Implantology (dental implant placement)
This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:
Dear Sir/Madam,
I am contacting you because my current dentist and I cannot agree on this issue. A year ago I received 6 crowns in the upper jaw on teeth 1-2-3 (left and right), on my prepared teeth or on previously inserted "posts". The crowns were made as a single unit, although I objected to this. In any case, after a few months one of the crowns began to move. I notice this when I move these crowns back and forth with my fingers. The movement is not visible, but I can feel it and I can also hear one of the crowns "clicking". The problem is that I cannot determine exactly which crown no longer fits properly or why it is moving at all. I assume it is the upper right 1 or 2, which has partially come loose but is still in place because the other crowns do not allow it to move further.
My dentist does not notice this and says everything is OK, which is true, but only visually. I suppose this may also be a warranty issue.
I would like to know whether there is any way (X-ray, etc.) to determine which crown is no longer holding. I would also like to know whether these crowns, or the affected crown, can be partially removed and a new one made, or whether all 6 have to be removed.
Could I come to you (as a self-paying patient, of course) for an examination and perhaps an agreement on how to resolve this problem, because I can no longer tolerate the occasional unpleasant "clicking".
Thank you for your answer and kind regards!
Dentist Tomaž Rotar answers:
Dear Sir/Madam!
The case you describe can sometimes be difficult to unravel, especially if the phenomenon is not apparent in the dental office but you notice it while chewing. X-rays usually show nothing, even when there are serious injuries such as a root fracture. Problems would only become visible on the images after some time, when changes develop in the periodontal tissues (bone). If one of the crowns had to be repaired (recementation of the crown or post), it would not be necessary to remove the entire restoration, only the part on the affected tooth, because the construction can be separated cleanly. If you would like to arrange an examination, you can call me so that we can coordinate an appointment more easily.
Have a nice day!
The case you describe can sometimes be difficult to unravel, especially if the phenomenon is not apparent in the dental office but you notice it while chewing. X-rays usually show nothing, even when there are serious injuries such as a root fracture. Problems would only become visible on the images after some time, when changes develop in the periodontal tissues (bone). If one of the crowns had to be repaired (recementation of the crown or post), it would not be necessary to remove the entire restoration, only the part on the affected tooth, because the construction can be separated cleanly. If you would like to arrange an examination, you can call me so that we can coordinate an appointment more easily.
Have a nice day!
✦ This content was translated from the original with the assistance of an AI translation system.
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