Adjacent tooth moving after extraction and immediate implant
Adjacent tooth moving after extraction and immediate implant
Added: July 17, 2009 - 11:45 AM
By: Patient Email Withheld, New York, NY
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Case Summary
Extractions / Oral Surgery
Dental Implants
Teeth: 7,8
Case Description
I had an extraction and immediate implant on tooth #7, the one next to the front tooth. Somehow, it made my front tooth #8 loose. I can feel it moving when biting down. It has been two weeks since the surgery. I can still feel it. The X-ray showed that the implant is straight. The incision is also recovered. My dentist filed that tooth a little, so that it doesn't hit the lower tooth too much. And he wants to wait for another four weeks to see if it gets better. But will it really get better by itself eventually? If not, how to resolve the problem?
A little background about my teeth: I am only in my early thirties. I had a lot of root canals and crowns. The surgeon said my bone is a little soft. I had brace to push that particular front tooth from behind when I was a teenager. Could any of those cause the issue?
I am really worried and puzzled. I know there are a lot of great dentists on Dr. oogle. Any help is greatly appreciated.
Amy
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Reply: Adjacent tooth moving after extraction and immediate implant
added: July 17, 2009 - 12:28 PM
Do you clench or grind your teeth?Did your bite change dramatically when the front tooth was extracted?After this tooth was filed does it still hit the lower tooth when you close?If you have a traumatic bite on this tooth- it will probably not heal and tighten on its own.Feel free to come in for a consultation and evaluation. I will be more than happy to take a look and address your concerns.Our # is 212-752-1163Good Luck!-Dr Sachar
Reply: Adjacent tooth moving after extraction and immediate implant
added: July 17, 2009 - 12:41 PM
its quite possible that just flapping the gum tissue has caused#8 to become mobile. this is quite common considering thesoft tissue plays a large part in supporting the teeth. i am a general dentist who does both surgery and restorative. i also teach implant surgery. if you desire a second opinion please contact my office.derek
Reply: Adjacent tooth moving after extraction and immediate implant
added: July 17, 2009 - 12:54 PM
Amy, please call the Manhattan Dentist, Dr. Binder at Tel: (212) 753-0500He is a restoration specialist and teaches on the subject of implantology.http://www.manhattannydentist.com/index.htm
Reply: Adjacent tooth moving after extraction and immediate implant
added: July 17, 2009 - 5:28 PM
Hi Amy-There are a lot of factors involved in what makes a tooth feel loose. It sounds like you have a good understanding of what is going on in your mouth. I have have restored numerous lateral incisor implants. My thoughts about what would cause a loose adjacent tooth are as follows:1) Bite is a little high-a bite adjustment would help this 2)There is inflammation in the area making the tooth move a little more- this should subside a few weeks after surgery3)the implant was placed close to the root of the adjacent tooth- might cause inflammation and movement4)replacement of tooth might be causing some movement of tooth- flipper or brigde might be exerting too much pressure on adjacent toothLet me know if I can be of any help.Dr. Justin Boyddrjustin@drsboyd.com
Reply: Adjacent tooth moving after extraction and immediate implant
added: July 17, 2009 - 10:26 PM
Dear Amy:The previous remarks are all on the right track. However, to arrive at a proper diagnosis a radiographic (X-ray) examination and a physical examination are necessary.Please contact me by phone (my 24hr service will gladly page me this weekend, if you call).My credentials and information are on my website.Best wishes.
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