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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dental Surgeon Says Wisdom Teeth Removed, Xray Shows Missing Bone Around The Teeth. No Pain. Surgery Needed?

My dental surgeon says i need 2 wisdom teeth removed as the xray shows bone around the teeth is missing about 2mm. There is no pain at all my regular dentist looked at the xray and said he would not have the teeth removed after looking at the xrays as without swelling or pain it is likely this was caused by a previous event although i dont recall having a problem. Can an abscess exist with no pain? Or is the surgeon just being cautious of is he seeing his new yacht in my mouth?
Tue, 27 Aug 2013
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Dentist 's  Response
Hello,

Welcome to healthcaremagic forum.

Abscess can occur underneath tooth even without causing toothache.

If there is severe bone loss around tooth and tooth cannot be saved,get it extracted.

If tooth can be saved,bone grafting as well as drainage and curettage of abscess has to be done.

Take augmentin along with metronidazole tablets and analgesics.

Meanwhile,maintain oral hygiene well.

Swish with lukewarm saline frequently.

Please do visit an oral surgeon for further reference.
Hope this helps.
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Dentist, Implantology Dr. S.Naveen Kumar's  Response
Hi there,
Thanks for asking your query,

No treatment is needed if the wisdom teeth is not causing any problem.if the bone around the teeth is missing you will have easy extraction without any pain & swelling.difficult extraction is always associated it with pain & swelling.

secondly abscess is always associated with pain and other symptoms like swelling of face,fever,difficulty in mouth opening and so on.

Visit a dental surgeon on whom you have confident and trust.

meanwhile maintain good oral hygiene

regards,
Dr.naveen

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Dental Surgeon Says Wisdom Teeth Removed, Xray Shows Missing Bone Around The Teeth. No Pain. Surgery Needed?

Hello, Welcome to healthcaremagic forum. Abscess can occur underneath tooth even without causing toothache. If there is severe bone loss around tooth and tooth cannot be saved,get it extracted. If tooth can be saved,bone grafting as well as drainage and curettage of abscess has to be done. Take augmentin along with metronidazole tablets and analgesics. Meanwhile,maintain oral hygiene well. Swish with lukewarm saline frequently. Please do visit an oral surgeon for further reference. Hope this helps.