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My procedure was he took part of my top palate and placed it on my middle lower incisors.
The day of the procedure I took 2 tramadol right when I got in the car to go home. By the time I got home, I was in pain. I tried to sleep, but apparently tramadol does not make this girl sleepy, in fact, the opposite happens. I finally gave up and just started crying. I called my doctor and he said I can do ibuprofen and Tylenol as needed. Ibuprofen helped for a few hours but not long enough to get me through to my next dose. I keep taking the tramadol hoping it will work, but it doesn’t. I don’t even know why I am taking it... anyways, finally went to an urgent care yesterday (Saturday) since my periodontist is closed weekends and she gave me Toradol and Magic mouthwash... this has helped a lot but I am still having difficulty talking, drinking, eating, hell even having my tongue touch my palate hurts like a... well yea. I am so hungry but I cannot eat anything. I’ve been living off biscuits and gravy and waffles/pancakes. Those are the only solid foods I can eat because they are soft.
I will not be doing this again. If I do, he/she will not take part of my palate. The front where he replaced the gum tissue is fine, no problems there, just the roof of my mouth feels like a popped blister that isn’t healing.
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I had a gum graft 10 days ago. I had the gingival graft taking my own tissue from the roof of my mouth and the periodontist grafted my lower front teeth, lower right teeth and an upper right tooth. The procedure itself went fine but they gave me happy drugs so I don't really remember it. I remember going home in the car and I went straight to bed. The pain began the following day but really ramped up for me that afternoon/night and on the second day after the surgery. I had the plastic stent to cover the donor site but a portion of the donor site towards the back of the roof of my mouth was not covered and it became very swollen and felt like the plastic stent was digging into the wound and I had a swollen lump hanging down past the plastic stent. The pain was horrendous, swallowing saliva hurt never mind drinking anything. I was choking down smoothies in tears first few days just to get something on my stomach to take the large doses of Amoxicillin and painkillers. On the evening of the third day I couldn't handle the pain, and like others I've been told I have a very high pain threshold and have had a spine fusion due to a shattered disc, foot surgery+. I called the Dr worried over the area of the donor site that was so swollen and not protected. The surgeon suggested icing and leaving the plastic stent out at night but warned it may bleed. He was headed out of town until Tuesday so for three nights I took oxycodone and left the plastic stent out. I fortunately did not have any bleeding but would wake up midway through the night with the roof of my mouth throbbing and pain radiating to my entire jaw. My husband looked at the roof of my mouth and said it was an inch long by 1/4 inch hole. He told me he'd rather have dentures! On the fifth day I went back to the doctor's office and they lasered the wound which he said would promote healing, and I learned during the visit he'd actually harvested from two areas of the roof of my mouth but interestingly only the one side was killing me. I was in so much pain I didn't think to ask if the other side was also the free gingival graft or maybe the flap or some other technique and that's why that wasn't hurting. He shaved some off the plastic stent so that it wasn't digging into my palate so badly and sent me on my way with some green compounded numbing paste. Day six I noticed some slight reduction in pain, whether from the laser or the natural healing time frame I don't know. It's now day 10 and I haven't taken any painkillers during the day but my teeth are all aching pretty badly. When the donor site starts throbbing that seems to impact all the teeth as well. I am having less trouble with smoothies and last night I ate some warm vegetable soup. My teeth seem to be sensitive to cold and hot temperatures, especially the front lower grafted areas. I am supposed to have the grafted area stitches out in 4 days. I was definitely not prepared for the pain of this surgery. I remember the periodontist telling me my procedure would be extensive, I just wish I had known that extensive = agony. As of day 10, I would say I would not do this again. Thankfully I am able to work from home remotely because I could not have gone into an office because of the pain and because of the painkillers which make me loopy. I wish I could have known how painful this would be so that I could have prepped my employer and myself. I don't think people really understand when you try to explain to them how painful this procedure is, they think it's like a root canal and you're over it quickly. Reading the posts here I think the recovery and pain depends upon whether you use your own donor tissue, extent of donor tissue taken and type of cut at the donor site. It appears an extensive ginvival graft hurts a lot and recovery is slow. I'm still pretty mad the periodontist didn't prepare me better. I'm hoping the tooth sensitivity to cold and heat isn't permanent because I have read that's a side affect sometimes. I didn't have any sensitivity prior to surgery, but obviously this is a lot of trauma and I keep telling myself it's early days. I will come back in a few weeks and update.
