Terrified I need this implant replaced. Just how far outside of the arch IS this?

[Duppy813]

I’m very anxious that my lower-right second-molar implant may be positioned too far toward the cheek and possibly too far back.


I’ve had ongoing problems around it:

• Constant food trapping
• Years of gum irritation
• A crown that feels narrow at the gumline and visibly tilted
• No normal static contact
• Concentrated angled contact during jaw movement(hits at an angle and hurts allll around the gums around implant crown and into the next crown on contact)
• The implant crown is not centered beneath the opposing tooth

Several nearby crowns also seem to have been shaped around this implant, and the whole area now has abnormal contacts.


The current abutment and crown already appear to be compensating for the implant position. I’m worried that further customization would require an even more angled crown rather than correcting the underlying problem.


I understand a panoramic image is only two-dimensional, but based on what can reasonably be seen:


Does the implant appear so far outside the arch that implant replacement may need to be considered, or could the spacing and centering potentially be improved by replacing the crown and/or custom abutment?


I’m especially frightened about the possibility of implant removal and nerve injury.

 

[Gordon]

Sorry, I have never placed an implant and know next to nothing about your issue. Maybe one of our younger dentists can comment.
If it helps any, the implant seems well clear of your inferior dental nerve bundle so I wouldn't be super worried about nerve damage.

 

[Duppy813]

@Gordon thankyou, that does make me feel a bit better, I think one of the main things I’m afraid of is nerve injury if I happen to need it removed

 

[Duppy813]

I finally got access to my CBCT scan.
I have an apt with a prosthodontist scheduled finally but it’s like 3 and a half weeks away.

Have had trouble with this implant for the last 8 years.
Redness and pain all around it.
Wondering if the fixture looks off.
Not sure if I need to scroll down further down or up on the fixture. Let me know and I will. I’m really hoping it’s just the crown. One of my biggest fears is having to get the actual implant replaced but I will if I have to.

 

[Gordon]

Sorry I know nothing about implants. Young Dr Hirst might chip in if he sees this.

In the meantime, I suggest writing down your questions and sending them to your specialist before your appointment.