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Medical Forum / General / Dentistry / August 2006Implant problem - Bad taste and smell from implant area
Hello: I had two implants done to replace two front tooth. This was done by the well known Implant surgeon who does an aveage of 300 implants per year in Toronto Canada area. After the implant, I noticed that the bad smell comes from the implant area. My implant surgon checked via XRAYS and full mouth exam but he can not find any sign of infection or something wrong with the implant surgery. He would keep on saying that implant is settled very strong and no problem with it. Then I went to another experienced implant surgon for a 2nd opinion and he found no issues as well and booked me up with series of mouth specilist, blood work, saliva test, and ENT speciallists. The end result is no one can find the source of the bad smell or test in my mouth. The smell goes away when implants are blokced with fingures and come back as soon as removed. This is a nightmare where I have almost decided to remove the implant. Can anyone advice me on what could be the problem ? As you all know this was not a cheap surgory that is not covered by the most dental plan and do not want to waste it. I would appreciate you share such experience or steps you took to resolve it. Thanks. hello i am a dentist in santa monica, ca, i think its possible that your implant crowns are not seated all the way down and u are having food impaction between the crowns and tissue and thus the bad taste. Its also possible that the crown abutments are not srewed in all the way. U may want to bring this issues up to your dentist. bijal joshi, dds > Hello: > I had two implants done to replace two front tooth. This was done by the well [quoted text clipped - 16 lines] > I would appreciate you share such experience or steps you took to resolve it. > Thanks. Hi Dr. Joshi: Thanks for replying. But this problem I found before putting the crown by my regular dentist. I checked twice with the implant surgon and he took the XRAYS before the crown went in and did not find anything abnormal with implant or gum infection in the whole mouth. I floss around and under the crown but no luck. Should I consider removing implants if they might not be compitable with my body ? Is that a possibility ? Thanks again for your valuable time. >hello i am a dentist in santa monica, ca, i think its possible that >your implant crowns are not seated all the way down and u are having [quoted text clipped - 7 lines] >> I would appreciate you share such experience or steps you took to resolve it. >> Thanks. Hi Your problem seems to be very similar to mine. Read my thread 'Dental Implant failed after 2 years...' posted a few weeks ago for more details. I started getting the bad taste/smell about 1.5 yrs after the crown was placed on the implant (front upper tooth). I initially had no problems after the implant was inserted and it was in my mouth for 8 months before the crown was installed (the dentist wanted maximum healing time) and during that time I never once got a bad taste or smell. So the problem started after the crown was installed. A few months ago the gums around the implant crown began to secret a whitish (bad smelling) fluid when the gums up above the areas is pressed. The bad taste/smell seems to be coming from a build up of this fluid inside the gums. The dentist said it is not pus but doesn't quite know what it is. And just like you, all examinations I had have revealed no infection in the area. The implant is still very solid. When the dentist opened up the area a slight bone loss was discovered to the side but not in the implant area itself, and it was treated with Bio-Oss, however that has not solved the problem with the bad taste/smell. I was so exasperated with the problem that I have decided to remove the implant. Some advice I have gotten from here is to seek a 2nd opinion first before removing the implant. The implant was quite expensive to install and the dentist has forewarned me that after removal there will be a massive bone defect around the area, which may need to be treated with bone grafts. Anyway I have decided to get a 2nd opinion first before proceeding. Did you get a bone graft done? My dentist seems to the thinking that the problem is related to the Bio-Oss graft being incompatible with my body (even though it did set before the implant was installed). When you press your gums do you get any secretion? What is the general advice from the specialists you've seen? Do they agree the implants should be removed? G > Hello: > I had two implants done to replace two front tooth. This was done by the well [quoted text clipped - 16 lines] > I would appreciate you share such experience or steps you took to resolve it. > Thanks. Hi there, I am NOT a dentist, but I am active in health research. You two are describing a medical problem in a dental setting, which would seem to require a medical rather than a dental approach, at least until the problem is fully understood. The location of strange secretions (if in doubt) can be probably be found with the same food-coloring tablets that dentists use with children to highlight where they failed to brush adequately. Also, since the pH is almost certainly different than in the rest of the mouth, any pH-indicating dye will show the precise location. The secretions themselves should be quite analyzable, both under a microscope to identify whatever may be living therein, and subjected to the same tests as blood is to identify the major constituents. Any medical diagnostic laboratory should be able to perform these tests for you. I suspect that this is some sort of immune reaction, which can probably be verified in a metabolic blood panel that looks at the various WBC components (neutrophils, etc.) to see what is excessive. I also suspect that it may be time to use some of your own bone rather than cow bone to have a successful graft. You probably can't do much if any of the above in your dentist's office. Steve Richfie1d =============== > Hi > [quoted text clipped - 59 lines] >>I would appreciate you share such experience or steps you took to resolve it. >>Thanks. Wow, thanks for this advice. I wonder why no one mentioned this before. My dentist has insisted the fluid is not pus but does not know exactly what it is and has not made any attempt to have someone analyse it. I'll make sure in my next visit that I insist on getting the secretion analysed. I'll have to ask him to recommend me to the right place to get it done. I'm so fed up with the implant and just wanted it out of my mouth ASAP but I'm now worried about the bone defect that is bound to follow. Ideally I would like the problem resolved without removal of the implant, if possible. I'm just worried about going through several painful (and expensive) operations now (like bone taken from other parts of my body) only to still have the implant removed at a later date if all that didn't work Many thanks again. I'll print out your message and take it with me when I next visit my dentist. G > Hi there, > [quoted text clipped - 88 lines] > >>I would appreciate you share such experience or steps you took to resolve it. > >>Thanks. > I wonder why no one mentioned this before. He is a dentist, not a doctor. > My dentist has insisted the fluid is not pus but does not know exactly > what it is and has not made any attempt to have someone analyse it. > I'll make sure in my next visit that I insist on getting the secretion > analysed. I'll have to ask him to recommend me to the right place to > get it done. I'd bet that he won't have any idea where to have this done! You will probably have to secure the services of an osteopath to help you figure this one out. > I'm so fed up with the implant and just wanted it out of my mouth ASAP > but I'm now worried about the bone defect that is bound to follow. I'd guess that the best course would be to remove just the bone graft - or just wait for your immune system to do this for you. > Ideally I would like the problem resolved without removal of the > implant, if possible. I'm just worried about going through several > painful (and expensive) operations now (like bone taken from other > parts of my body) only to still have the implant removed at a later > date if all that didn't work Perhaps you have been considering cosmetic surgery, or perhaps you have one or more toes that are all bent out of shape and could use a little straightening? It would seem a LOT better to secure bone as left over from some other beneficial but minor surgery than to hack some out without fixing anything in the process. Again, an osteopath would know a LOT more about this than I do. > Many thanks again. I'll print out your message and take it with me > when I next visit my dentist. Lotsa luck. Steve Richfie1d ================= >>Hi there, >> [quoted text clipped - 89 lines] >>>>I would appreciate you share such experience or steps you took to resolve it. >>>>Thanks. |
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