[
  {
    "id": 1,
    "title": "Tooth material",
    "dialogue": "Tuan: Can you tell me more about the materials you use and the process of making quality teeth?"
  },
  {
    "id": 2,
    "title": "Air polishing vs the Normal scale and clean advice needed.",
    "dialogue": "cactus: Can any dentist please advise if there is any benefit in using Air polishing vs the Normal scale and clean for patients with periodontitis?\n\nI ask as I am not due to see the periodontist for close to 3 months for a follow-up review and clean, but in the meantime I have calculus at the back of teeth, which is annoying.\n\nI am opting to see either a general dentist or dental hygienist in the meantime for a clean. They all use the EMS Prophy Jet which is the first time I have heard of air polishing which is why I am asking for advice."
  },
  {
    "id": 3,
    "title": "Is there anything wrong about my teeth",
    "dialogue": "foliate papillitis: ... Dr M: There are some cavities visible.What are your specific concerns? foliate papillitis: This ct ended up with one filling and a root canal. But sometimes i still feel like there is a leak or something. So i wonder is there anything else causing this. maybe more than 2 cavities or something else. my filling looks okay. How many cavities did you see Dr M ? Dr M: Has any treatment been done yet? Unfortunately diagnosing cavities on this type of x-ray is not really recommended. You would need bite wing x-rays to be taken, that minimizes overlap and provides more detail. foliate papillitis: sorry for late answer i get toothache when i wake up in mornings. its from upper jaw on of molar tooth on right side. Dr M: Could be an erupting wisdom tooth, although you do have some cavities on that side. Do you have x-rays of the teeth post treatment?"
  },
  {
    "id": 4,
    "title": "Bad dentist/ Bad Implants/Out $40,000.00",
    "dialogue": "lou277: I need help!  I am from Wisconsin, and I trusted a dentist in Chicago to place zygomic implants in my upper arch as I had no bone left to do regular implants.  $40,000.00 later, I have nothing in my mouth.  The last time I was in his office was in March 2024, a year and one monthafter placing the implants, The permanent denture broke off, and I later found out that 3 of the 5 implants had failed.  He was supposed to place the final denture in July 2023, however, his assistant kept telling me it takes a long time to make them. I asked him when the dentist would be looking in my mouth.  I told him I paid the dentist for his expertise, and all I am getting is a dental assistant who does not know what he is doing. He told me the dentist only looks at the scans.  After my initial surgery in Feb. 2023 the temporary denture broke 12 times.  Each time, I had to travel to Chicago and  sit for 7 hours .  The fix would last maybe a month and then break again.  He charged me $5000.00 for dentures that were supposed to fit over my mini implants on my bottom arch.  He replaced mine with  acrylic dentures that also broke several times.  He never placed o rings or housings in the holes.  He put blue like paper liner in the denture and said it was a new technique.  My previous lower dentures were fine , however, the dentist said I had to have new lowers to match my new uppers.  He threw my lower dentures away.  He claimed that he gave them back to me, but he did not.  I could write a book on all the mistakes, that were made.  The dirty office and equipment. The lack of dentist supervision.  It took him 10 months to look into my mouth, and that was only because of the infection that  was so bad, the assistant did not know what to do.   I have photos of my mouth and the infections. It took them 2 weeks  to call in a prescription for an antibiotic..  When I left his office in March, I knew I would need my records.  I asked for my records verbally and made a written request as well.  Today, August 5, 2024, I just received what he claims are my records.  There is not one x-ray, patient notes, or anything else that you would normally find in a dental record.  He sent me lots of forms.  Some I had seen and signed, but most of the forms I had never seen, but they do  have my forged signature on them.  He copied my signature from one form to another.  The forgery is so obvious. So I gave the office a call and my call was immediately forward to a recording that states the person whom you are trying to call no longer will be taking phone calls from this number.  So he blocked me from calling, texting, or emailing him.  Now I contacted an attorney in Chicago, and they said it would not be worth it to take him to court.  They said by the time I pay the attorney, there will be little money left to get my dental work done. I was hoping that all the photos and recordings that I had would help me get my money back.  But with no attorney, I doubt I will be able to use any of them.  I am sure you are thinking why did I stay with them for so long.  All I can say is  he had $40,000.00 of mine and I had no money to hire someone else.  I kept praying that it would get better and that the final result would be good.  I can't eat, sleep and I am in constant pain.  I do not go out of my house.  I was working as a photographer, which I quit.  How can I smile at my clients with no teeth.  I am broke financially now and I do not know what to do.  Any suggestions that anyone has would be greatly appreciated.  Lou Ann"
  },
  {
    "id": 5,
    "title": "What is DMR-MMR crack with central groove crack?",
    "dialogue": "Brause: From a report. Central groove crack is clear. DMR-MMR: distal-mesial...???...root?"
  },
  {
    "id": 6,
    "title": "Can overcrowding causes bone loss",
    "dialogue": "Asun_1245: Went to the dentist for a slight loose tooth. I was told not to worry due to there being slight bone loss due to the overcrowding in my mouth Dr M: Overcrowding, could lead to difficulty in cleaning. Excessive plaque build up, could then lead to inflammation and eventual bone loss. If the crowding pushed the tooth more buccal or lingual, there could also be reduced bone in the area, due to the positioning of the tooth. Asun_1222: Heres a picuture of my recent x-ray \nCan u tell me all the areas you see bone loss? Dr M: Looks like there might be some bone loss around your upper last molars. Difficult to see around your lower front teeth. Best option would be to see a periodontist, so that the bone level can be determined via periodontal probing. primrosedayton: Hi Asun_1222\n\nIt looks like there might be some bone loss around your upper back teeth. It's a bit difficult to see what's happening with your lower front teeth on this X-ray. To get a clear picture of your bone health, it's best to schedule an appointment with a periodontist. They can do a thorough examination and measure the bone levels around your teeth."
  },
  {
    "id": 7,
    "title": "Does this look normal for healing after molar extraction",
    "dialogue": "mrmike40: Hi, I had a top molar almost 2weeks ago but in the last 3 days the hole in the socket seems to get bigger,\n\nPlease advise Dr M: Looks like normal healing yes."
  },
  {
    "id": 8,
    "title": "Am i healing well",
    "dialogue": "emch: Hello i had a tooth removal on monday and im so so scared to have a dry pocket . I dont fell any pain but the hole is stell red emch: There is the picture Dr M: This looks like normal healing"
  },
  {
    "id": 9,
    "title": "How to deal with a tooth hole that has yet to close after 2-1/2 weeks?",
    "dialogue": "Playforfun: Hey all, I was hoping to get some dental advice. So, I had my right upper wisdom removed 2-1/2 weeks ago. It seems to be a simple extraction as my dentist did it really fast and the whole tooth was intact when removed. However, my dentist said it was close to my maxillary sinus so he placed 2 pcs of dental gelfoam soaked in saline as protection for my sinus and as a hemostatic. Past forward, the wound healed quite well except for a mid-sized hole left on the center. This hole is hollow and a little deep, red at the bottom with no blood clot. The surrounding gums looked normal and a little pinkish. Have some minor pain and discomfort from the site at times. I noticed this as early as 1 week and didn't thought I had a dry socket since my pain was not severe. But by close to 2 weeks, I got worried so I called up my dentist and booked an appointment. On appointment day, my dentist checked and said I had a dry socket since I dislodged the blood clot on that center area. For context, I mouthwashed very frequently even just after the extraction and I must have dislodged it during that time. Any case, my dentist placed a temporary filling with Eugenol. He said that the filling will harden after several hours and fall off causing irritation on the area and bleeding which would hopefully start the healing process once again to fill up that hole. After 10 days, if in case this didn't work, he would have to inject me with local anesthetic and make the area bleed again and stitch it up for additional precaution. I'm quite afraid tbh since I have some dental phobia. I wanted to ask if anyone else had this situation and what happened. I would very much appreciate your input. Thanks Dr M: If you had no pain, I would not have interfered with the socket. Dry socket, usually appears 3-5 days after an extraction and is accompanied by severe pain. It is also classified as a self-limiting disease, which means it would have cleared up eventually by itself, without any intervention. The only reason we intervene most of the time, is to relieve pain.\nIf you have no further pain, I would just be patient. A socket can sometimes take a month to fully close. Playforfun: Thank you Dr. M.  I wanted to ask have you heard about this procedure of making the area bleed again to restart healing and stitching it up to make sure the hole closes?\n\nAlso, how do I keep the area clean since it is exposed to toothpaste daily when I brush and food.  I'm kind off worried about infection, at least until the socket closes? Dr M: We do sometimes try to induce bleeding again to assist the healing process. There is different techniques to do this.\nBest way to keep it clean is to rinse with luke-warm salt water after a meal and avoid brushing in this area. Playforfun: Thank you very much! oh so, I can't brush with toothpaste for a while?  I generally try to avoid brushing the area but toothpaste suds still gets into the hole since I brush all other teeth and the tooth near it Dr M: Toothpaste should not cause any issues. Brush the rest of your teeth as normal, just not in that area dental_care: Your dentist is managing the dry socket effectively with Eugenol to aid healing. Avoid aggressive mouthwashing to prevent further dislodging of the clot. Minor pain is normal; monitor for severe symptoms. Follow your dentist’s instructions and seek immediate care if the condition worsens. Playforfun: Thank you all for the replies.  So I just wanted to consult something.  It has been a month since my upper wisdom tooth removal and the hole still persist with pain and discomfort.\n\nSo what happened is that the medicated cement with Eugenol that my dentist placed 3 weeks ago, just came off 3 days ago.  It was originally supposed to fall off just SEVERAL HOURS after placement since he said that its purpose is to irritate and cause bleeding on the area to restart the healing process.  That did not happen.  On my followup with him 10 days after placement of the medicated cement, he said it would be okay to just wait until the medicated cement (Eugenol) to fall off on its own since it would also serve now as protection for the site.  It did fall off, but only after almost 3 weeks.\n\nNow, when it fell off, I was happy since I was thinking that there was already new gum tissue underneath that pushing the medicated cement upwards, but no, the area is still hollow and now reddish unlike before my dentist placed that cement 3 weeks ago.  I told my dentist about this and he said the color will come back to normal.  Now, I have a bit more pain and discomfort in the area since it is now exposed(?).  Dentist said that is to be expected until the area completely closes.\n\nMy question is do dry sockets really last this long on healing?  Will it even still heal after this long time?  Could the medicated cement's presence have prevented healing since new gum tissue cannot grow with it being there (imagine it stayed there for 3 weeks instead of just several hours as originally planned)?  Why is the area reddish, is it because the medicated cement irritated it?  Is there really pain accompanying dry sockets?  Coz whlie my pain is not severe, it increased from before (when the medicated cement was still there) and it is annoying.  It seems my dentist's plan is to just observe it and take pain meds as necessary.  He said the area is already in the process of healing but he said it may take 2 months?  Does it really last that long?  Kinda worried since its hard to manage the area and keep it clean.\n\nNow, I am not sure if there is already evidence of healing present on my site, all I see is that the edges of the hole are reddish and in the center is a bit red with some whitish stuff.  The surrounding gums are whitish-pink and looked normal and healthy, its only that spot that's reddish.  Thank you for all the answers Playforfun: Sorry for the lengthy post, but I hope someone could advise me regarding my questions.  Thanks. Dr M: Does not sound like a dry socket. The introduction of a foreign body into the socket, such as eugenol, could have delayed the healing process. A normal socket can take a month to close. Delayed healing could lead to a longer timeline of healing. If the pain is manageable, I would just be patient. It should gradually get better. If it doesn't in another 2 weeks, I would suggest taking another x-ray. Perhaps there is a root fragment left over or another tooth in the area that needs attention. Playforfun: I am not sure about a root fragment, coz it was a normal fast extraction.   The teeth was not sectioned and I even still have the teeth, its looks intact, even on the roots.  The tooth beside it looks okay as well.  No bleeding or inflammation whatsoever.  I'll be more patient since it indeed might have delayed healing since the Eugenol stayed there for so long.  Thanks!"
  },
  {
    "id": 10,
    "title": "Dry socket for a month now",
    "dialogue": "Playforfun: So I was diagnosed with dry socket by my dentist.  Didn't expect I had it since I was having not much pain.  Packed it with medicated cement with Eugenol.  Dentist said its purpose is to irritate the area and cause bleeding that would restart the healing process.  Cement was supposed to fall off several hours after, but it didn't.  Came back after 10 days to dentist with the cement still in.  He said the site and surrounding gums look fine, so let's just leave the medicated cement on it as it will also double as a protection.   After another 10 days, the medicated cement fell off on its own.  The site and walls of the tooth hole is reddish, the center is also reddish.  I am not sure if there is newly growing/healing tissue in there or if there is even a new clot.  Dentist said that the color of tooth hole would return back to normal.  I had a little more pain and discomfort now than when I still had the medicated cement in.  Dentist said pain and discomfort are expected so long as the site is still open.  The surrounding gums are light pinkish and looked healthy though.  Dentist said that the site would heal slowly since I had dry socket.  I was due to come back for teeth cleaning, but he said to come back instead after 2 months to wait for the site to completely heal.  For management, I just gargle with saltwater and gently irrigate the area with saltwater.\n\nQuestions:\n1.  Do some dry sockets really heal this long?\n2.  Is it possible that the medicated cement irritated the area which is why it got reddish since it stayed there for too long (almost 3 weeks before it came off instead of just several hours as originally planned)?\n3.  Why did I have a little more pain and discomfort now than when the medicated cement was still on it?\n4.  Does Eugenol stay active in its anesthetic effect even after a long time of being there?\n5.  What other options are there for me to heal this dry socket faster?"
  },
  {
    "id": 11,
    "title": "Floss will not pass between two new crowns over implants",
    "dialogue": "Eric2005: New implants are comfortable but I cannot get floss between two top molar crowns over implants.  Dentist says to use gum picks.  A gum pick only enters at the very top.  Will this situation, inability to use floss, create problems for me? Dr M: Are the implant crowns fused together? Sometimes this is done to increase strength and stability of the implants. Eric2005: Dr M said:\n\n\n\n\t\t\tAre the implant crowns fused together? Sometimes this is done to increase strength and stability of the implants.\n\t\t\nClick to expand...\n\nI don't know.  But if that was not the intention, what I'd like to know if the inability to use floss is going to create problems. Dr M: No, it should not, if you clean with inter-dental brushes. Continue to go for your regular check-ups. The bone and gum level around the implants can then be monitored. Eric2005: Dr M said:\n\n\n\n\t\t\tNo, it should not, if you clean with inter-dental brushes. Continue to go for your regular check-ups. The bone and gum level around the implants can then be monitored.\n\t\t\nClick to expand...\n\nThanks.  I had to look up interdental brushes.  This is not the same as the Gum Picks, right?  The interdental brushes seem to have a brush like surface, thicker than the picks.  In either case they will only enter at the gum line, so from what you say I should be OK if I observe good hygiene.  Is all this correct? Dr M: Yes. This is correct Eric2005: Dr M said:\n\n\n\n\t\t\tYes. This is correct\n\t\t\nClick to expand...\n\nThanks.  Someone mentioned a TePe brush.  Would this be more effective? Dr M: TePe brushes are also a form of interdental brushes. The only have a rubber point instead of bristles. Eric2005: Dr M said:\n\n\n\n\t\t\tTePe brushes are also a form of interdental brushes. The only have a rubber point instead of bristles.\n\t\t\nClick to expand...\n\nWhich one do you recommend?  Thanks Dr M: TePe is nice, since they last longer. Eric2005: Dr M said:\n\n\n\n\t\t\tTePe is nice, since they last longer.\n\t\t\nClick to expand...\n\nThanks for advice.  Most important to me is that I will not have future problems if I maintain good hygiene and use TePe at the gum line of the two crowns.  Why they are joined I don't know.   Seems to me that they should have been returned to the lab for modification. Dr M: Like I said-might be for strength and stability. It is not uncommon. Eric2005: Dr M said:\n\n\n\n\t\t\tLike I said-might be for strength and stability. It is not uncommon.\n\t\t\nClick to expand...\n\nThank for your comments.  I feel relieved that this is not a problem."
  },
  {
    "id": 12,
    "title": "Should my wisdom teeth get extracted?",
    "dialogue": "evergreen: I was told that my wisdom tooth should be extracted. Is it necessary or can it be avoided? I'll attach an x-ray evergreen:  Dr M: I would agree that the wisdom tooth needs to be extracted. There is not enough space for it to erupt fully and it can create a food trap between it and the adjacent tooth, which might lead to decay."
  },
  {
    "id": 13,
    "title": "Possible ongoing infection?",
    "dialogue": "Serenadasa23: Hello everyone, I will try to keep this as brief as possible. Early June started with a toothache in the afternoon. It progressively got worse overnight so first thing in the morning went to urgent care. At this point did not have swelling in my face yet, just intense pain. Was given Augmentin and a dentist to make an appointment with, since I did not have one. I took the antibiotics right away. A few hours later, I felt what could only be described as an \"explosion\" into my left cheek. From there the swelling started, however by the following morning it was starting to go down already, presumably due to the antibiotics I started. So I didn't worry too much. Three days later had dentist appt. took the traditional x rays which showed a large periapical abscess. It was decided to remove the tooth that same day, which was uncomplicated. The swelling in my cheek was almost non existent by now, but I did ask about it, I said I suspected some sort of cellulitis or spread into what I have learned is \"buccal space\" but I was told \"the antibiotics will take care of everything else now that we removed the tooth\". So I didn't question it further.\nThe tooth socket healed fine, I finished my antibiotics but I am convinced I still have a tiny bit of swelling in my cheek, and it's been over a month. Also, I feel a little bit of pressure that just isn't going away. I called the dentist back who then gave me another 5 day course of clindamycin, which did not help at all. Do these things really just take time? I am scared because in my internet research it seems anything in the buccal space has to be drained by making an incision. But I get that if not much swelling was present who would think that anything was there? When I presented to the dentist it had gone away for the most part. but I feel like if I had presented to the urgent care when I had the swelling for a few hours at most, they would have admitted me for IV antibiotics and cut my cheek open. since it started disappearing almost as soon as it came on, I didn't think much of it. Only in my research afterwards am I finding out that this is what they do when there is swelling. Anything in the cheek cannot drain through the tooth socket when they extracted it, right? Because I was told \"the infection drained through the tooth when it was extracted, so there would be no need to make more incisions\" If there is no more infected tooth, can the body just absorb all the rest? could there possibly be a need to have anything else drained? and if so, who do I see? what imaging test would show it? Since I don't think the traditional x rays would? Dr M: You need to determine if the tooth that was removed, was the only cause of infection. Sometimes there is more than one tooth that leads to infection. I would suggest starting with another x-ray post extraction. If there is no other cause and the swelling is still present, incision and drainage would be needed. In my opinion the dentist would then need to refer you to an oral surgeon."
  },
  {
    "id": 14,
    "title": "Do yall see any bone loss in my bottom incisors or anywhere else",
    "dialogue": "Asun_1222: "
  },
  {
    "id": 15,
    "title": "I feel like my gums are receding and one tooth feels slightly loose what can i do?",
    "dialogue": "Asun_1245: Yo Dr M: Go to your dentist. so that an x-ray can be taken to evaluate the bone around the tooth. He can also investigate the presence or cause of any recession. Asun_1222: I went\nHere’s my x-ray"
  },
  {
    "id": 16,
    "title": "Pain chewing with re-attached crown",
    "dialogue": "bordor: I have been traveling overseas and had a crown fall off which was re-attached by a dentist during my travels. Since that time I periodically have pain on the tooth when chewing. It feels like my upper teeth are hitting the tooth too hard or something. I don't have pain chewing all types of foods. Some there is no pain at all. The pain seems to depend on texture - I'm more likely to experience pain when chewing things like lettuce or fresh veggies, or soft chewy things rather than hard things.\n\nA little background about this crown. It was initially placed around 2008 on a cracked tooth. The tooth was sensitive to chewing at that time as well, and I had to get a number of bite adjustments before I could chew on it comfortably, but it did get to the point where I rarely had discomfort. Now and then over the years I have had sensitivity but not enough for it to be a serious issue. So it went for years until the crown fell off just recently.\n\nThe dentist who re-attached the crown mentioned that there was a lot of old dark colored glue along the base of the tooth, and she said that she was not able to remove it. If I explore the area with my nail and finger I can actually feel the glue now at the base of the tooth. My impression is that when the crown was re-attached it was not pushed all the way down over the tooth. There seems to be an open margin between the base of the crown and my gumline. Is this normal or should the crown form a seal with the gumline? I'm wondering if it's possible it's because the crown is riding too high in my mouth and was not pushed down all the way that it is causing so much discomfort when I'm chewing? But if that's true, why? Is there a reason the dentist might have chosen not to push the crown all the way down when re-attaching it?\n\nCould I get another dentist grind down the surfaces which my other teeth are hitting too hard, so that I could chew more comfortably?  \n\nMy main concern right now is that if the crown were now removed again by another dentist in order to be re-set, the force of pulling it off could further stress the cracked tooth underneath, and make the tooth even more sensitive than it already it is. For this reason I'm hesitant to have any work done on it that isn't absolutely necessary.\n\nAny thoughts/suggestions about next steps would be appreciated. Dr M: Seems like not all of the old cement was removed. The crown should form a proper seal. If not, leakage and secondary decay could occur. You can grind the tooth down a little bit in order to alleviate pressure, but I would recommend seeing a dentist, so that an x-ray can be taken to evaluate the fit of the crown. Might be time for a brand new one."
  },
  {
    "id": 17,
    "title": "Why won’t dentists replace porcelains veneers with composite?",
    "dialogue": "John2020: Long story was 18 Years old and quack dentist put 6 Porcelain veneers on my teeth when only had a small chip. Ruined my teeth and sent me spiral down road of humiliation and debt. Spent 15 years trying find someone who would do composites instead of porcelains veneers and couldn’t find anyone. Why isn’t this being done? Everyone is pushing porcelain and the labs make the veneers / over 90%.  \n\nAny dentist on here replacing porcelain veneers with composite? Answers I got were takes to long, porcelain are better, stronger,look nicer. I don’t care I wanted the composite and it’s like a foreign procedure. I had to have my friend dentist do a composite veneer for me on 1 tooth because my second round of veneers At age 28, I paid for 8 and only got 6 because they don’t line up. I let the dentist keep the money because he couldn’t send them back and I agreed To pay. I’m 34 Now and spent 30k on veneers, it’s insane these procedures should never be a first line option.\n\nCurrently I’m having trouble with my bite and considering removing 2 more porcelain veneers for composite due to porcelain underneath the tooth. They always said veneers lay in front of tooth and never tell you actually goes underneath the tooth as well. There should be a black box warning for porcelain veneers to be used last resort and caution and show what ur teeth will look like before, all grinded down to tooth. \n\nA majority of these\nShould be considered  cases could be prevented but since its “cosmetic” then dentists has a free pass.\n\nI attached pictures before and after of first procedure and don’t get how a licensed  professional dentist opinion was to put 6 veneers on an 18 year old who went in to have small chip and gap fixed. huge thick veneers that look nothing like teeth. I went back to him 4-5 times and he eventually said please stop coming back, you’ll get used to them, it’s a long drive from your college. Said couldn’t do anything else. flomodental: As an experienced dentist in Flower Mound, working at FloMo Dental, I often get asked why we typically do not replace porcelain veneers with composite. The primary reason is that porcelain veneers offer superior durability and a more natural appearance than composite materials. Porcelain is a robust material that resists staining and mimics the translucency of natural teeth, providing a seamless and aesthetically pleasing result.\n\nAdditionally, porcelain veneers provide better structural integrity and are more resistant to wear and tear, making them a more long-lasting solution. While composite veneers are less expensive upfront, they often require more frequent maintenance and replacements, which can be inconvenient and costly over time. At FloMo Dental, we emphasize providing the best quality care and materials, ensuring that our patients receive the most effective and durable treatment options available, especially when enhancing their smiles with Porcelain Veneers in Flower Mound."
  },
  {
    "id": 18,
    "title": "Possible continued infection?",
    "dialogue": "Serenadasa23: Good day everyone. I will try to keep this as short as possible.\n\nOne day in early June, I came down with a toothache. I didn't think much of it at first. Took some ibuprofen, went to bed. In the middle of the night, it got unbearably worse. Took the day off work, and since I did not currently have a dentist to call- I went to an urgent care center who gave me Augmentin and set me up with a dentist to call. Took the first pill immediately. Swelling had not really started yet- but what did happen was about 3-4 hours after leaving the urgent care and taking the antibiotic, I felt what could only be described as an explosion in my cheek. No pus was draining out of my body/mouth- it appeared to have burst into what I have now learned are called the \"buccal\" spaces. Then the swelling started up pretty gnarly. However, by the end of the following day it had already started to reduce, because of the antibiotic. Two or three days later I went to the dentist, who did x rays. On them, I could see what was a large periapical abscess. Whatever was going on in my cheek was obviously not visible on the regular x ray, I wouldn't think. but the classic dark circle abscess under the tooth was clear as day. By this point the swelling in my face had all but gone away. It was just very mild. The decision was made to extract the tooth right then and there, since I had already been taking the augmentin. I did mention what had happened to my cheek, and was told by dentist that now that the tooth was out, the antibiotics would clear up anything else.\n\nThe extraction went off with no problems, and healed perfectly. I finished the ten day course of augmentin. However, the very last bit of swelling (only noticeable to me, no one else notices) never really went away. and I just sort of feel a \"fullness\" in the area. like a little bit of pressure but no pain. I was then given a 5 day course of clindamycin after calling in with these complaints- and those gave no change at all. It's not the absolute end of the world, but the \"fullness\" is annoying and is affecting my sense of well being. it seems to feel different at different times of day. It has even radiated to my ear here and there.\n\nI suppose my question is what the heck do I do now? Call the dentist again? Go to the Emergency room? Do I need IV antibiotics? a CT scan? since my swelling is so minor that even I question if it is really there or just from me poking at it. Do I need my cheek cut open and a drain put in? Why weren't those things done when I went for my appointment to begin with? or why wasn't I referred out somewhere for it? That has lead me to believe that it must be all in my head, because if I needed those things done, wouldn't a dentist have suggested it? Does something like this just have a long recovery time? Because I swear some days it feels like it is going away altogether and others it bothers me. any advice?"
  },
  {
    "id": 19,
    "title": "Could Crowns fix my tooth-surface loss problem?",
    "dialogue": "william_: Hi there,\n\nI recently had a check-up with my local dentist in Britain who belongs to the {my}dentist dentistry group. I was told that I have some \"tooth-surface loss\" over the tops of my teeth, though it is minimal. For some years now I have had a problem with chewing on anything that is not soft, and I now understand that this \"tooth-surface loss\" is the problem. I think this problem began because some years ago I remember on a handful of occasions I unluckily had some grit in what I was eating which probably fractured the tops of my molars a little. Though, I don't think that can account for the problem entirely, as I think it has worsened since then, and I suspect that the high level of stress in my life—increasing the acidity in my body, I guess—, my habitually dry mouth, and possibly bruxism (though I haven't confirmed this last one yet) have all contributed to the problem.\n\nThe dentist I mentioned told me that there is nothing to be done about it, and that any \"fillings\" would just fall-off as my teeth are otherwise still whole and complete. Besides some minor gingivitis, which I am going to treat, my teeth are healthy; albeit a little crooked by genetics, though I'm considering braces (I am in my thirties).\n\nSo would Crowns be a solution for me? If so, are the cheaper metal variety just as good as the more expensive porcelain kind? I guess that the metal kind are cheaper because they are uglier, but I really don't mind about that so-long as they're not significantly inferior is terms of their function, and so-long as they're not a health  hazard. \n\nWas this dentist correct to say that there is nothing to be done about it? I noticed after the appointment that this dentist's prices are about half that of other dentists in my area, and so I wonder whether this dentist was cheaper because he was less knowledgeable and proficient? Though that's just speculation on my part and I have no solid reason to suspect this of him otherwise. Dr M: It depends on the amount of tooth structure loss. The enamel loss could also be normal due to normal functioning or grinding habits. I would not recommend crowns if the loss is minimal. To prepare a crown on the tooth, you would need to sacrifice otherwise healthy tooth structure. Maybe consider getting a bite plate first. This will help to protect your remaining tooth structure."
  },
  {
    "id": 20,
    "title": "Having treatment under IV sedation advice.",
    "dialogue": "macc2019: I am in the UK and next week will be having some work done on teeth under IV sedation at Manchester royal infirmary as i suffer from epilepsy and the fact i hate anything to do with dentists.\n\nThe dentist who will be doing the work told me about what would happen but its now gone out of my head so is there anyone here who has had IV sedation able to tell me what to expect?\n\nwill i remember any of it and could i still feel pain while the work is being done if he has not numbed my gums up enough?\n\nhe has given me some cream to put on my hand and arms where he will put needle so do these creams really work as i also have a big fear of needles.\n\ni have waited nearly 2 years for the work to be done as no where would do the work due to my health issues so the only place that will do it is the hospital so its been a long wait which i am glad is now coming to a end but i will have to also have some teeth out but the dentist at the MRI said he will get my local dentist to get my local hospital to do under GA so no doubt will have to wait ages for that to be done."
  },
  {
    "id": 21,
    "title": "I want to be a omfs",
    "dialogue": "teba: Hello i have just finished high school and im thinking about dentistry to be a omfs because i love working in surgical field also i love cosmetics and my grades don't qualify me for medicin college so yeah is that a good second option ? How is the personal life and balance for omfs ?  Also i would like to hear some tips from specialists which may help me in studies and future career"
  },
  {
    "id": 22,
    "title": "About a cleaning",
    "dialogue": "iamafraid: When you get your teeth cleaned, if you have cavities does the cleaning make it worse for lets say food getting in to make an infection ? Dr M: When you do a cleaning, you clean out the food particles. You do not push them into any existing cavities. Cleanings do not make your existing cavities worse iamafraid: Dr M said:\n\n\n\n\t\t\tWhen you do a cleaning, you clean out the food particles. You do not push them into any existing cavities. Cleanings do not make your existing cavities worse\n\t\t\nClick to expand...\n\nThank you, but i figured since it was cleaner now things can get into it very easily and cause infection ? Dr M: If there are cavities, you will need it to be filled. A normal cleaning does not clean out the decay. The cavity can still enlarge due to active cariogenic bacteria."
  },
  {
    "id": 23,
    "title": "Tooth decay on incisors",
    "dialogue": "RandomCavity: Brush twice a day, now using xylitol after meals as ive started getting cocerned\n\nWhat do people recommened I do? Dr M: Those are cavities. You need to see your dentist so that a filling can be done RandomCavity: Dr M said:\n\n\n\n\t\t\tThose are cavities. You need to see your dentist so that a filling can be done\n\t\t\nClick to expand...\n\nWill it look different to my tooth colour?\n\nIt looks bigger in picture, compared to reality, almost cant see it when these saliva bubble in there Dr M: We try and match the shade of your tooth with the filling material. It should blend in RandomCavity: Dr M said:\n\n\n\n\t\t\tWe try and match the shade of your tooth with the filling material. It should blend in\n\t\t\nClick to expand...\n\nOk do you think i will be charged for both? thats tiny on the left incisor? Dr M: There is a chance that you will yes. Discount is given only at the discretion of the dentist RandomCavity: Dr M said:\n\n\n\n\t\t\tThere is a chance that you will yes. Discount is given only at the discretion of the dentist\n\t\t\nClick to expand...\n\nI just paid £65 to get a checkup... I dont like the idea of Xrays either RandomCavity: I need 5 fillings apparently and 2 cleanings..... i have some tartar behind my lower front teeth\n\nUR1 UL1 UL2 UL3 and LL7 \n\n£900 wtf? Dr M: It is possible if you have not seen a dentist in a while. RandomCavity: Dr M said:\n\n\n\n\t\t\tIt is possible if you have not seen a dentist in a while.\n\t\t\nClick to expand...\n\nWhat can I expect in those cleanings? Also is it best to get fillings or cleaning done first? Dr M: A cleaning usually consists out of a scaling ( above or below the gum ) and a polishing. You can do the cleaning first to ensure the gum is healthy and without any bleeding. Bleeding gums can influence the bonding between the tooth and the filling material. RandomCavity: Dr M said:\n\n\n\n\t\t\tA cleaning usually consists out of a scaling ( above or below the gum ) and a polishing. You can do the cleaning first to ensure the gum is healthy and without any bleeding. Bleeding gums can influence the bonding between the tooth and the filling material.\n\t\t\nClick to expand...\n\nWell i got them done. Looks like I never had a filling, looks like I never had a cavity"
  },
  {
    "id": 24,
    "title": "Is this normal appearance for tongue? I try to scrape my tongue but it still looks like this",
    "dialogue": "wwwccceee2024: "
  },
  {
    "id": 25,
    "title": "Did the dentist somehow miss some of the decay, fail to drill it all out, or fill all the tooth when doing a composite filling?",
    "dialogue": "ToothPatient: 2nd molar, top left.\n\nOn the mesial surface, one can clearly see an inward groove, darkened area, typically indicating decay or a cavity.\n\nBeneath and actually touching it, a composite filling has been placed.\n\nIs it possible the dentist somehow missed this cavity/decay? Or failed to drill it out?\n\nOr didn't fill the area?\n\nCan anyone explain what's going on here? ToothPatient: This is a posterior to anterior x-ray of the same tooth.\n\nI'm unsure if that (what the arrow points to) indicates a cavity or what's going on there.\n\nI assume that's the same decay/cavity as in the panoramic x-ray, just adjacent to the composite filling. Dr M: Could be missed caries or could be pooling of the adhesive material. Would need to remove the resin filling in order to be sure. ToothPatient: Dr M said:\n\n\n\n\t\t\tCould be missed caries or could be pooling of the adhesive material. Would need to remove the resin filling in order to be sure.\n\nClick to expand...\n\n\nAs in remove the entire composite and re do the entire filling?\n\nOr could just that part of it be removed and refilled?\n\nIf it is just pooled adhesive, can that be left as is without affecting the integrity of the filling or causing problems later?\n\nIf it's missed decay, presumably that would need to be drilled out? Dr M: Pooling does not affect the integrity of the filling. But the only way to make sure it is not missed decay is to drill until you reach that area. The entire filling does not need to be removed. Only the portion with the dark area. ToothPatient: Dr M said:\n\n\n\n\t\t\tPooling does not affect the integrity of the filling. But the only way to make sure it is not missed decay is to drill until you reach that area. The entire filling does not need to be removed. Only the portion with the dark area.\n\t\t\nClick to expand...\n\nWould doing this potentially further irritate the nerve?\n\nWhich is irritated enough after that big filling.\n\nOr maybe being further from the nerve, it won't be so bad? Dr M: You will have to decide for yourself whether your pain level currently justifies investigating further. Whenever you drill on a tooth, there is a chance that the nerve will be aggrevated. ToothPatient: Dr M said:\n\n\n\n\t\t\tYou will have to decide for yourself whether your pain level currently justifies investigating further. Whenever you drill on a tooth, there is a chance that the nerve will be aggrevated.\n\t\t\nClick to expand...\n\n\nOkay, but again, if it is just pooled adhesive, that won't present with any further problems down the line, will it?\n\nThere's already some discoloration on the exterior of the tooth where it is, but it won't make the tooth more susceptible to further decay etc? Dr M: No it should not. I would just monitor this tooth. Monitor the symptoms and make sure you go for your regular check-ups."
  },
  {
    "id": 26,
    "title": "Is this leukoplakia? If so should I be concerned?",
    "dialogue": "Hsp9696: I’ve had this in the hard palate for around 2 years, I’m also breathing through my mouth a lot as I have a deviated septum, not a smoker but occasional drinker, nervous this could turn into cancer I’m 25 years old Dr M: Have you mentioned this to your dentist with your last check-up? Did the while lesion enlarge over time or not? Hsp9696: Dr M said:\n\n\n\n\t\t\tHave you mentioned this to your dentist with your last check-up? Did the while lesion enlarge over time or not?\n\t\t\nClick to expand...\n\nIt’s stayed around the same size but not sure if the appearance changed much truthfully didn’t pay it much attention basically forgot about it I haven’t seen my dentist in about a year but have an appointment in two weeks I remember asking about it back then he said it’s nothing to worry about but the more I look at it and google it stresses me out figured some second opinions could help Hsp9696: Dr M said:\n\n\n\n\t\t\tHave you mentioned this to your dentist with your last check-up? Did the while lesion enlarge over time or not?\n\t\t\nClick to expand...\n\nDoes it look concerning? Dr M: If it has not increased in size, most likely is nothing to be concerned about. The only way to know for sure if it something sinister or not, is to biopsy the lesion. Hsp9696: Dr M said:\n\n\n\n\t\t\tIf it has not increased in size, most likely is nothing to be concerned about. The only way to know for sure if it something sinister or not, is to biopsy the lesion.\n\t\t\nClick to expand...\n\nDoes the color of my hard palate seem off or somewhat normal? The one lesion disconnected from the main part I believe is due to a cut I had , the big almost M shaped area is what’s worrying me , i appreciate all of the feedback Dr M: Everything appears normal"
  },
  {
    "id": 27,
    "title": "Cant fathom what the pain is",
    "dialogue": "rach.atkinson: Hi. I’ve been having tooth pain for 8 weeks now. Above my 2 front teeth and in them. Seen a dentist 4 times and been to doctors 3. Been referred to dental hospital and awaiting an appointment. Dentist says they can’t see anything wrong. My gums feel inflamed and I’m struggling to sleep . My doctor has put me on gabapentin 100mg 3 times a day and I’ve been on them 2 weeks with no improvement. My doctor also put me on metronidazole for 7 days to see if that may clear anything up so I’ve taken 9 of 21 but don’t feel any effect yet. I haven’t had an X-ray for around 5 weeks. Can an x ray change in this time and show up something with the pain getting worse. It’s like a really strong tooth sensitivity pain. I’m also using duraphat 5000. The 2 front teeth have a see through bit on the bottom of it and little staining where u can see the dentin. \nPlease can someone give me some advice. As I’m at a loss what to do. \nThank you Dr M: Need more information like an x-ray or photo rach.atkinson:  Dr M: You don't appear to have any large cavities. The chip gives an indication that you might grind on your teeth. Would need to see an x-ray to determine if the nerve is involved or not. rach.atkinson: The chip in my tooth was done by a glass bottle when I was 18 and I’m now nearly 40. I never took a picture of the xray but when I see the dental hospital I will. Thank you rach.atkinson:  rach.atkinson: Just taken a photo 3 days after the last one and is it just me or do they both look a little different?"
  },
  {
    "id": 28,
    "title": "Root canal taste",
    "dialogue": "lc1102002: I had the first stage of a root canal 2 days ago. I have a temp filling. Everything is fine except within hours I started having a very strong bitter chemical taste.  I remember the taste while he was doing the procedure as well. I called the dentist yesterday. He said it’s normal and it’s due to medicine he used.  But it’s really awful.  How long does this last and is there anything I can do? anxiouseverything22: Hello!\n\nNot a dentist. I had a similar experience as you. The taste persisted for me for around 2 days or so. Do you have a follow-up appointment scheduled? At least for me, I had a check-in appointment that they required to be scheduled two weeks after the procedure."
  },
  {
    "id": 29,
    "title": "Hard pressure, tension, feeling near upper left rear molar",
    "dialogue": "gummidge: Hello,\n\nThe last couple of days I have a sort of continuous feeling of pressure around my left upper molar, I think it's called the 2nd molar?  I can't say for sure it's the tooth that hurts, sometimes it feels more like it's the jaw. It's around the area and difficult to pin down. The level of pain comes and goes, and I have the idea that it decays when I'm lying down or not using my jaw. When I wake up in the morning the pain feeling is completely gone, and comes and goes during the day. I can best describe it as someone tightening a screw and putting a lot of pressure on it.\n\nI've only had one day, last Wednesday, were the pain was so constant throughout the day were I felt the need to take a pain killer. On Thursday it felt more like the environment around the tooth was slightly bruised. Friday and Saturday the pressure feeling comes and goes again, but is definitely manageable and a lot of time not even noticeable.\n\nI called my dentist on Wednesday, but it was her last day before her 3 week holiday, and she told me that it's strange to feel something a month after an intervention, and we now only have the last resort of pulling the tooth, but as I don't wake up from pain of really feel the need to take pain killers, to try and sit it out, take a pain killer when the need arrives, and check back in after she returns from her holiday. She also told me that taking a photo wouldn't yet show signs of an infection. So I have no pictures at the moment.\n\nI have no pain when biting on it, at least with tender things. Hard items such as a peanut I can definitely feel but that has been the case the last couple of years. No issues with hot or cold, or when brushing my teeth.\n\nThe reason I'm pointing to that tooth is because it's the one were 30 days ago I had a filling put in. The tooth has been under repair for at least 5 years, and in February a special deep filling was put in, which had to sit and heal for 3 months before the filling could be properly finalized, which was then done at the beginning of June. I don't know the name of the material used. A week later however another side of the tooth broke of, I think it was just too loose from the other side which had the filling. I was chewing on a sandwich and it just dropped out. This was fixed on the 18th of June. I had the default sensitivity issues the first couple of days, but after a good week all seemed back to normal.\n\nFast forward to last weekend and I wasn't feeling too great, signs of a common cold maybe but that was gone after a day or 2 and for some reason I had a more elevated hearth rate. But I kept feeling some very very mild discomfort around that part of my tooth/jaw. Wednesday the 17th I woke up and started my day which had a lot of calls and meetings, so a lot of talking, and throughout the day the pain got more and more severe. It felt like someone put a rubber band around the area and was constantly squeezing it. Looking online for symptoms I read a lot about \"nagging pain\" or \"throbbing pain\", related to a nerve pain and tooth decay, but I never felt something like this before so I find it difficult to say it's this or that. I don't really know what a \"nagging pain\" feels like. I also can't say I'm really experiencing any other symptoms which they always describe.\n\nI have the feeling it comes more as I am using my jaw, after eating a large meal for example, or talking a lot. A snack or breakfast this morning is hardly noticeable, but I do feel there is something there, pain wise. When lying down on the couch or in bed it tends to disappear.\n\nI can't really find myself in most of the symptoms described online. Anyone any ideas on what this could be? Or the beginning of? As I mentioned before, my regular dentist is currently on holiday and I can manage it but don't quite know what I might expect the next couple of days/weeks? I don't just want to contact another clinic and/or have the tooth removed as the issue might be something else?"
  },
  {
    "id": 30,
    "title": "Cold sensitivity three weeks after a large filling?",
    "dialogue": "ToothPatient: I got this cavity filled:\n\n\n\n\n\nIt was actually fine, a little cold sensitivity, until the end of week 2.\n\nBut I definitely over did it with flossing between those teeth (after every meal, about 5 times a day).\n\nEventually after so much flossing, I went to floss and got very noticeable pressure sensitivity (which I never got after the filling for the two week period).\n\nThat has gone, but cold sensitivity is very apparent now.\n\nIs it possible all that excess flossing irritated the nerve, and now I have heightened cold sensitivity? (no sensitivity to heat or warm fluids, only cold)\n\n\n\n \n\n\n\nThis is the inside and outside of the filled tooth, pics taken today on my camera phone.\n\nI hardly displaced or debonded some of the filling with all that flossing, and that's causing the sensitivity?\n\nAny idea what might be happening here?\n\nAgain, only very minor cold sensitivity two weeks after the filling, but after going heavy with flossing, pressure and cold sensitivity eventually emerged. Dr M: It seems like it was a very deep filling. A more recent x-ray will most likely show that the filling is close to the nerve. If the filling is very close to the nerve, it is normal to have some cold sensitivity. If the symptoms become more severe and you start having spontaneous pain as well, it might mean that the nerve was affected, or that the filling went into the nerve, and then it is an indication of a root canal that is needed. ToothPatient: Dr M said:\n\n\n\n\t\t\tIt seems like it was a very deep filling. A more recent x-ray will most likely show that the filling is close to the nerve. If the filling is very close to the nerve, it is normal to have some cold sensitivity. If the symptoms become more severe and you start having spontaneous pain as well, it might mean that the nerve was affected, or that the filling went into the nerve, and then it is an indication of a root canal that is needed.\n\t\t\nClick to expand...\n\nDo you think all that heavy flossing (five times a day) on teeth overlapping as per the x-ray, could have exacerbated the sensitivity?\n\nSee for the first period after getting the filling, like the first week, there was no pain or sensitivity at all.\n\nIt only emerged after that after I began this heavy flossing routine, and of course cause of how tight the teeth are, I really had to grind/force the floss in there.\nI had no idea it would affect the tooth nerve however.\n\nIt may be difficult to comment on whether that is or is not the case without seeing an updated x-ray?\n\nBut could that be possible?\n\nAnd if the sensitivity was a result of heavy/uncomfortable flossing, it may go back to how it was in the two weeks following the filling, before it emerged? dental_care: Flossing too aggressively or too frequently can irritate the gums, causing inflammation and sensitivity. This irritation can make the area more sensitive to temperature changes, particularly to cold. While less common, it's possible that over-flossing could have affected the nerve within the tooth, particularly if the filling is close to the nerve. This could lead to heightened sensitivity to cold temperatures. ToothPatient: dental_care said:\n\n\n\n\t\t\tFlossing too aggressively or too frequently can irritate the gums, causing inflammation and sensitivity. This irritation can make the area more sensitive to temperature changes, particularly to cold. While less common, it's possible that over-flossing could have affected the nerve within the tooth, particularly if the filling is close to the nerve. This could lead to heightened sensitivity to cold temperatures.\n\t\t\nClick to expand...\n\n\nThe filling in this case is presumably close to the nerve.\n\nCould that aggressive flossing have DAMAGED the nerve though?\n\nOr just sensitized it?\n\nCause if it's the latter, presumably that sensitivity would reduce with time.\n\nCould flossing ON a filling (which, looking at the x-ray, where the filling is placed, I had to do in this case to get between the teeth), actually DAMAGE the nerve underneath it though?\n\n\n\n\n\t\t\tThis could lead to heightened sensitivity to cold temperatures.\n\t\t\nClick to expand...\n\n\nBut, not actually damage the nerve? Dr M: Doubt if flossing would have affected the nerve. Overflossing could have irritated the gum yes, and sometimes gum pain gets mistaken for tooth related pain. If a filling was done, and it was close to the nerve, it does not mean that the nerve starts acting up immediately. Sometimes the transition to pulpitis and then irreversible pulpitis can take weeks to months. If the pain becomes more severe and spontaneous, a root canal would be indicated.\nIt would really help to take a new x-ray of this tooth after the filling was done. ToothPatient: Dr M said:\n\n\n\n\t\t\tDoubt if flossing would have affected the nerve. Overflossing could have irritated the gum yes, and sometimes gum pain gets mistaken for tooth related pain. If a filling was done, and it was close to the nerve, it does not mean that the nerve starts acting up immediately. Sometimes the transition to pulpitis and then irreversible pulpitis can take weeks to months. If the pain becomes more severe and spontaneous, a root canal would be indicated.\nIt would really help to take a new x-ray of this tooth after the filling was done.\n\t\t\nClick to expand...\n\n\nSince I discontinued the flossing about three days ago, the cold sensitivity is beginning to improve.\n\nI am getting these occasional pulses of........ I wouldn't describe them as \"pain\", but more like a tingling pulse that I'm aware of, coming from what feels like the tooth (this refers along the gumline into the teeth before it also).\nI slept very well last night so doesn't seem to be overt pain, just unusual tingling.\n\nI have an check up on this tomorrow, so should have a new x-ray then.\n\n........\n\nThe last time I flossed, it almost felt like I had dislodged the tooth slightly, or pulled it out of place? (that's just how it felt).\nInadvertently widening the gap between the teeth I was flossing. (don't know if I did or not, but that's how it felt)\n\nThat's when the tingling/shooting sensitivity emerged. Whether that feeling would have implicated the gum, or the nerve, no idea, but that was the point I realized I need to ease off on the flossing there.\n\nWhen I palpate the tooth itself, that doesn't elicit pain or sensitivity for whatever reason. ToothPatient: If I may ask also, the tooth with the cavity, where exactly is the nerve of that tooth relative to said cavity?\n\nI can't read x-rays so good.\n\nI know the darker shade indicates a nerve, but can only see a darker shade in the centre of the tooth, not adjacent or near to the cavity? ToothPatient: Dr M said:\n\n\n\n\t\t\tDoubt if flossing would have affected the nerve. Overflossing could have irritated the gum yes, and sometimes gum pain gets mistaken for tooth related pain. If a filling was done, and it was close to the nerve, it does not mean that the nerve starts acting up immediately. Sometimes the transition to pulpitis and then irreversible pulpitis can take weeks to months. If the pain becomes more severe and spontaneous, a root canal would be indicated.\nIt would really help to take a new x-ray of this tooth after the filling was done.\n\t\t\nClick to expand...\n\n\n\n\n\n\nTaken yesterday.\n\nTooth 7, upper left. I went for a second opinion. Looks like the original dentist didn't get rid of all the decay, and the margins with the next tooth are off? (thus it's trapping food). ToothPatient: Bite wing shot"
  },
  {
    "id": 31,
    "title": "Tooth root left after extraction",
    "dialogue": "Fanny: a tooth was extracted in February after a failed root canal. But the dentist was unable to get a root out.he tugged and pull but left it in.   I was on waiting list since February and now got a slot next week to have it removed.  My dentist sd there was a six week wait and get it done quickly before all the tissues grow back well after four months they have. I am getting no pain or problem with it yet.  I cd leave it and monitor or go next week and have it out. I have Atrial fibrillation, irregular heart beat but hv been good but got cold this week and it took off now on and on antibiotics To clear the infection.   If i go ahead what precautions should this hospital take to avoid excess bleeding ie stopping my blood thinner but for how long?they have not told me.  I was also sick this week with fast heart and had to go to hospital. Is a root extraction a cause of AF and is it best to postpone my extraction until I have got over my cold infection.  How long can you wait till too late to get it out?  I would have thought it is fully covered now.  So basically how long shd I stop my rivaroxiban for Before the op? What if they can’t get it out, and leave part in I will be back where I started?  I had root canal before and this may have made the root brittle.  What drugs can they use to put me out because I am on low dose beta blocker and have Af occasionally? Any anaesthetic May kick off my AF.  I am tempted to leave alone . Dr M: To answer this question it is best to contact your medical GP in order to advise you on how to take your medication over the extraction period. Try and contact the hospital as well in order to inform them of your medical status."
  },
  {
    "id": 32,
    "title": "5 year old with likely abscess",
    "dialogue": "Gimaro1111: Hi, \n\nMy kiddo has developed a white pocket underneath a tooth that has had a cavity in for a bit of time. She has sensory issues so it has been a struggle to get anything done without sedation, which we will finally be able to do next month. The sedation dentist is very much against antibiotics and will only prescribe “if her face swells.” Is this drastic? Hasn’t the infection become quite problematic at this point or am I misunderstanding? She has no pain, never has with her dental problems. I am getting a second opinion tomorrow at a regular dentist, but sedation pediatric dentistry is not easy to find around here and getting a tooth pulled isn’t a viable option for her without going that route. Thanks. Dr M: The white spot is called a draining sinus. The infection is draining through that opening and no pressure is building up. That is why there is no pain. I would monitor it and if you notice any symptoms or swelling, contact your medical GP for antibiotics if the dentist does not want to prescribe. Gimaro1111: Dr M said:\n\n\n\n\t\t\tThe white spot is called a draining sinus. The infection is draining through that opening and no pressure is building up. That is why there is no pain. I would monitor it and if you notice any symptoms or swelling, contact your medical GP for antibiotics if the dentist does not want to prescribe.\n\t\t\nClick to expand...\n\n\nThank you. The dentist we saw today also mentioned it was self-draining, is it common for the self-draining aspect to stop? We are not able to get it extracted for 5 weeks. Dr M: There is unfortunately no time frame that can be given with regards to it stopping to drain. Best advice would just be to monitor it. Gimaro1111: Dr M said:\n\n\n\n\t\t\tThere is unfortunately no time frame that can be given with regards to it stopping to drain. Best advice would just be to monitor it.\n\t\t\nClick to expand...\n\n\nThank you. The abscess is now gone entirely, no pain or any other symptoms. Do you think this would indicate that we can just monitor or should we move forward with extraction ASAP? Dr M: Still move forward with the extraction."
  },
  {
    "id": 33,
    "title": "Is this dark spot on my X-Ray a cavity?",
    "dialogue": "tessmarieh: Hi, I've had a dull ache in my central incisor for a couple of years now and I'm trying to figure out what might be causing it. The X-ray from a few months ago shows a dark spot on that central incisor. When I shine a light through the tooth, I can see a brown spot. There also appears to be a small indent on that tooth in normal lighting. I'm pretty convinced it's a cavity but my dentist is insistent it's not. \n\nWhat do you think, is it a cavity or not? Should I fill it? Could I use Icon Proximal to arrest it?\n\nThank you for your help. Dr M: It looks like the area does not extend through the enamel yet. You can try the Icon Proximal first. Sometimes these lesions tend to remineralize. Get it checked out with your next 6 monthly check-up though. If it does enlarge, do a filling instead."
  },
  {
    "id": 34,
    "title": "Where to get Ribbond?",
    "dialogue": "Snapper dental: Hi there, we are a dental practise based in Tauranga, New zealand. We have just finished our existing supply of ribbond and cannot seem to contact GUNZ dental to buy more. ( I've heard they shut down in NZ?). Does anyone know where i may be able to find this product or an equivalent for splinting."
  },
  {
    "id": 35,
    "title": "Im eating [poopoo?? help me",
    "dialogue": "ronald stinger: theyve been lurking outside for weeks the van wont move but every night they come out and they stare. I wish it would stop, but it never does. My wife has been missing for days - not sure if its them, or my incessant need to consume poo poo. still, the pain is all consuming. I miss Amy is there a cure for the poopoo eatery and the men pouitisde my house i hear the m geutting closer rigth niw i hope they can fix all o fyyhis ronald stinger: "
  },
  {
    "id": 36,
    "title": "Actual decay?",
    "dialogue": "ben776: Hello \n\nI recently had to change my dentist, and the new dentist said that there's decay between my right central and lateral incisors. I brush 3 times a day after meals, and I'm surprised that I have a decay going on in that area (he told me that there's no other problem in my mouth). I'm aware that naked eyes cannot catch everything, but to me it looks perfectly fine, and I don't want to drill something that's not problematic.\n\nAttached is my x-ralso of the same teeth. He was pointing out the grey area, but I thought that was just from the angle of the x-ray and how the teeth are overlapping. Do you actually think that there's decay going on?\n\nThank you very much! Dr M: It looks like there might be the start of some de-mineralization in the area, but it is not through your enamel yet. This is not an indication for a filling. Focus on flossing more in that area and maybe use a fluoride containing mouth rinse. This area can only be monitored for now, since it might start re-mineralizing again. Doing a filling there would be over-treatment in my opinion. ben776: Dr M said:\n\n\n\n\t\t\tIt looks like there might be the start of some de-mineralization in the area, but it is not through your enamel yet. This is not an indication for a filling. Focus on flossing more in that area and maybe use a fluoride containing mouth rinse. This area can only be monitored for now, since it might start re-mineralizing again. Doing a filling there would be over-treatment in my opinion.\n\t\t\nClick to expand...\n\nThank you very much for your reply. It's a relief that I won't need a filling at this point. I will be doing everything I can to help the area remineralize.\n\nOn the other hand, I'm sort of panicking now because I've found many other similar areas on my xrays.. However, obviously, I don't have the proper knowledge to look at dental xrays. Could you please take a look at these other xrays?\n\nI really really appreciate it! Dr M: Don't see other cavities that you need to worry about. A lot of the slightly darker areas is called cervical burnout and it just due to the positioning of the x-ray sensor and not cavities. Continue to go for your regular check-ups."
  },
  {
    "id": 37,
    "title": "Vision from dentists severe problem",
    "dialogue": "Mandala: Hello there, \n\nI have made an account because I would like to get some advice on my case if possible. \n\nA while ago I suddenly discovered a big hole in my 5th tooth. At first I thought it was some food or something then I was shocked to find out there was a very big hole in my tooth. \nNow, it isn’t entirely surprising because I haven’t been to a dentist for a long time. I have had reasons for it, I can’t go into further details because this post will be to long. \n\nThere are also some cariës in my molars but I have the idea they stopped progressing (however these are not entiry holes as wat is going on wit the 5th tooth. I checked the other side 5th tooth, and there also are starting problems because plague gets stuck inbetween the teeth where there is gum recession, however not as severe and I hope this will go away with the new routine I have now. I always brushed my teeth thoroughly, but have extreme dry mouth during the night (probably sleep apnea) and have vitamin D deficiency and other deficiencies which I am working on. \n\nNow the reason for my post:  is there maybe a dentist who could tell me if this tooth can still be saved? I get extremely anxious, and have nightmares about it. This made me delay even further, but now I have contacted a new clinic I want to go to. It is making me feel extremely  embarrassed and I suddenly have issues with smiling and I could never imagine I would have that in my life. I feel horrible. Anyone who can give me insight in the situation? Regarding how bad it is and if it still can be saved? Dr M: Depends on how deep the decay goes and for that you would need an x-ray to be taken. If the decay goes into the nerve, then a root canal might be indicated."
  },
  {
    "id": 38,
    "title": "Teeth extraction",
    "dialogue": "leidymtz: My son had his 4 front teeth removed.  According to his dentist  that was the only way to stop his cavities. Now that I am reading more I think that his case was not severe and they could do something for his teeth. They are the professionals and I trusted them but it breaks my heart see my 3 year old without his teeth. Can someone advise if a pediatric  partial is an option.   \n\nI adding a picture of his teeth before the extraction Dr M: Did the dentist take any small x-rays to determine the extent of the decay? If the decay was not too severe, these teeth could have been saved leidymtz: Yes, they did. They did the X-rays the same  day he had the procedure that initially was for fillings but then I was informed that an extraction was needed because two of the cavities were close to his nerves. They had to remove the 4."
  },
  {
    "id": 39,
    "title": "Occlusal Splint Advice",
    "dialogue": "cactus: I would appreciate if someone can share their experience regarding the oclussal splint. Please note any price listed is in Australian Dollars.\n\nMy periodontist has advised me that I could consider an occlusal splint if I feel it is necessary. She has advised me that I have issues with a clicking jaw and bruxism and referred me to a general dentist. The general dentist gave me his price, which was $800 however, since I felt he was pushy, I opted not to proceed at the time. I have called around and I also got another price of $500. With all this being said, since I am quite confused by the entire process, should I consider seeing a prosthodontist at a cost of $250 + $ 90 for an occlusal analysis? Since I believe they make these occlusal splints as well or a maxillofacial surgeon to get another opinion? Thank you. Dr M: A prosthodontist might do a better analysis on your bite and recommend a specific type of occlusal splint, that might suit your needs better. The price to do an occlusal splint by a specialist, might be more expensive compared to a general dentist. cactus: Thank you, Dr M. This information is appreciated. I will also enquire with my insurance as to how much they will cover. Also, I wanted to ask your opinion if possible as the periodontist said that tooth 13 could be restored via a filling restoration as there was   restoration done over a decade ago. This was recommended due to sensitivity.\n\nHowever, the dentist who quoted $800 for the splint said that the filling appeared fine and could be filled down if necessary. Though in his opinion, a crown would be recommended if a restoration was required.\n\nWhose advice sounds correct here? As I am confused.\n\nI am able to attach x-rays if necessary. Dr M: Please attach the x-rays. cactus: Attached Dr M: The filling looks fine. I would not replace any filling, if there is no real indication to do so. Adjust the filling if it interferes with the splint. cactus: Dr M said:\n\n\n\n\t\t\tThe filling looks fine. I would not replace any filling, if there is no real indication to do so. Adjust the filling if it interferes with the splint.\n\t\t\nClick to expand...\n\nThanks for that. Its much appreciated. cactus: Hi Dr M, If your able to, Can you comment on glass ionomer cement (GIC) filling's being able to adequately replace composite fillings?\n\nI ask as my periodontist has arranged for me to see a different general dentist and he has advised me that i don't need a crown and my sensitivity on tooth 13 is attributed to a leaking filling.\n\nSince I have never heard of GIC hoping you can comment.\n\nThanks Dr M: GlC fillings are more prone to staining compared to composite fillings. They are also weaker fillings compared to composite fillings, when undergoing high occlusal or biting forces. cactus: Thanks for the information Dr M. I will keep this in mind when deciding how to approach the sensitivity with tooth 13."
