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Wrong placement for the implant

User Level:
Patient
Posted by: Katerine  (3 years ago)
I had the implant placed two years ago. Had a sinus lift and the bone craft. Couple of months ago time to time I started having some discomfort ,went to the dentist he did the X-ray and said everything is fine. Last week I had a cold and a runny nose. And my tooth( implant) was hurting so badly. Today I decided to go to different clinic and ask the second opinion.he did X-ray and noticed that my implant placed under angle close to the last tooth and he said I didn't have sinus lift as it's clear on the X-ray. He wouldn't recommend now to remove the implant as the bone around it is really good but he said maybe the pressure on the tooth now uneven as the implant under angle. Just want to ask what should I do? Any advise you could give me? Thanks .
User Level:
Dentist
I had the implant placed two years ago. Had a sinus lift and the bone craft. Couple of months ago time to time I started having some discomfort ,went to the dentist he did the X-ray and said everything is fine. Last week I had a cold and a runny nose. And my tooth( implant) was hurting so badly. Today I decided to go to different clinic and ask the second opinion.he did X-ray and noticed that my implant placed under angle close to the last tooth and he said I didn't have sinus lift as it's clear on the X-ray. He wouldn't recommend now to remove the implant as the bone around it is really good but he said maybe the pressure on the tooth now uneven as the implant under angle. Just want to ask what should I do? Any advise you could give me? Thanks .

Not sure what you mean by "under angle."

The big question is whether the implant went into the sinus. That would explain your cold and runny nose. Or perhaps your cold and runny nose is referring pain to the nearby implant, as is happens with natural first and second molars.

I would let a few days pass. If it still bothers you, have a cone beam scan to see if the implant penetrated the sinus. If it did, it may have to come out.
Posted 3 years ago
User Level:
Patient
Posted by: Katerine  (3 years ago)
Thank you very much for your reply. I appreciate you knowledge and opinion. How can I download the picture here for your advice?
User Level:
Dentist
Thank you very much for your reply. I appreciate you knowledge and opinion. How can I download the picture here for your advice?

I just attended a lecture where the surgeon placed zygomatic implants through the sinuses, and claimed the sinus membrane healed around it with no problem. The consensus amongst the surgeons in the lecture was that if a sinus was chronically inflamed BEFORE implant placement, sinus lift and/or sinus perforation was NOT a good idea.

I would have to study a CAT scan, not a regular x-ray to come to any conclusions. I encourage you to have this done by a surgeon in your area. No conclusions can be made without a cone beam 3D scan.

Posted 3 years ago
User Level:
Patient
Posted by: Katerine  (3 years ago)
Thanks a lot for your honest opinion, I really appreciate your professional view on that case.This is my X-ray and I dint have a sinus lift as second doctor told me. What do you think was done wrong? For me is very important your opinion on that case as I trust you as a specialist .
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