Go Back   NeuroTalk Support Groups > >

Dentistry & Dental Issues For support and discussion about dentistry and dental issues.

Bryanna, what can a black circle be on a dental ct scan ?

Reply
 
Thread Tools Display Modes
Old 05-21-2014, 07:24 PM   #11
nyuszisue
Member
 
Join Date: Apr 2014
Posts: 142
My Mood: Bryanna, what can a black circle be on a dental ct scan ?
Default

Tooth #31 , I was at the dentist office 3 weeks ago for a pain I felt a few times, single tooth x ray didn't show anything wrong, actually it looked exactly the same like the last x ray of that tooth ( they showed me the two x rays on the screen one beside the other ) and the dr. did some kind a cold test on that tooth and the teeth next to it, they all reacted the same.
Tooth #14, the root canal was retreated last fall and I went for a follow up in March ( before the extraction story of this other tooth began ) and the root canal specialist said everything looks ok.
No, my general dentist didn't mentioned any of these thing to me at my last check up in November. She didn't see this panorex yet, it was the first OS who took this panoramic x ray in April of this year.
When you say pocketing and deep pocket ,what is that ?
And when I had the sinus ct scan, the dr. mentioned that on the upper left I have a tooth in the sinus ?
nyuszisue is offline   Reply With Quote
Old 05-21-2014, 10:50 PM   #12
Bryanna
Grand Magnate
 
Bryanna's Avatar
 
Join Date: Feb 2007
Posts: 4,575
My Mood: Bryanna, what can a black circle be on a dental ct scan ?
Default

nyuszisie,

I will re-post some of your statements and answer them in bold type.

<<Tooth #31 , I was at the dentist office 3 weeks ago for a pain I felt a few times, single tooth x ray didn't show anything wrong, actually it looked exactly the same like the last x ray of that tooth ( they showed me the two x rays on the screen one beside the other ) and the dr. did some kind a cold test on that tooth and the teeth next to it, they all reacted the same>>

TOOTH #31 HAS A FEW ISSUES. ONE IS THE TOOTH HAS SHIFTED AND IS SEVERELY LEANING INTO THE EMPTY SPACE IN FRONT OF IT. THE ANGULATION HAS CAUSED THE BONE TO RECEDE ALONG THE MESIAL ASPECT OF THE TOOTH. THIS IS THE AREA WHERE THE FILLING HUGS THE SIDE OF THE TOOTH. FOOD WILL TEND TO PACK IN THAT AREA CAUSING THE GUM TO BECOME IRRITATED AND INFLAMED. YOU MAY NOTICE ON/OFF PAIN AND EVEN SOME BLEEDING WHEN YOU BRUSH OR FLOSS THERE FROM TIME TO TIME. SECONDLY WHEN YOU CHEW THE UPPER PRE MOLAR IS HITTING AGAINST THAT SAME MESIAL AREA. WHICH AGAIN CAN CAUSE INTERMITTENT PAIN OR INFLAMMATION. THIRDLY, IT APPEARS THAT THERE IS RECURRENT DECAY UNDERNEATH THAT FILLING.

<<Tooth #14, the root canal was retreated last fall and I went for a follow up in March ( before the extraction story of this other tooth began ) and the root canal specialist said everything looks ok.>>

TOOTH #14 DOES NOT LOOK AT ALL HEALTHY ON THE PANOREX. IT HAS SEVERAL PROBLEMS AS I HAD MENTIONED IN MY OTHER POST. RE TREATING A TOOTH WITH A SECOND, THIRD, FOURTH ROOT CANAL HAS NO POSITIVE EFFECT ON THE TOOTH AS THERE IS NO ACCESS TO THE MANY HUNDREDS OF MICROSCOPIC CANALS THAT WILL CONTINUE TO HARBOR NECROTIC INFECTED NERVE TISSUE. SO THE RETREATMENT HAS NOT ALTERED THE BACTERIAL STATUS OF THIS TOOTH IN A POSITIVE WAY.

