Reader question: Diastema after single-implant molar crown

Dec. 10, 2020
Dr. Stacey Gividen presents a reader question involving a diastema after placing a single-implant molar crown. Can you help? Email Stacey to join the conversation!

Dr. Stacey Gividen, here with a reader question. Hopefully we can get some feedback from you, the viewers, who no doubt have some tricks up your sleeves! Whether we've been practicing for one year or 30, there are always things to learn to make life in the clinical setting easier and better.

This reader asks: 

Why is it that after I deliver a single-implant molar crown the patient sometimes returns months/years later with a diastema between the implant crown and the adjacent natural tooth? I know for a fact that they didn’t leave that way when it was delivered, and yes, an occlusal guard is always recommended. No one seems to know why this is happening.

I must confess that I have experienced similar issues with implants, so I'm especially excited for your feedback on this one. If you have any input, send an email to the address in my bio below, and let's discuss! 

Editor’s note: This video first appeared in Through the Loupes newsletter, a publication of the Endeavor Business Media Dental Group. Read more articles at this link and subscribe here.

Stacey L. Gividen, DDS, a graduate of Marquette University School of Dentistry, is in private practice in Hamilton, Montana. She is a guest lecturer at the University of Montana in the Anatomy and Physiology Department. Dr. Gividen is the editorial co-director of Through the Loupes and a contributing author for DentistryIQPerio-Implant Advisory, and Dental Economics. She serves on the Dental Economics editorial advisory board. You may contact her at [email protected].