My implant is loose... 2nd time same problem. I need quality dentist to get it fixed Asap

Any recommendation?

Thanks!

Pattaya Dental Clinic

308/79 Moo 10 Thappraya road

0382526701

Thai good English 40 years experience. 

German Dental Thappaya road

I've had good luck (no problems) with my implants that I had done at Dental Select.  Pattaya 3rd road, close to Pattaya Glang.

The Pattaya City Expats Club has the following on their Expat Recommended Health Providers web page:

Quote

Dr. Preecha Paijitrochana, DDS

Smile Time Dental Clinic

Jomtien

082-207-9691

Remarks: The Expat recommending commented ‘Everyone I send to him is delighted and never goes to another dentist.’ Great English. In Jomtien, but friends go out from other parts of Pattaya to see him. Close to the golden ‘monkey’ statue.

 

9 hours ago, bkk6060 said:

Thai good English 40 years experience. 

Thank you all.

Went to this this. Didn't like, was Chinese fast talking sales man. Maybe good but not my taste.

Cash, no receipt. Can't keep appointment time. Walk in Chinese customers  went by me like I wasn't there.

I rather suffer untill back to States. Prices were same...

PS. Now I got it; The Brit must have sold the business to this Chinese man. I met briefly an old nice Thai lady speaking very good English. Must be wife, or widow, of the Brit Dr?

16 hours ago, GypsyT said:

My implant is loose... 2nd time same problem. I need quality dentist to get it fixed Asap

Any recommendation?

Thanks!

 

6 hours ago, GypsyT said:

Thank you all.

 

PS. Now I got it; The Brit must have sold the business to this Chinese man. I met briefly an old nice Thai lady speaking very good English. Must be wife, or widow, of the Brit Dr?

 

Please specify:

Is your implant loose or is it the abutment.

 

If you're implant is loose and therefore has lost its connection to your alveolar bone, there is not much you can do. A dentist will have to take it out, wait for some time, and then maybe insert another one.

 

The abutment is normally fixed on the implant with a screw. It's job is to create a connection between implant and the prosthetic, which could be a single crown, a bridge, a removable denture or whatever.

 

The next question is how your prosthetic, assuming that you have one, is fixed on the abutment. 

 

If the abutment is loose and your prosthetic is glued on it, then again it might be tricky as you have to remove the prosthetic first before you can tighten the screw. If there is an easy access to that abutment, it can be tightened within minutes.

 

But here is the next problem.

 

Which company is your implant manufacturer?

Worldwide there are more than 1,000 implant manufacturers and each and every one of them has its own implants, abutments and tools and unfortunately they are in most cases not compatible to each other meaning with a screwdriver from company a you can't tighten a screw from Company B.

 

If you know your implant manufacturer the best thing you can do is try to find out it's local dealer in Thailand, give them a call and ask them who is the next dentist working with their system.

 

To your second post.

There has never been a British dentist in Thailand. They may have been a foreigner working for a Thai dentist translating or consulting his patients

 

There is only one foreign dentist who passed the Thai Dental board exam which is mandatory in order to get a work permit and work in Thailand as a dentist. And he is not a Brit.

 

 

By the way, you are talking to him.

6 hours ago, Somjot said:

Please specify:

Is your implant loose or is it the abutment.

Thank you so much!

I figured same: The screw is loose. Crown has to be removed, screw tightened or replaced.

There was a problem;  Not enough bone to use larger screw without bone craft. I didn't want to do it. So I took a change and it didn't work, part of my own fault.

The manufacturer is an Italian company, well know in EU.

 

If you don't mind; What should I do?

Try to fix or pull it out and live without?

Money is not an issues. I'm scared of large complicated dental work. Many bad experiences since child.

Thanks!

 

Please specify:

 

Is the IMPLANT - BONE connection loose or the ABUTEMENT - IMPLANT connection?

 

Sometimes difficult to diagnose.

 

Both are partially shaped like a screw.

 

If the implant is loose, all you can do is extraction, if the Abutment is loose, it may be possible to tighten it.

 

 

As you say "difficult to know" without removing crown.

I do it when back in US or EU.

Thank you!

