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Had bone graft and abutment fitted last Monday. When it is safe to wear my flipper?

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MountainMama

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Jul 1, 2018
Messages
2,596
I want to use straw because I feel like every time when I drink soup or flavored drinks, it might get into the implant and hard to clean. To be honest, I am still not comfortable brushing on the healing cap and the gum. The dental assistant told me to brush in a circular moment when brushing heading cap. I really don’t know what is the correct way to brush. And just read online that sometimes the healing cap comes out. Has that ballot to before? I wish I can go back for a quick appointment on a monthly basis to just check on how it progress. Three months seem like a long time. :)
The healing cap won’t come out! I had that fear myself at first, but when they took it out to do impressions for my crown, I saw what it looked like and lost that fear. It is like a screw. So the healing cap is actually screwed into the implant. I have never even had mine loosen, and I have had four implants now.

It won’t hurt the healing cap to get food on it. It is snug in your gums and nothing will get past it to the implant. Just avoid crunchy stuff on it or sticky stuff. My first one I was a nervous wreck. After that I realized they clean easily. I didn’t do a circular motion, just brushed it and used an interdental brush on the sides of it once the swelling went down.
 
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Kate2022

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Apr 12, 2022
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43
Location
CA
@MountainMama I wonder if it hurts when the dentist unscrew the healing cap? Also, how can they tell the implant is ready for the tooth? I am so afraid of doing the impression. It feels like it’s going for pull all my teeth out, especially now that it has a screw. What if the screw is pulled out? I know I am thinking too much.

Every day I feel different. There are days when my gum feels sore and I feel the screw is inside my gum making me uncomfortable (no pain though). Today, I don’t feel anything, but afraid spraying the implant with salt water using a syringe after lunch, I can actually feel the healing cap in the back of my gum. Before I only feel the gum, but today when I licked the back of my gum, I can feel it. Everyday just afraid that the screw will fall out. Lol Do you rinse your mouth after every meal until your put in your tooth?
 
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MountainMama

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I never used a syringe or rinsed my mouth after meals. I just brushed as usual twice a day and brushed the healing cap.

You feel more of the healing cap because the gums were swollen after the procedure and now it is starting to go back down. You will feel more of it over the next few days. It won’t fall out. You would feel it getting loose. It wouldn’t just fall out.

It does not really hurt to unscrew it but it does feel weird. You feel pressure and a tugging sensation. I was always holding my breath at that point, worrying it was loose. At my last implant, when it was ready for the crown, the dentist hesitated as he unscrewed the healing cap and said “I thought I felt a little give for a second but it is fine”. I asked him how he knew it was not loose. He said that as soon as they start unscrewing it, they can tell if it is loose.
 
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Kate2022

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Apr 12, 2022
Messages
43
Location
CA
@MountainMama Oh no, I’ll probably be panicking again when it becomes loose, but I’ll keep it in mind of what you told me.

I am a little worried because the surgeon gives me a three month window to put the crown. He always seems rushed. Like I mentioned before, the stitches were said to take out in 3 weeks and now only one week. I read in a lot of websites, we need to wait about 3-6 months to put crown. In the past, he was even thinking about 2 months. I don’t eat too much food with calcium especially on and off I am still experiencing difficulties in breathing and swallowing. I just can’t imagine how my bones will grow. Maybe I should ask to postpone for another month just to be safe.
 
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MountainMama

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@Kate2022 I wouldn’t worry about the healing cap becoming loose. It is very unlikely.
Also, they will do an X-ray before they remove the healing cap, to check the bone growth. Some dentists like to wait longer than others.

If it makes you feel better, I had a LOT of bone loss with my front tooth and the surgeon checked the implant at 4 months and everything was perfect. With my latest molar implant, they did the crown at 3 months and it was also fine. It was a different dentist.
 
