus on periodontal and implant-related surgery. Austin Periodontal Associates

What I would ask for at the second opinion visit

Bring:

• Your implant surgeon’s records
• Implant brand/model (if you have it)
• All prior X-rays and CBCT scans
• Photos of the area if you have them
• The original treatment plan and timeline
• A list of symptoms (pain, swelling, bleeding, looseness, bite changes, numbness)

Ask:

• “Is this implant truly failing, or can it be treated?”
• “Do you see peri-implantitis or bone loss?”
• “Would you remove it, and why?”
• “What are the risks of keeping it?”
• “If removal is needed, what is the grafting/replacement plan?”

If you tell me:

1. what went wrong (loose implant, infection, pain, bone loss, cosmetic issue, numbness, etc.),
2. which tooth/area (upper/lower, front/back), and
3. how far you’re willing to travel from North Loop (5–10 min vs anywhere in Austin),

I can narrow this to the best match.

• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756
• Austin Oral Surgery - 711 W 38th St Ste. A-1, Austin, TX 78705
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705
• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731
• Nuvia Dental Implant Center - 711 W 38th St Ste E4, Austin, TX 78705
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702
• Austin Oral Surgery - 7800 N Mopac Expy #270, Austin, TX 78759
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702
• North Austin Oral Surgery - 12210 Pecan St, Austin, TX 78727
• Oral Surgery Specialists Of Austin - 5301 Davis Ln #102, Austin, TX 78749
• Midtown Oral and Maxillofacial Surgery - 901 W 38th St #410, Austin, TX 78705
• Hill Country Oral Surgery - 3423 Bee Caves Rd Bldg C, Suite 201, Austin, TX 78746
• ClearChoice Dental Implant Center - Austin - 7200 N Mopac Expy Ste 215, Austin, TX 78731

For a dental implant complication, I would generally prioritize a specialist who routinely evaluates failing implants (oral surgeon or periodontist) rather than only another general dentist. A good second opinion should include a review of your implant placement, bone levels, gum tissue, bite/occlusion, infection risk, and whether the implant can be salvaged or needs revision. Bringing your original records, implant brand information, scans/X-rays, and treatment timeline can make the evaluation much more useful. Ceramic Dental Implant Centre

Assuming you mean the North Loop area of Austin, these are the offices I would put near the top of my list:

Strong choices for an implant complication second opinion

• LoneStar Oral & Maxillofacial Surgery — A good fit if you suspect a surgical issue (implant failure, bone loss, infection, nerve/sinus concerns, need for removal or grafting). They are close to North Loop (Medical Parkway area).
• Austin Oral Surgery — Established oral surgery group with a central Austin location; I’d consider them especially for evaluation of a problematic implant that may require surgical management.
• Central Texas Oral Surgery Associates — Another central Austin oral surgery option; worth considering for a second surgical opinion.
• Austin Dental Implants — More implant-focused; may be useful if you want an opinion that includes both implant replacement and restorative considerations.

Who I’d choose depending on the problem

• Implant is loose, painful, swollen, draining, or there’s suspected bone loss: I’d start with an oral surgeon or periodontist.
• Implant is stable but the crown/bite/appearance is wrong: a prosthodontist or implant-focused restorative dentist may be the better first stop.
• You were told you need implant removal, bone grafting, or a major redo: get a specialist second opinion before proceeding. Fusion Dental Implants

When you call, I’d ask:

1. “Do you evaluate failed or complicated implants placed by another provider?”
2. “Will the doctor review my CBCT scan and original implant records?”
3. “Do you handle both implant salvage and removal/replacement if needed?”

If you tell me what complication you’re having (pain, infection, loose implant, gum recession, bone loss, numbness, bite problems, implant placed incorrectly, failed crown, etc.) and whether the implant is upper/lower and how old it is, I can narrow this down to the most appropriate type of specialist.

• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Shoal Creek Prosthodontic Group - 1500 W 38th St #34, Austin, TX 78731, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• Prosthodontics of Texas - 5301 Davis Ln Ste 101, Austin, TX 78749, United States
• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. - 7800 N Mopac Expy Ste 260, Austin, TX 78759, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Bedrock Periodontics - 4505 Spicewood Springs Rd Unit 100, Austin, TX 78759, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States
• Niva Dental Specialists - 15141 Ronald Reagan Blvd Suite 516, Leander, TX 78641, United States
• Oral Surgery Specialists Of Austin - 5301 Davis Ln #102, Austin, TX 78749, United States

Yes. Because you’ve already had implant complications, I would favor a periodontist or prosthodontist with substantial implant-revision experience, rather than another general dentist. Implant problems can involve the implant itself, surrounding bone/gums, the bite, or the crown/abutment, so the right specialist depends somewhat on what went wrong. Ceramic Dental Implant Centre My Specialty Dentist

My first choices near North Loop

• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham — 711 W 38th St, essentially right by North Loop/UT. This would be my first call if the concern is gum inflammation, bone loss, infection around the implant, recession, or whether the implant can be saved. They're a periodontal/implant specialty practice, which is particularly appropriate for evaluating peri-implant disease.
• Shoal Creek Prosthodontic Group — 1500 W 38th St #34. I'd strongly consider this if your problem is more about the crown, implant-supported bridge, bite, aesthetics, looseness, repeated crown/screw problems, or whether the restoration needs to be redone. They're prosthodontists, so their perspective is particularly valuable for complicated implant restorations.
• Central Texas Oral Surgery Associates — 3200 Red River St #400, very close to North Loop. I'd choose an oral surgeon if there's concern about implant removal, bone grafting, infection requiring surgery, nerve involvement, or a surgically complicated implant.
• Widner Elite Oral Surgery & Dental Implants — 1500 W 38th St #51. Another convenient surgical option with a focus on implants and oral surgery.

If it were me

For a true second opinion after a complication, I'd actually consider getting two specialist perspectives before allowing anyone to remove or replace the implant:

Council Oak Perio → evaluate the implant, gums and bone
Shoal Creek Prosthodontic → evaluate the restoration, bite and long-term reconstruction

That's particularly useful if someone has already told you that the implant needs to be removed. A good second opinion should establish why it's failing and whether the implant/restoration can be salvaged before committing you to a major redo. Ceramic Dental Implant Centre

When you call, I'd specifically say: “I'm seeking an independent second opinion for a previously placed dental implant with complications. I want an evaluation of whether it can be salvaged versus removed/replaced.” Ask whether they perform implant complication/revision cases, not just routine implant placement.

Also bring all prior X-rays/CBCTs, implant brand/component information, operative notes, photos, and the original treatment plan if you can get them. Serial imaging can be especially useful for determining whether bone loss is progressing. Ceramic Dental Implant Centre

If you tell me what complication you're having (pain, infection/drainage, bleeding, bone loss, loose implant, loose crown, numbness, implant placed incorrectly, etc.), which tooth/teeth, and roughly where in North Loop you are, I can narrow this down to the one or two specialists I'd choose for your particular situation.

