Friday, November 6, 2009

Pulling A Tooth: Who Chooses When To Do It?

Back in January I went to the dentist because I had an infection around a tooth that was coming in BEHIND a tooth that's on the top right side of my mouth. We cleared the infection up and I was all good. Since then we have been dealing with fillings and stuff to get me ready to go an orthodonist because my mouth is so narrow. My dentist told me I could possibly lose one or both of the teeth that were bothering me. I went to the dentist on Monday and had three fillings done and asked him if he could pull it because I couldn't floss my top teeth due to the amount of pressure it was putting on the other ones. He said as long as it wasn't causing any pain he thought we should leave it alone so I said okay. He filled three cavities, one large one and two really small ones, and the big one has bothered me since. I don't know if I have an infection inside the tooth or not. The top tooth that I have been having problems with is being pushed by the tooth coming in and causing me pain.

Pulling A Tooth: Who Chooses When To Do It?
teeth don't push other teeth out. There might not be enough room for it to grow into your mouth, but even when teeth are angled foward and look like they're resting on the roots of another tooth, they do not create any pushing force, they just stay there and can't get out.





The pain you are getting would be coming from something else, possibly the really deep filling. I would still wait for the orthodontist opinion, because the orthodontist might have preferred that you pulled the opposite tooth to the one you want and it will compromise the treatment. Best to get a second opinion, The option will be either to fix the sore tooth and pull the impacted one, or pull the sore tooth and keep the impacted one. Unfortunately there is no rule for figuring out and you have to actually see the xrays and your mouth and the tooth to make the best decision... best leave it to the professionals.





However if the main reason you want something done so soon is because of pain, I'd agree that you should see your dentist soon, just don't push him into doing something, just let him try to fix the pain, then it won't matter whether you wait for the 2nd opinion or not.
Reply:teeth that have been recently filled will hurt for up tp two weeks afterward....don't pull healthy teeth you will need them later in life....
Reply:It is possible that your filling is a bit "high" meaning that you hit it before all other teeth. Your bite can exert 300 psi so imagine one tooth getting all of that instead of dispersed evenly in the mouth. Because it was previously adjusted and that relieved the pain, I would venture to guess that the larger filling is still a bit high. I also imagine that you grind or clinch your teeth which can exacerbate this situation. You must be able to floss your teeth and if your teeth are too tight for this, than your dentist really must do something to help. I do not agree with just pulling teeth - that is usually not the option. Good luck.
Reply:If you really want to have something taken out and the general dentist doesn't want to do it, then you'll be referred to an oral surgeon.





The dentist will probably write a note saying to the oral surgeon "Please evaluate tooth number X for extraction". Then the oral surgeon will evaluate it (because the surgeon isn't a mindless robot) and then decide whether or not it should be taken out. If you insist, even if it's viable to save, then it'll probably get pulled out. It's also possible the Oral Surgeon won't do it because it's a viable tooth.





This is difficult to answer accurately because we don't have x-rays and are just going by your descriptions. If your tooth that hurts is being caused by an adjacent tooth (hoping it's the wisdom tooth), then the removal of the adjacent tooth will make you feel better.





See the dentist, and good luck.



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