Monday, April 27, 2009

Dentist couldnt extract tooth, was hurting?

Hi, I have had a bad toothache in my of my bottom back teeth for a few days now. I've had a temporary filling in it for a few months, but it was starting to break up which caused the pain.





Its a tooth I've had trouble with on/off for years. I went to the emergency dentist today to see if she could take it out. She numbed everywhere up, made me wait in reception for 20 mins then called me back in. She tested it too see if it was numbed and it hurt a little, so she did it again. Then she tried again and all pain was gone.





Next the part where they try wobbling the tooth backwards and forwards to make it looser. I got a terrible pain, and she decided she couldnt do it, but I felt something crack.





She then took the old temporary filling out, and replaced it with a new one.


Trouble is its hurting quite badly right now.





What can I do to get rid of the pain, and why would it hurt after being numbed up? And will it always be like this when I try to get it out.

Dentist couldnt extract tooth, was hurting?
Good evening (well its evening in Ireland!)





IF there is an infection under your tooth (this infection is often called an abscess) the tooth cannot be pulled.





The anasthetic wont take in the pus-filled absces, it neutralizes the anasthetic so the dentist cant numb the area.





You need antibiotics if there is infection there, and it sounds like there is..Penecillin will blast it,IF u are not allergic..Tetracycline works well too.


Then u can have it extracted.





A temporary filling is of NO USE.In fact it can hold the growing abscess in more creating more pain and pressure.





See your regular dentist, find out if you've an infection..I feel you do, especially if you've a history of trouble from this tooth.. an emergency dentist wants to solve an immediate problem, if she couldnt extract it, she filled it to try and hold you til you got to your own dentist.





If your tooth is vaguely loose,if she could rock the tooth in any little way backwards/forwards it may indicate infection, ie the tooth root is sitting in infection.





Have you swelling?I feel you need antibiotics, followed by extraction.





SEE YOUR REGULAR DENTIST


Paul
Reply:it may not have been numbed up all the way, and even if it was, there would still be a little bit of pain. but if it is too much for you to take, you should just have your dentist put you to sleep to do the operation.
Reply:Sounds like an abscess (a sack full of PUS)That could have kept the dentist from pulling it out


Think of a huge root ball under a plant that is stuck


Antibiotics are usually prescribed then when infection is under control the tooth can come out easily


Sorry you are hurting
Reply:You need to go to your regular dentist soon. She should have given you an antibiotic cause it sounds to me like the novacaine didn't take and that happens if you have an infection at the tooth or if you have had surgery in the past 9 months but going by what you have told me I would go see my own dentist in the morning and for the time being rinse with warm salt water every couple of hours and take asprin and if you have a heating pad use it on low
Reply:You should not be seeing a regular dentist for an extraction like this. You need to see a oral surgeon or a periodontist, someone who specializes in it. A oral surgeons office can knock you out so you won't feel a thing. It is common for teeth to crack and make noise when extracting. If a tooth has an abscess or infection it always is more difficult to numb up. Everything you described is common and normal. You need to wait 15-20 minutes to let the patient become completely numb, then check to see if they are. If not you need to give a booster, not everyones nerves to numb are in the same place. She gave up probally because she is not advanced enough to deal with a cracked root. Go see someone who specializes in oral surgery...a professional.
Reply:I'm a dentist.





Inflammation involves the release of chemicals that make the nerves transmit pain especially well. This is called "hyperalgesia".





Your tooth was in a hyperalgesic state, and as such, is going to be tougher to numb.





In cases like yours, I'll often send patients home on a course of antibiotics and 5-days of NSAIDS, then bring them back and re-attempt the extraction. The vast majority of times, this works.





Of course, talk to your doctor (physician or dentist) prior to taking NSAIDS. They are not appropriate for everyone.
Reply:your tooth is most likely abcessed. when that is the case, they cannot numb you up enough to work on it unless you take antibiotics for at least 5 days prior.
Reply:Please consider all of the possibilities first. There are many common dental causes for tooth-ache.





Dental Cavities





The most common cause of a toothache is a dental cavity. Dental cavities (caries) are holes in the two outer layers of a tooth called the enamel and the dentin. The enamel is the outermost white hard surface and the dentin is the yellow layer just beneath the enamel. Both layers serve to protect the inner living tooth tissue called the pulp, where blood vessels and nerves reside. Certain bacteria i n the mouth convert simple sugars into acid. The acid softens and (along with saliva) dissolves the enamel and dentin, creating cavities. Small shallow cavities may not cause pain and may be unnoticed by the patient. The larger deeper cavities can collect food debris. The inner living pulp of the affected tooth can become irritated by bacterial toxins or by foods that are cold, hot, sour, or sweet-causing toothache. Toothache from these larger cavities is the most common reason for visits to dentists.





Treatment of a small and shallow cavity usually involves a dental filling. Treatment of a larger cavity involves an onlay or crown. Treatment of a cavity that has penetrated and injured the pulp requires either a root canal procedure or extraction of the affected tooth. Injury to the pulp can lead to death of pulp tissue, resulting in tooth infection (dental abscess). The treatment of an infected tooth is either removal of the tooth or a root canal procedure. The root canal procedure involves removing the dying pulp tissue (thus avoiding or removing tooth infection) and replacing it with an inert material.





The procedure is used in an attempt to save the dying tooth from extraction.








Tooth Root Sensitivities





Chronic gum disease also contributes to toothache due to root sensitivities. The roots are the lower 2/3 of the teeth that are normally buried in bone. The bacterial toxins dissolve the bone around the roots and cause the gum and the bone to recede, exposing the roots. The exposed roots can become sensitive to cold, hot, and sour foods because they are no longer protected by healthy gum and bone. The sensitivities may be so severe that the patient avoids any cold or sour foods.





Early stages of root exposure can be treated with topical fluoride gels applied by the dentist or with special toothpastes (such as Sensodyne or Denquel) which contain fluorides and other minerals. These minerals are absorbed by the surface layer of the roots to make the roots stronger and less sensitive to the oral environment. If the root exposure causes injury and death of the inner living pulp tissue of the tooth, then a root canal procedure or tooth extraction may be necessary.





Cracked Tooth Syndrome





"Cracked Tooth Syndrome" refers to toothache caused by a broken tooth (tooth fracture) without associated cavity or advanced gum disease. Biting on the area of tooth fracture can cause severe sharp pains. These fractures are usually due to chewing or biting hard objects such as hard candies, pencils, nuts, etc. Sometimes, the fracture can be seen by painting a special dye on the cracked tooth. Treatment usually involves protecting the tooth with a full-coverage gold or porcelain-fused-to-metal crown. However, if placing a crown does not relieve pain symptoms, a root canal procedure may be necessary.





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Reply:you heard something crack probably the root of the tooth a good dentist would have finished taking it out@@


you should have made her finish taking it out.


now you probably have a bad infection in there. you should go to another dentist like yesterday and have then finish removing the tooth!!!
Reply:get the names of whomever gave you that temporary filling and the nurse then sue them. With a good dentist, you will not even have these issues!


....Also, with a local anesthesia, like that shot she gave you, they can only numb so much. but dont take my word for it, ask a specialist.
Reply:i have find the answer to your question in a website and here is the link:http://www.gce-int.com/blog/index.php?p=...


f

bastad clogs

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