Is it ok not restoring implant crown on tooth 15? (Photo)

Question

I am at age 61 and had tooth 14 and 15 implants done in 2015, but failed in 2024, due to tooth 15 bone lost. Both teeth crowns are joint with sinus lift. The doctor who did my implants originally tried to save tooth 15 implant by doing bone graft but could not fully recover tooth 15 bone. He said it has risk to restore crown on tooth 15 implant as it may loss bone again. Should I leave tooth 15 implant without crown? Tooth 18 also has crown.

Baran Bardakci, DDS · Answer

No need to loose the implants if we change the crowns on implants with digital workflow and monolithic zirconia body will regenerate the bone. There are lots of studies about this.. No surgery or complications needed.

YeahSmile - Cancun · Answer

Considering your situation, it's important to weigh the risks and benefits carefully regarding the implant at tooth 15. Here are some points to consider:
1- Risk of Bone Loss: If the bone graft for tooth 15 was not fully successful and there is a risk of additional bone loss, placing a crown on this implant could further compromise the bone in that area. The forces from chewing might exacerbate the issue.
2- Leaving the Implant Without a Crown: Leaving the implant without a crown might reduce the risk of additional bone loss. However, an implant without a crown can sometimes lead to challenges, such as the implant not serving a functional purpose or potential issues with adjacent teeth shifting or the occlusion being altered.
3- Alternatives: - Restore Tooth 14 Implant Only: Since tooth 14 has an implant, you might consider restoring just this tooth. This could provide sufficient chewing support without putting additional strain on tooth 15. - Fixed Partial Denture: If tooth 15 cannot be restored, another option could be a fixed partial denture supported by the implants at tooth 14 and another tooth/implant. - Monitor Tooth 15 Implant: In some cases, monitoring the implant over time without loading it with a crown might be an acceptable approach, especially if it's not causing any immediate issues.
4- Tooth 18 Crown: If tooth 18 has a crown and is functional, this may provide adequate chewing support on that side, reducing the need to restore tooth 15 immediately.
It would be wise to discuss all these options with your dentist or oral surgeon. They can evaluate your overall dental structure, bone condition, and chewing needs to recommend the best course of action. If you're still unsure, seeking a second opinion from another implant specialist might help you feel more confident about the decision.
Dr. Miller Vieira Paula

Is it ok not restoring implant crown on tooth 15? (Photo)

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Is it ok not restoring implant crown on tooth 15? (Photo)

Answers (2)

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Everything you need to know about Dental Implants

Our mission is to create a world where every investment in modern beauty is Worth It.