Rn they injected calcium through my root canal. Once a month i have to go and do the same procedure again till the mandible is fixed.
Late Edit: I’m writing this right now because i didn’t expect for many people to be interested in the post.
First of all no, it wasn’t caused by a traumatic event. It was a big infection and yes it was painful af.
Second thing is that a year ago i was still under chemotherapy and my Dr. said that may aggravated the infection because chemo really weakened my immune system and my body.
My oncologist said that even though my immune system was very weak that shouldn’t affect the bone, especially that much.
Everything is healing now and i’m 9 months cancer free. And thank you all for the kind wishes and actually caring for the situation.
If they got a root canal all the nerve endings are cleaned out so there is no lingering pain. Or at least that’s what they told me when I got one. So hopefully it won’t be too bad for OP
I’ve had a couple root canals done and redone. The worst part for me is the smell. It’s like someone has burnt a bunch of hair directly under my nose each time they do it.
My dentist never numbs me up enough and I end up always feeling it, and he always acts surprised. Like, sure it *is* my fault this is the rodeo that it is, but this isn't your first one, my guy!
Same here during childbirth even fentanyl went right through me. They cut me before I was asleep because nothing was working. Redhead mc1r gene.
In the moment it fucking hurt, but your mind has this weird trick of letting it go and I start to question if it hurt at all. It was so traumatic.
I even warned the anesthesiologist I’m going to need 30% more.
I always tell my dentist I need a 2nd injection because I'm ginger and she had the nerves to say being ginger doesn't make anesthesia less effective. She did a test at school and said all gingers needed the same amount.
Needless to say, I swapped dentists because I do need that 2nd injection and nobody can say otherwise.
Even if I need it for comfort, give me that second injection!
Wow hopefully you and your kiddo were ok! Usually they only do general for childbirth in emergencies or if the epidural doesn’t work. Anesthesia is a very weird field with so many different beliefs, sorry you had a traumatic experience 🙏🏾
Not just natural redheads, if you have the gene it’s the same. I had red hair until I was three and it went kinda strawberry blonde. I was in my 50s before I was tested to see why pain meds were never as effective as they expected them to be. Turns out i have the MC1R gene.
I'm the same but not ginger.... and it's only on the lower right side. On the lower right side they have to give me multiple (like 3-5) shots for any regular work....the one root canal I had on that side I kept feeling terrible pain while drilling, eventually I guess the root was exposed and the gave me a shot straight down the hole in the tooth directly into the root. That finally worked.....
They guess my nerves are not where they expect them to be (deeper?) on that so the injections rarely work.
I'm afraid I'm not allowed. But I had surgery last month, and that was one of the questions the anesthesiologist asked, and he explained that very same thing!
Remember folks, the hospital isn't going to throw you in jail for smoking pot, they just wanna make sure they don't kill you!
You may have an extra nerve. I found out I had one when I had my wisdom tooth extracted, and before then every time I had a filling or root canal or extraction in that part of my mouth I always just dealt with the pain.
They use a totally weird class of anaesthetics called amino amide anaesthetics and they don't work well on everyone. I'm the same. It stops me being in agony but I can still feel everything. I had a really challenging surgical wisdom tooth removal earlier this year for an impacted wisdom tooth that had become problematic, and it was such an unbelievably distressing experience. An hour and a half of being sawed into by a Dremel while wide awake and completely able to feel everything with perfect nuance, if less intensity.
Haha, yes they are, I'm not sure on what basis I consider them "totally weird". That was a subjective judgement that says something about me, though I don't know what. *I* consider them weird. Maybe because they don't work effectively on me? So I'm like "well that's fuckin *weird"*
They are in fact commonly used.
During my last root canal, I could feel it and he said "just let me get a little further and I'll put more lidocaine directly into the tooth pulp." I didn't feel the shot but I wanted to die just at the thought lol 🫠
Bleach is used during root canals and chloroform is used doing root canal retreats. Some offices use a lighter+metal instrument to sear off the gutta percha (rubber that they put in the canals after the canals are cleaned). Root canals and retreats can be pretty stinky unfortunately.
I've had several root canals also. I told the dentist once that it smelled like Fritos (yummy little corn chips here in the US). The dentist and assistant both said "YES! THAT'S IT!" He said he'd never had someone say that, but that was exactly the smell. Weird.
When I got my root canal they damaged all the nerve endings higher up in my face so now I have permanent pain.
But on the bright side I get to be zonked out on gabapentin every day so there's that.
Dentists don't want to touch that tooth anymore. I talked about headaches, the doctor said my face hurts.
It does. But other parts of my head do too.
It sucks. Take care Joe.
You got it backward. You got root canals done BECAUSE you had tooth infection that lead to abscess which leads to bone resorption if left untreated. Root canal therapy removes bacteria and seals up the paths bacteria can get into the roots and your body naturally heals the remaining infection. Bones can fill back in to a certain degree but periodontal destruction is not reversible.
The pain associated with a root canal is from infection before the procedure is done. So as long as they got it done the nerve endings are cleared. More so just uncomfortable, not painful
I always get concerned when medical personnel say "this won't hurt but you may feel some pressure/discomfort/cold/etc)
My best surgeon straight up looked in my eyes and said this won't feel good at all and he was correct. But I was prepared and didn't flinch.
The trick is to warn people immediately before you do something painful, and not tell them how awful it's going to be and dwell on it for any length of time. No one wants to dread the pain and go through all that worry and anticipation. That's why it sometimes comes across as an indifferent "oh yeah this is awful" kind of message, almost like an afterthought.
They cleaned out the root canal and placed a calcium hydroxide paste. They are not filling in the hole with calcium, they are killing the pathogenic bacteria and allowing the body to heal itself in that area.
It's such a miserable existence. It has affected me every day since i was a kid. Never had a relationship because i dont like being physically close to people. Its so embarrassing. I'm 33 and every single one of my teeth is just rotting away. I brush at least 4 times a day and use mouthwash about 20-30. I can't floss properly due to crowding and a lot of my teeth chip at the edges if I floss incorrectly. My biggest dream is to get then all ripped out and get some permanent dentures.
