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After seeing Dr. Arce for my annual visit first thing this morning, they worked me in today to remove the granulation tissue for the 4th time (by Dr. Wu). But it has been two years since the last time it was removed (Dr. Van Ess) and I suspect I will be having this done every year or two. Everything is good with my permanent prosthetic.
It is Facebook so there's that...but it is a private group not to dissimilar to this community. Unlike this Mayo group, the vast majority of the members of the private Facebook group are not receiving the level of care that we get with Mayo.
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Hi @ssalava An additional note. I just returned from an Oral and Maxillofacial group visit for a check-up, which was fine now four years out. We discussed "a patient" having granulation tissue removed now four times. Everyone involved seem to agree that "a patient" has excessive tissue growth as part of the healing, is not considered in the center of the Bell Curve but more to one side whilst I myself am on the other side of the same curve. We are all different. We all have unique experiences and differing healing properties. Dr. Arce's group is doing the best they know how to make this patient comfortable and fully healed where repeated granulation or de-bulking will no longer be necessary.
I hope for you this is the last time and your future visits come out 100% good. We both have gone through something that would make most folks legs buckle at the mere thought of it. I think in the long run it makes us stronger than most, certainly unique, and especially brave, like Horatius, Captain of the Gate. He survived too!
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I thought having granulation surgery twice was a bit over the top but now I see you have had it four times, yikes! For me the biggest pain with that surgery is they classify it as Dental, which means my insurance doesn't cover it and it isn't cheap. I am going to see Dr. Arce in a couple of weeks and I think I will broach that subject with him.
It seems the new tissue continues to grow over time and once it rubs on the prosthetic, it becomes inflamed. Then a reduction is called for which is known as granulation tissue removal. Personally if dental would get rid of that silly simulated gum skirt below the simulated teeth, I believe that would end the granulation surgery necessity.
I had a situation earlier this year however instead of granulation surgery I convinced Dr. Ettinger's group to give me antibiotics. It worked 100% and have not had an issue since. But thanks @ssalava for the update and info. The better informed we are as patients, the better we can deal with our rather unique circumstances.