Dealing with Tooth Root Decay: Symptoms, Treatment, and Follow-Up Care - Dentistry

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Root decay?


I had a tooth root that was decayed and was extracted.
Previously, there was a foul smell and pus.
Now, I still have some symptoms of pus and bad breath.
When I use a cotton swab to clean, I see dark blood.
The dentist told me to return for a follow-up in two weeks.
Is using mouthwash helpful? Will it help reduce the pus? Should I consider going to another clinic? My lower wisdom tooth has been extracted, and now they want me to extract another wisdom tooth.

QQ, 20~29 year old female. Ask Date: 2005/09/21

Dr. Liu Tiancai reply Dentistry


Hello: Maintaining wound cleanliness after oral surgery is very important.
Generally, using mouthwash can help maintain the cleanliness of the wound; however, the use of a toothbrush and dental floss is still necessary! As for the situation of wound suppuration, it usually improves after some time post-surgery.
If you have concerns about the healing of the wound or experience any other discomforting symptoms, it is recommended that you contact your dentist or visit our dental clinic for further examination.
Sincerely, Dr.
Su Feng-Yi, Dentistry.

Reply Date: 2005/09/21

More Info


Dealing with tooth root decay and the subsequent symptoms can be quite distressing. It’s important to understand that tooth root decay, often resulting from untreated cavities or gum disease, can lead to serious complications if not addressed properly. Here’s a comprehensive overview of the symptoms, treatment options, and follow-up care for tooth root decay.


Symptoms of Tooth Root Decay
1. Pain and Discomfort: One of the most common symptoms is persistent pain, which can range from mild discomfort to severe throbbing. This pain may worsen when biting or chewing.


2. Swelling and Inflammation: You may notice swelling in the gums around the affected tooth, which can also indicate an infection.

3. Pus and Bad Odor: The presence of pus, often accompanied by a foul smell, is a sign of infection. This can occur if the decay has progressed to the point where it affects the pulp of the tooth.

4. Discoloration: Dark spots or discoloration on the tooth can indicate decay or damage to the tooth structure.

5. Bad Breath: Chronic bad breath (halitosis) can result from the decay and infection in the tooth.


Treatment Options
1. Root Canal Therapy: If the decay has reached the pulp of the tooth, a root canal may be necessary. This procedure involves removing the infected pulp, cleaning the root canals, and sealing them to prevent further infection.

2. Antibiotics: If there is an active infection, your dentist may prescribe antibiotics to help control the infection before or after the root canal treatment.

3. Extraction: In cases where the tooth is severely decayed and cannot be saved, extraction may be necessary. This is often the last resort when other treatments are not viable.

4. Follow-Up Care: After treatment, it’s crucial to follow up with your dentist. They may recommend additional treatments, such as a crown to protect the tooth after a root canal or further evaluation if extraction was performed.


Follow-Up Care
1. Regular Check-Ups: It’s essential to return to your dentist for follow-up appointments as advised. This allows your dentist to monitor the healing process and address any complications that may arise.

2. Oral Hygiene: Maintaining good oral hygiene is critical. Brush your teeth at least twice a day and floss daily to prevent further decay and infection.

3. Use of Mouthwash: Using an antibacterial mouthwash can help reduce bacteria in your mouth and may assist in controlling bad breath and preventing further infection. However, it should not replace brushing and flossing.

4. Dietary Considerations: Avoid sugary foods and beverages that can exacerbate decay. Instead, focus on a balanced diet rich in vitamins and minerals to support oral health.

5. Pain Management: If you experience pain, over-the-counter pain relievers can help manage discomfort. However, consult your dentist if the pain persists or worsens.


When to Seek Further Help
If you continue to experience symptoms such as pus, persistent bad breath, or worsening pain despite treatment, it may be necessary to seek a second opinion or consult a specialist. Sometimes, additional procedures or treatments may be required to fully address the issue.

In summary, tooth root decay is a serious condition that requires prompt attention. By understanding the symptoms, pursuing appropriate treatment, and adhering to follow-up care, you can effectively manage your dental health and prevent further complications. Always communicate openly with your dentist about your symptoms and concerns to ensure the best possible care.

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