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I had two decayed teeth removed 9 days ago (both big molars

Customer Question
with curved roots, one tooth...
i had two decayed teeth removed 9 days ago (both big molars with curved roots, one tooth retained roots) both developed dry sockets , which were packed twice. I had a 5 day course of metronidazole but pain is still bad , pain relief still needed day and night. yesterday I visited dentist agin and she said basically she had done everything she can and that she cant suggest what it might be ??? I might add she took out all the packing and has now left them empty
JA: How long have you had the pain? What seems to make the pain better or worse?
Customer: pain since day one, warm water seems to ease the pain
JA: Anything else in your medical history you think the dentist should know?
Customer: no
Submitted: 8 months ago.Category: Dental
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Answered in 1 minute by:
5/17/2017
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago
Dr. Katz
Dr. Katz, Dentist (DDS or equivalent)
Category: Dental
Satisfied Customers: 3,683
Experience: Dentist and Anesthesiologist for 37 years.Anesthesiology Fellow-Johns Hopkins School of Medicine.Evaluator for Maryland State Board of Dental Examiners.
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Do you have any swelling?Which teeth exactly were removed?

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Customer reply replied 8 months ago
no swelling . I had last back molar bottom left (no wisdom teeth) then molar infront of that still there , but next one removed which had the retained root.
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

Was all of the tooth removed or did she tell you that there was still a root remaining?

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Customer reply replied 8 months ago
sorry cannot afford call
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

I did not offer the call. The site does that automatically. We can still type

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Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

Just ignore the prompts.

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Customer reply replied 8 months ago
thank you
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

One of the major cause of dry sockets is rinsing. Rinsing dislodges the clot and delays healing.

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Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

You are also tasking the wrong antibiotic. Metronidazole though used in the UK is the incorrect antibiotic for tooth infections. Penicillin vk or Amoxicillin is the correct choice.

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Customer reply replied 8 months ago
I did everything as directed, however my concern is why I still have pain , bad pain 9 days on without any let up , can this still be the dry sockets now the dentist has removed the packing
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

How long was the packing left in place?

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Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

Did you start rinsing right after the extractions were done?

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Customer reply replied 8 months ago
ahh that interesting re antibiotic, I had packing in on day 3 , changed once and removed yesterday ,so 5 days
Customer reply replied 8 months ago
I only started rinsing 24 hours after
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

Packing should never be left in place for more than 48 hours. You are dealing with a dentist who is uninformed.

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Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

A dry socket will heal on its own with no treatment. The more that you rinse and mess with the socket,the longer it will take to heal.If you have this long of a delay,there may be some bone fragments still in the socket.

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Customer reply replied 8 months ago
ok , so I guess I should see another dentist, any suggestion of what to do in the mean time ?
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

The best thing would be to see another dentist ,have them clean the socket and get some fresh bleeding going so a new clot can form. In the meantime...

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Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

Get a piece of gauze and cut it to 2 cm long x 1 cm wide. Coat it on both sides with some Desitin or zinc oxide cream

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Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

Place this gauge in the socket until it stays put. This will protect the bone and give you relief within minutes. It will need to be removed in 48 hours. No rinsing.

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Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

The socket heals from the bottom up and will take six weeks to close completely.

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Customer reply replied 8 months ago
ok will do thanks for the advice . new dentist for me . thank you
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

See a new dentist and let them know that metronidazole is the wrong antibiotic for tooth infections.

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Customer reply replied 8 months ago
I will thank you
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

When you get a chance. Please leave a rating. We get no credit for our time without one. I hope that you feel better soon.

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Customer reply replied 8 months ago
thank you so much , yes I will do
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

Thank you have a good evening.

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Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

Please leave a rating when you get a chance. Thanks

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Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 8 months ago

Can you please leave a rating for the answer? Thanks

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Dr. Katz
Dr. Katz
Dr. Katz, Dentist (DDS or equivalent)
Category: Dental
Satisfied Customers: 3,683
3,683 Satisfied Customers
Experience: Dentist and Anesthesiologist for 37 years.Anesthesiology Fellow-Johns Hopkins School of Medicine.Evaluator for Maryland State Board of Dental Examiners.

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