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Medical Forum / General / Dentistry / October 2005

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ongoing pain after alveoplasty

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JWilliams - 27 Sep 2005 00:08 GMT
I am writing on behalf of my 83 year old grandmother who has experienced oral
pain following 4-quadrant alveoplasty in Feb. 2005. The alveoplasty procedure
was done immediately after the extraction of her 14 remaining teeth (she now
has no teeth). The intent was to fit for dentures after healing occurred, but
she has complained of gum pain since the procedure, and is unwilling to have
the dentures fitted. She complains of pain and swelling after eating. She has
been seen by 3 oral surgeons in addition to the surgeon that did the initial
procedure. One surgeon did some additional smoothing of bone ridges. She has
been thoroughly examined and x-rays done. We cannot figure out where the
discomfort is coming from. I am concerned that possibly some nerves are
irritated or damaged, but none of the oral surgeons she has seen mentioned
that possibility. Does anyone have any insight or experience that might help
my grandmother? I would appreciate any advice. Thank you.
Joel M. Eichen - 27 Sep 2005 00:20 GMT
>I am writing on behalf of my 83 year old grandmother who has experienced oral
>pain following 4-quadrant alveoplasty in Feb. 2005. The alveoplasty procedure
>was done immediately after the extraction of her 14 remaining teeth (she now
>has no teeth).

Whew.

>The intent was to fit for dentures after healing occurred, but
>she has complained of gum pain since the procedure, and is unwilling to have
>the dentures fitted. She complains of pain and swelling after eating. She has
>been seen by 3 oral surgeons in addition to the surgeon that did the initial
>procedure. One surgeon did some additional smoothing of bone ridges. She has
>been thoroughly examined and x-rays done.

Whow! Why so much treatment?

SECRET to dentistry: Tender Lovin' Care .......

SECRET to other stuff too!

>We cannot figure out where the
>discomfort is coming from. I am concerned that possibly some nerves are
>irritated or damaged, but none of the oral surgeons she has seen mentioned
>that possibility. Does anyone have any insight or experience that might help
>my grandmother? I would appreciate any advice. Thank you.
JWilliams - 04 Oct 2005 02:01 GMT
Hi Joel,

Thank you very much for the reply. My grandmother does suffer dry mouth to
some degree (caused by aging salivary glands as well as medications). It
probably had a lot to do with the decay of her teeth. She has had several
oral surgeons treat her and give multiple opinions because that is her wish.
Unfortunately, she tends to go from one doctor to another if she doesn't like
the treatment or answer she is given. 3 of the oral surgeons she has been to
for additional opinions have said they cannot find anything wrong or do any
more for her. They did agree that the dry mouth could be uncomfortable. She
also has absolutely no tolerance for any physical discomfort. I would have to
say there is a definite mental component we are dealing with. However, as her
family now responsible for looking out for her, it is so hard to know what is
really serious with her, yet we can't ignore that she is still complaining of
pain since February. She wants me to find another doctor for her, but I don't
know where else to turn. She has been on a soft diet all along. I will tell
her your recommendation for warm salt water rinses. Thanks again for your
time and reply.

JWilliams

>>I am writing on behalf of my 83 year old grandmother who has experienced oral
>>pain following 4-quadrant alveoplasty in Feb. 2005. The alveoplasty procedure
[quoted text clipped - 11 lines]
>
>Whow! Why so much treatment?
Joel M. Eichen - 27 Sep 2005 00:21 GMT
>I am writing on behalf of my 83 year old grandmother who has experienced oral
>pain following 4-quadrant alveoplasty in Feb. 2005. The alveoplasty procedure
[quoted text clipped - 7 lines]
>discomfort is coming from. I am concerned that possibly some nerves are
>irritated or damaged, but none of the oral surgeons she has seen mentioned

Nah, our circulation decreases when we are older so give her time
.....

joely

>that possibility. Does anyone have any insight or experience that might help
>my grandmother? I would appreciate any advice. Thank you.

Warm salt water ..... and oh yes. Soft diet.
Roy Brown - 27 Sep 2005 02:52 GMT
The dentures might just provide some protection from chewing. Big difference
between walking in bare feet and with shoes on.
At 83 she is going to heal a lot slower and her soft tissues covering the bone
are a lot thinner and a lot more frail.
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Roy
rem NADA to reply

|I am writing on behalf of my 83 year old grandmother who has experienced oral
| pain following 4-quadrant alveoplasty in Feb. 2005. The alveoplasty procedure
[quoted text clipped - 9 lines]
| that possibility. Does anyone have any insight or experience that might help
| my grandmother? I would appreciate any advice. Thank you.
 
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