Dr. R. asks:
I placed 6 post-extraction 3i Osseotite dental implants on a 60 year-old lady. The implants are submerged and the area has healed well without any exposure of the implants. I also placed 3 transitional IMTEC implants in order to retain a temporary upper denture. The healing was normal. Sutures were removed after 7 days and the denture was placed with a soft liner on that same date.
The patient had the denture for the whole weekend and she presented three days later with a swelling under her nose and seems to extend from the left central incisor area to the left canine area. No pus nor any exudate. She has been under taking antibiotics (clindamycin and metronidazole) for 10 days already. I do not think it is infection. I have taken radiographs and the implants look fine without any radiolucent areas around them. What disturbs me, is why this late swelling? Any advice or ideas? I am stumped and very worried. Thanks for any ideas.