Hi cvcman,

You're welcome...... hope to be helpful as much as I can be

I understand you are having NO pain or discomfort in that tooth without aggravating it with some hard piece of food that gets in between the teeth. However, it is not a good idea to eat anything hard or chewy directly on that tooth until the area heals more thoroughly from the extraction. The surgical procedure itself and the hole in the bone (the socket) from the roots of the extracted tooth cause a weakness and inflammation in the surrounding jawbone in that area. Just like a break in an arm would cause the same situation in the area near the break. Avoiding any further trauma to that area would be wise. Wait a couple of months before you eat anything hard on that side and if it still feels abnormal but you have no other pain, then avoid eating hard things on that side for awhile longer. It's hard to tell how long exactly. You have to be the judge of that.

Do you plan on replacing the missing tooth with an implant or a bridge?

It is normal to feel pings of pain in the surgical area as it is healing. Do not worry about that.

The tongue twitching could have been caused by several things. It's good that it subsided. The eye twitching may be a nervous tic or something else. Here is an informative website on that...
http://www.allaboutvision.com/condit...-twitching.htm

I would avoid eating anything hard or chewy on the affected side for another month or so. Soft foods should be fine. You have to be the judge as to how it feels ..... if it feels abnormal, don't do it

The sharp edges at the extraction site could be bony spurs that are basically bone splinters. These sometimes work themselves out of the gum on their own, other times they have to be removed. MOST of the time bone spurs are no big deal to remove because they are so very close to the surface. It could also be a rough edge on the socket which sometimes heals on it's own and other times it doesn't. If these areas become a nuisance, then see your dentist to evaluate them.

The salt water rinsing is imperative the first 4-6 weeks post op the extraction. Once the gum tissue has closed over completely, you can stop the rinsing.

I hope this has been helpful to you........ please feel free to ask what's on you mind!

Bryanna

Well the dentist said I couldnt do an implant due to closness of nerve and curve of jaw etc. I am also missing 1st lower molar on the right side due to a hole in the root below the gum and extraction 20 plus yrs ago, doesnt bother me.

I asked about a bridge and he cringed, said do nothing or do an implant. I have read SOME horror stories on implants. I sure hope i dont loose any more,lol

I am 50 yrs old non smoker but do grind, again im wearing my mouth guard again.

The 2nd molar I had removed had a big filling that was a silver then replaced with a white one about 10 yrsa ago. Crack went into root, OUCH !

There is still a slight open gap in the socket so maybe I should keep using the salt.

You honestlly think I will be ok and its not a crack ?? Again I can clearly see he whole crown as there is no filling and I see no signs of a crack unless its just in the root.

Thanks again

Hi cvcman,

I think you should avoid over chewing on that tooth for awhile longer and see how it feels. Also it will not hurt to continue rinsing with the warm salt water until the gum closes completely.

The tooth can be cracked (fractured) below the gumline and you wouldn't see that by looking in the mirror. Sometimes these fractures show on an xray and sometimes they don't. But at this point, it just may be a tender tooth from the surgery and from chewing hard foods on it......so just let it rest a bit.

Try not to worry....... take one day at a time and try to be aware of what you are eating so you can avoid aggravating it.

Let us know if you need to talk about it some more...... perfectly ok if you do!

Bryanna

Bryanna, not too likely thats its a crack though right ?? Seing as how there is no major work done to the tooth, Also it isnt a sharp nerve like pain.

If and believe me I hope NOT it is a crack under the gum how would they know for sure ?? If so that would mean another extraction ???


Man Im not feeling good about this

I ate chicken/shrim on it today and no problem. When my other tooth was cracked I could NOT eat pretzles ar anything even close to that.

I understand my other tooth cracking due to the large filling etc but why would a good molar carck.....????

I really hope its ok..

Oh also, do you agree with not using an implant ?? Also is there a bridge that can go there ?? There is NO tooth behind it wisdom never came in.

I also am missing 1st lower molar on the right side , what would be best to do there ?? Its been gone 20 years and NO problem

Hi cvcman,

I have no idea if your tooth is cracked or not. I just think it's wise to avoid aggravating it by eating hard or chewy foods on it. A tooth does not have to have a large filling to end up with a crack or fracture. Biting down on hard crunchy food can crack a tooth or a misaligned bite can cause tooth fractures because certain teeth are hitting against each other in an abnormal pattern. Our teeth are designed to be in a row with other teeth so there is even pressure on most or all of them as we chew. Most of the time when there is a tooth missing, the bite becomes misaligned. This does NOT mean that you are going to fracture your teeth because you have some missing. It just means that your bite is not exactly lined up as it was intended to be and you should be cautious about chewing hard things on the teeth that "stand alone" next to an empty space where a tooth use to be.

