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When a tooth is removed (extracted), ideally, all the soft tissue and infection should be removed from the socket. Dry socket after a tooth extraction is developed merely by a very small percentage of people, around 2% to 5% of them.
While it is hard to pinpoint the exact cause of dry socket, several issues are at play that can be suspected as the cause of this condition. In case of dry socket, a dry-looking opening can be seen into the site where a tooth is removed. When it comes to easing the discomfort, a nonsteroidal anti-inflammatory drug (NSAID) like aspirin or ibuprofen can be taken. To promote healing, it is even wise to have the tooth socket cleaned by a dentist, so that any debris from the hole can be removed and it can be filled with some special paste or medicated dressing. Till the socket has fully healed and the pain has lessened, people would then have to regularly visit the dentist for dressing changes.
Root canals are valuable dental procedures used to treat and preserve teeth with badly infected roots. But local anesthetics and advancements in modern dentistry have made root canals highly tolerable procedures that are often no less comfortable than getting a standard filling. You could be a candidate for a root canal if decay or damage has allowed bacteria to infect the pulp inside your tooth.
If you decide to undergo a root canal, the first step in your procedure will involve a local anesthetic.
It is normal for teeth to become inflamed after a root canal, potentially causing sensitivity for the first several days following treatment.
Having a tooth abscess is literally a pain therefore one would not have second thoughts in pulling the miserable tooth out.
Perhaps the fastest way out of pain and the most affordable option for dealing with an abscessed tooth is dental tooth extraction. If you don’t want to get your tooth pulled, then one of your tooth repair options is to have a root canal. Ideally the tooth should be allowed to drain until the discharge stops and then the canals irrigated gently with sodium hypochloride, cleaned of debris and prepared fully, dressed and sealed as normal. In this case it is permissible to leave the tooth on open drainage for no longer than 24 hours. Sometimes because of anatomical difficulties or because there is an immovable obstruction in the root canal it may not possible to obtain drainage through the canal. I want my abscessed tooth extracted right away but my tooth is not numb after several injections. There are occasions where, in spite of normally sufficient dosage and technique, adequate analgesia (absence of pain) is not obtained. Pulp inflammation in the affected tooth produces chemical mediators which cause hyperexcitability of the nerve fibers. There is usually increased vascularity (flow of blood) of the tissues in the region of the inflamed tooth and hence the local anesthetic may be more rapidly removed by the bloodstream, shortening its period of duration. The pH of inflammatory products in the region of the tooth may be more acidic, thus making the local anesthetic solution potentially less effective.

There is a tendency for inflammation to increase sensory nerve transmission so countering the effects of anesthetics. You may be prescribed painkillers with or without antibiotics and be asked to return a few days later to proceed with the extraction of the abscessed tooth. If the cause of the dental abscess is not removed, for example by extraction of the tooth, root canal treatment, or antibiotic therapy, pus discharge will continue and the abscess continues to enlarge, leading to abscess opening in the mouth or worse, an odontogenic infection which can spread around the face. Treatment for an odontogenic infection should be started rapidly as infection may spread quickly and in some cases progress to life-threatening situation with great rapidity.
The cause should be removed as soon as possible as removal of the causative tooth both prevents continuing infection and also drains the abscess within the bone.
Antibiotics treatment is provided if necessary for even though antibiotics provide little benefit over drainage and removing the cause, they are often used and occasionally required. Supportive measures are provided by ensuring that the individual can eat, maintain a good fluid intake and rests.
Finally, I want to seal the cleaned socket from the rest of the mouth by placing biocompatible graft material and a membrane. The bone and nerves under a removed tooth are usually protected by the formation of a blood clot. Smoking, poor oral hygiene, the removal of wisdom teeth, severe bone and tissue trauma during tooth removal, using birth control pills, are some of the factors that increase the chances of an individual to get dry socket. To prevent further infections in the socket, a dentist will also prescribe antibiotics and will insist on the use of a special mouth wash.
The pulp is the live portion of the tooth that extends into the root and contains nerve endings and tissues. Upon completion, a restored tooth that has undergone a root canal will blend in with surrounding teeth – virtually undetectable to the average eye.
A root canal could also be the right treatment for you if you prefer to preserve as much of your natural tooth as possible instead of extracting both the healthy and diseased portions of your tooth. Once your tooth root is numb, the diseased portion of your tooth pulp will be removed and potentially treated for bacterial infection. A tooth abscess, also called an acute periapical abscess, may develop either directly from acute periapical periodontitis (inflammation of the tooth supporting tissues around the apex) or usually from a chronic periapical granuloma. Dental abscess can form in a badly decayed or infected tooth and the quickest way to drain the pus would be tooth extraction. At the end of this period the individual should be seen again and if comfortable, the canals cleaned of debris, irrigated with sodium hypochloride and shaped with files prior to closure. The local anesthetic solution is therefore unable to block the conduction of these impulses. Those at risk of airway obstruction, cavernous sinus thrombosis or showing toxemia (blood poisoning caused by bacterial toxic substances in the blood), suffering physical discomfort or with a high temperature should be treated immediately and admitted to hospital for treatment.
With most infections causing swollen face, effective drainage of pus and removal of the cause are the only treatment required. Pus should be collected on drainage and submitted to microbiology for culture and sensitivity investigation, in case a change of antibiotic is required subsequently. An admission to hospital should be considered until recovery has started and appropriate analgesics are provided.

The pain can be endured to a certain extent but when it gets intensely painful, refusing to go away even after several days, then people should definitely be concerned that it could be a symptom of a condition known as alveolar osteitis or dry socket. Two days after tooth removal, people will start experiencing intense pain, in the case of dry socket. Finally dental implants are placed once the socket has healed completely after one or two weeks. When it becomes infected, patients can experience pain, swelling and even total tooth loss unless treated.
Root canal procedures are  successful, and most treatments last many years or even a lifetime. For more information about  root canals and whether they are right for you, schedule a dental exam and consultation at your earliest convenience by clicking at your right. These conditions are caused by pulpitis and pulp death from cavities or recurrent secondary cavities after a filling is done, trauma to the tooth or even endodontic treatment.
Relief of pain can be obtained speedily by obtaining drainage and adjusting slightly the occlusion of the causative tooth. However, this is not always possible either because of lack of time or because the tooth is exceedingly tender and there is copious discharge of exudates. It is important that the root canal is cleaned and sealed as soon as possible so that food does not pack into the canal and allow invading microorganisms cause a further acute flare-up. If the swelling is fluctuant, incision and drainage, or aspiration through a large bore needle into a syringe, are advisable and generally relieve acute pain.
The tooth may be excessively stimulated by heat or cold, and may be painful to bite on; it may be difficult, if not impossible, to achieve analgesia of sufficient depth despite repeated injections.
In this case the soft tissue rather than the tooth is the cause and extraction can be detrimental. The bone and nerve are then left exposed to air, food, fluid and just about anything that might enter the mouth. Leaving the cavity open for a long period may lead to cavities and may make subsequent restoration of the tooth very difficult if not impossible. If there is no swelling, supportive antibiotic therapy may be appropriate, followed by root canal re-treatment or surgical treatment when the acute symptoms have subsided. Bad breath, including an unpleasant taste and smell in the mouth for no apparent reason are also symptoms of dry socket. In some cases, an antibiotic is prescribed to help prevent further infection within the tooth. The organic portion of the tooth that remains may be restored using a cap or crown that provides a natural appearance and normal tooth function.

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29.06.2015, author: admin
Category: Bv In Women 2016

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