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Thanks for the info abou the site. I am trying to to get food in it but its inevitable. Its HUGE deep opening since stitches only lasted two days. But I have been rinsing gently but well with slat wayer after every time
So hopefully its staying as clean as possible without starving! Interesting its okay that everything can just go in there though...
Seems weird but then I guess you wouldnt want to close anythjng off either.
I remember my mom getting "packing" but that moght have been for gum work.


Ill feel better after having at least another person look at it tomorrow.
I might see this same (new local) person through on this extraction job but definitely still open to shopping around for future work. I will try to PM tomorrow. (I have to figure out the forum a little!)
I REALLY appreciate your help and willingness to explain aome things.
And to help find a good dentist amd oral surgeon moving forward.

Anna
QUOTE=Bryanna;1133060]Hi annanut,





Yes, PM me with some locations and I will see what I can find for you. I can review professional websites and usually decipher between BS and reality.

The bone graft material is put into a bloody socket of numerous cells as a means of stimulating your immune system to go through a natural bone building process. The bone graft itself does not become solid. The growth of new bone integrates with the graft material to form solid bone. So the idea is to have a healthy bloody socket with lots of healthy cells swimming around to hold onto enough bone graft material to form new bone. The more graft you lose, the less bone will form.

Everything that you eat, drink, and rinse with will enter the surgical site. It imperative to not eat near the surgical wounds to avoid food impaction and to be mindful of drinking so as to avoid disturbing that area as much as possible. Avoid using a straw as the sucking motion can dislodge the graft. Drink normal but refrain from anything other than water as sugary drinks, spicy drinks, and caffeinated drinks will irritate the oral tissue and can disturb the healing cells. Rinsing gently with warm salt water 3-4 times a day keeps bacteria down and is therapeutic for healing. Avoid alcohol and mouthwash altogether. Both of which reduce the production of saliva and slow down the healing process. If the graft and blood clot have not married (combined properly) then the end result will be bone loss, not bone growth.

The white inside of the socket can be food debris, pus or normal tissue. Do not try to dig in there with anything to remove it. The clot does not stay red as it mixes with the graft and cells, etc.

Bryanna




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Hi Bryanna,

Thanks for all of your help. So I went to a local oral surgeon to double check the site. He said it indeed looked "angry" but that it was most likely just due to the stitches coming out so prematurely. He said the pain, was indeed likely due to the exposed remaining tooth. The gums swelled and pulled away from the tooth exposing very deeply. While he didn't have any great solutions for the pain other than to wait and encourage it to heal as fast as possible, it was at least good to hear there was a reason for the intense pain that GREW about 4 days post extraction. Whereas the other doc was non-plussed. It seems - I think - that the graft isn't infected, as I think Id be experiencing swelling and pus an pain growing by now? Third week? I'd love your thoughts on that. I'm not sure how quickly indicators would be expected.

I continue to irrigate genetly to get food out of the site, but am happy to be chewing some food at last! (Nothing crunchy… but, at least not boring soup)

I unfortunately still need one more tooth out. I'm concerned about having done by the first guy, due to the poor stitching, and curious response to my concenrs/pain. Also, because he is not local and check-ups are too challenging. BUT, I like them because they are bio (at least in some part), and I know they will remove the ligament etc. The local guy I don't think will do this, but I could inquire. Torn. Wish so much there was a GOOD BIO dentist nearby. I'll PM you the names of folks and I appreciate your offer to help vet them and see if there's anyone in my area!!!!!

Going to go figure out how to PM on here now!

Thanks again Bryanna.
Anan

Yes, PM me with some locations and I will see what I can find for you. I can review professional websites and usually decipher between BS and reality.

The bone graft material is put into a bloody socket of numerous cells as a means of stimulating your immune system to go through a natural bone building process. The bone graft itself does not become solid. The growth of new bone integrates with the graft material to form solid bone. So the idea is to have a healthy bloody socket with lots of healthy cells swimming around to hold onto enough bone graft material to form new bone. The more graft you lose, the less bone will form.

Everything that you eat, drink, and rinse with will enter the surgical site. It imperative to not eat near the surgical wounds to avoid food impaction and to be mindful of drinking so as to avoid disturbing that area as much as possible. Avoid using a straw as the sucking motion can dislodge the graft. Drink normal but refrain from anything other than water as sugary drinks, spicy drinks, and caffeinated drinks will irritate the oral tissue and can disturb the healing cells. Rinsing gently with warm salt water 3-4 times a day keeps bacteria down and is therapeutic for healing. Avoid alcohol and mouthwash altogether. Both of which reduce the production of saliva and slow down the healing process. If the graft and blood clot have not married (combined properly) then the end result will be bone loss, not bone growth.

The white inside of the socket can be food debris, pus or normal tissue. Do not try to dig in there with anything to remove it. The clot does not stay red as it mixes with the graft and cells, etc.

Bryanna




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