Article: Volume 45 Number 11 Page 1043 - December 2018

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  Dent Update 2018; 45: 1043-1047

Implant Dentistry:  Chronic Idiopathic Pain Following Implant Placement in the Anterior Maxilla: a Case Series

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Abstract: This article reports on three patients who presented with pain following placement of dental implants in the anterior maxilla. It aims to document a rare complication of implant placement which arguably requires further investigation through characterization of cases. Three cases in total were identified and the literature review identified only one previous case series. All three cases were characterized by idiopathic pain which presented, in some cases, in a delayed fashion following fixture placement. All cases failed to resolve following treatment. Persistent chronic idiopathic pain is a recently described risk of dental implant placement. This case series highlights the need for careful case selection and informed consent, particularly when considering changing paradigms relating to consent procedures.

Clinical relevance: This case series aims to raise awareness for this rare complication of implant placement in the anterior maxilla. It highlights the importance of thorough pre-surgical investigation, planning and consent.

Author notes: Jaymit Patel, BSc, BDS, MFDS RCSGlas, MSc, DPH, AFHEA, StR Restorative Dentistry and Peter Nixon, BChD(Hons), MFDS RCSEd, MDentSci, FDS(Rest Dent), RCSEd, Consultant Restorative Dentistry, Leeds Dental Institute, Clarendon Way, Leeds, LS2 9LU, UK.

Objective: To highlight the importance of thorough pre-surgical investigation, planning and consent during implant placement in the anterior maxilla.

GSK