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life threatening situation

User Level:
Patient
Posted by: anmaquil  (7 years ago)
hi! I just want to know how a dentist diagnose a life threatening situation to a patient.My face was swollen and looks like a boil in my buccal area. I went to my family dentist, he examined my teeth and tapped my tooth# 30 and put ice on it. My tooth was not sensitive and i didn't feel any pain, no fever.The only thing that bothers me was my swollen face.He took xrays and refer me to an oral surgeon.I went to an oral surgeon.She opened my mouth look on my face and xray and said that the bacteria is already eating the bones.I was so scared so i signed the consent.The oral surgeon extracted my tooth and did incision and drainage on my face.Can somebody kindly explain to me how can a dentist diagnose the bacteria is eating the bones of the tooth or the infection already spread to the bones without additional diagnostic test except x-ray? I didn't even have pain or fever or difficulty breathing.

Thank you.
User Level:
Dentist
hi! I just want to know how a dentist diagnose a life threatening situation to a patient.My face was swollen and looks like a boil in my buccal area. I went to my family dentist, he examined my teeth and tapped my tooth# 30 and put ice on it. My tooth was not sensitive and i didn't feel any pain, no fever.The only thing that bothers me was my swollen face.He took xrays and refer me to an oral surgeon.I went to an oral surgeon.She opened my mouth look on my face and xray and said that the bacteria is already eating the bones.I was so scared so i signed the consent.The oral surgeon extracted my tooth and did incision and drainage on my face.Can somebody kindly explain to me how can a dentist diagnose the bacteria is eating the bones of the tooth or the infection already spread to the bones without additional diagnostic test except x-ray? I didn't even have pain or fever or difficulty breathing.

Thank you.


The pus had to be coming from somewhere. A draining fistula means the pus is draining, usually by the nearest tooth. Wasn't much doubt about the diagnosis. It was a shame you did not have a root canal, rather than lose the tooth. However, perhaps the bone loss was too severe and the tooth could not be saved.

You could have had a CAT scan, but that would have just been more expense to confirm the obvious.
Posted 7 years ago
User Level:
Patient
Posted by: anmaquil  (7 years ago)
Dr.Kim Thanks! I have no cavities and i know that the tooth that was extracted was a healthy one.Is it possible that the swollen face is caused by gum disease?Can a bone loss be seen in x-ray? because the dentist did not explained it to me. Can it be possible that the patient cannot feel the wiggling tooth?I doubted my oral surgeon because when i came back to her clinic the next day after she removed my tooth she called another dentist in the office to take a look on my face.The other dentist [ a senior oral surgeon] asked her what's the cause of the swollen face she then said "i don't know i don't know".She told the other dentist that my tooth was already loose and wiggling when she was pulling it which was not true because i didn't feel my tooth was wiggling and loose the day i went to her clinic and i know she even had a hard time pulling it out. Can it really be a life threatening situation even though i was not in pain, no fever and not in any form of distress? How would a dentist know what kind of bacteria caused it without additional laboratory exams? she prescribed a week of augmentin tablet,is it enough to treat a bone infection if the infection really spread to the bones?
Thank you!
User Level:
Dentist
Dr.Kim Thanks! I have no cavities and i know that the tooth that was extracted was a healthy one.Is it possible that the swollen face is caused by gum disease?Can a bone loss be seen in x-ray? because the dentist did not explained it to me. Can it be possible that the patient cannot feel the wiggling tooth?I doubted my oral surgeon because when i came back to her clinic the next day after she removed my tooth she called another dentist in the office to take a look on my face.The other dentist [ a senior oral surgeon] asked her what's the cause of the swollen face she then said "i don't know i don't know".She told the other dentist that my tooth was already loose and wiggling when she was pulling it which was not true because i didn't feel my tooth was wiggling and loose the day i went to her clinic and i know she even had a hard time pulling it out. Can it really be a life threatening situation even though i was not in pain, no fever and not in any form of distress? How would a dentist know what kind of bacteria caused it without additional laboratory exams? she prescribed a week of augmentin tablet,is it enough to treat a bone infection if the infection really spread to the bones?
Thank you!


The cause of your swelling may forever remain a mystery. Once I had a patient with a cyst over his molar roots for no good reason I could determine. The cyst destroyed so much bone I had to extract the tooth.

Patients can have periodontal infections without the tooth becoming really loose. Perhaps this is what happened.

It is many times a mistake to go to oral surgeons with such problems, as their primary activity is extracting teeth, not saving them.

Usually infections heal fine without antibiotics. Infections like this are usually self-limiting if the cause of the infection is eliminated, as yours apparently was.
Posted 7 years ago
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