D-Day tomorrow

I know I've been bad at writing, I've been both busy and not really in the best of moods, so I figured it would be smart to not write while that's the case. It'd only end up with short sharp posts anyway! ha!

So, tomorrow is D-Day for me. I will be having my latest maxillofacial surgery. I was scheduled to have two implants placed tomorrow, two bone grafts (one upper & one lower), a cyst removed and teeth pulled but it turns out that we have had a change of direction.

The 3D scan showed that I do not in fact have enough bone in the upper site to hold the Ti implants. The bone has reabsorbed into my body and is now too thin to hold the implants. That was a major blow that I hadn't really expected to hear. I thought we were doing really good with the bone strength up there.
The other thing that changed the game plan was the position of the canines. I need to have them moved a little so that the implants can go into exactly the correct spot. Ugh.

So the treatment plan has changed. We will be leaving the implants until the end of orthodontic work which will be in about 30 months (+/-). Tomorrow we will remove the lower incisor (for ortho) and a lower molar and also they will remove the cyst that has grown in my lower jaw at the front, they will also bone graft the site at that time.

I'm hoping it will not mean a loss of nerves to the teeth above the cyst, but it's a risk we have to play with.

In approx 6 weeks I should be good to go into ortho and get that ball rolling. We're going to have to keep a really close eye on the upper bone grafted site to make sure that the bone loss there doesn't get too much worse, and if it does it means dropping implants during ortho to stop resorption and save what they can. If everything goes to plan, after ortho I will have one final surgery (which I didn't expect... ) which will place an autograft - a block of bone taken from my own body and placed in the site - and also a Xenogenic graft which is a block of bovine bone.
I will have a soft tissue graft at that time and the implants placed. It sounds like a lot, well, it is a lot but I'm really trying to not worry about that right now. I'm just trying to keep stress free and rested for surgery tomorrow and worry about each procedure as it comes up.

I'm just very thankful for good doctors, who know exactly what they're doing and have a vision in mind. They are fighting for the very best for me in this situation, so that's definitely something to be glad about.