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dental implant and systemic disease
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dental implant and systemic disease

My question is can a reaction to dental work cause systemic disease? Less than a year ago I had a dental implant along with bone grafting.  It was supposedly my own bone from the other side of my mouth done at the same time as the dental implant.
Not 3 days after the dental implant I experienced a feeling that something was not right.  The area hurt, I felt spacey and really felt like something was wrong.  Like my body had something in it, it didn't like. ~2 weeks later I presented with severe swollen glands, earache, and sore throat, fatique, low grade fevers etc. No sign of local infection. Sick with the above symptoms for over 2 1/2 months with that same feeling of spaciness or head fog and that something wasn't right with the implant. The dental implant area hurt and I finally had the dental implant taken out.  Swollen glands, earache and sore throat went away almost immediately BUT then other symptoms started.  Inappropriate tachycardia, insomnia, severe muscle aches, low grade sore throat, dizziness, fatique.  Thought it was my heart - all labs and heart tests normal. It appears to be a systemic problem now. But, I also still hurt in that area, a low grade aching pain that even goes up into my nose.  I was in excellent health until that implant and since I have been sick. My questions:  1. Could I have a foreign body, even if it is a very small one, in my dental bone that is causing these continued systemic problems? 2.  Could I have had a hyper-reactive reaction to the implant?  3. Could I still have a low grade infection in that area? Thanks.
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Avatar_dr_m_tn
Anything is possible but in all my experience with my patients over many years I have never had a patient have anything close to what you have experienced. I have had patients lose some implants,although the percentage has been very low. I think you need to look in a different area to explain your symtoms (symptoms).
8 Comments
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Avatar_n_tn
Hmmm  I've also encountered a somewhat simliar experience.  During the last year I had three teeth 23,24,25 (I think) that had three different apical procedures performed on them.  During this time I developed varying degrees of peripheral neuropathy and muscle pains.  After each surgery I experienced some relief.  After three surgeries I gave up and had the teeth removed and had a bone graft to replace the bone loss due to the infection.  After 4 months of healing I had two implants inserted.  After 10 days one of the implants was extremely painful as well as the tooth located next to it.  The tooth checked out fine so we removed the implant.  The oral surgeon did not see any infection in the socket, but when he probed the socket I almost jumped out of the chair.  I still have pain in the area during another healing phase and the physical problems persist.  Before the last surgery I was routinely riding 50 miles a week, now I generally feel like ****.  I've worked my way though the medical specialties and have so far checked up normal except for the symptoms.  It is my belief that the infection still exists and that someone should have done a culture at some point in the process.  I'm tired and very discouraged.  Any advice would be welcome....
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Avatar_n_tn
I don't know if your still checking in on your posts but I think I have figured out at least part of what I have wrong.Vitamin B12 deficiency unmasked by the nitrous oxide exposure.  

I will need to get more tests to find out what is causing it BUT I believe what unmasked my B12 deficiency or may have caused it is the nitrous oxide I was exposed to during dental work.

I kept relating my illness to the dental because I felt great prior to the dental work.  I just didn't figure it may be the nitrous oxide until I put 2 + 2 together.  

And not one doctor in all the ones I went to ever thought to check my B12 levels.

What are the symptoms of Vit B deficiency....well guess what...tachycardia, muscle aches, fatique.....my arms were falling asleep alot too but I never even mention that as a symptom on this post because I had so many more prominent symptoms.

What I figured out is that I must not be absorbing the B12 because I was taking a B complex with folate.  

Dysautonomia can also be caused by B12 deficiency.

It may not be what you have but get your B12 levels check not just your HGB,HCT and MMA.



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Avatar_n_tn
B12 levels, folate levels are not routinely checked unless the hgb, hct, and mcv are altered on labs.  But I believe that B12, folate, and ones I just found out about MMA and homocysteine should be part of standard tests.  It would have saved me a lot of pain and suffering.
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61536_tn?1340701763
So I'm not the only one?

Two years ago I cracked a tooth.  Since it is part of a bridge (had an accident as a kid) the dentist drilled through the fixed bridge, did a root canal procedure, then inserted a titanium post and refilled the tooth and bridge.  All was fine for a few days.  Then the pain started.  It was horrible.  I went to three different Endodontists and they couldn't find anything.  They just kept saying that maybe there was a tiny crack in the root that they could not see.

Then other interesting stuff started happening.  My skin started smelling like a chemical.  I can only liken it to that icky after-you-tan smell that skin gets because the UV light changes the bacteria on your skin.  Nothing helped it.  I went on Nystatin for a while, thinking that the massive doses of antibiotics they gave me had done something.  That helped a little, but not much.  I tried perfumes, deodorants, cleansing diets, nutritional supplements - to no avail.

Then the fatigue and full-body pain hit.  I was subsequently diagnosed with fibromyalgia.

Two years later, the tooth STILL HURTS.  I have not seen a dentist since.  Stupid, I know, but after the hell I've been through I'm just too scared.  It has gotten better.  That chemical-ish smell my skin had eventually faded and got better - though it took a year and a half.  Once in a while it comes back if I'm really sick or something.

