Eye Tooth Extraction Question

Thread view:

Enable EMail Alerts

Start New Thread

Thread rating:

goldbanjo - 19 Jun 2009 04:25 GMT

Tenthmed posted that nobody ever asks questions anymore so here I am
again with one! I had tooth 11 extracted in mid January, so 5 months
ago. I have been told that the eye tooth is often a slow one to heal
afterwards and leaves more residual pain. I have had 6 extractions and
this is the only one that has left me with soreness. I also had a bone
graft. This will sound strange but when I flare my nostrils, it puts
pressure on the spot just to the left of the left nostril and I feel a
slight pain. If I press on the very top of the gum, same thing. It IS
better than it was a couple of months ago when the whole gum felt
black and blue. I was thinking of seeing an ENT to x-ray my sinuses
but I don't have any trouble breathing or stuffiness. I don't think I
have a sinus infection or that there was a perforation. On the x-rays
I have, the sinus doesn't even seem to be near this tooth.

How long will this feel a little sore? Unless I press it, I don't feel
any pain but I am concerned about the idea of a screw going up there
until the pain is totally gone. I want the implant started already but
I have gone this long and can go longer (I don't bother with the
flipper, it is a monstrosity, can't talk, eat, sing with it). How long
do you tell patients to wait before getting an implant? Does this
tooth (removed) area usually take longer to heal than others and if
so, why?

Reply to this Message

Steven Bornfeld - 20 Jun 2009 04:04 GMT

> Tenthmed posted that nobody ever asks questions anymore so here I am
> again with one! I had tooth 11 extracted in mid January, so 5 months
[quoted text clipped - 18 lines]
> tooth (removed) area usually take longer to heal than others and if
> so, why?

I don't think there are any hard and fast rules. It's a bit too far
forward for me to think it likely that the sinus is involved (but not
impossible). But tenderness in the area doesn't mean there's a sinus
involvement. It should be checked to make sure the graft is OK. But if
there has been steady improvement (albeit slow) it's most likely OK.

Steve

Reply to this Message

goldbanjo - 20 Jun 2009 04:56 GMT

Hi Steve, how do they check the graft? I had it x-rayed 2 months ago
and it looked normal and the gum looked closed up, no more leakage of
the graft material. Is there another way besides x-ray to see what's
going on underneath? As far as the sinuses, can a panorex see if
there's a problem or would I have to go to an ENT dr. and get a
regular x-ray? I happen to have an old sinus x-ray here and can see
the old root canal. The point in the canal seems nowhere near the
sinus but I'm not knowledgeable as to how injuries happen.Thanks for
the reply.

On Jun 19, 11:04 pm, Steven Bornfeld <dentaltwinm...@earthlink.net>
wrote:

> > Tenthmed posted that nobody ever asks questions anymore so here I am
> > again with one! I had tooth 11 extracted in mid January, so 5 months
[quoted text clipped - 26 lines]
>
> Steve

Reply to this Message

1 - 20 Jun 2009 05:10 GMT

> Hi Steve, how do they check the graft? I had it x-rayed 2 months ago
> and it looked normal and the gum looked closed up, no more leakage of
[quoted text clipped - 39 lines]
>
> > Steve

I don't think you have a problem there.
the area is just healing give it some time another couple of months.
if you feel its getting worse or you see pus you should go back and
have it checked.
Sure a panorex will show certain problems, but it does not mean it
will show any problem.
from what you stated, i do not see a problem at this time.

Reply to this Message

Mark & Steven Bornfeld - 20 Jun 2009 15:56 GMT

>> Hi Steve, how do they check the graft? I had it x-rayed 2 months ago
>> and it looked normal and the gum looked closed up, no more leakage of
[quoted text clipped - 44 lines]
> will show any problem.
> from what you stated, i do not see a problem at this time.

I agree. Usually if there is active infection there will be signs of
inflammation other than some tenderness in the fold. I've heard some
odd things like perforating into the nasal cavity, but I'm pretty darn
sure we're dealing with very competent people here who would know
immediately if there's something wrong going on.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Reply to this Message

goldbanjo - 20 Jun 2009 23:54 GMT

Thanks, everyone. That's reassuring. You're right, Steve...the oral
surgeon has a great reputation and I feel confident in him. It seems
that every dentist in the neighborhood, no matter who I talk to,
refers to him for implants. One more question...when you said
"tenderness in the fold", can you tell me exactly where this fold
is...do you mean inside my mouth or outside (or both, since if it hurt
inside the gum, it would hurt when I press it externally)? Is it the
spot I mentioned, right on the side of the nostril where the cheek
meets it? Also, tenthmed, thanks for the 4 month answer but can I wait
until this is no longer sore or should I just proceed? The thought of
them inserting this now is scaring me, I feel too bruised to start
just yet..can I wait until August or does something negative happen if
you wait too long?

> >> Hi Steve, how do they check the graft? I had it x-rayed 2 months ago
> >> and it looked normal and the gum looked closed up, no more leakage of
[quoted text clipped - 57 lines]
> Brooklyn, NY
> 718-258-5001

Reply to this Message

Steven Bornfeld - 21 Jun 2009 01:28 GMT

> Thanks, everyone. That's reassuring. You're right, Steve...the oral
> surgeon has a great reputation and I feel confident in him. It seems
[quoted text clipped - 5 lines]
> spot I mentioned, right on the side of the nostril where the cheek
> meets it?

I actually meant inside (what we call the mucolabial fold) but this
would correspond to the same spot on the overlying skin. It would just
be easier to feel the tenderness inside generally. The spot next to the
nostril corresponds to about where the tip of the canine tooth was. It
seems unlikely that there would be any infection there that wouldn't
show up on x-ray. My experience is that it's not unusual for some of
these areas to take several months to completely resolve, so I certainly
don't think this necessarily an indication that anything is wrong.

Also, tenthmed, thanks for the 4 month answer but can I wait

> until this is no longer sore or should I just proceed? The thought of
> them inserting this now is scaring me, I feel too bruised to start
> just yet..can I wait until August or does something negative happen if
> you wait too long?

I'm sure tenth will get here, but the call is the surgeon's IMO. If
you've got enough bone though waiting 2 months is unlikely to lose you
much bone. But talk this out with your surgeon.

Steve

>>>> Hi Steve, how do they check the graft? I had it x-rayed 2 months ago
>>>> and it looked normal and the gum looked closed up, no more leakage of
[quoted text clipped - 53 lines]
>> Brooklyn, NY
>> 718-258-5001

Reply to this Message

tenthmed - 20 Jun 2009 19:42 GMT

> How long
> do you tell patients to wait before getting an implant?

Usually, 4 months after the extraction, the bone that formed in the
socket will be as dense as it will ever be.

Reply to this Message