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Dischord
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| neil. |
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neil.
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| Suitor_Stu |
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Suitor_Stu
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 Posted: 11:35 - 20 Jul 2010  Post subject: |
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It's not nice (it's a similar type infection to gangrene whcih explains a lot!)
Get shiwsing the socket with Corsodyl Mouthwash (not the daily stuff as that's not strong enough - you're looking for 0.2% Chlorhexidine Digluconate in the 'Active Ingredient' bit on the back) to get rid of all the crap and take some Ibuprofen (400-800mg up to 3 times per day provided you don't have any stomach issues) and it'll get better. If you go to a Dentist they can dress it too, which will make things happen faster.
Whatever you do DON'T do what one of my patients once did and crumble up an aspirin tablet and stuff it in/around the socket - it ulcerates the gums and makes you look like you've got Oral Cancer!
https://www.gatordental.com/images/clinical_photos/aspirin.jpg |
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| WishayKillie |
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WishayKillie
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Posted: 12:23 - 20 Jul 2010  Post subject: |
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I had a dry socket a few years ago after an extraction and was not a plesent experience.
I was up in Aberdeen at the time so I had to go to the dental hospital to get it treated. They cleaned it out with some sort of solution then packed it with a dressing. The relief from the pain was almost orgasmic, I was hugging the dentist after it 
In short, go to the dentist 
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| Mr Hammers |
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Mr Hammers
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| Posted: 12:52 - 20 Jul 2010 Post subject: |
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| Suitor_Stu wrote: | ...what one of my patients once did |
Sorry for jacking the thread, but Stu, as you appear to know about these things, can I bother you with a dental question?
and assuming you said yes...
I had to go to an emergency dentist about 2-3 months ago, and she did some root canal work and killed the nerve in a bad tooth. I was supposed to go to my dentist at the earliest opportunity and get the rest of the root canal work done.
But... as I don't really like or trust my dentist (not to mention short of cash at the time) I didn't go and see him.
There's no pain though, and while it ached for a few days a few weeks ago, now it seems fine. Only thing I'm slightly concerned about is that the temporary filling she put in (still there) might just be hiding a festering mass of septicity.
So, question is, if it doesn't hurt or ache am I probably ok by now, and it has healed itself, or am I going to inevitably end up in a world of pain at some point in the future?
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| Dischord |
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Dischord
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| Posted: 18:22 - 20 Jul 2010 Post subject: |
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I made it through the night. I can't describe the pain, I'd rather have my femur pinned again than go through that. The pain has eased off today thanks to some ibuprofen (well, A LOT of ibuprofen lol) but now I'm getting stomach cramps. I can't afford a private dentist and NHS are so fucking awkward to get hold of and when you do they just shrug off your symptoms. The dental system seriously needs re-working.
I've noticed 'debris' and other shit coming from the tooth, and it smells awful. I don't know if this is failed blood clots? they are white and look kind of like cooked pasta.
I'll be using clove oil tonight but I don't wanna damage any ongoing clotting, it' such a bleak situation 
Oh well, whinge over lol
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| Suitor_Stu |
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Suitor_Stu
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Posted: 20:00 - 20 Jul 2010  Post subject: |
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| Mr Hammers wrote: | Sorry for jacking the thread, but Stu, as you appear to know about these things, can I bother you with a dental question? |
No problem. Unfortunately the short answer though is yes it will come back again.
The slightly longer answer involves a little explaining - basically when the bacteria that cause decay get so deep into the tooth they get into the pulp (the space where your nerve and all the blood vessels that keep the tooth alive sit - see the wee diagram I found). Once this happens they start eating away at your nerve. This tends to hurt a fair bit (understandably) but only last a few days - fair number of people just power through this and the toothache goes away.
https://blogs.denverpost.com/avs/wp-content/photos/root_canal.jpg
What you have left is a load of bacteria eating away at all the dead nervy goodness left there and multiplying away building up an infection which then, because the tooth is a hard structure with no give, starts to push it's way out of the bottom of it into the surrounding tissues. This is an abscess forming, and when the pressure starts to build up this is when it starts to get really bad.
To relieve the pain of this you've got to remove the bacteria and the food for it, you do this by either taking the tooth out (pretty self explanatory) or by cleaning out the root canals and filling them back up with something so there is no space for new bacteria to grow.