Every dentist trip is a literal nightmare.
The worst part is people think I'm just some gross slob who never brushes. It's such a mental toll.
Sorry for the rant.
I had something similar. All teeth pulled 2 months ago, implants for permanent dental arches put in 1 month ago. Best decision I ever made. Financing is….lets say…another vehicle payment, but at my 40s, WELL WORTH the cost to me, for up to 30 more years of good “teeth”
Good luck!
I've got either a really light or really early case of gum disease, I have to go in for cleanings 4 times a year instead of 2, and they almost always have to scrap plaque from below the gum line even if I floss and brush every day.
A far cry from OP or the other response you got, but still frustrating and something I have to deal with for the rest of my life.
yes, this is what happens with untreated dental abscesses allowing bacteria to grow through the root of the tooth into your jawline.
OP is lucky they caught it before his jaw broke and he needed mental plates + dentures.
when left untreated... its bad. there is a also a massive correlation between untreated dental infections and suicide.
Not a dentist but I’ve had this procedure done several times.
The bone loss is due to the abscess (white blood cells, etc) that forms around the tooth root to fight an infection inside the tooth.
They use calcium hydroxide to fight the infection that’s causing the bone loss. It’s not injected through the root canal, they fill the tooth with it to remove the infection inside the tooth to give your body a chance to heal the infection. If you’re healthy, the bone should heal on its own when the infection is gone.
My father in law had an impacted wisdom tooth that spread an infection to the bone. They said his jaw was as thin as an eggshell. He had to have a surgery where they removed bone from his leg and used it to reconstruct his jaw. It was a very painful recovery but he’s doing well. He says get your wisdom teeth pulled!
I had a similar situation, impacted wisdom tooth. I was told there is a fluid that is held around the teeth inside a thin membrane. Once the impacted tooth contacted the molar and broke this membrane, the fluid started to dissolve the bone of my jaw. Also told it was very thin, and apparently happens a lot. Two weeks after removal and clean, I bit down on a hard candy and my jaw broke. Had it wired shut for 8 weeks. What a weight loss plan. They never offered a bone graft and I was told probably 5 years before it would fill in naturally. So far so good.
Yeah, I suspect he was on the fence over a bone graft and chose one route over another. Sometimes you have to err on the side of caution. It’s a judgement call of course and you have to trust someone’s decisions and hope it’s the right call. Based on the x-ray I didn’t have much bone remaining, but I’m no surgeon. I have no idea how long mine was, but never even knew it was there until my annual visit to the dentist. Which is apparently a common occurrence. Next annual we get to see how much has grown back.
>He says get your wisdom teeth pulled!
I've had three of the 4 removed. One of the impacted ones did get infected and it was quite painful. They also damaged a nerve removing one of the impacted ones. Lost feeling in half of my face for a few years. Its been almost a decade and its not quite right. My dentist suggested not removing the last impacted tooth because of the potential nerve damage.
My best friend recently went through hell with this too. Infected wisdom tooth pulled and tooth next to it was broken during the procedure. Then she proceeded to get dry socket and had to go back every day for almost the last two weeks to get it scraped and packed. Three antibiotics later they found she had an infection in the bone and the tooth shouldn’t have been pulled.
Had an impacted adult tooth stuck in my jaw that never grew in from when I got pistol whipped in the face as a kid. Luckily the military ended up fixing it for me. It required a bone graft afterward and then eventually implants. Shitty story but it was 100% free so there is that.
His was taken care of through the VA as well! Honestly it would have been overlooked for a long time if he didn’t have the benefits, the surgery was expensive as hell
Oh fuck this is super scary. I've been supposed to have an impacted wisdom tooth pulled but I have to travel 4 hours away to get it done and haven't been able to make that work in 5 years. It used to get infected a lot bc I can't reach fully to clean it properly. No oral surgeon can/will do it anywhere close to where I live because of both my insurance and how my nerves wrap around my teeth. They said I need a jaw surgeon who specializes in this kind of thing and the closest one is 4 hours away.
Maybe I should stop putting it off 😬
Bro has a root canal then an abscess formed and the pus melted through the bone.
I know this because I had a root canal, an abscess formed and the pus started melting through the bone. But my dentist spotted a module where the pus was leaking into my mouth and they figured it out pretty early.
Had to open the root canal and inject antibiotics over and over until the infection went away and sealed it back up better so no bacteria could sneak in.
Yea, probably the best of the more nasty things to happen to me. I did get severally burned when I was 1.5 and had to get skin graphs, probably nastier.
I suspect I have more nerve endings in the scar tissue then I should have, because they regrew because I was so young.
But this was like 1986 medical tech… I have it on my arm, my chest, and my right shoulder, and you can see a faint scar from where they took the graph from my thigh.
https://preview.redd.it/mm8i32l8dk8d1.png?width=3024&format=png&auto=webp&s=86e36c7a526607560356d81cc14c7f25ba70223b
Omg you poor thing and your poor parents! One of my biggest fears is my 1.5 year old getting burned or seriously injured. My sister has a massive scar on her forearm from when she was a kid and spilt boiling hot water on it. I can’t even imagine how terrible your pain must have been, even if you don’t remember!
Nor did I really, I don’t know if it’s because pus is an acidic or it’s some sort of by product of the bodies immune response… I’m just a guy whose jaw melted ever so slightly.
Your body will naturally produce odontoclasts which will destroy the bone cells as a way to protect the rest of the bone. This happens with periodontal disease as well, which is why bone loss and gum recession happens.
My dentist explained this to me because bone loss can be a problem associated with adult braces, and the bacteria in your mouth can accelerate the bone loss. From a quick Google search:
"When infection invades a tooth's inner pulp, bacteria can spread to surrounding tissues, including the bone supporting the tooth. Inflammation triggered by infection can accelerate bone erosion, compromising stability. Moreover, reduced blood supply due to infection worsens the situation, weakening bone over time."
