Q: Dear nephew Mitchy. It’s Uncle Howard again. My dentist in Queens said I have a problem with my upper left last dental implant; (not the one you did in front of it.) I will send you the X-ray and hear what you have to say. Love, Tio Howard.
A: I got the X-ray on my Uncle, a recently retired octogenarian who owned and operated my great grandfather and grandfather’s furniture store; Josephs Furniture of Green point Brooklyn. As the bargain furniture business headed to China via the internet, the store was mainly rented out to film companies to shoot movies and HBO specials. (Mostly with mobsters and shady businessmen.) It was cool seeing Martin Scorsese walking around the floors where I would play as a kid.
Saving a failing Dental Implant
Howie’s x-ray showed “cupping”; bone loss around an implant that resembles a martini glass, or a water-cooler, cone-shaped cup. Normally if the implant still has 50% left of its surrounding bone, we would call this an “ailing” implant, not a “failing” implant. We can treat this by adding bone graft material to the cupped-out area.
However, the deal breaker is when the implant is mobile. Which, according to Howard’s NY DDS, was the situation; it wiggled. The treatment there for is to remove the dental implant, add bone graft, then place a new implant followed by a crown in four to six months.
Dr. Mitchell Josephs practices Implant, Cosmetic and General Dentistry with an emphasis on implants, porcelain veneers, and complex crown and bridge treatment. He is on staff at JFK Medical Center and is a Faculty Advisory Board member at McGill University’s Faculty of Dentistry. He completed his residency at Manhattan’s Beth Israel Medical Center and Mt. Sinai Hospital.