I'm a 36 year old non smoker. This is my first major dental work, just a few cavaties. I had a botched filling which resulted in me needing an implant. When they placed the implant t the surgeon said I had plenty of bone. But when I got the abutment it looked incredibly crooked. Will this work? When I went to my regular dentist the hygienist aid she's never seen an implant at that angle. The dentist said it should work with a custom abutment. Is he trying to Cover for the surgeon he recommended?
August 6, 2016
Answer: Poor Implant Positioning and Angulation I must agree with you based on that photo. The implant appears to be in a far buccal (towrds the chek) position. A custom abutment with angulation correction may be able to help restore the implant but the final restoration may not be ideal. Like previously mentioned a cone beam CT scan should be done to ensure thereis enough bone around the implant especially on the cheek side. If not even if the implant is restored the long term prognosis may be questionable. In these instances removing the implant and replacing it in the proper position is the most reliable way of ensuring good long term prognosis. Talk to your doctor and see what he/she fels is thebest option for you
Helpful
August 6, 2016
Answer: Poor Implant Positioning and Angulation I must agree with you based on that photo. The implant appears to be in a far buccal (towrds the chek) position. A custom abutment with angulation correction may be able to help restore the implant but the final restoration may not be ideal. Like previously mentioned a cone beam CT scan should be done to ensure thereis enough bone around the implant especially on the cheek side. If not even if the implant is restored the long term prognosis may be questionable. In these instances removing the implant and replacing it in the proper position is the most reliable way of ensuring good long term prognosis. Talk to your doctor and see what he/she fels is thebest option for you
Helpful
August 6, 2016
Answer: Poor Implant position for crown I completely agree. The implant seems to be aligned outward (buccal inclincation) and it may have many implications if restored. I suggest you see your dentist and see if possibly it can be properly restored with angled abutment. Also it should be checked to see if it is well supported in bone or note using a cone beam CT scan. My guess is it has little or no bone on the outside wall. If there is no bone or implant is not restotable, then it should be removed completely and re-done properly once the site has healed. See link below
Helpful
August 6, 2016
Answer: Poor Implant position for crown I completely agree. The implant seems to be aligned outward (buccal inclincation) and it may have many implications if restored. I suggest you see your dentist and see if possibly it can be properly restored with angled abutment. Also it should be checked to see if it is well supported in bone or note using a cone beam CT scan. My guess is it has little or no bone on the outside wall. If there is no bone or implant is not restotable, then it should be removed completely and re-done properly once the site has healed. See link below
Helpful
