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Health Forum    Dental
Health Discussion Forum

 I just had a root canal done 3 days ago. When will the pain go? What can i do or take to relieve the pain?
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 How did cavemen keep their teeth clean?
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 I am fixing to get 2 teeth pulled out and i was told they were going to use nitrous oxide. what is nitrous ox
what is nitrous oxide and what are its effects when used to pull out ...


 How bad does it REALlY hurt to get your tounge pierced????
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 My husband wants to know if alcohol could have any effect on the effectivness of his antibiotics he is on?
I have no clue. He has a tooth that is being removed on june 22 and he has been on antibiotics for 5 days with no imrpovment so he wondered if drinking beer would decrease the effectivness of the ...


 Toothache, but was only at the dentist 2 months ago?
Over the past year I've had a LOT of work done on my teeth, I hadn't been to the dentist in 10 years and when I did finally go I needed an extraction, two root canals, and fillings in ...


 How many of you have Bad Teeth?
Apparently most English do according to our American Cousins!

ps I dont!
Additional Details
Bad Teeth - erm stained, really crooked and just not really clean at all!...


 Rinsing mouth with salt water?
what does it do?
and does it matter if its cold or warm?...


 Are you afraid of gg to the dentist?
im afraid of visiting the dentist......


 Is it okay to kiss without brushing your teeth?
...


 My boyfriend brushes his dogs teeth with his toothbrush?
Now while I think this is disgusting - he refuses to switch the process - unless proof is given that it’s bad. CAN anyone help??...


 (Just need to know) Are Black girls seen as pretty?
I go to a school that is basically all Caucasian and I just needed to know if black girls are seen as pretty?...


 I woke up this morning and my tongue was black?
No joke... It's happened before, maybe once or twice in the past couple of years, but it freaks me out. Does anyone know why this happens???...


 What is the best toothpaste in the world?
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 Does anyone know what to do about TMJ syndrome?
I have TMJ and it is steadily getting worse. I can still eat and chew but it is starting to hurt alot more every day. Any advice on a particular Dentist to see or treatments to seek would be great!...


 What should I do about my tooth?
I'm so imbarressed and scared. Last night I found a huge cavity on one of my top mullars! I don't know how it could developed so far with out my knowing! It has eaten away about a fourth of ...


 I got my braces on?
Can i drink soda like sprite, seirra mist, mountain dew, etc... All light colored soda's and still be ok. I know you have to stay away from pepsi and coke and root beer because they stain ur ...


 Getting 2 baby teeth pulled today and scared?
I'm getting 2 baby teeth on the bottom pulled will it hurt? will it bleed?the doctor said not much root left
Additional Details
How long will it take do you ...


 Wisdom tooth removed over a month ago.?
ok i had food stuck once dentist removed it and i had an infection and he put me on antibiotics. finished those over a week ago.


a coupe days ago i started getting a bad taste in my ...


 What can i do about my fear of the dentist!?
ok i never really had a problem with the dentist
although i didn't like going i didn't dread going
but anyways, november of 07 my mom took me to the dentist for a check up and ...



nicki
Infected wisdom tooth...what can I do to kill the infection?
I got 3 wisdom teeth taken out Thursday and it has been very painfull but not infected untill today. I can only see the bottom one, and there is little yellowish-whitish things in the hole, I'm guessing that means its infected. I am taking amoxicillian to kill infection, yet it is still there. What can I do? I am going to call the dentist Monday. I have been using mouthwash to help keep them clean. Please Help!
                     





