I have post-implant jawbone infection symptoms. How to treat it?

Hello,

Welcome to icliniq.com.

I understand your concern.

Thank you for your query. I totally understand the reason for your being disappointed in the dental treatment you received. As an implantologist, I need to tell you that not everyone can make good cases for implants.

Dental implants can be successful only when you have a fair amount of jawbone and no gum issues at all in the region surrounding the tooth.

The cone beam computed tomography report (attachment was removed to protect the patient’s identity). Shows that there is extensive bone loss and necrosis in relation to the upper central and lateral teeth.

The pain you are experiencing now and the reason your endodontic treatment failed previously are both linked to gum and bone infection, which are synonymous with each other.

The cause of bone loss can also be a jaw infection or a bone infection. I wanted to ask you a few questions before I diagnose and give you the remedies now.

1. Did you get your deep scaling or cleaning done anytime?
2. What painkiller have you been taking to control the pain?

Please let me know, and I can give you a list of strategies that you can implement to stop the dental implant from failing and also to prevent gum infection.

I will also be prescribing some antioxidants for you that may help to reduce your gum infection.

Thank you.

Hi,

Welcome back to icliniq.com.

Can you please confirm your age before I prescribe you the antioxidant therapy, and I will also be giving you a list of measures to fight your gum infection. You will need to follow the instructions for at least a year.

I am sure you will definitely find improvement in your gums, and it can certainly prevent implant failure and bone loss as well. Deep dental cleaning needs to be done every six months. There is nothing to worry about with the new cone beam computed tomography.

You are unlikely to find any positive changes in the new cone beam computed tomography, even if you get it done now.

Please confirm your age and let us know if you are currently taking any medications or have any other health issues other than nasal issues. Also, answer my questions-

1. Have you been taking Ibuprofen 800 mg only for pain control, and also, how long have you been using it?
2. Did you consult any neurologist to confirm if it is trigeminal?

Please follow up for further assistance.

Thank you.

Hi,

Welcome back to icliniq.com.

Fine, I wanted to confirm firstly whether you had seen a neurologist or not. Most neurologists also cannot correctly comprehend that facial pain is caused by dental infections, which also give similar pain.

You are certainly right in concluding that pain is coming from the gum region around the implant, particularly.

That means it is a clear gum and bone infection. If you have any doubt, you can ask me. Once you implement all these for around three to four months, then you will definitely see changes in the bone and gum.

Please take the following measures.

1. Get a deep dental scaling done at your local dentist, and this needs to be repeated every six months.
2. Regular scaling will reduce your risk of gum infection.
3. I suggest you start with vitamin E tablets. Puncture them and apply them onto your gums locally, around the region of the gums, all around the implants. You can apply this best at night and do not rinse with water.
4. Whenever you have pain, you can apply the combination of Choline Salicylate and Lidocaine hydrochloride 2 %. Apply this over the gums any number of times in a day to prevent sensitivity or pain.
5. I suggest you start using Chlorhexidine gluconate mouthwash or Betadine 2% mouthwash twice a day. This may definitely not only heal your gums, but also help regrow them to an extent. Both mouthwashes are quite effective. Also, you can use any one of them regularly.
6. Continue with Ibuprofen 800 mg or Ketorolac tromethamine tablet twice a day for three days whenever you get severe pain.

Once you start using all of these, you will start getting so much pain in that region, especially after a deep dental cleaning. If you follow these measures, it will be more effective.

My advice is as a surgeon to heal your bone and gum. You might find it different from most of the local dentists. Follow these strategies and you will definitely see the positive results soon.

Anytime you doubt after a month or two, or if you are still facing pain, then definitely follow up with me. In that case, you will need high-dose antibiotics to quell the infection.

Please implement all the procedures I have suggested daily.

Please follow up for further assistance.

Thank you.

Hi,

Welcome back to icliniq.com.

You need to follow these measures for at least one to two months, and you will definitely find improvement. I guess once your gum condition improves, you can follow up with me again.

Please follow up for further assistance.

Thank you.