I'm not lying in my title. If you're easily disgusted, don't read this post. This is the one where I tell all about the joys of gum graft surgery. Ready? Let's go...
For years, my dentist has been telling me my gums were receding and I need to brush more gently or I'd have to get gum graft surgery. He recommended an electric toothbrush to control the pressure, then a soft head, then less frequent brushing. I've done all these things. To no avail. Finally last May, my dentist gave me a little prescription paper with a periodontist's name and number on it, and said it was time. Sigh...
So I called Dr. Skanchy and made an appointment for a consultation. On my initial consultation, Dr. Skanchy told me that sometimes the cause of gum recession is excessive/hard brushing, not always. He said in my case it's probably more genetics. Each tooth sits in its own socket, and for most people, it sits in the center of the socket. My teeth sit towards the front of their sockets, so there's just less gum in front of each tooth. That, combined with regular wear and tear, has led to receding gums over the years. He found five teeth that looked especially critical, meaning if I didn't have surgery on them, I would probably eventually have bone damage and tooth loss.
I had my first surgery last August. I went into it completely naïve. Dr. Skanchy's assistant told me at the consultation that after the surgery I would need to be careful about not eating nuts or seeds because they would get caught in the stitches. They said it would feel like a pizza burn on the roof of my mouth. And they said the stitches would come out after a week and I would be done. Here's what actually happened: they shot me up with all kinds of novacaine (sp?) all over my mouth and then let me watch as they took a knife to the roof of my mouth. After a minute or so I saw them carry a little piece of gum tissue away (they cut into the roof of my mouth and took tissue from inside- the first layer is the wrong type of tissue). Then the assistant hurriedly brought out the little vacuum thingy and kept that going for a while to take care of what must have been gushing blood (maybe I'm being a little dramatic). Then Dr. Skanchy came at me with a huge piece of string and little hook and put four stitches into the roof of my mouth. Next they shot me up with more novacaine just to make sure I'm still numb where they're going to put the graft. Then he brought out a tiny little scalpel thing and cut a little opening to attach the new gum to at the base of my teeth. I have the idea that he might score the existing gum a little, to give the new gum something to grow into, but I'm not sure. Then they stitch it up and move to the next area.
I left the office last time with two prescriptions to fill and went off happily to the pharmacy to get them. I got home in plenty of time to beat the pain, but suddenly realized there was nothing in my fridge I could eat. I wasn't supposed to eat hot food (it would induce bleeding), and I didn't want to binge on ice cream all night, but I had very little that didn't require chewing. But I had to take my pain killer immediately and needed to take it with food. I drank some milk, took my medicine and went to watch tv. Twenty minutes later I was staring into my toilet and shoveling yogurt down my throat as fast as possible, hoping to beat the sickness that was happening from the empty stomach/pain killer combination. The next week was rough. I could only brush/floss certain areas of my mouth, and I had to use a prescription mouth wash twice a day. One of the stitches in the roof of my mouth was looped around one of my teeth and stitched into the other side, and every time my tongue hit it, or I made any kind of sucking motion in my mouth, it pulled at the stitch. It's amazing how often we suck. Even just licking your lips causes a little sucking. Finally, six days later, that stitch broke loose when I was eating dinner. I felt like Forrest Gump when his leg braces break as he's running from his bullies. I was free! The next day I went in for a check up and to get my stitches out. Really, the stitches might have been the worst part. They hurt so bad! The loose ends chafed against the insides of my mouth every time I talked, smiled, etc. I was sooooo ready to get them out. The assistant said it all looked good and the stitches would fall out eventually. What?! I wanted to scream! I thought that visit would be the end of my misery! I thought I was done! Now I had to just wait for the stitches to come out on their own?! Not cool. Then she told me about my routine. For the next four weeks, I still couldn't chew with the teeth that had been worked on, I couldn't brush anywhere near the new gum, and I had to swab those areas with the prescription mouth wash twice a day. A month! I was prepared for a long week with this surgery, but it had suddenly become five long weeks!
But the time went by and my mouth healed and my gums are strong and good now.
And then last week happened. I always knew I had to go back for a second surgery. Dr. Skanchy only did one side of my mouth last time so that I'd still be able to eat. So this was the second round. I was prepared. I knew what I was getting into, and I was ready to face the music. I bought spinach so I could get vegetables in my smoothies, I made jello, I had squash puree standing by, I even got my prescriptions ahead of time. I went in on Friday, and Dr. Skanchy decided to do a few extra teeth, including one on the side he had already done. And he did an extra big strip on my other side. And some on the front. In other words, MY ENTIRE MOUTH! I just wanted it done and over with, so I didn't argue. A couple times throughout the surgery, he wondered out loud how I was going to eat for the next little while. As I was leaving, he said I could probably chew with my back top right molar. That's one tooth. I don't care how talented you are, it takes more than one tooth to chew. Then, because he had done an extra big strip, he gave me a couple extra prescriptions to help with swelling and infection, and told me I'd better fill them that night. Nooo!!! I was so prepared so that I wouldn't have to go to the pharmacy! But I went. With my puffy face and drooling speech, I went out in public and got my medicine. By the time I got home and ate my yogurt and jello, the pain had beaten me and I spent the rest of that night feeling every bit of the deep cut in the roof of my mouth and waiting for the pain medication to kick in.
By the next morning, I was fine. Now I'm just trying to figure out how to eat. I've just about mastered chewing with my top back molar and the very corner of the molar below. Mostly I just suck on my food until it's soft enough to swallow. Or I give up and swallow it whole anyway. I'll say one more thing- I can't wait until April 4th- my five week point.
7 years ago