Ashley W
Common Complications

swelling
Swelling (also known as surgical edema) is to be expected post operatively. Swelling can last for several days and can be significant in some patients. The exact amount of swelling varies from person to person as does the time required for complete resolution of the swelling. Swelling is a normal consequence of surgery and also normally resolves without extraordinary measures. Steroids given at the time of surgery are a most effective weapon in the battle against swelling.
bruising
Bruising is not likely; however, it can be more common with difficult impactions, and if it occurs, will rapidly diminish after the first week. See more, click here.
bleeding
Bleeding is expected post operatively and can continue up to 10 hours after any procedure. Even a little blood seems like a lot in the mouth due to a mixture with saliva. Saliva can increase what appears to be high concentrations of blood by 10 times.
nausea and vomiting
Nausea and vomiting are not common, and are a side effect experienced often as a result of the IV Anesthetics. Today's medications make this less likely.
pain
Removal of third molars is a surgical procedure and some discomfort should be expected. It is also reasonable to expect that this discomfort will be taken care of by the pain medication prescribed. The degree of pain anticipated is often proportional to the difficulty of the surgery, and conversely is decreased with the skill and expertise of the oral surgeon.
trismus
Trismus is pain in the muscles surrounding the jaws which affects the function of the jaw joint, often limiting opening of the mouth. These muscles are used during opening and closing of the jaw and can be aggravated post operatively by overeating, grinding, and heavy chewing. If treatment is required, it is usually conservative in nature and includes anti-inflammatory medicines, physical therapy and in some cases short term bite splint therapy.
Rarer Complications

infection
Infection following the extraction of wisdom teeth is not a common complication. Natural immune mechanisms help to protect the surgical site. Any infection, however, should be taken seriously and reported to the oral surgeon. Signs of infection include fever above 100 degrees, abnormal swelling, pain or prolonged bad taste, with or without evidence of discharge from the surgical site. Infections if they occur are usually minor, but they can lead to more serious infections of cellulitis, endocarditis, and brain, liver or heart abscesses.
dry socket
Some people will experience localized inflammation and infection in the tooth socket 48 hours after surgery. This has commonly been called a dry socket (alveolitis). It is not dry, however, and the name is derived from the clinical appearance of the socket which is commonly void of a normal blood clot or granulating (healing) tissue. Statistically, it is more common in people older than 25 years and in women. It is also seen more often in people who had to have their tooth removed than people who elected to have them removed. Alveolitis will occur in one to five percent of people regardless of the surgeon's skill or surgical method chosen. A dry socket is typically the result of something that has dislodged the normal blood clot, such as smoking, drinking through a straw, brushing the area, or trying to clean the extraction site.
root fragments
Occasionally root tips remain after the removal of wisdom teeth. Usually the fragment is close to a nerve or adjacent sinus. Removal of the root tip could jeopardize adjacent structures. The oral surgeon uses clinical expertise to determine the benefit to risk ratio of removing a root tip. Since root tips uncommonly cause post operative infections or pain, their removal is not an absolute necessity. The fragments can be monitored using x-rays. Fragments can be removed in the future if they cause problems that can be detected or felt.
damage to adjacent teeth, bone, gums
Damage to fillings and adjacent teeth, to bridgework or to surrounding bone can occur during the removal of impacted wisdom teeth. Even the best surgery will occasionally have this type of complication, although every effort is made to avoid it.
jaw fracture
In very rare cases, the removal of a wisdom tooth can weaken the jaw bone. This is due to the necessary removal of bone to obtain access to the impacted tooth. It is very rare for the jaw to fracture during the removal of a wisdom tooth. It is also very rare for the jaw to fracture after the removal of a wisdom tooth due to weakening and chewing normal foods; however, the oral surgeon may indicate that a large amount of bone was removed to gain access to the wisdom tooth and that likelihood of fracture is increased. If the potential for fracture is increased, the oral surgeon may recommend that the person avoid eating hard foods which may place undue stress on a weakened jaw until complete healing takes place (about 4-6 months for bone).
Unique Complications

