Dentist Advice

[DEE]

Just recieved my dental assessment.
The assessment was done by consultant in special care dentistry,and a consultant in special care +specialist in oral surgery.
I have eight teeth that need sorting
a) REMOVING COMPLETELY
b)RETAINED WITH A ROOT FILLING replaced by a denture
c)CROWN AND ROOTCANAL TREATMENT
There are several factors as to why I'm in this postion thats not what bothers me.
As I feel uncomfortable having dental work done I have asked for sedation and local aneasthetic.
A meeting of the above consultants,consultant Anaesthetist and my wg consultant
came to the conclusion that it would only be done one tooth at a time with follow ups through the healing proccess.Also with the addition of two intravenously given antibiotics followed by a week of oral anti b.
Due to the high risk of osteonecrosis or leaving a large non-healing area Im having a meeting with the consultants to decide which path I want to go .
Would appreciate any advice ,sorry its such a long post but was the only way to give you the full picture Thanks for help DEEx
ps the three options above are available for each tooth.

[drz]

Just recieved my dental assessment.
The assessment was done by consultant in special care dentistry,and a consultant in special care +specialist in oral surgery.
I have eight teeth that need sorting
a) REMOVING COMPLETELY
b)RETAINED WITH A ROOT FILLING replaced by a denture
c)CROWN AND ROOTCANAL TREATMENT
There are several factors as to why I'm in this postion thats not what bothers me.
As I feel uncomfortable having dental work done I have asked for sedation and local aneasthetic.
A meeting of the above consultants,consultant Anaesthetist and my wg consultant
came to the conclusion that it would only be done one tooth at a time with follow ups through the healing proccess.Also with the addition of two intravenously given antibiotics followed by a week of oral anti b.
Due to the high risk of osteonecrosis or leaving a large non-healing area Im having a meeting with the consultants to decide which path I want to go .
Would appreciate any advice ,sorry its such a long post but was the only way to give you the full picture Thanks for help DEEx
ps the three options above are available for each tooth.

Sounds like an horrible ordeal to endure. Sorry to hear that.

If your treating rheumatologist recommends this as best way to deal with the procedures to minimize risk I guess I would trust their judgement and hope for the best.

[DEE]

I agree with the treatment its just which one to take .
off the three options !

[pwc51]

My teeth seem to be cracking up one by one! Local anasthetic and a filling seem to have fidxed them so far - with no untoward side effects.

My dentist did comment that, if on alendronic acid, as I am, this can present problems with healing if extractions are necessary.

[Sangye]

Yikes Dee. That gives me the heeby-jeebies. MAJOR dentist phobia here.

[elephant]

Dee, I don't know what to tell you. Whatever you decide will be best for you. Good luck!

[ArlaMo]

Hopefully, Palmyra will see this and chime in. She gave me some good advice a month or so ago. I only had one bad tooth and it had to come out, but the perio wanted to do an implant. After consulting with Dr. Langford at CC, he ended up pulling it but not doing the implant. He did put some bone graft in there to try, but I don't know how well it is doing. I see him this Thursday. He decided to wait until I'm done with my rtx infusions and on a much lower dose of pred before trying the implant. Currently sporting a big hole

[Palmyra]

Hey there....I am happy to be of some direction within the group..../Dee has contacted me, and hopefully we can guide her to appropriate answers to her concerns.

Big group hugs to all. My daughter Alison had her second 'whamy' infusion of RTX this past week, and all is good so far. Fingers crossed for no subsequent infections!

PS...don't be afraid of dentists, please be afraid of staying away. It only gets worse the longer you wait. XOXO, 'Palmyra', Jane

[pberggren1]

I have not been to a dentist since May of 2007. I have not had any issues really. Some sensitive teeth for a couple of weeks and numb sore teeth when I had the sinus infection going on. But other than that they have been good. Maybe next year when I am off the antibiotics and hopefully a lower dose of pred I will make an appointment.

[Psyborg]

Just make sure you don't wait until you get an infected tooth. I'm pretty sure my tooth infection was seriously slowing my treatment progress. Just my experience though...your mileage may vary