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Implant hurts after crown loading

User Level:
Patient
Posted by: Miriam11  (2 years ago)
Hello,

In April 2015 my 1st big molar in the maxilla was removed. Apparently there had been an infection and the tooth was deceased. In December, a dentist implantologist placed an implant in the gap where the tooth had been removed. It concerns a two-piece implant out of zirkonium, the brand is Zeramex. The operation took a long time; a sinus lift and a bone graft had to be done. Apparently the donor bone from my jaw was thick or dense so it was a hell of a job to get through it. Immediately after the operation, a photo was taken from the jaw and everything looked fine, according to the implantologist.

The next evening / day I experienced horrible neuropatic pain in the right side of my face, heavy painkillers did not work. After two days the neuropatic pain was gone.

Two weeks ago, the implantologist examined whether the implant was osseointegrated properly, he pushed and pulled with some kind of torque. Now I've got the crown cemented yesterday. An x-ray was made and the implantologist was super happy. The gums looked very healthy and the crown fitted perfectly.

However, it's not exactly what I had imagined; It hurts a lot. Pain when chewing, especially on harder stuff. It feels like nerve pain, tenderness. It radiates to my ear and towards the lower jaw. It's impossible for me to chew on it. Even the soft boiled foods I can not handle. Flossing hurts, as soon as the floss touches the gums between the crows I feel pain. I am rather sad, and I feel like the entire project has failed and for that I somehow blame myself already. :cry:

What should I do, wait for some days to see if the pain wil decrease? My implantologist is very busy and far from my hometown, so I reckon they won't be able to see me again soon.
User Level:
Dentist
Hello,

In April 2015 my 1st big molar in the maxilla was removed. Apparently there had been an infection and the tooth was deceased. In December, a dentist implantologist placed an implant in the gap where the tooth had been removed. It concerns a two-piece implant out of zirkonium, the brand is Zeramex. The operation took a long time; a sinus lift and a bone graft had to be done. Apparently the donor bone from my jaw was thick or dense so it was a hell of a job to get through it. Immediately after the operation, a photo was taken from the jaw and everything looked fine, according to the implantologist.

The next evening / day I experienced horrible neuropatic pain in the right side of my face, heavy painkillers did not work. After two days the neuropatic pain was gone.

Two weeks ago, the implantologist examined whether the implant was osseointegrated properly, he pushed and pulled with some kind of torque. Now I've got the crown cemented yesterday. An x-ray was made and the implantologist was super happy. The gums looked very healthy and the crown fitted perfectly.

However, it's not exactly what I had imagined; It hurts a lot. Pain when chewing, especially on harder stuff. It feels like nerve pain, tenderness. It radiates to my ear and towards the lower jaw. It's impossible for me to chew on it. Even the soft boiled foods I can not handle. Flossing hurts, as soon as the floss touches the gums between the crows I feel pain. I am rather sad, and I feel like the entire project has failed and for that I somehow blame myself already. :cry:

What should I do, wait for some days to see if the pain wil decrease? My implantologist is very busy and far from my hometown, so I reckon they won't be able to see me again soon.


I have never had a case with those sorts of complications. It is extremely rare. I must conjecture here.

Occasionally dental work triggers an outbreak of tiny ulcers, especially on the upper arch, which are very painful to the touch. Perhaps this is what happened when your crown was seated. If so, they will abate in about 12 days. There is nothing you can do to make them go away quicker.

It would be strange for it to be neuropathic pain, but not impossible, as you had it before. Nerves on the upper arch are not usually injured when an implant is placed in this area. However, the anatomy of every human is different, and a really unusual nerve branch may have transacted the implant site.

The surgeon no doubt has a lot of experience, so don't jump to any pessimistic conclusions before consulting with him.
Posted 2 years ago
User Level:
Patient
Posted by: Miriam11  (2 years ago)
Hello Dr. Henry,

Thank you for your reply.

One week ago, the opposing molar in de mandible started to hurt too, when chewing, I mean. Before the implant crown was installed I had no problems with that opposing molar. So I went back to the dentist, and they thought the crown was too high and they adjusted it. They also checked for inflammation signs in the implant area and in the manible teeth; nothing that points to that. That was last Friday, and the pain should be decreased by now.

But the pain still has not changed, sadly. Next week, I have yet another appointment. I'm starting to fear for the wellbeing of the opposing molar in the mandible.
Actually, I rather have the crown removed again. It's been for a month or so, and since things didn't get any better.
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