Hello.

I had dental implant surgery on Wednesday (one implant, lower jaw). The
surgery itself was a breeze due to the local anesthetic and the day after
the surgery I was in some pain, but ok. Now, two days later, the pain is
pretty severe and I have to take strong painkillers (Voltaren Rapid
perscribed by my surgeon) to combat it. Even they do not take away the pain
completely.

Is this normal or should I be worried there's something wrong? There is some
swelling but not much. I've previously had wisdom teeth extracted (by
pulling and by surgery) and don't remember the pain being this bad after
those procedures.

Tuuli.
--
:wq

Tuuli Tuominen <> wrote:

> Hello.
>
> I had dental implant surgery on Wednesday (one implant, lower jaw). The
> surgery itself was a breeze due to the local anesthetic and the day after
> the surgery I was in some pain, but ok. Now, two days later, the pain is
> pretty severe and I have to take strong painkillers (Voltaren Rapid
> perscribed by my surgeon) to combat it. Even they do not take away the pain
> completely.
>
> Is this normal or should I be worried there's something wrong? There is some
> swelling but not much. I've previously had wisdom teeth extracted (by
> pulling and by surgery) and don't remember the pain being this bad after
> those procedures.
>
> Tuuli.

Was this surgery difficult? Did it last long? You say it was a breeze,
but from the practitioners' point of view, how did it go?. Maybe your
surgeon said something regarding that.

Regardless, I would phone the office and see if there is a dentist on
call for the weekend. If there is not, look in the phone book for an
oral & maxillofacial surgeon on call. You might find them in a hospital
where they do implants and other dental procedures. In the meantime, I
would put some cold pack on the cheek next to the operation site
(outside the mouth). Do that for about 2 hours with a rotation of 15
mins on and 15 mins off, and see how that goes. The aim here is to keep
inflammation under control.

Hope this helps, pls appraise of how it goes
SP
--
Finally: take out the TRASHH

On Sat, 7 May 2005 02:26:41 -0400, StovePipe wrote:

> Was this surgery difficult? Did it last long? You say it was a breeze,
> but from the practitioners' point of view, how did it go?. Maybe your
> surgeon said something regarding that.

Yes, the surgeon said that all went well and it was an easy procedure. It
took only maybe 40 minutes (plus the time spent waiting for the anesthesia
to kick in).

> Regardless, I would phone the office and see if there is a dentist on
> call for the weekend. If there is not, look in the phone book for an
> oral & maxillofacial surgeon on call. You might find them in a hospital
> where they do implants and other dental procedures.

OK, I will try to do that. The pain seems to have lessened a bit now though.

> In the meantime, I would put some cold pack on the cheek next to the operation
> site (outside the mouth). Do that for about 2 hours with a rotation of 15
> mins on and 15 mins off, and see how that goes. The aim here is to keep
> inflammation under control.

Thanks for your advise. So it is still better to use a cold pack instead of
something warm?

Tuuli.
--
:wq

Tuuli Tuominen <> wrote:

>
> Thanks for your advise. So it is still better to use a cold pack instead of
> something warm?
>
> Tuuli.

Absolutely. If there is a chance of infection, warm compresses can
accelerate it. Stick with cold. Glad to hear the pain is decreasing
slightly. You may also get a better effect if you combine your pain
killer with an over-the-counter pain medication. Ask your pharmacist.
Hope this helps.
SP
--
Finally: take out the TRASHH

On Sat, 7 May 2005 14:03:56 -0400, StovePipe wrote:

> Absolutely. If there is a chance of infection, warm compresses can
> accelerate it. Stick with cold. Glad to hear the pain is decreasing
> slightly. You may also get a better effect if you combine your pain
> killer with an over-the-counter pain medication. Ask your pharmacist.

Seems like I have to wait til Monday and then call my oral surgeon. The pain
is decreasing slightly. I've taken paracetamol which seems to help some.
I've also noticed now that there is a small area around my chin/lip/cheek
which feels slightly numb. I can feel it when I touch the area but still
there's something weird about the feeling. It also tingles occasionally. Is
this something to worry about? Could it be that the implant has irritated a
nerve or something? Or is it only numb because of the slight swelling still
present?

