u/FunnyXbunny_44

Image 1 — Periodontal Abscess treatment? 🤷‍♂️What to do in what order?!
Image 2 — Periodontal Abscess treatment? 🤷‍♂️What to do in what order?!
▲ 3 r/OralSurgery+1 crossposts

Periodontal Abscess treatment? 🤷‍♂️What to do in what order?!

I had a dental hygienist piss off a gum, and a dentist fix a tooth that wasn’t the issue, possibly by stabbing 4 times with the anesthetic! My face swole crazy, and my gum/tooth hurt so much I couldn’t sleep for a night!

And as a result have a crazy periodontal abscess between my teeth draining into my jaw. I went to the dentist, she just said antibiotics and wait(Which didn’t cure it when it was minor issue). Clindamycin later, I am on day 6 of 10.

I got rec. for an endodontist and they said we can help the possibly infected/lightly potentially infected tooth pulp but it’s not gonna stop the jaw swelling/pain. Saying the jaw swelling had nothing to do with tooth, by process of elimination.

I finally got an exam with a periodontist, as the gum is where this started!

Here is my question(s). Periodontists first? Then have the tooth removed or root canal? Or just have it removed/or root canal and deal with the gum 2nd? It seems if the gum abscess is where this all started. The infection will not go away until that is solved and should be done.

My face has gone down and pain is manageable now with ibuprofen/tylenol. But I don’t want to go back to my face swelling, in pain all the time and calling off work!

Thank you in advance!

u/FunnyXbunny_44 — 3 days ago

Gingival abscess?, causing face swelling and now maybe pulpitis, so do I need an oral surgeon or periodontist?

It started with routine cleaning and my gum and tooth hurting past the usual timeframe. I was on antibiotics in between, only thing that helped temporarily. Two weeks later I got back into my Dentist. She was uncertain what the problem was so she tried a filling where my gums had receded and there was small opening for stuff to get trapped in my tooth. During the filling the numbness wore off, she then stabbed my gum like another 4 times with numbing stuff, She had migraine and trying rush stuff. It hurt in after continuously, 10 days later my gum started swelling up and my face! Plus major tooth pain. I could literally feel a tiny balloon form between my teeth! I have been so tired and in pain, lost sleep and work!

The Doctor said get seen for this with a week. Dentist admitted it was probably her filling that made it worse. Might be gingival abscess but has not formed a bacterial center, put me on clindamycin. Three days later my face swelling is starting to go down.

I finally asked for a referral and was able to see a Endodontist and they told me, I probably need a root canal although the infection doesn’t show up on X-ray. And by process of elimination that the gum is what’s causing my facial swelling. Also that the gum abscess formed on top of the gum line. Here is my question do a need oral surgeon or endontist for what is likely a gingival abscess of worse? Who should I have this seem by or are both qualified? Should I get the gum abscess taken care of before the root plus left over drainage., or visa versa? Or could I just do gum and extraction? I am mostly worried about getting a jaw infection, or further infection as I already have an infected lymph node. Both dentists and endodontist just want to see if the antibiotics will clear the gum up , but clearly if have been on them before and they didn’t why would they now? Please help!! the past 6 days have been a nightmare! I have never had pain or swelling/infection like this. Also anything else I should know best course of action?!

u/FunnyXbunny_44 — 6 days ago