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Medical Forum / General / Dentistry / August 2006Fractured tooth and infection question.
I had tooth (#18) extracted due to fracture (likely caused by biting on food though I don't recall particular traumatic event). I had an exam one year ago and there were no problems -- I'd never had any cavities or previous gum problems and regularly brush and floss. In June, I started experiencing gum swelling/infection under tooth #18. The fracture was not visible at that time but the fracture diagnosis was made weeks later. In trying to understand what happened, I am thinking that the infection was caused by the crack in the tooth -- food/bacteria get through the crack causing infection -- and not due to lack of brushing. Is it safe to conclude that the infection was not due to proper hygiene (brushing/flossing)? Or is it possible that improper brushing could have lead to infection and/or fracture? > I had tooth (#18) extracted due to fracture (likely caused by biting on > food though I don't recall particular traumatic event). [quoted text clipped - 15 lines] > Or is it possible that improper brushing could have lead to infection > and/or fracture? Vertical fractures that lead to loss of the tooth have no direct relationship to oral hygiene. If a tooth is vertically fractured the infection will extend wherever the fracture leads (usually into the gum and bone) regardless of the level of oral hygiene. Steve > > I had tooth (#18) extracted due to fracture (likely caused by biting on > > food though I don't recall particular traumatic event). [quoted text clipped - 20 lines] > infection will extend wherever the fracture leads (usually into the gum > and bone) regardless of the level of oral hygiene. Is the folowing scenario possible?: Poor hygiene (lack of proper flossing / brushing) leads to infection and gum loss around the healthy tooth, which then weakens the tooth and causes the tooth to fracture. > Is the folowing scenario possible?: > > Poor hygiene (lack of proper flossing / brushing) leads to infection > and gum loss around the healthy tooth, which then weakens the tooth and > causes the tooth to fracture. We have to nail down what you mean by "weakens the tooth". Poor oral hygiene will certainly increase the potential for periodontal disease, including bone loss, and can certainly lead to tooth loss. But unless there is also decay related to the poor oral hygiene (certainly possible) it's not fair to say that the poor oral hygiene is related to the fracture. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 You asked, Is it safe to conclude that the infection was not due to proper hygiene (brushing/flossing)? I answered. Yes, it is safe to conclude that the infection was not due to proper hygiene (brushing/flossing) -- Joel34 |
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