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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
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Treatment of Root Canal Treatment (RCT)
Wisdom Tooth Removal Procedure
Teeth Scaling & Polishing
Braces Treatment for Adults and Teens
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I am 18 years old male and have teeth sensitive problem for last 2 months. I have uses colgate toothpaste for couple of days but have not got any relief. What should I do know?
I have rct of my tooth 4 year ago. But now mild pain start in that tooth. Not continuously but when I chew something. I consult doc. He said that your rct is not done properly. So he advice me re RCT. What should I do. please guide me.
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.
My teeth are out. Please tell me the expenses and duration of braces? Also tell me will it be effective or not? Please do tell me. It makes me feel ugly sometimes.
Teeth are one of the most precious parts of the human body. By playing a significant functional and structural role in aesthetics, facial appearance, and food habits, digestion and chewing, all efforts at maintaining them should be undertaken. As we all know, we have two sets of teeth, primary or deciduous and the permanent set. Let us discuss tooth removal in these two sets separately.
In the primary teeth, the main indication would be dental decay. If the tooth is severely damaged beyond repair with fillings, then removal could be an option, with two things considered. The primary successor will erupt within the next 6 months; if not, a space maintainer would be put in place.
Another reason would be if the tooth is beyond its lifecycle and is blocking the eruption of the successor, then it requires removal.
The permanent teeth, however, are a set that are meant to last for a lifetime and removal should be considered only as a last resort. With advances in dental treatment methods, gone are the days when removal would be an option for severe decay.
Some of the absolute indications for removal would be:
- Wisdom teeth: if it is erupting in abnormal position (flattened or crooked), then removing them to avoid infection and impingement on other teeth needs to be considered. Wisdom teeth infection is one of the most common causes requiring tooth removal.
- Recurrent infections: If a tooth has been root canal treated, but continues to have ongoing chronic infection, it could be a case for removal.
- Malformed or supernumerary teeth: These may also block eruption of other teeth into the mouth.
- Orthodontic treatment: In cases where the jaw size is really not sufficient to realign the mal-positioned or crooked teeth, the first premolar is often sacrificed, and this space is used to align the other teeth.
- Injuries: In case of accidents or injuries with jaw fractures, teeth in the line of fracture may need to be removed.
- Preparation for dentures: In cases of severe periodontal disease, where the mobility of the teeth is high and complete dentures are being considered as an option, teeth removal may be planned. Also, if there are teeth which are in the line of fixed partial dentures, again removal might be planned
- Radiation therapy: For head and neck cancer patients, if there are teeth in the line of radiation, then removal might be planned.
Unlike in the earlier years, the absolute indications for removing tooth have changed. A thorough examination, both oral and radiological, should be done before zeroing on extraction.