Implant to close to adjacent tooth? (Photo)

Question

Could this implants close proximity to the adjacent tooth be the reason im feeling pressure and tightness or is it the nerve pain that i suffered when the implant prep drill violated the nerve canal. My dr thinks it the nerve pain but in all the parasthesia cases ive read about no one mention tightness and pressure in the adjacent teeth so im wondering if its not a symptom of the nerve damage. Thanks Mike

Ira Shapira, DDS · Answer

It is common to have as little as  2mm bone between implant and tooth and even occasional contact with the root is normally not an issue.   Overheating of bone can cause problems and obviusly you are aware of issues relating to violating other structures.  Mandibular bicuspid region is the highest risk area for nerve damage.Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMOChair, Alliance of TMD OrganizationsDiplomat, American Academy of Pain ManagementDiplomat, American Board of Dental Sleep MedicineRegent & Fellow, International College of CranioMandibular OrthopedicsBoard Eligible, American Academy of CranioFacial PainDental Section Editor, Sleep & Health JournalMember, American Equilibration SocietyMember, Academy of Applied Myofunctional Sciences

Zev Kaufman, DDS · Answer

I agree with dr.Kazemi,  in addition, you should ask your dentist to look at the crown on tooth number 31 which is the one behind the implant. On the X-ray it looks as if there is a large area of decay under the crown on the side closer to the implant. This area of decay, on its own, can cause the sensation that you are experiencing. In  addition, since is this implant is not placed in the best position,  after your final Crown is made,  you will find that you accumulate food and debris constantly behind it. You will be very unhappy with that. You will find that uncomfortable and annoying for years to come...  I have heard enough complaints from patients  who have had implants placed in odd positions, say the implants are not good, when the problem has nothing to do with the implant, it has to do with poor positioning. The nice thing about this particular implant is that it is fairly uncomplicated to have it removed. after all the surgery and the money, why except a Compromised result? I recommend that you have it removed, wait a couple of months, and have the implant placed in the proper position by an experienced surgeon or using a computer aided surgical guide.  It is not too late to do it properly.Best of luck,

H. Ryan Kazemi, DMD · Answer

Over the last twenty years, I have heard from very very few patients about the feeling of 'pressure'  from dental implants to their adjacent teeth which over time it resolved. The implant does seem somewhat poorly positioned (it should be in middle of the ridge) but there is still bone in between the implant and the tooth and it should not create 'pressure'. If you have normal sensation over the lip, chin and gum tissues on that side, then the nerve is intact and undisturbed. But I do see some bone loss at the implant level and perhaps your symptoms may be associated with peri-implantitis.

Implant to close to adjacent tooth? (Photo)

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Implant to close to adjacent tooth? (Photo)

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