Problems began after an implant..any similar experiences.

[georgedog]

I am digging deep for a reason for inflammation in my body...it has to have a causation..I am researching EVERYTHING..this seemed to begin after dental implant... Will appreciate any feedback...Georgedog

[HeronNS]

Any issues of ongoing low grade infection at the implant site?

[Hidden]

I'm reading this book (Brave New Medicine: A Doctor’s Unconventional Path to Healing Her Autoimmune Illness) by Cynthia Li ( an American trained Internist) who became chronically ill and tried both traditional Western and Eastern treatments.

She learned/believes that chronic diseases are caused by imbalances, and those imbalances lead to widespread inflammation. The inflammation becomes chronic, as we usually struggle with multiple stresses (physical, emotional, mental) interacting with each other... the imbalances & inflammation actually start years before any symptoms or diagnosis is made.

Still reading... more to come.

[georgedog in reply to Hidden]

No, had excellent care with no problems since the implant.

Thanks to all...being a Nurse makes me be a really good investigator.GD

[PMRpro Ambassador]

It is an autoimmune problem - something sends your immune system into freefall, it is unable to recognise your body as self so it attacks the tissue in error. No-one knows what causes it - often probably an accumulation of small insults to the immune system and finally one break the system's back and it goes mad. Alternatively it could be one massive attack. But in the case of most autoimmune disorders they can't identify a single cause - and which label you are given for the disease all depends on the tissues under attack. There are various mechanisms that create the inflammation - and that is why different drugs work for different things.

In your case, an implant can easily be the thing that is the final trigger for a dodgy immune system to flip. But it could have been something else that did it - a flu jab, the flu, an operation, an infection ...

But honestly - in general it will only do your head in trying to work out why you developed whatever it is you have. Acceptance is the first step of learning to live with chronic illness.

[SheffieldJane]

I think mine was caused by years of stress looking after my mum with dementia.

Your theory makes sense to me, it was an invasive procedure and may have been the last straw in terms of your health.

[meandpmr]

Good morning. My PMR started 10 years ago whole rehabbing from a knee replacement / acl reconstruction. Prior to that I’d been experiencing intense (and enjoyable!) work pressure/stress for a long time. Good luck.

[polymy]

I had exactly the same thought about my dental implant. My pmr erupted about 4/6 weeks later and I have always had the suspicion that it might have had something to do with it. However, I won’t torture myself worrying! It’s done. It’s happened. It could have been any number of things.

[Annoy2020 in reply to polymy]

Good point! Don't stress trying to work out why!! I'm working on it!!

[krillemy]

I agree with PRMpro, however - my symptoms started after a hernia operation (I got 2 mesh´s that lights up like Christmas trees on PET scans), alongside a small colon tumor. That of cause was also stressful, and it could be coincidental, bot there you have it. Mind you - I do not officially have a PMR diagnosis at the moment.

[Hidden]

Therein lies madness! I thought you may like to read this too.

bmjopen.bmj.com/content/7/1...

[PMRpro Ambassador in reply to Hidden]

Thought the comment about normalising it as part of aging was interesting. I certainly never thought that at 51 - but the GP I saw kept saying what did I expect at my age!!!!!!

[Hidden in reply to PMRpro]

My younger sister always said you aren't old fgs!

[Reader7]

My PMR also started after a dental implant. The tooth originally had a root canal and crown, but became infected. Unfortunately I took my time getting the implant - there was no pain in the tooth since the nerve was dead.

[Jan_Noack in reply to Reader7]

I had a root canal too, and I am refusing an implant for this very reason. I know my body now and it don't like foreign anything no mater how well implanted! It never liked the root canal wither.done exertly but always sore.. It took me a long time to get a n orla surgeon to pull the tooth as the sacs did not show any infection.. bt my body is very pleased I got tit puled and rapidly getting better.. though , of ocurse, it could eb all coincidence. It took my 12 years of pain to finally listen to yself instead of the dental profession .. I would have even pulled it out with pliers myself only I was worried about it breaking..and yes it w s broken into several pieces and not showing on the CT scans or Xrays. So if you are asking if should have have the implant removed.. aawell dont wait 12 years of life lost like me.. you only live once

[Reader7 in reply to Jan_Noack]

Yes, if only I knew then what I know now!

