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Old 08-27-2017, 07:36 AM #1
jenny8484 jenny8484 is offline
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Default Had implant removed- still feel some soreness and numbness

I recently had a dental implant removed (lower front tooth #26) after two weeks, (background- tooth had a root canal that got infected and the tooth was extracted and bone grafted 5 months ago) at about 10 days post implant, the pain I was experiencing was so severe I could not sleep at night. My oral surgeon looked and said he did not see any signs of infection, each day i'd go in complaining of pain and he would give me antibiotics and painkillers but after the 4th day of excruciating pain I had him remove it. That night I was finally able to sleep and felt 90% better so I know it had to do something with the implant. The surgeon said while taking out the implant he still saw no sign of infection in surrounding area. I'm now two days post implant removal and I still feel a little pain when I press on my jaw on half of my jaw, from the front to the end and it feels a little numb too. Is this still after effects from the surgery or could this be infection lingering or nerve damage? Surgeon wants to try to put the implant in again after its healed but I am scared based on this experience.
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Old 08-27-2017, 02:44 PM #2
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I would be scared to re-do it again. Reminds me of a hip replacement I had and ended up with 3 major complications and NOW so fear doing a knee job.

Anyway, on this empty space can a removable tooth be connected to the two teeth on either side. I had a 3 tooth bridge fall out many years ago and could not bear to deal with implants so a great dentist was able to do a great cosmetic 3 tooth flipper which affixes to side teeth. Some dentists can be miracle workers and many are so against implants, me for one. Hope in time it will all heal and then you can decide "what to do".
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Old 08-28-2017, 12:22 PM #3
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Originally Posted by caroline2 View Post
I would be scared to re-do it again. Reminds me of a hip replacement I had and ended up with 3 major complications and NOW so fear doing a knee job.

Anyway, on this empty space can a removable tooth be connected to the two teeth on either side. I had a 3 tooth bridge fall out many years ago and could not bear to deal with implants so a great dentist was able to do a great cosmetic 3 tooth flipper which affixes to side teeth. Some dentists can be miracle workers and many are so against implants, me for one. Hope in time it will all heal and then you can decide "what to do".
Thanks. yes the surgeon said we can put the implant in again but I do not think I want to attempt doing this again because of the pain I was in. I heard of a bridge but I did not like the fact that the adjacent two teeth have to be shaven down to accommodate the bridge. Is this the case with a 3 tooth flipper? is it removable like a regular flipper?

Now I have to see if my oral surgeon will refund me any amount for the failed implant.
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Old 08-28-2017, 12:29 PM #4
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Yes, it's removable and I don't have it in right now. And the two side teeth that hold it on were NOT shaved down. Good luck with some refund. I have a friend who ended up trying to sue a dentist who did a failure implant on her. He has been on the run and may not be in business anymore.
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Old 09-02-2017, 01:50 PM #5
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Hi jenny,

The oral surgeon did not necessarily do anything to cause a problem with the failure of the dental implant. The problem may stem from the fact that root canaled teeth are always chronically infected (irrelevant of obvious symptoms or not) and over time the infection depletes the proper formation of the bone cells and destroys the jaw bone in that area. In some of these cases, even when a bone graft is placed prior to the dental implant the jaw bone is not stable enough and the bone cells are not healthy enough to allow proper integration of the graft material. Sometimes this deterioration of the bone and non integrated graft can be seen clinically or radio graphically, but other times the problem is microscopic in size and not easily seen.

For the reasons I have offered you above, it is always risky to place a dental implant in an area of the mouth where there was a root canaled tooth. It is also risky to place one next to or in between other root canaled teeth.

The lower anterior (front) area of the jaw bone is anatomically thinner than other areas of the mouth... with the exception of the upper (front) anterior which is also thin. If you take into consideration the anatomical structure and the chronic infection, the risk of dental implant failure in those areas of the mouth is very high just due to those 2 issues.

The likelihood of achieving a successful integration of another dental implant in that area is slim but many oral surgeons will give it one more try. The risks of that are... infection and further loss of bone.

Options for replacing that missing tooth are if there are adjacent teeth:

1) A Nesbit removable partial which is a one tooth partial (similar to a lower flipper) but it may have a metal base that rests against a couple of teeth on each side of the space. These types of appliances are done for esthetics and space holding. They should not be eaten or slept with as they could become a choking hazard.

2) A Maryland bridge can be a single tooth permanently cemented appliance which would be cemented into small groves that are made on the adjacent teeth. Although this is cemented on, it can come loose with chewing and it can be difficult to clean interproximally (in between it and the adjacent teeth).

3) A permanent bridge could be 3 units. Two of the adjacent teeth would need to be cut down as anchor teeth for the 3 unit bridge. Those teeth would be crowned and the tooth in the middle would be a fake crown to replace the missing tooth. This type of bridge is cemented on to the adjacent teeth. Oral home care would need to be very good to avoid bacteria from accumulating around the margins of the bridge and migrating underneath the gumline.

You can ask the oral surgeon for a partial refund since he removed the implant soon after it was placed. You are likely to get that if you already have another treatment plan in place to replace the missing tooth.

Regarding the pain and discomfort that you still have... it would be normal to have that for several days post op. Keep rinsing with warm salt water 3 times a day and be sure to keep up with tooth brushing and flossing to minimize the food debris on your other teeth. At least until the area has healed, do not smoke or drink alcohol as both of these can prohibit the proper healing of the bone and surgical site and lead to infection. Refrain from using mouthwash as the chemicals in that are very irritating to the oral tissue and will not speed up the healing. Warm salt water is best.

