Existing Patients: (978) 454-9332 | New Patients: (877) 790-5172 |
Advanced cosmetic and general dentistry

Why Did My Dental Implant Bone Graft Fail Three Times?

Posted on by .

I’ve had the same dentist for the past seven years and had no reservations about her placing my dental implants. Several co-workers referred me to this dentist, and three of them had great success with implants from the dentist.

My case must have been unusual for her because she said I needed bone grafting before getting my first implant. After four months, my dentist attempted the implant but said she needed to remove it because the bone was too shallow. I’ve had three surgeries, and I still don’t have a dental implant. I have much respect for my dentist, but I must ask, would I have had a better experience if I had chosen a specialist? – Thanks. Bennie from Tampa

Bennie,

While dental implantology isn’t a formally recognized specialty, some dentists, oral surgeons, and periodontists have advanced training in this area.

Model of a dental implant, including the crown, abutment, and artificial root

After successful bone grafting and dental implant placement, a cosmetic dentist can attach a natural-looking crown

We understand your dentist’s intentions and potential experience with implants. However, bone grafting is a complex procedure that requires specific expertise. Your dentist may be relatively new to this aspect of implant dentistry. Remember, every professional, even the most skilled, has a learning curve when using new techniques.

It’s commendable that your dentist is being honest about the situation. A less ethical practitioner might have proceeded with the implant, potentially leading to complications down the line.

Your dentist’s transparency suggests a commitment to a positive outcome. Dental bridges and implants are viable options for a single tooth replacement, each with advantages and disadvantages. If you prefer a dental implant, consider asking your dentist for a referral to a periodontist (implant specialist), or oral surgeon for bone grafting and implant placement.

After the implant heals, your dentist can restore it with a natural-looking implant crown.

Lowell, Massachusetts, accredited cosmetic dentist Dr. Michael Szarek sponsors this post. Read how Dr. Szarek strives to give his patients the best dental care in Lowell.

Can I Trust My Dentist for a New Implant Crown and Dental Bonding?

Posted on by .

I agreed to extraction and a dental implant after three failed root canals on my top left first molar tooth. But I also have brown fluoride stains on my teeth. Although, I have never done anything about the stains. I do not want a blotchy brown implant crown to match my stained teeth. In 2018, my dentist bleached my stained teeth and applied dental bonding, but both look bad. Now that I need an implant, I am afraid of how my smile might look. My dentist asked me what I wanted to do about the fluoride stains, but I don’t think I want him doing anything. Neither do I want to see two dentists – my current one for an implant and another to lighten the stains. How can I handle this situation? Thank you. Daniel from Ithaca, NY

 

Thank you for your question, Daniel

Bleaching or Dental Bonding for Brown Fluoride Stains?

Bleaching your teeth does not help with fluoride stains. But neither does direct dental bonding if your dentist doesn’t have advanced training. Dentists apply dental bonding by hand, so you will not get good results unless a dentist has cosmetic dentistry training and an artistic eye to make the bonding look natural.

However, you can find a cosmetic dentist to replace your old dental bonding and hide your stains without making your teeth look pasty or opaque.

Dental Implant Crown to Match Bonding

Dental implant diagram of component, implant fixture in bone, and crown placement

A cosmetic dentist can match dental bonding and implant crowns

If you want your dental implant crown to match your new bonding, it is best to let one skilled cosmetic dentist do all the work. Crown matching requires specific instructions from the dentist to a ceramist. Together, they can ensure your bonding and implant crown match.

Unfortunately, your current dentist has not proven his ability with dental bonding. So, it is unlikely that you would get results if you allowed him to place your implant crown.

Look for accredited or advanced cosmetic dentists in your area. Schedule consultations with two skilled cosmetic dentists to discuss your options. The consultations will increase your comfort in switching dentists for a natural-looking smile that you can feel confident about.

 

Michael Szarek, DMD, an accredited cosmetic dentist in Lowell, MA, sponsors this post.

New dental crowns for a gap make my jaw and neck hurt

Posted on by .

I received a dental implant on a left incisor and crowns on all front six teeth. I received the other crowns to close a large gap between my front teeth. Now my speech is slurred and lispy, and I have neck and jaw pain, dry mouth, and numbness in my lips. I regret closing my gap. Are the crowns causing this problem? If so, I want them removed, and I will keep my gap. – Dahlia from CT

Dahlia,

Closing your gap is not the issue, but the quality of your crown placement is the problem. Correctly sized and seated crowns do not create the symptoms you described.

When Dental Crowns Cause Symptoms

When dental crowns cause symptoms, including pain, numbness, or dry mouth, it could be that the crowns are too thick, too long, or both.

  • Oversized crowns – Oversized crowns can prevent your lips from closing naturally and effortlessly.
  • Lip incompetence – When your bite is correct and you put your teeth together, your lips should close naturally without thinking about it or trying to close them. Your lip numbness and dry mouth suggest you have lip incompetence—the ability to close your gaps naturally.
  • Thick crowns – Too-thick crowns can disrupt your bite (the way your upper and lower teeth fit together) and cause jaw and neck pain. Speech problems can result, too.

What to Do About Faulty Crowns

When dental crowns cause pain and dry mouth, you must find a cosmetic dentist to correct the issue. A dry mouth and lack of saliva breeds bacteria and promotes rapid tooth decay. Saliva contains antibodies to help fight decay, so don’t let the problems linger.

Diagram of three phases of dental implants, for information on implants and diabetes from the office of Lowell, MA dentist Dr. Michael Szarek.

Get a second opinion to check your implant crown and crowns on your natural teeth

We recommend that you find an advanced cosmetic dentist—preferably accredited—for a second opinion. It is challenging for a dentist to place multiple crowns simultaneously and balance your bite correctly. But a trained cosmetic dentist who understands occlusion and bite (how your teeth fit together and come in contact when you bite) can evaluate your case.

The cosmetic dentist will do the following:

 

Unfortunately, you may need new crowns. But your oral health is essential to your well-being.

Best wishes.

 

Michael Szarek, DMD, an accredited cosmetic dentist in Lowell, MA, sponsors this post.