What is causing my bone to recede?

| November 1, 2013 | 1 Comment

by Melissa
(Pinellas county, fl)

I started the procedure to have a dental implant in my front right tooth after 4 crowns broke on the tooth. This procedure started almost 3 years ago and I still do not have my crown. I had a gum lift and cadaver bone graft. This took time to heal.

About 2 months ago I visited my dentist and he had to laser my gum tissue off of the abutment. This was extremely painful. Now 2 weeks ago I went back so he could check the implant and have the crown sized and colored. He removed the cap off the abutment to get a good impression. I left the dentist and within a half hour the right side of the bridge of my nose and along the lower area of my eye is swollen and feels like a stabbing pain- this lasted for about a week. There was nothing done during the visit that should have cause me pain.

Today I went back to have my crown placed, the crown was not perfect so my dentist replaced the cap and arranged for another visit to fix the color/shape. Within 10 minutes of leaving I could feel my face swelling and an excruciating pain on the right side of my face. He called me back to the office for a CT scan. He reviewed my scan and compared it to one taken in march- 9 months ago.

The one in march looked great, bone strong and healed around the implant. Gums are pink and healthy. The CT today showed significant bone loss in a 9 month period. The pain is excruciating and he only removes the cap to the implant- nothing to cause this pain and swelling.

What could cause this bone loss in such a short amount of time? The first CT was taken 1 1/2 years after bone grafting. Could there an infection somewhere? What is causing my bone to recede?

Thank you for any and all responses

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Category: Problems After Placing Implant

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  1. sandydig says:

    Bone Recession
    by: Sharon B., RDH

    Hi Melissa,

    The pain sounds like it is simply from having some pressure applied around the implant, as those teeth are near the sinus cavities and can have referred pain through your face and sinus cavities.

    There is a good chance that your body rejected the bone implant or the actual implant itself. Rejection is not uncommon, but it isn’t extremely common either. Some people’s body’s do not take to the foreign cadaver bone and rather than fuse with it and grow more bone, it rejects it and destroys bone in the area. This is simply just a risk of having the bone implanted and it is what sounds like happened. Or you may have an adjacent tooth that has infection, or perhaps your implant perforated the sinus cavity, allowing infection into the area around the implant, causing destruction of the bone.

    It may be necessary to remove the implant and start all over with a new bone graft.

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