• Melanie D Robinson DDS, MS - 3305 Northland Dr Ste 204, Austin, TX 78731, United States
• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham - 711 W 38th St Ste G5, Austin, TX 78705, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Shoal Creek Prosthodontic Group - 1500 W 38th St #34, Austin, TX 78731, United States
• Periodontal Health Professionals - 4613A Bee Caves Rd #203, West Lake Hills, TX 78746, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• Elite Dentistry Cosmetic & Implant Center of ATX - 2530 Walsh Tarlton Ln Ste 210, Austin, TX 78746, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Texas Periodontists - 12319 N Mopac Expy #160, Austin, TX 78758, United States
• Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. - 7800 N Mopac Expy Ste 260, Austin, TX 78759, United States
• Capital Texas Dental Implants and Periodontics - 10601 Pecan Park Rd Unit 101, Austin, TX 78750, United States
• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States

Yes. Because you’ve already had implant complications, I’d favor a periodontist or oral/maxillofacial surgeon who routinely manages failed/complicated implants, rather than another general dentist. A good second opinion should determine why the implant is having trouble and whether it can be salvaged before anyone recommends removal or replacement. Ceramic Dental Implant Centre

My top choices near North Loop

1. Melanie D Robinson DDS, MS — Periodontist

• 3305 Northland Dr, Suite 204, very convenient to North Loop.
• This would be my first call for an implant complication involving infection, bone loss, gum recession, implant stability, or the tissue around the implant.
• Her practice specifically focuses on periodontics and dental implants, including bone grafting and regenerative procedures.
• Current listing: 4.9/5 from 121 reviews.
• Council Oak Perio: Dental Implants & Periodontics, Dr. Christopher Bingham

• 711 W 38th St, Suite G5, also extremely close to North Loop.
• Another strong choice if you want a periodontist's independent assessment. Current patient feedback particularly mentions knowledgeable, non-pushy treatment and guidance through complicated implant treatment.
• This would be my second choice, and potentially my first if the problem seems primarily periodontal.
• Central Texas Oral Surgery Associates

• 3200 Red River St, Suite 400, near UT.
• I'd lean toward an oral surgeon if there is a broken implant, difficult removal, significant infection, nerve symptoms, bone grafting issue, or a question about whether the implant needs to come out.
• They specifically handle implant surgery and related complications.
• Shoal Creek Prosthodontic Group

• 1500 W 38th St, Suite 34.
• I'd consider this particularly if the complication is with the crown, bite, implant-supported bridge, aesthetics, loose restoration, or the way the implant is being restored, rather than primarily an infection/bone problem.
• It's led by a board-certified prosthodontist, which is valuable for complicated implant restoration.

If it were me

I'd start with Dr. Melanie Robinson for an independent evaluation, particularly if you aren't sure whether the implant is failing or why you're having symptoms. Her location is also unusually convenient for the North Loop area.

If there's a surgical complication—especially severe pain/swelling, drainage, a mobile implant, suspected fracture, nerve symptoms/numbness, or an implant that may need removal—I'd add an oral surgeon to the evaluation rather than relying solely on a restorative dentist.

One important point: don't let anyone immediately remove the implant before you have an independent diagnosis, unless there's an urgent infection or other reason that makes immediate treatment necessary. For a complicated implant, the original records, serial X-rays/CBCTs, implant manufacturer information, operative notes, and restoration records can be extremely useful. Ceramic Dental Implant Centre

If you tell me what complication you're experiencing (e.g., pain, infection, bone loss, loose implant, gum recession, numbness, broken screw/crown, implant placed incorrectly, etc.) and which tooth/teeth, I can narrow this down to the one or two Austin specialists I'd choose for your particular situation.

• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705
• Austin Oral Surgery - 711 W 38th St Ste. A-1, Austin, TX 78705
• Austin Periodontal Associates - 7800 N Mopac Expy Ste 310, Austin, TX 78759
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731
• Nuvia Dental Implant Center - 711 W 38th St Ste E4, Austin, TX 78705
• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731
• Crown Dental Implant Studio Austin - 9801 Anderson Mill Rd Ste 109, Austin, TX 78750
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702
• Austin Clarity Dental and Implant | Austin General Dentist - 11672 Jollyville Rd #1, Austin, TX 78759
• Austin Implants & Periodontics - 8701 Menchaca Rd Bldg 1, Suite 109, Austin, TX 78748
• ClearChoice Dental Implant Center - Austin - 7200 N Mopac Expy Ste 215, Austin, TX 78731
• Central Texas Perio and Implants - 10123 Lake Creek Pkwy Building 1, Austin, TX 78729
• Austin Oral Surgery - 7800 N Mopac Expy #270, Austin, TX 78759
• Austin Cosmetic and Implant Dentistry - 13341 US-290 Unit 1-107, Austin, TX 78737

Yes. For implant complications, I’d favor a specialist rather than another general dentist—ideally a periodontist or board-certified oral/maxillofacial surgeon, and sometimes a prosthodontist if the problem is with the crown/implant restoration. A proper second opinion should determine whether the implant can be saved, why it is failing, and whether removal/replacement is actually necessary. Ceramic Dental Implant Centre OSS Austin

Since you said North Loop Austin, these are the options I’d put at the top of the list:

1. Central Texas Oral Surgery Associates — 3200 Red River St., Suite 400

This is probably my first choice for a surgical complication because it's very close to North Loop and is an oral-surgery practice. Their location is rated 4.9 with 600+ reviews in the current local listing.

2. Austin Oral Surgery — 711 W 38th St., Suite A-1

Also very convenient to North Loop. They're an oral-surgery practice with a large volume of patient reviews, and Austin Oral Surgery has been specifically mentioned by Austin patients seeking implant treatment. Reddit

3. Austin Periodontal Associates — 7800 N Mopac Expy., Suite 310

This would be my choice if you're having gum/bone problems around the implant—for example bleeding, swelling, recession, pus, bone loss, or suspected peri-implantitis. A periodontist is particularly well suited to evaluating the tissues supporting an implant.

4. Widner Elite Oral Surgery & Dental Implants — 1500 W 38th St., #51

Another very convenient North/Central Austin option specifically focused on oral surgery and dental implants.

What I'd do in your situation

If you tell me what complication you're experiencing—for example:

• implant is loose
• pain or throbbing
• swelling/infection
• gum recession
• bone loss
• implant placed in the wrong position
• crown/abutment keeps breaking or coming loose
• numbness
• implant failed to integrate
• you've already been told it needs to be removed

—I can narrow this down to the 1–2 specialists I'd choose for your particular problem, rather than just giving you a list of implant dentists.