I hope this was helpful to you.

Bryanna






Quote:
Originally Posted by jenny8484 View Post
Thanks. yes the surgeon said we can put the implant in again but I do not think I want to attempt doing this again because of the pain I was in. I heard of a bridge but I did not like the fact that the adjacent two teeth have to be shaven down to accommodate the bridge. Is this the case with a 3 tooth flipper? is it removable like a regular flipper?

Now I have to see if my oral surgeon will refund me any amount for the failed implant.
__________________
Bryanna

***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.***
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Old 09-03-2017, 03:15 PM #6
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I've had so much dental work in my life and when Maryland bridge was mentioned, I had one of these affixed on the bottom area of mouth. That seems like 20 yrs ago and it's still doing good.
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Old 10-11-2017, 10:20 AM #7
jenny8484 jenny8484 is offline
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Quote:
Originally Posted by Bryanna View Post
Hi jenny,

The oral surgeon did not necessarily do anything to cause a problem with the failure of the dental implant. The problem may stem from the fact that root canaled teeth are always chronically infected (irrelevant of obvious symptoms or not) and over time the infection depletes the proper formation of the bone cells and destroys the jaw bone in that area. In some of these cases, even when a bone graft is placed prior to the dental implant the jaw bone is not stable enough and the bone cells are not healthy enough to allow proper integration of the graft material. Sometimes this deterioration of the bone and non integrated graft can be seen clinically or radio graphically, but other times the problem is microscopic in size and not easily seen.

For the reasons I have offered you above, it is always risky to place a dental implant in an area of the mouth where there was a root canaled tooth. It is also risky to place one next to or in between other root canaled teeth.

The lower anterior (front) area of the jaw bone is anatomically thinner than other areas of the mouth... with the exception of the upper (front) anterior which is also thin. If you take into consideration the anatomical structure and the chronic infection, the risk of dental implant failure in those areas of the mouth is very high just due to those 2 issues.

The likelihood of achieving a successful integration of another dental implant in that area is slim but many oral surgeons will give it one more try. The risks of that are... infection and further loss of bone.

Options for replacing that missing tooth are if there are adjacent teeth:

1) A Nesbit removable partial which is a one tooth partial (similar to a lower flipper) but it may have a metal base that rests against a couple of teeth on each side of the space. These types of appliances are done for esthetics and space holding. They should not be eaten or slept with as they could become a choking hazard.

2) A Maryland bridge can be a single tooth permanently cemented appliance which would be cemented into small groves that are made on the adjacent teeth. Although this is cemented on, it can come loose with chewing and it can be difficult to clean interproximally (in between it and the adjacent teeth).

3) A permanent bridge could be 3 units. Two of the adjacent teeth would need to be cut down as anchor teeth for the 3 unit bridge. Those teeth would be crowned and the tooth in the middle would be a fake crown to replace the missing tooth. This type of bridge is cemented on to the adjacent teeth. Oral home care would need to be very good to avoid bacteria from accumulating around the margins of the bridge and migrating underneath the gumline.

You can ask the oral surgeon for a partial refund since he removed the implant soon after it was placed. You are likely to get that if you already have another treatment plan in place to replace the missing tooth.

Regarding the pain and discomfort that you still have... it would be normal to have that for several days post op. Keep rinsing with warm salt water 3 times a day and be sure to keep up with tooth brushing and flossing to minimize the food debris on your other teeth. At least until the area has healed, do not smoke or drink alcohol as both of these can prohibit the proper healing of the bone and surgical site and lead to infection. Refrain from using mouthwash as the chemicals in that are very irritating to the oral tissue and will not speed up the healing. Warm salt water is best.

I hope this was helpful to you.

Bryanna
Thank you for your reply! I don't log in very often but just saw your response. The site has healed well however the oral surgeon still wants to try inserting the implant again around the new year and said he doesn't think it will fail again. He said that there is a 1% chance of my body rejecting it again so he is fairly confident I won't have another issue.... and that he will not charge me for re-treatment. I just don't know if the site itself is not able to take an implant. My oral surgeon only goes on xrays but i wish he offered some sort of 3D technology to see if there is something else going on.

By the way the root canal that was in my tooth was there for years, over 20 years as I had an accident as a young child. It only became painful after I bit something hard which seemed to trigger an infection in the tooth, I was in a lot of pain and it had to be removed.

In your opinion would you try again with the implant, or would the risk be too much?
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Old 10-11-2017, 02:38 PM #8
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Quote:
Originally Posted by jenny8484 View Post
Thank you for your reply! I don't log in very often but just saw your response. The site has healed well however the oral surgeon still wants to try inserting the implant again around the new year and said he doesn't think it will fail again. He said that there is a 1% chance of my body rejecting it again so he is fairly confident I won't have another issue.... and that he will not charge me for re-treatment. I just don't know if the site itself is not able to take an implant. My oral surgeon only goes on xrays but i wish he offered some sort of 3D technology to see if there is something else going on.

By the way the root canal that was in my tooth was there for years, over 20 years as I had an accident as a young child. It only became painful after I bit something hard which seemed to trigger an infection in the tooth, I was in a lot of pain and it had to be removed.

In your opinion would you try again with the implant, or would the risk be too much?
I just saw your comment and glad the area is healed. Me, I would not try another implant, but I'm against them anyway. I'd try anything else and as I've said a Maryland bridge has worked great for me. Those implants are so invasive...maybe I'm an old, been around the block a long time, thinker. C
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