Hi all, I had my top and bottom teeth removed and all on 4 implants placed on my top and bottom jaw, when I smile I sometimes talk I feel like my top implant isn’t secure and moves slightly, it’s possible that It’s all in my head, however I’m nervous that I have created pressure in my mouth during sleep and dislodged it, is this possible?, I brought this up to the receptionist when calling in to reschedule my appointment however she kind of brushed it off
August 21, 2018
Answer: Loose All-On-4 Bridge There should not be any looseness with All-On-4. Its important that you make an appointment with the dentist to check the situation clinically as it will be very simple to detect if present. If you have no pain, and there is a kind of clicking when it moves, it is likely to be loosening of the screws that attach the bridge to the implant abutments. In rarer situations this could be loosening of the abutments themselves from the implant fixtures. Both of these can be cause by grinding or clenching, and can be addressed by changing or re-tightening the loose screw/s, adjusting the bite if needed, and wearing a splint at night. Your teeth look amazing!!!
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August 21, 2018
Answer: Loose All-On-4 Bridge There should not be any looseness with All-On-4. Its important that you make an appointment with the dentist to check the situation clinically as it will be very simple to detect if present. If you have no pain, and there is a kind of clicking when it moves, it is likely to be loosening of the screws that attach the bridge to the implant abutments. In rarer situations this could be loosening of the abutments themselves from the implant fixtures. Both of these can be cause by grinding or clenching, and can be addressed by changing or re-tightening the loose screw/s, adjusting the bite if needed, and wearing a splint at night. Your teeth look amazing!!!
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July 16, 2018
Answer: Mobility of the teeth Almost certainly this is not in your head. There are a few reasons why you would experience mobility of the prosthesis (teeth), all of which should be addressed ASAP. -While least likely, the implants could be failing. If this were the case, you would likely have pain. -The abutments (interface between the implants and teeth) could be loose. If the abutments were not tightened (torqued) to the correct level, they can become loose and lead to mobility. If this is the case, the teeth need to be temporarily removed and the abutments torqued to the correct level. -The prosthetic screws are loose. These screws attach the teeth to the abutments. If there is mobility, it almost always due to the prosthetic screws. Your dentist/provider should check these screws and torque them as needed. -You May have fractured the temporary teeth. It is not unheard of to break the temporary teeth and the first sign if they are just cracked, is slight mobility. If there is a crack in the material, it needs to be repaired ASAP. If you are a clencher or grinder, it is actually quite common for any or all of these issues to pop up. As a matter of routine, I make my patients who suffer from clenching/grinding a night guard to protect against this issue. Understand that mobility, regardless of the source, can lead to implant failure. In the post-operative period, this is a complaint that needs to be taken seriously and addressed as soon as possible.
Helpful 1 person found this helpful
July 16, 2018
Answer: Mobility of the teeth Almost certainly this is not in your head. There are a few reasons why you would experience mobility of the prosthesis (teeth), all of which should be addressed ASAP. -While least likely, the implants could be failing. If this were the case, you would likely have pain. -The abutments (interface between the implants and teeth) could be loose. If the abutments were not tightened (torqued) to the correct level, they can become loose and lead to mobility. If this is the case, the teeth need to be temporarily removed and the abutments torqued to the correct level. -The prosthetic screws are loose. These screws attach the teeth to the abutments. If there is mobility, it almost always due to the prosthetic screws. Your dentist/provider should check these screws and torque them as needed. -You May have fractured the temporary teeth. It is not unheard of to break the temporary teeth and the first sign if they are just cracked, is slight mobility. If there is a crack in the material, it needs to be repaired ASAP. If you are a clencher or grinder, it is actually quite common for any or all of these issues to pop up. As a matter of routine, I make my patients who suffer from clenching/grinding a night guard to protect against this issue. Understand that mobility, regardless of the source, can lead to implant failure. In the post-operative period, this is a complaint that needs to be taken seriously and addressed as soon as possible.
Helpful 1 person found this helpful