A tooth can be fractured any place on the tooth, above or below the gumline. Sometimes the crack is microscopic and very hard to detect. Other times it can be picked up on an xray. Depending on how deep the crack is, determines the course of treatment. Sometimes nothing needs to be done.... you just have to be careful not to make it worse by eating hard crunchy foods on it.

I think you are worrying yourself for nothing. If the tooth is comfortable when chewing normally on it, then just continue to do that and see what happens.

Please don't dwell on this tooth ...... it will let you know if there is a problem and if there isn't..... you've just saved yourself alot of unnecessary concern!

Re the implant.......if the surgeon says there is not enough bone for the implant then don't even consider doing it. You are not a candidate for a bridge because there is no back tooth to anchor it to. If you want to replace both of your missing lower teeth, talk to your dentist about a partial denture.

Hope this helps..............

Bryanna

Bryanna, I can tell you I had NO trouble with this tooth before the extraction, so my worry is did the oral surgeon crak it by prying on it ??

I asked her if she had to do that and she said NO she sectioned and the tooth came out n pcs, I figured she would say that anyway LOL

I am sorry to be absessing its just I do NOT want anymore problems, again I eat a pretzle and no prob and if I did that on the one they extracted I would have that nerve pain big time.

If she did crack it by prying wouldnt it be more likely it would crack the crown not just the root ??

Aren't most rooth cracks in endo treated teeth or teeth with big resto's ??

I worry terrible about my teeth as I do NOT want to loose anymore. If I did a partial which I asked him about and he said " thats a lot of hardware in your mouth for 2 teeth "

As far as an implant for the 1st molar on the other side whats you feeling on that as far as complications, pain doing it etc ??

I wonder how many dentists and dental assts are missing molars ??

Thank you

Bryanna where did ya go ?? Hope I didn't scare you away with my OCD

Hi cvcman,

Anytime a tooth is extracted the teeth on either side of the extracted one become vulnerable due to the lack of teeth to chew on. As I've said before, teeth are designed to line up in a row next to each other as a group, each tooth shares the burden of chewing food. When a tooth is missing in between 2 other teeth, those two remaining teeth are taking the force of chewing without that middle tooth for support. This puts abnormal pressure on these two teeth making them vulnerable to fracture. Whether or not this tooth was disturbed during the extraction may or may not be a factor in why it feels the way it does.

Teeth that have been root canaled are more prone to fracture compared to teeth that are healthy because a root canal procedure cuts the nerves that use to supply the tooth with blood/nutrition. Without blood/nutrition the tooth becomes decrepit just like any other part of the body. A root canaled tooth is also prone to fracture because during the procedure, the walls of the large canals are reemed (scraped) abrasively causing microscopic cracks inside the canals causing the tooth to be an ideal candidate for overgrowth of bacteria. The bacteria causes chronic inflammation.....etc.

Teeth with fillings are also more prone to fracture compared to unrestored teeth because any size filling causes a weakness in the anatomy of the tooth. The larger the filling the weaker the tooth.

Partial dentures can take the place of one or more teeth in an arch. They can be made very minimally without alot of hardware when replacing 2 teeth.

Dental implants require healthy, adequate jawbone or they will fail. Post operative pain from implant surgery depends on many factors and it differs from one person to another.

To answer you question about dentists and assistants missing molars.... MANY of us are missing molars. We all have been patients all of our lives and most of us do not have perfect mouths.

Your ocd has not scared me away. I don't have access to a personal computer during the day while at work. Also, I just think I am repeating myself at this point. But if you have other concerns, please feel free to ask for help!

Bryanna

Branna, thanks AGAIN ! I sure hope im NOT dealing with another crack im not sure I can handle it,lol

Its weird because when my 2nd was cracked I could not bite anything like pretzles etc, this one doesnt have the sharp pain or Zing and its stuff more like pickles,oatmeal, not pretzles.

I really dont want to go back and have them start digging and hitting the tooth etc, I am very gunshy at this point to say the least. So you really dont think they broke it by prying on it to pull the tooth behind it ??

If so would they admit it ?? If you were me would you wait it out a while longer or go back and start the search now ?

Again never a problem before pulling the 2nd molar and I really havent bitten anything hard to break it myself and I am wearing my mouth guard every night ??

Thanks for your understanding