Dental implants are widely regarded as one of the most effective and long-lasting solutions for missing teeth. They offer durability, functionality, and a natural appearance. However, some patients report experiencing sensitivity after getting dental implants, which can be confusing, especially considering that implants do not have nerves like natural teeth. So why does sensitivity occur? Let’s explore the reasons behind this sensation and what it might mean.
Understanding Dental Implants
First, it’s important to understand the structure of a dental implant. An implant consists of three main components:
- Implant post: a titanium screw surgically inserted into the jawbone.
- The abutment: a connector piece that links the post to the crown.
- The artificial tooth visible above the gum line.
Unlike natural teeth, implants do not have a root canal or nerve tissue. So technically, the implant itself cannot be “sensitive.” However, patients can still experience discomfort, which often stems from the surrounding bone, gum tissue, or adjacent natural teeth.
Causes of Sensitivity in Dental Implants
Healing and Osseointegration
After implant surgery, your jawbone begins to heal around the implant post, a process called osseointegration. During this time, it’s normal to experience mild sensitivity or discomfort. This is usually temporary and part of the body’s natural healing process.
Gum Irritation
The gum tissue around the implant may be tender following the procedure. Swelling, inflammation, or minor infections around the implant site can lead to sensitivity. Good oral hygiene and post-operative care are essential to reduce this risk.
Implant Placement Issues
If the implant is placed too close to a nerve or sinus cavity, it could cause pain or tingling sensations. This is more common in lower jaw implants where the inferior alveolar nerve runs through the bone. Proper imaging and surgical planning can usually prevent this complication.
Peri-implantitis
This is an inflammatory condition affecting the soft and hard tissues around the implant. It’s similar to gum disease and can cause swelling, bleeding, and sensitivity. Without treatment, it can lead to bone loss and even implant failure. If you notice persistent discomfort, bleeding, or pus, see your dentist promptly.
Pressure from Biting or Clenching
Excessive force from biting, chewing, or teeth grinding (bruxism) can put pressure on the implant. Unlike natural teeth, implants do not have a periodontal ligament to cushion them, so excessive force can lead to discomfort or even implant failure.
Adjacent Teeth
Sometimes, the sensitivity isn’t coming from the implant at all but from a nearby natural tooth. If a neighboring tooth has a cavity, crack, or exposed nerve, it may feel like the discomfort is related to the implant when it’s actually not.
What to Do If You Feel Sensitivity
If you’re experiencing sensitivity around a dental implant, don’t ignore it. While some discomfort is normal in the early stages, persistent pain may indicate a problem. Contact your dentist to evaluate the implant site and rule out complications. Prompt treatment can prevent more serious issues and help ensure the long-term success of your implant.
Dental implants should feel comfortable and natural once fully healed. Sensitivity is usually temporary or easily treatable, but it’s important to listen to your body and seek professional care when needed. With proper maintenance, your dental implant can provide a healthy, lasting solution for many years.
About the Author
Dr. David Nisenboym is a graduate of San Francisco’s University of the Pacific Dental School and completed a dental residency on the Pascua Yaqui reservation in Arizona. Among the many specialty procedures he studied, dental implant placement was at the top of the list. If you’re experiencing discomfort with your dental implants, contact our Walnut Creek office at (925) 934-3395 or visit our website.