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Old 08-03-2015, 12:58 PM
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Bryanna Bryanna is offline
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Join Date: Feb 2007
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15 yr Member
Bryanna Bryanna is offline
Grand Magnate
Bryanna's Avatar
 
Join Date: Feb 2007
Posts: 4,624
15 yr Member
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Hi KateJK,

Okay just to clarify...... you had an upper "partial" denture replacing 3 upper right teeth. Two teeth were added to this existing partial to replace the 2 upper left teeth recently extracted. You began wearing this newly re-fabricated partial denture immediately after the upper left teeth were extracted.

It is not uncommon to insert the newly fabricated partial denture in the mouth immediately following new extractions. However, there are certain protocols to follow to help avoid post op complications, pain and delayed healing that you may not have been informed about. So although it is now after the fact, I will post them here just in case they are helpful to you or someone else reading along here.

New partials that are covering surgical wounds from tooth extractions have to be gently worn during the initial healing. During this period, the wearer should:

** see their dentist for minor adjustments because if the partial is rubbing too severely painful sores can develop; the wounds may not heal completely; food can become impacted in the wounds; gum tissue could heal oddly causing some exposure of bone.

** avoid eating food that requires a lot of chewing and basically stick to a soft food diet until the wounds heal closed and the partial is comfortable because the chewing of food on the partial, even if it is on the unaffected side of the mouth, is still putting a lot of pressure on the surgery side.

** not wear the partial all day and definitely not to sleep. It is meant to be worn for periods of time throughout the day gradually increasing the amount of time as it becomes more comfortable.

Regarding the lingering pain that you have in the area of the recently extracted teeth.... your dentist needs to take a thorough look at this area to see if you have an infection; bone exposed or have developed scar tissue or excess granulomas (over growth of) tissue. He also needs to take one if not two periapical xrays of this area to see if there is infection in the bone, retained pieces of teeth or other bony fragments.

Regarding the pain on your lower left molar.... this tooth can be injured from the partial not fitting properly during the initial healing phase as you may have been hitting into it too hard during chewing. When a tooth is injured like that, the periodontal ligament that surrounds the exterior circumference of the root structure of the tooth in the bone becomes inflamed and would cause the tooth to be sore when touched. However, the fact that the gum becomes inflamed is indicative of an ongoing bacterial problem with the gum and possibly the tooth. It is never okay if you have an area where food gets packed in between the gum and the tooth. This indicates a poor fitting restoration and/or tooth or gum disease. Is this tooth root canaled? Do you have periodontal disease?

Bryanna




Quote:
Originally Posted by KateJK View Post
Hi there. I am a 35 year old woman. I have had a whole host of dental issues this past year and have lost 7 teeth. It has been awful and I so badly want to be out of pain. Most recently, I lost the two upper left back molars. I was already wearing a partial denture (because I lost the back three upper right teeth), so when I lost these two upper left ones, they added teeth to the denture on the left. I started wearing the denture after the extraction and it was rubbing very badly. However, I was out of town and couldn't go for an adjustment for a week. (I should've stopped wearing it, but we were at a resort and I was embarrassed to be without… and needed it to eat). When I returned, I went for three adjustments, and my dentist got it to the point (just yesterday) where I can now wear it. However, it rubbed SO badly for so long that I am in so much pain now (even with it out). It feels like my gums are bruised and there is referred pain up behind my gums and into my cheek, and sometimes even into my jaw joint. It's awful. Is this amount of pain normal? I am taking Aleve and T3s to control the pain, but am wondering if maybe I have an infection from the rubbing (no noticeable infection is present, but perhaps it's a possibility??)

Also, I have a sore back molar on the left bottom (yes, another tooth issue. Ugh!). I have this horrible feeling that maybe I'm ALSO feeling pain from this tooth that is being referred to my upper teeth? Is that possible? I should explain that this tooth is just a little sore if I press on it, but otherwise, seems fine. It hasn't ached in the past. But the gums around it occasionally get inflamed since getting a big filling it about 6 months ago. My dentist seems to think it's just a sensitive tooth, and perhaps food getting trapped around can make it sore as well? It is not sensitive to hot or cold and there is no sharp pain present.

Any advice you have is so greatly appreciated. Bryanna, I see that you have so much expertise, that if you have time to read and respond, I would be in your debt. I should mention that I do plan on getting dental 5-7 dental implants, once all of my healing takes place. I simply cannot wait to not wear this denture anymore. It has not been pleasant thus far. I'm considering seeing a denture specialist as I have just received my denture through my dentist, and it is not her speciality. Thoughts on this as well?
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Bryanna

***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.***
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