Playing Musical Instruments after Implant Surgery?

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A concerned parent asks:

My son lost his upper right front permanent tooth when he was 12 years
old. Now he’s almost 18 and getting ready for a dental implant in
January 07. The plan is to remove his wisdom teeth and use this bone
for grafting and then place a dental implant.

My question concerns his ability to play his trombone after the dental implant surgery. Could the pressure on his mouth interfere with the bone accepting the dental implant or could it cause it to be crooked? How long should he wait before he begins playing again? Would it be better to wait until summer when he won’t have to play at all? Also, I understood that this was going to be done in one procedure, that is, the bone graft and the placing of the implant. Is this a bad idea? Should this be done in two seperate procedures? Thanks for any guidance.

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5 Responses to “ Playing Musical Instruments after Implant Surgery? ”

• kfc msia December 5th, 2006

  
  

  There is no hard and fast rule in dental implantology. The art and science is still developing and changing very rapidly.Having said that, there are a few things that may be considered in your particularly case. How much bone was lost and how much bone graft has to be used. A general rule of thumb is that the more invasive the surgery, the less you must disturb the area during healing as there will be more swelling and pain. Exactly what technique and what sort of bone graft is used is also relevant. As such the sequelae will depend on the individual case and technique used. Generally speaking, because the details are unclear, it is advisable to wait until summer when he does not have to play his trombone.
  Keep the music playing, but with care.

• SMSDDS December 5th, 2006

  
  

  I dont think that waiting until summer is necessary. Certainly, if a removiable prosthesis can be inserted after a couple of weeks, I think that the horn use would follow in kind….

• Gerald Rudick dds December 5th, 2006

  
  

  This is an interesting question…….will playing the trombone interfere with healing for the placement of a dental implant and simultaneous bone graft in the region of an upper central inciser?

  Any musician playing a horn or reed instrument realizes that the mouth is a very important part in the formation of proper sound. To musicians, the pursing of the lips in the case of a brass horn ( ie trumpet, trombone, French horn,etc) or position of teeth and lips in the case of a reed instrument ( ie clarinet,oboe, saxaphones,etc) is call the the embasure.

  In the case of a trombone, the pressure of the mouth piece is against the pursed lips which rest on all the inciser teeth. The teeth are cushioned by the lips, and since there is only one missing tooth, and the parent does not speak of immediately loading the implant, then, virtually no pressure would be placed on the bone around the graft or implant. I would say no need to be concerned, and allow junior to form a good embasure and blast away and make beautiful music… take it from a Montreal dentist who places dental implants surgically, a dentist who has had anterior maxillary implants placed in his own mouth, and a dentist who is also a musician!

• Ann April 4th, 2007

  
  

  I am a diabetic, and have to get either a bridge or dental implant. The last time I had a filling, I had Bell’s palsy (slightly). I did recover from it; but, do you think I will get it after my procedure again, maybe even permanently?
  Thank you

• Dorian Hatchuel November 7th, 2007

  
  

  Success of bone augmentation depends to a large extent on closure of the flaps. The key to bone augmentation is soft tissue management.

  Any blowing forces or outside influences that create muscle movements will adversely affect the closure of the flaps. The young musician should be aware that for success of biological healing there is a price to pay. Removal of all influences that will adversely affect the healing should be avoided.

  My recommendation is to wait until he is ready to do what is necessary to allow the area to heal. Good luck.

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