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Medical Forum / General / Dentistry / May 2004

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Re: Problem following filling in molar

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Brian - 31 May 2004 22:25 GMT
"Iain" <anon@win64.org> wrote in message news:...
Hi

Having read through previous posting in this newsgroup, I'm a bit confused
with the problem I'm now experiencing.  Basically I had some
bleeding/infection from/in a wisdom tooth a month ago and following a
check-up I required a filling in the lower part of a molar (3weeks ago).
The filling was very low, close to the gum.

The problem with the wisdom tooth has disappeared now (following a few
weeks
on corsodyl), but the infection seems to have spread to the gum area around
the filling.  The area in front of the filling has swollen up.  Is this
most
likely due to be:

* Accidental damage to the gum due to the proximity, and just a minor
infection
* or a sign of something more severe such as gingivitis etc...and possible
need for root canal treatment etc.  Bearing in mind that the new swelling
has only started in the last week or so...

Thanks in advance.
Joel M. Eichen, D.D.S. - 31 May 2004 23:43 GMT
>"Iain" <anon@win64.org> wrote in message news:...
> Hi
[quoted text clipped - 9 lines]
> on corsodyl), but the infection seems to have spread to the gum area around
> the filling.  

REPLY

If the gum was swollen around the wisdom tooth and if you are between
18 and 26, that would be "pericoronitis."

This is INFLAMMATION of the gum tissue, not infection. Infection means
bacteria are present and proliferating!

A dental infection will not go away by itself (It may become dormant
however). Dental INFLAMMATION can go away on its own.

Think pizza burn. It is inflammed, but eventually heals.

>The area in front of the filling has swollen up.  Is this
>most
> likely due to be:

In front - do you mean towards the cheek?

Or by stating "in front" do you mean towards the midline of the mouth?

> * Accidental damage to the gum due to the proximity, and just a minor
> infection
> * or a sign of something more severe such as gingivitis etc...and possible
> need for root canal treatment etc.  Bearing in mind that the new swelling
> has only started in the last week or so...

(1) Is the swelling around the junction with the filling border or
around one inch below (assuming its a lower tooth)?

(2) Is it an amalgam filling or a white, composite filling?

JOEL

> Thanks in advance.
 
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