Oral Surgery Today

Discussion in 'The Pub' started by GAD, Apr 28, 2015.

  1. GAD

    GAD Wubbalubbadubdub Silver Supporting Member

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    TL;DR - I'll be posting under the influence of Percocet due to oral surgery either later today or tomorrow. Stay tuned for hilarity!

    I'm having multiple teeth extracted and a sinus lavage today. If medical talk makes you squeamish, you should probably stop reading.

    Disclaimer: I'm a lot of things, but I'm not a dentist. Or a doctor. I've never even been in a Holiday Inn Express. I'm just a guy in pain. Apologies to the professionals if I get any terms wrong.

    I've been having problems for 15-20 years ever since I got kicked in the teeth sparring when I did martial arts. Many root canals ensued, I've had cracked teeth, multiple re-treatments, apicoectomies, extractions, and all on the same row of teeth - it wasn't good. That one kick has probably cost me $40,000 over the years.

    Over the past 5 or so years I've been complaining of constant pain and pressure. ENT says it's fine, must be teeth. Dentist takes x-rays, says it's fine, must be sinuses (sinus looked clogged on x-ray). Regular doc says it might be tri-geminal neuralgia. Sigh. This went round and round. I'd finally beg for antibiotics because I was symptomatic for a sinus infection, and the pressure/pain would go away. Then, a few weeks or months later it would come back and I'd start all over.

    A month or so ago I went to the dentist complaining of the same thing again. This time, though, he had a new CBCT machine (think mini CAT-scan). For the first time ever, we had the ability to navigate my sinuses in 3D. Years ago I'd had a full-blown CAT scan, but they found nothing. Sadly, I never got to see those scans - only the report (I hate that). This time, I not only got to see the scans, I got a copy of the software and all my data. Being the nerd that I am, I set out to learn how to use the software.

    One of the teeth had a root canal years ago where the roots were treated. The problem is, there was an additional root that was was perfectly hidden by one of the other ones on the 2D x-ray. That untreated root remained infected, and the infection progressed for years. I'm not kidding when I say the dentist x-rayed that tooth 10 times over the course of 2 years. The infection ate away the bone, and managed to get to the sinus.

    That left me with this. This is my face from the left side. Front is on the left in the pic. The giant blob with the "28.0mm" label over it shouldn't be there. That should be black, empty sinus space. The oval shaped circle around the tooth root near the "10.3mm" line should also not be there.

    [​IMG]

    There are already teeth missing because of my recurring problems. The last one to come out had the outside roots perfectly broken, which was never clear until they were outside of my head. That was actually what made me realize that it was the kick that started it all.

    There's a giant bag of shmutz (my dentist's term) in my sinus. ENT says it's probably an inflammatory polyp, and that it will likely go away after removal of the source infection. Though the pic shows a tooth with a post in it, that's apparently not the root that's causing the problem.

    Seen from another angle (bottom-up), the right sinus (the one on the left in the pic) is empty and clear. The other one is filled with evil that must be exorcized.

    [​IMG]

    I'm hoping this fixes me up, because I'm tired of feeling sick all the time. Once I get all the crap cleaned out, it'll be implant city for GAD. Yay! More surgery.

    Moral: Take care of your teeth, and by "take care of", I mean try not to get kicked in the teeth by a 2nd degree black belt.
     
  2. Peteyvee

    Peteyvee Premium Platinum Member

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    Oh joy. The only thing I'm allergic to is oral surgery. Good luck...
     
  3. RhytmEarl

    RhytmEarl Member

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    Luck sent. And you can return the favor by sending any unused Percocets. :D
     
  4. Tonekat

    Tonekat Supporting Member

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    Glad you finally got to the "root" of the problem, sorry it took so long for them to diagnose. Here's hoping for resolution. Enjoy the Percoset!
     
  5. YYZ

    YYZ Supporting Member

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    Somewhere a PRS finds a home.

    Bonne chance.
     
  6. DK207

    DK207 Member

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    Good luck GAD. Don't try out any shaving gear while drugged up post op, though. Could end badly.
     
  7. bluesdoc

    bluesdoc Gold Supporting Member Gold Supporting Member

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    That totally sucks, Gary, to use medical terminology. Getting rid of chronic infection will make the journey, at least today's part, worthwhile. These bodies.... :eeks :facepalm

    jon
     
  8. GAD

    GAD Wubbalubbadubdub Silver Supporting Member

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    Thanks all. Love the PRS bit. Hah.

    I leave in about an hour. So far I'm just annoyed that I can't eat. Grumble...
     