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Kate2022

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Joined
Apr 12, 2022
Messages
43
Location
CA
@MountainMama Hi, how you are doing well! I can’t believe it’s been 3 months since I had my implant. Next week, I have an appointment with the oral surgeon to see if it’s ready for crown. I am a bit nervous now. Just curious, before you had the surgery, does the surgeon asked you to select the the screw? My sister’s coworker told her that there are a lot of options and the cost varies, but the oral surgeon never asked me. I wonder if the option determines how long the implant will last. Also, I read online that there or two way to put on the crown for front tooth, one is using cement to seal the gap and the other type is the regular way where the dentist just screw it on. Which type did you used? I had a feeling that they are not giving me options either. Also, how long do you have to wait in order to use your front teeth to bite on food after the crown has been placed? Have you done any deep cleaning before or after putting the crown. I only did the bottom gum and I’ve been worried to do deep cleaning on upper gum where the implant is placed. I am debating if it’s a good idea to do it before of after the crown being placed. And of course, not even sure if everything is ok with the implant. I don’t experience any pain these days, but sometimes I just feel some numbness with the two teeth between the implant. I am also afraid doing the impression. It feels like it’s pulling out all my teeth. So many worries all of a sudden. But again, I feel fortunate that I don’t have to wait for a year. And al these days, my toddler tells me that that I have a missing tooth and I don’t want to remind her that she was the one causing it. Lol
 
M

MountainMama

Well-known member
Joined
Jul 1, 2018
Messages
2,596
@MountainMama Hi, how you are doing well! I can’t believe it’s been 3 months since I had my implant. Next week, I have an appointment with the oral surgeon to see if it’s ready for crown. I am a bit nervous now. Just curious, before you had the surgery, does the surgeon asked you to select the the screw? My sister’s coworker told her that there are a lot of options and the cost varies, but the oral surgeon never asked me. I wonder if the option determines how long the implant will last. Also, I read online that there or two way to put on the crown for front tooth, one is using cement to seal the gap and the other type is the regular way where the dentist just screw it on. Which type did you used? I had a feeling that they are not giving me options either. Also, how long do you have to wait in order to use your front teeth to bite on food after the crown has been placed? Have you done any deep cleaning before or after putting the crown. I only did the bottom gum and I’ve been worried to do deep cleaning on upper gum where the implant is placed. I am debating if it’s a good idea to do it before of after the crown being placed. And of course, not even sure if everything is ok with the implant. I don’t experience any pain these days, but sometimes I just feel some numbness with the two teeth between the implant. I am also afraid doing the impression. It feels like it’s pulling out all my teeth. So many worries all of a sudden. But again, I feel fortunate that I don’t have to wait for a year. And al these days, my toddler tells me that that I have a missing tooth and I don’t want to remind her that she was the one causing it. Lol
From what I was told, the method of cement vs screw depends on a few different factors. My front tooth was cement at first. I hated the first crown. It didn’t fit with my other teeth. The dentist said he was doing cement because front teeth are harder to do screw retained, due to the angle of the tooth and implant. With mine, you could see the metal abutment through my gums, and the dentist decided to do a screw retained. He used some kind of angled abutment and made it zirconia so it wouldn’t be dark. I like the screw retained much better but I don’t think it has a difference on longevity.

You can eat on it immediately after placement of the crown. 😁 I didn’t because I was a total chicken. I got used to it slowly and gradually tried biting more and more. I had, and still have, a numb spot between my front tooth and the lateral incisor, but it was nerve damage from the apico that I had, not from the implant. It did make it feel weird at first when I bit. Now I can bite into pizza crust without even thinking about it.

I am not sure about the deep cleaning question. I have only ever flossed and brushed around the healing cap, and then the crown. Flossing is weird because the floss goes all the way under the crown, but you have to get to the base of the crown, but be gentle. You don’t clean the implant itself.

I hate impressions also. It also makes me worry about pulling out my teeth. My oral surgeon told me that the implants were the strongest teeth in my mouth. Lol. They won’t come out.
 
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