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I’d agree that removing a mold shouldn’t have been enough to cause an implant to fail, presuming it had properly fused with your jawbone. Ask your dentist to explain why the implant failed, whether they think it could have become infected or had failed to bond with your jawbone, or if it failed for some other reason. They will have your medical history and your x-rays and CT scan, so they should be able to work out what went wrong. Have they suggested reinstalling the implant? This is often possible once the site has healed. Otherwise, get a second opinion from another implant dentist.
I can see what your new dentist is concerned about and why they wish to reinstall your implants. This could be the best way forward, to ensure that ultimately your dental implants are a long-term success. It may be worth seeking another opinion to see if there is a good alternative to removing them, just in case.
I’d be guided by the advice of your neurologist if he thinks numbing the facial nerve could help relieve your headache. If the nerve has been damaged during implant insertion, then removing the dental implants might not necessarily relieve the pain. I’d see if numbing the nerve is helpful first, before making any decision about removing the dental implants.
Dr. Prafull Das Gupta has given some good advice, especially about opting for full dental implant treatment rather than mixing dental implants with a partial denture. I’d definitely begin with getting some quotes from local implant dentists so you have a better indication of a reasonable price. However, the costs can vary according to the type of dental implant used, as some dentist will use generic implants that are less expensive, while others will use implants from one of the well-known implant companies. It will be easier to get components replaced if your dental implants are a well-known brand. You also mention you lost your teeth due to ill-health, so a good implant dentist should be able to tell you if this will affect treatment and if so the chances of success.
I’m so sorry to hear of all your dental problems. I’d get in touch with your local dental association, or with your local dentist to find out if they run any, or are in touch with any charitable organizations. Many dental associations hold charitable events where they provide free dental care to people who need it or may know of other programs that could help someone in your position. Hopefully, if you can reach out to one of these programs they will be able to suggest a solution for your problem.
This doesn’t sound right at all, as all these component parts should be thoroughly clean and free from blood or other types of contamination. Ask what your dentist intends to do to fix this problem, and I’d get another opinion. If you can, try to find an experienced dental implant dentist or an oral surgeon who routinely places dental implants and who is willing to take a look and listen to your concerns.
I’d think the fourth dentist has made this recommendation based on where they wish to insert the dental implants, so if their treatment plan is slightly different from the other three, then they could intend to place the implants near to the sinus cavities. In this case, a sinus lift could well be needed. However, if their implant placement differs from the other three dentists, I’d question why they wish to insert the implants near to the sinus cavities and why they feel this treatment plan is advantageous. If the other three dentists also intend to place dental implants near the sinus cavities but all feel a sinus lift is unnecessary, they I’d ask them why they don’t feel a sinus lift is needed.
If the pain hasn’t improved then return to your dentist to see how they can help you. They can re-check to see if the crown is still too high. If it is affecting the opposing molar then it seems unlikely that the problem is due to the actual implant post, especially if there aren’t any signs of inflammation or infection. I’d be more inclined to think the crown isn’t biting together with your lower tooth correctly.Your dentist will be able to carry out more diagnostic tests if necessary to discover why it hurts.
You could ask another dentist for their opinion, but it is also worth trying to ask your present dentist why they don’t feel a bone graft is necessary and why you are having these problems. When an angled dental implant is placed, it is often inserted towards the front of the mouth as this is where the bone tends to be thicker and stronger, so it might be that a bone graft is unecessary. Talk to your dentist to see if they can help your current denture fit more comfortably and securely.
It may be possible to go back to old-style dentures but talk to the dentist to find out just how stable these dentures will be. Dental implants make it easy to eat a good, nutritious diet that could help your father to maintain good health. This might not be so easy if he were to return to conventional dentures. I’d also talk to the implant dentists to find out more about the surgery they’d suggest. Surgical techniques could well have changed considerably since your father’s original implants were fitted and surgery and recovery could be more comfortable and faster depending on the technique used.
I’d return to your endodontist to ask if the bone graft will settle down over time as it heals, or if it will need further shaping in preparation for the dental implant. While it is important for there to be sufficient bone for your dental implant, the shape of the bone and the gum tissue also affects the aesthetic outcome of treatment and whether the implant tooth feels comfortable and is easy to keep clean. If you are not happy with your endodontist’s explanation, definitely seek a second opinion.
Sorry to hear about your pain, and that you have been unable to get a satisfactory explanation from your dentist. An allergy to the titanium alloy used in dental implants is very rare but not unknown and could cause symptoms similar to peri-implantitis. If they suspect this, then you need to know what they intend to do to ensure it doesn’t happen again when the procedure is repeated. It is possible to use zirconia dental implant posts that are metal-free but still extremely strong. They should also talk to you about your pain and numbness, whether they think this is permanent and how they intend to approach replacing the dental implants so it doesn’t worsen any nerve damage. If you can’t get a good explanation from them, seek a second opinion before undergoing another dental implant procedure. You might also want to ask for a referral to a pain clinic so they can help you manage any long-term damage to the nerves.
I’d ask your dental implant dentist to demonstrate the right way to remove your dentures. If they are fitting too tightly, they will be able to adjust them so it isn’t a problem to get them out. Levering them out with your toothbrush could put stress on the denture, so definitely get a professional to look at them.
Hi,
I agree with Anonymous. Properly made and fitted crowns shouldn’t come off that frequently. It suggests either your teeth weren’t prepared correctly, or the crowns may not fit well, or both. I’d definitely get a second opinion. You need properly fitting crowns to prevent the teeth underneath from becoming decayed and infected.
Hi,
It sounds as if your surgeon is being very reasonable and is trying very hard to fix this for you. Would they be able to use a different kind of bone graft material? Have they discussed your case with colleagues who might be able to offer some insight? Otherwise, I’d get a second opinion from another oral surgeon, to see if they can suggest a way forward.