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Medical Forum / General / Dentistry / July 2007

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Question about holes between teeth at bottom of implant crowns

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JimSocal - 02 Jul 2007 19:36 GMT
My implant crowns have holes between them and the teeth next to them
that are big enough that food gets trapped in them, and a special
brush with one narrow brush at the end is required to insert into that
hole or space to remove food.

This is very annoying.

I talked to a friend of mine who has 2 implants and he says his do not
have this hole and he does not have to use this brush to constantly
(after every meal) remove food.

My question is, why do mine have these holes between them and his do
not? Are there some types of implant crowns or implants that are
better than others in this regard? Or were my crowns made improperly?

It seems to me that my crowns were made so that these holes would be
there, intentionally? Why? Why weren't they made wider at the bottom
so that there would not be these relatively large holes there that
trap food?

I am very disappointed with my implant crowns. I told the dentist who
did them, and she and the senior dentist there say that there is
nothing wrong, that's just the way implants are. If this is the case,
then why do my friend's implant crowns not have this same design or
problem?

To me, as a layman, not understanding the dynamics, perhaps, I don't
see any reason why I should have these holes between my crowns, that
require this brush to clean out annoying trapped food every time I
eat, when my friend's implants do not have this "feature".
le huart - 03 Jul 2007 00:17 GMT
It might be possible to give you an answer iff we knew what brand/kind
of implants you have; how many implants and how many crowns you have;
exactly what teeth (#'s) are being replaced; post an x-ray of your, and
ideally your friend's implants to see exactly what they look like. For
example, Bicon brand implants do not give the same emergence profile as
Straumann brand implants. There are many nuances for each case. Based on
the surgical implant placement, the spaces you have might be the best
prosthodontic result that could be achieved.
JimSocal - 03 Jul 2007 01:12 GMT
>It might be possible to give you an answer iff we knew what brand/kind
>of implants you have; how many implants and how many crowns you have;
[quoted text clipped - 4 lines]
>the surgical implant placement, the spaces you have might be the best
>prosthodontic result that could be achieved.
Implants 18, 19, 20 and 29.
I believe the name of them is Nobelbiocare
#19 and #20 are "Branemark MkIII Groovy RP 4x10
#3,4,18 and 29 are Speedy Groovy 4x10

Here is a jpg of the xray and info the surgeon wrote on it:
http://img167.imageshack.us/img167/3784/implantxrayrevag4.jpg

I do not have an xray of my friend's implants but anything you can
tell me about mine based on this xray is welcome.
I am waiting for placement on the upper 2.

I really feel that these implants could have been done better. I don't
see any reason why there are big holes between them for food to get
stuck in. I'd really like someone to explain this to me.
 
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