Chips that keep reappearing
Damage that keeps recurring in the same spot can point to heavy bite forces, grinding or a material that does not suit the load. Note when and where each chip happened.

Your implant crown has been fixed or replaced before, and the same trouble is back. From Bolton or elsewhere in Caledon, you can have the whole pattern investigated, from crown design and bite to the connecting parts, the implant and the gum, before another crown is made.
It is frustrating to have an implant crown repaired or even remade, only to find it chipping, loosening or trapping food again a while later. A repeat problem is a sign that something has not yet been identified. Making another crown in the same way may simply restart the cycle.
The crown is the visible piece on top of the implant system, and it can be renewed without disturbing a healthy implant. But recurring faults often involve more than the crown: the bite, grinding at night, the connecting parts, the contacts with nearby teeth or the gum. Sometimes a different design or a smaller repair is the better answer, and sometimes the cause lies beneath.
Bring as much history as you can, including every repair, who did it, how long each fix lasted and what you noticed before the problem returned. We will set out what would be changed this time, what could stay and what constraints your implant site imposes.

A timeline of each episode often reveals the cause. If earlier work was done at another office, treatment notes or images are especially valuable.
Damage that keeps recurring in the same spot can point to heavy bite forces, grinding or a material that does not suit the load. Note when and where each chip happened.
Movement that returns despite tightening calls for a careful look at the connection and its components. Another crown on its own is unlikely to help, and the implant may need checking.
If a previous remake did not solve these, the limits may come from the implant position or gum. Tell us what changed and what stayed the same after each attempt.
Should it move or come away again, call before using it. Keep any piece in a container and avoid glue, which can complicate the investigation.
When the evidence supports a remake, the next crown can be designed differently: another material, a revised contour, adjusted contacts, a new shade or a different way of holding it on.
The key is understanding why the earlier work did not last. The implant, the connection and the gum must be in suitable shape, and contributing factors such as grinding should be managed. Ask which concerns the new approach will address and which need separate care.
Patient information: Cambridge University Hospitals — maintenance of implant restorations
Whether the crown, a component or the bite is responsible decides what changes. The dentist should explain the likely reason before recommending more work.
Your account of every repair and remake shows what has and has not helped. Mention anything that was better about an earlier version.
Ask how the new design will be checked, how components can be accessed and whether a guard or other protection is part of the plan.
The implant system and attachment method influence what can be done. Ask about removal, temporary arrangements, the records required and any tests needed before another crown is ordered.
Notes from every office involved are a big help. Describe each repair, remake and retightening. We ask about grinding, health changes and work on nearby teeth.
The dentist looks at the crown, contacts, connection, gum and how your teeth meet. Imaging may help rule out implant or bone involvement.
You hear what would be done differently, what stays, material and shade choices, fees, visits, removal and how the space is managed.
We check how any replacement sits on its components, beside its neighbours, at the gum and in your bite. A closer review schedule may be suggested so early signs are caught.
Your rethought crown may feel unfamiliar even with the same implant. Follow your fitting instructions and stay alert to the first hint of the old problem.
An uneven bite on the new tooth can restart the cycle. Book a quick check rather than waiting or adjusting it yourself.
If a night guard or habit change was recommended, keep to it. Ask how to clean both the guard and the new crown properly.
Regular checks of the connection, implant and gum matter more after repeated trouble. Tell us early about movement, chips, persistent bleeding or familiar signs.
These answers address recurring problems with the same implant tooth. The aim is to find the cause rather than repeat the same treatment.
Our Bronte Street practice welcomes people whose implant crown has a problem that will not stay fixed. We will go through the full history with you, examine the tooth from bite to gum and explain what a genuinely different approach could look like.
Gather notes from every office that has worked on the implant, a rough timeline of each repair, and any piece that has come off.