[georgedog in reply to Reader7]

Still struggling with getting info about PMR and implants!!

Are you finding any changes in blood work? Is your overall discomfort better? THX.

[Weegie51]

Hi

I had an implant a couple of my months ago, tapering from 4 to 3 mg of prednisolone at the time. I suffered from acute fatigue over the next few days, so had to up my dose for a week. Happily short lived and now back on the taper trail (almost at 2.5 mg).

Just another example of something that healthy folks take in their stride that challenges someone with PMR!

[Linny3]

I was amazed when I read your post. I have been wondering the same thing for months. My dental implant is 9 years old and just recently the gum line around it is inflamed. I see the dentist in 2 weeks. I had a lot of trouble when it was first done and almost lost it. I know I have a super sensitive system and was concerned when I first thought about doing the implant but went ahead with it anyway.

I don't really think it is the cause of pmr but I am wondering if it adding to the stress of whatever has caused it, making it worse.

[Reader7 in reply to Linny3]

I know what you mean, Linny3. I'm not sure we'll ever know...unless there is more research on the causes of PMR.

[Lonsdalelass]

Hi, I watched a docu on Netflix about a year ago called Root Cause, it's since been removed, but it was about how a bad root canal can cause chronic inflammation in the body, as it can trap bacteria in the jaw bone, and the nerves for the body run through it. I had a root canal prior to symptoms starting, it was a previously crowned tooth, and the tooth wasn't right afterwards and I had a gut feeling something was wrong. Then after seeing the docu I was sure they were linked. I had the offending tooth out and have been on the road to recovery since, with the odd bump along the way but nothing dreadful. Research is not definitive and people will make up their own minds, but I am sure they are linked. I know of a few people who have had similar experiences like me.

[Jan_Noack in reply to Lonsdalelass]

me ..just ahd mine opulled tok me 12 years and 2 oral surgeon's refused to pull it. I got it done at the denatl hospital in the end, and the risks I was told of ..like it will damage your sinus never happened. I knew it didnt go into my sim=nus as the root cana was doenexpertly and he said it didnt when he duid it. apparently they do grow into your sinus as you age so I am glad I got it out at 64!

[Annoy2020 in reply to Lonsdalelass]

I'm halfway through root canal, due to poly, dentist is sending me to surgeon to get it and another tooth out! I don't know who or what to believe any more, as surgeon said I'm to have 50mg steroids prior op. Rheumatoligist says no way! Gp on surgeons side! So what the!!?? (by the way, my roots go into sinus cavity! Adds to the drama!

[Lonsdalelass in reply to Annoy2020]

Good luck with that!

[PMRpro Ambassador in reply to Annoy2020]

50mg steroids pre-op seems at first glance a bit OTT - there will be an anaethestist there and they should provide corticosteroid cover during the op and recommend post-op management. So I would want to speak to an anaesthetist as well as the surgeon.

It is possible that they have seen these very recent guidelines:

associationofanaesthetists-...

but 50mg pred pre-op doesn't seem to me to fit anything UNLESS you are on 25mg as your daily dose - see Recommendation 4.

And they say "If in doubt about the need for glucocorticoids, they should be given as there are no long‐term adverse consequences of short‐term glucocorticoid administration."

But wouldn't it be nice if they all sang from the same hymnsheet and told the patient what they were thinking?

[Lonsdalelass]

Good for you Jan Noak, I'm also glad I had mine pulled, although it was a brave step for me as I don't like having teeth out ever since I had dry socket three years ago. However, I've had three out since then with my excellent change of dentist, and all good! 🤣