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Mandibular Denture Pain: How to Approach This?

Last Updated: Apr 19, 2010

Dr. WH asks:
I recently placed 4 implants in the anterior mandible for an 80-year old patient. The treatment plan is for ball retention for a mandibular overdenture. One week post-operative, the area appeared to have healed well without swelling or inflammation and the patient was asymptomatic. I relined the patient’s mandibular complete denture with a soft tissue conditioner and inserted. Now the patient is complaining of pain in his anterior mandible extending from the alveolar ridge to his chin. All objective the signs are still normal. How should I approach this? Should I tell him to stop wearing his mandibular denture and then re-evaluate? Are the implants failing because the denture applied pressure to the alveolar ridge before the implants began to osseointegrate?

5 Comments on Mandibular Denture Pain: How to Approach This?

dr koutsavakis m

04/19/2010

remove for some days the denture.does the patient use any kind of medication for blood goagulation for example?

wh

04/20/2010

thanks dr Koutsavakis for you comment .yes he takes Sintrom anticoagulant . but i think there was little violation to the lingual high muscle attachments during flap reflection. and what made it worse was the pressure of the denture on that region .even though the soft reline is soft initially, but it hardens with time . so i ll wait and see.

Pankaj Narkhede, DDS; MDS

04/20/2010

Take a scan & find out if the implants are placed in the bone completely. Also please check the extensions of the denture - if over extended can cause pain. Remember the dentures are fixed and with over extension can cause severe pressure :-)

Pankaj Narkhede, DDS; MDS

04/20/2010

I am sorry I didn't realize that the ball attachment is a treatment plan yet.

TH

05/01/2010

please take a cone beam ct scan.Other than the mentioned causes, it could be nerve trauma, perforation of lingual cortex or mandibular bone fracture... besides, is pat. on any biphosphonate for more than 5 years? in that case, bone healing can be compromised. Hope this will help.

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