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It not a necessity to have a bone graft for every implant, every case is subjective to the patient.Why did the implant fail is the real question?Implants are still vulnerable to infections, i.e, periodontal infection. Did you have sufficient bone to begin with? Meaning, at the time of initial placement, was there enough width and length to place the implants? Was there excessive force being applied to the surfaces of the tooth? All this can affect the longevity of any dental implant.
Hi From your description the best route to continue is to remove the tooth, graft the area and replace with future dental implant. Good luck Dr. Erez Nosrati La Jolla, CA
I would give that area a few weeks to heal before becoming concerned. Sometimes an implant can be placed too close to the nerve canal and cause pressure on the nerve. If it's too close to the nerve, it should be removed. But if a CT was taken prior to implant placement, I wouldn't think that to...
Usually after seating a crown there should not be throbbing pain and if there is any pain it’s usually minor discomfort from the gums for a few days. Please go back ASAP to the dentist to take an x-ray, check the bite and figure out the source of the pain.