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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Infection In The Teeth. Had A Surgery Earlier. On Many Medication As Prescribed By The Doctor. What To Do?

I've recently (4 weeks ago) had a corenectomy of my wisdom. I needed this because my roots are wrapped around the nerve, and I had an infection.The Dr. put me on Vicodin and Penecillin. I used all of my antibiotics, and felt okay for a little while. The surgery is not yet fully healed. I still have a small whole that needs to close. Now, the infection has returned. I was thinking it's because food might be getting in that little whole from the surgery that hasn't healed. My Dr. thinks it might be an infection in the roots, in which case the chance antibiotics will work is small. He recommends going back in and removing the roots. However, due to their placement, there is a risk that I will have pain and numbness on my lower lip for remainder of my life. I really don't any more surgery. I leave for Africa in two weeks for vacation. Will the amoxicyllin work or should I get the second surgery to remove the roots and run the risk?
Tue, 30 Apr 2013
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Dentist 's  Response
Hello,
Thanks for writing to us.
Since you had undergone tooth extraction 4 weeks back.the socket usually will heal completely by this time.
The unhealed socket may be due to the root pieces remaining within the socket.
I would suggest you to visit your dentist and get the root pieces removed.
Antibiotics can relieve infection temporarily.
Meanwhile,rinse mouth after every meals.
Gargle frequently using betadine and warm saline rinse.
Maintain good oral hygiene.
Brush your teeth twice daily.
Hope this helps.
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Dentist Dr. Farah Hussain's  Response

Hello there ,

Thanks for writing your query,

According to your clinical history i suspect your dentist has gone for coronectomy of your tooth due to crucial anatomic position of the tooth roots.

Your tooth is may be in close proximity to the vital structures and extraction of such teeth may end up in complications.


i would suggest you to start with a antibiotic and analgesic course consulting your dentist , which helps in subsiding the pain.

if the condition doest not subside with this ,

you may need an OPG radiographic examination done for your teeth to confirm the spread of infection or to rule out the exact cause of the pain nd accordingly treatment can be done.


i hope this helps ,

take care.
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Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

According to your clinical history i suppose that the Dentist had performed a coronectomy of your wisdom tooth as your tooth was in close proximity of nerves to prevent any complications.
I would suggest you to consult the Dentist and get the antibiotics and analgesics prescribed, take lukewarm saline gargles and antiseptic mouthwash rinses.
If this does not subside your pain you need to get an OPG radiograph done to determine the exact cause of pain and the treatment plan.

Hope this helps out.

Regards..
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Had Infection In The Teeth. Had A Surgery Earlier. On Many Medication As Prescribed By The Doctor. What To Do?

Hello, Thanks for writing to us. Since you had undergone tooth extraction 4 weeks back.the socket usually will heal completely by this time. The unhealed socket may be due to the root pieces remaining within the socket. I would suggest you to visit your dentist and get the root pieces removed. Antibiotics can relieve infection temporarily. Meanwhile,rinse mouth after every meals. Gargle frequently using betadine and warm saline rinse. Maintain good oral hygiene. Brush your teeth twice daily. Hope this helps.