I need to ask about something that happened with my dental implant procedure. First, some minor backstory. When my dental implant was placed the oral surgeon perforated the sinus by a few millimeters. He said this is fairly common. The problems started six months later when the gum would not heal and he suspected there was some bone loss. He removed the implant which went pretty smoothly because there was no bone integration with the implant. He stitched the gums and asked me to wait a year to see if the area fills back up. Here’s one thing I am frustrated with. He did not give me any antibiotics, just Flonase and some instructions on things like not blowing my nose for a while, etc. Five days later I went in for a follow up. I’d had pressure and felt yucky since the procedure. While he thought everything looked great, I didn’t feel that way and insisted he give me an antibiotic. He did and I started feeling better. Did he put me in danger by not prescribing one to begin with?
First, I will answer your question, but there is a much bigger concern here that I want to address after. As to your question, no, he did not put you in danger by not prescribing antibiotics as a preventative measure. It is better for your body’s health in the long run if there is not already an infection, to try and allow the body’s natural defences to keep one away. It helps to strengthen your system. Having some medication jump in and do your body’s job when it doesn’t need help ends up weakening its ability to fight infection over the long haul. Think of it like a parent who always steps in to help their child climb the monkey bars by lifting them when it is hard. Sure, they get up the monkey bars, but it did nothing to develop their muscles. Waiting until your body needed the boost was the right course of action.
Two Problems with your Dental Implant Procedure
I see two really big problems with your situation. First, is the sinus perforation itself. Yes, it does happen. I certainly would not call it normal. Plus, the amount of the perforation is a big deal. A few millimeters is HUGE in dentistry. I am really concerned that he blew this off. This could only happen if he did not do adequate diagnostics. He should have done quite a few x-rays and preferable a CT scan also. The dental implant procedure is a 3-dimensional procedure and does require a 3-dimensional map.
The second real concern I have is that your bone never integrated with the dental implant. This leads to dental implant failure. This also indicates to me (again) that he may not have done adequate pre-surgery diagnostics. It’s possible you would have needed a bone grafting procedure to make this work.
My opinion– get a different dentist or surgeon to do this when you’re ready.
This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.