 

German Dental

 

https://maps.app.goo.gl/cPXaGoVLbcJPHLJR7

 

 

7 hours ago, Espanol said:

 

German Dental

 

https://maps.app.goo.gl/cPXaGoVLbcJPHLJR7

 

 

 

The OP asked for a quality dentist and not for a dental technician.

 

 

In order to become a dental technician, one also has to finish junior high school and become an apprentice in a dental laboratory for 3 years.

The job profile of a dental technician is basically the production of crowns, bridges and prosthesis with metal, plastic or ceramic, nevertheless dental technicians are not allowed to examine, diagnose, advise or treat patients, neither in Thailand nor in the Western countries!

 

A dentist, or better DDS (Doctor of Dental Surgery), had to pass secondary school, which takes 2 to 3 years after high school, with an university-entrance diploma and study in a dental university for many years. This university studies include general medicine and dental education and covers all dental sciences like surgery, filling therapy, endodontology, periodontology, prosthetics, etc.. Besides, a DDS is obligated by law to do further education regularly.

Only licensed dentists are allowed to examine, diagnose, advise and treat patients!

10 hours ago, GypsyT said:

As you say "difficult to know" without removing crown.

I do it when back in US or EU.

Thank you!

 

I took a few pictures for you today, for a better understanding:

 

This is the implant in the jaw, perfectly healed in with healthy gum

 

 

this is the screw retained crown with the screw

 

 

the crown will be put on the implant

 

 

and fixed to it with the screwdriver 

 

and the cavity will be closed with a white filling (nano composite)  (too white this one, I changed it later, I chose the color for the pic so the filling is more visible

 

 

Now if this little screw is loose, which an experienced dentist can diagnose from the way it is tilting, all he has to do is to remove the filling and tighten the screw and close the cavity with a new filling. Altogether not much longer than 10 minutes.

But if the complete implant is loose, well then you can say, I am screwed, because you have to start the whole thing from the start or you or live without the tooth.

 

 

 

Thank you very much for your trouble, Doc!

Too bad I didn't come to you... Didn't know you.

I hope it's just loose screw. But why it came loose is a mystery. I didn't bait anything hard.

The worse case it implant itself. I've very little bone there. No room to re-threat and use bigger one.

 

 

 

 

 

 

 

 

On 2/10/2025 at 9:53 PM, Somjot said:

 

The OP asked for a quality dentist and not for a dental technician.

 

The job profile of a dental technician is basically the production of crowns, bridges and prosthesis with metal, plastic or ceramic, 

 

Only a dentist, or better DDS (Doctor of Dental Surgery), has by law the permission to examine, diagnose, advise or treat patients and perform surgery, filling therapy, endodontology, periodontology, prosthetics,

 

As two BMS clicked the “confused” emoji I`d like to clarify:

The guy who runs that place is German.

But he is not a dentist; he is a dental technician (for more detail see my post above).

He hires Thai dentists, who work for him at his place.

On 2/11/2025 at 4:11 PM, Somjot said:

He hires Thai dentists, who work for him at his place.

Well, last time I was at your place, treatment was by a Thai Dentist. So I guess you too use Thai Dentists. That is not a critic about quality. I just point out that you will not automatically be treated by Dr. Somjot himself. 

 

I do not see a big difference to any other place, beside that your Receptionist is talking german. But I am looking forward to your answer, I have to crowns (or inlays) to fix soon.

On 2/6/2025 at 9:31 PM, GypsyT said:

My implant is loose... 2nd time same problem. I need quality dentist to get it fixed Asap

Any recommendation?

Thanks!

 

Where did you have it done in the first place? They are the ones who need to fix it.

On 2/13/2025 at 1:02 PM, CHdiver said:

Well, last time I was at your place, treatment was by a Thai Dentist. So I guess you too use Thai Dentists. That is not a critic about quality. I just point out that you will not automatically be treated by Dr. Somjot himself. 

 

I do not see a big difference to any other place, beside that your Receptionist is talking german. But I am looking forward to your answer, I have to crowns (or inlays) to fix soon.

 

 

And I`d love to provide an informative response, but to what question?

16 minutes ago, Somjot said:

 

 

And I`d love to provide an informative response, but to what question?

You pointed out the other clinic is lead by a Dental Technician, but you are a qualified Dentist. But in both clinics work Thai Dentists.

