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Food Grade Thread Lock

12/06/2018 7:16 AM

I have a dental implant held in place by a single screw. After a couple of years, the screw came loose, and was tightened again. It has since repeatedly come loose, despite being tightened with a teeny-tiny torque wrench on several occasions. A replacement screw has not fared any better. I'm now thinking in terms of a thread locker. Apart from the obvious worry about telling a professional what he should be doing, has anyone encountered this situation or can anyone recommend a locking compound appropriate for dental implants?

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#1

Re: Food grade thread lock

12/06/2018 8:19 AM
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#18
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Re: Food grade thread lock

12/09/2018 1:39 PM

That is a different situation, in which the mating surfaces of crown and remaining tooth are much larger than with an implant.

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#2

Re: Food Grade Thread Lock

12/06/2018 9:48 AM

The problem may not be the screw. There may also be a reason why your dentist is not using a dental work rated bonding agent for this implant. Get another opinion from another dentist or periodontist. You cannot see inside your mouth what is or is not happening.

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#3
In reply to #2

Re: Food Grade Thread Lock

12/06/2018 10:23 AM

This. This. 1000x this. Get a second opinion.

Also, CR4 has careful regarding medical advice. An adhesive recommendation per the specs is fine. Instructions (or requests) on how to execute this repair will be removed. Typical IANAL/IANAD stuff...

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#19
In reply to #3

Re: Food Grade Thread Lock

12/09/2018 1:49 PM

I almost had to laugh at this. I AM asking for a second opinion, and I thought it would be appropriate to ask an engineer. Dentists go to dental school to learn about dental anatomy and disease, not about screw threads and alloy properties, so I thought to ask if someone knew about dealing with screws in strange places coming loose.

My dentist is not the one who put the implant in (the latter has retired), and he has already consulted with his colleagues about tightening the screw with a torque wrench.

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#23
In reply to #19

Re: Food Grade Thread Lock

12/09/2018 5:33 PM

You should be mkre specific, and as for a materials engineer or chemist.

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#26
In reply to #23

Re: Food Grade Thread Lock

12/10/2018 5:54 AM

That is true. My initial aim was to stir an interest in what I see as a routine engineer's problem in an unusual location. If it is too difficult for you then you are welcome to say so.

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#24
In reply to #19

Re: Food Grade Thread Lock

12/09/2018 9:27 PM

Well from an engineering perspective only and because I also have some experience through my sister's multiple dental implants let me add this perspective.

The threads that loosen after several years are between the fixture and the abutment. The binding between the fixture and your jawbone should be stronger than the binding between the abutment and the fixture. If it is not then your jawbone may require oral surgery every time the fixture breaks free of your jawbone. It is your jawbone and it is your money. But I think the weak point in this implant is exactly where it should be.

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#27
In reply to #24

Re: Food Grade Thread Lock

12/10/2018 5:57 AM

Thank you. I fully agree with what you say, and am pleased to report that the fixture and jawbone are happily bonded together. It is only a matter of the loose screw.

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#20
In reply to #2

Re: Food Grade Thread Lock

12/09/2018 2:00 PM

There is a neat explanation of the structure of a dental implant here. I would be grateful if you could suggest an alternative explanation for a loosened screw.

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#4

Re: Food Grade Thread Lock

12/06/2018 10:34 AM

Abraham Lincoln said - “He who represents himself has a fool for a client”

I think the same would hold true in your case.

There may be a more permanent solution, aside from "glue."

Consult with your dentist.

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#5

Re: Food Grade Thread Lock

12/06/2018 1:07 PM

So, you are asking a bunch of anonymous wish crackers on the internet what you should do about the loose screw in your head?

If possible try to find the true manufacturer of the dental implant hardware. Explain your problem to them. They stand to be the most embara$$ed by the problem with what they $ell and are mo$t motivated to help you and re$tore their good reputation.

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#8
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Re: Food Grade Thread Lock

12/06/2018 10:40 PM

Is a "wish cracker" anything like a fortune cookie?

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#10
In reply to #8

Re: Food Grade Thread Lock

12/06/2018 11:44 PM

Hi Lyn,

A " wish cracker ", is a new years party popper.

Usually two people pop it. On person holds one end and the other person holds the other end. When it pops, the quicker person gets to grab the prize that pops out.

These are also known as Christmas crackers.

Since Christmas is on its way, I will be expecting one. Hint, hint,,

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#12
In reply to #5

Re: Food Grade Thread Lock

12/07/2018 7:48 AM

I laugh at how respectful everyone is being here of the professional opinions of dentists. As a professional engineer with some 33 years under my belt, I have say that we are seldom if ever accorded such deference.

