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people on here are right that dental infections are serious. The same circulatory system runs through our tooth and gum blood supply that goes through our heart. That bacteria can cause lots of problems in the heart, liver etc. if he has infected teeth or they are loose due to periodontal (gum) disease they need to come out. Since he sees a cardiologist, he may be on a blood thinner which would be stopped for a short time to cut down on surgical bleeding so he will clot after as well. An oral surgeon would be the best person to extract. They can provide either just local anesthesia which given by an expert after using topical numbing gel is hardly felt. Sometimes they can use a mild sedative like Valium. I would not let them give him Versed which is IV sedation, because in older adults it can cause cognitive issues after and affect memory.
once he heals and the tissues shrink he can then have the dentures made. These will be made by either a general dentist or you could have them made by a specialist called a Prosthodontist. For me, I would see the specialist. Well made dentures are not cheap…usually running around $3-5000. Do not go to a place like Aspen Dental which are usually run by recent graduates. Mind you this will take several visits and after he gets them he will need further adjustments. Getting used to new dentures is not easy and will rub sore spots on the tissues until they develop a "callous". So the dentist will grind away some of the acrylic where the denture is placing undue pressure.
Having teeth for appearance and for function such as eating and talking is important for social as well as health. However, only you know if your dad can tolerate the visits required. My dad had full dentures for over 60 years. He was in the NH and had lost so much weight they wouldn’t stay in. I did take him to get a new set and he could not adjust. With his dementia he was also an awful patient. Finally he wore his old set until they tossed away his upper in a napkin on his tray. After that he just would eat a soft diet.
does have periodontal disease, all teeth are rotted and not even in his mouth straight. He's on antibiotic but the x ray also showed sinus infection. Waiting for appointments. I went to dentist "doc in a box" - wasn't impressed at all. I have to get my $2300 prepaid money back.
I recommend giving him all the ice cream he will eat for the first week. This keeps the swelling down and helps minimize pain.
My dad was on blood thinners and the oral surgeon wanted instructions from his cardiologist. Pretty simple instructions, when to stop thinners, what to watch for and when to restart.
Oral infection can be deadly. I would get them pulled, even if he doesn't ever get dentures, you can work around that.
Prayers for a successful surgery and a speedy recovery.
It is nice to know that there are some professionals that will do what is best for the patient.
Hope all goes well for the refund!
Me personally have had extractions, not on this scale, and only once have had pain and that was a dry socket that was corrected. Anything discomfort I had I used over the counter pain killers.
If ur husband is on blood thinners there could be problems too.
This is really something the dentist and the Cardiologist need to discuss.
He's using the broken partial now and the same upper dentures. I just make sure food is in small pieces and soft (I've been doing for years - I shouldn't have given him this store brand of coleslaw because it wasn't fine).
He has a problem with varicose veins and that discomfort and pain set him in fretful behavior and he also has arthritis in hip and back and the primary does not agree with a hip replacement.
He is on blood thinner and our cardiologist knows the last surgery he had to repair hernias a few years ago affected dementia a lot. He doesn't react to pain or discomfort well. Other than that, we are on year 11th year of this journey. He does not recognize many every day items and together we find ways to find things he can help with.
I just wanted to know if he can keep what he has in his mouth now if I continue to give him soft foods. I took him to a place where he got his dentures in 1987 and they advertise for their affordability.
The dentist said it would take 9 to 12 months to heal before he gets permanent dentures. If it takes that long to heal - I thought he might experience a lot of pain and discomfort. He couldn't find words to tell me about his mouth problems and I just didn't know. I felt so bad for him. When I prepaid $2,300 he really got upset.
I feel like it is important the best be done for him. I checked with our regular dentist and he couldn't advice.
I used to hold this belief too. But in reality if there are no infections, or sharp edges that could cut the inside of cheeks or tongue, teeth do not need to be replaced.
Dad had 6 teeth pulled about 6 years ago. They had broken at the gum line and he had several small abscesses. The dentist discussed removing his remaining teeth so he could be fitted with dentures, but Dad said no.
Over time his remaining teeth have mostly broken or fallen out, but no infection. Dad cannot eat steak, but mostly eats canned food or frozen food and manages to gum/chew it.
Dad used to be proud of his appearance, but does not care that he has a snaggle tooth smile now.
Are his intact teeth painful?
Can he eat without the current dentures?
If he has no infections, If his teeth are not painful and he can eat I would not put him through a protracted dental procedure.
The problems with anesthesia are one thing. Difficult to recover from, may not return to baseline cognition
The problems with dealing with open wounds in the mouth that he will try to pick at, having him comply with oral care after surgery. And the potential for infection, dry socket after. THEN getting him to sit still or having to undergo anesthesia again for them to put that "goop" in your mouth in order to make the mold.
I would not put him through a procedure like that.
As the disease progresses he will go from soft food to pureed food just as a result of disease progression. You may put him through all this and in a few months he may not be able to eat anything but pureed foods anyway.
I may be biased but I, as the wife, caregiver, guardian for my Husband elected NOT to do any dental work as long as he was not in pain nor had any infections.