Quote:
Originally Posted by wdfifteen
Thank you so much leakyseal. I assume it's OK to wait until my Tuesday appt to do anything? It will be fun to tell him, "Doc, it seems to be down near or possibly to the alveolar ridge of bone and I am concerned." He will totally crack up!
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Tell him in these words "Doc- I am concerned that this may be at the level of alveolar bone, or perhaps even subcrestal considering it took me so long to extract myself...."
(edit)... unless you have a history of periodontal treatment and bone loss. In this instance, inform him your overall strategy has been that you have known of this impending fracture for some time, and you have actively avoided periodontal maintenance to allow the bone to recede to a point whereas this fracture would be easily amenable.
If you aren't hurting now- you will probably be fine until tue.
Basically, if you had a vital nerve that was exposed by this fracture, you would be in some sort of pain right now- and you aren't, so either the nerve is dead, shrunken, or isn't exposed.
If a vital perfectly good nerve WAS exposed, it would have been exposed to bacteria even if you had of gone in this morning asap, and it would have more than likely needed a root canal anyway.
Right now, this tooth is really pushing the limits of periodontic and restorative considerations. Endodontic concerns are also a factor, but at this point almost play second fiddle to the first two. Your second picture almost seems to indicate a pulp horn on the internal aspect of the fracture, but if that were the case, you wouldn't be sitting here typing in ppot (of parf
) tonight.
If the nerve is schlerotic, or necrotic, it has been so for some time. The recent fracture will not be a big deal in the course of those two things (meaning it could have blown up 6 months ago, or 6 months from now, or if schlerotic- never...).
Don't ignore it, and don't sit on it for 6 months/ year- but next week should be fine. If it does flare up- call your dentist's emergency off hours line.