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Clementine

Oral Surgery

28 posts in this topic

My dentist just told me he recommends I have my bad tooth extracted and have an implant, which of course means oral surgery. I have had a root canal and crown right now, and it's just not healing. He said I'd be on antibiotics for a couple of months. Oh, and the best part...it cost around $1700. Yep. There goes any fun I may have been able to have.

 

Do you all think I should call my rheumatologist before I have oral surgery? My rheumatologist told me to continue on Cellcept while on Amoxycillan but now that I will be on it for an extended period of time I kind of think I need to let him know. I don't have an appt. with rheumatologist until one month and I need to fix my tooth within the month.

 

The dentist told me it takes a healthy person 3-4 months to heal from this kind of surgery, so how long is it going to take me!?

 

I need about one hundred hugs right now. A trip to Costa Rica wouldn't hurt either.

Jen

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Oh Sweet Jen,

 

I am so sorry. My daughter in law is going through the same thing, but hers is costing $6000., so maybe you are getting a good deal. She has had several small grafts, surgeries, LOTS of antibiotics etc and it's going on a year and they are not done yet. It's a pain for real.

 

I would definitely contact your rheumatologist before going through with any of it though.

 

Hang in there!


Warm and gentle hugs,

 

Pamela

ISN Support Specialist

International Scleroderma Network (ISN)

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Jennifer, You will have a beautiful face and a beautiful smile. Go for it. If you are on a good antibotic for at least 3 to 4 weeks you should heal about the same as everyone else. I guess we just need antibotics a bit longer than the average person. I have a surgical steel post and crown as a front tooth. The healing time was about 2 months I didn't have any problems. Without tapping on my front teeth, no one knows which one is the real one and which one is made of polymers. Now, when this is completed you can save to do something fun. You Go Girlfriend.

 

Opps! I almost forgot the hugs. I am reaching and stretching and traveling to Colorado. I hope this really big hug gets to you. Also, smiles across the miles. Hugs to you. Sheryl


Strength and Warmth,

Sheryl

 

Sheryl Doom

ISN Support Specialist

(Retired) ISN Chat Moderator

International Scleroderma Network (ISN)

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((((((((((((((((((((((((((((((((((((JEN)))))))))))))))))))))))))))))))))))))))))

 

Yea, I'd call my rheumatologist if I were you.

 

So sorry you have to go through this. I hate going to the dentist. I'd rather go to the gynecologist than the dentist - if that tells you how how much I hate it! :lol:

 

Do you have dental insurance? Is that the cost before or after insurance?

 

Wish you could take that trip! Could you settle for a big fat margurita?

 

((((((((((((((((((((((((((((((((((((More hugs))))))))))))))))))))))))))))))))))))))))))))))

 

Love,

Barefut


Take care,

Barefut

 

Serena Justis

ISN Blogger

International Scleroderma Network (ISN)

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Sweet,

Yea, I am really scared. I know it's going to be a long process. I am really afraid of this infection. I think what I will do is consult with both the endodontist and periodontist. Then, I will call my rheumatologist. If I decide on the tooth extraction, that's going to have to heal before an implant can be placed. It just all sounds painful and I am really worried about not being able to get rid of the infection. If I get the root canal retreated, and that doesn't work, I will end up paying two doctors.

Does your friend have an autoimmune disease?

 

My husband is out of town and I need him right now.

xo,

Jen

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Jen,

 

No my daughter in law does not have an autoimmune disorder. She lost her tooth in a motorcycle accident and had a metal post and crown in place for years. But she kept getting sinus infections etc and they couldn't figure out why. Then finally a dentist realized she had this infection for years that just wasn't going away. He stated this was the only way to get it taken care of once and for all, so they decided to go for it. Her's is her FRONT tooth. Be glad yours isn't. (I think yours is a molar right?) Things haven't looked pretty along the way for her, but hopefully in the end it will.


Warm and gentle hugs,

 

Pamela

ISN Support Specialist

International Scleroderma Network (ISN)

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<<I need about one hundred hugs right now. A trip to Costa Rica wouldn't hurt either.>>

 

Jen ,

 

Brian Willliams just ran a news report last night about people from the States heading across the border into Mexico for dental work plus a vacation on the coast. Dental work is half the cost or less and with the extra $$$, they enjoy the week there. Sounded good to me!!!

