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Medical Forum / General / Dentistry / October 2005What type of dentist??
HI, the tooth in need of "something" is tooth number 3. I had a root canal done when i was 14-15, almost 30 years ago. It was filled and the filling fell out unknown years ago. This "tooth" does have 2 roots but they are no longer connected by the tooth proper. One root is all by itself and the other root holds the remaining 1/4 or outside shell, sort of "c" shaped, most of the tooth broke off years ago.. This thing has worked as a tooth for a good long time but it got infected last week. The infection is/was on the outside in the gum near the root bottom, when I wiggled the tooth I could feel the root bottom wiggle. I had a swollen cheek and an elevated temp, plus the pain. I am currently on 400mg penicillin 4 times daily but that runs out on Tuesday. The penicillin worked almost instantly, after first pill I didn't need the 2 advil every 4 hours and my symptoms are going away. Ok, seems obvious the tooth needs to come out BUT I don't know who to see. What I mean is what sort of alphabet should they have or what title?? I /think/ I should be seeing an oral surgeon (of dentistry?) but I don't know how they identify themselves. My usual Dentist is a DDS, one would think a Doctor of Dental SURGERY could rid me of this tooth but no. I am hunting the phonebook and having a hell of a time. I did get a referral from the DDS but for my own reasons I would like to find another. Also , if anyone is inclined, what sort of options do I have to replace this tooth? I mean an appliance or what? I really don't like the bridge idea as it destroys two more teeth,err. Thor (no pun intended) > HI, the tooth in need of "something" is tooth number 3. I had a root canal done > when i was 14-15, almost 30 years ago. It was filled and the filling fell out [quoted text clipped - 21 lines] > tooth? I mean an appliance or what? I really don't like the bridge idea as it > destroys two more teeth,err. > Thor (no pun intended) You need to go see a General dentist DDS=Doctor of Dental Surgery or DMD=Doctor of Medicine in Dentistry so that they can after the extraction evaluate the rest of your mouth and properly direct your care. You could go see any other dental specialist (who are also DDS and DMD and do not and have not practiced General Dentistry in many years(in some cases unless they are recent graduates) but have taken additional 2-4years of education in their respected specialty) all are capable of removing this tooth perhaps with the exception of orthodontists 90% of which do not like to pull teeth or see blood. Also I think you got your tooth numbers wrong. Tooth #3 in the universal numbering system is a molar, In the Ortho system it is a canine but you need to tell us which one by using _| or |_ or _ _ | or | . unless you are using the FDI system where it is 13 or 23 or 33 or 43 or if it was the 1st molar it would be 16 or 26 or 36 or 46. But from your discription it sounds like an upper 1st or 2nd premolar which could be tooth #4,5,12,13 under the universal system. Unless you made a mistake or you have abnormal tooth anatomy. See how complicated this can be so you need to go see a dentist and stop being your own doctor. >> HI, the tooth in need of "something" is tooth number 3. I had a root canal done >> when i was 14-15, almost 30 years ago. It was filled and the filling fell out [quoted text clipped - 45 lines] >complicated this can be so you need to go see a dentist and stop being >your own doctor. Thanks for the reply. The tooth in question is upper right, third from the back , first molar. This is #3 in the Universal Number System. FDI Two-Digit Notation would be #16. Palmer Notation would be |_6 I am trying to make an intelligent decision. Are you telling me that the DDS I saw to begin with or any DDS or DMD should be able to extract the tooth? I should clarify, I have seen a dentist(DDS), my mouth has been evaluated. The DDS did not want to remove the tooth, reason unknown, said I should see an "oral surgeon". I did get a referral from the DDS but for my own reasons I would like to find another. I am currently looking for a dentist to remove a broken, root canaled, slightly infected tooth #3 (using the universal Number System). The type of dentist I need is unknown to me, I would like to know the type of dentist that is able to remove such a tooth. Be it a DDS, DMD or any other I would appreciate some clear direction as to who does what. Thor first molar has 3 roots usually not 2. Any DDS DMD should be able to remove this tooth. A few General Dentists limit their practices and may choose not to perform a procedure that is what this sounds like. If you go to another DDS DMD I am cetain they would be able to remove this tooth. >first molar has 3 roots usually not 2. >Any DDS DMD should be able to remove this tooth. >A few General Dentists limit their practices and may choose not to >perform a procedure that is what this sounds like. If you go to another >DDS DMD I am cetain they would be able to remove this tooth. Thank you, hor >first molar has 3 roots usually not 2. >Any DDS DMD should be able to remove this tooth. >A few General Dentists limit their practices and may choose not to >perform a procedure that is what this sounds like. If you go to another >DDS DMD I am cetain they would be able to remove this tooth. Thank you again, Thor > I should clarify, I have seen a dentist(DDS), my mouth has been evaluated. The > DDS did not want to remove the tooth, reason unknown, said I should see an "oral > surgeon". I did get a referral from the DDS but for my own reasons I would like > to find another. If your dentist referred you to an oral surgeon, I suspect his evaluation of the tooth may have revealed the possibility of difficulties or complications in its proposed removal. This sometimes happens with broken teeth. Oral surgeons are dentists who are specialists in tooth removal. They can often make a complex situation very simple. I have often seen them accomplish more in five minutes than I could do in half an hour. If you don't want the first oral surgeon to whom you were referred, just look up another oral surgeon. > I am currently looking for a dentist to remove a broken, root canaled, slightly > infected tooth #3 (using the universal Number System). The type of dentist I > need is unknown to me, Nope, you already know what type! It's an "oral surgeon." > I would like to know the type of dentist that is able to > remove such a tooth. Be it a DDS, DMD or any other I would appreciate some clear > direction as to who does what. Oral surgeons remove teeth. The letters DDS and DMD simply mean the same thing as "dentist" in the United States. The oral surgeon you see will be either a DDS or a DMD -- the important title to seek is "oral surgeon," not the letters. Find an oral surgeon. - dentaldoc >> I should clarify, I have seen a dentist(DDS), my mouth has been evaluated. The >> DDS did not want to remove the tooth, reason unknown, said I should see an "oral [quoted text clipped - 31 lines] > >- dentaldoc Thanks greatly for the reply and clarificaions. Thor |
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