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Why Does My Prosthetic Feel Loose? (De-cementation, Screw Loosening, etc.)

A loose prosthetic can cause discomfort and compromise the functionality of dental implants. Identifying the underlying cause is crucial to resolving the issue and ensuring the long-term success of the restoration.


Common Reasons for a Loose Prosthetic


1. De-cementation

• Occurs when the dental cement holding a cement-retained prosthetic weakens or breaks down over time.

• Common causes include improper cement application, excessive chewing forces, or prolonged use.

2. Screw Loosening

• In screw-retained prosthetics, the screw securing the prosthetic to the implant may loosen due to:

• Excessive chewing pressure.

• Improper torque application during placement.

• Wear and tear over time.

3. Implant Movement

• Rarely, the implant itself may become unstable due to insufficient bone integration (osseointegration) or bone loss around the implant.

4. Wear and Tear

• Over time, normal wear and tear can affect the stability of both the implant and prosthetic.

5. Material Fatigue

• Aging materials, such as screws or abutments, can lose their strength and compromise the fit.


Steps to Address a Loose Prosthetic


1. Consult Your Dentist Immediately

• Early intervention can prevent further complications, such as gum irritation or damage to the implant.


2. Professional Evaluation

• Dentists at Dent Health Istanbul will thoroughly examine the prosthetic, implant, and surrounding gums to identify the root cause.


3. Tightening or Replacing Screws

• If screw loosening is the cause, the screws can be retightened or replaced. Proper torque settings ensure long-term stability.


4. Re-cementing

• For de-cemented prosthetics, new dental cement can secure the crown or bridge effectively.


5. Assess Implant Stability

• If the implant shows signs of movement, additional procedures like bone grafting or implant replacement may be required.


Preventing Future Issues


Follow Proper Oral Hygiene: Regular brushing, flossing, and professional cleanings maintain the health of the implant and surrounding tissues.

Avoid Excessive Chewing Forces: Refrain from biting hard objects or grinding teeth. Consider using a night guard if bruxism is an issue.

Routine Check-Ups: Regular dental visits ensure early detection and correction of any potential issues.


Example Case


A patient at Dent Health Istanbul reported a loose crown on their implant. Upon examination, it was found that the cement had degraded over time. The crown was re-cemented, and the patient’s discomfort was resolved immediately.


Why Choose Dent Health Istanbul for Loose Prosthetic Management?


Our expert team utilizes advanced diagnostic tools and high-quality materials to ensure your prosthetics remain stable, functional, and comfortable for years to come.

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