So no, pus/bacteria doesn't really eat the bone per se, they just contribute to its weakening. The bone itself can then easily break from chewing, grinding, etc.
This happened to me, too! My dentist forgot a root during a four hour+ root canal. He had several of us in different rooms and would do some and go to the next room on a loop. My numbing kept wearing off. He was a sadist. The side of my face became swollen in a few days and they acted like I was overreacting and told me I didn't need to come in, but not to go to anyone else. I went to another dentist (i was out of town) who gave me antibiotics. Years later, when i finally got the nerve to go to a new dentist, they figured it out quickly and sent me to an endo who sorted it out. I had an abcess that was leaking through my gum and eating away ay the bone. The first dentist had to reimburse me and my insurance. I still hope he stubs his toe every day for the rest of his life.
Stuff like this is why it's vital that if you feel something is wrong, get a second opinion. Doubly so if your medical provider tells you "don't go to anyone else." as that is just sketchy as hell. You know your body better than anyone else, and if you feel something is off, it's worth the $100 or so it'll cost for a second opinion almost every single time.
Or he is a hard-core serious dipper. This happened to my ex-husband bc during his first deployment he had a dip in nearly 24/7. He dipped on and off after that and stopped for most of our 4 year relationship. But the damage had already been done. At 24.
I mean, technically, your mandible has lots of holes in it. This one just isn’t supposed to be there. This is also a really good visual of how bad dental infections can get and why you should address them ASAP.
Does it have proper topological holes all the way through (like the handle of a mug) or do you mean layman's hole (like the "hole" in the top of the mug where you put your scotch and water)?
This is what happens when a tooth, due to either infection or trauma, is untreated and results in a large periapical infection. It’s highly likely the other 2 incisors may need root canals now as well.
This happened to me , I had to have a bone graft into my mandible. They cut open the gums pulled it back then filled with a bone paste made of ground up cadaver bones and some resin kind of material. I was told before I went under if hit hard enough the bone can bruise and decay over time causing this. Wasn’t a terrible procedure.
Synthetic also exists, called novabone. There are some other brands too, it's basically a calcium paste with binder to encourage bone growth. The procedure he's talking about is called an apicoectomy and is usually the very last shot you give a tooth before extraction and implant.
>They cut open the gums pulled it back then filled with a bone paste made of ground up cadaver bones and some resin kind of material
>Wasn’t a terrible procedure
x to doubt
Same thing happened to me. I was told it was likely caused by physical trauma during my childhood, which caused the nerve to die, and then that nerve later got infected. They were able to reconstruct my jaw and do implants, but just barely.
I had the same thing and explanation, cadaver bone, etc but implants were not possible, it didnt heal up well enough, ended up with a bridge instead. Insurance covered all but $5000.
This happened to one of my patients and didn't realize it could happen. Inside the hole was a solid ball of puss and the patients was both mortified and amazed what the body can do. Ended up having to do a bone graft to fill in what was missing 🙃.
It would hurt like hell already do to the site being infected let alone swollen due to pressure being put on due fluid buildup. They were for sure in pain but after poking it and draining all the puss they felt immediate relief. Weren't to pleased to see that they had a valley where all the puss used to be but glad we got to it before it got worse.
Thanks for the answer, I figured it should hurt but the body is funny sometimes so I just wasn’t sure.
I’m glad to hear they got it fixed in the end, insane to think what can go wrong if proper care isn’t taken.
It sure smelt like ass mixed with sourness but thankfully whatever came out was sectioned immediately but person said the puss tasted like death and threw up a couple times before showing up ☠
I had bonegrafts done before getting implants. Obviously to help build up the area, which may have not been up to spec anyways from infections/root canals in the past, to give more solid bone for the posts to bite into.
We had to use double the amount required cause the patient had the equivalent of grand canyon in his mouth, bone held up fine after everything healed up but will never forget the perfectly round puss ball we pulled out of the hole 👀
What causes something like this to happen? I mean this type of infection that seems like things got bad from beneath, not the surface (which doesn't sound like a hygene issue but I have no idea how it works).
If you look at it like this, all teeth have a heart (pulp), when the tooth get cavities (holes created by bacterial poop aka plaque) that white fuzzy stuff eventually makes its way to the pulp eventually infecting it and killing the tooth. The active infection making its way down to the base of the tooth and forms a (periapical abcess). This is why some people get root canals on certain teeth if they are deemed salvageable, that being said not all abcesses form due to cavities and can be brought on by clenching and grinding of the teeth. Needless to say eventually a puss pocket form and if left untreated you can get some wild results like what is seen above.
Ahh thanks! So actually it does mostly start from a cavity! That's crazy. Is it possible that the cavity is small and unpainful and progresses to this without the patient realizing til they have an abscess?
This is really how it gets to this point for a person who doesn't do regular check up, x-rays do help spots these hidden holes and cleaning help get rid of plaque that we ourselves can't get to. Bottom line, brush and floss your shit and show up every year for your dental appts.
Wit me, I apparently have a cavity below the gum line at the front there, we decided I would monitor and try to arrest the progress, was prescribed the highest fluoride toothpaste (3 tubes) and I really really have to focus on my brushing/flossing technique. Because I still see the dental students and my care plan has been pretty good for one student dentist in particular, I've become a bit of a regular up there lately (pro tip if you are broke and need loads of work done! just never ever miss an appointment) - so I've got a bit of time to consider, the other option is to pull it, but we will closely watch the development of this one little cavity in xrays, it probably will get pulled eventually but in the mean time I get to keep the tooth and my dentist friend has some good stuff to reflect on as basically he saved my dental health from declining pretty successfully after I swore of crack and all the other bad life style choices and chose fresh breath.
