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Old 09-30-2003, 04:18 PM   #1
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Angry Are Specialist really Special

Well, I noticed my front tooth becoming loose about 4 weeks ago and then I developed an absess but had no pain..Went to my regular dentist and he sent me to a periodontal specialist..Before I went to the specialist my regular dentist gave me antibiotics for the infection.. So I go to the Specialist and he said tooth number 9 has to come out but he will do a bone graft to give me some bone for a future implant and it will stabilze the other teeth..No problem I thought.
I went back today and this specialist adjust my bite wing and I mentioned to him that this tooth is beginning to absess again and it started drain puss 2 days ago.. I asked if perhaps I should be put back on anibiotics in order to clear up the infection. {I think if I would have had 10 days of antibiotics instead of 7, the infection would have been gone. He said there was no need for antibiotics and to let it drain but call if there was pain...I left his office thinking this was kind of crazy..I was and am under the impression that you should clear up or at leat try to clear up all the infection before anywork is started. I called my regular Dentist and he said he would call in some anti-biotics because he wants the infection cleared up as not to affect any other teeth or spread to different areas of my body. {This makes sense} My regular dentist seemed kinda perturb at the Specialist but he remained professional. Has anyone ever had this happen before??? Has anyone been told by a dentist to allow an infection to drain but not give antibiotics to clear up the infection???? Now I am thinking this Specialist is not taking this problem seriously...What do you think???

Also, the Specialist wanted me to go to a Root Specialist and have them run a pulp test on tooth number 10..He tried to send me to a Specialist for this but when I told this to my regular dentist, my regular dentist made it known that he can do this with no problem and was rather surprised this Specialist didn't have the equipment because the Specialist is a regular DDS Dentist also.

I would appreciate someones experience in the matter.

Thanks!!!


 
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Old 09-30-2003, 05:03 PM   #2
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I can only answer about the pulp test. It is to make sure they are working on the right tooth. My specialist, an endodontist, doesn't use a pulp tester. He just uses ice. which isn't uncommon at all , to just use ice. He touches the suspected tooth with the ice, you jump then he says it's the correct tooth.
Ask whichever genius you're dealing with if he can just use ice? Good Luck

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Old 09-30-2003, 05:20 PM   #3
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My specialists were always great. Perhaps your dentist could recommend a different one? I know with my dentist if he hears things he doesn't like he starts referring his patients elsewhere. I do think your infection should be cleared before starting work -sometimes they do the work anyway but that is in an instance where the patient is in a great deal of pain which you are not.

 
Old 09-30-2003, 07:10 PM   #4
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Perhaps I am requesting to much of the Specialist? I just think if the Specialist has DDS beside his name along with all the other abbreviations, that he could take the extra time to do this simple test..It would save us both TIME and MONEY...right? {Well, save me time and money}

But to allow an infection to re-occur or to not be brought under control especially when my ear feels a little funny, does not seem normal.

Now the ice test Susan Gene mentioned...I never heard of it...Are you telling me that you put a piece of ice on the suspected bad tooth and you will feel it if the nerve is dead??

Thanks to all who replied...

 
Old 09-30-2003, 10:02 PM   #5
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But to allow an infection to re-occur or to not be brought under control especially when my ear feels a little funny, does not seem normal.

It is NOT normal! You have an infetion and you should be seeing a specialist ORAL SURGEON and INFECTIOUS DISEASE doctor. PERIOD. You need to be on antibiotics - you'll need some testing done. You have to get this infection under control before it gets into your bone, which it sounds as if it has by what your specialist tells you - although the antibiotics should be via a PICC line - intravenous. Best of luck. cannot leave email on this site for more info. will check back. search bone infection or osteomyelitis on this forum,
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Old 10-01-2003, 08:55 AM   #6
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Red face

To: TryingToFeelGood... You know I have always heard that you want to get rid of an infection..The Specialist acted like the infection was no big deal and would not prescribe any antibiotics when I told him my ear hurt a little and that this tooth was beginning to abcess again. The Specialist DID NOT even suggest I call my regular dentist...I DID THIS ON MY OWN. ONLY WHEN I CALLED MY REGULAR DENTIST did he call in antibiotics.

Thanks for your input and I will appreciate any more input.

