Implant-Supported Crown Problems

This patient-friendly guide answers the most common questions about implant-supported implant prostheses. It focuses on implant crown-related issues—not implant surgery—and helps you understand what’s happening, why it happens, and what to do.

🔄 Why is my implant crown loose?

To learn more about implant systems and their structure, visit our guide on implant treatment in Citydent Istanbul.

Implant implant crowns can become loose for different reasons, depending on how they are attached. This is one of the most common issues patients experience, and while it can be unsettling, it’s often easy to fix when addressed early.

Why is my screw-retained implant crown loose?

For more information on this type of prosthesis, see our page on screw-retained implant prostheses.

➤ The implant crown may move or click when chewing. You might notice a small hole on top where the screw is accessed. This screw secures the implant crown to the abutment beneath.

➤ This usually means the internal screw has loosened due to bite pressure, bruxism (grinding), or incorrect initial torque. Even minor misalignment in your bite can contribute.

➤ A dentist can easily remove the implant crown, clean the components, and retighten the screw using the correct torque. This is typically a straightforward procedure.

➤ Ignoring it can lead to complications like screw fracture, implant crown instability, or damage to the internal structure of the implant.

FAQ:
➤ My implant crown/implant bridge is loose, what should I do? See your dentist right away—don’t try to fix it yourself, as improper handling can damage threads or components.
➤ Can a loose implant crown cause bone loss? Yes, constant micro-movements may irritate the gum tissue and lead to inflammation or bone recession around the implant.

Why is my cement-retained implant crown loose?

➤ Cemented implant crowns may shift but won’t have a screw hole. They are bonded to the abutment with dental cement, which can weaken over time.

➤ Cement may wear down due to bite force, poor hygiene, or aging. Improper cementation during placement can also be a factor.

➤ Your dentist will remove the loose implant crown, clean the underlying abutment, and re-cement the implant crown securely. In some cases, replacing the implant crown may be advised.

➤ If left untreated, bacteria can accumulate under the implant crown, potentially leading to infection, gum irritation, or bone loss.

FAQ:
➤ Can you re-cement a loose implant crown? Yes, in most cases. However, if the implant crown is damaged or no longer fits, a new implant crown may be necessary.
➤ How can I prevent it from loosening again? Good oral hygiene and regular check-ups help ensure longevity.

🔧 My implant crown fell off. What now?

A fallen implant crown can be alarming, but it doesn’t always mean something serious. Most of the time, it’s due to a loosening screw or worn-out cement.

➤ Sometimes the implant crown detaches completely—either the cement fails or the screw comes loose. Trauma or chewing on hard foods may also be a cause.

➤ You may see the abutment or implant visible in the mouth. Avoid touching or disturbing it, as it may still be securely in place.

➤ Store the implant crown safely in a clean container and bring it to your dentist. If it’s undamaged, it may be reused.

➤ Reattachment is usually quick unless there’s damage to the abutment or the implant crown’s internal fit.

FAQ:
➤ Should I try to put the implant crown back myself? No—this may trap bacteria, cause improper seating, or harm the screw channel.
➤ Is this an emergency? It’s not a life-threatening emergency, but should be addressed within a few days to avoid complications.

🦷 My implant crown broke. Can it be fixed?

A broken implant crown can affect both function and appearance. Though durable, implant crowns can fracture just like natural teeth.

➤ Crowns can chip or fracture from trauma, biting hard foods, or bruxism. Poor implant crown design or material choice can also contribute.

➤ You may notice sharp edges, pain when biting, or sensitivity to temperature or pressure.

➤ Small breaks can often be repaired with bonding or composite resin. Larger fractures usually require full replacement of the implant crown.

➤ A cracked implant crown left untreated can affect your bite, irritate soft tissues, or damage the abutment.

FAQ:
➤ Is it common for implant crowns to break? It can happen, especially with porcelain-fused-to-metal implant crowns or in patients with strong bite force.
➤ Can bruxism damage implant crowns? Absolutely. Patients who grind their teeth should wear a night guard to protect both natural and implant-supported implant crowns.

😖 Why is there pain around my implant crown?

If pain is accompanied by gum problems or implant complications, you may also want to read:

Problems after implant placement

Gum recession around implants

Pain around an implant-supported implant crown isn’t normal and may indicate a mechanical or biological problem.

➤ Pain around a implant crown could mean bite imbalance, inflammation, cement remnants under the gum, or a loose implant crown. It might also relate to peri-implantitis.

➤ You may feel pressure, soreness, swelling, or discomfort when chewing. Sometimes the implant crown feels “too high,” causing uneven bite stress.

➤ A dentist will examine the area, adjust the bite, check implant crown fit, and look for signs of infection. X-rays may be needed.

➤ Ignoring pain can allow infections to spread, damage surrounding bone, and risk implant failure.

FAQ:
➤ Why does it hurt when I chew? Your implant crown may be misaligned or pressing incorrectly against the opposing teeth.
➤ Is mild pain normal after implant crown placement? Some sensitivity can be normal for a few days, but ongoing or worsening pain is not.

🧼 How do I care for my implant crown?

Taking care of your implant crown is essential for long-term success. Daily hygiene, protective habits, and routine dental visits all play a role.

➤ Brush your implant crown like a natural tooth—twice a day using a soft toothbrush and low-abrasion toothpaste.
➤ Use floss, super floss, or water flossers to clean between the implant crown and neighboring teeth or gums.
➤ Avoid chewing ice, very sticky candies, or overly hard foods that can put stress on the implant crown.
➤ Visit your dentist twice a year for professional cleaning and implant check-ups.

FAQ:
➤ Can I floss around my implant crown? Yes—but use care and consider specialized tools to avoid gum irritation.
➤ Is a water flosser safe for implants? Yes, it’s a gentle and effective way to reduce plaque and maintain healthy gums.

✅ Takeaway: If your implant crown feels loose, painful, or damaged, don’t ignore it. Most issues are easily treated when caught early. Keep up with daily care and regular dental visits to extend the life of your restoration and protect your investment.