What causes a white hard lump in the gums below an implant?

Question

Hi doctor,

I had three basal implants done on my lower jawline six months back. For one month, I started chewing hard food on my implants. After that, I saw a few cracks on the white part, so I stopped per the doctor’s advice. Then, I saw a white pointed hard lump on the gum line underneath my implant for one week.

My doctor, who had done the implant surgery in another country, saw the pictures and said it may be overload osteolysis and instructed me to go to implantologist near me and get it intervened. He said the treatment would be like incision and drainage with antibiotics. As per the sent pictures, what is your opinion? Should I consider this as implant failure?

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

I checked your attachment files (attachment removed to protect the patient’s identity), and I can say that it looks like the material used in the implant is not good, so cracks have developed. The lingual expansion may be due to the improper position of the implant in the bone.

You have not sent your X-ray report. If there is no swelling, pain, or fever, there is no need for drainage, but you need a fresh consultation with a good implantologist to see if the implant needs any new adjustment.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I understand your concern.

I feel the decision will be taken after the radiograph. Only a radiograph will tell precisely what is going wrong inside. But I think it is a case of technical error. I suggest you discuss it with your implantologist. He will fix it accordingly and inform you whether to reposition it or not.

I hope this helps.

Thank you.