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Linda

Dear Dr. Amin,

I really need a second opinion within this week and I would be so thankful if you could help me out.

Last July started a dental implant procedure with a bone graft and had the titanium screw put in as well. I went back today and my dentist says that the implant (for tooth #14) is very stable. However, the adjacent molar (#15) is slightly wobbly and he says that will affect the placement of the implant's crown. In order for the implant to be stabilized, I have to get a bridge between #14 and 15, which means I have to pay for another crown.

I am confused about this because wouldn't the placement of the implant crown stabilize the adjacent tooth? What would happen if I did not the bridge?

Thank you so much for your time and I hope to hear back from you soon. ]

-Linda

Dr. Ramsey Amin

Hi Linda,

I just encountered this very same situation earlier today in my office in Burbank.

If I understand you correctly, the dental implant crown would be connected to the natural tooth. The goal of this would be to decrease the mobility of the adjacent tooth #15 by connecting it to the solid dental implant.

If this is the case, I would not recommend this. Connecting a natural tooth to an implant is not successful in the long term and is reserved for the rarest of situations. Historically this combination has a low success rate and use to be done in the 1970’s to the early 1990’s.

That said…each situation is very unique.

Do you have tooth #16, the wisdom tooth, behind it? Do you live near Los Angeles, to come in for a second opinion?

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Burbank, California
http://www.burbankdentalimplants.com

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