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Author Topic:   Absessed Tooth - 2nd Opinion
Jeffrey L. Wissot, DDS
unregistered
posted 01-11-2006 07:23 PM              Reply w/Quote
If you have not already done so, please consult with an endodontist (RCT specialist).

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lee m nelson
unregistered
posted 01-11-2006 09:01 PM              Reply w/Quote
i agree with tim johnson but theres more.
dentist give us pain too you look at the shots and needles and what we get pain from those things . did you know that it was in the 1700s when we created the shots and still there useing shots. another thing we dont want pain but they give it to us when we go to the dentist and get work on.we want them to stop the pain not to gain more pain in our teeth.douse any body ever known this? i my self think dentist dont know nothing they say they do but there not helping with our pain just causing more pain
on us - queston what should we do/how also

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lee m nelson
unregistered
posted 01-11-2006 09:04 PM              Reply w/Quote
i agree with tim johnson but theres more.
dentist give us pain too you look at the shots and needles and what we get pain from those things . did you know that it was in the 1700s when we created the shots and still there useing shots. another thing we dont want pain but they give it to us when we go to the dentist and get work on.we want them to stop the pain not to gain more pain in our teeth.douse any body ever known this? i my self think dentist dont know nothing they say they do but there not helping with our pain just causing more pain
on us - queston what should we do/how also

.

lee m nelson
unregistered
posted 01-11-2006 09:04 PM              Reply w/Quote
i agree with tim johnson but theres more.
dentist give us pain too you look at the shots and needles and what we get pain from those things . did you know that it was in the 1700s when we created the shots and still there useing shots. another thing we dont want pain but they give it to us when we go to the dentist and get work on.we want them to stop the pain not to gain more pain in our teeth.douse any body ever known this? i my self think dentist dont know nothing they say they do but there not helping with our pain just causing more pain
on us - queston what should we do/how also

.

Teresa
unregistered
posted 01-15-2006 02:28 AM              Reply w/Quote
I am shocked to find so many people in my same situation. First of all I have to say that I love my dentist. She's the only one I have ever been to that is completely pain free. I don't even feel that first shot you get when having work done. For me the problem for the last 3 years has been money. My husband lost his job and although he found another we just can't afford their insurance. Anyway, Friday night I got a really bad tooth ache but used orajel and was okay. By Saturday morning I was agony and beginning to see just a little swelling. Still I figured I could wait til Monday. This was a tooth I have had problems with before but was waiting for the money to have pulled. By Saturday night, the swelling had gotten really bad. I've never had this before and it scared me. My husband took me to the ER and they gave me a dose of Clindamycin and a prescription for more. Here's the thing. It's now a little after one in the morning on Sunday and my face is still swelling. Almost my entire left side of my face is swollen badly. My upper lip is hideous and I'm having to drink from a straw. My eye is now beginning to swell. Am I overreacting to allow this swelling to scare me so? The doctor in the ER didn't seem worried. Told me I have an absessed tooth and to come back Monday if I wasn't feeling better. I have every intention of having this tooth pulled as soon as my dentist says it's okay but...I'm just really worried about this swelling.

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Jeffrey L. Wissot, DDS
unregistered
posted 01-15-2006 08:07 PM              Reply w/Quote
You might consider contacting an oral surgeon. Facial swellings may develop into hazardous conditions that warrant concern.

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Jena
unregistered
posted 01-20-2006 03:35 AM              Reply w/Quote
This is very good information. My boyfriend had a very bad toothache a couple weeks ago where we had to take him to the emergency room. He kept thinking about Tom Hanks in that movie where he's stuck on that island...I can't remember the name. My 4 year old son had an absessed tooth and had to get it pulled. Is it always necessary to get it pulled? It seemed like there was no other option. I cried because I was so bummed. I take such good care of his teeth and then this happens. It breaks my heart to see him laying on that chair just so little and so innocent and watching this lady pull the tooth out with a big pair of pliers.

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Jodi
unregistered
posted 01-26-2006 05:20 PM              Reply w/Quote
Mr.Thompson,
You should contact your State's Social Services (Welfare) department. If your income is below a certain amount you may be eligible for Medical and Dental Insurance so you can get some help for your situation. Look in the phone book or just call information. I hope you are eligible and get these teeth taken care of. Good luck!
Jodi
quote:
Originally posted by Joseph Thompson:
Hello, I'm from WV and this makes the third time I have absessed teeth. They are all different teeth. Both of my cuspids and my first molar are the teeth I have had problems with. Pretty much I have just been putting holes in my 'bubble' to drain the infection. I ended up in the hospital once from swallowing to much infection and then it got into my sinus. But now I have three absessed teeth at once, getting used to the pain but I was wondering if there is any programs that help with dental assistance, as I can't afford to goto the dentist or a doctor for any type of treatment. Thank you!