  },
  {
    "id": 40,
    "title": "Demineralization? Erosion?",
    "dialogue": "ben776: Hello,\n\nAfter a general cleaning, I was hoping that this yellow spot on my molar along the along/close to the gumline would go away, but apparently the dentist didn't touch it. The picture is a bit difficult to capture this, but is this a demineralized area (which would explain why he didn't touch it)? I looked up some pictures of demineralized enamel, and the color looks different from the area of my tooth. All the pictures seem to suggest a chalky-white color is what we look for, but mine doesn't look chalky at all. It looks a bit more yellowish than the other areas of that tooth. When I touch it with my nail gently, it almost feels softer than other areas of the tooth.\n\nThank you, I would appreciate any input! Dr M: It seems like you have a bit of gum recession on the indicated tooth. The yellow part that you are seeing, is either dentin or the exposed root surface of the tooth. This can't be cleaned off. You can cover it with a resin filling, if the area is sensitive, to match the surrounding tooth structure. You need to start using a softer toothbrush and focus on your brushing technique,"
  },
  {
    "id": 41,
    "title": "Can this composite filling be added to or \"topped up\"? Seems to have shrunk",
    "dialogue": "ToothPatient: The filling has obviously shrunk with time (got it in 2019).\n\nAs you can see on the front portion, I recently had that filled also.\n\nCurious how much longer that tooth could last, as I've read composite filling typically have a lifespan of 5 to 7 years.\n\nThe dentist seemed to get rid of so much tooth putting the filling in also, as when I compare to the other side:\n\n\n\n\n\nThere's obvious much more tooth there.\n\nIn any case, can that filling be \"topped up\" by adding more composite, without further drilling and traumatizing the nerve?\n\n\n\n\nThis is an x-ray of the first/filled tooth, before I had that frontal cavity filled a few days ago. Dr M: The filling can be topped up. If there is any additional decay, the decay would need to be cleaned out first."
  },
  {
    "id": 42,
    "title": "Back upper tooth root canal or removal?",
    "dialogue": "Zahn1: Hello everyone. I have a problem with the very back tooth on the upper right side. A dentist found a hole in it near the gum. I had a filling to try and save it. That was about a month ago. The pain has come back however. Is it worth trying a root canal or should I just have it removed? The dentist I spoke to seemed to suggest doing a root canal on it would be quite difficult due to it's position. Any thoughts welcome thank you. Dr M: Do you have any x-rays that you could share?"
  },
  {
    "id": 43,
    "title": "Is this is a wisdom tooth coming in?",
    "dialogue": "esmeknight: Only just noticed this split in the back of my gums. Is it a wisdom tooth coming in? It’s only on one side. Not painful (yet). Dr M: It does look like your wisdom tooth coming in. I would recommend seeing a dentist, so that an x-ray can be taken, to evaluate if you have enough space for the wisdom tooth."
  },
  {
    "id": 44,
    "title": "Tooth nerve",
    "dialogue": "paulina: Hi! I have to take out the nerve of my tooth but I am in another country and I will be back in my country in a 30 days. My dentist in my country tells me to go to the dentist to open my tooth to clean and close it temporarily and take augmentin and flagyl and take the nerve out when I get back but the dentist here says it is too risky to open the tooth and I should do the whole thing in my country or the whole thing here. I am not in pain right now, I just finished my sixth day with augmentin but my dentist in my country says I shouldn't leave it like that, it will do more damage. What should I do? Dr M: Depends on how the x-ray looks. If you are not in pain, you can wait 30 days. Best to do it in one place. The main risk is that the pain might flare up again. You will then have to see a doctor for another script for either antibiotics or painkillers, depending on the severity of the situation."
  },
  {
    "id": 45,
    "title": "Is this a cavity?",
    "dialogue": "tessmarieh: Is this brown spot a cavity? Should I get it filled? I've had mild sensitivity in that area for about three years but just assumed it had to do with the pressure of the twisted tooth next to it. Now I'm not so sure... \n\nAny advice is appreciated. Thank you! Dr M: Could be a stain, but could also be a cavity. Go to your dentist and take an x-ray of the tooth in question."
  },
  {
    "id": 46,
    "title": "No teeth",
    "dialogue": "Nancy f: I needed dentures and couldn't afford to do it all at the same time. I asked the dds if I could do either the top this year and the bottoms next yr. He said no they would never match correctly. I asked if there was a cheaper way to get dentures.  I only have 2,000.00 of coverage a year. He suggested shaving all my teeth down to the gums to avoid the cost of extractions. I said that also sounds less painful. This whole procedure would cost 6,000.00. This is much, much cheaper than getting implants and wrapping dentures around them. I agreed. All the teeth were ground down to the gums. I kept going to the dds for molds. This took 6 weeks to complete. The big day arrived and the teeth were the size of baboon teeth. He had a hard time even getting them in my mouth. He then said well we have to start all over again and pull all your teeth. This plan won't work. I said wtf. Using the words as opposed.... he fired me as a patient. I am now without teeth and out 2,000.00. What to do next. I have no idea. Please, please help me. Dr M: Did you have a try in visit, where the teeth were tried in wax first, to evaluate tooth shape and size? Usually during this stage, changes can still be made if you are unhappy with the look of the dentures."
  },
  {
    "id": 47,
    "title": "Tongue inflammation",
    "dialogue": "dopeysgem: Had small surface cavity #18 (lower back molar left) filled two months ago. Dentist also trimmed top edge of tooth on tongue side. (Not by request)\n\nSevered irritation began two days after procedure on left side of tongue only. Felt scraped, inflamed, sore, like I had tiny cuts all over.\n\nDentist smoothed edge with a bur. Pain returned. Dentist buffed edge with two burs. Pain returned again.\n\nDentist has no explanation. Root canal specialist has no explanation. Both said that the lower edge should not cause tongue irritation and recommended seeing an oral surgeon.\n\nPain is about every other day now. Comes and goes. Mostly isolated to the back side of the tongue where there are natural bumps. Those get inflamed. The middle side feels scraped.\n\nAnyone experience this type of tongue pain with a new height in their natural tooth or a crown? Any OTC products to help minimize the pain or let the sores heal? Will the tongue eventually build tolerance? It’s been two months! Dr M: It sounds like there might be some other issue with the tongue itself. Best option would be to see an oral surgeon for an opinion."
  },
  {
    "id": 48,
    "title": "No teeth",
    "dialogue": "Nancy f: I needed dentures and couldn't afford to do it all at the same time. I asked the dds if I could do either the top this year and the bottoms next yr. He said no they would never match correctly. I asked if there was a cheaper way to get dentures.  I only have 2,000.00 of coverage a year. He suggested shaving all my teeth down to the gums to avoid the cost of extractions. I said that also sounds less painful. This whole procedure would cost 6,000.00. This is much, much cheaper than getting implants and wrapping dentures around them. I agreed. All the teeth were ground down to the gums. I kept going to the dds for molds. This took 6 weeks to complete. The big day arrived and the teeth were the size of baboon teeth. He had a hard time even getting them in my mouth. He then said well we have to start all over again and pull all your teeth. This plan won't work. I said wtf. Using the words as opposed.... he fired me as a patient. I am now without teeth and out 2,000.00. What to do next. I have no idea. Please, please help me."
  },
  {
    "id": 49,
    "title": "Help! Suddenly rough teeth despite teeth cleaning",
    "dialogue": "Anxiety96: Summary: Within a week, my teeth became rougher than they had ever been before. This caused a quite lot of plaque to accumulate and bad breath. After a professional cleaning, the result of which actually looked good, the teeth became similarly rough again within 7 days (!). Despite good oral hygiene and only eating in the morning and evening. Chlorhexidine helps. What could be the cause? What can I do?\n\n___\nI am 28 and have had tartar for about 4 years, sometimes more, sometimes less, a few months after a dental cleaning. So far, however, this has been within reasonable limits and has always been removed with a dental cleaning (approx. every 12-14 months). I haven't had any \"real\" tartar recently, i.e. the kind that you can break off when enough has accumulated, and I've rarely had any in the past. It's more like a very thin layer that you can't get off on your own.\n\nI now have quite a bit of discoloration in some places. Before my last professional cleaning, the discoloration was also somewhat worse than usual.\n\nUp until 4 weeks ago, I thought that everything could be fixed with a dental cleaning (maybe every 6 months if necessary).\nHowever, my teeth then became much rougher within a week. Especially on the insides of the lower front teeth and first molars.\nSo in the place where there is the most saliva and where tartar would later form.\nMy teeth have never been anywhere near as rough and it has never happened so quickly.\n\nHow can this happen so suddenly?\nI thought that they had simply become so rough so quickly because the rougher the teeth are, the more plaque sticks to them and that at some point the point is reached where plaque and tartar increase exponentially.\n\nI also had bad breath, which I only had rarely and briefly before.\n\nA week ago I had a dental cleaning. The front teeth in particular were not 100% smooth afterwards, but it was much, much better (maybe 90-95% smooth) and the insides of the molars, which were very rough before, were very smooth afterwards.\nOverall, it felt good and I thought I could now take my time to look for the cause.\n\nI discovered a slightly rough spot for the first time after 3 days, but I still thought I was imagining it.\nHowever, on the 6th day after the professional cleaning, I clearly noticed that my teeth were getting rougher again. And one day later, I suddenly had clearly visible plaque edges again and these strange, firmer, white (not yellowish) plaques on the inside of the lower front teeth.\n\nI then really tried to remove the plaque with a medium manual toothbrush and a Sonicare on the highest setting (I normally brush with this). I also brushed as hard as you shouldn't do every day. Simply to test whether it would even be possible to remove the plaque with a toothbrush. It wasn't.\nThe plaque can only be \"scraped off\" with a fingernail or scaler. However, I didn't really have to scrape it, but the plaque could be removed relatively easily.\nIt's just so sticky/slimy, which is why you could perhaps compare it to jelly. If I brush jelly with a toothbrush, I would have to do it for a very long time for anything to happen. But I can easily \"scrape\" something off with a scaler.\n\nI was also surprised that the bad breath was hardly reduced after the professional cleaning. Especially as I now scrape my tongue daily. I don't know where else the odor is supposed to come from directly after the professional cleaning, which actually looked quite successful.\n\nMy questions:\n1) How can it be that 7 days (!) after a dental cleaning the teeth become as rough again as they never were before?\nI didn't even eat lunch on 4 of the 7 days. I brushed normally one hour after breakfast and dinner, so that no biofilm should have formed for most of the day.\n\n2) What can I do now?\nI don't know where this will lead if I don't do anything. A week after the professional cleaning, I started using chlorhexidine in the morning and evening.\nAs expected, this resulted in no new plaque forming. However, the existing plaque also disappeared after two applications, the bad breath is completely gone and the teeth slowly became smoother again.\nCan any conclusions be drawn from this as to the cause or is the CHX just extremely good at combating the symptoms? Brause: CHX will discolour your teeth (dark)...I have lots of plaque buildup and have my teeth cleaned every 4-6 months. And once a year, I also have a polish to smoothen the teeth.\n\nI floss with string and use a Waterpik water flosser."
  },
  {
    "id": 50,
    "title": "Pain 6 weeks after a fillingnormal?",
    "dialogue": "dopeysgem: Had a filling on #30 at the bottom of the tooth near the gum line. I had a recessed area of the tooth that caused me no pain for years that the dentist finally wanted to fill. \n\nAfter the filling, I had no pain. Then six weeks later I’m now feeling mild discomfort when I bite and chew harder foods and a slight sensitivity to cold foods and drinks.\n\nRoot canal specialist said that the filling is intact and the nerve isn’t dead, but couldn’t indicate if inflammation was present on the x-ray. Said filling was done near the nerve, so it could take maybe six months for these symptoms to subside. \n\nThoughts?\n\nIs delayed pain after six weeks normal? Is this likely to subside or is it the beginning of the nerve dying? Dr M: I would wait until the pain becomes more severe and see if it settles. If it doesn't settle, and increases in frequency and duration, it might be an indication for a root canal treatment. dopeysgem: Dr M said:\n\n\n\n\t\t\tI would wait until the pain becomes more severe and see if it settles. If it doesn't settle, and increases in frequency and duration, it might be an indication for a root canal treatment.\n\t\t\nClick to expand...\n\nThanks!\nJust so strange that for many years that tooth was exposed with a recession and there were zero issues. Then it gets filled and six weeks later I have pain starting? Even the gum next to the filling feels irritated after eating and brushing.\n\nHopefully it settles!"
  },
  {
    "id": 51,
    "title": "Toothache and Headache",
    "dialogue": "Brause: Any tooth nerve is connected with the trigeminal nerve (system).\n\nThe question is:\n\nIf the toothache is on the left-hand side (quadrants 2 and 3), is the associated toothache also on the left-hand side only?\n\nAccordingly with right-hand side (quadrants 1 and 4)?\n\nThat's what I appear to observe. Dr M: Yes, but sometimes you also get referred pain to the opposite side. It has been documented, since the entire nerve system is inter-connected. Left and right side. Brause: Yep, I agree, some approaches may be too simple.\n\nOften, in my case, headache almost completely replaces toothache (while being on anticonvulsants). Brause: I speculate the above belief stems from the lack of frontal connection of the different nerve strands, they all connect in the back.\n\nHence, it is a very long path from, let's say, tooth 31 to tooth 41 or 11."
  },
  {
    "id": 52,
    "title": "Should I continue to brush my teeth?",
    "dialogue": "askgetinformation00: I always brush my teeth two times a day recently I'm trying to at least brush three times a day the problem is that the second time I do it is right after lunch break at my job, I carry a toothbrush on my backpack I put on a cover and I put it on a plastic bag alongside my toothpaste, I've read that this is really bad as it promotes the growth of bacteria on your toothbrush. My question is it counterproductive to brush my teeth at the office like this and should I just keep it with two times a day? Dr M: Twice a day should be sufficient. Although covers can promote bacterial growth, it is normally because the covers are almost never cleaned. askgetinformation00: Thank you for your answer!"
  },
  {
    "id": 53,
    "title": "Wisdom tooth fell out leaving hole that food gets stuck in",
    "dialogue": "giai: hi a couple of years ago my wisdom tooth (top right) fell out which has left a shallow hole in the gum where the tooth was.  a small amount of the tooth remains on one side that sticks up above the gum about 1mm.  my dentist (NHS) encouraged me to get the tooth removed because he said the nerve is exposed and i could get an absys however i haven't wanted to because i've never had any pain but mainly because i'm scared!  until recently i could get food out of the hole with my toothbrush but the last few weeks i haven't been able to and now i'm sometimes getting a taste in my mouth that i think maybe rotting food stuck in the hole.  what should i do please? Dr M: Go and remove the tooth as soon as possible, so that the gum can heal in that area. Any infection might spread to adjacent teeth and/or lead to more severe problems at a later stage. giai: thanks i know this is what i should do but how will it be done as most of the remainder of  the tooth is under the surface of the gum.  i'm scared just thinking about it.  will it require a local or general anaethetic?  will my NHS dentist be able to do or will it need to be done in hospital? Dr M: Depends on the current x-ray of the tooth. Most likely you are looking at a surgical extraction, although top wisdom tooth surgical extractions normally go easier and can successfully be done in the chair, under local anaesthetic."
  },
  {
    "id": 54,
    "title": "Am I Getting Sodium Fluoride?",
    "dialogue": "1.T: I use New York City tap water, a fluoride rinse once a day gargling 10 milliliters (ML) for 1 minute containing 0.05% (0.02 w/v fluoride ion) and a toothpaste containing 0.25% (0.15% w/c fluoride ion). Am I getting too much Sodium Fluoride?"
  },
  {
    "id": 55,
    "title": "How to treat tongue pain? Also, could I have pulpitis?",
    "dialogue": "dopeysgem: Cheek and tongue side top edges of my natural tooth (lower back molar) were trimmed in addition to the tiny cavity filled on the surface.\n\n1. Constant irritation and sores on the side of my tongue next to the trimmed edge. Had it buffed and softened twice and the sores keep coming back? What else can be done.\n\n2. Nerve irritation after each adjustment to buff the edge and smooth the filling. On and off tooth pain for two weeks and each time the tooth felt puffy when painful when the pain flared up.\n\nEven after the pain has stopped, the shape and texture of the tooth’s surface keeps changing. Sometimes it slick, flat, and glossy (usually when I eat) or it’s puffy and expanded and the surface feels scratchy or slimy. I don’t know what the tooth should feel like because it changes dozens of times throughout the day.\n\nIs this pulpitis? Is the nerve still healing? Is this going to end or is it the beginning of bigger problems?\n\nThanks. desrosiersdental: To treat tongue pain, start with good oral hygiene, avoid spicy or acidic foods, and use a mouth rinse to reduce irritation. Admire Dental Care advises consulting with a dentist if the pain persists, as it could indicate underlying issues like pulpitis, which requires professional evaluation and treatment."
  },
  {
    "id": 56,
    "title": "Dealing with job-related stress and burnout in the dental field",
    "dialogue": "divya-hiresmiles: Post Description: \n\nWorking in the dental field can be extremely rewarding, but it can also come with its own set of challenges that can lead to job-related stress and burnout. In this forum thread, we can discuss strategies for managing stress in a high-pressure environment, sharing personal experiences and tips for maintaining a healthy work-life balance. Whether you're a dental hygienist, assistant, office manager, or dentist, we can share insights on how to prevent burnout and stay mentally and emotionally healthy in our dental careers. Let's support each other and find ways to thrive in our challenging but fulfilling profession. Rehtees: I would be willing to pay Certified dentist for their medical opinions regarding dental work if this helps any..\nPlease feel free to let me know as I can send records and pay via PayPal for any services rendered ."
  },
  {
    "id": 57,
    "title": "Oral question",
    "dialogue": "Konrad664: Hey I’ve posted on this forum before but my recent obsession with oral health is driving me a little nuts.\n\nBefore i posted about my red patch in the centre of my hard palate. It’s been there for three months but seems to be getting better so it doesn’t worry me as much.\n\nI’ve noticed this red patch on the side of my mouth too and wanted to get some opinions on it.\n\nThe patch is circled in yellow. It has been there as long as I’ve noticed the patch on the hard palate. So at least 3 months.\n\nAny answers welcome and appreciated. \nMy oral referral is on the 13th. Konrad664: Here’s the same pic but without the circling"
  },
  {
    "id": 58,
    "title": "Dry socket",
    "dialogue": "polly: Last Friday I posted about terrible pain from dry socket after three teeth removed.fast forward to today two more trips to dentist artificial clot put in.antibiotics not helped accidently overdosed on pain killers.ended up in A and E.morphine given to which I had reaction to I really wanted to die.extreme I know but the pain is relentless.mfu xrayed me and fragment of root has been left in.gave me stronger pain meds and I have another appointment this coming Thursday.i now have persistent migraine as well..I do not know which way to turn.i have had only minimal sleep.little. food.help.my teeth were removed on 24 may.its now the 5 June Dr M: Sounds like the fragment left in situ might be the cause. Do you perhaps have an x-ray post-extraction that you could share? polly: No I haven't"
  },
  {
    "id": 59,
    "title": "Mysterious inflammation/pressure in molar/sinus for years, no visible infection?",
    "dialogue": "rorykinnear: Thought I'd post here to see if anyone had any thoughts as I've been to 2 dentists, an endodontist, and an ENT, multiple CT scans and no luck! Sorry the description is quite long...\n\n4 years ago I jabbed my molar with a fork, the last one upper right, and believe I caused a hairline crack. Starting that day and for years now on and off I've had a strange sensation of pressure building up there that spreads across the right sinus, causing pain as far as my nose. It comes and goes, doesn't last more than a few days. The crack never showed on an xray/CT but my dentist drilled and bonded the tooth. However the pain kept occasionally recurring for a few days at a time. I saw an ENT to rule out a sinus problem and she saw nothing either. Last year a new dentist recommended a crown to help protect the tooth. 24 hours after she leveled the tooth and fitted me with a temporary I ended up in the ER with a 103 fever, but no visible abscess or drainage. We did a root canal and then refitted the crown, hoping that was that!\n\nSadly, in recent months the pain has returned and somewhat worse than before. I taste excess saliva, occasionally metallic. Much worse when lying down to sleep. But no sensitivity when biting or to hot/cold. The endodontist did another CT scan and could see no bone loss or problem with the root canal. He wouldn't really give an opinion as to my symptoms, he just kept telling me that the root canal looked clean and no problems. It feels like an infection, I don't know how to describe it. I don't have a fever or any visible abscess however, I just feel unwell and tired in addition to the sinus and tooth pain.\n\nI've been frustrated because no one will give me an opinion as to what is going on. Is a crack in the tooth irritating a nerve in my sinus? Is there a low grade recurring infection that the CT scan isn't seeing? At this point it feels like extraction is the only option and yet none of the Doctors I have seen will come out and recommend that. They just say \"well we don't see anything\" *shrug*...\nI'm exhausted, worn out, and just feel drained.\n\nthoughts? Thanks in advance..."
  },
  {
    "id": 60,
    "title": "Xray questions",
    "dialogue": "weh20: Should I be concerned about anything in these x-rays? Dr M: Nothing I can see. This is the x-ray of a young child. Is there anything specific you are worried about? Dr M: We would need a clinical examination to confirm the need for braces. But highly unlikely at age 5. Can't see any cavities on the x-rays provided."
  },
  {
    "id": 61,
    "title": "Terrible pain",
    "dialogue": "polly: Please help me.a week ago I had 3 teeth extracted.i developed a dry socket in one.terrible pain.went back to dentist yesterday who cleaned socket and encouraged new clot to form.the pain after was something I have never experienced totally debilitating.just horrendous.im taking codine.paracetomol and ibuprofen  and and am now waiting for call back from dentist.please what can I do.im never been at my wits end like this.ever.please help Dr M: How did he clean the socket? Did he scrape it clean and rinse it with saline? Although it is not always indicated, in certain cases antibiotics is indicated as well. polly: Yes.it was cleaned I was back this morning and now antibiotics..I can honestly say I have never experienced pain like this."
  },
  {
    "id": 62,
    "title": "5% Sodium Fluoride Varnish:   Is it legal to purchase from websites?",
    "dialogue": "Lucubrate: I've read about the benefits of topical 5% sodium fluoride.  I looked on Amazon and it indicates that one must have a health care license to purchase it.  Some articles declare varnish as a Medical Device Type Two.  The box at my dental office does not indicate a prescription is required.\n\nI'm an ordinary citizen in California and don't have a health care license. I found a website which does not indicate the sale is restricted in any way.   Is it legal for me to purchase NaF 5% varnish from a website?  If no one here knows, who may I contact for the answer?"
  },
  {
    "id": 63,
    "title": "Is this a cavity?",
    "dialogue": "sometimes_i_need_to_know: I went to the dentist today for my check up. They said I don’t have any cavities, but theres a hole.. is it a cavity or something else? Dr M: Might be a stain only or an area of arrested caries. Arrested means no longer active. So usually not an indication to do a filling."
  },
  {
    "id": 64,
    "title": "Root canal didnt work",
    "dialogue": "Tara: A couple of months ago, my lower front tooth cracked, and the top half broke off. I found a dentist, who did a root canal, built the tooth up. Now, the abcess did not totally go away. He is now recommending a “simple” surgery ($2500, after spending $4000 on the root canal and crown).\n\nI thought I sensed he was a very competent dentist, but now I am wondering. I understand the lower front teeth are perhaps weaker than others (?), but I am so disappointed that he is charging me more, instead of correcting the job I already paid for.\n\nI am not looking for a dentist to work for free, but I would like some opinions on this.\n\nThank you. Dr M: Do you perhaps have any x-rays that you could share? It is possible that the abscess was already present for a long time. A chronic abscess has the potential to transform into a cyst. If this was the case, then a root canal by itself would not clear it up. Usually you would need additional surgery such as an apicoectomy."
  },
  {
    "id": 65,
    "title": "What dental bur gives a high gloss/slick finish?",
    "dialogue": "dopeysgem: Had filling adjusted today and the tooth was polished. Tooth felt very sandy after. Brushed and rinsed, but now surface feels scratchy. I lost that slick/glossy finish. \n\nWill the surface stay scratchy or will the slick feeling return? What dental bur makes a tooth feel slick and glossy? Dr M: I use an Enhance bur for my final polishing,. Works for me."
  },
  {
    "id": 66,
    "title": "Please help",
    "dialogue": "gloria5: Tooth 31 started hurting and endodontist couldn’t see infection but did a root canal and saw a crack. He said there’s a chance I will need to pull the tooth. Ever since the root canal my teeth are catching and biting my cheek but endo unconcerned. I’m scheduled to see my dentist next week. How do I figure out whether it’s worth it to save this tooth? I should mention that I had #3 extracted a few years ago and getting an implant this summer. Dr M: Only if the tooth becomes symptomatic would I consider extraction. If there is no pain on the tooth, I would not consider doing an extraction."
  },
  {
    "id": 67,
    "title": "Is Cracked root canal tooth",
    "dialogue": "gloria5: Tooth 31 was throbbing for a few weeks so I saw a new endodontist & couldn’t see infection but did a root canal and saw a crack. He said there’s a chance I will need to pull the tooth. Ever since the root canal my teeth are catching and biting my cheek but endodontist seems unconcerned. Go back to my dentist soon to decide about extraction or crown. How do I figure out whether it’s worth it to save the tooth or not? Dental treatment has gotten expensive."
  },
  {
    "id": 68,
    "title": "Can composite fillings feel like they change shape?",
    "dialogue": "dopeysgem: Had a tiny cavity filled on the lower back molar with composite. Feels like the filling expands and contracts. It can feel thick and lumpy at times and then flat and smooth other times.\n\nIs this normal? Dr M: I don't think you should be able to feel the contraction and expansion of the filling, but you might feel the filling wearing down over time. If there is wear, there might also be certain areas where the filling feels more rough. MattKW: You shouldn't feel anything. A couple of possibilities:\n1. The composite doesn't quite mesh with your occlusion and may need adjusting.\n2. The composite may have a rough part or an edge which is catching food debris, making it feel strange.\nGo back to dentist if unsure. dopeysgem: Dr M said:\n\n\n\n\t\t\tI don't think you should be able to feel the contraction and expansion of the filling, but you might feel the filling wearing down over time. If there is wear, there might also be certain areas where the filling feels more rough.\n\t\t\nClick to expand...\n\nThank you!\n\n Just saw my dentist for an adjustment. The filling is at the base of the mesial buccal groove. He said the way the filling blends with the natural tooth there and also because the filled surface is lower now than before, it’s making the top of this groove feel like a lump.\n\nSome additional polishing was done. But the polishing has created a sandy texture and I’ve lost that glossy finish feel in the tooth’s surface. I don’t want to go back for another adjustment for something so trivial… Does this sandy texture eventually smooth out or is there something I can do at home to bring back that glossy finish?\n\nThanks again! dopeysgem: MattKW said:\n\n\n\n\t\t\tYou shouldn't feel anything. A couple of possibilities:\n1. The composite doesn't quite mesh with your occlusion and may need adjusting.\n2. The composite may have a rough part or an edge which is catching food debris, making it feel strange.\nGo back to dentist if unsure.\n\t\t\nClick to expand...\n\nThank you!\n\nJust saw my dentist for an adjustment. The filling is at the base of the mesial buccal groove. He said the way the filling blends with the natural tooth there and also because the filled surface is lower now than before, it’s making the top of this groove feel like a lump.\n\nSome additional polishing was done. But the polishing has created a sandy texture and I’ve lost that glossy finish feel in the tooth’s surface. I don’t want to go back for another adjustment for something so trivial… Does this sandy texture eventually smooth out or is there something I can do at home to bring back that glossy finish?\n\nThanks again!"
  },
  {
    "id": 69,
    "title": "What is this?",
    "dialogue": "Croatia2005: Hello, I'm 19 years old and I think I have cavities, but I only have them on my baby teeth. Can it spread and go to normal teeth, and in the other corner it is also brown like this. My teeth are normal and white, but I only have cavities in the corners, should I go to the dentist? Dr M: Usually at 19 you should not have any baby teeth anymore. The teeth you encircled are your permanent molars. There is a chance that you could have cavities on these teeth, but you will need an x-ray as well. Best to see your dentist for a consultation."
  },
  {
    "id": 70,
    "title": "Is this a oral mucocele??",
    "dialogue": "aqz: Hi,\n\nIve had this on my lip for a good 6 months, its painless i do bite etc without realising. Im just worried as its been there months. I have tried to pop but no liquid comes out just blood when irritated. It gets in the way of eating at times. Is this a oral mucocele how do i remove i just want it gone. Any input would be great. @Dr M Dr M: Looks like it could be a mucocele. Best way to remove it, is surgically. If you continue to bite your lip, there is high chance of recurrence. aqz: Dr M said:\n\n\n\n\t\t\tLooks like it could be a mucocele. Best way to remove it, is surgically. If you continue to bite your lip, there is high chance of recurrence.\n\t\t\nClick to expand...\n\nThanks what else could it be? aqz: aqz said:\n\n\n\n\t\t\tThanks what else could it be?\n\t\t\nClick to expand...\n\nIt just wont go away it shrinks but if bitten as the location is near bite it inflames again"
  },
  {
    "id": 71,
    "title": "Spots on hard palate that change colors and get wider",
    "dialogue": "polichinelle: Hello!\n\nThank you for reading me !\n\nA week ago I've noticed pink spots on my hard palate then they quickly change of colour and became red and then they became yellow center with red border and they also became wider. Anyone knows what it could be ? Should have been concerned ?\nAnd also since 2 month have got an allergic rhinitis..could it be link ?\n\nThank you in advance for your answering. aqz: Did you get answers? Dr M: Looks like a recurrent herpes infection, most likely due to your immune system taking a dip when you were sick.\nThese usually lasts for 10-14 days, and the treatment is only symptomatic aqz: wilmingtondentalimplants@ said:\n\n\n\n\t\t\tSpots on the hard palate that change colors and get wider can indicate several conditions, including oral lichen planus, erythroplakia, leukoplakia, or oral candidiasis. These changes can sometimes be signs of serious issues, such as pre-cancerous lesions or infections. It’s crucial to see a dentist or healthcare provider promptly for an accurate diagnosis. Document any changes in the spots, including size, color, and associated symptoms, to help the healthcare professional assess your condition effectively. Early evaluation and treatment are essential to address any potential underlying issues.\n\t\t\nClick to expand...\n\nWhat about if over the years it has got better then worse some days mine is incosistent over 6 years. Dentist has stated its just a torus in palate aqz: aqz said:\n\n\n\n\t\t\tWhat about if over the years it has got better then worse some days mine is incosistent over 6 years. Dentist has stated its just a torus in palate\n\t\t\nClick to expand...\n\nYour input on my posts would be appreciated thanks MattKW: Definitely not tori.\nAs Dr M says, this is typical case of recurrent herpes infection. aqz: MattKW said:\n\n\n\n\t\t\tDefinitely not tori.\nAs Dr M says, this is typical case of recurrent herpes infection.\n\t\t\nClick to expand...\n\nI was talking about the post on my page not this page"
  },
  {
    "id": 72,
    "title": "Help needed asap",
    "dialogue": "dehstinee: Is this normal? I had a swollen lymph node on the right side of my neck which showed an infection. Ive had this weird white texture stuff inside my right cheek and it hurts.\nWhat could this be? Do I need an urgent check up? My GP said to go to the dentist but I can’t find any free ones (I’m a University Student in the UK) Dr M: Don't think it is anything to worry about. Looks like keratosis due to chronic cheek biting. A lot of people have this if they grind their teeth as well. MattKW: No need for concern, but plan to get out that wisdom tooth."
  },
  {
    "id": 73,
    "title": "Roof of mouth(is it normal?)",
    "dialogue": "Sebastian Jaime-Prieto: I am a very paranoid person and i’m constantly googling and checking myself. i was wondering if the color of the roof of my mouth is normal or if i should be concerned. or if my tongue should have so much white on it Dr M: Good day\n\nEverything appears to be normal.\nIf you are worried about the white coating, you can consider brushing your tongue a bit more often as well as start using a non-alcohol based mouthrinse. But at this stage, I don't see anything for you to worry about. MattKW: All is good. The whiteness on your tongue are longish filiform papillae (Google it) and require no action at all. aqz: Hi does your palate have a bump? a torus?"
  },
  {
    "id": 74,
    "title": "Please help",
    "dialogue": "Konrad664: I’ve had this patch on the roof of my mouth for over two months now. It gets bigger some days and smaller others. \n\nMy dentist suggested it’s injury but it’s been like this for months now.\n\nAny clues what this may be? I’m seeing my dentist again on the 16th. Konrad664: Here’s another photo aqz: Does it hurt? Do you smoke? Dr M: Are you perhaps a mouth breather?\nIt might be a fungal infection.\nI would suggest also trying to rinse with an antifungal mouth rinse. Adlas89: aqz said:\n\n\n\n\t\t\tDoes it hurt? Do you smoke?\n\t\t\nClick to expand...\n\nHey man I see your post from 2019 about palace redness. Did that end up being notning serious. Thanks. aqz: Adlas89 said:\n\n\n\n\t\t\tHey man I see your post from 2019 about palace redness. Did that end up being notning serious. Thanks.\n\t\t\nClick to expand...\n\nHeyy no i am still waiting for answers its been 6 years. I have a oral surgeon appointment next month to see what they say. Its still there but interesting fact i have been doing chlorhexidine mouthwash which has helped slightly and lesion is not as bad. Dont know if that a coincidence or does it mean its fungal?  Would be interesting to get in put. But then its been 6 years untreated a fungal issue would have got alot worse in that time im assuming.  Truth is we dont know. I have just been told its a torus and to leave it but my gut is telling me to get more specialist opinion rather then a dentist. So lets see wish me luck . aqz: aqz said:\n\n\n\n\t\t\tHeyy no i am still waiting for answers its been 6 years. I have a oral surgeon appointment next month to see what they say. Its still there but interesting fact i have been doing chlorhexidine mouthwash which has helped slightly and lesion is not as bad. Dont know if that a coincidence or does it mean its fungal?  Would be interesting to get in put. But then its been 6 years untreated a fungal issue would have got alot worse in that time im assuming.  Truth is we dont know. I have just been told its a torus and to leave it but my gut is telling me to get more specialist opinion rather then a dentist. So lets see wish me luck .\n\t\t\nClick to expand...\n\n@Dr M"
  },
  {
    "id": 75,
    "title": "Is this a Magician at work?",
    "dialogue": "JuliaAg1: I visited the dentist for an NHS check-up, which lasted less than seven minutes. The dentist inserted a metal hook into my mouth, but there was no probing of my gums or teeth. There was no rinsing of my teeth required, and no blood was produced. After a quick examination, the dentist declared my oral health as healthy. Interestingly, this was my first check-up in over six months, and there were no forms to sign. When I requested a Data Subject Access Request (DSAR), I discovered that the appointment was marked as canceled in the records, and there was no billing information available. I would appreciate your thoughts on this situation. Have any of you experienced a similar dental check-up? What do you make of the lack of probing, the absence of forms, and the conflicting information from the DSAR? Looking forward to hearing your insights!"
  },
  {
    "id": 76,
    "title": "Crack in tooth, please help?",
    "dialogue": "stephenbutler736@rocketma: Crack in tooth, please help?\nSo I got a filling a few years back, and recently I felt my very back tooth was slightly sharp. I looked and noticed a crack going down one side. It's not sore, never even noticed it. Don't know how long it's been like that. Got a dentist appointment the 4th of next month. Is there a\nhigh chance the tooth be saved? dental_care: Early dentist visits are key for saving the tooth. While you lack pain, that doesn't mean the crack isn't serious. Small cracks can be saved by a crown, but a severe one might require a root canal or even extraction. Your dentist will assess the crack's severity and recommend treatment. Stick with your appointment and avoid hard foods until then. stephenbutler736@rocketma: dental_care said:\n\n\n\n\t\t\tEarly dentist visits are key for saving the tooth. While you lack pain, that doesn't mean the crack isn't serious. Small cracks can be saved by a crown, but a severe one might require a root canal or even extraction. Your dentist will assess the crack's severity and recommend treatment. Stick with your appointment and avoid hard foods until then.\n\t\t\nClick to expand...\n\nOh so there's no chance all that's need is a filling? So I definitely need a crown? Dr M: If the crack is shallow enough, it can be drilled out and filled with a composite filling yes. Especially if there is no symptoms on the tooth"
  },
  {
    "id": 77,
    "title": "Oral diseases",
    "dialogue": "lit26: Could you tell me what oral diseases exist and tell me a little about them?"
  },
  {
    "id": 78,
    "title": "Care of primary teeth",
    "dialogue": "lit26: Hello, could you please inform me about the care that should be taken with primary teeth? \n\nI have noticed cavities in some children and I would like to know about the care of primary teeth to inform them and seek to have a better oral health. Dr M: Regular dental check-ups. If they are too young, bring the child along when the parent comes for their check-up.\nBrush their teeth twice a day, from when the first tooth appears in the mouth.\nDon't let the child go to sleep with a bottle, if the bottle contains tea with sugar or other sugar containing liquids.\nLimit the intake of sweets.\nLimit the intake of fruit juices.\nEducate them to rinse their mouths with water after having juice or sweets.\nThere is a long list of additional guidelines you can google. dental_care: Start with a damp cloth before teeth erupt, then use a soft-bristled brush with fluoride toothpaste twice a day as teeth come in. Supervise brushing until around age 6.\nOnce teeth touch (around age 2-3), floss once a day to remove plaque.\nLimit sugary drinks and snacks, and avoid sugary bedtime bottles.\nSchedule a dental visit by age 1 or within 6 months of the first tooth erupting. lit26: I understand, now my question is... for the permanent teeth would it be the same care or is there any difference? lit26: Could you tell me what oral diseases exist and tell me a little about them?"
  },
  {
    "id": 79,
    "title": "Improve smile - how?",
    "dialogue": "Mellovett22: I’ve always been self conscious about my teeth. It would be a huge investment of money I don’t have but it’s really effecting my confidence. I just wondered if you could give me some advice please on what options I have to make my smile better. Dr M: There seem to be a lot of rotated teeth. So taking into consideration that you don't have any other cavities or issues, I would suggest straightening those teeth out. Maybe look into Invisalign or other clear aligner treatment options. \nThereafter you can re-evaluate the smile and perhaps consider crowning your lateral incisors. They seem to be what we refer to as peg-shaped laterals."
  },
  {
    "id": 80,
    "title": "Impressions",
    "dialogue": "sofiaflores: how to make a good impression? my impressions always come out with missing teeth or very attached to the spoon, sometimes the gum also needs to be marked more. Dr M: Make sure you have enough material in the tray, and that the material is mixed thoroughly according to the manufacturers instructions. Also follow the correct mixing and setting times. Apply enough pressure when putting in the impression tray."
  },
  {
    "id": 81,
    "title": "Area of hard palate",
    "dialogue": "aqz: Firstly i want to give some background info. I have had this area of redness in the same spot for 6 years now some days are worse then others. There hasnt been much change over the years, apart from the middle brown bit which is causing me concern now. I do smoke. Not sure if this just pigmentation. Previous docs and dentist have not bothered to check as its the same. I have recently had numerous blood tests, ct and mri of abdoman and a colonscopy to check for ibd. However all have come back clear. So i have not had area checked again and decided to see again and its still there and has bought all the anxiety back. Any input from professionals will be much appreciated. Thanks aqz: @Dr M please could you have a look. Thanks Konrad664: I’ve recently discovered that same thing and was wondering if you’ve heard or discovered anything? aqz: Konrad664 said:\n\n\n\n\t\t\tI’ve recently discovered that same thing and was wondering if you’ve heard or discovered anything?\n\t\t\nClick to expand...\n\nHiya, nope i am still looking for answers its been a long road. I have been refered to oral speacialists now have an apointment in june lets see what happens. The anxiety is just too much. How long have you had this and have you had any luck with finding out what it is?"
  },
  {
    "id": 82,
    "title": "Chin Numbness and Redness Persisting after Implant",
    "dialogue": "brianarundel: Hello all, I thought I would ask here because literally nobody has posted about this online. Could paresthesia be linked with chin redness? I have had paresthesia for about a year (yippee for me, I guess I am one of the lucky 4% :-(  )  and while I can tolerate the numbness, perhaps even live with it, the constantly red chin bothers me. Has anyone come across this before?? Dr M: I am only speculating, since I haven't had a patient that has experienced this before, but there is a chance that the change in colour could be related to the damage of blood vessels in the area and not only the nerve. But the redness could also be a dermatological issue."
  },
  {
    "id": 83,
    "title": "Best order oral health",
    "dialogue": "musiclvr56: Is flossing, using a mouth rinse and brushing teeth the best order for optimal health care? Dr M: A lot of studies have shown that flossing before brushing results in more optimal plaque and debris removal. I would also suggest to use the mouth rinse before brushing, so that you can leave the residual toothpaste on the tooth surface in order to maximize effectiveness."
  },
  {
    "id": 84,
    "title": "29M These Cavities or Stains? Please help",
    "dialogue": "stephenbutler736@rocketma: Dentist never said anything my last appointment, have a new one next month? Will my front teeth fall out? Dr M: No they won't fall out. Difficult to determine if it is a cavity or stain only. You would need a clinical examination, in order to determine if the area is soft and sticky or hard. Best would be to mention your concerns to your dentist next time when you are in the chair."
  },
  {
    "id": 85,
    "title": "On and off nerve irritation after a filling was ADJUSTED only",
    "dialogue": "dopeysgem: -Small cavity filled on surface of back lower molar. ZERO pain after.\n\n- Filling adjusted 5 days later. Nerve irritation started 12 hours later.\n\n-Filling still feels high. Dentist said filling color and tooth color were hard to distinguish. If natural tooth was smoothed down instead of the filling, could that be why I have constant nerve irritation? NEVER experienced never irritation before after any filling.\n\n-is it normal for the pain to come and go every other day? How long until it fully subsides?"
  },
  {
    "id": 86,
    "title": "Pain and sensitive to cold root canal",
    "dialogue": "Lala: Hello\n\nI had a root canal done  one year  ago and have had pain ever sińce\nThe dentist redid it 3 months  after the original treatment with no success\nI went back after 3 more months. She tapped the tooth and when I told her it still aches- she said I will have to live with it  and that she wont do anything and refused an X ray   (I suspect the root is broken)\n\nThe dentist also said that the neighbouring root treated tooth has infection and that it can’t be redone as there is a post and hardly any tooth left\n\nI’m so worried as I already lost half of my teeth (have numerous implants)\n\nI would appreciate any advice\n\nKind regards\n\nLala"
  },
  {
    "id": 87,
    "title": "Tooth infection dying",
    "dialogue": "dezzzy125: Hello I would like to ask a dentist on here what's the probability of dying from a tooth infection I've heard you can get bad complications from it like sepsis Ludwig angina and a inflamed heart valves and also bone loss problems I'm a very anxious person about this stuff if a dentist could answer my question it would mean a lot dezzzy125: I would like to add as well I've been told off another dentist on a forum that it rarely spreads to the body and the bacteria in the mouth is weak so the body defenses will easily get rid of it Dr M: A serious tooth infection definitely has the potential to spread to adjacent facial spaces and teeth. It can also lead to severe complications such as Ludwig's Angina.\nAny bacterial infection can also lead to septicemia if left untreated.\n\nBest advice is to sort out any infection as soon as possible. dezzzy125: Dr M said:\n\n\n\n\t\t\tA serious tooth infection definitely has the potential to spread to adjacent facial spaces and teeth. It can also lead to severe complications such as Ludwig's Angina.\nAny bacterial infection can also lead to septicemia if left untreated.\n\nBest advice is to sort out any infection as soon as possible.\n\t\t\nClick to expand...\n\nThankyou for answering why did the other dentist says it wouldn't spread if it's ok ask ? dezzzy125: Dr M said:\n\n\n\n\t\t\tA serious tooth infection definitely has the potential to spread to adjacent facial spaces and teeth. It can also lead to severe complications such as Ludwig's Angina.\nAny bacterial infection can also lead to septicemia if left untreated.\n\nBest advice is to sort out any infection as soon as possible.\n\t\t\nClick to expand...\n\nHow common is it to cause these problems?"
  },
  {
    "id": 88,
    "title": "I'm searching for the best dentist in Bellmead, TX",
    "dialogue": "jacksmith22367: I'm searching for the best dentist in Bellmead, TX for a dental implant. Can anyone recommend a convenient option with reasonable prices?"
  },
  {
    "id": 89,
    "title": "Itchy tooth after dental work",
    "dialogue": "dopeysgem: Hello,\n\nAbout 12 hours after I had a filling adjusted, the middle of the tooth has started feeling itchy both inside and on the surface. I want to clench tooth to give it relief. (The filling was in the middle) \n\nExperienced no itching or sensitivity after the actual filling was done five days earlier.\n\nIs this delayed sensitivity normal? How long does it last? Is it related to eating?\n\nThanks!"
  },
  {
    "id": 90,
    "title": "Prescribing medicines",
    "dialogue": "Atty 9: i am concerned that a collegue is taking prescription anti-biotics out of the practice for personal use and also distributing them without prescriptions or physically seeing the patients.\nThe collegue is only a therapist so doesn't have the scope to prescribe anyway. What should i do? should i report to the GDC as i don't want other staff to be dragged into this. I don't want to bring it up directly at work incase i am isolated by anyone. Any advice would be appreciated. Dr M: Do you have a practice manager? It would be best to rather bring it up through the correct channels at your practice"
  },
  {
    "id": 91,
    "title": "Natural tooth trimmed to fit bite. Tongue now irritated. Please help!!",
    "dialogue": "dopeysgem: Hello,\n\nI had a super small cavity and filling on molar #18 in the middle of the surface. My natural tooth was trimmed down on several edges (mainly the tongue side) when my bite was adjusted. That inside edge is definitely lower now and feels sharper compared to the other side (#31) where the edge of the tooth is still taller, thicker and duller.\n\nTwo days after the filling, the left side of my tongue is now constantly irritated and I experience what feels like sharp cuts in my tongue as I swallow and move it around.\n\nWill the irritation eventually go away? Best way to fix it? \n\nThanks! Dr M: Go back to your dentist. There is most likely still a sharp edge that is irritating your tongue."
  },
  {
    "id": 92,
    "title": "Learning tooth prep on models",
    "dialogue": "Bruk: Hi, guys hope you all are doing great. I have one question. How helpful is learning tooth prepration on models ? Can the knowledge be applicable on real life scenarios on human teeth ? Dr M: It is a good starting point to learn the basics. I would recommend it Bruk: Dr M said:\n\n\n\n\t\t\tIt is a good starting point to learn the basics. I would recommend it\n\t\t\nClick to expand...\n\nThanks."
  },
  {
    "id": 93,
    "title": "Gum inflammation",
    "dialogue": "Darwin: How long does gum inflammation from whitening gel last? Dr M: Usually about 24 to 48 hours maximum. If it persists after that, you need to go back to your dentist."
  },
  {
    "id": 94,
    "title": "Pass your NDEB Exam without stress (WhatApp:+16614123859)",
    "dialogue": "vincent1919: We are here to help dentists willing to apply for \nAFK, ACJ, NDECC, Virtual OSCE, NDEB Certification, \nProvincial Licensure, or facing difficulties passing their exam or \nObtaining the license.\n\nWhatApp:+16614123859\nEmail Address:(e-mail address removed)"
  },
  {
    "id": 95,
    "title": "Root canal",
    "dialogue": "Biggunsmcginty07: My son just got a quote for some dental work (root canal) abd they quoted 1300 for this procedure....this sounds a lot high. i had a quote 3 years ago of 850 for myself. so please comment if you know if this is to high Dr M: Quotes depend on the tooth. If it is a multi-rooted tooth, the price would be higher. Prices also change every year due to inflation and the prices of materials also going up. Ajay Bhandarwar: A root canal is a dental procedure to save a tooth by removing infected pulp, cleaning, and sealing the inside. It relieves pain and prevents future infection. Brause: I recently paid (in Calgary, Alberta, Canada):\n\nUpper incisor (single root canal): $1750 CAD\nFirst molar (four root canals)): $2900 CAD\n\nThe work was performed by an Endodontist."
  },
  {
    "id": 96,
    "title": "Caries vs sound dentin",
    "dialogue": "hyder: hi, i’m having a hard time differentiating between caries and sound dentin can anyone help thanks."
  },
  {
    "id": 97,
    "title": "Dental practice owner needed",
    "dialogue": "boshjurton: Hi im looking to talk to the owner of a dental practice, im planning on starting my own so would like to learn more about how it works"
  },
  {
    "id": 98,
    "title": "Dental experience",
    "dialogue": "Reality 1985: Hi,\nAnyone here willing to talk about their dental experiences ? LunaRuby: Hey! I've been having dental problems and pain for about 8 months now Brause: 1. Dental issues: Tooth 46 cracked upon biting on a nut, dentist unsuccessfully tried to close the gap with a filling, endodontist cleaned 4 root canals, pain never subsided, root canal was never finished, tooth was extracted.\n\n4 days later, the next tooth (21) started and was endodontically treated. Also didn't work.\n\nAnother 4 weeks later, tooth 36 started becoming painful 24/7.\n\nI think teeth 21 and 36 were injured during extraction of 46.\n\nBut I have essentially no fillings \n\n2. Success rate: Zero.\n\n3. Concerns: Treatments are way overpriced in my environment and add up: there's a lot of profit in pain! kleo: Brause said:\n\n\n\n1. Dental issues: Tooth 46 cracked upon biting on a nut, dentist unsuccessfully tried to close the gap with a filling, endodontist cleaned 4 root canals, pain never subsided, root canal was never finished, tooth was extracted.\n\n4 days later, the next tooth (21) started and was endodontically treated. Also didn't work.\n\nAnother 4 weeks later, tooth 36 started becoming painful 24/7.\n\nI think teeth 21 and 36 were injured during extraction of 46.\n\nBut I have essentially no fillings \n\n2. Success rate: Zero.\n\n3. Concerns: Treatments are way overpriced in my environment and add up: there's a lot of profit in pain!\n\t\t\nClick to expand...\n\nI dont know where u are located but also my parents couldn't afford the high prices in germany so they chose medical tourism ,went in Tirana, Albania for the intervention at a hospital/clinic called Family Hospital .They both had a total of 5 implants done with crowns and some fillings for about 5k,accomodation inc.  , they got equiped w passport implantation from hiossen titanium implants ,one of the best implant brands on the market. has been 5 years from when theyve done it and they keep up same as the 1st day . i dont know if you finished your job but if not u should consider .\nI'm going to have retainers done this summer . Brause: kleo said:\n\n\n\n\t\t\tI dont know where u are located but also my parents couldn't afford the high prices in germany so they chose medical tourism ,went in Tirana, Albania for the intervention at a hospital/clinic called Family Hospital .They both had a total of 5 implants done with crowns and some fillings for about 5k,accomodation inc.  , they got equiped w passport implantation from hiossen titanium implants ,one of the best implant brands on the market. has been 5 years from when theyve done it and they keep up same as the 1st day . i dont know if you finished your job but if not u should consider .\nI'm going to have retainers done this summer .\n\t\t\nClick to expand...\n\nI live in Canada. Many fellow Canadians travel to Mexico for dental work. BUT: I heard horror stories...therefore not for me."
  },
  {
    "id": 99,
    "title": "Red patch on hard palette",
    "dialogue": "Konrad664: I’ve noticed this patch on my palette, it’s been there for a couple weeks. It’s not painful but doesn’t seem or be getting bigger or smaller.\n\nThere’s a tiny bump on it but nothing substantial.\n\nI’ve noticed dryness in my sinuses which feels like it’s directly above where I’ve noticed the redness.\n\nI smoke cannabis heavily.\n\nI’m gonna call my dentist on Monday but just wanted some (hopefully) peace of mind. Konrad664: Here’s another picture Dr M: Did you perhaps injure yourself in that area? Konrad664: Dr M said:\n\n\n\n\t\t\tDid you perhaps injure yourself in that area?\n\t\t\nClick to expand...\n\nHey there thanks for your response.\n\nI honestly don't remember doing so.\n\nI spoke to my dentist today and she doesn't seem to think its anything but an injury either.\n\nIf you think its the same then it probably is just that!"
  },
  {
    "id": 100,
    "title": "Gum under 2 lower molars weeping",
    "dialogue": "klindzi: I do suffer from buxism and about month ago at dentist visit, gums under just 2 molars (1 on each lower mouth) were  weeping.  I Was prescribed antibiotics for 7 days had a deep clean/scale but it has not gone.  Full opg Xray looks clear so not sure what's going on.  I Follow rigid oral regime.  Dentist has said its to do with grinding teeth ??? Dr M: Weeping? Not familiar with this clinical term. Can you please provide the x-ray? klindzi: Sure.   Some sort of liquid is leaking from 2 molars/gums Dr M: Only advice would be to then go and see a periodontist, if the deep clean made no difference. Ask your dentist for a referral. Might be another cause for the discharge MattKW: Weeping in what sense? Bleeding when brushing? A clear fluid? Any other signs or symptoms? What did your dentist say?\nAntibiotics are not indicated, even if this was a gum problem.\nGenerally your bone loss appears minimal and periodontist prob not required. (Would like to have clearer Xray around 16.)\nJudging from the excessive wear on your lower 1st molars, I'd be guessing you drink a fair amount of acidic drinks, e.g. fizzy drinks, sports drinks, juices,... What is the main way you keep fluids up - water or manufactured drinks?\nAs an aside, I'd also consider extraction of upper wisdom teeth if they are not functioning well. They're just plaque traps. klindzi: Dr M said:\n\n\n\n\t\t\tOnly advice would be to then go and see a periodontist, if the deep clean made no difference. Ask your dentist for a referral. Might be another cause for the discharge\n\t\t\nClick to expand...\n\n\n\n\nMattKW said:\n\n\n\n\nWeeping in what sense? Bleeding when brushing? A clear fluid? Any other signs or symptoms? What did your dentist say?\nAntibiotics are not indicated, even if this was a gum problem.\nGenerally your bone loss appears minimal and periodontist prob not required. (Would like to have clearer Xray around 16.)\nJudging from the excessive wear on your lower 1st molars, I'd be guessing you drink a fair amount of acidic drinks, e.g. fizzy drinks, sports drinks, juices,... What is the main way you keep fluids up - water or manufactured drinks?\nAs an aside, I'd also consider extraction of upper wisdom teeth if they are not functioning well. They're just plaque traps.\n\n\nClick to expand...\n\nThx.  \nWeeping in sense of clear fluid when gums are pressed from outside of cheek.  No bleeding.\n\nI drink mostly water and most wear is due to grinding teeth subcontiously over a long period of time until I was advised to get mouth guard at that point most damage already done.\n\nDentist said it was due to grinding that my gums have experienced ongoing trauma?? Requested that i hve full opg xray which i did and now dentist has not returned my calls and has left me hanging for 4 weeks and not returned my calls."
  },
  {
    "id": 101,
    "title": "Sonicare broke off",
    "dialogue": "BigToothDaddy: Philips Sonicare DiamondClean 2018 Smart 9300 Rechargeable Electric Power Toothbrush, White, HX9903 /01.\nWorks well. Today, removed brush head, but metal tip broke off with it. Do I merely put the metal tip back in, or must I buy a replacement? Could someone please link me to the product website URL for the replacement, thank you."
  },
  {
    "id": 102,
    "title": "Open Crown Margin?",
    "dialogue": "Mike949: Just had another crown placed after RCT on tooth #5. Does this look like an open crown margin? Thanks. Mike949: I'm not sure why we can't edit posts but here is a clearer photo Dr M: Will need an x-ray to confirm if the crown is leaking. The photo is not clear enough."
  },
  {
    "id": 103,
    "title": "About Dental IOPA",
    "dialogue": "Bruk: So recently my nurse is complaining that she does want to get to close to x-ray machine while taking x-ray. In my practice i don't have much space and there is like 3 steps or 2 meter distance between the person who is taking the x-ray and the machine ( or patient whose x-ray is taken). Sometimes i always get too close to position the tube while she is taking the x-ray( pressing the button). That being said i want to know how bad it might if i don't use lead apron jackets. and also do you know a senior dentist that have suffered any radiation complications ? If you answer my question thanks in advance. Dr M: With modern dental digital x-rays, the amount of harmful radiation is very low. I have not heard of any of my colleagues suffering from any negative effects. To ease the mind of your assistant, you can perhaps change the position of the activation button. Mine is outside my room, just by the door. Bruk: Bruk said:\n\n\n\n\t\t\tSo recently my nurse is complaining that she does want to get to close to x-ray machine while taking x-ray. In my practice i don't have much space and there is like 3 steps or 2 meter distance between the person who is taking the x-ray and the machine ( or patient whose x-ray is taken). Sometimes i always get too close to position the tube while she is taking the x-ray( pressing the button). That being said i want to know how bad it might if i don't use lead apron jackets. and also do you know a senior dentist that have suffered any radiation complications ? If you answer my question thanks in advance.\n\t\t\nClick to expand...\n\n\n\n\nDr M said:\n\n\n\n\t\t\tWith modern dental digital x-rays, the amount of harmful radiation is very low. I have not heard of any of my colleagues suffering from any negative effects. To ease the mind of your assistant, you can perhaps change the position of the activation button. Mine is outside my room, just by the door.\n\t\t\nClick to expand...\n\nI guess that is the only option but the problem is my x-ray is not digital. Dr M: Perhaps it is time to upgrade to a digital system. There are a lot of affordable hand held systems on the market today. MattKW: The main place to avoid is being in direct path of the primary beam; second best place is to the side; safest place is behind the Xray machine. You have to take steps to protect your staff and other people - you could be in breach of safety laws and leaving yourself open to litigation. I'd suggest you sign up for a radiation monitoring service for at least 6 months, it's really not expensive and is the only way to be sure you're being safe (and reassure others).\nWith some difficult patients, e.g. children, I would sometimes hold an Xray holder (like Rinn) with my fingers and stand to the side. I had a monitor on my torso, and a ring sensor on my finger. Over 12 months, I never exceeded normal background radiation.\nIn Australia, lead aprons are no longer used for standard dental Xrays where the beam is aimed largely laterally. Even for pregnant women. Bruk: Dr M said:\n\n\n\n\t\t\tPerhaps it is time to upgrade to a digital system. There are a lot of affordable hand held systems on the market today.\n\t\t\nClick to expand...\n\nI am just an employee tho. Bruk: MattKW said:\n\n\n\n\t\t\tThe main place to avoid is being in direct path of the primary beam; second best place is to the side; safest place is behind the Xray machine. You have to take steps to protect your staff and other people - you could be in breach of safety laws and leaving yourself open to litigation. I'd suggest you sign up for a radiation monitoring service for at least 6 months, it's really not expensive and is the only way to be sure you're being safe (and reassure others).\nWith some difficult patients, e.g. children, I would sometimes hold an Xray holder (like Rinn) with my fingers and stand to the side. I had a monitor on my torso, and a ring sensor on my finger. Over 12 months, I never exceeded normal background radiation.\nIn Australia, lead aprons are no longer used for standard dental Xrays where the beam is aimed largely laterally. Even for pregnant women.\nView attachment 6664\n\nClick to expand...\n\nThis was a good read. Bruk: Bruk said:\n\n\n\n\t\t\tThis was a good read.\n\t\t\nClick to expand...\n\nIf i am one meter away i.e. behind the machine while shooting, would n't that be safe enough. Also do you any senior collegues who had complications due to dental iopa ? i would like to know just to follow the safety protocols."
  },
  {
    "id": 104,
    "title": "Pain caused by crack?",
    "dialogue": "Dentist90: Hi, I have a question. If a molar had a root canal treatment and it looks successful in x ray photos but the molar is cracked… is the pain the person having caused by the crack? Because the nerves have been removed during the root canal treatment right? So crack is only causing the pain? GayleHarris: Hi, the cracked tooth might be pushing the other teeth out of their place and that might be one of the reasons of the pain that you are experiencing. smithwilfer: Yes, it's possible . The crack can lead to sensitivity or inflammation in the surrounding tissues, causing discomfort. It's best to see a dentist for evaluation and treatment."
