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Post by usandall on Jan 8, 2012 20:57:39 GMT -5
I have been invited to this board and I thank you. I am just about ready to book my DS and thanks to many of you any questions I had because of a email I received from my prior lap band doc I feel much better about.
I have been told about the gas and my lap band doc did suggest something to take care of that.
I was wondering about my teeth I do not have the best teeth as I have plenty of filling rc and crowns. I appear to have OK teeth only because I go to the dentist the way I am supposed to . However no one in my family has ever had good teeth.
Since ds'ers do not absorb as much nutrients I was wondering it is can effect bone what is the effect on teeth. Any response will be appreciated.
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Post by KathyF on Jan 8, 2012 21:26:45 GMT -5
To protect your teeth from demineralization, you must always stay on top of your labs and supplements. Especially D and calcium. You should also be taking sufficient amounts of magnesium citrate and K2 to go along with the calcium. I failed to do so for a long time and my teeth suffered. Yours won't (at least anymore than they would of anyways) if you maintain your D/calcium/PTH levels where they should be.
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Post by smokinstella on Jan 8, 2012 22:11:44 GMT -5
Its sooo important to keep up on your vitamins. My mother had RNY back in the late 80s and no one told her to take vitamins and supplement calcium. 10 years later she had no teeth left in her mouth, and her bones were shot. Not to mention all the other issues she had due to lack of vitamins and that was just from rny.
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Post by Deleted on Jan 8, 2012 22:30:23 GMT -5
You'll need to be very proactive in supplements, excellent oral care and dental visits. But that is the same for ANY WLS. When your intake is severely restricted, you need to supplement. And everyone needs good oral hygiene. There's nothing special about the DS and teeth.
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Post by Dudette on Jan 8, 2012 22:32:35 GMT -5
I posted this in response to your question on the other board, but thought I would re-post it here for the benefit of the folks on this forum. Post Date: 1/8/12 4:38 pm Good question! I haven't had any problems per se, yet I anticipated some ahead of time. I had major dental work done less than a week before my DS. I paid a lot of dough about 10 years ago to fix all my top teeth with a top cosmetic dentist in my area. Those teeth still look great. However, I procrastinated on getting my bottom teeth done. They were a hot mess last fall right before I had my surgery down in Mexico. I had a bad molar, a broken/abscessed tooth on the lower left and various and sundry other dental issues that I decided to get fixed while I was down there south of the border. I wanted to go into my surgery with 100% healthy teeth and no bad bacteria floating around in my system. Plus I didn't want to deal with having to go into the dentist AFTER surgery when I should be focusing on healing and learning how to eat healthy and live with my new stomach. Anyway, I ended up getting prepped for 8 new crowns right before my surgery along with two root canals, a post, a thorough deep cleaning, panoramic xrays... as they say in Mexico... the whole enchilada. The next week (the day I got out of the hospital) I went back in to the dentist and had the new porcelain crowns cemented on and had a dental implant screwed into my head (to replace the bad molar). I'm super happy with how everything turned out. I haven't had any issues with all that "trauma" my teeth had to deal with the week of my surgery. The work was major, but the pain and discomfort was minimal. I LOVED my Mexican dentist! I'm also being a good girl and taking my calcium citrate every day to make sure that my repaired teeth stay healthy and strong. If you have dental issues, don't be an idiot like me and procrastinate. The sooner you get it fixed, the better. Also check the comments section of my blog post here ----> www.obesityhelp.com/member/dudette/blog/2011/12/31/90-days-post-op/if you want the names of some good dentists in Mexico (right over the border from Yuma, Arizona). |
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Post by Happy DSr on Jan 9, 2012 0:11:13 GMT -5
with the massive weight loss, I have lost weight around my mouth as well, so my crown is less "tight" than it was. So agreed that you want to be rid of the bacteria per-op. I may suggest waiting until post op to do all of the reconstruction fitting
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Post by Dudette on Jan 9, 2012 0:55:00 GMT -5
with the massive weight loss, I have lost weight around my mouth as well, so my crown is less "tight" than it was. So agreed that you want to be rid of the bacteria per-op. I may suggest waiting until post op to do all of the reconstruction fitting I don't think gaining or losing weight should affect how"tight" a crown fits on your teeth. A crown, inlay or filing is attached to your existing tooth/bone. In the case of a crown, it's attached to the existing tooth structure with cement (or a metal post and cement). Gaining or losing weight won't affect that. However, your gums can recede from gum disease and improper oral care. That can create a "gap" between your capped tooth and/or fixed or removable bridgework and the gum line. The crown won't be loose (un-tight), but it's not a very aesthetically pleasing look either. Not to mention that the underlying tooth may now be exposed to bacteria and decay and THAT can cause a crown to loosen. Personally, I was down at approx. 140 pounds when I got my top teeth tricked out by a cosmetic dentist about 10 years ago. The dental clinic was a client of my company at the time, and I got all my dental work done on trade. Lucky me! Then I gained 130 pounds and ended up with a DS a few months ago. Now I am back down 75 pounds. All but one of my crowned teeth from 10 years ago have weathered the huge weight gain/loss fine so far. The one crown that didn't do so well I had replaced in Mexico. It was a case where the margin between the tooth and gum line was too large. It was a goof on the part of my previous dentist, not from gaining or losing weight. Having said all that... if someone with more knowledge than me wants to chime in on whether extreme rapid weight loss is known to cause your gums to receded (despite proper dental care)... I'm more than willing to listen.  |
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Post by Deleted on Jan 9, 2012 1:57:33 GMT -5
