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Robert...
Posted: Thu Jun 12, 2008 8:23 pm
Guest
Can an infected tooth cause tenderness in the lower jaw? Starting to have
some discomfort chewing on a lower left first molar. But more concerning,
the jawbone below it seems tender. Is it possible that it is related, or are
they likely two separate issues? Thanks.
...
Posted: Thu Jun 12, 2008 10:41 pm
Guest
On Thu, 12 Jun 2008 21:23:18 -0400, "Robert"
<guyinct17 at (no spam) NOSPAMyahoo.com> wrote:

Quote:
Can an infected tooth cause tenderness in the lower jaw?

Sure.

Quote:
Starting to have
some discomfort chewing on a lower left first molar.

OK

Quote:
But more concerning, the jawbone below it seems tender.

Not surprising.


Quote:
Is it possible that it is related, or are they likely two separate issues?

Much more than "likely related".
Submandibular lymph node reaction to chronically infected lower molar.
Classic presentation.

Quote:
Thanks.

Welcomed.


Get thee to a dentist ASAP.

&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&

For the SMD practitioners:

Presentation of a lower molar infection is classic and we all have
seen it countless times.

The fact is, that the abcess is *always* sub-periosteal.

The inferior mandibular border facia is less often pierced to the
lingual <medial> aspect than the buccal.

The Masseter and Medial Pterygoid meet in a dense connective
'symphysis' at the inferior border of the mandible, anterior to the
angle of the mandible.

Readily palpated as a minor concave curvature between the angle and
the mental nerve prominence.
Run your thumb along the inferior border of the mandible from the
angle anteriorly and you will feel it.

The lower molar abcess is always between these structures and
most often presented inferiorly, then buccally. The lingual
presentation has the aforementioned findings in addition to the
sublingual periosteal dissection.

SubMandibular lymph node tenderness and prominence can almost always
be discerned to an extent related to the virulence or chronic nature
of the infection.
Chronic leisions exhibit recurrence and the classic 'phoenix'
presentation.

Class dismissed.
Dartos...
Posted: Fri Jun 13, 2008 7:35 am
Guest
I know it when I see it, but you describe it very well.

:-)
D
Quote:

Get thee to a dentist ASAP.

&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&

For the SMD practitioners:

Presentation of a lower molar infection is classic and we all have
seen it countless times.

The fact is, that the abcess is *always* sub-periosteal.

The inferior mandibular border facia is less often pierced to the
lingual <medial> aspect than the buccal.

The Masseter and Medial Pterygoid meet in a dense connective
'symphysis' at the inferior border of the mandible, anterior to the
angle of the mandible.

Readily palpated as a minor concave curvature between the angle and
the mental nerve prominence.
Run your thumb along the inferior border of the mandible from the
angle anteriorly and you will feel it.

The lower molar abcess is always between these structures and
most often presented inferiorly, then buccally. The lingual
presentation has the aforementioned findings in addition to the
sublingual periosteal dissection.

SubMandibular lymph node tenderness and prominence can almost always
be discerned to an extent related to the virulence or chronic nature
of the infection.
Chronic leisions exhibit recurrence and the classic 'phoenix'
presentation.

Class dismissed.
Robert...
Posted: Fri Jun 13, 2008 3:54 pm
Guest
<Newbie at (no spam) bix.nex> wrote in message
news:jdp354h36rhuk9a09krm7r7519aep17mhq at (no spam) 4ax.com...

Quote:
Get thee to a dentist ASAP.

Thanks for the comprehensive answer.

My bad: I was informed I was feeling my salivary glands, not my lymph nodes!
(Guess I better break out my old high school anatomy book again.) In any
case, my regular doc said my lymph nodes and salivary glands all seemed
normal to him.

But that still leaves the mysterious tendeness in the lower jaw and salivary
glands. Incidentally, one of the molars has about a 1/2 onlay and the other
has a full crown. Both placed within the last year.

