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Since wisdom teeth are in the back of your mandible (jawbone), and a well-healed chin implant is at the very front of your jawbone, direct contamination by your dentist or oral surgeon is unlikely, especially if you let him or her know beforehand. Bacterial seeding from a distant source is possible, but only if the bacterial exposure coincides with a (minor) injury to the otherwise well-healed tissues around you chin implant. This is always possible, so I do generally recommend a dose or two of antibiotics the night before and an hour or two before dental care (including wisdom) teeth removal Either your dentist, oral surgeon, or your chin implant surgeon can prescribe these antibiotics. I would anticipate a majority will even say they are unnecessary, but although I am in the minority here, 50 cents worth of antibiotic won't break the bank, cause resistant bacteria to develop, or have significant risk of any side effect. And if the implant does somehow get infected, it's a much bigger deal to fix the problem! Good question!
Any wound in a colonized field has a potential to cause bacteremic seeding of remote implants. Occasionally nerve blocks may be performed in the region of the chin implant and your surgeon should be made aware to avoid damaging the implant.
Bone resorption with chin implants is a common finding with implants that are placed too high on the chin bone. This can occur when chin implants are placed from inside the mouth and are not secured down to the lower edge of the bone. It can also occur from a submental chin incision approach but...
Pain by or near the ear would not be a sign of a chin implant infection. Pain and swelling would occur at the chin area only not in other parts of the jaw. Orthodontic treatment, of either the upper or lower jaw, will not cause an infection of a chin implant. The overwhelming majority of chin...
In most cases, a chin implant if indicated, will make a more substantial improvement in your neck than lipo under the chin. However, these 2 procedures complement each other and combined can yield a stunning improvement.
The real problem will be is it a dramatic difference. If so and that is what you desire, you will want them to notice and will be disappointed if they don't. However, you can always use the excuse that you needed oral surgery for a dental abcess,etc. And when they ask you about the swelling...
I typically use a stretchy tape dressing over the area for a couple days to help keep down the swelling and prevent implant shifting. There is a non stick telfa dressing directly over the incision line and sutures. the sutures are removed 1 week after surgery.
It looks likes you had a significantly weak chin and the implant made a very noticeable difference in your profile. Once the implant is removed, you may notice some "augmentation" of the chin from scar tissue alone. If you are still unhappy, a more extended implant may be inserted...
