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Pain/itching in the gums between implant and molar. Cure?

I went to the dentist 2 days ago due to pain/itching in the gums between my implant and molar. The onset of the pain was 3 days prior to my appointment. The implant was done 2 years ago and I had this same pain at one point during the process for which the dentist prescribed an antibiotic and it resolved. The night before my appointment, I noticed my gums were painful in my entire mouth (something I've never experienced). The morning of my appt, my gums were so painful that I mentioned I wanted to forgo the routine cleaning I was to have in addition to having my dentist check the gum pain at my implant. My x-ray proved no infection at the implant and I had the cleaning. I have very little plaque buildup and take very good care of my teeth regularly. My dentist mentioned enamel wear due to bruxism but didn't feel it necessary to prescribe a splint. Since the exam and cleaning 2 days ago, my gums are so painful that brushing and flossing are very painful as well as eating. I woke from sleep at 2 am and my gums were extremely painful and it was excruciating to clench my teeth together. The teeth pain was a new symptom. In the 2 hours that I've been awake, the tooth pain has greatly subsided, but the gum pain remains. Also, my submanibular lymph nodes on both sides are very tender. I see no rash or discoloration in my gums/mouth. One last comment: I consumed about 10-15 sugar-free mints the evening prior to my dentist appt. I had never had them before. I'm wondering if the sudden whole-mouth gum pain could be an allergic reaction to them. Thank you for your help.
Asked On : Wed, 17 Apr 2013
Answers:  5 Views:  320
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Dentist 's  Response

Thanks for asking the query,

For succesful placement of Dental implants the periodontium and the supporting structures like gums, alveolar bone should be healthy.

Pain after implant placement is due to gingivitis, periodontitis, gingival recession, alveolar bone loss.
I would suggest you to visit to Dentist and get a checkup done.
If there is bone loss flap surgery has to be performed.

You maintain a good oral hygiene.
Avoid eating hot and spicy foodstuffs.
Use chlorhexidine mouthwash gargles twice daily.

Hope this helps out.

Answered: Wed, 17 Apr 2013
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  User's Response
Hello dear
Your condiion sounds very painful.By the information provided by you i can conclude that the pain in tooth and gum is somewhere related to bruxism and plaque accumulation. And as you informed about submandibular lymph node tenderness, reveales that there is infection in the related tooth. So it ll be better to consult your dentist again and get your complete checkup again.
Dr. Amit k. Gaba
Answered: Thu, 18 Apr 2013
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Dentist Dr. Neha Sumra's  Response
Welcome to HCM

I would like to tell you that pain after implant placement can be due to poor periodontal condition.There might be:-
-recession of gums
-pocket formation
-furcation involvement
-plaque accumulation

Since you mentioned your lymph nodes are also tender.So I would like to suggest you consult your dentist as there can be some infection.
Maintain proper oral hygiene by regular brushing & flossing.

Take Care
Answered: Thu, 18 Apr 2013
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Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

The cause for your present symptoms appears to be involvement of your molar adjacent to your implant.have you got that checked thorughly?

As you have mentioned that your dentist says the implant is free from infection,that means the adjacent teeth in that arch is infected.

This is sure that infection is there as your lymph nodes are palpable and indicating infection.

It is also possible the pain could be due to enamel wear.the underlying dentin is getting exposed to noxious stimuli and further affecting pulp and causing pain.

In this case i would say please revisit your dentist and get it examined thoroughly for the exact cause of this pain and infection.

Only clinical evaluation with clinical tests can elicit the cause for pain here.

Meanwhile please mange with pain killers till you visit your dentist.

Its very nice to know that you are maintaing good oral health.

Do not worry it will be fine.

Take care.

Answered: Fri, 19 Apr 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Hello and welcome to hcm,

The gum pain following implant placement may be due to-
gum recession.
periodontal pocket with furcation involvement.
Alveolar bone destruction.
I would suggest you to visit your implantologist as well as periodontist to get the diagnosis.
Flap surgery has to be done if there is bone loss.
Avoid intake of sticky,spicy,solid foods.
Take care.
Answered: Wed, 17 Apr 2013
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