Wednesday, March 4, 2015

Last Appointment Before Extractions

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Hey guys.  Ok so I have a week left before my extractions happen.  I went to the dentist today to have a bite registry done.  It wasn't a lengthy process.  I went in and had to bite down on a piece of dental wax.  They lined my jaw up in the back and then I bit down.  They wanted to see how my teeth naturally line up so that they can take this into consideration when they make my denture.  It didn't take very long.  The dentist came in to see me to talk more about the extractions.  The doctor who will be doing the actual extractions is an anesthesiologist.  They've all told me that he is very good, but I honestly didn't expect them to tell me anything else.  I mean it's not like they're going to tell me he's horrible even if he is.  I did Google him and I know he's not.  He actually graduated from Pitt Dental School and was at the top of his class.  His patients have really good things to say about him so in this case they are right.  I guess the point I'm making here is that y'all really need to do your homework on these doctors who will be performing these procedures on your mouth if you are not already doing that.  I assume you are though because here you are reading my blog so that indicates to me that you are looking for information on what to expect.

This is going to be a twilight sleep procedure.  I know that probably sounds foreign to many of you and it did to me too so I looked it up.  This is what I found out.  They call it a twilight sleep because you will not be fully sedated.  During a full sedation the patient is placed so far out of consciousness that they don't even breathe on their own.  The surgical staff has to insert a respirator or a tube that goes down your throat so that it can breathe for you while the surgery is taking place.  Once the surgery is completed the tube is removed.  The patient often has no idea that the tube was even there.  They will be performing my extractions right in the dentists office so we will not have access to this type of equipment.  This means that I can't be fully sedated for this procedure.  Instead, it is going to feel like I am sleeping.  They can wake me up and ask me to move or do different things.  I will be able to respond, but I won't remember doing it.  As I understand it, the way this works is that I will not be able to eat or drink anything 8 hours prior to having the extractions done.  I have to wear loose clothing; nothing restricting.  They suggest sweat pants and a t-shirt.  It has to be short sleeved or sleeveless shirt because they need to have access to my arms.  I have to remove any jewelry that might get in the way; necklaces, earrings, nose rings, etc.  The doctor will be calling me the night before my extractions to give me some pre-op instructions.  Then, when I walk in there they are going to place an IV in my arm.  Once the IV is in, they will place the sedative through the port in the IV.  The doctor will be monitoring my sedation levels during the procedure to make sure there is enough medicine to keep me sedated the entire time.  Then, they will be giving me Novocaine injections to numb my mouth.  Once the Novocaine takes effect, they will begin the extractions.  Apparently it takes about 30 minutes to extract a full mouth of teeth.  I am not sure how long this procedure is going to take.  My dentist explained that healthy teeth are more secure in their sockets than unhealthy teeth and in my case, my teeth are already very loose in their sockets so extracting them should not be that difficult.  In some cases the tooth may be so eroded and brittle that the tooth actually breaks in half during the extraction process.  This makes it necessary for them to go beneath the gum surface and essentially dig for the root of the tooth in order to remove it.  When this happens there is more swelling and pain after the procedure is over.  I suppose it largely depends on how well your teeth hold up during the extractions that determines how much healing will be required later.

