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Medical Forum / General / Dentistry / November 2006

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Abscess formed after filling: Was the dentist at fault?

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stuart@myhairdirect.com - 14 Nov 2006 19:15 GMT
Hello,

6 months ago I had a cavity filled by my dentist.  Immediately after
the treatment my dentist commented "if you experience any discomfort or
pain from the tooth, please let me know......."

For several weeks after the treatment my tongue and area in the mouth
surrounding the newly filled tooth remained numb.  I questioned the
dentist about this, and I was told that this can commonly occur for
several weeks after treatment.

The numbness gradually subsided over a period of 4-6 weeks, so I
thought nothing more of this.

However, the numbness was soon replaced with heightened sensitivity in
the treated tooth, and the discomfort has gradually worsened over time.
I now avoid eating on this side of the mouth because the tooth is
extremely sensitive and can not bear any biting pressure.  Even slight
exposure to food can lead to a dull ache in the tooth, which results in
a temporary headache.

In addition to the dull ache described above, I also experience a sharp
pain when brushing this tooth.

Six months later, I re-visited the dentist to discuss my symptoms.
After an initial inspection an x-ray concluded that an abscess has
formed, and I would now require root canal treatment to resolve this
problem.

My question is:

I am now in a position where I'm facing expensive restorative (or
corrective?) work. Could this abscess have been caused by an injury
inflicted during the cavity treatment six months earlier?  If so, could
the dentist be held accountable for this injury that has resulted in
the formation of the abscess?

I would be very grateful for your comments and feedback.

Kind regards,

Stuart
Mark & Steven Bornfeld - 14 Nov 2006 19:24 GMT
> Hello,
>
[quoted text clipped - 38 lines]
>
> Stuart

    I can only infer that the cavity was pretty deep, or else the dentist
would not have made the specific request that you tell him/her if you
have discomfort.  Yes, drilling the tooth will stir things up, but it
will be very unlikely to kill a nerve that isn't already in trouble.
Some dentists may well look at a deep cavity and recommend a root canal
based on nearness of the decay to the nerve; you luckily have a dentist
who gave your tooth a chance to recover if it could.  Unfortunately, it
appears the cavity was too close to the nerve.
    I personally see this situation several times a week; I always inform
the patient that there is a chance the tooth may need root canal--in 2
weeks, or 20 years, and that we will monitor the tooth.  Most of my
patients are happy to avoid the root canal treatment if it is possible.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Stormin Mormon - 16 Nov 2006 02:26 GMT
Abscess is another word for infection. Caused by dentist? I guess
we'll never know. Did he wear gloves, wash his hands, and so on?

Signature

Christopher A. Young
 You can't shout down a troll.
 You have to starve them.
.

Hello,

6 months ago I had a cavity filled by my dentist.  Immediately after
the treatment my dentist commented "if you experience any discomfort
or
pain from the tooth, please let me know......."

For several weeks after the treatment my tongue and area in the mouth
surrounding the newly filled tooth remained numb.  I questioned the
dentist about this, and I was told that this can commonly occur for
several weeks after treatment.

The numbness gradually subsided over a period of 4-6 weeks, so I
thought nothing more of this.

However, the numbness was soon replaced with heightened sensitivity in
the treated tooth, and the discomfort has gradually worsened over
time.
I now avoid eating on this side of the mouth because the tooth is
extremely sensitive and can not bear any biting pressure.  Even slight
exposure to food can lead to a dull ache in the tooth, which results
in
a temporary headache.

In addition to the dull ache described above, I also experience a
sharp
pain when brushing this tooth.

Six months later, I re-visited the dentist to discuss my symptoms.
After an initial inspection an x-ray concluded that an abscess has
formed, and I would now require root canal treatment to resolve this
problem.

My question is:

I am now in a position where I'm facing expensive restorative (or
corrective?) work. Could this abscess have been caused by an injury
inflicted during the cavity treatment six months earlier?  If so,
could
the dentist be held accountable for this injury that has resulted in
the formation of the abscess?

I would be very grateful for your comments and feedback.

Kind regards,

Stuart
Newbie - 16 Nov 2006 19:31 GMT
>I am now in a position where I'm facing expensive restorative (or
>corrective?) work. Could this abscess have been caused by an injury
>inflicted during the cavity treatment six months earlier?

The initial injury was decay in the tooth, not the treatment.
Any compromised pulp can eventually progress to necrosis.
BTW, RCT and a Crown is not that extensive.

>  If so, could
>the dentist be held accountable for this injury that has resulted in
>the formation of the abscess?

Not so, and no.

>I would be very grateful for your comments and feedback.
>
>Kind regards,
>
>Stuart
 
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