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Dental Health  (Expert Forum)
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Possible tooth infection, lower left side of mouth, 5 years after root canal.
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Questions in the Dental Health forum are answered by Dr. Jerome Tsang and Dr. Jerome Bogin. Topics covered include bridges, cavities, crowns, and x-rays.

Possible tooth infection, lower left side of mouth, 5 years after root canal.

by leonvista, Nov 06, 2006 12:00AM
The first time I went to the dentist about my current problem was in June, but the dentist I went to told me that the problem was my wisdom tooth pushing on my other tooth, and prescribed amoxicillin, and ibuprofen 600mg. The unpleasant sensation subsided, and subsequently I had my wisdom tooth removed, and was again prescribed amoxicillin. In September the same symptoms started again, and another dentist said it was the tooth that I had root canal in 5 years ago had an infection and gave me penicillin, advising to perform the operation again. The pain subsided, but I did not follow the course of antibiotics properly. Three weeks later I went back to Bulgaria and saw two different dentists who both told me the route canal was perfect, and nothing else is visible on the X ray. I had my top wisdom tooth removed, but that was not the cause of the sensation. I recently went to a different dentist, and she too could not find anything, and gave me (metrazanol?), and the pain subsided but has recently begun again. I have also been to see doctors and an ear specialist. A doctor recently prescribed me a course of doxycycline to see if that has any effect. I am really worried about antibiotic resistance, but the area affected is definitely responsive to antibiotic treatment. The symptoms are an unpleasant sensation in the lower left area of my mouth where I have had root canal. Slight facial swelling and pain in my ear, particularly if pressed behind. The unpleasant sensation is hard to describe, but it definitely is not a sharp pain, but more of a light throbbing, dull sensation. Furthermore, sometimes when it is particularly bad, my ear feels as if it is wet inside, but is not.

by Jerome Bogin, D.D.S. , Nov 06, 2006 12:00AM
I can not possibly diagnosis your problem without seeing you, but I do not like the fact that you are taking so many antibiotics and such. Has anyone looked into the possibilty of a TMJ problem.Have you seen an endodontist?
Member Comments (3)

by leonvista, Nov 06, 2006 12:00AM
Thank you for the quick reply. No, I have not seen an endodontist, I do not know what one is. What are possible cause of the problem based on pure conjecture? Is taking the different types of antibiotics a problem?

by depoinfo, Nov 15, 2006 12:00AM
sounds like an infection, probably from the root canaled tooth.  Having it re-treated would be a good idea.  so many anti-biotics is a problem as you could build up a resistance to them and they may not work effectively.  I would go to an endodontist (they specialize in root canals) to have them take a look and re-treat.
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