Chin Implant 9 Years Later

I had a chin implant put in just over 9 years ago and I woke up in the middle of the night in severe pain on one side of my implant. It feels irritated and has a small amount of movement. I haven't done anything out of the ordinary to cause this irritation which is why it is very confusing to me. I have never had pain before with the implant. I do have a cavity that I am in need of getting filled but I don't know if that has anything to do with it. I have been applying ice to it but I am not sure what is going on. I went to a urgent care and the doctor told me to go to the hospital which I think is overkill. The plastic surgeon I had went to is no longer open. So I am just not sure what to do. I am worried about needing it taken out. Any help would be appreciated.

If there is no history of recent trauma, sudden onset of pain and irritation suggests an infection even if there is no fever. The implant is very near the tooth roots (and can even erode into a root over time) so an infected tooth (apical abcess) is a possible cause for symptoms such as you describe. The tooth is usually very tender to tapping or pressure and extreme cold or heat.

The implant can also become infected with no obvious cause. An infection should be treated immediately especially if it involves the bone and jaws.. A dentist or a plastic surgeon can usually make a diagnosis and would prescribe appropriate antibiotics.

Occasionally treatment does require dental surgery or removal of the implant to cure the infection. A new chin implant can usually be simply inserted after a few months.

C. Dennis Bucko (info@drbucko.com)

C. Dennis Bucko MD, FACS
C. Dennis Bucko MD, FACS
3655 Nobel DrSan DiegoCA92122US

C. Dennis Bucko MD, FACS

Belladerma Cos Surg & Skin Care Ctr,
3655 Nobel Drive, Suite 100, San Diego, CA,
92122, US

I would seek out another board certified plastic surgeon for their opinion. I do not think an ER visit is indicated as you may or may not get to see a plastic surgeon. It would also be reasonable to ask your dentist if the pain could be related to your cavity.

Good luck,

Dr. Luong

Jacqueline A. Luong MD
Jacqueline A. Luong MD
6545 France Ave SEdinaMN55435US

Jacqueline A. Luong MD

6545 France Avenue S., Suite 350, Edina, MN,
55435, US

Hello, I understand your concern. Ice will not provide lasting relief if you have a real problem. As a former dentist, a dental abces may be a part of the differential diagnosis. So, having your tooth evaluated would be a good first step. An X-ray of your tooth and clinical exam will provide helpful information. If your tooth is OK, then seeking a consultation from a new plastic surgeon would be the next step.

Michael I. Kulick MD
Michael I. Kulick MD
450 Sutter StSFCA94108US

Michael I. Kulick MD

450 Sutter Street, Suite 2620,
San Francisco, CA, 94108, US

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I would recommend that you find another local plastic surgeon to evaluate your chin. It is unusual that your chin implant may have an issue after nine years. The issue may be related to the overlying skin but it is best to have a thorough evaluation.

Best wishes.

Earl Stephenson, Jr., M.D.
Earl Stephenson, Jr., M.D.
2220 Wisteria Dr SWSnellvilleGA30078US

Earl Stephenson, Jr., M.D.

2220 Wisteria Drive, Suite 209, Snellville,
GA, 30078, US

It's not common for chin implants to become so painful out of the blue, so it's reasonable to be concerned. If you have no fever, it's not an emergency, but I would recommend you seek another board-certified plastic surgeon in your area and visit them. If you can't, visiting the hospital ER is a reasonable last option, since most ERs can at least call someone in to look at things or make arrangements for referring you where you would be taken care of.

Reza Momeni MD, FACS
Reza Momeni MD, FACS
1 Diamond Hill RdBerkeley HeightsNJ07922US

Reza Momeni MD, FACS

1 Diamond Hill Road, Berkeley Heights, NJ,
07922, US