The verdict

Going to the dentist AGAIN yesterday just left me with more decisions and things to think about. After talking to the ortho, my dentist decided to look at the lower teeth again. They decided that the size of the fillings in the lower left are large and that I will eventually need to have crowns put on them. The fillings in those teeth were just replaced less then 7 years ago (that's how long I have had this dentist, and he replaced them, just can't remember when). So they aren't that old. So my dentist said that I could either have it fixed orthodontically or with one or two crowns. I asked him what was best for my teeth in the long run... putting time, money, pain, everything like that aside. He never really did answer that. But he said that I will eventually need to crown those two teeth. He can just crown one of them and make up for the two spaces. I have NO idea if insurance will pay for these crowns since the teeth are fine right now. So they have sent in a pre-authorization. At over $800 a tooth, I want to know how much I will have to pay before I give the go-ahead.

Here are my choices as I see them:

• Fix the lower spaces with InvisAlign and run the risk of messing up my bite (don't want to do that)
• Put crowns on one/two teeth (depending on what insurance will pay). I REALLY hate the thought of grinding down teeth that are still healthy to put the crown on. And in 10 - 20 years from now I will need to have these crowns replaced. How much more of my tooth will be left for them to grind down then? But, this will save my teeth from possibly breaking, which would lead to me getting a crown... or worst yet cracking which would lead to having the tooth pulled and the whole stud process again (once is enough!) (But if I didn't have this space I wouldn't even be thinking about what "could" happen. I would just be going on my marry, and if something happened, dealing with it then)
• Do nothing for now and wait until I get a cavity from the space. I could also get gum infections because of food getting wedged in there and my CONSTANTLY having to floss or something to get it out.

For right now, I have 4 - 6 weeks to wait for the pre-auth to come back. In that time we will move the top teeth and I will be back to my dentist to get more done with the implant. It really just is too much to think about sometimes. Here I thought that once the braces came off and I got the implant I would be done. But I really think that until I put my foot down and say "NO MORE" they will come up with something else that needs to be done. I have to decide how much time, pain, and money I am willing to spend and after that just say "ENOUGH IS ENOUGH!".

That's the new news for now. I go on Tuesday to get my top InvisAlign. Yeah, "braces" for a THIRD time. My sister is going to be SOOO jealous. (she has ONE crooked tooth and wanted braces as a kid. The ortho said it was just cosmetic so my parent's did get them for her. She was jealous when I got mine as a kid, even more jealous when I got them as an adult... and now for a third time. She is going to FLIP. Hey, she's an adult now, she could pay for them herself. But after paying for her son's braces, I think she has changed her mind). I'll let you know how Tuesday goes.

Dentist appoinment today

I have yet ANOTHER dentist appointment today. I got a call on Thursday from my regular dentist saying that he wanted to see me on Monday. So I have to go there today at 3. The scheduler that called me said "Do you want to know why he wants to see you?". And my answer was "Honestly... no." I'll find out today at three. I'm going to assume it has to do with these spaces and with him talking to the ortho. So I'll keep you updated on what the new plan is going to be. It's just too much to keep straight anymore (no pun intended!!!).

My Decision... for now

So I have done a LOT of thinking about what to do with these spaces that the braces left. I have talked to my regular dentist and my ortho to try to come up with the best plans to maintain my current bite as well as maintain the health of my teeth for the future. And right now, we are going to go with moving the top teeth and see how that works out. From talking with both of them, the chances of messing up my current bite is VERY minimal. The risk with doing caps on my teeth is greater then the risk of possibly messing up my bite. And the main reason for this is that the gap on the top that needs to be fixed lines up with where the implant still has to be finished. So basically, they will make the implant to mesh with my “new” bite, and not my bite now. (who would have thought it would be a GOOD thing to have a missing tooth?!?!) As far as fixing the spaces on the top, it won’t mess up my bite at all.

So for now we are going to go with fixing the upper spaces, and see how that works out. Then we will deal with the lower spaces. My ortho and regular dentist were going to talk some more and discuss the pros and cons of each way. Because when I talk to the ortho he leans towards caps, and when I talk to my regular dentist, he leans towards ortho. So I asked them to talk to each other and see what they can come up with. I can see the points in both of their cases, which makes it SOOO hard to make a decision on the lower teeth.

I don’t go back to the ortho for two more weeks, so we’ll see if I change my mind again before then (knowing me, I’ll change my mind again before I even hit “Post”!) Thank you all for your concerns, and please keep sending the advice!

Will it ever end? Please help!

When I was at my regular dentist two weeks ago to get my teeth cleaned, he mentioned the large “contacts” between my back teeth. He had noticed these spaces when I was there getting my implant put in. They concerned him because food gets stuck in there, and he doesn’t want to see me get cavities in there or the gums get irritated because I have to constantly pick food out. He said that the only way that he could fix them would be to have crowns, or veneers put on. And of course that would cost me several thousand dollars. He was so pleased with my results from my orthodontia that he wanted me to go talk to the ortho.

