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Medical Forum / General / Dentistry / January 2005Abscess?
Hello Back in September I had toothache in a tooth which I had filled about 3 years ago. It lasted about a week and then went away. Since I am not registered with a dentist and nowhere near me are taking on patience, I just kinda hoped the pain wouldn't come back. Pain came back about beginning of December for a few days but then subsided. However, since then, I have been unable to chew on the tooth and putting pressure on it creates a little pain. This morning I have woken up to a slightly swallon cheek/upper jaw line and the gum is a bit tender. I assume this is an abscess? I have tried the doctors today to get anti biotics but they won't give anything for mouth infections. I am unable to get hold of an emergency dentist and I am worried as to how the swelling may develop. What should I do and what's likely to happen next? thank you  SignatureDarren Merry Christmas ?<|:o) >Hello > Back in September I had toothache in a tooth which I had filled [quoted text clipped - 14 lines] > >thank you It may or may not be an abscess. You need to ask friends and neighbors who their dentist is, then get busy with the phone. Joel M. Eichen DDS YES this sounds like the tooth needs root canal therapy. CANNOT BITE ON IT. Joel >Hello > Back in September I had toothache in a tooth which I had filled [quoted text clipped - 14 lines] > >thank you >Hello > Back in September I had toothache in a tooth which I had filled [quoted text clipped - 14 lines] > >thank you I assume you are is the UK and are trying to get treatment from an NHS office. what happens is you offer to pay out of pocket? .. Stephen Mancuso, D.D.S. Troy, Michigan, USA Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting. >>Hello >> Back in September I had toothache in a tooth which I had filled [quoted text clipped - 27 lines] > Writing on a tablet PC,so forgive me if the PC misreads my poor > handwriting. LOL, i got that feeling too, although I could not find a recognizable IP from a UK ISP in the message source. >>>Hello >>> Back in September I had toothache in a tooth which I had filled [quoted text clipped - 30 lines] >LOL, i got that feeling too, although I could not find a recognizable IP >from a UK ISP in the message source. I thought it was obvious with the verbiage used. .. Stephen Mancuso, D.D.S. Troy, Michigan, USA I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting. > I assume you are is the UK and are trying to get treatment from an NHS > office. what happens is you offer to pay out of pocket? "Am not registered with a dentist...no one accepts new patients...". Definitely in the UK. My friend, I can only see two options: 1) Phone NHS direct on 0845 46 47 and try to see if there's an emergency dentist or a dental access centre in your area. 2) Phone a dental practice and ask to be seen as a private patient. Most of them put some slots aside for such occassions so you might get an appointment soon. Now, if you are unlucky enough to be in a part of the country where even private dentists are tough to find... good luck and start packing your cases for a weekend in France. George >> I assume you are is the UK and are trying to get treatment from an >NHS [quoted text clipped - 13 lines] > >George We could tell you about a nice gentleman from Scotland who finally gave up on the UK system and flew to Michigan for dental care. .. Stephen Mancuso, D.D.S. Troy, Michigan, USA I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting. > Hello > Back in September I had toothache in a tooth which I had filled > about 3 years ago. It lasted about a week and then went away. irrversible pulpitis ------> Pulpal necrosis. A lot of patients are asymptomatic at this phase, and as a result cancell or dont bother turning up. Then when they get acute apical periodontitis, or acute apical abcess, they got all irate and jumpting up and down like a monkey :P Since I am not > registered with a dentist and nowhere near me are taking on patience, I > just kinda hoped the pain wouldn't come back. > > Pain came back about beginning of December for a few days but then > subsided. However, since then, I have been unable to chew on the tooth and > putting pressure on it creates a little pain. Yup would do, infection has reached the periotontium, proprioceptors are involved and patients know which is the troubble tooth. This morning I have woken up to a > slightly swallon cheek/upper jaw line and the gum is a bit tender. I > assume this is an abscess? localised lymphadanopathy, prob. get some neutrophils with pyogenic membrane formation. Abcesses drain via the path of least resistance. > I have tried the doctors today to get anti biotics but they won't give > anything for mouth infections. I am unable to get hold of an emergency > dentist and I am worried as to how the swelling may develop. What should I > do and what's likely to happen next? Antibiotics IMHO can be good, because sometimes when trying to infiltrate with LA, it may result in inflamation. The AB,( prob metranidazole prob + amoxacillin (or clindamycin if u r allergic 2 penecillin)) help to reduce the bacterial load, and as a result the degree of inflamatory response by the host. Treatment would be drain the abcess by either RCT or XT or sometimes instant relief can be gotten by making a tiny nik on the swollen tissue and let it drain into the oral cavity, but you still need to tackle the cause. sorry 4 my spelling or my grammer, |
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