> Hope this helps.

It sure does, thank you.

Tuuli.
--
"Ei ole mitään puolikirafia kasvamassa missään!!!"
- J-P Kettunen, sfnet.keskustelu.evoluutio, 21.2.2005

Tuuli Tuominen <> wrote:

> I've also noticed now that there is a small area around my chin/lip/cheek
> which feels slightly numb. I can feel it when I touch the area but still
> there's something weird about the feeling. It also tingles occasionally. Is
> this something to worry about? Could it be that the implant has irritated a
> nerve or something? Or is it only numb because of the slight swelling still
> present?

I would guesstimate that there was some nerve damage, but that it will
gradually return to normal over most of the territory affected. You can
trace this progression over the weeks using a pointed object. Gently
touch the skin where sensation is normal and slowly jump the point over
the skin until you are just inside the numb area. Try to make a mental
note of that as you look in the mirror. In a couple of weeks' time, if
you do it again, you will probably notice the affected area is smaller.
You _may_ have a small area that stays affected for a longer time. This
is more a curiosity than any real problem. As long as it is not painful,
I would ignore it.

Just keep it up with the ice to combat the inflammation, and you will be
fine.
Cheers
SP
--
Finally: take out the TRASHH

As I remember, acetaminophen plus ibuprophen is a very effective pain killer
combination. However, it's not reccomended because each amplifies the others
toxicity.

But, when you've got an infected wisdom tooth, it's worth the risk. BTDT.

--

Christopher A. Young
Learn more about Jesus
www.lds.org
www.mormons.com


"StovePipe" <> wrote in message
news:1gw72be.151ajko2n46msN%

Absolutely. If there is a chance of infection, warm compresses can
accelerate it. Stick with cold. Glad to hear the pain is decreasing
slightly. You may also get a better effect if you combine your pain
killer with an over-the-counter pain medication. Ask your pharmacist.
Hope this helps.
SP
--
Finally: take out the TRASHH

On Sun, 08 May 2005 13:50:09 GMT, Dr. V OMFS, DMD via MedKB.com wrote:

> The numbness in the area could be from the implant compressing marrow
> spaces in the bone (and the contained blood within), which indirectly is
> causing some hydraulic pressure on the nerve area. Difficult to say
> exactly without a clinical examination.
>
> Contact your surgeon ASAP about your condition.

Thanks, I will contact him first thing tomorrow morning. How would one
expect to examine this condition? With x-rays?

Tuuli.
--
:wq

On Mon, 09 May 2005 00:07:02 GMT, Dr. V OMFS, DMD via MedKB.com wrote:

> Will probably take some xrays. If it's what I think it is, the numbness
> will resolve on it's own.

I went to see the surgeon today. He took some x-rays and checked the
vitality of my teeth. There was nothing alarming in the x-rays. The probable
cause to my numbness is fluid pressure which is affecting the
nerve. It should resove on its own just as you said. I'll just have to keep
eating my antibiotics and take some pain medicine when needed, and I'll
visit the surgeon's office again next week.

Thanks for all the advice.

Tuuli.
--
:wq

Tuuli Tuominen <> wrote:

> On Mon, 09 May 2005 00:07:02 GMT, Dr. V OMFS, DMD via MedKB.com wrote:

>
> I went to see the surgeon today. He took some x-rays and checked the
> vitality of my teeth. There was nothing alarming in the x-rays. The probable
> cause to my numbness is fluid pressure which is affecting the
> nerve. It should resove on its own just as you said. I'll just have to keep
> eating my antibiotics and take some pain medicine when needed, and I'll
> visit the surgeon's office again next week.
>
> Thanks for all the advice.
>
> Tuuli.
> --

Well... I learned something here... Thanks to you as well
SP
--
Finally: take out the TRASHH