Difficult extraction of the seventh tooth
Dear Doctor,
I had my lower right seventh tooth extracted a week ago after root canal treatment. The infection was severe, and the extraction was very difficult. During the procedure, one root remained, so the doctor had to work for about 45 minutes to remove that part of the tooth. The doctor didn’t prescribe antibiotics right away, but only two days after the procedure when swelling appeared. The wound is still very painful, and I also have redness around the gums where the tooth was extracted. I’ve been taking Panklav for 6 days, but the wound still hurts. What should I do? The doctor says everything is normal, but I’m in a lot of pain.
Best regards
Tooth pain while wearing braces
Dear Sir/Madam,
I’ve been wearing fixed braces for two years.
Lately, I’ve been feeling pain near the root of my upper canine (tooth #3). The pain only appears when touched — there’s no sensitivity to hot or cold.
The X-ray doesn’t show any decay, and the tooth is vital.
Could the pain be caused by the braces, or might it be related to the sinuses?
Bruising after wisdom tooth extraction
Good day. I had a wisdom tooth removed 5 days ago and still have the stitches. This morning, I noticed a large yellow bruise on my cheek. Is this normal? I also have mild swelling.
A bruise is completely normal and can appear several days after a wisdom tooth extraction—there’s no reason to worry.
As for the swelling, if you were prescribed antibiotics, you are protected from infection.
Broken dental crown
After a car accident, my zirconia crown broke. It’s part of a bridge on my upper jaw (covering the front 6 teeth). Is it possible to repair just the broken crown, or does the entire bridge need to be redone?
Thank you in advance for your response!
Does the tooth need to be extracted?
Dear Doctor,
While biting down, one of my teeth broke. It doesn’t hurt, but I can see that there is decay on it. Since half of the tooth is missing and there is a cavity as well, is it still possible to save the tooth?
Dear patient,
Only after a clinical examination and an X-ray can it be determined whether the tooth can be saved. In some cases, even when it seems that a large portion of the tooth is missing, it is still possible to restore and save it from extraction.
Pain during treatment
Dear Doctor,
Toxavit was placed in my tooth, and after three days, I began experiencing severe pain. The next day, the tooth was cleaned, the nerve removed, and medication was placed. I was told there was no inflammation. However, the pain has become even worse. The dentist says it’s due to irritation, since the nerve wasn’t numbed before removal. Today, on the second day after cleaning, I had an X-ray taken by another dentist, who also said everything looks fine and there is no inflammation.
Still, I feel pain, pressure in my gums and cheeks, and a pulsating sensation in or above the tooth. I’m worried something might go wrong. Any advice?
Dear patient,
It is possible to experience sensitivity and pain during dental treatment, most often when pressure is applied. If the pain continues to worsen, it is important that you return to your dentist for another evaluation.
Issue after wisdom tooth surgery
Dear Doctor,
I had my wisdom tooth surgically removed more than a month ago, and everything went well. Today, I noticed that some darker-colored tissue is protruding from the socket, as if the wound has filled in. About half an hour later, after drinking lemonade, that tissue seemed to retract. Is this a normal occurrence? I’m pregnant and often experience gum inflammation.
Dear patient,
Since it has been a month since the extraction, it would be a good idea to visit your dentist for a check-up, so the wound can be examined.
Bridge on front teeth
Hello, I have a question. Three of my teeth are broken — one lateral incisor and two central incisors. My dentist recommended a zirconium bridge because one of the central incisors is shorter, and a single crown would not hold properly. I wanted to ask if this is a good solution and whether the bridge will be durable, considering these are front teeth. Your answer would mean a lot. Thank you.
Is it necessary to perform a root canal?
Dear Doctor,
I would like your opinion on whether it is necessary to perform a root canal before placing a crown. Also, is it better to make a circular bridge for the entire upper jaw or to create the bridge in segments? I’m asking in case there is an inflammation under one of the crowns, so the entire circular bridge doesn’t have to be removed.
If the tooth is healthy, there is no need to remove the nerve before placing a crown.
As for the circular bridge—if the static conditions allow it—it is always better to make the bridge in segments.
Gum recession with new crown
Good day, I had zirconium crowns placed three weeks ago, and by the 5th day, my gums had already receded around the upper right canine. The edge of the crown, which the gums should cover, is now exposed. The area is sensitive and bleeds when I brush it. I don’t understand why the gums receded so quickly, and I’m wondering if there’s a chance they might recover, or if you could perhaps recommend a gel for the gums?
Thank you in advance.
Dear patient,
No gum gel could help in this situation. We recommend that you visit your dentist for a check-up, so they can determine, based on an examination, why this gum issue appeared so soon after crown placement.