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sally
unregistered
posted 01-26-2006 08:24 PM              Reply w/Quote
I had an absessed lower back tooth removed but although iv'e had antibiotics iv'e still got white infection coming out of the hole, its very unpleasant to smell and taste.Also Iv'e been getting stomach ache and feeling sick, should I go back to the dentist?

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Jeffrey L. Wissot, DDS
unregistered
posted 01-26-2006 11:50 PM              Reply w/Quote
Sally,

By all mweans, see the dentist rather than speculate on a possible problem. I'm sure he'll want to follow up on his treatment.

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Denise
unregistered
posted 02-05-2006 03:18 AM              Reply w/Quote
I had 3 teeth removed on 1-13 and a partial put in. I have been in pain with the partial every since, seems the doctor is not able to make it fit without it continually rubbing sores. About 4 days ago the pain was getting so intense it felt like it was absessed, however it was not where an extraction was or another tooth just in the lower very rear jaw area. The swelling was getting so bad that I could no longer even wear my top full denture. The doctor seen me and agreed it was an absess. He told me to rinse my mouth 3-4 times a day with salt water and try to push the puss out with a q-tip. I am a diabetic and felt not to prescribe an antibiotic was very unsual especially since it is the weekend. My question is, I have not been able to eat solid food for close to a month, have been in continuous pain with this partial and now extreme pain with the absess. I am beginning to think maybe I need to change dentists.

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Jeffrey L. Wissot, DDS
unregistered
posted 02-05-2006 10:50 AM              Reply w/Quote
First relay your concerns to the treating dentist. Most dentists will bend over backwards to address any patient concern.

If that doesn't resolve the issue, see another dentist for a second opinion.

If you are still not satisfied, you may choose to contact the local component of the American Dental Association and request a "Peer Review Committee Inquiry." It is a fair, reasonable, no cost process to resolve conflicts. For a list of local dental societies, please visit:

http://www.ada.org/ada/organizations/local.asp

For more information, please visit

http://www.dentistry.com/offsite.asp?articleID=12&dentID=1

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kailin
unregistered
posted 02-09-2006 02:40 AM              Reply w/Quote
wow that sounds pretty serious, you should see a doctor about it maybe?

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Rob
unregistered
posted 02-21-2006 05:17 PM              Reply w/Quote
I had the same problem most people on this thread have. I ignored a problem which got worse until the point where I couldn't deal with the pain. I am fortunate to have a family member who is a Dentist who took care of my tooth. Just like the DDS on this board has said, my dentist, cleaned out the infection, and then prescribed me Clindamycin with a follow up treatment next week to finish the surgery. My tooth still hurts but I hope to report that it improves with time and most importantly with personal care.

I've read most of these posts, and only a few have suggested that the problem is their own fault.

Well my problem was my fault. I didn't take particularly good care of my teeth. I ignored the problem until it hurt bad enough to see a doctor.

I wonder how many people here are like me, and don't floss regularly, frequently miss brushing before bed, miss regular check ups...etc?

The last thing I think I'll do is go looking for answers and laying blame on "greedy" dentists when it hurts too bad to take the pain without having blamed MYSELF first for letting it get to this point. I can assure you that my pain was more than likely because I didn't have good oral hygiene and less likely due to the fact that I couldn't afford to get help.

Just wanted to stick up for the Dentists and doctors, like my family member and Dr. Tissot, who is a good person and has a good heart. But they cannot be responsible for other ADULTS' lack of personal accountability.

I hope this lesson, this horrible pain I have experienced is enough to never let me forget to brush or floss or have a check up again.

.

Jeffrey L. Wissot, DDS
unregistered
posted 02-21-2006 10:37 PM              Reply w/Quote
Rob,

If I may add to your dental epiphany. The successful patient/dentist relationship relies on teamwork. We can't expect a patient to practice good oral hygiene unless we equip him with the right tools, and how to use them. Please visit:

http://www.dentistry.com/pcorner.asp

There's a good section on dental hygiene.

