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  • Loose teeth, gum disease, bruxism, extractions - and anxiety...

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    Old 05-24-2009, 04:43 PM   #1
    Spax99
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    Loose teeth, gum disease, bruxism, extractions - and anxiety...

    It's a few weeks since I first posted on here about chronic pain following root canal treatment of an abscessed tooth, gum disease needing treatment suddenly pointed out by my dentist who every 6 months has always said things are "fine" (or not said they weren't fine), and feeling like my teeth are getting loose and have moved, so that I can't bite them together properly.

    Lots of 'pillar to post' - confused doctors, confused dentists, an ENT specialist who said it wasn't down to my sinuses, and if I hadn't kept pushing, and finding information myself (with the help of others of course, including on here) I really doubt I would have got as much help as I have. Well, I'm taking amitryptiline for the the pain (plus paracetamol and ibuprofen), omeprazole and peptac for more problems possibly brought on by taking diclofenac instead of ibuprofen for a short time (never again, thought my throat would close up, my abdomen would explode AND thought I was having a heart attack to boot!). I'm still waiting to see an oral maxillofacial specialist at the hospital (because for about the third time I told the dentist I was waking up grinding my teeth and my jaw was really stiff), and the only way I could get to see a periodontist before my teeth actually fall out was to go to a private one, so there goes the money I'd got saved up to stop my house looking like a building site.

    Anyway, I got to see the periodontist just over a week ago, and straight away he said the pain was all down to clenching and grinding. I'm still not sure if that's brought on the gum disease somehow, or made it worse, or what. So as well as taking x-rays he took an impression for a night guard, which I picked up on Thursday when I had the first two teeth taken out of the three he says need to come out. The tooth that abscessed and had root canal treatment, plus the lower and upper wisdom teeth on the same side. Even getting the night guard fitted was really uncomfortable, although he did it while the anaesthetic was getting to work for the extractions. Apparently it was because the teeth are so sensitive, the gums swollen, and yes, the teeth have even moved since the impression was taken a week before. People kept telling me I was imagining it, that it was just my anxiety and I should stop worrying. Yeah, right...

    Anyway, the extractions were uncomplicated, and unlike when my little sister had all her wisdom teeth taken out at the hospital, at least I wasn't sent home bleeding copiously, still drugged up on valium (although I really wished he'd offered valium) and with nothing but a note saying to rinse with salt water. I got resorbable sutures, antibiotic stuff put in (the abscess was still there, and he said the wisdom teeth are also infected - there's another tooth between the two that were extracted, so I don't know if there's any connection) and something coated on, he said there wouldn't be any bleeding and all would be well. There was only a little bleeding, I've been taking the prescribed amoxycillin, using the Corsodyl mouthwash, doing salt water rinses - I've totally failed at not drinking or smoking though. I'm also using Gengigel mouthrinse, particularly at night before putting in the night guard.

    Is it normal for the night guard to be so uncomfortable when I first put it in (then it gets better, or I get more used to it), and for the front teeth that it clips tightly onto to feel so horrible all day afterwards? Today, one of the second incisors (don't know what they're called, but the little ones next to the bigger front ones) felt like it had moved/collapsed even further inwards - both of them I'm sure point in a lot more than they used to. I don't think anything hurts more than it did before it though, it's just different, so I really don't want to stop using it unless I need to.

    Also, I have some swelling, in the same place I did when I first got the abscess, or realised there was something wrong anyway, I expect there had been an abscess for ages. I know swelling is normal, but I can't help worrying it's not because of the extractions and it's more nastiness in there, or even that stuff's getting in there although I'm sure that really is just my anxiety. The pre-molar next to the one that was extracted really feels like it's moved inwards as well, and holding my jaw normally the only teeth that meet are the ones at the back - obviously not the wisdom teeth as there's one missing, so it must be the molars next to that. I have to move my jaw about to get anything else to meet at all, and then it all hurts.

    I have a couple of crowns above where the abscessed first molar was extracted, and I'm really wondering now if because those have always been 'high' that's caused some of the other stuff to go wrong. And the hard, porcelain one is right above that poor pre-molar that feels like it's moved.

