Root canal and extraction

Dentalpatient

Gosh, I'm sorry to hear about your ordeal. But glad that the dentist didn't leave your canals open.

I want to scream Why Me! But I better think on how to get this sorted first and then bring up the matters with the DCRS.

Dentalpatient

deise08 wrote: »

Would suggest nurofenplus for the pain. That has ibroprofen which is an anti inflammatory..
Also gargle salt water for to clean the infection.. although that isn't a pleasant sensation in the tooth itself....

Sounds doable, will do. Thank you!

davo10

Not all treatments/infections are the same. The op has a history of chronic, difficult to treat infections as evidenced by experience in India. By leaving the canal open, the infection is allowed to drain, closing it seals in the infection and the pain which may result may be immeasurably worse. CUH is a teaching Hospital with experts in treating dental infections, if they thought sealing it would improve the situation, they would have, the same would apply to the endodontist the op visited.

Dentalpatient

OK, so you mean that the canal has been left open is not a bad thing in itself? This sounds consoling to me. But the report from the endo worried me. The endo in his report did say that canal being open is causing the infection, and that it should be disinfected and sealed.

Yes, I have had a nasty tooth with chronic infection that was successfully treated in the past.

davo10

The intense pain associated with a dental abscess is a result of inflammation in the surrounding tissues and a build up of pressure under the tooth. Anyone unfortunate enough to have had a abscess will remember the pain they felt when biting on the tooth or when pressure is applied to it. By leaving a canal open the infection drains so you hopefully don't get the build up of pressure and searing pain. The dental hospitals do advocate this method of leaving the canal open when the infection is established and likely to re-occur even after it has been drained. I have often had to see a patient 2-3 days after draining an abscess and thought in hindsight I should have left the canal open, it might have saved the patient experiencing another round of excruciating pain.

Dentalpatient

OK, I appreciate you taking the time to explain this to me, especially as I have been so anxious about the canal being left open so long and that it continues to remain open. Thank you l.

Yes, I have been there and know very well the pain from infection. My tooth is very tender to touch and I am not eating from that side at all, for two reasons - the pain and to prevent food from getting stuck in the canal.

It does sound like I want to blame my dentist but because the infection has been so nasty, it would have helped had the dentist drained my abscess more frequently and changed the dressing with antibiotic more frequently even if they felt they couldn't help me further. It would at least prevent the infection from spreading. I don't know if I sound demanding but I'm concerned about my health and have heard dentists discuss about how dental infections can cause systemic effects. I feel less cared for by my dentist, because I had voiced my concern that what would I do until I get my next appointments with cuh. (as the canal is open and the abscess won't be drained if they don't see me) The dentist cut me and said and I cannot phone and get an appointment for you but if you went there with pain then they will have to see you. Unfortunately the system works differently.

Dentalpatient

Again, sorry to be spamming the thread with so many messages. I'm mulling over the possibility of getting my tooth extracted. I cannot afford implants, health wise and cost wise. So the next best or rather only alternative is getting partial dentures. I have been reading a lot about advantages and disadvantages of partial dentures. But as a dentist, I was wondering if you would have any input for anyone who is young and are considering partial dentures as an option to replace their existing teeth. Thanks again! I very much appreciate all of you for your kind responses.