Implants

watsonsh · 08-29-2008, 08:35 PM

Bingo Hydrogen Peroxide! I will give it a try. How long should I soak in the hydrogen peroxide?

Have my second impant consultation next week and will update you.

[QUOTE=Bryanna;357524]Hi Shelley,

In most cases, it is definitely better to wait 6 months post healing of the dental implant surgery before placing the crowns. The last thing you want to do is chew on implant crowns before the actual implant has adequate time to integrate with the bone. Your dentist may be rushing it a bit because he knows it will be diffcult for you to eat without those teeth up there. However, better to play it safe rather than be sorry you didn't.................

Fungal infection of the oral tissue is quite common. Especially in people who have any autoimmune condition, diabetes, digestive disorders or other chronic health conditions that affect the immune system. It is also commonly seen in people who wear any type of dental appliance that covers the oral tissue for any length of time....... like a mouth guard, night guard, partial or complete denture or ortho retainers. Oral fungal infections are hard to get rid of and sometimes require medication. However, a person can keep reinfecting themselves if they don't figure out what the culprit is and change it. It would be best to let your dentist have a look and diganose it for you. There are other oral conditions that look similar and should not be ignored.

If you want to clean your appliance thoroughly, you can use a diluted bleach or hydrogen peroxide solution along with manually brushing it with a toothbrush. Efferdent and those similar to it are meant to clean the appliance but they are meant to be thoroughly rinsed off before wearing the thing. Listerine and those mouthwashes similar to it may kill some of the germs, but they are not healthy for the gum tissue. The ingredients in those mouthwashes are very harsh and irritating to the delicate gum tissue. The alcohol content in them acutally causes a reduction in saliva flow which predisposes the user to tooth decay. SO...... they are actually more of a risk than anything else.

The healthy mouth has over 400 different strains of bacteria, both good and bad. It is not meant to be a sterile place and there is no way to make it that way. When we attemtpt to "kill the germs" via harsh mouthwashes or toothpastes, all we are doing is setting up an environment for new strains of bacteria to develop to replace those that are being repeatedly killed off. Proper brushing and flossing with non harsh/toxic medicaments along with a balanced diet and plenty of drinking water is all that is needed to maintain a healthy bacterial balance in our mouths.

Ok Shelley...... keep us in the loop!!

Bryanna

Bryanna · 08-29-2008, 08:52 PM

You can use a 50/50 hydrogen peroxide/water solution to soak the appliance in. Brush it thoroughly before and after you soak it. It could soak for as little as 20 minutes or as long as a few hours. The idea is to neutralize the bacteria so as not to encourage additional bacteria to form on it. When you are not wearing or soaking the appliance, keep it dry and in a closed container. This will discourage bacteria from forming on it! Remember, bacteria thrive on or in warm, moist places!!!!

If you are thinking of using a mouth rinse, I would suggest using one without alcohol and with the ingredient Xylitol in it. Xylitol can kill fungus and keep it at bay......... so long as the appliance is kept clean and "neutralized".

[QUOTE=shelley;357528]Bingo Hydrogen Peroxide! I will give it a try. How long should I soak in the hydrogen peroxide?

Have my second impant consultation next week and will update you.

Quote:

Originally Posted by Bryanna

Hi Shelley,

In most cases, it is definitely better to wait 6 months post healing of the dental implant surgery before placing the crowns. The last thing you want to do is chew on implant crowns before the actual implant has adequate time to integrate with the bone. Your dentist may be rushing it a bit because he knows it will be diffcult for you to eat without those teeth up there. However, better to play it safe rather than be sorry you didn't.................

Fungal infection of the oral tissue is quite common. Especially in people who have any autoimmune condition, diabetes, digestive disorders or other chronic health conditions that affect the immune system. It is also commonly seen in people who wear any type of dental appliance that covers the oral tissue for any length of time....... like a mouth guard, night guard, partial or complete denture or ortho retainers. Oral fungal infections are hard to get rid of and sometimes require medication. However, a person can keep reinfecting themselves if they don't figure out what the culprit is and change it. It would be best to let your dentist have a look and diganose it for you. There are other oral conditions that look similar and should not be ignored.

