Chips, cracks or a worn surface
The extent and position of the damage guide whether a repair is sensible. Mention any earlier fixes by the previous office and any change in your bite that might explain the wear.

Your implant was placed by another dentist, maybe years ago, and now the crown on it needs attention. From Mississauga, you can bring whatever records you have, and we will identify the system and check every part of the tooth, from crown to gum, before any renewal is planned.
People move, dentists retire and practices change hands, so it is common to need work on an implant you did not get from us. The crown is the visible part, joined to the implant through a connection, and it can chip, loosen or wear while the implant underneath remains healthy. Our first job is to understand the system you have.
That matters because implant brands and components differ. Knowing what is in your mouth helps the dentist judge whether a damaged crown can be repaired, whether a connection part needs attention, or whether a remake on the existing implant is realistic. Sometimes the records make this simple; sometimes some detective work is needed.
Gather what you can before your visit: an implant card, a treatment summary, invoices, even the name of the office that did the work. We will explain what would be replaced, what could stay and what limits the existing setup brings.

Even partial information can narrow down the parts involved. Your account of how the crown has felt since it was placed fills in what the paperwork leaves out.
The extent and position of the damage guide whether a repair is sensible. Mention any earlier fixes by the previous office and any change in your bite that might explain the wear.
If the crown was tightened before and has moved again, the connection needs careful review. A new crown alone may not stop it, and the implant may need assessment too.
Tell us about food packing, visible metal or the shape of the tooth. The implant’s position and the gum may limit how much a remade crown can change.
A loose or detached crown should be reported before you chew on it. Keep any piece in a container, and do not reattach it with glue while you wait to be seen.
When a remake is justified, it can correct a design that never quite worked: a shape that traps food, contacts that let things through, a shade that does not blend or a material that wears poorly against your bite.
A new crown also has to fit the parts already there. If the implant, connection or gum is not suitable, or if something keeps causing the problem, that must be dealt with first. Ask which issues a new crown should solve and which belong to separate care.
Patient information: Cambridge University Hospitals — maintenance of implant restorations
Pinpointing the source defines what needs doing. The dentist should say whether the crown is unusable or a retained component needs work before any remake.
Your experience with flossing, food trapping and how the bite feels gives context the paperwork cannot. Say what worked about the old crown as well.
Choices in material and attachment influence later access and repairs. Find out how future checks would be handled, especially if parts come from a less common system.
The connection type and component details shape what follows. Ask how the crown will be removed, how the space is managed and what records or tests are needed before anything is made.
Share any documents and tell us when the crown was fitted, repaired or retightened. We ask about your symptoms and priorities, plus changes in health, habits or nearby teeth.
The dentist checks the crown, contacts, connection and gum. X-rays or other assessment can help identify the system and tell a crown problem from one involving the implant.
We explain what would be replaced and what would stay, whether parts can be sourced, material and shade choices, fees, number of visits and how the gap is covered.
The new crown is checked with the implant system, neighbouring teeth, gum and bite. You leave with instructions, a review date and clear signs to report.
Your replacement may feel unfamiliar even though the implant has not changed. Follow the fitting advice and keep an eye on contacts and cleaning as you return to normal eating.
Hitting early or snagging on food means it needs adjusting. It should not be left to wear in, and it should never be reshaped at home.
A changed shape can alter how you reach the gumline. We can show you which tools work best and look at any place food still gathers.
The implant and gum need ongoing checks with us or your regular dentist. Report movement, chips, lasting bleeding or anything that resembles the earlier problem.
These answers cover common worries when the original implant dentist is no longer involved. The approach depends on what the assessment finds and what parts can be identified.
Visit our Bronte Street practice for a review of an implant crown placed elsewhere. We will explain whether a repair, a new crown or a closer look at the implant is the right next move.
Bring your implant card, any treatment summary from the previous office and any part that has come off.