Pain around osseoinegrated implant when touching crown: Causes?
Last Updated: Mar 16, 2015
I installed a single, free standing implant in the maxillary right posterior site and allowed it to osseointegrate for 4.5 months. There was less than 2mm of space between the implant and the walls of the osteotomy site so I did not place a bone graft material or membrane. Healing progressed uneventfully without any pain, purulence, mobility soft tissue pathosis, etc.
After placement of the prosthetic crown, patient complained of pain when touching the implant on the buccal side and during eating moderate to hard food. Patient was asked to refrain from hard food and prescribed anti-inflammatory for a period of 10 days. The crown was also removed and replaced with the previous healing cap. Unfortunately after replacement of the prosthetic crown, the pain did not go away.
Knocking on the implant the sound is sharp indicating an osseointegrated implant. There is no mobility, pus, inflamation or bleeding around the implant. Probing is natural. Periapical x ray reveals a slight radiolucency across the one side of the implant surface.
I would like to have your opinion what can be causing this pain and what is most advisable thing to do. What is the reason, you think for the pain and discomfort?
7 Comments on Pain around osseoinegrated implant when touching crown: Causes?
Gerald Rudick
03/17/2015
mwjohnson dds, ms
03/17/2015
Tony Collins AM
03/17/2015
Dr Daneshgar
03/17/2015
Dr Daneshgar
03/17/2015
Dr Temerek
03/19/2015
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