Saturday, August 8, 2009

not for the faint of heart

WARNING!!!!!!!! this is NOT for the faint of heart. if you do not like to see blood or gums and especially bloody gums, DO NOT, i repeat, DO NOT read any more of this post. there is some graphically bloody content! it's a step by step documentation of my dental implant surgery. i, personally, find this gory-ass shit incredible. maybe it's because it's my effin mouth, but, really, i'm amazed by technology and our bodies ability to accept and heal, adapt and recover.

my friend, brendan wrote me a ridiculously funny email about my fusion with bone and titanium:

That's so crazy that you are getting permanent teeth!! Are you afraid it is going to take away your magical powers and world reknowned party trick?? Seriously though, it must be exciting, although in the short-term, kind of painful and frustrating. Is it hard to eat with just the titanium in there? Fusing bone and titanium - you'll be like Wolverine. You can start the Korean chapter of X-Men.

bring that shit on bitches!!!!!!!!!

so, without further ado, i present to you, my dental implant surgery!

my gums before the surgery:

the first part involved cutting open my gum to measure my bone loss. the exact spot where the tools are resting shows the thinnest part of my bone:

so, uh, yeah! remember how i mentioned that my dentist had to expand my bone? and there was loud hammering? the line in the center of my bone is where he hammered:

and in that hammered center, he drilled two holes. and in those two holes, he fit my two titanium rods:

then, he gave me a bone graft and stitched me up:

after a week of recovery, the stitches were removed:

i'm currently waiting until all the swelling has gone down and i'll be fitted for a temporary set of teeth while i wait. after 6 months of waiting, i'll have my permanent crowns! dental implants have a success rate of over a 90%. here's hoping i'm definitely in that winning percentage!

Thursday, August 6, 2009

before and after: my mouth, the model

this morning, i went back to my dentist to get my stitches removed. it's remarkable how much i've healed in 7 days a lone. damn fascinating, actually. my bruise is mostly gone and my gum is feeling a lot less swollen. it's still a bit sensitive and tender, but what can you do after you've had your bone hammered and drilled and two titanium rods are now nestled in your mouth?

during the day of my operation, i had asked my dentist if he'd be willing to document the procedure for me with my camera. i wanted to be able to see everything, especially since i couldn't see anything during the operation. he replied that he would be taking photographs with his own camera, for his portfolio, and told me he'd be happy to send me copies. he confided today that i am the first patient to request photos of the whole bloody mess. he probably thinks i've lost my marbles. too late, dentist, them marbles have been long gone!

who doesn't like before and after shots?!? huh, huh? you tell me. to notice the differences, look very closely at the area above the gap. which gap? the one where there are no teeth gap.

before: the gum area above my toothless gap is concave. the bone mass has decreased or shrank in size because there was nothing for it to support.

after: ooh look now! it's significantly plumper!

before: the recessed gumline

after: the added bone gumline

and so, i wait. 6 months to go!

Tuesday, August 4, 2009

bruised and all

this was taken in the middle of the surgery, during my bathroom break!

my gnarly gums:

when the anesthesia began to wear off:

the swelling commenced:

and continued:

the bruise emerged below:

and spread above:

the calm after the storm:

Sunday, August 2, 2009

sleep and more sleep

after 3 days and nights of sleep, and more sleep, mixed in with a couple of movies, book reading and soft foods, i am feeling much much better. the swelling, while still noticeable, does not, at least, make me look like a human monkey!



p.s. i can pull most of my hair back into a ponytail! say what?!? i think all that sleeping has induced a growth spurt!

Saturday, August 1, 2009

how i lost my teeth, the first time

four years of contact sports and the worst injury i endured was a sprained ankle. i played soccer, lacrosse and ran hurdles during indoor track. then, during my last year of high school, instead of running track, my friend gina and i decided to do something completely out of the blue, we decided to try out for cheerleading. yes. cheerleading. gina went on to cheerlead at her university, i quit the squad a month later to sing and act in the high school musical, guys and dolls. my mother was distraught.

it'd be more glamorous of me to say that i lost my teeth while doing a triple somersault or backflip from the top of a pyramid, but really, what happened was i fell. plain and simple. i fell, actually, during try-outs. while doing a pivot turn. i know, i know. a pivot turn?!? my hands were clasped behind my back and when i turned, my feet slipped out from underneath me and i had no reaction time to put my hands out in front of me. essentially, my teeth broke my fall. literally.

