Dr. Vivek Patni

Dear lybrate-user, after rct your tooth should not have any pain nor sensitivity as that tooth is non vital. If you are getting pain the crown needs to be removed and re rct has to be done and cement the crown back.

Sharp pain in the tooth suggests a diagnosis of pulpitis which means the pulp tissue in the tooth is inflammed. Please get yourself checked by a dentist and you may probably need to get a root canal done in that tooth. However, if there is no cavity in the tooth, this could be due to sensitivity and a sensitivity toothpaste could be of great help to you.

You have what is called as tmd i.e. your muscles are working excessively due to friction between your molars. You need to find a dentist who specialises in tmd. Who will either give you a splint or adjust your bite.

Dear Lybrate user, you have either enamel loss or dental caries or atrision or abrasion or gingival ricision. So you feel thermal sensation. You need RCT/restoration/extraction of decayed tooth. You should consult to dentist for clinical diagnosis and needful treatment.

The simplest method of removing minor surface stains is polishing, or micro-abrasion if staining is more intrinsic. Provided that your discolouration is not due to inadequate enamel exposing the dentin, tooth whitening (bleaching) is often the most effective treatment for yellow stained teeth. Advance procedures can be done with laser. Use Snowdent tooth paste for whitening until then. Apply SNOWDENT paste on the teeth. Wait for 10 to 15 min .Then brush your teeth with the same paste. Applying it overnight for better results.

The cost for braces varies from place to palce and Orthodontist to Orthodontist depending on the brackets and materials used. It can be 18000 to 1 lakh. Regarding extractions. Now dere are special type of braces which can treat some of the cases in which extraction s required to a non extraction treatmnet. But remember not all cases. These braces are called Damon braces and you can google them for knowing more. But it is costlier than the normal braces. These braces also reduce treatmnt duration and also reduces frequency of orthodontic visits. They are more comfortable than normal braces.

Most probably you have a cavity in that tooth. Just consult a dentist. U might have to go for root canal treatment.

Quit habits strictly. Seems like you have oral submucous fibrosis (OSMF). Kindly consult an oral & maxillo facial surgeon in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. You may need conservative or surgical management for mouth opening depending upon the stage of OSMF .Advise full mouth opening, ballooning exercise & side to side movement of the jaw. Wrap 25 to 30 ice-cream sticks, make a bundle, put it between upper & lower front teeth for 15 minutes thrice a day increase 1 sticks each day.

Please take opinion of a dentist, as a gp, I can suggest to you that dentures will be a better choice compared to implants. Bones get hollow with age, call it osteoporosis & it is part of ageing process, despite good intake of calcium & vit. D & a high proten diet with moderate exercise which are good for heart & also for regeneration of bone cells, well to a minial extent only. We lose hair with age and only lucky few can retain their teeth. Implants are for fairly young people 7 they do become a part of body if fitted even around 40+ but they do get shed when wear and tear of bones including bones of palate start to degenerate. He has had angioplasty also, but that will not affect bone health or dental health, rather due to dietary care, he would be better off about his bone health but I would not suggest implant at 70+, specially when we have good dentures that help the person eat & feel good during the day & needs removal at night.

We need more investigations with clinical examination to decide upon treatment. You may need deep cleaning along with surgical, gum strengthening procedure. Rinse your mouth thoroughly with a mouth wash after every meals. Use pepsodent tooth paste & gum paint for 2 to 3 weeks. Advance procedures can be done with laser. Dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush. Tooth brush to be changed every 2 months.