Tag Archives: tooth infection

Dental Emergency

This Dentist Doesn’t Understand Tooth Infections

I had a tooth infection and went to see a dentist. It’s my first time with this dentist. To be honest, I usually avoid dentists but this one couldn’t be helped I was in so much pain. He gave me and antibiotic and I started to get better, but now I’m worse again. Do I need a second round or did I have the wrong antibiotic?

Leslie

Dear Leslie,

A woman grabbing her jaw in need of an emergency dentist

Either there is some miscommunication between you and your dentist or he has a profound lack of understanding of how dental infections work. An antibiotic is only useful to hold off a dental infection. It won’t cure it. In order for a tooth infection to be completely treated, a dentist has to get in there and physically remove the infected pulp. This can be done by a root canal treatment or by extracting the tooth completely.

It is always better to try and save a tooth, so a root canal would be my first recommendation. If your dentist didn’t tell you this would be necessary and just prescribed you antibiotics and sent you on your way, I would consider this gross negligence on his part.

Yes, you would start to feel better after taking the antibiotics, because they were doing their job. Once they ran out, however, because the infected pulp is still there, it rears its ugly head again. This will continue to spread and what was a dental emergency can turn into a life-threatening emergency rather quickly. This is because your heart, lungs, and brain are all close to your jaw. This needs to be treated.

Dealing with Dental Anxiety

I noticed you said you usually avoid dentists. That is a common issue, especially with patients who suffer from some dental anxiety. If that is you., one step you can take that will help is to see a sedation dentist when you go in for your treatment. They can provide you with a pill that will completely relax you, allowing you to get the dental care you need in an anxiety-free and pain-free way.

Please don’t put this treatment off. It’s important. Sadly, people still die from tooth infections.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Emergency Dentist

What’s Wrong With My Root Canal?

Hi there,

I fractured my teeth playing sports a few months back, and was treated by an emergency dentist and released. A few weeks after the accident, my teeth became grey and discolored.  I was in severe pain and had swelling, so I had to go back to the dentist for an emergency root canal.

I was ok for a few days with antibiotics but now the pain is back. I don’t know what to do to get the pain to go away. My tooth is sensitive to cold food and even chilly air. I’m very uncomfortable and want the pain to stop.

Should I have gotten a root canal sooner? Do I need more antibiotics? What can I do about the pain?

Luca, from Quebec, Montreal

 

Hi Luca,

A discolored tooth means there is damage to the root, or an infection may be present. It needs a root canal treatment as soon as possible at the first sign of greying. Once the root is removed, the bacteria is cleared up and the tooth is sealed to prevent further problems. Leaving an infected tooth in your mouth longer than it needs to be there serves no purpose. Oral infections should be taken seriously, as they can spread to other parts of the body if left untreated too long.

It sounds like your root canal treatment was sealed before all the bacteria was removed, which is causing a flare up. Usually, the infection is allowed time and space to drain, but since it has been sealed, there is no where for it to go. Also, a few days of antibiotics is not enough time to be on the medication.

Your best bet is to find an endodontist specializing in root canals. They can fix what has been started, and will advise you on how to properly take your antibiotics for maximum effectiveness.

This blog post is brought to you by Gilbert emergency dentist, Dr. Matthew Roper, of Vista Dorada Dental.

 

 

CEREC crowns

Is My Pain Caused by my CEREC Crown?

Hello there,

I had three CEREC crowns done on my back teeth recently. I was pleased with how convenient getting the CEREC crowns was, but since then, I’ve had a lot of pain when chewing. Eating anything crunchy or chewy causing a bolt of pain, as though a nerve is exposed or something. My dentist has shaved down some of the crown. He says the pain I feel is from how I grind my food when I chew. Is that the case? I’ve tried being more careful when I eat, but the pain I feel makes me nervous during meals.