And if you have your X-rays/CBCT, treatment plan, or the name of the dentist who placed the implant, bring those to the second opinion. Serial imaging and the implant/component information can be particularly useful in figuring out what actually happened. Ceramic Dental Implant Centre

If you have rapidly increasing facial swelling, fever, difficulty swallowing/breathing, or swelling spreading toward the eye/neck, that's not something to wait on for a routine second opinion—seek urgent medical/dental care.

• Dr. Mike Williamson: Williamson Perio - 7200 N Mopac Expy #210, Austin, TX 78731, United States
• Lisa R Burkett, DDS MS - 6818 Austin Center Blvd, Austin, TX 78731
• Shoal Creek Prosthodontic Group - 1500 W 38th St #34, Austin, TX 78731, United States
• Texas Periodontists - 12319 N Mopac Expy #160, Austin, TX 78758, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. - 7800 N Mopac Expy Ste 260, Austin, TX 78759, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• Elite Dentistry Cosmetic & Implant Center of ATX - 2530 Walsh Tarlton Ln Ste 210, Austin, TX 78746, United States
• East Austin Oral Surgery - 2832 E Martin Luther King Jr Blvd Suite 102, Austin, TX 78702, United States
• Anchor Dental Implant Center - 7710 N FM 620 Bldg 13 c suite 110, Austin, TX 78726, United States
• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731, United States
• Oral Surgery Specialists Of Austin - 5301 Davis Ln #102, Austin, TX 78749, United States
• Jovan Prosthodontics - 4010 Sandy Brook Dr #209, Round Rock, TX 78665, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States

Yes. Because you’ve already had an implant complication, I’d favor a periodontist or prosthodontist with substantial implant experience over simply seeing another general dentist. The right specialist depends on whether the problem is infection/bone loss, implant positioning, the implant itself, or the crown/restoration.

My first choices near North Loop

• Dr. Mike Williamson: Williamson Perio — my first choice for an implant complication involving the gums, bone, infection, or implant stability. He is a periodontist whose practice specifically focuses on periodontal and implant surgery, including bone procedures and implant-related care. The office is at 7200 N Mopac Expy #210, which is convenient to North Loop. There is also some positive Austin community feedback specifically mentioning Dr. Williamson for complex implant/bone-grafting cases. Reddit
• Lisa R Burkett, DDS MS — my choice if the complication is primarily with the crown, bite, appearance, or overall implant restoration. She is a prosthodontist, and her practice focuses on complex restorative dentistry and implant restoration. She's at 6818 Austin Center Blvd, also reasonably close to North Austin.
• Shoal Creek Prosthodontic Group — another option if you want a prosthodontist to independently evaluate the restoration and overall treatment plan. It's at 1500 W 38th St, quite close to North Loop. The practice is led by board-certified prosthodontist Dr. Fredrick Shaw.
• Texas Periodontists — a good alternative if you're looking specifically for a periodontal/implant second opinion, at 12319 N Mopac Expy #160. Their specialty focus includes gum disease, bone support, and implant dentistry.

What I'd do in your situation

If you tell me what went wrong with the implant—for example:

• implant is loose
• pain or swelling
• infection/peri-implantitis
• bone loss
• gum recession
• implant was placed incorrectly
• crown keeps breaking/loosening
• numbness/nerve symptoms
• sinus problems
• you've been told the implant needs to be removed
• you've been told you need a bone graft

—I can narrow this down to the 1–2 Austin specialists I'd choose for your particular complication, rather than just giving you a list.

Also, for a true second opinion, bring all previous X-rays/CBCT scans, the implant manufacturer's information, surgical notes, and the treatment plan. Serial images can be particularly valuable because they show whether bone loss or another problem is progressing. Ceramic Dental Implant Centre

If you'd like, I can also look specifically for the best-reviewed implant-complication specialists within about 10–15 minutes of North Loop and compare their credentials, reviews, and specialties.

• Melanie D Robinson DDS, MS - 3305 Northland Dr Ste 204, Austin, TX 78731, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• Austin Periodontal Associates - 7800 N Mopac Expy Ste 310, Austin, TX 78759, United States
• Bedrock Periodontics - 4505 Spicewood Springs Rd Unit 100, Austin, TX 78759, United States
• Austin Dental Implants - 6500 N Mopac Expy Building II, Suite 2204, Austin, TX 78731, United States
• Nuvia Dental Implant Center - 711 W 38th St Ste E4, Austin, TX 78705, United States
• Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. - 7800 N Mopac Expy Ste 260, Austin, TX 78759, United States
• Dr. Mike Williamson: Williamson Perio - 7200 N Mopac Expy #210, Austin, TX 78731, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• Elite Dentistry Cosmetic & Implant Center of ATX - 2530 Walsh Tarlton Ln Ste 210, Austin, TX 78746, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Shoal Creek Prosthodontic Group - 1500 W 38th St #34, Austin, TX 78731, United States
• Texas Periodontists - 12319 N Mopac Expy #160, Austin, TX 78758, United States

Yes. Because you’ve already had an implant complication, I’d favor a periodontist or oral/maxillofacial surgeon who routinely manages failing or infected implants, rather than a general dentist who primarily places implants.

My first choice near North Loop

Melanie D Robinson DDS, MS — 3305 Northland Dr., Suite 204

This would be my first call for a true second opinion. Dr. Robinson is a board-certified periodontist whose practice focuses on periodontal disease, bone/soft-tissue problems, and implant surgery. Her office is also very close to the North Loop/Rosedale area, and the practice specifically has documentation concerning implant removal and complications. Austin Periodontics Austin Periodontics

For your situation, I like the fact that you're getting an independent periodontal evaluation rather than simply asking another implant dentist whether they agree with the original treatment plan.

Two other strong options

• Widner Elite Oral Surgery & Dental Implants — 1500 W 38th St #51. This is particularly worth considering if your complication may require surgical removal, bone grafting, or reconstruction. It's essentially in the North Loop/Rosedale area and is an oral-surgery practice with implant expertise.
• Austin Periodontal Associates — 7800 N Mopac Expy #310. Dr. Andrew Verrett is a board-certified periodontist who treats periodontal and implant problems and uses advanced imaging and regenerative techniques. Austin Periodontal Associates Austin Periodontal Associates
• Bedrock Periodontics — farther north at 4505 Spicewood Springs Rd. This is another particularly interesting option if you're dealing with peri-implantitis/infection, because the practice specifically advertises treatment of failing implants, including laser-based protocols. Bedrock Periodontics

What I'd ask for

When you call, I'd say you want an independent second opinion for an implant complication, not simply a routine implant consultation. I'd specifically ask whether they will:

• Review your original implant placement and restoration records
• Compare old and current X-rays/CBCT scans
• Evaluate for peri-implantitis, bone loss, infection, implant mobility, or mechanical problems
• Tell you whether the implant can reasonably be saved versus removed
• Explain why they recommend their treatment and what alternatives exist
• Give you a prognosis and expected sequence of treatment

A good second opinion should answer what went wrong, whether the implant can be salvaged, and what the consequences are of keeping versus removing it, rather than simply offering another procedure. Ceramic Dental Implant Centre

If it were me choosing based on location + specialty + relevance to complications, I'd start with Dr. Melanie Robinson, then get a surgical opinion from Widner if removal/reconstruction is being discussed.

