Post-Dental Implant Issues: Noises, Gaps, and Comfort - Dentistry

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When it comes to post-dental implant issues, it’s essential to understand that the process of getting an implant and the subsequent fitting of a crown can sometimes lead to complications or discomfort. Based on your concerns, let’s address each of your questions systematically.

1. Noise When Biting: The noise you’re experiencing when biting down could be attributed to several factors. It may indicate that the crown is not properly seated on the abutment or that there is an issue with the bite alignment. If the crown is too high or misaligned, it can cause the opposing teeth to hit it improperly, leading to a clicking or popping sound. It’s crucial to return to your dentist for an evaluation. They may need to adjust the occlusion (the way your teeth come together) to eliminate this noise and ensure that your bite feels comfortable.

2. Gap Between the Crown and Adjacent Tooth: The gap you mentioned between the crown and the adjacent tooth is often left intentionally for several reasons. First, it allows for natural gum tissue to form around the crown, which is essential for maintaining periodontal health. Second, it can help with cleaning and preventing food from getting trapped, which could lead to decay. However, if the gap is too large, it can indeed trap food and cause discomfort. Your dentist should assess whether this gap is within a normal range or if it needs to be adjusted. Sometimes, a small filling or a gum graft can help close the gap if it’s problematic.

3. Feeling of the Crown: It’s not uncommon for patients to feel that their new crown doesn’t feel like their natural teeth. This sensation can stem from several factors, including the material used for the crown, the shape, and how well it fits with your bite. Full porcelain crowns can mimic the appearance of natural teeth quite well, but they may still feel different initially. Over time, as you adjust to the crown, it may feel more comfortable. If the crown feels excessively bulky or uncomfortable, it’s worth discussing with your dentist, who may be able to make adjustments to improve the fit.

4. Risk of Cavities After Implant: Dental implants themselves cannot get cavities like natural teeth because they are made of materials like titanium and porcelain. However, the surrounding gum tissue and the adjacent natural teeth can still be susceptible to decay and periodontal disease. It’s crucial to maintain excellent oral hygiene, including regular brushing, flossing, and dental check-ups, to ensure that your gums remain healthy and that your natural teeth do not develop cavities.

In summary, while some discomfort and adjustments are normal after getting a dental implant and crown, persistent issues such as noise, gaps, or discomfort should be addressed with your dentist. They can provide the necessary adjustments or treatments to ensure that your implant functions well and feels comfortable. Regular follow-ups and maintaining good oral hygiene are key to the long-term success of your dental implant. If you feel that your concerns are not being adequately addressed, seeking a second opinion from another dental professional can also be beneficial.