The Procedure from Hell
Posted March 28th, 2006 at 4:50PM
If you recall, popcorn has remnants of the original shell still attached to it. These "corn shrapnel" are sharp and rigid. As I was chewing my popcorn, one of these remnants snagged a piece of my lower gumline in the front of my mouth. It hurt, but not that bad-- mostly it just felt strange.
Days later, I got a weird sensation in the lower front front of my mouth, almost like something extra was there. I checked it out in the mirror and to my horror, my gum had receded sharply directly underneath one of my lower teeth-- in the area where that piece of popcorn had snagged!
I went to the dentist, who told me that it was probably nothing to worry about, but that I should see a periodontist-- a gum doctor, so to speak-- to be certain. To this point in my life, I had no idea what a periodontist was, and quite frankly I didn't care. That all changed, and rapidly so.
I made an appointment with the periodontist and went to see him. I immediately got the same feeling that you might expect at a used car lot-- like you are about to be fooled, big time. I put that feeling aside and started getting examined. The doctor called his nurse and then rapid fire he went through each and every tooth in my mouth with some sort of me
Then he sat down and broke the news to me: I needed to have a "gum transplant" to resolve the popcorn-kernel issue. I asked what would happen if I just ignored it, as it didn't hurt. He told me that my tooth would eventually become weaker and weaker (since the root was more exposed), and eventually fall out. The gum transplant or soft tissue graft, was my only option according to him.
He explained the grafting process to me, and I became increasingly nauseous with each passing step. First he said they would cut out a piece of my pallet (the roof of your mouth!), then they would cut open my lower gumline "like a garage door" and apply this now liberated piece of raw flesh to the wound. Then they would "close the garage door" and I would be "all done." By the way, they also needed to do a frenectomy, or a cutting of that little chunk of tissue that connects your gum to the inside of your lips, to allow the surgery to succeed. What a bonus.
Needless to say, this did not sound fun, and I tried every angle to find an answer that would lead me to avoid this procedure-- with no luck. Every time the periodontist would conclude that if I didn't correct this soon, I would lose the tooth. I asked why the graft had to come from my mouth instead of something synthetic, and he offered up a story about how they had tried gum grafts using a product derived from cows, but that the result was unpredictable and further, pointing out that I didn't want to have cow flesh in my mouth for the rest of my life.
In response to my question of how painful the procedure was, he offered up an anecdote of a patient that was having gum transplants performed throughout the whole of his mouth, and how this gentleman would come in once a week, listen to music with headphones while the procedure happened, and walk out no problem-- in other words, it was no big deal. LIES, all of them.
Having no alternative presented to me, I VERY reluctantly agreed to schedule the procedure and walked outside to leave. As I got to my car, I actually was overcome with emotion and I cried a bit-- out of a mix of self-pity, stress, and fear. This procedure sounded horrendous, and even past that, I had just finished healing from a very complicated surgery where both of my jaws were operated on for an unrelated issue just 6 months prior. After that, I thought I was done with dental procedures. Wrong. I sighed, accepted my fate so to speak, and moved on.
The day of the procedure came, and remarkably I had pumped myself up to not be so afraid of it After all, if there was a guy coming in once a week to do this, then I could do this one-shot deal without a problem.
The doctor came by and the procedure began. Numerous needles containing local anesthesia were put out on a tray, and the doctor began injecting my mouth in various spots. "This isn't the worst thing..." I remember thinking to myself.
Then, he pulled out a needle that was not like all the rest. This elephant needle reflected the light in the room. I knew where this was going-- this was for the pallet. Your pallet is rock-hard tissue, and I had wondered how in the world he was going to numb me there if he couldn't given an injection in the area. Wrong again.
He took this horse needle and jammed it into my pallet. It literally felt like I fell face first on a sharpened pencil and it just happened to ram itself into the roof of my mouth. After the initial agony, he started to deliver the anesthesia As he squeezed the needle, I felt an insane pressure building in my pallet as the liquid clearly had no where to go. I couldn't talk, so I grunted in misery and he told me that it was almost over.
He eventually emptied his load, and then began the procedure in earnest... within 5 minutes, he announced that he was done preparing the lower gum, which was much faster than I had anticipated. I had felt nothing during this portion of the procedure, and I literally didn't realize he had done anything besides tug on my lip a little.
So I thought to myself that perhaps this wouldn't be as bad as I had envisioned. WRONG.