  9. Funky Chicken

    Funky Chicken Member

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    I was in the chair last night getting an extraction and bone graft in preparation for an implant.
    I had an upper right molar root canaled in 1988. 4 years later I developed a chronic sinus condition that nobody could diagnose. I went thru tons of antibiotics to no avail. After 3 years of misery the tooth cracked during a sneezing fit. My dentist sent me to a specialist to have the remains of that tooth extracted. 20 minutes after the extraction my sinus symptoms disappeared. Another case of a root canal gone wrong. A few years later a cyst developed in my jaw near where that tooth had been that needed to be excised.
    The connection between our teeth and the rest of our health is enormous and largely overlooked. Good luck with your procedure!
     
  10. lefort_1

    lefort_1 Nuzzled Firmly Betwixt Gold Supporting Member

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    Sorry I didn't get a chance to see his before work today.
    Hopefully, all has gone well.

    I love those 3d scans...my panoramic unit can do them, but unlocking the software license cost over $20k (faints), and in my practice I would not use I very often...besides, I've got great specialists who will always shoot one for me if I ask. Two years...that's a long time to wait for resolution.

    Best of luck, and good recooperation to ya' !!
     
  11. GAD

    GAD Wubbalubbadubdub Silver Supporting Member

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    Procedure took about 1.5 hours. It was actually one of the most low-impact dental surgical procedures I've had (which is a crazy thing to say).

    He said getting the teeth out was "a bitch". I asked to keep them, and it's basically a bag of broken shards. The only thing that even looks like a tooth is the crown from the treated tooth.

    He said after the extraction the suction pulled out "stuff" about the size of his thumb. Yum.

    So far the pain is about the same as it was before, only a tad different. Kind of makes me realize what I've been living with. Of course that could also be with the first dose of PErcoset wearing off, so it's not quite a fair comparison.

    My nose feels funny because I can breath unhindered on the left side for the first time in years. The main thing now is to stay off of eBay until I'm off the pain meds. :)
     
  12. ssdeluxe

    ssdeluxe Member

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    God speed on your healing !
     
  13. DK207

    DK207 Member

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    :rotflmao

    Glad it went well.
     
  14. MrAstro

    MrAstro Member

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    Get well soon GAD! I also hadn't seen this before now.

    Do some guitar practice - that'll take your mind off it for a while.
     
  15. fredgarvin

    fredgarvin Member

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    Good for you GAD. That must have been a long, miserable ride you've had. I'll bet you are going to feel like a totally new man when all of that infection clears.
     
  16. GAD

    GAD Wubbalubbadubdub Silver Supporting Member

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    Thanks all. Though I felt pretty good right after, I feel like someone hit me in the face with a 10 pound sledge now. Blech.
     
  17. schofnsteen

    schofnsteen Member

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    Unfortunately 3D is not the standard of care yet and is cost prohibitive for most general dentists. These infections rarely show up on traditional 2D xrays until the infection perforates the cortical (hard outer layer)plate. Since owning a Cone Beam (3D) unit, i am amazed at the number of asymptomatic chronically infected root canals we find. It is virtually impossible to 100% disinfect the root chamber in each canal. Many times canals are missed,not thoroughly cleaned to the end of root, cracked tooth,etc. Teeth that have infection (abcess) in bone have a more guarded prognosis than teeth that are beginning to die(toothache,hot/cold pain). The professions criteria of a successful root canal is distorted. Some believe absence of pain and swelling is success. Others including myself believe that the tooth must have the bone fill in around the root tip to be successful as well as asymptomatic. A recent study published by American Heart Association confirms a link between chronically infected teeth and heart attacks.
    Most people go through life one dental emergency to the next. As a profession we have done a very poor job of educating the public about oral health. Sorry to ramble. I think you are on the right track having the tooth removed. Best of luck!
     
  18. GAD

    GAD Wubbalubbadubdub Silver Supporting Member

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    Glad to see that it's not just me. It seems to me from my limited experience, that root canal therapy wasn't the right choice for me, but it was probably the best choice given the information available at the time. Unfortunately I had to go through a fair bit of pain before the right information became available.


    In other news, I've cut myself off of the Percocet as of midnight last night, and am on Tylenol/Advil now. I feel worlds better today than i did yesterday. Thanks for all the well-wishes, everyone!
     
  19. Bassomatic

    Bassomatic Silver Supporting Member

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    Wow, that is one large area of infection. Hope you're feeling much better!

    I had an extraction a few weeks ago, and am awaiting an implant. Can't help thinking what nice gear I could buy with the loot, but priorities are priorities.
     
  20. GAD

    GAD Wubbalubbadubdub Silver Supporting Member

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    Thanks, yeah I do feel better. I'm pretty sure he sucked all that out. You know how it feels after you've been congested for a week and suddenly you're all clear? How it almost hurts to have air in your sinuses because they're not used to it? That's how I feel x10.

    As for gear, I could have bought a new Acura by now.
     

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