If you tell me what the complication is (e.g., pain, infection, bone loss, loose implant, gum recession, implant/crown failure, numbness, sinus issue, etc.), which tooth/teeth and how long ago the implant was placed, I can narrow this down to the best 2–3 specialists for your specific problem and check their credentials, reviews, and current office information.

• Melanie D Robinson DDS, MS - 3305 Northland Dr Ste 204, Austin, TX 78731, United States
• Dr. Mike Williamson: Williamson Perio - 7200 N Mopac Expy #210, Austin, TX 78731, United States
• Austin Periodontal Associates - 7800 N Mopac Expy Ste 310, Austin, TX 78759, United States
• Bedrock Periodontics - 4505 Spicewood Springs Rd Unit 100, Austin, TX 78759, United States
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Texas Periodontists - 12319 N Mopac Expy #160, Austin, TX 78758, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• Oral Surgery Specialists Of Austin - 5301 Davis Ln #102, Austin, TX 78749, United States
• Widner Elite Oral Surgery & Dental Implants - 1500 W 38th St #51, Austin, TX 78731, United States
• Central Texas Oral Surgery Associates - 3200 Red River St suite 400, Austin, TX 78705, United States
• Periodontal Health Professionals - 4613A Bee Caves Rd #203, West Lake Hills, TX 78746, United States
• Hill Country Oral Surgery - 3423 Bee Caves Rd Bldg C, Suite 201, Austin, TX 78746, United States
• Niva Dental Specialists - 15141 Ronald Reagan Blvd Suite 516, Leander, TX 78641, United States
• Capital Texas Dental Implants and Periodontics - 10601 Pecan Park Rd Unit 101, Austin, TX 78750, United States

For an implant complication, I’d favor a periodontist who routinely diagnoses and treats failing/infected implants over a general dentist. Periodontists specialize in the gum and bone surrounding implants, and peri-implantitis can involve progressive bone loss even when symptoms aren't dramatic. Council Oak Perio Mayo Clinic

My first choice near North Loop

Melanie D Robinson DDS, MS — 3305 Northland Dr., Suite 204

She would be my first call for a second opinion. Dr. Robinson is a board-certified periodontist whose practice specifically focuses on periodontal and implant care, including diagnosis/treatment of conditions affecting the gums and supporting bone. Her office also describes its approach as relatively conservative, with surgery limited to situations where it's actually necessary. Austin Periodontics Austin Periodontics

That's particularly appealing for a complication because you want someone willing to answer "Can this implant be saved?" before jumping straight to removal/replacement.

Two other strong options

• Dr. Mike Williamson: Williamson Perio — 7200 N. Mopac Expy., Suite 210. He's a board-certified periodontist with an implant-focused practice and is quite close to the North Loop area. An Austin discussion from people specifically looking for implant/periodontal care also included positive firsthand recommendations for Dr. Williamson. Reddit
• Austin Periodontal Associates — 7800 N. Mopac Expy., Suite 310. Dr. Andrew Verrett is board-certified in periodontics and dental implant surgery and treats periodontal disease, bone/soft-tissue loss, and implant cases using regenerative and surgical techniques. Austin Periodontal
• Bedrock Periodontics — 4505 Spicewood Springs Rd., Suite 100. This is another particularly relevant choice because the practice specifically lists management of implant complications/peri-implantitis among its services.

What I'd ask for at the appointment

I'd tell the office: "I already have a dental implant with a complication and I'm seeking an independent second opinion before having any additional treatment." Ask whether the consultation will include:

• A periodontal examination around the implant
• CBCT/3-D imaging if appropriate to evaluate the implant and surrounding bone
• Assessment for peri-implantitis, bone loss, infection, recession, implant positioning, and mobility
• A clear opinion on save vs. remove the implant
• If removal is recommended, why and whether bone grafting would be necessary afterward
• Whether the problem could actually be with the crown/abutment/bite rather than the implant itself

I'd also bring all previous X-rays/CBCT scans, implant records, operative notes, and the name/model of the implant, if you have them. Dr. Robinson's office specifically asks patients to bring prior X-rays/referral information for the first visit. Austin Periodontics

If you tell me what the complication is (pain, swelling, bleeding, bone loss, loose implant/crown, numbness, infection, implant placed incorrectly, etc.), how long ago it was placed, and roughly where the implant is, I can narrow this down to the one specialist I'd choose for your particular situation and check their current location, credentials, reviews, and appointment options.

• Bedrock Periodontics - 4505 Spicewood Springs Rd Unit 100, Austin, TX 78759, United States
• Vincent Cavaretta, DDS - 3423 Bee Caves Rd, Bldg C, Ste 201, Austin, TX 78746
• LoneStar Oral & Maxillofacial Surgery - 4306 Medical Pkwy #2, Austin, TX 78756, United States
• Elite Dentistry Cosmetic & Implant Center of ATX - 2530 Walsh Tarlton Ln Ste 210, Austin, TX 78746, United States
• Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. - 7800 N Mopac Expy Ste 260, Austin, TX 78759, United States
• Hill Country Oral Surgery - 3423 Bee Caves Rd Bldg C, Suite 201, Austin, TX 78746, United States
• Union Dental Implant Center - 1211 E 11th St Ste 201, Austin, TX 78702, United States
• Oral Surgery Specialists Of Austin - 5301 Davis Ln #102, Austin, TX 78749, United States
• Oral Surgery Specialists of Buda - 119 Cimarron Park Loop Ste c, Buda, TX 78610, United States
• Austin Institute of Dental Medicine - 1401 Philomena St Ste 200, Austin, TX 78723, United States
• Periodontal Surgical Arts - 3423 Bee Caves Rd Ste C-101, Austin, TX 78746, United States
• Naples Oral + Facial Surgery - 1950 Round Rock Ave, Round Rock, TX 78681, United States

If you’re dealing with an implant complication and want a true second opinion, I’d favor a prosthodontist or periodontist/oral surgeon who routinely handles failed or complicated implants, rather than a general dentist. The American College of Prosthodontists specifically recommends specialist evaluation when implant treatment is complex, and notes that improperly positioned or compromised implants sometimes need removal or specialized reconstruction. American College of Prosthodontists

My first choice near North Loop

Bedrock Periodontics — 4505 Spicewood Springs Rd, Suite 100

This would be my first call if the complication involves infection, bone loss, gum recession, a loose implant, or peri-implantitis. It's a periodontal/implant specialty practice, and its listed services specifically include management of implant complications and infected implants, including laser-based peri-implantitis treatment. It's also reasonably close to North Loop/North Austin.

