Hi Jeanie,
YAY!!!! Kudos to you Jeanie for sticking to your guns and staying focused on YOU and not what anyone was trying to sell you. YOU know what is in your best interest better than anyone else!!
I will answer your questions in BOLD....
<<After I sobered up I bit and was chatting to the nurse I asked if they had got all the abscess out and she said yes most came out with the tooth and we sucked the rest out. I'm a little worried now as with everything that was going on I didn't mention the removal of the ligament and think this may not have been done? Should I be worried?>>
I DON'T WANT YOU TO WORRY BUT I DO SUGGEST THAT YOU CALL THE ORAL SURGEON AND SPEAK DIRECTLY TO HIM AND NOT THAT STUPID "NURSE" AS SHE DID NOT KNOW WHAT SHE WAS TALKING ABOUT. THERE IS NO WAY TO SUCK OUT THE INFECTED LIGAMENT OR BONE. IT JUST DOESN'T WORK THAT WAY. THE LIGAMENT NEEDS TO BE SURGICALLY SCRAPED OUT AND THE BONE NEEDS TO BE SURGICALLY DEBRIDED. THE SUCTION CAN ONLY SUCK UP WHAT IS PHYSICALLY SCRAPED OFF THE BONE. ASK THE SURGEON IF HE INTENTIONALLY REMOVED THE PERIODONTAL LIGAMENTS AND SCRAPED THE INFECTED JAWBONE CLEAN. WAIT FOR HIS ANSWER AND TELL HIM THAT IS WHAT YOU EXPECTED HIM TO DO.
Jeanie.... you know more about the procedure than that "nurse"!!!!
<<He told me to go to the dentist to get my mould for temp denture and to come back to him in 10 weeks to see how everything was healing and then discuss implants after about 3 months. He said that diabetes can cause implants to fail but thats the worst possible outcome and might not happen.>>
DO NOT SEE YOUR DENTIST FOR THE MOLD FOR AT LEAST 3-4 WEEKS. THE SURGICAL SITES HAVE TO HEAL A BIT FIRST. SECONDLY, DIABETES IS A RISK FACTOR IN DENTAL PATIENTS FOR MANY REASONS WHEN IT COMES TO DENTAL IMPLANTS. HE SHOULD HAVE TOLD YOU THAT INFECTION IS THE NUMBER ONE CONCERN. SECONDLY IMPLANT FAILURE OCCURS BECAUSE THE HEALING FACTORS IN DIABETICS ARE TYPICALLY UNPREDICTABLE. THE RISK GOES DOWN WHEN THE PATIENT HAS CONTROLLED INSULIN LEVELS FOR QUITE SOME TIME.
<<I thought I might have to leave the area for a good year before even trying for implants..is it ok to try implants so soon? Also are implants safe after having an infection and diabetes etc, am I just inviting more future problems?>>
ANYTIME YOU ARE REPLACING INFECTED TEETH WITH DENTAL IMPLANTS, IT IS BEST TO WAIT AT LEAST 6 MONTHS BEFORE DOING THE IMPLANTS. THIS ALLOWS ENOUGH TIME TO BE CERTAIN THAT THE BONE HAS NOT BEEN COMPROMISED BY THE INFECTION. IN DIABETICS .... IT IS WISE TO WAIT UNTIL THE BONE IS HEALTHY AND TO MAKE SURE YOUR INSULIN LEVEL HAS BEEN MAINTAINED FOR SEVERAL MONTHS AS WELL.
With regard to the recent questions and statements made by your endodontist.... Bullsh**! He is now concerned about one thing... covering his own behind. Keep in mind that he does root canal therapy for a (lucrative) living and in order to keep his job, he has to convince others that keeping their infected teeth has minimal if any systemic consequences. For him to say that either of these infected teeth were not jeopardizing your health... is totally ridiculous. As your physician even told you differently because infection most definitely will affect not only someone with diabetes but every living being. Endodontists should be ashamed of themselves for misleading and misinforming the public!