If you want to clean your appliance thoroughly, you can use a diluted bleach or hydrogen peroxide solution along with manually brushing it with a toothbrush. Efferdent and those similar to it are meant to clean the appliance but they are meant to be thoroughly rinsed off before wearing the thing. Listerine and those mouthwashes similar to it may kill some of the germs, but they are not healthy for the gum tissue. The ingredients in those mouthwashes are very harsh and irritating to the delicate gum tissue. The alcohol content in them acutally causes a reduction in saliva flow which predisposes the user to tooth decay. SO...... they are actually more of a risk than anything else.

The healthy mouth has over 400 different strains of bacteria, both good and bad. It is not meant to be a sterile place and there is no way to make it that way. When we attemtpt to "kill the germs" via harsh mouthwashes or toothpastes, all we are doing is setting up an environment for new strains of bacteria to develop to replace those that are being repeatedly killed off. Proper brushing and flossing with non harsh/toxic medicaments along with a balanced diet and plenty of drinking water is all that is needed to maintain a healthy bacterial balance in our mouths.

Ok Shelley...... keep us in the loop!!

Bryanna

watsonsh · 09-01-2008, 12:45 PM

Quote:

Originally Posted by Bryanna

You can use a 50/50 hydrogen peroxide/water solution to soak the appliance in. Brush it thoroughly before and after you soak it. It could soak for as little as 20 minutes or as long as a few hours. The idea is to neutralize the bacteria so as not to encourage additional bacteria to form on it. When you are not wearing or soaking the appliance, keep it dry and in a closed container. This will discourage bacteria from forming on it! Remember, bacteria thrive on or in warm, moist places!!!!

If you are thinking of using a mouth rinse, I would suggest using one without alcohol and with the ingredient Xylitol in it. Xylitol can kill fungus and keep it at bay......... so long as the appliance is kept clean and "neutralized".

Wow Byranna, I got some mouthwash and tongue spray with the Xylitol init and it certainly helped the canker like sore at the back of my mouth where the temp is. The next day I was like wow, noticeable improvement.

So can I soak the mouthguard in this mouth wash as opposed to the efferdent or is the efferdent better because it fizzes etc?

Also did the hydrogen peroxide soak and that was very helpful. The guard felt like the buildup was reduced.

Gonna take the piece to my dentist appt this week and ask if they can superclean and polish

Great tips Byranna thanks!

Bryanna · 09-01-2008, 08:00 PM

Hi Shelley,

Yea, the xylitol is pretty amazing stuff! We've been recemmending "Spry" gum and mints to our patients for a few years and those who use them on a daily basis have fewer cavities and healthier gums!

You could soak the appliance in the xylitol wash but I would also add some hydrogen peroxide to it. The fizzing action of the efferdent is just that..... a fizzing action with no real cleaning benefit. It is marketed to look like it's doing something but it's only a temporary fizz.......le at best. Just make sure you brush your appliance thoroughly before you put it in your mouth irrelevant of what you soak it in.

Your dentist can put your appliance in a soaking solution in the ultrasonic cleaner and that may remove some of the hard buildup. The best way to keep the buildup from occuring is to brush it thoroughly after every use and then again after soaking. There will always be a little bit, but this can reduce it to a minimum.

Also, please have your dentist check that sore area near the temporary. Hopefully it's just a canker sore but he should look at it anyway.

Keep us posted on how things are going! I'm here if you need me :-))

Bryanna

Quote:

Originally Posted by shelley

Wow Byranna, I got some mouthwash and tongue spray with the Xylitol init and it certainly helped the canker like sore at the back of my mouth where the temp is. The next day I was like wow, noticeable improvement.

So can I soak the mouthguard in this mouth wash as opposed to the efferdent or is the efferdent better because it fizzes etc?

Also did the hydrogen peroxide soak and that was very helpful. The guard felt like the buildup was reduced.

Gonna take the piece to my dentist appt this week and ask if they can superclean and polish

Great tips Byranna thanks!

watsonsh · 10-11-2008, 02:06 PM

Hey Byranna,

I have an update for you.

Met with the second oral surgeon who my dentists says is better at gone grafting than the first one I saw.

So we have a several part plan.

1. Going to have teeth #2 and #4 pulled and he will prepare them for implants. Tooth #3 was the space in the bridge I had and will also be prepared for implants.

