Re: Gumboil, Please Advise

goldbanjo wrote:
As if having an extraction last week (#2, which is healing well)
wasn't enough, I have another problem. A year ago, I had a tiny white
spot 1/4" on my gum above tooth #11 which is root canaled and
crowned. I went to my periodontist who did surgery, opened the flap to
see if the root was cracked. It was not, so he did a guided tissue
regeneration procedure to make the gum better adhere to the tooth so
that it minimize the pocket and stay cleaner. The area always looked a
little swollen but he said this is bone or tissue growth and wasn't
concerned. Yesterday I noticed a lump in the same spot which overnight
has turned to a more yellow color and is tender so I am sure there is
pus underneath.

Everyone is on vacation, including my endodontist and periodontist but
I called and the endo called in amoxicillin and told me to use salt
water to make it open. The endo said that since the bump is that close
to the gum, it sounds like more of a periodontal abscess than pulp
inflammation abscess. I can't get an x-ray today because it's Sunday.
I don't have pain when I put my finger where the gum meets the jaw. My
questions are these: if it bursts, what do I do? Can this endanger me?
If it doesn't burst by itself, is it best that they lance it and am I
protected from systemic infection because I started the amoxicillin?
Who should I see tomorrow, an endo, a perio, oral surgeon or my
general dentist? I really don't want to go from dentist to dentist and
be referred, after the extraction, this is costing me so much. I am
awaiting a return call from my periodontist who won't be back until
the end of the week. My other question is that they never found the
cause of the first fistula so how can they know why it is happening
again? What do you think is the next step to see what's going on with
this tooth again? I know this is a lot of questions but my luck to
have this happen on a Sunday and I am really scared. Thanks as always.


Can't rule out fracture, despite the fact that the area has been previously opened up. There's no way to tell for sure, but Tenthmed is right that using a gutta percha point should be a good indicator.
Does the tooth hurt when you put biting pressure on it?

Steve
.

Relevant Pages

  • Shaving down/extraction of the gum in order to place crown?
    ... I have a root canal done on this tooth and I also have a post in one ... he decided to do a gum extraction/reduction in order to ... gum around the tooth and also around the two healthy teeth that are on ...
    (sci.med.dentistry)
  • Live molar root poking through gum
    ... I woke up with a sore gum and tongue - right beside my ... last molar. ... but I've never had a root canal ... tooth and gum? ...
    (sci.med.dentistry)
  • Re: Gumboil, Please Advise
    ... see if the root was cracked. ... regeneration procedure to make the gum better adhere to the tooth so ... I called and the endo called in amoxicillin and told me to use salt ...
    (sci.med.dentistry)
  • Re: Gumboil, Please Advise
    ... It's not loose at all (my extraction ... I have heard that the eye tooth is the hardest..how long ... see if the root was cracked. ... regeneration procedure to make the gum better adhere to the tooth so ...
    (sci.med.dentistry)
  • Re: Has Western Dental gotten its act together yet?
    ... >abscessed, gum disease, etc., over the internet. ... Well I know for a fact the tooth is abcessed I can feel it. ... realize now that my medication gives me dry mouth. ... schizoaffective disorder, motivation problems and having a hard time ...
    (sci.med.dentistry)
Quantcast