posted
First; a good oral surgeon ,dentist ,endodontist or periodontist should and do bx 90% of tissues and 100% of infected tissues, if not you are going to the wrong dentist. second: any good oral surgeon would not take out a lower wisdom tooth that is on the inferior alveolar nerve.they would not take the risk of removal due to damage of the nerve. three: many pains from dental procedures lyme or not are due to the fact that the mouth is stretched open for an hour of so causing pain and muscle spasms of the facial musculature. THIS CAN BE FIXED VERY EASILY BY HAVING THE DENTIST OR ORAL SURGEON TO USE A MOUTH BITE BLOCK TO HOLD THE MOUTH OPEN. FOUR: lyme patients should premed with clydamycin 150mg tid 2 days before and 3 days after any dental procedure if immune deficient. five: removal of amalgams ccan be very close to the nerve of the tooth and the dentist musy evaluate this prior to removal of the filling. close drilling at 300,000 rpm create alot of heat even with water spray, which is a must when drilling, and can cause a inflammation of the nerve inside the tooth. premed usually prevents this problem and feelling like s--- problem also. six: oral surgeons ,as i have been trained also in my residency , can us tetrecycline on a disolvble material gelfoam to prevent secondary infection of the extraction site, and also primary closure if possible is essential, this means the extraction site on wisdom teeth only need to be closed completely with gum tissue and covered with tissue. these 2 procedures will allow for clean healing and bone growth in the extraction site. 7: Wisdom teth should be remove as young aa possible, in my practice that was some times 12-13 years old. when the tooth bed forms for the wisdom tooth this "tooth bud" is composed of mesechimal tissue,ie"STEM CELLS". .these cells are genetically programed in the area in the moutth to become a tooth, but can be removed in the very early stage of developement and successful extraction can be done with very little damage to nerves and also left over stem cells will change its genetic form from tooth to bone ,hence an extraction site that is fully healed with bone and no residual cyst (CAVITATION).
That was funny - I wondered if that was what happened.
I just had an abscessed root canal taken out while awake two weeks ago (because I had to drive home) - not fun. I'm just now starting to feel better as I was getting pretty bad headaches when waking up and most of the day.
They did say it was up in my sinuses a bit. When I went back for an X-ray last week, everything looked fine but the dentist did ask if I had had any sinus problems.
I went to a new biological dentist because I was afraid my regular dentist would want to save the root canal. She had me take 4 Clydamyacin that I had on me. I told her it would kill my stomach and she said the secret was a huge glass of water and she was right. Never felt it (or else I was just plain petrified).
She sent me right around to corner to a good oral surgeon. Now whether he did all those things you mentioned, I don't know.
Its upper right side, second to last tooth. Its healing nicely after 2 weeks of headaches - no dry socket.
My problem/question is, I don't want an implant - I don't want more toxins getting in there. Will the bone shift if I leave it alone?
I don't want to be 90 years old and my cheek bone fall down.
I would love to hear your take on this -- thanks and I guess you need to send me a bill.
posted
Great info, thanks doc. I'll come back and search for your post whenever anyone I know has to have major dental work.
I had a boss who always had dental work done without painkillers because he believed that it was the heat that caused most of the pain. I'm not up for that, but he told me he asked the dentist to stop whenever the drill caused enough heat to cause him pain. If ones dentist is willing to go more slowly, this might be helpful.
I can vouch for getting wisdom teeth out at the bud stage. I had this done at age 12 or 13 and it all went off without a hitch. (Sample size of one, of course.) The oral sugeon had to go in deeper to get at the teeth but there were no complications.
D
Posts: 261 | From San Mateo, CA | Registered: May 2005
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quote:Originally posted by DeniseS: I had a boss who always had dental work done without painkillers because he believed that it was the heat that caused most of the pain. I'm not up for that, but he told me he asked the dentist to stop whenever the drill caused enough heat to cause him pain. If ones dentist is willing to go more slowly, this might be helpful.
I can vouch for that. I had probably 15 or so cavities filled as a child WITHOUT NOVACAINE. The dentist would stop periodically if there was pain.
Now this was before the high speed drills, so maybe that would make a difference.
