Re: 4 new implants... Questions/comments

On Mon, 14 May 2007 08:51:46 -0400, "Richard M. Geis"
<rmgeis@xxxxxxxxxxxxxxx> wrote:

I am a dental technician who has made thousands of these crowns and this
seems to be a major problem with implant crowns. Triclinic explained one
problem with "The final crown need to transition from a circular implant
to a larger rhomboidal tooth form." Also some implant are placed to
close to the tongue (to far lingual) or too close to the cheek (Buccal)
or too close the the adjacent teeth, (in other words, not in the center
of where the tooth should be). This is another factor that could cause
the contours of the crowns to trap food or cause the technician to make
the crowns too wide.

I haven't make a bridge that screws on for around 10 years, and yours is
probably cemented on. If they were put on with temporary cement, they
can be easily removed and recontoured. If the practitioner used
permanent cement, they may need to be cut off and redone. If the crowns
have been in the mouth for more than a couple months, there could also
be some problems with glazing them but there are ways around that.

BTW I also have 4 implants, and love them, and food does get trapped in
them occasionally, I just live with it, mainly because it is about 10%
of the problem that partial dentures are.

Good Luck

Thanks for the reply. It's sounding like this is a fairly common
problem and so I hope they will be willing to work with me on it, to
at least TRY to adjust the crowns not to trap so much food. After a
week of noticing what is going on, it is clear to me that they are too
wide towards the tongue side. Maybe they can be shaved down, maybe
not. Maybe they need to be re-made, I'm not sure, but they should be
able to answer that. I can only hope they will be honest with me and
not try to weasel out of more work or more expense on their part.

It's not a small problem, nor an occassional problem, mind you. As I
have had them now for a week, the problem has gotten no better, and
almost EVERY time I eat it is a problem. It's like these things are
food magnets and it's very uncomfortable to always get food trapped
next to and under them.

Thanks again for the info!

I go into today for work on my front teeth, so I will inform them of
the problem with the crowns, and see what they have to say about it.
If they blow me off with a "well, that's just the way it is, there's
nothing we can do about that", then I'll seek an outside 2nd opinion.
.

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