    I'm trying really hard not to worry about it all, and not to bother the periodontist or anyone else, and to just wait for things to get better and trust that it's all going to be OK, but I could really do with some advice and/or reassurance.

     
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    Old 05-25-2009, 08:21 AM   #2
    momto5g
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    Re: Loose teeth, gum disease, bruxism, extractions - and anxiety...

    First of all with splints, dogs love to use them for chew toys. So if you have dogs be sure to keep it put up during the day.

    I have gone threw several of them for my tmj. I had to wear mine at night and most of the day. My teeth after wearing them would feel sensitive and kinda hurt. I dont know why they would. Mine also clamped on really tight to the front teeth also. Wish I could get another one.

    Oh does yours have a spot right behind the 2 front teeth that your bottom teeth fit into kinda. Thats the way mine did so that my teeth would kinda realign.

     
    Old 05-25-2009, 11:15 AM   #3
    Spax99
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    Re: Loose teeth, gum disease, bruxism, extractions - and anxiety...

    I wish mine did have somewhere for the lower teeth to slot into, but it's kind of smooth underneath. I'm worried that it might be doing more harm than good, I'm sure the lateral incisors (looked up what the ones next to the front teeth are called!) weren't pushed in quite so far as they seem to be now.

    I'd been thinking about getting braces, only a few months ago, just before all this happened. Now it seems silly that I wanted my teeth to meet properly, now I'll just be glad if I get to keep most of them and stop being in constant pain. But I read somewhere today that maybe some sort of retainer could be possible to stop them moving any more, and that might be possible even with the night guard. Anyone know about this? The only orthodontist I know about takes months to get round to things though, which would be pointless - he does x-rays, then 6 weeks later takes impressions, then 6 weeks later does something else, then 6 weeks later puts braces in - maybe they wouldn't in this sort of situation though, maybe it could be done quickly.

    I think I'll be calling the periodontist tomorrow anyway, once everyone's back at work, because I'm worried about the teeth movement and that I still have swelling and pain where the extractions were - is that too long, four days?

     
    Old 05-26-2009, 03:35 PM   #4
    Spax99
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    Re: Loose teeth, gum disease, bruxism, extractions - and anxiety...

    Well, it's 5 days now since I had 2 teeth extracted, and the wisdom tooth site looks pretty good to me, but I'm not sure about the other one, the molar. But of course I don't know what it should look or feel like. I thought the swelling on my jaw had gone down this morning, but then it came back - it might sound really stupid, but is there any way drinks could be getting in there? It does sometimes feel weird when I'm drinking something, and I suppose there must be quite a gap in there somewhere from the tooth roots and where the abscess was. Or is that just mad?!

    Anyway, I called up to say there was still swelling and pain, and they've prescribed a different antibiotic. I was sort of pleased to start with as I asked if it was different from amoxycillin as I don't like all the side effects, and they said yes - but it's augmentin, which is amoxycillin and something else combined. Never mind... Does anyone know about augmentin and if it's likely to help, or do you think they were just fobbing me off or trying to stop me worrying by prescribing something?

    Also, does anyone have any knowledge of if teeth that are moving because of periodontal disease can be kept more stable with a retainer?

     
    Old 05-26-2009, 03:54 PM   #5
    momto5g
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    Re: Loose teeth, gum disease, bruxism, extractions - and anxiety...

    Today is 5 days I guess for my 6 extractions and all but 1 is still a ton swollen. 2-3 of them hurt still and have tooth parts left in them. I guess I need to go back as well.

     
    Old 06-02-2009, 02:09 PM   #6
    Spax99
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    Re: Loose teeth, gum disease, bruxism, extractions - and anxiety...

    It's now nearly two weeks since I had two teeth extracted and some root planing done on that side of the lower jaw. I called up after a good few days because there was still swelling and pain and was prescribed some different antibiotics, augmentin instead of the amoxycillin they gave me first - there was an abscess under the molar that was taken out, and the periodontist said the wisdom teeth on the same side were also infected.