Richard from Amityville, New York

 

Dear Richard,

There are a few reasons that can cause a new crown to hurt. One reason may be that the crown is too high, so the rest of your teeth hit it first when you bite into something. The second reason is that the tooth under the crown may be infected. The infection can cause inflammation in the jaw, causing constant jolts of pain when biting or chewing.

Your pain is unlikely to be caused by how you chew your food, as you did not have this problem prior to the crown. Also, CEREC crowns are supposed to fit exactly to your mouth’s specifications, as they are milled to fit your teeth precisely.

Since your dentist has tried to grind down the crown, your pain is not likely to be caused by hitting too high on the crown. You will need to find out if you have an infection, and where it is in your mouth. An X-ray will be needed, and you may want to seek a second opinion if you do not trust your current dentist’s skills.

This blog post is brought to you by Gilbert CEREC crown provider, Dr. Matt Roper, of Vista Dorada Dental.

 

 

Emergency Dentist

Can I Put Off a Root Canal?

Hello,

My dentist told me I needed a root canal on my tooth, but I don’t have any pain. How long can I put off getting a root canal?

Haruka, from West Virginia

 

Hi Haruka,

If your tooth is not hurting, or has not hurt in awhile, it may be ok to delay it. It may be what’s called an arrested infection or a latent infection — you may have one but not know it. However, you can still be affected by the infection even if it doesn’t cause pain. Putting off a root canal raises the risk of external resorption —slowly, the infection will eventually kill the root, and the tooth won’t be salvageable. However, an infection caused by active decay will continue until the tooth is destroyed, and action must be taken immediately.

Even without pain, if you have a red pimple-like spot on your gum near the root tip, or the infection is draining in your mouth, these are signs of an active infection. You should make an appointment with your general dentist to get this taken care of. If your pain comes back or you feel severe pain, you should see an emergency dentist.

This blog post is brought to you by Gilbert emergency dentist, Dr. Matthew Roper, of Vistadorada Dental.

 

Dental Crowns, Root Canals

Can you get more than one root canal on a tooth?

I had a root canal two years ago from my dentist. I trust him and he usually does a great job. Recently, though, I have been feeling some pain on that same tooth.  I’ve been told before about pain in the teeth being projected (I think it was called) from another hurting tooth. I’m pretty sure that must be it because you can’t get a root canal twice in the same tooth, right?

Pat

Dear Pat,

toothacheThere are times when pain from a tooth is projected, or referred, from another tooth. In your case, though, it truly may be that you are feeling pain from the same tooth that had the root canal.

In most instances where a root canal is completed, the tissue, or pulp, in the tooth is completely cleaned out of the spaces and canals. Then the canals are sealed so bacteria can’t reenter. A crown is put on top and the patient goes home without another thought about the infection in the tooth.

So how come you may need another root canal?

Unfortunately, not all teeth are created equally. Most molars, for example, have three canals leading down to the roots. Every once in a while, those molars either have a fourth canal leading down or the canals are twisted and at angles that make it difficult for a dentist, even a good, competent dentist, to completely clean out the pulp. If that infected area isn’t completely cleaned out or properly sealed, it may cause pain again as infection grows. If that happens, a second or maybe even a third root canal may be necessary.

These scenarios of root canals aren’t common, but they do happen. If your pain continues, you may want to revisit your dentist to check your tooth. He may retreat it or may refer you to an endodontist, a dentist who specializes in root canal treatment.

This post is sponsored by Vista Dorada Dental in Gilbert, AZ.

 

Dental Emergency

Is There An Affordable Tooth Removal?

I had a cavity. I can’t afford a dentist. Now my face is swelling around my tooth with the cavity. Is there a dentist who does cheap tooth removal or a way I can do it myself?

Dan

Dan,

I know you feel you can’t afford a dentist right now, but I want you to understand how serious this is. People can, and do still, die from tooth infections. If this isn’t dealt with, you put your health in serious jeopardy. In all honesty, you can’t afford not to get this looked at.

