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Gum boil due to gum infection or pulp infection?

User Level:
Patient
Posted by: salientxu  (8 years ago)
I am in trouble with two molars: tooth 14 and 15. Tooth 14 has a deep pocket measured 10mm. Tooth 15 has a gum boil on the inner side of the gum (the side of tongue ). Tooth 14 is not reacting to cold but tooth 15 is still sensitive to cold.
About the cause of gum boil, I got different opinions from two dentists: 1. It is due to deep pocket in tooth 14 and suggest 14 to be pulled. 2. It is due to dead pulp of 15. Tooth 14 and 15 need root canal and tooth 14 need gum surgery to remove the pocket.
I am a bit confused about who was right on the gum boil. I cannot see infection of root of tooth 15 on X-ray as in many abscess X-rays. Besides, tooth 15 is still alive. The second dentist said the infection is on the inner root of the tooth 15 which cannot be seen from X-ray. But the boil is on tooth 15, so it is hard for me to believe the first dentist also.

Could some one give me some hints on this? Thanks a lot.
User Level:
Dentist
I am in trouble with two molars: tooth 14 and 15. Tooth 14 has a deep pocket measured 10mm. Tooth 15 has a gum boil on the inner side of the gum (the side of tongue ). Tooth 14 is not reacting to cold but tooth 15 is still sensitive to cold.
About the cause of gum boil, I got different opinions from two dentists: 1. It is due to deep pocket in tooth 14 and suggest 14 to be pulled. 2. It is due to dead pulp of 15. Tooth 14 and 15 need root canal and tooth 14 need gum surgery to remove the pocket.
I am a bit confused about who was right on the gum boil. I cannot see infection of root of tooth 15 on X-ray as in many abscess X-rays. Besides, tooth 15 is still alive. The second dentist said the infection is on the inner root of the tooth 15 which cannot be seen from X-ray. But the boil is on tooth 15, so it is hard for me to believe the first dentist also.

Could some one give me some hints on this? Thanks a lot.


These kinds of diagnoses are difficult. A molar can have two roots alive that respond to stimuli, and one root completely dead and abscessed. I' ve seen it many times before.

Have a dentist put a gutta percha point down the fistula and take another x-ray. It will point to the root that is the source of the abscess.

It is doubtful an upper molar with a 10mm pocket can be saved for long with any sort of gum surgery. Probably best to extract it and do a socket graft, to prepare for a later implant. Then assess if #15 is also contributing to the problem.

Posted 8 years ago
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