I alot of teeth that are broken off down to the gum on the top and a few on the bottom. I need to have them all cut out and dentures put in. My question is Will they cut them at the top all at the same time and then put the temporary denture in that day. my next question is I am on methadone for opiate addiction will they be able to numb me or put me to sleep with no problems?

tickle

I can tell you for sure that they wont put the dentures in the same day they operate on you to remove all of your teeth. What they will do is probably take a mould of your mouth top and bottom then remove your teeth by cutting your gums if they are, as you say, broken off at the gum line. This is the only way they will be able to remove the tooth root and all.

Your mouth has to heal before dentures. And there will probably be stitches.

tick

nikosmom

Sorry tickle, I disagree. I was a dental technician for many years and we did this all the time.

Yes, they can seat dentures the same day your teeth are extracted. It's called an "Immediate Denture" and actually helps with the healing process tremendously. If you have to have them surgically removed and there are stitches, a good technician can accomodate for this.

As your gums heal and begin to shrink and the swelling goes down, you will need to go back for a reline so that they will fit better. Usually you may need to have 1 or 2 relines done before having a permanent denture made (usually 6 mos to a year).

tickle

Thats's okay. nikosmom. Dental technicians always have the upper hand 'plate' whatever I am just an old codger thinking l960s dentistry I guess.

tick

Amir1981

All of the above is great...once more piece of advice...Top dentures work great...but if you can, try to save a few teeth on the bottom so you can get a partial denture (holds on to teeth) if you have no teeth on the bottom, the denture will move around a lot and you'll always have problems wit it

flossie

You may want to consider having a few implants placed and then dentures made to fit over the implants. This will make sure you don't have a problem with the bone resorbing and always needing a reline. Make sure you hear all your options before making your decision.

jmjoseph

As far as the painkillers, talk to your doctor about your addiction. He/she will probably numb you with a series of shots of Novacaine,or something like that, and then TRY to give you painkillers to take home, like Lortab. Tell the Dr. that you already are on Methadone, and that will probably suffice. Maybe you can take something like Motrin to help you with the pain.

I know you're thinking "WHAT?", but I know, I am recovering from surgery on my hip and all I am taking is 800 mg Motrin. You see, I too, am in recovery from opiate addiction. But I'm on Suboxone, if you don't know about it, you should look into it. Methadone is still an opiate. Suboxone is not, and it has changed my life, I have an extreme amount of pain still, so I HAVE to take it.

You know we have to be VERY CAREFUL about what we do, and don't do, when it comes to going to the doctor.

Have you been in rehab? Are you in a program? If you are not, you should go now and get a sponsor who will help you.

How long have you been on Methadone? What does the clinic recommend concerning your pain management? Did you sign an agreement stating that you will not take any other meds?

I wish you luck with your dental work, but you know that this is a delicate subject being an addict and having legitimate reasons for using painkillers. We have proven time and time again that we cannot take these pills responsibly. Haven't we?