Dental Implants

All-on-4 Dental Implants

Hi @stanle,
You've had some bad luck there, sorry to hear that. Pure bad luck is possible, but there may have also been procedural aspects that led to this - it's impossible to know over the internet, but perhaps this is something the dentist or surgeon can discuss with you. Sometimes it may be useful to graft first and then after a few months of maturation, the dental implant, depending on the circumstances, if you have had previous failures. Of course, such advice can only be given after a full assessment of your situation. If an abscess has formed at the end of an implant, deep in the bone, it could be an indication that there was infection present dormant in the bone, that was not evident before, from a previous dental or implant infection. There may also be medical factors at play. I suggest that you seek a second opinion and new assessment from an experienced implant dentist, as there may be a lot to discuss to give you the best advice.

For one of my top front teeth (#10) - extraction and insertion of dental implant with bone grafting material. Approximately 6 months later, the dentist opened up the implant and it did not integrate and therefore had to be removed. - a few months later, another dental implant was placed by an oral surgeon using some of my own jaw bone. 6 months later, the implant was uncovered and was deemed stable. A temporary crown was placed and within a few weeks, an abscess formed above the implant.

Dental implant has failed twice, should I try again? Emotional and physically exhausted from ongoing issues (also expensive)

Hi, I suspect you have already had this managed by an experienced implant dentist by now, since your time of asking your question. If not, rest assured that as long as the All-on-4 implants are suitably positioned, the teeth can be removed, modified/corrected or even changed and re-inserted without much difficulty at all in experienced hands.&nbsp;All the best, hope you achieve an outcome you are pleased with.

All on 4 are very forward facing, jutting out. I think the front teeth are two big and long and I can't get my upper lip under my teeth. (Like what you do to put lipstick on when you rub upper and lower lips together). It looks like I have buck teeth when I talk and I now talk with a lisp. I am continually biting my tongue at the back of my mouth and it's like the teeth at the back have been pushed in. Basically my tongue doesn't fit in my mouth.

All on 4 upper jaw has changed my face, the way I talk, and the colour of them is horrible. What do I do now?

Hi lady steph
I&nbsp;assume that by osseous surgery you are referring to a bone grafting or regeneration procedure. How long you have to wait really depends on the nature and type of bone graft performed, and exactly what needs to be done next. It is common to wait 4-6 months, sometimes more, prior to implants being placed. I'm sure an experienced implant dentist or surgeon can advise you best&nbsp;after assessing the jaw bone, gum and your treatment requirements.&nbsp;

If you get osseous surgery I know your bones have to heal how long after that will you be able to get implants in first four front teeth?

How long will you have to wait to get dental implants after osseous surgery?

Hi Auntyjack
By now you have probably had around 4 months pass from the time of your zygomatic implant placements and All-on-4 style of&nbsp;immediate teeth attachment. If so, pending professional assessment and advice, you should be able to have the teeth removed and modified/remodelled to create more optimal aesthetics for you. Sometimes when implants are restored with teeth the day after zygoma&nbsp;surgery, there may be swelling which interfered with a good assessment of your cosmetics, which can now be assessed more comprehensively. Even if your teeth were called permanent, if they were done the day after surgery then they would be made of a material that can usually&nbsp;be modified or upgraded to a design that allows optimal aesthetics and in your case, maybe increased upper tooth display (if appropriate pending assessment). Please note that it can also be quite normal to show lower teeth when you talk. Most people do, and as we get older we tend to show more of the lower teeth during speech. If you still feel you have unwanted wrinkles after the prosthetic implant&nbsp;teeth are potentially modified to their optimal state, then you can consider facial aesthetic treatments. It's important to get the dental foundation right first, as it supports the position of your lips. All the best!
Please note:&nbsp;This is general advice only and you should get a professional assessment.

I have zygomatic All on Four Implants. I had the permanent teeth placed the day after surgery and I hate them. My smile looks great but my lips are wrinkled and the bottom teeth show when I talk. The top teeth hardly show at all, which is the opposite to most people. A child told me I look like a shark. Once you have permanent teeth, can anything be done to fix it.

Can permanent All on Four teeth be altered?

Hi lilly1818
Usually this shouldn't be cause for concern for a few days. Just make sure to call your dentist on Tuesday and they can replace the healing abutment. Sometimes over a few days, the gum may grow over the top of the implant, so they may need to excise a small piece of gum under local anaesthetic to get access to the implant and put the abutment back on. Enjoy the rest of the long weekend!

What should I do my dentist is closed till Tuesday due to the long weekend. Can it be uncovered for that long ?

My abutment has fallen off a day after it was placed in. Is this rare?

