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Implant recession

User Level:
Patient
Posted by: dphob1  (8 years 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?
User Level:
Dentist
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.
Posted 8 years ago
User Level:
Patient
Posted by: dphob1  (8 years 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.
User Level:
Dentist
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.
Richard from www.dental-health-advice.com
Posted 8 years ago
User Level:
Patient
Posted by: dphob1  (8 years 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.
User Level:
Dentist
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 8 years ago
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