 

Take care, Everyone.

Margaret

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I've been researching dental implants. I just talked to my best friend that used to work for a dentist and she said NOT to get the implant unless I had to, that it was major. Yikes.

 

My next question is this...if you get an implant (it's like a screw) wouldn't your body see this as foreign and cause even more problems?

 

 

Oh dear, my luck Brian Williams' next story would be about the girl with scleroderma that went south of the border for dental work and came back with a (one) boob implant. Just kidding..but I hear of all those stories of plastic surgery done there with people really messed up! Sounds fun though.

 

Thanks for all of the encouragement. I just do not think I'm up for the challenge. It will take so long for it to be finalized and I dread it.

Jen

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Hi Jen

 

My oral surgery is on Monday...yuck. I'm also on Cellcept and will start the antibiotics Monday as well.

 

Here's a tip that might help fight infection. Take a cap full of perioxide....dilute if to much for you. Swish around in your mouth, try to hold it for up to 10 minutes than spit it out. Once daily.

 

And extra benefit-it'll also brighten those pearly whites.

 

Good Luck

Colleen

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My dentist told me to use hydrogen peroxide (bottled for oral use at 3.5%) but he said it should only be used daily for about a week each month at full strength, though it could be diluted to use every day. He said it would prevent much tooth decay. I asked him why dentists were not all giving it out. He said something along the lines of, "Do the math." I notice it is now being added to whitening mouthwashes, etc.


Warm wishes,

Jefa

 

Carrie Maddoux

(Retired)ISN Sclero Forums Support Specialist

(Retired)ISN Sclero Forums UK Chat Host

International Scleroderma Network (ISN)

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Thanks Colleen! Good luck with your surgery. Let me know how it goes.

Do the math. Wow, I never really thought of it like that. Makes sense. My dentist told me that rinsing with peroxide and water could actually deter healing.

Has anyone heard of that? When we were discussing why I still had infection I told him when it felt inflamed, I would gargle with peroxide and water.

 

I am taking the weekend off from all this tooth drama. It's in the "do when I feel better" file.

xo

Jennifer

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Hey Darlin'

((((((((((((((((((((((((((((((BIG HUGS)))))))))))))))))))))))))))))))0

I'm so sorry you are having to go through this. You certainly didn't need anything else on your plate!

I had a close friend that went through the implant procedure and it was tedious and at times "not too enjoyable"; however, she now feels like it was well worth it. Many of the problems she was having are gone. No, she does not have an autoimmune disease.

I think you need to consult with all the doctors you mentioned including your rheumatologist. As far as the healing process, I have actually found that I heal very fast. We are collagen producing machines.

 

I was also told by my dentist NOT to use hydrogen peroxide because it slows the healing the process. I'll have to do a little research on that one since there's seems to be quite a bit of discrepancy between what dentists are saying. HUM! Not surprising though.

 

Please do take the weekend off. Enjoy yourself!

 

Big, big hugs,

Janey


Janey Willis

ISN Support Specialist

(Retired) ISN Assistant Webmaster

(Retired) ISN News Director

(Retired) ISN Technical Writer for Training Manuals

International Scleroderma Network (ISN)

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Hi Jennifer,

 

I've lost a lot of teeth, but never had an implant. I just have a partial. And whenever I lose another tooth, they just add it to the partial. The healing is a thousand times quicker this way, and eliminates the possibilities of rejection and infection. Plus it is so much cheaper, too!

 

Altogether, it's just a few minutes for the tooth to be pulled, then a few weeks to have the partial (or in your case, single tooth replacement) made.

 

If scleroderma or Sjogren's is affecting your mouth, that can slow down and defeat the healing process for an implant (with bone resorption, ligament recession, and complications caused by dry mouth). With the odds of an easy and successful implant a bit against you, I'd suggest you at least consider just getting a single tooth replacement, or a bridge, if that is possible/feasible.

 

Also see our Dental Involvement section. And best of luck to you, no matter what you decide to do!


Warm Hugs,

 

Shelley Ensz

Founder and President

International Scleroderma Network (ISN)

Hotline and Donations: 1-800-564-7099

 

The most important thing in the world to know about scleroderma is sclero.org.