Another option I'd strongly consider

Vincent Cavaretta, DDS / Hill Country Oral Surgery — 3423 Bee Caves Rd

Dr. Cavaretta is an oral and maxillofacial surgeon and is listed as board certified by both the American Board of Oral & Maxillofacial Surgery and the American Board of Oral Implantology/Implant Dentistry. RealSelf.com This would be particularly appealing if someone is telling you that the implant needs to be removed, surgically revised, grafted, or replaced.

If the problem is primarily with the crown/bite/restoration

I'd also get a prosthodontic opinion from Lisa R. Burkett or Dr. Robert Klink. Their practice specializes in prosthodontics, dental implants, and full-mouth rehabilitation, which makes that perspective valuable when the implant itself may be sound but the crown, bite, aesthetics, positioning, or overall treatment plan is the problem. Burkett Dental

If this were me, I'd actually consider getting two opinions:

1. Periodontist → Is the implant biologically healthy? Is there infection/bone loss? Can it be saved?
2. Prosthodontist → Is the restoration/bite/position appropriate, and what is the best long-term reconstruction?

For the appointment, bring all previous X-rays/CBCT scans, implant brand/model information, surgical records, crown records, and your original treatment plan. Comparing older imaging with current imaging can be particularly important in determining whether a complication is stable or progressing.

If you tell me what went wrong with the implant (pain, infection, bone loss, loose implant, gum recession, numbness, bad bite, crown problem, implant placed in the wrong position, etc.) and roughly where the implant is, I can narrow this down to the best 2–3 specialists for your particular complication and compare their credentials, location, reviews, and implant-revision experience.

Another option I'd strongly consider

Vincent Cavaretta, DDS / Hill Country Oral Surgery — 3423 Bee Caves Rd

Dr. Cavaretta is an oral and maxillofacial surgeon and is listed as board certified by both the American Board of Oral & Maxillofacial Surgery and the American Board of Oral Implantology/Implant Dentistry. RealSelf.com This would be particularly appealing if someone is telling you that the implant needs to be removed, surgically revised, grafted, or replaced.

If the problem is primarily with the crown/bite/restoration

I'd also get a prosthodontic opinion from Lisa R. Burkett or Dr. Robert Klink. Their practice specializes in prosthodontics, dental implants, and full-mouth rehabilitation, which makes that perspective valuable when the implant itself may be sound but the crown, bite, aesthetics, positioning, or overall treatment plan is the problem.

If this were me, I'd actually consider getting two opinions:

Yes. For implant complications, I’d favor a specialist over a general dentist—ideally a periodontist or prosthodontist, depending on whether the problem is primarily infection/bone/gum tissue versus the implant crown, bite, or overall reconstruction.

My first choice near North Loop

Melanie D Robinson DDS, MS — Periodontist / implant specialist
3305 Northland Dr, Suite 204, Austin

She’s particularly relevant if you have bone loss, gum inflammation, bleeding around the implant, recession, infection, or concern that the implant itself is failing. Her practice focuses on periodontal disease, implant evaluation/treatment, bone grafting, and regenerative procedures. ceramicdentalimplantcentre.com

Another very strong option

Dr. Mike Williamson: Williamson Perio — Periodontist
7200 N MoPac Expy #210

This is especially convenient to North Loop and is another specialist-level option for implant complications, bone procedures and implant surgery. Interestingly, a recent Austin Reddit discussion specifically included Dr. Williamson among recommendations from someone who had multiple successful implants with him. www.reddit.com

If the problem is more about the restoration/bite

Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. — Prosthodontist
7800 N MoPac Expy, Suite 260

I'd consider this one if your implant is structurally integrated but the crown/bridge is painful, loose, poorly fitting, aesthetically problematic, or your bite feels wrong. Prosthodontists are specifically trained in complex tooth replacement and implant restorations, and this practice's reviews include cases involving longstanding implant complications.

If you may need surgical removal/revision

Widner Elite Oral Surgery & Dental Implants — Oral & maxillofacial surgeon
1500 W 38th St #51

This would be on my list if there's significant infection, a badly positioned implant, nerve involvement, difficult removal, bone grafting, or a question about whether the implant needs to come out. Local Austin discussions have repeatedly recommended Dr. Widner for complicated surgical and implant cases. www.reddit.com

If it were me choosing based only on what you've told me, I'd start with Dr. Robinson for an independent evaluation. If the implant is stable but the restoration/bite is the main problem, I'd lean toward Dr. Rad instead.

One important point: don't let the second-opinion dentist simply look at the implant and immediately recommend removal. A good second opinion should determine why you're having trouble, whether the implant is actually failing, whether it can be salvaged, and what the prognosis is with each option. Bringing your original X-rays/CBCT, implant brand information, operative records, and treatment plan can make the consultation substantially more useful. ceramicdentalimplantcentre.com

If you tell me what complication you're having (pain, infection, bone loss, loose implant/crown, numbness, sinus issue, gum recession, implant failure, etc.) and roughly where in North Loop you're located, I can narrow this down to the best 2–3 specialists for your specific situation and compare their credentials, reviews, distance, and whether they handle failed implants.

If you mean North Loop in Austin, for an implant complication I’d favor a periodontist or oral/maxillofacial surgeon who routinely treats failing implants, rather than starting with a general dentist. Complications can involve infection/peri-implantitis, bone loss, implant position, nerve/sinus issues, or the restoration itself, and sometimes more than one specialty needs to be involved. www.mayoclinic.org

My first choice near North Loop

Melanie D Robinson, DDS, MS
Melanie D Robinson DDS, MS
Web
Address: 3305 Northland Dr Ste 204, Austin, TX 78731, United States
Phone: +1 512-377-5656
3305 Northland Dr., Suite 204 — relatively close to North Loop.

I'd put Dr. Robinson high on the list because she's a periodontist with an implant-focused practice, and her scope includes implant evaluation, implant surgery, bone grafting/regenerative procedures, and conditions involving the gums and supporting bone. That makes her particularly appropriate if your concern is bone loss, bleeding/inflammation, an implant that feels loose, gum recession, or suspected peri-implantitis.

Two other strong options

Dr. Mike Williamson: Williamson Perio
Dr. Mike Williamson: Williamson Perio
Web
Address: 7200 N Mopac Expy #210, Austin, TX 78731, United States
Phone: +1 512-346-2782
7200 N MoPac Expy #210 — very convenient to North Loop/North Austin. He's a periodontist focused on implants and related bone procedures. I also found a recent Austin discussion in which multiple people specifically recommended Dr. Williamson for complicated implant work. www.reddit.com

Widner Elite Oral Surgery & Dental Implants
Widner Elite Oral Surgery & Dental Implants
Web
Address: 1500 W 38th St #51, Austin, TX 78731, United States
Phone: +1 512-452-3223
1500 W 38th St #51 — particularly worth considering if you may need implant removal, surgical revision, bone grafting, or another oral-surgery procedure. They're an oral/maxillofacial surgery practice with an implant focus.

