Will a bridge fix my problem or do I need a gum tissue graft?? Please help me!
 

I had a tooth extracted 7 months ago. *And have been in pain ever since. *Did not know the cause of the pain until recently found out that the gum at the tooth next to the one that was extracted, the gum is recessed causing the root to be exposed. * A dentist has told me that a bridge will take care of my pain, but I'm not so sure that it will.
My mouth pain is wores since they put temp crown on. * Feels like rough concrete all around tooth. *I hope and pray when the bridge comes in in two weeks that it will fix the problem. * 2100.00! * Ugh! * *I've been reading on the Internet that for a reeseeding gum that has caused an exposed root that you need a gum tissue graft. *
I'm just so scard that after a bridge is there and it still hurts then that's it. *Idk! * Anyways I have recently found this numbing stuff that makes it feel better if I put it on there often.
Please help me!

Hi Marshur,

Which tooth was extracted and had it been previously root canaled?

Sometimes a gum graft is necessary to cover the exposed part of the root. Other times a crown will work okay too.

A bridge is a little different story as it may or may not reduce the pain caused by recession. It depends on the angulation of the crown that is covering the exposed portion of the painful tooth. It has to fit precisely.

Some temporary bridges fit and feel better than others. If the dentist takes his time in making one, they usually fit and feel better. Sorry yours in uncomfortable.

Bryanna

It was tooth number 3 that was exstracted. I have the temp crown on there now waiting for the permanent bridge to come in. There is a pocket between my gum and tooth #4 that is causing the exposed root. So you think that bridge will cover that pocket and fix my pain? Because this temp crown sure has not fixed anything. It hurts worse.

Also no root canal has been done.

Hi Marshur,

Was tooth #3 root canaled before it was extracted? Why was it extracted?

The pocket on tooth #4 will not be covered by the crown/bridge. Gum recession is different than a gum pocket. Recession is when the gum is higher up on the tooth than it should be. This causes a portion of the root surface to be exposed. A gum pocket is not recession it is an abnormal amount of space between the tooth and the height of the bone. Do you have periodontal (gum) disease?

Bryanna

Tooth #3 was not root cannaled. Before it was pulled I was told I needed a root canal, but I did not have the money for that so I told him to pull it. After it was out they said a root Canal would not have worked because it has a split down the middle of the tooth.

I was told there is a pocket about 5 cm wide at tooth number 4. Was told the crown and bridge will cover it and should salve my pain problem.

Also was told I need a deep cleaning. But I did not want to do that because of the pain of deep cleaning.

So right now I have a temp crown on. Do you know what is going to fix my problem of the pocket?

I want to think you for your help!!

tooth #3 was not root canaled before it was extracted. They wanted to do a root canal on it, but i did not have the money for it so i told them to pull it. Then when it was out it had a split down the middle of it and he said the root canal would not have worked anyway.

The pocket at tooth #4 is about 5 cm. Dentist said the crown/bridge would cover it.

Dentist did advise me that I needed a deep cleaning and I did not want that. I just have pain there at the sight of that pocket.

Now I have this temp crown on and I'm afraid when they get the bridge in, it's not going to fix my pain.

What should I do?

Thank you so much for your help!!

Hi Marshur,

It sounds like you have periodontal disease and that's why the dentist suggested the deep cleaning... to help reduce the pocket depths.

As I said before, the bridge will not make the deep pocket any better. As a matter of fact the bridge may make it more difficult to clean that tooth which could result in the pocket getting deeper. The purpose of the deep cleaning is to remove the bacteria from the deep pockets in an attempt to get the gum tighter against the tooth reducing the depth of the pocket.

If you have the deep cleaning done after the bridge is put in, the margins at the gum line may not fit well due to the reduction in the pocket which causes the gum to pull up higher.... exposing more root surface. To have the bridge done after the deep cleaning would have been better because then the margins of the crowns could have been made to cover the newly exposed areas.

Reconsider the deep cleaning. Tell your dentist that you want to be numbed up for it and do it either 2 visits (upper and lower on one side, then next appointment upper and lower on the other side)or do one quadrant per visit which would be 4 visits. Then let everything heal for about 6-8 weeks and have the bridge made then. Of course you would have to maintain a very good at home oral hygiene regimen every day and get your teeth professionally cleaned once every 3-4 months to prevent the pockets from getting deep again.

I hope I have explained all of this clearly. Let me know if you have any more questions...

Bryanna

Please please help me!!
 

Well, I went to a different dentist and he cut the permanent bridge off (2100.00 down the drain) and my pain was still there, so I asked him to pull tooth number 2 because it was in pain. We think it had a hairline fracture.

Anyway, that very annoying pain is still there! It is at the gums right beside tooth number 4. I was told there is a 5mm pocket there. That is where my pain is coming from. It is like an exposed nerve in that hole/pocket. I have been in this pain for almost two years now and dentist can not figure out what the problem is. I am 50 years old and I now feel like I am 80 because of this!

Is it possible that a Periodontal Pocket was formed when tooth number 3 was pulled? I have no other pockets or gum problems except right there.

What can I tell the dentist to look for to help fix this problem? Please help me! I can't hardly live like this anymore.

Hi Marshur,

In your previous posts you said you were told to have a deep scaling and you didn't want to do that due to the fear of it being painful. Anytime a deep scaling is recommended there is some degree of gum disease going on. Did you have that treatment done or did fear win out? Did you just switch to a new dentist to have the bridge removed because the other dentist would not do it?

