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Broken tooth. Have bad sinus issues. What is the bump on gums?

hello i have a broken tooth it is all the way to the gums and it is right behind my fang tooth and i went to the er they gave me anibitics last week now today i have a really bad sinus problem what should i do? how can it get in my blood stream am i going to be ok ? how can this get in my blood stream and now i have a little white bump on my gum where the broken tooth is at
Asked On : Wed, 10 Oct 2012
Answers:  4 Views:  759
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Dentist 's  Response
only by taking antibiotics the problem will not stop.
visit your dentist and get an x-ray of broken tooth.this will help to rule out the condition of tooth and periapical pathoses like abscess if present.
if the tooth can be saved,root canal treatment and crown placement has to be done.
if the tooth cannot be saved,get it extracted.orelse it can effect your physical health also.
the bump is due to the inflamed gingiva.get deep scalin and root planning done.if necessary,curettage has to be done.
take the complete course of antibiotics too.
Answered: Thu, 11 Oct 2012
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Dentist Dr. Udaykumar Bondre's  Response
First of all, broken tooth needs to be examined clinically and x-ray has to be taken to check periapical condition.
Whether tooth is broken by trauma or by caries/decay treatment will be same & that is Root Canal Treatment.
Having a little bump indicates there is periapical pathology related to broken tooth. If it is less in size ( seen in x-RAY ) then only root canal treatment followed by crown placement will suffice.
But if there is more destruction of bone periapically then Apicectomy will have to be done along with Root canal treatment.
And yes, you will definitely be ok as both procedures are short & can be done under local anesthesia.

Wish you immediate recovery.
Take care.
Answered: Fri, 12 Oct 2012
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Dentist Dr. Geoffrey Ward's  Response
Hello and thank you for your questions.
The tooth that is broken off at the gum line is likely abscessed. An Abscess is a localized infection entrapped in soft tissue and bone that is full of pus. You may have a separate sinus issue or because the roots of the teeth are in very intimate approximation with the maxillary sinus, the infection may have spread into your sinus cavity.

Infections get into your blood stream by spreading into the local microvasculature which then caries the bacteria to your heart which pumps it to other parts of your body and gives you an overall feeling of weakness and sickness (malaise).

The little white bump on your tooth is where the infection has eaten its way through the bone and is now building up pressure below the tissue. It is basically becoming the head of a pimple in your mouth.

The risk of the infection is that the maxillary sinus is close to your brian and you could get the infection to spread to your brain which can lead to death. You have antibiotics but this is only a bandaid. The best way to address this issue is to go to your dentist or oral surgeon, get an incision and drainage of the infection and have the tooth extracted to remove the infection. Do this ASAP because infections can spread rapidly and should not be messed with. The chances of it getting into your brain are very low but because there is a risk involved, I would get the issue addressed.

Hope you feel better!

Dr. Ward
Answered: Fri, 12 Oct 2012
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Dentist, Periodontics Dr. Saumya Khanna's  Response
hi, you dont need to worry at all your problem is not very big, since you have already taken antibiotics you just need to get the broken tooth removed, its due to the infection in the broken tooth that you have a bump on your gums. After getting the tooth removed wait for the site to heal and then you can get an artificial tooth in its place. Many options are available like bridges , implants that can be decided by your dentist after taking an x ray of the region. As for the sinus problem take steam before going to bed that would help.
take care
Answered: Fri, 12 Oct 2012
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