2. The oral surgeon will pull these and then do some bone grafting around the area of #2.

3. Then he will come back after a few months in between and do a sinus lift. If he can do it the same time as the extractions and bone graft he will otherwise he will separate them

4. Friday I had impressions taken for a flipper for the upper right. I will wear this in the interim.

5. After 6-7 months of the bone graft and the sinus lift, the oral surgeon will place the implants sockets???.. Then that will heal and he will place the actual implant. So I expect it to be a 11 month process.

6. After he places the actual implants I will go back for the 3 crowns.

7. Simultaneous to the first proccess on the upper right of the extractions, the oral surgeon will also extract #18 on the lower left which I gather is a wisdom tooth.

8. They will then straighten the teeth forward to that #17 through orthodonture. This is in anticiation for the bone graft and eventual impants on the lower left that will be in front of #17. Thats where that bone is thin from older extractions. But they feel that they can graft it successfuly and then do impants.

9. The bone grafting on the lower left will likley be more mid 2009 to 2/3 into the year with the end date for impants and crowns in mid 2010.

So thats the plan. The extractions will come out in about 3 weeks.

Any suggestions or insights you have are appreciated.

Thanks
Shelley

Bryanna · 10-25-2008, 05:27 PM

Hi Shelley,

Sorry for my delay in replying to you.... I have a daughter getting married in a few weeks and I've been busy, busy, busy! To make reading this a bit easier, I will answer you at each question in capital letters.

Quote:

Originally Posted by shelley

Hey Byranna,

I have an update for you.

Met with the second oral surgeon who my dentists says is better at gone grafting than the first one I saw.

So we have a several part plan.

1. Going to have teeth #2 and #4 pulled and he will prepare them for implants. Tooth #3 was the space in the bridge I had and will also be prepared for implants. <OK, GOOD>

2. The oral surgeon will pull these and then do some bone grafting around the area of #2. <OK, GOOD>

3. Then he will come back after a few months in between and do a sinus lift. If he can do it the same time as the extractions and bone graft he will otherwise he will separate them <OK, MAKES SENSE>

4. Friday I had impressions taken for a flipper for the upper right. I will wear this in the interim. <OK, THIS WILL GIVE YOU SOME CHEWING ABILITY BUT YOU MAY (OR MAY NOT) NEED TO SEE YOUR DENTIST FREQUENTLY FOR THE FIRST COUPLE OF WEEKS FOR ADJUSTMENTS.>

5. After 6-7 months of the bone graft and the sinus lift, the oral surgeon will place the implants sockets???.. Then that will heal and he will place the actual implant. So I expect it to be a 11 month process.
<THE EXTRACTION, BONE GRAFTING AND SINUS LIFTS WILL REQUIRE ABOUT 6-8 MONTHS OF HEALING. ONCE THE SURGICAL SITES HAVE HEALED AND THE BONE GRAFTS HAVE INTEGRATED WITH YOUR JAWBONE, THE SURGEON WILL PLACE THE ACTUAL TITANIUM IMPLANTS IN THE HEALED "SOCKETS" WHERE YOUR TEETH HAD BEEN.>

6. After he places the actual implants I will go back for the 3 crowns.
<THE HEALING PHASE AFTER THE IMPLANTATION OF THE DENTAL IMPLANTS IS ABOUT ANOTHER 6 MONTHS. CROWNS CAN ONLY BE PUT ON AFTER THE IMPLANTS HAVE INTEGRATED WITH THE BONE AND THIS TAKES ABOUT 6 MONTHS.>

7. Simultaneous to the first proccess on the upper right of the extractions, the oral surgeon will also extract #18 on the lower left which I gather is a wisdom tooth. <TOOTH #18 IS NOT A WISDOM TOOTH. IT IS YOUR LOWER LEFT SECOND MOLAR. TOOTH #17 IS THE WISDOM TOOTH>

8. They will then straighten the teeth forward to that #17 through orthodonture. This is in anticiation for the bone graft and eventual impants on the lower left that will be in front of #17. Thats where that bone is thin from older extractions. But they feel that they can graft it successfuly and then do impants. <WILL THEY BE USING BONE GRAFT MATERIAL OR ARE THEY HARVESTING BONE FROM ANOTHER AREA OF YOUR MOUTH? HOW LONG DO THEY ANTICIPATE THE ORTHODONTIA WILL TAKE?>

9. The bone grafting on the lower left will likley be more mid 2009 to 2/3 into the year with the end date for impants and crowns in mid 2010. <OK>

So thats the plan. The extractions will come out in about 3 weeks.

