 The Clarinet BBoard
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Author: crusius
Date: 2023-01-06 23:59
Hi all,
Searched but found no answers, I wonder if there are any around here who know:
I had to remove an upper molar about a week ago, and I am in the implant dance: bone graft placed, waiting four months for the next step.
The question is when can I return to normal playing: my dentist did not know the answer, and told me that the "pressure type" of clarinet playing in principle is not a problem, as it increases the pressure. The problem is when pressure is decreased and pulls stuff away. But he couldn't say for sure.
This being the back molar, there was not much left in between the mouth cavity and the sinus, but now there is (healing) graft in between those. I started playing two days ago trying to keep things down, and the pressure is felt in that area.
Anybody around with words of wisdom?
Thanks!
Post Edited (2023-01-07 00:00)
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Author: Claudia Zornow
Date: 2023-01-07 02:38
I had an upper front incisor extracted with bone grafting for an implant. At my oral surgeon's recommendation, I took 2.5 weeks off from playing. After that, I used a clear tray (like a retainer, or Invisalign) which covered all of my upper teeth and protected the extraction site.
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Author: crusius
Date: 2023-01-07 07:04
Thanks Claudia - that's what I am finding out, people saying that their surgeons, when they know about wind players, recommend about two weeks off. I guess I'll go by that then.
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Author: m1964
Date: 2023-01-07 12:18
crusius wrote:
> Thanks Claudia - that's what I am finding out, people saying
> that their surgeons, when they know about wind players,
> recommend about two weeks off. I guess I'll go by that then.
Two weeks can be a good recommendation, in general.
I went through the same process you are going but do not remember exactly when I stopped feeling discomfort.
If I recall correctly, I felt much more comfortable practicing after the gum tissue covered the bone graft site, which happened probably after 2-3 weeks.
Going down by one-half reed strength may help too since it would reduce the air pressure inside the mouth.
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Author: smokindok
Date: 2023-01-17 01:55
This post has not received any responses from the dentists that I know participate on this board. It may just be that they aren't currently active on the board, but it may also be that the layman's summary of your procedure does not nearly provide enough detail to reasonably make a recommendation.
Finding a dentist or oral surgeon well acquainted with wind instrument playing isn't always possible but is the best option in formulating a return-to-playing schedule. There so many variables that come into play, both on the dental surgical side and the music performance side, that having someone knowledgeable in both areas is key.
John... D.D.S. in a previous life :-)
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Author: m1964
Date: 2023-01-17 06:29
smokindok wrote:
> This post has not received any responses from the dentists that
> I know participate on this board. It may just be that they
> aren't currently active on the board, but it may also be that
> the layman's summary of your procedure does not nearly provide
> enough detail to reasonably make a recommendation.
>
> Finding a dentist or oral surgeon well acquainted with wind
> instrument playing isn't always possible but is the best option
> in formulating a return-to-playing schedule. There so many
> variables that come into play, both on the dental surgical side
> and the music performance side, that having someone
> knowledgeable in both areas is key.
>
> John... D.D.S. in a previous life :-)
>
exactly- with so many variables, I'd be very surprised if any one (dentist, oral surgeon, etc.) would give a recommendation without seeing the patient.
Although, IMO, the ability to play after a graft placement is limited by patient's comfort, not by any medical restriction.
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