Q. What to do if a natural tooth close to dental implant becomes sensitive?
Hi doctor,
Today I had three dental implants fixed, and I feel one is close to the natural teeth. If I develop sensitivity in another one to three weeks, the doctor said a root canal has to be done to that natural tooth. I am attaching my X-ray here. Kindly let me know whether I have to undergo root canal treatment.
Thanks.
Hi,
Welcome to icliniq.com.
I had gone through your reports (attachments removed to protect the patient's identity). It is very close to the natural tooth, and it may need root canal treatment. As per the OPG (orthopantomogram), the tooth near to implant shows PDL (periodontal ligament) widening, that means the periodontal ligament is compromised in the adjacent tooth. Also, the natural tooth already shows apical periodontitis, that is, inflammation at the tip of the root of the natural tooth. If the sensitivity or pain remains there for more than a week, I suggest RCT (root canal treatment) of this tooth.
Regards.
Hi doctor,
Thanks for the reply.
If there is no sensitivity or pain after one week, does it mean that RCT is not required? As the implant is too close to the natural tooth, will there be enough space for the bone to form around the implant? Will it be a failure after going through all this pain and suffering? Kindly reply.
Thanks.
Hi,
Welcome back to icliniq.com.
If there is no pain, sensitivity, or mobility of the tooth, there is no need for root canal treatment. As you know, implants are bio-compatible, and there will be bone formation around them even if it is very close to the root of the natural tooth. Root canal treatment is the only option for pain and apical pathology management. If there is no issue, it is unlikely to happen in the future.
Regards.
Hi doctor,
Thank you for the reply.
How long do I have to monitor my symptoms?
Hi,
Welcome back to icliniq.com.
I suggest you take care for at least two weeks and monitor for any symptoms like the mobility of the adjacent tooth. The bone formation gets completed within four to six months around the implant, so for at least two weeks to four months you should be careful.
Thank you doctor,
Yesterday I got the crowns fixed. After the trial, I got severe throbbing pain while rinsing with water before fixing the permanent crowns. Even today, whenever I rinse with water, I am experiencing this throbbing pain. At other times, it seems to be a dull pain. What could be the reason? I am worried whether it would become a failure.
Hi,
Welcome back to icliniq.com.
Because the luting or cementing agent contains weak acids, which can irritate dentin and cause pain, but the pain should not be there for more than a week or too. Please check whether the fit is proper, means, if there is any gap, let me know, or if there is associated foul smell, let me know that too. If everything is fine, and the pain is mild and not throbbing, it is fine.
Thank you doctor,
The doctor checked and told me that there were no gaps after fixing the crown. I cannot check by myself because of poor visibility. As of now, I get mild and dull pain. But if I rinse with water around the implanted area, I am getting throbbing pain. The last wisdom natural tooth adjacent to the implant has little mobility. The doctor showed it to me last time while fixing the crown. He said better to get it removed in my next visit. Do you think the pain is also because of that mobility?
Hi,
Welcome back to icliniq.com.
Yes, it could be because of it. Sometimes mobile tooth exposes dentin and cementum, which are sensitive to hot and cold. You need to give it two weeks and avoid too hot, too cold fluids and highly concentrated mouthwashes. Follow your implantologist. The second throbbing pain is always from the natural tooth. Therefore, it will not harm your implant. I hope you should get well soon.
Thank you doctor,
So, for now, I guess that I should avoid rinsing on the implanted area so that I will not experience pain, and I have to give some time to heal. I hope the pain goes down slowly if I follow this tip. Please confirm.
Hi,
Welcome back to icliniq.com.
You can do rinsing if your doctor has prescribed it. But make sure the concentration is not too high. Add half of lukewarm water to the mouth wash and rinse gently.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Why is dental implant not working for me?
.. bone loss and it can be due to the failed implant (attachment removed to protect patient identity). If one failed, there was always very high chance of the failure of the other implant too. I believe they did not give the implant a proper time to heal Read full
My 2 year old son's teeth are exposed and are sensitive. Please help.The enamel has come off, and the inner part of the tooth is exposed and sensitive to cold drinks ... Read full
I have teeth pain and sensitivity whenever I drink something cold or hot. Why does it occur?Hello doctor, Is it safe to take Vyvanse 100 mg for ADHD symptoms? Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
iCliniq's FREE Newsletters
Expert-backed health and wellness information, delivered to your email.
Thank you for subscribing to our Newsletters!
Also Read
PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions. Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this. Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades. Read more»