Do I Need Oral Surgery? Help!

[FaxKing]

Hello people

I broke off half of my tooth on my bottom left side a year ago, and finaly had the other half extracted last week.

The dentist was young, straight out of meical uni working in a real basic dental surgery. He was useless actualy and didnt do a great job. It took him a good 30 minutes to pull the tooth out and after he finaly got it out, there was bits of broken tooth in my mouth that he didnt bother to rinse and he made a real mess of my gum.

So anyway, he didnt bother to tell me the root was still inside.

The cavity got infected and caused me pain for a week. On Friday, I went to a much better dentist and they tried to take the root out for me after an x ray shown it was still in there. They thankfully managed to clean away all the mess form infection, took out a little bone and a small piece of tooth that the other guy missed. That all went very well.

But going for the root was just agony. Even after three times the usual dose of anesthetic, whenever they got to the root it was just amazing pain. They stopped, said they could get it out without causing massive pain and suggested I go to Bangkok to have the same procedure, only fully under a general anesthetic, or gas.

My question is, must i have the root taken out? Will i have issues if i leave it in? Im looking at the socket now and it looks 10 times better than the first dentist left it.... But, ubless my imagination is unning wild it looks like the wound is starting to go a little green..... just a little. Is this normal? Or is another infection starting?

What is the worst case for leaving it initialy, over the coming weeks?

And If i really must go, can anyone reccomend anywhere in Bangkok and give me a clue as to costs?

Many thanks and sorry for the long winded post

Fax King

[noahvail]

Hello people

I broke off half of my tooth on my bottom left side a year ago, and finaly had the other half extracted last week.

The dentist was young, straight out of meical uni working in a real basic dental surgery. He was useless actualy and didnt do a great job. It took him a good 30 minutes to pull the tooth out and after he finaly got it out, there was bits of broken tooth in my mouth that he didnt bother to rinse and he made a real mess of my gum.

So anyway, he didnt bother to tell me the root was still inside.

The cavity got infected and caused me pain for a week. On Friday, I went to a much better dentist and they tried to take the root out for me after an x ray shown it was still in there. They thankfully managed to clean away all the mess form infection, took out a little bone and a small piece of tooth that the other guy missed. That all went very well.

But going for the root was just agony. Even after three times the usual dose of anesthetic, whenever they got to the root it was just amazing pain. They stopped, said they could get it out without causing massive pain and suggested I go to Bangkok to have the same procedure, only fully under a general anesthetic, or gas.

My question is, must i have the root taken out? Will i have issues if i leave it in? Im looking at the socket now and it looks 10 times better than the first dentist left it.... But, ubless my imagination is unning wild it looks like the wound is starting to go a little green..... just a little. Is this normal? Or is another infection starting?

What is the worst case for leaving it initialy, over the coming weeks?

And If i really must go, can anyone reccomend anywhere in Bangkok and give me a clue as to costs?

Many thanks and sorry for the long winded post

Fax King

Having had my share of root canals over the years, including one where the dentist drilled through a crown...most are painless with novocaine. But some - I had one done where they put 8 shots into the nerve! And it didn't help. I'd go for the gas rather than general, though... most dental surgeries are not well equipped to deal with things like allergies to the anesthetic, too much anesthetic, etc. etc.

If it's turning green, that really is not a good sign. If you're on a TV forum and asking, the simple answer is: get to the right dentist, and quickly. The longer you let this go, the greater the chance of needing more surgery, instead of the rather simpler procedure of removing a root and whatever little bits and pieces the first dentist left in.

Best of luck, keep us up to date with your progress!

[StatlerandWaldorf]

Hello people

I broke off half of my tooth on my bottom left side a year ago, and finaly had the other half extracted last week.

The dentist was young, straight out of meical uni working in a real basic dental surgery. He was useless actualy and didnt do a great job. It took him a good 30 minutes to pull the tooth out and after he finaly got it out, there was bits of broken tooth in my mouth that he didnt bother to rinse and he made a real mess of my gum.

So anyway, he didnt bother to tell me the root was still inside.

The cavity got infected and caused me pain for a week. On Friday, I went to a much better dentist and they tried to take the root out for me after an x ray shown it was still in there. They thankfully managed to clean away all the mess form infection, took out a little bone and a small piece of tooth that the other guy missed. That all went very well.

But going for the root was just agony. Even after three times the usual dose of anesthetic, whenever they got to the root it was just amazing pain. They stopped, said they could get it out without causing massive pain and suggested I go to Bangkok to have the same procedure, only fully under a general anesthetic, or gas.