<<Other than the shock of having the teeth out now and the annoying email I think everythings going well so far. My bloods had been around 11-13mml day of and days before the extraction. Lastnight they had dropped to 4.1mml for the first time since December. They have consistently been between 4.8-8.5 for the past 24 hours. It could be some sort of placebo or that stress is less now but I dont think so.>>
ABSOLUTELY STRESS IS LESS NOW. BUT SO IS THE BACTERIA THAT HAS BEEN FILTERING THROUGH YOUR BLOODSTREAM. THIS IS NOT ROCKET SCIENCE.... IT IS PLAIN OLE COMMON SENSE.
Eat a soft food diet... like eggs, mashed potatoes (yams or sweet are very nutritious), soups, eat vegetable and fruit smoothies with a spoon and put in whatever you want to and blend altogether. Rinse gently with warm salt water today and be a tad bit more aggressive with the rinsing tomorrow. Use only warm salt water... no mouthwash. Brush with baking soda instead of toothpaste... just wet your toothbrush and put a little bit of baking soda on it and brush. Floss all of your teeth!
)
Jeanie... I know this was not easy... but you did it!!!!!!!
Keep us posted ok.
Bryanna
Quote:
Originally Posted by Jeanie.F
Well they're out!!
I went to the oral surgeon yesterday with a letter from my GP saying my blood sugars are not in control and if he deemed extraction necessary could he do as soon as possible.
He asked me a few times if I was sure I wanted them out and if I wanted him to ring my Endodontist to discuss the matter further. I said I couldn't afford more RCT anyway and there was no point. He looked at the xrays and asked was I sure I didn't want to try and save the recently rct'd tooth and I said Id rather have them both out and try to get rid of the infection. He sedated me and numbed the area and after about 10 mins began to extract the teeth. It seemed to be a general extraction as there was no cutting or slicing which is what I thought surgical extraction would be. When the teeth were out he used some suction device for a few seconds and that was it.
After I sobered up I bit and was chatting to the nurse I asked if they had got all the abscess out and she said yes most came out with the tooth and we sucked the rest out. I'm a little worried now as with everything that was going on I didn't mention the removal of the ligament and think this may not have been done? Should I be worried?
He told me to go to the dentist to get my mould for temp denture and to come back to him in 10 weeks to see how everything was healing and then discuss implants after about 3 months. He said that diabetes can cause implants to fail but thats the worst possible outcome and might not happen.
I thought I might have to leave the area for a good year before even trying for implants..is it ok to try implants so soon? Also are implants safe after having an infection and diabetes etc, am I just inviting more future problems?
I got a missed call from the Endodontist yesterday, he wanted to know why I was not finishing treatment etc. I emailed him last night explaining my diabetes had been compromised and I had opted for extraction for health and financial reasons. he wrote back a long email of questions. Would you have an opinion about any of these questions he asked and answers I am going to give Bryanna..
Did the cleansing and reshaping he did ease pain? The burning pain did ease, and I was able to eat food and drink again, but I still had a sore jaw and face, was rundown and blood sugars were still high.
I had told him that the new dentist I saw did an xray and said there was a very large abscess at the end of the molar. He said that he had examined my chronically infected molar that needed to be retreated and said it was asymptomic and would not be causing me pain or problems with my diabetes? The tooth did not hurt but I feel that any infection/abscess would hinder my blood sugar control.
Did I mention to the oral surgeon that he thought I may have neuraliga or neuropathy and was I goin to go to the specialist he referred me to for this?
I told my medical doctor this idea and she said the pain could be infection and after the teeth are out if the pain comes back we could look into this specialist. But her priority was to deal with the infection.
He said he would have liked to be contacted and consulted by the oral surgeon and other dentist I saw before anything was done and also that he could have helped them with the treatment plan.
The surgeon did ask me if I wanted him contacted to discuss things and I said no as I would not continue rct.
He asked if He could call the oral surgeon Monday? If he likes he can.
Other than the shock of having the teeth out now and the annoying email I think everythings going well so far. My bloods had been around 11-13mml day of and days before the extraction. Lastnight they had dropped to 4.1mml for the first time since December. They have consistently been between 4.8-8.5 for the past 24 hours. It could be some sort of placebo or that stress is less now but I dont think so.
I have been eating yogurts since yesterday and tried some soft boiled egg a while ago which I think was a bad idea as I have food stuck in the extraction sites now!. Going to rinse with some salt water in a little while.
Anyway sorry for all the questions..again!
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