I get throbbing pain in the implant after a bone graft. Shall I go with Maryland bridge?

Hello doctor,

I recently had a dental implant to replace one of my lower front teeth. At the time of the surgery, I was informed that I had bone loss, so they did a bone graft on the spot and placed the implant. The abutment was left out so that I could put a temporary tooth on the top of it (instead of wearing a flipper for months). I was fine for the first few days, but after a week or so, I develop intense, throbbing pain. It was at the implant site and the tooth next to it. It is radiating (off and on) through my whole lower right jaw. I was advised to come in. They removed the implant, did a bone graft again, and closed me up. I was told that the implant did not take and that we would have to wait a few months for the bone to grow and get stronger. After a good while, we could likely try again. I was also told there were no signs of infection or any obvious reason for my pain. They seemed a bit stumped about the pain aspect but said when they pulled on the temporary tooth. The implant easily came right out with it (this was about the 10-day mark after the initial implant surgery).

I want to try this procedure again in several months, but I am worried it will fail again. And a bit nervous about returning to the same surgeon because they could not give me a reason for the pain I experienced. They only said that we would close the implant site next time and let it heal while I will wear a flipper or Maryland bridge instead of a temporary tooth-like last time. I did not put any load on the temporary when I had it, but I did accidentally clink it on my other teeth quite a bit while trying to speak. It felt like the teeth next to it were getting sore, or even the area below the tooth directly to the right of it. I have had an abscess before, and this was a similar pain. However, when they removed the implant, the pain was gone. I would like to know if what my surgeon and dentist are telling me makes sense or anything suspect here.

Thank you doctor,

I do not have x-rays with me. It is the lower front, just right of center. Is it safe to try again with a Maryland bridge during the implant healing process?

Thank you doctor,

I was hoping the Maryland bridge would be an option that would not load the site. But I will be careful not to bite anything with my front teeth. One other thing so that I will get the implant again in six months, and they will close it up to heal, and I will have a Maryland bridge on during that process. After I do that for six or so months, do I get the final surgery (with the fabricated tooth and all), or do I have another interim stage with a healing cap? I keep reading about a healing cap. And if I need one, can I have a Maryland bridge on while I have that healing cap?

Thank you doctor,

So do you always do a healing cap, or is it sometimes not necessary? Meaning, I would go from the six-month healed implant with Maryland bridge on it directly to the final stage? I wonder if that will have to be two separate appointments one week apart or if we skip the healing cap?