tooth infection Archives | Page 2 of 3 | Williams Family Dentistry

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.

This Patient NEEDS a Second Opinion

Posted on June 19, 2020 by writeradmin.

I went to a dentist after starting to have some jaw pain on and off. I don’t have a regular dentist, I’m ashamed to admit. I seem to have a problem with dentists. They give me the heebie-jeebies. No offense. When I got there, he did an x-ray and found a tooth, that already had a filling, now had decay underneath. He said there isn’t enough tooth to save, so he wants me to come back and get an extraction then either a dental bridge or dental implant. I don’t have to tell you again how I feel about dentists. Is there another option?

Humphrey

Dear Humphrey,

Bear in mind I haven’t seen you, but what the dentist you went to is saying doesn’t ring true to me. First, you just started having pain. By what he described the pain would have shown up earlier and been much more severe. Second, if the decay were that severe, he wouldn’t need an x-ray to tell you that. It is even very likely that your filing will have fallen out completely. Thirdly I’m going to suggest you get a second opinion from another dentist.

When you do that, please be certain it is a blind second opinion. What I mean by that is you don’t tell the second opinion dentist who originally diagnosed you or what he said. Just tell him the symptoms and let him draw his own conclusions. That way there will be no bias in his diagnosis.

A Word about Your Dental Anxiety

You are not alone in your heebie-jeebies, and no, I’m not offended. Because of that, I’d like you to see a dentist who offers dental sedation options. This way, for whatever treatment you actually do need, it can be an anxiety-free and pain-free appointment for you.

I have found, in my use of dental sedation, that patients with dental anxiety have their life has been changed. They are able to get to the dentist regularly without any dread. I’d start with nitrous oxide which will relax you but not require you to have someone drive you to or from your appointment.

If you find, you need something stronger, than I would suggest oral conscious sedation. This is quite strong so in addition to driving you to and from your appointment, they will also need to stay with you afterward until you are lucid and steady on your feet again. The good news about such a strong relaxant is you will most likely sleep through your entire appointment.

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

Danger with Tooth Infections

Posted on May 31, 2020 by writeradmin.

I’m worried my dentist is putting my life in danger. I have a tooth infection. He wrote me a prescription for antibiotics but told me not to take it until a week before my followup appointment and procedure. That’s not for THREE WEEKS. I’ve always been told that tooth infections are a dental emergency and need to be dealt with right away. I’m worried he’s putting my life in danger with this delay.

Brandon

Dear Brandon,

You’re right that tooth infections are considered a dental emergency. This is because if they’re not treated they will spread. When you think about how close your jaw is to your brain, heart, and lungs, you can see that you don’t want to allow an infection to grow out of your jaw area.

That being said, it is possible that your infection is so small your dentist knows you have time and you are not in any danger. The antibiotic is a precaution to keep the bacteria growth down as you are going into the procedure to deal with your infection, which I’m assuming at this point is a simple root canal treatment.

If the infection starts to take off and you are in pain, call your dentist back and tell him what is going on. He should get you in right away if that is the case. If he doesn’t and is just leaving you in pain, there are dentists who will treat non-established patients in situations such as yours. You can do an internet search and call some offices.

I hope this puts your mind at ease. The key here is pain and progression. If pain is happening, you shouldn’t be left without aid. If it is progressing quickly, he needs to get you in sooner than originally planned.

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

Can a Holistic Dentist Heal Cavities?

Posted on May 15, 2020 by writeradmin.

Just before COVID-19 started, by regular dentist, who is not a holistic dentist, diagnosed a small cavity. I asked if it was possible to try to heal it since I’ve heard that’s possible when they’re small. He totally dismissed me and got an attitude, telling me that I was eventually going to lose the tooth if I didn’t get it taken care of. Well, now I can’t even go into the office and get it done because this is apparently not an emergency but I’m thinking about revisiting my idea that maybe I could be using my time to try to heal the cavity since I really can’t do anything else with it right now anyway. Is there a chance a holistic dentist could help with this? Or is there maybe something I could be trying at home in the meantime?

Thanks,

Greg

Dear Greg,

Decay in an opportunity preditor. If a tooth is healthy it won’t set in. Instead, it looks for weak spots. If a tooth is in that demineralized stage, it is still possible to mineralize the tooth. At this point in dental care, we aren’t able to regrow enamel on teeth with decay. Though, ongoing research is promising.

A Holistic Dentist Can’t Heal a Cavity, but…

As long as you don’t have a dental emergency, there is no harm in trying to remineralize the tooth. This is not a guarantee, but it is better than doing nothing.

The first thing I’d suggest is to make sure you are brushing after every meal. I know that most people only brush twice a day, but that extra cleaning and fluoride will help your body use the decay fighting minerals in your saliva more efficiently. Use a fluoridated toothpaste. It would be okay to call your dentist and ask if some additional supplements will help as well. If your dentist doesn’t want to bother and just wants to wait until the decay advances, you can call a holistic dentist in your area and see if they are willing to be more proactive.

Secondly, be careful of your diet. Make sure you are only drinking water throughout your day. Other drinks contain acids and sugars that can eat away at your enamel. The healthier you eat, the better chance you have of fighting the decay as well.

Don’t Wait if Infection Develops

Monitor the tooth. If it starts hurting or showing signs of infection, such as a pimple on your gums, treatment shouldn’t be delayed. Tooth infections are considered dental emergencies. You will be able to be seen even during the COVID-19 quarantine.

Don’t put that off. Dental infections can spread. Your jaw is close to your heart, lungs, and brain. Delaying treatment can turn a dental infection into a life-threatening one.

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

Can a Tooth Infection Cause a Fever?

Posted on March 31, 2020 by writeradmin.

I’m worried about my daughter but my pediatric dentist won’t see her during the quarantine. She’s had a loose tooth bothering her and now she has a fever. I called in but they said a tooth infection doesn’t have a fever. Is that true? Do I really have nothing to worry about?

Mandy

Dear Mandy,

I’m hoping there is some sort of miscommunication here. Maybe what your pediatric dentist said is that a tooth infection doesn’t usually have a fever. However, any infection can cause a fever. Before you panic, that doesn’t mean your daughter does have an tooth infection.

My guess is you are very diligent with her dental care. Unless there was a cavity they were watching at her last checkup, there likely isn’t one now that has progressed far enough to become an infection. It’s likely she’s fighting something else off right now. You mentioned the tooth is loose and bothering her. Sometimes loose teeth can be painful themselves.

Because of COVID-19, they’re asking us to stay quarantined and only treat essential cases. I’m sure this is making you nervous because it feels like you don’t have access to the care you need for your daughter. You’re a caring mother and want the best for her. Here’s my recommendation.

Keep an eye on her. If the pain in her tooth gets worse, pull it. It’s loose and should come out without too much problem. If there is an infection there, pulling the tooth will take care of it.

If you do that and she’s still in pain a couple of days after you pulled the baby tooth, you can call the dentist back and tell him you want to come in for an emergency dental appointment. It shouldn’t still be hurting a couple of days after it is removed.

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

Is a Pulpotomy Really Necessary?

Posted on January 31, 2020 by writeradmin.

My daughter has an infection on a baby molar. My dentist wants to do a pulpotomy on it. What I don’t understand is why we just don’t pull the molar. It’s not her permanent one. When I asked her dentist, he just said, “Because as her dentist I’m telling you this is the best option.” What I wanted to say was, “Well, as her parent I want to know why.” but I was too chicken. I’ve scheduled the appointment but I really want to know why before I follow through with this.

Jen

Dear Jen,

The answer to this really depends on the age of your daughter. Her baby molars need to stay in place until she is around twelve years old when her permanent molars come in. When they’re significantly younger than this, one option is to do a pulpotomy. This is essentially a child’s version of a root canal treatment. It will help her retain a necessary tooth.

Another option is to extract the infected molar, however, you will need to place a space maintainer where the tooth once was. This is a more invasive treatment, but sometimes becomes necessary when the tooth cannot be saved.

If you don’t do either of those, the infection will spread. Tooth infections are considered dental emergencies and need to be taken seriously. The jaw is close to the heart, brain, and lungs. You don’t want the infection to reach any of those areas.

If you extract the tooth without a space maintainer then her other teeth will shift into the open space. When her permanent molars start to come in, it will lead to crowding of her teeth. Then, you’re talking about needing orthodontics which could have been prevented. Keeping this space secured is much less expensive.

A Word about Your Pediatric Dentist’s Response

I’m not happy with your his response to your question. You are the parent and he is ethically obligated to give you all the options available in treatment. In doing that, it means also explaining the pros and cons to each option, along with his explanation for his recommendation.

His arrogance in being questioned makes me wonder whether he’s giving you any of your other options. This isn’t the best care for your child. While you need to get your daughter’s infection dealt with. I think you should start looking for a new dentist for her. If you live in a small town which doesn’t have many pediatric dentists, you can also see a general dentist who is good with children.

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

Why Is My Holistic Dentist Suggesting a Root Canal Treatment?

Posted on August 30, 2019 by writeradmin.

I specifically choose a holistic dentist because I wanted to do things naturally. Yet, when I got a toothache, he is suggesting a root canal treatment. Can’t I just treat the infection with oils?

