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Prosthodontics/Crown on Dental Implants


Hello -
I had dental implants put in for teeth 14 and 15 by an oral surgeon in July 2013. In Dec 2013, the prosthodontist had me fitted for crown for both 14 and 15. He put a splint between the two crowns, making it one. These are screw-in type. A few hours later some of the porcelain cracked off and he removed the splinted crowns and resent them to the lab.

My questions though are these:
1 - When the crowns were put on, they felt tight as if the screws were pushing the implants closer together than they should be. Is that possible that the screws are forcing the implants closer together? I don't want the implants to feel due to improper fitting of the screws. OR if the screws went in, the fit is good and I am worrying for nothing.

2 - Also the next day, after the splinted crowns were removed, I had short shooting pains going up what seemed like the implant locations. Could this just be from the trauma of fitting the screw implants over and over again in a 24-hour period? Or can the implants be failing from just fitting the crowns, removing them, and the screwing motion?

1- These screw-retained crowns are designed in a way that if there is any issue with fit the screws would not go in.

2- The pain is most probably from the tissue or gum around the implants from fitting and removing the crowns. If the implants are failing you will have constant pain, bleeding and discomfort in that area.

Hope this answers  your questions.

Dr. Elsafi


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Mohamed Elsafi, DDS, MS, FACP


I am a board-certified Maxillofacial Prosthodontist. I do head and neck prosthetic reconstruction for patients with congenital and acquired defects. This also includes trauma and cancer patients. I can answer questions about prosthetic rehabilitation of the head and neck area. I am also a board-certified prosthodontist and can answer questions about dental reconstruction including crowns, bridges, veneers, partial and complete dentures and implant restorations. I can also answer questions about TMJ problems. I can not answer about surgical reconstruction.


I am a board-certified prosthodontist and maxillofacial prosthodontist and have been practicing denitstry for over 15 years.

American Academy of Maxillofacial Prosthetics. American College of Prosthodontists. American Dental Association.

I received my dental degree from University of Southern California. I did my prosthodontics residency at University of Florida and my maxillofacial prosthetics fellowship at MD Anderson Cancer Center in Houston.

Awards and Honors
Chief Fellow at MD Anderson Cancer Center.

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