I placed an implant with a bone graft in #27 site, 10 days ago. The patient returned 2 days later complaining of pain at the site and pain radiating to the mandibular posterior. I suspected infection and prescribed NSAID, steroids, antibiotics. The patient kept complaining of pain afterwards and finally I removed the bone graft at 10 days post-op. The site had a definite odor and I suspected an active infection. I debrided the site. The patient is still complaining of pain radiating to his mandibular posterior. I only did a mental nerve block and local infiltration for the surgery and graft. On the post-op CBCT scan it appears as though the apex of the implant fixture is impinging on the mandibular incisive canal. Could this be causing the pain? Should I remove the implant fixture?
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