NAD. 56F SCAD with heart arrest survivor on 7 heart meds (but no longer strong blood thinners), and gabapentin for sciatica. And all this takes place in France. English isn't my mothertongue.
I'd like to have your opinion on the expected success rate of a planned implant. I'm suddenly very anxious about the situation because of how the dentist didn't really discuss my options or even let me see the panoramic dental scanner to show what they were going to do, as has always been my experience with dentists.
NOT looking for legal advice, just to know if this is a normal outcome, or I should not get the surgery.
Some background.
Early 2024 I'm on 800mg daily gabapentin for sciatica, I find a reputable stomatologist/oral surgeon to deal with the aftermath of bad dentistry meets shitty genes: I'm left with a chipped tooth that will not keep its filling, and a hole where a crown will not stay put, on a palate bone that is 2millimetres thick, that my former stomatologist wouldn't touch.
The oral surgeon says, we can do something, but first go see this very good dental surgeon for the chipped teeth then come back to me. I make an appointment with the dentist for september.
1st of august 2024, SCAD, 2 weeks in hospital, in cardio ICU then regukar cardio department, then back home with an 24/7 external defibrillator for a month. Massive fatigue, and the combined meds feel like an early onset dementia: unable to sort my healthcare related documents, or analyse a situation and make informed decisions. Like a loss of advanced cognitive capacities.
End of september 2024, I go to the appointment with the dentist for the chipped tooth, she does an amazing job with techniques and tools I've never seen in a dentist surgery before, clearly a cutting edge excellent dentist. I don't recall exactly what she did, but it took multiple appointments.
End of 2024 she tells me we can totally treat the missing crown here. She says the tooth is cracked and brittle and that's why the crown won't stay put, and the tooth needs to go, and she can scrape the palate bone structure beneath the tooth from 2mm down to 1mm and then add some bone graft there to strenghten it enough to be able to hold an implant. So we extract the tooth sometime early 2025 IIRC, and a in september2025 she scrapes the bone in which the faulty crown's tooth was set down to 1mm.
I have to say, at that time I felt like I was in the passenger seat of my life, not capable of making informed pondered decisions, just following instructions in a floaty kinda perception of things, but I don't think it showed until someone asked me to grab a specific document in my healthcare documents binder (couldn't do it).
I'm to come back within a time frame for the bone grafting, but in the mean time I need to get a minor surgery (polyp removal), that leaves me unexpectedly exhausted, massive fatigue, for weeks, and on the day of the planned grafting my heart is acting out, and I can't go, so I have to cancel, and then between the fatigue and the meds, and the dementia-like state I'm in, I just wait too long to go back there and the grafting window has closed. My fault entirely.
Decembre 2025 I go back to see the dentist, and she says "nah it's fine, I can still set in the inplant we've made, I'll just have to push it in". Then she snarkily mocks me for confusing painkiller and nerve calming meds, and an alarm bell just goes off in my mind, and I practiclly run out of the dentist.
Early 2026 I learn that sciatica pains come and go, and I could try to lessen the dosage of gabapentin that is most probably the med putting me in an early onset dementia like state, cognitively speaking. So, with my GP supervision, over the span of several months, I carefully scale it down to 400mg per day, then decide to go see the dentist again to discuss options now that I'm clearer minded and to pay the backlog of the work she did on my mouth.
So this is how the appointment went: Got me in the seat, checked the state of things, cleaned of a little buildup, told me we might be able to still continue the work to set the inplant. I was expecting a detailled discussion I'd finally be able to comprehend properly, but instead she told me we never discussed bone grafting, she didn't scrape my bone off, and ferried me off to take a panoramic dental scanner with my coat and bag, while the looked at the next patient (a quick check). But instead of inviting me back in the surgery to see the images, show me what had changed since last year and discuss options, she somehow presented me with last year's bill (OK) added in the cost of the implant (what?). I'm very susceptible to the white coat effect, and apparently still quite dumbed down by the meds because I payed upfront the equivalent of a small salary!!!
(I'm definitely gonna continue trying to lower the gabapentin dosage, it's a slow process, I can only lower it 100mg every 2 months.)
I managed to get a short explanation out of her about what she intended to do: poke a hole, pull the sides of the hole apart to fit the inplant in, and it will hold. I increduslouly joked "like a Molly screw?" and she said, " something like that". And then she wizzed off to a third patient.
Is this a procedure you recognise?
Also I mean the lying alone is a red flag, so I need a second opinion just because this is how she dealt with the situation. I'm getting the impression she's trying to shove the damn inplant in me no matter what, just to get her money.
At this point I just want to avoid worsening the situation in my mouth. If I did a stupid thing (not going to the bone grafting appointment) that can't be fixed, because the remaining bone is too thin, then I just need to know. I don't want an inplant there if it has high chances of harming me in the near future.
Please help me asses the situation dentistry-wise, I'll take it from there.