What is the Effect of a Dental Implant on Adjacent Teeth?

Question:

Lee asks:

How would a dental implant effect the natural tooth or teeth next or adjacent to the implant? Would those teeth become more sensitive?

Answer:
Answered by: Dr. Carlos Boudet

West Palm Beach, FL

Dear Lee:

A properly placed dental implant would not create sensitivity problems with the adjacent teeth.

If you have a little root surface exposure on the adjacent teeth, or the adjacent root has been traumatized during surgery it may happen.

Assuming that everything went well during surgery, I cannot give you a reason for the sensitivity.

If this is not a hypothetical question, I suggest that you contact the surgeon who placed the implant and make him (or her) aware of your concerns.

I hope this helps.

Carlos Boudet, DDS, DICOI
http://www.boudetdds.com



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Expert Advice and Comments
Anonymous's picture

Lee's question: dental implant's badf effect on adjacent tooth?:

I agree with what Dr. Boudet wrote:

I'm possibly having a similar situation. Implant was placed by an oral surgeon, at an angle different from original lost tooth's root, and implant was placed too "facially" (too far forward, where implant meets abutment).

When my implant was first placed (a couple of years ago), the adjacent tooth began to turn brown, and was brown for several days. Finally healed somewhat.

The process of very forcefully putting in the implant may have torqued the adjacent tooth, pushing it out of normal position in 3 planes. Have had to use a retainer ever since.

Retainer has helped a lot, but the torquing may be continuing.

Some of my excellent endodontist's last words to me, before he retired yesterday, were (Lee--take note!): Find out from a good independent dentist,(in my case, the surgeon is not receptive...) whether the implant is or is not badly affecting the root of that adjacent tooth.

Good luck!


Anonymous's picture

Typo: I meant orthodontist (braces & retainers), not endodontist

Sorry for typo. I meant to say orthodontist (braces & retainers) type of dentist, not endodontist (who does root canals).


Leah's picture

Pressure/pain after abutment and crown placement onto implant

I had a canine implant that seemed to go fine except that the side of the adjacent tooth immediately was sensitive and was for 9 months to the time of abutment and crown placement. There was a lot of pain when the abutment went in (dentist said gums can get pinched - he didn't stop when I yelled a couple times). As soon as the abutment and crown were placed and still a month later the adjacent tooth became sore all over. I feel a great deal of pressure there when I try to chew, not to mention soreness on the top of my mouth where the crown is. I can feel pressure also in my front tooth three teeth over. When I tried to chew peanuts on the back molars on that side it increased the pain and pressure in the upper front teeth and it feels like the abutment itself and it lingers. The dentist and oral surgeon keep saying to give it time but the soreness seems to be staying about the same and worse if I try to eat anything that is even slightly hard like a cracker. I am concerned that the abutment was too large and may be damaging nerves or other harm to the adjacent tooth and other teeth.

Can anyone tell me the most likely cause of this and what I should do? I feel like I need to get the crown and abutment removed. Besides the pain/soreness the tooth was made to hang over the lower teeth and it doesn't seem to fit well after many adjustments and my bite seems off. My dental "professionals" don't seem to care. Would an orthodontist or prosthodontist be of any more help to me? I did see an endodontist who said that the nerve on the adjacent tooth seemed fine.


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