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Medical Forum / General / Dentistry / September 2005Delayed treatment for abscessed tooth
I had a filling put in one of my upper teeth about 2 years ago. At the time my dentist said the tooth was "Hot". Well last week I accidentally bit down wrong and I kinda knocked it a bit. There was no visible damage. The next morning my whole upper jaw felt like it was in a vise. I assumed it would go away after a few days. The pain started on Friday and by Monday I could see my cheek swelling up. It felt like my sinuses were all stopped up. Finally after a sleepless night I called my dentist Tuesday morning. He drained the infection and I'm scheduled for a root canal. I've had a root canal before so I'm not worried about it. He gave me prescriptions for an antibiotic and a painkiller. The infection had started to spread to the bone but he's hoping the antibiotic will take of it. I hope so too. The alternative doesn't sound too pleasant. > I had a filling put in one of my upper teeth about 2 years ago. At the > time my dentist said the tooth was "Hot". Well last week I [quoted text clipped - 9 lines] > he's hoping the antibiotic will take of it. I hope so too. The > alternative doesn't sound too pleasant. Should be OK. I just wonder if there was miscommunication 2 years ago. If you had a "hot" tooth then, it's likely the dentist knew a root canal was necessary. Assuming that, it's a good thing you still have a tooth to save. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >Should be OK. I just wonder if there was miscommunication 2 years ago. > If you had a "hot" tooth then, it's likely the dentist knew a ... ...'hot' patient when he sees one ! >Steve -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > > I had a filling put in one of my upper teeth about 2 years ago. At the > > time my dentist said the tooth was "Hot". Well last week I [quoted text clipped - 22 lines] > Brooklyn, NY > 718-258-5001 When he filled the tooth 2 years ago he really debated whether or not to go ahead and do the root canal because the decay was so close to the nerve but at the time he had to give me almost triple the amount of Novocaine because every time he started to drill I would almost jump out of the chair. He ended up having to wait a good 15 minutes for the Novocaine to penetrate the bone. He said it was my decision to have the root canal done then or wait and see. After my experience with that and the first root canal I decided to start being more conscientious about my oral hygiene. Now I brush my teeth up to 4 times a day (after every meal), floss every night, and use a fluoride rinse. Incidentally, when he drilled the hole in the tooth today to drain it he said it was gushing out like a geyser. So far I've only taken one dose of the antibiotic but I can already tell a big difference in the swelling. He has me on a seven course of Cleocin. I'm allergic to penicillin. > When he filled the tooth 2 years ago he really debated whether or > not to go ahead and do the root canal because the decay was so close to > the nerve but at the time he had to give me almost triple the amount of > Novocaine because every time he started to drill I would almost jump > out of the chair. My personal observation is that any tooth which takes more than two carpules of anesthetic to get numb needs to be *evaluated* for the need to perform RCT. Unless the patient is very apprehensive, this can be a sign that the tooth pulp is NOT healthy. Signature/ Amatus / > >> > I had a filling put in one of my upper teeth about 2 years ago. At the [quoted text clipped - 40 lines] > the swelling. He has me on a seven course of Cleocin. I'm allergic to > penicillin. Two additional thoughts come to mind: Some dentist use a 'poke and hope' anesthetic technique. Clenchers often need extra anesthetic (which goes along with the tooth being traumatized). JME, Fawks >> When he filled the tooth 2 years ago he really debated whether or >>not to go ahead and do the root canal because the decay was so close to [quoted text clipped - 6 lines] > RCT. Unless the patient is very apprehensive, this can be a sign that the > tooth pulp is NOT healthy. >>>I had a filling put in one of my upper teeth about 2 years ago. At the >>>time my dentist said the tooth was "Hot". Well last week I [quoted text clipped - 39 lines] > the swelling. He has me on a seven course of Cleocin. I'm allergic to > penicillin. Thanks for the clarification. BTW, the decrease in the swelling almost certainly has more to do with the drainage at this point than the antibiotics. When the pus flows out like that the relief is almost immediate. Good luck, Steve Signature{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fcharset0 Arial;}} {\*\generator Msftedit 5.41.15.1507;}\viewkind4\uc1\pard\f0\fs20 Remove "nospam" to reply\par } > >>>I had a filling put in one of my upper teeth about 2 years ago. At the > >>>time my dentist said the tooth was "Hot". Well last week I [quoted text clipped - 47 lines] > Good luck, > Steve Thanks. It really started to drain this afternoon. Apparently the puncture mark he made with the Novocaine needle was enough to cause the infection in my cheek to drain into my upper lip and gum. Now I have this fleshy pocket under my upper lip and whenever I lift it to look at my tooth all this dark red blood and pus (yuck!) starts flowing out. I'm wondering should I leave it alone and let it drain naturally or should I try to speed things along? > Thanks. > It really started to drain this afternoon. Apparently the puncture [quoted text clipped - 4 lines] > I'm wondering should I leave it alone and let it drain naturally or > should I try to speed things along? Rinsing with warm salt water, 1/2 tsp./8 oz. several times a day is a good way to encourage drainage. Don't stick your fingers or anything else up there. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > Thanks. > It really started to drain this afternoon. Apparently the puncture [quoted text clipped - 4 lines] > I'm wondering should I leave it alone and let it drain naturally or > should I try to speed things along? Dangerous to offer such advice over the internet! If the swelling has migrated, I would suggest having your dentist re-check it very soon. Such migration is not the result of the anesthetic needle. Your dentist may wish to place a "drain" in the tissues to ensure the complete drainage of the pus. Signature/ Amatus / > >> >>>I had a filling put in one of my upper teeth about 2 years ago. At [quoted text clipped - 60 lines] > I'm wondering should I leave it alone and let it drain naturally or > should I try to speed things along? > When he filled the tooth 2 years ago he really debated whether or > not to go ahead and do the root canal because the decay was so close to > the nerve but at the time he had to give me almost triple the amount of > Novocaine because every time he started to drill I would almost jump > out of the chair. He ended up having to wait a good 15 minutes for the > Novocaine to penetrate the bone. This is what should have decided the treatment. This is a damaged nerve. I have many patients like this, and I used to use the Laser on the tooth to soothe it enough to finish a filling. No more. You're just pushing the inevitable to a rediculous extreeme. (And the Laser is dead...) If the same thing happens on my chair _today_ I say 'ROOT CANAL' to the patient and if s/he is too cheap or disorganized to do it then, I have it in the dossier that it is not because of _my_ negligence. I've even had some of them sign that in the dossier as well. SP SignatureTake out the TRASH to reply >I had a filling put in one of my upper teeth about 2 years ago. At the >time my dentist said the tooth was "Hot". Well last week I [quoted text clipped - 9 lines] >he's hoping the antibiotic will take of it. I hope so too. The >alternative doesn't sound too pleasant. The only alternative is an extraction. Hope your RCT goes well, most do these days. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >I had a filling put in one of my upper teeth about 2 years ago. At the >time my dentist said the tooth was "Hot". This is kind of an old expression. Today we'd this is a rad tooth. I had a filling put in one of my upper teeth about 2 years ago. At the >time my dentist said the tooth was "Hot". This is kind of an old expression. Today we'd this is a rad tooth. ******** I thought it was "gamma" tooth... you know, gammas can be hot too. |
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