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)

Carroll Dennis Bucko, MD, FACS
Carroll Dennis Bucko, MD, FACS
3655 Nobel DrSan DiegoCA92122US

Carroll Dennis Bucko, MD, FACS

3655 Nobel Dr, #100, San Diego, CA,
UNITED STATES, 92122

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 Ave S, #350, Edina, MN,
UNITED STATES, 55435

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 St, #2620, San Francisco, CA,
UNITED STATES, 94108

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., MD, DDS, FACS
Earl Stephenson, Jr., MD, DDS, FACS
3096 Peachtree Industrial BlvdDuluthGA30097US

Earl Stephenson, Jr., MD, DDS, FACS

3096 Peachtree Industrial Blvd, Duluth, GA,
UNITED STATES, 30097

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
75 E Northfield RdLivingstonNJ07039US

Reza Momeni, MD, FACS

75 E Northfield Rd, Livingston, NJ,
UNITED STATES, 07039