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Oral Surgery Resources
Question:
An abcess, about the size of a small pea, appears between the tooth being treated for a broken filing and the tooth directly behind it at the exact spot where novicane was administered; approximately 12 hours after the novicane was administered.
The entire gum area between the two teeth swelled up to the size of a small pea and a soreness is traveling down my jaw from the back of my mouth and spreading towards my chin. I had inspected the tooth before going to the dentist and there was no sign of any abcesses anyplace in my mouth and especially near that tooth. Of this I am certain because I looked at the tooth several times that
day in the mirror.
Can an abcess be caused by a dirty novicane needle or by twisting the needle back and forth while injecting the novicane? Would enough twisting allow saliva to flow down along the needle? Also, why do dentists twist novicane needles. Is there a medical reason for this? Should I confront the dentist who did this or should I consult a different dentist as I feel I can no longer trust the dentist who did the work? ...Lawrence in CT
Answer:
Lawrence, my guess is that your tooth with the broken filling may be abscessed, or you could have a periodontal abscess. Get another X-Ray and evaluation. You
may want to see an endodontic specialist for this.
A needle could not cause that type of swelling, unless you have a very uncommon condition called angioneurotic edema whereby you would get an allergic type reaction to the novacaine and the work performed. I am not sure about the needle procedure, because I am not the dentist who treated you.
Every dentist does things his/her way...sometimes we have to change the needle position to numb more of the nerves in the area. Get a second opinion to rule out other complications.
Editorial Staff
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