Guest guest Posted February 28, 2008 Report Share Posted February 28, 2008 I just was told I have PSC and I am scheduled to have 4 implants done in my mouth on March 14th. Can this PSC pose a problem for me with this dental work. & #65007; & #65007; I am to have all my teeth crowned and now I am wondering if I should not have all this work done. I have 2 bridges removed and they each cover 3 teeth so with these bridges I will have to have 6 teeth crowned and I have 2 temp crowns in my mouth right now that need new crowns... my frount teeth are in bad shape as I did not have teeth in the back of my mouth for many years and ate in the front. They want to cover them with vaneers and crowns. Very expensive work and if it is going to go bad because of meds I will be put on or just from the PSC I would like to know...any ideas out there... thank you for your help CJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2008 Report Share Posted February 28, 2008 CJ I wish I had better advice about dental work before I had root canals and crowns done! They were all removed before my transplant. I had 3 infections in 4 years before my tx, 2 started 2 days after ERCPs and the 3rd was a kidney infection. All my crowns were pulled out shortly after the last infection. I got my new liver 5 mo. later, but I didn't know why those teeth were pulled and the dental students who did the work didn't know why either. Several years later some one posted info saying the environment around those teeth can harbor bacteria. I assume that is the reason they were extracted. Before getting such extensive work done I suggest you have a serious talk with the transplant team. It sounds like you have been diagnosed recently and so you might not have made contact with a transplant center, so talk to your doctor and get some real answers not just an opinion. Most dentists have little or no experience with potential transplant patients so they don't know much. I think it is not the crowns that pose the problem, it is the root canal work because it removes the nerves and blood supply which then leaves spaces that have no way of fighting an infection. I think the information you need is relatively new and someone will need to do some research for you. Please let us know what happens. Take Care MizKit Supercharge your AIM. Get the AIM toolbar for your browser. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2008 Report Share Posted February 28, 2008 I read somewhere in my research of PSC that they were looking at a link between PSC and metal fillings. It said something about being careful when having the metal filling removed because of the release of mercury if I remember correctly. I wish could remember where I read this. Maybe someone else will have some input on this. > > > CJ > > > > I wish I had better advice about dental work before I had root canals and crowns done!? They were all removed before my transplant.? I had 3 infections in 4 years before my tx, 2 started 2 days after ERCPs and the 3rd was a kidney infection.? All my crowns were pulled out shortly after the last infection.? I got my new liver 5 mo. later, but I didn't know why those teeth were pulled and the dental students who did the work didn't know why either.? Several years later some one posted info saying the environment around those teeth can harbor bacteria.? I assume that is the reason they were extracted.? Before getting such extensive work done I suggest you have a serious talk with the transplant team.? It sounds like you have been diagnosed recently and so you might not have made contact with a transplant center, so talk to your doctor and get some real answers not just an opinion. > > Most dentists have little or no experience with potential transplant patients so they don't know much.? I think it is not the crowns that pose the problem, it is the root canal work because it removes the nerves and blood supply which then leaves spaces that have no way of fighting an infection.? I think the information you need is relatively new and someone will need to do some research for you.? > > Please let us know what happens. > > Take Care > MizKit > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2008 Report Share Posted February 28, 2008 Dear CJ and Mizkit, Ricky asked me to write, since I am a dentist who does only root canal therapy(an Endodontist). I would definitely talk to the transplant team to see what dental work is necessary and acceptable prior to the transplant. Normally if the patient has had a transplant, I would call the transplant surgeon to see if a root canal is feasible and if an antibiotic is recommended. This advice would also hold for an implant. But to be on the safe side, I would have your dentist contact the transplant surgeon and see if they have a regimen to follow prior to any dental treatment. I hope this helps. Don Safer > To: > Date: Fri, 29 Feb 2008 03:51:26 +0000> Subject: PSC and dental work> > I just was told I have PSC and I am scheduled to have 4 implants done > in my mouth on March 14th. Can this PSC pose a problem for me with this > dental work. & #65007; & #65007;> I am to have all my teeth crowned and now I am wondering if I should > not have all this work done. I have 2 bridges removed and they each > cover 3 teeth so with these bridges I will have to have 6 teeth crowned > and I have 2 temp crowns in my mouth right now that need new crowns... > my frount teeth are in bad shape as I did not have teeth in the back of > my mouth for many years and ate in the front. They want to cover them > with vaneers and crowns. Very expensive work and if it is going to go > bad because of meds I will be put on or just from the PSC I would like > to know...any ideas out there...