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Medical Forum / General / Dentistry / June 2004Immidiate wisdom tooth extraction following infection
Hi, I live in the US but am currently working and living abroad. Last week I began to feel pain that accumulated on the left side of my face coming from the area of my wisdom tooth. In a few hours my face swelled up on that side and I felt pain and disconfort. My denist is in the US, but I am now in another country, so I went to visit the denist there immidiately the next day. I took ibuprofen and the pain went away (400 mg, twice a day) The denist there said I have an infection, he cleaned the area of my wisdom tooth and gave me amoxiclling (500mg, 3 times a day) and something to rinse and disinfect my mouth. He also said I need to take the tooth out immidiately (wisdom tooth) on left side, so he scheduled me for late this week. After 2 days the swelling went down, however little tenderness persisted which subdued after 2 days. I have a problem because I am working on an important project for the following 2 weeks, then I have non-refundable tickets to France for vacation. I told the denist that I have unavoidable business and that I cannot be non-functional. Furthermore, to take the tooth out, I don't want complications or anything while I'm on my vacation. I am returning at the end of July. I am 24 years old, weight 65kg, and have been working under much stress lately and with irregular eating and sleeping patterns - something common for every working American from time to time. I do not take any medication and have not had any health or dental problems. Having feeling that this denist wanted to schedule as many tooth surgeries as he could before going on vacation (where I am located private denists are payed cash for everything and make good business), I visited another denist who looked at the x-ray (which I took immidiately) and said that I should continue to take antibiotics for a couple of days, and then do the surgery once the infection is completely gone, and when I return from vacation. My two lower wisdom teeth have not completely come out, with the left one coming out and breaking the skin in the back every few months a little bit. I would prefer not to perform surgery when I am working hard, and also before going to vacation (I don't want to ruin my vacation). However, I am affaid of complications if the infection returns or when I am on vacation. Is there a serious threat of delaying taking out the wisdom teeth, or should extra antibiotics cover it in case it gets inflammed again. This is the first time this happened. Thank you for recommendation. Kind regards, George Bozovic >Hi, > [quoted text clipped - 51 lines] >Kind regards, >George Bozovic The antibiotics will certainly buy you some time especially since they were effective after the first course. You are in a catch-22; this may roar right back in a week or so or it may be just fine until you return. Tough call to make in your situation. In any event, keep a look out for dentists or oral surgeons where ever your travels take you and be diligent in your hygeine, even if it is sore, and take the medications as directed. If the tooth is for the most part erupted, the procedure may not be that dificult but i cant honestly say for sure without examining you. Good luck. ~~~~~~~~~~~~~~~~~~~~~ David A. King, D.M.D. Diplomate, American Board of OMS Fellow, American Association of OMS HTTP://WWW.DEOMFS.COM NO INFECTION! I say this is pericoronitis and the treating doctor wouldn't know an "infection" if he saw one! Or he is BS-ing the patient ...... JOEL >>Hi, >> [quoted text clipped - 68 lines] >Fellow, American Association of OMS >HTTP://WWW.DEOMFS.COM Nice how you can diagnose this with out clinically seeing this patient, without seeing any intraoral images, not seeing any radiographs. How do you know they're not decayed? > NO INFECTION! > [quoted text clipped - 77 lines] > >Fellow, American Association of OMS > >HTTP://WWW.DEOMFS.COM >Nice how you can diagnose this with out clinically seeing this patient, Thanks. I appreciate your confidence in my diagnostic abilities ..... JOEL >without seeing any intraoral images, not seeing any radiographs. How do you >know they're not decayed? I do not ... but it was not mentioned. I figure first off someone would say, "my wisdom tooth is rotted to pieces and ...." ALSO age is 24. JOEL >> NO INFECTION! >> [quoted text clipped - 77 lines] >> >Fellow, American Association of OMS >> >HTTP://WWW.DEOMFS.COM Haven't you evern seen a teenager with decayed teeth? What if they're genetically soft? You should know that patients always leave out information. Not that they mean to, it just happens. > >Nice how you can diagnose this with out clinically seeing this patient, > [quoted text clipped - 93 lines] > >> >Fellow, American Association of OMS > >> >HTTP://WWW.DEOMFS.COM Don't get mad at Joel,,,,,,,,,,,,,, he does not seem to know any better.  Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > Haven't you evern seen a teenager with decayed teeth? What if they're > genetically soft? You should know that patients always leave out [quoted text clipped - 104 lines] > > >> >Fellow, American Association of OMS > > >> >HTTP://WWW.DEOMFS.COM >Don't get mad at Joel,,,,,,,,,,,,,, he does not seem to know any better. Oh. okay. >Haven't you evern seen a teenager with decayed teeth? What if they're >genetically soft? You should know that patients always leave out >information. Not that they mean to, it just happens. Possible ........ but remember this is the internet. The patient needs several possibilities. I say perioronitis. >> >Nice how you can diagnose this with out clinically seeing this patient, >> [quoted text clipped - 100 lines] >> >> >Fellow, American Association of OMS >> >> >HTTP://WWW.DEOMFS.COM Right, and I say I need to see it radiographically and clinically to make a determination. > Possible ........ but remember this is the internet. The patient needs > several possibilities. I say perioronitis. No argument there ........ We always ask for x-rays and 1% of the patients have them! JOEL >Right, and I say I need to see it radiographically and clinically to make a >determination. > >> Possible ........ but remember this is the internet. The patient needs >> several possibilities. I say perioronitis. Actually, I have x-rays (taken last week) and even in JPG format. Analysis of the x-rays show that the tooth where the infection was partially erupted. How do I know it's an infection? Well, I developed tenderness and my right side of the face was bloated. Then I started taking anti-biotics, and in 2 days the bloating (and the tenderness) went away. I am still taking antibiotics, using Chlorhedine based solution for cleaning and rinsing. Today I am going on another checkup, to see what if any immidiate action needs to be taken. And the tooth is not rotten, I checked and confirmed that. But if the infection returns while I'm on vacation, that is my concern. Thanks, George > No argument there ........ We always ask for x-rays and 1% of the > patients have them! [quoted text clipped - 6 lines] > >> Possible ........ but remember this is the internet. The patient needs > >> several possibilities. I say perioronitis. >Actually, I have x-rays (taken last week) and even in JPG format. >Analysis of the x-rays show that the tooth where the infection was >partially erupted. How do I know it's an infection? Can you upload to an internet site such as Geocities so the docs can take a look? JOEL SEE STANDARD DISCLAIMER This is not intended as diagnosis. It is reporting the findings. (That is leagal everywhere). JOEL >Well, I developed >tenderness and my right side of the face was bloated. Then I started [quoted text clipped - 22 lines] >> >> Possible ........ but remember this is the internet. The patient needs >> >> several possibilities. I say perioronitis. >NO INFECTION! > [quoted text clipped - 4 lines] > >JOEL Pericoronitis is usually an infection ! Especially when you see the purulent exudate. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > NO INFECTION! > [quoted text clipped - 4 lines] > > JOEL I am not a regular participant in this newsgroup but really concerns me how this joel is allowed to continue posting this kind of crap... jesus christ... Isn?t there someone responsible? Jorge Cardoso DMD Portugal On Thu, 10 Jun 2004 19:49:03 +0100, "Jorge André" <jorge.andre@mail.telepac.pt> wrote: >> NO INFECTION! >> [quoted text clipped - 8 lines] >this joel is allowed to continue posting this kind of crap... jesus >christ... Isn´t there someone responsible? Nope, but if you want the job you can have it ....... PS- The patient confirmed the diagnosis on another thread! JOEL >Jorge Cardoso >DMD >Portugal >Hi, > >I live in the US but am currently working and living abroad. Go see Dr. Lily. JOEL > Last week >I began to feel pain that accumulated on the left side of my face [quoted text clipped - 49 lines] >Kind regards, >George Bozovic Ok, I read up on the internet, and analyzing the symptomps and the treatment the local dentist here gave me, it's periocoronitis. In 2 days I was able to get rid of the swelling and the pain using antibiotics, and I am staying 3 more days on them. I am also using mouthwash (the green one that is at all dental offices). I will take the two wisdom tooth out on my L L side (the upper one has fully come out) the lower one partially erupted. Problem is, I have to work next week, and on the 23rd June I'm off on vacation until July 25. When I return on July 25, I am not longer at employed at my old place, so I will immidiately perform oral surgery to remove the two wisdom teeth. I have 20 days of little or no activity for recovery. Now, given your experience with periocoronitis, how re-occurent is it, and how often, is it safe to go through this 1-month vacation period with just extra anti-biotics and mouthwash. Or should I risk the side-effects of taking them out now? Again, I'm 24, and I would not like to compromise girls, alchohol, or anything else you may imagine a 24 year old would want after a period of lots of work and high stress! Kind regards, George > >Hi, > > [quoted text clipped - 57 lines] > >Kind regards, > >George Bozovic >Ok, I read up on the internet, and analyzing the symptomps and the >treatment the local dentist here gave me, it's periocoronitis. THANKS! Now I got the dentists off my back for saying that. >In 2 >days I was able to get rid of the swelling and the pain using [quoted text clipped - 7 lines] >place, so I will immidiately perform oral surgery to remove the two >wisdom teeth. I have 20 days of little or no activity for recovery. So postpone it ..... Or extract it ... 