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Hi Jane,
The O-rings on an implant supported denture do wear out over time. Contact your dentist for more advice on caring for and maintaining your dentures as they will be able to tell you how frequently the O-rings should be replaced. This should be a very straightforward job.
Best regards,
Ali
AskAliParticipantHi Frank,
I’d follow the advice of your implant dentist as to how long to wait before placing another implant. They will be able to assess your bone graft and can tell you when the area is ready for further surgery. I’d also ask if they have any suggestions about how to avoid infection in the future so you can give your next implant every possible chance of success.
Best regards,
Ali
September 15, 2015 at 6:59 pm in reply to: Can an Existing Crown Be Ground Down or Built Up to Change it’s Shape? #1690AskAliParticipantHi Roger,
It may be possible for the crown too be ‘built’ up by a dental technician adding additional ceramic material to the crown, or they might choose to remove all the ceramic material before remaking the crown. This shouldn’t affect the integrity of the crown as any cracks should be evident before it leaves the dental laboratory and before it is fitted.
However, it might be worth seeing another dentist for a second opinion on the placement of your implant as you mentioned it seemed very close to the adjacent tooth. Grinding down a crown so you can floss could potentially affect the integrity and strength of the crown. It would also be interesting to get another opinion as to why your teeth have apparently shifted position to such a degree in a relatively short space of time.
Best regards,
Ali
September 15, 2015 at 6:43 pm in reply to: Still in Pain 2 Weeks After Surgery, is There a Problem? #1689AskAliParticipantHi Cheryl,
It would be reasonable to expect your oral surgeon to take an x-ray, if they haven’t so already. If your oral surgeon won’t take an x-ray or doesn’t seem willing to try to find out why you are in discomfort, I’d think about seeing another dentist for a second opinion.
Best regards,
Ali
AskAliParticipantHi,
The implant does look quite close to the adjacent tooth, but if it has settled down and isn’t causing any pain or discomfort then hopefully it is okay. Have you asked your dentist why they inserted it in this position and discussed your concerns with them? If you are worried, I’d suggest getting a second opinion from a dentist who routinely places a lot of implants.
Best regards,
Ali
AskAliParticipantHi Marcel,
I’d agree with Dr. Sammy as you cannot reinstall the same implant once it has failed. At the very least, the implant site will need time to heal and must be properly evaluated to see if a bone graft and re-implantation with a new implant can be attempted at a later date. It would also be useful if your dentist could tell you why the original implant failed.
I hope you find a good solution.
Best regards,
Ali
AskAliParticipantHi Buddy,
Dental implants do need several months to integrate with the bone so perhaps your implant dentist was trying to ‘load’ them too soon after surgery but it would be nice if they gave you more explanation. I think I’d ask them why there was pain, what additional work has been done to the implants and how this will help.
I’d also agree with making sure your implant dentist has lots of experience as it really does matter, particularly for multiple implants or if anything goes wrong. Don’t just pick someone who only places an occasional implant. Don’t be afraid to ask questions until you completely understand and it’s down to your dentist to make sure they explain things properly. Just to add, you do need more dental implants in your upper jaw than in your lower jaw to retain an entire arch of teeth.
Best regards,
Ali
September 15, 2015 at 4:06 pm in reply to: Implants Placed at the Wrong Angle Went Right Through the Bone? #1685AskAliParticipantHi Dawn,
I think I’d agree with Dr. Octavian. If your implants haven’t caused any pain or discomfort for the past seven years then I’d leave well alone, even though it is possible they are slightly too long or at the wrong angle.
All-on-4 can be a great solution for replacing an entire arch of teeth, but it might be worth you getting a second opinion from another implant dentist offering this service. Most will give you a free consultation so you should be able to get some approximate costs. If you have any dental or medical insurance, check with your provider to see if they will cover any part of this treatment. Although most providers still view dental implants as being cosmetic, it’s possible they may meet some of the costs.
Hope this helps.
Ali
March 27, 2015 at 10:28 pm in reply to: Gum Tissue Grows Over Implant Post – Painful to Fix With Laser #1225AskAliParticipantHi Etta,
Sorry to hear about your problem. I think the best option would be to see another implant dentist to get a second opinion on your gum health, the fit of your denture and the implant fixtures. It shouldn’t be possible for gum tissue to grow over an implant post if everything is healthy and fitting as it should and another dentist might have a better and less painful solution than a laser.AskAliParticipantHi,
I’m so sorry to hear your implant is painful.
I’d ask your implant dentist to re-examine the implant and old scans and to take fresh scans if necessary, just in case the implant is too close to a nerve. It is also possible that the temporary cap was placed too soon, before the bone had a chance to fully heal and is rather sensitive whenever you bite down. Check that the temporary cap is not too large or too high as this will interfere with your bite, increasing the pressure on the dental implant whenever you try to chew.AskAliParticipantHi Anthony,
I’d agree with the previous reply. It is quite possible your problems are due to an infection, and there is a tiny chance it could be due to an allergy, particularly if the bone graft was derived from bovine material. You shouldn’t have had these symptoms for three weeks and your surgeon may need to remove the graft. Once the area has healed then you can almost certainly have another bone graft so you will still be able to have your dental implant.
AskAliParticipantHello,
I’d seek a second opinion from another implant dentist or from your general dentist because you shouldn’t be able to taste blood every morning. It is quite possible that the taste is not related to your dental implants, particularly if you have been experiencing this symptom for several years and don’t have any pain or other problems with the implants, but it is important to get a proper diagnosis and hopefully a solution.AskAliParticipantHi, Yes you probably do need to get the O-rings replaced by now as they do need changing fairly frequently but it is worth getting your dentist to check the fit of your denture just in case it needs adjusting. It is very simple to replace o-rings and your dentist will be able to do this for you. Some dentists will show patients how to change o-rings and will simply supply them, while others prefer you to return to their dental office. Either way, it shouldn’t be expensive to get them renewed.
AskAliParticipantI agree that dental treatment can be very expensive. I imagine a dentist would argue that they have spent a lot of time and money, and hard work on their qualifications and dental materials and equipment are very expensive to buy. My best suggestion to anyone looking for affordable dental care would be to contact dental schools in your area. Appointments will take longer but students are closely supervised. There may well be a charge for treatment but costs will be lower. Dental tourism might be worth considering, but bear in mind that if anything goes wrong then you may have trouble getting it put right.
AskAliParticipantGenerally speaking, it is better to have a failed tooth removed as soon as possible to avoid further damage to the surrounding bone, and to have an implant inserted soon afterwards. Most people’s jaws have finished growing by age 18 so it is possible to have implants at this age but this is something best determined by your dentist. If you are worried about your dentist’s experience, ask what kind of training they have completed in placing implants as even though they are young they may have undergone extensive training. Alternatively contact one of the dental schools in London for advice.
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