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Old 03-18-2014, 01:59 PM #1
ocd27 ocd27 is offline
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Default possible abscess or something to do with ligaments?

Hi ok I will try to explain as well as I can the pain I am having.

I am in the middle of having a root canal finished. It is the second right lower pre molar. The premolar was never infected and I never suffered any pain but I had an accident
and the tooth broke half off before the gumline. The pulp itself was not dead. Anyway everything seems to be fine with it. It does seem a bit sore but I had the second part
of the filing on friday just gone. It has a temp filling on and has been packed with a medicated gauze. This is not what seems to be my problem though! Its the moalr behind it! This molar has no decay on it. It has no filling in
and seems fine! I had had xrays done last week on all my teeth, I think they're called wings? Any the tooth is questions (molar) seems to feel very sore these are the symptoms:

*It seems to feel really sore around the gumline ont he outer side
*It hurts to push on either side of the tooth with my finger
*If I use my finger and push down on it it only hurts when I push in differnt angles but not straight down on the tooth
*There is no pain at all to hot and if I put really cold water in my mouth it seems to take about 5 seconds to react to it but there is like this strange pain with the cold
water. It feels like its making the strange bruisng feeling throb. When I spit the cold water out the pain is gone within 3-5 seconds
*Sometimes I get this strange dullache on the tooth when biting down on it or if I lay on it
*I can seem to ease the pan using an anti inflamatory
*I feel like I am getting some ear pain and sometimes my jaw hurts a bit
*its been like this since friday so 4 days

I am worried that its possbile I have an abscess forming? I have had a tooth abscess before and it was the most painful thing I have EVER had. I ended up going to A&E to
get it treated as It made my face swell and strated to spread into the sourdning tissuse. I remember that putting any pressure on the tooth was unbreable and it hurt so much to
hot and cold. Does it sound like I have got a tooth infection brewing on the none treated molar? If so then how can this happen as there is no decay on the tooth which has
been seen using x-rays!

I will admit that I am very anxious about getting a tooth abscess and I have constantly been pushing and biting on the tooth to see if the pain is getting any worse.

Is it possbile that the root canaled has become infected and the pain is being refered but because there is no nerve in the tooth now I cant feel the infection?

I'm back at the dentist this friday to get an xray on the pre molar and finish the root canal. Should I ring up and go in tommorow. They're a very busy dentsit and I Dont want to waste their time!

thank you
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Old 03-18-2014, 07:18 PM #2
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Bryanna Bryanna is offline
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Hi ocd,

Well a few things come to mind.

The bitewing x-rays are only good to detect decay in between the teeth. They do not show the teeth entirely and the root cannot be seen. So it is best that the dentist take a couple of periapical x-rays of the tooth that is bothering you to rule out infection.

Regarding your root canaled tooth... it is irrelevant as to whether the tooth had an infection prior to the rc procedure or not. Once the procedure is done, the nerve tissue residing inside of the tiny canals (that are not able to be cleaned out) will become infected. So unfortunately the tooth will never be healthy again. The root canal procedure is done in an attempt to "retain" the tooth for an undetermined amount of time, not "cure" the problem.

The tooth that is sore can be inflamed for many reasons..... your constant biting on it ...... the clamp that was used during the rc procedure may have been wrapped around that tooth and caused some trauma there.... the tooth could be having a nerve problem ..... it could be fractured thus the cold sensitivity.....

Best to stop biting on it... let it rest and avoid cold temperature foods until it calms down. Have the dentist take a periapical xray of it at your next visit.

Bryanna





Quote:
Originally Posted by ocd27 View Post
Hi ok I will try to explain as well as I can the pain I am having.

