As I have mentioned many times before, the precise, best placement angle of your implant is the most critical factor in having dental implants.
It makes all the difference between a beautiful tooth that can’t even be noticed from your other teeth, compared to a tooth that obviously is fake and malformed.
Here is an example of an implant that is placed too far out. She came to see me at my office in Burbank to make the tooth look right. I DID NOT PLACE THIS IMPLANT. It has other problems too (too deep, too large).
This schematic shows a properly aligned dental implant and one that is out of alignment.
This may seem obvious too you that the implant should be straight, but there is more to it. Your bone is almost never straight up and down. It slopes, has depressions, soft spots, dense spots and protrusions.
Placing implants in the best position is the hardest skill set for a dentist to learn. It takes years of experience and training to master these subtle changes.
If your bone is thin and needs a bone graft, implant position becomes even more critical.
Besides a misaligned implant looking really bad, they have other problems that will show years later such as
- Bone loss
- Gum recession
- Pockets
- Metal show through in the gums
- Metal show through in the porcelain
- Loss of your dental implants
At times, an implant will be purposely over-angulated or placed in a different position for special circumstances and have no problems at all.
Here is a patient from Glendale that I treated in my Burbank office with a single implant and crown. It is the one in the center if you couldn’t tell!
Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Burbank, California
Could it be just me or does it seem like a few of
these responses come across like they are coming from brain dead visitors?
Hi Bill,
I am willing to help anyone who needs to know more about dental implants. Most people don’t know about the topic unless they need or want one.
Respectfully,
Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow-American Academy of Implant Dentistry
Hello Dr. Ramsey
I’ve got an implant that has been going bad for year’s, unfortunately it’s in the front ( upper) and has a fistula that’s gotten much worse over the year’s.
My dentist put me on antibiotics yesterday and I’ve got a consultation end of March to discuss ( once again) about having it removed.
I’m petrified as a group of specialists came to Coeur d’ Alene Idaho about 4 year’s ago to decide what was the best game plan for removing it, not one of them ( at least 10 ) wanted to attempt the surgery due to how it was installed in 2005 from another quote specialist.
I used to work for Dr. Jay Hill DDS in Burbank back in the 80’s , just thought I’d share that with you.
I also had worked as a surgical assistant for Dr. David Okano in Rock Springs Wyoming in the late 90’s, so my knowledge of the field is why I’m afraid.
I’ve got no idea what my options might be as I’ve got bone loss and know that with the tissue graft is going to be painful.
So how difficult might it be to have it removed?
Long story for a simple question
Thank you in advance
Holly Puga
Spokane Wa
I am sorry you are having such issues. Most implants do very well over time but sometimes they need to be removed. I have removed ones that were in the sinus, in the nose, and the nerves and and other terrible locations. If it is possible please upload an x-ray to a public Google Drive that anyone on this forum could see. I could give you at least a basic idea of what is going on.
About 35% of what I do is corrective procedures for implant problems. In general most of the time removing an implant is not a really huge affair. My guess is that this must be on the lower in the molar area?
I think it is pretty neat that you used to work in Burbank.
Take care ☺
Thank you for the very detailed article. It helped my wife seek out the “right” implant dentist in our area.
Larry –New Jersey