Day 211: Gum Grafts

Today's pic:

 

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Yesterday I had gum graft surgery.  Everything went well, I have good meds to keep the pain at bay, and I have been sleeping a lot.  In the pic above you can see that my lower left cheek is swollen.

 

My periodontist is Dr. Sheppard McKenzie IV (http://www.raleighperio.com/mckenzie.php).  He performed 2 types of grafts: a Connective Tissue Graft on my lower left molars and a Free Gingival Graft on my lower front teeth.  The tissue for the grafts was harvested from the roof of my mouth, where I now have a stent to cover the wound.

 

 

A Connective Tissue Graft (CT) takes tissue from under healthy gum tissue in the palate (roof of mouth), which may be placed at the area of gum recession.  This procedure has the advantage of excellent predictability of root coverage, as well as decreased pain at the palatal donor site compared to the free gingival graft. The connective tissue graft is a very common procedure for covering exposed roots.

 

A Free Gingival Graft (FGG) is a dental procedure where a small layer of tissue is removed from the palate of the patient's mouth and then relocated to the site of gum recession.  It is sutured (stitched) into place and will serve to protect the exposed root as living tissue.  The donor site will heal over a period of time without damage.  This procedure is often used to increase the thickness of very thin gum tissue.

 

http://en.wikipedia.org/wiki/Gum_graft

 

Got the laughing gas going here.

Torture devices.

Meds are good.

The white strings are the stitches.

The white gummy looking material is "packing" over the FGG.

Lots of blood.

 

As far as post-op recovery goes:

- Use an ice pack to reduce swelling

- No physical activity for the first 48 hours

- Cold soft foods for the first 24 hours, after the first 24 hours the diet restriction is to just keep to soft foods

 - No brushing teeth, use mouth rinse instead

- Wear stent to protect the harvest site at the roof of the mouth

- Take medications as prescribed: I have 2 different pain meds (hydrocodone & etodolac), an antibiotic (arithromycin), and a mouth rinse (chlorhexidine gluconate).  The pain meds are to be taken alternating every 4 hours, the antibiotic is to be taken once per day, and the mouth rinse is to be used twice per day - morning and night.

 

The meds.

The stent.

 

My post-op appointment is set for Wednesday, March 5th at 8:30am.

 

Day 209: No More Braces!

Today's Photo Montage:

 

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In case you could not tell, I had my braces removed today - after almost 1 year and 8 months!  This is probably the happiest day I have had since my surgery.  I was recently asked (by several people), "Will you miss your braces?".  What?!?  Are you kidding me?!!  There was one day when I had to ask a 12-year-old little boy if he had any wax to spare while riding roller coasters at Carowinds.  The look he gave me... well, let's just say it was a low point in my life.  So, no, I will NOT miss my braces.  I am so excited to finally be at this point in my jaw/mouth saga!

 

Before:

 

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Tomorrow is another big day for me - I am scheduled to have gum graft surgery.  I know I have been through worse, but I cannot help but be nervous.  Say a prayer for me!  Will provide more of an update post surgery with all the details.

 

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Last Tuesday, on February 18th, I had my hair cut and highlighted for the first time since surgery (about 7 months ago).  I finally felt comfortable letting someone touch my head around the area where the bone graft was taken from (I like to joke that this area is my "soft spot" since it feels like a large crater.).  And my hair sure did need it!

 

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It is nice to be feeling more normal now.  Another month and this (braces, jaw surgery, gum grafts) should all be behind me, with just a few post-op check-up appointments left in my future.

 

Day 186: Six Month Update

Today's pic:

 

 

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I have lots of updates today!  First of all, I am sure you are wondering about this glamour shot above.  To celebrate 6 months post-surgery, my lovely and talented friend, Emily Sexton (you previously saw her pictured visiting me on Day 5), convinced me to let her photograph me.  I was really nervous about seeing close up pictures of just my face since I still have numbness of the bottom lip and chin and am still working on being able to move my mouth symmetrically.  However, I think the results speak for themselves:

 

 

 

(Shout out to Em Grey Photography!  http://www.em-grey.com/index.html#/home/)

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Another mile marker (13.1 mile marker, to be exact) for me recently was completing my first half marathon in Phoenix, Arizona on January 19th.  My goal was to run the whole time and to run it in under 2 hours and 30 minutes, both of which I accomplished.  My official time was 2:27:34.  And to think that I did this less than 6 months after major surgery.  I couldn't be prouder of myself.

 

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Back in November I was feeling sluggish and tired, so I scheduled a physical appointment with my GP.  She ran some blood tests and told me that my iron levels still aren't back to the normal level since surgery.  So, I am back to taking iron supplements on a daily basis.  Since taking the iron again, I am back to feeling much better, which is good since I had that half marathon to train for!

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Finally, I can announce that my health insurance (I won't mention any names) has settled up on my medical expenses. It took some effort on both mine and UNC Hospital's part to make this happen.  It was weeks, no, months of back and forthness and providing additional information and proof of medical necessity.  Sadly, I am convinced that health insurance's response is always to reject.  And this was after I had already had the surgery pre-approved THREE times prior to surgery, including the pre-approval that was required on the actual day of surgery.  Luckily, UNC Hospital deals with this type of drama all the time with health insurance companies and they took care of dealing with most of the stress involved with it.

All in all, the jaw surgery, including braces, cost me $7,793.79 out of pocket.  However, it doesn't end there.  I GET MY BRACES OFF ON FEBRUARY 25TH (YAY!) and then I am scheduled to have gum graph surgery on February 26th, which will cost me an additional estimate of $785.00.  I will be so ecstatic when I no longer have people poking and prodding around in my mouth. 

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I know I mentioned on Day 78 that my next appointment with Dr. Turvey would be at the 12 month mark; however, I am now scheduled to see him on March 18th because I just received a verbal job offer (fingers crossed that the official paperwork all gets approved!) which would require me to MOVE TO LONDON at the end of March!!!  Therefore, BLTs with Mom at Merritt's will have to be moved up as well.