I am in the middle of having a root canal finished. It is the second right lower pre molar. The premolar was never infected and I never suffered any pain but I had an accident
and the tooth broke half off before the gumline. The pulp itself was not dead. Anyway everything seems to be fine with it. It does seem a bit sore but I had the second part
of the filing on friday just gone. It has a temp filling on and has been packed with a medicated gauze. This is not what seems to be my problem though! Its the moalr behind it! This molar has no decay on it. It has no filling in
and seems fine! I had had xrays done last week on all my teeth, I think they're called wings? Any the tooth is questions (molar) seems to feel very sore these are the symptoms:

*It seems to feel really sore around the gumline ont he outer side
*It hurts to push on either side of the tooth with my finger
*If I use my finger and push down on it it only hurts when I push in differnt angles but not straight down on the tooth
*There is no pain at all to hot and if I put really cold water in my mouth it seems to take about 5 seconds to react to it but there is like this strange pain with the cold
water. It feels like its making the strange bruisng feeling throb. When I spit the cold water out the pain is gone within 3-5 seconds
*Sometimes I get this strange dullache on the tooth when biting down on it or if I lay on it
*I can seem to ease the pan using an anti inflamatory
*I feel like I am getting some ear pain and sometimes my jaw hurts a bit
*its been like this since friday so 4 days

I am worried that its possbile I have an abscess forming? I have had a tooth abscess before and it was the most painful thing I have EVER had. I ended up going to A&E to
get it treated as It made my face swell and strated to spread into the sourdning tissuse. I remember that putting any pressure on the tooth was unbreable and it hurt so much to
hot and cold. Does it sound like I have got a tooth infection brewing on the none treated molar? If so then how can this happen as there is no decay on the tooth which has
been seen using x-rays!

I will admit that I am very anxious about getting a tooth abscess and I have constantly been pushing and biting on the tooth to see if the pain is getting any worse.

Is it possbile that the root canaled has become infected and the pain is being refered but because there is no nerve in the tooth now I cant feel the infection?

I'm back at the dentist this friday to get an xray on the pre molar and finish the root canal. Should I ring up and go in tommorow. They're a very busy dentsit and I Dont want to waste their time!

thank you
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Old 03-18-2014, 08:02 PM #3
ocd27 ocd27 is offline
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hey bryanna thanks for thr reply.

im not sure if I got it right with the x-ray. I had about 4 different things I had to bite on and this machine was put beside my face and the dentist stepped out the room and took the xray. she allowed me to look at the xray and I could see all my teeth on one side and the roots.

im just worried that its a chronic abscess. I don't understand how it could be one though. There is no decay on the tooth. I don't eat on that side so unsure how I could of fractured it.

I can't help touching it as I have severe anxiety. I also grind a lot as of late when im awake.

I had to have an rct as I've already lost 3 teeth. I plan to have this then in a few years get implants.

is it possible I have an inflamed ligament on the molar in question? I am quite worriedb about it. I will probably leave it until Friday. hopefully itll calm down.

thank you
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Old 03-18-2014, 11:16 PM #4
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Bryanna Bryanna is offline
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Posts: 4,624
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Bryanna Bryanna is offline
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ocd27,

Yes, the ligament could be inflamed and the more you grind on that tooth the more inflamed it will become. So you have to try to stop doing that.

The bite wing xrays are taken in 4 shots. Two on each side of the mouth and yes you would bite down on a plastic mouth prop. Roots cannot be seen on this type of x-ray unless they are taken wrong. So when you go in to the office just ask if that is what you had. If it is, then explain your tooth pain and have them take a periapical x-ray.

Bryanna


Quote:
Originally Posted by ocd27 View Post
hey bryanna thanks for thr reply.

im not sure if I got it right with the x-ray. I had about 4 different things I had to bite on and this machine was put beside my face and the dentist stepped out the room and took the xray. she allowed me to look at the xray and I could see all my teeth on one side and the roots.

im just worried that its a chronic abscess. I don't understand how it could be one though. There is no decay on the tooth. I don't eat on that side so unsure how I could of fractured it.

I can't help touching it as I have severe anxiety. I also grind a lot as of late when im awake.

I had to have an rct as I've already lost 3 teeth. I plan to have this then in a few years get implants.

is it possible I have an inflamed ligament on the molar in question? I am quite worriedb about it. I will probably leave it until Friday. hopefully itll calm down.

thank you
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