Baton Rouge Dentist

Archives for July 2013

Root Canal Can’t be Performed on Front Tooth. What now?

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I have a front tooth that has been such a problem I had two dentists attempt a root canal on the tooth. Unfortunately, the dentists weren’t able to get through the root at the end because of calcium build-up.
Now, I’m researching the idea of having an implant on this tooth. Is this the best choice for this problem or is there another dentist that could get to the end of the root?
– Ted in Louisiana

Ted,
It doesn’t happen a lot but sometimes teeth get blockages in the roots and then it isn’t possible to perform a root canal treatment.

I’d recommend you don’t give up yet on the idea of having this procedure done. Be sure to seek the advice of a root canal specialist (endodontist) and have them try to penetrate the roots. They use fine, ultrasonic tips that can sometimes break through strong calcium build-ups. General dentists do root canal treatments on front teeth when the roots are straight with easy access. When the roots are complicated or hard to reach, a specialist is usually the answer.

Another solution that may work is to surgically seal the root end of the tooth without going through the tooth. This is fairly simple to do with a front tooth and is called an apicoectomy. This may be a good solution to your problem but you do need to consider that when you can’t clean all the dead tissue out of the inside of a tooth, there may be extra complications. I’d recommend you get advice on this from a specialist.

If possible, it’s best to save a tooth as there’s no substitute like your own natural teeth. Be sure to get proper advice from specialists before you do any procedure.

This blog brought to you by Dr. Ryan Perry, Baton Rouge Family Dentist.

Concerned about Swelling after Wisdom Teeth Removal

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A couple of days ago, my son had four wisdom teeth removed. Since then, I’ve noticed extreme swelling in his face, especially around his left side near his eye. I’m worried he could end up having nerve damage to his jaw and his eyesight could be affected. Is it possible he might need additional surgery? Or, will time, penicillin, anti-inflammatory medication and washing with salt water help decrease the swelling? What should I do?
– Anne in Louisiana

Anne,
You mentioned your son’s surgery was two days ago and when a person has this type of surgery, this is the worst day for the swelling and then it dissipates after this. It does not appear your son has nerve damage from the information you provided.

The swelling occurs from the surgery and always happens when impacted wisdom teeth are removed. If it was a challenge to remove the upper left wisdom tooth and bone had to be removed, this will cause swelling as it’s near the eye area.
Since I’m not able to examine him, I am determining my diagnosis by what you are telling me. This means that swelling may occur under normal circumstances from this type of surgery.

I recommend you follow the instructions given by the dentist who removed the wisdom teeth. There should be steady improvement over the next few days. If at any time, your son’s situation gets worse – the pain and swelling increases instead of decreasing, you should inform your dentist and seek additional help right away.

If you are still concerned, be sure to mention your son’s situation to the dentist who did the surgery. Dentists always try to brace patients for the best and worst case scenarios and focus on a realistic outcome which may be a bit negative to hear. If the post-surgery situation was not at all what you were told, you may need to inform your dentist so they can be more realistic with future patients.

This blog brought to you by Dr. Ryan P. Perry, Baton Rouge Family Dentist.