20 days is more than enough ..... >Now, given your experience with periocoronitis, how re-occurent is it, >and how often, is it safe to go through this 1-month vacation period [quoted text clipped - 69 lines] >> >Kind regards, >> >George Bozovic Ahh the heck with it, I took them out 2 hours ago. Now I got the ice packs and painkillers. Today is the 11th, I'm getting my stiches out in one week, flying out to Nice on the 23rd. Do you think this is enough time for full recovery (and by that I mean - alchohol, intimate contact, drugs, all the things a 24 wants to do)? I'm chilling for 2-3 days at home, not going out, and then i got to work in about 5 days. Let me know the post-treatement suggestions. Regards and thanks for the help, George > >Ok, I read up on the internet, and analyzing the symptomps and the > >treatment the local dentist here gave me, it's periocoronitis. [quoted text clipped - 90 lines] > >> >Kind regards, > >> >George Bozovic >Ahh the heck with it, I took them out 2 hours ago. Now I got the ice >packs and painkillers. Today is the 11th, I'm getting my stiches out >in one week, flying out to Nice on the 23rd. Do you think this is >enough time for full recovery (and by that I mean - alchohol, intimate >contact, drugs, all the things a 24 wants to do)? I'm chilling for 2-3 >days at home, not going out, and then i got to work in about 5 days. Yes it is enough time ... Going to Nice, erh? You wrote, >alchohol, intimate >contact, drugs, Ummmmm, Well everything is okay on the list except the intimate contact. Please limit your activities to shaking hands only ...... PS- You forgot rock and roll ........ >Let me know the post-treatement suggestions. > [quoted text clipped - 95 lines] >> >> >Kind regards, >> >> >George Bozovic Hi Joel, Well, I dunno how it is done in the US, but here I was just under novcaine and local anestisia put directly into my top and lower gum. I did have any laughting gas or any other anestia. The part that hurt the most was the needle injected into my gums. And yeah, the scapping and pulling of the tooth while some lady help my head wasn't a pleasant experience, but it is not the worst. I wanted all of the cute assistants to tell me stories while she was doing it. At one point I stopped and asked, "Remember, the wisdom teeth! I don't want to take the wrong ones out. They all laughed" neverthless, i'm 10 hours into recovery, i feel fine, sleeping,laying, no sweeling, I got some pain killers, but I dont need them. I talk and look normal, and I have some unconfort, but no pain. It is a bit weird to eat liquid foods, but I hope if I feel well in a few that I will be all right. it really isn't a biggy, except the local anestetic making my left side numb was kind of weird. For now, I am glad that I made this decision to take care of it and not to worry about infections while away on break. In the end, despite all my posting, I was looking for an execuse not to do it now, because I was nervous. Regards, George > >Ahh the heck with it, I took them out 2 hours ago. Now I got the ice > >packs and painkillers. Today is the 11th, I'm getting my stiches out [quoted text clipped - 116 lines] > >> >> >Kind regards, > >> >> >George Bozovic Glad things are working well for you. Please be sure to tell all your friends of the good care your oral surgeon gave -- and be sure to tell your friends who was the surgeon. So they can go to him (her?) for future needs. Mine, the surgeon had to clear a bit of bone which ahd grown over it. Used a dental jack hammer, best I can compare it to. The doctor showed me his hands after -- the cross hatch pattern on the extractor handle was pressed into his palm and fingers. He really has quite a grip. Very fine man. Wonder if I oughta mention his name on this group? SignatureChristopher A. Young Learn more about Jesus www.lds.org www.mormons.com Hi Joel, Well, I dunno how it is done in the US, but here I was just under novcaine and local anestisia put directly into my top and lower gum. I did have any laughting gas or any other anestia. The part that hurt the most was the needle injected into my gums. And yeah, the scapping and pulling of the tooth while some lady help my head wasn't a pleasant experience, but it is not the worst. I wanted all of the cute assistants to tell me stories while she was doing it. At one point I stopped and asked, "Remember, the wisdom teeth! I don't want