Q. Dear Dr Caplan I had a dental implant fitted approximately 15 yrs ago following a facial injury from a RTA. The implant is now loose and although I have visited two cosmetic dentists to get it tightened, it has come loose again each time. The second dentist I visited stated that ‘it was on its way out’ and I needed to consider getting a new one fitted as soon as possible. However, my top jaw would need a further bone graft and not only do I not have the money currently for this procedure as I’m studying at university and have a bursary only, time is also an issue as I cannot take time off from studying. My question is, what chances are there that my implant will just suddenly fall out and should this happen could I revert back to a plate should my implant fall out just to tide me over until I can afford to get a new implant. I am rather anxious as this implant is for my top front teeth and I can’t get by without them.,