Is a Tooth Infection Dangerous?
I had a broken molar. It was doing okay but now my mouth hurts and now my cheek has started hurting. I took some antibiotics I had left over from a throat infection, but it doesn’t seem to be helping. One of the guys at work said that leaving it is dangerous, but I don’t have dental insurance. I don’t really feel like spending a ton of money if it is not dangerous. It hurts, but I can live with it. So, is it really dangerous?
Danny
Dear Danny,
I’m afraid your friend at work is correct. Untreated tooth infections are dangerous. In fact, people die from untreated tooth infections every year. This is because antibiotics alone do not cure a tooth infection. This is why you weren’t having any luck with the antibiotics you used. Though, I’m a bit concerned about you having leftover antibiotics. I don’t know if your doctor told you this but when you are prescribed antibiotics it is important you finish the entire amount even though you will be feeling better much sooner, often within twenty-four hours.
The most antibiotics can do is temporarily hold off the spread of a tooth infection. The only way to truly treat an infected tooth is to remove the infected pulp. There are two ways to do that. The first is by having a root canal treatment done. This is normally the best course of action because it will save the natural tooth structure.
If that isn’t possible than the second way to treat the infection is by extracting the tooth. That does mean you will need to replace the tooth. Otherwise you risk the adjacent teeth shifting or tipping into the empty spot. This will lead to bite problems and possibly TMJ Disorder. While a dental implant is the best tooth replacement, I know you are on a limited budget. Your dentist is ethically responsible for sharing all the options with you.
Get to a dentist. This infection you have is spreading. It’s already up to your cheek. You don’t want it spreading further and reaching your brain.
This blog is brought to you by Moline Dentist Dr. Thomas Goebel.
Infected Tooth and No Money
I’m missing one back tooth and have another that has had some decay for a while. Now I am pretty sure that it is infected. My problem is that I do not have dental insurance but I do have health insurance. Is there a way I can use my health insurance to get an antibiotic for a dental problem? My jaw is becoming quite swollen.
Abraham
Dear Abraham,
I am glad you wrote. What you don’t want to do is use antibiotics as a solution for this. Even if your medical insurance would cover a dental issue, which it will not, an antibiotic will only be a very temporary solution. Then, once the antibiotics are done, your infection will blow up even worse with no way to keep it under control.
The only way to really get rid of a tooth infection is by a dentist getting in there and physically removing the infected pulp of the tooth. Ideally, this would be done with a root canal treatment because it would save your tooth. If that is no longer possible, the other treatment option is to extract the tooth. The downside to the extraction option is that you will need to replace the tooth. Otherwise the adjacent teeth will shift or tip into the empty space. This will throw off your bite and could lead to headaches, jaw pain, and TMJ Disorder.
The best tooth replacement is a dental implant, but that is also the most expensive. There are several other options. If you do need an extraction your dentist is ethically obligated to give you all of them.
With the swelling you have in your jaw, that signals to me that your infection has spread. I would consider this a dental emergency and get in right away. I know you don’t have dental insurance, but if you call around and explain your situation, I feel like you should be able to find a dentist who would be willing to allow you to pay it out and get the treatment you need.
This blog is brought to you by Moline Dentist Dr. Thomas Goebel.
Using Antibiotics for a Tooth Infection
Almost two weeks ago I went to the dentist for an infected tooth. It was pretty bad and even my cheek was swelling. He gave me some antibiotics, which I took in full. The swelling was almost gone. A few days later it started back up again. Do I go back to the dentist or do I just need a refill on my antibiotics?
Peter
Dear Peter,
I think there was a miscommunication with your dentist. The antibiotic should have been just to get your tooth infection under control and tide you over until the infection can be properly dealt with. It is not meant to, nor can it, heal your infected tooth. The only way to cure a tooth infection is for a dentist to physically remove the infected tooth pulp. There are two ways to properly do this. The first is by extracting the tooth completely. This should be a last resort because natural tooth structure is always best; plus tooth replacements, especially the good ones, are expensive. The second option is a root canal treatment.
Hopefully, it was just a matter of you not hearing your dentist say that you would need a follow up appointment to do the real treatment, though the front desk should have mentioned it when you were checking out. If your dentist did not plan on any follow up treatment, then you need a new dentist because this one does not understand tooth infections.
It is particularly concerning that this started to get better and has now blown up again. I would consider this a dental emergency. Call your dentist as soon as the office is open and tell them what is going on. If they don’t get you in that day, then call around to some other dentists and see who will given the situation.
