Just came back from my afternoon surgery over at AH. Things are looking good, apart from my mouth feeling sore from all the stitching.
I had 2 parts to the surgery; one was where i had to expose the implant and place the abutment, and the other was to place the temporary crowning on the abutment.
The first part was painful to start with – The dentist had to inject me like 6/7 times around the area.. it wasn’t really painful but somehow it just triggers the tear gates.. The nurses then covered my body + face with the usual green surgery cloth exposing only my mouth.. but cuz of my rather protrusive nose, i could peep at what was happening – not clearly but sufficient to get a rough understanding of what was happening. after that she got her nurses to start sucking blood or sth from my mouth and i was like wondering.. have it started already? why the suction?… then i realised.. it had already begun for quite sometime alr. lol.. then the drilling and bla bla bla proceeded.. somehow the dentist couldn’t get to the metal fitting of the implant which was placed into my upper-front jaw section like 6 months ago. She then spoke out to a fellow nurse saying,” Bone are like this, so strange. When u don’t want it to grow it just grows.” Well apparently, during those 6 months, my jaw bone overgrew and covered the metal fitting (which is like the female part of a screw; aka the nut). So she decided,” hmm.. i want to take a picture of this before i actually proceed on.” Then the surgery crew started to take photos of my exposed tooth socket before finally proceeding onto the fitting of the screw. And now, cuz my front gum where the implant is supposed to sit in is not as plump as the rest, the dentist had to do soft tissue harvesting from my pallet and place it at the gum ( basically just extracting gum from one place and putting it somewhere else). Then for some reason, my soft tissue is weird also.. so they started taking photos of it as well =.=||| And somehow during then, i guess the anesthetics started to wear off, and only the extraction of the soft tissue was done.. i started to be able to feel what they were doing.. that period was damn antagonizing.. i weeped under the green surgery cloth and i was like.. no way was i gonna complain about the pain for they will just jab me with more anesthetics that also hurt.. i was thinking.. just a while more.. just a while more.. but it felt like it was like more than 5 mins…
well that was done.. here comes part 2…
well part 2 was painless. Another dentist attended to me with her own crew of nurses. She fitted the crowning on the abutment and coloured it to make it darker as you would have known by now.. the 2 adjacent front tooth are rather yellowish cuz of the patching done to them (they were previously chipped off by about half during the accident). Then she tells me after all is done that cuz it is immediately after the surgery, my gum (which is refering to the part above the implant) was rather high, thus exposing the abutment area when i do a full smile.. So she would have to monitor the growth of the gum tissue around the area and see if another soft tissue grafting was needed to cover it up. But that would be 4 months from now.
For now, i would have to gurgle my mouth gently for 2 days b4 being able to brush normally and would have to rest the implant till 1 week b4 eating food like burgers.. and as the implant is a temporary crowning.. it may come off, so i can’t go about crunching my apples as yet. The 2nd dentist would monitor my progress every month till its 4 month, when she will fit in the permanent crowing. And during which, i got serveral options ( all meant for aesthetic reasons) – 1. put veneers on the adjacent 2 tooth to make it whiter (or not bother about the colour difference at all) 2. To cover the abutment should my gum not show progress – either lengthen the implant tooth or do a soft tissue graft to cover it up, where the latter would be better aesthetically.




