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Dental work while on Reclast

Osteoporosis & Bone Health | Last Active: Oct 22 7:01am | Replies (161)

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@hlp123

Dear Lori,
It has been a long journey to actually get to the consultation with the oral surgeon about having my remaining four upper teeth extracted. I have been returning to the dentist to have fillings and then a permanent crown inserted today. I have an appointment with the oral surgeon tomorrow and the dentist gave me the denture to give him. I am wondering what questions I need to ask the oral surgeon. I will be making the appointment for the extractions when I see him tomorrow. The dentist did not give me any instructions except that I will need to have the denture inserted immediately after the extractions. I was wanting a more detailed explanation of what will happen, but it seems you are the only one who actually anticipates what I will need to know. Should I be buying adhesive cream to keep in the denture ? Does it stay in for 48 hours? The dentist(who was recommended as a denture specialist) did not give me any instructions except to have the denture inserted immediately and then make an appointment to see him for 48 hours after this. I will ask if I will need sutures and or an antibiotic (I only know to ask this, because you told me about it). I have been focused on trying to get my lower teeth in as good shape as possible before the extractions, but I now need to shift my attention to the extraction.
Any help with my appointment tomorrow would be wonderful. It is not until 3pm.EST. I know this is short notice.
Thank you so very much,
Holly

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Replies to "Dear Lori, It has been a long journey to actually get to the consultation with the..."

Hi Holly. Phew…ok. You’re getting so close, let’s get you to that finish line without anxiety. ☺️

Obviously, I can’t know for sure what your oral surgeon will say, however from having assisted with this procedure over the years, basically this is what will happen at that extraction appointment.
Also, from discussions we’ve had, I’m assuming these teeth have lost a significant amount of bone support around them so they should be easy to remove.

At the extraction appointment, you’ll have local anesthetic injected around the teeth. Since you’ve had this done before none of this will be new for you. The difference this time is that you won’t be biting on gauze when you leave the dental office. You will now have your denture in place.

Depending on your oral surgeon’s instructions you’ll most likely be told to keep your denture in place for 24 hours. Do not remove it. The denture acts to stop any bleeding and also to limit any swelling that might take place.

Usually after 24 hours you may take it out only to brush your lower teeth and to GENTLY, I can’t stress that enough, Gently let water swish across the upper and also brush and rinse the inside of the denture and then place it back in.

****Remember to put water in your sink basin so if the denture slips from your hand, the water will break the fall…not the denture! ***

Usually after 48 hours you can leave the denture out at night. No hard swishing or drinking through a straw for about a week unless your oral surgeon says it’s ok. Foods will be limited to soft things for a while. Again, I’m sure your doctor will give you a print out.
Oh, you can also do a quick internet search. Immediate Denture Placement…that will give you a ton of relevant information. I was going to post a site but they’re all from dental clinics and I’m not sure about the domain issues. I read several and the information was spot on.

The first 24 hours don’t be surprised if there is pink tinged saliva. You might also find you have a lot of saliva…this is temporary over the next few days after insertion. You might want to keep paper towels handy to spit into.

Don’t do any adhesive for a while! Ask your doctor when to start using that, if you even need it. As your tissue heals it will shrink and conform. After a reasonable time your dentist may opt to do a reline for you. I think we talked about that. It’s basically just putting a new, custom fitted layer of plastic back into the palate portion of the denture so that you may not even need adhesive. But if you do, there are good adhesives on the market that really grab those dentures and leave them fitting comfortably.

These are just the basics…
~Ask if you need sutures
~Do you need prophylactic antibiotics
~Will you need to rinse with a special mouthrinse to reduce bacteria
~Ask the doctor how long you need to keep the denture in place initially.
~When can you eat with the denture
~When can you start swishing with salt water to keep the extraction sites clean.
~What should you look for as an indication of infection
~When can you use adhesive if you need it
~Who do you call if you’re in pain and you feel something isn’t right
~How to care for the denture…though this may be more information gotten from the dentist who will do the followup for the denture itself.
~You can talk to that doctor and ask about relining the denture when necessary.

I hope this helps! You’ll find out a lot of info with your consultation tomorrow. If you need clarification, I’ll be here!
Sending a hug! Lori