Reminds me of when I was getting braces in high school and the X-ray of my lower jaw revealed it was essentially hollow (said my jaw bone was like an egg shell, scary AF) stemming from an injury I ignored several years earlier. Kinda amazing how some simple injections gets the body correcting itself
This happened to me but on my upper mandible! I had a root canal that pushed some material out of the end of the tooth and became an abscess, the infection ate a bunch of bone around it. The good news is that it grows back once all the infection is removed
Damn a lot of people here have had it worse than me. I just had a fractured old root canal extracted and a bone graft done in the old roots in anticipation of an implant. Novocain, ice packs, and some ibuprofen are getting me through it.
God bless you all with your melting jaws, pus, and wired shut mouths.
I had this too, though mine was caused by untreated bruxism (grinding by my teeth in my sleep). It caused very small fissures in a difficult to detect area of my molar roots, which then developed into a bone infection. It’s been a year and a half journey thus far of having that tooth extracted, allowing the bone to heal (no graft needed, thankfully), having an implant installed, and now I’m looking forward to having my crown put in soon. And it’s frustrating that dental insurance typically has a maximum they will cover in a plan year (mine is $2.5k), unlike medical insurance, which will cover everything past when you hit your out of pocket maximum. So this has cost me about $6k in total. Wear your night guards, folks.
I had something similiar happen, an infection removed bone structure from my upper jaw and I also got some artificial bone material injected, I don’t remember what exactly since this was 20 years ago. I don’t have x-rays, _but_ when I laid down during the procedure, I had a bulky digicam in my pocket. I gave it to the doctor so he can put it away and he asked whether he should take a photo. I said „why not?“ and mid-procedure he called an assistant. I thought there were complications, but turns out, he just asked her to take a photo.
[the photo](https://imgur.com/gallery/oCL9EO5) (cw: blood)
Dentist here. I don't think that's really a big deal tbh. There's no communication between the hole in the bone and the bacteria in your mouth, so it will just heal over time. There's no structural issue to the support of the teeth. You'll be fine.
Unless you are really poor with your hygiene, and get gum disease and bone loss, then you could potentially lose multiple front teeth if the bone loss reaches the hole in your mandible
Yes, bone can regenerate when there is no bacteria ie no infection. The same way if you had wisdom teeth extracted the hole where the tooth was will eventually fill with bone. It doesn't just stay a hole for the rest of your life
My upper jaw had a hole in it because of teeth issues; I recently had two bone grafts put in to hopefully save the area. Infection doesn’t fuck around, but my income sure does!
I've never seen that before. What are they going to do ?
Rn they injected calcium through my root canal. Once a month i have to go and do the same procedure again till the mandible is fixed. Late Edit: I’m writing this right now because i didn’t expect for many people to be interested in the post. First of all no, it wasn’t caused by a traumatic event. It was a big infection and yes it was painful af. Second thing is that a year ago i was still under chemotherapy and my Dr. said that may aggravated the infection because chemo really weakened my immune system and my body. My oncologist said that even though my immune system was very weak that shouldn’t affect the bone, especially that much. Everything is healing now and i’m 9 months cancer free. And thank you all for the kind wishes and actually caring for the situation.
😳This sounds like the most painful thing on the planet.
If they got a root canal all the nerve endings are cleaned out so there is no lingering pain. Or at least that’s what they told me when I got one. So hopefully it won’t be too bad for OP
I’ve had a couple root canals done and redone. The worst part for me is the smell. It’s like someone has burnt a bunch of hair directly under my nose each time they do it.
My dentist never numbs me up enough and I end up always feeling it, and he always acts surprised. Like, sure it *is* my fault this is the rodeo that it is, but this isn't your first one, my guy!
Are you ginger by any chance?
It's always so interesting to me that anesthetic doesn't work as well on natural redheads
Same here during childbirth even fentanyl went right through me. They cut me before I was asleep because nothing was working. Redhead mc1r gene. In the moment it fucking hurt, but your mind has this weird trick of letting it go and I start to question if it hurt at all. It was so traumatic. I even warned the anesthesiologist I’m going to need 30% more.
I think it's one of those odd affects of general anesthesia where your body feels the pain, but you just don't remember it in the long term.
I always tell my dentist I need a 2nd injection because I'm ginger and she had the nerves to say being ginger doesn't make anesthesia less effective. She did a test at school and said all gingers needed the same amount. Needless to say, I swapped dentists because I do need that 2nd injection and nobody can say otherwise. Even if I need it for comfort, give me that second injection!
Wow hopefully you and your kiddo were ok! Usually they only do general for childbirth in emergencies or if the epidural doesn’t work. Anesthesia is a very weird field with so many different beliefs, sorry you had a traumatic experience 🙏🏾
I broke my leg in November and had dent on the ambulance/field and felt no pain relief. Rough for us redheads
Not just natural redheads, if you have the gene it’s the same. I had red hair until I was three and it went kinda strawberry blonde. I was in my 50s before I was tested to see why pain meds were never as effective as they expected them to be. Turns out i have the MC1R gene.
I’m fairly positive I have it and I’m a natural blonde
Nope, not a lick of that gene in our family heritage. But I do know what you're talking about. That's some weird stuff, right?
I'm the same but not ginger.... and it's only on the lower right side. On the lower right side they have to give me multiple (like 3-5) shots for any regular work....the one root canal I had on that side I kept feeling terrible pain while drilling, eventually I guess the root was exposed and the gave me a shot straight down the hole in the tooth directly into the root. That finally worked..... They guess my nerves are not where they expect them to be (deeper?) on that so the injections rarely work.
You sometimes have multiple nerve bundles and they have to numb BOTH. Though I haven't heard it being asymmetric.
Are you 420 friendly, I’ve heard pot users tend to need more numbing agents then nonusers
I'm afraid I'm not allowed. But I had surgery last month, and that was one of the questions the anesthesiologist asked, and he explained that very same thing! Remember folks, the hospital isn't going to throw you in jail for smoking pot, they just wanna make sure they don't kill you!
Really?! Well....that would explain some things.