.

oh my achin' tooth
unregistered
posted 02-25-2006 11:47 AM              Reply w/Quote
I've experianced my very first absessed tooth. It totally freaked me out. I don't think I've ever felt pain like this.Sadly it happened on a Friday when my dentist was off work and I knew I could not get it looked at until that Monday. I called his office anyway out of sheer desperation and got his beeper number for emergency use. The thing is.. I am the type that doesn't want to 'bother' my doctors on their days off, but I was so scared aof the pain I felt I had no choice. To my pleasure my dentist was right there for me when I needed him most. He called in antibiotics and a pain killer for me immediatly and assured he would see me on Monday. He also suggested I use a heating pad on my cheek to get rid of some pain. Within 7 minutes the absessed burst and I felt immediate relief, I was even able to go out that same night with friends and enjoy a farewell party in my honor for my last day of work.

I am currently taking the medications he has given me and plan on having this molare extracted (simply because I am so mad at the tooth for giving me this horrible pain).
Two things Ive learned:
Never fear asking your dentist for help, even on their days off.. if they are the type that gives you attitude about it, then they dont deserve you as a patient and..
try that heating pad.. its a miracle!
( dont forget to rinse with warm salt water three or four times a day after it pops)

~ off to the dentist I go!

.

S M
unregistered
posted 02-27-2006 09:47 PM              Reply w/Quote
I have an infected wisdom tooth with swelling and huge amt of pain. My dentist prescribed Pencillin (7 day course). Was okay from the 4th day, but the very next after finishing the course my pain and swelling started back. I was in agony waiting for the oral surgeon office visit which was open only after 3 weeks. Couldnt wait more than 3 days and called my dentist. THis time she gave clindamycin (7 day again). Fine again from the 4th day. Now that clindamycin dose is over, pain started AGAIN!. I have another 10 days to until the surgery for removing all 4 teeth. Is this typical? Should I go on one more antibiotic course before my surgery? Am I getting immune? I have colon polyps and I dont want to kill my digestive system with all these antibiotics. Why did both the antibiotic courses kill the infection? Kindly advise.

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Tamara
unregistered
posted 03-01-2006 10:50 PM              Reply w/Quote
Am struggling with an absess now. Had a bad cold and it seemed to settle into tooth.
Went to Dentist and he gave me amoxicillin. Another thing that helps is "Aleve" or another form of naproxin. You are only supposed to take one every 12 hours but I'm not even going to tell you how many I've taken. Almost instant relief.
In about 15 minutes. Take at least 2 every 2 or three hours for severe pain relief but dont take them for days like that or they are supposed to shut down kidneys! Still worth a little risk for some relief. Been on them now for 4 days. Getting better. My problem has been finding a Dentist I dont have to mortgage my house to afford!
My prayers are with you all!

.

monty
Junior Member
posted 04-19-2006 01:27 PM     Click Here to See the Profile for monty        Reply w/Quote
I moved back to my home town a few months ago. As is typical with my timing, a feeling in one of my molars (17) broke. I waited about 4 weeks before looking for a dentist (when the tooth starting hurting to the point it was becoming an intolerable nuisance). At this point, I was using Orajel with 20% Benzocaine. Benzocaine is the ingre***nt that relieves tooth pain (20% benzocaine is the strongest over the counter dosage I believe).

I called a local dentist and described my problem to them. I told them I had a feeling break loose from a molar and that I had a tooth ace but nothing I cannot handle with the help of Orajel. So they make an appointment to seem me in 2 weeks. Longest two weeks I can remember.

I go to the dentist and he examines the tooth and takes x-rays. The tooth clearly has decay and the x-ray image shows the decay is dangerously close to the pulp chamber. He drills to remove the decay and tries to avoid penetrating the pulp chamber. However, he determines there has been slight pulp exposure so he applies a pulp cap (I believe) and feels the tooth. This is a temporary fix until he has time to do a complete dental evaluation of all my teeth (as I am a new patient) and we decide what to do with this particular tooth. I am scheduled for a follow up appointment in 1.5 weeks.

Well, 1.5 days later, just about bed time, the tooth just starts hurting; the most intense tooth pain I have ever experienced. I start eating ibeuprophen pills like popcorn which did not seem to help that much. At this point I would have rubbed dog **** on my tooth if it would have stopped the pain. I POUR liquid Orajel on my tooth and rub Orajel paste on and around the tooth. Seem to help for about 20 minutes.

I called my new dentist the first thing the next morning 8:30am and they made an appointment to see me a 10:00am! At first, my dentist was not convenience that the tooth he had worked on two days earlier was causing the pain. But none of my other teeth had noticeable decay or hurt when tapped on with a metal object. By 10:05am they numbed my tooth and I was out of pain. Woo Hoo. He starts to drill again and then becomes convinced that he is doing the right thing. When he penetrated the pulp chamber very little blood was present indicating that infection had already damaged/killed the pulp tissue.