Brianna

Dear Brianna,

woman holding a loose aloe vera plant with dirt

A holistic dentist factors in the health of your whole body.

It’s great that you try to do things in a natural and healthy way for your body. Believe it or not, that’s what your holistic dentist is trying to do as well. Dental infections are a little different from other types of infections. Oils won’t work. Antibiotics won’t even work. The infection has to be physically removed by a dentist, hence the root canal treatment.

This is because the infection causes the pulp of the tooth to die. When that happens, there is no blood flow left which doesn’t allow any medication to reach the infection. That is why the dentist has to remove the infection with a root canal treatment. This completely removes the infection while enabling you to save your tooth.

Alternative to a Root Canal Treatment

The only real alternative to a root canal treatment, once a tooth is infected, is to extract the tooth. This will require you to also get the tooth replaced. Even if the tooth isn’t visible when you smile, you’ll need to replace it. If you don’t, the other teeth will drift and tip into the empty space. This causes bite problems which can lead to more serious issues, such as TMJ Disorder.

If you decide to go this route, you’ll want a good tooth replacement option. The top two options are a dental implant or a dental bridge. Both of these are invasive. The implant requires surgery. The bridge requires you to grind down the two adjacent teeth in order for them to have dental crowns.

Never Put Off Treatment for a Tooth Infection

I don’t want you to put off treatment. I know it’s tempting when you are facing a treatment you aren’t keen on. But, tooth infections are dental emergencies. The infection will continue to spread. Some spread rapidly and become life-threatening.

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

Is a Pulpotomy a Necessity?

Posted on July 30, 2019 by writeradmin.

I have a child who has a large cavity. The dentist wants to do a pulpotomy. It’s a baby tooth. The tooth is going to fall out anyway so can’t we just let nature take its course? At the most, I’d think we could just pull it. I feel like this is an unnecessary procedure.

Stan

Dear Stan,

It sounds like your pediatric dentist isn’t very good at explaining the reasons behind his treatment recommendations. As for whether you can just let the tooth fall out, it really depends on how far gone the tooth is and where the decay has reached. For instance, if the decay has reached the pulp of the tooth, which I suspect it has, leaving the tooth in place to fall out on its own will lead to a severe infection.

Tooth infections are a dental emergency. Unless the infection is physically removed it will continue to spread. If you think about how close your jaw is to your heart and brain, you can see how a fast moving infection can turn life-threatening quickly.

Now, if it was a front tooth, just pulling it would be fine. Back molars are different. They have to stay in place until your child is around 12-years-old. Without that, the other teeth will shift which will cause severe crowding as his other teeth come in. Believe me, you do not want the added expense of braces if it can be at all avoided.

A pulpotomy is essentially a root canal treatment for children. It’s designed to remove the infection while still saving the tooth. There are times when the tooth can’t be saved. If your child’s decay progresses that far and the tooth has to be removed, make sure your pediatric dentist places a space maintainer there to keep the other teeth from shifting.

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

Infected Tooth & No Money

Posted on July 16, 2019 by writeradmin.

I don’t know what to do. I have a seriously infected tooth. That part of my cheek has swollen to the size of a golfball. I have no dental insurance and no job. I was laid off 5 months ago and just haven’t found anything. I don’t know what to do in order to take care of this. Do you have any suggestions?

Parker

Dear Parker,

I’m sorry about your lay-off. I know that is a terrible feeling, especially when you have something serious going on which needs to be addressed. When you’re talking about an infected tooth, it is important a dentist gets in there and physically removes the infected pulp. This is done with a root canal treatment. Antibiotics alone cannot solve the problem. The infection will flare back up and be harder to treat.

Even in the 21st century we still have people dying from tooth infections. Most people don’t realize how quickly these can turn life-threatening. However, if you think about how close your jaw is to both your heart and brain you can see that as the infection spreads things can turn serious.

Affording Dental Care During an Emergency

Most larger communities have some type of clinic available for people to get affordable dental care in cases of emergencies such as yours. Call your local dental society and see what they advise.

If you happen to live in a community which doesn’t offer these services, don’t lose heart. Most dentists are compassionate and went into their field because they wanted to help people.

Try calling around and explaining your situation. They may be willing to let you get the services you need and pay as you are able. Each practice will have their own policy. Communication is the key.

If the Tooth Can’t Be Saved

Depending on how far gone the tooth is, it may not be possible to save it even with a root canal treatment. If you end up needing an extraction, your dentist can provide you with a dental flipper. This is an inexpensive tooth replacement. It’s meant to be temporary but it gives you time while you are still looking for employment. When things are more stable for you, there are better replacement options your dentist can discuss with you.

The key now is to get the treatment you need.
This blog is brought to you by Lexington, KY Emergency Dentist Dr. John Weaver.