Dealing with Fallen Dental Implants: What to Do Next? - Dentistry

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The entire denture has fallen out, leaving only the implant screw in the gum?


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?

Xiao Yu, 40~49 year old female. Ask Date: 2023/08/31

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.

Reply Date: 2023/08/31

More Info


When dealing with a fallen dental implant or fixed prosthesis, it is crucial to approach the situation with care and seek professional help as soon as possible. The first step is to understand the nature of the issue. If your fixed prosthesis, such as a dental crown or bridge, has come loose, it may be due to various reasons, including wear and tear, insufficient bone support, or issues with the underlying implant.

1. Immediate Steps: If your dental prosthesis has fallen out, try to keep it safe and clean. Avoid using any adhesives or home remedies to reattach it yourself, as this could lead to further complications or damage. If the prosthesis is intact, you may be able to bring it to your dental appointment for assessment.

2. Choosing the Right Dental Office: You can visit either your original dentist or any dental clinic that offers restorative dentistry services. However, it is often advisable to return to the dentist who placed the implant or prosthesis initially, as they will have your dental records and a better understanding of your specific case. They can assess the condition of the implant and the surrounding tissues more effectively.

3. Assessment and Treatment: During your appointment, the dentist will likely perform a clinical examination and may take X-rays to evaluate the condition of the implant and surrounding bone. If the screw (abutment) is still intact and the implant is stable, they may simply clean the area and reattach the prosthesis. If the implant has failed or there is significant bone loss, further treatment options may be discussed, including possible bone grafting or implant replacement.

4. Potential Costs and Timeframe: The cost of reattaching a dental prosthesis can vary widely depending on the complexity of the case and the specific treatments required. Generally, a simple reattachment may cost less than a full replacement or additional procedures. It’s best to discuss the financial aspects with your dental office beforehand.

5. Long-term Considerations: If you have experienced a failure of your dental implant, it’s essential to address the underlying causes to prevent future issues. This may involve improving oral hygiene practices, addressing any underlying health conditions, or making lifestyle changes. Regular dental check-ups are crucial to monitor the health of your implants and surrounding teeth.

6. Follow-up Care: After the reattachment of your prosthesis, your dentist may recommend follow-up appointments to ensure that everything is healing correctly and that the implant remains stable. They may also provide guidance on how to care for your dental prosthesis to prolong its lifespan.

In summary, if your fixed dental prosthesis has fallen out, it is essential to seek professional dental care promptly. You can visit your original dentist or any qualified dental clinic. They will assess the situation and determine the best course of action, which may involve reattaching the prosthesis or addressing any underlying issues with the implant. Regular dental care and attention to oral hygiene will help maintain the health of your dental implants and surrounding teeth in the long run.

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