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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,
Congratulations !!!! With your guidance and support, today went better than I could have hoped. I am so sorry for not responding sooner. I did not sleep at all Sunday night, and as a result, I have been dozing off all afternoon since I got home around 3pm. My appointment with the regular dentist is Tuesday at 3pm. They called me early this morning and said somehow they gave me an 11am and a 3pm apt for Tuesday so they cancelled the 11am apt. The denture is in place and I have not removed it since it was inserted around 1pm today. I have blood tinged saliva that has been pretty constant, but it is not bothersome and they told me to expect this and to not be concerned unless it became a steady stream of bleeding. So I think I am ok ! I have identified two small areas of irritation from the denture that are above where my teeth were in the front area. I will point these out to the dentist tomorrow. When I move my tongue, these two areas of the denture move slightly and feel tender so we will see what they do. I have been taking 1,000mg. of tylenol every 6 to 8 hours for the pain. After around 4 to 5 hours after the last dose I am quite uncomfortable, but it is tolerable and I don't expect to be pain free. I do realize that it is important to stay ahead of the pain, but I worry about the amount of tylenol that I take daily for my joint and arthritis pain. I was startled by a loud crashing sound when the doctor first started to extract the teeth. I have never heard anything like that before. I'm trying to not be dramatic, but it was very loud. He started with the tooth to the left of center and the sound was unnerving. It felt as though my whole skull cracked. I should have asked him what caused this loud crashing sound but unfortunately I did not and I do not have a headache so I guess everything is ok. He said he removed everything ie. all of the roots. I was concerned about this because I am so prone to getting abscesses. I asked if he would prescribe an antiseptic mouth rinse and he agreed. I have Chlorhexidine 0.12%. I have not used any yet. I was told to leave everything alone until after I see the dentist tomorrow. No rinsing or swirling etc. I have found sherbert to be very soothing. So that is what I eat when I take my tylenol. I had some cool lime jello around six pm and I am not hungry. I asked about the deep inhale and exhale that I must do to use my inhaler and he said the denture is protecting me so that is not a problem. I was worried because I know I am not suppose to spit or suck, But he said it was not a problem. I will use my inhaler in the morning so I will let you know how that goes. I'm not looking for trouble, so I should be ok. After all I have your hand on my wrist with all the beautiful positive energy so I am sure I will be fine. I took my first selfie (myself with teeth) that I have ever taken and sent it on to my children. They had fun with the text. I am sure I will think of things that I want to tell you about so I will be sending on messages for a while. The only question I can think to ask the dentist is about the adhesive. What kind ? and should I use some ? In general, I think I am very lucky. The denture fit seems to be very good. I know this will take a while to adjust to the feel, but that was to be expected.
Thank you again, my dear Lori ! You have successfully guided me with your expertise and empathy through this experience. God Bless you !

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Replies to "Dear Lori, Congratulations !!!! With your guidance and support, today went better than I could have..."

Aw, Holly, I’m just so darned happy this all turned out so well for you. I know you were filled with anxiety about what to do for almost, what, 2 years? Oh gurl, now you can exhale a huge sigh of relief and learn to smile from ear to ear again! You have a new set of ‘pie biters’. 😅 That’s what one of my favorite patients used to call his dentures, his pie biters.

I can imagine the excitement of your family with that long awaited first selfie!! And I would expect this will be a huge confidence builder for you to have a smile along with the twinkle in your eye. 💕

Back to the mechanics of things:
Adhesive.
Your denture is basically held in place by suction with a good snug fit over your tissue. Where you just had the extractions, the bone and tissue will shrink and modify under the denture over the course of weeks. The denture being plastic, won’t change, creating small gaps between tissue and plastic. When that happens, the denture may not fit as snugly and become loose when you talk or eat. That’s when a good adhesive comes into the picture. It fills the gaps between your tissue and the plastic of the denture. It can also help soothe tender spots under the denture.
You’re noting two little sore spots already. That’s to be expected. Your dentist will most likely trim those down with a handpiece, then polish the plastic and have you try it in to make sure you feel less pressure there.

The reason your oral surgeon has told you no sucking through a straw or swishing vigorously is so that you do not dislodge the blood clots from the extraction sites. In another 24 hours that should be fine but still be gentle for a couple of days.

Using your inhaler won’t be an issue with your denture in place and rinse & spit as usual.
But you do want to keep your mouth clean! So ask your dentist today how to care for the extraction area so that it stays healthy as it heals. You still need to brush your lower teeth, so it’s ok to do that! You can still rinse your mouth too. Sip some water, let it roll around in your mouth and spit…just no vigorous swishing for 3 more days.

When the dentist removes your denture today, he may have you gently rinse with water and spit Or his assistant may use the water syringe to irrigate your mouth and the suction to collect. But they will be cautious where the teeth were removed.

Phew, huh! You did it!! It was my pleasure to be you every step of the way. Wish I could take you out to lunch…to try out those new pie biters. Giggle. Have a great day, Holly!! Hugs!