Hello,
I’m Lee Ju-ri, Chief Director of Seoul Bardi Dental Clinic.
During implant treatment, one unexpected source of pain can be when the screw is tightened.
Patients often think the pain will be worst during surgery,
but because it can be felt at an unexpected moment,
people are often startled.
At times like this, it can make you feel unnecessarily anxious,
and many people worry, “Could something be wrong?”
Today, I wrote a post about this.
I’ve prepared information on when pain can occur
and even how to deal with it!
Please read to the end.

<Table of Contents>
| Two situations in which implant screw tightening pain can occur |
|---|
| 2. What is the solution? |
Two situations in which implant screw tightening pain can occur
Is it still hurting today?
Last time it even hurt down to the bone.
This happened when attaching a prosthesis that had recently been completed.
When the patient said that, I realized, “Oh no!”
Last time, in order to take an impression for the prosthesis,
I connected the abutment and tightened it with a screw,
and it seems they were surprised by the sudden pain during the tightening process.
Although it varies from person to person, you may feel a tingling,
aching sensation.
The gum around the implant screw may swell and throb when the screw is tightened
Situations in which pain can occur are broadly divided into two types.
An implant is connected in stages with screws, including the intermediate abutment and the prosthesis.
For that reason, when tightening the screw,
pain may be felt in the gums.
(There are individual differences.)
- When the screw becomes loose – the re-torquing process of tightening it again
As you use an implant,
the screw may sometimes become loose.
This happens especially often when an implant is placed for a single molar.
The patient may feel as if the head of the prosthesis is turning.

In that case, the dental clinic performs a re-torquing procedure to tighten the screw again,
and at that time, pressure may be applied to the gums,
causing a momentary pain.
During surgery, the torque is adjusted while also adjusting the implant placement position,
but at that time, anesthesia is in effect,
so the patient usually does not feel much.
- When taking an impression – the feeling of the gums being tightened
To make an implant prosthesis,
an implant embedded in the gums,
a prosthesis located outside the gums,
and an abutment connecting the two are fabricated.
250617 Intermediate abutment connecting the implant root and the prosthesis
To do this, the related components are fitted together
and the screw is tightened,
and during this process, as parts go into the gap in the gums,
a pain that feels like the gums are being tightened can occur.
The pain felt at this time is usually short, momentary,
and temporary,
but since it can be startling, I’ll tell you how to handle it.
Two solutions
You may have been thinking this.
Why don’t they use anesthesia?
Many people say, “If that’s the case, why not at least give anesthesia...?”
but in most cases, the procedure is done without anesthesia.
The reason is that the pain from the anesthesia injection is often stronger.
It also takes time for the anesthesia to wear off.
Because the pain is felt only briefly at the very moment the screw is tightened,
not using anesthesia is common,
but after a recent incident, we have been applying a topical anesthetic and proceeding.
250628 They are connected with screws in between!
Also, if you are still in pain at home,
please take 1–2 painkillers!
Today, I explained two causes of implant screw tightening pain
and the solutions,
how it is handled at the dental clinic,
and how to deal with it at home.
Even temporary, short pain
can affect a patient’s future dental treatment experience,
so I wrote this post to inform you in advance.
Every moment of treatment
requires delicacy.
Today and tomorrow,
I will continue to be a chief director who treats patients from their perspective.
Thank you ^^

How Long Does Implant Screw Tightening Pain Last? We’re Also Sharing How to Deal With It!
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