Kathie asks:
I literally have a loose screw & my crown is wobbling. The post is strong & not moving. My periodontist has not left a hole to access the screw to re-torque. What are my options to correct this & save my $10,000 implant?
Answered by: Dr. Scott Johnson Des Moines, IA
Website: http://www.oralsurgeonspc.com/
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Hi Kathie,
If the crown is mobile it may be caused by a loose screw or a broken abutment. In some cases a hole can be carefully drilled in the top of a cement retained crown to gain access to the abutment screw and trouble shoot things.
Unfortunately, there is always a risk of porcelain fracture when doing this and if the problem turns out to be associated with the actual abutment, the crown will have to be remade anyway.
I would recommend working with your doctor as soon as possible to solve this problem which will help prevent possible bacterial contamination around this loose crown and compromise to the implant.
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