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About Joel S. Teig, DMD, FABOMS
Expertise
I am a board certified oral and maxillofacial surgeon and I am available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.

Experience
Board Certified Oral and Maxillofacial Surgeon practicine for over 20 years. Assistant Clincal Professor and State University School of Dentistry.

Organizations
American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons

Education/Credentials
BA
DMD

Awards and Honors
National Honor Society (OKU), Philadelphia County Dental Society, Mosby Book Award, Oral Surgery Honors, Summa Cum Laude

You are here: Experts > Health/Fitness > Dentistry > Dentistry > dental implant complication

Dentistry - dental implant complication

Expert: Joel S. Teig, DMD, FABOMS - 11/4/2009

Question
i had bone graft surgery a year ago. six months later implant surgery on #9. no signs of infection,or complications until placement of crown six months after dental implant healed, crown was torqued immediate pain. 4 weeks later the crown was removed, felt to tight . i feel when it was turned it caused the implant to turn slightly. advised to give it 3 months to heal. no improvement. symptoms have gone from bad to the worst pain i could imagine. i was a healthy 45 year old active, to a depressed in pain 24 7. head pain pressure, nasal passages blocked, ear pain. can not breath.throbbing at implant site. surgeon says he refuses to remove. does not belive symptoms are caused by implant. does not belive it will benefit to remove and will cause deformity in face and lip area. i can not continue to live with this pain . please help me . any advise will be appreciated. ent see no sign of infection sinus look clear on Xray. bone graft was done above the area of right nostril . symptoms stared there. no history of any sinus symptoms before surgery. Nero appointment this week. endo showed no signs of other infections from other teeth. surgeon says no confection between nose and front teeth. i struggle to get air pressure in my y head throbbing pounding pain. antibiotics 4 rounds no improvement. pain med does not help. ant inflammatory do not help. i want to die.

Answer
Kathi - I just don't get why the surgeon is avoiding the obvious connection of the implant (that is now mobile and not fused to the bone)and the problems you are having. There is often a direct connection of the upper front teeth and the nasal area. Abscessed teeth manifest there swelling very often into the nostril. I am sorry to say this, but the implant sounds like it is the cause and needs removing. If an implant is not stable and moves, it is not fused to the bone and is definitely not successful. If the surgeon refuses to be objective, it might be a good idea to get a second opinion from a different board certified oral and maxillofacial surgeon. This cannot be left alone, something needs to be done to prevent a potential spread of what is going on.

So get a second opinion from a different surgeon and I think you will get a more objective evaluation of what is actually going on. Again, so you know, if an implant is mobile, at all, six months after placed is has not fused the bone and there has been a failure.

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