### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have been experiencing pain in the gingival area after eating. It has mostly been in the area of my dental implant that was seated a year ago.I am a former dental assistant so this issue baffles me even more in wondering what is going on. I do want to mention I have gone to the dentist and he has checked for peridontal pockets, and there are a couple 4s that are not very wide. I had bitewing x-rays taken and they did not show problems and the area that is cold and hot sensitive around the implant #17, is all showing everything is o.k. I even had him replace an old large filling  in #18 to see if he could find a crack. There was none.  I just at and apple and other areas are bothering me. I must admit that the last two weeks I have flossed two or three times a day and used sensydine toothpaste in hopes to clear up this issue. The opposite happened. The discomfort is more intense. I also have a tender spot in my hard palette in near the palette midline  just in from the implant.  Hope all of that made sense. Wondering if I should go to the oral surgeon or if other health issues can cause these symptoms.

### output:

Hello, Thanks for your query. The floor of your sinuses (air-filled compartments in the bone below your cheeks) is located just below the gums of the upper jaw. When implants no longer fit properly, excessive pressure may impact the gums and bone below the implant resulting in sinus pressure. If the biting surfaces have worn down as well, then headaches may result. Any type of pain or pressure should be evaluated by your dentist or prosthodontist to ensure the tissues are healthy. Also, any complaint of sinus problems should be evaluated by your medical doctor or an ear, nose and throat specialist. Maintain good oral hygiene. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care