Hi crysjuill90. You could just be having a bit of minor&nbsp;gum inflammation or irritation after the implant&nbsp;surgery. However it's important to have it assessed by your dentist/surgeon to make sure healing is going well. Hopefully you have a review appointment soon, but if you don't, you should call their office to arrange this. Also, you should be very careful not to put any pressure on what looks like a temporary crown made on your dental implant.&nbsp;

I had an implant done about a week ago, it was upper front tooth. everything feels ok, no pain now or anything, just thr gum (top of your mouth part) feels funny and lumpish, not sure if its just from the surgery or if this is the start of an infection, please help

1 week dental implant, gum sore, and lumpy, could this be infection? (photo)

Hi darren71. It sounds like you had dental implants placed some years ago, with temporary teeth on them. Recently you had a replacement set attached to the same&nbsp;implants with a titanium base?&nbsp;If that is correct, then if you had a fracture of teeth, it can be repaired by your dentist and won't lead to problems on the implants in most cases. But you are reporting "4 sharp titanium screws". It's impossible to know what you are referring to without an x-ray or photograph, but if your replacement teeth were made of acrylic only, then fracture of those teeth may expose titanium abutments attached to your implants. This can also be repaired, if your implants are still healthy. This is just some general information but it's not possible to know exactly what you require without a proper clinical assessment, or at least some photographs and x-rays. Best of luck.

I have a lower implant with 4 screws going into my jaw but a few days ago it fell apart in my mouth whilst eating now I have 4 sharp titanium screws until my dentist returns from holiday, is this normal ? I have the screws in my lower jaw since 2012 but I had a replacement titanium set made recently.

Lower dental implants. 4 titanium screws snapped, whilst eating

Hi madeline700
The simplest method of preserving bone/gum shape and minimising unwanted shrinkage from tooth extraction is to perform preservation grafting at the time of tooth extraction, which can be done even simultaneously with tooth replacement with a dental implant, depending on the case. If teeth have already been removed, then replacing them with dental implants before too much time passes can help minimise shape changes and also replace the teeth. If however they have been removed and there is already lack of bone/gum&nbsp;due to the level of infection, trauma from extraction (eg. surgical tooth removal), or passage of time causing bone shrinkage, then a bone (and/or gum)&nbsp;graft is often necessary to restore shape and allow dental implant replacement. One or two teeth being lost will lead to local shrinkage in the jaw/gum. If however large numbers of teeth are lost, then the shrinkage can become a lot more obvious in the face.
The key is to get your situation assessed properly by an experienced implant dentist/surgeon so that you can get advice on the best options for treatment in your case.&nbsp;

Hi there, I visited the dentist with a tooth abscess a couple weeks ago and had to have immediate surgery for the tooth and a couple of other teeth including both canines due to decay and crowding. I am 26 years old and am now concerned that my face/profile will be altered. If this is possible - what is the best course of action to take to prevent this asap, for example implants/veneers or other?

How to prevent alteration of face/profile after canine extraction?

Hi loubeeee. If you definitely did have a root canal&nbsp;abscess diagnosed correctly 9 years ago, and it cleared with antibiotics but did not receive any root canal treatment, then&nbsp;it is almost certain to still be&nbsp;present in the jaw bone/gum. Antibiotics on their own only have a temporary or symptomatic effect on most dental infections.&nbsp;Sometimes an abscess can change from acute and painful to chronic and painless, and still do damage without you knowing. Once an abscess is treated with root canal or other appropriate therapy, then it should either disappear, or shrink in size on x-rays. Sometimes the remnants of an abscess can remain on an x-ray after a successful root canal therapy, but just be an indication of healed scar tissue.&nbsp;
In summary, by your description it does seem that the abscess requires treatment. Please note:&nbsp;This is general information&nbsp;only, and a proper assessment is needed to give you proper advice. All the best!

I had an abscess after my bridge was fitted 9 yrs ago. I had antibiotics and the pain stopped. Now my new dentist is saying I need a root canal as the X-ray shows an abscess in the same tooth. I have no pain or symptoms and am referred for a root canal through the bridge. Could the X-ray be showing the old abscess. I am unsure how this can be an abscess after 9 years in same tooth with no symptoms. Do I need a root canal?

Is X-ray showing old abscess?

Hi krystal86x
It's not possible or right to give you a proper second opinion without a full assessment that would include the status of your gums, and other considerations. The implants may look right on an x-ray but have problems, and vice versa. Nothing stands out as being out of the ordinary on your x-ray, however an x-ray is a 2-D image from a given angle, that does not convey the true 3-D positioning of your implant. What trouble are you having?&nbsp;With a bit more information, it may be possible to give you some further advice. But the best thing to do would be to discuss your concerns with the implant dentist, who can make an assessment, after which you could chose to get another opinion if necessary. All the best.

Do you think the size, placement, and bone is correct of these implants. I've been having trouble with them and would gravely appreciate a second opinion

Do you think the size, placement, and bone is correct? (Photo)

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