    Instead of anything feeling better, it all seems to keep feeling worse. My front teeth feel even looser, I can feel them moving (there's a weird tingling feeling as well as some discomfort) particularly the lower ones. The pre-molar (bicuspid?) in front of the molar that was extracted feels totally wrong; in the wrong place, too high, feels kind of like it's not mine. I made the mistake of looking at the lower front teeth this morning and it's like they're disappearing in the swollen gums, with one or two farther back looking too high, probably receding gums as well there. Also with the Corsodyl mouthwash they're horribly stained, so it just looks frightening in there. Really frightening - I'm not exaggerating, I could have cried and I couldn't bear to look again.

    A few months ago things were fine, no-one had mentioned anything about gum disease. Can it really go so bad so quickly, or is there something horrible going on that no-one's noticed yet? Advice, reassurance, anything - please!

     
    Old 07-16-2009, 11:49 PM   #7
    Dianescat
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    Re: Loose teeth, gum disease, bruxism, extractions - and anxiety...

    Your problems sound horrifying. I too grind my teeth and have had a custom made mouth guard for years: it cost about $100 in 1985 or so, now I'm sure it would be three times as much... It doesn't keep me from grinding but is supposed to protect the surfaces of the teeth from contacting and getting cracked. However, there is still pressure down below and I often have jaw, tooth and even ear pain.

    One and one-half years ago in the Fall, I had excruciating pain in left back molar area, jaw and ear, and went to Doc because I thought I must have an ear infection. He (not my regular Doc) said it was not an infection but just from tooth grinding and I should take many, many OTC pain drugs... eventually the pain lessened but I continued daily NSAIDs at a lower level

    last fall a similar problem only on the RIGHT side and this time a large swelling on the gum just below the molar. My Doc was in that day and gave me an Antibiotic, prob omoxicilin or something like that... After two courses of it there was still a bit of swelling but no pain...
    So a few weeks ago I go to my Doc for my regular checkup and she casually mentions that since there is still a bit of swelling that comes and goes, I MIGHT have an abscess.
    Also that my liver function is off, probably as a result of too many OTC pain pills
    I dont'have a regular dentist, since I don't have any insurance and am on a low fixed income. I do have Medicare but dental isn't covered.

    So I went into the local low-income clinic for an exam and they did find an abscess on the left and also a possible one on the right... but they don't do extractions or root canal repair... so they gave me a list of clinics so I can call around, but hinted that the only place I could get it done was at the University where they have a dental course and train endodontists, etc. If they need a case like mine for teaching they might do it for free.

    They also do plain extractions for about $100 so will do that if the ENDO clinic doesn't want to use me for training... Private fees for Endodontists would be in the multiple thousands I am sure... and I am already trying to pay down my credit card debt...

    Reading about Abscesses I see they can cause death... or brain damage...

    I have always taken good care of my teeth, brushing flossing, etc, but have poor dental genetics and have had several root canals and many cavities over the years... etc.

    I also wonder why these episodes a year apart happened in the Fall, a big allergy time for me, and if Sinuses were also involved? or maybe the sinuses irritated the already growing Abscess?

    This is so annoying: 23 years ago, also with no Medical insurance I walked around for a couple of years with a Quarter sized lump in my breast.

    The minute I qualified for Medicaid (couldn't work anymore because of other health problems) my then Doc had the lump tested and it was malignant... so had operation, etc. no recurrenc

    But NOW my current Doc wanted an ULTRASOUND ON the Scar tissue from the lumpectomy and finds a "suspicious" area. Come on, I've never had ultrasound, just mammograms... so eveything there is going to look different. It's just a dense mass of scar tissue.

    Now she wants to do a biopsy with ultrasound guidance. (MRI)I wonder if they're training ultrasound techs?
    But she can't help me with my abscess....

    research shows that EACH abscessed root canal will cost about $1500 to fix. Extractions would be $1000 for both... plus $200 for exams and extra for x-rays, even if I bring one from my previous exam, last week.

    Last edited by Dianescat; 07-27-2009 at 03:56 PM. Reason: add info

     
    Old 05-10-2010, 04:35 PM   #8
    chynnatea
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    Re: Loose teeth, gum disease, bruxism, extractions - and anxiety...

    help! just had 2 teeth extracted, the rest feel and enamel seems to wearing a way! anybody know of any supplements to take?

     
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