to take the wrong ones out. They all laughed" neverthless, i'm 10 hours into recovery, i feel fine, sleeping,laying, no sweeling, I got some pain killers, but I dont need them. I talk and look normal, and I have some unconfort, but no pain. It is a bit weird to eat liquid foods, but I hope if I feel well in a few that I will be all right. it really isn't a biggy, except the local anestetic making my left side numb was kind of weird. For now, I am glad that I made this decision to take care of it and not to worry about infections while away on break. In the end, despite all my posting, I was looking for an execuse not to do it now, because I was nervous. Regards, George Spend a lot of time in church, and in prayer. And use alcohol only for washing your hands after shaking hands. SignatureChristopher A. Young Learn more about Jesus www.lds.org www.mormons.com On 11 Jun 2004 08:09:30 -0700, gbozovic@bu.edu (George Bozovic) wrote: >Ahh the heck with it, I took them out 2 hours ago. Now I got the ice >packs and painkillers. Today is the 11th, I'm getting my stiches out >in one week, flying out to Nice on the 23rd. Do you think this is >enough time for full recovery (and by that I mean - alchohol, intimate >contact, drugs, all the things a 24 wants to do)? I'm chilling for 2-3 >days at home, not going out, and then i got to work in about 5 days. Yes it is enough time ... Going to Nice, erh? You wrote, >alchohol, intimate >contact, drugs, Ummmmm, Well everything is okay on the list except the intimate contact. Please limit your activities to shaking hands only ...... PS- You forgot rock and roll ........ >Ahh the heck with it, I took them out 2 hours ago. Now I got the ice >packs and painkillers. Today is the 11th, I'm getting my stiches out [quoted text clipped - 7 lines] >Regards and thanks for the help, >George I would avoid illegal drugs and use protection for intimate contacts and minimize alcohol intake. Protect your health and take better care of yourself. You should be mostly healed and getting back to 'normal' by the 23rd. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >>Ahh the heck with it, I took them out 2 hours ago. Now I got the ice >>packs and painkillers. Today is the 11th, I'm getting my stiches out [quoted text clipped - 10 lines] >I would avoid illegal drugs and use protection for >intimate contacts and minimize alcohol intake. TRANSLATION: Wear mittens before shaking hands. >Protect your health and take better care of yourself. > >You should be mostly healed and getting back >to 'normal' by the 23rd. I had a wisdom tooth out -- was only a day or two before I felt a lot better. You'll be fine. The one I had yanked, I was noticably older than you are. SignatureChristopher A. Young Learn more about Jesus www.lds.org www.mormons.com Ahh the heck with it, I took them out 2 hours ago. Now I got the ice packs and painkillers. Today is the 11th, I'm getting my stiches out in one week, flying out to Nice on the 23rd. Do you think this is enough time for full recovery (and by that I mean - alchohol, intimate contact, drugs, all the things a 24 wants to do)? I'm chilling for 2-3 days at home, not going out, and then i got to work in about 5 days. Let me know the post-treatement suggestions. Regards and thanks for the help, George >Now, given your experience with periocoronitis, how re-occurent is it, >and how often, is it safe to go through this 1-month vacation period >with just extra anti-biotics and mouthwash. With regular irrigation you may buy some time. (1 mo ?) It is impossible to foretell recurrence. >Or should I risk the >side-effects of taking them out now? Leaning toward recommending treatment now. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com Dear George, I realize this is 8 days after you wrote this. However, back in 1983 I went to pharmacy school. No, I didn't pass. No, I'm not a pharmacist. But the one thing they really drummed into us was the 10 day regimen for antibiotics in case of actual infection. The antibiotics we studied back then interfere with cell division. If you take them two or three days, you feel a bit better. But it takes 7-10 days to get all the infection. If you stop taking meds less t han 10 days, you risk the infection coming back with a vengeance. For your care, and for all the folks who won't catch a resistant bug from you -- keep the antibiotics going 10 days. There is an exception, when I had my tooth removed they did write a 5 day regimen of antibiotics, but that was preventave. I've heard that anaesthetics "Novocaine" don't work as well in infected tissue. SignatureChristopher A. Young Learn more about Jesus www.lds.org www.mormons.com Ok, I read up on the internet, and analyzing the symptomps and the treatment the local dentist here gave me, it's periocoronitis. In 2 days I was able to get rid of the swelling and the pain using antibiotics, and I am staying 3 more days on them. I am also using mouthwash (the green one that is at all dental offices). |
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