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Implant recession
Posted by:
dphob1
(5 months ago)
I had my final crown placed on an implant at #19 about 10 weeks ago. All was going well until I developed some tenderness/pinching especially when using a water pik to clean, then I felt a ledge with my tongue. Now I can clearly see the abutment-it looks as though I have some pretty significant recession over night. My implant looks like a tooth on a metal stick...am I in trouble? Am I headed for implant failure. Plan on seeing my dentist in a few days, just don't know what I'm in for?
I had my final crown placed on an implant at #19 about 10 weeks ago. All was going well until I developed some tenderness/pinching especially when using a water pik to clean, then I felt a ledge with my tongue. Now I can clearly see the abutment-it looks as though I have some pretty significant recession over night. My implant looks like a tooth on a metal stick...am I in trouble? Am I headed for implant failure. Plan on seeing my dentist in a few days, just don't know what I'm in for?
I am not sure. Usually recession occurs over several years, not weeks. Possibly you aimed the Water-Pik down at the implant. Recession around implants can SOMETIMES be fixed with gum grafts. You need to check with the surgeon who placed the implant.
I am not sure. Usually recession occurs over several years, not weeks. Possibly you aimed the Water-Pik down at the implant. Recession around implants can SOMETIMES be fixed with gum grafts. You need to check with the surgeon who placed the implant.
Posted 5 months ago
User Level:
Patient
Posted by:
dphob1
(5 months ago)
Thanks for the response. Did x-rays, photos, probing.... Since it's a molar and feels solid we are "watching" it. He said may be just settling, not like a front tooth were you need 2mm of soft tissue depth to hide the abutment. Looks odd to me, for the amount of money it costs, but I'm not going to ask for trouble. X-ray showed no retained cement in the sulcus, which was the primary suspicion and common he said.
Hummnnn. Recession can occur at any time. It's doubtful that you did anything wrong. More likely that the implant was not positioned correctly. The dentist's comment about cement is rather odd. Small amounts of cement would not be visible on an X-ray. But in any case, if the edge of the crown is now well above the gum, then any cement would be visible to the naked eye.
If the top of the implant is visible, it has an increased risk of failure in due course, I'm afraid. But it could remain firm for some years.
If the top of the implant is visible, it has an increased risk of failure in due course, I'm afraid. But it could remain firm for some years.
Richard from www.dental-health-advice.com
Posted 4 months ago
User Level:
Patient
Posted by:
dphob1
(4 months ago)
Hoping to get the pics he took to upload. This was my general restorative dentist- he said he wasn't worried about it and wasn't even going to send me back to the OS/Perio (implant team). So what do you suggest I do....Go around him? that's a dent in trust, be honest and say I want their opinion anyway? I don't want to get a few years out and end up paying another 4 grand for a "tooth" that is doomed.
Yes, ask your general dentist to refer you back to the implant dentist. As Henrius has said, it may be possible to carry out a small grafting procedure to help things. The implant dentist is the one who has the responisbility for the implant. Your general dentist should not have a problem with this, except that if he has to remake the crown then he will bear the costs for this, which may be why he is telling you everything is OK.
Richard from www.dental-health-advice.com
Posted 4 months ago
User Level:
Patient
Posted by:
dphob1
(4 months ago)
considering the very first crown made didn't fit, never was seated and had to be re-done, I could see where a third crown starts to turn things into a cash loser for him. But ethically I trust him. I'm back in January, I'll reopen the discussion. Based on the recent implant graft story in another post - not sure I want to jump up and down and say do that to me.
User Level:
Patient
User Level:
Patient
Posted by:
Gary24
(4 months ago)
I had a similar experience while looking for San Ramon dental implants. I visited Dr. Jin. Dr. Jin was very comforting and I would recommend to anyone.
Well, the implant looks perfectly positioned from that X-ray, except that it could probably do with being about 2mm deeper into the bone. The big nerve that runs along the lower jaw is not visible, and the implant surgeon may have been concerned about keeping away from it. But there's no doubt in my mind that in an ideal world the implant should be deeper into the bone. But I'm not familiar with all the issues in your particular case. There may have been very good reasons for it to end up where it did.
Richard from www.dental-health-advice.com
Posted 4 months ago
User Level:
Patient
Posted by:
dphob1
(4 months ago)
Thanks,
I have no idea. I have 6 implants and it is the shortest. Here's my immeditate post op scan - looks like it's a comfortable distance from the nerve to my untrained eye. The implant feels solid, just unslightly from a cosmetic perspective, but it's not visible when I smile. My dentist did send the pics - xrays to the impant team, something about "tissue like mine" and thin attached gingiva and lingual recession being not uncommon.
I have no idea. I have 6 implants and it is the shortest. Here's my immeditate post op scan - looks like it's a comfortable distance from the nerve to my untrained eye. The implant feels solid, just unslightly from a cosmetic perspective, but it's not visible when I smile. My dentist did send the pics - xrays to the impant team, something about "tissue like mine" and thin attached gingiva and lingual recession being not uncommon.
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