I've been to the dentist several times already. I can tell him I want him to
do something, but what? Root canal? Extraction? Replace crowns? He said if
I want him to do a root canal, he'll do a root canal (!). If you had those
symptoms, what would you ask your dentist to do for you? Have you ever
asked your dentist to be more aggressive than he was inclined to be?

Thanks again.
...
Posted: Fri Jun 13, 2008 4:51 pm
Guest
On Fri, 13 Jun 2008 16:54:55 -0400, "Robert"
<guyinct17 at (no spam) NOSPAMyahoo.com> wrote:

Quote:
Newbie at (no spam) bix.nex> wrote in message
news:jdp354h36rhuk9a09krm7r7519aep17mhq at (no spam) 4ax.com...

Get thee to a dentist ASAP.

Thanks for the comprehensive answer.

My bad: I was informed I was feeling my salivary glands, not my lymph nodes!
(Guess I better break out my old high school anatomy book again.) In any
case, my regular doc said my lymph nodes and salivary glands all seemed
normal to him.

But that still leaves the mysterious tendeness in the lower jaw and salivary
glands. Incidentally, one of the molars has about a 1/2 onlay and the other
has a full crown. Both placed within the last year.

I've been to the dentist several times already. I can tell him I want him to
do something, but what? Root canal? Extraction? Replace crowns? He said if
I want him to do a root canal, he'll do a root canal (!). If you had those
symptoms, what would you ask your dentist to do for you? Have you ever
asked your dentist to be more aggressive than he was inclined to be?

Thanks again.



Next step is to see an endodontist.

Find one here: www.aae.org
Robert...
Posted: Fri Jun 13, 2008 9:32 pm
Guest
<Newbie at (no spam) bix.nex> wrote in message
news:kpq554puq822fd8qj490feb1gf3hfrg4nq at (no spam) 4ax.com...
Quote:
Next step is to see an endodontist.

Thanks. Done all that too. No one can find a clear basis for doing a root
canal. I'm thinking I should just tell him to go ahead and do it anyway.
...
Posted: Fri Jun 13, 2008 10:17 pm
Guest
On Fri, 13 Jun 2008 22:32:26 -0400, "Robert"
<guyinct17 at (no spam) NOSPAMyahoo.com> wrote:

Quote:
Newbie at (no spam) bix.nex> wrote in message
news:kpq554puq822fd8qj490feb1gf3hfrg4nq at (no spam) 4ax.com...
Next step is to see an endodontist.

Thanks. Done all that too. No one can find a clear basis for doing a root
canal. I'm thinking I should just tell him to go ahead and do it anyway.


How is this for a clear reason: "The tooth hurts !"


It's what I'd do.
Robert...
Posted: Mon Jun 16, 2008 8:08 pm
Guest
<Newbie at (no spam) bix.nex> wrote in message
news:1td6549udpabbrom3539007sgi4hc6m3qh at (no spam) 4ax.com...
Quote:
How is this for a clear reason: "The tooth hurts !"

It's what I'd do.

I suggested that to the endo, but he said we should make sure we are doing
the right tooth. He said he's seen people come in with unlocalizeable
symptoms go for root canal after root canal and not have relief. Hey, thats
something to look forward to, huh? Smile
Brian Sandle...
Posted: Sat Jul 12, 2008 8:22 pm
Guest
Robert wrote:
Quote:
Newbie at (no spam) bix.nex> wrote in message
news:1td6549udpabbrom3539007sgi4hc6m3qh at (no spam) 4ax.com...
How is this for a clear reason: "The tooth hurts !"

It's what I'd do.

I suggested that to the endo, but he said we should make sure we are doing
the right tooth. He said he's seen people come in with unlocalizeable
symptoms go for root canal after root canal and not have relief. Hey, thats
something to look forward to, huh? :)


Try a bite guard at night for a while. Are you also finding it hard to
get the floss in between the teeth? That could be jaw clenching
squeezing out the blood circulation in the teeth sockets, like tight
socks do to your legs. Try a bite guard anyway.

Brian Sandle
 
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