Any suggestions or insights you have are appreciated.
<IT SOUNDS LIKE A SOLID PLAN TO ME. THE ONE THING THAT I WOULD STRESS TO YOU IS THIS...... IT IS IMPERATIVE THAT THE HEALING PHASES OF ALL OF THIS TREATMENT TAKE AS LONG AS NECESSARY TO HELP AVOID ADDITIONAL SURGERIES SIMPLY BECAUSE TREATMENT WAS RUSHED WHEN IT SHOULD NOT HAVE BEEN. THIS SOMETIMES HAPPENS WHEN A DENTIST OR PATIENT GETS IMPATIENT ABOUT THE LENGTH OF TIME IT ALL TAKES TO COMPLETE. PLEASE KEEP US POSTED ON HOW THINGS ARE GOING!!>

Thanks
Shelley

watsonsh · 10-25-2008, 08:31 PM

Thanks Byranna. Oooooo I love weddings ...Congrats and I hope its fantastic.

I see the orthodontia guy in 2 weeks about 17 and 18. Guess I reversed the numbers.

Then we do the first implant surgery on the 10th they are only doing 2,3 and 4. The oral surgeon did not want to extract the wisdom tooth on the same day which was fine with me. He wants to wait for the orhtodontist to see me first. IF they take out 17 they want to upright 18 for the eventual graft and implants on the lower left. However when talking to the ortho office they told me 18 has a post and crown so uprighting may be tough.
Oh and to answer your question the oral surgeon prefers my own down for the graft so no grafting material. Are there any supplement syou can take to help the graft take? More D more calcium?

P.S. Did you get an awesome dress for the wedding????? We want pics!

Bryanna · 11-07-2008, 04:41 PM

Hi Shelley,

First. tooth #17 is the wisdom tooth. Tooth #18 is your lower left second molar so I'm not sure what you mean by "upright" tooth #18.

Something else to think about........ any tooth that has a post in it also has been root canaled. So if this is true with #18, it may not be wise to move that tooth orthodontically. Moving teeth orthodontically, especially in adults, is very tricky. The bone becomes more dense as we age and moving healthy teeth, not root canaled, can cause irreversible trauma to the nerve of the tooth. That's why it is so important to have the teeth move very gradually in an attempt to minimize the trauma to the tooth and the bone. With root canaled teeth, the tooth is already in an unstable state as you have found out with your other root canaled teeth. A post in a tooth compromises the integrity of the anatomy of the tooth because it acts like a wedge against the interior wall of the root. Most of the time, teeth that have posts are either fractured or will become fractured just from chewing on them because of this unnatural tension inside the root from the post. Moving these teeth orthodontically may not be worth the pain and effort in the long run.

Grafting....... where is the surgeon taking bone from to be used as grafts?

With or without oral surgery, it is wise to supplement with a combination of vitamins to help our body heal during times of any trauma. It is not the quantity of the vitamin that makes it effective, it is the quality of the vitamin that is crucial. Some excellent brands are..... Biotics Research, Pure Encapsulations, Douglas Labs, Nordic Naturals, Enzymatic Therapy, Nutricology, New Chapter, Metagenics, .................

It is also important to take supplements with food because they require digestive enzymes for proper absorption. A good multi vitamin from a reputable company along with extra vitamin D3 is a good start. Our patients, as well as myself and family, supplement with Biotics Research Bio D Mulsion Forte daily. This is an emulsified form of vitamin D3 and very easily absorbed. The RDA recommends 1000 IU's per day but the research shows that most people, unless you live in the Caribbean, are vitamin D deficient. Therefore, Integrative and knowledgable physicians are recommending a minimum 2000-3000 IU's per day for healthy people and many times that dosage for people who are severely deficient. It is highly recommended by these physicians that all people of all ages get tested for this deficiency via a blood test called 25 hydroxy vitamin D so the proper dosing can be recommended.