  },
  {
    "id": 105,
    "title": "Pain in broken molar after root canal treatment",
    "dialogue": "Dentist90: Hi, I have a broken molar that got a root canal treatment last year. Unfortunately, it has to be extracted because it’s broken down the gumline. I went to dentist A last week and he said it’s okay to wait with extraction for a while because it’s not urgent. He also looked at the gum around the molar and said it still looks good. I went to dentist C (same practice) and dentist W (another practice, for second opinion) in February and both didn’t said it was urgent and that the tooth should be extracted asap but that it has to be extracted eventually. I mentioned to C that I suffer from dental phobia and he said I’m lucky the pain isn’t severe and I should do some therapy first before taking the steps. When I asked him if I should be worried  if other parts of my jaw can get infected because of the molar he said no. I do feel pain sometimes but it’s not affecting my daily life like going to work etc. I’m I having pain because the molar is broken? I mean the nerves have been removed during the root canal treatment so I think it’s only caused by the fracture? In general I have a good oral hygiene. I always floss, brush both my teeth and tongue and occasionally use a Waterpik. I have also started rinsing my mouth with warm water and salt. Should I be worried or I’m overthinking right now? Because I’m anxious about it and need some time to so I can go to therapy to work on my fear. Some advice is very welcome! Dr M: Difficult to give an opinion without an x-ray or clear photo of the tooth. It is important to remember however, that a cracked tooth could lead to contamination of the root canal system, which could then result in infection in the tooth. If the tooth fractured and some pieces are mobile, it could also exert pressure on the adjacent gum, causing pain. If there is pain, my opinion would be to extract the tooth."
  },
  {
    "id": 106,
    "title": "Dentist waiting for 6 year molar to extract abcessesd molar.",
    "dialogue": "camas worm: I took my almost 5 year old son to the dentist because he was complaining of pain and had pimples under his lower right molar which had been capped the previous year. The dentist said that he wanted to buy some time before extracting it to have the 6-year molar come in so that it would not push into the others spot and be able to Anchor a space holder from it. He sent us home with an appointment in August to check but my son's pimples have turned into a bubble. It  has drained once but has come back and he has had some pain which seems to come and go and for which he does not want pain relievers. I worry from reading about sepsis and such and wonder if this is something that makes sense and I should not be such a worry wart. I appreciate any input. Dr M: Did the dentist prescribe any antibiotics initially? Any chronic abscess on a primary tooth, can adversely affect the permanent successor if left untreated for too long? If the dentist did prescribe antibiotics, and the swelling returned with pain, it might be necessary to extract the tooth at this stage. Phone the dentist to arrange an appointment. MattKW: Mostly abscessed baby teeth will drain the pus thru the pimple, thus averting systemic sepsis, so that at least is in your favour for now.\nAntibiotics will make only short-term relief and should only be prescribed if your child develops a fever or facial swelling. And then the baby teeth should be immediately removed.\nA chronic abscess in this situation is not likely to cause any direct harm to the developing adult teeth below, but it may cause them to start rotating within the bone.\nI get that the dentist wants to wait for the 6s to erupt so he can place a space maintainer, but I think that's too far away. I'd want those baby teeth out ASAP, then go see an orthodontist about how he/she can help manage space maintenance. It can be difficult at this stage because of the facial growth of children. camas worm: Thank you for the responses. I have been worried about his facial growth around all of this also. I live in a valley that is a dentist desert and I'm not sure where to turn. I feel like I need to find someone who has much experience behind them because I am so afraid for my little person. This is top priority and again I appreciate the words. camas worm: Also, the dentist did prescribe him Amoxicillin initially. He wanted to wait 6 months to see which tooth was actually causing the issue thinking it was the second to last molar then when I brought him back a month later he determined it was the last one and that would be the one to be removed. I am feeling like I need to find a Pediatric Dental specialist with more experience as stated before but I do not know where to turn I am in Colorado and any referalls would be appreciated. camas worm: camas worm said:\n\n\n\n\t\t\tAlso, the dentist did prescribe him Amoxicillin initially. He wanted to wait 6 months to see which tooth was actually causing the issue thinking it was the second to last molar then when I brought him back a month later he determined it was the last one and that would be the one to be removed. I am feeling like I need to find a Pediatric Dental specialist with more experience as stated before but I do not know where to turn I am in Colorado and any referalls would be appreciated.\n\t\t\nClick to expand...\n\nI also wanted to add that to the dentist I took my son too was a very nice person and seems to be conscientious about helping the little ones. I'm not lacking in Trust of him but lacking in Dental knowledge! Middle age mama worrywart!"
  },
  {
    "id": 107,
    "title": "White spots on soft palate: any explanation?",
    "dialogue": "Matthew1995: I have terrible anxiety, so it’s really bothering me. I would really appreciate if anyone could tell me that these little white spots are? Matthew1995:  Matthew1995: A friend said they could be Fordyce spots? Dr M: Good day\n\nFordyce granules, or ectopic sebaceous glands are a normal occurrence in the oral cavity. Although more common in the buccal or cheek area, they are known to sometimes occur in other areas as well.\nI would not stress and just keep an eye on the area for any changes. Frankie: Guys I have the same thing. What is that? Can someone tell me. How did you treat it? Chelly: Did you find out what they are? I have the same things in my mouth and they won’t go away! nikroute: Our inside mouth or esophagus absence of hair so these glands when visible looks like that . Its a normal anatomy of human. Its helps our mucosa or oral cavity remained mouist and few other things . \n\nYou can search about it nikroute: Frankie said:\n\n\n\n\t\t\tGuys I have the same thing. What is that? Can someone tell me. How did you treat it?\n\t\t\nClick to expand...\n\nNo need to treat cause its not a disease . Its a gland of oral cavity Labella1986: I have this. Mine feel like sandpaper and get irritated. I didn’t have it before so it’s not a normal part of my mouth. Any help? Labella1986: Matthew1995 said:\n\n\n\nView attachment 4415\n\nClick to expand...\n\nHi Matthew,\n\nDid you ever figure out what the bumps are? I have them too and no one knows. mine get irritated sometimes. My ENT said they look like swollen salivary glands but he does not know why. \n\nApril Labella1986: Chelly said:\n\n\n\n\t\t\tDid you find out what they are? I have the same things in my mouth and they won’t go away!\n\t\t\nClick to expand...\n\nHave you figured out what they are?? Luis_Mcdowell: Discover the truth behind their identity. Experience the frustration of having persistent things in your mouth that just won't budge! quenna: Any news on this? I have these too and my ENT seems to have no value what it could be. Labella1986: Same with mine. He has not idea. He though maybe swollen minor salivary glands but isn’t sure! quenna: How long do you guys have it? \n\nDo they get worse or start to hurt?\n\nI discovered mine around two months who when I had a cold and even though I'm not sick anymore they don't go away. They don't hurt and they don't get worse but not better either. Labella1986: Mine are still here many months later. I think I noticed mine after being sick, but now they’ve been here six months (at least since I’ve noticed it). quenna: Could the spots be minor salvatory glands which suddenly got swollen or visible? Labella1986: quenna said:\n\n\n\nView attachment 6065\n\nCould the spots be minor salvatory glands which suddenly got swollen or visible?\n\t\t\nClick to expand...\n\nThat’s what my ENT was thinking. But he is not 100% sure and does not know why Victoriaberec: I have these to any update Victoriaberec: Mine don’t go away either if anyone knows 2393898445"
  },
  {
    "id": 108,
    "title": "Do I have TMJ problems (x-ray attached)",
    "dialogue": "earlgrey: I've been having occlusion problems for the last couple of years, after tooth #3 (first molar upper right) was filed down too much after a correction of a filling. My bite has changed and it feels crooked. \nI have a panoramic xray (attached). One dentist has told me I have a TMJ problem as a result (see difference in the placement of the mandibular condyle in the fossa on each side). I have shown this to a couple others and they said it's nothing. But I feel like this is what's causing the unevenness of my bite and tension in my jaw, and neck."
  },
  {
    "id": 109,
    "title": "New crown question",
    "dialogue": "Deamo55: I just had a root canal/crown put in next to an old crown (#2 new & #3 old.) I seem to have the feeling you get when foil touches your fillings. It's between the two teeth. Can there be some sort of a metal reaction between the two?  The old crown is pretty old. Idk what they used on that. I was told the #2 new crown is titanium. Zuri Barniv: When did you have it installed? Sometimes it takes a few weeks for things to settle in. It's unlikely there is a reaction between the metals. Deamo55: Zuri Barniv said:\n\n\n\n\t\t\tWhen did you have it installed? Sometimes it takes a few weeks for things to settle in. It's unlikely there is a reaction between the metals.\n\t\t\nClick to expand...\n\nOne month ago. I guess I'll give it a little more time. Just feeling so weird. Thanks Zuri Barniv: Sometimes crowns that are a little too tall for your bite cause weird sensations like that. I would let the dentist know now you are having this problem rather than keep waiting. A month is a reasonable amount of time, so I think you should look into it more. Deamo55: Zuri Barniv said:\n\n\n\n\t\t\tSometimes crowns that are a little too tall for your bite cause weird sensations like that. I would let the dentist know now you are having this problem rather than keep waiting. A month is a reasonable amount of time, so I think you should look into it more.\n\t\t\nClick to expand...\n\nThanks so much! honestdoc: What you're describing is the galvanizing effect between 2 different metals.  Usually modern crowns minimizes this effect.  The new crown is probably zirconia and not Titanium.  Titanium is used as dental implants and not crowns. Deamo55: honestdoc said:\n\n\n\n\t\t\tWhat you're describing is the galvanizing effect between 2 different metals.  Usually modern crowns minimizes this effect.  The new crown is probably zirconia and not Titanium.  Titanium is used as dental implants and not crowns.\n\t\t\nClick to expand...\n\n\nThat's it, my mistake. Do you think the old crown needs to be replaced? Busybee: Zuri Barniv said:\n\n\n\n\t\t\tSometimes crowns that are a little too tall for your bite cause weird sensations like that. I would let the dentist know now you are having this problem rather than keep waiting. A month is a reasonable amount of time, so I think you should look into it more.\n\t\t\nClick to expand...\n\nThis sensation would never be caused by a high bite. Zuri Barniv: Busybee said:\n\n\n\n\t\t\tThis sensation would never be caused by a high bite.\n\t\t\nClick to expand...\n\nWow - amazing you can be so confident about that! Busybee: Zuri Barniv said:\n\n\n\n\t\t\tWow - amazing you can be so confident about that!\n\t\t\nClick to expand...\n\nYes I am very confident that it's nothing to do with the bite.   Honestdoc has accurately explained the reason behind this sensation. Zuri Barniv: You could make a lot more money diagnosing dental problems over the internet than me with 20 years of experience. Good luck with that! honestdoc: I agree with Dr. Barniv that the crowns can bite too high and cause many problems. smithwilfer: Zuri Barniv said:\n\n\n\n\t\t\tWhen did you have it installed? Sometimes it takes a few weeks for things to settle in. It's unlikely there is a reaction between the metals.\n\t\t\nClick to expand...\n\nDr my mom is also facing similar problem and  its sensational too. can you please assist MattKW: Zuri Barniv said:\n\n\n\n\t\t\tYou could make a lot more money diagnosing dental problems over the internet than me with 20 years of experience. Good luck with that!\n\t\t\nClick to expand...\n\nWelcome to the wonderful interactions you can have with BusyBee! (strong sarcasm). I haven't been on this forum for a few years, and I'm surprised she's still giving out such advice.\n40+ years experience here, now Senior Lecturer at university."
  },
  {
    "id": 110,
    "title": "Tool to remove plaque",
    "dialogue": "davelondon: Hi.  So this is for my dog, he let's me clean and scale his teeth but I cant get some of the tartar off. \nI have a small dremel for dogs claws, I was wondering what kind of Rotary attachment is safe for human  teeth cleaning that I vould use on my dog Dr M: I would recommend that you rather ask this question on a veterinarian group. I am not comfortable giving advice that could end up damaging your dog's teeth. paulwilfer: davelondon said:\n\n\n\n\t\t\tHi.  So this is for my dog, he let's me clean and scale his teeth but I cant get some of the tartar off.\nI have a small dremel for dogs claws, I was wondering what kind of Rotary attachment is safe for human  teeth cleaning that I vould use on my dog\n\t\t\nClick to expand...\n\nHi, I would suggest, rather doing it by your self or experimenting it with some sort of tools, as they could damage your pet's teeth, please take your pet to the VET as they are specialists."
  },
  {
    "id": 111,
    "title": "Do you see resorption in these teeth?",
    "dialogue": "confusedandscared: Specifically leftmost teeth in first pic and rightmost in second"
  },
  {
    "id": 112,
    "title": "Do I need wisdom teeth removed?",
    "dialogue": "alva: A while ago, I had oral ulcers. At that time, I thought it was a wisdom tooth pain. I went to the hospital to take a CT scan. The dentist told me that I needed to remove the two wisdom teeth on the right side of the CT scan, because the upper teeth had grown into the maxillary sinus, and the lower wisdom teeth were not in the right position. Is she right? My oral ulcers are healed, and my wisdom teeth have no other symptoms. Do I need to pull out my wisdom teeth? MattKW: Despite the awful resolution on the scan, it appears that you are one of the few people who have managed to have erupted wisdom teeth in a reasonable position. If you are able to function with them, if you can keep them clean easily (brushing and esp flossing), and if you're not biting your cheeks, then you can leave them in place. paulwilfer: Whether you need your wisdom teeth removed depends on factors like impaction, crowding, decay, or infection, or as suggested by your dentist. or if it functions properly then you must have to take care of them properly. smithwilfer: Wisdom teeth is not required as such. It should be cleaned properly and taken good care of.  Any problem then consult a dentist."
  },
  {
    "id": 113,
    "title": "Crown not fitting properly",
    "dialogue": "Darworth4: I recently had a crown my first crown fitted to replace a filling that had recently come out.  I decided on a part metal, part porcelain crown and after fitting I found that when I closed my teeth together the crown was pressing on the upper tooth.  The dentist ground some of the crown away but it was still uncomfortable so more was ground away.  Even after grinding more of the crown away and revealing the metal underneath it didn't feel right.  The dentist advised me to try it for a few weeks and said my jaw would adjust and I'd get used to it in time.  I soon found my upper tooth ached after eating and sometimes both my crowned tooth and upper tooth would ache.  Although there was a slight improvement after 2 weeks it still didn't feel comfortable.  I booked another appointment and the dentist ground more of the crown until it felt somewhere near comfortable.  I also pointed out to the dentist that the inside of my tooth was rough and told it was where the crown meets the tooth.\n\nI'm still not happy with the end result even though I'm used to it now, as half of the crown is showing the metal.  I'm also cleaning the inside of the tooth thoroughly as I'm concerned that plaque etc can easily form and soon undermine the crown.  Can anyone advise how to deal with this matter?  This is the first time the dentist has done work on my teeth (my old dentist left a months ago) and I'm very reluctant to go back.  I'm with a well known private dental care so going elsewhere for a second opinion could be quite costly. Dr M: It sounds like there was no proper planning done. And at this stage the crown is damaged and compromised as well. I would insist on a new crown being made, since it sounds like the underlying tooth was not reduced enough, in order to leave space for the crown. Or the lab, did not design the crown properly. I would not settle for sub-par treatment, since a crown is expensive. Darworth4: Thank you very much for your advice.  I will go back to my dentist to get a new crown fitted."
  },
  {
    "id": 114,
    "title": "What dental procedures can I undertake to improve/fix the appearance of my front teeth?",
    "dialogue": "IChewConcrete: Hey, so I'm posting in this thread as I feel this is the one that applies best for my situation. \n\nFor the past few years, my dental health habits haven't been the best. I brushed twice a day for most of my life, and only started flossing my teeth two years ago. I've gotten to the point where I have maintained my teeth for the past year and half. However, by maintained I mean maintaining the gross looking teeth I already have without them getting progressively worse. I also go to my dentist every 6 months. The dentist has been focusing on the back teeth as opposed to the front. Also, to clarify, I do mean to get advice from my dentist, but would like opinions from other dental health experts too. \n\nI would like to improve the appearance of my front teeth, but I do not know where to get started. I have attached some pictures of them to this post, and would like advice on what I can do to improve/fix my teeth and any other things I should take care of.\n\nI have posted pictures below. In each picture I assign a number to each tooth, for easy reference. I do need dental work on teeth not referenced, but for now would like to focus solely on the top front 8. \n\nPlease note that tooth 3 has had a filling in the surface which has gotten stained, and which I will need to get reapplied.\n\nThank you in advance. Also please let me know if this is not the right thread for this sort of post. Dr M: I would consider starting with orthodontics, such as clear aligner therapy. This will close the gap, and decrease the overjet . Thereafter you, can consider a bleaching, where after the stained filling can be replaced."
  },
  {
    "id": 115,
    "title": "Are clear braces as effective as regular metal braces?",
    "dialogue": "GayleHarris: Hi, I wanted to ask if the clear braces are just as effective as the regular metal ones. The clear braces are a new thing to me and I have little knowledge about them, any help would be appreciated. Thanks! Dr M: Although clear aligners are effective, they can only fix certain malocclusions. For more severe issues, fixed wire braces will be indicated."
  },
  {
    "id": 116,
    "title": "Mystery external resorption in multiple teeth?",
    "dialogue": "confusedandscared: I went to a dentist for extreme tooth pain/sensitivity in several molars. I get mild, brief pain when any food or drink touches the area between those teeth, and if the food or drink is hot, cold, or extremely sweet, forget it--the pain will almost bring me to tears (though it lasts only a few seconds). This pain/sensitivity started about 6 months ago and only got worse. I'm 24 years old and female. I don't smoke or drink. I floss daily and brush 2x/day for a while now.\n\nThe doctor performed the cold test, and I had sharp pain, lasting about 3 seconds. He looked at my X-rays and found that I had signs of external resorption in 3 molars, the ones that were causing significant pain. (Although almost all of my teeth have developed similar sensitivity to lesser degrees. He only took X-rays of the ones I said were hurting the most.) He referred me to an endodontist that I will be seeing in 2 days.\n\nAfter googling what external resorption means, I'm freaking out. Most sources are saying that in the majority of cases, the teeth will need to be extracted, which is alarming since all of my teeth have developed the same sensitivity/pain but to varying degrees. My dentist couldn't answer why the resorption occurred and said it could be idiopathic. What could be the cause of this? How do I prevent further resorption?\n\nI've never had trauma. I did braces from about 2013-2015 and Smile Direct Club invisible aligners from about 2017-2019. I've been wearing my retainers nightly since completing my last alignment treatment.\n\nAs of about a month, I also developed some other symptoms I believe may be related like occasional, mild ear and jaw pain (ears will feel mildly painful pressure, jaw is more of an ache and stiffness. I'll have the urge to open wide and stretch it out) and random, brief numbness or pain in my hands and feet 10-20 times a day. Both the facial pain and bodily numbness occur on both sides of my body, but more on the left, which is also where I experience more dental pain.\n\nPlease help, I'm really at a loss."
  },
  {
    "id": 117,
    "title": "Seeking Advice: Potential Business Ideas to Support Dentists",
    "dialogue": "zagorbalta: My wife, a dedicated dentist with 23 years of experience in running her own practice as a foreign-trained professional, and I, a finance manager with a background in app/software development, are exploring the idea of starting a business together. \n\nOur goal is to leverage our combined expertise to create something valuable for the dental community.We're particularly interested in understanding the specific needs and challenges that dentists face today, especially those that could be addressed with technological solutions. Whether it's a pricing tool, budgeting software, a platform for connecting dentists, or any other service that could help streamline operations, enhance patient care, or facilitate professional growth, we want to hear from you.\n\nWhat are some services, tools, or software that you, as dentists, feel are currently lacking or could be significantly improved? What kind of solution would genuinely make a difference in your day-to-day practice and professional life?"
  },
  {
    "id": 118,
    "title": "Painful gums with scars like pinholes above my teeth",
    "dialogue": "Virgo95: I woke up 3 days ago and noticed my gums above my teeth were hurting. They have these little holes in it right above my teeth. I switched to a soft toothbrush and it isn’t helping. Can anyone tell me what this looks like? Pleaseeeeee Dr M: It looks like you might have some minor apthous ulcers forming. They usually disappear on their own after about 2 weeks. We usually only treat the symptoms. There is no cure. If your immune system is under pressure in the future, they might appear again. Nothing to worry about."
  },
  {
    "id": 119,
    "title": "Canker sore or abscess",
    "dialogue": "Craig804: A few days ago I was driving and I felt a swelling in my mouth with a bump. A small white bump. It did not hurt. A couple of days later I guess as I was bothering it, it started to hurt. I also noticed that the white spot had grown more flat and larger. Prior to this I did have some pain under the white jaw. I do have periodontal disease but wanted to know if it is related to an abscess or if it is a canker sore."
  },
  {
    "id": 120,
    "title": "Top Right Teeth Sinking Down??",
    "dialogue": "milkyshakey: Hello! I was flossing my teeth the other night and pulled back my cheek to reach a top molar, and i noticed my teeth were doing this. I just went to the dentist a couple weeks ago for the first time since i was 17 (no insurance and being poor) I’m currently 24 y/o, and I'm scheduled to get root canals, fillings, and a gum cleaning soon, but they did not mention this to me at all! To be fair, my dentist came in and did not say a word to me besides “open”.  I've always had bad teeth, constant tooth aches when i was little, and my first root canal at 7. I had my bottom right molar pulled at 13. I’ve always brushed my teeth, though flossing is a new habit. Any idea what is causing my teeth to do this? I’m not sure how long my teeth have done this, and it’s making me very anxious. Thank you for any help!! last photo is my left side. Kamal_Khan: I'm sorry to hear about your dental concerns, but I'm glad you're taking steps to address them by incorporating flossing into your routine and seeking dental care despite challenges.\nFrom the images you've shared, it appears that your teeth might be showing signs of wear or erosion, possibly due to various factors such as acid reflux, teeth grinding (bruxism), or even dietary habits. It's essential to discuss this with your dentist during your upcoming appointments to ensure they thoroughly assess your oral health and provide appropriate treatment recommendations.\nAs a dental professional, I understand the importance of addressing concerns like this comprehensively. At ADI Dental, we prioritize patient education and proactive care to help you achieve and maintain optimal oral health. Don't hesitate to reach out to us for personalized guidance and support on your dental journey. [https://www.adi.dental/] Dr M: It does sound like you have some orthodontic issues, perhaps caused ( but not exclusively) by the early loss of the molar. If you lose a molar, the opposing tooth tends to over-erupt over time. This could lead to the skew curve that you noticed. The only way to fix this is with some sort of orthodontic intervention."
  },
  {
    "id": 121,
    "title": "Where is the Trigeminal Nerve in This Panorama X-ray?",
    "dialogue": "Brause: This panorama was taken by an oral surgeon prior to an extraction to image the trigeminal nerve. But which line is it? the lower white one? Dr M: Trigeminal nerve won't be visible on a panoramic x-ray Brause: The oral surgeon claimed he had to take the panoramic X-ray before the extraction of tooth 46 in order to make sure he won't damage the trigeminal nerve...or did I get this wrong and it was another nerve? Dr M: He referred to the inferior alveolar nerve. On the x-ray it appears like a road running on both the left and right sides in the bottom jaw. Kamal_Khan: In a panorama X-ray, the trigeminal nerve, responsible for facial sensation and motor control, isn't directly visible due to its deep location within the skull. While X-rays offer insights into bone structures, soft tissues like nerves are typically better visualized through MRI or CT scans, aiding in diagnosis and treatment planning."
  },
  {
    "id": 122,
    "title": "I think I shaved my enamel off eating",
    "dialogue": "Lilly2002: EI was eating and my top front tooth scraped the bottom one hard, I bit it wrong, but I feel like it's different from the other tooth, the texture is strange. Lilly2002: Scratched  the palatal Surface, Did it wear out? Dr M: Doubtful that one incident like this could damage the enamel. There is a chance that you actually already have chronic tooth wear over an extended period. Best to go to your dentist to have it checked out."
  },
  {
    "id": 123,
    "title": "Implant or braces with bone anchor?",
    "dialogue": "Dentist90: Hello, I’m 34 and I have to extract molar 36. To fill the hole I can get an implant or braces with an anchor (this isn’t sure yet because the orthodontist has to take x rax photos and do some research first ). In general, which option is better? I don’t think like the thought of having an implant in my jaw but braces will take two years and I would still have to get surgery in my jaw to place the anchor and clean the braces etc and going to the orthodontists for various visits seems more work and money? Also, if I get an implant for molar 36 and want to fill a gap between my front teeth similar to this one https://www.advanceddentistry.co.uk/gap-in-teeth/ can this be done after getting the implant? Dentist90: But if braces with anchor is an option I won’t need to get an implant and need to pay extra attention to the implanted teeth in the future. Any advice here would be appreciated!"
  },
  {
    "id": 124,
    "title": "Scraped enamel of tooth?",
    "dialogue": "WorriedIncisor: Hi,\n\nI noticed there was a bit of plaque on my front tooth so I used a dental scaler and scraped it off, anyway, while doing so I accidentally slid the scaler over my other front tooth a couple of times which didn’t have any plaque on it and I am really worried that I may have damaged the enamel is any way? Do you think I may have damaged my enamel? \n\n\nI am so worried! \n\nThanks Busybee: Does it look damaged?  If it looks normal then stop worrying. Enamel is one of the toughest natural substances.   Dentists have to use high power drills to get through it.   If you are still worried then see your dentist.  I'm sure the worst case scenario is that the dentist can give the tooth a quick polish. Messedup41: I stupidly did the same and can see the damage I’ve done so I’m devastated as I’m going to have to have bonding to fix the problem now. Damage can’t be seen when my enamel is wet so if yours looks ok when it’s dry I’m sure it will be fine. Thank god you only did one. I’ve done all of my front ones and they are white and rough at the gumline (when the enamel is dry) I havent slept for weeks as I wake up thinking about how I’ve destroyed them and how it will cost me thousands to fix. If it wasn’t for the fact I have kids I’d have bowed out it’s destroying me that much Busybee: Messedup41 said:\n\n\n\n\t\t\tI stupidly did the same and can see the damage I’ve done so I’m devastated as I’m going to have to have bonding to fix the problem now. Damage can’t be seen when my enamel is wet so if yours looks ok when it’s dry I’m sure it will be fine. Thank god you only did one. I’ve done all of my front ones and they are white and rough at the gumline (when the enamel is dry) I havent slept for weeks as I wake up thinking about how I’ve destroyed them and how it will cost me thousands to fix. If it wasn’t for the fact I have kids I’d have bowed out it’s destroying me that much\n\t\t\nClick to expand...\n\nTry not to worry. Your teeth near the gums are pretty much always wet and any damage you think you caused is probably nothing to worry unless you're in constant pain.  It doesn't cost much to see a dentist to reassure yourself.  Teeth are pretty resilient. sara1: Busybee said:\n\n\n\n\t\t\tDoes it look damaged?  If it looks normal then stop worrying. Enamel is one of the toughest natural substances.   Dentists have to use high power drills to get through it.   If you are still worried then see your dentist.  I'm sure the worst case scenario is that the dentist can give the tooth a quick polish.\n\t\t\nClick to expand...\n\nDo you think we can damage the enamel for over brushing or rough brushing? I take care of my teeth a-lot. But recently have seen scratch like brown stains in my front teeth. And it's just increasing day by day. I am really worried about it as it also looks bad since it's front teeth. Do you think it's just stain from food or is is damaged enamel due to over brushing or rough brushing. If the enamel is damaged, is there any treatment to correct it? sara1: WorriedIncisor said:\n\n\n\n\t\t\tHi,\n\nI noticed there was a bit of plaque on my front tooth so I used a dental scaler and scraped it off, anyway, while doing so I accidentally slid the scaler over my other front tooth a couple of times which didn’t have any plaque on it and I am really worried that I may have damaged the enamel is any way? Do you think I may have damaged my enamel?\n\n\nI am so worried!\n\nThanks\n\t\t\nClick to expand...\n\n\n\n\nMessedup41 said:\n\n\n\n\t\t\tI stupidly did the same and can see the damage I’ve done so I’m devastated as I’m going to have to have bonding to fix the problem now. Damage can’t be seen when my enamel is wet so if yours looks ok when it’s dry I’m sure it will be fine. Thank god you only did one. I’ve done all of my front ones and they are white and rough at the gumline (when the enamel is dry) I havent slept for weeks as I wake up thinking about how I’ve destroyed them and how it will cost me thousands to fix. If it wasn’t for the fact I have kids I’d have bowed out it’s destroying me that much\n\t\t\nClick to expand...\n\nDo you see any color difference in your teeth because of it? Busybee: sara1 said:\n\n\n\n\t\t\tDo you think we can damage the enamel for over brushing or rough brushing? I take care of my teeth a-lot. But recently have seen scratch like brown stains in my front teeth. And it's just increasing day by day. I am really worried about it as it also looks bad since it's front teeth. Do you think it's just stain from food or is is damaged enamel due to over brushing or rough brushing. If the enamel is damaged, is there any treatment to correct it?\n\t\t\nClick to expand...\n\nA friend who had lovely teeth overbrushed them years ago.  Nothing terrible happened, they just didn't look as white as before.  Maybe you are just eating foods that stain.    Best to discuss with your dental hygienist."
  },
  {
    "id": 125,
    "title": "Dentrix patient management software alternative - any recommendations?",
    "dialogue": "MichaelS: Hi,\n\nCan anyone who runs a dental practice with experience in Dentrix recommend an alternative that costs less and has equal or improved functionality. Thanks! dental enthusiast: MichaelS, have you considered switching to a cloud based system? john101: I recently experimented with Heygent Dental AI at our clinic and was thoroughly impressed! It excels at managing missed calls and engaging in conversations with patients, handling tasks like scheduling appointments seamlessly so you never have to worry about appointment no-shows – it's nearly impossible to discern it's an AI and integrates with all major dental software management like Dentrix. It's adept at familiarizing itself with all the essential details of your clinic, including insurance information, available procedures, operational hours, and more. There's an intuitive dashboard that allows you to monitor all interactions and step into conversations with patients whenever necessary. Despite being a relatively new player in the market, the setup process was straightforward, and the team was extremely approachable. It has significantly contributed to attracting new patients, particularly effective after hours when the AI instantly addresses missed calls. It's definitely worth exploring if you're looking to enhance patient acquisition. The monthly subscription is surprisingly affordable, considering the immense value it offers. I recommend trying their demo at heygent.ai to see for yourself!"
  },
  {
    "id": 126,
    "title": "Sassy Dental Practice Management Software",
    "dialogue": "Rachelle87109: We recently switched from SoftDent to Sassy Dental. Does anyone else here use Sassy and are you happy with it? AlishaS: Rachelle87109 said:\n\n\n\n\t\t\tWe recently switched from SoftDent to Sassy Dental. Does anyone else here use Sassy and are you happy with it?\n\t\t\nClick to expand...\n\nHello! I have been researching dental office management software and would love to hear some feedback on Sassy Dental. If you could tell me what features are most beneficial and what needs improvement I would appreciate it. john101: I haven't heard of Sassy, I recently added Heygent AI to our clinic, and it really impressed me! It's crazy good at handling missed calls and chatting with patients, booking appointments, and eliminate worries about missed calls and appointment no shows – and you can hardly tell it's AI. It will know everything about your clinic like insurance info, procedures, hours, etc. There's this cool dashboard where you can see all the chats and even jump in to chat with patients if you need to. It's been awesome for getting new patients, especially when we're closed and the AI responds immediately to a missed call. Definitely worth checking out and will really help with getting new patients. Their monthly fee is very low too for how much value it adds, give their demo a go on heygent.ai, it'll show you what it's all about!"
  },
  {
    "id": 127,
    "title": "Anaesthetic not working",
    "dialogue": "linc1068: Hello,\nThis is my first post here and I am hoping for some advice.\n\nIn early Feb I went to the dentist for a deep filling in a lower molar, which turned out to be a very painful process as part of the nerve didn't seem to numb properly.  A week after I was in increasing pain so I went back and the dentist went in through the top of the tooth to apply a dressing and said it would need a root canal.  This time the anaesthetic seemed to work well (he used a block at the rear of my jaw) and I was numb all the way up to my eye for 4-5 hours later).\n\nThen last week I went back for the root canal - once again the anaesthetic (6.6ml of 2% lidocaine with 1:80000 adrenaline, initially as a block but also inserted directly into the tooth pulp which did absolutely nothing) didn't work effectively on one of the roots.  It was extremely painful.  The dentist stopped trying to clear out that root and again inserted a dressing.  I am supposed to be going back in a week's time for him to try again but as the tooth is still irritated it may end up being delayed further.\n\nFirstly I would like to understand, is there any alternative anaesthetic that is likely to work better?  They are blaming it on the nerve being irritated, but the anaesthetic actually seemed to work better the time I was in most pain prior to the appointment, and wouldn't root canals always irritate the nerve?  When the anaesthetic worked effectively it felt a lot stronger across my whole face and lasted far longer, whereas when it hasn't worked I have still been able to feel tingly in my lip in that side and it wore off quite quickly, but apparently they used the same anaesthetic, quantity and application method.\n\nSecondly, is there anything I can do at home to help the nerve settle down before the appointment?  Or is there anything I might be doing that could be prolonging the irritation? I did ask the dentist but didn't get a straight answer.  I can manage with pain relief, but just want to do what I can to give the next attempt the best chance of success.\n\nThirdly, if I end up having the tooth extracted (which is the dentists fall back plan), is that not likely to be just as painful if the anaesthetic doesn't work?\n\nThank you for your help.  I am feeling quite terrified about going back so trying to make sure I am as informed about the options as possible."
  },
  {
    "id": 128,
    "title": "Cant open mouth much and painful",
    "dialogue": "Deleki: I’m scared .. I’m think I was given too much anesthetic .. I suspect novacaine for one tooth area and half of my face was numb. It will be 2 weeks this Thursday since I had metal filling removed and enamel replaced. I’m not sure if bruised or what since my mouth was open for 2 hrs 25 min not I felt some kind of metal sticking me in the area that’s numb while my mouth was open and work being done. \nSeems everyday my mouth might be opening a little more but I’m basically living on soup and scrambled eggs. I’m hoping I eventually will be normal again but have read if it’s too much anesthesia or he hit nerve it could take 8 weeks for normalcy. \nIn meantime I’m not sure what to do? \nI’m taking prednisone thinking if area is inflamed it may help. \nHas anyone experienced something like this? Dr M: I doubt you were given too much anaesthetic. I think rather the nerve was bruised. This does sometimes happen, since everyone's anatomy is different. It sounds like it is getting better and the prednisone should help with any inflammation of the associated muscles. Try doing some mouth-opening exercises and be patient."
  },
  {
    "id": 129,
    "title": "Is a silver amalgam supposed to last longer than 5 years? I had tooth pain in an area where two cavities were filled.",
    "dialogue": "Fuzoats: I had two cavities (they are between two molars) fixed approximately 7 years ago. And I had this pain in the same area again for a while. When it comes back, it usually lasts a while. The pain comes and goes. Usually after eating.\n\nI'm just wondering if it's unusual for a cavity to just come back from this kind of filling after only 7 years. I realize it could be something else. But I'm just asking is if it's typical for this to happen. And if so, should I use a better filling? Can they do something different from amalgam. I'm asking what should I ask the new dentist for just in case if they confirm it's a bad amalgam filling? Dr M: There are alternatives available for amalgam fillings, but the pain might be unrelated to the filling. The filling might be deep, or close the nerve, or there might even be decay in another area. Best is to go for a check up with your dentist."
  },
  {
    "id": 130,
    "title": "Scrapped teeth with a needle",
    "dialogue": "Susan Maddox: I was supposed to have my last eight bottom teeth removed, but my husband got very sick and I missed my appointment. He is now under hospice care and I have to stay with him at home. He is my top priority now. \nMy teeth were hurting so I took a sewing needle and started trying to clean them. It relieved the pain, but I went too far with it.  Now I have a bad taste in my mouth and a coated feeling in my mouth. \n Can this make me sick and should I get help right away? It taste so bad and my teeth feel like they are melting. Dr M: There is a high chance that some or most of these teeth could lead to infection. If it was recommended they needed to be extracted, then it is best to stick to that recommendation."
  },
  {
    "id": 131,
    "title": "Spots on my hard palate",
    "dialogue": "polichinelle: Hi,\n\nA week ago I've noticed pink spots on my hard palate then they quickly change of colour and became red and then they became yellow center with red border and they also became wider. Anyone knows what it could be ? Should have been concerned ?\nAnd also since 2 month have got an allergic rhinitis..could it be link ? Dr M: This almost looks like a herpes zoster infection in the mouth. If you ever had a cold sore before, if means you were infected with the herpes virus at some stage. The virus then becomes inactive, and when you go through periods where your immune system is a bit compromised, such as suffering with rhinitis, the virus flares up. Stress also does this as well as a host of other factors. Lesions like this disappear on its own after about 2 weeks. We only treat the symptoms in a case like this."
  },
  {
    "id": 132,
    "title": "Painful wound after root planing",
    "dialogue": "tomerz: Several days ago my dentist performed root planing and two days after an itching/painful section next to a tooth appeared.\n\nCan some please tell me if is it normal after root planing? Is it some kind of infection?\n\nAttached an image, the area is next to the last tooth.\n\nThank you. Dr M: Did he administer local anaesthetic?"
  },
  {
    "id": 133,
    "title": "Cracked Molar?",
    "dialogue": "Mike949: I can't seem to get a break. I'm already having issues with two other teeth. Wednesday night, I attempted to take a mold for one of those over the counter mouth guards. The endodontist said it would be ok. Well, when I bit into it, I felt a dull pain on tooth #3. Two days later, the pain is still there. I figured I just bruised the ligament. I inspected the tooth today and it looks like there is a crack. Does anyone see what I see? Thanks. I cannot see the dentist until Wednesday. Dr M: Usually the impression material should not cause you any pain. Did the dentist see anything during your visit?"
  },
  {
    "id": 134,
    "title": "Teeth movement",
    "dialogue": "agndouz: Dear Doctor,\n\nI am facing a problem with my front teeth located in the middle of the upper jaw, where some movement is apparent. I do not know the exact reason, but it seems that this issue arose after practicing the \"mewing\" technique for a period. When I applied my tongue to the roof of my mouth, I found it difficult to keep my mouth closed for an extended period, so I would press on my teeth with force, I believe, for a while. To clarify, I was not pressing my tongue against the front teeth, but I was pressing on the teeth with force. I stopped this habit a long time ago, but to no avail.\n\nI am concerned because I do not know the real reason for this problem. The other problems I am facing, such as an unbalanced bite and the presence of tilted wisdom teeth in the lower jaw, may be the cause, but I cannot confirm this. I visited the doctor previously and underwent an X-ray, but without any noticeable results.\n\nPlease provide me with the necessary advice to solve this problem and offer any guidance or instructions on the next steps to take.\n\nThank you very much."
  },
  {
    "id": 135,
    "title": "FLIPPER REPLACEMENT",
    "dialogue": "Ronald P: I am a 78 year old male, I presently have a flipper appliance for my upper front teeth , it encompasses 5 teeth.\nI would like to find a Dentist in my area that can replace it with a new one and also remove some old broken teeth.\nI have had a couple of visits with all on 4 upper teeth replacements however at my age I do not feel that the cost is \nworth it - they range from $20,000.00 and up .  Although I am in good health , I am looking at the reality of my mortality , I've never had a \nfamily member that lived past 83.  So I am looking for a dentist that can help me out .  Cost is not the object , I am happy with my present Flipper but over time it has deteriorated.  I do not want a full upper denture since the majority of the upper palette is covered. \nI live in the New York Long Island area and am looking for a dentist that can help me in my quest."
  },
  {
    "id": 136,
    "title": "Feel like my dentist filed off too much of my tooth",
    "dialogue": "FdUpBite: Had new fillings put in my 1-7 and 2-7 in December. All was well until I realized over the holidays that the filling in 2-7 was just a little off and that I had pain in my 3-6 and 4-6 while chewing certain foods.\nSo about two weeks ago, I went back to my dentist to maybe get the filling checked out. I asked him which teeth had filling since I didn't really remember at the time and he told me the correct teeth. So I say that my second-to-last teeth in my lower jaw are hurting. He put the paper in and already told me the occlusion looked fine and that he couldn't shave off too much. But instead of going for the filling, he went for my 3-6. He asked me if it was better, but I couldn't really tell since the difference was probably so minimal, to which he agreed. He already said that it's oftentimes just a tiny bit that's off for the bite to hurt. \n\nAfter that, he went over to my 4-6 and filed and left it at that. That tooth has been feeling weird ever since then. Not only that, but I feel like my bite got deeper because of it and that he filed of too much, despite him saying that he can't really do that. I never had the straightest teeth and jaw. My lower front teeth are slightly tipped inwards, making me able to touch the base of my upper front teeth while biting down. I was always able to avoid that contact, but that seems difficult now. Not only that, but I feel like chewing causes me slight headaches.\n\nI'm scared now of the possibility that I now HAVE to visit an orthodontist and wear braces at 25. Scared because I worry it'll all get even worse for me. Is it really possible that my dentist shaved of some sort of \"supporting element\" of my teeth? And can that be restored somehow with some \"clever filling\" of maybe the tooth opposite of my 4-6? Any help is appreciated. I was worrying ever since then and feel like a total wreck because of it, thinking of whether or not I made a grave mistake by even having the filling checked out and not just adapting to it. Dr M: It sounds like the possibility was always there that you needed braces anyways, based on the way that you describe your teeth. It is highly unlikely that the dentist would have filed too much off from the tooth. Usually we adjust only a minimal amount, to ensure that the associated teeth are biting correctly on each other. After such an adjustment, it is completely normal that the teeth feel strange for a while, until you get used to it.\nThe pain that you might be experiencing, might be more related to your overall bite. Patients with a deep bite, also tend to grind their teeth, and this explains why the teeth was paining bilaterally. \nI would suggest going for an orthodontic evaluation. This will evaluate all your issues. Patients with deep bites, often tend to develop other, sometimes more serious issues, at a later stage in life. Better to correct it now if possible. FdUpBite: Thanks for your answer. I always figured I had a deep bite, but never thought I had to deal with it since I never really had any problems. For example, my dentist never commented on my gums receding on my upper front teeth, which they don't as far as I can tell.\n\nIf it's unlikely that my dentist filed off too much, how long do you think I need to get used to it? Again, it's been two weeks. I had a filing done before a few years ago, but I don't think I minded it that much back then.\n\nAnd what do you precisely mean with \"grinding teeth\"? I mean, my teeth do have contact with one another, but I never grinded them due to anxiety or anything. Same thing while sleeping. People never commented on me grinding my teeth at night.\n\nBut I will consider visiting an orthodontist in the near future, although I'm scared of his assessments. Dr M: Grinding of teeth does not always happen consciously. We sometimes only see the signs on your teeth, even if you don't have pain. It is common with patients with a deep bite, like I mentioned, but an orthodontic evaluation will tell you more. \nAs for the front tooth, try to not think about it. Sometimes we become obsessed about our teeth, to the point where we don't allow ourselves to get used to any changes. Busybee: Yes your dentist could have shaved too much off especially as it seems he adjusted teeth that he hadn't treated without any study models or assessment of your overall bite.  No there is no way to prove it and when these things happen it cannot be easily fixed (if at all) and you may end up being classified as someone who has \"a sensitive bite\".    You can of course go to have orthodontic treatment that you don't want and didn't need previously and then find that helps or it may not help or you could end up with other problems.  Orthodontics is a lifetime commitment. \n\nYou should get a second opinion about your bite and also consider a bite guard to see if that helps.  It may well be that you will get used to the change over a few months.\n\nPs. I am not a dentist but I  had serious problems with a bite adjustment that went wrong and I can assure you that there is no such thing as a bite \"expert\".  There are good dentists and not so good dentists.   Dentists cannot really critique or appraise another dentist's work on a bite unless they watched them do it and have examined you before and after and have study models to compare. \n\nThe best thing is to take very good care of your teeth so that you don't need too much treatment."
  },
  {
    "id": 137,
    "title": "Bone Recession Dental concerns",
    "dialogue": "teodorovkristian: Hello. I have the following issue. I had a cyst on my tooth and it had to be extracted. Then I had a bridge put in, but I developed an inflammation and needed a root canal. This was three months ago. Now I notice that the bone under this line of teeth has deformed and receded inward compared to the other side. Since I am not satisfied with my previous dentist, I will be able to see a new one only in the middle of next month.  Additionally, the existing bridge was punctured to perform the root canal procedure and then was filled.What could this bone recession be? And what should I do. P.s. X-ray before root canal. 10x in advance Dr M: It is normal for the bone to recede after you lose a tooth. This recession can sometimes continue for 6 months to a year, before it stabilizes.\nAs for the root canal. Whenever you prepare a tooth in order to place a crown, or a bridge, you technically drill the tooth smaller. Whenever you drill on a tooth, there is a chance that the nerve can become inflamed. Especially if the tooth was heavily restored prior to the preparation. The root canal has to be performed through the bridge at this stage, and unfortunately compromises the bridge. teodorovkristian: Thank You!"
  },
  {
    "id": 138,
    "title": "Enamel erosion or staining??",
    "dialogue": "moonbeamz: I have these stains on my two front teeth. They're pretty yellow. They don't hurt and they're not sensitive. They appeared back in August/ September. I drank coffee for over a year but stopped a few weeks ago so my teeth don't sustain anymore damage. I regularly smoke  as well. I went to the dentist in October before my insurance was turned off and mentioned the stains and they didn't say anything about them... I know I need a deep cleaning badly but have to wait for my insurance to be turned on again so it's rough. My confidence has been so low since my teeth have looked like this. I'm just wondering if these are stains or if my enamel has been eroded so I have an idea of what's going. Dr M: A superficial cleaning needs to be done first. If the stains remain, it might be an indication of an enamel defect or some deeper staining being the cause. You will then have to consider fillings on the front teeth. Sometimes resin veneers can be done, which is a cheaper option that porcelain veneers or crowns. It will still improve the appearance, but keep in mind that they can also stain over time , based on your diet and smoking habits. moonbeamz: Dr M said:\n\n\n\n\t\t\tA superficial cleaning needs to be done first. If the stains remain, it might be an indication of an enamel defect or some deeper staining being the cause. You will then have to consider fillings on the front teeth. Sometimes resin veneers can be done, which is a cheaper option that porcelain veneers or crowns. It will still improve the appearance, but keep in mind that they can also stain over time , based on your diet and smoking habits.\n\t\t\nClick to expand...\n\nOk thanks!! I guess that makes me feel a little bit better. I do need scaling done on some of my teeth because of plaque and tar. I'm hoping it's just staining and not permanent.... Do they clean the stains during the cleaning or should I ask ahead of time???? Or is it something that would cost me extra? moonbeamz: moonbeamz said:\n\n\n\n\t\t\tOk thanks!! I guess that makes me feel a little bit better. I do need scaling done on some of my teeth because of plaque and tar. I'm hoping it's just staining and not permanent.... Do they clean the stains during the cleaning or should I ask ahead of time???? Or is it something that would cost me extra?\n\t\t\nClick to expand...\n\nAnd it doesn't look like my enamel is too bad right??? That was my biggest concern! Dr M: The superficial cleaning removes some of the stains. This does not cost extra. From the front it does not look too severe, but we would need to look at all the teeth, from all the angles to give an accurate opinion."
  },
  {
    "id": 139,
    "title": "I have these weird small dots appearing on my teeth, what is it?",
    "dialogue": "kkai241:  Dr M: Difficult to say since the photo is not 100% clear, but it could be either staining around the margins of the fillings on those teeth or the start of a new cavity. A clinical exam and x-ray would need to be performed in order to say for sure."
  },
  {
    "id": 140,
    "title": "White canker type sore on gum with hole in middle beneath tooth/ gum line",
    "dialogue": "Blinc222: Hello my 9 year old son has had this sore on his gum for 3 months now. Seen the dentist, too xray and showed no issues. The tooth seen above is baby tooth and adult tooth is right beneath it as was seen on xray.\n\nDentist was not sure what this could be however said the baby tooth could be removed to possibly release debris, infection etc\n\nTried salt water, bonjela but nothing removing it.\n\nNo other symptoms just irritation\n\nAny idea what the cure could be thanks Dr M: Looks like a possible apthous ulcer. They tend to resolve within 2 weeks. How long has it been present for? Blinc222: Hi thanks for the reply, it’s been there for 3 months now Blinc222: Dr M said:\n\n\n\n\t\t\tLooks like a possible apthous ulcer. They tend to resolve within 2 weeks. How long has it been present for?\n\t\t\nClick to expand...\n\n\nHi thanks for the reply, it’s been there for 3 months now Dr M: Do you perhaps have any x-rays that you can share? Want to see the positioning of the permanent successor tooth. Blinc222: Dr M said:\n\n\n\n\t\t\tDo you perhaps have any x-rays that you can share? Want to see the positioning of the permanent successor tooth.\n\t\t\nClick to expand...\n\nHi we don’t have the X-rays however the permanent tooth is right beneath the baby tooth. The baby tooth is very slightly loose but doesn’t seem like it’s going to come out very soon Dr M: Based on the limited information, I would suggest removing the baby tooth and then observing if it heals."
  },
  {
    "id": 141,
    "title": "White spot next to uvula",
    "dialogue": "Samm: Hi everyone, I’ve had this white spot next to my uvula for at least 3 months now. It doesn’t hurt to touch and hasn’t changed in size since I first noticed it.\nI’ve been to the doctors and dentist and neither seem too concerned although my dentist said he’d try and refer me to get it checked properly just incase. Due to the location of the spot he said I may need my doctor to refer me as it could be classed as a throat issue. I’m just wondering if anyone has seen anything similar and how likely it is that it’s something sinister. Dr M: It does not appear sinister, but for an accurate diagnoses, a biopsy might need to be taken. Due to the positioning of the lesion, the best option would be to see an ENT specialist. Samm: Dr M said:\n\n\n\n\t\t\tIt does not appear sinister, but for an accurate diagnoses, a biopsy might need to be taken. Due to the positioning of the lesion, the best option would be to see an ENT specialist.\n\t\t\nClick to expand...\n\nThanks for your response, I think my doctor is arranging a biopsy."
  },
  {
    "id": 142,
    "title": "Looking for a dentist",
    "dialogue": "dentureman: If anyone knows of a general dentist looking for a job/ partnership in Louisville KY for a practice that has been open for over 25 years please let me know thank you"
  },
  {
    "id": 143,
    "title": "Bad taste in mouth after gum line filling",
    "dialogue": "Danni M.: Two years ago, I discovered I had a small gum line cavity behind the back molar on the lower, left-hand side of my mouth. Apparently, when I had an impacted wisdom tooth removed years earlier, a tiny piece of my jaw was removed, creating a pocket in my gum where the cavity formed.\n\nThe dentist told me I needed an amalgam filling, due to the high-moisture content of the area, and that, in spite of the location, it would not be very difficult to treat.\n\nI had no problems with it, up until a few months ago when I noticed a faint odor when I flossed the area. I went back to the dentist, who after taking an x-ray, told me there was recurrent decay behind the filling. He told me that there wasn't significant decay, and that it was nowhere near the root. He removed the old filling, drilled my tooth further and put a new filling in, a small portion of which extended below the gum line. He told me that gum injuries heal very quickly, and to take Advil for any pain.\n\nI had no pain, but two days later, I developed a bad taste in my mouth. Concerned I had an infection, I took antibiotics, and called the dental office when they opened. I was told that the bad taste was due to natural healing, but to continue with the antibiotics, if I wanted to.\n\nAfter three weeks, when the problem persisted, I was told to come back in for a re-check. An x-ray showed that the portion of the flling below my gum line was stuck in my gum tissue, rather than contoured against my tooth. I was told that my gum was bloody and irritated, and the errant filling piece created a bacterial trap, which was causing the bad taste. I was also told that the x-ray showed no problem with the filling itself.\n\nThe dentist then proceeded to peel back the gum tissue covering this piece of filling. He said he used a filer to shape the filling to my tooth, and did not do any further drilling. The hygienist cleaned the area afterwards with a hydroponic water pik. They took several x-rays, said it was okay, and that my gum should heal quickly. \n\nThis was ten days ago. Since then, I've been brushing and flossing gently, taking ibuprofen, doing saltwater rinses after every meal, eating mostly soft foods and chewing on the opposite side of my mouth. However, I still have a bad taste in my mouth, which seems worse after I brush my teeth in the morning. Some days it seems a little better, but the next day, it seems to return. I would describe it as a stale taste, and my mouth doesn't feel clean. It doesn't seem to be coming from the filling.\n\nI've never had a problem with food getting stuck back there before or with being able to keep the area clean. I've also never had any kind of issues with my gums, wound healing or bad breath before. I've used a dental mirror to try and look at the area. It looks clean, and I don't see or taste blood, but I think some swelling remains. \n\nThis has been causing me a lot of stress, and I'd appreciate any input on what could be causing this, if there's anything else I could do to treat the area, and the timeline for when I should expect it to heal and/or when I should consider going back to the dentist. Dr M: When last did you go for a proper cleaning with a dentist or dental hygienist? Danni M.: Dr M said:\n\n\n\n\t\t\tWhen last did you go for a proper cleaning with a dentist or dental hygienist?\n\t\t\nClick to expand...\n\nThank you for your reply.\n\nMy last cleaning was two years ago, just prior to having the cavity filled. I'm scheduled for another next month. \n\nI don't really have a problem with plaque or tartar buildup, and the dentist told me, prior to doing the work last month, that I was doing a very good job of keeping the area behind my tooth clean. Since the bad taste occurred right after the cavity was refilled, I've been assuming it's connected to that.\n\nI don't know if this is related or not, but since I had the work done, my mouth has been drier than normal. I've been sleeping with a humidifier on and sipping water at night. But, when I wake up, I have an off taste in my mouth, almost like I have a cold. I've never had this problem before. I can't drink coffee in the morning any longer because the taste is unpleasant. Even after brushing, this taste lingers. It's not as bad in the evening after I brush again.\n\nMy biggest concern is that there's an issue with the filling, although the dentist reassured me there was not. In the alternative, I'm wondering if my gums aren't healed and could be causing this.\n\nAny further advice would be much appreciated. Dr M: Do you have an x-ray of the filling you could share? Dr M: Dry mouth can contribute to a bad taste in your mouth however. Danni M.: Thank you again for your replies.\n\nI don't have a copy of the x-ray, although I can request one today, if you think the filling may be an issue.\n\nDo you think it is likely my filling, my gums, dry mouth or something else causing this? Is there anything you would recommend doing at this point? \n\nThanks again for your time. Dr M: A recent x-ray of the tooth will be helpful. A cleaning might also be helpful. 2 years between cleanings is not recommended. We usually recommend once every 6 months. Although you brush twice a day and practice meticulous oral hygiene, there is still some areas that you miss. The build up of calculus can then contribute to inflammation and/or a bad taste in the mouth. Danni M.: Dr M said:\n\n\n\n\t\t\tA recent x-ray of the tooth will be helpful. A cleaning might also be helpful. 2 years between cleanings is not recommended. We usually recommend once every 6 months. Although you brush twice a day and practice meticulous oral hygiene, there is still some areas that you miss. The build up of calculus can then contribute to inflammation and/or a bad taste in the mouth.\n\t\t\nClick to expand...\n\nThank you for your reply and for your advice regarding the cleaning. My appointment is next month, and I hope that helps matters some.\n\nI have also left a message with the dental office regarding the x-ray, and will post upon receipt.\n\nThank you again for your time and your help. Danni M.: Danni M. said:\n\n\n\n\t\t\tThank you for your reply and for your advice regarding the cleaning. My appointment is next month, and I hope that helps matters some.\n\nI have also left a message with the dental office regarding the x-ray, and will post upon receipt.\n\nThank you again for your time and your help.\n\t\t\nClick to expand...\n\nAttached is the most recent x-ray of my tooth.\n\nThank you in advance for any insights. Dr M: It does look like the filling is good, but it seems like there is some amalgam residue below the gum, on the back side of the tooth. I would ask the dentist to clean out this area properly when you go for your cleaning. It might be causing an irritation, leading to the bad taste. Still mention the dry mouth as well though. Danni M.: Dr M said:\n\n\n\n\t\t\tIt does look like the filling is good, but it seems like there is some amalgam residue below the gum, on the back side of the tooth. I would ask the dentist to clean out this area properly when you go for your cleaning. It might be causing an irritation, leading to the bad taste. Still mention the dry mouth as well though.\n\t\t\nClick to expand...\n\nThank you very much for looking at the x-ray. I'm relieved to hear you think the filling looks okay. I noticed those pieces on the back side of my tooth, as well. I was afraid there was an issue with the filling back there, and that perhaps I had another bacterial trap. I'm glad you believe it's only residue. I will ask the hygienist to take care of that during my cleaning. \n\nI don't want to take up any more of your time, but given that my cleaning is a month away, is there anything else I could be doing in the interim to try and alleviate the problem?\n\nThank you again for all your advice. Danni M.: Dr. M,\nI was able to reschedule my dental cleaning, which took place yesterday. I mentioned to the hygienist about cleaning up the amalgam residue under the gum line, and she didn't think this would be a problem. \n\nHowever, upon finishing, she took an x-ray which showed the residual amalgam was actually stuck to the filling. I was told by her and the dentist that I would need to come back to have the filling worked on again. The hygienist, in particular, mentioned the dentist needing to drill.\n\nI'm attaching a copy of my most recent x-ray, and I would appreciate if you would take a look. To my unskilled eye, the filling actually looks worse than it did before, and I'm hoping she did not damage it in any way.\n\nI understand the filling is in a difficult location, but I'm getting frustrated and concerned by having this tooth continually worked on. Could you please tell me what you would advise? On a positive note, the bad taste has disappeared, at least temporarily. If this remains the case, and the filling is still okay, would it be prudent to put off any further work at this time?\n\nThank you very much. Danni M.: Danni M. said:\n\n\n\n\t\t\tDr. M,\nI was able to reschedule my dental cleaning, which took place yesterday. I mentioned to the hygienist about cleaning up the amalgam residue under the gum line, and she didn't think this would be a problem.\n\nHowever, upon finishing, she took an x-ray which showed the residual amalgam was actually stuck to the filling. I was told by her and the dentist that I would need to come back to have the filling worked on again. The hygienist, in particular, mentioned the dentist needing to drill.\n\nI'm attaching a copy of my most recent x-ray, and I would appreciate if you would take a look. To my unskilled eye, the filling actually looks worse than it did before, and I'm hoping she did not damage it in any way.\n\nI understand the filling is in a difficult location, but I'm getting frustrated and concerned by having this tooth continually worked on. Could you please tell me what you would advise? On a positive note, the bad taste has disappeared, at least temporarily. If this remains the case, and the filling is still okay, would it be prudent to put off any further work at this time?\n\nThank you very much.\n\t\t\nClick to expand...\n\nI apologize for posting twice, but the dental office contacted me about my next appointment, and I took the opportunity to ask them about the x-ray. I was told that the one sent to me this morning was not the most recent one available. The one attached to this reply purportedly is. I was told the thin line in the earlier filling, which caught my eye, was a \"glitch.\"\n\nThe dentist advised to keep the appointment, and said there would be no drilling of the tooth involved. He would use the drill to remove the excess amalgam.\n\nI'm sorry again for the two conflicting posts. Any thoughts would be much appreciated. Dr M: I would suggest not undergoing any treatment if the taste disappeared. On the most recent x-ray, there is still a slight overhang of excess material, but it is so small it might never be an issue. Hold of on any unnecessary treatment for now. Danni M.: Dr M said:\n\n\n\n\t\t\tI would suggest not undergoing any treatment if the taste disappeared. On the most recent x-ray, there is still a slight overhang of excess material, but it is so small it might never be an issue. Hold of on any unnecessary treatment for now.\n\t\t\nClick to expand...\n\nThank you very much for your advice once again. I will do as you suggested. Danni M.: Danni M. said:\n\n\n\n\t\t\tThank you very much for your advice once again. I will do as you suggested.\n\t\t\nClick to expand...\n\nDr. M.,\nI'm sorry to bother you again with yet another question. A few days after my cleaning, I started developing the bad taste again. It is not as bad as it used to be, although I do still have an off taste, particularly in the morning. \n\nThe hygienist had recommended I use a water flosser. I have started using one, and feel fairly confident that the area around the filling is clean, although, as I said, the bad taste persists. \n\nMy question is, in your opinion, would removing the excess overhang from the filling do anything to remedy the situation? On the one hand, I'm afraid to have the area worked on too much, but, if the filling is causing a problem, I don't want it to go unchecked. \n\nI feel like the dental office is milking this situation by having me come in for so many visits. I have already paid quite a bit of money to have the filling redone, to have x-rays retaken (they claim to have lost the ones on file), and my upcoming visit to correct the filling would cost me as well. So, I don't trust their opinion as to what work is necessary. My next appointment is scheduled for January 31st, and I'm undecided as to whether I should keep it, cancel it or postpone. \n\nAs always, any insights or advice you have would be much appreciated. Thanks again for all your time and patience. Danni M.: Danni M. said:\n\n\n\n\t\t\tDr. M.,\nI'm sorry to bother you again with yet another question. A few days after my cleaning, I started developing the bad taste again. It is not as bad as it used to be, although I do still have an off taste, particularly in the morning.\n\nThe hygienist had recommended I use a water flosser. I have started using one, and feel fairly confident that the area around the filling is clean, although, as I said, the bad taste persists.\n\nMy question is, in your opinion, would removing the excess overhang from the filling do anything to remedy the situation? On the one hand, I'm afraid to have the area worked on too much, but, if the filling is causing a problem, I don't want it to go unchecked.\n\nI feel like the dental office is milking this situation by having me come in for so many visits. I have already paid quite a bit of money to have the filling redone, to have x-rays retaken (they claim to have lost the ones on file), and my upcoming visit to correct the filling would cost me as well. So, I don't trust their opinion as to what work is necessary. My next appointment is scheduled for January 31st, and I'm undecided as to whether I should keep it, cancel it or postpone.\n\nAs always, any insights or advice you have would be much appreciated. Thanks again for all your time and patience.\n\t\t\nClick to expand...\n\nJust wanted to make one quick clarification. The dental office called asking me to confirm next week's appointment. I brought up the issue of payment, and was told there would be no charge for the work.\n\nSorry for posting twice. I would still very much appreciate any advice as to whether the work would be beneficial, but did want to clarify that point.\n\nThank you. dental_care: Even though the procedure happened ten days ago, gum tissue healing can take longer, especially if irritated or exposed to bacteria. The bad taste could be due to leftover tissue debris, food particles trapped in the area, or slight inflammation. Peeling back gum tissue can cause temporary irritation, even with proper care. This irritation could contribute to the bad taste you're experiencing. Other factors such as dry mouth, certain medications, or sinus issues can also contribute to a bad taste in the mouth. \n\nGum tissue healing varies depending on individual factors and the extent of the procedure. While ten days is significant, full healing can take several weeks. If the bad taste doesn't significantly improve within two weeks or worsens, consulting your dentist for further evaluation is recommended. Danni M.: dental_care said:\n\n\n\n\t\t\tEven though the procedure happened ten days ago, gum tissue healing can take longer, especially if irritated or exposed to bacteria. The bad taste could be due to leftover tissue debris, food particles trapped in the area, or slight inflammation. Peeling back gum tissue can cause temporary irritation, even with proper care. This irritation could contribute to the bad taste you're experiencing. Other factors such as dry mouth, certain medications, or sinus issues can also contribute to a bad taste in the mouth.\n\nGum tissue healing varies depending on individual factors and the extent of the procedure. While ten days is significant, full healing can take several weeks. If the bad taste doesn't significantly improve within two weeks or worsens, consulting your dentist for further evaluation is recommended.\n\t\t\nClick to expand...\n\nThank you very much for the reply. I was actually just going to post another question related to my last dental appointment. \n\nI went back 2.5 weeks ago to have the excess overhang removed from the filling. While there, I expressed my concern at having the filling worked on so many times, and my unhappiness with this persistent bad taste. After correcting the filling, the dentist told me for the first time that I had a 6-7 mm periodontal pocket behind my tooth, and he thought that was the source of the bad taste. I never had an issue with any pocket there before, and am wondering if putting in the new filling could have caused or worsened a pocket.\n\nThe dentist proceeded to do a deep cleaning of the tooth, told me to keep it clean and see a periodontist if I had further problems. \n\nSince then, I've been diligent about my hygiene routine. I brush in the morning, followed by Listerine. After lunch, I oil pull with coconut oil, then brush. I do a saltwater rinse in the afternoon. Then, after dinner, I brush, floss, use a water flosser and more Listerine. My taste is still off, which concerns me, although it is better than it was before the deep cleaning.\n\nMy hope is to try and shrink the pockets somewhat these next few weeks with proper home care. I've read that pockets in the 4-5 mm range can be treated with routine dental cleanings. My plan, at this point, is to visit a new dentist in another month or so to assess where I'm at and see what he recommends. \n\nAny advice as to how to proceed would be much appreciated."