After speaking to my dentist about that entire process, I came out of the exam room and back into the waiting room, the dental assistant walked me out and told me not to worry that it will all be fine.  There were two other women in the waiting room and they both looked up at me as I was walking in there.  My mother had been talking to them while she was waiting for me so when I walked over to collect my coat from her one of them asked me if I was having my teeth extracted.  I told them I was having most of them extracted.  The woman in the corner told me that it would change my life.  I have to say that this woman did not have her teeth in.  I wasn't sure what point in the process that she was in.  The tone in her voice told me that she did not mean that this would change my life in a positive way.  She then went on to tell me that she had lost 80 pounds because she wasn't able to eat.  She had her teeth extracted a year ago and wasn't able to wear her dentures because they were so uncomfortable.  It seemed like she was trying to scare me out of having this done.  I knew that I didn't have options to save my teeth.  I had been trying to avoid having my own teeth extracted for 10 years at this point.  I had reached the end of the line.  I either had to allow them to continue on in the shape they were in, which likely would mean progressively more mouth pain or have them extracted.  There is no plan B.  The other woman with very natural looking teeth looked over at her and said, "I didn't have that experience at all."  After asking her a few questions, I was able to determine that she had her teeth extracted yesterday.  She was there for her post-op appointment.  My dentist asks to see his patients 24 hours after the time of extraction.  So she was there to have him check her gums.  She hadn't taken her dentures out of her mouth since they had been placed in after the procedure.  Her mouth didn't look swollen.  I couldn't even tell she had dentures.  She had no issues talking and she wasn't gagging.  She looked really good for someone who just had their teeth extracted the day before.  I asked her if she liked her teeth and she told me she did.  She assured me that I would be fine.  She wished me good luck.

I spent some time thinking about the fact that this illustrates exactly what I have read about as I've been researching this for the past 3 weeks.  It seems to me like there are 2 groups of people when it comes to dentures.  There is a group of people who have very little trouble, varying degrees of swelling, and heal quickly.  They seem to adapt very well to their dentures.  They don't experience a whole lot of trouble with gagging.  They realize that this isn't fun, but seem to deal with it without too many complaints.  Then, there is group 2.  They seem to have more of a traumatic experience dealing with the actual procedure.  A lot of pain and discomfort.  They have a hard time with the transition into a denture.  They experience gagging or can't wear their dentures for various reasons so they can't eat properly.  I guess it just causes me to wonder why people seem to have such extreme reactions to the process of having dentures.  I understand that this is a traumatic thing so I don't expect it to be easy, but what puzzles me is the fact that there is no middle ground here.  It's either people make the transition extremely well or with extreme difficultly.  It also causes me to wonder which group I will fall into after my teeth have been extracted.  I'm choosing to try to go into this with as much of a positive attitude that I can muster because I don't have a plan B.  This is my only option.

Note:  This was written on February 19, 2015.  It is being published on March 4, 2015.  I got behind in my blog entries and wanted to have time to edit each of these before publishing them to my blog.

Monday, March 2, 2015

Preparing For Dentures: Part 2

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I really want this blog to be a place where I can post information in addition to my experience with dentures.  I think it might be helpful for some readers to see as many sides to this as I can present.  I realize that most of this is going to be me talking positively about my dentures and my experience, but in reality I don't want to promote the idea of getting them.  Some of us don't have any other option.  Our teeth are so bad that dentures are unavoidable.  For me, they have been a last resort and only after I went through 10 years of treatments to avoid this decision.  I will not have a full set of dentures.  I will only have a full top plate and a small bottom partial.  Not all of us get to this point because of heavy drug use or because of poor oral hygiene.  I got here mostly due to taking medications to control other illnesses.  There were a lot of factors going on that got me to this point.

If you can avoid the need for dentures, then it is better to have your natural teeth.  At some point in the future, I might write about how to prevent the need for dentures, but I didn't learn most of that until I began having problems with my teeth.  I won't really include that here because I assume if you are reading this, then you likely already have an extraction date set and are looking for information to prepare yourself for how to care for your dentures properly once you have them.

It's now a week before my extraction date and I am finding myself thinking about the things that I will need in order to care for my mouth and my dentures after the surgery.  I have read that proper oral care recommends to use warm saltwater rinses beginning on day 2 or 3 after surgery.  Then, I've read that there are special cleansers, brushes and additional items that I will need to purchase.  This is my list of items that I am taking with me as I go out to run my regular Saturday errands:

  • Polident 3 minute soaking tablets
  • Fixodent Original (denture adhesive)
  • Denture Brush
  • Denture Bath
  • Alcohol Free Mouth Wash
  • Orijel for mouth sores
This is a list of products that I would like to try out for my dentures.  According to reviews I have seen, these have been reviewed most favorably.  I have read some good reviews on Stain Away Plus, but this really isn't designed to be an every day cleaner for dentures.  It does have daily use directions, however, I have read that this has a bleaching agent in it to whiten dentures after prolonged coffee exposure or after a healthy night of drinking red wine.  The bleaching agent will probably lighten the "gum tissue" portion of your denture.  I really don't want to risk that so I will probably limit my usage of products like this to maybe once or twice a month.

