Post-Operative Pain from Implant Case: How Should I Proceed?
Last Updated: Jun 16, 2011
Dr. P. asks:
I placed an Ankylos B8 4.5x8mm implant in #8 area [maxillary right central incisor; 11] 5 days ago. The tooth was extracted atraumatically 2 weeks before that and the primary soft tissue closure was achieved. The implant was placed in a subcrestal position on the lingual, mesial and distal sides and equicrestal on the buccal. Immediately after the anesthetic wore off, the patient complained of severe pain not controlled by ibuprofen 800mg. I then prescribed paracetamol with codeine and the pain was controlled. I had also prescribed azithromycin 500mg and the patient is continuing that until today. She developed a swelling around the nose and lip and was in distress for 2 days. The swelling has subsided completely, except for a slight tenderness on palpation on the buccal aspect. I have attached all the X-rays of the case. Any advice on how I should proceed with the case?
Pre extraction
Post Implant Placement
Post Implant Placement Image 2
31 Comments on Post-Operative Pain from Implant Case: How Should I Proceed?
peter fairbairn
06/18/2011
guy carnazza dmd
06/20/2011
drvijaysinh
06/21/2011
mike stanley, asst.
06/21/2011
chuanjun wu
06/21/2011
P Rhodes
06/21/2011
Dr. Poole
06/21/2011
Bruce GKnecht
06/21/2011
Dr. Gerald Rudick
06/21/2011
omsdoc
06/21/2011
Anand Patel
06/21/2011
Anand Patel
06/21/2011
JOshua Shieh
06/21/2011
Nik jimenez
06/21/2011
doc
06/21/2011
K. F. Chow BDS., FDSRCS
06/22/2011
Dr. Bill Woods
06/22/2011
Jay West
06/22/2011
Junaid Ahmed BDS
06/23/2011
Richard Hughes, DDS, FAAI
06/23/2011
Vipul G Shukla DDS
06/23/2011
mike ainsworth
06/23/2011
dr.fadi al shafie
06/24/2011
Dr. Amayev
06/26/2011
naser
06/27/2011
Pieter Boshoff
06/30/2011
Mattu
07/04/2011
Blah
07/05/2011
Baker vinci
07/07/2011
Dr Sanjay Jamdade
07/09/2011
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Blah
06/16/2011