Shaving down dental implant to make room for the crown.

| March 27, 2014 | 1 Comment

Shaving down dental implant to make room for the crown that will go on it?

by V
(New York)

I had an implant done on a bottom molar a few years ago and didn’t get around to placing a crown on it yet. I’m now seeing a dentist about placing a crown on the implant tooth and he tells me that the top molar that’s supposed to come into contact with the bottom implant tooth has dropped/protruded over time due to not having the support of the bottom tooth.

My dentist says my options are to:
a) shave down my healthy top molar to make room for the implant crown.
b) shave down the actual implant.
c) A little bit of both.

I’m not sure if this is common practice and I’m not sure which option is better. On the one hand, I don’t want to shave down a perfectly healthy tooth. On the other hand, I worry whether the stability or longevity of the implant will be compromised if he shaves it down instead of the healthy tooth. What are your recommendations and why?

Thanks in advance for your responses!

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Category: Problems After Placing Implant

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  1. sandydig says:

    Shaving down dental implant..
    by: Stacey Norrell, RDH

    V,

    It is common for a tooth to “super erupt” if there is no opposing tooth in the opposite arch. It is very important that the dentist is able to get the “bite” right when placing your implant crown. This is why he gave you the 3 options.

    I think your best bet is to go with option 3. He will have to adjust the natural tooth slightly so it will occlude properly with the opposing implant crown. The implant crown crown will be a bit shorter to allow space for the top tooth to close onto without it hitting before all the other teeth. I don’t think he will necessarily be shortening the implant post itself, it will just affect the crown that is placed on the implant. Stability should not be compromised

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