To do so, the oral surgeon will reopen your gum to expose the implant and attach one or more connectors. Snap on Dentures are attached by usually either 2 or 4 dental implants. The top of your implant has a hollow area that an attachment (known as an abutment) gets screwed into. Loose Abutment. After your jawbone fuses to the implant, the abutment is usually screwed into the implant. Placing final abutments. Sometimes you may find that “you have a screw loose”… A loose retaining screw for a dental implant abutment may yield a mechanical clicking sound. Abutments can be made of titanium, stainless steel, gold, or zirconia ceramic. The healing abutment is exposed and a cover screw is taken out enabling the healing cap to be placed instead on top of the dental implant. Time is allowed for the gum to heal around the abutment, after which a dental crown is attached to it. First, do not worry. The abutment is … Loose dental implants could also be the result of surgical trauma due to overheating of the osteotomy or nonideal implant position resulting in nonaxial forces during occlusion, improper crown design, high occlusal alignment or improper size selection of the implant and abutment. I had thought at that time that the screw was loose because it was of a smaller diameter than the healing abutment. Visit with your dentist and request that he or she tighten the abutment screw. If your dental implant feels a little wobbly, the problem could be a loose abutment connection. This abutment sticks out of the gum and your crown is cemented on top of it. Patients also occasionally call when a blood clot or our perio pack fall out. Not usually a real issue, just replace and re-tighten the healing abutment. Healing after the abutment procedure takes approximately 2 to 3 weeks. The most common problem is a loose locator abutment.. The whole piece was very loose and the crown ended up popping off about a week later. Tightening a Loose Dental Implant Abutment. After healing is complete, it’s time for the dentist to place the abutment. This is easily remedied. The Purpose of The Healing Abutment. Healing abutments come loose regularly. It usually takes 4 to 6 weeks for gums to heal around abutments. Placing healing abutments. These are connector rods that help anchor the implant. Repeated micro movements (chewing) in the long axis cause the screw to back out. At times it’s possible for the abutment will begin to unthread from the implant, making it loose. The healing abutment is without question the number one thing that patients call about when saying “My dental implant fell out!” The rest of these are much less common but the abutment screw is one we have had patients call about. Sometimes these implants can become loose. After abutments are placed. When gums have healed, the final abutment is placed. 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