I believe I mentioned in a previous post that the pocket on #4 would most likely not be covered by the bridge and you would still experience pain in that area. Why was tooth #2 removed? What does your new dentist say about the pocketing around #4? Has he checked the health of your gums?

Bryanna

I did not have the deep cleaning done because I do not believe that will help, and I do not believe I have a gum disease. I only have this one problem in that one area, at tooth number 4, and it all happened when tooth number 3 was extracted. The hole would not heal up, so after about a month, he went back in it and "cleaned it out" after that, that is when this pocket formed and has been giving me bad discomfort every since. Its been about a year and a half now.

I switched to another dentist, because the other one treated me like he could not understand that there was even a pocket there, and there should be no reason why I should even be in pain or discomfort. I got the feeling that he was tired of me and that there was nothing else he could do for me. The oral surgeon is the one that told me that I had a pocket of about 5mm and that a bridge covering the area should help it. But it did not help at all.

I asked the new dentist to remove tooth number 2 because it was giving me pain. When is was out, the dentist said it probably had a hair line fracture causing the pain.

The new dentist has not said anything about the health of my gums. I think they are okay. It is just that one place at tooth #4. Right now I have a temp crown on tooth #4.

What is going to fix my problem? Get #4 pulled also??

Also, I can not take any pain medicine because of a stomach ulcer I have. Is there anything else I could take that would help me go thru dental work pain?

Marshur,

I have no idea if you have periodontal problems or not as I can only go by what you have written here. Which is..... <<One dentist says you need a deep scaling but you refuse because "you" think it isn't necessary and you are afraid to have it done. The other dentist has not even mentioned your gum health.>> Perhaps he hasn't because he feels you don't want to address it?
None of this makes sense as to whether your gums are healthy or not. If they aren't healthy then your dental treatment will not have a long life span irrelevant of what you do in the upper right quadrant of your mouth. There is no way anyone can determine if tooth #4 should come out or not if you have an untreated periodontal condition. Also, if I am not mistaken.... it is only now that you mention you had a problem with the #3 site after the extraction and continue to have on going pain there. So if that is the case... then it could be a bone infection and the pocketing on #4 could just be an additional irritant.

If you have not done so already.... you need to have a full comprehensive examination and full mouth series of xrays with your dentist and allow him to give you his findings irrelevant of what they are because otherwise you are just going to continue on this expensive path to nowhere.

I cannot offer you any suggestions or recommendations to help alleviate your dental pain because I don't know the extent of your dental problems and it sounds like you may not know what they are either.

I hope your dentist can help you straighten this out and things work okay for you.

Bryanna


QUOTE=Marshur;996254]I did not have the deep cleaning done because I do not believe that will help, and I do not believe I have a gum disease. I only have this one problem in that one area, at tooth number 4, and it all happened when tooth number 3 was extracted. The hole would not heal up, so after about a month, he went back in it and "cleaned it out" after that, that is when this pocket formed and has been giving me bad discomfort every since. Its been about a year and a half now.

I switched to another dentist, because the other one treated me like he could not understand that there was even a pocket there, and there should be no reason why I should even be in pain or discomfort. I got the feeling that he was tired of me and that there was nothing else he could do for me. The oral surgeon is the one that told me that I had a pocket of about 5mm and that a bridge covering the area should help it. But it did not help at all.

I asked the new dentist to remove tooth number 2 because it was giving me pain. When is was out, the dentist said it probably had a hair line fracture causing the pain.

The new dentist has not said anything about the health of my gums. I think they are okay. It is just that one place at tooth #4. Right now I have a temp crown on tooth #4.

What is going to fix my problem? Get #4 pulled also??

Also, I can not take any pain medicine because of a stomach ulcer I have. Is there anything else I could take that would help me go thru dental work pain?[/QUOTE]

Trigeminal Neuralgia
 

Well I got tooth number 4 pulled thinking maybe it had a hairline fracture. Well when the Dr got it out, he found nothing wrong with the tooth. And my pain is still there. He believes I have Trigeminal Neuralgia.

Marshur,

So... what does your dentist say about the health of your gums?

How did the dentist arrive at the diagnosis of Trigeminal Neuralgia?

Bryanna

This dentist said the health of my gums looks fine. He believes it is TN because of the strange pain I keep feeling in my gums/teeth. It looks like I have had two good teeth pulled unnecessarily because I thought they must be cracked. But ofter pulled and healed, the strange pain is still there.

To describe the pain, it is like a very bad soreness at my gums. It gets worse in the evenings and with stress. When I wake up in the morning it is not there, but soon starts up within a couple of hours. It gets to be very miserable by the evening time. From what I have read, maybe this is TN2. I go to my Dr. tomorrow. I hope that he can just treat me, because I have no insurance to be going to a neurologist.

I also have the same thing
 

Hello,
I have gone thru the same thing with the same crackling feeling in the gums on tooth 4. I have been going thru this for a year now. I have had tooth 3 and tooth 4 pulled. What I have found out is it is calle atypical odontalgia.
Currently I have taken neurontin, but this did not help. I am weaning off slowly. My doctor just started me on Nortriptlyine which Is a tricyclics antidepressant and has been known to help
I am wondering how u are now and what treatment met have helped u? Your reply would be greatly appreciated.
Thanks