> > thank you for your help> > CJ> > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2008 Report Share Posted February 28, 2008 Don - I know it is difficult to give opinions when you are not directly examining a patient... but... the recent discussion on root canals, crowns, etc. is raising immediate questions for . He had root canal #1 done today, with at least one, if not more planned in the near future. At this time, for a young person, to not do the appropriate dental work would feel totally negligent - except, if as in Miz Kit's experience, all dental work was removed in future prior to a transplant. My question is... have you read or experienced that it is common to remove teeth before transplant, which have had root canals & /or crowns placed in the past? Thanks! Joanne H (, Ca., mom of , 17, UC/PSC 2-06) PSC and dental work> > I just was told I have PSC and I am scheduled to have 4 implants done > in my mouth on March 14th. Can this PSC pose a problem for me with this > dental work. & #65007; & #65007;> I am to have all my teeth crowned and now I am wondering if I should > not have all this work done. I have 2 bridges removed and they each > cover 3 teeth so with these bridges I will have to have 6 teeth crowned > and I have 2 temp crowns in my mouth right now that need new crowns... > my frount teeth are in bad shape as I did not have teeth in the back of > my mouth for many years and ate in the front. They want to cover them > with vaneers and crowns. Very expensive work and if it is going to go > bad because of meds I will be put on or just from the PSC I would like > to know...any ideas out there...> > thank you for your help> > CJ> > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 29, 2008 Report Share Posted February 29, 2008 HI guys, I sit here 8pm having just got home from the hospital having had another tooth removed today. Luckily you can’t hear me talk, but I’ll add my two cents worth anyway. I have Hepato pulmonary syndrome, and PSC, and was listed for transplant last august. Prior to listing I needed two root canals/crowns, and chose instead to have the teeth removed. This enabled me to only wait the healing time of 6 weeks before listing, not the months it took to finish the work. Two weeks ago I revisited my dentist, and yet another tooth is wrecked, and thus today’s extraction. This is also an expediency decision, rather than dental one. With HPS, I was told I would need a transplant within a year, and with the waiting list at 12 -18 months, I didn’t want to be “off the list” for any longer than necessary. They are back teeth, and I haven’t missed them. We are now investigating whether the Questran I take for the itching has caused the tooth problems. I take it at lunchtime (to avoid the urso), and dissolved in OJ to make it drinkable, so we think having the OJ on my teeth all afternoon was rotting my teeth. Now we know, I brush after, and hopefully this will solve the dissolving teeth problems. I don’t think the psc caused the teeth problems, nor am I against root canals and crowns, but this just suited my circumstances better! Penny T (Australia) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 29, 2008 Report Share Posted February 29, 2008 Ken had several root canals done before transplant with no problems. He took penicillin one hour before the work was started. Post transplant the doctor recommends the same protocol (penicillin) be followed. A lot of transplant centers actually require all dental work be finished before listing for transplant and follow up “wellness” dental visits be done on a regular schedule. Don’t be surprised if you have a lot of cavities, some believe because the body isn’t processing vitamins like it used to, your teeth pay a price. This certainly was true in Ken’s case. Barb in Texas - Together in the Fight, Whatever it Takes! Son Ken (33) UC 91 - PSC 99 - Tx 6/21 & 6/30/07 @ Baylor in Dallas Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 29, 2008 Report Share Posted February 29, 2008 Barb - Thanks so much for your message. As we just begin the root canal work on , you have helped me feel better in multiple ways. First, that he did not have this happen, just because I was not "on his case" constantly for better dental hygiene. Second, that investing in his mouth would be a waste in the future. Thanks again! Joanne H (, Ca) -----Original Message-----From: [mailto: ]On Behalf Of Barb HenshawSent: Friday, February 29, 2008 9:22 AMTo: Subject: RE: PSC and dental work Ken had several root canals done before transplant with no problems. He took penicillin one hour before the work was started. Post transplant the doctor recommends the same protocol (penicillin) be followed. A lot of transplant centers actually require all dental work be finished before listing for transplant and follow up “wellness” dental visits be done on a regular schedule. Don’t be surprised if you have a lot of