Immediate-onset symptomatic irreversible pulpitis of an adjacent tooth following implant placement without radiographic root contact: a diagnostic challenge

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Implant placement can cause immediate-onset irreversible pulpitis in adjacent teeth without radiographic evidence of root contact, often presenting with referred and misleading pain. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

Hee‐Jin Kim

doi:10.14368/jdras.2026.42.3.271

August 31, 2026Journal of Dental Rehabilitation and Applied ScienceOpen Access

Immediate-onset symptomatic irreversible pulpitis of an adjacent tooth following implant placement without radiographic root contact: a diagnostic challenge

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Key Points

To describe an uncommon case of immediate symptomatic irreversible pulpitis developing in an adjacent tooth after dental implant surgery without radiographic evidence of direct root contact.
Clinical follow-up and diagnostic evaluation of a medically compromised patient experiencing continuous pain immediately following implant placement at site #32.
Comprehensive diagnostic assessments included radiographic examination, periodontal therapy, and electric and thermal pulpal sensibility testing of neighboring teeth.
Sensibility testing confirmed irreversible pulpitis in adjacent tooth #33 despite normal radiographic appearance and lack of visible contact with the implant.
Root canal treatment of tooth #33 completely resolved pain symptoms, and subsequent implant removal resolved neighboring tooth mobility.

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Implication

Case report reveals immediate irreversible pulpitis in an adjacent tooth without radiographic contact after implant surgery, highlighting the need for early pulpal assessment.

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Hee‐Jin Kim (2026) studied this question.

synapsesocial.com/papers/6a9934cf636c6408cfa7c8f5 https://doi.org/10.14368/jdras.2026.42.3.271

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Immediate-onset symptomatic irreversible pulpitis of an adjacent tooth following implant placement without radiographic root contact: a diagnostic challenge

Key Points

No abstract yet

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Implication

Discussion

Cite This Study

Immediate-onset symptomatic irreversible pulpitis of an adjacent tooth following implant placement without radiographic root contact: a diagnostic challenge

Key Points

No abstract yet

Ask about this paper

Implication

Discussion

Cite This Study

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