What could be causing extreme tooth sensitivity around a dental implant (and the teeth/gums surrounding it)?

Residual infection?: If the gums around the implant are sensitive/tender there may be infection. If the teeth/gums on either side of the implant are sensitive you may have an issue with those teeth/gums. Implants can fail and are not necessarily permanent tooth replacements. One of the most common causes of implant failure is too much cement placed in a cemented crown. You should have your dentist check this condition.

Implant: If the implant was recently inserted, sensitivity is due to dentin exposure of adjacent teeth. It will improve over time. If the implant has been there for a while, then new cavities have formed on adjacent teeth.

Implant issue: If the issue is directly related to the implant, it is possible that it is failing. Best to see the dentist who placed it to have it evaluated and or the surrounding area checked and treated. A minor infection around an implant can spread quickly.

Maybe exposed root: Not sure of question. If the pain is from the tooth near the implant, then it might be exposed root surface. This may be from the tissue around the implant now being lower than it was. If it is from the tissue around the implant, it could be that the healing abutment has trapped tissue between it and the implant. Best to go see the dentist who placed the implant to check this for you

Gap between teeth: If the space between the adjacent tooth and the implant is too wide, sometime food impaction can be the cause of the problem. If the floss goes through the space too easily(no snap) it can be a sign that this may be part of the problem(there are various reasons this can occur)there are many other possibilities as well.

Place close to root: Implant placed too close to the root of the adjacent tooth (non root canal treated tooth) may cause extreme tooth sensitivity on the adjacent tooth. An implant placed too close to the nerve (lower posterior areas) may lead to alter sensation, a paresthesia which may cause extreme sensitivity around a dental implant.

Possible failure : The two things that come to mind is 1. You have a failing dental implant or 2. The adjacent natural tooth may have been damaged or traumatized during the surgical procedure. You should get things evaluated asap and if you are not satisfied with your dentists answer get a second opinion

Cant be: Must be a different tooth in the adjacent area. Or the gums are not healthy, can not be a toothache.

Several things: Either ann adjacent tooth has a root canal or gum problem, or it could possibly be a problem w/ the implant itself. Get the area evaluated by the dr. Who placed the implant. A proper diagnosis is needed.

Occlusion: Inflammation of the dental implant during the healing phase may cause the adjacent tooth to "rise" and thus affecting the occlusion. Relieve the centric occlusion of the adjacent tooth. Moreover, the implant placed to close to the apex of adjacent tooth may, not all the time, required the root canal on the adjacent tooth.

Exposed roots.: If your implant surgery was done by flap technique (verse a punch) your gums may have slightly "receded" and exposed "naked" cold sensitive roots. Additionally, if your post-op hygiene does not include flossing those approximating roots, this to may cause the root exposure. Floss the teeth walls near the implants and carefully brush them with a desensitizing toothpaste. See dds if persists.

Implant sensitivity: The implant has no sensor input. It has to be the adjacent tooth ...Which does. Some implants placed too closely to adjacent teeth, my loose vitality to that tooth. Have your implant surgeon check it out.Best.