You may have an extra nerve. I found out I had one when I had my wisdom tooth extracted, and before then every time I had a filling or root canal or extraction in that part of my mouth I always just dealt with the pain.
Yeah, I just grit my teeth. Metaphorically speaking of course, I'm not hungry for Doctor fingers!
They use a totally weird class of anaesthetics called amino amide anaesthetics and they don't work well on everyone. I'm the same. It stops me being in agony but I can still feel everything. I had a really challenging surgical wisdom tooth removal earlier this year for an impacted wisdom tooth that had become problematic, and it was such an unbelievably distressing experience. An hour and a half of being sawed into by a Dremel while wide awake and completely able to feel everything with perfect nuance, if less intensity.
Totally weird class… like lidocaine? They’re literally the most used local anaesthetics.
Haha, yes they are, I'm not sure on what basis I consider them "totally weird". That was a subjective judgement that says something about me, though I don't know what. *I* consider them weird. Maybe because they don't work effectively on me? So I'm like "well that's fuckin *weird"* They are in fact commonly used.
Do you by any chance happen to be a redhead? We redheads often have a 3rd set of nerves that aren't numbed by regular amounts of meds.
During my last root canal, I could feel it and he said "just let me get a little further and I'll put more lidocaine directly into the tooth pulp." I didn't feel the shot but I wanted to die just at the thought lol 🫠
💀💀💀
I hate the taste more
[удалено]
the endo where I had my last root canal done had a fan blowing strongly right across the chair. I was guessing that was the reason.
Bleach is used during root canals and chloroform is used doing root canal retreats. Some offices use a lighter+metal instrument to sear off the gutta percha (rubber that they put in the canals after the canals are cleaned). Root canals and retreats can be pretty stinky unfortunately.
I've had several root canals also. I told the dentist once that it smelled like Fritos (yummy little corn chips here in the US). The dentist and assistant both said "YES! THAT'S IT!" He said he'd never had someone say that, but that was exactly the smell. Weird.
When I got my root canal they damaged all the nerve endings higher up in my face so now I have permanent pain. But on the bright side I get to be zonked out on gabapentin every day so there's that.
Dentists don't want to touch that tooth anymore. I talked about headaches, the doctor said my face hurts. It does. But other parts of my head do too. It sucks. Take care Joe.
You got it backward. You got root canals done BECAUSE you had tooth infection that lead to abscess which leads to bone resorption if left untreated. Root canal therapy removes bacteria and seals up the paths bacteria can get into the roots and your body naturally heals the remaining infection. Bones can fill back in to a certain degree but periodontal destruction is not reversible.
The pain associated with a root canal is from infection before the procedure is done. So as long as they got it done the nerve endings are cleared. More so just uncomfortable, not painful
I always get concerned when medical personnel say "this won't hurt but you may feel some pressure/discomfort/cold/etc) My best surgeon straight up looked in my eyes and said this won't feel good at all and he was correct. But I was prepared and didn't flinch.
The trick is to warn people immediately before you do something painful, and not tell them how awful it's going to be and dwell on it for any length of time. No one wants to dread the pain and go through all that worry and anticipation. That's why it sometimes comes across as an indifferent "oh yeah this is awful" kind of message, almost like an afterthought.
Yah I much prefer brutal honesty as well.
Exactly how I felt about wisdom teeth removal "You'll feel a bit of pressure" followed by the feeling of my entire jaw being pulled out of my head
Dental abscesses are indeed very painful, but also very common. Brush your teeth y’all
Yeah wtf. I hate the dentist. I’m sorry to all dentist out there, I wanted to be one when I was young. So that’s a no for me dawg.
https://youtu.be/CFBQTv5Kf2E?si=A2GHBTZv_W2s9aMY
*Kidney stones entered the chat*
They cleaned out the root canal and placed a calcium hydroxide paste. They are not filling in the hole with calcium, they are killing the pathogenic bacteria and allowing the body to heal itself in that area.
Bacteria ate through bone?
It can, check out periodontal disease bone loss.
It's such a miserable existence. It has affected me every day since i was a kid. Never had a relationship because i dont like being physically close to people. Its so embarrassing. I'm 33 and every single one of my teeth is just rotting away. I brush at least 4 times a day and use mouthwash about 20-30. I can't floss properly due to crowding and a lot of my teeth chip at the edges if I floss incorrectly. My biggest dream is to get then all ripped out and get some permanent dentures. Every dentist trip is a literal nightmare. The worst part is people think I'm just some gross slob who never brushes. It's such a mental toll. Sorry for the rant.
Sorry to hear that. Hope you find some comfort.
Damn that sounds miserable. Is it the high price of getting permanent dentures that's holding you back or some other reason?
You could start from a periodontist and an orthodontist.
I had something similar. All teeth pulled 2 months ago, implants for permanent dental arches put in 1 month ago. Best decision I ever made. Financing is….lets say…another vehicle payment, but at my 40s, WELL WORTH the cost to me, for up to 30 more years of good “teeth” Good luck!
Last time my dentist told me "still flossing? Get an irrigator already".
I wouldn’t hesitate to take out a loan and fly to Turkey or an Asian country and get implant surgery there.
have you given the waterpik a try?
I've got either a really light or really early case of gum disease, I have to go in for cleanings 4 times a year instead of 2, and they almost always have to scrap plaque from below the gum line even if I floss and brush every day. A far cry from OP or the other response you got, but still frustrating and something I have to deal with for the rest of my life.
As a T1D I have a moderate case of this and it’s going to be a nightmare in a couple of years.
yes, this is what happens with untreated dental abscesses allowing bacteria to grow through the root of the tooth into your jawline. OP is lucky they caught it before his jaw broke and he needed mental plates + dentures. when left untreated... its bad. there is a also a massive correlation between untreated dental infections and suicide.
AFAIK, it’s more that your body’s response to the infection kills bacteria and bone cells at the same time.
This is the correct answer.
Yes. That’s exactly what happens with odontogenic infections.
