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Three of front lower theeths were ejected due to gums erosion can I save these theeths without removing
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.
No one likes going to a dentist. People fear a toothache, let alone the treatment. Because of this, a lot of people end up in the dentist's chair only when the pain is unbearable and it is too late to save the tooth. Just like we have a routine health check up for the rest of our body, our teeth too need to be looked at by a dentist at regular intervals to spot that cavity right when it starts. A regular visit can also allow a quick clean up to keep your teeth shining white.
Here's what to expect during a routine dental check up:
- They'll check your history: Before you actually get to the dentist's chair, your dentist will want to know your entire health background. This is done either by you filling out a detailed form that the receptionist gives you or a junior dentist filling a medical record sheet after asking you questions. You'll specially be asked questions about any pain or symptoms you might be experiencing in your teeth and other things like medications, diabetes, arthritis, pregnancy etc. Each of these problems can have a direct impact on your dental treatment, hence revealing them to your practitioner in advance is very important. Also, be sure to discuss any concerns or anxiety you are experiencing. Most dentists know how to put their patient at ease. All it'll take is a quick chat to put you at ease.
- You'll get a cleaning: Just like the car gets a good wash before the mechanic can have a look, your teeth will get a good scrub before your dentist can address any problem areas. Cleaning involves scraping off built up plaque and tartar that collects above and below the gum line before flossing between and around every tooth to remove any plaque or food particles that are clinging on. You may also get a final shiny finish for your pearly whites at the end of the cleaning session.
- Your teeth will be examined: Your dentist will now use a metal probe with a small angled mirror to see behind and between teeth and gums, as well as check for the softening of tooth enamel and dentin. If you have a cavity or anything deeper, this is when it will surface. Once the doctor identifies a problem, they suggest the next course of action.
- You may get an X-ray: If the doctor finds a problem that needs fixing, he may ask you to take an X-ray to find out how deep the decay is. You'll be asked to bite down on a piece of plastic while the X-ray machine is placed against your cheek. Where possible, you can check if your doctor can do a digital X-ray which emits 90% less radiation.
- Results and advice: Based on your X-ray results and overall medical condition, the doctor may recommend various procedures to remove your existing decay and prevent new ones.