Had a dental implant last week. Slight throbbing. Stitches looking strange. Gums light red. Slightly puffy?

I had an implant last week and it went fine. They just place the titanium piece in my mouth. Now, I am having an off and on slight hurting from the area. I know that it has only been a week… but I am worried. The gums look slightly puffy, but nothing extreme. There is just a slight difference compared to my other gums. Additionally they are a lighter shade of red than the rest of my mouth. The stitches look lighter than they did before and they look like they are getting weak (are they coming out?)
Unfortunately, I started smoking again yesterday. It is finals week… don’t judge me delight. I researched smoking and implant failure. I found a dental journal that stated that there is no direct evidence that proves that smoking tobacco causes implant failure.
I use cholrexidime and I brush my teeth ALL the time.

Answer by dorisrussell60
The thing is i can tell you is that you keep watching the piece carefully and if you reckon that you may need to go back to your dentist to see if there is something incorrect with it or if it has got infected or something. you may want to make an appt. to see your doctor just incase. Im sure theres not really anything incorrect the piece has to get use to your mouth and that may be all and after awhile the redness and other things should go away…

Answer by Amanda Panda Bear
Well, you are doubtless fine as long as the site isn’t warm to the touch.

If you use chlorhexidine evenly as your surgeon told you, then you should be fine. Keep taking your antibiotics, if you were prescribed them, and keep rinsing.

The sutures: they are doubtless the type that are dissolvable, and are supposed to come out in about a week. Don’t worry about them, just don’t mess with them and whatever they do will be fine.

Make sure to brush with a really soft toothbrush around your implant, and do it really gently.

about the smoking: yeah, I don’t know that they have “proven” smoking causes/correlates with implant failure. It’s just the thought of it. Smoking does limit blood flow, and blood is needed to osseointegrate, so it is logical that smoking causes/correlates with not as awesome implant integration.

Excellent luck/congrats about your implant, and excellent luck with exams!

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I am female, 29, getting married in 5 months, and I have an upper unencumbered incisor that has had two failed root canals. Ultimately, no one knows what is incorrect with the tooth. At one point, the tooth felt infected, and the infection was treated with antibiotics, but no one has ever seen an infection in the tooth during root canal therapy. Also, no one has seen a break from the inside of the tooth (by a microscope at the endodontist’s office) or on x-rays. Nonetheless, the periodontal ligament remains very inflamed despite 8 weeks of heavy advil usage based on the endodontist’s recommendation. At this point, I have to choose whether to get an apicoectomy or a dental implant. I want to be out of pain and I want a tooth that looks normal. Do gums go around a tooth that gets a dental implant? Does the gumline look blue? Will an implant, if I choose to get one, look natural? This is very vital to me because (obviously) the unencumbered incisor is at the front position of my smile and hence the self that I project by way of that smile. I don’t want to make a pronouncement I will regret. Delight give me some excellent advice. I need it.

Answer by grandpa walleye
There comes a time when you have to quit sinking time and money into a losing produce. I would give up on the tooth and have the implant done. As a dentist who has done many, and has one in his own mouth (due to a failed root canal), I can tell you that the esthetics is gorgeous. If the dentist is proficient, it will be done and will look as natural as any other tooth in your mouth. There will be no blue gum line etc. If you go this route, get started asap, so as to be assured of having the permanent crown done for the wedding and not having to worry about wearing some type of fleeting.. Excellent luck with the implant and the wedding Liliana.

Answer by pepsichick
I would get the implant!!! They are awesome!!! I have one (i’m 33) and convinced my husband to get one. Yes like grandpa walleye said you will not get a blue line at the gum line. I have 2 concerns for you: 1 – I would go to a specialist for both the implant (oral surgeon) and for the crown (prosthodontist). It is sooooo vital that you are pleased and satisfied with the work being done in your mouth and ultimately your smile! (especially your unencumbered incisor!) No offence to regular gp dentists, but unless they have being of exclusive implant experience, I would only trust my mouth to a specialist. Do not be worried to question the prosthodontist for photos of his or her work (of patients that have given their permission to show these). Yes it may cost more, but it is worth it!
2 – I am a bit worried about the time line. Don’t rush things!! If the specialist tells you that you may not have this completed by the wedding, I wouldn’t be surprised. Trust his or her experience! From my experience, if there is infection or lost bone they doubtless wouldn’t house an immediate implant for dread of failure (bone not integrating onto the implant). The most liable action will be extract the tooth, house a flipper – I know sounds awfull! but necessary for the bone to rid itself of infection and to “fill in”, they may house artificial bone into the socket to help this “fill in” , wait for everything to heal nicely and feel confident that the implant will take ( could be a couple af months) than house the implant. you will still wear the flipper (they may modify the flipper to help the gum tissues form the right shape for the future) and than about 2-3 months in anticipation of you can have the abutment placed. Than you are off to the prosthodontist for your crown impression. That takes about 10-12 days to be made! than the crown can be cemented!!

A long process – but worth it!

excellent luck and congrats!

Answer by John Bridger – DDS
Unfortunately a lot of root breaks are just not simple to detect other than by symptoms. You either have a spiral break, which is nearly impossible to see and can only be flat by removing the tooth or a cyst at the end of the root, which might be helped by an apicoectomy. I would question the endodontist the chance that an apico would relieve the pain. If it's 50% or below, and you have had two root canals on the tooth, I would have the tooth extracted and get a Dental Implant.

The excellent news is that Dental Implants are a fantastic option, which are very natural looking and function as well as a natural tooth. They can be placed with minimal or now gum recession, no blue line, and the long term prognosis for implants is higher than any other dental procedure done. Five months should give you time if you have the tooth extracted and an immediate implant placed. Most often a Periodontal or Oral Surgeon placed the implant, and a Restorative Dentist seats the abutment and crown. I certainly would recommend that you see dentists that are very experienced in the placement and restoration of cosmetic implant in the front of the mouth. Question for before and after photos. When the final crown is placed over the implant you should like the result!

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