  },
  {
    "id": 144,
    "title": "Honest advice please!",
    "dialogue": "Jeanie: I need honest opinions please….\nI see my dentist every 6 months, I tell him I have a loose crown, he says it’s fine, it’s loose because my gums are receding. \n\nI go for my  next check up and tell him I now qualify for free  dental treatment on  the NHS …. then he says oh that loose crown needs  to come out, the bone has gone, there’s also infection… I’m surprised at this as I’m not in any pain. He then says yes you also  have an abscess starting? I have no swelling and no pain!  As it’s a front tooth I ask him what he’s going to put there, he says well I’m going to take 2 teeth out? and put a denture in, I explain that I have a terrible gagging problem and really couldn’t cope with a plate in my mouth,  he replied well you dont have any choice!  I ask if he could  put a bridge there instead like I have on the other side, he says only if you want to pay me £1500!  He said I have no other choice of  anything else. I don’t understand why there is no choice apart  from a denture just because I get free dental treatment? Also why is he taking 2 teeth out? \n\nMy husband saw him after me and suddenly he needs treatment as well, but the dentist has never once before said he needs any treatment? \n\nI now feel im  being rushed to have 2 teeth taken out and being left with a denture. How can I find out if I am entitled to have a bridge or something else? \n\nOpinions please. Brause: Get a second opinion from another dentist (that's what my family doctor recommended in a similar situation)."
  },
  {
    "id": 145,
    "title": "Need some advice for teeth alignment",
    "dialogue": "SilverSpoon: Right now I just want some opinions. What would be the easiest, cheapest, and least invasive way to fix these issues? General opinions? Looking to see what people notice here.\n\n- When I was a kid, I fell flat on my face and my two front teeth broke out. The adult teeth never grew in properly and my two front teeth have been misaligned for my whole life and this has gotten worse over time. One of them is bent backwards to a large degree.\n\n- Some of the bottom teeth are not aligned properly, that, and combined with the existing fault of my front tooth, it is noticeable when I bite down.\n\n- How do I go about whitening my teeth, is it something that can be done by the dentist?\n\n- It is also possible I have some cavities in my back molars on the bottom row of teeth."
  },
  {
    "id": 146,
    "title": "Not getting an implant after missing a tooth?",
    "dialogue": "Dentist90: I always read that after loosing a tooth it’s better to get an implant. A lot of people at my work are missing a tooth or even more but they don’t get an implant or don’t even want to spend money on them. I’m not seeing any difference on how their jaw looks like (that they shrunk etc) and they can just eat without any trouble (at least from those I have asked) which confuses me because I read online that if you don’t get an implant you will loose bone etc and it’s not good for you. Or maybe it’s not THAT bad but having dental implant is just better? Dr M: A dental implant definitely helps to retain bone in the area. Although function can remain unaffected, because we are very adaptable, you would definitely see some bone loss in the mouths of your colleagues, if you follow-up with x-rays. flomodental: Considering the consequences of not getting an implant after missing a tooth is important. While it may seem minor, not replacing a missing tooth can lead to various dental problems. The adjacent and opposing teeth can shift, causing bite misalignment and jaw pain. It can also lead to bone loss in the jaw and affect the overall facial structure. FloMo Dental offers a range of solutions for missing teeth, including dental crowns, dentures, and dental implants. These options can help prevent the potential complications of not replacing a missing tooth. We recommend consulting a dental professional to discuss the best treatment plan for your needs. dental_care: There's a difference between \"better\" and \"necessary\" when it comes to dental implants. While both sides have valid points, the decision ultimately depends on individual circumstances and priorities. Benefits of Dental Implants include preserving jaw bones, preventing shifting teeth, improving aesthetics and functions, and durability.\n\nThe only consideration is implants are typically the most expensive tooth replacement option, with several procedures and materials involved. Dental bridges and dentures can be less expensive alternatives to implants."
  },
  {
    "id": 147,
    "title": "Please help pain in bottom front teeth",
    "dialogue": "Kr222: Hello, I really need some advice. I have been having a dull aching pain that has remained pretty much constant for over a year in a bottom tooth. I’m not sure which number the tooth is. the pain feels like it’s almost always in one particular tooth, however on some days it seems to radiate to a few of my other bottom teeth. I had the tooth x rayed many times, and no dentist seems to have an answer for me. They say the x Ray is normal every time. I even consulted with a periodontist and had a scaling done to make sure it wasnt gum related. But no change. I don’t know what to do. This pain has severely affected my quality of life, and the worst part is that there seems to be no end to in sight. The pain does seem to be less when I wake up in the morning, and steadily increases throughout the day the more I talk, chew, and just go about normal activities. Would anyone be kind enough to share if maybe they had something similar? Or any possible idea what i should do next? Could it be that my pain is not dental related and this is some type of neuralgia? I attached an X-ray for review. Any advice would be so much appreciated and would mean so much to me. Thank you in advance. honestdoc: I'm suspecting you may be grinding and clenching.  Are you experiencing stress before the pain started and is still unresolved?  Did you have any trauma around the area and to your jaws?  Your roots don't look like you had orthodontic treatment.  Try an Over-the-counter bite guard and if you notice some improvement, try for a custom guard your dentist needs to make. Kr222: I suspect the same but I know I’m not grinding/clenching during the day, if anything it would be only at night. So if that’s the case would the pain be nearly constant the way it is? I can’t seem to get much relief. I will definitely try a night guard. Also, I actually did have orthodontic work.\n\nTo be honest, this daily pain definitely has been stressing me out. I can’t remember being overly stressed before this started though.\n\nI can vaguely recall a possible trauma when biting really hard on a peice of gauze after a molar removal and feeling a very sharp pain, but this pain feels like it’s coming from a tooth more toward the front of my mouth and the gauze was toward the back. (Sorry if this sounds a little bit crazy. I’m just trying so hard to figure this out)\n\nThank you so much for the fast and thoughtful response. It really means so much to me! honestdoc: Fortunately after orthodontic work, your roots did not appear too shortened.  I suspect you have a stressful job or some unresolved stress.  You do not notice yourself grinding and clenching.  According to experts, your teeth only touch 20 minutes a day including all meals and function.  The rest of the time, the teeth are about 0.5 cm (0.25 inch) apart.  This allows the jaws to rest and the teeth to minimize contact trauma.  From my 20 years observations, this is the most likely scenario. \n\nDid you have any trauma to your jaws?  I've attended a lecture from Dr. Jeffrey Okeson from the University of Kentucky and he treats unexplained dental pain.  One of the factors is trauma such as an auto accident affecting the lower back.  There are nerve centers that can refer to the jaws.  I don't think this applies to you. Kr222: That does make sense, except that the tooth (sometimes teeth) that hurts is/ are out of occlusion which is why clenching/grinding was originally ruled out by the dentist. I guess I should have probably mentioned that earlier. The only teeth that touch each other when I bite are my back molars..\n\nNever had trauma to the jaw, no serious accidents. \n\nI’m very concerned about the potential possibility that this is some sort of neuralgia, as was mentioned a few times when my dentist was unable to figure this out. Do you think this could be the case? Does this type of pain in front teeth seem typical of an neuralgia? I REALLY hope not. honestdoc: I have lower front teeth out of occlusion as well.  The consequence will usually be hypereruption.  Another possibility is possible crowding.  According to an oral surgeon during an audience participation, there was an Iowa study that suggested lower wisdom teeth pushing the anterior teeth to crowding.  This suggestion was previously thought as a myth.  I wear a bite guard to minimize lower anterior hypereruption as well as my grinding and it helped tremendously.  This may be expensive but a custom bite guard may possibly help you as well. Kr222: I had my wisdom teeth out on that side (left side) both top and bottom. I will try the night guard. Thank you again for the response it’s very much appreciated John Roberts: I am facing sort of the same thing you are going through except it is most all my teeth.  The front top and bottom being the worst.  Been going on since 11/16.  Dentist can see anything wrong.  It does feel like my bite is off but I don't think it is bad enough to make all my teeth hurt like this.  A neurologist says I have Trigemial Nerulgia but I am not sure about it.  It is like I have to go with the diagnosis because I can't find out anything else.  He is treating me with medicine so I don't know. I also have pain in my eyes sometime, my nose sometime and my neck most of the time.  Going for a MRI of brain and neck.  I am miserable I know that.  Let us know if you go find out anything. honestdoc: I'm not a neural expert.  I believe that the hoof beats we are hearing now are not horses but may be zebra(s).  I can not explain your constant pain for over a year.  One very remote possibility is viral like oral herpes (cold sore).  Approximately 70% of people have this virus and it lives in the nerve tracts.  A virus expert says that viruses are protected in nerve tissue because the body cannot attack its own nerves.  I may be going off tangent but I can't think of anything but brainstorming.  Another remote possibility is saliva stones.  It can be picked up on radiographic images.  I'm sure all the dentists or doctors found no cysts/tumors/disease.  If you exhausted all of your options, Dr. Jeffrey Okeson in Lexington Kentucky is the foremost authority on unexplained dental pain. John Roberts: Sorry I haven't answered back.  I have never had a cold sore that I know of.  I know since  I have been having this trouble it seems like I put out a tremendous amount of saliva.  As soon as I get up in the morning it seems to start.  I have read about how much a normal amount is and I think I have way more than that.  Sometime I drool.  Didn't used to do that.  As far as my teeth they touch every time I swallow.  That is what hurts because most all of my teeth are so sensitive.  \nI have had several radio graphic x rays done by several different dentist and one oral surgeon and they have said nothing.  I have told most of them my bite doesn't feel right.  I had a sleep study to see if i grind my teeth which I didn't.  They said I have mild sleep apena.  I don't snore and my wife says she has never heard me grind my teeth.  I have been to doctors, periodontist, orthodontist, neurologist and I don't know how many dentist.  I have been told three things.  A neuro musucalar dentist wanted to do some type of tens treatment and make a mouthpiece for 8,500. He didn't give me any kind of clear diagnose I felt. I have been to two neuroloigist.  One had a brain scan done and told me my problem was dental.  I went to neurolighta a month and a half ago and he told me I have trigeminal neuralgia which I don't really think I have but these are the three diagnoses i have had besides I don't know.  I have told more than one of them my bite seems like it changes.  It will feel like one tooth is high then it will feel like a differnet one is high or rubbing another one.  It changes.  I have been told I don't have TMJ.  I have had CT scans of face and TMJ joints.  I am still looking for answers.  Any suggestions appreciated.  I am too old for this.  It is making my life miserable most of the time.  At night is my best time.  Doesn't bother me at night.  I sleep with a over the counter night guard sometime.  I have had the same soft one for a year and it looks like it did the day I got it so I don't think I grind my teeth.  I don't know. KAPi: John Roberts said:\n\n\n\n\t\t\tSorry I haven't answered back.  I have never had a cold sore that I know of.  I know since  I have been having this trouble it seems like I put out a tremendous amount of saliva.  As soon as I get up in the morning it seems to start.  I have read about how much a normal amount is and I think I have way more than that.  Sometime I drool.  Didn't used to do that.  As far as my teeth they touch every time I swallow.  That is what hurts because most all of my teeth are so sensitive.  \nI have had several radio graphic x rays done by several different dentist and one oral surgeon and they have said nothing.  I have told most of them my bite doesn't feel right.  I had a sleep study to see if i grind my teeth which I didn't.  They said I have mild sleep apena.  I don't snore and my wife says she has never heard me grind my teeth.  I have been to doctors, periodontist, orthodontist, neurologist and I don't know how many dentist.  I have been told three things.  A neuro musucalar dentist wanted to do some type of tens treatment and make a mouthpiece for 8,500. He didn't give me any kind of clear diagnose I felt. I have been to two neuroloigist.  One had a brain scan done and told me my problem was dental.  I went to neurolighta a month and a half ago and he told me I have trigeminal neuralgia which I don't really think I have but these are the three diagnoses i have had besides I don't know.  I have told more than one of them my bite seems like it changes.  It will feel like one tooth is high then it will feel like a differnet one is high or rubbing another one.  It changes.  I have been told I don't have TMJ.  I have had CT scans of face and TMJ joints.  I am still looking for answers.  Any suggestions appreciated.  I am too old for this.  It is making my life miserable most of the time.  At night is my best time.  Doesn't bother me at night.  I sleep with a over the counter night guard sometime.  I have had the same soft one for a year and it looks like it did the day I got it so I don't think I grind my teeth.  I don't know.\n\t\t\nClick to expand...\n\n\nHei John. Did you manage to find the cause of the pain? dental_care: There can be several possible causes of your pain. Although X-rays might not always show hairline cracks, they can still cause persistent pain that worsens with activity. Sinus infection, pain in the upper jaw can sometimes radiate to the lower teeth, mimicking dental pain. \n\nSeek a second or even third opinion from a dental professional, preferably an endodontist specializing in tooth pain diagnosis and treatment. When describing your pain to the dentist, mention all the associated symptoms, like the pain radiating to other teeth, increasing with activity, and time of day variations. If X-rays haven't been conclusive, discuss the possibility of getting a CT scan or MRI to get a more detailed view of the area."
  },
  {
    "id": 148,
    "title": "White ulcer with hole in middle",
    "dialogue": "Blinc222: Hi all,\n\nMy 9 year old son has had a white ulcer type formation on the lower jaw gum, on the side of the gum where the tooth is.\n\nThis has been there for 10 weeks now.\n\nWent to dentist and completed xray and no issues or infection. Dentist advised the tooth that’s visible above where the white mark is, is a baby tooth and the 2nd tooth is right beneath it ready to come through.\n\nWent to doctors they are not sure what it could be either. In the 10 weeks we have applied bonjela, salt rinses but nothing is resolving this issue\n\nIt’s irritating him non stop and having to pushe his finger against his cheek into it to try and ease the irritation from it.\n\nSeems to have a hole in the middle of it.\n\nAny ideas?\n\nThank you"
  },
  {
    "id": 149,
    "title": "Strange sore lump on the side of tongue",
    "dialogue": "Mila: Hello! Im 27 old female without smoking experience. In September I noticed soreness in my left side of tongue. It isn't daily, 3-5 days and 1-2 weeks break.\n I can't notice anything while popping out my tongue but yesterday I bought pocket mirror and today I find strange papillary lesion on my tongue.\nWorried about mouth cancer( Dr M: This looks like a small inflamed papillae on the side of your tongue. Papillae are a normal occurrence on the side of the tongue. The inflammation could however be caused by a sharp edge of the tooth or a filling on the adjacent area. Have this checked out. Alternatively it could also be due to you accidentally biting that area at night when grinding your teeth, or even an irritation caused by something in your diet. I would advise trying a chlorhexidine mouth rinse for about 2 weeks, and if it doesn't clear, go to your dentist, to check for grinding habits or sharp edges on the adjacent tooth. Mila: Dr M said:\n\n\n\n\t\t\tThis looks like a small inflamed papillae on the side of your tongue. Papillae are a normal occurrence on the side of the tongue. The inflammation could however be caused by a sharp edge of the tooth or a filling on the adjacent area. Have this checked out. Alternatively it could also be due to you accidentally biting that area at night when grinding your teeth, or even an irritation caused by something in your diet. I would advise trying a chlorhexidine mouth rinse for about 2 weeks, and if it doesn't clear, go to your dentist, to check for grinding habits or sharp edges on the adjacent tooth.\n\t\t\nClick to expand...\n\nThanks! I will use rinsing and visit dentist and otolaryngologist.\nMay be its something from my throat lymphoid, I have chronic tonsillitis, chronic rhinitis and reflux since my teen age.\nHope it isn't cancer... Dr M: Does not look too sinister. I would not jump to any conclusions. Mila: Dr M said:\n\n\n\n\t\t\tDoes not look too sinister. I would not jump to any conclusions.\n\t\t\nClick to expand...\n\nHello! After 3 months its still here. Or maybe it disappeared and returned, idk, I haven't check it till last few days.\nIt become smaller and I see smaller similar lump on opposite side."
  },
  {
    "id": 150,
    "title": "Red spots roof of mouth",
    "dialogue": "vamom2: Hello! A few weeks ago, I had a terrible sore throat with a cold and noticed some red spots toward the back of my mouth. I didn’t think much of it at the time while I was sick. I noticed this week that there seem to be some lingering spots though. Could these still be related to having been sick? Or is this something different I should look into more? They don’t hurt, but my anxiety can easily get the best of me.  Some of the spots almost seem raised/like tiny clear bubbles, but over some redness (or maybe blood vessels?)\n\nFor some extra context, if it helps: I’m a 37 year old woman, I don’t drink or smoke. Avid coffee/tea drinker. I grind my teeth/clench by jaw at night, but do wear a night guard. vamom2: One more photo I forgot to attach, in case it helps Dr M: Nothing to be concerned about. Could just have been some inflamed salivary glands, due to you being sick. Should gradually disappear. vamom2: Dr M said:\n\n\n\n\t\t\tNothing to be concerned about. Could just have been some inflamed salivary glands, due to you being sick. Should gradually disappear.\n\t\t\nClick to expand...\n\nThank you so much! So these sorts of things can just take a while to settle down? Dr M: Yes. It can flare up again as well if you are sick and struggle with a cough or sore throat."
  },
  {
    "id": 151,
    "title": "My Journey to a Confident Smile A Review of the Mouth Guard for Teeth Straightening",
    "dialogue": "nkoyhope: As someone who struggled with crooked teeth for years, finding a solution that could  straighten my smile seemed like impossible because I couldn’t afford braces. Until I discovered Mouth Guard, a product designed to not only protect teeth but also gradually align them for a more confident smile. In this review, I'll share my personal experience with this mouth guard and how it has transformed my oral health and appearance.\n\n\n\nMy Experience:\n\nFrom the moment I started using the Mouth Guard, I noticed a significant improvement in my teeth alignment. The three stage correction system, featuring braces of varying hardness, provided gentle yet consistent pressure on my teeth, gradually guiding them into proper alignment.\n\n\n\nNighttime Protection:\n\nOne of the standout features of the Mouth Guard is its ability to protect teeth during nighttime grinding or clenching. Made of soft, comfortable material, wearing this mouth guard not only prevented tooth wear but also eliminated the disruptive sound of grinding teeth, allowing me to enjoy a peaceful night's sleep.\n\n\n\nComfort and Convenience:\n\nI was pleasantly surprised by how comfortable the Mouth Guard is to wear. Its lightweight design and tongue positioning feature (Mewing) helped me maintain proper alignment and avoid misalignment, all while being convenient to use whether at home or while traveling.\n\n\n\nResults:\n\nAfter several months of consistent use, I am thrilled with the results I've achieved with the Mouth Guard. My teeth are noticeably straighter, and I feel more confident than ever about my smile. The gradual correction process has been gentle yet effective, and I couldn't be happier with the outcome.\n\n\n\nFinal Thoughts:\n\nIn conclusion, the Mouth Guard has exceeded my expectations in every way. Not only has it protected my teeth from nighttime grinding, but it has also played a crucial role in straightening my smile. If you're struggling with crooked teeth like I was, I highly recommend giving this  mouth guard a try. It's truly been a gamechanger for me, and I'm confident it can make a difference for you too.\n\n\n\n\n\nhttps://amzn.to/3SIFrtC"
  },
  {
    "id": 152,
    "title": "White ring on my gum, what is it?",
    "dialogue": "Starrynights: I developed problems with my tongue around about June last year. I initially started getting what appeared to be lie bumps, but then th condition worsened to a white tongue and pain and then late last year, this ring on the inner of my left gum. I Do have a small white area on my right side too, but it isn’t a ring. I also have white rings like this on my tongue (not the white patch on my tongue). They have been a bit yellow ish in the past. \n\nI am not sure if I have geographic tongue, oral lichen planus or oral thrush. I don’t know what to do. Been to dr several times and oral specialist has denied me saying it’s geographic tongue but I’m in pain and it doesn’t seem to look like geographic tongue. I am unsure if geographic tongue can even on the gums as well? I’ve had two oral swabs done which showed no signs of yeast and tried many drugs for oral thrush (nilstat, decozol, flucanazole, daktarin, fungalin-which helped my white tongue oddly and then it came back again once stopping and oil pulling) to no avail. I believe more thrush To be my problem, because at one point I had angular chelitis and red rashes on my legs. The red rashes were cured with flucanazol. This made me think it was thrush?"
  },
  {
    "id": 153,
    "title": "Gumline after fillings is sore",
    "dialogue": "aqz: Hi i had two fillings on both left and right back lower molars yesterday. The right is ok and was a deeper filling. However the left was more a surface filling but is more painful and sensitive. I have had a look where the pain is and this is image my concern is the white area is that a concern? My gum on that side is hurting so is jaw. I was so nervous not sure if numbing injection was placed there or inner gum. That area also feels more bumpy then other side. I cannot eat anything as its painful and sensitive. Please help. This is where i previosly had amaglam filling and now its been treplaced by white im not sure if its just been covered or replaced. But tjis filling was not as deep as the other but hurts more. Last image is the tooth last week, so you can compare. Thanks Dr M: Sometimes there is some sensitivity that is present after drilling on a tooth for a few days, but it should then disappear. The bite should also be checked to make sure the filling is not too high. You can try applying some Sensodyne toothpaste on the tooth. Rub it on for a minute and then leave it on, and don't rinse it off with water. \nDo you have any x-rays of the associated teeth? aqz: Hi,\nNo i do not have xrays may i ask why they are needed?  The pain has calmed down abit today however when touching jaw in that area its still sore and im not eating much as its still sensitive. My question is the tiny white area is that just bone or something else under tooth on gum? Dr M: Might be calculus, which can be cleaned off, or it could just be some demineralization. Difficult to see clearly on the photos. The x-rays might give an idea of how deep the fillings really are as well as the quality of the fillings. aqz: Ok thanks for your replies they have been very informative and helpful. Thank you"
  },
  {
    "id": 154,
    "title": "Please help.  Some insight please",
    "dialogue": "HeatherE: I have something on the inside of the upper gums between  First molar and pre molar. It looks like an ulcer I guess. It’s almost a whole. It’s not huge, it’s been there for 4 weeks now!  It is unchanging, not getting better and not getting worse. I do have a dentist appointment next week.  I also have terribly angered gums from an old root canal tooth next to it. My second molar.  It’s broken more than in half and barely still has the filling in as I never went back for the crown.  I was thinking maybe that has something to do with, but it’s kind of far away from it. I’m just really anxious about the whole situation I’m trying to figure out how to post pictures HeatherE: Some pictures… Dr M: Difficult to see clearly on the photos unfortunately. I think this one is best judged by a dentist in person. It could be an ulcer due to trauma or even a draining sinus from an infection. An x-ray would need to be taken. \nKeep us posted on the findings once you have seen the dentist.\nTry rinsing with some salt water in the mean time, to see if it disappears."
  },
  {
    "id": 155,
    "title": "A question on hygiene",
    "dialogue": "ginger-vitae: Hello and thanks for taking the time to read.\n\nDuring recent appointments with my dentist I have noticed that she uses my bib to wipe residue off tools she is using before putting them back in my mouth\n\nIs this normal practice? It was my understanding that that tools are only supposed to be wiped mid-use with a sterilized (alcohol-soaked) cloth.\n\nThanks in advance for your advice. Dr M: This is sometimes done. This is not an issue if she used sterilized instruments to begin with."
  },
  {
    "id": 156,
    "title": "Severe Trismus After Dental Work",
    "dialogue": "CatherineS: Hello, I had the first appointment for a crown process.  As a result my mouth was open too wide for too long.  After a few days my mouth could only open for the height of my pinkie finger - about half an inch.  Its been two and half weeks now.   I do some jaw stretches every day, but I am wondering if someone else has some experience with this syndrome.  I've read a lot on-line, but there isn't too much about how long this might last.  Is there anything else I can do?  So appreciated for any input!! Dr M: You could have injured a muscle. I would suggest continuing with the exercises, and also taking some anti-inflammatory medicine. If it continues after 2 weeks, I would suggest going back to the dentist. You might have a TMJ issue, not related to the crown process at all.\nAlso note that we sometimes give a nerve block to numb a molar. This injection could have bruised a muscle as well. The advice would remain the same though."
  },
  {
    "id": 157,
    "title": "Are there emergency dentists in Santa Clarita, CA?",
    "dialogue": "emergencydentist: Yes, Santa Clarita, CA, provides access to emergency dental services for residents and visitors in need of urgent dental care. When unexpected dental issues arise, seeking prompt attention to alleviate pain and prevent further complications is crucial. Several dental practices in Santa Clarita offer emergency services, catering to issues like severe toothaches, broken teeth, or other urgent dental concerns.\n\n\n\nTo locate an emergency dentist Santa Clarita CA individuals can start by contacting their regular dental office, as many dental practices reserve time slots for urgent cases. Additionally, specialized emergency dental clinics in the area are equipped to handle immediate dental needs outside regular business hours.\n\n\n\n It is advisable to have the contact information for emergency dental services readily available in case of unforeseen circumstances. Patients experiencing severe pain, sudden injuries, or other urgent dental problems should promptly contact these services to receive timely and appropriate care. Taking swift action during dental emergencies ensures the best possible outcome and helps maintain overall oral health."
  },
  {
    "id": 158,
    "title": "Composite resin failure.",
    "dialogue": "snap: Can someone advise on composite failure. Had some front upper teeth chips repaired. The composite feels like its sharp and proud on back of tooth lifting with tongue suction and is causing constant discomfort. But to the touch with fingers or tools nothing can be found. Any ideas. Dr M: When were the fillings done? Front fillings can sometimes dislodge, since the front teeth are often used to bite into food. If the fillings don't feel right, and is also accompanied with sensitivity, I would go back for a follow-up with the dentist. snap: Oh they have been done 5 months within days had problems been back 10 times so far. Problem is to feel  its OK. To the Tonge and tongue suction it's sharp, lifting and moving. Dr M: Have you tried seeking a second opinion? snap: Yes, but everyone I see says they can't see anything, which I guess is the idea, that it blends with the teeth. Also if I go to another place I have to pay again. Dr M: Do you have x-rays that you could share? : Joseph-Grant: Prior.: I have a similar situation; a cosmetic i.e. asthetic bonding is broken on the side [because the teeth imploded on each other when I had a ice skating accident injury to the side of the back of the head = momentum, sideways]. So it's invisible to everyone else, and the glue or Poly-[A]crylic-[A]cid is leaking out and gumming up my teeth and getting on my hands, hair and skin and then polymerizing with things like graphene and gluten, making me a walking Christmas Tree antenna. \n\nYou could ask them to redo the sealant. My dentist didn't charge anything that time because they knew this was bugging me for so long. That will make it smooth again, but in my case, you can't guarantee that when it's fragmented like Mount Rushmore, it won't get abraded by food more and break down further, becoming rough again. That's what happened 5 days later, but that's because I didn't have a complete restoration, to make the whole surface smooth and resistant to food again. \n\nWith my warm-heart and good-luck,\n: Joseph."
  },
  {
    "id": 159,
    "title": "How do I know if my body is antibiotic resistant??",
    "dialogue": "mmh: I seen a dentist in Aug 2023 and they told me my wisdom teeth and the ones surrounding them needed to be removed but told me a surgeon would have to do it. (My fault, I waited so long because I'm terrified of the dentist) but because of my insurance, there's one oral surgery place that will accept me and its 5 hrs away and a veryyyy long waiting list.\nThe last few weeks I have had infection after infection. The first time I was given clydamycin and it helped the infection on the left side but on day 3 of that antibiotic I had an infection start on my right side so they switched me to amox. I finished the 10 day dose and was fine for a week, a week later I start experiencing pain again so I go to the doctor(dentist appt is scheduled but not for another week) they give me amox again but so far I'm on day 5 and I haven't gotten any kind of relief and starting to wonder if it's spread to my jaw? My jaw bone is so tender and hurts bad. I have plenty of clindamycin left over from the first time, can I try that until my dentist appt if the amox isn't working?? Dr M: You usually do extensive testing in order to determine antibiotic resistance. I don't think you need to worry about that. The problem is that antibiotics is never a solution to any problem and a lot of times your wisdom teeth can cause pain without having an associated bacterial infection. It is more inflammation leading to the pain and therefore it might be better to consider using anti-inflammatory meds ( keep in mind the gastric effects). \n\nI would suggest seeking another oral surgeon or even a dentist with experience in oral surgery to see if they can remove the wisdom tooth/teeth sooner. This is the only real solution."
  },
  {
    "id": 160,
    "title": "Poll: What are the Best Marketing Strategies You've Used to Grow Your Practice?",
    "dialogue": "DentalMarketingGuy: Hi, I'm new to the forum and wanted to start a discussion for dentists with their own practices. What are the best marketing strategies you've used to grow your practice? I'm sure many dental practices here would benefit from YOUR feedback and experience. MattKW: And fridge magnets which kept giving back for many years. An expensive exercise, and maybe not so useful nowadays. Social media and SEO requires constant work. Avoid paying for anything like Google ads. SilverSeeker: Anyone else have any tips?"
  },
  {
    "id": 161,
    "title": "Tooth extraction",
    "dialogue": "nebuer09: Does the size of your mouth affect the cost of a tooth extraction? Dr M: No it should cost the same. The difference comes in with the type of extraction. Was it a normal extraction or a surgical extraction? nebuer09: Does normal mean anaesthetic I.e numbing the area? nebuer09: I checked out what a surgical extraction was and no it wasn't. Just an injection and tooth taken out. It was a molar, does that make a difference in cost? alithedentalguy: Hi, \n\nI am currently in Turkey and in here, there is no any cost difference whether you extract your Molar or incisors however, if the tooth is infected there might be some extra cost to clean the area surgically and fill it up. Did they inform you regarding the infection or anything else? \n\nRegards, \n\nAli"
  },
  {
    "id": 162,
    "title": "In Need of Help Please",
    "dialogue": "allie_989: Hello,\n\nI was just looking for some advice. I have been experiencing sore, inflamed, bleeding gums for a little while now. I also have recession on some teeth. I use a salt water rinse twice a day, I use coconut oil for oil pulling for twenty minutes every morning, I use a Philips Sonic toothbrush twice a day, I use dental tape twice a day, a dental stick for those hard to reach areas at the back of my molars and an Aloe Vera and tea tree mouthwash. And despite all of this, I still have painful gums. I am at my wits ends. I am trying to do everything right but it feels like I am doing everything wrong. I also wear a mouth guard at night due to clenching. The gum at the edges of some of my teeth are red and sore looking, bleeding easily upon flossing. Sometimes, flavours (spicy, citrus, etc.) can also irritate my gums. I just don't know what to do. I use to take pride in my healthy gums and somehow, it feels like I'm messing everything up.\n\nKindest regards,\n\nAlice Dr M: Good day\n\nHave you seen a dentist recently? Has he referred you to a periodontist? allie_989: I saw a Hygienist last September and was given some tips, which I have followed. I have a dentist appointment booked for February 15th, I have contacted my practice to check for cancellations but there have not been any. alithedentalguy: Hi Alice,\n\nHope you are doing fine. \n\nIn such cases, the usual recommendation is to have deep cleaning at the first place. Following the deep cleaning regular cleaning that you can do at home should be enough. However, they should also find out the reason of the inflamation and the bleeding. \n\nPlease keep me updated regarding your situation.\n\nKind regards,\n\nAli"
  },
  {
    "id": 163,
    "title": "Should all legitimate practicing dentists be capable of examinig a patient and determining his cavities equally (ex. all agree tooth #9 is a cavity)?",
    "dialogue": "cavitynofill: I am asking because I had different dentists examine my mouth and disagree whether a tooth is a  it is a cavity or not. cavitynofill: It should be  ( whether a tooth is a cavity or not?) Dr M: Most of the time they should agree. But it depends on the clinical and radiological views. You have to have all the information."
  },
  {
    "id": 164,
    "title": "Post lateral tongue scars?",
    "dialogue": "foliate papillitis: I have these things for 5 days i guess maybe longer. Are they cancer ? They don't hurt. foliate papillitis: I smoke also. Dr M: Everything looks normal, but the photo is a bit unclear. foliate papillitis: Dr M said:\n\n\n\n\t\t\tEverything looks normal, but the photo is a bit unclear.\n\t\t\nClick to expand...\n\nHere is a more clear photo: I probably have them for a long time but realized them 6 days ago. Dr M: Nothing to worry about. Everything appears within normal anatomical limits. foliate papillitis: Dr M said:\n\n\n\n\t\t\tEndişelenecek birşey yok. Her şey normal anatomik sınırlar içinde görünüyor.\n\t\t\nClick to expand...\n\nThank you."
  },
  {
    "id": 165,
    "title": "Is this a concern",
    "dialogue": "aqz: Hi a week ago i had an ulcer in this area it was tiny but i felt a slight bump. There was some pain but now its gone. However i still feel a slight bump and it looked like this when i pull lip down. Just worried if its more sinister. I can still fèel its more rsised when rubbing tongue over it. Any input would be great as i am worried. Thanks. It feels like stone Dr M: Might be only the root prominence of the teeth in that area that you are feeling. Sometimes it appears or feels like a small hard or raised bump in the bone. The ulcer was most likely unrelated. aqz: Dr M said:\n\n\n\n\t\t\tMight be only the root prominence of the teeth in that area that you are feeling. Sometimes it appears or feels like a small hard or raised bump in the bone. The ulcer was most likely unrelated.\n\t\t\nClick to expand...\n\nOk thank you for reply. Appreciate it when i pull down bottom lip that area turns white and i can feel a bump which is fixed thats what is concerning me. It could be healing scar tissue im assuming. Dr M: Could be or could be a bony protuberance. I would not be too concerned at this stage."
  },
  {
    "id": 166,
    "title": "Hi doctors what is this white lines its effect my mouth and lips this lines sticky please help",
    "dialogue": "Manjeet Sangwan: Please reply and help me"
  },
  {
    "id": 167,
    "title": "White lines in mouth cheek and lips",
    "dialogue": "soqrates: dear doctors how are u \ni have noticed these white lines  my mouth cheek \nfirst i had an big ulcer in my lips which is getting so better now then i noticed all these white line in my  bottom lips and upper appears then i had these white lines in my cheek but they was not much like that now i notice  that all of my my mouth are white lines no pain nothing just the white lines \n\nis this dangerous ? honestdoc: You may have a mild case of oral Lichen Planus.  It's an auto-immune response.  Have you started any medications, herbals, supplements, toothpaste, oral rinse, been sick, and or had stress?  Usually it will go away once the source is resolved. soqrates: hello doctor i have had an ulcer and kept thinking that it was cancer andmy thinking  put me into too much anxiety and all these white lines come when i had the ulcer but the ulcer is getting better but  its not completely healed  it been 20 days for that ulcer in my lips not completely healed but it did put me in stress anxiety and so and to be  honest these while lines  appear  after the ulcer  showed up i do not take any medications, honestdoc: Hopefully, your autoimmune response will go away on its own.  If you are having discomfort or pain, have your dentist consider oral corticosteroid like Triamcinolone in Dental Paste. soqrates: im really sorry asking too many question doctor but i always have fear of caner and so \ncould this Lichen Planus. causes fever cuz since i get them i always have fever and  i feel my gums swollen  \nand is it normal for ulcer not completely heal it been 21 days for the ulcer not completely healed honestdoc: Your body doesn't develop cancer very easily unless you have the genes and risk factors.  An expert once mentioned that your body fights off cancer developing cells everyday.  If you have the genes and risk factors such as tobacco use, those daily cancer cells can potentially overwhelm the body.  This is a daily struggle.  It is best to eliminate those risk factors.\n\nIt is unusual for ulcer to not heal after 21 days.  It is best to visit your dentist to evaluate the reasons.  Lichen planus does not cause a fever but it may be correlated due to altered immune response.  Take care of what's ailing you and it should go away. soqrates: doctor today where i live all dentist are closed i went to general doctor who told me its from ur teeth and ent said the same \n\nbut they telling me the this is scar from the ulcer it not an ulcer and it can take up to 6 weeks to  heal can u plz take a look \n\nfirst picture when i had the ulcer  \nsecond picture its how it looks right now honestdoc: It looks like an aphthous ulceration (stomatitis).  It normally goes away in 7-10 days.  Do you have any immune compromised conditions such as diabetes, acquired immune deficiencies, congenital, etc.? Ask you doctor or dentist to prescribe you Triamcinolone (Kenalog) in Dental Paste and apply with a Q-tip to the sore about 3 times a day. soqrates: hello doctor sorry for the late replay not i dont have any disease \n\nthe white line is now much better then before but the ulcer not getting better yet this is how its looks now  i dont know if its getting better or not i didnt go dentist yet my appointment after 2moro and im really scared . honestdoc: The ulceration looks like it is getting better.  It usually goes away in 7 to 10 days. soqrates: hello doctor im really sorry i keep bothering u im just scared and i have no clue what to do\n\ni went to dentist today and he said that i have to go to a mouth disease doctor to make full check up on that ulcer if it didnt go in 14 days\n\ni have  very dry mouth crack lips  burning sensation in my lips and tongue\nthis is how the ulcer looks now \n\ndo u think its cancer doctor? or just this ulcer taking slow time to heal honestdoc: It looks like it is healing.  You must be under a lot of stress and your body's immune response is stressed as well.  Get Triamcinolone in dental paste from your doctor/dentist.\n\nIt is not cancer.  If you are a smoker or use tobacco, quit ASAP. soqrates: hello doctor how are u today im sorry again to bother u   today i want to 2 different dentist and the first one said if the ulcer dont go in 2 weeks i have to go back to him and he will send me to to a place where they make full check up on it to make sure its just an ulcer \n\nsecond doctor said this ulcer is healed but  it can some times take more time to heal depend on the cause of the ulcer  if its heat from stomach it heals within 2 weeks if its a bite or food cut  it can take more then month to heal \n\ni have got another ulcer in my mouth cheek which i showed him and showed him the white lines he said its new ulcer looks normal and the white lines could be fungles  i showed him the old picture and i told him that how was big it is and he said if this was cancer it would never become smaller or even healed a bit it would go worse then that and he told me to buy these medicine flagyl 250 its for the stomach + mycost is a gel for fungles   \n\nnow i am really confused sir what would u advice me to do  im having very dry lips and cheek  pain  little not  very painfull in my top lips and bottom lips where ulcer is but not very painful  and burning sensation on  my tongue  pain in my gum i eat normal no diarrhea sometime  fever that comes and go honestdoc: Where are you located? soqrates: im, from jordan middle east honestdoc: You may have to go to a larger city with more resources.  The medication I mentioned numerous times may not be available in smaller communities. soqrates: hello doctor how are u im sorry again for bothering u \ni have tried to find that medicine u told me about no luck i couldn't find it   i took antibiotic on my own and so but its still there \n\ni want ur opinion  please this ulcer u know it was big in painfull now 0 pain it does not hurt but it get stuck in my front teeth  like i feel my skin stuck in there i dont know if this stoping it from healing i dont know its healed or got better from before \nits been now 1month and 16 days im very well not unwell i eat fine not sick or losing wight  \n\ncan u plz advice me what to do  shall i make lab test or no need or just give it more time  here is the new pictures for it please let me know if its got better or worse \n\nreally i dont know how to thank you doctor for been helping me all this time <3 honestdoc: The lesion is your body's autoimmune response.  Antibiotic will not cure it because it is not bacteria related.  You shouldn't take antibiotics on your own because bacteria will get resistant to it when you need it the most.  You need to have a doctor's prescription.  Please, if you want my advice, then  follow it. Doctorwho11: Hi doctor I need to know how do I stop biting my cheek Manjeet Sangwan: Soqrates i also have white line any cure please help"
  },
  {
    "id": 168,
    "title": "Looking for your thoughts on this what seems bizarre crown replacement",
    "dialogue": "Danielle94: Hey I went to my dentist to get my two crowns redone ( front teeth) I was also getting the two teeth next to my front teeth in composite bonding\n\nSo when I went for my crown prep appointment my dentist asked me if I would let him try something he hasn’t don’t before but he has seen it done in the states. So instead of renewing my crowns he popped my existing crowns off and replaced both in composite bonding the price was the same as it took so long.He said that if they fail or crack he will replace at his cost with crowns.\n\nAesthetically I’m amazed my teeth look perfect much better than I imagine crowns could ever look on my front teeth.\n\nI’m super worried about them failing especially when he hasn’t given me a time frame for replacing them if they do fail. So much that I had myself in tears over it I’m scared to eat anything that isn’t soft. He has assured me that it is safe to do so but I just can’t help but worry.\n\nI have always fully trusted my dentist I’ve been with him for 10 years and I moved 2.5 hours away and travel to him after trying a few others that I didn’t feel were upto standard.\n\nAm I being silly and worrying over nothing?\n\nLooking for other peoples opinions on this and if anyone has had the same done and it’s been fine?\n\nAlso k should mention it’s a private clinic not nhs"
  },
  {
    "id": 169,
    "title": "Toothpaste Tablets",
    "dialogue": "elisa11: What toothpaste tablet brands have you tried, and which one do you find most effective?"
  },
  {
    "id": 170,
    "title": "Trauma From Occlusion with Widened Periodontal Ligament [X-ray included]",
    "dialogue": "Brause: Permanent excruciating pain for over 10 days in #21 following the extraction of #46 [longitudinal crack in mesial root] four weeks ago. Periodontal Ligament stretched. Bite was adjusted and mandibular nightguard ordered.\n\nHope that's it...and that the pain will subside soon."
  },
  {
    "id": 171,
    "title": "Distinguishing Sprained Tooth from Root-Crack-Related Irreversible Pulpitis",
    "dialogue": "Brause: Maxillary incisor #11 creates a \"sensation\" (not urgent but steady). Gums are nice and pink, there is no cavity. Tooth is sensitive to lateral palpation.\n\nGENERAL QUESTION: how common are root fractures in upper incisors?\n\nI think it is a sprained tooth (possibly from bruxism) or it is phantom referred pain from a recent molar \"event\" (see below), but how can this unambiguously diagnosed. I am afraid it is yet another cracked root...which would mean the tooth has to be extracted.\n\nRecent (2023) history:\n\nEarly June: Molar #46 cracked noticeably, and superficially\nEarly July: X-rays yielded no anamolies\nLate July: Bonded\nMid Aug: Bonding broke and permanent toothache set in\nLate Aug: Bonding restored, pain getting worse\nEarly Sept: Referred to endodontist  who performed X-ray and CBCT scan: X-ray clean, CBCT scan indicates rarefying osteitis...and possibly fractures.\nEarly Oct: 4 root canals (phase 1), pain increases two days later substantially (headache added)\nEarly/mid Dec (11 weeks later): another X-ray confirmed ongoing lesion at root apex. I decided not to have #46 obdurated.\nMid Dec: Molar #46 extracted by oral surgeon, who confirmed crack in root. Biting on that black rubber puck for 1-2 hours may have affected the ligaments...It has not been three weeks...\n\nBottom line: RCT was unnecessary as CBCT scan did not have the resolution to image the \"lethal\" root fractures. Root fractures obviously constitute a problem with diagnosis.\n\nThe potential problem with unambiguous diagnosis of the incisor: imaging may not reveal root fracture AND rarefying osteitis. How do I avoid another unnecessary RCT?\n\nIf it is a sprained tooth, there would obviously be no rarefying osteitis.\n\nI may try a nightguard first."
  },
  {
    "id": 172,
    "title": "Super anxious and concerned about my gums",
    "dialogue": "Skelly: Any insight? It’s pretty uncomfortable and I’m trying not to spiral. Dr M: Everything related to your gums looks like it is within normal anatomical limits. Nothing to worry about"
  },
  {
    "id": 173,
    "title": "Bridge question?",
    "dialogue": "foxleybob: hello, new to the forum as I had a bridge fitted for a tooth I lost some years ago playing football.\nAnyway, I bit on a corn cob not thinking stupidly and it broke off leaving me two small stumps (abutment?) on either side of the missing tooth.\nObviously, there is now a hideous gape in the front which has made me vain, lol.\nIt's not painful although it was a while ago (decay I think my dentist said, when I went previously.\nmy face swelled up badly and left me with a black eye \n\nI'd like to know if it is possible to re-fit the bridge (which I have still) or what to do now.\nAs it's Saturday I know I have to wait until Monday to call the dentist,,.\nSo is losing a bridge classed as an emergency?\n\nRegards\nBob honestdoc: I believe your lost bridge is very urgent and should get attention as soon as possible.  In the US, people show up for dental emergencies with many different concerns.  If a walk-in clinic is very busy and they deem your condition is not so urgent, they may have you wait for openings. DentistDan: Hello bob, \nSo sorry to hear about your crown breaking off! The two abutments (stubs that are there) would need to be evaluated clinically (by the eye for decay) and if needed X-rays to see the decay and I do not have that here but if decay is present then unfortunately the bridge may not be used because the tooth has to be prepared more which changes the crown dimensions foxleybob: DentistDan said:\n\n\n\n\t\t\tHello bob,\nSo sorry to hear about your crown breaking off! The two abutments (stubs that are there) would need to be evaluated clinically (by the eye for decay) and if needed X-rays to see the decay and I do not have that here but if decay is present then unfortunately the bridge may not be used because the tooth has to be prepared more which changes the crown dimensions\n\t\t\nClick to expand...\n\nThank you Mr dentist Dan.\nI think I have come to terms with the abutments being removed and implants fitted, either two implants with a bridge or three implants (no bridge) It's a marvellous thing to have the internet isn't it  I have found so much about dentistry I could become one ha  ha.\nBut one can't beat a forum for personal advice.\nThis is a photo of my gap etc \nBob foxleybob: honestdoc said:\n\n\n\n\t\t\tI believe your lost bridge is very urgent and should get attention as soon as possible.  In the US, people show up for dental emergencies with many different concerns.  If a walk-in clinic is very busy and they deem your condition is not so urgent, they may have you wait for openings.\n\t\t\nClick to expand...\n\nYes, I have been to my local dentist here in the UK, but felt he couldn't be bothered with it/me, so looking around again foxleybob: late reply sorry.............\nI went to Budapest on the recommendation of a friend, who said his work was much cheaper than in the UK.\nHad the consultation with a free OPT scan, and when the guy who represented the dentist got me into discussing the plans, I was somewhat disappointed at the results they were quite expensive and felt like he (they) was trying to sell me something I didn't need. (not just my missing teeth)\nI think I'm left with going to Turkey but a tad nervous about that from some of the reports etc on people not being happy with Turkish dentists, but they do appear to be cheaper (Value for money I don/t know?).\ncan anyone recommend, or comment on any Turkish dentist, please? foxleybob: OK, Ive decided not to go abroad because of the inconvenience of travel.\nPlus the worry of Turkish problems etc, after seeing the BBC doc about it all. stiuegroup: foxleybob said:\n\n\n\n\t\t\tlate reply sorry.............\nI went to Budapest on the recommendation of a friend, who said his work was much cheaper than in the UK.\nHad the consultation with a free OPT scan, and when the guy who represented the dentist got me into discussing the plans, I was somewhat disappointed at the results they were quite expensive and felt like he (they) was trying to sell me something I didn't need. (not just my missing teeth)\nI think I'm left with going to Turkey but a tad nervous about that from some of the reports etc on people not being happy with Turkish dentists, but they do appear to be cheaper (Value for money I don/t know?).\ncan anyone recommend, or comment on any Turkish dentist, please?\n\t\t\nClick to expand...\n\nHi Bob, I guess I replied a little late, but there is a good dental clinic that I know of. The prices are affordable and the service provided is at a high level. I went to Turkey 2 years ago to get my teeth fixed. If you want, I can leave the link for you. You can get information by contacting them."
  },
  {
    "id": 174,
    "title": "Best dental clinics in Turkey?",
    "dialogue": "joannab72: Hi, I am looking to have a tooth implant done but don't want to pay UK prices. Can anyone recommend a dental clinic from experience in Turkey or anywhere that would be cheaper than the UK. \n\nThanks stiuegroup: Hello, it might be a bit late, but I can recommend a clinic I visited in Turkey two years ago. The prices were very reasonable, and the service provided was top-notch. If you'd like, you can fill out a form on their website. They'll give you a call and provide further information. The website is : https://dentx.international/contact-us/"
  },
  {
    "id": 175,
    "title": "The transparency on the crowns",
    "dialogue": "Umitbat: Hi\nI Wish everyone a good year. \nAfter height adjustment crowns became as in photo. \nAny comments??? Umitbat: "
  },
  {
    "id": 176,
    "title": "Is this tooth savable?",
    "dialogue": "jenniferw: Hello, Can a dentist please look at my xray and let me know if this tooth is savable?  I have bleeding and pus that surrounds this tooth. Doctor_Alexa: jenniferw said:\n\n\n\n\t\t\tHello, Can a dentist please look at my xray and let me know if this tooth is savable?  I have bleeding and pus that surrounds this tooth.\n\t\t\nClick to expand...\n\nCan you tell me the location of the tooth ? It seems like its 11 tooth ? right ? Do tell me so I can guide you better ! Dr M: I would suggest a 3D CBCT scan of the tooth. Bone loss in between the roots of the tooth, might be an indication of a fracture, especially with those metal screw posts that were placed. If there is a fracture, the tooth will need to be taken out. Even if there is not a fracture, re-treatment of this tooth might prove difficult."
  },
  {
    "id": 177,
    "title": "Why Do Some Patients Still Have an Abscess after a Root Canal?",
    "dialogue": "FranklinDental: What are the Symptoms of Jaw Infection After Root Canal?\n\t\t\t\t\t\n\nUncover the symptoms of jaw infection after root canal to educate yourself to ensure proactive management of dental health and proper diagnosis and treatment.\n\n\n\n\n\t\t\t\t\tfranklindental-supply.com"
  },
  {
    "id": 178,
    "title": "Tooth Pain - Nothing Obvious on X-RAY",
    "dialogue": "MattJ: Hi all, I’ve been having on-going tooth pain in my upper left teeth, between UL4 and UL7 (6 is missing). \n\nThe pain is sharp and sudden, and happens randomly throughout the day. \nI’ve been to the dentist countless times and they can’t find anything obvious, so have referred me to the orthodontist for a full X-ray. \n\nThe last dentist I saw said the gum above UL4 looks a darker shade and I may need a root canal if it continues.\n\nHowever, the pain I’m feeling the majority of the time is coming from UL7.\n\nI have a phobia of the dentist in general so this is doing nothing for my anxiety, please help MattJ:  Dr M: Due to the fact that you have a missing molar, your remaining 2nd molar has tilted to try and close the gap. This might have influenced your occlusion or the way you \"bite\" on your teeth. Unnecessary pressure could lead to this type of pain. I would suggest also maybe checking the occlusion on this molar and filing down any high spots. dental_care: The full X-ray your orthodontist has ordered is likely to be very helpful in identifying the source of your pain. Different teeth can sometimes refer pain to other areas, so UL7 might not be the culprit even if you feel the pain there most. Having a clear picture of all the teeth in the upper left quadrant will be crucial for accurate diagnosis."
  },
  {
    "id": 179,
    "title": "I'm a little worried, what is this little like hole? There's no pain tho",
    "dialogue": "ruin:  Dr M: This looks like some sort of ulcer? Did you perhaps injure yourself? How long has this lesion been present? Do you smoke? dental_care: The small hole you're pointing to could be several things, including:\n\nA cold sore: These are small, fluid-filled blisters that can develop on the lips or around the mouth. They are caused by the herpes simplex virus (HSV-1).\nA mucocele: These are small, painless, fluid-filled bumps that can develop on the lips or inside the mouth. They are caused by a buildup of mucus under the skin.\nA Fordyce spot: These are small, white, painless bumps that can develop on the lips, cheeks, or gums. They are caused by sebaceous glands, which are the same glands that produce oil on the skin.\nVisit a dentist and get it checked ASAP."
  },
  {
    "id": 180,
    "title": "Impacted wisdom teeth. Need advice",
    "dialogue": "Mukros: Hello! I'm 30 y.o. and I have 4 fully impacted wisdom teeth (attached pic). I've had different opinions throughout the years from several dentists on what to do with them.\n\n1) Remove all of them\n2) Remove only the bottom once, because the top teeth don't really push on others and can't be reached with the dental instrument, so it's likely okay to leave them as it is.\n3) Leave them be\n\nI wanted to mention that my brother, who is now 38, never had his removed and he is doing fine.  I had a problem once with enlarged and painful gum on one of them, but I got some antibacterial spray, stopped using my tongue to push food in there, and it never came back.\nI really don't want to extract them. Dental work is almost always painful for me even with numbing injections. I'm very worried about damaging nerves and other complications. I've also heard that it can change your face shape.\nI had experiences in my life where I've done myself a disfavour by excessive health care, and I don't want to repeat these mistakes. MattKW: I would advise that at least the lower wisdoms be removed. You've already had gum infection once, and that means (and shows on Xray) that there is a likely communication with bacteria from your mouth. Sure, you're going OK now and prob in fairly good health.\nBut in 40 years time when you're in on multiple medications because of multiple medical issues, you'll be at much higher risk of developing wisdom teeth problems, you'll be medically harder to manage for the oral surgeon, and you won't heal so well, so that's not something you'll want. And what guarantees are there that you'll be able to maintain your teeth as well as you do now? You might have arthritis, dementia, ... possibly in a nursing home.\nMy father had a major stroke at age 63 and in the next 6 months before he died, I don't think nursing staff ever brushed his teeth AT ALL. He developed pneumonia and that took him out; I still wonder if part of that was related to the non-existent dental care he received.\nGo to an oral surgeon now for opinion and good talk about risks at this stage in your life as opposed to later in life. If you were 20 years younger I'd do you in my general practice, but now you're almost 40 and the adjacent lower molars have had some nice RCTs.\n... and your face shape doesn't change after taking out wisdoms. We all get older and saggy! alakuni: Managing influenced insight teeth can be genuinely overpowering, however you're in good company, and there are answers for consider.\n\nMost importantly, talk with a mindful dental specialist or oral specialist who can evaluate what is happening. They will give counsel on whether insight teeth evacuation is fundamental. This system can forestall future torment, contaminations, and dental complexities.\n\nIt's normal to have worries about the interaction, including the medical procedure itself and recuperation. Your dental group will direct you through each step, from the underlying assessment to post-usable consideration. They'll guarantee you're basically as agreeable as conceivable during the strategy and recuperation.\n\nKeep in mind, tending to affected astuteness teeth is an interest in your drawn out dental wellbeing and generally prosperity. Make sure to proficient exhortation and backing; they're there to assist you with exploring this dental excursion with care and compassion. Najmidental99: Mukros said:\n\n\n\n\t\t\tHello! I'm 30 y.o. and I have 4 fully impacted wisdom teeth (attached pic). I've had different opinions throughout the years from several dentists on what to do with them.\n\n1) Remove all of them\n2) Remove only the bottom once, because the top teeth don't really push on others and can't be reached with the dental instrument, so it's likely okay to leave them as it is.\n3) Leave them be\n\nI wanted to mention that my brother, who is now 38, never had his removed and he is doing fine.  I had a problem once with enlarged and painful gum on one of them, but I got some antibacterial spray, stopped using my tongue to push food in there, and it never came back.\nI really don't want to extract them. Dental work is almost always painful for me even with numbing injections. I'm very worried about damaging nerves and other complications. I've also heard that it can change your face shape.\nI had experiences in my life where I've done myself a disfavor by excessive health care, and I don't want to repeat these mistakes.\n\t\t\nClick to expand... Najmidental99: Najmi Dental impacted wisdom teeth, I understand the discomfort and concerns this issue can bring. It's essential to consult with a qualified dentist to address this problem effectively. In some cases, impacted wisdom teeth might affect surrounding teeth or cause pain, necessitating extraction.\n\nIf anyone in the Fairfield area is seeking professional advice or assistance, I highly recommend considering a consultation with a reputable cosmetic dentist in Fairfield. They can provide tailored solutions and guidance to manage impacted wisdom teeth while considering aesthetic concerns. dental_care: 1. Remove all of them: This would eliminate the risk of future problems, such as pain, infection, damage to other teeth, and cysts.\n\nDrawbacks: This is the most invasive option and carries the highest risk of complications, such as nerve damage, bleeding, and dry sockets. It can also be the most expensive option.\n\n2. Remove only the bottom two: This would address the immediate concern of the lower wisdom teeth potentially causing problems.\n\nDrawbacks: The upper wisdom teeth could still cause problems in the future, requiring additional surgery later. This option may not be feasible if the upper wisdom teeth are difficult to access.\n\n3. Leave them be: This avoids the risks and costs of surgery.\n\nDrawbacks: There is a risk of developing problems in the future, such as pain, infection, damage to other teeth, and cysts. These problems can be more difficult and expensive to treat than preventive removal."