This blog is brought to you by Moline Dentist Dr. Thomas Goebel.
Delayed Treatment for an Infected Wisdom Tooth
I had some minor pain in a back tooth and went to see my dentist. He told me a wisdom tooth is infected. He gave me some antibiotics and referred me to a specialist. The antibiotics were very helpful. When the specialist saw me, he recommended I remove all of my wisdom teeth but he cannot schedule me for about a month. Since then, the antibiotics have run out and I can feel the pain coming back. Will he be able to treat me if the infection is back?
MaryAnne
Dear MaryAnne,
While you cannot rely on antibiotics alone to solve a tooth infection, in your case, it will be okay to call the specialist and tell him you have run out and need enough to get you through until your procedure. Let him know that you can already tell the infection is returning. He should have no problem writing you a refill on your prescription.
Do not wait to get it refilled. These infections are serious. Generally, they require urgent dental care, but it is okay to keep the infection at bay in the short term with medication. As I mentioned before, it will not heal the infection. The only way to do that is to physically remove the infected pulp of the tooth. Without proper treatment, this can turn life threatening. Our jaws are quite close to our brains and throats. You don’t want the infection reaching either of those places.
To remove the infected pulp there are two treatments: a root canal treatment and a tooth exraction. Generally, a root canal treatment is preferred in order to save a tooth. It is unnecessary on a wisdom tooth, however. This is because you can remove a wisdom tooth without needing to replace it.
This blog is brought to you by Moline Dentist Dr. Thomas Goebel.
Should I get my remaining teeth pulled and get dentures?
I want your opinion on getting my final two upper teeth pulled and getting dentures now. I have been wearing partial dentures for years. And they are so uncomfortable. My partial dentures are old, and it is time to either replace them or pull my front teeth and get dentures. My front teeth are healthy, and I have seen two dentists who are not helpful with my decision. They tell me it is my choice. I understand that. I have read many websites that say it is best to keep your natural teeth, but I only have two. What is healthiest for me? Thank you. Gerald B. from Kentucky
Gerald,
Thank you for your inquiry. We cannot give you an accurate diagnosis unless Dr. Goebel examines your teeth and reviews your x-rays. Although we will not advise you, we will provide you with dental principles to consider.
Saving Natural Teeth
Usually, it is best to save natural teeth. Except for dental implants, tooth replacement options have several disadvantages compared to natural teeth:
- Do not function as well
- Are not as comfortable
- Do not stimulate the jawbone
Exceptions to Saving Natural Teeth
When few healthy natural teeth remain, functions like biting and chewing put excessive stress on the teeth. When most of your upper teeth are missing, and the remaining teeth are chewing against your
Full Upper Denture vs. Partial Dentures
Suction from the roof of your mouth keeps a complete upper denture in place. It is more comfortable than partial dentures and stays in place better than a lower denture, which rests you’re your gums and relies on gravity and your cheek muscles to remain in place.
Bone Loss from Missing Teeth
Tooth roots stimulate the jawbone, so when your teeth are missing, your body takes the minerals from the bone and uses them elsewhere. And with 10 to 20 years, your jawbone shrinks significantly, causing facial sagging.
- Lower denture – It will be challenging to keep a lower denture in place on the bony ridge of your shrunken jawbone.
- Upper denture – Your body only saves the bone in the area where you still have teeth. But even with significant bone loss, suction from the root of your mouth will continue to help keep an upper denture in place. When you chew with a well-made upper denture, the force from your bottom teeth against the upper denture is gentler than chewing with two natural teeth.
Treatment Options
Although Dr. Goebel has completed your oral exam and checked your x-rays, below are two treatment options that can give you the healthiest results:
- Complete removable dentures – Your dentist can extract your few remaining upper teeth and fit you for a removable upper denture. It will look, function, and feel better than partial dentures. It will also improve your ability to chew.
- Implant overdenture – An implant-supported full or partial denture is the most expensive option. But dental implants, embedded in your jawbone would support your denture. If you have significant jawbone shrinkage, grafting may be required to anchor the implants.
Either option will be healthy for your lower teeth and prevent extreme stress on upper natural teeth. If either dentist you saw offers dental implants, check the bios on their website to see if they have post-graduate training in implantology. If not, we encourage you to find a skilled implant dentist, schedule a consultation, and discuss your options.
Dr. Thomas J. Goebel, a family dentist in Moline, IL, sponsors this post. Dr. Goebel works closely with an oral surgeon or periodontist for implant surgery.