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Infiltration analgesia vs Nerve block for abscess teeth?

G

gumdisease

Member
Joined
Sep 30, 2023
Messages
51
Location
USA
Long story short, I have advanced gum disease and dentures is around the door for me.

There are two upper back molars need to be extract, reasons: bone loss and repeating apical periodontal abscess. So 2 will needs to come out at once since it two back molars. I be numb in that quadrant anyways.

I'm fine, no fever, the abscess seem to be localize, pus break and then pus again, it a cycle so I want this teeth out too. 1 molar with apical abscess, and 1 molar with periodontal abscess.

The molars are not impact or anything, so it just about numb me up and pull it out.

I was told local Lidocaine will be use but will be nerve block due to abcess, nerve block would be better in block the extraction pain.

But I want infiltration analgesia. I can try to request that but it up to the surgeon.

I have a fear of my lips will be forever numb from the nerve block.

Please tell me with my condition would infiltration would work? Or nerve block be better choice?
And which is more dangerous of the two, I'm guessing nerve block here.

TIA.!
 
And the chronic apical periodontal abscess pus thing will go away after extraction of the tooth right? I'm just tire of this pus thing on my gum and it drain and then pus again, my general dentist said the tooth has to come out so he refer me to oral surgeon. But once the tooth extract, the pus abscess will eventually go away yes?
 
Please tell me with my condition would infiltration would work? Or nerve block be better choice?
And which is more dangerous of the two, I'm guessing nerve block here.
Nerve block will work better, neither is dangerous in the upper jaw, there's no risk of permanent numbness in your lips, that seems to only happen (very rarely!) in the lower jaw with a nerve block.
Teeth with gum abscesses can be surprisingly difficult to get numb in my experience, so if I were doing this I'd probably recommend doing the block injection too.
Dead easy extractions though when you get them numb :)

But once the tooth extract, the pus abscess will eventually go away yes?
Yes.
 
Thank you Sir, I'm scared but the abcess teeth need to come out, and bone loss due to advanced gum disease.

Upper jaw molars Sir, that huge first molar and second molar. The second molar PA x-ray show the roots is close to my sinus. So that a chance I have to take that sinus will open up.

And nerve block is inject to the side of my cheek right Sir? While infiltration is to my gum right?

The oral surgeon is young, 35 I think, but he has a degree to do oral surgery, so I trust him that he can extract 2 adult molars that is fully out (not impact) in anyway, a strong hand dentist probably can get it out.

I just worry is pus thing, it like a pus big pimple (I think pus pocket) on the swollen gum, then break then drain itself then form again, repeat cycle, gum disease abcess I know. ugh.. I want it out, so I take my chance of extraction complications.

Just kinda scare.
 
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Is extract 2 molars, first molar and second molar OK to do at one setting? Since I be numb that upper quadrant anyways, why not pull 2 at once since it right next to each others, 1st and 2nd molars.
 
Sorry for the slow reply, been on holiday.
Sinus being opened is really not a big deal, it does sound like it, but it'll heal perfectly happily, (in most cases) without any complications in 1-2 weeks.
Extraction of both at the same time is sensible, no big strength required for these extractions and in any event, extraction needs skill not brute strength.
Pus thing, once the source of the infection (your teeth) is removed, there will be no more pus formation.
Nerve block involves the local being placed a bit deeper in the tissues and in a different place, it's not easy to explain to a lay person.
 
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