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Treatment & Management of Braces
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Helo, I am 29 years male. I feel swelling and heaviness in left side of face and there is pain in upper tooth. There is swelling in gum around the same tooth. I had visited dentist he done rct of that tooth but still I feel heaviness in face and pain in the tooth. Pls advice me what should I do. Regards.
I am 24 years old. Yesterday a small part of my front tooth suddenly broke. Is it serious thing to concern or is it normal?
I have a black stone on my 50% of teeth. The stone is in front of all teeth at the end what should I do for this please help me
I am very sensitive to seasonal changing. Whenever I travel where climate is different from here, I feel my health goes down, mostly in the sense of cold or mouth ulcers.
In my two teeth cavity is formed. Then how can i save my teeth in future onward. And hair are becoming white also can I save it?
Dear sir I have pain in my teeth from last 4 days. I cant eat hit and cold items. Kindly suggest what should I do for fast recover.
Hello there my age is 28 years and my gums started bleeding and thus there is mouth smell. What to do I am very afraid that I do not get into disease called pyrrohea.
I am 20years old male while sleeping in the night saliva coming out on the pillow. Please give me tips to stop it. Thank you.
My left side jaw is paining a lot. Is there any effective remedy apart from pain killer to get some reliefs?
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.