Pain one month after dental implant

[Mayann]

Hi everyone

I'm 44F and suffer from terrible agoraphobia and a general fear of "white coats" after being sexually abused by a psychotherapist. I was able to find a team of female dentists that can come to my home but after 8 years without going to the dentist, my teeth were in pretty bad shape, needed tons of RCTs, extractions, etc... Now I have pain around one of my newly placed implants and I'm very worried.

How this implant thing started:
I had 5 teeth extracted in January. Three of them had fractures, two were failed root canals. Now a few weeks ago on May 27th, five implants were placed. No temporary crows yet, only the abutments. I had to take clonazepam in order to have this surgery, as they brought a male surgeon I hadn't met yet but assured me he was good. Two other dentists also came to assist and calm me down.

I had ongoing pain with pressure in one of those implants. X-rays showed nothing wrong. I tried with the usual team of dentists but they all said I needed to contact the surgeon ( I HATE this thing when one dentist can't touch the work of another dentist! ). The problem is that said surgeon works in a hospital and is very busy. After a LOT of insistence, the surgeon gave instructions to the assistant to remove the abutment and place it again, he thought it could be the abutment pinching the gum. It was not. When the assistant removed it, there was a piece of something white and hard, very small, we couldn't figure out what it was and how it got there. There were lots of inflammation, and after some seconds of intense pain, the implant came out. That was on June 27th. There is no more pain on that side of the mouth.

A few days after that, some pain started on the site of another implant on the other side of my mouth. It had been pain-free for one month, then it started suddenly. Again they asked me to message the busy surgeon. He just answers with "it's normal, it's normal". Well, after what happened with the lost implant, I know it might not be "normal".

The pain is still ongoing and sometimes gets very bad. Last week it sometimes reached my eyes. There have been very few periods without pain. Can this pain really be just bone remodeling? It just hurts nonstop around the implant, it's been two weeks! I will try to insist that they come to have a look. If I knew the surgeon would be this unavailable and the others wouldn't beable to do anything without his opinion, I wouldn't have done all these implants! Not to mention I am so SCARED of the surgeon!

Now:
The first picture is not very good but I am uploading it to show which implant I am talking about. It's possible to see the other implant, on the other side of the mouth and a stitch where the lost implant was. The implant relative to second molar didn't have enough torque for an abutment so there's just a hidden fixture and they will place the abutment in a few months. The reason I don't have the temporary crowns is that they already tried twice but it's hard to take good impressions because I have braces on the lower teeth.

Can this pain really be just bone remodeling? Or am I going to lose another implant? Has anyone had this kind of experience? I will see if they can take new xrays this week but those things seem to never show anything.

EDIT: paragraphs for clarity

 

[letsconnect]

Hi @Mayann, hoping that @drhirst will spot this because he knows about implants... just to clarify: it almost sounded from your post as if the implant surgery was done in your own home? (I was under the impression that implant surgery had to be done in a sterile field to prevent contamination)

 

[Mayann]

Hi, yes, it was done in my home. It's a lot of work to prepare the place and set everything up, and they always need at least two people to carry all the equipment. Many dentists started working like this during the pandemic around here. Unfortunately they can't do CT scans so during the last months I was forced to go out twice for scans, I was only able to do it because a friend could go with me as I need strong meds to be kind of able to do it. I wasn't like this before those events of 8 years ago

 

[drhirst]

Hi @Mayann,

Sorry to hear this. It is nor normal to have pain so long after the implants were installed. They really need to take a look.
Sorry can't really say anything other than that based on the description and photos alone.
Regards
Lincoln

 

[Mayann]

Hi @drhirst
and everyone

Well, they came to check me a few weeks ago, did some xrays and examined the area, and they say everything looks normal and they don't know why I'm feeling so much pain next to that one implant.

What I feel with my tongue is a small "bump", like maybe the bone wanted to grow in a weird way and it's causing pain somehow, but the dentists didn't say anything it. It's been almost 3 months now and I don't know what to do, how long should I keep waiting to see if the pain will get better?
There are days when it doesn't hurt so much, and others when it hurts like hell. I would like to know if anyone had such an experience, I am really thinking of begging them to remove that one and I'm scared the surgeon will refuse or even say it's not possible.

 

[Mayann]

Hello everyone

Unfortunately I am still having issues with my dental implants. There's still pain, sometimes severe next to the one I mentioned in an earlier thread, and all my surgeon did was give me pain medication because examination and xrays show "nothing wrong".

I made a new post because now I have a new problem with an implant on the other side but the problem with the one I posted about previously still exists.

Since yesterday, whenever I move my head to look up or down, lie down etc, I feel a weird tingly sensation around one of the implants that were placed three months ago in May. I can get the assistant to come take a look but I'm really scared of what this might be, scared it will evolve into pain or numbness or infection... it's the implant that went in place of the second premolar in my upper jaw, right side. It looks normal, no swelling, no redness. Some mild pain.

Is this kind of sensation normal/expected?

 

[drhirst]

@Mayann

"Is this kind of sensation normal/expected?"
No, it is not, but I suspect with will disappear on it's own.

 

[Mayann]

thanks for responding @drhirst

Yes, it was almost gone, someitmes I could turn my hear without it happening...
then yesterday I accidentally hit the metal post with my toothbrush... I felt some slight pain, then the sensation came back and now there are some twinges along with it. I hope this will stop, but the anxiety waiting for the next shoe to drop is killing me.

I wonder, what exactly are the signs that someone screwed up before osseointegration is complete?