instead of my nose, cheek or chin breaking my fall, my teeth were the first to hit the surface of that cold cafeteria floor. it happened so quickly that all i remember is sitting up and wondering what happened. then, when i looked by my hand, what i saw frightened and shocked me. i saw half of my front tooth on the ground. i picked it up and used my tongue to survey the damages inside my mouth. yep. that was definitely half of my front tooth in my hand.

once the other girls realized what had happened, they began to squeal around me and i remember the coach telling everyone to calm down and give me room. i was in shock, and gina took me with my half tooth in my hand to the local dentist, who coincidentally, was another cheerleader's father. what are the chances, i tell you, what are the chances?!?

once in the dentist's chair, i was informed that my front tooth and the tooth next to it on the right (no. 8 + 7) were both loosened by the impact and the nerve endings were exposed. not a good thing. i was confronted with choices. my parents had insurance, but they didn't have dental insurance which severely limited my options, financially. i could've either had root canals or have my teeth extracted and wear what is affectionately known as a "flipper," a retainer with fake teeth attached. i opted for the cheaper option, and for ten years have worn a flipper. it served me well and many people had no idea that i had two fake teeth. i performed many a great party tricks and loved the shocked look on people's faces when i exposed my gums.

but, what i didn't love was that i had to worry about eating too hard of foods (no apples, no taffy, or caramel and certainly no corn on the cob!) and also, it did hinder my nights out, only slightly. i wore my flipper during the day, but, at night, it has to be removed. sleeping with the flipper in my mouth would serve as a host to other dental hygiene problems, bacteria and other gross stuff. and even though i was fine to pull out the ole flipper among friends, i was a bit more hesitant with romantic interests. and i happily found out that those who love you care not what teeth are missing.

now you may be wondering, why did i wait so long to get implants?
honestly, i was not fully aware of the consequences that time would have on my bone loss. i think that if i were more cognizant of the damages, i would've opted for implants much much sooner.

so, after my first round of oral surgery in high school, i walked around for two weeks with no front teeth. i didn't mind it so much. it was a fact of life. you do what you do because it is what it is. my sister was incredibly generous and helpful during that time, feeding me peach yogurt and other such soft mushy foods. this second time around, i'm back on that soft mushy foods diet. thank you yogurt, rice porridge, and chicken soup.

the big blue

i was curious to see how my gums were doing, so i lifted my big fat ass swollen upper lip with my finger--yes, it's that swollen that i can't even move my lip without assistance!--and what do i find?!?! and incredibly gnarly bruise on the under side of my lip. it's an intense shade of blue and purple. this bruise just may rival the bruise i got when i fractured my arm laying out for a frisbee in college. i. am. badass.

the aftermath

what comes after surgery is sometimes worse than the surgery itself. in an unfortunate set of miscommunication foibles, i walked out of the dentist's office without my prescription for painkiller meds.

3-4 hours later i was writhing in pain and called the dentist's office to see if i could take tylenol. it was then that i found out that i should've been given a prescription! here's what happened: the receptionist gave me my ice pack, two containers of mouth rinse and a sheet with post-op directions. she then left the office and the dentist went over the post-op follow up instructions. when i paid for the first installment of my implants, a nurse--not the receptionist--helped me and i think she thought that the dentist or receptionist gave me my prescription. i think the dentist thought the nurse or receptionist gave me the prescription and the receptionist probably thought that the dentist gave me my prescription. sweet jesus, how many people does it take to administer a prescription? apparently, more than three.

when i came home, i tried to take a nap but the pain was so intense that i couldn't even sleep. and believe me, i can sleep! and i have a pretty high threshold for pain, but this was really testing my limits. you can imagine my shock when the receptionist told me that i should've been given a prescription--wtf?!?!?--and thankfully, fax machines quickly sorted the fiasco all out. thank GOD.

by the time i got home to take my meds, i was crying. it wasn't a long journey, the pharmacy is just down the street. but still, DAMN! i just got my fuckin bone hammered and drilled. painkillers are essential. relief came almost immediately and then, i fell asleep.

my upper lip is mad swollen, as is the right side of my face. i like to say i look a bit like a human monkey. i've pretty much been sleeping and watching movies for the past two days. good thing i have two more days to sleep, watch movies and recover. the swelling has gone down a bit, even though i look like i've botoxed the shit out of my upper lip--believe me, it's not attractive. look for yourself: