tooth infection Archives | Williams Family Dentistry

Dentist Keep Berating Me

Posted on October 5, 2025 by writeradmin.

I have a tooth infection. Truthfully, it’s probably because I have been avoiding my dentist. Not only am I an anxious patient, but he makes me feel foolish. At my last appointment, he told me that I was acting like a child because I was shaking in the chair. But, honestly, I can’t control fear. I know I need to get this infection under control but the idea of sitting in his dental chair again has me ready to throw up. Is there anything you’ve heard of to help someone like me?

Jessie

Dear Jessie,

I am so glad you wrote. First, I am going to tell you that you are not with the best dentist for your situation. When you have dental anxiety, you need a compassionate, non-judgmental dentist who understands the fear you are experiencing. It sounds like your current dentist is the absolute opposite.

You have a dental emergency on your hands with a tooth infection, which can’t be put off. These are serious and people still die every year from untreated tooth infections.

I am going to recommend that you do an internet search of all the sedation dentists in your area, then call around and tell them what is going on. I’m sure one of them will be able to get you in quickly.

What Can Dental Sedation Do?

A sedation dentist can give you a medication that can completely relax you. For severe dental anxiety, I recommend oral conscious sedation (OCS). This is administered to you by a pill. However, it is strong. So strong, in fact, that you will need someone to drive you to and from your appointment.

The good news is that you will be so comfortable that you could even sleep through your appointment if you wanted to. Plus, my guess is that you have a lot of dental work that you need to catch up on because of the way you were treated. Using oral conscious sedation allows the dentist to get more work done at each session. You will be caught up on your oral health before you know it.

This blog is brought to you by Lexington Dentist Dr. James Williams.

Something Is Hinky With Her Dentist’s Diagnosis

Posted on September 8, 2025 by writeradmin.

I had a tooth that started bothering me a couple of weeks ago. I went to see a dentist. I’d not been to him before because I had not gone to the dentist in a while. I can’t ever remember the name of my last dentist, just that he gave me a filling. When I went to see this dentist he did an x-ray and told me that there is an infection in a tooth that already has a filling. The dentist told me that he sees less that a 10% chance of saving the tooth. He said he won’t know until he gets in there. He also told me the chance are likely that he’ll end up extracting my tooth. Then, I’ll need to replace it with a dental implant. Everything about this sounds awful and is the reason I avoid the dentist to begin with. What do you recommend? Do I have other options?

Anna

Dear Anna,

I’m glad you wrote. Bear in mind that I have not examined you. However, I am not impressed from what I’m hearing about your dentist’s instructions. First, if your tooth was as bad as your dentist is describing, then he would not need an x-ray to determine that. The filling would have fallen into the tooth from decay, which would be extensive.

I would really like you to get a second opinion from another dentist who can see you. It’s possible you have a tooth infection, but I really doubt it will be as bad as your dentist described.

A second thing I wanted to mention is a way to help you deal with your dental anxiety. You are not alone in your aversion to seeing the dentist. I have found that patients who, like you, have trouble going to the dentist find their life changed by seeing a sedation dentist. They can provide you with a medication that will relax you as well as give you a pain-free dental appointment. You will no longer have to fear the dentist or put off getting your teeth treated until you have a dental emergency.

This blog is brought to you by Lexington, KY Dentist Dr. James E. Williams.

Tooth Infected and No Money

Posted on March 31, 2025 by writeradmin.

I have an infected tooth and am in a lot of pain. However, I don’t have much money, nor do I have dental insurance. I do have medical insurance, so I could go to a dentist to get an antibiotic. Do you have an antibiotic that you would recommend in my situation? There is now swelling all the up my cheek toward my temple and I’m absolutely miserable.

Stanley

Dear Stanley,

You’ve got a serious situation on your hands here. Your tooth infection is spreading. Right now you have a dental emergency. You do not want to let it get to your brain because your dental emergency can turn life threatening.

A tooth infection is different from other bacterial infections where you can take an antibiotic and be done with it. There are only two ways to get rid of an infection in a tooth. Both include getting rid of the infected pulp. You can do that with a root canal treatment or by extracting the tooth. The root canal treatment is the ideal because it will save the tooth.

If you end up with an extraction, you’ll want to replace the tooth as well. Otherwise, you risk the other teeth shifting or tipping into the empty space. This will throw off your bite and it could lead to TMJ disorder.

The most an antibiotic can do is hold the infection at bay until you get in to see a dentist. Once the medication runs out, the infection will flare back up and you’ll be in an even worse situation. You need to get this treated properly. People still die from untreated tooth infections.

I realize money is an issue here. I would do a search for an affordable dentist in your area. They would be more likely to work with you on payments.

This blog is brought to you by Lexington, KY Dentist Dr. James Williams.

After Three Appointments, My Dentist Still Can’t Get Me Numb

Posted on June 29, 2024 by writeradmin.

I have a serious problem. I’m dealing with a rather challenging tooth infection that needs to be treated. I’m currently living off of antibiotics and pain killers, but these will not last forever. Unfortunately, even though I have had three different appointments with my dentist, he has been completely unable to get me numb enough to get any treatment done. I’m about to the point where I’m going to see an oral surgeon in order to get the tooth removed, but I was hoping to save the tooth. Do you know why I cannot go numb? At each appointment, he has given me a minimum of five shots of Novocain and none of it them has worked.

Any help you can offer will be greatly appreciated.
Avery

Dear Avery,

I am sorry that you have had these experiences. This probably hasn’t made your desire to go to the dentist any better. Bear in mind I have not examined you, however, I believe I do know what is happening as well as a solution for the problem.

Most people are at least a little anxious when it comes to going to the dentist. That anxiety drives up your metabolism. In some patients, this results in it reducing or, in more extreme cases, completely burning up any effectiveness of the numbing medication. This is very likely what is happening to you. Then, the more bad experiences you had with it the higher your anxiety got.

I am going to suggest that you see a sedation dentist. They can provide you with a medication that will help you to relax, thereby getting the numbing medication to do its job. There are different levels of sedation available, the lowest is nitrous oxide and when your procedure is over, you can go right back to your day with no problems. However, given your recent experiences, I feel you are going to need something stronger. I would try oral conscious sedation. This is very strong. So strong that you will need someone to drive you to and from your dental appointment as well as stay with you for a few hours after your appointment to ensure that you are lucid and steady on your feet. The good news is that you will be so relaxed that, not only will you have an anxiety-free and pain-free dental appointment, but you are very likely to sleep through your entire appointment.

I would consider your situation a dental emergency. Don’t stay with this dentist. Get to one who can give you sedation so you can get the treatment you need before this becomes a life-threatening situation.

This blog is brought to you by Lexington, KY Dentist Dr. James Williams.

Antibiotics and a Tooth Infection

Posted on September 30, 2023 by writeradmin.

I had a toothache that I just couldn’t get rid of. Normally, I would avoid the dentist like the plague but the pain became too much to bear. I went to see an emergency dentist. He gave me some prescription antibiotics to treat the infection. It did help at first. However, once it ran out I started feeling bad again. In fact, it got worse. Now my whole cheek is swollen. Would a second antibiotic finish off the infection or is it something worse than I thought?

Darrell

Dear Darrell,

Either there was a miscommunication and you didn’t hear that there needed to be some follow up action or the dentist who treated you has a serious lack of understanding in how tooth infections work. An antibiotic will only hold the infection at bay for a while, however, it will not cure the infection. There are two ways to really treat a tooth infection. The first is to do a root canal treatment. This is preferred because it saves the tooth. If that is not possible, the next option is to extract and replace the tooth. Hopefully, it will not come to that, but if it does the best tooth replacement is a dental implant.

I hope this was mentioned to you. My suggestion is that you call another dentist and get this tended to right away. People still die from tooth infections because they can spread to your heart, lungs, or brain, all of which are close to your jaw.

You are not the only patient to deal with dental anxiety by avoiding the dentist. Though, it is not the safest way for you to live. I believe I have a solution for you. I would like you to see an emergency dentist who also offers dental sedation. This is a way for you to have an anxiety-free/pain-free dental experinece.

Anxious patients, who have tried this, found that it completely changed their life. They were finally able to get their oral health under control and see the dentist without fear.

This blog is brought to you by Lexington, KY Dentist Dr. James E. Williams.

Why Extract Baby Teeth

Posted on April 19, 2021 by writeradmin.

My six year old daughter has decay on two of her back molars. The dentist is being a bit rude and wants them extracted immediately, but they are baby teeth. Why is that the right choice? Won’t they just come out? Why pay to pull it?

Sara

Dear Sara,

There are a few things going on here. First, I will say I am sorry your daughter’s dentist was rude. I wasn’t there and don’t know your dentist, but is it possible it was more urgency that came across as rude? It is unusual for a children’s dentist to recommend that a back molar be extracted on a child that age. You mention decay. I wonder if that decay had turned into an infection. I know it is a baby tooth and they do come out, however back teeth are different for reasons we’ll go over in a moment.

Bear in mind, I have not examined your daughter, but here are some possibilities and what to do about them.

1. The teeth are deeply decayed and they going to break and lead to infection. If there is enough of the tooth left to save some of it, you could do a pulpotomy and place a dental crown on it. A pulpotomy is simply a child’s version of a root canal treatment.