cavities, some believe because the body isn’t processing vitamins like it used to, your teeth pay a price. This certainly was true in Ken’s case. Barb in Texas - Together in the Fight, Whatever it Takes! Son Ken (33) UC 91 - PSC 99 - Tx 6/21 & 6/30/07 @ Baylor in Dallas Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2008 Report Share Posted March 1, 2008 Hi Joanne, There are different schools of thought. Some transplant surgeons would feel better if some of these teeth were extracted pre-transplant to avoid bacterial contamination. Others feel that if the teeth are treated properly ahead of time, this will solve the bacterial problem. So, if I were you, I would contact your liver center and see how they feel about dental work pre-transplant. Don To: From: copper@...Date: Thu, 28 Feb 2008 21:33:03 -0800Subject: RE: PSC and dental work Don - I know it is difficult to give opinions when you are not directly examining a patient... but... the recent discussion on root canals, crowns, etc. is raising immediate questions for . Thanks! Joanne H (, Ca., mom of , 17, UC/PSC 2-06) PSC and dental work> > I just was told I have PSC and I am scheduled to have 4 implants done > in my mouth on March 14th. Can this PSC pose a problem for me with this > dental work. & #65007; & #65007;> I am to have all my teeth crowned and now I am wondering if I should > not have all this work done. I have 2 bridges removed and they each > cover 3 teeth so with these bridges I will have to have 6 teeth crowned > and I have 2 temp crowns in my mouth right now that need new crowns... > my frount teeth are in bad shape as I did not have teeth in the back of > my mouth for many years and ate in the front. They want to cover them > with vaneers and crowns. Very expensive work and if it is going to go > bad because of meds I will be put on or just from the PSC I would like > to know...any ideas out there...> > thank you for your help> > CJ> > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 2, 2008 Report Share Posted March 2, 2008 Hi Penny I hope you have recovered from you tooth extraction. I do hope your health is good and it won't be too long before you 'get the call'. Best wishes > > HI guys, > > I sit here 8pm having just got home from the hospital having had another > tooth removed today. Luckily you can't hear me talk, but I'll add my two > cents worth anyway. > > I have Hepato pulmonary syndrome, and PSC, and was listed for transplant > last august. Prior to listing I needed two root canals/crowns, and chose > instead to have the teeth removed. This enabled me to only wait the healing > time of 6 weeks before listing, not the months it took to finish the work. > Two weeks ago I revisited my dentist, and yet another tooth is wrecked, and > thus today's extraction. This is also an expediency decision, rather than > dental one. With HPS, I was told I would need a transplant within a year, > and with the waiting list at 12 -18 months, I didn't want to be " off the > list " for any longer than necessary. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 3, 2008 Report Share Posted March 3, 2008 Wow, this time checking my mail I am finding my life flashing in front of me. First, itching, *unrelenting*, dry mouth and now bad teeth. My teeth seem to rot from the inside out, without any pain or warning and then the dentist says, " You aren't taking care of your teeth " . Ummm, yes I am, I brush 7-10 times a day, floss 3 times a day and rinse as often as I need to. I have now found that it will be quicker to have my uppers all pulled and get dentures than to go through the time, pain and expense of getting them fixed. My teeth are so sensitive, a hygienist can't even clean my teeth without novicane and then I can still feel the pain. Cindy Baudoux-Northrup ________________________________________________________________________________\ ____ Looking for last minute shopping deals? Find them fast with Yahoo! Search. http://tools.search.yahoo.com/newsearch/category.php?category=shopping Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 3, 2008 Report Share Posted March 3, 2008 > > My teeth seem to rot from the inside out, without any > pain or warning and then the dentist says, " You aren't > taking care of your teeth " . Ummm, yes I am, I brush > 7-10 times a day, floss 3 times a day and rinse as > often as I need to. ----------- Strangely enough, that's very much what I'm experiencing also. In the past 8-9 months, I've " knocked out " the fillings from 4 teeth (one of them for the 3rd time in 6 months). My dentist is puzzled at how rapidly the decay has moved and it has puzzled me also. It's been years since I've had any real dental issues and all of a sudden I'm seeing my dentist literally every few weeks. All the decay seems to start on the inside and work its way out, but under the gum line. This means lots of bleeding, and with my platelets so low, I bleed like a stuck pig!!! Fortunately, our dentist is also a good friend and understands about my PSC. I thought I was having to give up tootsie rolls and granola just on a temporary basis, but after reading everyone's posts, it sounds as if I had better give them up for good. Take care, Carolyn B. in SC Quote Link to comment Share on other sites More sharing options...
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