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Treatment & Management of Braces
Treatment of Tetracycline Stains
Root Canal Treatment
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Sir, I have a problem with my teeth recently bleeding in my teeth and very bad smell in my mouth please help me?
I am 71 years old male having only 4 lower natural teeth and wearing a denture for the remaining ones. Often, when I wake up in the morning or in the middle of the night, I find some spit on one side of my lips or on the pillow. Is there any remedy to avoid such occurence?
I am suffering from tooth ace. In which tooth R and coping already done and now its start paining again what should I do now. For the time being I have taken a pain killer. Please help me out. Thank you.
There are some problem in my teeth when I eat sweets and after eating when drink water it seems that I realize shock in my teeth please tell me solution for this problem.
Does drilling n filling the whole procedure of cavities filling affect the jaw and its placement or positioning in any way?
I am 42 years old male. I am my business trip to Punjab. I belong to Ahmedabad. For last 2 days has got mild ulcer on front part of tongue. It is red. I develop it after having Pizza or Burger. Both taken at same time.
My daughter aged 7 years is suffering from tooth decay problem in such an early stage. What should I do?
Hello, I'm suffering from halitosis from past 6 years Regularly I brush my teeth twice a day, even use mouth wash many times but not get rid off the bad breath How can I cure or treat this disease please help.
I am 45 years old female. I have pain on right side of my chin continuously. I have pain in my wish tooth also but no problem in eating and pain in that side tonsil also. I have sugar in range 140-180. Pl guide.
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.