You mentioned that their teeth come out. So you are likely now wondering why do a pulpotomy when you can just get rid of the tooth? While it is fine for most baby teeth to be removed prematurely, the back molars need to stay in place until she is twelve years old, when her next set of molars typically come in. In a six year span, her other teeth will drift toward the empty space, then when her adult molars finally do come in, there will not be space for them and it will turn into a crowding problem that needs orthodontics to fix. Getting the crown, will preserve that position so the adult teeth can come into the right place.

2. The tooth is already infected beyond what a pulpotomy can help. Tooth infections are considered dental emergencies. This is because the antibiotics cannot “treat” the infection only hold it back temporarily. If a dentist doesn’t get in there and remove the infected pulp, the infection will spread. Think about how close your daughter’s jaw is to her heart, lungs, and brain. Sadly, people still die of tooth infections, even though it is completely treatable.

If her decay and infection have progressed, then even though it is a molar the tooth will have to be extracted. If that happens, make sure to get a space maintainer. This is a device they can place which will keep the space protected so there won’t be crowding.

Because your daughter is likely already in some pain and you don’t want it to be a traumatic situation for her that makes her afraid of dentists for the remainder of her life, I recommend you go to someone who uses dental sedation. This way it will be an anxiety-free/pain-free experience for her.

This blog is brought to you by Lexington, KY Dentist Dr. Weaver.

Novocain Didn’t Work for My Daughter

Posted on January 23, 2021 by writeradmin.

I have an eleven-year-old daughter who developed a tooth infection. The dentist gave her Novocain but it didn’t work. She was in agony. I eventually had to stop the procedure because I couldn’t stand the pain she was in. I was also a little distressed that the dentist didn’t even seem to care about what she was enduring. I am going to switch pediatric dentists, for obvious reasons, however I still have to deal with my daughter’s infection. Do you know why the Novocain didn’t work? If so, is there a way to get her numb?

Miranda

Dear Miranda,

I am so sorry both you and your daughter had to experience that. I do believe I know what happened with the Novocain and know what will help. I can tell you are a kind and caring mother, so you will know that the infection will have to be dealt with before it has a chance to spread. These type of issues are considered a dental emergency. The first thing I would do is ask for an antibiotic to help hold off the infection briefly while you find the dentist you need to handle this. It is a short, temporary solution. Tooth infections are not treated by antibiotics, they are just held at bay for a period. The only way to get rid of the infection is for a dentist to physically remove the infected tissue.

Many dentists are not yet aware that there is a connection between dental anxiety and numbing medication. While we don’t understand why, we do know that higher a person’s anxiety the less effective the numbing medication is. The solution is to help bring down her anxiety before the procedure. The best way to do that is to see a pediatric dentist who offers dental sedation options.

There are different levels of sedation. Nitrous oxide is the lowest. However, given her recent experience, I think you need to find a dentist who offers oral conscious sedation. This is much stronger and is often called sleep dentistry. She will be quite loopy so you’ll want to keep an eye on her for a few hours after the procedure. It is perfectly safe and she will wake up with her procedure done.

Then, for the next few procedures she can use the nitrous oxide. This helps relax her and she will very likely fall asleep, but she will not be loopy when the procedure is over. With this sedation they will switch the gas back to oxygen and she’ll be back to normal in a few moments.

Hopefully, a few good procedures will enable her fear and anxiety to become controlled by her instead of medication.

This blog is brought to you by Lexington, KY Dentist Dr. John Weaver.

A Pulp Cap to Avoid a Root Canal Treatment

Posted on November 27, 2020 by writeradmin.

While trying to deal with a cavity, some pulp was exposed. We decided to do a pulp cap to try and avoid a root canal treatment. The cavity wasn’t completely removed. The area of exposure was lined with calcium hydroxide then a glass ionomer was placed on top of the cavity. Then, they placed an amalgam filling. Here are my questions:
1. Is there a way to know that the procedure is successful and I don’t need a root canal treatment?
2. Are there symptoms I should look out for if not?

Thank you for your help.
Miranda

Dear Miranda,

Usually, if a pulp cap was going to fail, you would know it right away. However, the way yours was done, leaves me with some concerns. I’ll start by describing the right way to do it. When done correctly, they have a high probability of success. You’ll notice the differences.

The Correct Pulp Cap Procedure

The first step is to make certain that all the decay is completely removed. Decay contains massive bacteria. Tooth infections occur when that bacteria gets into the pulp of the tooth. If this decay continues to grow, it will infect the pulp. This is especially true when the filling is an amalgam filling.

Second, while most of the materials used were good, such as the calcium hydroxide and the glass ionomer, the amalgam filling was a bad idea. The ideal filling would have been to use composite filling material. This is because composite fillings, which are bonded directly to the tooth, actually seal the area. This prevents micronutrients and bacteria from getting in and around the tooth. That helps to prevent further decay and infection. Amalgam fillings leave the tooth vulnerable.