  },
  {
    "id": 181,
    "title": "Toddlers teeth wearing and chipping",
    "dialogue": "lucymagee_1984: This is my sons teeth. Two months ago I noticed the bottom corner of the front two teeth start to appear translucent then one chipped. I went to the dentist who said there’s nothing can be done and they’re baby teeth anyway. After a week the other tooth started to go translucent and also the teeth either side of the front two. And are wearing. I went back to the dentist who again said nothing can be done and didn’t tell me what’s causing it. Now the other front tooth has chipped and I’m worried all his teeth will chip. Can anyone tell me what’s causing this? Or what I can do? Could be any type of deficiency? Dr M: How old is your son? These chips could be developmental, due to grinding or even due to cavities. If there are cavities, these teeth can be fixed with fillings. If your child is grinding, unfortunately the teeth can be fixed with fillings, but there is a high chance of fracturing again, because baby teeth shift and move constantly as your child grows, leading to periods of grinding and not grinding respectively.\nThe dentist does not sound like he is informing you properly. Maybe consider a second opinion? dental_care: Possible causes can be:\n\n\nEnamel hypoplasia: This is a condition where the enamel, the hard outer layer of the teeth, is underdeveloped or missing in spots. It can cause teeth to appear white, chalky, or translucent and be more prone to chipping and wearing.\nNutritional deficiencies: Deficiencies in calcium, vitamin D, and phosphorus can affect tooth development and make them weaker.\nAcid erosion: Frequent exposure to acidic drinks or foods like citrus fruits or soda can erode the enamel."
  },
  {
    "id": 182,
    "title": "Help! This is sore and uncomfortable!",
    "dialogue": "Valeriemillslorenzo: There's a gash / hole that's formed behind my upper right wisdom tooth it's very painful and seems to.be getting bigger it's hard to eat and I can barely open my mouth correctly I havent found any thing like a name for it and  I tend to think the worst possible thing in situations like this ...can anyone give me some insight and what this could be it's so painful Dr M: This could be related to the wisdom teeth in that area. If the wisdom tooth is tilted or not completely erupted, it leads to pericoronitis. I would suggest seeing a dentist to evaluate possible removal of the wisdom tooth."
  },
  {
    "id": 183,
    "title": "Hyper aware of one tooth?",
    "dialogue": "dchris14: I really don't know how else to describe it. Since the end of January or so I've been weirdly aware of my bottom left canine at random times of the day. Of all my teeth it's the one I notice the most for no reason at all and here and there if I were to put my hand on my chin or press on my face I can feel the \"pressure\" to an extent.\n\nBack when it first happened I was insanely paranoid of that tooth and wondering if it was at risk of falling out or something. It's never felt loose or moved out of place though and literally a week after I noticed it I went into the dentist, had a deep scaling (so a lot of scraping and pressure to that tooth which led to nothing happening to it) and they didn't mention any risks at all during a dental examination. Went to an orthodontist for a braces consultation last month and they weren't giving me much concern either about any of my teeth so that's literally 2/2 with professionals not being alarmed.\n\nMy anxiety is still really focused on this tooth however and I have no idea to describe what my concern is. I start my braces treatment this week and I just can't help but to have these irrational fears my tooth is gonna fall out from the pressure of braces or something lmao. It'd really put me at ease if I could at least figure out what this is. I heard it's possible to have tooth sensitivity after bruxism/clenching which I used to have, though it literally only happened to my back molars and I can't see how I'd be feeling it more with my canine. I had the scaling so maybe some type of root exposure or just overall thing with the gums I have to deal with? kaelaburns: How is everything going with this now for you? I’m experiencing the exact same things but with a lot more teeth & and am currently terrified.."
  },
  {
    "id": 184,
    "title": "HELLO DENTAL FRIENDS--ORAL PATHOLOGY HELP",
    "dialogue": "RozaS: Hi can you help me answer the pathology questions listed in the photo.\nIs it Leukoplakia or Squamous cell or...\nThank you!!"
  },
  {
    "id": 185,
    "title": "Gum boil but doesn't feel like abcess. Xray/pics inside the thread",
    "dialogue": "Mark5: Around 4 years ago I had a root canal and crown done on this tooth. 7 days ago I noticed I had some dull pain on this tooth after chewing there for a prolonged amount of time, noticed the gum boil and went to the dentist on the same day. He said that there nothing to see on the xray and recommended I take antibiotics for 5-7 days. Since than the pain when chewing has went away but the gum boil maybe decreased 20-30% if that. The thing is I had tooth abcess before and I am familiar with sensitivity to temperature/throbbing pain/feeling tooth is \"full\" and there is none of that here but the yellowish thing on the tip still makes me think this is bacterial? Your thoughts much appreciated \n\nThe tooth in question is on the right side on xray photo\nhttps://i.postimg.cc/RZkQcx7C/RDT-20231207-2044434713850933756572044.png\n\nhttps://postimg.cc/hXjRMQm6"
  },
  {
    "id": 186,
    "title": "How to treat a patient in pediatric dentistry?",
    "dialogue": "Liliana:  Dr M: Patient can be treated in chair as normal if co-operative, under sedation if not co-operative, or in theater under general anaesthesia.\nWhat exactly do you need to know? John Morgens: When treating a patient in pediatric dentistry, here are some tips and considerations:\n\n1. Create a kid-friendly space: Design the dental office to be welcoming and comfortable for children, with colorful decor, toys, and child-sized furniture.\n\n2. Use language children can understand: Use age-appropriate language and explanations to communicate with young patients, avoiding complex dental terminology.\n\n3. Use visual aids: Utilize visual aids such as pictures, diagrams, or videos to help children understand dental procedures and oral hygiene instructions.\n\n4. Provide preventive care: Regular cleanings and preventive care, such as fluoride treatments and sealants, are essential for maintaining children's oral health.\n\n5. Practice effective behavior guidance: Use behavior guidance techniques recommended by the American Academy of Pediatric Dentistry (AAPD) to create a positive and comfortable experience for the child.\n\n6. Be patient and understanding: Understand that children may feel anxious or fearful during dental visits. Take the time to listen to their concerns and address them with empathy.\n\nRemember, treating pediatric dental patients requires a gentle and patient approach. By creating a child-friendly environment, using appropriate language and visual aids, providing preventive care, and practicing effective behavior guidance, you can ensure a positive and successful dental experience for young patients. MattKW: See attached. This is what I used to do. hardyoakfamilydentistry: Treating a patient in pediatric dentistry involves specialized care to address the unique needs and concerns of children. Here is a general guide on how to approach pediatric dental treatment:\n\n\nEstablish Trust:\nBegin by creating a friendly and welcoming environment to help the child feel at ease. Build trust by introducing yourself, explaining procedures in a child-friendly manner, and addressing any fears or concerns.\n\nAge-Appropriate Communication:\nUse language and communication styles suitable for the child's age. Explain procedures in simple terms, avoiding dental jargon. Encourage questions and provide reassurance throughout the appointment.\n\nShow and Tell:\nUse visual aids such as models, pictures, or child-friendly dental tools to demonstrate procedures. This helps children understand what to expect and reduces anxiety.\n\nPreventive Care Education:\nEducate both the child and their parents about the importance of preventive dental care, including proper brushing, flossing, and a healthy diet. Emphasize the role of regular dental check-ups.\n\nTreatment Planning:\nDevelop a treatment plan tailored to the child's dental needs. Discuss the plan with the parents, explaining the urgency of certain treatments and addressing any concerns they may have.\n\nDental Sealants and Fluoride Applications:\nConsider preventive measures like dental sealants and fluoride applications to protect the child's teeth from decay. Explain the benefits of these treatments to parents.\n\nFollow-Up and Monitoring:\nSchedule regular follow-up appointments to monitor the child's oral health and track any ongoing treatments. Provide guidance on at-home care and address any new concerns that may arise.\n\nAlways approach pediatric dentistry with patience, empathy, and a child-centered focus to create a positive and comfortable experience for both the child and their parents."
  },
  {
    "id": 187,
    "title": "Is this a toxic environment for a dentist?",
    "dialogue": "default-: Is this a toxic environment for a dentist?\n\nI am posting on behalf of my significant other who is a dentist, who is struggling with daily interactions / environment of the clinic that my SO is currently working at.\n\nMy SO is a new general dentist who started at this office 2-months ago. Here are some things I’ve heard:\n\n-Another dentist “asked” my SO to do an exam for her / do other procedures to “improve your skills” when this other dentist was just a peer and not a mentor.\n\n-The assistants at the clinic are unable to take X-rays properly (among other tasks they cannot do, which I can’t remember) and were asking if my SO could do those procedures instead.\n\n-There is a general shortage of assistants, and sometimes the assistants arrive later/leave earlier than the dentists which leaves my SO and other dentists without an assistant when there are still patients\n\n-The assistants think it is normal for my SO to “assist” other doctors if there aren’t enough assistants.\n\n-The office manager was fired recently for committing fraud, and the regional manager is covering down in the meantime but has been struggling to find a replacement / getting additional assistants.\n\n-My SO is young (in the mid-late 20s) and basically everyone else in the clinic are somewhere from 40-70yo.\n\n-One of the assistants openly asked if they can call my SO by the first name instead of “doctor” since she is “too old for this shit” and has kids the age of my SO.\n\n-Other assistants opt to refer to my SO and another young dentist as “Doctor boy/girl(s)”.\n\nThere is a lot more to say beyond these points, but my SO feels like there is a general atmosphere of disrespect from the assistants / other doctor as well as lack of empathy from the corporate.\nI think my SO really thinks that they view my SO as young and don’t give the proper respect / decency respected in interactions between assisants or peer doctor to another doctor\n\nWe want my SO to quit, but we want to know if these situations are something we should anticipate in clinics in general. Thank you for the help."
  },
  {
    "id": 188,
    "title": "Does this retromolar trigone area look ok?",
    "dialogue": "Cdulin: "
  },
  {
    "id": 189,
    "title": "Causes of Gum Infections Unveiled",
    "dialogue": "FranklinDental: Visualize those pesky bacteria throwing a raucous party on your teeth, resulting in a sticky film called plaque. If you're not diligent with your brushing and flossing, plaque can harden into tartar, the troublemaker responsible for irritating your gums and sparking inflammation.\n\nRisk Factors: Who's Vulnerable to Gum Infections?\nSmoking weakens your immune system, while hormonal shifts during pregnancy, puberty, and menopause make your gums vulnerable. Diabetes? Yeah, that's a red flag for gum infections too. And certain meds? They might tip the scales towards infection too. Genetics? Oh yes, some folks are just more prone to these infections, despite their best oral hygiene efforts.\n\nSigns and Symptoms: Decoding the Language of Your Gums\nNow, let's spot the symptoms of a gum infection, your body's way of raising the alarm. Red, swollen, and tender gums? Check. Bleeding gums? Nope, that's not normal. Bad breath that just won't quit? You might want to investigate further. Gums making a sneaky escape from your teeth? Yeah, that's not great.\n\nAnd brace yourself, loose teeth might make an appearance if the infection gets out of hand. What's tricky is that these infections can be silent at first, so those regular dental check-ups are your secret weapon."
  },
  {
    "id": 190,
    "title": "Lumps in inner mouth",
    "dialogue": "deedruh: I’ve always had theses lumps inside my lower lip and upper lip. They’re kind of like firm tapioca balls under the mucosa that I can grab and pull with my teeth. What are they??\n\nI have a collagen disorder, (ehlers danlos) which causes me to have piezogenic papules on my feet and wrists. Is this the same thing?\n\nThe last image is a bit blurry but it’s because it’s a gif, to show how they move under the skin. Inklaw: I have something similar did you find out what it was"
  },
  {
    "id": 191,
    "title": "What is this in my mouth:/",
    "dialogue": "Inklaw: I have a strange blob thing I have found in my mouth I’ve never really looked in my mouth before I discovered it 2 weeks ago any advice or info would be great"
  },
  {
    "id": 192,
    "title": "Still feeling pain after root canal treatment",
    "dialogue": "Dentist90: Last year in December I had issues with my molar. A part of the molar broke off, it was cracked below the gumline and it was also infected. My dentist told me that I could do a root canal treatment or go for extraction. I decided to choose the root canal treatment in January to see if it could be saved. My dentist also did a filling fix for the part of the teeth that broke off. \n\nThe molar looks good from the outside but it’s a bit loose compared to my other tooth. The loose part is not an issue for me but the fact it’s 10 months later and I sometimes still feel pain. It’s not severe but I still feel pain like sharp stabs inside, sometimes a tiny bit of pounding and as if it’s inflamed (not that it’s really inflamed but it’s similar to when you cut your finger and it’s healing and when you put water on it it’s still a bit sensitive). \n\nI went to the dentist in September because the pain was more severe than usual and it seemed liked it caused a mild panic attack which freaked me out which is why I made an appointment. I had two mild panic attacks (or at least symptoms you get after having a panic attack) after that but I’m not sure if they were related to the pain or if I was going to negative thoughts and stress or it was a mix of everything. I have a feeling that it was because of the pain but I can’t be sure. After I visited the dentist the pain disappeared for like a few weeks but now I’m dealing with pain again. When I went to my dentist in September and my dental hygienist in October they both said that I should wait first to see how it will go and that it’s normal to feel the pain because I had a root canal treatment. \n\nSometimes I feel down and as if my body isn’t responding well to the pain like it’s tired of it. I don’t know what to do and it’s making me feel sad. Can a molar that is broken off below a gumline be saved? Dr M: Do you have a post treatment x-ray of the tooth, so that we can make informed comments? Dentist90: Hi, I went to dentist Chris yesterday who performed the root canal treatment with dentist Emma (my “original” dentist) in January. Emma needed help so Chris helped her and he is also the practice owner. Chris didn’t make a new photo but looked at the old one that was made in September by dentist Andrew because at that time dentist Emma was on maternity leave. I wanted to make an appointment as soon as possible and Chris was available and did part of the root canal treatment which is why I went to him. Chris gave me antibiotics and said that I should wait first to see how it will go. I should take the antibiotics for 7 days. If I still have pain after 6 months - 1 year from now, he might take other steps. I still feel weird physically… I’m not sure if it’s because of the teeth or because I’m just sick in general or a mix of both so I took a few days off from work to rest. \n\n(The names I used aren’t real names but fake ones so it’s less confusing to explain my situation)."
  },
  {
    "id": 193,
    "title": "Almost certain TMD",
    "dialogue": "Tomp94: What can be done?\n\nThere is no pain\n\nWhen I open my mouth wide (I am able to open and close normally) i can hear a fizzing/bubbling sound when the mouth is kept open. Upon opening I can hear a squelch (crepitus?)\nMy jaw seems to follow a normal track when opening and closing\nIf I open my mouth I and push the joint with my finger I can hear a soft grinding sound\nAll the above is applicable to both sides of the jaw.\nSometimes there is clicking on both sides when closing my mouth (no pain whatsoever)\n\nI drool if my mouth is opened.... especially when brushing teeth. \nThere has been two previous occasions where one side of my cheek has swollen and it is difficult to chew without pain... almost like the muscles have been overused.\n\nI do find myself clenching my jaw a lot...that is my body's way of dealing with life stressors.\n\n\nI am not registered with a UK dentist and cannot afford private dental care. There is a new dentist opening almost next door to me in six months...where I will register and see a dentist!\n\nThank you! Dr M: It does sound like possible TMJ issues. The best option would be to see a dentist as soon as possible. Otherwise try an over the counter occlusal guard that you can buy at a pharmacy, in order to try and help with the grinding"
  },
  {
    "id": 194,
    "title": "I have a huge tonsil stone, what do I do?",
    "dialogue": "tonsilstones: Nothing I have done is working to get this tonsil stone out. I have tried the q-tip, the irrigator, the finger, the back of my tooth brush, the coughing, the gargling with salt water but nothing is working. I don't want to go to a dentist as they cost a lot of money. HEEEEELLLLLLPPPPP. Dr M: Tonsil stones is not always treated by your dentist. A lot of times it requires medical intervention or even an ENT specialist. I would maybe start considering going to your medical doctor"
  },
  {
    "id": 195,
    "title": "Hypodontia / teeth in the wrong place /crooked Where to begin please",
    "dialogue": "Megumixx69: hello everyone i'm 29, I've become very self conscious and frustrated about the fact that i never smiled because of shame for my teeth; have been to the desist just 4 times (to remove teeth), my parents never took care of that when i was a child .\nI have hypodontia which made my teeth move to some places, i do lack lateral incisors an other teeth, most are  crooked teeth and eroded ones.\nI want to take care of myself and start with my teeth, \n\nI'd like to know please, to fix and get a normal smiles is there only one solution or different ones  with cost/time aspect in consideration.\nAlso, for the teeth located in the wrong places, do i need braces or is it possible to remove them and replace them with artificial ones, would that save time? , and which procedures should i undergo please?\nheres a picture of  the xray of the teeth\n\ni apologize for my english, thank you for your time\nKind regards Dr M: The first place to start, I think, is to go for a consultation with your normal dentist. The teeth can be cleaned and then checked to make sure there are not any large cavities that need filling. \nThe next step, in my opinion, would then be to go and see an orthodontist. I would not remove healthy teeth without any serious reason to remove them. With braces, your teeth can be aligned and even if you have missing laterals, your canines or premolars can be shaped, to camouflage the fact that you have missing teeth.\nThe orthodontist might recommend removing your lower wisdom teeth as well.\nIt appears you also have an over-retained baby tooth on the lower left. A lot of times this tooth can still be utilized for a long time, and only when it becomes problematic, removed and replaced with a bridge or implant.\nBraces or orthodontics would be the best way forward in my opinion, but it is still best to go for the consultation first. Megumixx69: Dr M said:\n\n\n\n\t\t\tThe first place to start, I think, is to go for a consultation with your normal dentist. The teeth can be cleaned and then checked to make sure there are not any large cavities that need filling.\nThe next step, in my opinion, would then be to go and see an orthodontist. I would not remove healthy teeth without any serious reason to remove them. With braces, your teeth can be aligned and even if you have missing laterals, your canines or premolars can be shaped, to camouflage the fact that you have missing teeth.\nThe orthodontist might recommend removing your lower wisdom teeth as well.\nIt appears you also have an over-retained baby tooth on the lower left. A lot of times this tooth can still be utilized for a long time, and only when it becomes problematic, removed and replaced with a bridge or implant.\nBraces or orthodontics would be the best way forward in my opinion, but it is still best to go for the consultation first.\n\t\t\nClick to expand...\n\nthank you so much i'll do what you recomend, dentist then orthodontist. I've noticed that my cheeckbones / jawbones are  very asymetrical,did my teeth have a role in that , will that be fixed once my teeth are corrected? \nThanks again Dr M: Teeth play a role in cheek support. You will have to wait and see what the end result of the orthodontic treatment is before making any other decisions. Might be necessary for some other procedures such as fillers, if you are looking to improve aesthetics."
  },
  {
    "id": 196,
    "title": "Temporary Dental Implant/Bridge",
    "dialogue": "sendicott: Hi! I just had to get both of my front teeth extracted because my crowns that my old dentist gave me were too high and they were hurting me! My new dentist saw I was in pain and agreed that they needed to come out! My question is I’m 4 days post surgery and my dentist and the assistants all said that having pain after surgery is normal, but what about if it’s a throbbing sensation that comes and goes but it’s not excruciating? Is that normal? derekgatta: A throbbing sensation post-surgery is pretty normal as your gums heal. It's likely part of the recovery process. However, if the pain becomes severe or persistent, it's best to check with your dentist. Follow their post-op care instructions, take prescribed meds, and keep an eye on any changes. Everyone's healing journey is different, so don't hesitate to reach out to your dentist for personalized advice. Wishing you a speedy recovery! dental_care: Yeah, the throbbing sensation is normal. Ensure that you're following the post-operative care instructions provided by your dentist. This may include recommendations for pain management, oral hygiene, and dietary restrictions. Applying a cold compress within short interval of time can be effective."
  },
  {
    "id": 197,
    "title": "What can I do about tooth sensitivity?",
    "dialogue": "EmpireDentalSpecialty: Use a toothpaste for sensitive teeth, avoid acidic foods, and see your dentist to rule out any underlying issues. Any more tips? dental_care: Stay hydrated, use a fluoride gel or rinse.\nBesides avoiding acidic foods, be mindful of high-sugar and high-carbohydrate foods, as they can contribute to decay and sensitivity."
  },
  {
    "id": 198,
    "title": "Tooth extraction problems",
    "dialogue": "fuddly68: Hi, i had a tooth extracted 12 days ago, right hand side bottom near back.  It is still sore at site,  but now today i woke up and my left hand side jaw it feels numb.  Not sure what this is MattKW: Doesn't make much sense. Wait and see. DariaMerritt00: Tooth extraction problems refer to complications or issues that can arise during or after the removal of a tooth. These problems can include pain, bleeding, infection, damage to surrounding tissues, difficulty in healing, or complications with anesthesia. It's essential to follow post-extraction care instructions and consult with a dentist or oral surgeon if any of these problems occur to ensure proper treatment and recovery. alakuni: Tooth extraction can be a cause of stress and misgiving. It's normal to have a concerned outlook on potential issues that might emerge during or after the strategy.\n\nA few normal issues following tooth extraction incorporate torment, enlarging, and dying, which can trouble. Diseases, dry attachment (a difficult condition where the blood coagulation is lost), and harm to adjoining teeth or tissues can likewise be personal worries.\n\nIt's fundamental to discuss straightforwardly with your dental specialist about any concerns or fears you might have. They can give direction on the best way to limit chances and guarantee a smooth recuperation. Keep in mind, you're in good company to confront these difficulties, and with the right consideration and backing, you can explore through them and safeguard your oral wellbeing. Your dental group is here to help, and your prosperity is their need. derekgatta: It's possible that during the tooth extraction, a nerve may have been affected, leading to the numbness on the left side of your jaw. This could be temporary, but it's crucial to discuss this with your dentist or oral surgeon."
  },
  {
    "id": 199,
    "title": "Why dentists don't recommend Maryland Bridges?",
    "dialogue": "joey87: TLDR: I have a tooth fracture on my maxillary central incisor (#21) after failed RCT and the dentist recommended an implant, but I have an extreme phobia and risk factors (smoking, SSRI, PPI). Both dentists I talked to do NOT recommend getting any RBBs, but studies show a different picture.\n\nI'm a science nerd so I have read over 30 clinical studies and meta-analyses on PubMed, and it turns out that the success rate of RBBs/Maryland Bridge is not so bad, despite being slightly inferior to implants (over 95% for implants)\n\n\nStudies reference on RBBs\n\nKey points:\n\nHigher success rate on maxillary anterior teeth, and when only 1 tooth is missing\nThe most common complication is debonding in around 20% of cases, which is comparable to the 20% risk of developing peri-implantitis.\nCantilever RBFDPs have a better survival rate for missing central maxillary incisors compared to other designs\nCounter-intuitively, the one-retainer design is better. The two-wing design is the most prone to failure compared to the cantilever design.\nIn the past, the two-retainer design was the most commonly used, which is more prone to failure, so it could explain the negative perception by dentists. A lot of improvements have been made in recent years, with the optimization of cementation materials around 2013. That’s why the success rate is better in more recent studies.\nI have a deep bite and some sources are suggesting it could increase the debonding risk, but is also a risk for implants (I could not find any study on RBBs survival rate with deep-bite)\nZirconia, Alumina, and Ceramic have great documented success rates, but many studies recommend going with Zircona framework material\n\n2018 - Meta-analysis of 29 studies (2300 RBBs)\n“Meta-analysis of these studies reporting on 2300 RBBs indicated an estimated survival of resin-bonded bridges of 91.4% after 5 years and 82.9% after 10 years. RBBs with zirconia framework and RBBs with one retainer tooth showed the highest survival rate. Moreover, the survival rate was higher for RBBs inserted in the anterior area of the oral cavity compared with posterior RBBs. The most frequent complications were de-bonding (loss of retention), which occurred in 15%”\n\n2021 - Integrative review of 23 clinical publications on Anterior-Region RBBFDPs\n“5-year survival rate at 86.2% for metal-framed prostheses, 87.9% for zirconia prostheses, 93.3% for alumina prostheses, 100% for glass or ceramic prostheses, and 81.7% for fiber-reinforced composite restorations. Failure rates did not significantly differ between the different material groups or between the single- and double-retainer groups.“\n\n2007 - Meta-analysis of 17 studies\n“Meta-analysis of these studies indicated an estimated survival of RBBs of 87.7% after 5 years. The most frequent complication was debonding (loss of retention), which occurred in 19.2% of RBBs over an observation period of 5 years. The annual debonding rate for RBBs placed on posterior teeth (5.03%) tended to be higher than that for anterior-placed RBBs (3.05%)”\n\n2018 - Systematic review of studies from 1965 to 2017\n\"Success was defined as the RBFPDs remaining in situ and not having experienced debonding, biological failures, or mechanical failures at the examination visit. Meta analyses of the included studies showed an estimated 5-year success rate of 88.18% for the metal framework RBFPDs and 84.41% for the nonmetal framework RBFPDs. The estimated 5-year success rate for each nonmetal material category was 92.07% for zirconia, 94.26% for In-Ceram alumina, and 84.83% for fiber-reinforced composite. The failure rate was not statistically significant among the single, double, and multiple retainers RBFPDs. The 5-year clinical performance of RBFPDs is similar to the performance of conventional fixed partial dentures (FPDs) and implant-supported crowns.\"\n\n2023 - Systematic Review of 11 articles after 8.2 years (687 patients, 783 RBFPDs)\n\"A total of 142 failures were reported for 783 prostheses, the most frequent being debonding\" (success rate of 82% without debonding)\n\n\"Conclusion: RBFPDs are a viable clinical option for the rehabilitation of patients with single edentulous spaces, mainly when using a single retainer and a zirconia-ceramic prosthesis.\"\n\n2013 - Meta-analysis of 49 studies on RBBs\n\"Estimated three-year survival rates were 82.8% for metal-framed, 88.5% for fibre-reinforced composite and 72.5% for all-ceramic resin-bonded bridges. (mean)\"\n\n2018 - Systematic Review of 8 studies\n\"The estimated 5-year survival rate of all-ceramic RBFDPs was 91.2%. Debonding and framework fracture were the two most frequent technical complications, and the estimated 5-year debonding rate and fracture rate were 12.2% and 4.8%, respectively. Additionally, cantilevered all-ceramic RBFDPs had a higher survival rate, lower debonding rate, and fracture rate compared with two-retainer all-ceramic RBFDPs. Zirconia ceramic RBFDPs had a lower incidence of failure but a higher debonding rate compared with glass-ceramic RBFDPs\"\n\n2017 - Clinical study on 87 RBFDPs in central incisors (108 zirconia RBFDPs / 75 maxillary incisors)\n“Zirconia ceramic RBFDPs yielded a 10-year survival rate of 98.2% and a success rate of 92.0%” … “all-ceramic cantilever RBFDPs provide an excellent minimally invasive treatment alternative to implants and conventional prosthetic methods when single missing anterior teeth need to be replaced”\n\n2018 - Study on 206 RBBs (anterior region)\n“Overall survival rate of anterior region RBBs was 98% at 5 years, 97.2% at 10 years, and 95.1% from 12 years till 21 years”\n\n2011- Study on 84 RBFPDs\n“Overall survival rate has been computed as being 77% after 10 years of service, 88% after 10 years”\n\n2004 - Study on 74 RBFPDs (64 in anterior region)\n“A mean survival rate better than 69% after a 13-year observation period was calculated. Including the rebonded restorations, a mean functional survival rate of 83% was estimated. A total of 18 failures (24.3%) of all restorations were observed, the main cause being loss of retention.”\n\n2018 - Meta-Analysis of 19 studies\n“After evaluation of the selected articles, it is likely that cantilever design all-ceramic RBFDPs are more successful than two retainer design in the anterior region”\n\n2018 - Review of 12 studies\n\"Conclusions: The use of cantilever RBFDPs showed promising results and high survival rates.\"\n\n2014 - Study on 42 RBFDPs (cantilevered ceramic zircona in anterior region,  single-retainer design)\n“During a mean observation time of 61.8 months two debondings occurred. Both RBFDPs were rebonded using Panavia 21 TC and are still in function. The overall six-year failure-free rate according to Kaplan-Meier was 91.1%. If only debonding was defined as failure the survival rate increased to 95.2%.”\n\n2022 - Follow-up clinical article on 3 patients over 26 years\n\"Conclusions: Cantilevered single-retainer all-ceramic RBFDPs today made from veneered zirconia ceramic can be considered a standard treatment for the replacement of incisors and provide an excellent esthetic outcome with a long-term preservation of soft tissues in the pontic area.\"\n\n2011 - Study on 38 anterior RBFDPs\n\"The 10-year survival rate was 94.4% in the single-retainer group. \"\n\n---\n\nSo what am I missing? I don't want to sound like a smart ass who pretends to know better than professionals, but the dentists I have talked to never did any RBBs so they don't have first-hand experience and I'm not sure they have read the recent studies. Obviously, my phobia makes me susceptible to confirmation bias, that's why I came here to have other opinions. I tried not to cherry-pick the studies and included some with less favorable outcomes, but I ignored older studies published more than 20 years ago after reading how much of a difference the recent technological improvements made. joey87: Is my thread ever going to be approved? If not, why? MattKW: I read a couple of  your helpful citations and also give you my personal experience.\n\nYour first 5 points are quite valid. As you say, originally Marylands bridges were made to be retained on the 2 adjacent teeth. They would almost always debond off one tooth - the patient didn't care but decay would develop under the loose bonding and patients would come in facing potential loss of another tooth. So, cantilevered is the way to go - several of your citations are only looking at that difference, or they are looking at different cements.\nMeta-analyses can be misleading unless you read them carefully and sometimes go back to the original full-length articles. There is a lot of conflicting discussion over the different teeth restored, the different tooth preparations used, the different adhesives,.... that simply isn't being compared very clearly.\nI have downloaded 2 of the citations, annotated them, and attached for you to read. The 2013 meta-analysis gives a broad history and overview of the evolution of these techniques. The 2017 article has a pic (Fig 2) of the ideal case for Marylands, i.e. missing lateral incisors (small teeth) attached to central incisors (large teeth).\nIn my experience, the major issues to watch out for are:\nNot enough space between the upper and lower teeth. Your deep bite suggests this will be an issue.\nHeavy occlusion - again, your deep bite is not ideal.\nInsufficient grip from adjacent teeth - in your case you are hanging a large central incisor off another large central incisor. Ideally it would be a small tooth held by a larger tooth.\n\nAnd yes, a deep bite may make an implant difficult.\nSo, you need your dentist to be really sure of assessing your risks, and preferably have some experience in at least a simple composite resin bridge - that is your most cost-effective and least damaging choice, but success rate will be so-so. Otherwise, go to a specialist prosthodontist who will have more experience in difficult cases and at least get a better opinion. joey87: Thank you for the response and for sharing the PDFs. I have read the full studies, and I agree meta-analyses can be confusing with so many variables involved. Finding data specific to central incisors is also very hard - the 2017 study is interesting but the sample is so small that I take it with a grain of salt.\n\nI still found the other studies relevant because the consensus seems to be that the maxillary anterior teeth have a better RBB survival rate than other teeth (especially canines and posterior teeth). So my thought process was to use the average survival rate of all teeth as a base case and assume that I would probably get a better survival rate on incisors with a short-span bridge (only 1 tooth). That's why this 2017 systematic review is so interesting, not only it is the largest sample I found (2300 RBBs) but it also reported one of the best survival rates:\n\n\n\n\t\t\tresulting in an overall number of included studies of 29. Meta-analysis of these studies reporting on 2300 RBBs indicated an estimated survival of resin-bonded bridges of 91.4% (95 percent confidence interval [95% CI]: 86.7–94.4%) after 5 years and 82.9% (95% CI: 73.2–89.3%) after 10 years. A significantly higher survival rate was reported for RBBs with zirconia framework compared with RBBs from other materials. RBBs with one retainer had a significantly higher survival rate (P < 0.0001) and a lower de-bonding rate (P = 0.001) compared with RBBs retained by two or more retainers. Moreover, the survival rate was higher for RBBs inserted in the anterior area of the oral cavity compared with posterior RBBs.\n\t\t\nClick to expand...\n\nJust wondering if by chance you have access to the full-text PDF of this one? I'm curious to see if I can find more fragmented data in the full article with the survival rate for only central incisors.\n\n\n\nMattKW said:\n\n\n\n\t\t\tNot enough space between the upper and lower teeth. Your deep bite suggests this will be an issue.\n\t\t\nClick to expand...\n\nThis is what I'm worried about, and I could not find any study specifically looking at bridges' success rates with a deep bite. This clinic says “Deep overbite would also contraindicate a Maryland Bridge” but other sources say there is often a workaround.\n\nMy deep bite never caused any problem and there seems to be enough place for the wings, but I'm not an expert. I don't feel any pressure on the incisors, so I would be surprised if I have heavy occlusion but again I'm just speculating. I assume one of the dentists would have noticed signs of wear.\n\nTo be honest, I did not even realize I had a deep bite before reading stuff about that recently, so it has never been diagnosed because it wasn't a problem (until now?). I have an appointment on Oct 12 with a dentist to check this out. They said that the two-wing design could be better for deep bite occlusion, but I'm skeptical about that.\n\n\n\nMattKW said:\n\n\n\n\t\t\tthe patient didn't care but decay would develop under the loose bonding and patients would come in facing potential loss of another tooth\n\t\t\nClick to expand...\n\nI do care, this is definitely something I am worried about, as I am very prone to tooth decay. I had more than 25 fillings in my life following carries, despite brushing my teeth 2 times per day and regular dental floss, cutting sugar almost everywhere, and using products like Fluoride, Xylitol, Periogen, Arginine, Hydroxyapatite, ... Luckily, my adjacent incisor is healthy (#11), and even the #21 doesn't have any cavity (it just died randomly 20yrs after I fell from a ladder and chipped the corner of the tooth, then got a RCT which caused a longitudinal fracture 5yrs later)\n\n\n\nMattKW said:\n\n\n\n\t\t\tInsufficient grip from adjacent teeth - in your case you are hanging a large central incisor off another large central incisor. Ideally it would be a small tooth held by a larger tooth.\n\t\t\nClick to expand...\n\nGood point, multiple studies mentioned this. However, it seems that the other central incisor is still the best abutment according to this study:\n\n\n\n\t\t\t\"In the case of replacement of a central incisor, it is advisable to rest on the other central incisor,\nnot on the lateral one. Indeed the palatal surface is larger and, therefore, more conducive to\nbetter bonding of the prosthesis. A light gingivectomy can be realized to optimize the bonding\narea. The lateral maxillary incisor also has a higher translucency compared to the central, and\nthus, for aesthetic reasons, it should not be chosen as an abutment. In the lower jaw, lateral\nincisors might be considered as a support for RBBs.\"\n\t\t\nClick to expand...\n\n\nThe only study I found comparing RBBs survival rate in central vs lateral incisors is this one but again very small sample (25 RBBs) and short evaluation periods. Only one debonded (2-wings on #21 with abutments on #22 and #11)\n\nAnother study found that most instances (60%) of debonding involved bridges that had replaced the maxillary central incisor (186 cantilever bridges) presumably due to excessive occlusal contacts and pontic overload. MattKW: Hello, happy to keep chatting to you. In future chats, would you mind numbering your paragraphs? It'll be easier to reply, thanks.\n\nPara 2. Yes, I can access most articles. Attached is my annotated copy of the 2017 study you requested.\nPara 3. Yes, a deep overbite would require a personal examination of your teeth and a good look at how much space you have, plus the action of your teeth during chewing movements. You're welcome to put up photos and I'll give it a go - I would need 1 taken front-on, 1 taken side-on, and one taken looking up from your lower front teeth (all with teeth closed and lips retracted).\nPara 5. As you will read in the 2017 article (and in my experience), one-wing designs are much better.\nPara 7. Yes, you would have to bond to the adjacent central incisor. Replacing a central incisor with an RBB is more likely to debond than the more desirable replacement of a smaller lateral incisor.\n\nOne of the issues we face in this discussion is that although you have presented many articles looking at survival rates and comparing materials, it would be equally important to see if you could find articles that addressed the most successful design considerations in more detail. \ni.e. Exactly what criteria did the authors of the clinical trials use when selecting patients? What type of preparations did they use? That might take quite a bit more searching. joey87: MattKW said:\n\n\n\n\t\t\tPara 3. Yes, a deep overbite would require a personal examination of your teeth and a good look at how much space you have, plus the action of your teeth during chewing movements. You're welcome to put up photos and I'll give it a go - I would need 1 taken front-on, 1 taken side-on, and one taken looking up from your lower front teeth (all with teeth closed and lips retracted).\n\t\t\nClick to expand...\n\n1. Wow awesome, thank you so much for this, it is VERY appreciated! Would be great if I could stop worrying about that \nHere are some pictures: https://photos.app.goo.gl/nAPdd4Z32zwfFteb9\nand a video: https://photos.app.goo.gl/EfvfRMp8YKbTsmxS7\n\nCloser view from an endoscope camera:\n\n\n\n\n\n\n\n\n\n\n\t\t\t\t\t\tRecord_20231005132033.mp4\n\t\t\t\t\t\n\n\n\n\n\n\n\t\t\t\t\tdrive.google.com\n\t\t\t\t\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\t\t\t\t\tocclusion edited.mp4\n\t\t\t\t\t\n\n\n\n\n\n\n\t\t\t\t\tdrive.google.com\n\t\t\t\t\n\n\n\n\n2. I just bought this pack of Articulating Paper with 1-day shipping, will post more pictures tomorrow. Not sure if I got the correct product, if I remember correctly the last time I saw a dentist doing this test, the strip texture and color looked like a blueish surgical mask.\n\n3. I also tried to get Shimstock Strips but I couldn't find anything on Amazon Canada. The closest product I found is this but it is not for dental use and the thickness is different (0.005)\n\n4. Maybe that's a dumb idea, but I did the test with a strip of aluminum foil between the 2 incisors. If I just close my mouth normally, I can pull the strip out (I can feel some resistance). If I close my mouth strongly and put pressure on the teeth, then the aluminum foil will not come out easily and sometimes tear into 2 pieces, but I have to apply constant pressure.\n\n5. Could Enameloplasty be an option to reduce the length of the lower central incisors (without devitalizing the teeth) if there is not enough place for the wing of the bridge? It would also look better aesthetically, I think.\n\n6. Not sure if relevant but here are some XRays of my upper incisors\n\nin 2018 before the RCT on #21\n\n\n\n\n\n\n\n\nAfter the RCT:\n\n\n\n\nand here is another XRay taken 2 weeks ago after the longitudinal fracture diagnosis and after the abscess appeared: MattKW: A great shame about the 21 despite a very nice RCT.\nThe photos and videos are very helpful, thank you.\n\nYou don't enough space between your upper and lower teeth to place an RBB without firstly cutting back the palatal surface of 11 to make sufficient space. It's an option, but a major intention of an RBB is to do minimal or zero tooth damage.\nI see that you have quite a complex dentition. Have you ever considered total orthodontic treatment? That might resolve your limitations.\nEven if you don't want to do full ortho treatment, perhaps consider simply moving the 11 forward with a simple ortho appliance in order to make space on the palatal side for the RBB. Then the 21 false tooth would be made to match the 11 at a slightly forward position. I wouldn't advise bringing them both forward as far as 12 and 22, just to make enough space on palatal of 11 for RBB.\nTo answer your point 2., that's fine to get articulating paper but your simple test of aluminium foil and the images has told me all I need to know. joey87: Thanks so much once again for your help. Feel like we're making some progress, at least the occlusion thing is sorted out. And the good news is that you haven't mentioned anything about orthognathic jaw surgery which is really something that freaked me out.\n\n1. I would still prefer cutting back the palatal surface compared to an implant, but dentists will probably think it's a bad idea because the tooth is healthy. I agree I should consider orthodontic options first.\n\n2. Never considered total orthodontic treatment until today, because it didn't cause any problem besides not looking good. Now I am thinking of canceling my appointment next week and directly going to an orthodontist clinic instead, which is most likely where they will refer me after coming to the same conclusions as you. I'm definitely open to trying any minimally invasive procedure, but I just don't want to delay the bridge too long.\n\n3. How long should it take approximately to bring the tooth forward? The endodontist who diagnosed the fracture said it would take around 6 months until I get complications with #21. Right now the abscess is very small and not really painful. I drain it every day and not much comes out of it. Do I have enough time for ortho treatment before extraction?\n\n4. Any idea if my misplaced mandibular incisors can be fixed by full orthodontic treatment alone? When I was a kid a dentist said I had to get some teeth reduced in size, i thought it was too late now\n\n5. Is Invisalign considered a full orthodontic treatment suitable for deep overbite or would I need braces/retainers/springs? I have not researched this as much as the bridge stuff\n\n6. Assuming I get orthodontics to move #11 forward, then put a RBB without cutting back the palatal surface, do you think that my occlusion would still increase the risk of debonding or it would be comparable to a normal occlusion success rate? The way I imagine it, pressure on #21 and #11 would be reduced even more because there would be almost zero contact with the bottom teeth, which sounds even better than a normal occlusion with contact? MattKW: In reply:\n2. Orthodontics is more than just aesthetics. When you see the ortho, also mention concern and idea of losing 21 and replacing with RBB. Then he can work that into potential treatment plan. Copy and take our conversation. The 21 can be extracted and a fake tooth attached to braces while doing ortho if you go down this path, so also ask about this.\n3. If just moving 11 forward, the should take <6 mos.\n4. No, still possible. Have seen ortho treatment for 80yo done successfully.\n5. An orthodontist can do either Invisalign or standard braces. I would advise braces as much better control and faster, more predictable results - ask the orthodontist.\n6. I think it would make it comparable to normal occlusion, which is why I suggested it. joey87: I tried to get an appointment with a specialized Orthodontist clinic, but the wait time for the first appointment is almost 2 years... \n\nIf just moving #11 forward to make things simpler, is this something that can be done by a generalist dentist clinic that is also doing basic orthodontic services, or do I really have to see a specialized orthodontist? I found a generalist clinic offering orthodontic services and their website advertises Invisalign, braces, and Orthodontic appliances, but it doesn't say much more. I called them and tried explaining my situation but I couldn't get a clear answer and they just told me to schedule an appointment to see if they could help. MattKW: Should be doable by a general clinic with some ortho experience. Who knows, maybe they'll do the Marylands too?Again, take our conversation along to help. Better still, email everything (including Xrays) to them in advance of the appointment.\nP.S. Whereabouts are you that it takes 2 years to get a specialist ortho appt? joey87: Found a local clinic that could do extraction + cantilever bridge + maybe basic ortho, but...\n\n1. They prefer the EMAX material instead of Zirconia (2 other clinics also said the same thing) or metal/ceramic. I don't have a strong preference for this and I am not so confident about which material is the best, so it's not a dealbreaker.\n\n2. They recommend the 2-wings design but they will let me take the final decision and make a cantilever bridge if that's really what I want (no warranty but that was expected)\n\n3. I explained a dentist saw my occlusion and recommended moving #11 forward, but they think that orthodontic treatment is a bad idea because I would need a fixed retainer wire, can you tell me more about that? Note that they haven't seen me in person yet and I just sent them the videos of my occlusion and asked to confirm if they really think drilling the palatal surface would be preferable.\n\n4. I live in Trois-Rivières, Quebec, Canada. The only orthodontic clinic nearby is Orthodontie Mauricie with the 2 years wait time. They don't consider my case urgent and said they can't do anything to see me faster. I checked the list on the Orthodontist Association and the Federation of Dental Specialists websites to make sure.\n\n5. Here is a (translated) copy of my emails with the local generalist clinic:\n\n\n\n\t\t\tHello,\n\nIt is probably possible to have a Maryland Bridge done to replace your tooth #21.\n\nIt is true that we can make bridges completely out of Zircon and that this can in certain cases be done with a single wing. However, I do not do this type of restoration completely in Zircon because the adhesion with this material is not very good. Since the success of the restoration depends on adherence, it is best to avoid it. It is preferable to work with ceramic-metal which still gives an adequate aesthetic. In certain special cases (no contact with the opposing teeth and thickness of more than 1mm) the bridge can be made entirely of Emax ceramic. But given that ceramic-metal gives an adequate aesthetic appearance, it is better to use it because it will be more solid and less capricious.\n\nAs for the wings, it is preferable to have two except in cases where we believe that the teeth will move and risk promoting debonding (example after orthodontic treatment). In a case like yours where the teeth are probably stable, it is better to use two wings for strength.\n\t\t\nClick to expand...\n\n\n\n\n\n\t\t\tGood morning,\n\nYes it may be possible to make a Cantilever if that is what you choose. As for partial debonding, I usually notice it during periodic examinations if it happens. And if that happens the risk of decay is still quite low if hygiene is adequate (brushing and flossing), in my opinion this should not be an issue for the choice of treatment). But both options exist (1 or 2 wings and the patient can choose once our recommendations are given).\n\nFor emax, I can't guarantee that I can do it, it really depends on the occlusion. If there is insufficient space I don't think I would recommend orthodontics in this case. Because after orthodontics, a fixed retention (lingual wire) is recommended to prevent teeth from moving. The fact of making the butterfly bridge did not allow us to place this retention and the risk of displacement of the tooth would be high which could lead to contact on the Emax.\n\nYou should also know that I cannot give any guarantee of results for this type of treatment. During manufacturing we take all necessary means to obtain the best restoration. However, if there is decimation or fracture (in the case of an emax) we have no guarantee.\n\t\t\nClick to expand... MattKW: joey87 said:\n\n\n\n\t\t\tFound a local clinic that could do extraction + cantilever bridge + maybe basic ortho, but...\n\n1. They prefer the EMAX material instead of Zirconia (2 other clinics also said the same thing) or metal/ceramic. I don't have a strong preference for this and I am not so confident about which material is the best, so it's not a dealbreaker.\n\n2. They recommend the 2-wings design but they will let me take the final decision and make a cantilever bridge if that's really what I want (no warranty but that was expected)\n\n3. I explained a dentist saw my occlusion and recommended moving #11 forward, but they think that orthodontic treatment is a bad idea because I would need a fixed retainer wire, can you tell me more about that? Note that they haven't seen me in person yet and I just sent them the videos of my occlusion and asked to confirm if they really think drilling the palatal surface would be preferable.\n\n4. I live in Trois-Rivières, Quebec, Canada. The only orthodontic clinic nearby is Orthodontie Mauricie with the 2 years wait time. They don't consider my case urgent and said they can't do anything to see me faster. I checked the list on the Orthodontist Association and the Federation of Dental Specialists websites to make sure.\n\n5. Here is a (translated) copy of my emails with the local generalist clinic:\n\t\t\nClick to expand...\n\n\nGiven your difficult bite, I'd prefer metal-ceramic. Definitely not zirconia because of bonding issues, and altho eMax has good bonding, your bite is too harsh.\n1-wing as less complications. Also, if you're only moving 11 forward a bit, then 2-wing would be difficult with your bite.\nI think they're probably unclear about what we've been discussing. A fixed retainer wire would only be used after full-mouth ortho. Yes, you really should go and talk to them in person, let them take models, photos, etc. I will DM you my personal email address and they are welcome to contact me if desired - I think I can trust you not to abuse my offer.\nAh, hence your familiarity with FDI tooth numbering. Dentistry Forums is a US-centric website where the counting system is the unwieldy UNS (Universal Numbering System)  - which nobody else in the world uses! joey87: I just came back from the dentist's clinic (took someone's cancellation) and saw the dentist who responded to the quoted emails. I showed our conversation, he checked my occlusion and agreed, not enough place on #11 for the wing\n\n1. He can't do ortho and recommended not doing it unless doing full otho for 2-3 years. He now recommends doing a cantilever bridge on #11 and putting the wing on #12 instead. I said i'm not so confident about using a lateral incisor for abutment, as we discussed it's better when the tooth is held by a larger one. But he said that my teeth are long enough and I should try before resorting to ortho. The #12 had a carrie and a filling, but he said it wouldn't be a problem for the wing. I asked if he had ever made a RBB for a central incisor using the lateral as an abutment... he said no.\n\n2. His reasoning for not recommending ortho is the risk of the tooth moving. I asked about the retainer wire and he said I would still need it even for just 1 tooth and that he would have to find a way to fit both the wing and the retainer wire.\n\n3. Not sure what to do at this point. You seem to have much more ortho experience than the generalist I just saw so I value your opinion a lot. I was more confident with the plan of bridging #21 with #11. Maybe I should see a real orthodontist. \n\nSorry for the back & forth, really appreciate your time joey87: I went to another clinic and just came back from an appointment with Dentist #3.\n\n1. He disagrees with Dentist #2 about putting the wing on the lateral incisor and agrees with you that we should use the adjacent central incisor instead\n\n2. He has experience with ortho and RBBs but said my case is too complex for him due to deep bite. He referred me to a Prosthodontist for the bridge and said I should see a real orthodontist for #11. I am now waiting for my appointment date with the Prosthodontist. I'm considering traveling 2 hours to see an Orthodontist in another city.\n\n3. He agrees with Dentist #2 about the retention wire and the risk of the tooth moving after doing ortho but said I need a real orthodontist\n\n4. He strongly disagrees with the cantilever bridge and says that two wings are better. I still think 1-wing cantilever is the way to go. joey87: joey87 said:\n\n\n\n\t\t\tI am now waiting for my appointment date with the Prosthodontist.\n\t\t\nClick to expand...\n\nThey can't see me until at least 2 years... I'm screwed, I'm never going to find a solution, guess I'll just have to live with a missing tooth.... joey87: Well, finally some good news! I saw a real orthodontist in another city for the first time today, who was accompanied by another dentist who had experience with Maryland bridges. They were very competent and answered all my questions much better than the other dentists I had seen previously.\n\nGood news: Invisalign will work with me and I will not need a retention wire.\n\nBad news: Ortho treatment will cost $11,000 plus $1,500 for a gum graft on my 2 bottom canines and then $2,000 for the bridge. It will take 2 years and a half to move #11 forward. The cost looks very high but I don't have any other choice...\n\nAnother thing - I asked about the fake teeth in the clear aligner he said he would give me white wax to put where the tooth is missing. Do you think it will look bad?"
  },
  {
    "id": 200,
    "title": "Patient discussion",
    "dialogue": "denkata99: Hello, I have a patient - an old lady, who wants a set of removable prosthesis. I will attach the OPG and a segment X-ray of the upper right molars. So, on OPG I can see a periapical shadow in right molar area, but it is not present on segment X-ray - I assume it is an artefact. The teeth 17 (using FDI numbering) has been extracted. The problem is what to do with 18 - it is not mobile, not painful. I could fill the caries and save the tooth but It will interfere with the upper removable prosthetic. Or should I extract it? From the lower arch, only the canine is saved because it is stable. Oh and the bridge has been removed (and the 17 was extracted as mentioned earlier because it was perforated on the pulp floor). So I need some opinions about the treatment plan. Thanks in advance"
  },
  {
    "id": 201,
    "title": "What is my issue? Ligament? Please help",
    "dialogue": "Sandybob23: I have been going through hell for almost 2 years. I had a horrible toothache that resulted in a root canal, which did not stop the biting pain that I was having since before the root canal. About a year later, he redid the root canal. This was about a month ago and I still have the biting pain. I’ve been researching this for years because I had pretty much the same thing happened about 10 years ago. I’m almost convinced that this is not a tooth problem anymore but it is something to do with the ligaments or the nerves under my tooth. I cannot get anyone to help me at least not in the dental profession, I found this online read below, should I discuss this with my general practitioner I have a feeling my Dentist will just shrug his shoulders like he usually does but there is something going on in my tooth. The symptoms are either a crack that can’t be seen or there is a problem with the ligament what do I do? I’ve never been so frustrated in my life with doctors .\n\n“‘Depending upon what created your sprain or if the factors that are repeatedly affecting your PDL aren't removed or reduced, inflammation can hang around for a long time and cause your lingering toothache to get even worse. In this case, the pain can spread to your surrounding gum tissue and neighboring teeth.\n\nIn some cases, inflammation goes away, but your ligament(s) remain sensitized to the degree that you can't chew on a tooth or even touch it with your tongue without pain. In this scenario, it's common for x-rays to look normal and for the tooth to be structurally sound. The cause of the pain is the result of the nerve endings in the ligament remaining in an irritated or what we call a sensitized state. As a result, even normal function produces pain.\n\nWhen this happens, your persistent ligament pain may require the use “…. squavers: Sandybob23 said:\n\n\n\n\t\t\tI have been going through hell for almost 2 years. I had a horrible toothache that resulted in a root canal, which did not stop the biting pain that I was having since before the root canal. About a year later, he redid the root canal. This was about a month ago and I still have the biting pain. I’ve been researching this for years because I had pretty much the same thing happened about 10 years ago. I’m almost convinced that this is not a tooth problem anymore but it is something to do with the ligaments or the nerves under my tooth. I cannot get anyone to help me at least not in the dental profession, I found this online read below, should I discuss this with my general practitioner I have a feeling my Dentist will just shrug his shoulders like he usually does but there is something going on in my tooth. The symptoms are either a crack that can’t be seen or there is a problem with the ligament what do I do? I’ve never been so frustrated in my life with doctors .\n\n“‘Depending upon what created your sprain or if the factors that are repeatedly affecting your PDL aren't removed or reduced, inflammation can hang around for a long time and cause your lingering toothache to get even worse. In this case, the pain can spread to your surrounding gum tissue and neighboring teeth.\n\nIn some cases, inflammation goes away, but your ligament(s) remain sensitized to the degree that you can't chew on a tooth or even touch it with your tongue without pain. In this scenario, it's common for x-rays to look normal and for the tooth to be structurally sound. The cause of the pain is the result of the nerve endings in the ligament remaining in an irritated or what we call a sensitized state. As a result, even normal function produces pain.\n\nWhen this happens, your persistent ligament pain may require the use “….\n\t\t\nClick to expand...\n\n\nHi,\n\nI'm having a similar problem with one of my front teeth, I had a root canal done which made no difference and I then saw a specialist who says the root canal is fine and it's highly likely that it's strained ligaments. But it's been ongoing since Feb of this year and doesn't seem to be getting any better. My dentist doesn't want to extract a tooth which has no obvious problem (infection or crack in root) but I can't live with this sore tooth forever.\n\nWhereabouts did you read online that quote in your post about ligament damage? I'd like to read the full article to get further information on this.\n\nThanks. Sandybob23: Hi sorry just saw this. I’ve been doing a lot of searching over the years and I found this latest information at: “ nytmj.com “ \nbut if you search those certain words, you will find it in other places. My dentist gave me a referral to another periodontist because the last one that I saw a few months ago did not seem like he knew anything about this problem and every time I ask about the ligament no one seems to know who is supposed to be the one to help with this. I wonder if I should even contact my primary care doctor I mean this really should not be such a mystery if the information is out there, this doctor from this article is located in New York City and there’s no way that is going to happen. Let me know if you find out anything else."
  },
  {
    "id": 202,
    "title": "Deep cavity sensitivity, pain",
    "dialogue": "Deedee: Hello I had a deep cavity filling done about 3  months ago and she had me clamp on some thing to pack the filling  and I’ve been having sensitivity pain on and off now it’s been staying. I’ve seen a second dentist for a second opinion he said it didn’t look infected,did a cold text I screamed.  it’s close to my nerve but it could be an irritation sensitivity issue. If it doesn’t go away, root canal or extraction, I have very bad anxiety with dentist and I went to see an oral surgeon and she will not work on me due to my heart condition and it’s close to my sinus cavity. She said if I want to tooth out have to go get it extracted at the hospital where they would put me to sleep she said it didn’t look affected either from the x-ray, but none of them looked at my mouth , it’s an annoying ache like pressure. The sensitivity seems to be not with hot and I could drink some cold things but the pain won’t go away like the dull ache pain. Is there a chance that the sensitivity could get better or is there a root canal in the future?"
  },
  {
    "id": 203,
    "title": "Lump inside cheek- concerned",
    "dialogue": "Kt315: Looking for advice, getting myself pretty worried about this lump that is present at the very back of my cheek. My dentist is a close friend and I am reluctant for some reason to go to her with this. It has been present for at least 3 weeks probably longer. Painless, doesn’t change size goes red when touched... would really appreciate advice it’s all I’m thinking about. Dr M: Kt315 said:\n\n\n\n\t\t\tLooking for advice, getting myself pretty worried about this lump that is present at the very back of my cheek. My dentist is a close friend and I am reluctant for some reason to go to her with this. It has been present for at least 3 weeks probably longer. Painless, doesn’t change size goes red when touched... would really appreciate advice it’s all I’m thinking about.\n\t\t\nClick to expand...\n\nGood day.\n\nThere are various possibilities for that lesion being present. It is best to go to a dentist, even if not your friend, to get it checked out. Depending on the angle of the photo, it could be a opening of a duct of your salivary gland ( stenson's duct), which is a normal anatomical feature, and it might be that you only focused on it now. This feature is usually bilateral, although in your photo, it is situated a bit more to the back than one would usually suspect.\nAnother possibility could be that is maybe related to a previous trauma like cheek biting, that you did not realise or a sharp piece of filling or tooth that is irritating a piece of your cheek tissue.\nIt is very difficult to judge from a photo alone without a proper clinical examination.\nObserve the lesion.\nIf it becomes painful or enlarges, it is important to go and let it be checked out.\nIf not, you can always mention it during your next routine dental visit. stosha0622: What was it?  I have this too. vartsal: stosha0622 said:\n\n\n\n\t\t\tWhat was it?  I have this too.\n\t\t\nClick to expand...\n\nDid you check with doctor. I have this too."
  },
  {
    "id": 204,
    "title": "Wanting to get expanders + braces but I have an implant already. What can I do?",
    "dialogue": "dervi: Hi, so I have crowded teeth, I had an extraction and implant done due to an infected root canal. My concern is that my teeth are crowded in. They tilt in and make my jaw area look sunken and smaller. I have a good amount of room to expand out but due to the implant, this cannot be done from what I read on google. However I feel like this process should not be overly complicated no?\n\nIs it not as simple as moving the surrounding teeth? Having a temporary malocclusion for a bit, then eventually extracting the implant, widening the bone via bone graft... refilling the implant site with bone and allowing it to heal, then finally getting another implant so that the implanted tooth is now in proper occlusion with the new occlusion?"
  },
  {
    "id": 205,
    "title": "Lateral incisor missing sins birth (Im 16 now) and I have questions.",
    "dialogue": "Melvin: I wonder if I could remove the other lateral incisor so it get symmetrical and then get braces? I was first thinking about adding the tooth back but there’s so little gap so in the case I add the lateral incisor they gonna remove 2 other teeth’s. That’s why I wonder if I could instead of all that just remove the other lateral incisor than fix the gap with braces like I said. Will this cause any health problems? Muhammad Danial Ashraf: Hello melvin hope you are doing great. \nYour point is valid but before that you have to consider few things regarding your teeth anatomy. Each tooth looks different in shape. If you notice your teeth, central are different in shape then laterals or canines. So just removing lateral incisor will not fully solve your problems. If your dentist thinks that your lateral incisors gaps are well enough for closing and maintaining the normal horizontal overlap between upper and lower incisors then you can go with one tooth extraction. In the end he will reshape your canines and will make it look a like lateral incisors. It depends on space availablity in your jaw. Dr M: The best option would be to consult an orthodontist. He will decide which option would be best in order to provide the most stable occlusal relationship as well as the most aesthetic outcome."
