Sunday, May 18, 2008

Plate Removal gone ahead - yipee :)

So heres an update on the 14th May i had my lower left plate removed, along with the 4 screws that was holding it in place. The proceedure involves the cutting open of the same incision line as before, unscrewing and removal of the plate and then cleaning out of the cavity and re-stitching. The main risks were, swelling (yep theres alot of that), infection and bleeding, with no real risk of nerve damage this time.

The operation itself went well, i told the anesthetist that i was nervous after the bad experiences 1st time round and he arranged for me to have a sedative before the op. So at 12.20 i was walked down to the operating theatre (which in itself seemed less scary than being wheeled down there). There i had the needley thing (shunt?) put into my arm and the sedative was injected in, then i had the heart monitors etc all placed on whilst i happily chatted to the anesthetist about who knows what! I dont even remember them giving me the anaesthetic itself. All the operating staff were fantastic and did all they could to make me feel better.

The next thing i remember is waking up in recovery. With a drip in my arm and an oxygen mask over my mouth. Strangely i noticed that the 1st time i looked at the clock it was 3.30, so not too sure if i was in theatre a long time or didnt wake up too well. I laid there kind of drifting in and out of consciousness for a while, then the anaesthetist from the op came to check on me.

Eventually the oxygen mask was removed and so was the drip and i was allowed to sit up on a chair. I decided i really needed the loo, so off i wobbled to find it! Pain wise it wasnt too bad at this point as id also had local anesthetic injections before waking up. I was allowed home, after id shown i could drink and discharged to my boyfriends care.

The rest of that day i pretty much just slept.

NEXT DAY 15th MAY

Woke up feeling pretty swollen and sore, with a huge sore patch on the side of my mouth. The swelling was already worse than id expected and opening my mouth nearly impossible. But over all i didnt feel too bad. Another day of icepacks and pretty much watching tv and sleeping.

16TH MAY

Woke up feeling really shivery and hot at same time, got up to go to loo and felt so ill had to drag myself back to bed. My face was really swollen and bright red. Eventually i took my temperature and it was very high, so i called the hospital and they told me to go to a and e. Off i went and eventaully saw the max facial doctor, who wanted to admit me and put me on intervenous antibiotics, i agreed to this, but then at the last minute he decided to give me an antibiotic injection and more antibiotics to take at home. I was pleased to get to go home. But the fact the infection still remains is obviously a huge worry. Fingers crossed the antibiotics will do there job and quickly.

Monday, April 21, 2008

10 weeks after surgery :)

So its a full 10 weeks ago, since i was laying in high dependancy with my friendly morphine pump! The jaw surgery doesnt seem that bad, now, looking back on it. Not sure id go through it again, but guess having the plate removed will bring back all the happy memories! LOL

Feel fed up today, as hate the feeling lifes on hold now until the next op. Really wanted to go to disney before op, but cant find any cheap packages, till the week of my op, which is just bloody typical.

Ive been abit naughty in the last few days and have been biting on my front teeth. It felt really really weird as its been 10 weeks since i chewed anything and ive never been able to bite on my front teeth as over jet was so bad. Doesnt seem to have done me any harm and its a boost to my morale at least.

Thursday, April 17, 2008

Got my date for Plate removal : ) yay!!

Saw my surgeon today and he booked me in to have my plates taken out on the 14th May. Am so so happy to have an actual date, which seems really really odd, but its just a huge relief to know its all gonna be over soon.


Am already scared about the general anesethic, but am hoping as its a quicker operation than the original that the anesethic used will be different and i wont have a bad reaction to it. Fingers crossed anyways.


My surgeon was really nice today, and for the 1st time he actually managed to make out where the pus was coming out from, as before the infection has been very visable from the outside, but not from the inside. Now a bubble has become apparent in the crease of my cheek, which the pus erupts from when it can no longer be contained inside.


Realised i hadnt posted any pics of how my teeth look now, so this is one from the front of my teeth complete with guiding elastics:
The swelling is not too evident on this pic, but its still there, tho it has gone done after taking the antibiotics.
Im very very happy with my bite so far!!

Sunday, April 13, 2008

Wisdom tooth gone...finally

Had an appointment with the ortho on thursday, so as my face was swelling i called the hospital and asked if i could see one of the surgical team at the same time.

