Dealing with Discomfort After Getting Dental Implants: What to Do? - Dentistry

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After getting fixed dentures?


Hello Dr.
Lin: In October 2021, my lower left first molar, which had previously been filled, broke a small piece off on the inner side while I was dining out.
The dentist advised that I needed a root canal and a crown.
I completed the entire treatment, but when the first crown was placed, I felt it was too large because I had to apply force to fit it in.
The dentist said I should try to adapt to it for the sake of the fit.
Six months later, I was still uncomfortable, so the dentist remade the crown and had me wear my original temporary crown, which alleviated the discomfort, although the gaps between my teeth were larger.
Later, when I wore the second remade crown, it looked smaller than the first, but after a week of chewing food, I experienced significant pain.
I returned to the dentist, who made adjustments three times to the height and lower edge of the crown, but I am still uncomfortable.
What should I do? Additionally, since this is clearly an issue with the crown, is it reasonable for me to keep going back for adjustments and still have to pay consultation fees?

Sha, 30~39 year old female. Ask Date: 2022/08/18

Dr. Lin Jiayong reply Dentistry


Hello: "I have had adjustments done three times, and the height of my upper teeth and the lower edge of my teeth have been fine-tuned by the dentist, but I still feel uncomfortable.
What should I do?" >> It is advisable to first ask the original dentist to make further adjustments to determine whether a remake or repeated adjustments for adaptation are necessary.
If the original dentist is unable to resolve the issue, please request a referral to a prosthodontist at a medical center for further evaluation and adjustments.
"This is clearly a problem with the dentures, yet I have to keep going back for repairs and also pay for the consultation fee.
Is this reasonable?" >> It is recommended to directly communicate your concerns with the front desk of the clinic.

Reply Date: 2022/08/18

More Info


Dealing with discomfort after getting dental implants can be a frustrating experience, especially when you feel that the issues stem from the dental work itself. It’s important to address your concerns and understand the steps you can take to alleviate discomfort and ensure proper healing.

First and foremost, it’s crucial to communicate openly with your dentist about your ongoing discomfort. If you’ve already had multiple adjustments and still experience pain, it may be time to seek a second opinion from another dental professional. This can provide you with a fresh perspective on your situation and potentially identify any underlying issues that may have been overlooked.

When it comes to dental implants or crowns, discomfort can arise from several factors, including:
1. Fit and Alignment: If the crown or implant is too high or misaligned, it can cause discomfort when biting or chewing. Your dentist should be able to adjust the height and alignment to ensure a comfortable fit.

2. Gum Health: Sometimes, discomfort can be related to the health of the gums surrounding the implant. If there is inflammation or infection, it can lead to pain. Regular dental check-ups and cleanings are essential to monitor gum health.

3. Nerve Sensitivity: After dental procedures, the nerves in the area may be sensitive for a period of time. This sensitivity should gradually decrease, but if it persists, it’s worth discussing with your dentist.

4. Material Reaction: In some cases, patients may have a reaction to the materials used in the crown or implant. If you suspect this might be the case, inform your dentist, who may consider using alternative materials.

5. Underlying Dental Issues: Sometimes, discomfort can be a sign of other dental issues, such as cavities in adjacent teeth or periodontal disease. A thorough examination can help identify any additional problems.

In terms of your concern about the costs associated with multiple visits and adjustments, it’s important to clarify the terms of your dental agreement. Many dental practices have policies regarding adjustments and follow-up care, especially if the discomfort is due to a problem with the dental work itself. If you feel that you are being charged unfairly for adjustments that should be covered under your initial treatment, don’t hesitate to discuss this with your dentist or their office manager. Clear communication can often resolve misunderstandings regarding costs.

In the meantime, here are some steps you can take to manage discomfort:
- Maintain Oral Hygiene: Keep the area clean to prevent infection. Use a soft-bristled toothbrush and gentle flossing techniques to avoid irritating the gums.

- Avoid Hard Foods: Stick to softer foods that require less chewing until the discomfort subsides.

- Over-the-Counter Pain Relief: If necessary, consider using over-the-counter pain relievers, such as ibuprofen or acetaminophen, to manage pain. Always follow the recommended dosage and consult with a healthcare professional if you have any concerns.

- Cold Compress: Applying a cold compress to the outside of your cheek can help reduce swelling and numb the area, providing temporary relief.

- Follow-Up Appointments: Keep all scheduled follow-up appointments with your dentist to monitor your progress and address any ongoing issues.

In conclusion, while it’s understandable to feel frustrated with ongoing discomfort after dental work, proactive communication with your dentist and seeking a second opinion if necessary can help you find a resolution. Remember that your comfort and health are paramount, and you deserve to have a functional and pain-free dental restoration.

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