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Implant supported prosthesis
Immediate followup

author icon By Dr. George Ghidrai

After the prosthesis is definitively attached to the implants, it takes a little time for the dental tissues to adapt to the new situation. Therefore, some minor reactions may occur.

Most often, the symptoms gradually disappear after a period of time or after simple interventions performed at the dental office.

  • Light pain in the gums

    In many cases, the practitioner will try to hide the margin of the restoration. The line is an unsightly thing to have exposed, so the dentist would like to place the margin below the gum line.

    Because of that, some patients may feel mild pain at this level until the gum tissue adapts to the new situation. Usually, the pain goes away after several days without any medication (although some mild pain relievers may be prescribed).

  • Pain or discomfort when chewing

    If patients experience pain or discomfort when biting down on something, most often the bite needs to be readjusted. The same is true when patients feel that a part of the restoration is "too high".

    In these cases, it is very important to consult the dentist. It is essential that the prosthesis perfectly fits in the bite so all chewing forces are evenly distributed on the implants.

  • Removable dentures

    New removable dentures or overdentures may feel awkward for few weeks until the body becomes accustomed to them. Dentures are generally larger than fixed restorations (crowns, bridges), so the dental tissues need time to adapt.

    It is not unusual to experience minor irritation or soreness in the early days. When small lesions (image below) appear on the mucosa, the removable denture needs minor adjustments performed at the dental office.

    removable denture soreness

    The saliva flow may temporarily increase. As the mouth becomes accustomed to the dentures, these problems should go away.

    Follow-up appointments with the dentist are generally needed after a denture is inserted so the fit can be checked and adjusted. If any problem persists, particularly irritation or soreness, it is advisable to contact the dentist.

Generally, it takes time to get used to any new restoration. However, after a period of time, the implant supported prosthesis should look, function, and feel like regular teeth.

Last review and update: February 2019

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