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Old 12-02-2015, 02:44 PM #1
Nikki87 Nikki87 is offline
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Default Bone graft / extraction infection

Hi there,
Just wanted to say this is probably the most helpful site I found! I thank you for that.
I had a previously root canaled tooth extracted (upper 2nd to last molar) and bone grafting performed 12 days ago. Still in pain and swollen/ red and throbbing. Some of the gums are a bluish green color? The perio did say he scrapped away some infected bone. I was taking Amox until 3 days ago I finished the script. On day 5 a fistula above the neighboring tooth developed and hurt very badly. It has sinced drained but you can still see where it is and the area all around the graft throbs. It was over thanksgiving holiday so I did not call, I know I know . I have post op apt in 2 days, should I try and get seen sooner? Pain is def worse at night a and the extraction site is draining yellow pus. Thanks in advance for any help
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Old 12-02-2015, 10:46 PM #2
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Hi Nikki87,

Thanks for the positive feedback!!

Your description indicates an infection and it may be more involved that just with the extraction site. The new fistula that formed, is that tooth root canaled?

It does not behoove you to wait to see the dentist, it is best to go as soon as possible. If the periodontist just wants to prescribe antibiotics and seems disinterested in the problem, then it may be wise to consult with an oral surgeon.

Please check back with us when you can.
Bryanna





Quote:
Originally Posted by Nikki87 View Post
Hi there,
Just wanted to say this is probably the most helpful site I found! I thank you for that.
I had a previously root canaled tooth extracted (upper 2nd to last molar) and bone grafting performed 12 days ago. Still in pain and swollen/ red and throbbing. Some of the gums are a bluish green color? The perio did say he scrapped away some infected bone. I was taking Amox until 3 days ago I finished the script. On day 5 a fistula above the neighboring tooth developed and hurt very badly. It has sinced drained but you can still see where it is and the area all around the graft throbs. It was over thanksgiving holiday so I did not call, I know I know . I have post op apt in 2 days, should I try and get seen sooner? Pain is def worse at night a and the extraction site is draining yellow pus. Thanks in advance for any help
__________________
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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Nikki87 (12-03-2015)
Old 12-03-2015, 07:24 PM #3
Nikki87 Nikki87 is offline
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Quote:
Originally Posted by Bryanna View Post
Hi Nikki87,

Thanks for the positive feedback!!

Your description indicates an infection and it may be more involved that just with the extraction site. The new fistula that formed, is that tooth root canaled?

It does not behoove you to wait to see the dentist, it is best to go as soon as possible. If the periodontist just wants to prescribe antibiotics and seems disinterested in the problem, then it may be wise to consult with an oral surgeon.

Please check back with us when you can.
Bryanna
I hope I'm doing this right . Thanks for the info.
The tooth that developed did not have a rc, I have learned my lesson and will never have bother one of those. I'm praying he does not dismiss my concern. I am only 28 and have been having/lost a lot of upper teeth this year and am just so tired of dealing with shady dentists.
I do have a upper very back molar on my opposite side that was extracted about 6 wks back by a regular dds and was not rc. It had some bony shards sticking out until. A few wks ago and is now caustic pain and swelling on the inside of my gum. the molar beside it was extracted in August and rc in July im scared of a jaw infection? Is this possible? Why else would it start to bother me 6 wks post extraction? The dentist was very careless and I had 2 large pieces of bone sticking out for some time. My perio did say he would "clean it up". I thank you again for the help you have provided to us all!
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Old 12-03-2015, 08:11 PM #4
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Nikki,

It does sound like you have had some less than optimal dentistry. Do you only see a dentist when you have pain? If that is the case, then you may have other unhealthy teeth that are adding to the overall problem. I also wonder if the previous tooth extractions were done properly or not. It sounds like you have had some post operative complications with the extractions in general. That may be due in part to the dentists that you are choosing to see and without question the smoking will contribute to poor healing. Even if you only smoke minimally, it is a problem for many reasons.

I cannot say if this is your case or not but just to make you aware..... When a dental patient presents with various dental problems, it can be a bit difficult to treat that person as the probability of post op complications are increased due to the unhealthy state of their oral health. If that patient is a smoker, the likelihood of complications increases significantly. This could be some of the reasons why the dentists you have seen have seemed a bit detached from the quality of care. I am not justifying that type of dental care as I feel everyone is entitled to quality care. But all too often this is commonly how things are done, unfortunately.

You mentioned a periodontist. Do you see one regularly? Do you have periodontal disease? Is this someone who you trust and treats you okay? If so, then perhaps he is the one you should see for a post op examination of the extraction sites.

Also as I think more about this... the dentist may have packed the extraction sites prematurely to try and protect the surgical sites and prevent a dry socket from occurring due to the fact that you smoke. As I mentioned, smoking in any amount is likely to cause post op complications.

