My all-on-4 bridge is loose. How long can I wait before it causes damage to one or all implants?
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Doctor Answers 11
Visit your dentist ASAP if your All-on-4 is moving!
If an implant is going to fail, it fails usually within the first year that it is in your jaw. Unless something has dramatically changed with your health, it is not likely to fail "all of a sudden" after 3 years.
The most likely situation is that some part of your appliance is loose. There are many screws in the All-on-4 treatment and they can loosen over time and cause things to move. You should see your dentist ASAP if any part of your All-on-4 is moving.
A loose screw means that your prosthesis may be moving around and applying pressure unevenly at different implant sites. One of the most important factors to maintaining healthy implants for a long time is to have a well distributed biting pressure at each implant site. A loose prosthesis does not allow this pressure to be distributed well.
This is why it is important to go to regular check ups for your All-on-4 prosthesis. By following a good check up schedule, any loose screws or any other little thing that is out of the ordinary can be adjusted before it becomes a problem.
- It is less likely that an implant failed after 3 years.
- It most likely is a loose screw, which is the most common possibility. I would try and see your dentist as soon as possible to have the screw tightened or replaced.
- Sometimes the forces that the bridge takes can cause the screw to loosen over time. The screw and implant are separated by the abutment so it is less likely that the loose screw results in implant failure.
Screws may loosen
The strongest muscle based on its weight is the masseter. With all muscles of the jaw working together it can close the teeth with a force as great as 55 pounds (25 kilograms) on the incisors or 200 pounds (90.7 kilograms) on the molars.
It is possible that a screw has worked itself loose, you should have it checked ASAP
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Loose all on 4 bridge
How to treat a loose All-on-4 prosthesis?
The most common reason is that the screw is simply starting to become undone due to the harsh forces of chewing. If this is the case, then it simply needs to be torqued down once again to the manufacture specifications.
As far as how long you should wait before you have it checked, the answer is the sooner the better.A loose screw can cause problems to your dental implants that could've been prevented.If the prosthesis is moving then the forces of chewing are not being evenly distributed among all the implants. It is also possible that a loose prosthesis can be irritating to the gum tissue around the implant, which could lead to problems that also could've been prevented.
I hope you found this information be helpful,
Loose fixed bridge: get a consultation ASAP
You answered your own question
Even a dentist cannot tell which component has loosened, until you are seen in the office. Do not wait. The whole denture can break if improperly attached and wobbly.
it is possible that an implant has failed. you should have been checked and followed regularly after the initial placement .
It may be more simple, that a screw has loosened, or is lost.
A lot of loosening problems occur from improper adjustment of the bite...how both dentures come together. This requires a simple change to make the teeth fit together better, after all the other possibilities have been checked.
All On 4 Looseness
1. Failed Integration of Dental Implants - This occurs when the bone does not grow and fuse between the threads of the implant. This fusion of bone to dental implant is called osseointegration. If this does not occur, the dental implants will not function properly,will become uncomfortable, become loose, or come out completely. To reduce this risk, your dental surgeon will evaluate the quality and density of the jaw bone prior to surgery. This will help to only place dental implants in areas where there is a highly predictable success rate. If osseointegration does not take place, the dental implants can be removed, and surgery can be attempted again once the area has fully healed.
2. Infection – This is the most common complication of dental implant surgery. The surrounding bone and gums can get infected during the surgical procedure. This can happen due to non-sterile technique, a contaminated implant, poor healing ability(diabetic, smoker, osteoporosis medications), pre-existing infection. The most likely time for this to occur would be during the surgical placement of the dental implant into the bone. Implant infection is a condition referred to as peri-implantitis. Peri-Implantitis is characterized by inflammation or swelling of the tissues surrounding the implant area. Peri-implantitis can also present as a secondary infection later on is a form of periodontal disease that can lead to inflammation, bone loss and implant failure if not treated quickly and properly. Although implant infections are usually caused by the presence of bacteria during or immediately after the oral surgery for the placement of the dental implants, an implant infection can occur months or years after surgery.
3. Damage To Surrounding Tissues - Dental implant complications related with surgical errors affecting adjacent teeth, nerves or sinus are directly correlated with the experience and skills of the dentist or surgeon. An experienced and skilled implant dentist is able to identify potential problems by examining x-rays or CT scan (computer tomography), design the proper surgical plan for ideal location and angle, and execute it successfully without complications. Even with the most skilled implant dentist there is always a possibility of dental implant complications. The complications can be limited by choosing an implant dentist with the skills and experience necessary to handle any complications if they arise.
Loose all-on 4
Loose all-on-4 bridge.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.