Another for dentists
Discussion
Had an dental implant done 4 months ago. Never been able to bit down hard on it because it always felt tender, I was just happy to have a tooth there. Now its starting to feel loose, if I place two fingers front and back of the tooth I can move it slightly. Is this just part of the bone healing process?
It maybe just the crown or abutment which is loose. This may cause some tenderness in the gum next to it from stuff getting under the crown and causing irritation/inflammation.
If the whole implant feels loose, then the implant has most likely failed.
Get it checked as soon as possible.
If the whole implant feels loose, then the implant has most likely failed.
Get it checked as soon as possible.
No, it's not part of the process. If you're lucky it's just the tooth part that's loose and they'll take it out, clean it up and re-cement it, takes 15 minutes. If the whole thing's loose then that's a different matter, that shouldn't happen, don't know what they'd do other than start again.
RichyBoy said:
Had an dental implant done 4 months ago. Never been able to bit down hard on it because it always felt tender, I was just happy to have a tooth there. Now its starting to feel loose, if I place two fingers front and back of the tooth I can move it slightly. Is this just part of the bone healing process?
Hi Richy 
A few questions:
Was the space already there or did they extract a tooth and put an implant in to replace it?
Did you have a jaw scan? Are you a smoker?
When you say you had an implant 4 months ago do you mean you had the surgery 4 months ago or that was when the abutment and crown was fitted?
Which implant system did they use?
Edited by Driller on Tuesday 8th November 06:53
Driller said:
Hi Richy
A few questions:
Was the space already there or did they extract a tooth and put an implant in to replace it?
Did you have a jaw scan? Are you a smoker?
When you say you had an implant 4 months ago do you mean you had the surgery 4 months ago or that was when the abutment and crown was fitted?
Which implant system did they use?
I had the tooth extracted by a very bad dentist in hatfield (he didn't pull the tooth, for some reason he yanked it using a side to side movement which led to lots of bleeding and an infection that lasted 4months for which he referred me to an nhs hospital dentist that never had time to see me). I went to a dentist in London for the implant a 8 months later. I had to have an artificial bone graft and he used a kind of hammer and chisel method to make space for it. He placed the implant perfectly, it's just I've never been able to bite down on it like I do the other side of my mouth.A few questions:
Was the space already there or did they extract a tooth and put an implant in to replace it?
Did you have a jaw scan? Are you a smoker?
When you say you had an implant 4 months ago do you mean you had the surgery 4 months ago or that was when the abutment and crown was fitted?
Which implant system did they use?
Edited by Driller on Tuesday 8th November 06:53
No jaw scan and not a smoker, just X-rays (is that a jaw scan).
Had the implant then waited about 6 months to have the crown fitted.
I think it's just the crown that is loose because the crown wobbles slightly if I touch it with my tongue. I really want this to be a success so I can get another missing tooth filled with an implant.
Not sure which implant system he used.
RichyBoy said:
I had the tooth extracted by a very bad dentist in hatfield (he didn't pull the tooth, for some reason he yanked it using a side to side movement which led to lots of bleeding and an infection that lasted 4months for which he referred me to an nhs hospital dentist that never had time to see me). I went to a dentist in London for the implant a 8 months later. I had to have an artificial bone graft and he used a kind of hammer and chisel method to make space for it. He placed the implant perfectly, it's just I've never been able to bite down on it like I do the other side of my mouth.
No jaw scan and not a smoker, just X-rays (is that a jaw scan).
Had the implant then waited about 6 months to have the crown fitted.
I think it's just the crown that is loose because the crown wobbles slightly if I touch it with my tongue. I really want this to be a success so I can get another missing tooth filled with an implant.
Not sure which implant system he used.
Oh dear, it seems like you've had a bit of a bad experience. If it reassures you the way to extract a tooth is to use exactly the side to side movement you describe. Dentists don't actually "pull" teeth contrary to popular belief.No jaw scan and not a smoker, just X-rays (is that a jaw scan).
Had the implant then waited about 6 months to have the crown fitted.
I think it's just the crown that is loose because the crown wobbles slightly if I touch it with my tongue. I really want this to be a success so I can get another missing tooth filled with an implant.
Not sure which implant system he used.
Think of the way you'd get a wooden pole out that was buried in two feet of compressed earth. You couldn't hope to pull it out but push it from side to side loosens it so it can be "delivered".
ALso, just for the record, no dentist or implantologist uses hammers or chisels unless you specifically request them and that costs a lot more as an extra
Anyway, that doesn't help and is in the past.
It may well be the crown loose on the implant post as more often than not we cement these using a temporary cement so they can be removed if necessary.
What worries me more is that you say you haven't been able to bite on it for the last four months because it was tender. You don't describe exactly what hurts when you do that but it doesn't sound right to me and I would have gone to see the implantolgist months ago if I had this problem.
It is incredibly rare to have implant failure, the rate of success being close to 100% as long as there are no seriously underlying health problems and the person is not a smoker.
Hopefully it's just the crown moving and biting into the gum which causes the discomfort.
Keep us updated as to what happens and what your man says.
