Q: I recently had two implants with bone grafts placed on my lower left missing molar area. The dentist who placed them said he placed 10 mm long implants, but wish he had “placed longer ones”, but could not due to the location of an important nerve at the bottom of the jawbone. He recommended that my regular dentist make the two crowns connected to each other. My regular dentist told me, ask the implant dentist!
This worries me as I once had a bridge that was three teeth all connected, preventing me from flossing, resulting in my losing two teeth due to decay and gum disease. My question is should I have two single floss-able teeth, or play it safe and have two connected crowns? Stanley in Palm Beach Gardens
A: Let’s not allow “too many cooks to spoil your dinner.” Both doctors are asking the other one to “make the call” on splinting the two crowns or fabricating two single unit crowns. Splinting crowns together is usually done if less implants are placed then the number of teeth needed in the final result. Or, natural teeth that have loose roots due to severe bone loss from periodontal disease. If the dentist who placed the implants has tested them three months after the surgery, and they seem well integrated into the bone, then I say create single crowns for easy flossing.
EDITOR’S NOTE: Dr. Mitchell Josephs will be giving a FREE LECTURE on Incision-Free Dental Implant Surgery, Digital Crowns & Veneers, Choosing a Dental Office and NEW TOPIC: Laser Dentistry, at the Double Tree Hotel, PGA Blvd. in Palm Beach Gardens on Friday July 13th at 10:00 AM. Attendees will receive a FREE copy of his book: “Tooth Talk”. There are only 40 seats left! Call today to register at 561-832-2917
Dr. Mitchell Josephs practices Cosmetic, Implant and General Dentistry in Palm Beach and hosts “Tooth Talk” on WBZT AM1230 (www.radiotoothtalk.com) Dr. Josephs is a Faculty Advisory Board member at McGill University’s Faculty of Dentistry and completed his residency at Manhattan’s Beth Israel Medical Center and Mt. Sinai Hospital.
44 Cocoanut Row, Palm Beach, FL 33480