 
Old 10-01-2003, 05:10 PM   #7
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Good for you for having the guts to call your dentist - the specialist is not doing his job well at all. you do have an infection - pus is draining! so, how long are you on antibiotics for? what did the dentist prescribe? it will probably take care of it. how is the abcess - is it still there? I would ask your dentist for a referral to a good oral surgeon, or better yet go to a university hospital and they can help with infections and abcesses - just make sure you see a professor best of luck = keep us posted!
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Old 10-01-2003, 05:54 PM   #8
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Dental abscesses are a big deal and need to be taken seriously. You are right - most dentists won't extract or do work on a "hot" tooth, and want you on antibiotics a while to get the inflamation down. There is always the possibility that antibiotics alone won't clear up the abscess, and that a root canal or apicoectomy will be needed (by the way, I am talking about root abscesses, not gum abscesses).

If you aren't getting good vibes from the specialist you saw, definitely look for another one. Not everybody out there is as knowledgable as we would like them to be. Good luck.

 
Old 10-02-2003, 07:58 AM   #9
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Cool

Well, I am learning more and more from everyone on the board. Basically I was referred to a specialist because of the absess. For some reason I do not feel comfortable with this specialist. Basically he is an implant specialist and perio dentist. When I first went to see him he looked at my x-rays and said you have bone loss [root resorbtion] around tooth number 9. No problem he will pull number 9 and do a bone graft and get it ready for an implant. No problem.. He said he would like to check the vitality of tooth 9 and 10. No problem.

I went back to this dentist and he adjusted my bite wing. He asked if I had tooth number 9 and 10 checked. I said no, you did not tell me to. He said I mentioned that this needs to be done..I then replied that you did not tell me to do this on my own especially since you mentioned the word "WE". At this time I told him my absess was re-occuring and asked if I should take more antibiotics.. He said no..Just let it drain puss and call me if it hurts. This is what kinda freaked me out. I asked him why it was becoming re-infected and he said because tooth number 9 is dead. I said REALLY? Then why did he want a pulp test on number 9 if he thinks it is dead?

He wants me to go to a endo specialist to do a pulp test on a teeth number 9 and 10. Well I found out my dentist can do this and it is a simple thing to do. My regular dentist also prescribed antibiotics again to clear up the infection..Like I said earlier I think if I would have taken 10 days of antibiotics instead of 7, the infection would have been gone. Evidently my regular dentist figured this out becasue he gave me 10 days antibiotics without me asking.

Then Susan Gene on this board told me of the ice test.. Well last night I start testing my teeth. All teeth seem alive. EVEN TOOTH NUMBER 9 which he says is dead.. Tooth number 9 is more sensitive than the rest but it definetley has feeling when I hold ice to it..I understand a dead tooth has no feelings, but this one has feelings.

I am suppose to go back to this specialist to have my teeth deep cleaned {root planing}, number 9 pulled and a bone graft put in. I was told that I could waer a flipper during the healing process of the bone area. No problem.

While checking out of the Specialist's office I made mention that I would talk like "Sylvester the Cat" for the short time I would be without a tooth. The office manager said no, you are suppose to have your flipper made at your regular dentist and your dentist will mail it to us in order to have it right after your surgery.

Then I became a little perturbed and stated "You have to tell me what is required of me and what I need to do because I have no idea." The only reason I am finding things out is because I am asking questions and it is not because anyone hear is telling me what to do. What if I do not know what questions to ask?
She was rather silent.. I then told the office manager I want my x-rays to take back to my regular dentist so he can check the vitality of the teeth requested. She said the doctor should have his own copy. Well, I had her call my dentist to see if the x-rays they had were copies or not..No..They were the originals and they gave them to me with a little reservation. I said, Do not worry!" I am not going to sell them and buy Crack Cocaine"

Anyway I have my x-rays, more antibiotics from my regular dentist and will go to my regular dentist for the pulp check on teeth number 9 and 10.

Am I expecting to much??? Should they tell me procedures and requirements without me having to ask??

Sorry to be rambling but if tooth number 9 is alive why would he pull it?

Oh well.


 
Old 10-02-2003, 03:39 PM   #10
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Why would they pull it? I have 2 theories:

1. Because that is the best solution or only solution for this tooth given its condition.

2. Because implants are very expensive and would make them a lot of money.

Yes, ask lots of questions! They deal with this stuff every day and seem to forget that the normal populatin doesnt' know a thing about the procedure they have to have done. Do some reading on-line, look for information on your own. This will help you to know what questions to ask.

 
Old 10-02-2003, 03:44 PM   #11
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You might want to try going to an endodontist to see what they tell you. You may have other options to choose from (root canal, pulling and getting a bridge)...

If you see an implant specialist, of course they are going to recommend pulling the tooth and getting an implant. That is what makes them earn a living.

 
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