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FAQ:  Implants

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I had implants placed on my bottom back two teeth seven years ago and have been trying to correct the bite once crowns were placed.

I found out the crowns were placed too far in due to the placement of implants. I had custom abutements and crowns placed and full mouth crowned. I now have more pain than ever.

Muscles pulling and spasms, dizzy and scared. It feels like the jaw muscles want to go back to the position they have been in for the last seven years. The pain is excruciating and I not sure this specialist knows what to do.

He thinks a lot of the pain is anxiety ... which it is not. I have trouble eating, sleeping and functioning. What do I do now? ... Visitor from Springfield

This type of issue is not at all uncommon and usually stems from a general dentist that refers patients to a specialist for implant dentistry... and then the patient returns to the general dentist for final restoration.

Unforeseen things can occur.... the specialist placing the implants oftentimes is focused "only" on getting the implants placed. Bone quality issues can pop up at the last minute and may "force" the implant to be placed in such a way that solid bone is assured... (good for the bottom end of the implant) but the top, or restorative end has an unusual position.

Most implant "specialists" are oral surgeons and periodontists.... at least in the old days. Because of these types of restorative headaches... the more accomplished dentists become skilled in implant dentistry. The net benefit of using this type of dentist assures that additional treatments will be recommended/provided to assure that bite dynamics are perfect or at least normal.

Last year we became aware of a patient whose ENTIRE lower jaw of implants all had to be removed. Placed by an oral surgeon.... they keep being "repositioned" to assure ideal bone anchoring... but the restorative "ends" of the implants (abutments) emerged from the gum tissue at a 45 degree angle. A sad case, to be sure.

A good place to start to get this corrected is with a Prosthodontist with a minimum of 15 years experience.... or a general dentist who places his/her own implants and has similar experience.

Your bite has definitely been affected. Prosthodontists are the "masters" of the adult bite. A general dentist with similar "experience credentials" will possess a similar working knowledge of implant dentistry and bite dynamics.

Editorial Staff

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