If the problem is primarily with the crown/prosthesis

I'd consider a prosthodontist rather than a surgeon/periodontist. For example, Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. at 7800 N MoPac specializes in prosthodontics and complex implant restorations; the practice specifically describes treating patients with implant complications and extensive restorative problems.

If it were me, I'd start with Dr. Robinson or Dr. Williamson for an independent evaluation, particularly if another dentist already diagnosed you or is recommending removing/replacing the implant. I'd specifically ask for a second-opinion evaluation of the implant, surrounding bone/gum tissue, implant position, and restoration—not simply a quote for replacement.

Before the appointment, request from your current dentist:

• Your CBCT/3-D scans and all X-rays
• Implant brand/model and component information
• Surgical/operative notes
• Records of any bone grafting
• Photos/scans and crown/prosthetic records
• A timeline of when the implant was placed, restored, and when symptoms began

That can make the second opinion substantially more useful. www.mayoclinic.orgceramicdentalimplantcentre.com

If you tell me what complication you're having (pain, swelling, bleeding, loose implant/crown, bone loss, numbness, sinus problem, failed implant, etc.), how long ago it was placed, and roughly where in your mouth it is, I can narrow this down to the 2–3 Austin specialists I'd choose for your particular situation.

Yes. For an implant complication, I would favor a specialist over a general dentist—ideally a periodontist, prosthodontist, or board-certified oral & maxillofacial surgeon, depending on what has gone wrong. Implant complications can involve infection/peri-implantitis, bone loss, failed integration, nerve/sinus issues, or problems with the crown/implant bite, and sometimes more than one specialist is needed. www.mayoclinic.org

My first choices near North Loop

1. Melanie D Robinson DDS, MS — Periodontist / implant specialist
3305 Northland Dr, Suite 204 — very close to North Loop.
This would be my first call if the problem involves the implant itself, gums, infection, bone loss, recession, or possible peri-implantitis. Her practice specifically focuses on periodontal and implant surgery, including bone grafting and implant-related procedures. She also has a strong local review profile (4.9/5 from 119 reviews in the current business data).

2. Shoal Creek Prosthodontic Group — Prosthodontist
1500 W 38th St #34 — also very convenient to North Loop.
I'd particularly consider them if your complication is with the crown/bridge, bite, aesthetics, loose or poorly fitting implant restoration, or a larger reconstruction. The practice is prosthodontics-led and focuses on complex restorative cases.

3. Widner Elite Oral Surgery & Dental Implants — Oral surgeon
1500 W 38th St #51 — essentially the same convenient area.
I'd choose an oral surgeon for a complication that looks surgical/structural, particularly if an implant may need removal, there's significant bone involvement, or there are concerns about nerves, the jaw, or another surgical problem.

4. Central Texas Oral Surgery Associates — Board-certified oral surgery
3200 Red River St #400.
This is another particularly convenient option from North Loop. Their practice explicitly says they provide second opinions, including clinical examination and imaging such as 3D CBCT when appropriate. centraltexasoms.com

If it were me

I'd start with Dr. Robinson (periodontist) if you have pain, swelling, bleeding around the implant, gum recession, drainage, bone loss, or an implant that feels unstable.

If the implant is stable but the tooth/crown looks or feels wrong, I'd start with Shoal Creek Prosthodontic Group.

If you're being told that the implant needs to be removed, grafted, surgically revised, or there's possible nerve/sinus involvement, I'd get the oral surgeon's opinion before allowing anyone to operate.

One thing I'd specifically request when scheduling: “I'm seeking an independent second opinion for an existing dental implant complication. I would like a comprehensive implant evaluation and 3D CBCT if clinically indicated, rather than simply a routine dental exam.” A 3D scan can be important in complicated implant cases because it lets the specialist evaluate the implant's relationship to bone and surrounding structures. www.unionimplants.com

Also, don't let the original implant dentist's diagnosis be the only opinion you get—particularly if they're recommending removal or another expensive corrective procedure.

If you tell me what the complication is (pain, infection, loose implant, bone loss, numbness/tingling, crown problem, implant placed in the wrong position, etc.), how long ago it was placed, and whether it's upper or lower, I can narrow this down to the best 1–2 specialists for your particular problem.

For implant complications, I would lean toward getting a second opinion from a periodontist (gum/bone specialist) or an oral & maxillofacial surgeon, rather than only another general dentist. The key is having someone who can evaluate the implant itself, the surrounding bone, gum tissue, bite forces, and whether it can be saved or needs revision.

Near the North Loop / central Austin area, these are the providers I’d consider:

My top choices for an implant complication evaluation

1. Mike Williamson — Mike Williamson DDS MS
Best fit if you suspect infection, bone loss, gum problems, or peri-implantitis.

• Periodontists specialize in the tissues supporting implants.
• Uses 3D CBCT imaging as part of implant evaluation. www.williamsonperio.com
• Relatively close to North Loop (near Mopac/Northwest Hills). www.williamsonperio.com

2. Council Oak Perio
Best fit if you have swelling, bleeding, gum recession, drainage, or suspected peri-implantitis.

• Focuses specifically on periodontal and implant-related problems, including peri-implantitis evaluation and treatment. www.counciloakperio.com
• Very convenient from North Loop/Hyde Park/Central Austin. www.counciloakperio.com

3. Austin Oral Surgery (especially if there is surgical complexity)
Best fit if the implant is loose, fractured, poorly positioned, causing nerve/sinus concerns, or may need removal/replacement.

• Oral surgeons are often the right second opinion when the question is “can this implant be salvaged?” versus “does it need surgical correction?”

Also worth considering

• Myers Dental — offers implant dentistry and could be useful if you need a restorative dentist to evaluate the crown/abutment/bite side of the problem. myersdental.com
• Bedrock Dentistry — farther north, but has a combined general dentistry + periodontics/implant approach. www.bedrock-dentistry.com

For your first appointment, I would ask specifically:

1. “Do you evaluate failed or failing implants placed by another dentist?”
2. “Will you take a CBCT scan if needed?”
3. “Do you treat peri-implantitis and implant salvage, or only place new implants?”
4. “Can you tell me whether the implant can be saved versus removed?”

If you tell me what complication you’re having (pain, infection, loose implant, bone loss, bad bite, crown issue, implant placed recently vs years ago, upper vs lower tooth), I can narrow this to the most appropriate specialist.

Because this is a location-dependent medical/dental recommendation, I need your location rather than relying on an approximate IP location. You mentioned “North Loop area of Austin,” but I want to make sure I search the right area.

genui{"ask_user_location_v2":{"suggested_cities":["North Loop, Austin, TX","Central Austin, TX","Austin, TX"]}}

Once you select your location, I can look specifically for implant-complication specialists—ideally an oral/maxillofacial surgeon or periodontist with implant-revision experience—and compare their credentials, reviews, and whether they handle complex implant failures.

