The most likely scenario in this case is an occlusal issue (high bite on temp or permanent crown). I would have your dentist re-eval the "bite" and that likely will resolve your issue. Failing root canals, etc are possible.. but unlikely. Hope this helps. Dr. K
Any of the crowns that contain no metal are biocompatible (all porcelain). In general the strength of the crown and the “beauty” are inversely proportional to each other. In other words, the stronger the crown the less beauty it has. This has to do with the translucency of the material. Most indications do not require the strongest crown... therefore a good lab technician can create beautiful and strong restorations. The feldspathic porcelains are still the best looking ... even though they have been around for years!! Of course, no crown will stand the test of time if the dentist has not paid close attention to factors such as occlusion and attention to detail.
Typically there is very little post-op pain with implant placement. When there is more than mild discomfort immediately after the placement, it could be that the implant was torqued really tightly during insertion.. which is not necessarily a bad thing. Also, if there was a considerable amount of gum tissue manipulation, extra pain can be expected. Additionally, the implant could be pressing on a nerve canal or creating inflammation around a nerve canal that is causing the uptick in pain. This would normally be the an issue with implants on the lower arch and not so much the upper arch.. and also would include some numbness feelings as well. Any pain immediately after implant placement is not attributable to infection as that will take 2-3 days to settle in and usually will be accompanied by swelling around site and also pus. Be patient and I wouldn't be surprised to see the pain decrease considerably over next day or so.
Hi, Typically it is safe for a healthy adult to be sedated for up to 3 hours without any major risks, assuming the correct monitoring equipment is in place. There are lots of variations to patient responses to sedation but assuming that your sedation proceeds as planned.. the amount of work that can be done will be limited only by the efficiency and expertise of the dentist. It's all in the planning! Hope this helps
Typically one should wait about three months before getting a CBCT scan for implant planning. It typically takes this amount of time for the bone that’s forming to mature enough and actually show up on the scan, which essentially is a three-dimensional x-ray for hard bone tissue. This would give the most accurate image for planning purposes.
