Gum Recession and Implants: I had 3 implants put in 3 years ago along with caps. The middle
implant is not settling correctly after 2 treatments of bone additives.
I recently had an infection. My dentist has now suggested removing the one implant and allowing the bone to heal and then possibly reinstalling it. From the onset, I loved the functionality of the implants but never liked the caps or gum line after the implants.
I now can see all the stem of the implants, the gum does not cover it. This is upsetting since with a bridge, the gum meet the false tooth, with the implant there is a gap and now all I see is metal. Can you please advise what my next step should be. ... Visitor from NJ
From your question it seems that you are frustrated with the look and function of your mouth and teeth.
The symptoms of Yellow teeth and receded gums might possibly be due to a long term Bruxism (grind of the teeth) problem. What happens is that the nerve inside the tooth is consistently being traumatized and starts to wall itself off from the trauma by laying down new hard inner material of the teeth, (Dentine).
This new dentine is darker in color and shines through the tooth to give an ever increasing yellowing of the tooth. This is part of a natural aging process and is what is addressed by bleaching the teeth.
The receded gums also may be coming from a grinding of the teeth habit.
Allow the following analogy:
You want to remove a pole from the ground, instead of just lifting it out you would rock it back and forth which would make the hole larger and eventually loosen the pole and make it fall out. What if this pole was situated next to a cliff. You would expect the dirt on the non-supported side of the cliff to fall away and not the dirt which is on the plateau side. Think of your cheek side as the cliff and the roof of your mouth as the plateau. The grinding habit is rocking the teeth back and
forth and the cheek or lip side of the gums are receding.
All of these problems have solutions, such as bleaching, veneering, crowns, a bite plate, gum and bone grafting, bonding, etc, etc,. You should have the best solution arranged for you.
Extracting the 4 back teeth, if they are not wisdom teeth, may not be a good solution. You need the posterior support to take pressure off the front bite.
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