Throat Pain and Lymph Node Inflammation After Tooth Extraction and Implant - Dentistry

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Sore throat and lymphadenitis after tooth extraction or dental implant?


Hello Doctor, I had a tooth extraction at the end of October 2019 (in preparation for an implant), and after the wound healed, I experienced pain when pressure was applied to the gum in that area.
I discovered that the dentist did not remove all the tooth remnants.
On February 3, 2020, I felt muscle pain directly beneath my chin (right below the extraction site).
On February 4, I had the remaining tooth fragments and inflamed tissue removed, and an implant was placed.
On February 8, I started experiencing a sore throat, which hurt when swallowing saliva, and later, my neck (mainly on the side of the implant) began to hurt as well.
On February 15, I consulted an ENT specialist, who said that bacteria had entered and caused lymphadenitis.
However, I do not have any other cold symptoms.
The area where the implant was placed has not had the stitches removed yet, and pressing with my tongue does not cause pain, but I sometimes feel a sharp pain in my lower jaw.
I would like to know if this could be due to the implant being incompatible with me, or if it is related to the previous dentist not removing everything properly, leading to inflammation and bacteria spreading to my throat? Should I go to a major hospital's oral surgery department for an examination?

Niming, 20~29 year old female. Ask Date: 2020/02/19

Dr. Huang Tingfang reply Dentistry


Dear Ms.
Anonymous: Hello! As mentioned, the main issue still pertains to the original site.
If there is still inflammation, please seek treatment promptly! It is essential to maintain oral hygiene! You should gradually see improvement! Take care! Wishing you peace and smooth recovery! Sincerely, Dr.
Huang Ting-Fang, Dentistry.

Reply Date: 2020/02/19

More Info


After a tooth extraction and subsequent dental implant, experiencing throat pain and lymph node inflammation can be concerning. Based on your description, it seems that the timeline of your symptoms began shortly after the extraction and continued after the implant placement. This raises several possibilities regarding the underlying causes of your discomfort.

Firstly, it is not uncommon for patients to experience some level of discomfort or pain following tooth extractions, especially if there were complications such as remnants of the tooth or inflamed tissue left behind. The fact that you noted pain when pressure was applied to the area suggests that there may have been some residual inflammation or infection that was not fully resolved before the implant was placed. This could potentially lead to further complications, including the spread of bacteria.

The throat pain you are experiencing, particularly when swallowing, could be a result of several factors. One possibility is that bacteria from the oral cavity could have entered the throat, leading to lymphadenitis (inflammation of the lymph nodes) as your body responds to the infection. The lymph nodes in your neck can become swollen and tender as they work to filter out the bacteria and fight the infection. This is consistent with what your ENT specialist suggested regarding bacterial involvement.

Additionally, the discomfort in your lower jaw and the sensation of "shooting pain" could be related to the dental implant itself. If the implant is not properly integrated into the bone or if there is an infection around the implant site, it can lead to pain that radiates to nearby areas, including the throat and neck. It's also possible that the inflammation from the extraction site could be affecting the surrounding tissues, leading to referred pain in the throat.

Given these symptoms and the timeline of events, it is advisable to seek further evaluation from an oral surgeon or a dental specialist. They can perform a thorough examination, possibly including imaging studies, to assess the condition of the implant and surrounding tissues. They may also want to check for any signs of infection, such as pus or abnormal swelling, which could indicate that the implant site is not healing properly.

In the meantime, it is essential to maintain good oral hygiene to minimize the risk of further infection. Rinsing with warm salt water can help soothe the throat and reduce inflammation. Over-the-counter pain relievers may also provide temporary relief from discomfort.

In summary, while your symptoms could be related to the dental implant or residual issues from the extraction, a comprehensive evaluation by a dental professional is crucial to determine the exact cause and appropriate treatment. Prompt attention to these symptoms can help prevent further complications and ensure a smoother recovery process.

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