Sensitivity and Pain After Dental Implant: What Might Have Caused This?


Celia asks:

I recently got a dental implant. Even while the cap was on the implant, there seemed to be sensitivity when touching the cap. I mentioned the sensitivity to my dental surgeon and then to my dentist while getting an impression, but both seemed indifferent. When the abutment and tooth was finally placed, there seemed to be significant pain when applying pressure during chewing. The surgeon has offered to remove the implant and place another. Can you tell me if pain like this is normal and is likely to go away, or do I need to undergo the entire procedure again? Maybe the implant is it too close to a nerve? etc. My surgeon seemed to be clueless to what might have caused the problem. Thanx

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dr.g's picture

sensitivity and pain after dental implant

Answered By: Dr. Angela F. Ganjoor - Celina , TX

Hi Celina. Sorry that you have had discomfort with this implant. When you reported pain and discomfort,did your dentist or surgeon take an x-ray from that site? where is this implant placed? upper or lower? front or back? i am sure your surgeon knows what he or she is doing. If he said that implant needs to be replaced, it means that implant has failed and need to come out. Normally having pain and discomfort around implant is not a good sign.

Angela F. Ganjoor, DDS
Celina, Texas

drnshubin's picture

Pain After Dental Implant Placement:what might have caused this?

Answered By: Dr. Nicholas Shubin - San Juan Capistrano , CA

Hello Celia.There are many factors than can effect the success of dental implant therapy. What was the reason for the tooth to be extracted in the first place? Was it decayed very badly or fractured, but not infected? Or was it infected for a short time, or a long standing infection as can happen with a failing root canal? Did the extraction site receive a bone graft? If so, what material(s) were used, was a barrier membrane used along with the graft? This helps keep out gum tissue cells from invading the bone graft while it heals. Each of these questions are related to factors which effect implant treatment regarding the area to be treated. If gum tissue gets into the bone graft, it can grow around the implant during the healing phase causing sensitivity.

Implant surgery itself also has different factors which can effect the outcome. A person's general health and age may be a factor, especially if you have compromised healing abilities which can be due to something like diabetes or some prescription medications. This location in the upper and lower jaws have differing qualities of bone - some strong,like oak wood. Some are weak like styrofoam. Also the method of the implant surgery, depending on each individual patient, can effect the outcome. Different methods of placing the implant are a 2 stage approach, where the implant is covered by your gums during healing. A 1 stage approach means the implant has a healing cap which comes through the gums, exposed in your mouth. Lastly an implant with immediate temporary crown is just that. With the 1 stage or immediate temporary methods, patient compliance in eating a soft diet and avoiding chewing on the side of the implant are critical. Tiny movement of the implant from accidentally chewing on it in the first few months can also cause your problem. I hope this information can be of help to you.

Nicholas Shubin, DDS
San Juan Capistrano, CA

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