Should I save this implant?

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I have a 10-year old implant in my #11 tooth, which has now suffered a significant amount of bone loss, along with a diagnosed peri-implantitis. I have visited a couple of dentists and they differ on whether the implant is worth saving. Also, there are competing opinions on whether to use autograft vs bovine-based graft, but this, I think, is the less relevant issue.

Saving the implant was argued compellingly, as the least invasive course of action. The implant itself isn't moving. Of course, the price is also compelling, vs the alternative.

The alternative is to remove the implant altogether, which is almost 3-fold more expensive, but was argued that it is the safest, most prudent bet... while at the same time, this dentist was a bit pessimistic about the possible success of the new (auto) graft, adapting... saying that my case has a high risk of failure.

So I'm confounded as to whether the first is overly-optimistic, or is the second just covering for himself, or non of the above (I appreciate the notion that, in healthcare, there are no guarantees).

Any opinions? Here is an image of the implant.

image

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