Hi,

Hope eveyone is doing good. I've had two crowned teeth break off at the gum line. My dentist said the canine tooth will need to have a dental implant. Is this possible with RSD?

Thank you, Pam

Ya know, Pam.
I don't know?
I had my 2nd accident, which planted my skull into the top O' windshield, which, I felt several 'clicks', which were apparently (to me) my head hitting the top of the windshield,
(convertible, top down), then, teeth jammed, and four discs, herniating.
I had a Very expensive pair of sunglasses on (Vuarnets), and yet, the only thing busted, was my head, and four discs, two in my neck, two in my low back, BUT ALSO, I was spitting bits of teeth for a long time!

I don't have molars (sp) any longer, thank God, I never let my dentist take my wisdoms!
(I got them impacted a few times, and he suggested to pull, but I said no).
I have an exotic menu!

Anyway, where were we going?

Oh! Yea!

Did you have an accident / incident that impacted on those teeth?
Because I'm having to fight for everything.

As we all do.

I'm so sorry, that I can't help if you weren't hit there.
If you were, I hope you dentist, (Or some doctor has a record of it.)
I don't have that record, even though it's true.
Nobody bothered, except perhaps the guy in the ambulance.

It's a tough thing to prove,
but, we get 'tight' and you must make your docs aware, that you awake,
after grinding, and you spit teeth.

It's just a nasty side effect, that most docs aren't ready to stand behind!

Bastards....

Did I say that?

So sorry!

I'm getting older, been let down by most docs, and I'm sick of it!
I'm ready to throw myself under a bus!


P

Hi

I've had RSD for ten years, the result of a broken elbow. RSD does bad things to your teeth. My two front teeth (crowned) broke off at the gum line. My dentist says the canine tooth needs to be replaced with an implant. What I'm asking is if anyone with RSD has had an implant and what the result was or if anyone has ideas about RSD and dental implants.

Pam

Pam:

I have had ALOT of dental work done lately and I have had RSD for too long. I have had both sides of my wisdom teeth taken out, had to have bone removed, and during that the nerve was exposed but it had to come out because my face was going numb because the tooth was growing into the nerve.

I look at it this way... it has to be done. I mean, we all need our teeth right? So first and foremost, find out the procedure, how many days, how they do it etc... What the recovery time is for MOST people... and give yourself a month to recover I have found. Also, if you can get a stellate block to block your face that morning when they drill and put the screw in, That will help prevent a big flare up. Also, medications about 3 days before and after... like for instance, neurontin or lyrica some type of nerve medication at a high dose to kind of put a protection on your nervous system for when it is done, and then after have a strong enough pain medication if you have general mouth pain, and take advil for inflammation. The neurontin is a BIG one though... its a big help. And I also take tramadol with the neurontin just as a prevention before to have my body guarded before. It would help alot if you had music in your ears or nitrus so you were kind of out of it so you dont have to feel or listen or hear the drilling to whats going on. And then rest rest rest afterwards. Have yogurt and foods that are soft to eat for you.

I have noticed that no matter what happens in my mouth its harder than I expect. I have RSD in my mouth though... BUT, Doing these steps with medicine and block before will definately help prevent flare or extreme pain. Also find out the amount of time you have to wait when they put the semi, and then the permanant in... like what the timeframe is, to see how you can prepare yourself in between the two...

Thats my experience and advice. I have had family members have those, but I have not myself, but I have had alot of dental work in my mouth. Also, Get a extra soft toothbrush and sensitive toothpaste because I can guarantee that your gums are going to be extremely sore afterwards to use a normal toothbrush.

You can totally do it and WILL be okay!!! If you would like look at the different RSd websites for some more information on dental work if you want some published articles. Good Luck!!! You will do great!

Hannah

I wonder if the bone loss will continue and the implant will fall out? Pam

I go tomorrow morning to Ohio State to the dental school for an appointment with the faculty clinic. I have two teeth that are broken, 3/4 of them down to the gum, with only one corner sticking up. The tooth behind one of them is SO painful!

My regular dentist sent me to an oral surgeon. He is sending me to OSU. He says I should have a sympathetic block before doing anything with the teeth. My pain doc at Cleveland Clinic agrees. I can have fillings done ok - but having a tooth removed, or possibly a root canal - get a block done first!

My problems are caused by having the RSD in one lower jaw, and also by not having my pain managed. I've tried pain meds, they just don't help. So, I am gritting my teeth all the time, which causes them to fracture and break. It also causes a LOT of pain in my teeth.

The Oral Surgeon said I need to have a custom mouth piece made to wear at night, or when in a lot of pain that will cushion my teeth to prevent damage when I grit them.

I don't know about an implant. I think I would just have the tooth pulled and not have the implant.

I'll try to remember to come back here and let you know what the OSU dentists say about my issues. Perhaps something they say will help you know what to do, or how to approach the RSD during a dental procedure.

Well - what a wasted day. No one at the OSU dental clinic had a clue about RSD.

I'll get in touch with my doc at Cleveland Clinic and see what she says.

Sorry, I didn't find out a thing that would help you with your implant.

I was really hoping that the faculty clinic would know SOMETHING about RSD.

I know your post is old, however this information is important.

I get an RSD attack from the subtle car vibrations.
So having a hole being drilled in my jaw is a concern.

I have had RSD for 30 years now. I was doing great until I got rear ended in a car accident. I have several teeth that need attention.

I would need a bone graft from a cadaver. That is a concern also, not knowing what the person had or died from !!

Pam,
I had a consult with a good oral max surgeon over this issue.
He said he wanted to do a bone graft first. He would also use cadaver tissue.
This would set for about 3 - 4 months.
Then he felt he would have enough bone to work with.

The however is, the drilling a hole in the bone, and putting a huge screw in.
That is the issue I see for us RSD people.

My surgeon is going to check with another surgeon that has more experience with RSD and has researched this issue. So I will know more next week.

This is major surgery for us with the RSD. I found other sites that people with RSD had implants put in, but they were in pain and were looking for help.

I just had a lower moler pulled and it does leave a gaping hole.

The surgeon did mention that tooth buds were going to be available soon.
Sounds like a 'seed' is planted and the tooth grows!!
That sounds a whole lot better !!

I would definitely do a lot of research and before making any decisions about whether to go forward with this surgery you should ask yourself:

Is it worth the risk of spread of RSD to your mouth?

I can't speak for your own situation, but this year I have finally started the process of getting a lot of work done in my mouth...and I need a LOT. I've had to have 7 teeth pulled this year all together...most because they needed root canals and I have heard that is a no-no with RSD...better to just get them pulled so that's what I did. One was a tooth that broke off at the gum line.

In MY case, I decided to go with bridges instead of implants. I don't know if this is an option for you...but in my case it definitely felt like the safest route to go. My next choice would probably be to go for dentures rather than have an implant done because of my concern over the risk of spread. Admittedly...spread could also be caused by a simple tooth extraction...but I'm playing the odds in this decision and it's what I'm most comfortable with (and since I've had a significant amount of spread already it's a pretty big concern for me).

I also want to mention that I went to a sedation dentist for all of the work I've had done this year, including the tooth extractions and both dental bridges that were put in. I think this has made it a lot easier on me being "knocked out" for the procedure.

Just be very firm with your dentist on what you will and will not do and they can usually work around it. There are so many options out there these days with bridges, implants, snap-on smile things, etc...there's something they can do that will hopefully work with your budget and also with what you are comfortable with as a patient with RSD. Do your research and make sure you are comfortable with the risks you are taking regarding spread before you make any final decisions.