-------------------- --Lymetutu-- Opinions, not medical advice! Posts: 96239 | From Texas | Registered: Feb 2001
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chroniclymie
Unregistered
posted
the bone will not shift as long as there are teeth in the area. the bone only recedes when you have 3 or more teeth in a row that are removed. the main reason dentists do root canals is to preserve the bone for the future. 1) i have had 2 implants done on single teeth without any complications whatsoever, however i would allergy test for titanium prior to having it done. it is not true that titanium with the correct alloys is toxic and an allergen to the body. orthopedists have been using titanium implants for hips and knees for 20-30 years with almost zero rejection. all implants are now coated with hydroxyapatite, which is actually the same material as tooth enamel, and oseointegration(bone growing into inplants) has increased considerably. i would have no reason not to suggest a dental implant unless you are highly imunosuppressive. gigi will come behind me and post all the reasons not to, so you will have both oppinions. also check ada site on implants.
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quote:I can vouch for that. I had probably 15 or so cavities filled as a child WITHOUT NOVACAINE. The dentist would stop periodically if there was pain.
Now this was before the high speed drills, so maybe that would make a difference.
in childhood i also had many cavities filled WITHOUT NOVACAINE. i read somewhere, years later, that children do not have as many pain nerves, so i always requested NO CAINE DRUGS for my own 5 children, for superficial cavities, not for extensive ones, and nobody yelled.
i don't remember it hurting much, but now, at my advanced age of 66, drilling hurts like crazy!
Posts: 21 | From spokane, WA | Registered: Apr 2004
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just don
Frequent Contributor (1K+ posts)
Member # 1129
posted
Hi Chronic, I asked my pcp this question and she said nobody I know of locally to do such a thing. I am looking for somebody to do a full mouth extraction and a complete debrisment(sp), clear down to the jaw bones!! Where do I have to go and how many hoops must I jump thru to get such a thing accomplished??? In other words, is this an oral surgeon job, or a regular surgeon, or, or, what else is a specalist in this area?
What would something like this cost? Roughly? I have more fillings and root canals than rotten teeth to hold on to them!! Even still have two old 'silver points' still in there.
Thanks for ANY info you might share!!!cause I remain--just don--
-------------------- just don Posts: 4548 | From Middle of midwest | Registered: May 2001
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I feel very nervous for you, with your stated desire to have all teeth removed and jaw debrided, and I feel a responsibility to explain my own experience with this.
It's very tempting when dealing with a chronic illness to look for one drastic thing you can do that might make it all go away. Because of a lot of info. out in the web, a lot of it WRONG, we can easily get ourselves into trouble seeking solutions.
I have been studying teeth/bone infection issues for 4 years now. I have talked to several people who got much WORSE after radical bone debridements in the jaw.
Bone infection or bone necrosis (death) is considered a very serious medical issue. The medical term is osteomyelitis of the mandible or maxilla, so you should research these terms in a medical library or thru pubmed.com The treatment for bone infection is usually IV antibiotics - because they are able to penetrate to bone, and a combo. of meds is best because there are often polymicrobial infections - more than one main bacterial culprit.
Once a bone is infected, it is nearly IMPOSSIBLE to eradicate it. There is only hope for remission, and even then, it is common for the infection to return - even decades later.
The problem is that even though a bone infection in the facial bones is just as serious as osteomyelitis in any other bone, it is NOT treated the same. That is unless, you are able to find a very very smart oral surgeon AND a very smart infectious disease doc (a rarity..) to treat you with a team approach. It's not treated the same because there exists a huge black hole in medicine between the dental world, and general medicine. Dentists have the monopoly on treating teeth and the mouth, and they are not taught about bone infection. That ignorance, and root canal treatments, are the cause of serious, serious agony.
There are a handful of dentists in this country, one of them who prominantly appears with any google search, and who practices in OHIO, WHO HAVE CAUSED GREAT HARM TO MANY!!! They use the CAvitat machine to "diagnose"' bone cavitations, and usually recommend very aggressive extractions and debridements. I can't tell you how many horrible stories I have heard from people I've met who were "treated". And, friends who were told to have huge areas debrided, or all of their teeth extracted, and whose health got much worse post-surgery.
Unlike orthopedic surgeons who ALWAYS culture samples taken from the wound site and who aggressively treat the infection with IV antibiotics, these dentists do NOT do this. When you really study osteomyelitis, it becomes UNCONSCIONABLE TO READ about how some dentists deal with infection underneath teeth!!
Feel free to email me privately, and I will be happy to give you more information, and to point you to some resources.
I have been there and done that and would love to share my knowledge and experience if it would help.
With all that said, I do believe that extraction is sometimes necessary, as well as surgical debridement of the bone. But one must be VERY VERY CAREFUL before you touch anything. And, one must use several different diagnostic tools -CT, MRI, and BONE SCANS to try and specify the problem before making an incision in the mouth.
Anneke
One of the biggest causes of bone infection? Tooth extraction!! and dental trauma.
Posts: 364 | From California | Registered: Sep 2005
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