Question:
What about your teeth?

I have decided to have an open RNY, probably later this month. There is one question I have that I havent seen adressed here. What about your teeth? Are any of you having any issues since you had your surgery? Are there any measures I can take to prevent problems?    — Monica H. (posted on October 17, 2001)


October 17, 2001
No probs with teeth. I'd be more concerned about hair loss. Although I haven't had any of that either at 4 months. Good luck and God bless!
   — Kimberly L.

October 17, 2001

   — elifritz

October 17, 2001
Good question!!! When I got out of the hospital I noticed an awful sensitivity problem. I knew I had some old fillings that needed replaced and thought somehow they were knocked loose during surgery. They weren't. And it turned out that I had switched to a different toothpaste and that had actually made my gums very sensitive. But, on the other hand, I haven't seen anything on it either. A good reason to remember to take your calcium tablets - infact, I would start while I was pre-op. Girl, you got me to thinking. I don't have anything but my smile - I can't loose that! Good luck on your up coming surgery.:)
   — K T.

October 17, 2001
Hello, good question. I just had surgery Oct. 4th and so far things with my teeth are fine. My doctor said I shouldn't have any problems with teeth. Thanks.
   — yodie123

October 17, 2001
I had an open rny and my surgeon never mentioned anything about dental problems. It's never come up in any of my support group discussions. I was told to to take two Tums twice a day for the calcium. I know that's for the bones...but....it would be good for teeth too.
   — [Anonymous]

October 17, 2001
If you have ANY malabsorption (as you will, after an RNY), Tums or any other source of calcium carbonate are USELESS. The only form of calcium absorbed correctly by the body after these procedures is calcium CITRATE. It's easy to get at drugstores now. I take 1000mg a day. So far, no teeth problems, but it's only been a month. :-)
   — Julia M.

October 17, 2001
One thing that post ops do need to worry about is starting a post meal dental routine if you don't already. "Normal" folks drink liquids with their meals and immediately after. Those liquids help wash away small food debris, cleaning the mouth and let most of us get by without having to brush after meals (even though Mama said we HAVE to). Well, since post op we are NOT drinking with meals, and NOT drinking until at least 30 minutes (or longer) after meals, you increase your risk of tooth decay. So, for us, Mama was right.. we need to brush after we eat.
   — BethVBG

October 17, 2001
Hello Monica: I am a Registered Dental Hygienist and will try to answer your question. It is important to maintain good oral hygiene standards as a post-op. Initailly some have problems with throwing up...more so with the VBG than the RNY. Brushing throughout the day is important to not only remove food debris but also to remove the acidic level in your mouth. Ater eating any milk or friut products it is important to brush. Lactose and Fructose are naturally occuring sugars which still increase the acidic levels in our mouths. Too much acid=breakdown of the enamel causing cavities. Since we avoid table sugar we don't have to worry about that. Also eating any type of carbohydrates converts to sugar in the mouth causing an acidic environment as well. The key is to brush after every meal/snack. If you don't have access to your toothbrush, at least try to rinse your mouth out with water and chew sugarless gum to aid in removal of residual food debris. Another good homecare remedy is to rinse once per day with an over the counter Fluoride rinse (ACT by Johnson& Johnson). And of course don't forget to floss once per day! Hope this helps.....~~~CIAO :)~~~~
   — perezrdh




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