Badly broken tooth has become loose

[Georgia13]

Before I start I need to say I have SEVERE dental anxiety to the point that i have panic attacks that trigger my SVT when I’m on the dentist chair and my heart rate shoots to 200 in an instant. So about a year ago, my first molar’s filling broke off along with a little piece of my tooth. After that, I let it be, and it continued to break until only 1/2 of my tooth was left and my gum got swollen. I made another appointment and they put me on antibiotics and scheduled an appointment a week after for an extraction as the tooth was too broken to save. the swelling went away and I cancelled the appointment, due to severe anxiety. Well now the tooth has become kind of loose. It wiggles when I push it with my finger and it hurts when I eat. I need to make an appointment but I am too embarrassed right now, especially after cancelling all those other appointments. is it safe for me to wait until I find another dentist? I’m too embarrassed to go to my normal one, even though they are very very nice and understanding? How possible is the possibility of sepsis? could it possibly just come off?

 

[Gordon]

Not this again. Dental infections don't lead to sepsis in otherwise healthy individuals. If you can put up with the pain then it's fine to wait.

 

[Georgia13]

Not this again. Dental infections don't lead to sepsis in otherwise healthy individuals. If you can put up with the pain then it's fine to wait.

Thank you so much for replying.

Ok so my tooth broke and only the root has to be extracted. As far as I know, this should be an easier extraction but now I have another fear. They didn’t prescribe an antibiotic for prophylaxis and my cardiologist said that the guidelines have changed so there is no need for my minor valve issue. But I’m now anxious about endocarditis or sepsis AFTER extraction.

So sorry if I’m being overdramatic

 

[Gordon]

There is no risk of sepsis at any point. Most of the bacterial load will be exiting along with the roots
The evidence of over a decade since the guidelines were changed would suggest that there's zero risk of endocarditis either.

 

[Georgia13]

There is no risk of sepsis at any point. Most of the bacterial load will be exiting along with the roots
The evidence of over a decade since the guidelines were changed would suggest that there's zero risk of endocarditis either.

Thank you so much once again for replying.

I’m happy to say that the tooth is out, although it was more painful and traumatic than I imagined. Still, it is finally out. They also managed to pull a cyst that had formed under the root.

 

[Gordon]

They also managed to pull a cyst that had formed under the root.

That's your body cleverly trying to block off the chronic infection from the tooth. Your immune cells can't get to the source of the problem (the nerve space inside the tooth) because when the pulp dies it loses its blood supply, so this is the next best thing.