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Old 08-25-2013, 06:08 PM
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Bryanna Bryanna is offline
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Join Date: Feb 2007
Posts: 4,624
15 yr Member
Bryanna Bryanna is offline
Grand Magnate
Bryanna's Avatar
 
Join Date: Feb 2007
Posts: 4,624
15 yr Member
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Hi Canmom,

You are very welcome! Thank you for the kind words

Some dentists will use a slow speed drill after the removal of a tooth to mechanically "debride" the socket. However, the socket will still need to be curetted after the use of the drill because there will be all sorts of little pieces stuck to the bone that will need to be scraped away. If a dentist is very thorough during the manual debridement, then a drill is really not necessary unless the dentist thinks he cannot adequately scrape away all of the diseased tissue and bone, then he may go in with the slow speed drill and then manually scrape again after wards.

During a manual debridement of the socket the dentist can feel if he is against mushy tissue or bone compared to clear, solid healthy bone. Not only does it feel differently against the instrument but the color of the blood can be very dark or very scant when the socket is not clean enough as compared to a healthy very rich red color blood high in volume. Sorry to be so descriptive... you may be okay with this while others are hyperventilating while reading it!! :/

I understand how consuming this tooth problem has been for you. You deserve to have it taken care of properly so that it never bothers you again... I agree with that completely!!

Take the notes with you to the OS. Gently but assertively inform him that you expect XXX to be done because you do not want to have to deal with any residual infection or bone issues. Tell him your skepticism stems from your own personal past experiences as well as others who have shared their dental stories with you. Just let him know that you want to be taken care of as if you were a member of his own family... so no pressure... just don't leave any doubt behind.

Regarding your wisdom teeth... many times dentists will recommend their removal because they are in fact too difficult to keep clean. That may sound like an excuse to just make a quick buck but in reality..... some wisdom teeth can cause such infection in the jaw bone due to a build up of bacteria that sometimes it is best to take them out before that occurs. If you were to have a problem with those areas of your mouth due to an incomplete debridement of the sockets after the extractions.... you would most likely have known it by now. A panoramic xray can show those areas and it will tell if the bone has healed well or not.

Please try not to be scared. Be prepared.. feel empowered... and feel positive that you are going to be fine. It would also be good to have a healthy diet of soft foods on hand so that you are able to eat nutritiously without putting too much effort into it.

Bryanna


Quote:
Originally Posted by Canmom View Post
Bryanna, thank you so much for replying to my question, you are a bit of a rock star around here I think!

I had read at "curezone" that a slow drill must be used as well as a curette and that is why I was so worried. I am so paranoid that he is not going to get everything out of my mouth and that is going to lead to more problems. I know I sounded dramatic in my post about the tooth ruining my life but that is truly what the pain and expense is doing! I will deal with this tooth first and then the other 2 root canals later, eventually getting a partial denture as well. I am not going to a biological dentist as there is not one anywhere near me. I am going to write down "periodontal ligament/remove all surrounding granulation tissue/remove all necrotic bone" just so he knows I have done a little research. My appointment is Monday at noon and I am scared!

I have one more quick question. A few years ago my dentist asked me if my wisdom teeth were bothering me at all. I told him "no." He said that I should get them removed anyways because they are way in the back and that is not an easy place to brush and they would probably end up with cavities anyways. I trusted him (why would a dentist misinform at patient? ) and got them removed even though they were perfectly healthy. It was just my regular old school dentist that did this and since reading about proper extraction protocol I have become concerned. Do you think I need to be worried about the space left vacant when the 4 teeth were pulled? I highly doubt he took the time to deal with cleaning the bone properly.

Thank you again for giving so much knowledge and support to so many people, not just the people who post here but those who are lurking.
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