This isNot a Gag!byDr. C Ross Crapo DDSQ: Dr. Crapo: About ten years ago I gave up on my teeth. Theywere crooked and full of fillings and every time I went to the dentisthe'd say, you've got three new decay spots or five. It seemed likno matter what I tried, nothing worked. So finally, I said "to heckith this pull'em and give me dentures". I thought I won't have togo back and hear that I'd failed again. I also thought, finally I'll havesome nice teeth. So, I went through with it and had my teeth outand dentures put in. I had a terrible time adjusting, in fact I neverdid. At first, I had to get used to the fitting and I must say duringthis time l'd gag every time I put them in. I could get one in but notboth at the same time without feeling like I was about to losebreakfast, lunch and dinner. It was awful! My dentist tried to makethe dentures as small as possible and still have them stay in but tono avail. So, for five years I've gone without teeth. I've managedbut despite trying to think it's just my cross to bear, I really know Isound toothless, I look toothless and my diet has to be cooked andsoft. I've read about implants, would they help? I've been told I'vegot enough bone for the bottom implants but not enough for thetop. I can't see getting teeth on the bottom with no teeth on the topto work against. What can be done?A: Individuals who have severe gag reflexes demonstrate severalareas in the mouth that produce over reaction to foreign bodystimulation. At times flossing and tooth brushing wll causegagging. Classically roof of the mouth and back of the tongue arethe culprits for gagging but I have patients that are so volatilprone to gagging that I can't even put the mouth mirror past theirlips without them retchingInteresting enough food and its chewing and swallowing does notcause gagging. When have placed bridge work in theseindividuals (they've been sedated during these procedures) it hasbeen readily accepted (i.e. no post-op gagging)In your case bridgework could be fitted to your lower jaw withimplants. At the same time sinus grafting will produce more thanadequate bone for future implants and bridgework to be placed inyour upper jaw. All of this work can be done with intravenoussedation a gentle procedure, not a general anesthetic, thateliminates an awareness of the procedures. If you're not able towear an upper denture while the graft is healing, know that it is onlytime before the bridgework will be placed and your chewing andsmiling return.If we can help, we'd like to. Call 778-410-2080 for a consultation.Based on actual patient casesVictoria Implant Centre778-41O-2080www.VictorialmplantCentre.com

Date: July 8, 2018

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This is Not a Gag! by Dr. C Ross Crapo DDS Q: Dr. Crapo: About ten years ago I gave up on my teeth. They were crooked and full of fillings and every time I went to the dentist he'd say, you've got three new decay spots or five. It seemed lik no matter what I tried, nothing worked. So finally, I said "to heck ith this pull'em and give me dentures". I thought I won't have to go back and hear that I'd failed again. I also thought, finally I'll have some nice teeth. So, I went through with it and had my teeth out and dentures put in. I had a terrible time adjusting, in fact I never did. At first, I had to get used to the fitting and I must say during this time l'd gag every time I put them in. I could get one in but not both at the same time without feeling like I was about to lose breakfast, lunch and dinner. It was awful! My dentist tried to make the dentures as small as possible and still have them stay in but to no avail. So, for five years I've gone without teeth. I've managed but despite trying to think it's just my cross to bear, I really know I sound toothless, I look toothless and my diet has to be cooked and soft. I've read about implants, would they help? I've been told I've got enough bone for the bottom implants but not enough for the top. I can't see getting teeth on the bottom with no teeth on the top to work against. What can be done? A: Individuals who have severe gag reflexes demonstrate several areas in the mouth that produce over reaction to foreign body stimulation. At times flossing and tooth brushing wll cause gagging. Classically roof of the mouth and back of the tongue are the culprits for gagging but I have patients that are so volatil prone to gagging that I can't even put the mouth mirror past their lips without them retching Interesting enough food and its chewing and swallowing does not cause gagging. When have placed bridge work in these individuals (they've been sedated during these procedures) it has been readily accepted (i.e. no post-op gagging) In your case bridgework could be fitted to your lower jaw with implants. At the same time sinus grafting will produce more than adequate bone for future implants and bridgework to be placed in your upper jaw. All of this work can be done with intravenous sedation a gentle procedure, not a general anesthetic, that eliminates an awareness of the procedures. If you're not able to wear an upper denture while the graft is healing, know that it is only time before the bridgework will be placed and your chewing and smiling return. If we can help, we'd like to. Call 778-410-2080 for a consultation. Based on actual patient cases Victoria Implant Centre 778-41O-2080 www.VictorialmplantCentre.com

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