Almost a year ago to date I reluctantly took the plunge and had what was left of my upper teeth pulled (six of them) and had six implants installed, with the idea that I would be left with a non-removable set of false teeth.
Everything went fine..no bone grafts were needed and I healed well, excepte that there was a three month delay due to the lab not having the parts needed to give me the final product....and since the lab was off the premises, it took two weeks or more between each fitting, so I only just had the final product installed a few days ago.
The problem is that three weeks ago...after the last fitting, the gum had grwon over one of the implants and so it has to be cut back and after that procedure, not only did my temperatry denture start pinching my gums...making healing slow...but either related to this or not, about a week later I began having pain ...a dull but very noticeable pain...on that implant when chewing. Due to that pain and the fact that my gums overall were getting so irratated from the temporary denture pinching them that in spite of still being on antibiotics and ibibuprofen (800 mg) I stopped wearing it for three days efore going to my dentist to check it out on on Monday (today is Thursday)
After listening to me and looking at it, he took an xray and said the implant was fine. My gums also looked fine...although the rest of them were starting to grow up the hardware of the implants without covering the top of them as the first one did.
He then went ahead and installed the implant denture...giving me excrucitating pain, as he didn't use novocaine...and so it not only pinched the gums something awful...but the pressure on the one that was already tender on chewing sent me through the roof.
I left his office in terrible pain, but by Monday night, all the implants had calmed down and were functioning fine...except for the one had been giving me trouble for the past three weeks. That one has calmed down some after the installation, but it is still cramping and twinging and I can't chew on that side without that dull but very noticeable pain (which causes more twinging and cramping pain if I do press down on it). I am still taking 800 mg of Iburophen three times a day...it helps to keep me comfortable...but I can still cramps and twinges through it at times and so I am freaking out. What could possibly be wrong?
I don't know that to do or what to think. Besides the drug, I am swishing my mouth with coconut oil, eating soft foods and not chewing on that side, which is difficult, as I usually use the left side of my mouth more then the right.
This has cost me half of my life savings and I have been through a lot. I am terrified that the implant will have to be removed. Prejs[d I could still wear the implant denture with 5 instead of six...but it would, at the very least, mean a lot more trauma and expense.
I would swish my mouth out with salt water instead of coconut oil. I've had a dental implant in since 1994 with no problems. Sorry you are having difficulty with it.
Wearing dentures over implants should not cause any pain. I would say your new dentures do not fit properly and need to be adjusted, relined or even redone.
You waited for a long time for your dentures to come back from the lab and during this time your tissue was changed, however the lab has made your new dentures on the impression that the dentist took 3 months ago, therefore your dentures do not fit properly and are causing pain.
If you wear dentures that fit poorly over implants, your implant(s) may fail or the implant screw will get loose and you have to go back to your dentist to tighten it. It's better to have the implant screws in gold, because gold is soft and will bend before breaking.
> Almost a year ago to date I reluctantly took
> the plunge and had what was left of my upper
> teeth pulled (six of them) and had six implants
> installed, with the idea that I would be
> left with a non-removable set of false teeth.
Instead of eight individual crowns and eight implants,
you made a serious attempt at trying to save as much
money as possible. What you visualized was a permanent
dental bridge and only six implants.
However, assuming the ideal number of teeth in your
upper left quadrant is eight, why didn't you get two additional implants at little or no more money?
In your own interest, you would've saved yourself
the pain of wearing a permanent bridge.
> Everything went fine..no bone grafts were needed
> and I healed well,
> excepte that there was a three month delay due
> to the lab not
> having the parts needed to give me the final product....
> and since the lab was off the premises, it took two
> weeks or more between each fitting, so I only just
> had the final product installed a few days ago.
I'm sorry to contradict you but there is no such thing
as a three-month delay due to the lab not having the
parts needed.
> and since the lab was off the premises, it took two
> weeks or more between each fitting, so I only just
> had the final product installed a few days ago.
With almost all dentists the dental lab is off the
premises.
You don't need many fittings; all you need is one
or two fittings at the most.
Dental labs work is pretty fast; give them a couple of
days - not weeks - and you can get pretty much
everything you need.
I suspect your dentist put your mind at ease
with the help of a bunch of little white lies,
I suspect your dentist misled you.
I suspect he didn't want to tell you that dental
implants need three full months for
osseointegration before they can be built upon.