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Had the surgery at 2 pm on a Thursday. It took an hour - not pleasant (noises, pressure etc.) but not painful. Was given 600mg ibuprofen before the surgery, and opted to take 8mg betamethasone before hand, rather than the 4 days of tapered dose prescribed. I am terribly sensitive to steroids - cannot sleep at ALL when I start them (have had two short courses for bad poison ivy before) so this, along with all the reading I did re: research on steroid use in oral surgery guided my decision - doc was fine with it. Still only got 3 hours of sleep the night afterwards. Betamethasone has a very long half-life.
The freezing wearing off was painful - we were stuck in rush hour traffic (trip home took over an hour) and the cold packs they gave me didn't last. Got some more ibuprofen on board and added a Tylenol 3 from my husband's hand surgery stash) when I got home. Things were bearable after that. Day 1 (Friday) was fine - I thought it was going to be a walk in the park. Took my meds, minor discomfort, nothing major.
HA HA.
Day 2 - no fun at all. Pain meds only did so much - cold packs all day (20 min on, 20 off) - couldn't IMAGINE going to work the day after!!! Took some more T3s in addition to ibuprofen. I got a baby toothbrush so that I could brush the non-surgical areas without stretching my mouth with a full-size toothbrush. Mouth definitely tastes disgusting most of the time - even with the Peridex 2X a day and careful brushing/gentle rinsing.
Day 3 - more of the same. Ready to remove head. Bad pizza burn feeling on top of mouth, along with general aching all over mouth - teeth all misaligned (normal, apparently) due to minor swelling but means you have to avoid clenching to realign them.
Day 4 - less pizza burn, more outright stabbing, stinging pain when eating (still eating only pureed foods) - particularly some fruit. Pureed melon, for instance was torture. Strange. Bottom teeth still achy. Using some heat packs occasionally, though they make me feel sick for some reason.
Day 5 - morning was looking up - felt a little better. Afternoon, back to pain-ville (ibuprofen wore off when out taking hubby to doc - he can't drive because of hand) and fell asleep watching TV at 8 pm.
Day 6 - maybe a little better so far - general dull pain (this is with the ibuprofen, which I'm still taking) and eating hurts top of mouth big time. Warm scrambled eggs felt good though. Stitches on top of mouth have started to fall out - clipped off an inch and a half this morning. Front teeth and lower jaw still achy, stingy sore. ("irritated" would be one word for it)
The wound on my palate goes from behind my front teeth all the way to the back molar and is about 60-80mm wide or so - it's got stitches criss-crossing it (some of those are at least a centimetre long). It's no wonder it hurts - there are a lot of nerves in that area and it's a big wound. I don't anticipate it healing overnight - though I sure as heck wish it would!!!
Talking for any length of time doesn't feel good - laughing or smiling feel like they're pulling the stitches and don't feel good either. Exercise makes things throb - so I'm taking it very slowly for now.
So...I'd say that much depends on where you have the surgery done (I suspect the front lowers are more painful than, say, an upper molar) and how much tissue they remove to do the graft. I am not a wuss - I've had two kids with no anesthesia, but this is very wearing because it goes on and on. The alternative of course, is potentially losing teeth, so I am hoping I'll feel it was all worth it a few months down the road when things are nicely healed up. For now, I'm hanging in and hoping tomorrow is better than today. And reminding myself that there are definitely lots of people in worse chronic pain and situations than this - which WILL pass!
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