I saw Mark, (another surgeon) first and he said that he wants the plates (yep thats right both of them), out now asap. He gave me some really strong antibiotics that app can make your tummy pretty unwell, so im drinking probiotic drinks like there going out of fashion! The antibiotics are actually used in the treatment of mrsa, so am bit worried theres something hes not telling me. Spoke to him about the wisdom tooth removal and he still seemed pretty sure he could do it, but left the final decision up to me. Hes made the actual surgeon who preformed the op, squeeze me into his clinic on thursday, so that the removal of the plates can be scheduled.

Then on to the ortho, she took the surgical hooks etc off the bottom jaw, which was pretty painful, but nice to get them removed. Then she put a powerchain on the front 6 top teeth, as some gaps had opened up there. The ortho appointment went well and i get the feeling theres just some "tidying up" left to do now.

Friday-WISDOM TOOTH REMOVAL

Mark got me staight into surgery as he didnt want to make me any more nervous, sitting about. The anesethic went in realitively easily, tho the one into the roof of my mouth was bit nasty. Then he said he was just poking to see if the anesethic was working, which i realised in one place it wasnt, as i could feel it, so another injection later and feeling like the inside of my mouth was huge, on he went. He claimed to just be "pushing" the tooth, to see the condition of it etc, but as the pain in my lower jaw got pretty bad, he stopped for a few seconds and i could tell that he was actually trying to remove the tooth, as i could taste the blood. There was then a few seconds of extreme pushing, which wasnt nice but didnt hurt either (tho i was in serious pain from the lower jaw) and then it was over. It turned out that he had been unable to use the normal method if extraction, as i just couldnt open my mouth enough, so had to dig the tooth out.

Then came the gauze, which was ok, tho a nightmare for him to remove from my braces! And the bleeding wasnt too bad at all. As they sat me up i felt faint, and went a funny colour, so i was quickly layed back down, and wet towels were placed on my head and face as i was REALLY hot. Laid there for a few minutes, then they gradually sat me up, and this time i felt ok. I was shown the tooth, which was massive. Then they kept me there abit longer to check i was ok, and let me stand up, whilst the doc held his arms out to catch me if i fainted! lol. :)

Once i got home, i slept for a couple of hours. The pains not been to bad, but the lower jaws hurting too.

Tuesday, April 8, 2008

My incredible swelling face....

Well, day by day my face seems to be getting bigger (more swollen that is, not just larger lol!) cant imagine how there going to take my wisdom tooth out on friday Very Confused and too be honest in the last few days im getting pretty fed up by it all. Guess its not helped by the fact im pretty scared about friday, know its abit silly after all ive had done but just have a mental issue with tooth removal, that ive had since childhood.

Sunday, March 30, 2008

The wrong tooth!!

Have only just calmed down enough to write this......



Went to the hospital on 27th march for two appointments, one with the surgeon and one the ortho.



SURGEON: Doctor

It has become apparent that the wrong tooth was taken out, he didnt just forget to take out the tooth on the left side, he actually took the right one out instead. To say im anoyed is a understatement right now. So now im scheduled into have the tooth removed with a local anethsethic on the 11th April. Im crapping myself, as i have a real phobia of extractions (even after all ive been through, its still the thought of an extraction that gets me!) the surgeon tried to deny it too, which anoyed me more. He said perhaps id had the tooth taken out before and id forgotton ?????? but when i asked to see the xrays it was clear, that 3 weeks before the op the tooth was there, and 3 days after it was gone. And im doubting it just dropped out by itself lol.



The plate still needs removing, but the bone has not begun to heal as of yet. So it has to remain in for now (or ill need to be wired shut which me and the surgeon seem keen to avoid) have another app in few weeks, with strict instructions to return if it becomes any more swollen. And my orthos keeping an eye on it too.



Good news (yep there is some) is that the tight bands have been removed and now im in guiding elastics! Yippee!! Its a huge relief, tho im paranoid that the lower jaws moving back (at least i hope im paranoid)



ORTHODONTIC APPOINTMENT Braces

Orthodontically things are still looking good, but my ROM (range of motion) in my jaw, is not as good as it was 2 weeks ago. App this is properly due to the swelling and being banded shut means i havent been able to use my jaw muscles much, so i have to practice this. Im still grinding and clenching very very badly, so i have to bring this up with my surgeon on the 11th as it looks likely i need either some sort of bite plate or something to calm me at night.

Friday, March 21, 2008

AHHHHHHHHHHHHHHHHH!!!

