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← Return to Dental work while on Reclast
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Dear Lori,
I keep looking for the black box to connect to you and I do not see it, so I am just continuing to write here. I typed up a list of questions from the information that you sent and gave a copy to the oral surgeon. I asked that he go over each question. For the most part, he said he would have to wait and see how things went before he decided on the action. He did say I will need stitches (dissolvable ones), no antibiotics before hand, just continue using the paradontax mouthwash that I have been using. Keep the denture in for 24 hours, then gently rinse and replace it, Make an apt with the dentist for 48 hours after the extraction and for one week with himself and at that point they will know if I am healing as I should. He left most of the decisions to be decided by the dentist after the procedure. Also, in order to line up the apt's when both doctors would be available and not close to my pulmonary function test everything is delayed to June 17th for the extraction. I'm not thrilled about this, but both drs. are going to be out of town at times and that date was the only time when they will both be here. I did want to tell you which teeth I am having extracted. Upper (6,8,9 and 10). These are the remaining teeth on upper jaw. I am concerned that no matter how gentle I am bright red bleeding occurs between tooth 8 and 9. He said that this was because of decay, and to just stay away from those teeth. This is confusing to me, but he said just don't worry about it. It takes me a while to absorb what is said at these visits, so I am sure I will be sending you more questions. Also I will google Immediate Denture Placement. I guess I will just try to look at this as more time to educate my self, with your help, and prepare for the denture. Thank you again ! I really appreciate your support!
Holly
Replies to "Dear Lori, I keep looking for the black box to connect to you and I do..."
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Good morning, Holly! At the bottom of my reply there should be a little blue oval that says Reply. Click there and it will open a box for you to type your message into that will then have my name imbedded. When you’re finished typing, look under the box and now you’ll see the black oval that says Reply. You’re doing great. I’m always on the lookout anyway, even if my name isn’t attached.
Oh gosh, I’m sorry for that delay of a couple months. How disappointing! Now that you’ve gotten this far you just want to get on with the show! Well, you’re all set to go now…the denture is made and waiting won’t have any impact except to test your patience. 😉
It’s normal that your dentist will resume your care after the oral surgeon (OS) does the extractions. In our office, we did the extractions along with making the dentures. But there are offices where the dentist refers all extractions out to the oral surgeon. The teeth you mentioned should be simple extractions, meaning non-surgical because they should slip out easily.
The sutures will be used to close the open tissue over the tooth sockets in the bone. This helps the tissue to heal less ragged so there will be a smoothness to the area where the denture will be sitting on the bony ridge of your upper jaw.
When you return to your dentist the 2nd day, he’ll remove the denture, check the tissue and make sure there is healing taking place. He will ask if you have any areas that feel sore inside. He can trim away plastic that might be pressing too firmly in the roof of your mouth or up under your lips. Not going to lie…it’s going to feel like a mouthful! But plastic can be trimmed away if the denture feels ‘too thick or full’ behind your lips or creates sore spots on the tissue anywhere. Don’t be afraid to speak up!
Remember, when the dentist constructed the denture, he did it from the study models where he had to remove the plaster teeth to imitate your mouth after the extractions.
So he had no way of actually trying the denture in your mouth in its completed stage to make sure it had a custom fit.
Once the final teeth in your mouth are removed, he can do some fine tuning to make it more comfy for you. If you recall, I also mentioned about several weeks down the road where the denture may feel too sloppy from tissue/bone shrinkage and remodeling. That’s when you can use adhesive or, if your doctor feels enough time has lapsed, he can do that reline technique. We’ll talk about that when the time comes.
You can still brush those teeth on top, even if the gums bleed. You’re not doing any damage. There’s a lot of inflammation around those teeth so they will continue to bleed until the extractions take place. Then healing can begin. You’re doing everything right and I can picture everything your dental teams are doing for you. ☺️ It’s all very standard and you’re going to have a great smile soon enough.
I’m glad you didn’t have to cancel your PFT. Get that out of the way… Wishing you well with the outcome! This was the first year, out of the last 5, that I didn’t need a PFT as part of my followup appts!
Again, I’m sorry to hear about the delay in excitement for you! It’s like having to wait for presents on a holiday or birthday!