Oral and Maxillofacial Surgery Expert Forum
impacted wisdom tooth! Please help!
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Questions in the Oral and Maxillofacial Surgery forum are answered by Dr. Michael H Kirsch and Dr. Mario Tuchman. Topics covered include teeth extractions, wisdom teeth, dental implants, bone grafting, orthognathic surgery, facial bones realignment, facial trauma repair, jaw alignment, anesthesia , jaw cyst or tumor diagnosis, reconstructive jaw surgery, temporomandibular joint syndrome (TMJ) and TMJ surgery.

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impacted wisdom tooth! Please help!

39 yrs old, F. lower left wisdom tooth, mesial impacted, lower right wisdom tooth, horizontal impacted. Upper left wisdom tooth-missing. Presented to my dentist on in Dec 2008 for filling on upper #15 and #12. No pain symptoms, just getting filling due to my dental exam/xray showing the need. At time of fillings, tooth #14 had old deep filling. After filling 15 and 12, extreme pain, heat/cold sensitivity for week. Advil (1000mg) would relieve pain for a couple of hours. The next week, dentist adjusted filling. tooth & mouth pain did not go away. Next week, dentist, more adjustments, performed hot/cold tests. Dentist suggested tooth 14 had sensitivity, may need re do of old deep filling.  This did not stop the pain. Next week, readjust all three, suggested root canal on tooth # 14. Also noted, lower left wisdom tooth bleeding excessive. Dentist showed me in mirror. Looked like the wisdom tooth had protruded more through my gum. Still having severe mouth and teeth pain on left side. It was hard for me to pinpoint the source. Dentist sent me to Endodontist for  # 14 root canal. (jan 23, 2009) Back to dentist Jan 29, 2009, still pain. Dentist wanted to start over, back to before fillings. Drilled out all three # 15, # 14, #12. (upper left), cleaned, rinsed, put temporary fillings. Still have pain, swelling on left side. Have been weary of hot/cold. Last night, tried hot. Extreme pain in upper, then lower, and whole left side. It hurt to talk or move, had sensitivity to sound and light with extreme head ache. I will be calling the dentist today. Please help. could the lower impacted wisdom tooth be the issue? How can I help the dentist pinpoint the source of problem?
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I think a "fresh" look by a Board Certified Oral and Maxillofacial Surgeon is in order.  They are experts in identifying the cause of your symptoms.

The impacted tooth may be the culprit.  In any case, it sounds like it has to be extracted.

It is not your job to pinpoint the source.  If your dentist is unable to find the cause then you need a second opinion.


Information contained within this reply is intended solely for general educational purposes and is not intended nor implied to be a medical diagnosis or treatment recommendation.  This is not a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your own doctor for medical condition. Only your doctor can provide specific diagnoses and therapies.
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Michael H Kirsch, DDSBlank
Dr. Michael H. Kirsch
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