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FAQ:  Fistula



Fistula Dentistry Ask The Dentist James Sanderson Question:
A couple of years ago I had a tooth filled. When the dentist was done drilling he said 'I'm looking at your nerve.' I figured it as I take nothing for fillings.

Well about a year later the tooth got infected and started to hurt so back to the dentist I went. He took xrays and said the tooth was infected and needed to be extracted. I made appointment to see an oral surgeon. They recommended general anesthesia. On the the day of my appointment my blood pressure was high and the doctor talked me out of getting the tooth pulled and said it wasn't that bad.

I made a second appointment 6 months later and my blood pressure was really high and he elected not to pull tooth again and suggested I see a family doctor. I did and now I have hypertension under control. Now I'm out of work and have no insurance. The tooth does not hurt, but I do get a gum boil every now and then on gum with bad tooth.

My question: Is it necessary to have general anesthesia for an extraction which I think is overkill for a single tooth and very costly. And how long can this condition go without treatment. My thoughts are that the tooth is infected and has caused a fistula and that lets the infection out and that's why I don't experience pain. Am I right?

Answer:
The fistula is a problem that should be addressed. I have seen these put people in the hospital...

If you want to do the extraction without being put to sleep then ask the doctor you will see to have the work done and get their opinion. They are in a better position to make that call for you based on what the physical conditions are in your mouth and body. It appears to me that you have procrastinated a long time here and that may cause more trouble...

James Sanderson, DMD
Alabama Teeth In An Hour
Alabama Sedation Dentist
1633 Montgomery Highway
Birmingham, AL 35216
(205) 979-6005

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