Bryanna





Quote:
Originally Posted by Nikki87 View Post
I hope I'm doing this right . Thanks for the info.
The tooth that developed did not have a rc, I have learned my lesson and will never have bother one of those. I'm praying he does not dismiss my concern. I am only 28 and have been having/lost a lot of upper teeth this year and am just so tired of dealing with shady dentists.
I do have a upper very back molar on my opposite side that was extracted about 6 wks back by a regular dds and was not rc. It had some bony shards sticking out until. A few wks ago and is now caustic pain and swelling on the inside of my gum. the molar beside it was extracted in August and rc in July im scared of a jaw infection? Is this possible? Why else would it start to bother me 6 wks post extraction? The dentist was very careless and I had 2 large pieces of bone sticking out for some time. My perio did say he would "clean it up". I thank you again for the help you have provided to us all!
__________________
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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Old 12-04-2015, 09:21 AM #5
Nikki87 Nikki87 is offline
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Quote:
Originally Posted by Bryanna View Post
Nikki,

It does sound like you have had some less than optimal dentistry. Do you only see a dentist when you have pain? If that is the case, then you may have other unhealthy teeth that are adding to the overall problem. I also wonder if the previous tooth extractions were done properly or not. It sounds like you have had some post operative complications with the extractions in general. That may be due in part to the dentists that you are choosing to see and without question the smoking will contribute to poor healing. Even if you only smoke minimally, it is a problem for many reasons.

I cannot say if this is your case or not but just to make you aware..... When a dental patient presents with various dental problems, it can be a bit difficult to treat that person as the probability of post op complications are increased due to the unhealthy state of their oral health. If that patient is a smoker, the likelihood of complications increases significantly. This could be some of the reasons why the dentists you have seen have seemed a bit detached from the quality of care. I am not justifying that type of dental care as I feel everyone is entitled to quality care. But all too often this is commonly how things are done, unfortunately.

You mentioned a periodontist. Do you see one regularly? Do you have periodontal disease? Is this someone who you trust and treats you okay? If so, then perhaps he is the one you should see for a post op examination of the extraction sites.

Also as I think more about this... the dentist may have packed the extraction sites prematurely to try and protect the surgical sites and prevent a dry socket from occurring due to the fact that you smoke. As I mentioned, smoking in any amount is likely to cause post op complications.

Bryanna
Unfortunately I have only gone when I have had problems over the past 5 years and am paying for it now. But in the previous years I went once a year to my childhood dentist who has since retired, Gosh how I miss him . I had all upper molar and pre molars filled about 5 years back and these are the ones that seem to be having problems one by one.
I am not a smoker, I do not drink.
I live in a small town outside of Austin and was trying not to go into the city for work or to see a specialist so I partially blame this on myself. I have since found a reputable perio in Austin who specializes in implant placing and is certified and seems very knowledgable, praying this pays off. I do trust him, he seems caring at least. I do not have periodontal disease. The past 2-3 years have been a bit stressful and I have lost a bit of weight due to work/life stressors I'm sure that doesn't help my situation and Heath.
Could I have an infection in my jaw from the improper extraction that could be effecting the nearby teeth? I go in today for my post op and I'm hoping my concerns/pain are not dismissed and I'm back at square one. Thanks in advance for any advice
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Old 12-04-2015, 11:26 AM #6
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Hi Nikki,

I must have confused you with another poster here regarding the smoking. GLAD to hear you don't smoke

It is common for people to only see the dentist for pain or problems. Dentistry is very expensive and it's not anyone favorite place to go! Stress does affect our oral and dental health and I agree it is a contributing factor to your problems. Hopefully things have calmed down for you now and you are able to get yourself on a more positive path.

A dental infection can have several contributing factors and yes, you can develop an infection after a tooth is extracted that can affect adjacent teeth. Let's see what the dentist says at your post op appointment.

Bryanna


Quote:
Originally Posted by Nikki87 View Post
Unfortunately I have only gone when I have had problems over the past 5 years and am paying for it now. But in the previous years I went once a year to my childhood dentist who has since retired, Gosh how I miss him . I had all upper molar and pre molars filled about 5 years back and these are the ones that seem to be having problems one by one.
I am not a smoker, I do not drink.
I live in a small town outside of Austin and was trying not to go into the city for work or to see a specialist so I partially blame this on myself. I have since found a reputable perio in Austin who specializes in implant placing and is certified and seems very knowledgable, praying this pays off. I do trust him, he seems caring at least. I do not have periodontal disease. The past 2-3 years have been a bit stressful and I have lost a bit of weight due to work/life stressors I'm sure that doesn't help my situation and Heath.
Could I have an infection in my jaw from the improper extraction that could be effecting the nearby teeth? I go in today for my post op and I'm hoping my concerns/pain are not dismissed and I'm back at square one. Thanks in advance for any advice
__________________
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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