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Medical Forum / General / Dentistry / March 2007primary tooth abscess
My child had a pea-size lump above his upper first molar. My first dentist said it was not severe and suggested to keep watching. One year later the lump did not noticeably turn bigger. We visited another dentist for checkup, and he said the tooth needed root canal and then carefully treated the tooth for many times and finally put crown on it. Now I find the old lump become much smaller but another lump appeared next the old one. Unlike the old round lump, the new one is about 0.5-1cm long. My child doesn't feel uncomfortable at all. The dentist seemed not to able to tell whether it was related to the tooth root abscess and just wanted to watch if the lump became bigger and bigger. Our dentist is a very nice person. But I would like to know if the condition unchanged in the future, should we consider the treatment is successful? Is a dentist able to determine whether the permanent tooth underneath is affected or not? We hope to keep the tooth, but in the prerequisite that the permanent tooth should not be affected. Any replies will be thankful. > My child had a pea-size lump above his upper first molar. My first > dentist said it was not severe and suggested to keep watching. [quoted text clipped - 14 lines] > > Any replies will be thankful. How old is your child now? Steve On Feb 26, 7:31 pm, Steven Bornfeld <dentaltwinm...@earthlink.net> wrote: > d_pati...@yahoo.com wrote: > > My child had a pea-size lump above his upper first molar. My first [quoted text clipped - 19 lines] > > Steve 7 years old > On Feb 26, 7:31 pm, Steven Bornfeld <dentaltwinm...@earthlink.net> > wrote: [quoted text clipped - 25 lines] > > 7 years old It should be easy to find out if the permanent tooth is affected, with a decent amount of confidence--and that is by x-ray. Usually there is no need to maintain space for a primary FIRST molar (4th tooth from the front). This is definitely NOT the case for primary 2nd molars (5th tooth from the front--the one directly in front of the permanent 1st (6-year) molar. I would recommend extracting this tooth, which may even encourage early eruption of the permanent 1st premolar. Your dentist should check for collapse of this space, but it isn't likely to happen for this particular tooth. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 On Feb 27, 7:04 am, Mark & Steven Bornfeld <bornfeldm...@dentaltwins.com> wrote: > d_pati...@yahoo.com wrote: > > On Feb 26, 7:31 pm, Steven Bornfeld <dentaltwinm...@earthlink.net> [quoted text clipped - 44 lines] > Brooklyn, NY > 718-258-5001 If the permanent teeth underneath is not affected and the lump does not change in size, can we keep the primary tooth until it falls out naturally? Any advice? > On Feb 27, 7:04 am, Mark & Steven Bornfeld > <bornfeldm...@dentaltwins.com> wrote: [quoted text clipped - 52 lines] > not change in size, can we keep the primary tooth until it falls out > naturally? Any advice? I don't recommend it, but I'm certain it's done all the time. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 On Feb 27, 12:21 pm, Mark & Steven Bornfeld <bornfeldm...@dentaltwins.com> wrote: > d_pati...@yahoo.com wrote: > > On Feb 27, 7:04 am, Mark & Steven Bornfeld [quoted text clipped - 62 lines] > Brooklyn, NY > 718-258-5001 What is the negative consequence of early eruption of the permanent 1st premolar. I remember the dentist said if the root canal failed then he was gonna place a space maintainer on the first molar to avoid tooth shift. One of the friend said the space maintainer could cause decay on other teeth. Because food can stick in there. Is that true? Should we have the space maintainer placed? Just want to more opinions, hard decision!!!! Thanks > On Feb 27, 12:21 pm, Mark & Steven Bornfeld > <bornfeldm...@dentaltwins.com> wrote: [quoted text clipped - 69 lines] > What is the negative consequence of early eruption of the permanent > 1st premolar. Generally none. Sometimes orthodontists will remove primary first molars early to encourage this, esp. if it seems the teeth are going to be crowded. Usually the first (permanent) premolar is the tooth removed if the orthodontist feels extraction of permanent teeth will be needed. > I remember the dentist said if the root canal failed then he was gonna > place a space maintainer on the first molar to avoid tooth shift. One [quoted text clipped - 4 lines] > > Thanks I have heard of space maintenance for primary first molars, but unless thinking has changed, generally this is not necessary. What say you, Carabelli? Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 I'm not the mighty C, but out here we make them for mandibulars, but not necessarily maxillaries. D > I have heard of space maintenance for primary first molars, but > unless thinking has changed, generally this is not necessary. > What say you, Carabelli? > > Steve On Feb 28, 6:55 am, Mark & Steven Bornfeld <bornfeldm...@dentaltwins.com> wrote: > d_pati...@yahoo.com wrote: > > On Feb 27, 12:21 pm, Mark & Steven Bornfeld [quoted text clipped - 95 lines] > Brooklyn, NY > 718-258-5001 Can you please explain a bit more why extraction can cause early eruption of underneath tooth? And also, does primary tooth root connect with permanent tooth? Can primary tooth abscess affect the permanent tooth of 6 or 7 years old? Thank you very much If the primary tooth is removed and the permanent tooth is close to erupting, the permanent tooth will have an easy path to push through quickly. If the primary tooth is removed and the permanent tooth is lower in the jaw bone, bone will fill in over the top of it and it will take longer for the permanent tooth to erupt than normal. The primary tooth is normally a "path" for the permanent tooth to follow during eruption. The cells around the permanent tooth are evolved to preferentially dissolve primary tooth, not bone. The permanent tooth will push up through the center of the primary tooth, dissolving the primary tooth as it advances. An abscess in a primary tooth has the "potential" to spread to the permanent tooth. I have never seen this actually happen. Others on this forum may have seen it personally. A bigger problem would be the bacteria which causes decay getting through the primary tooth and beginning to rot away the permanent tooth before it even erupts. Signature/ Amatus /> Can you please explain a bit more why extraction can cause early > eruption of underneath tooth? > > And also, does primary tooth root connect with permanent tooth? Can > primary tooth abscess affect the permanent tooth of 6 or 7 years > old? > Can you please explain a bit more why extraction can cause early > eruption of underneath tooth? I think AC's explanation is as cogent and logical as any I've seen. When you get down to the hard science, I'm not sure this is totally understood on a theoretical level--at least not by me! > And also, does primary tooth root connect with permanent tooth? Can > primary tooth abscess affect the permanent tooth of 6 or 7 years > old? This is one of those things they tell you about in dental school. Like AC, I have never seen it in the 31 years I'm out of dental school. Steve > Thank you very much On Mar 2, 12:47 pm, Steven Bornfeld <dentaltwinm...@earthlink.net> wrote: > d_pati...@yahoo.com wrote: > [quoted text clipped - 15 lines] > > > Thank you very much Hi Steve, do you mean you have never seen primary tooth abscess cause permanent tooth abscess or you mean you have never seen primary tooth abscess causes any problem on permanent tooth, such as black spot, decay, whatever... Thank you. > On Mar 2, 12:47 pm, Steven Bornfeld <dentaltwinm...@earthlink.net> > wrote: [quoted text clipped - 23 lines] > abscess causes any problem on permanent tooth, such as black spot, > decay, whatever... Thank you. I am not aware of ever having seen damage to a secondary tooth that I can relate in a reasonably meaningful (to me) way to a low grade abscess in a primary tooth. Please do not use what I say as implied license to withhold treatment in the presence of an abscess. The abscess should be dealt with--whether by endodontic (root canal) means or by extraction. One need not look for potential damage to the permanent tooth for sufficient justification to treat the primary abscess. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 |
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