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Medical Forum / General / Dentistry / June 2006

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More Wisdom Tooth Advice Needed

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Unimobiles.com - 28 Jun 2006 02:18 GMT
Hi,

I posted here on 7/6/06, to which helpful replies were written
regarding a broken wisdom tooth. I am now 3 weeks post part-removal of
tooth.

After about 5 days of agonising pain I realised I needed to take 3
Ibuprofen's a day and took Ibuprofen's up till 17/6 where the
suffering seemed to stop. In all it was about 10 days of hell.

The gum has completely regrown over the broken tooth so I don't have
to eat on the corner of one side anymore, HOWEVER...

when I brush my teeth I have to avoid brushing in the gum area where
the broken tooth is still located underneath. If I push my toothbrush
through normal brushing over the  gum area where the broken tooth is
located underneath,  then it's mildly painful. Same if any food gets
stuck in there and I'm munching.

I'm concerned the broken tooth is going to break through what feels
like a fragile piece of gum and push me back into agony.

I'm also concerned I'm learning to avoid brushing this area which
means the tooth next to it wont get brushed properly and will also
decay. At the moment I'm very carefully trying brush the tooth next to
gum area covering the broken tooth. But I don't think it's adequate.

Do I need to go back to the Dentist and tell him to refer me to the
hospital to remove the broken tooth under anesthetic? It certainly
would not be convenient to do now, I can't afford another week off
work for a few months at least.

Can I put off removing this broken tooth or should I get it sorted out
now so I can brush properly? If I asked for a referral now, it would
be some time (probably 2 months) , given that the NHS always has a
waiting list.

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Steven Bornfeld - 28 Jun 2006 02:39 GMT
> Hi,
>
[quoted text clipped - 32 lines]
> be some time (probably 2 months) , given that the NHS always has a
> waiting list.

    Tough call.  Of course the entire tooth should have been removed the
first time.  You may just be having some residual soreness still from
the extraction attempt.  It is also possible that the retained part of
the root is just under the gum and the pain in fact is from squeezing
the overlying gum against the hard (and possibly sharp) residual tooth
surface.
    It is impossible to say without looking at an x-ray what is going on
there.  I'm inclined to say to have the remaining tooth removed--but
that's easy for me to say.  I'd feel more comfortable about recommending
its removal if I could see an x-ray.  Then it would be easier to be sure
that the cure won't be worse than the disease (that is, retaining the
tooth).

Steve
Alexander Vasserman DDS - 30 Jun 2006 06:40 GMT
It could also be a small bone fragment.
Have it looked at.

> > Hi,
> >
[quoted text clipped - 47 lines]
>
> Steve

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