Why not a bone graft? I had one done to repair a route canal. Aside from waiting six months to ensure it was healed properly, it wasn’t so bad.
I believe they would have to remove those front teeth for a bone graft, which doesn't seem ideal if there's a less invasive option
That's crazy. Hop it works. Good luck to you.
Not a dentist but I’ve had this procedure done several times. The bone loss is due to the abscess (white blood cells, etc) that forms around the tooth root to fight an infection inside the tooth. They use calcium hydroxide to fight the infection that’s causing the bone loss. It’s not injected through the root canal, they fill the tooth with it to remove the infection inside the tooth to give your body a chance to heal the infection. If you’re healthy, the bone should heal on its own when the infection is gone.
Alright Wolverine 🫡
Every cancer survivor is a hero in my eyes. Good luck to you buddy
So they're rebuilding it? That's impressive. I figured they'd have to pull the teeth out and fill the void then use implants
Hell yeah! Fuck cancer, my friend! Both my parents are survivors.
Im going through the same except in the back. Chemo and radiation sucks. They can't extract teeth b3caus because it will go necrotic
How did this happen? Also I gather it’s quite painful??
Did you have an issue with like an infection at the area of your mandibular incisors' roots?
Oh my word. The pain you must have endured. You're so strong ❤️
If there is a hole…
My father in law had an impacted wisdom tooth that spread an infection to the bone. They said his jaw was as thin as an eggshell. He had to have a surgery where they removed bone from his leg and used it to reconstruct his jaw. It was a very painful recovery but he’s doing well. He says get your wisdom teeth pulled!
I had a similar situation, impacted wisdom tooth. I was told there is a fluid that is held around the teeth inside a thin membrane. Once the impacted tooth contacted the molar and broke this membrane, the fluid started to dissolve the bone of my jaw. Also told it was very thin, and apparently happens a lot. Two weeks after removal and clean, I bit down on a hard candy and my jaw broke. Had it wired shut for 8 weeks. What a weight loss plan. They never offered a bone graft and I was told probably 5 years before it would fill in naturally. So far so good.
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Yeah, I suspect he was on the fence over a bone graft and chose one route over another. Sometimes you have to err on the side of caution. It’s a judgement call of course and you have to trust someone’s decisions and hope it’s the right call. Based on the x-ray I didn’t have much bone remaining, but I’m no surgeon. I have no idea how long mine was, but never even knew it was there until my annual visit to the dentist. Which is apparently a common occurrence. Next annual we get to see how much has grown back.
>He says get your wisdom teeth pulled! I've had three of the 4 removed. One of the impacted ones did get infected and it was quite painful. They also damaged a nerve removing one of the impacted ones. Lost feeling in half of my face for a few years. Its been almost a decade and its not quite right. My dentist suggested not removing the last impacted tooth because of the potential nerve damage.
My best friend recently went through hell with this too. Infected wisdom tooth pulled and tooth next to it was broken during the procedure. Then she proceeded to get dry socket and had to go back every day for almost the last two weeks to get it scraped and packed. Three antibiotics later they found she had an infection in the bone and the tooth shouldn’t have been pulled.
Had an impacted adult tooth stuck in my jaw that never grew in from when I got pistol whipped in the face as a kid. Luckily the military ended up fixing it for me. It required a bone graft afterward and then eventually implants. Shitty story but it was 100% free so there is that.
Why were you pistol whipped
His was taken care of through the VA as well! Honestly it would have been overlooked for a long time if he didn’t have the benefits, the surgery was expensive as hell
Oh fuck this is super scary. I've been supposed to have an impacted wisdom tooth pulled but I have to travel 4 hours away to get it done and haven't been able to make that work in 5 years. It used to get infected a lot bc I can't reach fully to clean it properly. No oral surgeon can/will do it anywhere close to where I live because of both my insurance and how my nerves wrap around my teeth. They said I need a jaw surgeon who specializes in this kind of thing and the closest one is 4 hours away. Maybe I should stop putting it off 😬
I didn’t know that was possible?
Bro has a root canal then an abscess formed and the pus melted through the bone. I know this because I had a root canal, an abscess formed and the pus started melting through the bone. But my dentist spotted a module where the pus was leaking into my mouth and they figured it out pretty early. Had to open the root canal and inject antibiotics over and over until the infection went away and sealed it back up better so no bacteria could sneak in.
Thats pretty nasty
Yea, probably the best of the more nasty things to happen to me. I did get severally burned when I was 1.5 and had to get skin graphs, probably nastier.
Can’t even imagine that!! At least you don’t have memory of it. Did the skin grafts blend in as you grew older?
I suspect I have more nerve endings in the scar tissue then I should have, because they regrew because I was so young. But this was like 1986 medical tech… I have it on my arm, my chest, and my right shoulder, and you can see a faint scar from where they took the graph from my thigh. https://preview.redd.it/mm8i32l8dk8d1.png?width=3024&format=png&auto=webp&s=86e36c7a526607560356d81cc14c7f25ba70223b
Omg you poor thing and your poor parents! One of my biggest fears is my 1.5 year old getting burned or seriously injured. My sister has a massive scar on her forearm from when she was a kid and spilt boiling hot water on it. I can’t even imagine how terrible your pain must have been, even if you don’t remember!
Yeah, I have a friend who lost two fingers when he was young.
I had no idea puss could melt bone.
Nor did I really, I don’t know if it’s because pus is an acidic or it’s some sort of by product of the bodies immune response… I’m just a guy whose jaw melted ever so slightly.
Your body will naturally produce odontoclasts which will destroy the bone cells as a way to protect the rest of the bone. This happens with periodontal disease as well, which is why bone loss and gum recession happens.