Driller said:
ALso, just for the record, no dentist or implantologist uses hammers or chisels unless you specifically request them and that costs a lot more as an extra
Maybe true now, but they used a mallet and chisel on mine in 1993. Well, a pointed chisel-like affair that probably isn't called a chisel, but definitely a small mallet about half the size of a household hammer (plus a drill of course). They had to straighten out the root canal (terminology?) before inserting the implant and that's when they used them.carmonk said:
Driller said:
ALso, just for the record, no dentist or implantologist uses hammers or chisels unless you specifically request them and that costs a lot more as an extra
Maybe true now, but they used a mallet and chisel on mine in 1993. Well, a pointed chisel-like affair that probably isn't called a chisel, but definitely a small mallet about half the size of a household hammer (plus a drill of course). They had to straighten out the root canal (terminology?) before inserting the implant and that's when they used them.
Rollin said:
carmonk said:
Driller said:
ALso, just for the record, no dentist or implantologist uses hammers or chisels unless you specifically request them and that costs a lot more as an extra
Maybe true now, but they used a mallet and chisel on mine in 1993. Well, a pointed chisel-like affair that probably isn't called a chisel, but definitely a small mallet about half the size of a household hammer (plus a drill of course). They had to straighten out the root canal (terminology?) before inserting the implant and that's when they used them.Rollin said:
They may have used an implant system which involved knocking in gradually increasing in size osteomes to form the hole. This has the advantage that the bone was compacted (rather than drilled out) and made denser around the implant, in cases of poorer bone density.
That is used in extremely rare cases and cannot in any way be regarded as a common implantology technique. carmonk said:
In my case the root canal wasn't straight and the root had snapped inside, meaning they couldn't easily get the top part out. I guess that's why they hacked at it. Did a good job, though.
The root canal is the space inside the root where the nerve is so they probably explained that is was the root itself which was hooked thus making it difficult to remove.Whilst we're posting scary pictures I would suggest that they probably used an elevator like this one:
-400x400.JPG)
It is used to gently lever out teeth and root fragments.
It's certainly not used with a hammer, B&Q or otherwise though!
Driller said:
carmonk said:
In my case the root canal wasn't straight and the root had snapped inside, meaning they couldn't easily get the top part out. I guess that's why they hacked at it. Did a good job, though.
The root canal is the space inside the root where the nerve is so they probably explained that is was the root itself which was hooked thus making it difficult to remove.Whilst we're posting scary pictures I would suggest that they probably used an elevator like this one:
It is used to gently lever out teeth and root fragments.
It's certainly not used with a hammer, B&Q or otherwise though!
carmonk said:
Driller said:
carmonk said:
In my case the root canal wasn't straight and the root had snapped inside, meaning they couldn't easily get the top part out. I guess that's why they hacked at it. Did a good job, though.
The root canal is the space inside the root where the nerve is so they probably explained that is was the root itself which was hooked thus making it difficult to remove.Whilst we're posting scary pictures I would suggest that they probably used an elevator like this one:
It is used to gently lever out teeth and root fragments.
It's certainly not used with a hammer, B&Q or otherwise though!
but no dentist has any need to use a hammer to get a root fragment out. He would use a water cooled bur to drill away bone to get access and purchase around the root which he would then lever out with an elevator like the one above.Unless his name was Dr Frankenstein BDS
Driller said:
Look, I'm sorry, you can tell me they used a chainsaw if you like to get your tooth out but no dentist has any need to use a hammer to get a root fragment out. He would use a water cooled bur to drill away bone to get access and purchase around the root which he would then lever out with an elevator like the one above.
Unless his name was Dr Frankenstein BDS
Not sure why you're denying it, it's making you look a bit silly TBH. There's no question that they used one, about a half a dozen 'strokes' in all - very forceful strokes too. There was a dentist, his assistant and two consultants named Mr Smith and Miss Maire Morton. If you don't believe me then maybe you should discuss it with them, but whether you do or not, I'm afraid you're wrong. but no dentist has any need to use a hammer to get a root fragment out. He would use a water cooled bur to drill away bone to get access and purchase around the root which he would then lever out with an elevator like the one above.Unless his name was Dr Frankenstein BDS
carmonk said:
Driller said:
Look, I'm sorry, you can tell me they used a chainsaw if you like to get your tooth out but no dentist has any need to use a hammer to get a root fragment out. He would use a water cooled bur to drill away bone to get access and purchase around the root which he would then lever out with an elevator like the one above.
Unless his name was Dr Frankenstein BDS
Not sure why you're denying it, it's making you look a bit silly TBH. There's no question that they used one, about a half a dozen 'strokes' in all - very forceful strokes too. There was a dentist, his assistant and two consultants named Mr Smith and Miss Maire Morton. If you don't believe me then maybe you should discuss it with them, but whether you do or not, I'm afraid you're wrong. but no dentist has any need to use a hammer to get a root fragment out. He would use a water cooled bur to drill away bone to get access and purchase around the root which he would then lever out with an elevator like the one above.Unless his name was Dr Frankenstein BDS
As for looking a bit silly, you don't know the half of it. I'm ridiculous
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