Implant Angled and Off Center?
Dan asks:
I have just had an implant to replace tooth #19. The surgery was fine, but I am a bit concerned with the placement , as it appears off-center, as well as angled in towards my tongue (maybe about 5 to 8 degrees). I am a bit concerned that this won't take the loading as well as it should as the bite forces will be distributed improperly (as the ,crown will be off-center and post not 100% vertical to the implant). Lack of bone was not an issue in the placement. Is there just a lot of room for error here and I am being a bit paranoid or something to be concerned about? Thanks, --Dan
Hi Dan,
Many different factors affect the position of an implant. The amount of bone, positions of adjunct teeth and the position of the opposing teeth as well.
An implant that is not 100% vertical in a site will survive just as well as one that is completely vertical. There are different abutments to correct for angulation issues. You should return to your surgeon so that he/she can answer these questions and show you that everything will be fine.
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Dan's question about Dental implant alignment
Dan's question about dental implant alignment is a good one. I had the same issue. I questioned the surgeon prior to surgery: "How do you insure correct drilling alignment into my jaw?" His answer: "Because I do this all the time."
As it turned out, the post is out of alignment by a significant margin (and not centered). I should not have accepted the surgeons arrogant answer.
The correct answer would have been producing a tool (guide) that would help align the drill. Evidently the procedure has not evolved to protect the patient. More patients need to ask the critical questions and demand better answers for such an expensive and often elective procedures. When in doubt, walk out!
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