Yes. For an implant complication, I’d favor a periodontist or prosthodontist with substantial implant-revision experience, rather than starting with a general dentist. The right specialist depends somewhat on whether your problem is infection/bone loss, a loose implant, or a problem with the crown/bridge.

My first choice near North Loop: Council Oak Perio

Clinica dental
Address: 711 W 38th St, Austin, TX 78705, United States
Phone: +1 512-453-1600

711 W. 38th St., Suite G5 — very close to North Loop/central Austin.

This is the one I’d call first if your concern involves pain, bleeding, swelling, gum recession, bone loss, or a potentially failing implant. Council Oak specifically treats peri-implantitis, including cases where the goal is to preserve the implant rather than automatically remove it. Their practice is led by Dr. Christopher Bingham, a board-certified periodontist. www.counciloakperio.com

I'd tell them: “I have an existing dental implant with complications and I'm looking specifically for an independent second opinion and evaluation of whether it can be saved.”

Also very strong: Shoal Creek Prosthodontic Group

Shoal Creek Prosthodontic Group
Web
Address: 1500 W 38th St #34, Austin, TX 78731, United States
Phone: +1 512-451-7491

1500 W. 38th St., Suite 34

I'd consider this particularly if the problem is with the implant crown, bridge, bite, appearance, or full restoration, rather than primarily the gum/bone around the implant. They're prosthodontics-focused and specifically handle implant restoration, repair/replacement of implant crowns and bridges, and complex/full-mouth reconstruction.

Another excellent periodontal option: Austin Periodontal Associates

Austin Periodontal Associates
Web
Address: 7800 N Mopac Expy Ste 310, Austin, TX 78759, United States
Phone: +1 512-346-6097

7800 N. Mopac Expy., Suite 310

Dr. Andrew Verrett is a board-certified periodontist and Diplomate of the American Board of Periodontology, with specific training and certification in dental implant surgery. The practice provides implant and periodontal treatment and uses advanced imaging. www.austinperiodontal.com

If surgery/removal may be necessary

Widner Elite Oral Surgery & Dental Implants at 1500 W. 38th St. #51 is another nearby option. They're an oral/maxillofacial surgery practice with implant and reconstructive experience, including complex cases.

If this were my situation, I'd probably get two opinions rather than letting the original implant provider immediately redo anything:

1. Council Oak Perio — determine the health of the implant, gums and surrounding bone and whether it can be salvaged.
2. Shoal Creek Prosthodontic Group — independently evaluate the restoration/bite and the long-term restorative plan.

That's especially useful because implant complications can have different causes, and the appropriate specialist may differ. Mayo Clinic notes that implant care can involve a periodontist, oral surgeon and prosthodontist depending on the problem. www.mayoclinic.org

Bring to the second opinion: your original implant records, implant brand/model if you have it, surgical notes, previous X-rays/CBCT scans, crown/bridge records, and the original treatment plan. Ask them specifically whether they think the implant can be salvaged versus removed, what the bone levels look like, and whether the problem is surgical/periodontal or prosthetic.

If you tell me what complication you're having (pain, loose implant, infection, bone loss, gum recession, loose crown, bite problem, etc.), how long ago it was placed, and roughly where in your mouth it is, I can narrow this down to the one or two Austin specialists I'd choose for your particular situation.

Because you’re asking for a local dental specialist and your current location is only estimated (with location sharing off), I need your city/area confirmed before I recommend specific dentists.

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Once you confirm, I can look specifically for dentists/oral surgeons or prosthodontists who handle dental implant complications and second opinions, rather than just general dentists.

For a dental implant complication second opinion in/near North Loop Austin, I would prioritize a provider who routinely handles implant failures, peri-implantitis (infection/inflammation around implants), bone loss, implant removal, grafting, and revision cases rather than only placing new implants. A second opinion is especially useful when the cause of the problem is unclear or you’re being told you need major additional treatment. fusiondentalimplants.com

My shortlist:

1. Melanie D Robinson DDS, MS — Periodontist / implant specialist

Melanie D Robinson DDS, MS
Web
Address: 3305 Northland Dr Ste 204, Austin, TX 78731, United States
Phone: +1 512-377-5656
Why I’d consider her first: For many implant complications, a periodontist is a strong choice because they focus on gum and bone support around implants, including surgical management.
Best fit if you have:

• bleeding, swelling, gum recession, or bone loss around an implant
• suspected peri-implantitis
• concerns about implant stability or surrounding tissue

2. Widner Elite Oral Surgery & Dental Implants — Oral surgeon

Widner Elite Oral Surgery & Dental Implants
Web
Address: 1500 W 38th St #51, Austin, TX 78731, United States
Phone: +1 512-452-3223
Why: An oral and maxillofacial surgeon is a good second opinion when the issue may involve the implant itself, removal, bone grafting, sinus issues, or complex surgical revision.
Best fit if you have:

• a loose implant
• implant placement problems
• nerve/sinus concerns
• need for removal and replacement planning

3. Texas Periodontists — North Austin periodontal implant practice

Texas Periodontists
Web
Address: 12319 N Mopac Expy #160, Austin, TX 78758, United States
Phone: +1 512-222-5721
Why: Convenient if you want a more north-side option and a periodontal/implant-focused evaluation. Their practice focus includes gum health, bone support, and implant dentistry.

4. Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc. — Prosthodontic/implant restoration focus

Smile Boutique Implant Center | Dr. Afsaneh Rad, D.M.D., M.Sc., M.M.Sc.
Web
Address: 7800 N Mopac Expy Ste 260, Austin, TX 78759, United States
Phone: +1 512-458-5205
Why: If the complication is more about the crown, bite, aesthetics, full-mouth reconstruction, or the restorative design, a prosthodontist can be very valuable.

If I were choosing based only on the words “implant complications” + “second opinion,” I would start with:

1. Dr. Melanie Robinson (periodontal implant evaluation)
2. Widner Elite Oral Surgery (surgical opinion)

and, if the implant is structurally fine but the tooth/crown feels wrong, add a prosthodontist.

When you call, ask:

• “Do you evaluate failed or failing implants placed by another dentist?”
• “Will you review my CBCT scans and implant records?”
• “Do you treat peri-implantitis and implant salvage, or only place new implants?”
• “Can you give me an opinion before recommending replacement?”

Bring:

• implant records (brand/model if available)
• all X-rays/CBCT scans
• treatment plan and notes from your current dentist
• dates of implant placement and symptoms

If you tell me what the complication is (pain, infection, loose implant, gum recession, bone loss, bite issue, cosmetic issue, implant placed recently vs years ago), I can narrow this down further.

