Is it an abcess, is it gum disease? I’m so confused!

T

Titch

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Hi lovely dentists! Firstly I want to thank those of you that replied to my last posting on here a year ago, it helped me so much I actually went to the dentist regularly to sort out some underlying issues I had. My dental fear eased hugely and I found a patient and kind dentist who is amazing. So things were going great…however, I’ve had a crappy year personally and I had to put off my final 2 fillings for a couple of months because I was nursing my terminal grandfather and then moving house and then my aunt died so it was a whole drama. ANYWAY, to the point - I had some pain in my gum around the teeth that need filling just under 2 weeks ago (nothing intense, mainly soreness and discomfort) but I couldn’t get an appointment with my dentist and 111 (over cautious as always) booked me in with an emergency dentist just in case it was an abscess.I went along, and this dentist was kinda rude but oh well, as long as they do the job I don’t really need them to be nice. She had a poke around and pressed the teeth with the cavities and I didn’t feel any pain, she then pressed the gum and I winced and it bled. She did an X-ray and told me it was not an abscess and that the teeth were not decayed close enough to the pulp and no infection was in the tooth and it was gum disease and to salt water and floss throughly and keep great dental hygiene. She told me that yes the fillings did need doing but that they would be okay for a little while until I could get into see my regular dentist. Okay fine, I can deal as my tooth was not hurting, just the gum and I could deal with that. So I came to visit my parents for a week and the gum was not improving despite my efforts. I had an anxiety attack this morning (anxiety has been high due to stress and grief and I own up to this) so I decided to go to the dentist I’m registered at near my parents home. First off he refused to X-ray it as it was only X-rayd last week and he didn’t want to expose me to unnecessary radiation so he asked me to tell him exactly what the other dentist had said. So I passed that information on and he took a look and said it is an abscess because the decay on my tooth goes up underneath the gum and gave me some antibiotics. I am taking them but all this has stressed me out getting conflicting information! The gum is red and tender and slightly swollen, but I was always told abscesses are huge and they swell up your face. I’m now panicked about getting sepsis from the abscess because everyone loves to scare you with that. I can’t get booked in with dentist until 27th October as she is away on holiday. Will I be okay until then? He’s given me amoxicillin 3x a day for 5 days. I’ve attached a photo of it helps, yes I know my teeth aren’t great but I was working on that until all this lol. Thank you in advance for any replies!
 

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Gordon

Gordon

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Sorry can't really tell anything from the photo.
There is absolutely zero risk of getting any kind of sepsis from a dental infection. I do wish people would stop spreading this bollocks on the internet.
You'll be fine until the 27th.
 
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Titch

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Hi Gordon,

thank you for your reply! It made me crack up laughing so it helped more than you know. I’ll hold out until the 27th and dutifully take my pills as prescribed. 😊

you’re a legend thank you!
 
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Titch

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@Gordon update, it’s neither gum disease nor an abscess. It’s pulpitis but was presenting weird because my tooth is apparently “unique” and the nerves are not in the expected place. So a tiny cavity was enough to hit the nerve, there was no sign of infection, just very unhappy pulp. She cleaned out the decay, put some antibacterial stuff in there and put a sedative dressing on it. It’s less painful now, just a dull ache and a slight bruised feeling. Unfortunately the temp filling is a bit big and I can’t even chew on the other side of my mouth without it hitting my bottom teeth but I’ll call and ask for her to fix that. My only concern now is getting an actual abscess as I’m so sick of being in pain, is that possible at this point even with the zinc in the temp filling meant to be antibacterial?

Thanks in advance, your answers always really help my anxiety :)
 
Gordon

Gordon

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@Gordon My only concern now is getting an actual abscess as I’m so sick of being in pain, is that possible at this point even with the zinc in the temp filling meant to be antibacterial?

Thanks in advance, your answers always really help my anxiety :)

It can't be totally ruled out unfortunately, depends if the nerve recovers from this incident or not. Sadly I can't make even a good guess without at least seeing you.
 
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Titch

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Ah okay, thanks Gordon. I’m on my way now to have the bite corrected, my tooth has started to go grey also which is really scaring me. I just want the thing pulled out at this point.
 
Gordon

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Post an update when you get the chance, I'm curious as to what happened. Thanks.
 
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Titch

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Hi Gordon,

I went back and she smoothed out the filling and gave me antibiotics just in case I got an signs of infection. Which I did as last night in my mouth all I could taste was disgusting pus and today I have random shooting pains around the tooth. I’m started my antibiotics this morning (metronidazole) and I’m gonna call them and ask them to just rip the thing out. I’ve had enough of being in pain. She said the tooth turning grey was because the nerves were dying (maybe that’s what the random shoots are?). But yeah, had enough of this tooth now lol.
 
Gordon

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She said the tooth turning grey was because the nerves were dying (maybe that’s what the random shoots are?)
Yes, probably. Be careful with the metronidazole, mixing it with alcohol will make you very nauseous!
 
T

Titch

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Yes, probably. Be careful with the metronidazole, mixing it with alcohol will make you very nauseous!
Thanks Gordon, I’ve had to take it before and was warned I’d end up in hospital if I drank so I have no intention of being anywhere near alcohol! :)
 
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