Jess135

All on 4 Dental Implant Experience - Edinburgh, Scotland

hi DevonneP. Glad to hear that your husband has had the procedure done and everything is going great. I am sure he will be able to eat a normal diet before too long and give him more choices especially with his condition.

A lot has happened since my last post. At this point in time I have not had my problem resolved as I opted to have a second opinion from another specialist. I have discovered that the implant with the fractured screw is broken. As I am in the process of identifying the cause of this I am not able to elaborate on this. However I have been told that my problem can be resolved although this will entail either removal of the implant and placement of another, placement of another implant in another position or having a removable prosthesis on 3 implants if I do not wish to opt for the more extensive work. I am now relieved that I have more realistic options and will continue to update my post with my progress.

To update on my present position. I continue to have 3 implants and a broken screw within the implant. The specialist who I attend has not been very helpful and contradictory about my options and what he can do and has now advised me that may not be able to place the implant immediately following removal but cannot give a clear explanation of why not or give alternatives to this. He has now admitted that having only three implants would be unstable after saying they would be as strong as four as long as I did not chew toffee. He is essentially lying to me and insulting my intelligence. He is also now requesting to try a third attempt at removing the screw but I have lost all confidence in him due to his attitude. I have told him that I wish a second opinion and he tried to say that other than him there were only another 2 specialists with the experience to give me this in Scotland which is blatantly untrue. He suggested I get this second opinion from one of these specialists who is a colleague of his and would be involved in the removal of the implant. I have no intention of doing this and and seeking a totally independent opinion. I have been in contact with a clinic which has a team of dental specialists, who I hope can give me a full report on the present health of my remaining implants and also the state of the implant with the broken screw. I am hoping that following this I have the option to continue with treatment with this clinic. He has shown himself to be arrogant and intolerant in his behaviour towards me and I have lost all faith in his ability to resolve my problem and fear that he may not be totally honest about any problems that may arise. He does not appear to be concerned about the root cause of the broken implant and has no intention of investigating the cause. He also gave me a routine x-ray to look at the implant and said that there was some bone recession around the end of the implant but that the remainder of it looked OK. He was unable to see the screw. I was not given any reassurance re the recession of the bone or explanation about the possible consequences. He didn't explain why he required the x-ray and I was quite annoyed that he was very matter of fact about not being able to see the screw. When I asked How he intended to proceed if I required removal of the implant and replacement, he would only say if the screw could be removed I wouldn't need to bother about this as the problem would be resolved. In my opinion this would not be resolved as he has not given any reason for it breaking in the first place other than saying 'screws break.' With reference to your question about dental implants in Budapest, even if you had an excellent treatment plan and went ahead with having them done there you would really need to be sure you had a specialist willing to follow up your aftercare as it is very important that you have regular follow-up maintenance appointments and if anything should go wrong you may have difficulty in getting the treatment you need to resolve the situation. There are some specialists within the UK that have arrangements with specialists in some of these countries and you can go and have the implants placed overseas and they will continue with your aftercare. Maybe there are some specialists in your country (if you don't live in the UK) who offer this. I hope you find the answers to your question and get the treatment you need.

Thank you. I am now in the process of getting a second opinion as I continue to have problems resolving my situation. My present dental specialist has attempted twice to remove the screw without success and I have again attended a few days ago to have a consultation with regard to trying to resolve situation. He has offered to try and remove it again with another tool but has been very arrogant and insisting that he will not take any responsibility for removing or replacing a new implant financially so if I continue with his strategy which he cannot guarantee success I will be thousands of pounds in sterling out of pocket and be back to square one. I am now going to pay £290 for an independent consultation, examination and report on the condition of the implant system and have told my implantologist that I am seeking a second opinion. I will then make a decision on the way forward which if agreeable to another specialist I will pay to have the work done by him as I have lost all trust in my present dental specialist. I will also consider a complaint to the General Dental Council in the UK and may even look to legal action. He was insistent that 'all guarantees were well gone.' and he would only give me the implant as a token of goodwill, but not the work carried out free of charge. He is only offering this as previously I had told him I was aware that all the organizations that sold implants guaranteed them if they failed for many years from around 10 years to a lifetime. He is even reluctant to give me an estimate of the work that may be required to be carried out saying that this could change dependent on the outcome of various procedures so essentially I am in the dark as to costs etc.

thank you for your advice. When I had an initial consultation with the dental specialist I was only given the option of 4 implants and I took his advice as I wasn't aware of any other suitable treatment. I had been wearing dentures for quite a number of years and would have had significant bone loss but the option of bone augmentation was not discussed with me. I think the all on 4 was a new technique for him and he probably saw this as a pioneering treatment. A few other dental specialists have suggested my bite is causing problems. Unfortunately my own dental specialist has not mentioned this and has only suggested in an indirect way that my own bottom dentition was causing pressure on the bridge. I am aware of clicking in my temporomandibular joint which has been a long term issue. I wasn't aware that it caused problems with the position of my bite. I was given some exercises from a physiotherapist who was treating me for whiplash a few years ago and will begin to do these regularly to see if it improves things. The problem with the implant is the screw within the abutment is fractured and not the implant itself which is sound with no fracture to this. My dental specialist cannot remove the screw hence advising that the implant requires removal. He has not given me the option of placing more implants even though I have suggested that 4 may not have been enough. He not longer advertises this system and now recommends that the maxilla should have a minimum of 6 implants. I feel he is reluctant to admit that my problem may be partly or wholly due to too few implants and has only given me options to either try to restore the implant and adjust the bridge, to revert to dentures, or live with 3 implants which will I am sure would end in disastrous consequences quite quickly with even more damage occurring. I really have no other option at this stage but to agree to the removal and immediate placement of another implant. I am very grateful for all the advice I am being given as it is giving me some other options that I may be able to consider in the future. I feel I am a bit restricted at present as I do not believe that any other dental specialist would consider taking on my present problems with the complexities of my present problems.