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Question:
Crumbling Implant Crown: My 16 yr old daughter had an implant approximately 5 months ago. She bit into something and the tooth began to crumble.

It continued to crumble until it looked like a shattered window. The fentist lectured her on proper care and what foods could or could not be eaten.. and then super glued something to it. 3 days later the whole thing crumbled and fell off.

Is this common? I assumed they placed a permanant crown on the post. The impression procedure I was told, would allow normal eating. Will she continue to worry about it breaking? A typical teenage girl overly concerned with looks is scared to death at being out with friends and her front tooth falls off. ...Visitor from CA

Answer:
During osseintegration (bone connecting to the implant) it is beneficial for the implant to be protected.

This is accomplished by using a temporary crown that is in light occlusion (barely touches the opposing tooth) and a "soft" material like acrylic or composite. Temporary crowns can be made in the dental office or in a dental laboratory. The temporary crowns that are made in a laboratory are more durable and look like a "final" crown better.

Your daughter should not have to worry about the crown becoming dislodged. The dietary restrictions have nothing to do with the integrity of the temporary crown. Micromovement can cause fibrous connective (cartilage) tissue to form instead of osseous (bone) tissue. This results in poor or failed osseointegration.

Ask the dentist to have a laboratory fabricated temporary crown made. Be prepared to pay a premium for this type of service.

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