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Medical Forum / General / Dentistry / August 2006

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Further post extraction problems.

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Farmer Giles - 12 Aug 2006 09:27 GMT
Like Shawn in the earlier thread, I too had a tooth - a long tooth, I
think it's called a canine - extracted five days ago, and I am having
quite a bit of trouble. The gum around the extraction site is very
swollen and sensitive, and it also feels as if there is still part of
the root up there.
Is this normal, or should I go back to my dentist?
C.J. Thomas - 12 Aug 2006 09:28 GMT
Just try to avoid the area...and call your dentist if you notice an increase
in pain.  The mouth takes two weeks to heal.  Every time you eat/drink, you
bother the extraction site.  You can't avoid that.  Imagine if you kept
rubbing food against a cut on your arm that was trying to heal.  Probably
wouldn't feel too good.  Also, there could be a bony spicule trying to work
its way out...

> Like Shawn in the earlier thread, I too had a tooth - a long tooth, I
> think it's called a canine - extracted five days ago, and I am having
> quite a bit of trouble. The gum around the extraction site is very swollen
> and sensitive, and it also feels as if there is still part of the root up
> there.
> Is this normal, or should I go back to my dentist?
Farmer Giles - 12 Aug 2006 09:41 GMT
> Just try to avoid the area...and call your dentist if you notice an increase
> in pain.  The mouth takes two weeks to heal.  Every time you eat/drink, you
> bother the extraction site.  You can't avoid that.  Imagine if you kept
> rubbing food against a cut on your arm that was trying to heal.  Probably
> wouldn't feel too good.  Also, there could be a bony spicule trying to work
> its way out...

Thank you for your prompt and helpful response. I will just see what
happens over the next week or so then. Thanks again.
Steve Richfie1d - 13 Aug 2006 17:14 GMT
Farmer,

> Like Shawn in the earlier thread, I too had a tooth - a long tooth, I
> think it's called a canine - extracted five days ago, and I am having
> quite a bit of trouble. The gum around the extraction site is very
> swollen and sensitive, and it also feels as if there is still part of
> the root up there.

Sometimes dental repair is a little like car repair - you should ask for
your old parts back! If you had collected the extracted tooth (or the
pieces of it) you could now see if there was anything missing from it
that would be consistent with your present problems.

It now too late to do this for this tooth, but there are other teeth to
extract and other readers here. Better "luck" next time.

I learned this one the hard way.

Also, I have heard that there are problems (that perhaps others can
better expound on) with extracting canines, because these teeth guide
your other teeth. With a canine extracted, your teeth can mesh in ways
that they never could before - and cause considerable damage to each
other in the process.

This is a little akin to a "synchro" (synchronizer) in a manual
transmission - and the problems when they don't work right.

Are you planning to immediately replace this tooth with something else
to perform this guiding function?

Steve Richfie1d
Farmer Giles - 14 Aug 2006 10:19 GMT
> Farmer,
>
[quoted text clipped - 27 lines]
>
> Steve Richfie1d

Some weeks ago I also had the tooth next to this extracted, both of
these had broken off - both supporting a bridge to a third. My dentist
has made me a denture - of three teeth, obviously - which I am told that
I will have to put up with for a while before having something done
about the missing teeth. I am now considering my options. I am thinking
about implants - but obviously there are cost factors to consider - or a
full bridge. I have to confess that after this experience the bridge
option is not particularly appealing.
Steve Richfie1d - 14 Aug 2006 22:32 GMT
Farmer,

> Some weeks ago I also had the tooth next to this extracted, both of
> these had broken off - both supporting a bridge to a third. My dentist
[quoted text clipped - 4 lines]
> full bridge. I have to confess that after this experience the bridge
> option is not particularly appealing.

I am in a similar/earlier situation, with some broken off teeth, one
that will probably need to be pulled, and several others with various
problems leading to ???

The whole bridge thing looked to me like a short-term (<20 years)
solution that often leads to 2 more broken teeth. First one breaks, then
the bridge acts as a giant lever to break the other. Is this how yours
went down? Apparently, your situation is further verification of this.

