My crown was loose after the dentist fitted my dental implants. When I went back in to see the dentist he looked everything over and did an x-ray. He said everything checked out and the implant in my jaw looked just fine. The only thing that needed to be fixed was that the crown needed to be cemented again. He made it sound like it was no big deal. Next, he tried to remove the loose crown using a special tool and the entire implant came out! The look on his face told me he was just as surprised and mortified as I was.
Does this sound like an accident? Should the dental implant withstand the force required for removal of a crown under normal circumstances?
-Jeffrey in California
Based on what you have described, it is clear that the dental implant was the problem the whole time. The implant was loose and not your crown. If a porcelain crown isn’t fitted correctly, it will come off very easily if it hasn’t already come off by itself. There shouldn’t be a circumstance where a special tool is ever required for the removal of a loose crown.
Sadly, based on what you have shared and by the look on the dentist’s face, he was in way over his head. Implant dentistry takes extensive training and experience beyond dental school. Not every general dentist can successfully place dental implants. Unfortunately for you, it sounds like the dentist was trying to cover up the loose dental implant by re-cementing the crown. It would have only been a matter of time before the entire dental implant would have come out. Far too many patients deal with failed dental implants and have to learn the hard way.
A loose dental implant can be caused by many things. It is possible that the crown was placed too soon before the dental implant had enough time to fuse with the bone, a process called osseointegration. Or it is possible that the implant wasn’t strong enough to endure the force placed on it from the crown. This could mean that the bone density in the site where the implant was placed was insufficient.
Still another possibility is that you were dealing with some kind of infection. But, you would have most likely been in a great deal of pain if there was an infection. So, it doesn’t sound like infection was your issue.
Replacing a dental implant is not a simple process either. The bone will have to heal and fill into the area where the dental implant came out. Also, it is quite possible that you may need bone grafting done, which will help build up the bone in the area because it sounds like there may not have been enough bone from the beginning.
At this point, the dentist you have been seeing is not skilled to handle your situation. It would be wise to seek a second opinion and find another implant dentist in your area. Be sure to check their credentials and ask about their success rate placing implants, as well as cases similar to yours. The original dentist should absolutely refund you for the failed procedure.
This blog is sponsored by Dr. Rick Lane is an implant dentist located in Petaluma.