What you've had done is basically opening up into the pulp chamber and cleaning out the bulk of debris from there and giving it a rinse (thus relieving the pressure and therefore the pain). They then put something in to help take the pain away, but as it stands not all of the bacteria/food has been removed and there is still space for it to multiply. It may take a few months for it to multiply to the level that will cause you pain again, but unfortunately it will happen some time so unfortunately the best thing to do is get it sorted...
Not what you wanted to hear I'm sure, but at least you hopefully know a little more about why you need it done... |
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| Suitor_Stu |
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Suitor_Stu
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| Posted: 20:37 - 20 Jul 2010 Post subject: |
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| Dischord wrote: | still getting pain |
Seriously Dischord, theres very little chance of this going away by it's self - at the very least I'd buy a bottle of Corsodyl in the concentration I stated above (its under a fiver) from tesco and rinse with it for the next few days. A drop of clove oil may help the pain too (the dressing we use to pack the socket has eugenol (oil of cloves) in it) but it wont help clean the thing up.
If you don't do the mouthwash thing or go see a dentist at best it will be agony until it clears up (that is if it does), at worst you could have a spreading bacterial infection which will swell your face until it makes it difficult to breathe...is it worth the risk?
I would almost definitely stop taking the Ibuprofen if you're getting stomach trouble. The Maximum safe limit dose is 2400mg per day (which is 12x200mg tabs or 6x400mg tabs). If taken more, it can cause stomach ulcers. Not pretty.
| Dischord wrote: | stuff about NHS Dentistry |
and as an aside, i still find it strange that so many people don't realise that NHS dentistry is so differently run to NHS medical care.
A GP or any other doctor is payed by the NHS and they work specifically for the NHS. The majority of NHS dentists are self employed and work independently of the NHS - we basically sign an agreement saying 'this is what we agree to charge for treatment' and 'we agree our practice will conform to X,Y and Z standards' but as far as it happens we work by ourselves. Ergo there is no standard number to phone to contact 'NHS dental services' because they are mostly individual practices.
Every health board has a different way of allocating emergencies, most of them just leave it to the individual practices - if this is the case there is no obligation the practice has to see you (understandable really, if it were I wouldn't have any free time!).
There will be a handful of health-board run practices which will take unregistered patients as emergencies, but it's a mater of finding them.
Up here (Highlands) we have an Out of Hours service, run at a local hospital where there is an on call dentist who sees the emergencies of every practice when we're not open plus have a few spaces open for unregistered patients too.
Phone NHS 24 anyway as infection following tooth extraction is something which should be seen as an emergency. They should be able to point you in the right direction...
Sorry if that sounded a little ranty there, but I get a bit fed up when people come in moaning to me because they have been on the NHS waiting list for 10yrs with no resolution and that this is somehow my problem; the waiting list is basically just a book the local health board keep which is only accessed if a practice specifically contacts it asking for some new patients (eg it's a new practice) - most places will just seek new patients themselves because it's easier and quicker |
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| WishayKillie |
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WishayKillie
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| Posted: 21:35 - 20 Jul 2010 Post subject: |
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I'm quite fortunate that my neighbour across the road works for a dentist , he's a "Master Ceramists" but wont give me a big enough discount on veneers .
So he is usually quite good for information on anything dental. Although always wants to see how he could improve my "smile" when he gets drunk
Suitor_Stu a quick question and your opinion if that's ok. My wife's two upper front teeth have almost no enamel on the back of them. Dont know why BTW. And our NHS dentist says the only way would be to get them crowned. However Ian (the neighbourhood Master Ceramists) says that she should have more options open to her than that, ie implants.
They only seem to cause her discomfort when they get sensitive after eating anything extremely hot or cold.
Dischord: Honestly mate I feel for you, dental pain is the worst. But there should be a dental hospital near you and at worst will cost you 15 quid for the treatment. I made an emergency appointment and got seen the same day.
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Suitor_Stu
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| Posted: 23:53 - 20 Jul 2010 Post subject: |
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| WishayKillie wrote: | a quick question and your opinion if that's ok. My wife's two upper front teeth have almost no enamel on the back of them. Dont know why BTW. And our NHS dentist says the only way would be to get them crowned. However Ian (the neighbourhood Master Ceramists) says that she should have more options open to her than that, ie implants.
They only seem to cause her discomfort when they get sensitive after eating anything extremely hot or cold. |
Nae problem - although I will just say it's difficult to judge exactly what the problem is without seeing her...
Sounds like acid erosion tbh - wear of enamel on the back part of them (palatal aspect) is usually caused by acid of some description. Could be dietry (orange juice, fizzy drinks etc) but sometimes in can be from stomach acid - in people with eating disorders or something called Gasro-Oesophageal Reflux Disorder (GORD).
