Pdurant 2015-11-17 16:26:28
Today I took my son to self-donate blood for surgery scheduled for the
16th of July and he finally opened up a bit about his feelings on this
whole thing during our several hour drive to and from the donation
center. It seems his biggest fears are sounding “nasal” and not like
himself AND he does not want to have a silver clasp around any teeth
that show in order to hold in the obturator. Unfortunately, with the
4 upper top front teeth that are missing from his bike accident (for
which we embarked on the original surgery to do a bone graft for
eventual implants) and the resection necessary for adequately treating
the ameloblastoma, he will only have a canine tooth and the one next
to it remaining on that side of his upper right jaw. He is also
afraid of having a sunken look due to tissue and bone removal.
I told him to remember how it took a few days to learn to talk like
himself again after his jaws were smashed 6 years ago and each time he
got a new partial plate, there was an adjustment period. So “don’t
panic if you wake up from surgery and can’t talk right immediately”.
But I have absolutely no idea what to expect and could offer no
reassurances or reliable information to him.
Please if anyone could give me some idea of whether or not his desire
to sound and look normal is realistic, I’d be so grateful. It is so
important to him that he start college in late August with normal
appearance and sound. In addition, is it possible to have some kind
of invisible hook or connection behind the two remaining teeth to hold
in the obturator so that it is not immediately evident that he is
Noyb 2015-11-17 16:26:58
Boy, I happened across this thread just after this post, and I have to say
my prayers are with your son. He really has been through a lot at such a
Yes, the two remaining teeth can possibly be crowned, and a semi-precision
attachment could likely be made to retain the obturator. Discuss this
further with your son’s Prosthodontist.
Wb 2015-11-17 16:27:25
Don’t know about the speech Dr King may be of some
assistance on that subject.
Certainly there are restorative tecniques that can ‘hide’
the clasps of partial dentures. Even prescision attachments
can be considered. There is going to be an interim or
temporary restorative phase where some clasping may
be required for stability and it may show somewhat.
Realize that there are going to be stages and it will
take some time.
Dr. steve 2015-11-28 03:20:42
I have a friend who lost a lot of bone along with the front teeth in a motor
vehicle accident years ago. He wears an appliance which fills the missing
area and replaces 3 teeth. Nothing shows from the front. Everything clips
onto a bar which connects the crowns on each side.
Stephen Mancuso, D.D.S.
Pdurant 2015-11-30 14:22:33
Thanks NOYB and Dr. Steve for the info on appearence possibilities.
Any idea how he will sound? Once the hole is covered up, will the
voice sound be the same as it was before surgery?
Dr. steve 2015-11-30 14:23:28
No way to predict with 100% certainty before the fact,,,,,,, but I would
expect speech adaptation to be similar to wearing a new partial denture.
The prosthodontist who makes these devices frequently would be better suited
Dr. G. are you lurking? ? ?
Stephen Mancuso, D.D.S.