However, you only have one jawbone so I suggest that you don't mess about; if you are unhappy with your implant, get a second opinion.

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#14
In reply to #12

Re: Food Grade Thread Lock

12/07/2018 7:11 PM

I don't know why you are telling him to get a second opinion. During my last physical I asked my doctor why I was having so much pain in my foot. He said it was because I was getting old. I told him I didn't like what he was saying and I wanted a second opinion. He told me I was also getting fat. Second opinions aren't very good.

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#15
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Re: Food Grade Thread Lock

12/07/2018 7:33 PM

.... the doctor said i was getting old,... so i asked for a second opinion,... the doctor than said “sure... you're bald too...”

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#6

Re: Food Grade Thread Lock

12/06/2018 3:33 PM

..."To maintain the abutment screw tightly in its correct position, the authors developed a technique in which an elongated hexagonal titanium bar is inserted into the hexed fixed screw head. The screw is locked, and the bar is then fixed with a light-cured composite resin material that serves to seal the retaining screw access hole. The occlusal hexagonal bar thus serves as a secure screw lock that can be easily removed if needed."...

https://www.ncbi.nlm.nih.gov/pubmed/10332132

I think this is one of those problems that you need to rely on the dentist to solve....

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#7

Re: Food Grade Thread Lock

12/06/2018 8:08 PM

I have the same issue... the problem is, it can be the design of the implant thread. there are a number of implants that they don't make anymore, for one reason or another, i unfortunately have one. it took him quite a bit of time to find the thread.

fortunately my dentist has kept to the gaurantee. ine time he did use a higher grade of cement, i never had a problem with it since.

i stay with the same dentist, because if you go to another dentist, then the garantee is off.

I know anout a week before when its about to come loose (noticably loose), usualy it’ll pinch my gum.

The other issue, you may have problems grinding your teeth, thats stressing the bond of the cement.

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#9

Re: Food Grade Thread Lock

12/06/2018 10:53 PM

I'm making this OT, and it certainly isn't an endorsement of a product for your situation.

However, "X-Pando" is an interesting pipe compound also useful for setting anchor bolts in some cases, and supposedly it is acceptable for potable water usage (but I'm not sure of this).

Moreover, there is interesting family history. It's a pretty old company that was inherited by D. Keith Mano, who was a short-story writer in the 1970s-80s, maybe 90's.

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#11

Re: Food Grade Thread Lock

12/07/2018 6:52 AM

I had a similar although only one off issue ~8 years ago, some months after my implant was fitted. I'm not 100% sure (due to the time that has passed) but I think the first job may have had the nut (on an implanted stud i.e. not a screw) exposed, whereas the rework had a counterbore where the nut sits filled with "dental cement" so it couldn't undo. I also wondered if the loosening could have been caused by foreign material being trapped in the assembly and breaking up after use/time.

To digress slightly, I remember the whole process was very interesting from an engineer's perspective. Installing a stud in one's jaw, not dissimilar to one in concrete; asking the dentist if his dinky torque wrench was calibrated (when looking for a loosening cause) - something I used to do that he'd never come across. When wet media blasting was new-tech in dentistry it wasn't in engineering. The list goes on.

Good luck

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#13

Re: Food Grade Thread Lock

12/07/2018 8:38 AM

LOCTITE has several "medical" application adhesives. If any are suitable I cannot say. I will let you do the research but don't hold out much hope.

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#16
In reply to #13

Re: Food Grade Thread Lock

12/07/2018 7:34 PM

I heard they use super glue instead of stItches..

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#17
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Re: Food Grade Thread Lock

12/09/2018 1:33 PM

Yes, they do, but that is not relevant to the current issue.

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#22
In reply to #17

Re: Food Grade Thread Lock

12/09/2018 5:31 PM

About as relevant as using a food grade thread lock as dental cement.

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#25
In reply to #22

Re: Food Grade Thread Lock

12/10/2018 5:45 AM

May I refer you to the description of the dental implant process in post #20? There are no components to be cemented together.

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#28
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Re: Food Grade Thread Lock

12/10/2018 8:23 AM

You have to realize that how you brought it up, you initiated a brainstorming discussion.

i related my simular experience where the implant would lossen, the dentest tightened it and capped it with cevent. it work slightly long per then usually, but it still came loose.

let me reiterate from post #7 It may be the thread type on the implant.he only used the cement to cap it off, in an attempt to keep it from loosening,... to no avail.

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#21

Re: Food Grade Thread Lock

12/09/2018 5:23 PM

Have you considered medical superglue which is used instead of sutures to seal incisions?

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