The second portion of the procedure was the "harvesting" of the replacement gum tissue from the pallet. Literally, they take a razor blade and shave off (his words) a piece of the pallet, which will purportedly grow back to normal.
Well I saw him take the razor blade out, and I braced myself expecting that the pyschological pain of thinking about what is going on in my mouth would be far worse than the actual pain of the procedure-- given how fast and painlessly he had completed the first part.
As he began cutting, my entire body screamed... I felt it. I figured this was normal, and so I tried to suck it up and deal with it... but as he kept cutting, I kept pulling further and further back in my chair with agony. Finally, I felt the blade go up deep into my pallet and I couldn't cut it anymore. It was the worst pain I have ever experienced in my life, I nearly hit the ceiling, and tears began pouring out of my eyes.
The doctor became extremely alarmed and yelled at me: "You can feel this!?!?" to which I mumbled 'yes.' He frantically called for his nurse to administer more anesthetic to the pallet... and back into the pallet they went with the horse needle, and again with the insane pressure as the drug was released.
He apologized profusely, then said he would return in 5 minutes when the anesthetic had taken effect. He came back, and finished off the procedure without incident. I was seriously in such shock at the pain I had experienced, that I detached for the last portion of the surgery.
But the fun wasn't over...yet. After taking soft tissue from the roof of your mouth and placing it elsewhere, the doctor wants the body to regenerate the missing soft tissue. What it felt like from the inside was a gigantic, raw crater in the back lower half of the roof of my mouth. So they pack the depression with cotton and then build a wax retainer to keep it in place at all times for two weeks.
This was a huge annoyance, as there was a large foreign ob
I went back in two weeks to get the stitches removed, and the doctor said I had a fabulous result. I looked in the mirror, and it looked far from fabulous... there seemed to be a big bulbous protrusion where my old gumline had been replaced by this random part from a distant place in the mouth. But the recession issue that started this all was indeed fixed... and over time the bulbousness dissipated and today, almost 8 years after the fact, I'm glad I had it done and happy to say it looks normal. I still think this surgery is rather barbaric (I've still never felt a worse pain), extremely disruptive and in desperate need of innovation as to solve one problem they create significant, albeit temporary, other ones.
And yes, I'm extremely careful eating popcorn now
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Friggin hell mate, the shivers run down my spine reading this... :X
I am glad it turned out ok... -
I don't normally cringe at anything, but that just freaked me out totally!! Glad everything is okay now!!
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GOOD LORD!! THE AGONY.......
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My dentist has been after me for some time to go to a periodontist, and I refuse. Stories like yours are the reason why. Nope. Not gonna do it.
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i actually just had this done to the lower front 4 teeth....the teeth so far are fine, i get the sutures out in a week...but my palate hurts and wont stop bleeding...i have applied pressure with tea bags sooo many times and it doesnt seem to be effective...any ideas? how long did it take for your palate to heal? did yours bleed alot?
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hi all, no mine did not bleed much... it just ached for about 2 weeks. And that dang lining kept coming loose. Mind you this was years ago, so I'm hoping the technology has changed!
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This story is an all-time favorite at EP. Thanks for sharing it!
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I cried a little with you while reading this. I feel your pain(not literally, though.) I kind of hurt too, though, while reading.
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love this story...
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Sorry to hear about your terrible experience. I had my gum grafting today due to receding gums from grinding my teeth at night. I'm only 34!!! I wear a bite plate at night and everything, nothing has helped.
I'm happy to say that I do feel pretty good. My periodontist said that usually all patients need for pain control is Advil. I don't know about that. The ice compresses help a lot. Most of the pain is along my lower front teeth and lip area. He sutured the donor site on the roof of my mouth and that feels great. Just hope I can get back to work in a couple of days without having to deal with a lot of swelling!! -
Wow, I'm surprised you eat popcorn at all. I'd have boycotted, after THAT experience!
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This sounds awful!! I felt the pain as you were describing it. I see a peridontist as well for receeding gums & bone loss. I thought scaling was pretty awful. That is when they numb your mouth & scrape under your gums. After reading your story I think I will start flossing religously.
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I have been told that I may need to have something done with my gums too. After reading this...I am having second thoughts. Thanks for sharing - it helps to know what really happens - since the dentist doesn't feel anything it's easy for them to say it'll be just fine. I think I'll ask for the knock out!!
