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Abscess & knee replacement

  • 30-05-2014 1:29pm
    #1
    Spook_ie
    Registered Users, Registered Users 2 Posts: 10,896 ✭✭✭✭


    I'm having a knee relacement on Tuesday 10th June. Had my dental checkup friday of last week and got my letter saying I am dentally fit for surgery. So, since wednesday of this week I have had increasing pain in back upper molar, bad this morning, so rang dentist and went to see a locum because my own dentist is away till Monday 9th June. Had an x-ray taken and it has confirmed an abscess & dentist has put me on 2 different antibiotics for 7 days, now this is where I'm looking for a bit of advice, locum dentist (very helpful) says that the tooth should be extracted before I go into hospital on the 9th to avoid the infection returning. Now I have no problem getting the tooth extracted, but for me the question is the timing of it ? before the op or after the op ? any opinions ?


Comments

  • #2
    Oral Surgeon
    Registered Users, Registered Users 2 Posts: 3,240 ✭✭✭Oral Surgeon


    Spook_ie wrote: »
    I'm having a knee relacement on Tuesday 10th June. Had my dental checkup friday of last week and got my letter saying I am dentally fit for surgery. So, since wednesday of this week I have had increasing pain in back upper molar, bad this morning, so rang dentist and went to see a locum because my own dentist is away till Monday 9th June. Had an x-ray taken and it has confirmed an abscess & dentist has put me on 2 different antibiotics for 7 days, now this is where I'm looking for a bit of advice, locum dentist (very helpful) says that the tooth should be extracted before I go into hospital on the 9th to avoid the infection returning. Now I have no problem getting the tooth extracted, but for me the question is the timing of it ? before the op or after the op ? any opinions ?

    Damned if you do and don't unfortunately...

    A prosthetic knee replacement is one of those surgeries that just wants to get infected and if infected needs to be replaced as well as causing other big problems.....

    If you leave it, the bugs in the tooth could infect the prosthetic knee.

    If you remove it, you need to leave it heal so that bugs don't get into your system from the extraction socket and again infect the prosthetic knee.... I think that you are a bit tight on time to have the gum healed for the surgery...

    Can you not root canal treat the tooth and save it??


    Speak to your knee surgeon. If it was my mouth or knee. I would get the tooth sorted first with either a good first stage root canal or extraction. Wait until infection is gone or extraction socket is healed and then have my knee surgery. Infection messes up enough surgeries without adding to it....

    OS


  • #3
    Spook_ie
    Registered Users, Registered Users 2 Posts: 10,896 ✭✭✭✭Spook_ie


    Thanks OS, very helpful advice, I did forget to say that the surgery on the 10th is actually a revision knee replacement so I know that the infection chances are even greater ! Having op done privately, so rang his secretary and explained the situation and she has said she will try and get a hold of him & see what he says. Locum dentist said that root canal would in theory be possible but he felt that the tooth was already nearly " filled to death" and consequently the success rate would be much lower.


  • #4
    tooth_doc
    Registered Users, Registered Users 2 Posts: 129 ✭✭tooth_doc


    Spook_ie wrote: »
    Thanks OS, very helpful advice, I did forget to say that the surgery on the 10th is actually a revision knee replacement so I know that the infection chances are even greater ! Having op done privately, so rang his secretary and explained the situation and she has said she will try and get a hold of him & see what he says. Locum dentist said that root canal would in theory be possible but he felt that the tooth was already nearly " filled to death" and consequently the success rate would be much lower.


    filled to death normally comes into play when after the root canal a crown is thought about, doing the actual root canal wouldnt be a big issue if done by an endodontist/experienced dentist


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