screws and plates coming out

[Guest guest]

I posted a couple of weeks ago about shooting pain in my mouth. I

had madibular advancement about 2 years ago. I had some x-rays

recently for a car accident and i could see on them a screw

partially sticking out the bone, and i could also feel it.

I saw my surgeon today and he said the screw had to come out as it

was knocking a nerve, and while he was in there he should take out

the plate as it could get an infection as the whole area has to be

opened up. He will have to cut through the outside of my cheek to

reach the screw.

I then mentioned that I no longer have Hospital insurance. I had it

when I first had my surgery which covered the hotel room. The rest

of the surgery was covered by medicare (in australia) so i basically

didnt pay anything.

Medicare will still cover the surgery (all except $150 of the

anaesthetic) but since I dont have hospital the hospital will be

about $600-1000 - which i dont have. He said that he may be able to

do it in the chair, under heavy sedation with alot of local

anasthetic, but he's not sure, as i can only be sedated for 3/4hr

and hes not sure he can get it all done....but he thinks he can.

Has anyone else had this?

Did you have to go to hospital, or did it happen in the chair?

Also how long is recovery? I play waterpolo and I am going to Hawaii

on 5th August- would there be enough recovery time if I got it done

in next couple of weeks, or should I wait until after?

Thanks for any help

jaimi

adelaide australia

[Guest guest]

Hi!

I am so glad that you have discovered the source of your pain. At

least there is something that can be done about it. My oral surgeon

said that if I ever need to have my plates and screws removed, it

could be done in his office. Perhaps the same will be true for you.

Here's hoping!

Fay

> I posted a couple of weeks ago about shooting pain in my mouth. I

> had madibular advancement about 2 years ago. I had some x-rays

> recently for a car accident and i could see on them a screw

> partially sticking out the bone, and i could also feel it.

> I saw my surgeon today and he said the screw had to come out as it

> was knocking a nerve, and while he was in there he should take out

> the plate as it could get an infection as the whole area has to be

> opened up. He will have to cut through the outside of my cheek to

> reach the screw.

> I then mentioned that I no longer have Hospital insurance. I had

it

> when I first had my surgery which covered the hotel room. The rest

> of the surgery was covered by medicare (in australia) so i

basically

> didnt pay anything.

> Medicare will still cover the surgery (all except $150 of the

> anaesthetic) but since I dont have hospital the hospital will be

> about $600-1000 - which i dont have. He said that he may be able

to

> do it in the chair, under heavy sedation with alot of local

> anasthetic, but he's not sure, as i can only be sedated for 3/4hr

> and hes not sure he can get it all done....but he thinks he can.

>

> Has anyone else had this?

> Did you have to go to hospital, or did it happen in the chair?

> Also how long is recovery? I play waterpolo and I am going to

Hawaii

> on 5th August- would there be enough recovery time if I got it

done

> in next couple of weeks, or should I wait until after?

>

> Thanks for any help

>

> jaimi

> adelaide australia

[Guest guest]

I am having all metal removed out by choice. I dont want to encounter

the kind of issues you mention when I grow older so I might as well

get them out now that I am about 7 month post op. You never know, it

not natural bone, it's titanium, so it could be interfering with

nerves etc. even though surgeons dont want to bother removing them.

My surgeon said about 30 minutes in office procedure with sedation,

no general anesthesia. He will not call anesthesiologist, he will do

himslef. I hope he knows what he is doing, but I will be breathing on

my own since it is not general.

-- In orthognathicsurgerysupport , " igetdibs2000 "

<igetdibs2000@y...> wrote:

> Hi!

>

> I am so glad that you have discovered the source of your pain. At

> least there is something that can be done about it. My oral surgeon

> said that if I ever need to have my plates and screws removed, it

> could be done in his office. Perhaps the same will be true for you.

> Here's hoping!

>

> Fay

>

>

> > I posted a couple of weeks ago about shooting pain in my mouth. I

> > had madibular advancement about 2 years ago. I had some x-rays

> > recently for a car accident and i could see on them a screw

> > partially sticking out the bone, and i could also feel it.

> > I saw my surgeon today and he said the screw had to come out as

it

> > was knocking a nerve, and while he was in there he should take

out

> > the plate as it could get an infection as the whole area has to

be

> > opened up. He will have to cut through the outside of my cheek to

> > reach the screw.

> > I then mentioned that I no longer have Hospital insurance. I had

> it

> > when I first had my surgery which covered the hotel room. The

rest

> > of the surgery was covered by medicare (in australia) so i

> basically

> > didnt pay anything.

> > Medicare will still cover the surgery (all except $150 of the

> > anaesthetic) but since I dont have hospital the hospital will be

> > about $600-1000 - which i dont have. He said that he may be able

> to

> > do it in the chair, under heavy sedation with alot of local

> > anasthetic, but he's not sure, as i can only be sedated for 3/4hr

> > and hes not sure he can get it all done....but he thinks he can.

> >

> > Has anyone else had this?

> > Did you have to go to hospital, or did it happen in the chair?

> > Also how long is recovery? I play waterpolo and I am going to

> Hawaii

> > on 5th August- would there be enough recovery time if I got it

> done

> > in next couple of weeks, or should I wait until after?

> >

> > Thanks for any help

> >

> > jaimi

> > adelaide australia

[Guest guest]

I don't think removal of screws and plates increases the chance of

relapse, once the bone has healed, although I didn't ask that

question.

You might also ask your surgeon whether he's ever used the

resorbable polymers. I believe they are experimental in the United

States, but I know of at least two people who have had them -- one

in the UK and one in Canada, and both were satisfied with their

results.

Best,

Cammie

> Hi Fay,

> Thanks for the information. I'm contemplating surgery, but the

thing that is

> really putting me off is the thought of having screws and metal in

my face

> (a bit like enstein!). If I could have it removed, I think I

could

> actually go through with it. I suppose it would increase the

chance of

> relapse,

>

> Thanks 7

>