My question is, must i have the root taken out? Will i have issues if i leave it in? Im looking at the socket now and it looks 10 times better than the first dentist left it.... But, ubless my imagination is unning wild it looks like the wound is starting to go a little green..... just a little. Is this normal? Or is another infection starting?

What is the worst case for leaving it initialy, over the coming weeks?

And If i really must go, can anyone reccomend anywhere in Bangkok and give me a clue as to costs?

Many thanks and sorry for the long winded post

Fax King

If I were you I would get it seen to as soon as possible. I have tried quite a few Dentists in Bangkok (including at Bumrungrad) and the one I will always return to is at Samitivej hospital on Srinakarin road. As for the costs, I think it is not the cheapest but it is reasonable, I would not be able to speculate on the cost of the procedure that you require.

[taxout]

If I had that sort of problem requiring a first-class dental surgeon, I'd head to the dental clinic at Bangkok Hospital without hesitation.

http://www.bangkokhospital.com/eng/Bkk_Dental.aspx

[billp]

It sounds like you need urgent help from a first-rate endodontist - a route canal specialist. I've recently had 2 bad root canals repaired by an excellent one, highly qualified with her advanced degrees from Harvard University. I wouldn't hesitate to recommend her: Dr.Jaruma Sakdee Vegas. She works at Asanavant Dental Clinic, at the corner of Sukhumvit and Thonglor, a very highly regarded clinic. See her, or another good endodontist without delay. If not, you're at risk of serious infection and bone disease.

[phetaroi]

It sounds like you need urgent help from a first-rate endodontist - a route canal specialist. I've recently had 2 bad root canals repaired by an excellent one, highly qualified with her advanced degrees from Harvard University. I wouldn't hesitate to recommend her: Dr.Jaruma Sakdee Vegas. She works at Asanavant Dental Clinic, at the corner of Sukhumvit and Thonglor, a very highly regarded clinic. See her, or another good endodontist without delay. If not, you're at risk of serious infection and bone disease.

I don't think you understand the Thai Visa forums. It is virtually never a question of a member looking for the best qualified dentist, doctor, or other professional. It is virtually always about seeking the cheapest.

[lopburi3]

The pain problem is likely from the infection. Been there; and felt the pain. That needs to be cleared for the Novocain to work - if not it is like a sponge and soaks it up and the medication never gets to the nerve (at least that is my understanding). I had a dentist remove a tooth that was infected when a child and have forever since feared that dental chair. Also had to have a root canal done and no time to clear infection. That promise the second visit would not hurt was a lie! Don't wait for infection to spread further.

[taxexile]

It sounds like you need urgent help from a first-rate endodontist

endodontists do root canal work rather than extractions, the poster needed an extraction of a broken down tooth, had it extracted and it sounds like some root tips were left, broken down teeth can be notoriously difficult to remove cleanly.

small pieces can be left in situ, they may eventually make their way to the surface like an erupting tooth and exfoliate naturally. larger pieces should be removed, but not when there is an active infection around it. the second dentist should have waited until the infection died down before trying, infected tissue and bone does not respond well to local anaesthesia, hence your pain during the procedure.

assuming it is a small piece of root tip without adverse curvature that would make it difficult to remove, and it is not a deeply buried wisdom tooth root tip, then i wouldnt worry too much about your situation, if you have symptoms of infection such as swelling, pus, and tenderness see a dentist for some antibiotics, you should be rinsing and gargling regularly with hot salt water and when the infection has died down go to a good dental surgeon in a hospital dental dept for some advice on how best to have the remaining piece removed.

you can self treat infected and painful extraction sites quite well with oil of cloves (eugenol), boots should have it, its the same solution often sold as a toothache reliever, but if the extraction site is clot filled and closing then its best not to interfere with it, let the dentist do it.

if the infection does not respond to antibiotics and settles in as a chronic infection with a small sinus in the gum then a short acting general anaesthetic might be necesary to remove the root, otherwise local anaesthetic should be all that is needed.

If not, you're at risk of serious infection and bone disease

not impossible, but very highly unlikeley, unless his immune system is seriously compromised by other underlying conditions.

[xerostar]

Also as a former dentist, I agree completely with Dentist taxexile's good advice.

Get some antibiotics and just leave it alone for a while.

There's no need to panic or chase after specialists.

Millions of people in the world get by with root fragments and never have a major problem.