Post-Operative Pain for Implant Patient: What Do You Recommend?

Dr. B. asks:
I had placed an internal hex 3.8mm x 12mm implant fixture in the distal root socket of a lower first molar immediately after extraction. The standard protocol of antibiotic cover and curettage of the socket were followed. No bone graft material was used. Sutures were removed after 7 days after implant placement. The patient presented for routine follow up 15 days after implant placement. Routine radiographs for taken for follow up and abnormalities were noted. The implant is not mobile, gingival healing is within normal limits without recession or dehiscence. But the patient complains of episodes of pain and heaviness in the area where the implant was placed and also in the ipsilateral submandibular lymph node. The submandibular lymph node is not enlarged and does not feel any different from the contralateral submandibular lymph node. Should I prescribe another round of antibiotics? Should I prescribe a different antibiotic the second time around? Should I just watch and wait? What do you recommend?

5 thoughts on “Post-Operative Pain for Implant Patient: What Do You Recommend?

  1. Carlos Boudet, DDS says:

    You haven’t posted any radiographs or pictures, so we have no idea of the way things look other than what you tell us.
    Was the implant placed as a one-stage or submerged and covered by the tissue?
    Is the socket of the mesial root exposed?
    Antibiotics is not a standard protocol in a routine extraction, and I don’t think you would put an implant in a socket with an infection. The prudent treatment is to extract and wait, then place the implant.
    If there is no swelling, fever or signs of infection after a regimen of antibiotics, the benefits of a second round of antibiotics is questionable.

  2. peter fairbairn says:

    I am afraid any prolonged pain is indicative of infection and possible loss of the implant. Be very wary of placement into infected ( or adjacent tooth infection ) sites.
    All my patients never required pain medication by the following day if they do I become concerned.

  3. marik ina says:

    maybe… just maybe the patient had fatigue of the muscular jaw. sometimes they said around ipsi lateral submandibluar. sometimes they mean from masseter origo insertio. maybe just maybe…. u should ask the patient and listen to the complain, what time , when eating, after wake up etc… and make the diagnose later on.

Leave a Comment:

Comment Guidelines: Be Yourself. Be Respectful. Add Value. For more details, read our comment guidelines. Though we require an email to comment, we will NEVER publish your email.
Required fields are marked *

Posted in Clinical Questions, Dental Implant Complications.
Bookmark Post-Operative Pain for Implant Patient: What Do You Recommend?

Videos to Watch:

Immediate Loading Full Arch

This video shows a case of Immediate loading of a full arch with simultaneous guided[...]

Watch Now!
Apically Repositioned Flap Technique Around Implants

The apically positioned flap is a commonly used surgical approach, that may help the long[...]

Watch Now!
Digitally Planned Bone Augmentation and Immediate Implantation

This video shows a case using the Ring technique to provide bone augmentation along with[...]

Watch Now!
AnyRidge Implants: Replacement of Upper Left Molars

This video shows the replacement of maxillary upper left molars with Megagen AnyRidge Implants.[...]

1 Comment

Watch Now!
Guided Implant Surgery & Immediate Temporisation

This video demonstrates the placement of a missing pre-molar using computer-guided surgery and immediate temporization.[...]

1 Comment

Watch Now!
Implantoplasty to Treat Peri-implantitis

This video shows the use of the Implantoplasty technique to treat peri-implantits. Granulation tissue and[...]


Watch Now!
Placement of Implant Using EZ Devices

This video demonstrates the placement of a dental implant in the upper jaw using the[...]

Watch Now!
BonePen: Improve Positioning of Implants

A short video demonstrating close up the use of the BonePen Kit, a set of[...]

Watch Now!
Vertical and Horizontal Bone Augmentation with Khoury Bone Plates

This video shows a way to utilize thin autogenous bone plates to create stunning bone.[...]


Watch Now!
Maxgraft bonering: immediate implant placement

This video shows a live surgery using the maxgraft bonering, which is a pre-fabricated[...]

1 Comment

Watch Now!
Socket Preservation In a Type II Socket

This video shows a case where a ridge preservation is performed in a type II[...]

Watch Now!
Three tips for All-on-4 from Dr. Malo

In this video, Professor Malo gives three tips for a successful start with the All-on-4[...]


Watch Now!