Hey guys!

I had a tooth extracted about a week ago, it's my last molar on the top right side of my mouth, I was worried i would have issues chewing, i still have not had a chance to test it out.. but I dont think i'm going to like the results. Anyone missing two molars have issues with chewing?

On to the reason for my post! I've seen dentist after dentist, after dentist. Each of them told me an oral surgeon needs to pull this tooth ( I think you will see why in the tooth pic i posted below ), the roots were huge, and were quite deep. Anyways, I went and saw a new dentist, and a filling in the broken tooth ( they had to grind away the decay, and put in a temp filling ), the filling kept coming out, so i put in a temp filling from CVS. I got tired of it, so i called this new dentist, and told him i wanted them to just fill it in for me until my insurance kicked in for the full root canal. While i was their, he said this tooth is shot, insurance wont pay, etc etc, i believed him, he wanted to pull it. I explained to him that everyone told me it's not just " pullable ", and he said " i'm not everyone ", now i've had a molar pulled before, so i knew what to expect, however, i had a surgeon do it, he made cuts, and even sewed me up afterwords, pain lasted 4 days, and i was good to go. This guy shot me up, and went to town, he was pulling so hard he had to get someone to come hold my head, the pressure hurt. I hear the tooth cracking off of my gum line. Anyways, when he pulled the tooth out, i demanded to see it, because i immediately felt like something was wrong. The tooth has some sort of red stuff stuck to it, not sure what it is, i've attached a picture, hoping someone here might know what it is. Additionally, the extraction site has tons of tiny bone spurs sticking out, it's so high on the gum line it's cutting my cheeks, inflaming the gums, refusing to get any better. hurts to sniffle , cough, or anything with my mouth. Eating is out of the question. I called them, and they said the bone spurs were normal, and didnt even want to look at them. they made me bite on some gauze, gave me my tooth, took my cash, and are now done with me. Does this sound normal?

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Ouch. I feel for you.

I can't help you with your dental questions I'm sorry, but I did just want to say welcome to the NeuroTalk Support Groups.

Welcome yillbs.

Hi yillbs,

Thanks for posting the picture of the extracted tooth.

My advice for any future tooth extractions, see an oral surgeon and not this dentist. This tooth was removed without finesse and with brute force as seen by the amount of tissue and bone still attached to it. Not ideal.

I would think that you will most likely have bone spurs coming through the gum for quite some time as the site heals. When a tooth is extracted in this manner, the jaw bone splinters from the amount of force that is used to remove the tooth and those pieces of splinter can get lodged someplace or they can eventually make their way out of the gum tissue. Generally they travel to find a way out but they can cause some pain or soreness. If when they come to the surface they get stuck and cause a lot of discomfort, then see an oral surgeon to have them removed.

My concern with this is that because it was an upper tooth, there could be splintered bone that could make it's way into the sinus. So it would behoove you to have a post op xray done of this tooth to see if the location of the splinters can be picked up on the xray. This would tell you if you needed surgical intervention to remove them or not.

Bryanna

Thanks! I dont know if this is related or not, but i got extremely sick after this, extremely high fever, etc, when i sniffle it hurts like no ones business, it also hurts when i cough ( in that area ). Additionally, my right ear ( side of the head the tooth came out on ) is very clogged up. when i blow my nose ( which hurts more than anything i could describe ) it pops ( the ear ), could these things be related ? I dont mind seeing an oral specialist, in fact, i would rather do it. but this dentist assures me the tissue, and bone he extracted with the proceedure was normal for such a large tooth, and to stop worrying.

Hi yillbs,

He is correct in that the amount of tissue and bone that was still attached to this tooth is "typical" when a tooth is removed in the manner that he removed it. It has nothing to do with the size of the tooth... it has all to do with the extraction technique. I have no doubt that he thinks he did what is "typically" done because unfortunately many general dentists and some oral surgeons use too much force when they extract teeth.

For what it's worth to you..... my opinion is based on formal education and 36 years of chair side assisting in oral surgery. Of which I have participated in thousands of tooth extractions and seen all sorts of thing occur.
When a tooth such as yours is extracted, instruments are used to gently but deliberately separate the tooth from the soft tissue. Once that is achieved, instruments are used to gently but deliberately luxate or dislocate the tooth from the bone. When either of those steps are rushed through or not done adequately, the tooth comes out with tissue and bone attached to it.

The symptoms you are having with your sinus may be indicative of a sinus perforation. Meaning either the tooth root was in close proximity to the sinus and caused an opening into the sinus and/or the sinus was perforated during the extraction. Did your dentist mention anything about your sinuses to you?

It would behoove you to have an evaluation with an oral surgeon to check for a sinus perforation to see the size and location of it. During this appointment he could also check for those bony spurs. You would need to bring your pre op xray with you so he can see the relation between the root of the tooth and the sinus and he would also take a new post op xray to check everything else.

Bryanna