I will try to peek in here on occasion........ and yes...... I'll post wedding pics for sure!!

Bryanna

Quote:

Originally Posted by shelley

Thanks Byranna. Oooooo I love weddings ...Congrats and I hope its fantastic.

I see the orthodontia guy in 2 weeks about 17 and 18. Guess I reversed the numbers.

Then we do the first implant surgery on the 10th they are only doing 2,3 and 4. The oral surgeon did not want to extract the wisdom tooth on the same day which was fine with me. He wants to wait for the orhtodontist to see me first. IF they take out 17 they want to upright 18 for the eventual graft and implants on the lower left. However when talking to the ortho office they told me 18 has a post and crown so uprighting may be tough.
Oh and to answer your question the oral surgeon prefers my own down for the graft so no grafting material. Are there any supplement syou can take to help the graft take? More D more calcium?

P.S. Did you get an awesome dress for the wedding????? We want pics!

watsonsh · 01-05-2009, 10:56 PM

Hey Byranna,

Happy New Year!

So a little update and a question.

I had the two teeth extracted on the upper right in mid November. THey also did the bone graft.

I have struggled with some infections (two that I have taken antibiotics for). One was definitely an infection but the other I am not sure about and maybe was extremem inflammation. I do find that if I dont wear the flipper that I clench so hard at night and throughout the day that the area gets very sore and inflammed.

So anyway I do think this whole thing has changed my bite (with and without the flipper). I really hate the flipper but I have learned the importance on wearing to help the daytime clenching and nigth time clenching.

THe most interesting thing is sinus drainage and lately I am having trouble on my left side with drainage and especially draingage of my left tear duct.

Do you think in any way its related?

I go back in Late January to the dentist to see how its healing and how long before we do the next step.

THe lower left is on hold right now until the next two steps have been taken on the upper right in terms of the implnats being put in and the crowns on (about 2/3rds through the year)

Anyway thats all!.

Hope your holidays were great.

Bryanna · 01-06-2009, 09:14 PM

Hey Shelley...... Happy New Year to you too!!

Ok, so #'s 2 and 4 are out, bone graft placed and you are wearing the flipper over that area.

I have some questions.....
Do you know what they used for the bone graft? I assume the infection you had was in the upper right after the oral surgery? How long after the surgery did you get the first infection...... then the second one?? Did they remove the graft or leave it in? Are you having abnormal sinus drainage from the right nostril as well as the left?

I don't think the sinus and eye drainage on the left side is likely due to any dental work that was done on the right side unless you have a sinus infection or abnormality blocking up the right sinus that would affect the left side. By any chance, do you have other root canaled teeth on any of your other upper teeth?

Dental treatment can be an ongoing process with unanticipated and unwanted issues that pop up. Especially when the work is extensive and invasive like yours. Before any implants are placed in that UR quaudrant, I would wait about 5 months at least to have another panorex xray and a couple of periapical xrays to make sure that the area is very healthy.

If the sinus and tear duct drainage does not subside sooner than later..... I would let the dentist know this has been ongoing and would like him to take a look at everything. Especially any other upper teeth that have root canals.

Hey Shell.......... good to hear from you! Please check back in soon....

Bryanna

[shelley;439672]Hey Byranna,

Happy New Year!

So a little update and a question.

I had the two teeth extracted on the upper right in mid November. THey also did the bone graft.

I have struggled with some infections (two that I have taken antibiotics for). One was definitely an infection but the other I am not sure about and maybe was extremem inflammation. I do find that if I dont wear the flipper that I clench so hard at night and throughout the day that the area gets very sore and inflammed.

So anyway I do think this whole thing has changed my bite (with and without the flipper). I really hate the flipper but I have learned the importance on wearing to help the daytime clenching and nigth time clenching.

THe most interesting thing is sinus drainage and lately I am having trouble on my left side with drainage and especially draingage of my left tear duct.

Do you think in any way its related?

I go back in Late January to the dentist to see how its healing and how long before we do the next step.

THe lower left is on hold right now until the next two steps have been taken on the upper right in terms of the implnats being put in and the crowns on (about 2/3rds through the year)

Anyway thats all!.

Hope your holidays were great.[/QUOTE]

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