I was getting older and often joke that my family may be strong of character but weak of chin. I was extremely disturbed by how my face was aging.
Screw retained vs. cement retained....... That is the question! The answer is dependent on so many factors like the amount of available bone, the condition of the adjacent teeth, the length of the adjacent teeth etc. In a "normal" case, I would always opt for a well made ceramic cement on as there are many ways to ensure that there is no excess cement when performed by a trained implant dentist. It is difficult to know who this is. My suggestion is to work with a board certified OMS who can refer you to a Prosthodontist trained in implant restorations to get the best results. Always ask to see real photos (see my web site) of their own patients.
If the implants were placed intraorlly, the 2 nd to 3rd week is the time infection can occur. Since there is some discharge, it should be sampled and sent for a culture to determine which bugs are growing on it. Tis is the best chance to salvage it as well as constant irrigation in the area of the incision with an antibiotic solution of Peridex 3 times a day. If it doesn't resolve by the 6th week it should be removed, allowed to heal and replaced after 4 to 6 months.
It sounds like you have a loose tooth that should be professionally evaluated. Once a diagnosis is made, with the correct x-rays, it will tell us if the tooth needs to be removed and what the other teeth surrounding the area look like in terms of their health. If the rest of your teeth are healthy then a dental Implant is the likely answer. Seek professional help.
Here is what you should do. See a qualified Oral and Maxillofacial Surgeon for a CT scan for an objective view and specific measurements. We need to know if there are bone or soft tissue problems and if there is any pathology that may need to be treated first. Next after a real diagnosis has been made, your will be given options for treatment. Anything is possible for a craniofacial surgeon, the important thing is managing your expectations.
However, if this is something you wish to be corrected, it can! But, here is the way to go about it. first, you want to discuss your diagnosis and treatment plan with an orthodontist who has training in orthographic surgery. Next you want a referral to a qualified OMS surgeon, who has years of experience and facial cosmetic surgery training as well. Go for a consult and should have a CT Scan there to sow the assymmetry and then a real diagnosis can be made. You may need jaw or just chin surgery for the assymmetry. Your nose is a separate matter and should be addressed by a nasal surgeon who can deliver your expectations of a straighter nose and build up the nasal bridge. This is what I do every day, it is called treatment planning
