Zombies

Dental Part 7

Soooo, let’s get to the question you have been dying to ask. How do you look after surgery? Not bad at first but the swelling kicked in on Wednesday and peaked Friday. Fair warning, these photos do not grasp the extent of the swelling but perhaps this story will paint an accurate picture. Earl was away for the weekend and when he returned on Sunday the swelling was almost gone. He duly noted that and then told me that I had looked like an old lady who lost her teeth. Hot.

I thought I had escaped any real bruising but no I was sadly mistaken. On Friday, two bruises popped and started draining down my face. Peak blackness was Sunday but those babies lingered through the following weekend. Come up with a good story. People either stare or ask. I like the “askers”. What I needed was some black lipstick to complete the look but alas my black lipstick was in Key West where such things are needed.

To sum up, swelling gone in a week and bruising gone in two.  Not a bad tradeoff to reduce the time in braces/invisalign by more than half.  The first selfie above was the day after surgery, the second was 3 days after and the selfie with the zombie base makeup was at 6 days.  And for comparison, the nonselfie photo was taken just before all this started.  My vanity demanded inclusion of a normal photo.

A Girls Gotta Eat

Dental Part 6

Sleep is your friend. Do a lot of it. Also, before surgery, set up a nest in the living room so you can comfortably lounge and binge watch a series your significant other has no interest in.  Rest, be kind to yourself and keep the talking to a minimum.  For some of us that is a challenge.

Advance planning on the food front is essential especially for those who clock in multiple hours a day snacking and dining. The periodontist will recommend soft food. Pull the long ignored vitamix out of the closet unless you find days of yogurt and protein shakes satisfying. I started with foods like soups; blended vegetables with almond milk and protein powder; yogurt with hemp, peanut butter, fruit and walnuts. But before long I got really hungry. Drastic measures were called for and I did something that just feels wrong.  I added meat to the blender. Cook a sweet potato, sauté shiitake mushrooms with a bit of ginger and put all this in the blender with flavored bone broth, a good source of protein.  Add chicken, hit blend and do not look at the mess that is created.
By the fifth day, I was ready to sauté veges with eggs, lots of eggs. It was wonderful. And yes, there was also ice cream.

During this initial period, the invisalign trays are only removed for cleaning once per day. On Thursday (surgery Tuesday) I went back in to have an area restitched and  could not to remove the trays at all plus rinsing vigorously (great word) was verboten. Could only gently swish the hydrogen peroxide. Friday I went back since another stitch pulled at which point he  removed the trays for cleaning.  Yuck.

Btw if a stitch comes loose, it is typically in the lower front gum. It is not uncommon and other than the novocain shot, restitching does not hurt. Therefore, as much as you may not want to do it, have a look see in your mouth after surgery and call the doc if anything concerns you. Truly, looking at blended meat is far worse.

 

Don’t Believe Everything You Read Online

Dental Part 5

I appreciate the irony of that statement. But really, do not go online and start reading what others say the day before your surgery. That is a sure fire way to ramp up anxiety to previously undiscovered heights. Plus my imagination went a little crazy with the idea that I would not be completely under during the surgery. The periodontist said I would be able to hear, respond and talk but would not remember anything. That sounds a little like being conscious, a totally unacceptable state when having bone grafts.

They provide a happy pill the night before surgery to aid in sleep and something similar to take an hour before your appointment time. Not a fan of painkillers and all their friends but I slept and was a bit looped by the time I arrived that morning, a good thing. And it was true, the last thing I remember is the novocain shots and the next thing I remember is an angelic voice quietly saying open more, turn your head, open a bit more. This was at the end of the 2 ½ hr surgery. As I started to come to, they put ice packs on my face. Note to self, when on anesthesia do not attempt to discuss the relative merits or lack thereof of putting ice on swelling. I think all I could manage was, “no ice, no ice”.

Earl picked me up and I honestly have limited recall of the drive home. Of course I wanted a photo immediately after the surgery for this article and to Earl’s amazement, I was sitting in the car taking a selfie. I have no memory of this. As you can see I was not dripping in blood or any other horrible state your imagination might conjure when considering dental surgery. I do have to work on selfie skills however. Why did selfies ever get popular? They are horrible.

And I needed food. Luckily Earl helped with that too. It was a bit of a challenge getting that soup actually in my mouth and staying there.

Here is the amazing thing. While uncomfortable, I experienced no pain. I was giddy with relief. Consider this statement on another periodontist’s website: “The pain after Wilckodontics can be rather pronounced, but everyone’s pain threshold and experience is different. With that in mind, patients who undergo Wilckodontics may notice major issues with pain even if they bite or chew soft food items. It’s for this reason that patients should take all pain relievers as recommended in the early days and weeks after surgery and that they follow their post-surgical instructions to the letter.” Does she moonlight for the drug companies I wonder? At my first follow-up, I told the periodontist that I had no pain and he said all his patients say the same thing, discomfort yes, pain no. Two questions and an observation come to mind. Who would you hire? Why don’t more people do this? And I have been spelling Wilckodontics wrong.

 

My Travels Through the Scary World of Dentistry

Dental Part 1

The tooth fairy was clearly in a bad mood when visiting me.  This along with my parents’ decision to forgo braces has led to adult snaggle teeth.  A dentist would refer to this as significant overcrowding.  My teeth are not straight when viewed from any plane.  They jog up and down and back and forth with a bit of caving in to make it really interesting.  And when my permanent teeth arrived, the dentist decided to grind down the extra long canines to avoid that unpleasant vampire look. I am not making this up. Plus my teeth were very cavity prone.  Not sure it had anything to do the bandaid box of sweetarts I brought to school everyday but lots of cavities meant lots of dreaded dental visits often without novocain.  To make it worse our family doctor supplemented our diets with constant antibiotics.  That does amazing things to the color of your teeth.

Fast forward to 58 years old.  I figured by keeping my teeth tidy and gums healthy, the really scary dental work magnified by an active imagination could be avoided.  To this end I had my teeth cleaned 4 times a year, flossed, proxabrushed and replaced amalgam fillings with composite.  But the snaggle teeth would not be ignored and I started to experience pain.  My dentist said I needed braces.  Whoaaa, I am 58, is that even possible?  He said to see an orthodontist.  This was the beginning of a learning curve that culminated in a decision to fix my teeth with Invisalign and Accelerated Osteogenic Orthodontics (AOO) also known as Wilkodonics. Unfortunately there is an incredible lack of awareness about Wilkodonics, even among the dental community. So in an effort to change that, I will chronicle the process from beginning to end. Hopefully it helps someone else out there.