> The problem is that three weeks ago...after the last
> fitting, the gum had grwon over one of the implants
> and so it has to be cut back
> and after that procedure, not only did my temperatry
> denture start pinching my gums...making healing
> slow...but either related to this or not,
> about a week later I began having pain ...a dull
> but very noticeable pain...on that implant when chewing. > Due to that pain and the fact that my gums overall were
> getting so irratated from the temporary denture pinching > them that in spite of still being on antibiotics and
> ibibuprofen (800 mg) I stopped wearing it for three days > efore going to my dentist to check it out on on Monday
> (today is Thursday)
Your pain is due to a combination of two things:
1) The use of a dental bridge vs. individual crowns,
and 2) Sloppy dental work, or sloppy lab work, or the
poor timing of your fittings.
> After listening to me and looking at it, he took an xray and said the implant was fine.
His primary concern was osseointegration or the lack of it.
> My gums also looked fine...although the rest of them
> were starting to grow up the hardware
> of the implants without covering the top of them as
> the first one did.
> He then went ahead and installed the implant
> denture...giving me excrucitating pain,
> as he didn't use novocaine...and so it not only pinched
> the gums something awful...
> but the pressure on the one that was already tender
> on chewing sent me through the roof.
On the positive side, you saved a lot of money. But, on the negative side, you've subjecting yourself to a lot of pain,
which is another kind of payment for a less expensive bridge and less than great dentist you hired.
If there is pain during installation, you should immediately ask for Novocain.
If there is pain beginning with the day after your
dental procedure, then you should take
some kind of corrective action.
> I left his office in terrible pain, but by Monday night, all the implants had calmed down
> and were functioning fine...except for the one had been giving me trouble for the past
> three weeks. That one has calmed down some after the installation, but it is still
> cramping and twinging and I can't chew on that side without that dull but very noticeable
> pain (which causes more twinging and cramping pain if I do press down on it).
> I am still taking 800 mg of Iburophen three times a day...it helps to keep me comfortable...
> but I can still cramps and twinges through it at times and so I am freaking out. What could possibly be wrong?
> I don't know that to do or what to think. Besides the drug, I am swishing my mouth with coconut oil,
> eating soft foods and not chewing on that side, which is difficult, as I usually use the left side of
my mouth more then the right.
Replace your dental bridge.
Or ask for the use of a better lab.
I believe a temporary treatment of any of your
symptoms is not enough.
> This has cost me half of my life savings and I have been through a lot.
The lack of money is at the root of your problems.
> I am terrified that the implant will have to be removed.
The lack of osseointegration is usually not an issue.
Or if, in the unlikely event, it is the issue,
then it's easy to remove the less perfect
implant, if any.
> Prejs[d I could still wear the implant denture with 5 instead of six...
> but it would, at the very least, mean a lot more trauma and expense.
I believe a LACK of money is at the root of your problems.
I suggest you keep your standards high.
Spend a little more and get two additional implants
and eight individual crowns.
The original poster said s/he got dentures over implants, not a bridge.
It is completely normal and good practice to insert 4-6 implants for a full denture or even a bridge. It is not good practice and very bad idea to insert 8 implants for 8 adjacent crowns for many reasons, no matter how much you want to pay.
First of all, bone density is different in different spots of the same jaw, so it's not like the dentist can just insert implants wherever s/he wants.
Second, too many implants close to each other will weaken the jaw bone and will result in high rate of failure. If you want to know why, just take a piece of wood and hammer in 8 nails very close to each other and see what happens.
Third, in most cases, it is impossible to insert 8 separate implants exactly at a perfect location and at a perfect angle to accept 8 separate crowns.
And i would stay away from any lab that makes implant work in 2 days. If the poster lives in a country that sends lab work overseas, that may be why it took long, but it still should not take 3 months.
And who gave you the idea that a failed implant is easy to remove, or even possible to remove? A titanium implant bonds to the bone and is impossible to remove once bonded.
If the temporary denture does not hurt but the actual denture does, the reason is what i explained in my previous post, in which case adjustment or reline of the denture may be all that's needed. However a new impression is most likely necessary and a new denture may also be necessary.
Thank you all for your answers...but you did not read my message clearly. I know it is complicated. The difficulty I am expereincing started two to three weeks BEFORE the implant bridge was installed. The implant bridge itself is innocent. In fact, it seems to be working quite well.
Exept for the one implant that started being tender to chew on a week after the gum was cut away at the time of my last fitting, while I was stll wearing the temporary (glue on) denture...which started to pinch my gums at that site and a few others after the additional hardware was installed. (I call two two dentures the glue on and the screw on for clarity...)