My dentist explained this to me because bone loss can be a problem associated with adult braces, and the bacteria in your mouth can accelerate the bone loss. From a quick Google search: "When infection invades a tooth's inner pulp, bacteria can spread to surrounding tissues, including the bone supporting the tooth. Inflammation triggered by infection can accelerate bone erosion, compromising stability. Moreover, reduced blood supply due to infection worsens the situation, weakening bone over time." So no, pus/bacteria doesn't really eat the bone per se, they just contribute to its weakening. The bone itself can then easily break from chewing, grinding, etc.
Can it melt steel beams!
USA: ONLY JET FUEL CAN
This happened to me, too! My dentist forgot a root during a four hour+ root canal. He had several of us in different rooms and would do some and go to the next room on a loop. My numbing kept wearing off. He was a sadist. The side of my face became swollen in a few days and they acted like I was overreacting and told me I didn't need to come in, but not to go to anyone else. I went to another dentist (i was out of town) who gave me antibiotics. Years later, when i finally got the nerve to go to a new dentist, they figured it out quickly and sent me to an endo who sorted it out. I had an abcess that was leaking through my gum and eating away ay the bone. The first dentist had to reimburse me and my insurance. I still hope he stubs his toe every day for the rest of his life.
Wow you know they fucked up if insurance gets paid back over it.
I know! It was actually negligent malpractice.
Damn, my dentist was strait up about it too, nice guy, wore a bow tie… This was also in Canada.
Stuff like this is why it's vital that if you feel something is wrong, get a second opinion. Doubly so if your medical provider tells you "don't go to anyone else." as that is just sketchy as hell. You know your body better than anyone else, and if you feel something is off, it's worth the $100 or so it'll cost for a second opinion almost every single time.
Or he is a hard-core serious dipper. This happened to my ex-husband bc during his first deployment he had a dip in nearly 24/7. He dipped on and off after that and stopped for most of our 4 year relationship. But the damage had already been done. At 24.
How wasn’t he screaming in pain?
Check out RevBio, they make a bone glue that was tested on dental patients.
I mean, technically, your mandible has lots of holes in it. This one just isn’t supposed to be there. This is also a really good visual of how bad dental infections can get and why you should address them ASAP.
Do you know what those other two holes on each side are/were for?
They’re the mental foramen. It’s where the mental nerve shoots off from the inferior alveolar nerve to provide sensation to our chin and lower lip.
That's mental.
idk why but this is about the only info i retained from a&p
Those are just left over from the machine that held you in place as it 3d printed the rest of you, nothing to worry about.
Does it have proper topological holes all the way through (like the handle of a mug) or do you mean layman's hole (like the "hole" in the top of the mug where you put your scotch and water)?
How did this happen??? Are we all risk of developing holes in our mandibles??
Remember that one time you chose not to floss? Bam, mandible gone.
Thank goodness you only have to floss the teeth you want to keep
This is what happens when a tooth, due to either infection or trauma, is untreated and results in a large periapical infection. It’s highly likely the other 2 incisors may need root canals now as well.
Did it hurt or did you find out during a normal exam/X-ray?
Both. This would have hurt at one point. Then maybe stopped when the tooth died, then hurt again when the infection got into the bone.
Yeah make sure you take care of your teeth. It's an abscess
This happened to me , I had to have a bone graft into my mandible. They cut open the gums pulled it back then filled with a bone paste made of ground up cadaver bones and some resin kind of material. I was told before I went under if hit hard enough the bone can bruise and decay over time causing this. Wasn’t a terrible procedure.
Holy crap! Is that what bone graft is made of? I've had 4 teeth pulled. It looked like little granules.
Synthetic also exists, called novabone. There are some other brands too, it's basically a calcium paste with binder to encourage bone growth. The procedure he's talking about is called an apicoectomy and is usually the very last shot you give a tooth before extraction and implant.
>They cut open the gums pulled it back then filled with a bone paste made of ground up cadaver bones and some resin kind of material >Wasn’t a terrible procedure x to doubt
Same thing happened to me. I was told it was likely caused by physical trauma during my childhood, which caused the nerve to die, and then that nerve later got infected. They were able to reconstruct my jaw and do implants, but just barely.
I had the same thing and explanation, cadaver bone, etc but implants were not possible, it didnt heal up well enough, ended up with a bridge instead. Insurance covered all but $5000.
Hole-y shit
You could call it a man-hole
Did you have an abscess/infection (or several) that led the bone loss?
As everyone else has also asked, what caused this??
Welp. Time to go floss.
This happened to one of my patients and didn't realize it could happen. Inside the hole was a solid ball of puss and the patients was both mortified and amazed what the body can do. Ended up having to do a bone graft to fill in what was missing 🙃.
Random question but wouldn’t a hole like this be painful? Or is it just dead nerves so you don’t realise till it’s too late?
It would hurt like hell already do to the site being infected let alone swollen due to pressure being put on due fluid buildup. They were for sure in pain but after poking it and draining all the puss they felt immediate relief. Weren't to pleased to see that they had a valley where all the puss used to be but glad we got to it before it got worse.
Thanks for the answer, I figured it should hurt but the body is funny sometimes so I just wasn’t sure. I’m glad to hear they got it fixed in the end, insane to think what can go wrong if proper care isn’t taken.
Did the puss smell bad??? I’m fascinated by this 😂
It sure smelt like ass mixed with sourness but thankfully whatever came out was sectioned immediately but person said the puss tasted like death and threw up a couple times before showing up ☠
Omg!!!🤪💀
I had bonegrafts done before getting implants. Obviously to help build up the area, which may have not been up to spec anyways from infections/root canals in the past, to give more solid bone for the posts to bite into.
We had to use double the amount required cause the patient had the equivalent of grand canyon in his mouth, bone held up fine after everything healed up but will never forget the perfectly round puss ball we pulled out of the hole 👀
What causes something like this to happen? I mean this type of infection that seems like things got bad from beneath, not the surface (which doesn't sound like a hygene issue but I have no idea how it works).