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Well written.. made me squirm. Sorry you had such a rough time!
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Note to self: abstain from popcorn. Forever. And other hard foods. Come to think of it, only eat applesauce and mashed potatoes from now until the day I die.
Wuuuuuugh. -
Just wanted to let you know I just had this procedure done.
The worst part for me was the needles and the novacaine.
I don't understand why people are shy when going to the dentist. I've had a few dentists not numb me enough before going in and I've learned. Always tell them your pain tolerance is nill.
When my dentist first referred me to a peridontist(I had a labre piercing back in colllege, it rubbed me the wrong way apparently) He said all periodontists were out of network for me, I believed him and paid $85 for an appointment with one, then called my insurance and found one in network that they would pay.
This one was great, did the procedure very quickly, Numbed me up with the needle twice then waited for it to take affect and numbed me up more before actually cutting. My face was numb for awhile afterwards and he gave me a Rx for vicoden which I was to take as soon as I got home even if I was still numb, he warned me it would hurt later and it would be better for me to take a pill before I felt it rather than afterwards.
The packing he put into place was very much like having chewing gum stuck to the roof of my mouth and the front of my mouth, but it did it's job(even though I couldn't really do mine while wearing it) Like he predicted it fell out once the wounds were healed. The roof fell out about 2 days later(and now I can rub my tongue over the abrasion on the roof of my mouth and it just fells like a dimple, no pain.
The one in front just fell out tonight(4 days later, I probably shouldn't have had a hoagie for dinner) but i can just tell there's a bubble, I haven't looked because they told me not to.
My advice, if you dentist recommends it(check your insurance) but go, and feel free to act like a big baby and demand lots of novacain. -
I don't think I would be able to take looking at the dentist coming towards my open mouth with a razor blade.
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ugh, brought back some of my denist nightmares. Been there done it, and all I can say is. PEOPLE FLOSS!
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Oh, my God..!! You did actually endure that? Gosh.. I'm glad you survived it.
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Oh, my God..!! You did actually endure that? Gosh.. I'm glad you survived it.
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This made me get teary eyed. My heart is still pounding so hard after reading this. I had a similar dental procedure done this year but I opted to be asleep for it. Oh how I am so much more thankful for that now!
My mouth still feels funny inside - lumpy where the dentist stitched up after he was finished. It's only been a few months though. Hopefully in a year or so I won't notice anymore. -
Bloody hell... I almost fell off my chair at one point during this.
I take my hat off to you, well done for going through something I would have clear run out of the surgery from -
I was sorry to hear about that experience, but I have to assume its' an anomaly. I had a gum graft (once recently and once five yrs ago). My dentist was very gifted, gentle, and I experienced no pain at all: not during or after the procedure. Oh, and the Percoset helped!
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I'm sorry ... I'm such a pain wimp, I couldn't even finish reading your story. It just got to be too painful even to read, let alone having to experiene going through it.
What an ordeal!
I'm really going to be careful when I eat popcorn. -
OMG i read your story and almost started to cry! That sounds soooooooooooooo horrible!!! Now Im terrified to eat popcorn. :( Your very brave!
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OMG i read your story and almost started to cry! That sounds soooooooooooooo horrible!!! Now Im terrified to eat popcorn. :( Your very brave!
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I normally have no problem with gory stuff. I never look away from surgery on telly or hide my eyes in horror movies... as soon as you wrote the bit about being able to feel it, i couldn't help myself, i had to look away and skipped to the end of the story. Sorry!
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((hugs)) Chilling.
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I SO feel you pain...
I had the same procedure done last week but thankfully I was sound asleep! I woke up feeling all woozy and swollen though, first meal I had was jelly and ice cream. After that I was eating soft food but then started to eat normal a few days later.. But till now I have my stitches visible in my lower front teeth.
The top part of my mouth were they scraped off also hurts too. I'm on 2 set of antibiotics but thankfully did not have to rely much on pain killers.
Yes, its not one of those things you would wish anyone to go thru. Even after being asleep having it, I would seriously not wish for anyone to go thru the same thing as I did.
So boys and girls, look after your teeth and gums, brush, floss, brush and floss!!!
Thanks for sharing your story :) -
That sounds awful! But, I have needed this surgery for years, and do not have dental insurance, or a huge wallet. Unfortunate as your experience was, at least you got to have it.
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