Yes. Since you’re dealing with implant complications, I’d favor a periodontist who specifically treats peri-implant disease and implant failures over a general dentist. In the North Loop/central Austin area, my first call would be:

My top pick: Council Oak Perio

Bedrock Periodontics
Web
Address: 4505 Spicewood Springs Rd Unit 100, Austin, TX 78759, United States
Phone: +1 512-660-5008
711 W. 38th St., Suite G5, Austin, TX 78705

This is particularly well matched to your situation because Dr. Christopher Bingham is a periodontist, and the practice specifically treats peri-implantitis, bone loss around implants, gum/soft-tissue problems, and failing implants. They also offer implant surgery and bone grafting. www.counciloakperio.com

They're essentially on the North Loop/Hyde Park edge, so the location is very convenient for what you're looking for.

Council Oak Perio

Why I'd choose them for a second opinion: if the problem is infection, inflammation, bone loss, gum recession, or whether an implant can be saved, a periodontist is specifically trained to evaluate the tissues supporting the implant. Mayo also notes that periodontists are the specialists who treat the gums and bone surrounding teeth and implants. www.mayoclinic.org

Another nearby option

Widner Elite Oral Surgery & Dental Implants at 1500 W. 38th St. is also very close to North Loop and is worth considering if the complication may require implant removal, surgical treatment, bone grafting, or another oral-surgery procedure. Local Austin discussions have also specifically recommended Dr. Widner for complicated dental surgery and implant work. www.reddit.com

One important distinction

If your problem is primarily with the crown/bridge, bite, aesthetics, or the overall restorative design, rather than infection/bone loss, I'd actually want a prosthodontist to give the second opinion. For a complicated implant case, the ideal evaluation can involve both a periodontist/oral surgeon and a prosthodontist. www.mayoclinic.org

If you tell me what complication you're having (pain, looseness, bleeding, bone loss, infection, crown breaking/loosening, numbness, implant placed incorrectly, etc.), how many implants, and roughly where in your mouth, I can narrow this down to the best 2–3 specialists in/near North Loop and tell you exactly who I'd see first.

If you're dealing with complications from an existing dental implant, I would favor a periodontist who specifically treats failing implants/peri-implantitis over a general dentist. Periodontists specialize in the gums and bone supporting implants, and they can determine whether an implant can be salvaged or needs removal/replacement. www.mayoclinic.org

My first choice near North Loop

Melanie D. Robinson, DDS, MS — 3305 Northland Dr, Suite 204
This would be my top recommendation for a second opinion. Dr. Robinson is a board-certified periodontist with advanced training in periodontics and implantology, and her practice specifically handles periodontal disease, bone loss, gum problems, and implant-related surgery. www.austinperiodontics.com

She's also very close to North Loop, and the practice has substantial patient-review history (4.9/5 from 119 reviews in the local listing).

Two other strong options

• Dr. Mike Williamson: Williamson Perio — 7200 N MoPac Expy #210. A board-certified periodontist with an implant-focused practice. He's particularly convenient if you're around North Loop/central-north Austin.
• Austin Periodontal Associates — 7800 N MoPac Expy #310. Led by board-certified periodontist Dr. Andrew Verrett, whose practice specifically provides diagnosis/treatment of periodontal disease, bone and soft-tissue problems, and dental implants. www.austinperiodontal.com

If your complication involves a loose implant, significant infection, severe pain, suspected nerve injury, or an implant that may need surgical removal, I'd also consider an oral/maxillofacial surgeon. Austin Oral & Maxillofacial: Quaroni Andrea L DDS is on MoPac at 7800 N MoPac #270 and handles implant-related surgery, bone grafting, and oral pathology.

For your situation, I'd start with Dr. Robinson. When you call, I'd specifically say: “I have an existing dental implant with complications and I'm seeking an independent second opinion, including evaluation for peri-implantitis, bone loss, implant positioning, and whether the implant can be salvaged.” Ask whether they want your existing CBCT/X-rays and treatment records sent ahead of time.

If you tell me what the complication is (pain, swelling, bleeding, loose implant/crown, bone loss, numbness, sinus issue, aesthetic problem, etc.), how long ago the implant was placed, and roughly where in your mouth it is, I can narrow this down to the best 2–3 specialists for your particular problem and compare their locations, credentials, reviews, and implant-salvage experience.

Yes. For an implant complication, I’d favor a periodontist who routinely treats failing/complicated implants, rather than starting with another general dentist. A periodontist can evaluate the gums, bone loss, infection/peri-implantitis, implant stability, and whether the implant itself needs treatment or removal.

My first choice near North Loop

Melanie D Robinson DDS, MS — 3305 Northland Dr., Suite 204
This would be my first call for a second opinion. Dr. Robinson is a board-certified periodontist and implant specialist, and her practice specifically handles dental implants, bone grafting, periodontal disease, and implant-related surgery. Importantly for a second opinion, the practice describes its approach as conservative and limiting surgery to areas where it's necessary. www.austinperiodontics.com

She's also reasonably close to North Loop, in the Northland/78731 area.

Melanie Robinson / Austin Periodontics

Two other options I'd seriously consider

• Dr. Mike Williamson: Williamson Perio — 7200 N Mopac Expy #210. He's a board-certified periodontist with a practice focused on periodontal disease, bone procedures, gum grafting, and implants. He is particularly convenient from North Loop.
• Austin Periodontal Associates — 7800 N Mopac Expy #310. Dr. Andrew Verrett is board-certified in periodontics and dental implant surgery and specifically treats periodontal disease, bone/soft-tissue problems, regenerative procedures, and implants. www.austinperiodontal.com

Austin Periodontal Associates

If your complication involves significant bone loss, a loose implant, nerve symptoms, sinus involvement, or an implant that may need surgical removal, I'd also consider getting an oral surgeon's opinion rather than relying solely on a dentist.

What I'd ask for at the appointment

Tell them you're looking for an independent evaluation of an existing implant complication, not simply another opinion on replacing the implant. I'd specifically ask them to assess:

1. Whether there is peri-implantitis/infection and how extensive it is.
2. How much bone has actually been lost around the implant.
3. Whether the implant is stable.
4. Whether the crown/abutment/bite is contributing to the problem.
5. Whether the implant can realistically be saved, and what the evidence-based options are.
6. If removal is recommended, why, and whether there is a reasonable conservative alternative.
7. What imaging is necessary—particularly whether a 3-D CBCT is warranted.

Bring all your existing X-rays/CBCT scans, implant records, treatment plan, operative report, and the implant manufacturer's information if you have them. Dr. Robinson's office specifically says the first visit includes evaluation of bone loss, loose teeth, bite and periodontal conditions, and asks patients to bring existing X-rays. www.austinperiodontics.com

If you tell me what the complication is—e.g. pain, swelling/pus, gum recession, bone loss, loose implant/crown, numbness, sinus issue, or an implant that was recently placed—I can narrow this down to the best 2–3 specialists for that particular problem and compare their locations, credentials, reviews, and approach.