My face is more swollen again today then it was yesterday, so the antibiotics have clearly done nothing at all. To add to this, hope its my imagination but my bite seems off and more back then after surgery, especially on the infected side. Id spent so much time thinking about the infection id almost forgotton why im banded so tightly-to prevent a possible relapse, so really hope thats not happening, as im ready to have the plates taken out but an entire relapse would be pretty much the last straw.

Gonna go and suck on some chocolate buttons now, to cheer myself up, well it is nearly easter!

Thursday, March 13, 2008

How can they forget to take a tooth out??!!

Just been to see the ortho (the head of department no less!) and the good news is that my bites looking pretty good, i do have a couple of teeth that need working on. But braces wise things are looking good.

surgically tho, its been confirmed by the oral surgeon that the plate in the left hand side of my jaw has to be removed, tho it cant be taken out for another few weeks until the bone has had a chance of healing. So its back to antibiotics for me. Got to see the surgeon in another 2 weeks to book a date etc for removal.

The bit thats really peed me off, is that i found out today that the surgeon "forgot" to take out one of my back molars, so now i need that taken out too. Obviously im more concerned by the fact i have to have my jaw re opened but the fact that a highly qualified surgeon can forgot to take a tooth out is abit of a joke. (especially considering it was his idea, and he added it too the consent form minutes before the op) am still hoping that the op can be prefomed under a local anesethic as im now terrified of the thought of another general :( but i dont think there do it under a local, as i should imagine itll be uncomy so soon after 1st op, to have my mouth open whilst they do it.

Tuesday, March 11, 2008

Update to the pics...

Here are the progress pics of a month on...






This is the good side (the right ) and im really pleased with this pic as it shows the difference that the op has made to my jaw line and chin, compared with the next photo, which was taken before surgery. You can still see some swelling but alot of its gone down.



Pic taken 10th march 08 (4 weeks post op)












This is a pic i took before surgery, when you compare it too the above one, you can see that i have a much better profile now, so thats a good result.







pic taken 10th feb 2008 (pre op)










This picture is unfortanetly the left hand side (taken at the same time as the 1st pic) and you can see the swelling to my cheek and jaw area (it actually looks much worse than that in real life too!)


Pic taken 1oth March 08 (4 weeks post op)



Think that properly shows why they think theres an infection in there, really doesnt it!

Sunday, March 9, 2008

Cant believe its a month

this time four weeks ago i was crapping myself, as it was surgery day Shock 2 now its four weeks on and its been a pretty rough ride at times but i have had some high points and learnt alot.



Things ive learnt:..... Reading

*you can swallow quite alot of foods without them ever having to touch your teeth

*im actually alot braver than i ever realised

*if things get rough, you just cope and get through them, you have no choice

*the hospital staff in high dependancy are wonderful and i cant praise them enough

*being in hospital sucks-alot

*baby food is horrible, but baby cups are very useful!

*i have alot more people that are looking out for me than i realised


High Points Roll

*morphine is fantastic and having a little pump of it attatched to you is the best lol

*wondering if im dead and then realising it would be unlikely id think that if i was!!

*realising that they knew i was bleeding and that once they packed my face i could go back to sleep!

*seeing my mum after surgery and knowing it was over

*persuading the doctor i was going home whether he liked it or not

*being abit spoilt by my mum, and feeling like a kid again

*discovering there was more i could eat than i thought

*having an excuse to plan a holiday for myself (to reward myself for all ive been through!) Airplane



Low Points Rolling Eyes

*freaking out as they were anethising me, i really was so scared

*waking up and having my mouth filling up with blood whilst being alone, and not being able to sit up to get it out

*The second night in hospital when i was exhausted and couldnt sleep

*Finding out i needed tight elastics 24 hours a day, due to my jaw showing signs of relapse

*The swelling getting worse rather than better and then discovering it looks like an infection is in my jaw/the plate.




Im sure theres other things, ill think of that i havent included.

4 WEEKS IN

*The right hand side of my face is doing really well, the swelling has pretty much gone. The right side however is a different matter and it still looks like i have an egg in my mouth! Theres also some bruising still on this side.

*The pains fine on the right side, tho i do still get muscle spasms and boney pains from time to time. Again the left side is still very sore and tender to touch.

*in myself, most of the time i feel pretty much ok, the infection is not helping tho, and i have a temperature at times.