In spite of this problem, when the xray was negative, he installed the screw on...and the pressure involved made the situation with that implant much worse. He did this because he didn't want the glue on to compromise my gums anymore, as they were getting quite irritated all over. I had not worn my glue on for three days prior to that for that very reason. Consequently for three days I was completely toothless.
(You are right Think Again... The six implants and the bridge is the only way I could have gone, as I have no bone left in the back of my mouth...since those teeth were removed 30 years ago. I have a really bad mouth.)
My question is:
Since the xray showed the implant is sound...what could be causing the cramping, twinging and tenderness? Why would a simple gum procedure trigger this when the implant was a year old and not attached to anything yet? Is an xray reliable for determining the implant is sound?
As it is, I have had two acupunture treatments for this...and they have helped a lot. No ibuprofen was needed after the first treatment as the cramping went away completely and the twinging is so slight and rare I barely notice it. I think am starting to be able to chew a little...but the situation is not completely gone yet. When I accidentally chewed some food on that side tonight, a few hours after my second treatment and two days after my first, it didn't hurt on impact, but it did start a little more twinging afterwards. I didn't chew on it more then once or twice, but it was something crunchy.
I am going to have at least one more treatment. Whether or not this fix will be complete or permanent I don't know, but I am very optimistic, as so far the response has been amazing.
If it does work, what would your diagnosis be then?
PS: Also, some of the the parts were on backorder for three months...and Clear Choice and a number of other implant providers do have their own labs. These are the ones that brag about giving you your new teeth in one day, which I chose not to do. I did interview two dentists who work together who were going to do that. As it was, my dentist gave me a $3000 credit for the inconvenience. These things, however, are besides the point.
As far as money goes, of course it is an issue. The cost of this dental work is nothing short of obscene and I am not one of the l%. Dental insurance is a joke.
You should not need to have acupuncture to wear a bridge or a denture. If you do, there's something wrong.
Your bridge was made on an impression taken 3 months ago, however your gums have changed since then, and the dentist has modified some tissue, therefore there's a good chance the new bridge does not properly fit to your new gums and is causing soar spots, specially after screws were tightened.
If this is the case, any experienced dentist should know better to take a new impression and send out your bridge to the lab for adjustment.
I don't know what implant system your dentist used that had to wait 3 months for its hardware. Well known and good quality implant hardware are widely available in USA and can be had the same day. Maybe the reason you had to wait 3 month was because your lab work was outsourced to another country.
You can ask your dentist the name of the implant system s/he has used and whether or not your lab work was outsourced, or ask him the name of the lab.
They did take a new impression. The pain started before the bridge was installed. It went like this:
The implant bridge finally arrived.
New hardward was placed in the implants and it was installed.
It needed adjustments and so after wearing it for two weeks it was taken off and sent back.
At that time I started wearing the glue on again, but now it pinched in several places because of the new hardware, but it was wearable.
Two weeks later the lab sent the screw on back and said they needed new impressions.
I was called back in to do them, and that is when it was noticed that one of the implants had disappeared under the gum. The gum was cut back, the new impressions taken, and Dr. Adams filed down the glue on to make it fit better.
Unfortunately, the glue on pinched my gums even worse after that, especially on the new gum wound which Dr. Adams said had not completely healed yet.
After a few days of being pinched by the glue on the wounded gum started to feel warm and hurt more. I called and complained, and they put me on antibiotics and Ibuuprofen.
At first it got better, so I stopped taking them, as I thought this was a minor, surface thing, and don't like assulting my body with drugs. But the pinching persisted over the next few days until.....
One day, while I was eating, I felt a nasty pain under the glue on over the implant that had the gum procedure on impact while chewing. Other then that I had no pain until that night when I took the glue on out and salt water I rinsed with burned the wound area really bad. I went back on the drugs and decided not to wear the glue again on until it was better. I made an appointment with the dentist.
I had to wait three days to see him, and during that time, while I was on both drugs, not wearing the glue on, and eating nothing but mashed potatoes the troubled implant began to twinge on and off.
That Monday, I went to the dentist and told them I was afraid the implant was failing, as I didn't sleep the night before and it had lightly twinged all night long. He looked at it and xrayed it and said it was fine.
Since everything looked good, he installed the screw on in spite of all this and it really hurt because all the other gums had started to grow over the hardware...but the troubled implant hurt worse, not becuase of the gums but because it was sensitive to pressure.
