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07-12-2015, 03:13 PM | #11 | |||
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Grand Magnate
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nukupsot,
The gum stimulator is not painful to use. It is a soft rubber tip that you lay the pointed end lenghwise up against the tooth at the gum line, so the point is towards the tongue and comfortably on top of the gum. You just press gently as if to massage that area. Doing this once a day will toughen up the gum tissue. HOWEVER, after seeing your photo, I think it might be helpful if you have a consult with the periodontist first to rule out the fibrous tissue growth. Bryanna Quote:
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Bryanna ***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.*** |
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"Thanks for this!" says: | nukuspot (07-12-2015) |
07-12-2015, 04:43 PM | #12 | ||
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Member
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Thank you so much for responding! To answer your question, the premolar on the right is not rotated like the one in the photo on the left is. The right side bottom back teeth are all pretty straight. Is that significant?
Do you think I should consult the periodontist immediately or wait until there is full healing of the extraction site? I wouldn't want to go and have them say "just wait and come back in x amount of weeks when things are healed." I don't have dental insurance and have paid a small fortune in dental fees over this last year, so I want to make sure the appointment would be at the right time. I also have major childcare issues so I have to try to make my appointment times count! Are there such things as holistic periodontists or should I just choose one at random? My IAOMT dentist is 2 hours away so they probably have no referrals near me. I will present it all just like you laid out, except that the gutta percha fragments did not show up on the 3d CBCT scan I had or any of the apical xrays I had prior to the extraction, or at least no one mentioned them to me!? The dentist who did the RCT extraction found them at the time of cleaning the socket and seemed surprised. I will print out your last response so I can make it into my own words and bring it to an appointment. |
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07-12-2015, 05:03 PM | #13 | ||
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I also still occasionally get that strange salty taste when I run my tongue over the extraction site. Could that be coming from the strange tissue? I thought it might be blood but it doesn't taste blood like, just salty like sea water.
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07-12-2015, 06:41 PM | #14 | |||
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Grand Magnate
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nukuspot,
The timing to see the periodontist would be now because the site is still open and he visually see the tissue growing in the socket. It would be easier for him to see if it is attached to the tissue under the gum near #20 without opening it up. Once the gum closes over the socket, he would have to open it up to see inside. Keep in mind that this tissue growth may be normal and not associated with what is going on with #20 but now would be the best time to look at it. He may say it looks normal give it more time. Or he may say it needs intervention. Regarding the alignment of your teeth, the alignment should not really change unless something is forcing it to change. For instance a misaligned bite or missing teeth, periodontal disease... these are some of the reasons teeth would become misaligned. The gutta percha is visible on the one xray that you posted. It gives the appearance of white irregular speckled particles and it is located near the middle portion of the mesial (front) root of #19. Those white speckles are not inside of the tooth, they are in an area outside of the tooth. I re-posted the xray here. Bryanna Quote:
__________________
Bryanna ***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.*** |
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"Thanks for this!" says: | nukuspot (07-12-2015) |
07-12-2015, 06:45 PM | #15 | |||
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Grand Magnate
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nukuspot,
The salty taste could be from that tissue or just from the salt water rinses that lays in the partially closed socket. Neither of which indicates one way or another if anything is wrong. Bryanna
__________________
Bryanna ***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.*** |
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"Thanks for this!" says: | nukuspot (07-12-2015) |
07-12-2015, 09:06 PM | #16 | ||
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07-13-2015, 07:48 AM | #17 | |||
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Grand Magnate
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nukuspot,
I'm sure they saw it, they just didn't inform you about it. Every dentist who has done root canals has at some time had this happen to their patient during the procedure just as they've had other things occur that were not favorable. So for that reason, there is an unspoken code of ethics amongst dentists to be careful not to speak negatively about each others work. So they often avoid specific areas of discussion that could potentially make a peer look poorly. In this case, not mentioning or acknowledging the gutta percha on the xray did not ultimately harm you in any way because it was removed at the time of the extraction and you were informed about it at that time. This exact scenario happens more times than I could count. People who want to be well informed, should never assume anything and never hesitate to ask questions. If you don't ask, you might not be told. Bryanna
__________________
Bryanna ***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.*** |
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