Sensitivity to cold and pain after implant : advice?

We are a keen bunch of professionals with lots of experience...but in order to give you proper advice we need to see some xray films, or a conebeam scan as well as some photos........ send those in and you will get excellent advice. Gerry Rudick dds Montreal

Like above some more information would be helpful. I will tell you this much without looking at thing and simply knowing that surgical site. A couple of things; first of all rarely is cold sensitivity associated with the implant but rather adjacent teeth. Depending on the flap design and healing some root exposure on the adjacent teeth where some dentinal tubules are exposed near root junction (cej- cementoenamel junction) can lead to cold sens coincidentally. Try some sensodyne on the adjacent teeth. The other consideration is the proxitmity of that implant (tooth #29) to the mental formen. Or where the innervation and blood supply leave the jaw and provide blood and sensation to lip and chin area. Normal post surgical inflammation can influence the anatomy there and sometimes create atypical or a post surgical neuralgia. Ie a variety of symptoms while healing. I will have patients report various post operative issues in proximity to that foramen. As long as surgeon feels it's fine and no infection present then I'd tell your wife to relax and it'll resolve with time. Big disclaimer...no X-rays, no pictures, compete guess.

I would return to her surgeon. He is the best person to answer your concerns. My best advice is when you have turned to the Internet for medical advice you need to re-examine your relationship with your health care provider.

An endo tooth with a cracked root exhibits cold sensitivity. Are the adjacent teeth endo treated? Dennis Flanagan DDS MSc

Hello The sensitivity might occur after surgery due to the exposure of root area of adjacent teeth. Any pics and x-rays would have helped. Ask her to not to chew from this side for few more days as sometimes the tissue takes more time to heal. Take any medicated toothpaste and visit your dentist for follow up if the problem persists. Wish your wife for better healing phase. Dr. Samir Nayyar

I think you've gotten some good opinions. DrG brings up a good point however. Has this patient lost trust in the practitioner because they sought out internet advice. I'd say not necessarily. A lot of patients don't want to trouble the doctor with extra questions and/or the doctor just hadn't gotten back to them yet. With how readily good advice is to be found on the web these days it's a bit of caveat emptor but it's better than sitting between their won ears. And there are good reputable sites like this one where caring individuals will put forth advice. On the patient specifically I think too many people think implant dentistry is routine and expect quick and painless treatment. They may have even talked to Joe at the gas station who had two placed and didn't take one pain med. I've had more of those patients than the symptomatic ones thankfully. However the patients sometimes have to be reminded this is still surgery. Tissue cut, bone drilled and a foreign object screwed in often near other anatomical structures. Additionally the cellular process of integration and healing takes a couple of months. Common sense would dictate that symptoms can arise that are normal and that time will take care of if they just relax and follow the instructions of their doctors. I don't think this was about trust here just a husband wanting some good solid advice without maybe having to take off work and pay for an office visit. Mail my fee to....

I have recently faced a similar situation which turned our to be a non-integrating implant. Cause was not obvious as three implants were placed the same session. It could be a contaminated implant surface, slightly lower initial insertion torque or flapless single stage.

This may be an old thread...but I'm jumping in.. It is entirely possible to feel sensation from a dental implant. How do I know this? It's happening to me as we speak. I think perhaps as nerves and vessels re-approximate themselves, temp. Is transferred to them via the implant as a conduit. I should mention I'm also a dental surgeon.

Day 11 after graft and implant lower motor , had on I think day 4 drained of pus then day 9 re-opened and graft was removed from around top of implant and membrane too. I was in devastating pain and ended at ER, they see very inflamed main jaw nerve , hence my intense pain. Not w I’m still hurting although from a 10(worst) to about a 7. The pain comes and goes , more after I eat , why? I am on a third different antibiotic for all this ... should I worry?