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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A Tooth Infection

I am a 50 year old healthy female 5 weeks post op with left tkr. I had s cracked tooth I didn't know about, and it has recently gotten worse. There is no pain, or swelling, and I see the dentist in two weeks. I have been reading about infection of my tkr due to dental problems. Should I be worried, as I do have a bad taste coming from that tooth. I called my is who gave me an RX to take before the dentist. What about until? How common is an infection after tkr?
Thank you
Wed, 12 Jul 2017
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Dentist 's  Response
Hi..
Thanks for the query..

If you have a cracked tooth and there is bad taste from the tooth then it is a clear indication that the tooth is having an infection and although it is not painful bur it can flare up and become progressively painful and swelling can occur due to infection..

Although if you have undergone total knee replacement 5 weeks back then the tooth infection is less likely to infect the area of surgery as there must be appropriate healing by now, but the tooth infection is left untreated can cause septicemia..

So my suggestion to consult an Emergency room and get a script of antibiotics like Augmentin and gargle with antiseptic mouthwash solution..
Do warm saline gargles..
As soon as you can see a Dentist , consult the dentist and get an x- ray of tooth done and if tooth can be saved immediately get the Root canal done or else get the tooth removed..

Hope this helps..

Regards..
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Dentist Dr. Rachana Goswami's  Response
Hi...

Welcome to healthcare magic.

As you mentioned you have problem of cracked tooth..
Untreated broken tooth may lead to infection..
Treatments plan depend on how much tooth portion affected...
Antibiotics courses helpful in infection condition.
Rct and crown can do if needed...
This one not possible than extraction of tooth at last if can't save..
X ray of affected tooth is helpful for further diagnosis..
Oral examination is helpful for further diagnosis..
Consult your dentist for treatment..

I hope my guidance helpful to you..
Take care.
Thank you.
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Suggest Treatment For A Tooth Infection

Hi.. Thanks for the query.. If you have a cracked tooth and there is bad taste from the tooth then it is a clear indication that the tooth is having an infection and although it is not painful bur it can flare up and become progressively painful and swelling can occur due to infection.. Although if you have undergone total knee replacement 5 weeks back then the tooth infection is less likely to infect the area of surgery as there must be appropriate healing by now, but the tooth infection is left untreated can cause septicemia.. So my suggestion to consult an Emergency room and get a script of antibiotics like Augmentin and gargle with antiseptic mouthwash solution.. Do warm saline gargles.. As soon as you can see a Dentist , consult the dentist and get an x- ray of tooth done and if tooth can be saved immediately get the Root canal done or else get the tooth removed.. Hope this helps.. Regards..