So today I went to the ortho to talk to him about these spaces. Sorry if these seems jumbled, but I’m a little frazzled right now. He first mentioned possibly making the fillings in those teeth cover the gaps. I told him that my regular dentist at first thought that would be an option, but once he looked at them more, he didn’t think that option would work because of the size. So basically, what he came up with was to give me new retainers, like InvisAlign to move those back teeth. Sounds all good and like an easy choice. But of course NOTHING is when it comes to our teeth. My teeth all mesh so nicely now and by moving them, even just a little bit, we run the risk of losing that meshing. I expressed my concern about not wanting to lose all that we have worked for already. He said that if they start to feel “off”, I can stop wearing those retainers and they should move back to where they are now. The operative word being SHOULD. What if they don’t? He suggested that we start with the top and see how that goes, and if it works out well, then move on to the bottom. But he still thinks that getting crowns on the bottom would be the way to go.

I just don’t know what to do. If I do decide to go with the retainers to close the gaps, I run the risk of my teeth not meshing well anymore. The ortho said that if I stopped wearing the retainers they would go back, but is he sure? Then there is a small gap between my number 1 and 2 (between the front tooth and the first one to the left on my uppers) from where the button was. So he said that we could fix that with the retainers as well. But if we do, doesn’t that mean that ALL of my teeth to that side will move? Will this screw up my bite? I have just spent so much money, time, and pain on these teeth that I want them to be perfect. They are so close right now and I am SO afraid that if I do this last step that I will screw it all up. I just don’t know what to do. I am going to call my regular dentist and see what he thinks. I may also call my surgeon and see what he thinks too. This is a new ortho to me because my original one retired and sold his practice. It’s not that I don’t think this ortho is capable, but I just haven’t had enough experience with him to completely trust him. Does that make sense? I am just SO confused and don’t know what to do.

6 Months Post-Op

WOW, I can't believe it's been 6 months to the day that I had my jaw surgery. It truly is amazing how fast the time has gone. I remember reading other blogs about how fast the time flies. I just never thought that my turn would actually happen. But it did, and I don't regret one minute of it!

I posted some pics from today. I took them myself, after a LONG day at work, so excuse the warn out, greasy skin look. After how you all have seen me, I didn't think you would mind!

I go for my first cleaning post-op and post-braces on Thursday! I'm actually looking forward to it. It will be a much nicer cleaning then with braces on. I go back in June to get the next part of my post done, then two weeks later for impressions, then three weeks after that to get the actual "tooth". Then I am DONE!!! WOW, this whole journey is about to come to an end. I still can't believe all that I have been through.

Well, I say it is coming to an end, but who knows. I always hear how people get "addicted" to plastic surgery. I always thought that was odd, but I can completely understand now how that happens. I was actually thinking of getting the TINY gap between my two front teeth at the top filled in. There is one other one from where the button was and the wire wrapped around that I want to get filled in (you can't see it at the angle the pics were taken). But then I read Brandy's blog about how expensive Luminaries are. Well, that won't be happening for me. But I am thinking of getting them whitened. We'll have to see what the dentist says on Thursday.

Anyway, nothing else really new or exciting teeth wise.

Implant Surgery is Done!

The implant surgery is over!!! It wasn't as bad as I thought it was going to be. For some reason I was REALLY dreading having this implant put in. I don't know why, I mean after all that has happened in my mouth, this was easy!

So for those of you that have an implant in your future, or are just curious, here's how it went for me. I have a great dentist who actually called me to let me know that they were running about 20 minutes behind. I wish all doctors did that! Much better then sitting in the waiting room for an extra 20 minutes. So I get there and they take me into the room. While he is numbing me up, he explains that when he gets in there, he may need to do a little more work then we had discussed previously. When he pulled this tooth, he did a bone graft so that I would have enough bone to place the implant. Well, my body did not like that idea, so it slowly got rid of all of the graft that he did originally (yeah, that was nice. Paid like a grand for that graft and it didn't even work).

While he is waiting for the novocain to set in, he takes off the wire that the ortho placed in that area to keep the teeth from shifting. If I need it back in, the dentist will replace it on Thursday when I have my follow up appointment. So, now that the wire is off and I'm all numb, he starts cutting. It was weird to hear the sound of your gums getting cut and pulled away from the bone. After a few minutes of cutting he tells me that I will need to have another bone graft placed in there and a membrane so that my body won't reject it again. This is to build up the outside part of the bone. If he didn't do this, then the implant won't fit nicely and food will get caught under it and could cause an infection. So this means more cutting, more stitches and having to keep my jaw opened longer (which was NOT fun when you still don't have full range back). Throughout the whole procedure he kept taking pictures so that he can show other patients that may need the same thing done what will happen.

Now comes time for the drilling of the hole to place the implant. He get the drill with the small drill bit on it. Since I still can't open too wide, he couldn't fit it in there, so he had to go to a smaller bit... still wouldn't fit. He had to use one of the smallest bits that he had because I just couldn't open any further. So he makes his first drill into the bone. Then he places a small stud in the hole. And off it is to get an x-ray with that in to make sure he has it in the right spot.

