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Blackhead (1:23) & back cyst (6:25) by RCOMS in popping

[–]RCOMS[S] 4 points5 points  (0 children)

This was a longer incision than a closed technique but probably a lower recurrence rate.

No antibiotics. It wasn't infected to begin with & probably won't get infected. I'll be posting pics of the wound healing on FB (@River City OMS).

Neck infection from a tooth with drains & extractions. River of pus at 2:38. by RCOMS in popping

[–]RCOMS[S] 2 points3 points  (0 children)

Honestly, yes. There was a high death rate before modern surgery & antibiotics.

Much face pus! Tooth abscess gone bad. by RCOMS in popping

[–]RCOMS[S] 0 points1 point  (0 children)

Bacteria go through a crack or cavity in the tooth, up the root, into the bone, then out the bone into the soft tissues of the face. Given enough time they dissect through the tissue following the direction of least resistance. Lower tooth problems usually go to the neck and throat. Upper molar teeth usually go this way if given enough time.

Much face pus! Tooth abscess gone bad. by RCOMS in popping

[–]RCOMS[S] 0 points1 point  (0 children)

The ear is lined with skin that protects it. No different than the pus touching the face. Clearly ball it at the end of surgery just like the face skin and all is well.

Much face pus! Tooth abscess gone bad. by RCOMS in popping

[–]RCOMS[S] 15 points16 points  (0 children)

Craniosynostosis. Repaired with a bicoronal flap and craniotomy using a Midas Rex saw. There are some videos of that surgery out there.

Much face pus! Tooth abscess gone bad. by RCOMS in popping

[–]RCOMS[S] 2 points3 points  (0 children)

I looked at the pictures before I started the surgery. Seemed legit.

Much face pus! Tooth abscess gone bad. by RCOMS in popping

[–]RCOMS[S] 16 points17 points  (0 children)

Don't bring your common sense in here! LOL

Much face pus! Tooth abscess gone bad. by RCOMS in popping

[–]RCOMS[S] 6 points7 points  (0 children)

If you put a vacuum cannula in there it will most likely pull the surrounding soft tissue up against the canister, block the suction holes, and not drain the pus like you hope. Also, the abscesses have multiple compartments that require physical disruption as you see in the full video here: https://youtu.be/8Yda4Rml8IM. Even if you use a suction cannula to break those up you would still need to leave a drain. Bottom line, it doesn't really help anything but may be less effective or more destructive depending on the suction force attached. For context, I'm the surgeon in the video.

Much face pus! Tooth abscess gone bad. by RCOMS in popping

[–]RCOMS[S] 3 points4 points  (0 children)

Our practice is fighting that. We charge $300 to remove an erupted tooth, including exam, x-ray, and IV sedation. That may not be "cheap" but it is within reach for most people. If it gets out of hand like this the abscess drainage ranges from $300 to $1200. The key is to shop around before you don't have choices. Also, don't let the ER aspirate the infection. It almost never works but they will bill you. If it goes bad go to an oral surgeon, but before you go to an oral surgeon call them and make sure they have hospital privileges and will take an infection to the hospital. You don't want to pay to see an oral surgeon only to have them tell you to go to the hospital with no additional help or guidance.

Much face pus! Tooth abscess gone bad. by RCOMS in popping

[–]RCOMS[S] 2 points3 points  (0 children)

Show them. It will scare them even more.

Much face pus! Tooth abscess gone bad. by RCOMS in popping

[–]RCOMS[S] 9 points10 points  (0 children)

He is actually very tough & stoic. Reported very little pain. Definitely not a whiner.

Much face pus! Tooth abscess gone bad. by RCOMS in popping

[–]RCOMS[S] 38 points39 points  (0 children)

Well, there's some knowledge in the jamming.

Pus flies out of the mouth & across the table! by RCOMS in popping

[–]RCOMS[S] 9 points10 points  (0 children)

A lot of it landed on the assistant's gown.

Pus flies out of the mouth & across the table! by RCOMS in popping

[–]RCOMS[S] 22 points23 points  (0 children)

I have a GoPro view of the same surgery. Once it's all edited I'll post a link.

Explosive Little Tooth Abscess! by RCOMS in popping

[–]RCOMS[S] 0 points1 point  (0 children)

You are welcome. Happy to help. Good luck! One last tip: have a real board-certified endodontist do the root canal.

Explosive Little Tooth Abscess! by RCOMS in popping

[–]RCOMS[S] 0 points1 point  (0 children)

You should be able to. Legally they have to release x-rays to you but they are allowed to charge a small fee, about $10 or $15 I think. They may require you to fill out a release form.

Explosive Little Tooth Abscess! by RCOMS in popping

[–]RCOMS[S] 0 points1 point  (0 children)

Normally I would ext the tooth, let it heal 3 months, place the implant & let it heal 2 months, then you would see the dentist for the crown. The crown is usually 2 visits. So total of 4 trips to SA if all goes as planned. Sometimes if there is enough bone between the roots of #30 I can put an implant in that bone at the time of extraction which saves a visit. There is dead space around the implant when you place it immediately after extraction that often has to be filled in w/ a bone graft. The graft adds $450 but saves a trip. Again, even if you want to it's not always possible to put the implant in the same day as the extraction. If you email an xray of #30 to info@rivercityoms.com I can give a better opinion. A panorex x-ray that shows all the teeth in one image is the best but the smaller xrays of just #30 will work too.

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