My Bite is Out of Alignment After a Dental Implant Bridge


I don’t know if what I’m experiencing is normal, but I have a hunch that something is wrong. I have two dental implants and an implant dental bridge that has been used to replace four of my teeth located in the back of my mouth on the right side. When I try and chew or bite down, my teeth just don’t seem to line up correctly. Do you know if this is a problem?

– Annie in Idaho


From what you have described, this does not sound right. Every one of your teeth should make contact at the same time. If you don’t have this corrected, you may end up dealing with a very serious and painful condition called TMJ disorder.

Unfortunately, implant dentistry is not a regulated area of dentistry in the United States. This is actually quite scary because any dentist can tell you that they do dental implants. But the issue is that it requires significant training beyond dental school to do this kind of work well. It is actually one of the leading areas of dental malpractice in the United States.

At this point, it would probably be a good idea to seek the opinion of another dentist. Here are some things to look for that will help to ensure that this new dentist knows what he or she is doing. You want to look for credentials from one or both of the prominent dental implant organizations which are the International Congress of Oral Implantologists, and the American Academy of Implant Dentistry. If a dentist has Fellowship or diplomate status within these organizations you can feel confident that they have the right training and can help to evaluate your case appropriately.

It is hard to give you any specific answers about what is happening with your case without having actually seen you teeth. But the problem either occurred in the restoration process when the dentist placed the porcelain crowns, or the surgical process may have been done incorrectly. Dental implant failure is more common than you may think. It is important that you seek the talents of an implant dentist that is experienced and can make correct recommendations for you.

Often times when there are two dentists involved, for example when one dentist does the  surgery and the other one does the restorative treatment, there is room for miscommunication. For example, if the dental implant was actually misplaced, it is not uncommon for patients to end up with loose dental implants or worse dental implants that fell out. If the placement was indeed the issue for your case than it is almost impossible for them to be restored correctly.

The proper course of action should have involved a surgical guide that is placed in your mouth to indicate the exact angle for placement. Not every dentist takes this step, so you never know what you will end up with.

Hopefully this information was helpful as you seek the next step in your treatment.

This post is sponsored by Phoenix dentist Arthur Chal Esthetic and Reconstructive Dentistry.

Related link: implant vs bridge


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