Concerns After Getting Fixed Dental Implants: What to Do?

After receiving fixed dentures?

I just had a fixed lower molar denture installed a week ago.
The doctor said it was made according to the structure of the tooth roots, so it's normal to have a gap between the outer two tooth roots.
In fact, I noticed this gap while wearing the temporary denture, and I can insert a dental brush about 0.3 cm into the gap between the denture roots.
When I asked what I was touching, the doctor said it was the tooth root, and that bleeding is normal.
The doctor mentioned that textbooks say the tooth root should have a gap.
I find this strange; the doctor said if I clean it properly, there won't be any bleeding.
Shouldn't the denture fit tightly against the tooth roots? Today, the blood from the gap in the new denture has a bit of a foul smell.
What should I do? Should I seek another doctor to redo it? Please help me.

Xie Datou, 50~59 year old female. Ask Date: 2021/09/10

Dr. Zeng Guanghui reply Dentistry

It may be due to gum recession that the bifurcation of the roots of the posterior teeth is exposed in the oral cavity.
Even after placing a crown, the area at the edge of the crown where the root bifurcation is located still exists, giving the sensation of a hole.
If the crown feels ill-fitting after placement, it is advisable to consult a dentist for further evaluation.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/09/10

More Info

After receiving fixed dental implants, it's not uncommon to have concerns about the healing process and the functionality of the new dental work. Based on your description, it seems you are experiencing some issues that warrant further discussion and possibly additional treatment. Here’s a comprehensive overview of your situation and some recommendations.

Understanding Your Concerns
1. Presence of Gaps: You mentioned that there are gaps between the dental implants and the adjacent teeth, which can be concerning. It's important to understand that while some space may be necessary for proper cleaning and to accommodate the natural contours of the gums, excessive gaps can lead to food trapping and plaque accumulation, which may result in inflammation or infection.

2. Bleeding and Odor: The bleeding and foul smell you are experiencing could indicate an infection or improper healing. After dental implant surgery, it is crucial to maintain good oral hygiene to prevent complications. If the area around the implant is bleeding and has an unpleasant odor, it may suggest that bacteria are present, which could lead to peri-implantitis—a condition that affects the tissues surrounding the implant.

3. Functionality of the Implant: You expressed concern about the functionality of the implant, especially regarding the fit and comfort of the prosthetic tooth. Proper occlusion (the way your teeth come together when you bite) is essential for the longevity of the implant and your overall dental health. If the implant feels uncomfortable or if you experience pain when biting, this should be addressed promptly.

Recommendations
1. Consult Your Dentist: The first step is to return to your dentist or oral surgeon for a follow-up appointment. Discuss your concerns in detail, including the bleeding, odor, and any discomfort you are experiencing. They may perform a clinical examination and possibly take X-rays to assess the situation.

2. Oral Hygiene Practices: Ensure that you are following the recommended oral hygiene practices. This typically includes brushing twice a day with a soft-bristled toothbrush, using non-abrasive toothpaste, and flossing gently around the implant. Your dentist may also recommend using an antimicrobial mouthwash to help reduce bacteria in the mouth.

3. Possible Treatment Options: If your dentist determines that there is an infection or that the implant is not healing properly, they may suggest treatments such as:
- Antibiotics: To address any infection present.

- Scaling and Root Planing: A deep cleaning procedure to remove plaque and tartar buildup around the implant.

- Re-evaluation of the Prosthetic: If the fit of the prosthetic tooth is not correct, adjustments may be necessary, or in some cases, a new crown may need to be fabricated.

4. Seek a Second Opinion: If you feel uncertain about the advice or treatment plan provided by your current dentist, it is perfectly acceptable to seek a second opinion from another dental professional. This can provide you with additional perspectives on your situation and help you make a more informed decision.

5. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, swelling, or changes in the taste or smell coming from the implant area. This information will be valuable for your dentist in diagnosing and treating any issues.

Conclusion
In summary, while some discomfort and concerns after receiving dental implants are normal, persistent issues such as bleeding, odor, and discomfort should not be ignored. It is essential to communicate openly with your dentist about your symptoms and concerns. By taking proactive steps and seeking appropriate care, you can help ensure the success of your dental implants and maintain your overall oral health.

Similar Q&A

Dealing with Discomfort After Getting Dental Implants: What to Do?

Hello Dr. Lin: In October 2021, my lower left first molar, which had previously been filled, broke a small piece off on the inner side while I was dining out. The dentist advised that I needed a root canal and a crown. I completed the entire treatment, but when the first crown wa...

Dr. Lin Jiayong reply Dentistry
Hello: "I have had adjustments done three times, and the height of my upper teeth and the lower edge of my teeth have been fine-tuned by the dentist, but I still feel uncomfortable. What should I do?" >> It is advisable to first ask the original dentist to make fu...

Concerns After Getting Fixed Dentures: Gaps and Next Steps

Hello, doctor. I just had my fixed dentures placed, and on the very first day, I noticed that there is a gap between the dentures and my natural teeth. The dentist did not give me a trial fitting period and bonded them without my consent. He said he determined it was fine to bond...

Dr. Qiu Qiongyao reply Dentistry
Ms. Lai: Hello, please seek assistance from the local dental association for coordination and assessment. The administrative staff of the association can relay the matter to the association's president for resolution. The Hualien Hospital of the Ministry of Health and Welfar...

Dealing with Fallen Dental Implants: What to Do Next?

Doctor, I originally had a fixed dental prosthesis on my front teeth, but it has come loose due to the passage of time. Should I go to a hospital dental clinic to have the screw removed and then have the prosthesis reinstalled, or can I go to any dental clinic to have it removed?

Dr. Zeng Guanghui reply Dentistry
Hello Xiaoyu: If the bolt has already loosened, you should first remove the bolt and then assess whether the remaining tooth structure can be used to re-secure the bolt and remake the crown. Dr. Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Post-Dental Implant Care: Common Concerns and FAQs

Hello, Dr. Huang! I had my lower right molar extracted due to periodontal disease, and I am scheduled to have a dental implant placed this week. Since my job requires frequent travel, I will be out of Taiwan for more than six months starting in early June. I am concerned that the...

Dr. Huang Zhicheng reply Dentistry
Hello, based on the above situation, after dental implant surgery, you should avoid biting hard foods or objects on the implant side. It is essential to clean your mouth thoroughly after eating. There should not be significant issues with speaking. As for the risk of infection, i...