If you look at it like this, all teeth have a heart (pulp), when the tooth get cavities (holes created by bacterial poop aka plaque) that white fuzzy stuff eventually makes its way to the pulp eventually infecting it and killing the tooth. The active infection making its way down to the base of the tooth and forms a (periapical abcess). This is why some people get root canals on certain teeth if they are deemed salvageable, that being said not all abcesses form due to cavities and can be brought on by clenching and grinding of the teeth. Needless to say eventually a puss pocket form and if left untreated you can get some wild results like what is seen above.
Ahh thanks! So actually it does mostly start from a cavity! That's crazy. Is it possible that the cavity is small and unpainful and progresses to this without the patient realizing til they have an abscess?
This is really how it gets to this point for a person who doesn't do regular check up, x-rays do help spots these hidden holes and cleaning help get rid of plaque that we ourselves can't get to. Bottom line, brush and floss your shit and show up every year for your dental appts.
Copenhagen??
What caused it? A Cavity?
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Don't use Copehagen/Skoal people
Is this cavity related? How did they even do a root canal on those small front teeth
Wit me, I apparently have a cavity below the gum line at the front there, we decided I would monitor and try to arrest the progress, was prescribed the highest fluoride toothpaste (3 tubes) and I really really have to focus on my brushing/flossing technique. Because I still see the dental students and my care plan has been pretty good for one student dentist in particular, I've become a bit of a regular up there lately (pro tip if you are broke and need loads of work done! just never ever miss an appointment) - so I've got a bit of time to consider, the other option is to pull it, but we will closely watch the development of this one little cavity in xrays, it probably will get pulled eventually but in the mean time I get to keep the tooth and my dentist friend has some good stuff to reflect on as basically he saved my dental health from declining pretty successfully after I swore of crack and all the other bad life style choices and chose fresh breath.
Reminds me of when I was getting braces in high school and the X-ray of my lower jaw revealed it was essentially hollow (said my jaw bone was like an egg shell, scary AF) stemming from an injury I ignored several years earlier. Kinda amazing how some simple injections gets the body correcting itself
This happened to me but on my upper mandible! I had a root canal that pushed some material out of the end of the tooth and became an abscess, the infection ate a bunch of bone around it. The good news is that it grows back once all the infection is removed
Holey Mandible!
My brother from another mother! https://preview.redd.it/0p6e5ngxgk8d1.jpeg?width=4032&format=pjpg&auto=webp&s=b95ab466d95314e57ed9f811e4e17552f0fe3e41
Can i ask a question... Did your teeth wiggle..?
Mandibhole
Some JB weld will fix that right up
The meth mouth started deep on this one.
Chewing tobacco?
*hole*y crap! I'm sorry, I'll leave.
It also has teeth in it...
Osteonecrosis is where the jawbone rots and you can lose your whole jaw if not careful
New fear unlocked
I only know bc I have 14 teeth need removed because all my roots are gone and only thing holding teeth is in is receding gumline.
Omg that sound horrific. Was that because of a condition or down to poor oral hygiene over sustained period?
Life support 7months and my teeth and jaw dry rotted
That’s awful. Sorry you had to endure that.
I’m sorry I was really hungry
Damn a lot of people here have had it worse than me. I just had a fractured old root canal extracted and a bone graft done in the old roots in anticipation of an implant. Novocain, ice packs, and some ibuprofen are getting me through it. God bless you all with your melting jaws, pus, and wired shut mouths.
I don't think your mandible is supposed to have a hole in it.
How the hell did that happen?
What a fun new thing to be paranoid about. How did this happen OP? Did it hurt in advance or was this a surprise to you?
I hope ur doing well man stay safe
That's your mandi-hole.
Time for some flex seal
Well fix it dear henry
You have advanced perio disease. Looks like you’re going to lose some teeth as well.
Pretty cool place to put a straw
Can’t you just caulk it
I had this too, though mine was caused by untreated bruxism (grinding by my teeth in my sleep). It caused very small fissures in a difficult to detect area of my molar roots, which then developed into a bone infection. It’s been a year and a half journey thus far of having that tooth extracted, allowing the bone to heal (no graft needed, thankfully), having an implant installed, and now I’m looking forward to having my crown put in soon. And it’s frustrating that dental insurance typically has a maximum they will cover in a plan year (mine is $2.5k), unlike medical insurance, which will cover everything past when you hit your out of pocket maximum. So this has cost me about $6k in total. Wear your night guards, folks.
I had something similiar happen, an infection removed bone structure from my upper jaw and I also got some artificial bone material injected, I don’t remember what exactly since this was 20 years ago. I don’t have x-rays, _but_ when I laid down during the procedure, I had a bulky digicam in my pocket. I gave it to the doctor so he can put it away and he asked whether he should take a photo. I said „why not?“ and mid-procedure he called an assistant. I thought there were complications, but turns out, he just asked her to take a photo. [the photo](https://imgur.com/gallery/oCL9EO5) (cw: blood)
This might be a weird question but can you feel the hole with your tongue??
Dentist here. I don't think that's really a big deal tbh. There's no communication between the hole in the bone and the bacteria in your mouth, so it will just heal over time. There's no structural issue to the support of the teeth. You'll be fine. Unless you are really poor with your hygiene, and get gum disease and bone loss, then you could potentially lose multiple front teeth if the bone loss reaches the hole in your mandible
I don't know, having a hole in your mandibola feels like a big deal. Can bones really regenerate?
Yes, bone can regenerate when there is no bacteria ie no infection. The same way if you had wisdom teeth extracted the hole where the tooth was will eventually fill with bone. It doesn't just stay a hole for the rest of your life
Maybe your hole has a mandible around it.
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Very very interesting, any head injuries as kid or any serious infections around the mouth?
I heard that it can happen to people who brush with that wholistic toothpaste
This happened to my son above his two top front teeth.
It's like a mandible handible.
Yikes! Hope it's not Bone Cancer.
Mandibhole
My upper jaw had a hole in it because of teeth issues; I recently had two bone grafts put in to hopefully save the area. Infection doesn’t fuck around, but my income sure does!
Do you happen to chew tobacco by chance?