Could the pain in my lower jaw be due to the dental implant that I had a week before?

Question

Hello doctor,

I had an implant in my mandible one week ago. Now, I have severe throbbing pain in my lower jaw radiating to multiple sites like adjacent teeth, lips, and chin. I take tablet Diclofenac 50 mg for pain. If I stop taking pain medicines, it hurts a lot. I am feeling compression. I do not have any history of neuropathy or other diseases.

I have attached my post-implant x-ray.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I hope I could lessen your discomfort.

I have gone through your OPG (orthopantomogram) (attachments removed to protect the patient’s identity). There is a radiolucency around the dental implant, indicating a postoperative infection.

I suggest you take a tablet. Amoxicillin 500 mg twice daily for five days, tablet Metrogyl 400 mg (Metronidazole) twice daily for five days and tablet Diclofenac as and when required. Do saline rinses every six hours a day for five days.

Would you please update me if there is no relief?

Do follow up whenever needed.

Let me know if I can assist you further.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Thanks for your reply.

To rule out the underlying lesion, I asked for an IOPA (intra-oral peri-apical radiograph).

Take your medication anyway and update me on any problems. In addition, you can take multivitamins like tablet Zincostar or tablet Zincovit (vitamin A, B1, B2, B3, B5, B6, B12, C, Folic acid, Zinc, Magnesium, Manganese, Copper, Iodine, Selenium and grape seed extracts) once daily for 15 days.

Do follow up whenever needed.

Let me know if I can assist you further.

Thank you.