Discussions By Condition: Dental conditions

My dentist says I should do nothing but I need a second opinion

Posted In: Dental conditions 4 Replies
  • Posted By: Benign
  • January 12, 2009
  • 10:11 PM

Hi:
I had a bad pain about 12 years before in my mandibular second premolar. Then I was in the second year of med school and I was so busy that I tolerated the worst pain ever for some exams. After a while it became painless and i thought the problem was nothing. After a while a fistula appeared and I realized it was a abscess. I went to our family dentist and he said anytime I had the time I could come and do something for that but it is not an emergency. Right now I can feel the discomfort. I went to the dentist and he said that because its chronic the success rate is 50% and I may have no problem for many years ahead! But I know that such a sack of pus may cause many problems. I wonder if his opinion is accurate. Please help me. I try to attach a part of my OPG that contains this tooth. Please give me your opinion.
http://i44.tinypic.com/6prxhx.jpg
It is not sensitive to heat or cold. It is a little tender. It's motility is 2 of 10. Some pus comes out of the fistula sometimes. The tooth has no hole. It seems some trauma caused it not a tooth decay. The discomfort level is constant.
What should I do? Should I change my dentist? Should I go to a periodontist? Please help me
Benign

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4 Replies:

  • I would seek a second opinion of an oral surgeon. Could it possible be a cyst rather than an abscess? I'm not a dentist, but have worked in the dental field for over 20 years. If you are having unresolved pain, then get a second opinion. If it were my mouth, I would seek the opinion of an oral surgeon. Especially given the dark area on your x-ray.
    Anonymous 42789 Replies Flag this Response
  • Please again meet your family dentist. If he said that because its chronic the success rate is 50% and I may have no problem for many years ahead! so tell what's next to me about problem................Hi:I had a bad pain about 12 years before in my mandibular second premolar. Then I was in the second year of med school and I was so busy that I tolerated the worst pain ever for some exams. After a while it became painless and i thought the problem was nothing. After a while a fistula appeared and I realized it was a abscess. I went to our family dentist and he said anytime I had the time I could come and do something for that but it is not an emergency. Right now I can feel the discomfort. I went to the dentist and he said that because its chronic the success rate is 50% and I may have no problem for many years ahead! But I know that such a sack of pus may cause many problems. I wonder if his opinion is accurate. Please help me. I try to attach a part of my OPG that contains this tooth. Please give me your opinion.http://i44.tinypic.com/6prxhx.jpgIt is not sensitive to heat or cold. It is a little tender. It's motility is 2 of 10. Some pus comes out of the fistula sometimes. The tooth has no hole. It seems some trauma caused it not a tooth decay. The discomfort level is constant.What should I do? Should I change my dentist? Should I go to a periodontist? Please help meBenign
    srachel 1 Replies Flag this Response
  • Hi there....I am a dentist and have been for 8 years. You do have a chronic periapical abcess and treatment is only two fold if you want to remove the infection. One, you could extract the tooth (not a great option, I would never do it if it were my tooth) or two, you can have a root canal which has exceptional success rates. Leaving it as is only allows the abscess to continue to drain into your mouth and bloodstream, not very healthy as this undoubtedly affects overall systemic health. Hope this helps. Go see an endodontist is you don't want your dentist to do the root canal for you, NOT an oral surgeon.
    Anonymous 42789 Replies Flag this Response
  • There is definitely an infection in the area and something must be done to treat it. The source of infection is two possiblities. 1) tooth is abscessed from trauma. The nerve dies and tooth becomes infected. Treatment involves root canal. 2) Periodontal abscess (gum abscess). This can occur when you have a very deep pocket (space between the tooth and gums) and bacteria keep populating this area. Treatment involves gum surgery. You will need to consult another dental professional: dentist, endodontist or periodontist.
    childrensdentist 1 Replies
    • January 2, 2010
    • 11:18 PM
    • 0
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