Implant Not Correctly Positioned: Recommendations?

Either a screw retained crown and hopefully that will fix the bad position of the crown so that the tongue and speach won't be affected or remove the implant, graft the site and put another implant in the good position and direction... Good Luck

get the implant removed and replaced in the correct position, and forget all your problems. The palatal positioning is a clssic rookie mistake, instead of grafting and getting the implant in the desired position they just go where the bone is.... best of luck

Removal of an implant and rebuilding the site takes time and money and is not a sure thing. I would strongly consider a screw retained pfm crown that way the lingual part may be made extremely thin and would give your tongue more room.

Dr Berg simplifies matters. Placing an implant palatally can be an expert's choice and if used in conjunction with a screw-retained crown, avoids the need to graft in many cases. All other things being equal, the screw-retained crown will increase tongue-space and resolve the de-bonding issue. The thread will not strip. Good luck

If your restorative doctor and your surgeon is recommending that you should try a screw retained restoration, you definitely should. They have watched your case and have all the materials there for a proper evaluation. It is a tad reckless to get a treatment recommendation from a blog space. There are so many parameters to your particular situation that NO ONE can give you competent advice give the information. DO NOT MAKE TREATMENT DECISIONS BASED ON WHAT YOU READ HERE. If you are concerned about the outcome and don't trust the opinion of your providers, you need to get a real life second opinion. Go see someone in the area, or out of the area and see what they say.

Please, listen to JW. Nobody can answer your question with the information you provided.

i really appreciate the comments from JW... there's no point getting confused from various different views on the blog, keep in mind these views are fro surgeons who have never seen your case and also will probably never do so, taking a second opinion is not harmful but on the blog is not a very good idea i suppose. GOOD LUCK !

All anterior screw-retained restorations need a screw access on the lingual or palatal side. You can't have it on the labial side as that will ruin the aesthetics. Hence, if a screw-retained restoration is planned (and there are many advantages of doing a screw-retained restoration), the implant is deliberately placed palatally even if there's adequate bone on the labial side. It's not necessarily a rookie mistake.

It is well established from what you say, that the implant is not in its ideal relationship with the adjacent teeth..... we have no information on the size of the implant, if there is some vertical bone loss making it more accessable to work on, etc. Assuming you want to change the implant, then for sure the implant must be removed, a graft done, healing time alotted, new implant, more healing time,more expense etc. Is there a guarantee that the graft and new implant will work....NO!!! If I am not mistaken, a 3I implant of that generation had to be an external hex type..... which would lead me to believe that tremendous torque would be put on the screw,(should you change to a screw-on crown)) and it would cause the screw to fracture and make it difficult to remove the fractured portion... so the screw-on situation may not work out satisfactory. If the implant is of a wider diameter, and your dentist has the skills of a machinist and the determination of a pit bull, then he could potentially drill into the implant creating a post hole suitable for a cast one piece crown and post from a resin plastic pattern. The cast metal post would be tried in the mouth to verify the fit, adequate occlusal space,etc; and then porcelain can be baked on to the coronal portion of the cast unit. The finished crown would be cemented with a resin cement which could withstand occlusal forces. In the earlier days of implantology ( the 80's), angled abutments were not available, and we used to use this method for the original Corevent Implants.... which were of course internal hexed. The real problem here is the external hex....... it would be an effort, but a determined restorative dentist with very sharp burs and fresh diamonds, copious water spray in addition to the high speed handpiece water spray ....... could accomplish this. In this case, it is worth the gamble, as all the experts above have condemned your implant that has been solidly intergrated for 10 years.The implant itself is working out well ..... you have nothing to lose.....find the pit bull and go for it. Dr. Gerald Rudick Montreal

Dr. Niznick is correct.

Has your bite been checked by someone who really understands occlusion? You may have an occlusal prematurity or it may not couple or have a grinding parafunctional habit that is causing your issue. "If the bite ain't right nothings tight" If the implant is sturdy adjust the bite and consider a splint.

I have 2 implants in my front lower jaw where I am missing 4 teeth. I am also missing my back molars. My dentist made me a partial that has a bar attached to my implants. The partial contains a housing but no clip etc as my upper denture loacator attachment do. This lower partial is uncomfortable and pops loose when I eat etc.He tells me I need to get used to it, I tell him it doesn't fit as well as my old partial(without the implants) did. What type of retenion is considered acceptable? After all the money and surgery it seems crazy to have the bar removed and just go back to a partial that doesn't use my implants.