Dental Material Allergy Ask The Dentist Health Questions about Allergic Reactions in Dental Health Directory

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FAQ: Allergic Reactions

Allergic Reactions Ask The Dentist Corinne Scalzitti

Question:
I had a bridge on #19 and #20. #20 became infected and was extracted. A temporary bridge was put on #19 to #22. I also had 2 implants put in the same day, at #18 and #17.

I have had pain, itching burning and tingling of lip, chin and around the gums where the extraction and bridge(temp) was placed. Pain is not as bad but tingling and itching of my lip continues.

I have been treated with antibiotics and steriods but the problem is still occurring. Procedures were done about a month ago. I have had pain - blisters under a temp crown in the past. My dentist thinks it's a little nerve damage.

I think it may be an allergic reaction to something in the bridge. 2 implants on lower left and lower right feel fine. Ideas? ...Visitor from TX

Answer:
There is a possibility of having an allergic reaction to the metal in the implants, but I doubt that this is your problem since you have tolerated implants well in the past.

My guess is the same as your dentist; nerve damage from placement of the implants, especially since #17 and 18 are both close to the mandibular nerve, which supplies feeling to the lip and chin.

I also agree with your dentist in prescribing antibiotics and steroids. The itching and tingling are a good sign that the nerve is trying to heal itself and regenerate.

If you were to seek surgical intervention for the nerve damage, it is most effective withing 10 weeks of the injury, but I don't think it's necessary because of the feelings you're getting from the area.

Corinne Scalzitti, DMD, MAGD
Austin Reconstructive Implant Dentistry
3900 RR 620 South
Austin, Texas TX 78738
(512) 263-3330

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