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Dentistry/Whole root removed in a crowned tooth

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Question
3 months ago I had a whole root removed by an oral surgeon because he said i had an infection from a failed root canal that was done many years ago. The tooth had a crown and was part of a fixed bridge. Family dentist took new x-rays and said he does not know why area where indentation of gum and bone removal is still aching, he saw no infection. Could healing still be taking place?

Answer
Good question Anthony.  Three months is a long time for an extraction site to still be aching.  Unfortunately, I can't tell you why the aching remains.

Healing could still be taking place, but this would be very unusual.  I must assume that the aching you feel now is much less than the pain you were feeling just before and just after the root was removed.

Several possibilities pop into my head.  The end of the root may have been near a nerve trunk that runs through your jaw, and the infection, the removal and the healing thereafter caused more damage to this nerve trunk than was suspected at the time, and the nerve trunk is taking a longer time to heal.  Or there is something that remains under the gum (infection, root fragment, bone fragment) that is causing the bone to ache.  Or you are having phantom pain.

I wish I could be more diagnostic, but I can't see or feel the area to be more specific.

I'm sure that whatever it is will slowly go away.  If another 3 months passes and this doesn't feel much better, or if it gets worse, contact your oral surgeon.

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Howard Finnk, D.D.S., P.A., CEO

Expertise

I am a Family, Implant and Cosmetic dentist. I will answer questions on any aspect of dentistry and matters relating to the smile, gums, jaws and lower face. Member American Dental Association, Florida Dental Association, Broward County Dental Association, and Atlantic Coast District Dental Association. I have served as District Council Member of Alpha Omega, as well as serving for one term as its President. I am also a member of The Vedder Honors Society, Broward Dental Research Clinic, and Mount Sinai Hospital Guild. I have served as a Volunteer for Project Dental Health and The Tri-County Dental Health Council.

Experience

Having attained over 30 years of clinical experience in private practice in Michigan, in 2001 I was re-certified by taking and passing the Florida State Dental Board Examination. After moving to Florida, I spent nearly 10 years re-honing my skills while working as an Associate Dentist for several large dental groups. In September, 2004, I was appointed Adjunct Clinical Professor at Nova University's College of Dental Medicine. I am certified in placement of Mini Dental Implants, and I am Director of The Florida Implant Center (floridaimplantcenter.com). On March 1, 2010, at the age of 62, I began all over again by buying a dental practice near my home in the Fort Lauderdale area. As sole owner and Chief Dental Officer of the new Nob Hill Dental Center (nobhilldentalcenter.com), I can now carefully provide dental care to patients who care, all within a caring, joyful environment. Over my career lifetime, I have provided thousands of diagnoses, fillings, crowns, bridges, root canals, periodontal treatments, TMJ therapies, partials, dentures and extractions, and dozens of implants for my patients. The only aspect of dentistry with which I have very little experience is orthodontics.

Organizations
American Dental Association, Florida Dental Association, Broward County Dental Association, Atlantic Coast District Dental Society, Vedder Honors Society, Broward Dental Research Clinic, Alpha Omega Alumni Association, and American Association of Dental Implantologists. Formerly, American Academy of General Dentistry, Michigan Dental Association, Macomb Dental Society, Detroit District Dental Society, Tri-County Dental Health Council (a charitable dental care organization)

Publications
"How To Save Money At The Dentist" Going to press soon.

Education/Credentials
Bachelor of Arts and Sciences in Psychology from Wayne State University Doctor of Dental Surgery from University of Detroit College of Dentistry Adjunct Clinical Professor, Special Needs Department, Nova Southeastern University College of Dental Medicine, Fort Lauderdale, Florida

Awards and Honors
Membership in The Vedder Honors Society

Past/Present Clients
HIPAA rules do not allow me to post this information.

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