Not sure what else he did but he did some additional cleaning and applied another pulp cap. A root canal will be preformed in the near future and a crown applied to the tooth.

Lessons I learned:

(1) IF one does not have a dentist, DO NOT WAIT until one cannot take the pain anymore to call a dentist. If one calls a dentist (a new dentist) at the first sign of problems one may just get to see a dentist before the pain becomes unbearable.

(2) Have a regular dentist. When an emergency arises, you will not be waiting for weeks to get relief from the pain. Also, develop a good payment history with this dentist. If he trusts you, I suspect he will be more than happy to perform expensive procedures on a payment plan.

(3) If your regular dentist does make you wait more than a day or two, get a new regular dentist. There are dentist who will not make their regular patients wait. A good dentist will not make his regular patients wait weeks before addressing an emergency issue.

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Jeffrey L. Wissot, DDS
Senior Member
posted 04-19-2006 02:53 PM     Click Here to See the Profile for Jeffrey L. Wissot, DDS        Reply w/Quote
Monty,

After 30 years of general practice, yours is the best consumer dental advice I've yet to see. I have literally seen many hundreds of stories like yours, easily preventable had the patients known, and followed, your suggestions.

.

Rosilin
Junior Member
posted 06-30-2006 09:03 PM     Click Here to See the Profile for Rosilin        Reply w/Quote
Yeah Im not the most brillant person alive.... I let a tooth go bad, and didnt do anything after it swelled twice. If I was able to swallow sleeping pills I waited. and as far as pain, alieve. a c-sect with twins and gallbadder infect with PostPardum Crazy (seeing dead people who weren't there) was worse.... I know I was terribule. But I repent!

Anyways, its pulled and gone, but I took Amox 875mg for 2 weeks before it was pulled and now on PenVK 500mg and Im still quite swollen. My cheek and chin arent squishy like the other 2 times. Its a Hard hot knot under my jaw.

Question: Now that the tooth is gone, and in addition to the antibiotics to get rid of the yucky stuff, is there anything else you would suggest to reduce the swelling?

Oh and to all the Docs out there (you know who you are) who respond to this and other threads, Thank you!!! thank you for warning us when we are being stupid and reasuring us when our worries are just being perannoyed. Oh and went we are really pissed and you let us vent! thank you!!!!

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Jeffrey L. Wissot, DDS
Senior Member
posted 06-30-2006 11:27 PM     Click Here to See the Profile for Jeffrey L. Wissot, DDS        Reply w/Quote
Extra oral cold packs are usually effective to reduce swelling within the first 24-48 hours after surgery. If swelling persists longer, contact the treating doctor immediately.

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Rosilin
Junior Member
posted 07-02-2006 09:43 AM     Click Here to See the Profile for Rosilin        Reply w/Quote
thank you for answering so quickly! it has been over 70 hours sence the extratction and 3 weeks sence I started antibiotics 63 hours ago. But its a Sunday so should I go the ER or ergent care? or just wait till monday to call the dentist?

it hurts but its bearable maybe 5 on a scale of 1-10, 10 being worst pain Ive ever felt.

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Jeffrey L. Wissot, DDS
Senior Member
posted 07-02-2006 02:27 PM     Click Here to See the Profile for Jeffrey L. Wissot, DDS        Reply w/Quote
All conscientious dentists provide after hours emergency care, or a referral for their patients of record. You'll have to decide if this qualifies as an emergency.

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Rosilin
Junior Member
posted 07-02-2006 05:13 PM     Click Here to See the Profile for Rosilin        Reply w/Quote
thank you again, wow your fast!
I did get ahold of the dentist and he told me to up my antibotics to 4x a day insted of 3. and he told me to come see him tomorrow. thank you Very much, You have put my mind at ease

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tigerous
Junior Member
posted 01-10-2007 10:42 PM     Click Here to See the Profile for tigerous        Reply w/Quote
How long can a dental abcess go without a root canal? I was told yesterday that I have an abcess in my #18 molar. However, my current insurance won't cover a root canal. I've switched to a different insurance that said they will cover it if it's deemed medically necessary, but it won't go into affect until February 1st. I've already been on antibiotics since Sunday (almost 4 days), but the swelling hasn't improved. I'm not really in any pain at the moment. Before, I was only having pain when I had pressure on it. Now, with the ibuprofen, I don't feel much pain at all. Am I likely to have complications if I continue with the antibiotics, but wait until after February 1st (22 days from now) in order to go in for a root canal?

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