nerve damage
In some cases the lower wisdom teeth have roots that lie very near or even wrapped around the inferior alveolar nerve. This is the nerve that supplies feeling to the lip, teeth and tongue on each side of the mouth. Occasionally, when a lower wisdom tooth is removed, that nerve will be bumped or bruised and if so a change in sensation may be noted on that side (paresthesia: lingering numbness). It is important to understand that this is a sensory nerve and does not affect the ability to move the parts of the oral cavity to which it gives sensation (feeling). In most cases, the nerve heals itself but, because nerves heal slowly, it may take six months to one year before return of normal sensation. Very rarely, the damage to the nerve is permanent.
sinus complications
The upper wisdom teeth have roots which often are separated from the maxillary sinuses by only a very thin layer of bone. Occasionally, a small opening is created between the sinus and the oral cavity when one of the upper third molars is removed. If this occurs, the normal procedure is for the area to be sutured closed, the person to be informed of the finding, appropriate antibiotics and decongestants to be prescribed, the person to be instructed to avoid Valsalva maneuvers (tasks which build up pressure in the sinus like nose blowing and bearing down forcefully) and reappointed for follow-up. Most often this results in an uneventful healing period with no further treatment being required. Occasionally, the area will heal open rather than closed in which case an additional small surgical procedure will be required to close the opening.


Hope this helps a bit? Id suggest going to see the dentist thought just to be safe! Good luck! <3


Dr. Albert, DDS (UNITED STATES)
NICKI,
THIS MAY BE THE APPEARANCE OF A DRY SOCKET. HAVE THE DENTIST LOOK AT IT. ANTIBIOTICS DO NOT HEAL A DRY SOCKET. A SPECIAL DRY SOCKET PASTE THAT'S MEDICATED MUST E PLACED OVER THE SOCKET, AND IT TAKES WEEKS TO HEAL.


God save Islam from Terrorists.
Rating
Agreed that go for hot salty water mouth rinse, because it always help to reduce inflamation and thus pain too. I dont believe its infected yet visit a doctor to show your concerns. Well the most important thing i wanna mention here that hopefully you had taken a full jaw X-Ray if not then you must take one and discuss with the doctor if there is any other infected teeth you have......normally such teeths have a black shade in X-Ray...in case if there is any single must go for root canal to finish it there otherwise people who keep on removing teets one by one have to loose all their teeths one by one.


Dr Matt W (Australia)
I ENTIRELY AGREE WITH sweet_sensation ABOVE. Thank God someone has common sense.
You are seeing nothing more than normal tissue sloughing. If this was a wound on your outer skin you'd have a dry scab, but in the mouth you only get soft tissue that turns whitish.
There is no infection present, and please stop using Listerine-type mouthwashes. They are next to useless for wounds.
When you see the dentist on Monday you might ask him/her for a plastic irrigating syringe to wash out any food that will get stuck in there until fully healed. The food particles won't cause infection, they'll just be annoying.


Jessie
Rating
Antibiotics take some some time to work, the alcohol in the mouth wash might be doing more harm than good, try rinsing with some salt water instead, good luck.

edit, antibiotics kill of good bacteria as well as bad,,, your just killing off more good bacteria by using the alcohol.


tigerashes
An old fashioned cure is to rince your mouth with a salt water solution, Mouthwash has too many chemicals in it. some warm water and some salt mixed in, gently swish it around,


Annie D
Rating
It might not be infection, but new tissue that you're seeing. What can make things very painful is a "dry socket" which has lost the blood clot. It's best not to mess with the places where the teeth were pulled. :-( The best thing to rinse it with is warm salt water. Put about a teaspoon of salt in a glass of warm water and gently rinse. That will soothe the sore area and won't do any harm. Stronger mouth washes might cause some harm.


?
Rating
It sounds like what you're seeing isn't infection, but actually a scab of sorts. It looks different than scabs on the skin on outer parts of your body, because it's in your mouth.

Did your oral surgeon or dentist give you a needle-less plastic syringe to rinse the sockets out with? If not, go to your local pharmacy and ask for one. Usually they carry all shapes and sizes. You'll want one with a long tube (to reach all the way to the back of your mouth), and a fairly small opening.

Vigorously (but don't use too much pressure) wash out the sockets where your wisdom teeth were. Do this several times a day, especially after eating.

The best thing to use as a rinse is a solution of salt and warm (not hot) water. Mix 1 teaspoon of water into one cup (8 ounces) warm water. Fill syringe with solution, and use to rinse sockets. Repeat until solution is gone, being careful not to touch the extraction site with the syringe. Do this several times daily.