<<When you say pocketing and deep pocket ,what is that ?>>

WHEN AN AREA BECOMES OVERWHELMED WITH BACTERIA THE BONE WILL RECEDE. THIS CAUSES THE DEPTH OF THE POCKET, THE AREA BETWEEN THE TOP OF THE GUM LINE DOWN ALONGSIDE THE TOOTH, TO BECOME DEEP. IF THE GUM TISSUE ALSO RECEDES ALONG WITH THE BONE THEN THE POCKET MAY NOT BE DEEP BUT A PORTION OF THE ROOT WILL BE EXPOSED. YOU CLEARLY HAVE EVIDENCE OF POCKETING/RECESSION ON THE UPPER LEFT AND UPPER RIGHT NEXT TO EACH OF THOSE ROOT CANALED TEETH.

<<And when I had the sinus ct scan, the dr. mentioned that on the upper left I have a tooth in the sinus ?>>

BOTH OF YOUR UPPER LEFT MOLARS ARE IN CLOSE PROXIMITY IF NOT IN COMMUNICATION WITH YOUR SINUS. FROM THE APPEARANCE OF THESE TEETH ON THE PANOREX, I WOULD NOT BE SURPRISED IF TOOTH #14 IS INFECTING #12 AND #15. TOOTH #13 HAS BEEN REMOVED.
__________________
Bryanna

***I have been in the dental profession for over 3 decades. I am an educator, trainer and extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my professional experience and is not meant to be taken as medical advice.***
Bryanna is offline   Reply With Quote
Old 05-22-2014, 06:25 AM   #13
nyuszisue
Member
 
Join Date: Apr 2014
Posts: 142
My Mood: Bryanna, what can a black circle be on a dental ct scan ?
Default

Thank you very much for your answers.
Regarding tooth #14 i wouldn't be surprised if the root canal specialist say he did everything right and everything is ok, but wouldn't he see ( and tell me ) if there is decay and a root fracture, if there is one ? He took an x ray when I went for a follow up visit.
And couldn't the general dentist see on the x ray she took of the tooth #31, the recurring decay underneath the filling ?
It shouldn't be a sinus connection if the tooth #5 gets extracted ? or there is always a possibility for one with upper teeth ? And if there is a fracture of the root system ( tooth #14 ) plus the tooth is in a sinus or very close to it, how difficult is the extraction ? ( I was thinking to have that tooth extracted before the re treatment, but then I didn't know all of the bad things about root canal, so I thought I'll save the tooth ).
nyuszisue is offline   Reply With Quote
Old 05-22-2014, 01:42 PM   #14
Bryanna
Grand Magnate
 
Bryanna's Avatar
 
Join Date: Feb 2007
Posts: 4,575
My Mood: Bryanna, what can a black circle be on a dental ct scan ?
Default

nyuszisie,

Please let me try to clarify one more time about root canals...

It is irrelevant of how well the "flawed" procedure is done. There is no way to remove or eliminate the infected nerve tissue inside of a tooth as there is NO access to the microscopic canals that contain dead infected nerve tissue. You can have the procedure done 100 times and the outcome will not change. The ONLY reason root canals are performed is so a person can "retain" not "cure" their infected tooth for an undetermined amount of time.

I cannot answer why dentists do not inform their patients of this fact. Perhaps it is because it is the most profitable form of dentistry and can be done on one tooth many times over. So when someone does not want to remove their infected tooth this is the only "restorative" option. It is not the healthiest option for many, many reasons but it is the persons choice to have it or not to have it.

Why your endodontist is not telling you about the pathology surrounding tooth #14 ... again I cannot answer that question other than to assume that he sold you on the re treatment and the longer you retain this tooth the less likely he will feel obligated to reimburse you the money that you paid to have it done. I am also assuming that you told him you wanted to "save" this tooth which indicated to him that you did not want to remove it.

I have no idea if your general dentist is concerned about the dark area underneath the filling on #31. She had to see it if she looked at the x-ray. I worked for a dentist who had the mindset that if she put in a filling and an x-ray later on showed recurrent decay underneath her filling..... she did not inform the patient of that finding. Instead she may have written in the chart to "watch" it and then she waited until the patient complained about pain in that tooth. Yes, this is wrong to do but unfortunately it is done all of the time.