 

For me, it's not clear why I should choose your clinic over the other one, or any other Thai Dentist. 

 

To put it into a clear question: what are my advantages to use your clinic. 

59 minutes ago, CHdiver said:

For me, it's not clear why I should choose your clinic over the other one, or any other Thai Dentist. 

 

To put it into a clear question: what are my advantages to use your clinic. 

 

Why are you so rude?

This nice Doc too time to give me information I needed without any compensation.

Now you come here with your stupid demands! Buzz off my page 🙂

PS. If I was him I may drill extra deep... He won't, I would.

1 hour ago, CHdiver said:

For me, it's not clear why I should choose your clinic over the other one, or any other Thai Dentist. 

 

To put it into a clear question: what are my advantages to use your clinic. 

 

You shouldn`t!

 

If you have really been to my place, then you probably have visited my website and seen my diplomas, and therefore would know about my 35 years of job experience, about all those international professional medical societies I'm an active member of, not to mention me being a recognised expert of implantology in Germany, the US and in Thailand and as mentioned before the only foreign dentist with “a licence to drill” in Thailand.

 

You would have noticed, I am treating patients too.

 

Actually, I am working full time doing most cases, especially the difficult ones which require full mouth reconstruction, bone surgery or implants, while my Thai colleague, who has more than 20 years of job experience is more into tooth cleaning, periodontal treatment root canal treatment and dentures.

 

You would have noticed that our equipment and the materials are all German products and therefore liable to the strict German laws MPL (medicine product law) and the German law for medical equipment (MedGv).

 

Did I mention, that we offer a five year guarantee in Thailand and in Germany?

 

I would love to go more into details but that would take too much space, will probably be boring for the other members and is most likely against the forum rules which do not allow any kind of free advertise.

 

However, the only thing you noticed, was our German speaking receptionist.

 

So maybe for you there is no advantage in using our clinic as you “did not see a big difference to any other clinic.”

9 minutes ago, GypsyT said:

 

Why are you so rude?

This nice Doc too time to give me information I needed without any compensation.

Now you come here with your stupid demands! Buzz off my page 🙂

PS. If I was him I may drill extra deep... He won't, I would.

Never mind. Happened to me before. I don't know why.

Yet, I have never heard a Thai person asking a Thai professional, who is offering his services in a foreign country, why he should choose his service over any other local service provider.

16 hours ago, GypsyT said:

Why are you so rude?

I did not want to sound rude. I did, I have only to blame myself for it. 

 

16 hours ago, Somjot said:

Actually, I am working full time doing most cases, especially the difficult ones which require full mouth reconstruction, bone surgery or implants, while my Thai colleague, who has more than 20 years of job experience is more into tooth cleaning, periodontal treatment root canal treatment and dentures.

Thank you for your extended answer. It was not my intention to sound rude or even insult you. I should have formulated my question more carefully. I apologize.

On 2/7/2025 at 9:39 AM, bkk6060 said:

Pattaya Dental Clinic

308/79 Moo 10 Thappraya road

0382526701

Thai good English 40 years experience. 

Yes this place is good.

On 2/10/2025 at 9:53 PM, Somjot said:

 

The OP asked for a quality dentist and not for a dental technician.

 

 

In order to become a dental technician, one also has to finish junior high school and become an apprentice in a dental laboratory for 3 years.

The job profile of a dental technician is basically the production of crowns, bridges and prosthesis with metal, plastic or ceramic, nevertheless dental technicians are not allowed to examine, diagnose, advise or treat patients, neither in Thailand nor in the Western countries!

 

A dentist, or better DDS (Doctor of Dental Surgery), had to pass secondary school, which takes 2 to 3 years after high school, with an university-entrance diploma and study in a dental university for many years. This university studies include general medicine and dental education and covers all dental sciences like surgery, filling therapy, endodontology, periodontology, prosthetics, etc.. Besides, a DDS is obligated by law to do further education regularly.

Only licensed dentists are allowed to examine, diagnose, advise and treat patients!

Dr. Doctor Somjot,

 

May i kindly ask for the location and name of your practise. I have a crown that got broken in the last year that needs replacement. Not sure if Smile, dental clinic above is the one as it was posted by someone else.

 

Thank you

 

Ant.