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Oh hun....I am so sorry to hear that. You do deserve a break...and a HUG!

 

(((((((H-U-G))))))))) :)


*WestCoast*

 

********

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Aww thanks Erin. It's going to be OK. I spoke to my rheumatologist about it

today and does not think my initial dental problems are sclero related. He also said he wasn't so sure he'd blame Cellcept for the fact that it's not healing, but it was possible. He said that because I don't have skin involvement I shouldn't have the typical gum issues that come with Scleroderma. I am not sure I agree with him that you have to have skin involvement to have teeth issues.

 

What do you all think?

xo,

Jen

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Jen, can't remember if you have been on prednisone, but that will cause a lot of dental problems. I haven't had near the problems since I got off pred. (well, down to 5 mg a day instead of 20) and started taking cellecpt. Just make sure you are taking plenty of antibiotics, that is very important.

Good luck.

~whirlway

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whirlway,

how does prednisone cause dental probelms?

 

peanut


You can deprive the body but the soul needs chocolate

my HMO makes me wear a helmet...

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Hi Jen, I definately think you should go for the implant if you can afford it. My husband is going through this as we speek. He broke his front tooth which already was a root canal tooth. They extracted the root, and they placed the implant right after the extraction. He had to wait about 6 weeks before they could put the temporary in, which cost $300.00. Now he will wait until December to have the permanent crown put on. The total cost is around $3000.00. As far as pain the first couple of days he was uncomfortable, but the pain medication took care of any pain he was having. Now he is fine no pain whats so ever. He is glad he went through it all. He didn't want to deal with a flipper partial. I hope things work out for you, I know if it isn't one thing it's another.

 

Jackie S.

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Jennifer,

 

I've been reading the different opinions about your implant, and wondered if I should also say something. I have been very poorly of recent weeks, (which I may do a later post about), but I decided I'd like to tell you my experience with a tooth implant I had recently, and which failed.

 

I can't help wondering if some of the problems I had with it all, stress in particular, messed around with my sclero, but whatever......... At the beginning of this year I had 3 teeth together being affected by cervical root resorption, caused of course by the sclero. These are not the first teeth this has happened to either. The dentist did all sorts of things to save them, but to no avail. One was the top canine on the right side, and the other two went back from there. First of all one was pulled, then another, and lastly he had to pull the canine!

 

The first two teeth which went he said had the possibility of having "mini-implants", with shorter posts which go into the jaw. These are generally used where the jaw bone is minimal, in that if you put in a large implant it goes into the sinus. So we decided to do this. Unfortunately, by the time they'd healed the usual amount of time, about 2-3 months, the jawbone had resorbed so much there wasn't enough for even a mini implant!

 

So then the canine had to come out....... in several bits I might add! The plan for this was to try for a full implant as I had a large amount of jawbone above it, and the dentist said he wouldn't leave it as long this time, so hopefully there'd be enough bone left. At least I wouldn't have a gap so near the front.

 

It was allowed to heal for a month, and then the implant post went in. It was about 15mm long, and went up into "virgin" bone. The actual procedure was OK and under a local. The dentist said I'd be fine now. Not so......... the pain after the anesthetic wore off was VERY bad! It took several days to stop, and even then not totally. I had a very temporary plastic crown, placed so that I couldn't bite on the implant.

 

I went back in about 10 days and the dentist was very pleased with the implant, which was rock solid. Three days later not so! I woke to find it wobbling and loose! Went back to dentist, and he very regretfully, pulled it out with his fingers! When he had it out he remarked he'd never seen that before. "That" turned out to be bone which had so far osseointegrated with the implant as it does, all came out stuck to the implant post! He had his nurse put it into a tube to take to a conference he was going to, as he wanted to see what they made of it.

 

He is a very decent dentist and gives me lots of discounts etc. The implant was $1500, and he offered to do another one free! But to my way of thinking who is to know whether the same thing will happen again or not?! I have had/ and still have, sinus trouble where the implant was close to the sinus (not in it, as I saw the Xray). But I feel now that I will eventually get a partial plate, not that I love the thought! But neither do I want to go back the way I came! As of now I chew on the gums! LOL! And if I smile and someone looks closely they'll see my gaps. But then the sclero has made my mouth so much smaller that it's hardly noticeable. Any more time in the dentist chair would knock me out just now I think, so I will wait.........!!!