There is always a possibility of a sinus perforation or communication when an upper tooth is extracted. Especially one that has been root canaled as the bacteria spreads beyond the tooth and can travel into the sinus. The longer the tooth is present the further the bacteria will spread. I know this is not pleasant to hear and I understand the BS you are dealing with from your dentists. I wish I could make it better for you. However, the only thing I can do for you is to inform you of the truth and prompt you to read the articles that I have provided on this site so that you are able to make better informed decisions about your dental care.

Tooth #14 has several problems and they go beyond just the tooth. This will be a complicated extraction in that it will require a lot of surgical clean up to remove the pathology in the bone. This does not mean it will be painful, it just means that it is not a simple quick extraction.

I want to make something perfectly clear...
The term "saving" when pertaining to any procedure associated with an infected tooth means nothing more than "retaining".


Quote:
Originally Posted by nyuszisue View Post
Thank you very much for your answers.
Regarding tooth #14 i wouldn't be surprised if the root canal specialist say he did everything right and everything is ok, but wouldn't he see ( and tell me ) if there is decay and a root fracture, if there is one ? He took an x ray when I went for a follow up visit.
And couldn't the general dentist see on the x ray she took of the tooth #31, the recurring decay underneath the filling ?
It shouldn't be a sinus connection if the tooth #5 gets extracted ? or there is always a possibility for one with upper teeth ? And if there is a fracture of the root system ( tooth #14 ) plus the tooth is in a sinus or very close to it, how difficult is the extraction ? ( I was thinking to have that tooth extracted before the re treatment, but then I didn't know all of the bad things about root canal, so I thought I'll save the tooth ).
__________________
Bryanna

***I have been in the dental profession for over 3 decades. I am an educator, trainer and extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my professional experience and is not meant to be taken as medical advice.***
Bryanna is offline   Reply With Quote
Old 06-04-2018, 08:51 AM   #15
Aiftikha
Newly Joined
 
Join Date: Jun 2018
Posts: 2
Default

Quote:
Originally Posted by nyuszisue View Post
I had a dental ct scan and the dr. showed me a black circle above one of my root canaled tooth. He said it's not an infection, but he doesn't know why is it there. This was actually the second opinion for my ( now ) 10 weeks of gum puffiness after the tooth extraction, and he said he doesn't see anything wrong with the extraction site and he wouldn't re open it. He said this black circle is maybe from a sinus connection if it was one, but this black circle ( he called it an air bubble ) is above the tooth #5, and the extraction was of the tooth #2 .
Hi, I am going through a similar experience. Can you please update me with what your doctor found out ?
Aiftikha is offline   Reply With Quote
Reply

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
air bubble- black circle on dental ct scan,maybe the cause of gum puffiness ? nyuszisue Dentistry & Dental Issues 1 06-04-2018 10:45 AM
Pain after Lots of Dental Work Bryanna or others Please Help! dcjm1984 Dentistry & Dental Issues 2 05-07-2015 10:26 AM
Bryanna? Dental Bridge sarah ali Dentistry & Dental Issues 13 01-25-2014 10:17 PM
Bryanna and others, dental implants jon Dentistry & Dental Issues 5 03-18-2008 11:06 PM
Bryanna and others, dental implants jon New Member Introductions 4 02-25-2008 02:26 PM


All times are GMT -5. The time now is 04:32 AM.
Brought to you by the fine folks who publish mental health and psychology information at Psych Central Mental Health Forums

The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment
provided by a qualified health care provider. Always consult your doctor before trying anything you read here.


Powered by vBulletin • Copyright ©2000 - 2018, Jelsoft Enterprises Ltd.
Search Engine Optimisation provided by DragonByte SEO v2.0.31 (Lite) - vBulletin Mods & Addons Copyright © 2018 DragonByte Technologies Ltd.

All posts copyright their original authors Community Guidelines Terms of Use Privacy Policy