Getting an Infected Tooth Pulled

In 2016, I tackled this very subject as Dental MythBuster #16 – You Shouldn’t Have an Infected Tooth Pulled. In this post, I dispelled the myth that if there is an active abscess or other type of infection with a tooth, it should not be removed. I wrote this Dental MythBuster because I had previously encountered some individuals who believed that you are supposed to give antibiotics ONLY and not treat the infection surgically.

This “no pulling when infected” myth was in full force when I posted this video in February 2019 on our YouTube Channel of me treating a patient with a large, life threatening infection. In spite of this, there were posters who were somehow suggesting that I should not remove the tooth? Huh?

Video of Juicy Pus Explosion from Dental Abscess with Extraction

Let’s look at the video that provoked these comments:

It is a very popular video with over 1.6 million views as of 9/2019. As a result, there are many comments. But if you scroll through them, you will occasionally see commenters assert that removal should not have been done.

The “You Can’t Have an Infected Tooth Pulled” Myth in Action

Let’s look at one YouTuber who goes by the name rancar29:

Youtube comment on getting an infected tooth pulled

In the above comment, rancar29 claims that removal would cause sepsis, and that surgical intervention should not have been done at that time.  Apparently, he/she feels that a couple of orally administered pills will cure this infection and that the tooth – the root cause of the infection – should stay put.

I could put forth many arguments to refute the assertions of rancar29, too many to list. But the one point worth highlighting is that with an infection of this size and in this area, bacteria are already into flooding the bloodstream. Generally speaking, removal will not “spread” the infection anymore than it is already is spreading.

Would You Still Want the Tooth in your Mouth?

So, let’s say you go to your dentist with massive swelling and pain. The pain is so intense you feel like your vision is being affected. You can barely drive properly. You can’t think straight. You get in the chair. An x-ray is taken. There is a MASSIVE infection present (but you already knew that).

Large Dental Abscess with swelling and pus

If this were you, would you be OK with a couple of antibiotics pills?

The dentist then says – we’ll just give you some pills and hope the infection clears. Would you be OK with that?

Dental Infection = Infection Just Inches From Your Brain

As I outlined in a more recent post – A Toothache Can Kill You – I talked about how dental infections are close to the brain. And that even in recent times, individuals in the United States have died from untreated tooth infections.

Infections such as the one shown in this video need surgical intervention ASAP. So if you are ever in this situation, you need to get treatment quickly.  Relying on a myth that you shouldn’t get an infected tooth pulled could make you end up in the ER, or worse.

Disclaimer: as always, this post is not considered medical or dental advice. Every case is different. If you have an infection like this, seek out the expertise of a dentist or oral surgeon.

 

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