So I get the x-ray and he places it where he can see while he drills the hole larger. A few more larger bits and he is done drilling. It really didn't take long at all. Then he places the implant in and starts to ratchet it in place. It felt weird to have someone ratcheting something in to your bone. It didn't hurt, but just felt weird.

So the implant part of the whole procedure was VERY easy. It was the next part that took forever. Along with the incision that had to be made for the implant, he had to make two additional incisions. These went from where the implant incision was down the front of the jaw to the cheek. He then had to pull the gum away from the bone. Once again, it made a weird "ripping" sound. Kind of weird. Next he took the drill and "roughed" up the bone so that the implant would take better. He mixed some of my bone and blood with the bovine bone and placed that where he roughed up my bone. Next he had to measure and cut a membrane to build up the bone a little more. Then it was time to sew it all up. Originally, there was only supposed to be like 2 or 3 stitches. Yeah, that ended up not being the case. I think I have somewhere around 10 - 14. I lost count as he was putting them in. That was the part that took the longest.

After he had me all stitched up, it was off for another x-ray, just to make sure it was all in the correct place. The whole procedure took about 1.5 hours. He said if it was just the implant, it would have been only 1 hour, but the graft make it longer. I was told to take it easy for the rest of the day, ice it some, and avoid rinsing until Sunday or Monday because of the graft. I sort of listened to his instructions! I did go home after it and rest for a little while. Then it was out to party for the night!!! Luckily I didn't need any of the vicodin that he gave me, so I was still able to have a few drinks! We were out until about 2:30 in the morning. Yeah, that's me taking it easy! The original plan was to go to this country bar and ride the mechanical bull. Because of the weather, there weren't enough people out, so they didn't have the bull running :( I guess that's probably a good thing because that would NOT have been taking it easy!

Here are some pictures. I am actually a little swollen in that area. So I've been trying to take it easy the rest of the weekend and keep some ice on it. It really doesn't hurt except for where my lip rubs up against the incisions for the graft. And my jaw is pretty sore from forcing it open as wide as I could.

If you look at the chin and jaw line area, you can see the left side of the picture is a little swollen.

The stitches that come all the way down to the cheek

The other side of the stitches that come all the way down to the cheek.

Because I had to have the bone graft done, I wasn't able to have the "healing cap" placed on the implant (if you look at Brandy's that the "healing cap"). So the implant got all sewed up in there. This means that I will have to go back in a few months and he will have to cut the gum back open and place the healing cap on it then. It may take a few months longer before I can get the fake tooth put on, but this will make it last longer now that the bone is built back up.

Implant on Friday

It looks like I will be having implant "surgery" on Friday. I put surgery in quotes because I don't really consider it surgery, but that's what they call it. It's not like they are putting me under and doing other stuff like they did with Brandy and Mary. They are just numbing me locally and screwing that sucker into place! I make it sound like SOOO much fun!

I have mixed feelings about getting this done. I know that it's something that I have to have. And part of me just wants all of this over and done with. But the other part of me just wants a break. I was fine with it until I was reading my docs "post op" sheet. It says to stay away from hard foods for 2 MONTHS. So basically, if I were to follow that sheet completely, I would be on a soft food diet again for 2 more months. I don't think so!!! I did that whole soft food for 2 months already, and I really don't think I have another 18 pounds to lose. Once I looked more into it, it's just that they don't want you putting too much pressure on the jaw while the bone is healing, so I'll just go each on the bagels and crunchy stuff.

I had to go to my surgeon today to see if I was ready for Friday and for what we were hoping was my last check up (my surgeon isn't doing my implant, my regular dentist is because he's qualified and he takes my insurance whereas my surgeon doesn't. Not that I even really know how much will be covered. Lets hope most of it because these implants are NOT cheap!). He did say I was ready for Friday, but that he would like to see me again in August. This is because he was surprised at how much numbness I still have. He would have thought that at my age, the fact that I don't smoke and am relatively healthy, and since he didn't even come close to the nerves I would have full feeling back by now. But when he did his "poke" tests, I don't have much more then I did at 2 months post op. He still has complete confidence that I will get it back, but that it make take up to 1.5 year. To tell you the truth, if I don't get it back, it's really not that big of a deal. You kind of get used to the numbness, tingly, and biting chucks of your cheeks off! (trying to look at the positives!) But it was nice to see every one's face when they saw my "naked" teeth! They were all SO impressed with my bite and how my smile looks! I am VERY happy with my results, but it is always nice to hear it from people who deal with teeth all the time. It's a nice reassurance!

So, you can all tell me how crazy I am, but I actually have plans on going out and partying on Friday night for all of our friends who have February birthdays! I know, I'm nuts doing that right after getting an implant done. But the way I look at it is I won't need to drink anything to get a little loopy if I take the pain meds! Actually, my dentist thinks I will be fine with this. He said it will be less traumatic then when he pulled that tooth. He pulled it on a Friday and then on Saturday my husband and I had a house warming party. I never took anything for it, and I never took the pain meds he gave me when he pulled my wisdom teeth. I went back to work the next day too. So lets just hope that this follows in line with how those went.

I'll try to post on Friday to let you know how it goes!