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Old 07-18-2006, 06:04 PM   #1
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cheeriehugs HB User
My mom is in agony! second update

I had explained my situation or shall I say my moms' situation in an earlier thread. But so much more has happened that I thought I should continue with a new thread.
Ever since my mother had gotten implants, (she was working with two specialists, a prosthodontist and a periodontist) she has had this awful "clogged feeling" in her gums.
Everytime she would go back to her prosthodontist to have the problem fixed, he would always make it worse, and then he had the nerve to charge her for his mistakes. So she stopped seeing him.
She is at the point in which her temporary crowns have got to be removed, but she simply does not have the extra money to afford permanent crowns, and both of her specialists didn't even mention that permanants would be neccessary until after her implant surgery was through.
She is on a very low income from SSI. The only reason she was able to go ahead and afford implants was because she had received inheritance from my grandmother.
She is still seeing her periodontist, the one who did the bone grafting and implants, however she is continuing her dental care with a new prosthodontist, who tells her that her gums looks like they are impacted and that that is the reason for her discomfort??
However, her periodontist had looked over her gums and sees nothing in them and tells my mother that he has never heard of gums being impacted before.
Is it possible that food particals could get stuck in the gums where the implants are??

 
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Old 07-18-2006, 09:29 PM   #2
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Re: My mom is in agony! second update

Only if the gum tissue has loosened due to infection or the implant did not fully integrate with the bone tissue. When I had implants some plaque would build up along the bottom of the prosthetics and around the implant but not enough to cause such pain and if food got under the prosthetic it was easily removed with a water pic, proxy brush or floss threader.

I tend to agree with the new prosthedontist since I think I have had this very problem when 4 replacement crowns on my molars were done - I had pain in between the teeth. Flossing would make them feel better for a couple of mins and then the pressure would build up again. This pressure eventually would travel down the jaw line to my ears and any type of chewing or movement of my jaw would just intensify it. I'm not sure impaction in this case is something that can be seen - not like impacted wisdom teeth - pressure due to crowns that may be too large or are pressing too closely on each other causes pain and that is not something that can viewed as much as felt.

What did the new prosthedontist recommend - did he try removing just one crown to see if some of the pain eases? I eventually had the 4 crowns removed by another dentist and the teeth pain/pressure eased up but by then I had done too much damage to my joints so now I have tmj pain pretty much all over my head and face. Its really important she gets some relief before any damage is done to the jaw or joints.

Its not unusual for dentists not to fully explain implants sufficiently to patients - I have heard this many times before - I think its becasue if everyone fully understood the commitment they took in terms of time and money most would not do it - they appeal to our vanity and stress the aesthetic part but tend to neglect the not so pleasant parts, like wating for the implant to heal, wearing temps for 6 mos to a year, that infections are psossible, etc. I'm so sorry she is suffering.

 
Old 07-19-2006, 06:05 PM   #3
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Re: My mom is in agony! second update

Cheerie.. I really think the periodontist would be able to help your mom with the "impacted gums" since he is a gum (and bone) specialist. Ask the prosthedontist to speak with the periodontist because your mom NEEDS them to consult with each other.

T-L... have you seen a physical therapist for your TMJ? I read that you've been to many dr's, I was just wondering if PT was suggested.

 
Old 07-19-2006, 06:56 PM   #4
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cheeriehugs HB User
Re: My mom is in agony! second update

Quote:
Originally Posted by Thelma-Louise
Only if the gum tissue has loosened due to infection or the implant did not fully integrate with the bone tissue. When I had implants some plaque would build up along the bottom of the prosthetics and around the implant but not enough to cause such pain and if food got under the prosthetic it was easily removed with a water pic, proxy brush or floss threader.

I tend to agree with the new prosthedontist since I think I have had this very problem when 4 replacement crowns on my molars were done - I had pain in between the teeth. Flossing would make them feel better for a couple of mins and then the pressure would build up again. This pressure eventually would travel down the jaw line to my ears and any type of chewing or movement of my jaw would just intensify it. I'm not sure impaction in this case is something that can be seen - not like impacted wisdom teeth - pressure due to crowns that may be too large or are pressing too closely on each other causes pain and that is not something that can viewed as much as felt.

What did the new prosthedontist recommend - did he try removing just one crown to see if some of the pain eases? I eventually had the 4 crowns removed by another dentist and the teeth pain/pressure eased up but by then I had done too much damage to my joints so now I have tmj pain pretty much all over my head and face. Its really important she gets some relief before any damage is done to the jaw or joints.

Its not unusual for dentists not to fully explain implants sufficiently to patients - I have heard this many times before - I think its becasue if everyone fully understood the commitment they took in terms of time and money most would not do it - they appeal to our vanity and stress the aesthetic part but tend to neglect the not so pleasant parts, like wating for the implant to heal, wearing temps for 6 mos to a year, that infections are psossible, etc. I'm so sorry she is suffering.

Thank you so much for all the information. As of now, the new prosthodontist that she was seeking for help refuses to work on her. He says that her mouth work is to complex for him to work on, that that is beyond his expertise.
So, she really doesn't want to go back to her old prosthodontist, because of all his screw ups but she has no choice, she needs her temporaries removed.
She had called him today on his emergency voicemail and left a message, and she has not heard back from him yet.
Her top four crowns are hanging from one of her abutments.
This had happened yesterday when she went to see her periodontist, he had put acrylic on it to hold it back up, but this morning they had fell off again!

 
Old 07-19-2006, 07:02 PM   #5
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Re: My mom is in agony! second update

Quote:
Originally Posted by corricatt
Cheerie.. I really think the periodontist would be able to help your mom with the "impacted gums" since he is a gum (and bone) specialist. Ask the prosthedontist to speak with the periodontist because your mom NEEDS them to consult with each other.

T-L... have you seen a physical therapist for your TMJ? I read that you've been to many dr's, I was just wondering if PT was suggested.
Thank you so much for your reply. Her periodontist had taken a look at her implants and gums yesterday and he does not see where her gums are impacted with nothing unless he is covering for himself.
In fact, he had never heard of impacted gums before. He says that her tissue around her gums are swollen and that that might be the "clogged feeling" she is experiencing.
However the new prosthodontist that she was going to see believes that that is what she has, "impacted gums" But he refuses to care for her because her mouth work he says is beyond his expertise. In my opinion, I think that he just doesn't want to mess with another dentists' work out of fear.
No, she hasn't seen a physical therapist. Would she need one? What is TMJ?

Last edited by cheeriehugs; 07-19-2006 at 07:04 PM.

 
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