Have you looked at RPOD (Removeable Partial Overdentures) technology?
Like dentures, only you do NOT remove the broken off teeth. Instead, you
have any decay removed and have them coated with GI (Glass Ionomer), and
sometimes have hard buttons installed on them to support the RPOD
without grinding into what little is left of your teeth. With RPOD, you
do NOT need to cut down any good teeth or pull the broken ones unless
their roots are destroyed, so you aren't advancing the clock on your
inexorable way toward full dentures.

One disadvantage of RPOD is that they typically need a lot of minor
repairs, that if you are good at such things you can sometimes do for
yourself.

Lotsa luck.

Steve Richfie1d
Farmer Giles - 15 Aug 2006 09:20 GMT
> Farmer,
>
[quoted text clipped - 32 lines]
>
> Steve Richfie1d

Thanks again, Steve, for that advice. My bridge broke off all at once
without any prior warning. Both the teeth that supported it had been
root-canal filled - so that probably had something to do with them being
weakened. I had had the bridge about 15 years - so your estimate of it
being a less than 20 years solution looks fairly accurate.

The solution you mentioned above is probably not an option for me, I
think the implant route looks my best bet.

Regards
Steve Richfie1d - 15 Aug 2006 20:09 GMT
Farmer,

> Thanks again, Steve, for that advice. My bridge broke off all at once
> without any prior warning.

Probably one tooth at a time, but a tenth of a second apart on the same
chomp.

> Both the teeth that supported it had been
> root-canal filled - so that probably had something to do with them being
> weakened.

Yea, root canaled teeth get really brittle after a few years, which is
why they need to be crowned afterwards - to hold them together. After a
decade or two, they can get pretty fragile.

> I had had the bridge about 15 years - so your estimate of it
> being a less than 20 years solution looks fairly accurate.
>
> The solution you mentioned above is probably not an option for me, I
> think the implant route looks my best bet.

Take a look at <http://www.dentistsmexico.com/prices.htm> At $600 an
implant, they may be made from rusty nails and installed by the
handicapped, but then again they might be OK. Perhaps a dental expert
here might be able to suggest how to tell the difference.

Take a look at my own <http://www.smart-life.net/MexicanDentists/> page
to get an overview of what Mexican dentists are all about.

Steve Richfie1d
Joel344 - 15 Aug 2006 13:05 GMT
It'll heal ... give it time

--
Joel34
Farmer Giles - 25 Aug 2006 22:50 GMT
> It'll heal ... give it time.

You and the others were perfectly correct. Two weeks on and everything
is healed and very comfortable. And the comment about 'bony spicules'
working their way out was spot on - two or three tiny pieces of bone
have come out, and there is no further sign of what I thought was a part
of the root is no longer there.

Thanks to everyone for the knowledgeable comments.
C.J. Thomas - 26 Aug 2006 00:33 GMT
glad to see you are feeling better

>> It'll heal ... give it time.
>
[quoted text clipped - 5 lines]
>
> Thanks to everyone for the knowledgeable comments.
Unimobiles.com - 20 Aug 2006 01:44 GMT
>Like Shawn in the earlier thread, I too had a tooth - a long tooth, I
>think it's called a canine - extracted five days ago, and I am having
>quite a bit of trouble. The gum around the extraction site is very
>swollen and sensitive, and it also feels as if there is still part of
>the root up there.
>Is this normal, or should I go back to my dentist?

I had a wisdom tooth removed and was in agony for 10 days, followed by
mild pain for the next couple of weeks, followed by discomfort when
anything pressed against the area the tooth was removed.

After going back a month later or so, I got referred to a dental
surgeon to remove half a root which is under my gum and wasn't removed
first time. The surgery is taking place on October 31st 2006, some 7
months after the original tooth was removed!

Certainly plan well in advance for dental surgery, because it
certainly left me out of action for 14 days.

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Joel344 - 20 Aug 2006 23:07 GMT
> This is a little akin to a "synchro" (synchronizer) in a manual
> transmission - and the problems when they don't work right.

This is true. The caninesyncho is out of whack

--
Joel34
 
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