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Medical Forum / General / Dentistry / March 2006

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Dental Implant Checklist

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Joel344 - 05 Mar 2006 18:14 GMT
1- See if the implant itself is beginning to osseointegrate.
2- See if the gum recession is causing sensitivity on the
tooth behind (from what you describe, I do not think this is it.)

Joel

From:  mayniac@aol.com - view profile
Date:  Sun, Mar 5 2006 12:53 pm  
Email:   "mayn...@aol.com" <mayn...@aol.com>
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Hello--

12 days ago I had oral surgery to do a titanium implant.  I had a bab

molar that had no adult replacement tooth and it was finally starting
to have problems.  It had had no root for years (I'm 40) and was now
getting a gap under one edge that trapped food.

9 days after the surgery, I was still having a fair amount of pain an

described it to the doctor as a combinating of aching in the area wit

feeling like I had a really bad cavity/toothache in the missing tooth
or the one behind it.  Sometimes it would feel better, but then it
would get worse again.  He banged on the tooth behind it with an
instrument to see if that was painful, which it was.  He thought it
might just be from residual inflamation and though nothing looks
infected, prescribed an additional 6 days of Amoxicillin along with
giving me a few extra pain killers.  The stitches were also removed.

Ever since that appointment, my mouth has felt consistently worse. I'

having quite a bit of pain.  There's kind of a strong aching in the ja

component, but the worst part is a more burning pain.  The best way I
can describe it is similar to the sort of pain you get when you have

cavity or place at the base of your tooth where the enamel doesn't
entirely cover and you get something sweet like the center of a
chocolate covered cherry in the area.  Or maybe ice cold water on a
sensitive area like that.  This is like the pain that brings, only my
pain is constant.  Although I cringe at the thought of getting cold
liquid back there, cold liquid really doesn't bother it, neither does
warm when I rinse with warm salt water or drink warm tea.  (I've been
careful not to drink things that are too hot just because that doesn'

seem sensible with recent surgery in there.)

I don't know if it is related to the removal of the stitches, or him
banging on the next tooth, or if something is just getting worse --
everything appears fairly healed though there is still some of the
white dissolvable membrane that was stitched in down in the gap.  It
looks as though the tooth behind the opening may not have gum coverin

quite up to where it did at the base of the tooth if that makes sense

Although it may just be illusion since there's this big dent in my gu

where I'm used to having a tooth.

The only thing that really brings relief is the prescription pain
killer, but I'm trying not to take that more than once a day so I'm
just trying to tough it out.  It's just worrying me that it's not
getting better, and in fact got worse after my last appointment.

I guess what I'm looking for here is to know whether I should be
worried or not, suggestions of what I should be looking for, any
advice, etc...

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--
Joel34
mayniac@aol.com - 05 Mar 2006 21:34 GMT
Thank you for your advice.  I have a couple of questions.

Osseointegration is when the implant starts to be anchored in by the
bone growth, is that correct?  I would assume that if this is happening
that this would not be what is causing the pain then, right?  I think
they will probably do x-rays this week.  I have a Thursday appointment.

Is this much pain this far after surgery abnormal, or at this point
just not the norm but also nothing to be overly concerned about yet?

Thanks!

Sheri
Joel344 - 05 Mar 2006 23:17 GMT
I just get the feeling that it is not osseointegrating.
That means the implant comes out, the bone gets to heal
and you get to try again. I am just guessing, but from
some experience here ....

Joel

mayniac@aol.com Wrote:
> Thank you for your advice.  I have a couple of questions.
>
[quoted text clipped - 11 lines]
>
> Sher

--
Joel34
mayniac@aol.com - 10 Mar 2006 20:34 GMT
Just to give you an update.  I had an appointment first thing Monday
morning (the 6th) and they did x-rays and could see no evidence that
anything was physically wrong with the implant.  One thing he thought
might be happening was that thought the implant wasn't near the nerve,
that perhaps I had some inflamation related to the implant (and
possibly the tooth next to it) that might be causing pressure on the
nerve.  He decided to try puttint me on a Medrol dosepak with the idea
that I we would recheck on Thursday and unless there was signifigant
improvement, the implant would be removed at that appointment and a
shorter one used (I wasn't clear on whether it would be put in
immediately or later).

I'm not generally a wimp about things and don't like using pain killers
in genral, so the fact that I was hurting enough to use it was
signifigant to me.  Amazingly, after taking the medrol doses on Monday
and Tuesday morning, by the time the Periodontist called me to check on
me Tuesday evening, I hadn't had to take any pain killer since Monday
night though I still had some minor pain.  By Thursday's appointment I
was down to minor discomfort and they x-rays looked great.  So, I think
I'm on my way to proper healing.  So long as things stay good after the
last of the steroids are out of my system, I'll be pretty glad!

Thanks again for your advice!
 
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