Most dentists went into the industry to help people. If you explained your financial situation, they’d likely work out a payment plan for you. Call an emergency dentist and tell them what you’ve told me.

Don’t try to take out the tooth yourself. A piece of the root will likely get left behind, and with it the infection. Plus, there could be a way to save at least the root of the tooth, which will be much healthier for you in the long run.  A root canal could save your tooth.

There are zero interest payment plans with medical credit companies, such as Care Credit.

This blog is brought to you by Dr. Matt Roper.

Dental Emergency

Tell My Husband His Sore Gum Needs An Emergency Dentist

My husband said he cut his gum when he hit it with his fork. He says it’s fine and just sore, but I’m not so sure. It’s oozing. That doesn’t sound sore. That sounds infected.  Does he need an emergency dentist, as I think he does?

Amy F. – California

Amy,

You’re right. Your husband needs to be seen by his own dentist right away, or an emergency dentist if that’s not possible. It sounds like he has an abscess, which as you noted, means an infection.

If he’s not seen soon, he’ll wake up with a swollen face. I know it’s hard to believe, but even in the United States people still die from tooth infections.  These infections can quickly spread to the brain or heart.

He’ll need to have the infected part of the tooth cleaned out, which has to be done manually by a dentist. It won’t be fixed by simply taking an antibiotic.

This blog is brought to you by Dr. Matt Roper.

CEREC crowns

Gums Not Healing After CEREC Crown

I’m not sure what to do. I had a CEREC crown done about two months ago. The hygienist warned me my gums would be tender for a couple of weeks. She recommended salt water rinses and ibuprofen.  It’s been much longer than that and my gums aren’t healing. Should I go back?

Elisabeth D. – Mississippi

Elisabeth,

Your gums should have healed from your CEREC crowns by now. If you’re in pain, it’s a sign there is an infection and you should definitely go back and have an x-ray done.

If you’re not in pain, I would see if the problem is getting between your crown during flossing. Sometimes it’s a little harder to do our dental hygiene and that can cause tenderness.

Try getting one of those flossers that have a handle. It will make it easier to get down in there and really clean it out.  If you do that for another week and it is still not healing to your satisfaction, then I would go back even if you’re not in pain.

This blog is brought to you by Dr. Matt Roper.

Dental Emergency

Can I put off a root canal?

If I am not in pain, can I put off a root canal. If so, how long?

Deidre I. – Louisiana

Deidre,

If your infection isn’t active, then you can put it off indefinitely. However, if there is pain, even a little bit, that means you have an active infection. Sometimes the pain stops and then starts again. Whenever there is pain, I suggest you get seen right away.

If you don’t have a dentist, you can always go to an emergency dentist, at least just for this treatement. Then, you can take your time looking for a new dentist.

Another sign of infection is if you have a pimple on your gums or some drainage in your mouth.

If you put off the root canal too long, you run the risk of your tooth becoming unsaveable, due to root reabsorption.

This blog is brought to you by Gilbert dentist Dr. Matt Roper.

CEREC crowns

Pain with CEREC Crown

I had a cerec crown put in and since then I have had a lot of pain when biting down on this tooth. I’ve been back twice for my dentist to readjust the bite. After the second time when I told him I was still having a problem he said it was because of the way I chew. If that is the case then why didn’t it hurt before I had the crown when I chewed?

Frustrated and in pain.

I can understand your frustration. I don’t believe the pain is from your chewing. In general, there are two main reasons for you to have pain while chewing with a crown.

The first is if the crown is too high. There are a couple of things that make me think this is unlikely. First,  CEREC crowns are milled by a computer which is more precise in its construction, therefore you have less chance of a  poor fit. Secondly, your dentist has already adjusted it twice.

Another possible reason for the pain you are experiencing is you could have an infection. I’d get an x-ray done to eliminate that possibility (though it seems the more likely of the two). However, if you’re not confident in your doctor’s diagnostic ability, then I would go to a root canal specialist to have your x-ray done.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.