  },
  {
    "id": 206,
    "title": "Does this look like my son has Periodontitis ?",
    "dialogue": "Tkotime1111: Does this X-ray look like my son has periodontitis  ? Dentist here wants to charge 1500$AUD for a clean. . Also tried an upsell to vaneers so wanted to check … thanks in advance Dr M: It does look like your son has some horizontal bone loss, although more clinical information is needed, such as probing depths, to determine if it is indeed periodontitis and what the staging is.\nThere is subgingival calculus or tartar visible on the x-ray, so I would take a guess that a deep clean or root-planing, might be indicated in your son's case.\nI would stay away from veneers for now. MattKW: Agreed. That's a high price for a general dentist for what looks like a relatively standard case. I think a periodontist would do that on 2 appointments for just a little more in AUD (I'm Austn).\nYour son also has a pattern of decay that suggests he also has a sweet tooth, probably juices or soft drinks?\nUnless he gets his gums and diet and hygiene under control, he should definitely not even THINK about veneers, nor should it be suggested.\nGo get a 2nd opinion. alakuni: To decide whether your child has periodontitis, counseling a dental specialist or periodontist is fundamental. They can direct an exhaustive assessment, including a visual evaluation, testing of the gum pockets, and potentially X-beams, to make a precise finding.\n\nFeel free to a dental arrangement for your child's inner harmony and prosperity. Early discovery and treatment are critical in overseeing periodontal issues actually. Your dental expert will give the master direction and backing expected to address any worries you might have."
  },
  {
    "id": 207,
    "title": "I had xray of implant can anyone see a problem",
    "dialogue": "werdna:  MattKW: What problem are you experiencing? alakuni: Having a X-beam of your dental embed is a huge step towards guaranteeing its wellbeing and life span. It's normal to have a restless outlook on the outcomes and whether any issues might be distinguished.\n\nFortunately a X-beam can uncover potential issues almost immediately, permitting your dental specialist to address them before they become more serious. It's a proactive way to deal with protect your speculation and keep up with your oral wellbeing.\n\nKeep in mind, you're making a dependable and caring stride towards the prosperity of your embed. Assuming there are any worries, your dental specialist will work with you to track down the best arrangement, and it's in every case better to catch and resolve any issues in the near future. Your obligation to your dental wellbeing is something to be glad for, and your grin's future is good to go."
  },
  {
    "id": 208,
    "title": "Can my front teeth be saved?",
    "dialogue": "Leeeeex: I had braces as a teen and didn’t look after my teeth at all. 2 if my front teeth have decay/brown marks and it gets me so down.\n\nI’m too anxious to go to a dentist because I’m so embarrassed by my teeth. Will a composite filling be an option on my front tooth? Please help i’m so fed up of feeling down about my teeth and I wish my younger self looked after them properly \n\nThank you Dr M: Do you perhaps have photo of the tooth? If the cavity is small enough, a composite filling can indeed be an option. alakuni: Indeed, your front teeth can frequently be saved! The possibility of losing your front teeth can be unbelievably upsetting and close to home, however by and large, there are answers for protect them.\n\nTalk with an empathetic dental specialist who can survey the state of your front teeth. They'll work with you to foster a treatment plan that could incorporate strategies like fillings, root trenches, crowns, or facade to save and reestablish your teeth. It's pivotal to act rapidly and address any issues to forestall further harm.\n\nTry not to lose trust - current dentistry offers numerous ways of saving and upgrade the excellence of your front teeth. Your grin is an imperative piece of your character and certainty, and there are experts committed to assisting you with safeguarding it. You're in good company on this excursion, and your grin's future can in any case sparkle splendidly."
  },
  {
    "id": 209,
    "title": "Malocclusion and teeth pain",
    "dialogue": "sendicott: I went to the Endodontist today got X-rays done and he said that I had an inflammation of my ligament and that I have malocclusion that is affecting my front teeth because my front teeth and my bottom teeth do not align properly so it is putting pressure on my front teeth when I eat so I have to be on a soft foods diet for a while Dr M: Sounds about right. Often anti-inflammatory meds are also prescribed. Only real solution here for the long term, might be orthodontics. sendicott: Ok thanks! Could dental implants help with my bite as well Dr M: Dental implants can help improve the occlusal stability if they are placed in the correct position. It is NOT an indication to remove otherwise healthy teeth in order to place implants. Best and reliable option is still orthodontics. sendicott: Ok thanks! I had to go to three different dental offices today to see if they could help me with my bite and one of them did alakuni: Managing malocclusion and the going with teeth agony can be amazingly difficult, both genuinely and inwardly. The uneasiness and dissatisfaction of not having the option to eat or grin without inconvenience can overpower. It's a consistent update that your dental wellbeing is influencing your personal satisfaction.\n\nHowever, there's trust and help accessible. Contact a mindful dental specialist or orthodontist who can evaluate your malocclusion and give a treatment plan customized to your exceptional requirements. They won't just address the actual aggravation yet in addition comprehend the close to home cost it takes.\n\nKeep in mind, you merit a day to day existence liberated from dental agony and frailties. Looking for proficient help is the most important move toward recapturing your solace and certainty. It's an interest in your general prosperity and a more splendid, torment free future. Try not to allow malocclusion to keep you away from encountering the delights of a sound and blissful grin."
  },
  {
    "id": 210,
    "title": "Fix gap in teeth",
    "dialogue": "951michael: I have a small gap in my first bicuspid and second bicuspid on the lower teeth that when I chew food, the food can get jammed in there causing my gums to hurt.  Is there a way to fix this by gluing something to my teeth etc.? Dr M: It depends on the size of the gap. Sometimes a filling only increases the amount of food that gets trapped. If the gap is too large, alternatives such as orthodontics needs to be investigated. 951michael: It is a very small gap really.\n\nThanks! alakuni: Shutting the hole in your teeth can be an extraordinary excursion. It's an opportunity to rediscover your grin's maximum capacity and lift your self-assurance. Whether that hole is a wellspring of uncertainty or a novel piece of your character, the decision is yours. Embrace the chance of progress with energy, or esteem your particular grin with satisfaction. Talk with a dental specialist or orthodontist to investigate choices like supports, facade, or holding, and venture out toward a grin that really mirrors your feelings and character. Keep in mind, it's tied in with feeling better all around, so trust simultaneously and the good feelings that will accompany it."
  },
  {
    "id": 211,
    "title": "Awful taste in mouth 7 months of from root treatment",
    "dialogue": "Mitch0011: I have been having all of my crowns replaced over the past year.  (Its been a long year!!)  I have had root canal treatments and then a new bridge over the top of the upper back right teeth, this was approx 6 months ago.   Since then I have had a faint antiseptic/chemical/numbing taste coming from the area, for the last month I taste it all the time, the taste is awful, as my tongue sits by the teeth it feels the sensation all of the time.  The last two weeks it has been unbearable, it is now in my saliva and I am swallowing the taste and getting a numb feeling on my tongue, if that all makes sense?\n\nThe feeling is hard to describe to the dental doctor.  I have told her it is coming from the root fillings, she keeps trying to tell me there is nothing she can do as the bridge has been fitted permanently, she also advises me it is coming from my saliva glands.  I know this is not coming from my saliva glands, nor is it B12 deficiency. \nShould a qualified dentist not know what I am describing to her? \nAfter much complaining she wants me to attend a consultation with Prosthodontics, and find out what the issue is, I am keen to do whatever to get rid of this feeling  \nbut being referred to someone else will involve further costs, I have already paid a lot of money.    I believe this should be covered because it is to with the overall treatment of the original root treatments.  \nAny advice would be greatly appreciated. susan852001: Mitch0011 said:\n\n\n\n\t\t\tI have been having all of my crowns replaced over the past year.  (Its been a long year!!)  I have had root canal treatments and then a new bridge over the top of the upper back right teeth, this was approx 6 months ago.   Since then I have had a faint antiseptic/chemical/numbing taste coming from the area, for the last month I taste it all the time, the taste is awful, as my tongue sits by the teeth it feels the sensation all of the time.  The last two weeks it has been unbearable, it is now in my saliva and I am swallowing the taste and getting a numb feeling on my tongue, if that all makes sense?\n\nThe feeling is hard to describe to the dental doctor.  I have told her it is coming from the root fillings, she keeps trying to tell me there is nothing she can do as the bridge has been fitted permanently, she also advises me it is coming from my saliva glands.  I know this is not coming from my saliva glands, nor is it B12 deficiency. \nShould a qualified dentist not know what I am describing to her? \nAfter much complaining she wants me to attend a consultation with Prosthodontics, and find out what the issue is, I am keen to do whatever to get rid of this feeling  \nbut being referred to someone else will involve further costs, I have already paid a lot of money.    I believe this should be covered because it is to with the overall treatment of the original root treatments.  \nAny advice would be greatly appreciated.\n\t\t\nClick to expand...\n\n\n\nHi did this taste go? I had my root canal a month ago and have the same issue. No crowns or anything yet"
  },
  {
    "id": 212,
    "title": "Does this look like a sinus perforation?? X-rays provided. URGENT!",
    "dialogue": "dervi: Look closely at the right side of the photo(my left side). I had wisdom teeth extractions.... I went to some incompetent dentist and I feel like they made a hole in my sinus membrane. There is a clear outline of my sinus membrane on the left side of the photo(my right side) however the right side of the photo(my left side) does not have the outline. Looks like there is a chunk missing from the membrane.\n\nI have no dentistry experience. I just started having sinus issues and I saw somewhere about sinus perforation causing chronic sinus issues and I put two and two together. Can anyone help me? Dr M: Sinus perforation or an oral antral sinus is usually accompanied with symptoms, such as a constant wheezing sound, or fluid coming out of your nose when drinking. If some of these symptoms are not present, then most likely there is no sinus perforation, and you just have to give the area some time to heal.\nAlso note that a sinus opening is a common risk associated with the removal of  any maxillary teeth, whose roots are close or in the maxillary sinus."
  },
  {
    "id": 213,
    "title": "Pediatric partial/pedi partial dentures - any papers/research done on whether they safe for use on children who have lost their primary teeth",
    "dialogue": "Dentalquestions6484: We had a partial denture fitted for our four year old that lost a primary incisor in an accident - I figure the dentist would fit them if they weren’t safe, but wanted to do some independent reading on the topic\n\nAre there any white papers on the topic? I notice there appears to be alveolar recession where the gum line is raised where the tooth was lost and assume this is due to the lack of blood supply in the area and I hope the bone will regrow when the permanent tooth comes in but I want to check it’s not being made worst by the pedi partial\n\nAnyone has any experience of this ?"
  },
  {
    "id": 214,
    "title": "Dental anesthesia manufacturers?",
    "dialogue": "inaser: Hello all.. can somebody please suggest a great dental anesthesia brand other than septodent for me to register with my country’s FDA? I own a small dental supplies business and would like to add anesthesia to the line. Looking for a company on septodent’s level in term of price and quality. \n\nThank you in advance"
  },
  {
    "id": 215,
    "title": "Crown",
    "dialogue": "Itsjustmeee: I had my permanent crown put on tooth number 11 today. And it looks like this. Like there’s a gap. Is this normal? Or should I have it checked? I’m just worried of damage to tooth underneath crown due to improper fit or placement. Itsjustmeee: "
  },
  {
    "id": 216,
    "title": "Partial denture",
    "dialogue": "lauraf: Hi. Can anyone recommend a dentist who Can do a front partial denture in Cornwall please? Front implant has fallen out and financially Can afford a denture. Many thanks"
  },
  {
    "id": 217,
    "title": "Upper tooth extraction no epi",
    "dialogue": "Ydrifter: I have two extractions today. One on lower left side and the other on top left side. I have had bottom extractions before and I do it without epinephrine. I am told that the upper tooth will have to have an epinephrine shot because upper teeth can't be extracted without epinephrine. I wanted to ask on here if that is true? Has anyone had upper extractions without epinephrine? Dr M: You can definitely extract a top tooth without epinephrine as well. I do it on a regular basis. The LA without epinephrine does not always last as long, because it lacks the vasoconstriction effects of the epinephrine, but it still numbs the tooth. There are certain patients with specific medical conditions, where we only use LA without epinephrine for top and bottom teeth. \nI see no reason why it can't be done without epinephrine MattKW: Sure, can do it without epi. Only downsides are: less effective, less working time, smaller maximum dose allowed (if doing mulitple extractions), and more likely to bleed. All of this is manageable.\nWhy aren't you able to have epi? dental_care: It's not universally true that you need epi for upper tooth extraction. Epinephrine is often added to local anesthetics to constrict blood vessels in that area. This can help reduce bleeding, increase the effectiveness of the anesthetic, and prolong its duration. The decision to use a local anesthetic with or without epinephrine depends on various factors, including the complexity of the extraction, the patient's medical history, and the dentist's preference."
  },
  {
    "id": 218,
    "title": "Implants and Tongue Rubbing",
    "dialogue": "lumi: Hello,\n\nBackstory: I had 2 failed root canals when I was a child that caused a bottom molar on each side to infect my jaw. My current dentist removed the molars and gave me implants. Getting rid of the infection and building my jaw bone back up was a lengthy process. \n\nLast few days: I just got my new teeth. My dentist filed them down until I was comfortable biting down and everything was great when I left the office.\n\nNow: I have a sore on one side of my tongue from rubbing against one of my implants.\n\nQuestion: Is this normal because my tongue got used to not having the molars in my mouth? Both teeth feel sharp, but only one side of my tongue is affected. I've already contacted my dentist but what I don't want to happen is they file down my tooth and I'm uncomfortable with the way my tongue sits later on or I wear down that side of my mouth because my tongue is used to sitting that way.\n\nIf I'm being stupid, please say so. No judgement from me.\n\nThank you MattKW: Did you feel the sharpness when the crowns were fitted, or were you numb at the time?\nDo you have photos or Xrays to show us?\nWhatever, it shouldn't feel sharp. Implant crowns should need negligible adjustments at the fitting appointment.\nSee your dentist. dental_care: Your tongue and oral tissues have likely adapted to the space and shape of your mouth without the molars for some time. When you introduce new dental implants, your tongue may need some time to reposition itself and adapt to the new structure. This could cause initial friction and irritation.\n\nAbout the sharpness, it is not supposed to happen. Talk to your dentist."
  },
  {
    "id": 219,
    "title": "Air pocket in temporary crown",
    "dialogue": "sendicott: Hi! I have a small hole in my temporary crown and there is an air bubble there and I was wondering if that is normal and will it affect my permanent crown? Please help"
  },
  {
    "id": 220,
    "title": "Protruding front teeth",
    "dialogue": "Hayley23: Hi\nMy daughter is 3 nearly 4. She was bottle fed and used her dummy until she was 2 years and 3 months.\nShe had been using munchkin 360 cups until recently but I’ve stopped them now. Her front teeth for the last year have always been a little bit forward but in the last 4 months they have started to flare out. I’m just wondering if there’s anything I can do to help this?\nFirst photo taken in June, second photo today. \nTIA Dr M: I would not recommend any treatment at this stage. Luckily in her case we are still only looking at baby teeth. A lot can still change. Prolonged dummy use, could affect the growth and shape of her palate though. So try and limit this. I would recommend waiting for now and and then re-evaluating when her upper permanent incisors erupted. Hayley23: Dr M said:\n\n\n\n\t\t\tI would not recommend any treatment at this stage. Luckily in her case we are still only looking at baby teeth. A lot can still change. Prolonged dummy use, could affect the growth and shape of her palate though. So try and limit this. I would recommend waiting for now and and then re-evaluating when her upper permanent incisors erupted.\n\t\t\nClick to expand...\n\nThanks for your reply she hasn’t had a dummy for a year a half so hopefully things will sort themselves out. MattKW: As per Dr M. Review her developing occlusion at 7-8 years old after the 1st adult molars have come in, plus the central incisors. Even if it could be said at this point she \"needs\" treatment, we can't do anything until the 1st adult molars come thru (about 6yo) and when you can reasonably expect children to tolerate some ortho treatment."
  },
  {
    "id": 221,
    "title": "New crown",
    "dialogue": "sendicott: Hi I just got a permanent crown on Thursday and I was just wondering how long it would take for the crown to adjust to my bite! What can I eat with the temporary crown as well?"
  },
  {
    "id": 222,
    "title": "Solution for recurrent apthous ulcers",
    "dialogue": "toothy123: It took 25 years before I found a solution to 25 years of recurrent apthous ulcers.\n\nto prevent: take 1 mg of folic acid daily.\nto alleviate pain and quicker resolution: get \"magic mouthwash\" via RX that contains lidocaine, benadryl, and milk of magnesia. This mouthwash will stop the pain for hours and also make them go away faster. MattKW: The understanding of apthous ulcers is still unclear, but generally thought to be an immune dysfunction. Low folic acid levels have been investigated and found not to be a reliable issue. But if it works for you, then go for it.\nMost reliable treatment for small RAU is a corticosteroid in a waterproof base, e.g. \"Kenalog in Orabase\"."
  },
  {
    "id": 223,
    "title": "Mild toothache worse since dental clean!",
    "dialogue": "gunner0788: Hi all, i had pain in top and bottom of my mputh on the right side. The pain comes and goes. Went to dentist and he said i had plaque on top set of teeth at the back and this was the cause. He cleaned the teeth with some sort of water jet thingy. Then when i got home and ate, the back of my top set of teeth on the right side started to really hurt. I was eating garlic bread and salty chips but couldnt eat the chips. Now the pain is not constant and if i get the pain after drinking a cold drink makes it feel better. Should i go back or wait? Is it the cleaning that has caused this? Stephanie Leon: What basic care is necessary to maintain oral health? MattKW: After a cleaning, you may have exposed dentine - this will be sensitive to salted chips, or salt and vinegar chips. Try Sensodyne toothpaste and it should slowly fade away."
  },
  {
    "id": 224,
    "title": "Pain for 6 months; not very red but hurts terribly",
    "dialogue": "millycf: I have been having chronic sore throats on my left side that seems to be stemming from a red spot by my back left molars. The redness isn't all too bad here, but the pain is terrible. It feels like it bumps up slightly there too which is strange. Any ideas as to what this might be? Could this be something with a wisdom tooth? I'm 32 so I don't think it is too probable I randomly grew wisdom teeth this late.. MattKW: i'd need to see Xrays. The photos show only normal anatomy."
  },
  {
    "id": 225,
    "title": "Duration of brushing is long due to OCD - Looking for some practical advice",
    "dialogue": "AcaFim: Hi,\n\nI thought I might post on a dental forum to see if anyone, particularly dentists, could offer me some practical advice/and or solutions on how I can get the time it takes to brush my teeth down. What I am looking for is advice on how to think more logically about what it means to brush teeth (e.g. why we do it and what is needed). I think if I can think more logically about it, then I can get the time down back to normal. I understand already that plaque is a very soft substance and is easily removed through gentle brushing. I remind myself of this everytime I brush, but it doesn't seem to be enough. So yes, any information like this, or any advice on tangible solutions to get the time down would be appreciated.\n\nSo, the current issue is that, due to OCD, it is taking me a very long time to brush my teeth (between 1 to 1.5 hours). I understand the potential consequences of brushing for this long and that is why I am very careful/gentle and only use a extremely soft bristled brush made by a periodontist. There is NO aggressive brushing at all. In fact, prior to this specific OCD developing, my old brushing method (which was around 3 minutes) was so bad that it caused receding gums. The irony is that this new routine is so gentle but it's taking a very long time due to OCD/fatigue. Over time a routine/order has developed that is specific and takes so long. The thing with brushing teeth is that you need some sort of method (routine) in order to brush thoroughly and this is where I think I am getting stuck. Although 1.5 hours sounds like a long time, I want to make it clear that I am not brushing one area for countless minutes; it's just that the WHOLE routine takes this long. There is various steps from start to finish to cover all my teeth if that makes sense. Again, I am fully aware of the consequences of excessive brushing. Despite the OCD, I am generally not running into any issues apart from some mild sensitivity on the teeth surface and gums. Everything seems ok.\n\nThings I am trying to do are:\n\nwatching YouTube videos of dental hygienists brushing their teeth and trying to copy them\nletting go of being perfect and accepting that I may have missed a spot\ngetting ok with distractions while brushing\nI'm also working with a mental health professional, but so far nothing seems to be reducing the time. This is why I started to think outside the box and thought it might be a good idea to ask for some advice on a dental forum.\n\nI've read on reddit that some people have used a timer. However, I haven't used a timer yet as I feel that might stress me out.\n\nI want this activity to become unconscious again. I used to not think about brushing my teeth and had no dental issues. Now when I brush my teeth I can't be distracted by anything otherwise I get doubts about if I have brushed a spot or not.\n\nThanks"
  },
  {
    "id": 226,
    "title": "Are dental assistants allowed drill inside a patients mouth?",
    "dialogue": "Justdsying: I had an experience today where a dental assistant was allowed to place a temporary crown. The bite was off and as she had already cemented it, she began to use the dental drill inside my mouth. After about six tries, she left to get the dentist who was able to adjust the bite. I have NEVER had a RDA use a drill in my mouth. Once I get the permanent crown, I will never go to this dentist again. Was this action legal? Are RDAS now allowed to drill inside of a patient’s mouth? premierperiodontics3: In most cases, dental assistants are not allowed to use a dental drill (also known as a dental handpiece) inside a patient's mouth. The use of dental drills is considered a clinical procedure that typically falls under the scope of practice of licensed dental professionals, such as dentists or dental hygienists, depending on the jurisdiction and specific regulations. 6113: The same exact thing happened to me today . I walked out. She had fingernails under her gloves that felt like nail’s scrapping my gums. A hour and 45 minutes and I have a pie plate in my mouth that’s a different color than the rest.  It was a nightmare and I m asking the same questions. are dental assistant’s allowed to drill in my mouth with a saw blade??"
  },
  {
    "id": 227,
    "title": "Bridge cracked in the same place again.",
    "dialogue": "louraff: In February I had all my teeth removed and 6 implants fitted in both upper and lower jaw and 2 resin bridges attached. I ate a soft diet for 3 months and then had the all clear to eat normally. After 4 days the bottom bridge cracked. The dentist ordered another thicker bottom bridge and now after 3  months this has also cracked in the same place. After paying for the original treatment and then a further payment for the 2nd bridge I can see another charge coming my way. Is this normal that I should keep paying out until by sheer luck I get a bridge that works. MattKW: Perhaps you should go somewhere else for an opinion."
  },
  {
    "id": 228,
    "title": "I had xray of implant can anyone see a problem",
    "dialogue": "werdna: View attachment 6231"
  },
  {
    "id": 229,
    "title": "Is this normal bumps?",
    "dialogue": "Ilie Delia: Hello pls help,is this normal? nikassam: In my experience of dental visit for last 20 years\n\nThis is normal but look for some other conditions\n\n1. Systemuc disease , Vitamin deficiency , thyroid issue or acid reflux , food habbits , smoking , drinking etc\n\n2. Look for caries cavity or impacted or poorly aligned wisdom teeth\n\n\nRest to re assure ask a dentist with a clinical examination\n\nTRY THIS\n\navoid acidic , caffine and unhealthy food for atleast 6 months , stop smoking , make sure your tongue litaral side is not irritated by wisdom teeth etc Ilie Delia: nikassam said:\n\n\n\n\t\t\tIn my experience of dental visit for last 20 years\n\nThis is normal but look for some other conditions\n\n1. Systemuc disease , Vitamin deficiency , thyroid issue or acid reflux , food habbits , smoking , drinking etc\n\n2. Look for caries cavity or impacted or poorly aligned wisdom teeth\n\n\nRest to re assure ask a dentist with a clinical examination\n\nTRY THIS\n\navoid acidic , caffine and unhealthy food for atleast 6 months , stop smoking , make sure your tongue litaral side is not irritated by wisdom teeth etc\n\t\t\nClick to expand...\n\nThank you Omi: Ilie Delia said:\n\n\n\n\t\t\tThank you\n\t\t\nClick to expand...\n\nHi delia.\n\n\nHow are you..?\n\nIs your issue resolved... or having same issue...\nAny update????"
  },
  {
    "id": 230,
    "title": "Doing market research on dental offices and patient communication needs",
    "dialogue": "software-pm: I am a software product manager working on AI. I want to learn more about dental offices and patient communication software requirements. Would anyone who manages or owns a dental practice in the US be willing to take a 5-minute online survey? \nThanks,\nRam"
  },
  {
    "id": 231,
    "title": "Front Flipper Question",
    "dialogue": "Hey Man: Greetings,\n\nI had to get a front flipper a while back due to knocking out a portion of the tooth when I was kid and decades later the tooth just started to deteriorate and become loose - so it had to be removed. \n\nNow since I work from home, I admittedly did not wear it often and I think some of front teeth have shifted a bit. The flipper still fits, but there are slight gaps with the surrounding teeth. \n\nMy dentist said that if I wear the flipper consistently, it should push the teeth back. My question is: is this accurate or is my dentist humoring me more or less to get me to wear the flipper which I know I should be doing anyway?\n\nThank you very much. \n\nHM MattKW: So it sounds like your teeth are moving apart. Wearing the flipper won't stop that because it rests on the inside of your teeth, and has no way of pulling your teeth inwards, viz., not wearing it makes no difference in this sense. Hey Man: MattKW said:\n\n\n\n\t\t\tSo it sounds like your teeth are moving apart. Wearing the flipper won't stop that because it rests on the inside of your teeth, and has no way of pulling your teeth inwards, viz., not wearing it makes no difference in this sense.\n\t\t\nClick to expand...\n\n\nThanks for getting back to me. I guess my dentist was suggesting that the tooth portion of the flipper would push back the tooth next to it over time especially if the tooth has nowhere to go now with the fake tooth in it's way like if the real tooth was still there. \n\nI was told initially that teeth can potentially shift over if there is a huge gap there now from a missing tooth and as I said - I wasn't wearing it, so that is certainly my fault. This wasn't a problem otherwise. \n\nIf the flipper won't do anything - what does modern dentistry offer to just fix slight gaps. A retainer of sorts for like two or three teeth? I am assuming if someone wanted to fix a front top teeth middle gap, you don't need the works just for that - both cost wise and whatever device you need to wear.   \n\nAppreciate your feedback.\n\nThank you,\n\nHM MattKW: 1-3 teeth could be a simple acrylic denture as the cheapest option. Hey Man: MattKW said:\n\n\n\n\t\t\t1-3 teeth could be a simple acrylic denture as the cheapest option.\n\t\t\nClick to expand...\n\n\nDo you mean to straighten the teeth - can you show me a photo of what this looks like? I certainly don't want to pull the teeth. Just the cheapest straightening options for one to two teeth. I assumed some kind of retainer that would only be a few hundred dollars.\n\nThank you. MattKW: How about you give us a few photos of your teeth? From front and underneath. Hey Man: MattKW said:\n\n\n\n\t\t\tHow about you give us a few photos of your teeth? From front and underneath.\n\t\t\nClick to expand...\n\n\nI will post photos, but I am kind of shocked that pulling the teeth was the conclusion here, when the issue is straitening ala a retainer, invisalign, etc. and the teeth are fine more or less otherwise outside of my gum issues I told you about before.\n\nPulling teeth is typically the absolute final move you make after you have tried 10 other things first to save the tooth and I am not there yet. I just wanted to see what you would recommend. I live in Canada and so my dentist may not utilize some options that your practice does and that I could ask them about."
  },
  {
    "id": 232,
    "title": "Vertical root fracture symptoms after 4 months",
    "dialogue": "iartemch: Hello, \n\nI’ve had pain and pressure in the gum and in my #9 tooth with root canal for the last 4 months. The tooth is covered by a veneer. The root canal was done because of pain after veneer replacement -  It was done 6 months before  my current symptoms began.\nNothing showed up on the X-ray taken 3.5 months ago. 2 dentists and 1 endodontist say root canal looks good. I have had 4 bite adjustments with some relief after that. The dentist who replaced my veneers and did crown lengthening said I needed to come for another adjustment. She also suggested it might be vertical root fracture. Another dentist suggested to see ENT since my sinus infection might be causing it ( I also developed pain and pressure in gums in teeth #10, 11 and even 12). \nI have no pain in tooth #9 when biting. In fact, pain and pressure disappear when I bite while eating. Also, no pain or pressure while wearing a night guard. \n\nGiven the fact that it has been 4 months since my symptoms started, shouldn’t I have developed a periodontal pocket or bone loss visible on the X-ray ? Since my veneer felt weird from the beginning (no problems with temporaries), is it possible that it did not fit right to the tooth under it? Can my sinus infection mess up my tooth since I am congested and feel pressure and pain in maxillary sinus mostly on that side?\n\nPlease, any advice is greatly appreciated. I don’t want to extract my upper front tooth if there is no need for it. Thank you! MattKW: 1. I would've expected a periodontal swelling to have developed as you say. Bone loss may not be visible on a standard dental Xray. You might see a fracture on a CBCT, but I would've expected the perio to be the first sign. Also, there should be pain on biting with a fracture.\n2, Can't see why a veneer would've caused much change in your bite unless there was significant incisal adjustment. Normally you still have to keep the length of a single veneer within the movement envelope consistent with adjacent teeth, unless you do a lot at the same time.\n3. Nothing to do with sinus issues. Maxillary sinus issues only affect back teeth, say 2nd premolar and backwards and would manifest as a dull ache, exacerbated when chewing, and not easily located to a single tooth.\n\nYeah, can't say for sure. A crack seems the most likely out a poor choice of possibilities. Maybe consider a simple ortho retainer for a few months rather than risk something more aggressive. Pls write back here when you find a diagnosis and effective solution. iartemch: Thank you for your reply. I am planning to get CBCT to see what goes on with the tooth and the bone.\nI will write if/when I get a diagnosis. iartemch: Hi.\nThis is an update to my post regarding pressure and pain in gum after a new veneer was bonded. After several consultations, I was finally diagnosed with biological width violation. According to the dentist who removed the veneer, the veneer was sitting way too close to the bone pressing on it and causing chronic inflammation and irritation. In addition to that, there was an access cement under the gum that was not cleaned after the bonding. It is worth mentioning, that while I was waiting for this appointment, my gum became very sensitive and bled when probed. \nI spent a lot of money on my 2 veneers and now I have to redo the veneer that was not done properly. It irritated the nerv in my tooth and I had to have a root canal that did not fix the problem. I went to the dentist who did the veneers 3 times and every time she suggested that I clenched my teeth and kept adjusting my bite while in fact she had placed the veneer too high and did not clean the cement properly after bonding. Should I contact her office and ask for my money back? I am really upset. MattKW: Sad to hear. Would've thought BWV would've been picked up earlier. \nIf your symptoms have indeed been resolved, then you may have reason to ask for compensation. I'd suggest you gather any evidence you can, then start initial contact to the dentist - before and after photos would be useful. Do it in writing and be polite; expect only that you may get the cost of any remedial re-treatment (don't try for \"pain and suffering\" - this wasn't life or death issue). If that fails, seek advice from any local consumer assistance office."
  },
  {
    "id": 233,
    "title": "Brand new associate dentist struggling with UDAs",
    "dialogue": "dancingdentist: Hi, I started as an associate dentist this september following my FD year. The practice have given me a target of 20 UDAs a day which I thought was manageable. However, after my first 3 days I have realised how tough this target is for me. I have some high needs patients that take up a lot of my time and will need to come back for multiple treatment appointments and so far I am averaging 10 UDAs a day and coming home exhausted. I had a patient in today for an extraction and immediate addition to a CoCr, so i'll get 3 UDAs (at £11 per UDA) but it's costing me £75 in lab fees so I've paid for the pleasure of treating this patient. I don't want to seem ungrateful as I know as a qualified dentist I am in privileged positive but if I continue like this I'm looking at a salary of £26,400 per year which after 5 years of dental school doesn't really make financial sense. How am I meant to earn more???"
  },
  {
    "id": 234,
    "title": "Orange like bump near teeth",
    "dialogue": "Tpearl: Hello\nI recently found an orange bump near my teeth. Any ideas on what it is?"
  },
  {
    "id": 235,
    "title": "I have a question",
    "dialogue": "Ximena_rodriguez366: Hello, I am a third semester student and I would like to know what would be better to specialize in?"
  },
  {
    "id": 236,
    "title": "Tooth extraction today adjacent tooyh very painful - is this normal",
    "dialogue": "suemarsh21: Had a tooth extracted today now severe pain in adjacent tooth - is this normal MattKW: Could be just from the trauma of extraction. Not enough info to tell more. Call the dentist."
  },
  {
    "id": 237,
    "title": "Can I get wisdom teeth extracted by a laser drill? Have tinnitus and sound sensitivity.",
    "dialogue": "cyberspace: Hello, I have some wisdom teeth which are causing pain and soreness, and I also suffer from tinnitus which I got from a loud microsuction earwax removal. I have heard laser drills are quieter than traditional drills and have been contacting a few dental surgeons near me to ask if they could use one but no luck so far. Wearing earmuffs with a regular drill would also not be an option due to the occlusion effect which wouldn’t be a worry with a laser drill. I’d like to do absolutely everything to not risk worsening my tinnitus as it is utterly life ruining and frightening for me, thanks for any info. MattKW: Laser drills are fantasy land for extractions, sorry. \nI'd suggest you seek out a dentist or oral surgeon who can offer you sedation or general anaesthetic. cyberspace: MattKW said:\n\n\n\n\t\t\tLaser drills are fantasy land for extractions, sorry.\nI'd suggest you seek out a dentist or oral surgeon who can offer you sedation or general anaesthetic.\n\t\t\nClick to expand...\n\nUnfortunately sedation wouldn’t help with the risk of it worsening my tinnitus as it isn’t a conscious thing or related to my anxiety from the noise, it’s a physical thing and the sound will still reach my ear whether or not I’m sedated MattKW: But there are no dental lasers for extractions."
  },
  {
    "id": 238,
    "title": "First molar whit root in maxillary sinus",
    "dialogue": "Adrian Chavez: What happens if i remove a first molar whose root is inside the maxillary sinus?"
  },
  {
    "id": 239,
    "title": "Help! 3d hard night guard bite splint looks weird!",
    "dialogue": "Michlynn4: I have a new comfort 3d hard nightguard bite splint.\n\n\nIt cost $500! They told me it looks right and perfect but I don't feel or looks right to me. I can't even close my lips, half my teeth are covered. Is this normal for a splint? They weren’t very helpful with answering my questions. I’m so sad all this money wasted  \n\n\nPictures show what it looks like. The 2nd and 3rd \"mouth closed\n\n.\" MattKW: It's more common to have the splint on the upper teeth. Yours looks way too thick for comfort and functionality - more likely to cause a problem than to fix it.\nThe thickness at the front is a result of how THIN it can be made at the back. Quite often the thickness over the 1st molars might be ~1mm (usually no point covering 2nd molars) which in turn would lead to ~3mm opening at front. Go back and see if that can be thinned down. If you were my patient, I wouldn't attempt it chairside because of that degree of thickness - it would be better done on an articulator in a lab."
  },
  {
    "id": 240,
    "title": "Concern About Chlorhexidine Mouthwash",
    "dialogue": "Hey Man: Greetings,\n\nI was recently prescribed a Chlorhexidine mouthwash to use for two weeks to help with my gingivitis and in particular heal what I was told was an inflamed gum issue which has caused what looks like a sort of skin tag/canker on the gum portion of the inside of my teeth.  \n\nHowever being the paranoid person that I am with medications and side effects, I read about how it can cause stains and even further tarter issues - which is already a problem for me because I produce a lot of plaque/tarter because I have an extreme dry mouth problem and so saliva isn't being produced properly. In addition to other side effects like taste changes, etc. \n\nI just wanted to get a second or even third opinion on Chlorhexidine - would this really be the only way to deal with the inflamed gum skin tag/canker vs say Colgate's Peroxyl or some other mouth wash/treatment with less side effects? Just looking at some Google searches - I have seen some dentists say they don't use it, but they really didn't go into detail why outside of acknowledging the side effects. Perhaps the risks don't outweigh the benefits in their view. I just was hoping to be able to actually talk to a dentist here about it. Is the risk of staining very low if you don't exceed the two weeks and can it be removed if there is indeed staining?\n\nI would greatly appreciate any feedback on the above and whatever stance any dentists here have about the Chlorhexidine mouth wash. Recommending or otherwise. \n\nThank you.\n\nHS MattKW: It doesn't sound like a canker ulcer (apthous ulcer) and chlorhex mothwash (CHX) doesn't help that anyway. CHX is excellent for helping to improve gum health, but works only if you are practsising good oral hygiene , i.e. brsuhing, flossing. It is not a miracle cure by itself. As for staining, a 0.12% solution or 50:50 0.2%:water mix doesn't lead to staining. I use the 0.2% solution last thing at night for last 15 years and have had no noticeable side-effects like staining, taste disturbance, dryness (no alcohol in it). Hey Man: MattKW said:\n\n\n\n\t\t\tIt doesn't sound like a canker ulcer (apthous ulcer) and chlorhex mothwash (CHX) doesn't help that anyway. CHX is excellent for helping to improve gum health, but works only if you are practsising good oral hygiene , i.e. brsuhing, flossing. It is not a miracle cure by itself. As for staining, a 0.12% solution or 50:50 0.2%:water mix doesn't lead to staining. I use the 0.2% solution last thing at night for last 15 years and have had no noticeable side-effects like staining, taste disturbance, dryness (no alcohol in it).\n\t\t\nClick to expand...\n\n\nThanks for getting back to me.\n\nWell I was trying to describe what it looks like, so it may not actually be a canker. I asked my dentist that I recently noticed a raised skin bump that my tongue went over - she looked at it and mentioned it was due to the inflammation per my gum issues in general. This would not have been prescribed otherwise. Just to try to get rid of the bump/inflammation - whatever it is.\n\nAs I mentioned, I have extreme dry mouth problems due to a deviated septum - so I am often breathing through my mouth. In addition, I take Tegretol for epilepsy, so that further contributes negatively to gum issues. It is always going to be a problem no matter how good the oral hygiene is, which is why I go in for 3 month cleanings instead of 6 months.\n\nI can take a photo of it if you wanted to see unless you already have an idea what it is, but if CHX doesn't help in this regard to heal the skin bump - what would? Does Colgate Peroxyl help with such things?\n\nIf the staining is not really an issue at this solution level for two weeks - why are there endless warnings over CHX and some dentists that definitively are against using it? I get with any drug - you need to list possible side effects, but it seems this goes beyond that and there is almost fear mongering going on with CHX, which quite frankly inspired my post here.   \n\nThank you very much for your time.\n\nHM MattKW: Sure, put up a photo.\nAs for the potential for staining, I have personally found it over-rated. Yes, I've had a few patients start to develop a stain, but it is easily polished off by a dentist. I attach an article with some sentences highlighted. Hey Man: MattKW said:\n\n\n\n\t\t\tSure, put up a photo.\nAs for the potential for staining, I have personally found it over-rated. Yes, I've had a few patients start to develop a stain, but it is easily polished off by a dentist. I attach an article with some sentences highlighted.\n\t\t\nClick to expand...\n\nGreetings MattKW,\n\nSorry for the delay. Thank you very much for the article and your time. I will post a photo soon as well.\n\nSpeaking about staining - just to get your feedback here as well: do modern formulations of stannous flouride and mouthwashes with cetylpyridinium chloride cause staining and you wouldn't recommend or do you think the warnings are over-rated there as well? If both do cause staining - can that be polished away as well?\n\nMy wife came home with this new Colgate toothpaste in Canada with stannous flouride as the active ingredient per the photo below as she thought it might be helpful per the issues I have mentioned to you. Just wanted to get your thoughts. \n\nThank you very much.\n\nHM MarkBrown32: Have you tried bluem? Great for treating inflamed gums. John Morgens: I understand your concerns about using Chlorhexidine mouthwash and the potential side effects. It's always important to weigh the benefits and risks of any treatment. I'm not a dentist, but I can offer some general insights that might help you make an informed decision.\n\nChlorhexidine is an antiseptic mouthwash that is commonly prescribed to help manage gum inflammation, gingivitis, and other oral infections. While it can be effective in reducing harmful bacteria and promoting gum health, it's true that there are potential side effects to consider:\n\n1. Staining: Chlorhexidine can cause staining of teeth, dental restorations, and even the tongue. This staining is more likely if the mouthwash is used for an extended period or in higher concentrations.\n\n2. Taste Changes:  Some people may experience a temporary alteration in taste perception when using Chlorhexidine.\n\n3. Dry Mouth:  Given your existing dry mouth issue, it's important to note that Chlorhexidine might exacerbate this symptom for some individuals.\n\nIt's worth discussing your concerns with your dentist or healthcare provider. They can provide guidance on whether the potential benefits of using Chlorhexidine outweigh the risks in your specific situation. They might also explore alternative treatment options based on your individual needs and health profile. Colgate's Peroxyl is a milder oral rinse that's used for soothing oral irritations, but it may not provide the same level of antibacterial action as Chlorhexidine.\n\nRegarding the staining risk, using Chlorhexidine for the prescribed two weeks under professional guidance should have a lower likelihood of causing significant staining. Regular dental hygiene practices and professional cleanings can help manage any staining that might occur.\n\nUltimately, the decision on whether to use Chlorhexidine or explore alternative options should be made in consultation with your dentist. They can provide personalized advice based on your oral health condition, medical history, and treatment goals.You can get more information from dentist professionals by visting Mylifesmiles. MattKW: No staining with stannous toothpaste or mouthwashes with cetylpyridium. Hey Man: John Morgens said:\n\n\n\n\t\t\tI understand your concerns about using Chlorhexidine mouthwash and the potential side effects. It's always important to weigh the benefits and risks of any treatment. I'm not a dentist, but I can offer some general insights that might help you make an informed decision.\n\nChlorhexidine is an antiseptic mouthwash that is commonly prescribed to help manage gum inflammation, gingivitis, and other oral infections. While it can be effective in reducing harmful bacteria and promoting gum health, it's true that there are potential side effects to consider:\n\n1. Staining: Chlorhexidine can cause staining of teeth, dental restorations, and even the tongue. This staining is more likely if the mouthwash is used for an extended period or in higher concentrations.\n\n2. Taste Changes:  Some people may experience a temporary alteration in taste perception when using Chlorhexidine.\n\n3. Dry Mouth:  Given your existing dry mouth issue, it's important to note that Chlorhexidine might exacerbate this symptom for some individuals.\n\nIt's worth discussing your concerns with your dentist or healthcare provider. They can provide guidance on whether the potential benefits of using Chlorhexidine outweigh the risks in your specific situation. They might also explore alternative treatment options based on your individual needs and health profile. Colgate's Peroxyl is a milder oral rinse that's used for soothing oral irritations, but it may not provide the same level of antibacterial action as Chlorhexidine.\n\nRegarding the staining risk, using Chlorhexidine for the prescribed two weeks under professional guidance should have a lower likelihood of causing significant staining. Regular dental hygiene practices and professional cleanings can help manage any staining that might occur.\n\nUltimately, the decision on whether to use Chlorhexidine or explore alternative options should be made in consultation with your dentist. They can provide personalized advice based on your oral health condition, medical history, and treatment goals.You can get more information from dentist professionals by visting Mylifesmiles.\n\t\t\nClick to expand...\n\nThanks for the response. My dentist's position is that it should be fine if you don't use beyond the two weeks. Also my gum issues are beyond just some mild gingivitis, so also why this was recommended. \n\nAgain, I admit I am a paranoid person in this regard and I also just wanted to see what might be the second choice to use for such gum issues if not Chlorhexidine. I guess I assumed that this couldn't be the only product in modern dental existence that provides the same or similar/slightly less effectiveness, but without such side effects.\n\nThanks again!\n\nHM MattKW: Hey Man said:\n\n\n\n\t\t\tThanks for the response. My dentist's position is that it should be fine if you don't use beyond the two weeks. Also my gum issues are beyond just some mild gingivitis, so also why this was recommended.\n\nAgain, I admit I am a paranoid person in this regard and I also just wanted to see what might be the second choice to use for such gum issues if not Chlorhexidine. I guess I assumed that this couldn't be the only product in modern dental existence that provides the same or similar/slightly less effectiveness, but without such side effects.\n\nThanks again!\n\nHM\n\t\t\nClick to expand...\n\nWell, CHX is streets ahead of other mouthwashes, primarily to its substantivity (ability to last up to 12 hrs). If you are struggling to get gums under control, the purported side-effects are not very common, nor are they serious. If you start getting side-effects of staining or taste disturbance, just stop using it."
  },
  {
    "id": 241,
    "title": "White lines inside cheeks? If anyone can help thanks",
    "dialogue": "Ashley27772: "
  },
  {
    "id": 242,
    "title": "White bump",
    "dialogue": "Jgri20232023: Had this white bump for a week or so near upper canine tooth. Thoughts on what it could be? Dr M: Could be an enlarged fordyce granule, or even a part of the canine prominence ( bony protuberance) . To rule out any draining sinus from a possible abscess, more clinical information and an x-ray is needed. John Morgens: A white bump near the upper canine tooth that persists for a week could be due to several possibilities:\n\n\nCanker Sore: Canker sores are small, painful white or gray sores that can develop inside the mouth. They often heal on their own within a week or two.\nMucocele: A mucocele is a harmless cyst that forms when a salivary gland duct becomes blocked. It appears as a fluid-filled bump and might resolve on its own or require medical attention.\nCandidiasis (Oral Thrush): A fungal infection called candidiasis can cause white patches or bumps in the mouth. It's more common in individuals with weakened immune systems.\nTrauma or Irritation: Accidental biting, friction from dental appliances, or other forms of irritation can lead to the formation of small white bumps that usually heal as the source of irritation is removed.\nHPV Lesion: In some cases, a white bump could be a manifestation of an oral HPV lesion, although this is less common.\nDental Abscess: A dental abscess, which is a localized infection, can sometimes present as a white bump. It's usually accompanied by pain, swelling, and other symptoms.\nLeukoplakia: Leukoplakia is a condition that causes white patches or bumps on the inner cheeks, gums, or tongue. It might be associated with tobacco use or irritation.\nGiven the variety of potential causes, it's important to have the bump examined by a dentist or medical professional for an accurate diagnosis. They can provide appropriate treatment recommendations based on the underlying cause and your specific situation. If the bump is causing discomfort, increasing in size, or not resolving, seeking prompt medical attention is advised.For getting more information from professional dentist you can visit mylifesmiles. Jgri20232023: Jgri20232023 said:\n\n\n\n\t\t\tHad this white bump for a week or so near upper canine tooth. Thoughts on what it could be?\n\t\t\nClick to expand...\n\n\nWent to dentist—x rays were good. Said he had concern about the red area next to the bump and to come back in a few weeks if not better. Right now the area is painful. Jgri20232023: Dr M said:\n\n\n\n\t\t\tCould be an enlarged fordyce granule, or even a part of the canine prominence ( bony protuberance) . To rule out any draining sinus from a possible abscess, more clinical information and an x-ray is needed.\n\t\t\nClick to expand...\n\nWent to Dentist—x rays were fine. He was a little concerned about red area next to bump—said to come back in 2 weeks if not better. Right now it is painful. Jgri20232023: Updated pic. MattKW: Of no concern. A variant of normal mucosa."
  },
  {
    "id": 243,
    "title": "Filling gap after tooth extraction",
    "dialogue": "worrier: I'm 73 and my lower back tooth needs a complex extraction. It doesn't hurt but a dentist said it's beyond repair and shows decay. I'm procrastinating about having it extracted due to cost and fear of procedure, but I think I  will have to resign myself to it sooner or later. When it is extracted, will I need anything to fill the gap, such as an implant? Or can the gap just be left? MattKW: It all depends how it affects you afterwards. If you can still eat comfortably, then probably no need to replace it."
  },
  {
    "id": 244,
    "title": "Interested?",
    "dialogue": "aduncan: Hi! I’m not a dentist, but instead a practice manager for a federally qualified health center that operates two primary care clinics, and one dental clinic. We took possession of the dental clinic which was formerly a free clinic a little more than a year ago. We are struggling to recruit dentists to this area and I am looking for some help or advice. We are in a very rural area, with a patient population that really needs dental services. I feel as though, for our area, our pay and benefits are competitive and there’s the potential for student loan reimbursement. If anyone has any advice or interest, please reach out!! Thank you!! aduncan: aduncan said:\n\n\n\n\t\t\tHi! I’m not a dentist, but instead a practice manager for a federally qualified health center that operates two primary care clinics, and one dental clinic. We took possession of the dental clinic which was formerly a free clinic a little more than a year ago. We are struggling to recruit dentists to this area and I am looking for some help or advice. We are in a very rural area, with a patient population that really needs dental services. I feel as though, for our area, our pay and benefits are competitive and there’s the potential for student loan reimbursement. If anyone has any advice or interest, please reach out!! Thank you!!\n\t\t\nClick to expand...\n\n. aduncan: ."
  },
  {
    "id": 245,
    "title": "External resorption",
    "dialogue": "Najen: Hello! A dentist spotted resorption on my routine dental X-ray and referred me to an endo, who said I have external resorption, rather than internal, and nothing further can be done, from his perspective.  I have no symptoms, but the endo said the tooth could fail at any time, months or years.  Would extraction (and subsequent implant) now be the best course of action?  See my X-rays attached.  Any idea about what stage on the Heithersay scale my case would be?  Also, what is the predominant theory on what causes resorption?  I have had no trauma to the tooth but did have braces as a teen.  Thank you! John Morgens: I'm sorry to hear about your dental situation. While I can provide general information, it's essential to consult your dentist and endodontist for personalized advice. Based on the information you've provided:\n\n\nTreatment Approach: External resorption, if detected early and not causing symptoms, might not require immediate treatment. However, the tooth's prognosis can be uncertain. Consulting with an experienced dentist or oral surgeon for a second opinion is advisable to determine the best course of action based on your specific case.\nExtraction and Implant: Extraction followed by dental implant placement could indeed be a consideration, especially if the tooth's stability becomes compromised. Dental implants are a common solution for replacing extracted teeth, offering stability and a natural appearance.\nHeithersay Scale: External resorption can progress at different rates. The Heithersay scale categorizes external resorption into five stages, with Stage 1 being the least severe and Stage 5 being the most severe. It's important for a dental professional to assess your case and determine its stage accurately.\nCauses of Resorption: The exact cause of external resorption isn't always clear, but there are several potential factors. It can sometimes be a response to inflammation, pressure, or trauma. In your case, a previous history of braces could potentially contribute to the development of resorption, although each case is unique.\nRemember, your dentist and endodontist are the best sources of information regarding your specific situation. If you have concerns or questions, don't hesitate to seek a second opinion from another dental professional. They can provide insights into your options, potential risks, and the best way to manage your dental health moving forward."
  },
  {
    "id": 246,
    "title": "Had a molar removed, osseous surgery and bone socket graft. It looks like my gum tore at the sutures? Is this normal or bad?",
    "dialogue": "malevolentmerc: New item by Mitchell Hoskinson\n\t\t\t\t\t\n\n\n\n\n\n\n\t\t\t\t\tphotos.app.goo.gl John Morgens: t is not uncommon for the gum to tear at the sutures after a molar removal, osseous surgery, and bone socket graft. Fortunately, incisions in the mouth heal quickly, and any wound that opens will close naturally. However, it is still important to contact your oral surgeon if you have any concerns or questions about your post-operative healing process. They can provide you with specific instructions and advice based on your individual case.For getting more information you can visit mylifesmiles . MattKW: Appears to be exposed, dead lingual bone. Go back to your dentist."
  },
  {
    "id": 247,
    "title": "Broken teeth couple weeks. Yesterday this happened.",
    "dialogue": "Need help: Level 7 pain. Can't sleep. I was given 7 days of 500mg Amoxicillin x3 and 600 mg x4 IBU. It looks like this (worse) after 24 hours of meds. Now spreading to left gums. Had soup last night. No chewing. Do I need anything more to function. I want to sleep. Swollen gums all the way up to the top gumline. Dr M: Antibiotics only reaches therapeutic doses after about 48 hours of use. Sometimes it also gets a little bit worse, before it gets better. If the pain or swelling doesn't decrease after 48 hours, and the swelling increases, it might be necessary to go to the ED Need help: Dr M said:\n\n\n\n\t\t\tAntibiotics only reaches therapeutic doses after about 48 hours of use. Sometimes it also gets a little bit worse, before it gets better. If the pain or swelling doesn't decrease after 48 hours, and the swelling increases, it might be necessary to go to the ED\n\t\t\nClick to expand...\n\nThank you very much. Feel a little better after day 2. Is 7 days enough or do I need 14 days which I think is usual. Dr M: Take the antibiotics as prescribed by your treating doctor. MattKW: Antibiotics (abx) for dental problems are only an emergency measure. Don't wait the full course of abx; go see the dentist now and address the actual problem causing this swelling. \nWould you treat an infectected splinter with abx? No, you'd want to get the splinter removed."
  },
  {
    "id": 248,
    "title": "Painful hole in the back of my mouth",
    "dialogue": "nour123: I have a really painful hole in the back of my mouth I've had it for about 6 days or so and it's really painful to chew solid foods so I've been living off of liquids and it doesn't see to get any better nor worse Dr M: Did you injure yourself in any way? Did you perhaps bite your cheek? Have you been taking any medication? I would suggest rinsing with some salt water four times a day, and consider taking a short course of anti-inflammatory and pain meds. If this does not resolve or become smaller in 7 to 10 days, I would suggest going to see your dentist so that the cause can be determined. MattKW: Looks like your upper wisdom tooth is tilted towards the cheek and you're having a bit of a chew. Upper and lower wisdoms on that side should be extracted, and your life will be happier."
  },
  {
    "id": 249,
    "title": "Red dots above my canine",
    "dialogue": "Icyconversation480: I have these red dots above my canine. I posted this in the “patient” forum but the dentist that answers got it wrong. ****I BRUSH AND FLOSS EVERY DAY. I USE MOUTHWASH. I DO A WARM SALT RINSE THREE DAYS A WEEK TO CLEAN MY GUMS. MY GUMS DO. NOT. BLEED.** \nI ALSO DO NOT BRUSH OR FLOSS TOO HARD!!!!!!!!!!!! \nI just went to the dentist 2 months ago for a cleaning, a month ago for a check up on this specific tooth, a dentist 1 week ago for a checkup on this tooth and I have an appointment on Monday for this tooth. \nIt’s not gingivitis because I don’t have gingivitis. What is it? nolenjames30: Some possible reasons for red dots above a canine include allergies, flea bites, hot spots, skin infections, ticks, mange, contact dermatitis, skin rash, trauma, autoimmune conditions, medication reactions, or underlying health issues. it's always best to consult a veterinarian for proper diagnosis and treatment. Dr M: This is dental forum. The post was referring to a canine tooth. Please read carefully before commenting MattKW: My best guess is a bit of over-brushing or a toothbrush that's too hard."
  },
  {
    "id": 250,
    "title": "Missing filling part?",
    "dialogue": "dangarrob: I had a this filling done in March 2023. By July it felt like there is a part missing when I fill it with my tongue. It used to be completely flat and smooth and now it feels concave like it had missed a part in the middle.\nThe dentist gave the photographs taken after the filling was applied in March and the one in July when I went to see him to see what happened to the filling.\nThe dentist is adamant everything is the same but even in the photos you can see the difference.\nWhat do other dentists think of this.\nThe photo with the bigger close up is the one from March the other is July. dangarrob: Here are the photos Dr M: Might just be normal wear and tear on the filling. If the filling was a bit high, sometimes they wear down until a comfortable \" level \" is reached, especially after a few months of function.\nI don't see anything to worry about dangarrob: Thank you for your reply, I think you are probably right…although it felt like it happened overnight…"
  },
  {
    "id": 251,
    "title": "Feels like my gums peeling/ loose",
    "dialogue": "Dd123: The gum area between my middle bottom teeth is slightly loose and when I brush it bleed any advice ? Should I be worried ? Can now feel like I can suck air through it Dr M: Sounds like it is time for a check-up and cleaning with your dentist. Gingivitis might lead to swollen or \"loose\" gums. In other cases it might be a sign of periodontitis. You will need a clinical examination"
  },
  {
    "id": 252,
    "title": "I have a patch on my tongue",
    "dialogue": "nbo: I have a circular patch on my tongue that keeps reappearing on the side of my tongue, sometime underneath or on top, but always on the right side near the front. It is an outline with a white boarder. It starts off smaller than a pink finger and gets bigger, and disappears after about three days, after another couple of days it reappears. Sometimes I will get another circle or more appear near it. It is mostly painless but sometimes it slightly burns.\n\nI did go to see the dentist and he said that he didn't think it was anything serious, that maybe it was the way my teeth pressed against my tongue. It has been happening for a year.\nI have had terrible health anxiety recently and I can't stop thinking about it.\n\nI am female, 30 and don't drink or smoke, if that helps.\ndoes anyone know what it is?\n\nthank you nbo: Can I get this post deleted please? or just the photos? MattKW: Looks and sounds like Benign Migratory Glossitis or geographic tongue. Has nothing to do with pressure from teeth. John Morgens: Based on your description, the circular patch on your tongue could potentially be a condition known as \"oral lichen planus.\" Oral lichen planus is a chronic inflammatory condition that affects the mucous membranes inside the mouth, including the tongue. It can appear as white, lacy patches or raised, white-bordered lesions.\nSince you've mentioned that you've had this issue for about a year and it's been recurring, it might be a good idea to consult with a dermatologist or an oral medicine specialist for a proper diagnosis and further evaluation. They can perform a clinical examination and possibly recommend a biopsy if needed to confirm the diagnosis.\nIt's important to note that while oral lichen planus is a possibility, there could be other conditions that present with similar symptoms. Given your health anxiety and the recurrent nature of the patches, seeking professional medical advice will help put your mind at ease and provide you with accurate information and treatment options. nbo: John Morgens said:\n\n\n\n\t\t\tBased on your description, the circular patch on your tongue could potentially be a condition known as \"oral lichen planus.\" Oral lichen planus is a chronic inflammatory condition that affects the mucous membranes inside the mouth, including the tongue. It can appear as white, lacy patches or raised, white-bordered lesions.\nSince you've mentioned that you've had this issue for about a year and it's been recurring, it might be a good idea to consult with a dermatologist or an oral medicine specialist for a proper diagnosis and further evaluation. They can perform a clinical examination and possibly recommend a biopsy if needed to confirm the diagnosis.\nIt's important to note that while oral lichen planus is a possibility, there could be other conditions that present with similar symptoms. Given your health anxiety and the recurrent nature of the patches, seeking professional medical advice will help put your mind at ease and provide you with accurate information and treatment options.\n\t\t\nClick to expand...\n\nThank you. I have a dentist appointment in a couple of days. It had disappeared when I went the second time and very small the first time. I have taken more pictures, so hopefully I get it sorted. I thought it was geographic tongue like the first comment suggests because it was the closest thing that it resembled. Thank you for the extra information."
  },
  {
    "id": 253,
    "title": "Should I be worried about the backside of my gums? 27 male",
    "dialogue": "Cdulin:  Dr M: Everything appears within normal limits truxxxa69: I used to have calcium build up behind those teeth. After weeks of brushing lthem, they cleared up. It was completely removed at the dentist weeks later.\n\nThey look fine to me, IMHO coming from a non dentist. Cdulin: Dr M said:\n\n\n\n\t\t\tEverything appears within normal limits\n\t\t\nClick to expand...\n\nOk. Thank you! John Morgens: It's normal for the backside of your gums to have a slightly different appearance than the front or visible parts. The gums in the back of your mouth, especially around your molars, tend to have more irregularities, including natural folds and indentations. These variations are usually harmless and can be influenced by factors such as genetics, tooth alignment, and overall oral health.\nHowever, if you notice any unusual changes on the backside of your gums, such as swelling, redness, pain, bleeding, persistent sores, or any growths, it's a good idea to have it checked by a dentist or oral health professional. While most variations are normal, any changes that cause discomfort or concern should be evaluated to ensure there are no underlying issues.\nRegular dental check-ups are important for maintaining good oral health and catching any potential problems early. If you have any specific concerns about the backside of your gums, it's best to consult a dental professional for a proper evaluation and personalized advice."
