Implant problem - Bad taste and smell from implant area
mtamaku
I had two implants done to replace two front tooth. This was done by the well
known Implant surgeon who does an aveage of 300 implants per year in Toronto
Canada area. After the implant, I noticed that the bad smell comes from the
implant area. My implant surgon checked via XRAYS and full mouth exam but he
can not find any sign of infection or something wrong with the implant
surgery. He would keep on saying that implant is settled very strong and no
problem with it. Then I went to another experienced implant surgon for a 2nd
opinion and he found no issues as well and booked me up with series of mouth
specilist, blood work, saliva test, and ENT speciallists. The end result is
no one can find the source of the bad smell or test in my mouth. The smell
goes away when implants are blokced with fingures and come back as soon as
removed.
This is a nightmare where I have almost decided to remove the implant.
Can anyone advice me on what could be the problem ? As you all know this was
not a cheap surgory that is not covered by the most dental plan and do not
want to waste it.
I would appreciate you share such experience or steps you took to resolve it.
Thanks.
joshidds
your implant crowns are not seated all the way down and u are having
food impaction between the crowns and tissue and thus the bad taste.
Its also possible that the crown abutments are not srewed in all the
way. U may want to bring this issues up to your dentist.
bijal joshi, dds
mtamaku via MedKB.com
Thanks for replying. But this problem I found before putting the crown by my
regular dentist. I checked twice with the implant surgon and he took the
XRAYS before the crown went in and did not find anything abnormal with
implant or gum infection in the whole mouth. I floss around and under the
crown but no luck.
Should I consider removing implants if they might not be compitable with my
body ? Is that a possibility ?
Thanks again for your valuable time.
joshidds wrote:
>hello i am a dentist in santa monica, ca, i think its possible that
>your implant crowns are not seated all the way down and u are having
>food impaction between the crowns and tissue and thus the bad taste.
>Its also possible that the crown abutments are not srewed in all the
>way. U may want to bring this issues up to your dentist.
>bijal joshi, dds
>> Hello:
>> I had two implants done to replace two front tooth. This was done by the well
>[quoted text clipped - 16 lines]
>> I would appreciate you share such experience or steps you took to resolve it.
>> Thanks.
--
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mat...@tiscali.co.uk
Your problem seems to be very similar to mine. Read my thread 'Dental
Implant failed after 2 years...' posted a few weeks ago for more
details.
I started getting the bad taste/smell about 1.5 yrs after the crown was
placed on the implant (front upper tooth). I initially had no problems
after the implant was inserted and it was in my mouth for 8 months
before the crown was installed (the dentist wanted maximum healing
time) and during that time I never once got a bad taste or smell. So
the problem started after the crown was installed.
A few months ago the gums around the implant crown began to secret a
whitish (bad smelling) fluid when the gums up above the areas is
pressed. The bad taste/smell seems to be coming from a build up of this
fluid inside the gums. The dentist said it is not pus but doesn't
quite know what it is. And just like you, all examinations I had have
revealed no infection in the area. The implant is still very solid.
When the dentist opened up the area a slight bone loss was discovered
to the side but not in the implant area itself, and it was treated with
Bio-Oss, however that has not solved the problem with the bad
taste/smell.
I was so exasperated with the problem that I have decided to remove the
implant. Some advice I have gotten from here is to seek a 2nd opinion
first before removing the implant. The implant was quite expensive to
install and the dentist has forewarned me that after removal there will
be a massive bone defect around the area, which may need to be treated
with bone grafts. Anyway I have decided to get a 2nd opinion first
before proceeding.
Did you get a bone graft done? My dentist seems to the thinking that
the problem is related to the Bio-Oss graft being incompatible with my
body (even though it did set before the implant was installed).
When you press your gums do you get any secretion?
What is the general advice from the specialists you've seen? Do they
agree the implants should be removed?
G
Steve Richfie1d
I am NOT a dentist, but I am active in health research. You two are
describing a medical problem in a dental setting, which would seem to
require a medical rather than a dental approach, at least until the
problem is fully understood.
The location of strange secretions (if in doubt) can be probably be
found with the same food-coloring tablets that dentists use with
children to highlight where they failed to brush adequately. Also, since
the pH is almost certainly different than in the rest of the mouth, any
pH-indicating dye will show the precise location.
The secretions themselves should be quite analyzable, both under a
microscope to identify whatever may be living therein, and subjected to
the same tests as blood is to identify the major constituents. Any
medical diagnostic laboratory should be able to perform these tests for you.
I suspect that this is some sort of immune reaction, which can probably
be verified in a metabolic blood panel that looks at the various WBC
components (neutrophils, etc.) to see what is excessive.
I also suspect that it may be time to use some of your own bone rather
than cow bone to have a successful graft.
You probably can't do much if any of the above in your dentist's office.
Steve Richfie1d
===============
mat...@tiscali.co.uk
My dentist has insisted the fluid is not pus but does not know exactly
what it is and has not made any attempt to have someone analyse it.
I'll make sure in my next visit that I insist on getting the secretion
analysed. I'll have to ask him to recommend me to the right place to
get it done.
I'm so fed up with the implant and just wanted it out of my mouth ASAP
but I'm now worried about the bone defect that is bound to follow.
Ideally I would like the problem resolved without removal of the
implant, if possible. I'm just worried about going through several
painful (and expensive) operations now (like bone taken from other
parts of my body) only to still have the implant removed at a later
date if all that didn't work
Many thanks again. I'll print out your message and take it with me
when I next visit my dentist.
G
Steve Richfie1d
He is a dentist, not a doctor.
> My dentist has insisted the fluid is not pus but does not know exactly
> what it is and has not made any attempt to have someone analyse it.
> I'll make sure in my next visit that I insist on getting the secretion
> analysed. I'll have to ask him to recommend me to the right place to
> get it done.
I'd bet that he won't have any idea where to have this done! You will
probably have to secure the services of an osteopath to help you figure
this one out.
> I'm so fed up with the implant and just wanted it out of my mouth ASAP
> but I'm now worried about the bone defect that is bound to follow.
I'd guess that the best course would be to remove just the bone graft -
or just wait for your immune system to do this for you.
> Ideally I would like the problem resolved without removal of the
> implant, if possible. I'm just worried about going through several
> painful (and expensive) operations now (like bone taken from other
> parts of my body) only to still have the implant removed at a later
> date if all that didn't work
Perhaps you have been considering cosmetic surgery, or perhaps you have
one or more toes that are all bent out of shape and could use a little
straightening? It would seem a LOT better to secure bone as left over
from some other beneficial but minor surgery than to hack some out
without fixing anything in the process. Again, an osteopath would know a
LOT more about this than I do.
> Many thanks again. I'll print out your message and take it with me
> when I next visit my dentist.
Lotsa luck.
Steve Richfie1d
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