Saturday, March 7, 2015

How “Small Procedure” Turned into Surgery! #dentalsurgery #dentalimplants

I hate pain! I avoid it at all costs. Even when I watch others in pain, I squirm and clench my jaw. No fun, it’s no fun at all. So, when I called the oral surgeon to find out how long I’d be there to finally get my implant in, I asked a few more pertinent questions: how much pain will I be in, will I be in any shape to go to rehearsal afterward, will I be able to eat afterwards? She said, “This is routine. You will be in and out in 15 minutes. No swelling and definitely no pain!”

I get to the office rather chipper. I had been to the office about ten times in preparation for this final procedure of getting the implant screwed into the anchor. So, I knew everyone. We were all joking around.

If you have never had a dental implant, this is what to expect. The first day, you get many different kinds of x-rays. Then, the surgeon must extract the dead tooth, all the way down to the tiniest of roots. So, expect a needle the size of a dinner fork tine to get jammed into your jaw about ten times. This is necessary pain so that you won’t feel the worst of the pain. Even with the numbing gel, the shot still feels as if you’re mouth is getting mutilated by Sweeney Todd.

Then you are so numb, that you don’t feel the rest. However, you hear it—the sawing, the pounding, the chiseling, and the drilling. You imagine that you will look like a squirrel afterwards from the dentist practically getting on top of you to extract the tooth. If you don’t get ice on the jaw quickly, you will. The next day you feel terrible. Get pain pills.

During the following appointment the procedure begins with preparing the bone with an anchor implant that will go directly into your jaw. The anchor has an open space for a screw to go in—eventually. Then the surgeon puts a layer of cadaver skin on the top of the wound and hopes it will merge with your gums so that the entire implant will be able to heal without air and food getting to the site to cause infection. I say “eventually” because what was supposed to be 3-4 months turned out to be eight months of going into the office and the surgeon saying, “Not healed enough yet!” I have a friend who is into his second year of waiting for the wound to heal.

The last part of the process is when they actually cut away the skin graph and dig out any bone growth to screw in the actual implant, so a cap can be placed atop the metal or plastic nub jutting from the crevice between your teeth. The reason why my small procedure turned into surgery was because bone had grown over top of the anchor and it slipped and turned a bit on its side. Honestly, I don’t know how or what the dentist and his assistance were doing, but the assistant held my hand about ten times during the process. The amount of anesthesia I was given had worn off about thirty minutes into the process.

I told the dentist I was beginning to feel pain, stabbing pain, but he promised it would all be over in another minute. He was wrong. It was an hour later. He was sweating and swearing. The assistant’s eyes went from concerned to horrified. I lay there praying it would be over soon because the pain was so great I had to do some self-hypnosis just to endure. Every time the surgeon cut into my skin, blood would squirt out from my mouth. I had blood on my face, my shirt, and cuts on my lips and tongue from the surgeon not being able to get to the implant. Finally, I hear the words I had been anticipating for ninety minutes: “The screw went in!”

After the cap is placed on the site, the entire process will be the cost of a four-year-old used car. I’m amazed!
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