Hi again everyone,
Do any of you have any experience with patients complaining, or indicating
that salt water swishing can actually aggravate a mouth sore and impede the
healing process, rather than help in the healing process. I believe it can,
but have never been able to ascertain this.
I wrote you about my torus surgery on 5/26/07 in the "suture thread". Went
to dentist last Thursday and the stitches were indeed gone like I said (ie I
swallowed them). He said the surgery looked okay and I told him it was real
sore and hurt when I swallowed, etc etc. I go back next Thursday to discuss
the details of my supposed upcoming implant, and I told him I am not having
the implant until the torus heals.
Anyway I originally used "Amosans" wound cleanser to swish in my mouth (it
is the best thing you can use IMO - marketed by Oral B), but you can't buy
it (or order it) anymore in any pharmacy, so you have to order it somewhere
on the Internet. I ran out of it, and switched to my old standby
"saltwater". I could not tell if the saltwater was helping or hurting, so I
quit using it, and just swish with warm water now. I had a pizza burn over
30 years ago, and it wouldn't heal, and I asked an oral surgeon if I should
quit using the saltwater, and he agreed that it could be possible it was
making the situation worse. After a round of antibiotics, and picking a
bone chip out of the roof of my mouth, it finally got better.
Just wondered if anyone has ever heard of this phenomena (ie can saltwater
swishing aggravate a wound and actually make it worse). You know what
happens when you poor salt into an open wound - ouch :-) .
I also have a side question. I am having an EGD (endoscopic investigation
of esophagus, stomach and duodenum) on Tuesday, and I know the torus surgery
will still be sore (a lot of the white pseudo membrane is still there, and
red around it - BTW how long will it take for the white to go away by the
granulation process). There is no way I will ask my gastro about this and
risk him canceling the procedure. Do you think the endoscope could rub up
against my healing torus (position #17) and cause any problems. I doubt it
because they give you a mouthpiece before you go under (he uses Versed, but
it knocks you out completely even though he calls it conscious sedation -
lol), and he passes the scope through the center of the mouthpiece and
therefore it should steer clear of the sides of my jaws I would think. I am
going through with the EGD without mentioning it to him, but I am just
wondering if you could offer a comment on this also - so maybe I can have a
better piece of mind :-) .
Thanks...Pete
Steven Bornfeld - 04 Jun 2007 00:37 GMT
> Hi again everyone,
>
[quoted text clipped - 41 lines]
>
> Thanks...Pete
The salt water can be irritating if it's too concentrated. 1/2 tsp. to
8 oz. of warm water is about right.
The pseudomembrane and granulation healing time is in direct proportion
to the size of the surgical wound. IIRC, the oral epithelium advances
from the edge of the wound at about 1/2 mm/day.
It is foolish to withhold information from your surgeon or
anesthesiologist. I doubt it would cause a problem, but do you want the
anesthesiologist to stop your induction because he/she doesn't know what
it is and is afraid of being blamed for something he/she didn't do?
Steve
Pete - 04 Jun 2007 03:23 GMT
>> Hi again everyone,
>>
[quoted text clipped - 51 lines]
> didn't do?
> Steve
Steve...I don't have an anesthesiologist or an anesthetist with versed (the
gastro is an old timer and does it himself - it's the old way - everybody
else uses propofol, which requires an anesthetist, and an anesthesiologist
to be in the area someplace) - you are thinking of propofol or something
else (I am in Maryland). And secondly your statement has nothing to do with
my question (why did you say that he would stop my induction because of a
sore in my mouth, that he didn't know about). I knew I shouldn't have asked
the question. You missed my point. My fault. If I tell him about it he
will probably not do it and I have lost everything (his time and mine and
one months scheduling).
You didn't answer my question about the salt water ie - "Do any of you have
any experience with patients complaining, or indicating that salt water
swishing can actually aggravate a mouth sore and impede the healing process,
rather than help in the healing process". I wasn't talking about an overly
concentrated solution.
Pete