Angie asks:
Two months ago I had four mini implants done on my upper mandible. When it was completed I realized that they were protruding. Instead of the implants being at the bottom of my denture they appeared on top of my upper teeth. I was worried about this but nobody seemed to be concerned.
The dentist said I might have to live with a little protrusion. She said that my bone was thin and it was the only place they could be placed. I had my upper denture done 2 weeks ago. I was upset at the protrusion. She said it could not be helped. I decided to see another dentist to see if he could do a better job. He took an xray and this is when I found out that two of the implants were in my sinuses and two of the most anterior ones were the reason why the bottom of my nose itched. This dentist was very upset along with myself. He seems to be knowledgeable.
Now , my question is what are the consequences to my having those mini implants that are in my sinus removed shortened and put back in and maybe repositioned so they are not protruding? What is your opinion on how a person should proceed in order that I will have a nice looking denture that works?
Answered by: Dr. David R. Edenbaum Marlton, NJ
Website: http://www.stateoftheartsmiles.net
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Hi Angie,
The implants can be removed, and after a period of healing, or even immediately, replaced at a more favorable angle.
If other sites are available, these implants can be 'put to sleep' and new implants placed.
I would recommend you have a CT scan using a template that is constructed in the ideal position for a new denture that satisfies your functional and esthetic requirements before any action is taken. Your original surgeon most likely placed the implants in what she believed was the best position for a successful result.
Further, the tip if an implant or mini-implant protruding into the sinus is rarely a cause for concern or for symptoms.
Take a step back and find a surgeon (Periodontist, Oral & Maxillofacial Surgeon or experienced general dentist) who will plan the case out with your own input considered. If for some reason it is impossible to get the result you want, know that before you begin. Planning is often the most important aspect of implant dentistry.
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