Originally Posted by Thelma-Louise
Only if the gum tissue has loosened due to infection or the implant did not fully integrate with the bone tissue. When I had implants some plaque would build up along the bottom of the prosthetics and around the implant but not enough to cause such pain and if food got under the prosthetic it was easily removed with a water pic, proxy brush or floss threader.
I tend to agree with the new prosthedontist since I think I have had this very problem when 4 replacement crowns on my molars were done - I had pain in between the teeth. Flossing would make them feel better for a couple of mins and then the pressure would build up again. This pressure eventually would travel down the jaw line to my ears and any type of chewing or movement of my jaw would just intensify it. I'm not sure impaction in this case is something that can be seen - not like impacted wisdom teeth - pressure due to crowns that may be too large or are pressing too closely on each other causes pain and that is not something that can viewed as much as felt.
What did the new prosthedontist recommend - did he try removing just one crown to see if some of the pain eases? I eventually had the 4 crowns removed by another dentist and the teeth pain/pressure eased up but by then I had done too much damage to my joints so now I have tmj pain pretty much all over my head and face. Its really important she gets some relief before any damage is done to the jaw or joints.
Its not unusual for dentists not to fully explain implants sufficiently to patients - I have heard this many times before - I think its becasue if everyone fully understood the commitment they took in terms of time and money most would not do it - they appeal to our vanity and stress the aesthetic part but tend to neglect the not so pleasant parts, like wating for the implant to heal, wearing temps for 6 mos to a year, that infections are psossible, etc. I'm so sorry she is suffering.
Thank you so much for all the information. As of now, the new prosthodontist that she was seeking for help refuses to work on her. He says that her mouth work is to complex for him to work on, that that is beyond his expertise.
So, she really doesn't want to go back to her old prosthodontist, because of all his screw ups but she has no choice, she needs her temporaries removed.
She had called him today on his emergency voicemail and left a message, and she has not heard back from him yet.
Her top four crowns are hanging from one of her abutments.
This had happened yesterday when she went to see her periodontist, he had put acrylic on it to hold it back up, but this morning they had fell off again!