Pain Following Dental Implant Unabated

[MsChief]

CLL on Ibrutinib had dental implant 3 weeks ago - it looks like oral surgeon will have to remove it due to intractable pain. Anyone with this problem? Surgeon said Bone tissue (in jaw) looks good. Cone CT inconclusive. Thanks for any comments.

[Calopteryx]

Hi MsChief

I'm on Ibrutinib and have been for 4 years. I had two crowns, one in place before treatment and the other put in whilst on Ibrutinib. Both resulted in abscesses and the need for them to be removed. My dentist has advised against having an implant due to high risk of infection.

Hope your issue resolves itself quickly.

C

[MsChief in reply to Calopteryx]

09/24/2020 My implant has finally stabilized after 20 days of incredible pain and, according to the oral surgeon, it “looks healthy.” He offered to remove it along with the tooth next to it that was very sensitive two weeks ago but I waited. in addition to the cost - I still have to go back to my regular dentist for the crown. Would I do it again? Rather than having a bridge? I’ll have to think about it when the time comes. Thank you to everyone who shared their stories with me. I am in New England, U.S.A. 😇

[Jm954 Administrator]

I'm sorry to hear your having this problem and might have to have the implant removed because of the continuing pain.

Something is clearly not right but I'm not sure it's necessarily due to your CLL unless there is an infection under it and that's causing the pain. Have you had antibiotics?

Hope you can save this implant

Jackie

[MsChief in reply to Jm954]

Hi Jackie - Yes I had antibiotics - Amoxicillin 500 mg 3 times a day - the surgeon even gave me 6 extra after a week on it but he said no more even if he had to take out the implant because of the possibility of colitis. Fortunately that hasn’t happened- I see him Tuesday - I think the capped tooth next to the implant which is very tender and did not have a root canal will have to come out - both in lower jaw. Good thing we are wearing masks! Thank you for your note.MsChief

[morepork]

My dentist refused to even think of offering me dental implants for my last two extractions given my CLL/ low Ig counts and increased risks of more infections.

[MsChief in reply to morepork]

Hello and thank you for your response,morepork. I am on IVIG - my counts are wnl due to IVIG. My oncologists thought I would be okay - I have 3 prior implants in my lower jaw. Sincerely, MsChief.

[HopeME]

I’m supposed to have a crown started on Tuesday. The tooth is worn down but not an immediate problem. I am sitting here wondering if I should go through with it based upon my low ig counts (although I haven’t an infection/ illness of any kind in many, many years) and COVID 19. I really miss the old days when my life was uncomplicated ☹️.

Best

Mark

[MsChief]

Thank you for your post, Mark. I am on IVIG monthly. I have had 3 prior implants without complication. It is now going on 3 weeks and the pain is only now starting to dull. The oral surgeon plans to remove it Tuesday if necessary. My immunglobulinG is wnl. I have had no infections since starting IVIG infusions two years ago. I am also on a reduced dose of Ibrutinib as well asAcyclovir and sulfamethoxazole SS per CLL protocol. By the way I am 77, diagnosed with CLL in 2011. History 2 infusions of Treanda and one of Rituxan with subsequent neutropenia with 4 weeks hospitalization in 2014. A crown is no way as invasive as an implant. I would have no issues about having the procedure if I were you. However, any dentist worth his salt will do a root canal on any tooth to be crowned. On another note, there is and never has been “old days” when life was less complicated. If we were to go back to those”old days” we would remember feeling the same about our lives then. I wish you the best. Sincerely, MsChief