My advice would be, unless there are signs of infection (such as pain and/or fever), to give it a year and then have your dentist do an x-ray to see if the tooth is healty. If it is not, then you should go ahead and get the root canal treatment. When you do, you can either replace the filling or get a dental crown. If you do replace the dental filling, make sure you replace it with a composite filling this time.

Safely Removing Amalgam Fillings

It is important when you have amalgam fillings that you remove them safely. The main ingredient in amalgam fillings is actually mercury, a known toxin. Removing them incorrectly can actually expose you to more mercury than is safe for you. There is a sanitary amalgam removal. Not all dentists know how to do it. If you want it done correctly, you either need to visit a mercury-free dentist or a holistic dentist.

This blog is brought to you by Lexington, KY Dentist Dr. John Weaver.

Antibiotics for a Tooth Infection

Posted on August 2, 2020 by writeradmin.

I saw a dentist two weeks ago for a tooth that was infected. He has me on two antibiotics. I was getting better and then three days ago, it started to get worse again. Now I am swollen up to my eye. Am I on the wrong antibiotic?

Kelly

Dear Kelly,

I am hoping there was a miscommunication between you and your dentist. Antibiotics alone will not treat a tooth infection. Their purpose is two-fold. First, they are used to get an infection under more control until the actual treatment is done. Second, they can hold off the infection for a short time while you wait for your appointment. Is it possible your dentist said you needed to schedule a follow-up appointment and you forgot about that part? If not, your dentist has a fundamental lack of understanding about tooth infections. So fundamental, it makes me question how he graduated.

Treating a Tooth Infection

The way to treat a tooth infection is for the dentist to physically remove the infected tissue. There are two ways of accomplishing this. The first is with a root canal treatment. This is the ideal solution because it saves your tooth, especially the root which is extremely important.

The second option is to extract the tooth. I only recommend this when the tooth cannot be saved. Once a tooth is extracted, it needs to be replaced. Otherwise, the other teeth will shift and tip into its place, which can throw off your bite leading to a lifetime of jaw pain from TMJ Disorder.

You should be aware that infected teeth are considered a dental emergency. This is because the infection will spread until proper treatment is completed. I am especially concerned by the fact that you are swollen up to your eye. You do not want a tooth infection to reach your brain, heart, or lungs. If it does it will become life-threatening rather quickly. Believe it or not, people still die from tooth infections.

If Your Tooth Can’t Be Saved

Hopefully, a simple root canal treatment is all you need. If it is too late to save your tooth, you have two good options for a tooth replacement. The ideal replacement is to get a dental implant. If that is not possible or if one of your adjacent teeth happens to need a dental crown, then getting a dental bridge is another good option for you.

Please don’t put off getting this dealt with. Call the dentist who you originally saw and tell him you need a root canal treatment right away.

This blog is brought to you by Lexington, KY Dentist Dr. John Weaver.

Can an Infected Tooth Spread to a Salivary Gland?

Posted on July 3, 2020 by writeradmin.

My daughter has had two salivary gland infections right above where she had two root canal treatments on the same tooth. Could this be spreading to infect her salivary gland? The doctor can’t seem to figure out what is leading to the infections and this is the only thing I could think of that makes any sense. Do tooth infections spread out of the teeth?

Margie

Dear Margie,

A tooth infection can spread outside of the tooth. This is one of the reasons they are considered dental emergencies. Your jaw is very close to your heart, lungs, and brain so a dental infection can turn life-threatening if left untreated. That being said, yes, it is possible an infection has spread to your daughter’s salivary glands. However, that would only be possible if her root canal treatment had failed.

You mentioned this is the second root canal treatment on this tooth. That means she’s already had one failed root canal treatment. The chances of a successful treatment go down with each successive re-treatment. My advice to you is to see an endodontist, also known as root canal specialists, to have an x-ray done. The x-ray should show you if there is an infection present.

If the Tooth Can’t be Saved

If there is an infection, the root canal specialist will have a much better chance of giving you a successful treatment. It is also possible that this tooth cannot be saved. In that case, all that would be left is a tooth extraction. When a tooth is extracted, it needs to be replaced otherwise the adjacent teeth will shift or tip into the space, completely throwing off her bite.

The best tooth replacement option is a dental implant. However, if your daughter is a teenager, her jaw isn’t developed enough for that treatment yet. In that case, I would get her a dental flipper, which is an inexpensive temporary tooth replacement. You can use that until she is old enough for the dental implant.

This blog is brought to you by Lexington, KY Dentist Dr. John Weaver.