If you're still concerned about infection, or have any other questions, be sure to call your dentist or oral surgeon. Good luck!

Here are some other great tips from http://www.advanceddentaltechniques.com/

Care of Mouth After Oral Surgery

1. Do not rinse or spit for 24 hours after surgery.
2. Keep fingers and tongue away from socket or surgical area.
3. Use ice packs on surgical area (side of face) for first 48 hours, apply ice 20 minutes on — 10 minutes off. Bags of frozen peas work well.
4. For mild discomfort take Tylenol or Ibuprofen every three to four hours.
5. For severe pain use the medication prescribed to you.
6. Drink plenty of fluids. (Do not use a straw)
7. If the muscles of the jaw become stiff, chewing gum at intervals will help relax the muscles, as well as the use of warm, moist heat to the outside of your face over these muscles.
8. After the first post-operative day, use a warm salt-water rinse following meals for the first week to flush out particles of food and debris which may lodge in the surgical area. (1/2 teaspoon of salt in a glass of warm water. Mouthwash can be added for better taste.)
9. Diet may consist of soft foods which can be easily chewed and swallowed. No seeds, nuts, rice, popcorn, etc.
10. A certain amount of bleeding is to be expected following surgery. Bleeding is controlled by applying pressure to the surgical area using small rolled gauze for 90 minutes. After that time remove the gauze and then you may eat or drink. If bleeding persists, a moist teabag should be placed in the area of bleeding and bite firmly for one hour straight. This will aid in clotting blood. Repeat if necessary. If bleeding still persists call our office.
11. We suggest that you do not smoke for at least 5 days after surgery. Nicotine may break down the blood clot and cause a "dry-socket".


Scooby
gargle with sea salt and water.....this does help..and it helped me.


JAN
Continue to take the antibiotics, it should clear up an infection. What you are seeing may just be from healing. You can get a lot of pain, swelling, and some drainage after having wisdom teeth pulled.


Anne2
Rating
That yellow-whitish thing in the hole is the mucus/dried blood plug. Do not bother that, it is supposed to be there.
If it comes out, you will have a dry socket and the dentist will have to pack your cavity with cotton and it will get very painfull.
When you swish mouth wash around it could Loosen that plug.


Madre
I'm not saying it's not infected, but the little yellowish-whitish thing in the hole is a sign that it's healing. When our bodies suffer damage in any way, it begins healing from the inside and then out towards the surface. I personally wouldn't be using Mouthwash during this time. Instead, eat foods like jello and applesauce, food that will go down without chewing, and then rinse with warm water. If you smoke, stop. It's never a pleasant situation to be in if you get a dry socket from inhaling off the cigarette. Also, don't drink from a straw.

Good luck, I know that's got to be painful!


Sam
As suggested above, you may be seeing "normal healing."

Or, if you have sutures, you are just seeing the sutures. Some dissolvable sutures are the color that you describe. Even black or other color sutures can accumulate some junk from the oral environment and then they look sort of yellowish, too.

Just keep doing what you are doing and see your dentist on Monday.


redneckgirlinpaintedonrockies
Rating
Its not infected. The color thing you are seeing is because the "sore" is in a constantly wet environment. Don't mess with it. DO NOT use Mouthwash. Brush regularly and rinse with warm water. Your dentist gave you antibiotics as long as you take them as directed and take them all you shouldn't be worried about infection. Take the pain meds your doc gave you regularly and give him a call Monday.


Antoni
Rating
goto the dentist fast, if you think its infected he must look for 2 seconds, then he wilkl give you a piece of paper to go get antibiotics...........forgot to tell you it happened to me, iceblocks sweetie - will sooth also, make your own in the freezer..........


amoxicillon i dont know about, if the quack (not Dr Sam) didnt give them to you they might not bethe right ones, ring first is a good idea, i expect they will want you to go see them

i will ask zeus for for for pain relieve,


EDIT: the dr is about, ignore me please, does it smell, get M to smell it, i think thats a good test? eh Dr Sam??


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