Has my dentist screwed up my implants? (Photo)

Question

While drilling my dentist broke some piece of bone. His helper said, "oh it broke!". But they did not tell me anything. He chipped off pieces of bone with some tool and then he went on drilling a different hole. The implant area is quite sluggish. I feel the implant is too close to the adjacent tooth. Please tell me if he screwed up from the images. If he has broken the bone then will it grow back?Will the implant fail? Should I be worried? If he has broken the bone then will it grow back?

Lance Timmerman, DMD, MAGD · Answer

A CBCT image is the only way to KNOW, but this looks like a well placed implant at first glance. Even if some bone broke, it likely is clinically insignificant. Bone heals. Implants should be ~2 mm from adjacent teeth.

Stephen G. Alfano, DDS · Answer

Looking at the post op x-ray the implant placement looks good.  Possibly something "broke" during the extraction.  This is a common complication.  It looks like you were in good hands and the implants appear to be in a good position for a final restoration.  The tooth anterior (in front of) to the implants has limited bone support and you should discuss options to manage this with your dentist.

Nirav Patel, MDS, PhD · Answer

its look good, implants are parallel to each other , and position is also perfect. to see bucco -lingual positioning , CBCT is must.

Stephen Sulzbach, DMD · Answer

It's impossible to tell what, if anything, broke during the procedure looking at that film. The spacing looks good to me. Unless you have a cat-scan post op and can post frames from it, there's not really a way to tell from 2D images what is going on three dimensionally.

Dantenapalli VijayVardhan, OMFS · Answer

There is no noticeable boney defect around the implants. They look to be perfectly secured except for the first Implant being little too close to the neurovascular bundle ( nerve).

Has my dentist screwed up my implants? (Photo)

Answers (7)