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Dying tooth

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Posted by: Tetchie  (9 years ago)

Hi there!

I got throbbing pain in my first and second upper premolar on the right side. The dentist after doing various tests and x-rays said the 1st premolar was abscessed and the 2nd premolar was dying. He put me on antibiotics for a week. He said I would have the abscessed tooth extracted because it was badly decayed. As for the dying tooth, he wanted to leave it, wait, and see how it goes. If it will start to give me any problems, he will have to extract it also. Is there a chance to save a dying tooth? What are the risks involved in keeping it? Any advice would be very much appreciated.
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Posted by: Novocaine  (9 years ago)
Hey Tetchie!

Sorry to hear about the awful pain you must endure. From the sound of it, both your first and second premolar should probably be diagnosed of Irreversible Pulpitis. 'Throbbing pain', 'dying tooth' and 'badly decayed' are usually good indicators of such a condition. 'Pulpitis' is nothing but the inflammation of pulp, which is essentially a defense mechanism to the invasion of bacterial-induced decay of the tooth structure. 'Irreversible' is when the bacteria infects the pulp to a point where it cannot be healed or regenerated back again.

Lack of adequate healthy tooth structure (and the periapical abscess) could be the primary reason why your dentist advised an extraction of your 1st premolar. Now with the 2nd premolar, my hunch is that your dentist probably wants to check if he can control the prevalent infection (avoid an abscess) with the antibiotics. A root canal treatment is a viable option if you have sufficient tooth structure left. Otherwise, if the tooth continues to get worse, extraction (to avoid further pain and abscess) might be your only way out.

Be well!