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Losing a tooth to infection (decay) or trauma can be a painful experience. Imagine that you are in a dental chair and just got a new tooth or a bridge fitted. It is a joyous experience, almost like a new found lease of life, to be able to eat better and look better. However, even after a few days to a week, you realize that the new crown is just not settling down completely. There is a constant sensitivity that exists and is not allowing you to enjoy the new tooth.
There are various reasons that the new crown can be sensitive, some of them including:
- A high point: On the new crown, there could be small points that do not allow for a bite as earlier. This can lead to sensitivity and minor jaw discomfort.
- Improper fit with exposed dentin: This can happen at the neck area, where the crown is not fitting the tooth, leaving a small part of dentin exposed. This can lead to sensitivity once the crown is fixed in.
- Other decayed teeth: If there is a decayed tooth adjacent to the crown, it could be confusing and sometimes difficult to pinpoint the exact area.
If it persists for more than a week, check with your dentist on the following:
- Severity of decay: The extent of decay in the first place should be considered, especially if you have had crown as a result of extensive tooth decay. If it was involving a large portion of the dentin, the changes of having sensitivity are high, even after a crown placement. In these cases, there could be silent abscess, which may never manifest as symptoms, but can cause a gnawing sensitivity issue with each bite.
- Area of decay: Root caries and cervical caries are more prone to have sensitivity compared to the crown of the tooth. The enamel layer in these areas is thin and the chances of dentinal involvement is high. The rate at which the decay will reach the pulp and cause pain is also higher.
- Type of dental treatment: If extensive metal work is done, the sensitivity might last longer than a week, which is the norm.
- Triggering factors: Make a note of what triggers the sensitivity, hot, cold or sweets.
- Management: As mentioned, expect the sensitivity with your new crown to last for up to a week. In some cases, it may be longer, depending on, as noted above, the severity of the original decay, the area, triggers, etc.
While some cases may be managed with a small trim of the crown, some may need the crown to be re-fitted, and some may even require re-treating the tooth completely.
I am 65 yrs & I am having inflammation in left side lower gums, resulting into mild pain. Please suggest remedy.
I am 45 years old and I have a history of chewing tobacco guthka of 25 years. I leave this from last 11 months 100 %. I am suffering from submucous fibrosis and my mouth opening is about 1 inch. What should I do?
I am 34 yrs old. I have problem of bad breath. I dont have any dental issue. What could be the reason?
I am 3rd month pregnant. Since 1 years I am suffering with bad breath. I am brushing daily two times or three times. I tried all home remedies and changed many tooth pastes also no use. I am working. I am facing lot of problems with this. And I am pregnant now not able use any medication also. Please please suggest me solution to over come this permanently.
One thing that can put away talking to someone very interesting is bad breath. And it is not an uncommon problem. While most just try to use mouth wash and chewing gums to keep it away, it is important to note that bad breath can be a sign of underlying causes, both in the mouth and the body as a whole.
Identifying the reason can help in early diagnosis and prompt treatment of the actual disease condition.
There could be oral and general causes for bad breath or halitosis as it is medically called. Food habits and other lifestyle habits including smoking can also lead to bad breath.
- Presence of food debris in a moist environment (saliva) is ideal for the oral bacteria to act on the food particles and break them down. This causes a bad breath, when it leads to plaque formation and it then calcifies into a hardened substance called calculus. Plaque and calculus are the main ingredients for tooth decay and periodontal disease.
- Severe tooth decay leads to bad breath as does periodontal infections. In severe cases, there could even be abscess formation in the root area of the tooth with pus formation
- Unclean dentures are another source of halitosis. There could be food lodged in between teeth or the undersurface of the denture, leading to bad breath.
- Dry mouth or xerostomia - Certain diseases and drugs can lead to dry mouth with reduced amounts of saliva. Saliva has a natural flushing effect on the bacteria, and in its absence, the bacteria thrive, leading to a bad odour.
General health: Chronic diseases like gastroesophageal reflux disease, digestive disorders, liver disorders, cancer, and diabetes can lead to bad breath.
- Long-term smoking and/or chewing tobacco and alcohol are also reasons for bad breath.
- Crash diets: People on low-carb diets can have a bad breath, owing to burning of the fat and producing ketones, which have a strong smell.
- Medications: Nitrates to reduce angina, chemotherapy agents for cancer, phenothiazines for anxiety can all lead to bad breath. They reduce saliva and/or release chemicals causing bad breath.
Management: The first step in managing halitosis is to nail the cause down, which makes it easier to treat.
- Start with oral hygiene check, and if there is decay or gum disease, consider restorations and cleaning.
- Mouth rinses can be used in the maintenance phase.
- Cessation of tobacco use should be considered.
- General health conditions like GERD should be managed
- Artificial saliva in cases of xerostomia
- Alternative medications if they are causing the bad breath
Oral breath is definitely embarrassing but can be managed very easily.