  },
  {
    "id": 254,
    "title": "Pain relief pre root canal.",
    "dialogue": "koontz74: About 3 months ago I had a filling in one of my upper teeth, around 3 weeks ago I have had progressively more pain, I went to dentist who said the filling was deep and close to the nerve, and it may need a root canal or extraction, this dentist has now gone and I can't get an appointment till 30 aug, there are emergency surgery's but I think they just do extractions, my question is, is it possible to get some kind of pain relief in the tooth for.like a month before I can get it root canal, and crown, I am with a NHS practice, also the pain comes and goes but when it comes it hurts, and I take Ibuprofen. Dr M: You can consider getting antibiotics from your GP if their is active infection. koontz74: I have had a course of antibiotics from gp as initially thought it might be a sinus infection, I think the dentist has basically drilled to far and damaged the nerve, I really don't want to have the tooth extracted, but I can't live with this pain for another month. Dr M: You can ask the dentist to perform an emergency endo treatment in order to remove the nerve, and then save up to do the root canal procedure at another dentist, if they don't do root canal treatments themselves. The only other medication that might work, is anything anti-inflammatory, which you are already taking. John Morgens: It's important to consult with a dentist for personalized advice, especially if you're experiencing pain.\nOver-the-Counter Pain Relief: Continue taking over-the-counter pain relievers like ibuprofen as directed on the label to help manage the pain and inflammation. Make sure to follow the recommended dosage and consult a healthcare professional if you have any concerns.\n\nTopical Analgesics: You can ask your pharmacist about topical oral analgesics or gels that are designed to provide temporary relief from oral pain. These might provide some localized relief.\nTemporary Filling Material: Some pharmacies offer temporary dental filling kits. These can be used to cover the exposed area of the tooth temporarily, providing a barrier against sensitivity and reducing pain. However, this is not a long-term solution, and you should still seek professional dental care.\nCold Compress: Applying a cold compress to the outside of your cheek where the painful tooth is located might help reduce inflammation and provide temporary relief.\nMaintain Oral Hygiene: Be sure to maintain good oral hygiene by gently brushing and flossing the area around the tooth. Keeping the area clean can help prevent further irritation.\nAvoid Trigger Foods and Drinks: Avoid extremely hot, cold, sweet, or acidic foods and drinks, as they might exacerbate the pain.\nElevate Your Head While Sleeping: Elevating your head slightly while sleeping might help reduce blood flow to the area, which could potentially alleviate some of the discomfort.\nConsult an Emergency Clinic: If the pain becomes unbearable or there are signs of infection (swelling, fever), you might consider visiting an emergency dental clinic. While they often focus on extractions, they might still be able to provide you with temporary relief or advice."
  },
  {
    "id": 255,
    "title": "Dead tooth?",
    "dialogue": "ToothTrouble10: Hi, \nMy upper right first molar is heavily filled (had to wait for treatment during lockdown so ended up being worse).  It has had periodic flare ups of mild pain since being placed 3 years ago. This has seemed to coincide with having a cold and some sinus pain. \n\nPain started again about 3 weeks ago, again alongside symptoms of sinus inflammation. GP gave me penicillin, 5 day course, which finished a week ago.  It was also sensitive to hot and cold. \n\nI visited my dentist for a general check up prior to starting the antibiotics. He performed a cold test on the tooth which was normal. The pain is intermittent and some days barely there. The sensitivity has reduced. \n\nI am going on holiday in a week and panicked (very nervous patient), so booked a consult with an endodontist for an opinion. Tooth normal on x-ray, no pain on percussion.  He didn’t perform any thermal tests.  Said tooth would probably be ok, at least for a few weeks/months, but he could put antibiotics inside of it got worse before the holiday. He said it looked suitable for root canal treatment. \n\nToday I’ve had no pain. I’ve just used some ice on the tooth and felt nothing, so I’m guessing it’s dead. My question is, do I go to my own dentist and ask him to put antibiotics in or do I leave it alone and go on holiday?  \n\nHad a bad experience a few years ago with an emergency dentist who put medicine into a tooth and I was in agony the next day, ended up with an abscess. \n\nMany thanks if you’ve read this. Dr M: If the tooth became necrotic, there is a chance that it can stay like that for a short while. Bacterial accumulation will occur and gradually you will experience symptoms again, due to abscess formation.\nIf the endodontist advised that it should be fine to leave for a short while, then it should be okay.\nAlternatively you can have your dentist or endodontist, perform the initial emergency endo. ToothTrouble10: Thank you for responding.  Had an appointment yesterday with my regular dentist to plan some cosmetic work. He checked the tooth again. It did respond to cold but only a bit. He wasn’t concerned by this as the tooth is heavily filled. \n\nIs that something you’d expect to find?  \n\nMany Thanks . MattKW: ToothTrouble10 said:\n\n\n\n\t\t\tThank you for responding.  Had an appointment yesterday with my regular dentist to plan some cosmetic work. He checked the tooth again. It did respond to cold but only a bit. He wasn’t concerned by this as the tooth is heavily filled.\n\nIs that something you’d expect to find? \n\nMany Thanks .\n\t\t\nClick to expand...\n\nIf it responds to hot and cold in a similar manner to adjacent teeth, then it is not \"dead\", and does not need an RCT. From the info you supplied, I don't know why the endodontist wants to start an RCT. Antibiotics don't prevent a tooth from dying, nor do they cure it - they may only relieve pain for a short while in an emergency situation. Your info suggests possibly a leaking filling or a crack in the tooth. Attached is my toothache list I give to students. ToothTrouble10: Many thanks John Morgens: It sounds like you're experiencing a complex situation with your tooth, and it's important to consult with a dental professional for personalized guidance.\nFrom what you've described, it seems that there might be some uncertainty about the status of your tooth. While the endodontist mentioned that the tooth would probably be okay for a few weeks/months, it's always best to have a clear understanding of the situation before making any decisions.\nIf your tooth is indeed showing signs of infection or inflammation, your dentist might consider placing antibiotics within the tooth as a precautionary measure. However, since you've had a bad experience in the past with a similar approach, it's perfectly reasonable to be cautious.\nGiven that you're going on holiday in a week, it might be a good idea to consult with your own dentist again for a thorough evaluation. They can perform any necessary tests (like thermal tests) to assess the tooth's condition and give you specific advice based on your situation.\nIf the tooth is stable and not causing significant pain, it's possible that you could wait until after your holiday to take any further action. However, this decision should be made in consultation with your dentist, considering your dental history and the current state of the tooth."
  },
  {
    "id": 256,
    "title": "Whitening",
    "dialogue": "Jonny541: Hello everyone  \n\nSo I’m doing a weeks course of whitening just to top up as I last had it done 6-7months ago and I’m getting married at the weekend. \nSo mine is 10% carbamide peroxide in a loaded syringe and I put rice size bits onto my retainer and wear over night as usual. \n\nNow, how strict do I actually need to be realistically? As online it’s saying white bread only and to cut crusts off etc all my with all the other do’s and dont’s and to me that just seems so extreme and I won’t lie I do love my food also I think that was more aimed at people who get the one time treatment done at the dentist. \nSo with my treatment how strict do I really need to be? My teeth are already whiter than average from last time and I’ll be putting it on every night for 7 days. \n\nThanks \nAll advice appreciated MattKW: Avoid red wine and black coffee. \nThere's no need to put rice in your retainer to make space for the gel - a disproven idea.\nThe gel loses most effectiveness after 1.5 hours, so wearing overnight is OK but for faster result wear it during daytime and change every 1.5 hrs. \nThere is a limit beyond which your teeth will not get whiter. \nAny subsequent course will have a quicker result than the initial course."
  },
  {
    "id": 257,
    "title": "Do I have gingivitis? Whats the reason for my protruding molar",
    "dialogue": "Lakeefranks: Hello, my first premolar on my bottom teeth is protruding outwards a bit and it’s painful in that area. It’s unlike the parallel molar to it which is standing normally. I also am wondering if I have gingivitis as that might be a reason I’m thinking for my molar to shift like this. Thanks for your answers! Lakeefranks: "
  },
  {
    "id": 258,
    "title": "Complex extraction of 2nd molar",
    "dialogue": "worrier: I'm 73 and very worried that my dentist needs to do a complex extraction of my lower-right back tooth. Although it's the tooth furthest back, the dentist says it isn't a wisdom tooth (it's LR7 - UK numbering, the second molar). Although 'complex' (badly broken below gumline, multi-rooted), is this likely to be an easier extraction than a wisdom tooth? Or am I clutching at straws to hope so?"
  },
  {
    "id": 259,
    "title": "Dental Routine",
    "dialogue": "Umair Zahid Butt: What dental routine do you follow every day to keep your teeth and gums healthy?"
  },
  {
    "id": 260,
    "title": "Puzzled about tooth numbers (UK)",
    "dialogue": "worrier: My dentist has just crowned my back tooth but on the treatment plan it said LL6. (I'm in the UK). How can my very back tooth in my left jaw be No. 6? On the right side of my mouth No. LR6 is second to back. On my upper right the back tooth is No. 8. I haven't, to my knowledge, ever had back teeth extracted and there are no gaps anyway. Dr M: You might have never developed these molars or your dentist made a mistake. LL6 is your first permanent molar on the bottom left. So the first big tooth. If the crown was made on the second molar, your dentist made a mistake. worrier: Thank you. I take it then that LL6 is indeed my very back tooth on the left side, so the dentist hasn't made a mistake. On my bottom lower right my very back tooth is LR7. worrier: Thanks for replies. My dentist says she has crowned the correct tooth but the tooth number was written wrongly in the paperwork as LL6 when the tooth crowned is indeed LL7. I will accept this and put it to rest."
  },
  {
    "id": 261,
    "title": "Are my teeth gone?",
    "dialogue": "Umitbat: Hi\nI am not good at caring about my teeth so my gum and bone problems got so big that lower front teeth are moving now.\nI am 52. \nMy dentist said best way to take 4 and do implants.\nAny ideas please? Dr M: If your teeth are indeed mobile, there is a high chance that you have a gum and bone disease called periodontitis. Although the four front teeth might need to be removed, I would not consider doing any implants unless the periodontal disease has been stabilized. You need to so a dentist, for a full consultation and x-rays, with a possible referral to a periodontist as well before any implants can be considered. Otherwise you will end up losing the implants as well Dr M: If your teeth are indeed mobile, there is a high chance that you have a gum and bone disease called periodontitis. Although the four front teeth might need to be removed, I would not consider doing any implants unless the periodontal disease has been stabilized. You need to so a dentist, for a full consultation and x-rays, with a possible referral to a periodontist as well before any implants can be considered. Otherwise you will end up losing the implants as well Umitbat: Dr M said:\n\n\n\n\t\t\tIf your teeth are indeed mobile, there is a high chance that you have a gum and bone disease called periodontitis. Although the four front teeth might need to be removed, I would not consider doing any implants unless the periodontal disease has been stabilized. You need to so a dentist, for a full consultation and x-rays, with a possible referral to a periodontist as well before any implants can be considered. Otherwise you will end up losing the implants as well\n\t\t\nClick to expand...\n\nThanks for response. \nActually you are right about gum disease antibiotics already started. \nMy dentist said he will do the  plants same in session as teeth taken. Is that a problem?\nBut 4 front teeth looks like can't be saved ?\nToo late for gum grafting? Dr M: Impossible to say if gum grafting can be done without more information? Did the dentist refer you to a periodontist? Periodontitis cannot be resolved by antibiotics alone. It is never a solution to any problem. You need to treat the cause of the periodontitis.\nI would not place implants in a patient with active periodontal disease Umitbat: He is a periodontist. \nHe will also do a treatment to cure gum disease. I don't know the exact procedure but he said it will take 2-3 weeks. And it is surgical operation. \nBut he said he will plant fronts immediately after removing teeth. That's a question mark for me too. Umitbat: How can i decide to try grafting or not? Dr M: If he is indeed a periodontist, I assume that he feels the periodontitis is stable. That is why he wants to go ahead with the implant placement. To decide on the grafting options, you will have to see how much bone is left as well as attached gum tissue, before placing the implants. Unfortunately I cannot comment on that since I don't have any clinical information regarding your case. The specialist will most likely decide if it is indeed required, but you can ask him about it Umitbat: Thanks for valuable information MattKW: That doesn't look like controlled periodontitis to me. Umitbat: MattKW said:\n\n\n\n\t\t\tThat doesn't look like controlled periodontitis to me.\n\t\t\nClick to expand...\n\nThanks for response but i didn't understand what you meant MattKW: Umitbat said:\n\n\n\n\t\t\tThanks for response but i didn't understand what you meant\n\t\t\nClick to expand...\n\nYour gums are swollen, inflamed, and there is subgingival calculus visible on the roots. Umitbat: MattKW said:\n\n\n\n\t\t\tYour gums are swollen, inflamed, and there is subgingival calculus visible on the roots.\n\t\t\nClick to expand...\n\nSadly Yes and treatment will start this weekend. \nBut my dentist insists front 4 are not saveable and must be taken. \nAny idea about this?\nThanks again."
  },
  {
    "id": 262,
    "title": "How Bio magnetism help Dentistry treatment and practice?",
    "dialogue": "karenhenny: Dentistry is a branch of medical science concerned with the diagnosis and treatment of diseases and disorders of the teeth and gums. It includes repair and extraction of teeth and the insertion of artificial ones.\n\nBiomagnetism includes the usage of high-field strength magnets on affected areas of the body, proceeding to guide the regulation of pH. Benefits of Biomagnetism contain extended blood circulation, boosting the immune system, regulating infection in the body, and lots more. The examiner of Bio Magnetism believes that with the aid of using retaining the proper pH in the body and any illness developing in the body can be eradicated.\n\nThe integration of biomagnetism into dentistry practice represents a revolutionary approach to addressing teeth pain, gum pain, and sports-related teeth injuries. When combined with dentistry practices and biomagnetism, can offer a comprehensive approach to address teeth pain, gum pain, and sports-related teeth injuries. The integration of biomagnetism allows dental practitioners to enhance the effects of their clinical adjustments and manipulations, facilitating faster recovery and improved outcomes for their patients.\n\n Biomagnetism therapy addresses a variety of human disorders such as Anemia, Allergies, Sinusitis, Asthma, Lyme disease and the list goes on. MattKW: This would be funny but too many people get scammed out of good money over this BS."
  },
  {
    "id": 263,
    "title": "Dental x-ray radiation",
    "dialogue": "weird_pain: I have had an on-going issue for almost a year now with the reason still unknown.\nI have been to several dentists, specialists and the hospital and have somehow ended up having 15 dental x-rays, 1 cone beam scan, 1 CT scan and an MRI scan all in less than a year!\nHow worried should I be with the amount of radiation I have been exposed too? Dr M: Modern digital x-rays contain a lot less harmful radiation than their historic predecessors. I would not be too worried about the radiation. All medical professionals always try to go by the ALARA principle, which is \" as low as reasonably acceptable\" , in terms of radiation exposure and will only request x-rays or scans if it is really indicated. MattKW: Here's a graphic and an article which might allay your fears. We are constantly exposed to background radiation, and we take risks in many other ways that can be harmful. Canary: I often wondered this every time a Dental Technician put a lead vest on me for X-Ray! MattKW: Actually, in Australia lead aprons are not required for most dental Xrays because they are usually directed laterally across your head. Only scattered radiation goes downwards, and a lead apron doesn't stop that. Even for pregnant women."
  },
  {
    "id": 264,
    "title": "Fear of Dentistry",
    "dialogue": "Canary: I find myself so afraid of going to the dentist that I have allowed small problems turn in to larger issues. I'm not sure how common this fear is but I feel like my jaw will break from the pressure of a tooth being removed. Also my heart rate increases , I shake and hyperventilate when Im sitting in the chair. Any suggestions? Dr M: You can discuss your fears with your dentist and maybe consider undergoing future treatments under sedation.  Sometimes gas can be used, other times oral tablets or even IV sedation. There are alternatives, but most of the time, if you explain your fears to the dentist, and he explains the procedure in detail, so that you know what to expect, your fears can be alleviated."
  },
  {
    "id": 265,
    "title": "Am i doing enough?",
    "dialogue": "QueenTheImmortal: I've always taken care of my teeth, but as a poor child with horrible parents I was never able to see the dentist. Imagine my surprise when at 28 I was diagnosed with advanced periodontal disease (it's hereditary) my dad had his teeth till he was 30 and they just fell out.\n\nWell after my deep clean I went overboard with my routine.\n\nsalt water rinse as soon as i wake up. After breakfast I waterpik my teeth twice and then wait an hr. I then use interdental brushes in between my teeth and then brush my teeth with my oral b 1500 electric brush.\n\nAfter every meal I do the same routine but sometimes I put salt water in the waterpik.\n\nMy wife thinks I'm going overboard but I'll be goddamned if I lose any of my teeth. I'm in the process of saving up for lanap to try and slow down the process.\n\nI tried chlorhexidine but it tastes like what I imagine dragon piss to taste like and altered my sense of smell and taste.\n\nAm i doing enough or could I do more.\n\nThanks. Dr M: Good day\nIt sounds like you are up to scratch with your oral hygiene. Just be careful not too damage your gums and related tissues even more, with excessive brushing or brushing too hard.\n\nThe most important thing now is to go for your check-ups with your treating specialist/dentist, so that progress can be monitored. Canary: I sincerely believe using a Waterpik throughout the years (In my 60's now) has caused my teeth to crack and eventually break from the constant water pressure."
  },
  {
    "id": 266,
    "title": "How long should you wait before brushing after tea/coffee?",
    "dialogue": "Electric Boobs: I don't drink coffee but if I did I would have assumed that if I'd brushed my teeth immediately afterwards that the amount of time that any decay could occur would be restricted to the amount of time between when I started drinking, and brushed my teeth... thus stopping any damage occurring during the hours afterwards where trace amounts of the coffee may remain in my mouth. That assumption didn't seem too good to be true because, after all, the price is the inconvenience of having to brush. But I've heard I'm wrong here. Apparently it's best to wait for something like 20 minutes to allow your saliva to neutalise the acid or something, and that only then would you brush.\n\nI recently heard that teeth have pores and that if you brush your teeth immediately after consuming sugary food or tea/coffee that you're forcing the acid/sugar into the teeth in a way that causes more damage than otherwise would happen. In other words there's no way of escaping the damage. Or is there? I'd also like to know which more acidic, tea or coffee? because I've read both. It's tea that I drink!\n\nThanks Dentist in Harare: It is recommended to wait at least 30 minutes after consuming coffee before brushing your teeth. This is because coffee, along with other acidic beverages, can temporarily soften the enamel on your teeth. Brushing immediately after consuming coffee can potentially damage the softened enamel. Waiting for 30 minutes allows your saliva to naturally neutralize the acidity and for your enamel to reharden. In the meantime, you can rinse your mouth with water or chew sugar-free gum to help remove some of the coffee residue and freshen your breath. Remember to maintain a regular oral hygiene routine, including brushing twice a day and flossing daily, to keep your teeth and gums healthy. Electric Boobs: Dentist in Harare said:\n\n\n\n\t\t\tIt is recommended to wait at least 30 minutes after consuming coffee before brushing your teeth. This is because coffee, along with other acidic beverages, can temporarily soften the enamel on your teeth. Brushing immediately after consuming coffee can potentially damage the softened enamel. Waiting for 30 minutes allows your saliva to naturally neutralize the acidity and for your enamel to reharden. In the meantime, you can rinse your mouth with water or chew sugar-free gum to help remove some of the coffee residue and freshen your breath. Remember to maintain a regular oral hygiene routine, including brushing twice a day and flossing daily, to keep your teeth and gums healthy.\n\t\t\nClick to expand...\n\nThanks,\n\nAnd do you know which is more acidic?\n\nAlso, someone else on here said that sodas will remove a microscopic layer of enamel. is that true, and does that hapen with coffee/tea? MattKW: Toothy enamel starts dissolving at pH of 5.5\nCoffee has acidity of about 5. Not too bad.\nPlain soda water has acidity of about 5. Also not too bad.\nMost soft drinks (Coca Cola, Sprite, sports drinks, etc) have pH of about 2.5 due to added acid for tartness.\nEach pH point is 10x more acidic. \nSee attached."
  },
  {
    "id": 267,
    "title": "15 month olds first dental visit results left me confused and conflicted on what to do next?",
    "dialogue": "SCmama: My son, 15 months old, had his first dentist exam today and the dentist took about 5 minutes to examine my sons teeth and determined that he had a crossbite and stated that if his bottom lateral incisors hadn’t come in yet that they were probably missing and we would have to correct later down the road (around age 13). Is this uncommon for those teeth not to have come in yet at 15 months old? Should I get a second opinion or should we just wait it out to see? I’m not sure if it’s necessary to note but he currently has his top and bottom central incisors, his top lateral incisors, and all 4 of his first molars popped through this past month. The dentist did not do X-rays because of his age to confirm any missing adult teeth, is this common practice? What questions should I be asking his dentist? Dr M: Although taking an x-ray on a young child is usually not done, if there is a specific reason to warrant the x-ray, a peri-apical x-ray can be taken.\nI would not agree with this initial consult. A lot can and will still change during your child's development. The bottom lateral incisors usually come out at around 10-16 months ( see attached photo ) and even then it can sometimes be a little delayed with a month or 3. Some children just develop a little slower. It is not to say there will be a massive issue. I would not worry in your case.\nI would suggest seeing a different dentist for another opinion, and maybe take a small peri-apical x-ray of the lower incisor area,just to make sure that all teeth are present. MattKW: Yep, go to another dentist for 2nd opinion."
  },
  {
    "id": 268,
    "title": "Pericoronitis affecting multiple wisdom teeth",
    "dialogue": "MissH: I am 34 years old. Two years ago I had my bottom right wisdom tooth extracted following several episodes of pericoronitis. There have been no issues on that side since. However, on several occasions this year I have experienced pericoronitis in all of my 3 remaining wisdom teeth. My dentist says they have all grown out fully so there is no reason to extract them. I also brush and floss very carefully around the wisdom teeth, and even use a water flosser after every single meal. Yet still I have recurrent episodes of pericoronitis where the gum swells, is painful and bleeds. I often experience this on one upper wisdom tooth first, and shortly after the other upper wisdom tooth is affected too. I don’t understand why this has suddenly started happening this year despite good hygiene. I thought there might be a connection between my sinuses/ lymphatic drainage and this problem, as the glands on the roof of my mouth at the back often feel sore (even when I have no pericoronitis) and I do often experience sinus issues at the same time, however my dentist doesn’t believe there is any connection. Grateful for some guidance please as I am not sure what to do. MattKW: Would like to see an OPG (full mouth xray). Generally, most people don't fit their wisdoms in their moths well enough to maintain them, so recurrent pericoronitis or decay is likely."
  },
  {
    "id": 269,
    "title": "Is this a cavity please let me know",
    "dialogue": "Joy:  Dr M: Can't really tell from the photo alone. Might only be discoloration in the fissures. A x-ray would be needed to say for sure."
  },
  {
    "id": 270,
    "title": "What is this behind my tooth?!",
    "dialogue": "mesajay: I have pain behind my top right molar it also smells funny (infection?!) But what is it??"
  },
  {
    "id": 271,
    "title": "ATTN: General Dentists in the Athens/ATL area!",
    "dialogue": "allysontaylor: I am the president of a dental chapter of the non-profit organization Global Brigades and we are going on a dental mission trip to Honduras in 2 weeks. I am desperately in need of a final few items. Please contact me if you are / know anyone who would be able to donate anything from the list below. Donating to this organization will earn sponsorship rights and a tax return. Thank you in advance!\n- composite body A2\n- composite body A3\n- composite body A3.5\n- etch\n- diamond burs (ball), flame, upside-down cone"
  },
  {
    "id": 272,
    "title": "Cyst shown in rct",
    "dialogue": "Robert987: Hi,\n\nAround 20 years ago, I broke my front tooth and had a root canal treatment followed by capping. However, for the past year, I've been experiencing a persistent, dull pulsing pain inside the tooth.\n\nAfter visiting the dentist, an X-ray revealed a patch above the previous root canal treatment, but I can't recall the exact shade. A week later, the root canal specialist informed me that it might be a cyst. They suggested a re-root canal treatment (re-RCT) with a 60-70% chance of success. The plan is to assess the situation after two weeks to determine if the cyst has resolved, and if so, proceed with capping the tooth.\n\nI'm curious if there are alternative methods to remove the cyst, like surgical removal, drainage, or antibiotics. Another option I'm considering is leaving it as is, since the pain is bearable, but I'm worried it may worsen over time. The specialist mentioned that if the re-RCT doesn't work, they'll refer me to another specialist for a necessary surgical procedure, although I don't recall the specific name.\n\nI'm feeling quite confused about how to proceed, and I would greatly appreciate any guidance or help you can provide.\n\nThanks in advance for your support.\n\nBest regards,\nRob Dr M: Good day\n\nIt sounds like the surgical procedure they were referring to, was an apicectomy. Although a re-treatment might be indicated to try and reduce the cyst size, it won't clear it up completely. The granulation tissue at the root apex should be removed or curetted as well. This is most likely the surgical procedure that will come next in my opinion. So in full, a re-treatment and an apicectomy is needed. Robert987: Hi, thanks for your helpful advice, it’s really reassuring  and I can’t thank you enough,\n\nwould you be able to advise on the uk cost of the apicectomy or is it included in the £600 re rct cost, the rct specialist I saw said he would refer me to another specialist for the surgery as he can’t do it, \n\nKind regards Dr M: I am not too familiar with the fee structure in the UK. The only specialist that might be able to do both procedures is an endodontist or a general dentist with a special interest in oral surgery. Alternatively you are most likely looking at 2 different procedures that you will have to pay for separately. Robert987: Ok thankyou so much, I’ve searched for a endodontist instead my current dentist, I’ll go ahead with the endodontist as they do both procedures just incase the cyst remains, once again thanks for clearing this up for me, kind regards, Rob"
  },
  {
    "id": 273,
    "title": "Pinpointing pain",
    "dialogue": "Eros: Some 4 months back I had a molar extracted and then had to get some roots removed by a Specialist. This was some 14 weeks ago (since the Specialist) and apparently quite an awkward operation. I experienced quite a lot of mild pain in the weeks following though some days there would be little. Advice from my dentist and online dentists were that it could be up to 20 weeks I would be experiencing twinges.\nThe adjacent molar (LR7) is heavily filled. Ive also had recent problems with other heavily filled molars with my dentist thinks have cracks inside. Ive had more dental problems in last 4 months than previous 40 years.\nNow, I getting more worried, if what I might be feeling is mild pain from the adjacent molar. It is very difficult to pinpoint. The mild twinges of pain seem to have become more regular in recent days.\n\nI visited my dentist some 12 days ago and he xrayed the extraction site and said there was no root left and it had healed well. He made no comment about the adjacent molar and I hadnt thought of the possibility of it being from there.\n\nHow is it possible to pinpoint where the pain is coming from? marip1: Eros said:\n\n\n\n\t\t\tSome 4 months back I had a molar extracted and then had to get some roots removed by a Specialist. This was some 14 weeks ago (since the Specialist) and apparently quite an awkward operation. I experienced quite a lot of mild pain in the weeks following though some days there would be little. Advice from my dentist and online dentists were that it could be up to 20 weeks I would be experiencing twinges.\nThe adjacent molar (LR7) is heavily filled. Ive also had recent problems with other heavily filled molars with my dentist thinks have cracks inside. Ive had more dental problems in last 4 months than previous 40 years.\nNow, I getting more worried, if what I might be feeling is mild pain from the adjacent molar. It is very difficult to pinpoint. The mild twinges of pain seem to have become more regular in recent days.\n\nI visited my dentist some 12 days ago and he xrayed the extraction site and said there was no root left and it had healed well. He made no comment about the adjacent molar and I hadnt thought of the possibility of it being from there.\n\nHow is it possible to pinpoint where the pain is coming from?\n\t\t\nClick to expand...\n\nHow was the roots extracted?   I had a tooth that fell out because of decay.   The roots need to be extracted. Eros: The molar was extracted by my NHS dentist but she left a couple of roots. I was referred to a private specialist dentist who removed the two remaining roots without problem. Dr M: Do you have copies of the x-rays that you can share?"
  },
  {
    "id": 274,
    "title": "Pain in old/new filling",
    "dialogue": "weird_pain: Hi,\n I have a filling on my bottom molar which started giving me a bit of intermitent pain. I noticed if i pressed on the front of the filling i got a sharp pain but it did not keep me awake at night or bother me constantly. I also noticed food got trapped between my teeth in this area.\nI went and got the filling checked/x-rayed by a stand in dentist at my practice and there were no issues found so he just ground a bit off as he thought it could be a bit high.\nAfter a few weeks/months the pain did not go away when I pressed on the filling or bit on something hard so a visited my dentist again (my actual dentist this time) who did more x rays on the tooth/root and again could not find anything wrong as there was no inflamation and the filling was quite far away from the living part of my tooth.\nAs food was getting trapped in between my teeth in the area my dentist decided to re-do the filling to help with that problem and to make sure there was no other issue with the filling.\nIt has been a week since the filling and I still get the pain when pressing/biting on the filling exactly the same if not slightly worse than before.\nWhat can be causing this issue if the filling is no where near the nerve and no cracks are visible?\nThanks"
  },
  {
    "id": 275,
    "title": "Are all implants the same?",
    "dialogue": "zadam123: I was told I need to get a tooth extracted and an implant put in for a back molar. I've been searching the internet and have come across a place where the implant is almost half the price. Is there different types of implants that would be cheaper? Maybe the material? Or are all implants basically the same? I have even come across a Groupon for dental implants from a dentist. Dr M: Firstly, not all implants are the same. There are a lot of different types, which are made of different materials as well. The costs differ based on which company or brand is used, what type of implant is needed for your specific scenario, any additional procedures such as bone grafting, dentist vs specialist costs etc. Make sure that you see a reputable dentist or dental specialist with experience in placing implants. Be careful of Groupon dentists. Going for the cheapest option, with a dentist , that has minimal experience, might lead to more expensive complications later. zadam123: Dr M said:\n\n\n\n\t\t\tFirstly, not all implants are the same. There are a lot of different types, which are made of different materials as well. The costs differ based on which company or brand is used, what type of implant is needed for your specific scenario, any additional procedures such as bone grafting, dentist vs specialist costs etc. Make sure that you see a reputable dentist or dental specialist with experience in placing implants. Be careful of Groupon dentists. Going for the cheapest option, with a dentist , that has minimal experience, might lead to more expensive complications later.\n\t\t\nClick to expand...\n\nThis is what I was told I need. Also do I need to go to a periodontist or a dentist with an oral surgeon? I still need to have the tooth pulled. I am waiting because it really no longer hurts anymore but I was told there is no saving it. I'm also attaching a picture of the tooth. Thank you for your help. Dr M: A periodontist and a oral surgeon are both specialists capable of placing implants. A periodontist might be a better option for an anterior tooth where aesthetics is of concern,so in your case an oral surgeon should be fine. It sounds like the costs are also more since there will be some bone grafting taking place."
  },
  {
    "id": 276,
    "title": "How worried should I be?",
    "dialogue": "chompers: Let me start by saying I’ve had A LOT of dental work.. I’m 35, female, don’t smoke or drink. Fillings in nearly every tooth, 3 root canals, 5 crowns and an apicoectomy, but this issue is a new one. While I could catch you up on the WHY, I’ll save it for therapy. \n\nReceived an apicoectomy early may. Afterwards I was so horrified (and broke- no insurance) I had the endodontist check my other teeth. Sure enough, the molar behind it (farthest back, top left) that id been suspecting for a while was bothering me, had a small crack due to the enormous metal filling. \n\nWent to a new-to-me dentist and received crown prep and temporary. No issues. Then went back for the permanent and my tooth has been uber sensitive to cold and hot ever since, and it’s been 3 weeks. No signs of improvement. The thing is, I have a unique sinus situation that basically my sinuses sit on top of these two teeth and I can’t go through another root canal failure and apico, so if this tooth needs anything further, I’ll be getting it pulled. \n\nBut the thought of the whole shebang makes me ill, considering I’m 5k into my teeth this year, and the little fact that the crown below it is also failing. Any insight, shared experiences, prayers or emotional support appreciated!"
  },
  {
    "id": 277,
    "title": "Is tooth number LR7 a wisdom tooth?",
    "dialogue": "worrier: My dentist advised I have a complex extraction of my LR7 tooth (I'm in UK) to avoid future problems (it hasn't so far caused me any discomfort). I assumed this was a wisdom tooth. I've never had wisdom teeth removed and this LR7 is furthest back. But I've just read on the internet that LR8 is the wisdom tooth. I've been so worried about having my wisdom tooth removed on hearing of possible complications, especially in older people like me (I'm 73), but now I'm confused. Is it possible I never had a LR8 wisdom tooth and that the tooth to be extracted, LR7, is not a wisdom tooth after all? Dr M: Yes that is possible. LR7 is your second molar. There are people that don't develop all their wisdom teeth or even none at all."
  },
  {
    "id": 278,
    "title": "Hole near back of teeth",
    "dialogue": "Patleyton: Hole and build up of tissue around back tooth seams little sharp also looks infected or something but no swelling of jaw or no pain Dr M: Might be due to your wisdom tooth either not fully erupted or rubbing your cheek tissue, causing some inflammation and irritation"
  },
  {
    "id": 279,
    "title": "What should I do? haven't been in 12yrs.",
    "dialogue": "Pleasehelp919: Its been a while since ive been to the dentist. I went to get a check up and x-ray just on my first visit \"Aspen Dental\". the process was not what I expected\nespecially  the x-ray procedure, just a sheet of paper not really an X-ray photo. Can someone help me on trying to find a good financial plan and process to \nget my teeth back?"
  },
  {
    "id": 280,
    "title": "2 dentists at same time",
    "dialogue": "raynor.graham@googlemail.: Hi, I'm registered with a dental practice and need a dental implant which I think they are eating to charge too much. Can I find another dentist that will be willing to do it cheaper? Dr M: Yes you should be able to do it"
  },
  {
    "id": 281,
    "title": "Strange abscess location",
    "dialogue": "Tony3619: Hello. \n\nI have a very strange situation. \n\nI had a wisdom tooth extracted a year ago due to pain, no problems for a year then suddenly developed big gum boil and had to have a root canal on the molar that was next to the wisdom tooth socket. \n\n2 weeks later I noticed the abscess  or the remnants of one still directly over the wisdom tooth socket. \n\n 2 dentists find the positioning of the lump very confusing as the dentist who did the root canal said she thought it went well and it isn't where she would expect an infection to surface on the gum. \n\nAny clue what this could be before I have my molar Extracted? Are there any sinus or wisdom tooth removal complications that can cause this? Dr M: Do you perhaps have any photos or post extraction x-rays that you could share? Tony3619: Unfortunately I dont have any photos of when my wisdom tooth was extracted. I've taken a photo of the area where the \"abscess\" is located just behind my 2nd molar  root canal Dr M: Difficult to see clearly on the photo. The abscess might be related to the root canal or to a residual root of the wisdom tooth left behind. We would need an x-ray to comment more"
  },
  {
    "id": 282,
    "title": "Spots on soft palate - salivary glands?",
    "dialogue": "quenna: Hi everyone,\n\nI had a cold at the beginning of May. That's when I discovered white / yellow-ish spots in the roof of my mouth.\n\nThere still there after 1,5 months.\n\nCould that be minor salivary glands which got visible or swollen because of the cold I had? But why are they still there?\n\nMy ENT says it takes time but I'm still worried."
  },
  {
    "id": 283,
    "title": "Pain deep In Jaw",
    "dialogue": "Lincatseyes: 3 years ago I had a back tooth out after root treatment failed. It wasn't the usual toothache. More like jaw ache which could be quite painful. Things settled down then the same thing occurred on the next tooth. The dentist tried several root treatments up no avail so it was extracted. In May this year. This didn't resolve the problem so on Wednesday I had another tooth out after root treatments. I have been in a lot of pain since this extraction. The pain comes in waves. I've no idea what's going on and I'm thinking now I've lost 3 teeth which I didn't need to lose. Not my dentists fault as he always gave me a choice. I just want to know where the pains coming from and what's causing it. Nothing showing in X-rays MattKW: Prob start with the endodontist to get an all clear on possible dental cause, then see neurologist or a pain clinic. Tony3619: Lincatseyes said:\n\n\n\n\t\t\t3 years ago I had a back tooth out after root treatment failed. It wasn't the usual toothache. More like jaw ache which could be quite painful. Things settled down then the same thing occurred on the next tooth. The dentist tried several root treatments up no avail so it was extracted. In May this year. This didn't resolve the problem so on Wednesday I had another tooth out after root treatments. I have been in a lot of pain since this extraction. The pain comes in waves. I've no idea what's going on and I'm thinking now I've lost 3 teeth which I didn't need to lose. Not my dentists fault as he always gave me a choice. I just want to know where the pains coming from and what's causing it. Nothing showing in X-rays\n\t\t\nClick to expand...\n\n\nI literally just posted about a similar issue! Had my wisdom tooth out due to pain. Then the tooth next to it died strangely a year later. I had a root canal on it which I thought had failed but the dentist couldn't see anything wrong with it and now I have a strange pain and possibly abscess directly over my empty wisdom tooth socket. The pain seems to travel down my sinus and feels like it kinda travels down my tooth rather the tooth being the pain itself if that makes sense? The dentist can't see any problems with the root canal and the abscess doesnt change or get bigger. Maybe it's connected to a sinus infection?"
  },
  {
    "id": 284,
    "title": "Implant versus crown",
    "dialogue": "zadam123: I was told this tooth is hopeless. About 3 weeks ago it started to hurt for about a day after taking antibiotics the pain kind went away. I've been to the dentist they told me the truth is hopeless and the fact that it don't hurt anymore doesn't mean anything and I need to have it pulled. They think it's fractured but they said cannot tell on x-rays. Here's my question does it really need to be pulled if it really doesn't hurt anymore? And I was quoted about 4, 000 for the extraction a bone graft with membrane implant and crown. This is not covered by my insurance. Is this a normal amount? My other option would be a bridge which I would be covered for through insurance but the dentist is trying to talk me out of this and push the implant. He says the bridge may cause damage to the other two teeth when doing a root canal to attach the bridge and might be more work. Is this really true? Also what is the real difference between a bridge and an implant? Is a bridge really that bad? Thanks"
  },
  {
    "id": 285,
    "title": "Invisalign with crown teeth",
    "dialogue": "Ida: Hello,I wanted to use invisalign just on my upper teeth,i had braces long ago but somehow my teeth moved again because I didn't properly use the retainer,and my concern is that i have 3 crown in one side ,and 2 on the other side ,and i am afraid that the crowns will come off or the invisalign will not work properly on my teeth,any advice please,thank you! MattKW: It's very unlikely your crowns will loosen.\nThe only limitation is that the crowns won't allow the placement of resin bumps, necessary in some malocclusions. If you've previously had ortho, then this may not be an issue for you."
  },
  {
    "id": 286,
    "title": "Cavity or not?",
    "dialogue": "Yashvi: I just got a dental filling about 2 days ago and I noticed today a black tiny dot near my filling. I'm not sure if its a cause of concern and should I go see my dentist again or not? Yashvi:  Dr M: Most likely an area of arrested caries, meaning it is not active decay. Should not be something to worry about Yashvi: Thank you. There’s a load off my mind."
  },
  {
    "id": 287,
    "title": "What are my options if I believe a faulty crown was installed into my mouth?",
    "dialogue": "StayPuft: About 3 years ago, I had 2 crowns put in that were supposedly full zirconia, which I was told is the strongest material for crowns.\n\nOne of the crowns failed and just developed a hole in it in less than a year, which was unusual. My new dentist created a new crown using different material and fixed it (for a hefty fee).\n\nNow, about 2.5 years later, the newly replaced crown looks weird. It has a slope and looks like it's been ground down already. I'm going to try to get an appointment with my dentist ASAP to check it out. Are they obligated to fix it since it hasn't been that long? I thought crowns were supposed to last a minimum of 5 years. I don't want to have to pay another $1,500 for another crown only to have it fail in another few years again.\n\n\nThank you! MattKW: Zirconia is very strong. To develop a hole in one would suggest to me that it was too thin when placed, or the dentist adjusted it too far.\nWe'd also appreciate any Xrays and photos taken before and after the crowns were made.\nWere they full zirconia or layered zirconia (you'd have to ask the dentist)?"
  },
  {
    "id": 288,
    "title": "Why can fully detached teeth be re-attached, and yet if you break / crack your Maxillary-first-premolar the only option is extraction and disposal?",
    "dialogue": "09080980980990898: Why can completely detached ( de-attached ) teeth be so easily re-attached by dentists, and yet if you break / crack your Maxillary-first-premolar right up / down the middle ( so that one half moves freely sideways ) the only option is extraction and disposal ? MattKW: A fracture above the gumline might be able to be fixed, like denting a panel in your car.\nWith a 1st premolar fracture, it's like shearing your car in two down the middle. Maxillary 1st premolars can do this because:\n\nThey are 2-rooted, which makes them more likelt to split between roots rather than a single rooted tooth;\nThere is a groove on the mesial root surface that leads into the area between the roots.\nSometimes people have PM1s with very prominent cusps, adding to the splitting force when chewing.\nI had a patient who had a spontaneous fracture in a perfectly good 1st PM due to these fractures. I suggested we move to crown the tooth on the opposite side, but she fractured that within 2 weeks. 09080980980990898: why can't I tie a string around the broken Maxillary-first-premolar, hopefully fitting the fracture together properly, so that natural remineralization will may occur.\n\n\nMaybe the Maxillary-first-premolar starts out like two separate teeth and then natural mineralization occurs and they join to become one tooth, I obviously don't know.\nTwo or three years ago I insisted to a dentist that they greatly reduce the very prominent inner cusp on this exact Maxillary-first-premolar ( PM1 ), because I was very afraid that this exact thing would occur, from noticing how sometimes it would accidently knock very dangerously against lower teeth, but the dentist refused saying that taking away valuable tooth material is wrong.\nI have noticed that when i keep the broken inner cusp  ( free moving cusp ) of this Maxillary-first-premolar against the intact cusp, instead of sometimes wiggling it, that that seems to greatly reduce the episodes of gum inflammation ( lots of septic tasting fluid ) and more recently bleeding, the septic fluid and blood have lessened very very noticeably.  What if that septic fluid and blood are part of the body's mechanism of natural remineralization ( even though that sounds very unlikely that they would coincidentally also help with natural remineralization ) .\nI just cannot find any webpages of people (  DIY  ) tying a string around their broken Maxillary-first-premolar, hopefully fitting the fracture together properly, so that natural remineralization will may occur, obviously I would not be the first to think of this. MattKW: Teeth do not reform like a bone fracture; there are no living bone cells within the enamel or dentine that would allow this. All you are doing is to allow further ingress of bacteria down the fracture line, and infection is inevitable. Get it extracted ASAP. 09080980980990898: Other types of tooth fractures can and do actually heal, via natural remineralization, some toothpastes are designed to help do that.\n\nI have observed that keeping the broken cusp in it's proper position, in other words never moving it, seems to stop infection and bleeding ( as I described in a reply above ).\n\nSo there is a chance that the string ( or something ) idea I typed above could have some sort of percentage chance of being successful.\n\nI think that probably the reason dentists insist on extracting it is to not run any risk at all of patients health being affected by infection, regardless of it being an idea that could have some sort of percentage chance of being successful.\n\nSince I can find nothing on the internet of people doing this string ( or something ) idea DIY, I will have to have it extracted. MattKW: Do show us the evidence that tooth fractures can heal. \nRemieralising toothpaste reharden softened teeth (early decay), not fractures."
  },
  {
    "id": 289,
    "title": "Why can't a string ( or something ) be tied around a fractured Maxillary-first-premolar, so that natural remineralization will may occur?",
    "dialogue": "09080980980990898: Why can't a string ( or something ) be tied around a fractured Maxillary-first-premolar, hopefully fitting the fracture together properly, so that natural remineralization will may occur ?\n\nMaybe the Maxillary-first-premolar starts out like two separate teeth and then natural mineralization occurs and they join to become one tooth, I obviously don't know.\nTwo or three years ago I insisted to a dentist that they greatly reduce the very prominent inner cusp on this exact fractured Maxillary-first-premolar ( PM1 ), because I was very afraid that this exact thing would occur, from noticing how sometimes it would accidently knock very dangerously against lower teeth, but the dentist refused saying that taking away valuable tooth material is wrong.\nI have noticed that when i keep the broken inner cusp ( free moving cusp ) of this Maxillary-first-premolar against the intact cusp, instead of sometimes wiggling it, that that seems to greatly reduce the episodes of gum inflammation ( lots of septic tasting fluid ) and more recently bleeding, the septic fluid and blood have lessened very very noticeably by doing that.\nI just cannot find any webpages of people ( DIY ) tying a string around their broken Maxillary-first-premolar, hopefully fitting the fracture together properly, so that natural remineralization will may occur, obviously I would not be the first to think of this. 09080980980990898: Referring to a fractured Maxillary-first-premolar, fractured right up / down the middle ( so that the inner cusp moves freely sideways ) that dentist say the only option is extraction of the whole Maxillary-first-premolar."
  },
  {
    "id": 290,
    "title": "Sensitivity after a filling",
    "dialogue": "jameshampton: Hi I've recently had 3 (4 days ago) fillings and one of them is sensitive to cold water . Should this settle down on without by itself?"
  },
  {
    "id": 291,
    "title": "Is there a huge difference in the appearance and structure of the gums?",
    "dialogue": "CalebDDulin: "
  },
  {
    "id": 292,
    "title": "My permanent teeth are coming loose and hurting",
    "dialogue": "person: one of my incisors and 3 or my molars are experiencing this\n\ni can't see it moving yet but i can feel it coming loose\n\nhow bad is it if i leave it until the weekend to get a check-up?\n\ni am 14m in school. Dr M: I highly doubt that your teeth are becoming loose. You might have a pressure feeling due to erupting teeth or maybe a malocclusion. Rather wait until you see the dentist before jumping to any conclusions."
  },
  {
    "id": 293,
    "title": "Numbness in Left side Lips, Chin, Cheek, Gum and Teeth after RCT.",
    "dialogue": "seetwo: Hi all,\n\nThis procedure happened in Australia since I'm not sure if they use different anaesthetics and or methods so I would like to make mention of this now.\n\nI had my first RCT on November 22nd 2022, this was to clean most of the nerves as I was getting very bad tooth aches from #18. I had no issues with numbness after this appointment.\n\nI had my 2nd RCT on Tuesday 13th December 2022.\n\nI was administered local anaesthesic in my lower left jaw close to #17 as the tooth being worked on was #18, but as I wasn't feeling too numb from it, my GD injected the anaesthetic behind the gums of #20-#19 and infront of the gums of #20-#19 (Roughly), they all stung when injected, I was injected a total of 3 times in 3 different locations.\n\nThe treatment was going as planned until the very end, where my GD said that the very last Endo File tip broke inside my Root Canal.\n\nI was told that since it was the last file they were using, and the inside of the roots are clean and disinfected. There was no issues with the endo file tip inside. He filled the tooth up with filling and the procedure was done.\n\nI was not prescribed antibiotics for the 2nd RCT.\n\nFor time reference, the 2nd RCT started at 9:50 AM and finished around 11:23 AM. The local anaesthetic wore off around 12:40 PM and I was no longer numb and my tooth started aching badly. I was taking Neurofen and Panadol but they were not helping with the pain. I was also getting migraines and jaw pain on the left side of my face/head.\n\nPlease note that during all this time, I was no longer numbed from the Anaesthesia since it wore off until below this paragraph.\n\n[IMPORTANT]\n\nI took a nap at around 7:30 PM and woke up at roughly 7:40 PM from my tooth ache and migraine, i also noticed that my lips, chin, and cheeks were tingling like they were becoming numb...\n\nI took another nap at roughly 8:00 PM and woke up at 8:15 PM again from the tooth ache and migraine. This time I noticed my lips, chin, cheeks were completely numb. By this point I am freaked out.\n\n[IMPORTANT]\n\nThe night goes on with me frantically worrying and giving myself panick attacks. I feel asleep properly at around 3 AM, and woke up at 7 AM still with a numb face.\n\nMorning comes through on Wednesday 14th December 2022 and I call the dental clinic first things first that they opened. 9 AM on the dot, I got an appointment at 12:30 PM and I went there.\n\nMy GD did some diagnostics like tapping #18 to see if there was pain, and pushing on my gums infront of #18 to see for pain. I responded with no pain for both tests.\n\nHe then told me that he doesn't know the reason to why my left side lips, chin, cheeks were numb.\n\nHe then felt my neck and said that it was swollen on the left side, which could be the reasoning to the numbness (I assume), that I am now stuck with. \n\nI was then prescribed antibiotics and dexamethasone after this appointment.\n\nThe tooth ache has subsided by 90% with the antibiotics but the dexamethasone hasn't done anything with the swollen neck or numbness.\n\nOn Thursday 15th December 2022, I noticed that my teeth and gums from #17 to #23 are numb as well, Friday 16th is still the same deal with no easing on the numbness.\n\nPlease help, I'm having issues with eating food, I can't tell what is hot, what is cold and I keep spilling food because I can't tell where my spoon is, I'm accidentally biting my lips and cheeks and I can only tell that I've bit them when I'm tasting blood.\n\n\n\n\nWho should I see to get this numbness identified? \n\nAm I too late to get this issue fixed?\n\nIs this nerve damage?\nIs it permanent?\n\nPlease, please help me. What can I do and who should I see! \n\nThank you,\nSeeTwo seetwo: Hi, just wanted to give an update to my situation and kind of document this through, just in case someone else goes through this horrible experience in the later future.\n\nIt's been a week since the numbness has occurred after my RCT, It hasn't felt like the numbness has lessened and the numbed locations remains the same.\n\nSometimes the affected area bubbles and tingles for a few seconds and then stops, sometimes it has a weird stinging pain as well.\n\nI've gotten fairly used to eating foods with a numb face, but it has ruined my enjoyment of eating in general so I just pick bland mushy food to not disappointment myself any further. MattKW: Australia uses same anaesthetics as most developed countries, and your numbness won't be associated with that. Other possiblities are that the IAN was badly pranged during the injection - it happens rarely, and would normally pass within a couple of days. I'd be more concerned that perhaps the apices of your molar were close to the IAN, and that there has been over-irrigation (or maybe over-instrumentation?) during the prep with NaOCl. I would talk to your dentist and ask for a referral to an endodontist along with all the records (notes and X-rays). seetwo: Hi MattKW,\nThanks for replying.\n\nIt's been just over 2 weeks and I'm still numb with the same feeling as I was when I wrote this thread. I can't tell if it's getting any better or any worse. I will note that the numb parts are starting to hurt from any kind of touch that isn't my own finger. If I was to describe how it feels, I guess kind of like a paper cut sting mixed with a painful bruise. My left side jaw is still sore from that procedure as well.\n\n\n\nMattKW said:\n\n\n\n\t\t\tI'd be more concerned that perhaps the apices of your molar were close to the IAN, and that there has been over-irrigation (or maybe over-instrumentation?) during the prep with NaOCl.\n\t\t\nClick to expand...\n\n\nI think the procedure took around 1 hour and 20 minutes, so I guess it could be over-instrumentation? My dentist also did break an endofile inside my root canal, the endofile tip is still inside my tooth.\n\nMy problem is that the anesthetics wore off 2 hours after the appointment.\nI was eating McDonald's French fries which were soggy and some bits were hard, then I started going numb again few hours later and it has been numb ever since.\nWhich leads me to think I could have an overfilled tooth, because I did eat a little bit on the side of my RT.\n\nI haven't been able to speak with my Dentist since their clinic is closed until 2023, so I can't get any answers or any solutions, and trying to find information through google isn't very helpful and just creates more confusion and panic. All I'm getting from Google is TMJ, IAN, etc.\n\nMy next appointment is next year Jan 4th.\n\nThank you. seetwo: So... it's been 6 weeks and it's still numb, I'm not sure if it's lessened or if I'm getting used to it being numb.\n\nMy dentist said he can't do anything about it but only watch what's happening and hope it doesn't turn out worse. toothman88: seetwo said:\n\n\n\n\t\t\tSo... it's been 6 weeks and it's still numb, I'm not sure if it's lessened or if I'm getting used to it being numb.\n\nMy dentist said he can't do anything about it but only watch what's happening and hope it doesn't turn out worse.\n\t\t\nClick to expand...\n\nSorry to hear you went through this. How are you doing now? seetwo: toothman88 said:\n\n\n\n\t\t\tSorry to hear you went through this. How are you doing now?\n\t\t\nClick to expand...\n\n\nI feel like I have gotten much better around April 2023, it feels like majority of the numbness has gone away but there are some spots that are still very slightly numb. Touching my chin in some spots will send a tingling feeling towards my lip and under my chin closer towards the neck.\n\nI can't really describe it, but the best way is that it feels like \"numbed\" area is slightly heavier than the unaffected sided. Simply put it just doesn't feel the same and I can tell that something doesn't feel right. The left side is slightly less sensitive than my right side.\nHowever, I am pretty used to it and my teeth and gums aren't numb anymore so eating isn't really an issue anymore but there are some days where my chin just feels really weird.\n\nI hope it still has some more healing to go through so it doesn't feel so weird, but I would rather the feeling I am having now rather than being completely numb like I was just after the RCT."
  },
  {
    "id": 294,
    "title": "What is this",
    "dialogue": "Maxgore: Hi,\n\nCan anyone tell me what this is on the tooth and is there a way to remove it?\n\nThank You Dr M: Looks like an area of demineralization, which is already becoming cavitated. You will need a filling to fix this. MattKW: Also, am I right is guessing that plain water is not your usual choice of drink? Looks like significant acid erosion on some teeth. Maxgore: I am getting cosmetic bonding done, should I have this treated/filled before bonding? I used to drink fizzy drinks (2 litres a day) for a period of long time. That’s been cut out now! MattKW: Have you got a pic of your front teeth - slightly open, and closed? \nAnd why are you having bonding done? Maxgore: MattKW said:\n\n\n\n\t\t\tHave you got a pic of your front teeth - slightly open, and closed?\nAnd why are you having bonding done?\n\t\t\nClick to expand...\n\nMainly to make them look whiter and more symmetrical with nice edges. MattKW: If you have uneven edges due to erosion chipping, then bonding may not work because all the pressure on the tips of the front teeth will often chip off the bonding."
  },
  {
    "id": 295,
    "title": "Whiten teeth",
    "dialogue": "Maxgore: Hi,\n\nHow do you whiten the tops and backs of teeth? Is it possible? Also on your back molars what is the best way to make the tops look white?\n\nThank You MattKW: By the tops, do you mean near the gum level (cervical level)? \nOr do you mean the tips (incisal edges) of your teeth?\nDo you have pics of your teeth to show us? Maxgore: Tops as in where you chew..\n\nThanks MattKW: The \"tops\" or incisal edges will whiten more easily than the gum margin areas because of the thinner structure. I had an assistant dentist once who bleached her teeth continually for several weeks (even taking painkillers) and could never whiten the gum margins to her satisfaction."
  },
  {
    "id": 296,
    "title": "I have lip incompetence and the gap between my lower and upper lips is 1cm. How can it be treated?",
    "dialogue": "Naveen: How effective will a lip repositioning surgery be? I'm indeed visiting a dentist, but please answer my question so that I can have a good conversation with him."
  },
  {
    "id": 297,
    "title": "Tooth Mousse w/ Retainers",
    "dialogue": "alexx1202: Would like to know what some dentists think of spreading tooth mousse on the inside surface of a retainer before wearing it. \n\nThanks\nAlex MattKW: Not a problem. You need very little, it's expensive stuff so don't waste it."
  },
  {
    "id": 298,
    "title": "Is there an orthodontic ( or dental ) treatment that involves pushing the molars behind an extracted Maxillary-first-molar to move into the empty gap?",
    "dialogue": "09080980980990898: Is there an orthodontic ( or dental ) treatment that involves pushing the molars behind an extracted Maxillary-first-molar to move into the empty gap, for a 52 year old patient ?      \n\n  I saw this on an internet page somewhere, and now cannot re find it.\n  The internet page I had found referred to both adult and child age patients.   \n  I assume that if a Maxillary-second-molar is pushed ( by orthodontic treatment ) into the empty gap created by the extraction of a Maxillary-first-molar, that then any molars behind the Maxillary-second-molar would also have to be shifted by orthodontic treatment so that no gap remains.      \n  Also, I think I read recently that molars 'naturally' move forward ( towards the front of the mouth ) if an empty gap occurs."
  },
  {
    "id": 299,
    "title": "How soon would Teeth Shifting / Dental Drifting start after a Maxillary-first-molar extraction ?",
    "dialogue": "09080980980990898: If a Maxillary-first-molar is removed from a mouth where all the other teeth are present and OK, how soon would the adjoining molar and tooth start Shifting / Drifting into the empty gap ( causing a Malocclusion ) in a patient of 52 years of age ?\n\n - Also, although the Shifting / Drifting in the above question is an unwanted result of the Maxillary-first-molar extraction, I found a webpage ( maybe only for child age patients ) showing that the Shifting / Drifting can be used intentionally by a dentist to push the Maxillary-second-molar into the empty gap left by the extracted Maxillary-first-molar, however what about the molar behind the Maxillary-second-molar ?"
  },
  {
    "id": 300,
    "title": "Did a filling fall out or is this a normal groove",
    "dialogue": "tempaccount: Hi! I got fillings done on several of my molars today but I noticed a strange shape on the very back one on my right is this a normal pattern or do I need to go back because my filling fell out? Dr M: Poor quality photo. Difficult to see clearly. Did you get fillings or only fissure sealants?"
  },
  {
    "id": 301,
    "title": "Is this biologic width invasion?",
    "dialogue": "Kelly56: Xray: https://ibb.co/9G60LhJ\n\nDo these crowns need to be redone? Is there cement on mesial of #9 that is a concern? Or not a big deal? Is there BW invasion here? MattKW: From the Xray there doesn't appear to be BW invasion.\nThose crowns have very little natural core structure, and I'd advise you not to bite much with them; keep them for appearances only. You might be able to improve the forces exerted on them by re-prepping deeper and changing to PFMs. If they're looking a bit unsightly, that might be a way to consider, but consult with a prosthodontist. Even if all you do is a consultation, it'd be worth the $."
  },
  {
    "id": 302,
    "title": "This is how severe my case of lip incompetence is. Is there a way to fix it?",
    "dialogue": "Naveen:  MattKW: Since you're seeing an orthodontist, they will be in a much better position to give advice. Naveen: MattKW said:\n\n\n\n\t\t\tSince you're seeing an orthodontist, they will be in a much better position to give advice.\n\t\t\nClick to expand...\n\nI'd just like to know about the various ways to correct this so that I can have a better conversation with him. The next appointment is after 3 months."
