Tooth number 18 with a big decay and carie

# 17 wisdom teeth behind it is Bony impacted

Been having a lot of pain on my bottom left tooth that I went to the er for mid may

This is the second flare up.

First one was in early April and then another one was in may both really bad but the second one was much worse

Have been told I have bad decay and cavity there which is basically a carie. There’s a black dot on my tooth

Have all 4 wisdom teeth. Am 30

Went to an oral surgeon and they want me to remove all 4 wisdoms and then potentially do a root canal on the bottom left tooth in front of the wisdom

Also want to do a cbct scan which I’m concerned about because of the radiation. It’s both arches 16x9 and the machine they use icat flx is 69usv for this test.

Now I don’t want to remove my wisdoms because they could change jaw shape and that how the nerves are connected to organs?

I was ok removing the tooth in front and doing a ceramic implant with ozone bone graft and prp but he said implants are bad because when chewing the brain can’t sense the tooth and to keep the natural tooth

My jaw feels tender and painful to touch on the side don’t think I have any swelling. My ear is clogged on the same side and I think it’s related but I thought it was just because I went to edc mid May and was wearing ear plugs but idk how that would be effecting me pain wise right now. Thought it was just that I pushed in the ear wax really deep with the plugs but i didn’t know if I would still be feeling it this clogged.

Dentist was really scaring me that i may have an infection and to do this asap because it could go in my jaw and brain which is really bad and I do want to fix this asap even if it means to get all wisdoms extracted

But I’ve heard horror stories of root canals and how they are bad and could cause even cancer

I’m not sure if I should get a second opinion

But idk if anyone knows anything about cbct and how bad the radiation is

https://www.reddit.com/r/MedicalPhys...from_conebeam/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8133899/

I’m just scared about another flare up because that was the worst pain of my life and I don’t want to experience it again.

Even now sometimes it stings and I get scared

Last time the pain went away cuz the er injected me with xylocaine but idt that did anything

But the pain didn’t stop until I took 600mg ibuprofen prescribed and amoxicillin which I only took one pill

Not sure what worked cuz before I had already taken 600mg ibuprofen otc in 3 pills

Or nothing worked and the pain was gonna go away anyways?

Old X ray pic I think from 2018 and cbct radiation:https://postimg.cc/gallery/h4MWdRY


Old pic from 2018 prolly much worse now of inside of teeth:https://i.postimg.cc/gJQw4scW/EDE7-F...E09-DE5-A1.jpg

My wisdoms are sideways and bony impacted

I was doing some research on cbct machines and plan Mecca is the best one cuz it has a low dose setting and produces the same image quality

So I’m seeing an oral surgeon this Thursday to do the test and extraction of #18 asap their next available.

Now Idt if I need a cbct of the entire jaw because I know with plan Mecca they can just focus on the lower left but if I’m gonna get the same exposure of radiation might as well do the entire jaw? This I don’t know if it’s the same exposure or less in just the lower left jaw. I know 16x8 I was told takes the spine in the image as well prolly the neck area? So Idt why I need such a big view

Another dentist was saying I only need a demotion 8x8 view

I guess all these views are for maybe to extract all 4 wisdoms but right now I just want to focus on 18 and lower left area. Maybe it’s better to do just one big scan instead of two later? But I still don’t know if the full jaw view has the same radiation exposure as just taking the lower left. I hope I’m making the right choice using plan Mecca cuz there’s another machine called Kavo. And I guess the software matters too.

I was prescribed antibiotics amoxicillin but still not sure if I have an infection. The dentist just prescribed it without taking an x ray.

My holistic dentist told me not to take them tho because I currently have gut problems as well such as bloating and burping but someone was saying it could fix it even but this one said itlll make my gut problems worse.

I’m just trying to make it to Thursday and the extraction because I’m scared of another flare up and if there’s an infection hopefully it didn’t spread

Don’t drink or smoke just eat a lot of junk food and high sugar foods

Plan is to do a ceramic implant as I heard that’s the best


Update:

Saw another oral surgeon today and took the cbct with the kavo machine

They said I don’t have an infection

Says the problem is with the wisdom tooth number 17 which has a big cavity and number 18 can be saved to do a root canal or nothing on it as it isn’t as bad

So they are basically telling me to remove # 17 but I’m confused why did I have those two big flare ups in pain and why have they gone away and would it come back if it’s not an infection