Everything calmed down by that night...includihg the troubled one to some extent, although it contined to hurt enough to need medication until I had acupuncture.
Now, it is back to lightly twinging, more at night or in the morning when I wake up, just as it was BEFORE the installation of the screw on.
Consequently, I find it hard to blame the screw on. Remember, I wore it for two weeks, when it still needed a host of adjustments, without pain. (I just blew bubbles when talking, the bite was way off and it rubbed my tounge too much.)
I get frustrated because it feels like no one, including my own dentist, is listening to me.
You keep insisting its the screw on and my dentist keeps insisting its my gums ... but I think I have complications with that implant for some reason, be it connected to the gum surgery or not.
I do remember that when he numbed me up for that little procedure, he put that needle right where the glue on had been pinching the wound...and it hurt really bad. He could have injected some bacteria along with the novicaine and so maybe I have a little abcess in there due to all the trauma which the antibotics didn't address properly ...
. . . the sensitivty to pressure and twinging started one week after that gum procedure....so the timing is just about right for something like that.
My fear is that taking the screw on out..."fixing it" and putting it back in again will only make the problem worse if this pre existing condition is not addressed and eliminated first. And boy, I don't want that. I also don't want to lose the implant.
What i said was that your problem is a bridge that does not fit properly. It certainly does not fit your gums and could be that it does not fit your implants either.
If your dentist keeps insisting it's the fault of your gums, he is full of it. Gums cannot be adjusted to fit a bridge, it's the bridge that must be made to fit your existing teeth and gums.
If i were you, i would see another dentist who can do good work. Chances are he will tell you that you need a new bridge and hopefully that is all which is wrong with your dental work.
I know what you said. I am very clear with that. What I can't understand is why you refuse to address the fact that the problem started before the bridge was installed.
hi there,
you may well have a bit of infection going on around that implant.
If I were you I would go back to your dentist and complain that the implant is still giving you bother. Acupuncture is not going to sort this problem for you. If infection is present, which it may well be (any sort of surgery (cutting of the overgrown gum)brings with it risk of infection no matter how minor) and injection into site of infection can spread infection also.
Signs of infection are heat, swelling, funny tastes, redness and tenderness.
I think the error you made was not completing your course of antibiotics you were prescribed. Always finish the course even if symptoms appear to have cleared up.
If there is infection the denture/bridge should be removed and antibiotics prescribed. Finish the course.
Rinse with warm salt water as often as you can and hold over the area. Corsydl mouthwash is good too get some of that if you can.
Try not to eat/put any load over the problem implant until you can be seen by your dentist, they should hopefully remove it to give the area time to heal. To be honest it shouldn't have been placed whilst you were having pain.
If the dentist dismisses you then ask for a second opinion and reiterate that you are experiencing pain and are worried you are going to end up loosing the implant and your denitst is not doing anything about your concerns.
I assume you are cleaning the implant with a toothbrush?
also it can take some time for infection to become apparent on an x ray, so just because the x-ray was all clear doesn't mean you were necessarily infection free!
It would stand to reason that this problem was caused by the gum surgery, although it didn't start for a week after it.
Apparently, it was an inflammation, not an infection, for I did finish the antibiotics and they didn't help at all. There were no other symptons either. The acupuncture did help, as did the aruvedic herbs I rubbed into the area...as a lot of the twinging stopped with those therapies, but after suffering that pain on impact for nearly two months, I started taking substantial doses of Bromelain, which is a natural inflammatory...and in two days I felt promising improvement. In a week or so the problem was pretty much resolved. Whew.
At any rate, I am keeping a supply of all my remedies on had, becuuse he is tightening the screws this week...gulp. He insists this will not hurt as it will not changed the way the bridge is sitting on the implants...but I would not be surprised if I didn't have another period of adjustment after that, as I seem to be very sensitive.
I also had some considerable discomfort on one side where the implant ridge sits on bare gums. That has also resolved, but it could flare up again too when he tightens those screws. I am not looking forward to this.
The Bromelain was wonderful, as it not only stopped the pain on impact, but it eased all the pulsing, little aches and strange sensations I was feeling in the other implants as my mouth adjusted to the insertion of the bridge. All without upsetting my stomach or side effects of any kind...other then it also helped my lower back, which I injured in a fall...and my big toe, which I dropped a cast iron pot lid on. OUCH!
Raynbo you really going through tough time, I also had dental implant treatment 3 years ago but mine was totally affordable dental implants having no issue with it just needed some maintenance. Never thought little late in procedure can cause so harmful.
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