- Reaction score
More expert than I amI'm no expert on guessing implants from radiographs. Better off taking advice from Jo Chen or Darwin.
The Dr. wanted to have the correct healing color ready after removing the crown and abutment. That crown is toast.Some how I feel like the doc is going to have to perforate the crown to remove it, which basically makes it junk. So go ahead and do that, find out what implant it is, then put the crown back in, get the parts to re-restore it and move forward.
Yes, but like Doug suggested, if the doc can make an access to the screw channel it is likely that the whole crown and cemented abutment can be removed to confirm the connection geometry type and the crown could be screwed back down until the parts are sorted out. Happens a lot here when we inherit cases like this.The Dr. wanted to have the correct healing color ready after removing the crown and abutment. That crown is toast.
That seems to be one of the big problems these days. Implants are a tremendous profit center, but that doc is going to have to take the bad along with the cash. I live with this stuff daily and it gets really old to have a doc dump on the lab. It's not that hard to perforate a crown that is a pfm. It does take time and burs and a lot of water, but they can do it. This is why we do many "Screwmentation" crowns. Retrieveability has become a common practice with implants, I don't know what isn't being done correctly, but keeping a screw tight has been an issueThe Dr. said "Oh its easy for you to say JUST drill a hole through the crown!" But I agree with you guys.
Have him remove, take picture and measure interface. Then put crown (w/hole now) back on...tighten up and fill hole with composite. No need for healing cap.The Dr. wanted to have the correct healing color ready after removing the crown and abutment. That crown is toast.