with the massive weight loss, I have lost weight around my mouth as well, so my crown is less "tight" than it was. So agreed that you want to be rid of the bacteria per-op. I may suggest waiting until post op to do all of the reconstruction fitting I don't think gaining or losing weight should affect how"tight" a crown fits on your teeth. A crown, inlay or filing is attached to your existing tooth/bone. In the case of a crown, it's attached to the existing tooth structure with cement (or a metal post and cement). Gaining or losing weight won't affect that. However, your gums can recede from gum disease and improper oral care. That can create a "gap" between your capped tooth and/or fixed or removable bridgework and the gum line. The crown won't be loose (un-tight), but it's not a very aesthetically pleasing look either. Not to mention that the underlying tooth may now be exposed to bacteria and decay and THAT can cause a crown to loosen. Personally, I was down at approx. 140 pounds when I got my top teeth tricked out by a cosmetic dentist about 10 years ago. The dental clinic was a client of my company at the time, and I got all my dental work done on trade. Lucky me! Then I gained 130 pounds and ended up with a DS a few months ago. Now I am back down 75 pounds. All but one of my crowned teeth from 10 years ago have weathered the huge weight gain/loss fine so far. The one crown that didn't do so well I had replaced in Mexico. It was a case where the margin between the tooth and gum line was too large. It was a goof on the part of my previous dentist, not from gaining or losing weight. Having said all that... if someone with more knowledge than me wants to chime in on whether extreme rapid weight loss is known to cause your gums to receded (despite proper dental care)... I'm more than willing to listen. Massive weight loss shows up everywhere...from your toes to your gums. My experience has been that two crowns done (by a different dentist, so THAT could have been the problem) right after the DS, had to be redone...and that as time went on, I developed a few small cavities above (or below) the crown along the margins, near the gum. So I think...and my newish dentist thinks that even small amounts of weight lost (via any method) can impact how much dental crown needs to be in an area. |
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Post by Deleted on Jan 9, 2012 2:35:48 GMT -5
Massive weight loss shows up everywhere...from your toes to your gums.
It also affects vision, if for no other reason than one's hypertension may go into remission. It was explained to me by the ophthalmologist during one of my exams. I don't remember all the how's and why's; that's why we have Google.
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Post by sheanie on Jan 9, 2012 9:40:04 GMT -5
I experience more build-up on my lower front 4 teeth. I suspect it's from chewing my calcium instead of swallowing it whole. Since my husband is a dentist, I just go more often for cleanings, or use my scaler at home. I've had one crown since my DS, on a tooth he was "watching" anyway that may have been cracked. Turns out it was. As far as your teeth suddenly taking a crap after DS, anything's possible. What I would hate for DSers to do, though, is to blame the surgery for 40-50 years of lax dental hygiene. What's more likely to cause damage?.....One bariatric surgery a year ago, or 40-50 years of little or no oral hygiene? We see patients in the office every day who are on the "7 year plan". We only see them every 7 years for several extractions. Then all of a sudden, they complain that their mouth has gone bad. Hell, it took them decades of ignorance to get there. It wasn't sudden at all.
It's kind of like your marriage and the DS. If you already had an excellent, honest, loving marriage based on trust, the DS isn't going to damage it. If your marriage is already leaning towards the shitter and you have the DS, chances are it's going to tip into the shitter. Same with your teeth. You get back what you put into life.
I'm also tired of people saying they "inherited" their terrible teeth. BS. If you looked in people's mouths every day, you'd see what we see. Tooth decay is NOT hereditary, it's a learned behavior. You very well could have learned crappy dental hygiene from your parents. But once you're an adult, you alone are responsible for your teeth, and every thing else.
One thing I have noticed is there is a "magic age" when most people will get one or more crowns. At around age 40, my husband and I both got several crowns. After that, I started to take note of the age of our crown patients. Most of us were in our forties.
We've had fluoride in our drinking water here in Michigan since the 1960's, for whatever that's worth. And we have a healthy number of people in our practice who avoid fluoride because they consider it toxic. They all have significantly more dental decay than the rest of us.
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Post by happycatbert on Jan 9, 2012 15:35:59 GMT -5
My teeth were awful prior to surgery, and they haven't improved any - but I can't say they've declined significantly, either.
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Post by Dudette on Jan 9, 2012 16:15:02 GMT -5
Massive weight loss shows up everywhere...from your toes to your gums.It also affects vision, if for no other reason than one's hypertension may go into remission. It was explained to me by the ophthalmologist during one of my exams. I don't remember all the how's and why's; that's why we have Google. I've heard that too. I really hope it's true! I finally broke down and bought my first pair of reading glasses about a month before my DS. I had horribly high blood pressure at the time as well. Now I am 3 mos. post-op, 75 lbs. lighter and my BP is almost in the normal range. However, it seems like my eyes are getting worse and I am relying on the reading glasses more and more. Curses!  |
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Post by KathyF on Jan 9, 2012 17:24:59 GMT -5
My dentist says that the demineralization in my teeth were definitely caused by my low D/high PTH levels. I let it go for many years. In April of 2010 I started on Vitalady's plan and was diligent in taking my supplements. After a year I went in for a cleaning and she was practically jumping for joy at the improvement in my teeth and gums. Most of the damage cannot be reversed, but hopefully I will be able to keep what I have longer! She also has me on prescription strength flouride toothpaste. She says the flouride helps to remineralize the teeth.
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