I'm firmly and completely convinced that root canals cause systemic disease.  If I ever have another tooth go bad, it's coming out, that's all there is to it.  I will never in my life for any reason EVER have another root canal.  I tell everyone I know to LISTEN to all the horror stories you hear about root canals, because they are TRUE.  I only wish I had known then what I know now...to think of the misery I could have saved myself.
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Avatar_n_tn
I will soon have an extraction of #5 tooth due to deep cavitiy I am healthy and have no other dental problems. This comes from a cavity inside a crown done 10 years ago -not a root canal. An implant seems best.  Supporting teeth have no fillings. Bone is good.

What kind of pretreatment do I need to prevent infection from spreading?
What is best length of time to wait from extraction to implant?

Is there a preferred method to fill or not fill the hole while waiting for the implant?

What kind of titanium implant and crown is best.

Can I really have a Cerec crown put on right away over the implant instead of a temporary crown?

My family dentist did such a bad job on my last crown that it took 4 trips and 4 different crowns to get a fit - the temporary even gave out. When I found another dentist I was told about # 5 I have been to two dentists soon to a third. Cost is about 4500 and I am getting different kinds of information.  If anyone wants to give me some free advice I will be very grateful.
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Avatar_n_tn
Hi,
I have also had some bad experiences related with dental work that are still ongoing. Everything started in Jan 2001 when I wass 36 in good shape and good health. I went to dentist in Boston (robin Cox) to have some routine and estetic work. He carried out a white filling in a tooth that did not ache at all and put a crown in another one. After a week or I started having pain in the tooth he carried out the filling (lower jaw) and he decided to do a root canal. That was the beginning of a nightmare. The day after the root canal and I had a terrible pain and he had to open twice the tooth. I thus lost faith in the guy and I went to a root canal specialist that completed the work. The pain did not go at all and after moths of pain and visiting doctors that told me that everything was okay I landed in a dentist that suggested me to do an apicoectomy, and so I did. This work did not solve the problem at all and eventually I landed in a pain doctor that told me I had some atypical facial pain. He put me on amytriptiline and clonazapam and I could sleep by the first time in 4 months. The pain was now bearable but in Sep 2001 I took the tooth out and actually the pain improved. However, I started having now pain in the maxilary and I have some extensive work that did not solve the problem and left with a root canal and a missing teeth. The pain never went away (still with me) and actually I started having some weird symptoms that include joint pain, headaches and you name. At the beggining all the test for systemic disease came negative but in the latter test I have tested positive for RA factor (arthritis). The pain in the mouth is still there and arthritis is getting worst and worst. In my mind everything is related to the dental work, adn I still believe I have some low grade infection that it is causing my immune systmen to go nuts. One of the most negative experiences during this tiime is that the dentist knew nothing or told me nothing about the complications of dental work.  I agree with somene the said that is best to get the tooth out but it is hard to do so. No one wants to be toothless. Even so I have taken 3 teeth in less than 3 years and I am leaving a real live nightmare. Not only I have pain in mouth but in all my body and I can see day by day how my health is deterioriting. The only thing that keeps going is that the will to live and the hope to getter better is too strong.
Good luck to you all
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Avatar_n_tn
http://www.drshankland.com/osteocavitation_lesions.html

"Cavitations or NICO lesions are hollow places in jaw bones.  These hollow areas may never cause pain or a problem.  However, cavitations can produce trigeminal pain, headaches, and facial pain. Cavitations are common in all bones that have bone marrow. Many cavitations linger for years without producing facial pain.

Most people know what we mean when we say cavity, but the word cavitation is confusing.  Both of these words come from the same root word meaning hole.   A cavity is a hole in the tooth, whereas a cavitation is a hole in bone.   Unlike most tooth cavities, bone cavitations can't be detected by simply looking at the bone, and even using x-rays, many cavitations are missed.  The termed cavitation was coined in 1930 by an orthopedic researcher to describe a disease process in which a lack of blood flow into the area produced a hole in the jawbone and other bones in the body.  Dr. G.V. Black, the father of modern dentistry, described this cavitation process as early as 1915 where he described a progressive disease process in the jawbone, which killed bone cells and produced a large cavitation area or areas within the jawbones.

Some of the more common symptoms of cavitations are:

Deep bone pain and pressure, which may be constant but vary in intensity

A sour, bitter taste, which often causes gagging and bad breath  

Sharp, shooting pain from the jaws, which eludes doctor’s diagnostic attempts

Chronic maxillary sinusitis, congestion and pain

A history of large dental fillings followed by pain, root canal therapy, and ultimately, removal of the tooth

Multiple root canals

Endodontic surgery (apicoectomy)

Difficult tooth extraction, including wisdom teeth, several years earlier

Post-operative complications, especially the development of a dry socket

Failed attempts to treat trigeminal neuralgia

To confuse matters more, many patients report systemic symptoms like arm or leg pain and generalized fatigue.  We’ve seen these systemic symptoms improve, or completely resolve, once the cavitation (or cavitations) is removed.  The same has been seen in some chronic fatigue cases."


this all makes perfect sense to me.  try the link.
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Jerome Tsang, DDSBlank
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