The brands that you use really aren't all that important.  I read reviews on products that people had the most success with and chose products that I found to be most highly recommended by denture wearers.  You can choose whatever brand you want.  Proper denture care after having extractions is really going to come down to keeping your sutures clean and the bacteria out of your mouth as much as possible.  You are going to need a proper denture cleaner in order to remove the bacteria from your denture.  The most common type of cleanser come in the form of tablets.  You need to place your denture in the denture bath; a container used to hold your denture while they are not in your mouth.  It is important to fill up the sink with water or put a towel down in the sink before you remove your denture to avoid breaking them if you happen to drop them.  It is also important to wash your hands before removing or handling your denture.  Then, you can wash them using antibacterial dish soap using a denture brush.  You will want to brush the inside and outside of the denture.  I have heard that using a soft tooth brush meant for toddlers helps to get inside the denture.  However, a denture brush is recommended by the dental professionals.  Rinse them with cold water as hot water can warp your denture and cause them not to fit properly.  Then, you will need to fill your denture bath with cold water, place your denture inside and place a cleansing tablet into the denture bath.  It is going to fizz and remove the bacteria from your denture while it soaks.  The type of cleanser you use will depend on how long your denture will be kept in the denture bath.  They make cleansers for short periods of time for people who may only want to remove their denture while they are taking a shower.  There are also cleansers meant to be used for soaking overnight.  It all depends on what you are comfortable with.

Clearly you are also going to need a denture brush and a denture bath.  They sell these at drug stores or department stores.  They are typically found in the oral care section of the store in the same aisle you would find toothpaste and mouth wash.  I purchased a Sea Bond denture bath and also a Sea Bond denture brush in purple.  In addition to that, I purchased a pink Tinkerbell toddler tooth brush to get into small areas of my denture with.  I also purchased Crest Complete mouth wash that does not have alcohol in it.  I figured I might need that to rinse my mouth out later after I eat or something.  I'm going to have 8 natural teeth left and I was running low on it so that's really all that was about.

At first I'm probably not going to need denture adhesive because I imagine that sutures and denture adhesive don't play well together.  That's more of a later on down the road purchase.  I thought that after the swelling goes down that my denture might slip around a bit so it might be more comfortable for me if I had some until the dentist relines them.  I bought Fixodent original formula to try and next time I come to the store I'm going to buy Poligrip to compare the two and see which one I like better.

I also purchased some Orajel because I figured with all the talk of sore spots that I hear, then it would probably help with that.  I also got some Colgate rinse for mouth sores.  That's another later on down the road purchase.  I'm sure that the dentist will provide me with some type of antibiotic rinse or something to help me keep my mouth clean so that it can heal, but after that runs out I figured that this may help to care for any mouth sores that happen to show up.

These are just some things that were suggested to me by other denture wearers and things I purchased in order to prepare myself for any possible complication that may arise.  I have no idea what kind of condition I will be in after this is over so I wanted to prepare as much as I could to limit the need for going out for things afterwards.  Plus, it's helping me mentally adjust to the idea of wearing dentures before I actually have them.  The girl at Wal-Mart was probably looking at me oddly because here I am with obviously natural bad teeth buying denture products.  Or, it's possible that she thought, now there's a person who needs dentures.  Perhaps I'm over thinking it and she was simply standing there wondering if it was time to go home yet.  Anyways, I wanted to offer up a list of things that you may need if denture wearing is in your near future.  I hope it helps.