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Medical Forum / General / Dentistry / February 2008

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Problem for my grandson

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news.chi.sbcglobal.net - 23 Feb 2008 01:33 GMT
This is Gail and my grandson wrote me of his problem.  He lives in Nevada.
Hopefully I can help him out.
The e-mail in part:   He had a cavity filled on a molar (I think six year
bottom molar) in October.   In Nov. he went back because he had been feeling
a dull pain in that tooth.   The dentist looked at the tooth and said there
is nothing wrong and the pain would probably go away.   By late January his
gum by that tooth was forming a pimple and he popped it and pus came out.
He is going to a dentist Monday.  He has been rinsing it with Hydrogen
Peroxide and  says it is helping, but the gum is still red.  We are hoping
the dentist will give him an anti-biotic to take.  Hopefully the tooth is
not ruined.   It was not a big cavity.
Gail and thank you for all answers.
George - 23 Feb 2008 14:09 GMT
This sounds like a chronic dental abscess with a draining sinus tract.
If the tooth in question is deciduous (baby tooth), it will probably
require extraction at this stage. If the tooth is permanent, it may be
saved with root canal treatment.

Regards,
George
news.chi.sbcglobal.net - 23 Feb 2008 16:47 GMT
I thank you exceedingly for the information.
He is college graduate, from a small cavity, would there have been
negligence in treatment at the beginning?
Gail
George - 23 Feb 2008 18:40 GMT
On Feb 23, 4:47 pm, "news.chi.sbcglobal.net"
<kureforcro...@sbcglobal.net> wrote:
> I thank you exceedingly for the information.
> He is college graduate, from a small cavity, would there have been
> negligence in treatment at the beginning?
> Gail

No way to know from the other side of the world I'm afraid.  Pulpal
death is a known danger every time there is decay or we drill a tooth.
Also, what do you mean small cavity? Was your grandson able to see or
feel the cavity or did the dentist told him it was small?

Regards,
George
news.chi.sbcglobal.net - 23 Feb 2008 22:54 GMT
Dear Sir,

I do not know all the specifics, so I will speak only of what I perceive.  A
small cavity would be one that did not require a lot of drilling.  Some feel
as though the whole tooth has been drilled out, from my view.   Of course
you are right in that there is danger of pulpal death each time there is
decay.   But would not the dentist be aware of that and if there is a
complaint of pain, would he not consider that possibility, rather than say
nothing is wrong.   And sometimes the decay is fairly obvious, if we look or
feel.   Naturally I cannot give a professional opinion on the subject.   It
could be anything, the dentist's error, the tooth showing an erroneous face,
so  this side of the world is no better than your side of the world.
Teeth are frivolous from the day we are born, so I accede.
Thank you again.
Gail
Jan Drew - 25 Feb 2008 06:03 GMT
> This sounds like a chronic dental abscess with a draining sinus tract.
> If the tooth in question is deciduous (baby tooth), it will probably
[quoted text clipped - 3 lines]
> Regards,
> George

Incorrect, root canals are dangerous.  They do not save the teeth, the tooth
is dead.
news.chi.sbcglobal.net - 27 Feb 2008 01:01 GMT
Having gone to a new dentist this week,  the dentist told my grandson, the
cavity was drilled too deep and a root canal was needed.    This was the
first visit at the new dentist and he went ahead and did the root canal not
mentioning perhaps an endodontist should do it.    Somewhat disappointed, I
certainly hope this dentist was in a good positition to do the root canal.
Strange how they never inform a person that there is a choice.
I am a worrier so this is one more worry.
Gail
Dartos - 27 Feb 2008 14:31 GMT
Many GPs are quite good with root canals.

D

> Having gone to a new dentist this week,  the dentist told my grandson, the
> cavity was drilled too deep and a root canal was needed.    This was the
[quoted text clipped - 4 lines]
> I am a worrier so this is one more worry.
> Gail
news.chi.sbcglobal.net - 28 Feb 2008 00:57 GMT
Far as I know, they take a short course for root canals.   Same with
implants.   So they have to be twice as smart to absorb the complexities in
a short period.
Thanks, I am a pessimist at heart.
Gail

> Many GPs are quite good with root canals.
>
[quoted text clipped - 9 lines]
>> I am a worrier so this is one more worry.
>> Gail
Steven Fawks - 28 Feb 2008 02:41 GMT
If they go out and never learn anything beyond dental school,
you may be right.

Most of us soon realize that there is more to the process and
strive to improve our skills.  It isn't rocket science, but it
does take the right tools, time, and determination to do them
correctly.

I am on another internet group of dentists, and several GPs
have posted radiographs of their work that is excellent.  I'm
not saying they are 'average' though.

Steve

> Far as I know, they take a short course for root canals.   Same with
> implants.   So they have to be twice as smart to absorb the complexities in
> a short period.
> Thanks, I am a pessimist at heart.
> Gail

>>Many GPs are quite good with root canals.
>>
>>D
George - 28 Feb 2008 18:57 GMT
There's no reason why a GP with good skills and the right equipment
can't finish root canal treatment to a good standard on a molar of
average difficulty.

Regards,
George
news.chi.sbcglobal.net - 29 Feb 2008 04:15 GMT
Easier said than done.    But I hope your description fits the dentist that
did the work.

Gail

> There's no reason why a GP with good skills and the right equipment
> can't finish root canal treatment to a good standard on a molar of
> average difficulty.
>
> Regards,
> George
 
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