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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.
I am having some problem with my that. Some time some smell comes in my mouth. And I am getting some pain by my mouth. Please help me Thanks yiu.
Dear sir My age is 31, unmarried girl. I am suffering lots of problems like urine infection, bp low, thyroid, swelling on face every time, white spots on body but currently under control. Internal weakness every time. Cervical problem, on face too much problems many spots n infection facing from past 12 years, sensitive teethes, sinus problem, problem in breathing, when I breath my nose & neck feel to much fry so that I can not sleep properly. N so many much more problems please tell what I have to do have one body with lots or problems.
I do toothbrush twice in a day but even than I have feel bad breath. I want a fresh breathing. What will I do?
I have done capping to my front three teeth. Then it was normal for two months. But then after every few days I will have some or the other pain in end of the jaws. Can you please suggest to get rid of these pains?
I am 80 years old male. I have pain and inflammation in gums on almost a year on left side biopsy stating dysplasia to stratified squamous epithelium with squamous pearls formation many inflammatory cells including neutrophils and lymphoytes. Antibiotics taken but not releaved after medication. I dont want surgery.
Hello sir I have some problem in my teeth I have pain from last 14 days I am checked by doctor he said that I want to admit in hospital sir can you please give me some suggestion what should I do?
Sir I have a teeth problem. When I eat some fruit like apple. There is blood came. And I feel much pain. What can I do?
Meri zaban hamesha white rehti hai aur dhabe aate hai gol uspe aur mae koe tobacco cigarette kuch b nahe khata please reply.
Tobacco has many ill effects on the health and dental health is one of them. From dark stains to poor gum health to increased incidence of decay to the more severe oral cancer, tobacco has a very detrimental effect on your dental health. Read on know more about how harmful tobacco can be on the dental system.
- Brown teeth and tongue: One of the tell-tale signs of a smoker are the brown teeth and stained tongue. A dentist need not even be told that the person smokes, it just shows!! What is interesting is that these stains do not go away with a scaling, they just continue to form as long as tobacco is being put into the system.
- Gum disease: The oral health of a smoker is definitely not at its best. With the stains on the teeth, the gums are more prone for irritation and infection. This leads to grayish, unhealthy gums. The periodontal fibers are also affected, leading to bad breath, pocket formation and even tooth mobility in severe cases. The mouth is generally drier in comparison and so bacterial growth is more favored, further accelerating the process of gum disease and teeth decay.
- Dental caries: The increased amount of bacteria leads to greater incidence of dental decay. Chances of cervical decay (around the gum line) and root decay are higher in smokers.
- Bad breath: There are two reasons to it one is the tobacco per se and the second is the dry mouth, which leads to reduced saliva and increased bacterial growth.
- Impaired taste: The tongue has a constant coating too, leaving the taste buds unable to completely taste food substances. Ask any smoker a couple of questions and you would realize how they never get to enjoy and taste the food as it should be.
- Poor healing: Whether it is a gum disease, a tooth removal or a root canal therapy, smokers who go for dental treatment need a longer time to respond compared to nonsmokers. If smoking is continued at the same pace, then the chances of developing a dry socket with an extraction or a failed root canal therapy are quite high. There are more failures reported in success of implant in smokers as compared to non smokers.
- Cancer: The most dangerous and the most severe of all, cancer of the cheek, gums, lips, tongue, roof of the mouth can all happen in smokers, twice more likely in comparison with non-smokers.
Now, if all these are not good enough to kick the habit, remember this list is only for the mouth and the teeth. The whole body goes through a lot more harmful effects, and that should be a good reason to quit tobacco use in any form. If you need professional help, do not be embarrassed to seek.