Re: Gumboil, Please Advise

goldbanjo wrote:
Thanks, tenthmed. The bump actually begins 1/8" inch above the tooth
and is 1/8' of an inch in diameter all around, so no, not on the
flexible area. I wish it would burst...it doesn't hurt unless I press
on it. I keep rinsing with salt water but nothing is happening. It is
yellowish and looks like it should burst soon. When I had this before,
neither dentist used the gutta percha as all of you described back
then. I was just opened up and they saw no crack. Now my dentist told
me that the cracks can be very minute and not seen on x-ray nor
visually. So I don't know if he will do the same thing, close me up,
only for this to happen again and again. Another question is, if they
say this tooth has a really poor prognosis and suggest extracting it,
is this a really hard extraction? It's not loose at all (my extraction
last week was and took 2 minutes). Would I be better off under
anesthesia? I have heard that the eye tooth is the hardest..how long
does it usually take to extract? My plan is to see my general dentist
in the morning and maybe he can drain it and then wait for my
periodontist, who did the surgery a year ago, to come back from
vacation midweek. Thank you.

On Jan 4, 4:01 pm, tenthmed <tenth...@xxxxxxxxx> wrote:
On Jan 4, 1:24 pm, goldbanjo <goldba...@xxxxxxxxx> 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.
If it is a "sinus tract", your GD, perio, or endo should be able to
trace it with a gutta percha point and an x-ray. If it points to the
root it may need an endo retreat or it may be cracked. Are you sure
that it is on the "gum" i.e. gingiva, and not on the flexible mucosa
just above the gum?

Amoxicillin should help any infection spreading systemicly. Don't
worry if it bursts - that will release the gases and fluid and prevent
localized swelling. I wouldn't worry too much today - someone should
be able to solve it tomorrow.

In my experience, these things are usually root canal problems and not
perio, but your GD should be able to steer you in the correct
direction.



Unless there is something really unusual with the root, this should be an easy extraction. Hope it doesn't come to that.

Steve
.

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