 

I think implants are great for healthy people, and before I went ahead with mine I made a lot of enquiries from doctors etc. I also have renal disease with dialysis, which affects the bones as can sclero. Everyone said go for it. But you live and learn!

 

Warm hugs,

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Hi,

 

I also had an implant, which was partially successful. The whole process has been going on for about a year. After the tooth was removed I had to have a bone graft, which took longer to take then expected. We then waited and waited and waited for the gum to build up and look good. So far my dentist is still unhappy about the amount of vasculature in the gum.

 

Anyway he tried to do a gum graft using tissue from the top of my mouth, however this failed. He was going to do a second one with cadaver gum, but we both decided to hold off on this as I was diagnosed with CREST in the mean time. At that point it seemed best to wait until I stabilized and my immune system was a little less active.

 

If you can do it, having a real tooth is nice, but make sure your disease is under control at the time. In any case get the tooth out as soon as you can so you don't lose too much jaw bone, which is what will happen if you have an infection down there and you leave the tooth in.

 

Good luck


keep on smiling

 

crawler

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Peanut, sorry it has taken me so long to get back to you. I had been taking large amounts of prednisone for about 20 years. When a person takes 20+mg per day, it will suck the calcium right out of your system. I wasn't made aware of this and as a result have osteoporosis and have had one compression fracture in my spine, plus I have had three teeth practically disintegrate, but the dentist was able to salvage enough of them so now I have three beautiful gold crowns. Luckily they are in the back and don't show too much.

When I first started seeing my rheumatologist, he ordered a bone density test and found the osteoporosis. Now I take a calcium supplement (1800mg per day), fosamax once a week, and didronel every three months. The osteoporosis will never go away, but from the intense treatment it hasn't gotten any worse.

So, as a warning to all of you who do take prednisone, please talk to your doctor about the drug and the side-effects and about taking calcium supplements. Also, ask for a bone density test, and not the one where they just stick your foot in a boot. It doesn't hurt, or take very long, and could be a big help in the long run to keep you from getting osteoporosis, which is a big, huge pain. (Seriously, I would rather have a baby than another compression fracture, they are very painful. I was in the hospital for 4 days on a pain medication drip)

Also, when you have any dental work done, the dentist should be giving you antibiotics before any proceedure, even cleaning your teeth, due to all the bacteria in your mouth.

~whirlway

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whirlway,

thanks! yeah I'm worried about prednisone which is why I'm actively weaning my way off of it. Unfortunately my numbers dropped so I might have to stop at 9 mg for a while. I'm taking Boniva and calcium everyday so hopefully my bones will be okay.

 

I looked up the side effects of calcium suppliments: nausea, vomiting, loss of appetite, constipation, stomach pain, thirst, dry mouth, increased urination. I'm on a lot of meds and most of them have the same side effects as calcium (listed above). So I'm not sure how I would know if my morning nausea is from calcium or another med? Hum...

 

I went to the dentist for the first time in 2 years a few months back. The x-rays did show the beginning of bone loss which is frightening to me. I'm very anal about my teeth. I take very good care of them. I'm not ready for them to fall out.

 

peanut


You can deprive the body but the soul needs chocolate

my HMO makes me wear a helmet...

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Hi, peanut. Let me jump in here on the calcium issues. Here is a link to an excellent article from the Office of Dietary Supplements at the NIH:

 

Dietary Supplement Fact Sheet: Calcium. One note from the page says:

 

"Some common complaints of calcium supplement use are gas, bloating and constipation. If you have such symptoms, you may want to spread the calcium dose out throughout the day, change supplement brands, take the supplement with meals and/or check with your pharmacist or health care provider."

 

It is also important to make sure you have adequate amounts of vitamin D to aid proper of absorption of the calcium.


Warm wishes,

Jefa

 

Carrie Maddoux

(Retired)ISN Sclero Forums Support Specialist

(Retired)ISN Sclero Forums UK Chat Host

International Scleroderma Network (ISN)

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Peanut,

I take 3 500 mgs of calcium with D throughout the day. It makes me sick when I take it with nothing on my stomach. I am constantly urinating. I wonder if that is from the calcium. It sure does effect my sleep pattern.

 

Jen

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