I have a complete set to 4 on 1 tooth implants upper and lower. Is it normal that there is large gaps between the implants and the gum line, that I can feel my implant post in this gap and that you can see the screw holes even after they are sealed.
April 26, 2017
Answer: Gaps under the gums was the old school design for All-on-4 The old method of making these appliances was to leave a gap in between the gums and the appliance for the lower jaw. This allows the patient to keep it very clean. There is really nothing wrong with this design unless the patient does not like it for some reason. For the upper jaw, there should not be any gap because this will lead to a "lisp" when speaking.
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April 26, 2017
Answer: Gaps under the gums was the old school design for All-on-4 The old method of making these appliances was to leave a gap in between the gums and the appliance for the lower jaw. This allows the patient to keep it very clean. There is really nothing wrong with this design unless the patient does not like it for some reason. For the upper jaw, there should not be any gap because this will lead to a "lisp" when speaking.
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February 24, 2018
Answer: Depends on the Time Line If you've recently had extractions and your All-on-Four prostheses delivered, it is not surprising to have a gap between the gums and the acrylic. As healing takes place, the bone and gums will shrink and stabilize and often create a gap that is usually closed at the time of making the final restoration.If the hybrids are recent, it is fairly common to have a "high water" design on the lower prosthesis to aid in keeping it clean. We try to have a fairly intimate fit to the gums on the top to prevent saliva, food, and water from passing over the top during speech and eating. If you've had the restorations for a while, then you may have had further bone loss and recession that has caused the gap to widen. This is worth discussing with your dentist. Depending on the material, you can likely have that area relined to fit more perfectly. If you feel the implant, it may actually be a component of the restoration (called a multi-unit abutment) that sticks out of the implant and the denture rests on. If it's the implant itself, the dentist should closely monitor it to make sure that implant stays healthy.
Helpful 3 people found this helpful
February 24, 2018
Answer: Depends on the Time Line If you've recently had extractions and your All-on-Four prostheses delivered, it is not surprising to have a gap between the gums and the acrylic. As healing takes place, the bone and gums will shrink and stabilize and often create a gap that is usually closed at the time of making the final restoration.If the hybrids are recent, it is fairly common to have a "high water" design on the lower prosthesis to aid in keeping it clean. We try to have a fairly intimate fit to the gums on the top to prevent saliva, food, and water from passing over the top during speech and eating. If you've had the restorations for a while, then you may have had further bone loss and recession that has caused the gap to widen. This is worth discussing with your dentist. Depending on the material, you can likely have that area relined to fit more perfectly. If you feel the implant, it may actually be a component of the restoration (called a multi-unit abutment) that sticks out of the implant and the denture rests on. If it's the implant itself, the dentist should closely monitor it to make sure that implant stays healthy.
Helpful 3 people found this helpful