It's best to try and find the route cause, but aye there are a few more options than full coverage crowns (which is def an option, if a little more destructive than perhaps strictly necessary - although again I haven't seen her so I can't comment completely). Just as you can get a veneer that sticks on the front of the tooth, they can be made to cover the back too. Can either make them out of;
1) porcelain (adv. it's white, dis. expensive, can only be made roughly 1-1.5mm thin so can feel bulky plus also can be quite brittle when on biting surface),
2) non precious/precious metal alloy (adv. can be made 0.5mm thin, v hard wearing, def can be done on NHS, dis. may sometimes get shine-through depending on how thin tooth is)
3) composite resin (ie the tooth coloured filling material). adv. quick, usually the cheapest, is built up in increments so can be tailored to how thick it needs to be, it's white, dis. wears quicker.
TBH if it was a clean case of acid erosion I'd suggest either the composite resin if it weren't severe or the metal ones if it were an ongoing problem
Having said that, from your master ceramist neighbour's comment about implants (where the tooth and root is removed, replaced by a titanium screw then a porcelain tooth screwed into it's place) sounds like there may be a bit more to it than just worn enamel...either that or he's just been sniffing too much of his ceramic glaze. |
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| WishayKillie |
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WishayKillie
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| Posted: 00:13 - 21 Jul 2010 Post subject: |
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| Suitor_Stu wrote: |
Nae problem - although I will just say it's difficult to judge exactly what the problem is without seeing her...
Sounds like acid erosion tbh - wear of enamel on the back part of them (palatal aspect) is usually caused by acid of some description. Could be dietry (orange juice, fizzy drinks etc) but sometimes in can be from stomach acid - in people with eating disorders or something called Gasro-Oesophageal Reflux Disorder (GORD).
It's best to try and find the route cause, but aye there are a few more options than full coverage crowns (which is def an option, if a little more destructive than perhaps strictly necessary - although again I haven't seen her so I can't comment completely). Just as you can get a veneer that sticks on the front of the tooth, they can be made to cover the back too. Can either make them out of;
1) porcelain (adv. it's white, dis. expensive, can only be made roughly 1-1.5mm thin so can feel bulky plus also can be quite brittle when on biting surface),
2) non precious/precious metal alloy (adv. can be made 0.5mm thin, v hard wearing, def can be done on NHS, dis. may sometimes get shine-through depending on how thin tooth is)
3) composite resin (ie the tooth coloured filling material). adv. quick, usually the cheapest, is built up in increments so can be tailored to how thick it needs to be, it's white, dis. wears quicker.
TBH if it was a clean case of acid erosion I'd suggest either the composite resin if it weren't severe or the metal ones if it were an ongoing problem
Having said that, from your master ceramist neighbour's comment about implants (where the tooth and root is removed, replaced by a titanium screw then a porcelain tooth screwed into it's place) sounds like there may be a bit more to it than just worn enamel...either that or he's just been sniffing too much of his ceramic glaze. |
Cheers for such an in-depth answer
The ceramist has said to get an appointment with the dentist he works for (although he is quite expensive) and get a sort of second opinion. According to her the dentist hasnt mentioned any other options bar a crown which according to our neighbour should be a last resort as there are better options available (which I assume you have mentioned above ). He only mentioned implants as he assumed it must be bad if the dentist was suggesting crowns, he's not looked yet.
I would be inclined to partially agree about the ceramic glaze as he's from Buckie. Also the only person from Buckie I've met that isn't a fisherman, oil rig worker or raging alcoholic
Cheers for the help mate 
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Suitor_Stu
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| Posted: 00:42 - 21 Jul 2010 Post subject: |
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Nae bobs!
's a weird part of the country is Aberdeenshire - used to work at the dental place at Forresterhill when we were at uni (if it was a few years back it may have even been me that treated your dry socket  ) and met some right characters (or was it another c word? haha) there. Never quite plucked up the courage to go to Peep Peep's though
oh and FWIW take what the private dentist says with a pinch of salt, they can be right preachy gits sometimes and are somewhat inclined to make mountains out of molehills in certain situations (I've had patients told they require thousands of pounds worth of treatment when everything is perfectly fine, just maybe not as 100% aesthetically perfect as it may be). |
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Old Thread Alert!
The last post was made 16 years, 41 days ago. Instead of replying here, would creating a new thread be more useful? |
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