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

### input:
I went to the dentist 2 days ago due to pain/itching in the gums between my implant and molar. The onset of the pain was 3 days prior to my appointment. The implant was done 2 years ago and I had this same pain at one point during the process for which the dentist prescribed an antibiotic and it resolved.  The night before my appointment, I noticed my gums were painful in my entire mouth (something Ive never experienced).  The morning of my appt, my gums were so painful that I mentioned I wanted to forgo the routine cleaning I was to have in addition to having my dentist check the gum pain at my implant.  My x-ray proved no infection at the implant and I had the cleaning.  I have very little plaque buildup and take very good care of my teeth regularly.  My dentist mentioned enamel wear due to bruxism but didnt feel it necessary to prescribe a splint.  Since the exam and cleaning 2 days ago, my gums are so painful that brushing and flossing are very painful as well as eating.  I woke from sleep at 2 am and my gums were extremely painful and it was excruciating to clench my teeth together.  The teeth pain was a new symptom.  In the 2 hours that Ive been awake, the tooth pain has greatly subsided, but the gum pain remains.  Also, my submanibular lymph nodes on both sides are very tender.  I see no rash or discoloration in my gums/mouth.  One last comment:  I consumed about 10-15 sugar-free mints the evening prior to my dentist appt.  I had never had them before.  Im wondering if the sudden whole-mouth gum pain could be an allergic reaction to them.  Thank you for your help.

### output:

Hi, Thanks for asking the query, For successful placement of Dental implants the periodontics and the supporting structures like gums, alveolar bone should be healthy. Pain after implant placement is due to gingivitis, periodontitis, gingival recession, alveolar bone loss. I would suggest you to visit to Dentist and get a checkup done. If there is bone loss flap surgery has to be performed. You maintain a good oral hygiene. Avoid eating hot and spicy foodstuffs. Use chlorhexidine mouthwash gargles twice daily. Hope this helps out. Regards...