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Root Canal Treatment
Teeth Cleaning Procedure
Teeth Whitening Procedure
Root Canal Treatment
Management of Dental Hygiene
Chronic Skin Allergy Treatment
Tooth Extraction Procedure
Dental Extractions Procedure
Skin Rash Treatment
Gap Closing (Dental) Treatment
Artificial Teeth Treatment
Treatment of Root Canal Treatment (RCT)
Wisdom Tooth Removal Procedure
Teeth Scaling & Polishing
Braces Treatment for Adults and Teens
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Hello Doctor, I am Raju and age 33 year's old and suffering from teeth problem, as my corner teeth & gums got damaged and beside teeth became sensitive. And when I consulted dentist, they suggested for removal of all 4 corner teeth and 1 thing I came to know that is it is very risky if we remove corner teeth and it leads to decrease of eye sight. And am unable to drink Cool and Hot liquid's and other items. Kindly suggest me for the same. Thanks, Raju.
Hello. I am 25 years old and considering for having teeth braces as my front 4 teeth r having space between them can you please tell me how much time it will take?
I have low weight. My hemoglobin is 6, and In between in my mouth there is very pain. No. PROBLEM IN MY TOOTH. IT IS MOUTH. I cannot eat any food which is non sugar. For 3 months. Please advice.
Removal of teeth is gradually not the first option for a lot of dental issues. However, a large number of dental infections and other causes end in extraction. The front teeth, because of their visibility, are more likely to be replaced. The back teeth often go un-replaced, though they play a higher role in terms of food digestion and function. In many patients, reasons for impaired bite and crooked tooth are traced back to failure to replace a removed tooth. (Learn more to maintain healthy teeth)
Let us look at the some of the issues as a result of not replacing a missing tooth:
- Reduced chewing/digestive efficiency: The back teeth play a significant role in chewing the food and contributing to the initial stage of digestion. The salivary enzymes play a significant role in digestion when the food is chewed and removal of back teeth tends to make people swallow food faster than if good amount of chewing were to happen. Studies show that loss of each posterior tooth (molars especially) reduces tooth efficiency by 10%.
- Malocclusion: A malocclusion happens due to the empty space created, into which 3 teeth are trying to move. The tooth before and after the empty space tend to slowly tilt towards the empty space in between. Also, the opposing upper or lower tooth supra erupts into this space. Each tooth plays a critical role in maintaining the adjacent and opposing tooth in place, which is lost when a tooth is not replaced after removal.
- Bone loss: The tooth also is essential for maintaining healthy bone, and if not replaced, it can lead to accelerated loss of alveolar bone. Good bone support is very essential for construction of dentures, especially in old age, when complete dentures which are almost always removable need to be done. This is true especially in the lower teeth, where denture retention is a big challenge.
- Extra pressure on other teeth: Not replacing a tooth puts additional pressure on the remaining teeth, leading to accelerated bone loss and wearing off of the enamel.
- Esthetics: There will be a sinking in of the face when back teeth are not replaced, leading to a puckering.
So, the next time, tooth loss is inevitable, ensure you plan how to replace it in the earliest possible time period. The more it is delayed, the more difficult it is to replace it and the more expensive it will turn out for the patient. Fixed dentures or removable dentures can be the options, depending on age, food habits, finances, etc. Implants also could be another option, which is the new-age solution for replacing teeth. A detailed discussion with your dentist, ahead of removal will help you plan better. (know more for Nutrition and Dental Health)
Those who have experienced it would vouch for the fact that toothache is one of the worst pains. There could be times when the attack happens out of nowhere and you are crying for relief.
The tooth has 2 parts - the visible part called the crown and the invisible part called the root which is embedded in the jaw bone and covered by the gums.
Both the crown and the root have 3 layers from inside out. The crown has enamel, dentin, and pulp. The enamel is the mineralized part of the tooth, dentin has fine sensory dentinal tubules, and the pulp receives nerve and blood supply to the tooth through a small orifice at the end of the tooth called the apex. On the root surface, instead of enamel, there is a softer substance called cementum. The dentin and the pulp continue through the tooth, but are thinner in the root portion of the tooth.
The mouth has the largest amount of bacteria in the body. These act on the food deposits on the tooth and produce acid which leads to breakdown of the enamel. The only symptom when enamel breakdown happens is food lodgment, and it continues till treatment ensues. Once the breakdown reaches the dentin, sensitivity sets in, and most people go for treatment then. If not, the next layer is the pulp, when there is severe pain. This acute pulpitis causes pain in spurts and can be unbearable.
On the root surface, if there is periodontal disease and the gum line goes down, then cementum gets worn off (far more easily than enamel) and decay reaches the dentin and pulp (again faster than in the crown).
Whatever the case, the treatment would be the same:
- Dental examination, clinical testing, and x-rays would be diagnostic. Tapping the tooth would reproduce the same pain and that is indicative of acute pulpitis
- Antibiotics and pain killers would be given to control the pain
- Once the infection subsides, root canal therapy is initiated. Using the decayed portion to gain access to the root, thin instruments called reamers and files are used to clean out the pulp space completely. They are then shaped to accommodate an inert substance called gutta percha which ensures infection does not seep into the tooth again.
- With RCT, the tooth is weakened, and therefore a crown needs to be placed. This could either be a ceramic crown or a full metal crown based on economic and esthetic reasons.
The best way to avoid this is regular visits to a dentist so that decay is identified in the early stages and treated with the minimal cost and maximum natural tooth preservation.