Problems with crown portion of implant


(Toronto, Ontario, Canada)

I have Problems with crown portion of implant:
The second molar at the back and on the bottom of my mouth was replaced with an implant. The crown was attached last year and fell out about 1 year later.

I went to my dentist immediately and she reattached it but it fell out again after 6 weeks. I had it reattached again but it fell after 2 1/2 weeks, a couple of days ago. The crown has a metal column that goes over the implanted post. The column has a sharp ridge that digs into my gum and causes pain. I have not done anything about the crown this time because I don't know what to do or who to go to. Is there any reason I should get it reattached immediately?

No one told me that I would be in pain for the rest of my life with an implant. The old tooth had had a few root canals and the crown had cracked and fallen out. My dentist said that there wasn't much tooth left and if she replaced the crown, it would probably last only a year. It's at the back of my mouth and I haven't been able to chew much with it for decades so I was willing to leave the space empty but my dentist said that the other teeth would shift around over time and cause other problems. Is this true?

Is the crown defective? Should I insist that they replace it? I don't have dental insurance and paid for it myself but I feel as if I am being bilked. Should I consider it to be water under the bridge and go find a new dentist? My dentist says that she used a temporary adhesive but threatened to use a permanent one if the crown came out again but I don't want that if I am going to be in pain again.

Comments for
Problems with crown portion of implant

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Crown comes off
by: Anonymous

It is possible that during the time the crown was not in place the gingival tissue grew over the top portion of the implant (platform) and now when you reattach the crown it is pinching that tissue.
It is true that if you leave an empty space the remaining teeth may shift around. If you consider the tremendous forces your teeth endure through chewing, you can imagine that they may move around over time.

Based on your description, it sounds like the crown comes off and leaves the abutment behind. The abutment will look like a silver metal post, probably trimmed down. It will be attached in place by a screw through the center that connects to the implant. Is that the situation? If so, then it is likely the cement. If your crown is meant to be permanent, then you should use permanent cement.

It’s not a threat, it’s proper procedure.

Crown on implant abutment came off three times
by: Anonymous

Don't know what to do (I'm disgusted), the dentist said he doesn't use permanent glue in case he has to adjust something on the implant Please help.
Any advice would be appreciated Thanks

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