  },
  {
    "id": 303,
    "title": "What could this be",
    "dialogue": "zadam123: Last weekend my tooth started hurting. This is a tooth that had a root canal and a crown.On a scale of 1 to 10 it was about a seven. I went to the dentist they took x-rays and said he doesn't see anything on the x-rays but it does look like there's a pocket and  little swollen and gave me antibiotics and the mouthwash and said it was an infection and told me to see a periodontist. He did something with the scale tool and it was a number seven he said food may have gotten in and infected it. The next day I was eating a hamburger and bit down and the pain shot from a 7 to a 10. That lasted for about a day and then I guess the antibiotics started to kick in and my pain was almost gone. I went to the periodontist a few days later  they told me the tooth is probably fractured which cannot be seen on the x-ray And I should have it extracted, they Determine this by tapping on my tooth and it did feel a tiny bit different than the others. No pain really just different but I did jump thinking it would feel like it did that day when it was her that's worst. I think I scared her lol\nAs of now a week later my pain is out about a one. \nMy dilemma is I am going away in 2 weeks on a cruise which will be eating good for 7 days  and I don't know what to do. Should I have the tooth pulled before I go away which would give me about a week and 3 days to heal. is 3 days enough time? Would I be able to eat normal? or should I leave it and get it taken care of when I come back and just bring some antibiotics with me in case it does get infected again? \nIs it possible The tooth is not fractured and just was infected due to the deep pocket? I really don't want to pull a good tooth if I don't need to since my insurance does not cover a replacement. It is the third tooth on the top left of my mouth in the back. So not the wisdom not the one next to it but the next one. \nJust also mentioning there is no dentist on a cruise ship and I cannot deal with that pain when I would be away if it does come back. What do you think I should do? MattKW: We'll need to see some Xrays in order to comment. zadam123: MattKW said:\n\n\n\n\t\t\tWe'll need to see some Xrays in order to comment.\n\t\t\nClick to expand...\n\nI don't have my x-rays. But when he show them to me one side of the tooth was more black than the other he said because it was swollen that's why the other side isn't as black also he said the black is a pocket of gum loss. zadam123: MattKW said:\n\n\n\n\t\t\tWe'll need to see some Xrays in order to comment.\n\t\t\nClick to expand...\n\nI don't have my x-rays. But when he show them to me one side of the tooth was more black than the other he said because it was swollen that's why the other side isn't as black also he said the black is a pocket of gum loss. zadam123: MattKW said:\n\n\n\n\t\t\tWe'll need to see some Xrays in order to comment.\n\t\t\nClick to expand...\n\nI don't have my x-rays. But when he show them to me one side of the tooth was more black than the other he said because it was swollen that's why the other side isn't as black also he said the black is a pocket of gum loss. zadam123: I got my x-ray. Any thoughts? zadam123: MattKW said:\n\n\n\n\t\t\tWe'll need to see some Xrays in order to comment.\n\t\t\nClick to expand...\n\nHere's the xray\n\n\nMattKW said:\n\n\n\n\t\t\tWe'll need to see some Xrays in order to comment.\n\t\t\nClick to expand...\n\n\n\n\nMattKW said:\n\n\n\n\t\t\tWe'll need to see some Xrays in order to comment.\n\t\t\nClick to expand... zadam123: zadam123 said:\n\n\n\n\t\t\tHere's the xray\n\t\t\nClick to expand... MattKW: Thanks. Unfortunately not the best pic, looks like it's a photo taken of the Xray displayed on the computer screen. Also, can only see 2 roots out of 3 (probably superimposed).\nBut:\n\nYellow arrows show that the Palatal canal isn't root-filled to the tip/apex.\nOrange arrows show that the (big!) post correlates to the depth of the perio pocket. This suggests either a root perforation from the post, or a fracture.\nEither way, the prognosis for this tooth is hopeless. I'd suggest you get it extracted ASAP. Sorry... zadam123: Thanks for the info. And you are right I did take a picture of his computer screen. I am leaving on vacation next week for a cruise And there is no dentist on the cruise. My dentist told me let there may be a chance for certain things if he pulls the tooth since it's a big tooth. As of right now like I said I am in no pain and I'm trying to chew on just one side of my mouth not to disturb it. I am going to leave it until I come back because I don't want complications from an open wound or chance of dry socket or stitches opening. I understand that may have the same complications with a fractured tooth breaking but looks like either way I'm screwed. Since I'm leaving the tooth in till I get back to take care of Do you have any suggestions other than not eating on that side. My doctor gave me antibiotics in case it does get infected again to take. Other than that any suggestions?\nThanks\n\n\nMattKW said:\n\n\n\n\t\t\tThanks. Unfortunately not the best pic, looks like it's a photo taken of the Xray displayed on the computer screen. Also, can only see 2 roots out of 3 (probably superimposed).\nBut:\n\nYellow arrows show that the Palatal canal isn't root-filled to the tip/apex.\nOrange arrows show that the (big!) post correlates to the depth of the perio pocket. This suggests either a root perforation from the post, or a fracture.\nEither way, the prognosis for this tooth is hopeless. I'd suggest you get it extracted ASAP. Sorry...\n\t\t\nClick to expand..."
  },
  {
    "id": 304,
    "title": "Toothpaste",
    "dialogue": "ginab62: I have some bonded teeth at the front and I am really trying to take good care of them ..I am using Venneir  toothpaste atm ..Are there any particular brands people recommend? That makes teeth shine.. I know they have to be low abrasive ...I was looking at rembrandt intense whitening which is recommended but then I read you shouldn't use whitening toothpaste ??? Feeling confused with conflicting information MattKW: If you brush and floss regularly, then a simple fluoride toothpaste is all you need. I just use Colgate Cavity Protecion - the cheapest of the Colgate brand at about $2.25 per 100g. Stick with a major brand and don't buy odd ones from the internet.\nSome expensive whitenening toothpastes like Colgate Optic White Expert Express Teeth Whitening at $12 per 100g (!) may whiten teeth a bit but offer no better protection. \nAnd if you have composite veneers, whitening is not for you because the bonding won't whiten but unbonded natural teeth (lower front teeth?) might whiten. This could create a difference in appearance between bonded and unbonded teeth."
  },
  {
    "id": 305,
    "title": "What is this?",
    "dialogue": "Mdaab: On Thursday, the gum behind the back bottom molar swelled and was very painful. The swelling and pain have significantly receded in the last 24 hrs (photo is from just now). Is this anything to be concerned about or is it just the tooth finally breaking through? \n\nThanks! Dr M: Sounds like pericoronitis. If this is a recurring problem,I would recommend removing the wisdom tooth. MattKW: Lack of jaw length to accommodate the erupted wisdom tooth. Causes a \"bunching\" of the gum tissue and an area ripe for recurrent pericoronitis (as per Dr M). Get it pulled, and any others like it. Mdaab: Great, thanks for your help. It’s the first time it has happened. Anything I should be doing before seeing my dentist? For various reasons, it may be a little while before I can see them. MattKW: No. Just keep it clean as best you can - they can become easily infected and inflamed."
  },
  {
    "id": 306,
    "title": "Powder based drinks - tartar buildup",
    "dialogue": "151asevern: hi,\ni have very bad tartar buildup case despite brushing 3 times a day, flossing once, using tongue cleaner/scraper.. and rinsing after meal.\nI've been struggling to figure out what was causing it.. and from all research that I have done I suspect that it is most likely my very high powder based drinks consumption (protein shakes).\nI found some articles claiming, that powder based drinks leave gritty film on enamel which interacts with bacteria and it causes plaque and then tartar.\nI am thinking to reduce the amount of protein shake consumption.. and I wonder what else could possibly help to prevent that? drinking shakes using straw? using tongue scraper/cleaner after each consumption? mouthwash after each consumption?\nany advice would be appreciated.\nthanks"
  },
  {
    "id": 307,
    "title": "Hello i've  seen there's something wrong in my mouth, can you tell what is this and what should i do? It's not pain and i've noticed this yesterday.",
    "dialogue": "Michele der: Iam looking forward to hearing from you. Dr M: You have small ulcers developing on the left lower lip. Might be stress or immune system suppression related. Also looks like some plaque on the teeth, indicating the need for a cleaning. Don't know if there is something specific you are concerned about? MattKW: Yes, more info pls."
  },
  {
    "id": 308,
    "title": "Can anyone explain or tell what is this i've suffer almost 2 weeks and it's not pain or discomfort but i just worried about it",
    "dialogue": "Michele der:  MattKW: Not quite sure what you're pointing at, so have labelled the following in my return pic:\n\nUlceration caused by lack of space for wisdom tooth. Should be extracted.\nUlceration either from sharp edges of broken tooth or a burn from holding aspirin in your mouth. Not very sure.\n and 4. Decayed teeth Michele der: MattKW said:\n\n\n\n\t\t\tNot quite sure what you're pointing at, so have labelled the following in my return pic:\n\nUlceration caused by lack of space for wisdom tooth. Should be extracted.\nUlceration either from sharp edges of broken tooth or a burn from holding aspirin in your mouth. Not very sure.\nand 4. Decayed teeth\n\n\nClick to expand...\n\nThank for answering doc, What should i do for this doc? Dr M: Best option would be to see a dentist  The wisdom tooth can then be extracted and the decayed teeth fixed. The dentist can then also check for any other issues on the opposite side Dr M: Best option would be to see a dentist  The wisdom tooth can then be extracted and the decayed teeth fixed. The dentist can then also check for any other issues on the opposite side"
  },
  {
    "id": 309,
    "title": "Sore teeth - likely uneven bite",
    "dialogue": "VanessaKnowles: Hi,\n\nI have a bottom molar with a large filling. This tooth developed a crack. My dentist decided to put a full cuspal composite overlay, he said this will stop the tooth flexing. After this procedure I have been unable to bite anything hard on this tooth and my gums felt swollen, orginally starting from just the treated tooth and over weeks progressing along my lower jaw/gums right to the centre bottom teeth. Antibiotics seemed to have cleared up the swollen feeling in my gums temporarily, however it recurred.\n\nI went to my dentist and told him my tooth hurts when I bite anything hard. He said that the pain is because the filling is high, he said he will adjust the filling. He didn't tell me, but he filed down the top teeth above the filling. Now I have pain in my canines and other teeth. They feel like they are clashing together, chipping my teeth, causing the gums on my canines to recede and causing a lot of pain.\n\nI am not happy that the dentist filed my teeth without my permission or even telling me what he did. I have no idea how many teeth he touched but can see two teeth are significantly shorter than the same tooth on the opposite side. Also his dental nurse alerted me to him filing my top teeth when she told him \"What are you doing?!\" And he simply said \"I'm not doing any damage\". It looks like he wanted to make sure the top left couldn't touch the bottom left molar. However filing my good teeth for a bad tooth that had a \"crack like glass\" that may have gone right through is illogical to me. Now I have pain in the top teeth on the opposite side since the filing down, and my teeth on the opposite side seem to be banging together causing pain. The pain is keeping me awake. I'm scared it will do damage but I do not trust him anymore because he filed down teeth, which cannot be undone, without telling me and it seems to have created more problems for me. Please give me advice on how to proceed. Dr M: It sounds like you might also have a grinding issue. I would seek a second opinion in this case."
  },
  {
    "id": 310,
    "title": "Invisalign after composite bonding?",
    "dialogue": "Juliakowal: Hey! So I’ve completed my Invisalign treatment with only needing 8 trays to correct my teeth and now I’ve had my composite bonding done by the same dentist over two appointments however because of the lack of available appointments my teeth have now moved slightly as I haven’t been able to wear my trays due to alterations with the composite bonding. So now I feel like the Invisalign was pointless and a waste of money. So my question is, is it reasonable to ask if I can re do my molds and get a few additional Invisalign trays to correct the teeth without having to pay the same cost over again? Dr M: Did you have a retainer made? Sometimes if you put in the retainer, it is going to feel extremely tight, because the retainer actually pushes the teeth back into their original position. Juliakowal: Dr M said:\n\n\n\n\t\t\tDid you have a retainer made? Sometimes if you put in the retainer, it is going to feel extremely tight, because the retainer actually pushes the teeth back into their original position.\n\t\t\nClick to expand...\n\nI did but before I’ve had my composite bonding done. My composite bonding was done over a period of one month because of little tweaks that I wanted doing so during that my teeth have moved again and since my teeth are different now with the composite I can’t use my retainers Dr M: In that case, you can request a case refinement. This is usually a few extra trays, to correct minor discrepancies and should not be the same cost as the initial treatment. ginab62: Juliakowal said:\n\n\n\n\t\t\tHey! So I’ve completed my Invisalign treatment with only needing 8 trays to correct my teeth and now I’ve had my composite bonding done by the same dentist over two appointments however because of the lack of available appointments my teeth have now moved slightly as I haven’t been able to wear my trays due to alterations with the composite bonding. So now I feel like the Invisalign was pointless and a waste of money. So my question is, is it reasonable to ask if I can re do my molds and get a few additional Invisalign trays to correct the teeth without having to pay the same cost over again?\n\t\t\nClick to expand...\n\nI had my bonding done after invisiline and went to my orthodontist straight after for a scan ..They replaced all my retainers for free but I was only without them for 2 wks and my teeth stayed fine"
  },
  {
    "id": 311,
    "title": "Type of Filling?",
    "dialogue": "UKZiggy: I hope someone can offer some advice as I am not sure I am being given best advice but rather being guided to private.\n\nI have quite a lot of wear on my molars through either grinding (I don't think I do, as my other half never mentions it) or drinking diet orangeade.\n\nEither way my dentist said she could either monitor it or I could have 3 fillings to build up the areas, she recommended white fillings privately rather than NHS metal fillings.\nI said I was more than happy with NHS metal ones, she then changed tact and said the metal ones would involve more good tooth removal that the private white ones so if I wanted to go the NHS route she would recommend a temporary filling but it might not last. This made no sense to me to have a temporary filling that might fall out in 6 months.\nDue to me being hesitant in agreeing to the temporary work she agreed to metal but would now, all of a sudden only need 1-2 fillings.\n\nBeing as I was left feeling I was going against her best advice & she appeared unhappy doing NHS metal fillings, saying it would involve removing more good tooth that goes against what they are trying to achieve, I was hoping to get other thoughts, it appears mad to me there is no NHS option she can recommend and only private work could fix my teeth?\n\nIn the past from my previous practice, I was always told the mental ones are not nice looking but stronger and will last longer.\n\nI will also add, I always have a regular 6 monthly check-up and moved to this practice about 6 years ago as my last practice stopped doing a scale and polish and instead kept recommending private hygienist visits. My new practice, although not as pushy on chargeable work also wont do a scale and polish.\n\nI could be wrong but I just keep getting the feeling all the \"best advice\" I keep being given by dentists is more about steering me away from NHS and charge me private fees. I used to trust my dentists would always give me the best advice. MattKW: I would have to see Xrays to at least judge your degree of erosion. If you have xrays taken several years apart to show rate of wear, then this would be even better. Bitewings (perpendicular) xrays are best for this type of comparison. I attach 2 examples of a patient taken 3 years apart, and an info sheet about acidity:\n\nPic taken 2007 when patient is 13yo. The green shows the thickness of good enamel on 2nd molar, the orange shows reduced enamel on 1st molar. \nPic taken in 2010. The enamel on 1st molar is now very fine as evidenced by red arrows. This kid just wouldn't give up soft drinks. UKZiggy: MattKW said:\n\n\n\n\t\t\tI would have to see Xrays to at least judge your degree of erosion. If you have xrays taken several years apart to show rate of wear, then this would be even better. Bitewings (perpendicular) xrays are best for this type of comparison. I attach 2 examples of a patient taken 3 years apart, and an info sheet about acidity:\n\nPic taken 2007 when patient is 13yo. The green shows the thickness of good enamel on 2nd molar, the orange shows reduced enamel on 1st molar.\nPic taken in 2010. The enamel on 1st molar is now very fine as evidenced by red arrows. This kid just wouldn't give up soft drinks.\n\n\nClick to expand...\n\n\nUnfortunately I don't have access to the xray's, bitewing ones were done but only my dentist has access.\nHowever it's not so much about the need for filing as I have had increasing erosion for 20 years+ and want the damage building back up.\n\nMy question is more about the type of filling material, my dentist told me if I had amalgam fillings, they would have to drill out more healthy tooth as amalgam fillings need a deeper bed than white.\n\nwhite will be private and 10 times the cost of amalgam fillings.\n\nI don't care about the appearance of my molars so I'm happy with amalgam fillings but my dentist is telling me the more costly white fillings will involve less drilling away of my healthy teeth.\n\nI'm not sure if I'm being taken for a ride as I understood amalgam fillings , although not as nice looking were actually the stronger and longer lasting filling. MattKW: You can request access to copies of your records, including xrays, specialist reports, clinical notes.\nIt's not as simple as amalgam Vs composite:\n\nAmalgam: Like concrete, you need a fair amount of depth to make it work and this will necessitate drilling down and getting closer to the pulp (nerve) . Also, it does not adhere to the enamel of the tooth.\nComposite: Can sometimes do it thinner than amalgam with less drilling, and will adhere to enamel and dentine. More likely to fail than amalgam or give post-op sensitivity.\nIn the Xrays I showed you, I referred the teenager to a prosthodontic specialist; composite was preferred for the short term ( 5-10 yrs) with ceramic after that for the long term. Very expensive.\nThe appropriate treatment for you depends upon your age, the area of erosion (one tooth or many?), the depth of erosion, the closeness of your nerve to the tooth surface, and your ability to halt the erosive action (\"...drinking diet orangeade\").\nIf you can get the Xrays and tell me your age, then I can give better advice. There is rarely only ONE answer in dental care - there are options with varying degrees of success, risks, and costs. MattKW: Also have a look at this thread. UKZiggy: MattKW said:\n\n\n\n\t\t\tYou can request access to copies of your records, including xrays, specialist reports, clinical notes.\nIt's not as simple as amalgam Vs composite:\n\nAmalgam: Like concrete, you need a fair amount of depth to make it work and this will necessitate drilling down and getting closer to the pulp (nerve) . Also, it does not adhere to the enamel of the tooth.\nComposite: Can sometimes do it thinner than amalgam with less drilling, and will adhere to enamel and dentine. More likely to fail than amalgam or give post-op sensitivity.\nIn the Xrays I showed you, I referred the teenager to a prosthodontic specialist; composite was preferred for the short term ( 5-10 yrs) with ceramic after that for the long term. Very expensive.\nThe appropriate treatment for you depends upon your age, the area of erosion (one tooth or many?), the depth of erosion, the closeness of your nerve to the tooth surface, and your ability to halt the erosive action (\"...drinking diet orangeade\").\nIf you can get the Xrays and tell me your age, then I can give better advice. There is rarely only ONE answer in dental care - there are options with varying degrees of success, risks, and costs.\n\t\t\nClick to expand...\n\n\nThank you so much, that is really helpful.\n\nI will see if I can get my records but in the mean time I am 55yo and my wisdom teeth have been removed.\nWith the exception of my wisdom teeth and a crown my teeth are complete.\n\nAll of the following refers to my lower jaw as I don't think I have erosion on my upper jaw.\nI have most of the erosion on the outside edge of my first right molar and second premolar (I have a crown on my right second molar).\nI can feel a clear slope away to the outside of my teeth on my lower right hand side with the inside feeling (to me) full height. All the erosion is on the outer side of the teeth.\n\nI therefore need my right second incisor and first molar building-up on the outer edge.\n\nMy erosion on my left is much more minimal but part of the inside edge of my second premolar broke off recently, this is the third build-up filling.\n\nThanks again. MattKW: Erosion is always most evident on lower teeth because this is where the acidic drink will naturally go (gravity!). At 55yo, if you have minimal erosion AND can give up the acidic drinks, then you probably be OK."
  },
  {
    "id": 312,
    "title": "Experiencing pain on pushing tooth, tapping on it",
    "dialogue": "AW89: I'm having a situation with the bottom front tooth (left). Tapping it with my nail or pushing on it with my finger causes pain which stays for a long time. Pushing on the gum line in that spot also hurts. No heat or cold sensitivity detected. When this happened previously my dentist said it was gum recession, did not find evidence of a cavity and prescribed a fluoride gel to apply for a week. Could it be that or is it something else?\n\nLatest OPG attached (for a different issue though), taken 4 May, 2023 (did not have this problem then). Dr M: Difficult to see anything on the x-ray. I think a clinical examination is necessary to rule out recession, traumatic occlusion or even crack formation. AW89: I went to the emergency clinic in my city, the doctor did a cold test which was fine, and found nothing out of ordinary on the x-ray - no infection, no swelling. She did note that the tooth felt a little loose but did not seem worried about it. No test for crack. The pain is now localised around one tooth at the gum line but there is no abnormal cold or heat sensitivity, only pressure. She put some gel on my gum and said if the pain persists, I should come back. Do you have any thoughts with this additional information?"
  },
  {
    "id": 313,
    "title": "Will a dentist be able to remove my orthodontic molar band and bonding cement?",
    "dialogue": "partialbracesqueen: I got braces as a teenager and basically my parents got divorced and fought over who was going to keep paying for them and no one ended up paying so I removed them myself with pliers. The only things I couldn't get off were the dental glue (bonding cement) used to attatch the brackets to my teeth and one of the molar bands (because it is stuck while the other molar bands & brackets were fairly easy to get off). I've avoided seeing a dentist due to embarrassment over this so I haven't even had my teeth cleaned in years. But I'm ready to move on from having this crap on my teeth. I called an orthodontist office and they said they won't work on another orthodontist's work even though it's just one band and some dental glue. I've been told most orthodontists won't do this. So I was thinking of calling some dentists in the morning but I was just wondering what are the chances of them agreeing to take this stuff off my teeth? Is it even worth trying or should I just try again to get the band/glue off myself?\n\nPlease no rude/sarcastic or flippant comments. I know neglecting my dental hygiene is bad. Yes it was a mistake to let it get this far. I'm doing the best I can to fix it now and I don't need a lecture. Dr M: The band can be removed by a dentist with the appropriate instruments. Just explain the situation to them. The cement can also be cleaned off"
  },
  {
    "id": 314,
    "title": "Implant or not?",
    "dialogue": "Hornnumb2: I had a wisdom tooth pulled #18 and they took #17 also because of damage.  Is it necessary to get an implant for #17 to keep the upper tooth from dropping down? Thanks Michael MattKW: Can you show us a full mouth xray of your teeth? Either before or after extractions. And what is your age? Hornnumb2: Here is a before. 53 MattKW: Thank you.\n2 articles are attached. Whilst in young people there can be significant over-eruption (\"dropping down\"), this lessens for older people. These are 2 (admittedly small) studies with ages 33-58yo and 25-69yo which conclude that there is clinically insignificant movement in adults. Although the absolute age of each person is not cross-referenced to the amount of overeruption, I think it could be safely assumed that the older the person, then the smaller and less significant the movement.\nIn other words, you probably don't need an implant. If your dentist suggests otherwise, then you have these articles that suggest otherwise, unless he can find other literature. Hornnumb2: Yeah I was a little disappointed in my surgeon, no follow up at all not even a phone call. just give me your money and bye. I went up there after the swelling subsided because I had bone shards poking out of my gums cutting my tongue every time i tried to swallow anything. I only did liquid and spaghetti O's for the first month. The nurse that looked at it said yeah the bone will grow back...."
  },
  {
    "id": 315,
    "title": "Antibiotics usage for extraction. Wisdom tooth extraction need to be done asap? X-rays.",
    "dialogue": "Stackflow: I had sinus and ear infection last week. I went to Dr and they gave me amoxicillin/clav antibiotics for 5 days which I will finish today. (Thursday)\nTomorrow I have scheduled for tongue biopsy and wisdom tooth extraction (one tooth) with my dentist. He said he will give antibiotics after extraction for a week starting from tomorrow. \nShould I postpone the extraction visit because of antibiotics usage continuously. I am concerned about taking more antibiotics continuously. \nIs it ok to take antibiotics like this often? Should I postpone the extraction? \n\nI also had deep cleaning on my teeth two days ago.  Is it ok to do wisdom extraction after deep cleaning? I have to remove one white thing on my gum which is bone fragment from my extracted socket #30. Surgeon said he will remove that in the same visit. \n\nCan we remove bone fragments on the gum which had deep cleaning 2 days ago? \n\nIs this extraction need to be done asap on the wisdom left upper tooth or can I wait and do it later? I also have to do tongue biopsy on tht same day.  Surgeon said he will do tongue biopsy, wisdom extraction and bone fragments removal on #30 on same day.  \n\nThanks and appreciate your help."
  },
  {
    "id": 316,
    "title": "Piece of tooth just came out",
    "dialogue": "bordor: Years back I had a dentist who essentially \"planed down\" the backs of my two front teeth. He said he was doing it as part of a bite adjustment, but it never made any sense to me because I have an overbite and my two front teeth do not make contact with any other teeth in my mouth. I noticed after this that those bottom parts of my teeth seemed fragile, almost transparent and another issue is that since he did that, it has always extremely uncomfortable for my tongue to make contact with the backs of my two front teeth - it feels kind of rough and sharp like sandpaper. I told the dentist about this at the time and he said he could polish it to make it smoother, but whatever he did not make it better but worse, so after that I didn't bring it up again, because I did not want to risk any more damage to my teeth. \n\nFast forward to the present. I just felt something kind of jagged at the bottom my front tooth. I put my finger in to touch the jagged area and a chunk of the bottom middle section of the tooth simply came out!! leaving a gap in the middle of the tooth. This is the part of the tooth my previous dentist had \"planed down.\" I'm sure the tooth structure was weakened by what he did, but I never expected anything like this would happen. \n\nI'm hoping someone can give me some feedback on this. I'm traveling overseas right now and wondering what I should expect if I go see a dentist in the country where I am. What is normally done for something like this? Would this basically be a cosmetic procedure? Would a dentist simply be able to fill the area where there is now a gap in my front tooth or is it more complicated?\n\nThanks for your feedback. Dr M: I think your case is a bit more complicated. I would definitely suggest a full consultation and bite analysis is necessary. Would need to rule out any possible malocclusions and need for orthodontic treatment. \nUnfortunately a lot more information is necessary to adequately comment on this case. MattKW: Quite often what patients think is a bit of a broken lower tooth is actually tartar fracturing off. Send us a photo."
  },
  {
    "id": 317,
    "title": "Movement in gums and pain",
    "dialogue": "june123: Last night I had some flickering movement in the gums for 1 min or so on the top left hand side of my mouth which was followed by toothache which radiated to a few teeth and then it was gone after 10-15 mins. Today morning I had the same flickering movement in the gums but only once and the pain started about 10 mins later. That pain radiated from that center point to other teeth. The pain is not in the teeth but on the upper part towards the gums. today I rinsed my mouth with salt water which calmed the pain down in 2-3 mins.\n\nWhat should I do about those movements in the gums? Is this something I should be worried about? Dr M: I think you should consider seeing your dentist for a consult and cleaning. It sounds like your gums might be inflamed due to excessive plaque or calculus build up."
  },
  {
    "id": 318,
    "title": "Is this TMD?",
    "dialogue": "Tomp94: Attached are few pictures... \nPic 1,2 and 2 were taken at the time in question\nThe rest were taken in the days since \n\nI woke up last Sunday, went to eat Toast (quite chewy) and it really hurt my right side jaw/cheek when chewing on that side. My cheek was puffy and I could tell the muscles there were not relaxed. A hot shower later and a massage of the joint and the pain was gone but my cheek was puffy...to which it remains, even if only slight. \n\nWhen i pressed my fingers against the joint it felt sore in the days after...the muscular type of sore. It is no longer sore. \nIf i put a finger on the joint and push it I can feel the squelching sound, even if mouth is closed. This is on both sides. \n\nI also notice that every time i open my mouth for 2 seconds, if the room is quiet, i can hear some popping/squelching/fizzing sounds on both sides around the jaw. There is no pain or any feeling of anything abnormal.\n\nClearly something isn't right! \n\nA dentist appointment must follow...but no NHS dentists are available, and I cannot afford private treatment!! \n\nThanks!"
  },
  {
    "id": 319,
    "title": "Back molar pulled (second to last molar on right side of mouth)",
    "dialogue": "silvermoon: It was pulled a month ago approximately and I've had teeth sensitivity, tongue tingles, lips at times, and the teeth feel numb. The pain comes and goes. I am 51 and had my wisdom teeth removed, teeth are in good shape, have had a cleaning recently. What is this pain from? Is it a root or a bone spur? I am seeing my dentist tomorrow but am concerned. Dr M: Difficult to say. Could be an unrelated problem. Would need more information with an x-ray. If it was your wisdom teeth that were removed, and they were close to a nerve, the nerve could have been bruised or damaged. If this is the case, you have to give it time. Sometimes it can take months for the feeling to come back and the parasthesia to disappear."
  },
  {
    "id": 320,
    "title": "Abscess?",
    "dialogue": "JMR: Today I went for a cleaning, and also had xrays\n\nAccording to the dentist and my hygienist my front tooth showed on an xray  what appeared to be an abscess\n\nTo be clear\n\n- i have no bump, or anything like that on my gums\n- no decay\n- no crack\n- no chip\n- no pain (anywhere) .... dentist tapped on the tooth\n- no swollen lymph nodes\n\nThe only thing that seemed like it might be a possible indicator was my tooth is slightly discolored\n\nOther than that, nothing \n\nThey seemed puzzled and are sending me to an endodontist for a followup exam\n\nIs there any chance it could be something else other than an abscess? Dr M: Discolouration on a tooth can mean a lot of things, one of which is pulpal necrosis. Sometimes the nerve dies due to trauma a long time ago. \nDo you have x-rays that you could share? MattKW: Yeah, we really need that Xray; sometimes people \"see\" too much that doesn't really exist, or in your case may mistake the incisive foramen for an abscess.  Also, a pulp test with a cold spray or CO2 should have been performed - you don't mention that.\nIn the absence of pain or a gumboil, it could just be that the tooth has calcified from a blow some years ago. That sort of issue doesn't usually require treatment."
  },
  {
    "id": 321,
    "title": "New adult tooth at 29?",
    "dialogue": "LadyBauerbach: Not really sure where to post this, but here goes:\n\nI am a 29 now and have had dental issues since I was a child. (Not cavities, just gaps in my teeth where permanent teeth never grew in.)\nFrom about 15-24, I never really took care of my teeth, never kept a great diet, and never saw a dentist.\n\nAbout a year ago I had to go to the dentist because the left side of my face was swollen so much it looked like I had a golf ball in my cheek. Turned ito to be a bad infection in a cracked tooth and it needed to come out. The tooth in front of it was a baby tooth that never had an adult tooth grow in under it. (At least there was never any tooth in an X-ray I've seen.) I had them both pulled and my week later follow up, the dentist said I was good and it was heading nicely.\n\nThe gum in the extraction site never healed fully and it left a small hole. I'm pretty good about keeping it clean and rinsing thoroughly after every meal, just in case.\nTonight I was eating dinner and I had a very dull ache in that area, so I immediately went to brush my teeth. I notice now that the hole is larger (looks like two small ones now) and that something hard and sharp is protruding from it.\n\nIt feels like it could be a tooth. But I suppose that it could also be a bit of food stuck in there.\n\nIs it possible this could be the very late arrival of a new adult tooth? Is that possible or even likely? Has anybody had any similar experiences?\nI do have dental insurance, just an overly irrational fear of the dentist. Busybee: It would have been visible on x ray.  From recollection I understand we are born with all our teeth.   Wisdom teeth can appear that late maybe, but perhaps you have some residue from the extraction that was left behind and needs to be looked at by the dentist. norma: LadyBauerbach said:\n\n\n\n\t\t\tNot really sure where to post this, but here goes:\n\nI am a 29 now and have had dental issues since I was a child. (Not cavities, just gaps in my teeth where permanent teeth never grew in.)\nFrom about 15-24, I never really took care of my teeth, never kept a great diet, and never saw a dentist.\n\nAbout a year ago I had to go to the dentist because the left side of my face was swollen so much it looked like I had a golf ball in my cheek. Turned ito to be a bad infection in a cracked tooth and it needed to come out. The tooth in front of it was a baby tooth that never had an adult tooth grow in under it. (At least there was never any tooth in an X-ray I've seen.) I had them both pulled and my week later follow up, the dentist said I was good and it was heading nicely.\n\nThe gum in the extraction site never healed fully and it left a small hole. I'm pretty good about keeping it clean and rinsing thoroughly after every meal, just in case.\nTonight I was eating dinner and I had a very dull ache in that area, so I immediately went to brush my teeth. I notice now that the hole is larger (looks like two small ones now) and that something hard and sharp is protruding from it.\n\nIt feels like it could be a tooth. But I suppose that it could also be a bit of food stuck in there.\n\nIs it possible this could be the very late arrival of a new adult tooth? Is that possible or even likely? Has anybody had any similar experiences?\nI do have dental insurance, just an overly irrational fear of the dentist.\n\t\t\nClick to expand...\n\nI have a new tooth coming in under a tooth and the upper one in falling apart at age 83."
  },
  {
    "id": 322,
    "title": "Is this a early cavity?",
    "dialogue": "tempaccount: Hi, I've never had a cavity before so I'm not sure what it's like in the early stages \nI'm in no pain but i can feel a dent on the back of the tooth with my tounge. Is this a cavity? Dr M: This is a poor quality picture. I doubt that it is a cavity though. Behind our lateral incisors, we have a lingual indentation or \"fossa\" and in some cases even a lingual pit. This is a variation of normal anatomy. If you have not been to see your dentist in a long while, you can always ask for a check-up, to make sure."
  },
  {
    "id": 323,
    "title": "Necrotising gingivitis",
    "dialogue": "Judea: View attachment 5890\n\nDuring December to January I noticed swelling and bleeding in my gums accompanied but recession of my interdental papilla.\n\nAfter about a month of this I went to an NHS dentist who sent me to a hygienist, stating I had plaque and tartar buildup. The hygienist told me I had recession on my bottom front teeth and told me to come back every 6 months. \n\nHowever, the problem came back again 3 weeks later but instead of the pain being in my gums it was more in my teeth and jaw this time. I decided to get a general checkup at a private dentist and they did x-rays and checked my probe depths. They again told me that nothing was wrong.\n\nThe only problem is I’m unsure as to why I had such fast gum recession in a small amount of time, literally only taking two months before black triangles in between my teeth started to form. After looking online the only thing I could find was stuff on Necrotising Gingivitis. As I had intense bleeding and recession similar to the symptoms described I was wondering if I had this problem and perhaps it was missed? Although I have no inflammation my gums are still sloughing and sensitive\n\nShould I try and get myself in with a specialist, as the speed in which my gums are receding currently despite the lack of inflammation is quite concerning? I’m worried if I don’t sort it now I could eventually have bone loss.\n\nI did have orthodontic treatment around 2 years ago, but the black triangles weren’t present after I had the braces removed, I’m wondering if this could be linked? Dr M: Definitely not necrotizing gingivitis. A simple google search can tell you this. Recession can be due to a lot of reasons, including one being the type of gingival biotype you are classified as. A thin biotype usually has black triangles forming due to the simplest of reasons, such as brushing too hard, since the amount of attached gingiva is not a lot. I would not be to worried if probing depths reveal no real attachment loss. You can stick to using a soft tooth brush only. If you want to treat this for aesthetic reasons, you can seek the opinion of a periodontist. They will confirm the presence or lack of any periodontal disease, and then can inform you about gingival grafts procedures to cover up these areas. MattKW: You certainly don't have Acute Necrotising Ulcerative Gingivitis (ANUG), Have only seen a few in my life and they are very distinctive, plus foul-smelling.\nAs for recession, it is quite minor, and could be partly due to the orthodontic treatment. The only thing I think you should do iis have your lower wisdom teeth removed to prevent distal decay in the adjacent molars. Judea: Judea said:\n\n\n\nView attachment 5890\n\nDuring December to January I noticed swelling and bleeding in my gums accompanied but recession of my interdental papilla.\n\nAfter about a month of this I went to an NHS dentist who sent me to a hygienist, stating I had plaque and tartar buildup. The hygienist told me I had recession on my bottom front teeth and told me to come back every 6 months.\n\nHowever, the problem came back again 3 weeks later but instead of the pain being in my gums it was more in my teeth and jaw this time. I decided to get a general checkup at a private dentist and they did x-rays and checked my probe depths. They again told me that nothing was wrong.\n\nThe only problem is I’m unsure as to why I had such fast gum recession in a small amount of time, literally only taking two months before black triangles in between my teeth started to form. After looking online the only thing I could find was stuff on Necrotising Gingivitis. As I had intense bleeding and recession similar to the symptoms described I was wondering if I had this problem and perhaps it was missed? Although I have no inflammation my gums are still sloughing and sensitive\n\nShould I try and get myself in with a specialist, as the speed in which my gums are receding currently despite the lack of inflammation is quite concerning? I’m worried if I don’t sort it now I could eventually have bone loss.\n\nI did have orthodontic treatment around 2 years ago, but the black triangles weren’t present after I had the braces removed, I’m wondering if this could be linked?\n\t\t\nClick to expand...\n\n\n\n\n\n\n\nThe image here is during the time of inflammation MattKW: Still not ANUG, just localised gingivitis. Attached is a typical pic, with highlighted text. Never seen it in a non-smoker or someone with balanced nutrition, or someone who regularly brushed. Judea: MattKW said:\n\n\n\n\t\t\tStill not ANUG, just localised gingivitis. Attached is a typical pic, with highlighted text. Never seen it in a non-smoker or someone with balanced nutrition, or someone who regularly brushed.\n\t\t\nClick to expand...\n\nI see! Thank you for your help much appreciated."
  },
  {
    "id": 324,
    "title": "Do i need a second opinion ?",
    "dialogue": "jameshampton: Hi yesterday I went to the dentist for my yearly check-up . Every time I go he has a good look around takes xrays gives me a scale and polish then says everything is OK. \nThis time he had a look around and said I need 4 fillings in my back molars . I must have looked shocked because he said that he had been monitoring them for a few years but now they need fillings.  \n\nIs it normal suddenly needing 4 fillings after around 20 years of no work ? I'm 48 if that makes any difference. \n\nShould I get a second opinion or is that being silly? Dr M: Do you have any x-rays you could share? MattKW: To progress to decay in such a short time at this stage of your life would be very unusual. I went incognito 20 years ago to a dentist who found a \"cavity\" in one of my teeth - he was just fishing for work. jameshampton: Unfortunately I don't have the xrays . He didn't take xrays this time but he usually does . He did say the fillings would be small . It's a nhs Dentist so I'm only paying one charge no matter how many fillings. MattKW: Hmmm, I'm still suspicious. It might be a relatively cheap cost for you, but he might be doing it for his personal gain because I assume he gets paid per filling."
  },
  {
    "id": 325,
    "title": "Ulcer or absess",
    "dialogue": "ajjj987: Have had this around a week now been to the dentist been told its an ulcer but unsure if it's an absess. Been told to leave alone for a couple of weeks and see but I'm concerned if it's an absess will the infection spread. Can I have an opinion on this please ajjj987:  Dr M: Impossible to say if it is an abscess without an x-ray. The quality of the photo is also poor."
  },
  {
    "id": 326,
    "title": "Growth on tongue",
    "dialogue": "Jennrose: I went to urgent Care this morning and they have no idea what it is and didn't help at all. Can anyone here help me? honestdoc: Normal Foliate Papillae.  Sometimes they can get more pronounced due to body fluctations such as hormones, stress, spicy and or acidic foods. Ilie Delia: Hello doctor pls i have same thing, what is your opinion about mine Ilie Delia: Ilie Delia said:\n\n\n\n\t\t\tHello doctor pls i have same thing, what is your opinion about mine\n\t\t\nClick to expand... Ilie Delia: Ilie Delia said:\n\n\n\n\t\t\tHello doctor pls i have same thing, what is your opinion about mine\n\t\t\nClick to expand... honestdoc: Looks similar. Ilie Delia: honestdoc said:\n\n\n\n\t\t\tLooks similar.\n\t\t\nClick to expand...\n\nSo it's normal? ozeekay: @honestdoc would need your expert opinion here too. Thanks in advance\n\nplease have a look. Noticed these 2 months ago, after experiencing sharp pain near the throat. Like a 5 second sting while bring outdoors. led to me always trying to dislodge tonsil stones however none ever came. There was pain swallowing that went away in a week with salt gargles and antibiotics as I immediately had flu and a cough.\n\n2 oral surgeons and 3 dentists later, today after approx 1 and a half month. 3 days ago, I had tooth extractions. 2 wisdoms and 4 infected teeth that already had RCTs years ago. The oral surgeon said that the two anterior teeth he removed had a chronic infection that cause an inflammation of the lymphoid tissue.\n\nNote first three pictutes are of today (wherever u see teeth extracted) , the following are of two weeks+ ago. Stackflow: ozeekay said:\n\n\n\n@honestdoc would need your expert opinion here too. Thanks in advance\n\nplease have a look. Noticed these 2 months ago, after experiencing sharp pain near the throat. Like a 5 second sting while bring outdoors. led to me always trying to dislodge tonsil stones however none ever came. There was pain swallowing that went away in a week with salt gargles and antibiotics as I immediately had flu and a cough.\n\n2 oral surgeons and 3 dentists later, today after approx 1 and a half month. 3 days ago, I had tooth extractions. 2 wisdoms and 4 infected teeth that already had RCTs years ago. The oral surgeon said that the two anterior teeth he removed had a chronic infection that cause an inflammation of the lymphoid tissue.\n\nNote first three pictutes are of today (wherever u see teeth extracted) , the following are of two weeks+ ago.\n\t\t\nClick to expand...\n\nHi.i have something similar and looking for answers. ozeekay: Hi, what are your symptoms generally? How did u notice it Stackflow: ozeekay said:\n\n\n\n\t\t\tHi, what are your symptoms generally? How did u notice it\n\t\t\nClick to expand...\n\nHimy symptoms are sore and burning pain. \nI just saw my dentist and been referred to oral surgeon ozeekay: Same, some burning but not on it, the area on the actual tongue above. I had chronic tooth infections as well. Just had extractions. How long have u had it? Applied any topicals thus far? Anything that gave relief? Stackflow: ozeekay said:\n\n\n\n\t\t\tSame, some burning but not on it, the area on the actual tongue above. I had chronic tooth infections as well. Just had extractions. How long have u had it? Applied any topicals thus far? Anything that gave relief?\n\t\t\nClick to expand...\n\nOhh that makes sense and sounds similar to mine. \nI have had extraction because of an hidden infection ( didn't know it was infected until it was taken out). \n\nI have this for about 7 months now ..I remember that I noticed this after my extraction. I didn't apply any topical gel yet. \n\nDid you try any and that helps you? How long you have it and have you seen anyone for this? ozeekay: Yes i actually had extractions 5 days ago due to hiddem infections that were said to be causing this. This is either an inflammation of the lingual tonsil or a hypertrophy of the lingual tonsil/foliate Papillae. \nAfter the extractions mine seems to have flattened down a bit i suppose. \n\nI have applied normal topicals meant to treat apthous ulcers but this isnt an ulcer per se. So they dont seem to be doing anything as such. \n\nI have this approx 2 months now but it was way worse looking at the start.\n\nDo you have any jaw, cheek, or pain radiating towards the ear or around the ear as well?\n\n\nStackflow said:\n\n\n\n\t\t\tOhh that makes sense and sounds similar to mine.\nI have had extraction because of an hidden infection ( didn't know it was infected until it was taken out).\n\nI have this for about 7 months now ..I remember that I noticed this after my extraction. I didn't apply any topical gel yet.\n\nDid you try any and that helps you? How long you have it and have you seen anyone for this?\n\t\t\nClick to expand... ozeekay: I believe the oral surgeon will be able to tell better, however nothing sinister as per what I see either. i am no doctor or specialist but just always good to be optimistic and i guess its just always a mystery how dental stuff causes such issues. Keep us updated and wishing i health!\n\n\nStackflow said:\n\n\n\n\t\t\tYeah I have jaw pain for 3 years now which is in the lower jaw around the ear area. Have seen all specialists and no relief yet.\nWith my jaw pain, dentist spotted this tooth issue which was painful from pressure on it like tapping biting etc. So I had root canal and followed by several retreatments on it. No relief and I pulled it 9 months ago.  It was pulled as they suspect tooth is causing the jaw pain. But unfortunately it didn't help. Just lost the tooth.\nWhen they took out , they said it's infected at the bottom.\n\nI still have pain in jaw and my next molar gums hurts now.\n\nI noticed this white spot thing on the tongue after my extraction which I have to get biopsy from oral surgeon.\nThe red patches on the side of the tongue are new and noticed last week but those are very painful . This is new and never got  like this before.\n\nI don't know if it's from teeth biting the tongue or from inflammation. But mine looks like big red patches.\n\nI have to see the surgeon for my white spot on the tongue.\n\t\t\nClick to expand... Stackflow: ozeekay said:\n\n\n\n\t\t\tI believe the oral surgeon will be able to tell better, however nothing sinister as per what I see either. i am no doctor or specialist but just always good to be optimistic and i guess its just always a mystery how dental stuff causes such issues. Keep us updated and wishing i health!\n\t\t\nClick to expand...\n\nI will keep you posted. My white spot on tongue is different which I need to get biopsy. But the side of the tongue red patches looks similar to yours and I wonder if it's from inflammation in the mouth. \n\nKeep me posted. \nDo you have gum pain? I have swollen gums and I just went for X-rays today. They want me to do the deep cleaning. \n\nOne of the gum next to my extracted socket place is so much hurting and painful. It's swollen as per the hygienist. \n\nDo you have bad breath with this growth on tongue? Stackflow: ozeekay said:\n\n\n\n\t\t\tYes i actually had extractions 5 days ago due to hiddem infections that were said to be causing this. This is either an inflammation of the lingual tonsil or a hypertrophy of the lingual tonsil/foliate Papillae.\nAfter the extractions mine seems to have flattened down a bit i suppose.\n\nI have applied normal topicals meant to treat apthous ulcers but this isnt an ulcer per se. So they dont seem to be doing anything as such.\n\nI have this approx 2 months now but it was way worse looking at the start.\n\nDo you have any jaw, cheek, or pain radiating towards the ear or around the ear as well?\n\t\t\nClick to expand...\n\nDo you have jaw pain? ozeekay: Stackflow said:\n\n\n\n\t\t\tI will keep you posted. My white spot on tongue is different which I need to get biopsy. But the side of the tongue red patches looks similar to yours and I wonder if it's from inflammation in the mouth.\n\nKeep me posted.\nDo you have gum pain? I have swollen gums and I just went for X-rays today. They want me to do the deep cleaning.\n\nOne of the gum next to my extracted socket place is so much hurting and painful. It's swollen as per the hygienist.\n\nDo you have bad breath with this growth on tongue?\n\t\t\nClick to expand...\n\nNo bad breath, and yes jaw pain post extractions. Stackflow: ozeekay said:\n\n\n\n\t\t\tNo bad breath, and yes jaw pain post extractions.\n\t\t\nClick to expand...\n\nI am sorry you have jaw pain post ext. I hope you find some answers soon. Keep me posted. \nI have bad breath, jaw pain and severe gum pain."
  },
  {
    "id": 327,
    "title": "Bumps on tongue",
    "dialogue": "Doglover12: Noticed this for about a year\n When I got teeth pulled i asked the dentist and he wasn't sure.  Any ideas ? Its on both sides right side is bigger than left Ian: Please do not make duplicate posts about the same problem. I'm only leaving this thread as the images are much clearer. Ilie Delia: Have you been to an Ent? Ilie Delia: I'm having same problem,mine are like that for 2 years Doglover12: Ilie Delia said:\n\n\n\n\t\t\tHave you been to an Ent?\n\t\t\nClick to expand...\n\nYes , but he didn't really say much . Thought acid reflux stuff. Dentist didn't know either Ilie Delia: Yes mine told me the same, acid reflux,I also have cronic pharyngitis because of the reflux so maybe this is the cause for the foliate papillae to be inflamate,in your case I think is the same,acid reflux makes them to be iritate. But isn't this condition scary to you?I'm think of require a biopsy.I'm obsessed with them,all day watch in the mirror MattKW: Circumvallate papillae that are completely normal. There is no need for biopsy. In fact, to biopsy normal tissue like this could be regarded as overtreatment. Go Google them and you'll see lots like them. Ilie Delia: Hello what about mine?The ent told me they are foliate papillae on the lateral side of tongue, have them like that for 2 years because of the reflux, but since January a little white patch appeared and it's not going away,it's the same size since then.Any help pls,i will attach photos MattKW: Also circumvallate or foliate papillae of normal appearance. They are not due to reflux. I've been looking at tongues for 40 years and you look normal. Ilie Delia: Oh,but what about that little white patch on foliate papillae?Another dentist told me to require a biopsy,could that be a cyst,or a tongue capillary lymphfangioma?Thank you for your reply doctor. MattKW: Not of concern. teodorovkristian: Hello. I want to ask is this something that I should concern about. What is this? This is only on right side of the tongue. No pain and don't know how long has been there. I saw it two days ago.I'm 30 years old male. Have 3 autoimmune diseases. rheumatoid arthritis,ulcerative colitis and oral lichen planus. Smoker. Thanks. MattKW: Totally normal tissue. Google: \"folate papillae of the tongue\". teodorovkristian: Thank you so much. Jackson12: Just wondering if these are the same as the people above ? Just noticed the other day and now have a very bitter taste in my mouth most of the day Ilie Delia: Jackson12 said:\n\n\n\n\t\t\tJust wondering if these are the same as the people above ? Just noticed the other day and now have a very bitter taste in my mouth most of the day\n\t\t\nClick to expand...\n\nFoliate papillae I think, but that white patch I don't know what it is,maybe a inflamate lingual tonsil,I think the doctors opinion is more important than mine Ilie Delia: Jackson12 said:\n\n\n\n\t\t\tJust wondering if these are the same as the people above ? Just noticed the other day and now have a very bitter taste in my mouth most of the day\n\t\t\nClick to expand...\n\nHave you been to an Ent doctor? Jackson12: Ilie Delia said:\n\n\n\n\t\t\tHave you been to an Ent doctor?\n\t\t\nClick to expand...\n\nNot yet, I’ve seen my GP and my dentist about it. Next step will be to see one Ilie Delia: Jackson12 said:\n\n\n\n\t\t\tNot yet, I’ve seen my GP and my dentist about it. Next step will be to see one\n\t\t\nClick to expand...\n\nAnd what did they sayd? Ilie Delia: Jackson12 said:\n\n\n\n\t\t\tNot yet, I’ve seen my GP and my dentist about it. Next step will be to see one\n\t\t\nClick to expand...\n\nPls when you have any updates pls don't hesitate to post pls pls"
  },
  {
    "id": 328,
    "title": "Bad breath and gum severe pain",
    "dialogue": "Stackflow: Hi I have severe bad smell in mouth always. Bad breath and bad taste. \nIt's been there for few months now.i have pain in one gum which is always painful like throbbing and hurting so much. \nThat gum is so painful and I have this bad breath. \nI am not talking to anyone in public because of this bad breath. \nGum in the last molar area is hurting. \nDoes it mean any hidden infection on that tooth?"
  },
  {
    "id": 329,
    "title": "Symptoms of vertical root fracture on tooth with root canal after 4 months if pain?",
    "dialogue": "iartemch: Hello, \n\nI had a root canal on tooth #9 after I developed pain after the veneer replacement and crown lengthening. \nSeveral months after the root canal, I got nasty sinus infection ( extreme pain in sinuses on the side where the tooth is) and developed pressure and pain in the gum behind that tooth\nx-ray and cbct were clear. I had 4 bite adjustments that help somewhat. But it has been 4 months and pain and pressure are still there. \n‘I saw 3 dentists, including an endodontist and they could not find anything. \n\nThe dentist who did the veneer suggested vertical roof fracture that is not visible on the cbct. But I have absolutely no pain when biting, tapping and pressing on the tooth. In fact, the pain is gone when I am eating and biting.\nOnly the gum is sore but is neither inflamed  nor swollen. When I am wearing a night guard, there is no pressure or pain. As soon as I take it out, the pressure and pain are slowly coming back. My dentist says I am clenching my teeth, but I cannot possible clench them as soon as I take the night guard out. Additionally, my lip where the tooth is started to get num feeling that comes and goes . Recently, I started to feel pressure and pain in gum above teeth #10 and 11 and the teeth feel sore to the touch from time to time. \n\nThe veneer on tooth #9 felt kind of weird from the beginning but two dentists said it seemed well done.\n\nGiven it has been 4 months since my symptoms started, if it were a root fracture, shouldn’t it have gotten worse or more painful with some bone damage visible on the X-ray and gum detachment(periodontal pocket)? Is it possible the veneer does not fit properly to the tooth underneath it and causing all this pressure and pain in the gum?\n\nI don’t want to pull a good tooth, especially top front tooth,  but I cannot live in pain forever. Any advice is greatly appreciated. Thank you!"
  },
  {
    "id": 330,
    "title": "Wisdom teeth",
    "dialogue": "Edy: so, the external side of one of my wisdom teeth has a cavity. It's placed right at the bottom, at the level of the gum. Should i extract my tooth? Or is it nothing too bad and it can wait? MattKW: Extract. You got a cavity in it because it's hard to clean. \n\nEven if you get it filled, will you be able to keep it clean for the rest of your life?\nDoes it function/fit well against the opposing wisdom tooth? If not, then what is the use of keeping it?\nIt6 is extremely rare that I see people keep their wisdom teeth into old age. If I have to extract them in old age, they usually have medical conditions, medications, and poor healing outcomes that make me wish they'd removed them by 30yo at latest."
  },
  {
    "id": 331,
    "title": "Want to move out of my country, what do you recommend",
    "dialogue": "Ahmed Allam: Hi, I'm An Egyptian dentist who looks for moving out, the economic situation is really messed up enough, not only the inflation but now I'm not able to buy the adequate dental material to continue providing the same quality of treatment, it started with the prices skyrocketing, now I can't even get what I need, on the other hand, patients don't seem to understand the increase in the treatment fees, something that usually cost me x, now it is 2.5 - 3X IF I FOUND IT.\nnoting this, though I love my country, I can't bear the people anymore, the current overall situation of the country is driving everyone crazy.\nLooking to move to another place where I can live in peace at least until this madness settles over.\nthe options I settled for are\n-US but it is impossible, in addition to the 0% possibility of getting a VISA, I can't afford 200K, and I'm already studying for my master's degree.\n-UK after passing the ORE exam and the following steps, no idea what comes after the ORE exam, will I just start applying for jobs, what are my chances of getting one?\n-Australia after passing the ADC exam, also no information about what is next bit I read that getting a Visa is hard, but the same as the UK, what are my chances?\nwhich way will you recommend even out of my options to start looking for, and if possible give me some info about what will be done in the chosen way\nthanks in advance"
  },
  {
    "id": 332,
    "title": "? Dentist or will come out?",
    "dialogue": "oilygoodness169: Hurts like a biatxh broke MattKW: The distal (back) end of the 1st molar has cracked, probably due to decay or a failed filling. The 2nd molar has a very suspicious dark hue suggesting leakage and a failing filling."
  },
  {
    "id": 333,
    "title": "Tooth Cloning",
    "dialogue": "drsmith: May I have information on: cloning teeth, more precisely the synthesis of live replacement teeth, by tissue engineering. Thank you in advance. MattKW: Google it. It's so far out in La-La-Land."
  },
  {
    "id": 334,
    "title": "Excessive calcium in saliva = tartar build-up?",
    "dialogue": "mmsupplements: from what I know tartar mainly consists of calcium... and I have read some articles on a web (science related), that high diary consumption (which is obviously high in calcium) does not cause tartar build-up. however I am not convinced.\nI never used to have any tartar in my life.. quite a few years ago I started using protein powder supplements... and noticed a massive tartar build-up despite good oral hygiene (I rinse mouth everytime after consuming any foods or liquids, brush and floss daily). the tartar has been removed by a dentist, it just within a few month time I started I noticed tartar again... despite that I have started to brush my teeth 3 times a day... still rinse my mouth every time after consuming anything... and flossing on a daily basis. my mouth is left clean after each meal... it says poor oral hygiene leads to tartar build-up - but it is not my case, and it says eating sugary foods lead to tartar build-up.. but I do not consume sugar (which is main thing stimulating bacteria activities in mouth) for quite a while now.\nthe only reason for such a out of control tartar build-up I can think - is because of excessive calcium in saliva. I consume massive amounts of protein powder everyday. based on my calculations my calcium intake exceeds 2-3 times RDA.\nhas anybody any info to deny or support my theory?\nthanks. MattKW: Your body tightly regulates calcium levels through PTH, osteoclastic activity (in the bones), and kidney excretion. If there is a problem maintaining this balance, e.g. a tumour in parathyroid gland, allowing for hypercalcaemia, you will become very ill. Has nothing to do with calculus formation.\nMost people find calculus control is easier when using an electric toothbrush to get behind the lower front teeth."
  },
  {
    "id": 335,
    "title": "Pain after bridge of 4 units",
    "dialogue": "Mmr: Hi there was a patient i performed a 4 units pfm bridge upper and lower\nThe upper one was made 4 months ago aprox\nThe lower one was made 2 months ago. \nNow the patient called me complaining from a pain while she is going to sleep and in occlusion distal to the upper bridge and that she feels there is like a tooth present/ erupting distal to the prosthesis,, given that my abutments were 3 and 6 there was nothing distal to 6 and 6 was endodontically treated. \nWhat could that be till i bring her for clinical examination. MattKW: More info needed - xray images (before and after), any photos. Would still prob have to wait till they come in and get more info, but you haven't given us anything here to work with."
  },
  {
    "id": 336,
    "title": "May I have information on: cloning teeth, more precisely the synthesis of live replacement teeth, by tissue engineering. Thank you in advance.",
    "dialogue": "drsmith: May I have information on: cloning teeth, more precisely the synthesis of live replacement teeth, by tissue engineering. Thank you in advance."
  },
  {
    "id": 337,
    "title": "Vitamin C toothpaste-Please Advise",
    "dialogue": "LordPizzaCat: One of my friends is pressuring me into trying a Vitamin C toothpaste from Thailand. \nI heard that Vitamin C is good at preventing or reversing gingivitis, but I am also concerned that Vitamin C is acidic and really damaging to teeth \nPlease Advise"
  },
  {
    "id": 338,
    "title": "Need advice on treatment plan given for tooth second molar",
    "dialogue": "Stackflow: Hi\nI have pain in the gum of tooth#31. I have seen the dentist and he noticed tartar plaque buildup only on this tooth and other teeth were fine. \nHe said he don't know why only this tooth have tartar buildup. And did deep cleaning on this side upper and lower. Didn't do it on other side. Did only half of the mouth. \n\nHe said probing depth are birthday l normal but I screamed and jumped when he probed that gum. So he said I can try deep cleaning. \nIt's been few months after deep cleaning and I feel the same. No changes at all. That tooth gum still hurts and again tartar buildup around the gum line. \n\nI went to periodontist and he said x-rays and probing depth normal. \nCame back to dentist. He is suggesting root canal on it too see if it helps. \nOr gum laser therapy. I don't know what that is. \nHe said root canal is better to try than gum later therapy treatment.\nShould I go for RCT on this tooth 31?\n\nI had similar issues on tooth 30 and ended up pulling it out because that Tooth was painful even after trying several exploratory root canals and retreatments. Cbct scans were clear too. Now tooth 31 gum started without any findings on x-rays. But very painful for touching, brushing, rubbing on it etc. \n Does gum pain resolve on its own even after been troubling for few years. Or should I get the root canal or gum treatment?"
  },
  {
    "id": 339,
    "title": "White thing on tongue.",
    "dialogue": "Stackflow: I noticed this white thing on my tongue few months ago. I don't remember how it formed. I have chronic pain in jaw and have had several dental work for that.\nDidn't check the tongue and suddenly spotted it one day.\nIt's the same size since then and no changes in size. Hurts if I touch or rub it.\nIt's not falling off and I didn't apply anything on it yet. Attached the pictures. \n\nI don't know if this issue is dental origin or ENT. Posted in oral surgeon sub forum too. Sorry about that.  \nDo I need to see an ENT?\n\nWhat does this thing look like? Stackflow: @MattKW  can you please advice. MattKW: Looks like squamous papilloma arising from HPV - see here. Biopsy to confirm and remove. Stackflow: MattKW said:\n\n\n\n\t\t\tLooks like squamous papilloma arising from HPV - see here. Biopsy to confirm and remove. \n\nClick to expand...\n\nThanks Dr. Whom should I see for this? An ENT? Or dentist?\n\nI never had biopsy before? Do they remove this to do the biopsy? \n\nI read the link and sounds scary. Is this like cancerous growth? I left it like this for almost an year now. \n\nI moved to new city and have to find a new dentist office. It does take time for appointments. Is this need to be removed ASAP? Should I go to the ER? MattKW: Not urgent, it's benign. An ENT or oral surgeon would be best. Once you have the virus, it's too late to get the vaccine. In 90% of cases HPV goes away on its own within two years without health problems. Stackflow: MattKW said:\n\n\n\n\t\t\tNot urgent, it's benign. An ENT or oral surgeon would be best. Once you have the virus, it's too late to get the vaccine. In 90% of cases HPV goes away on its own within two years without health problems.\n\t\t\nClick to expand...\n\nThanks for the response sir. \nDoes this growth goes away on its own in 2 years ?\n\nI did see my GP yesterday for this. I asked him what that is and what to do about it. I was surprised to hear his answers.  He said he don't know what that is and he googled on his computer and took a picture of my tongue on his phone.  And googled about it. \nHe said he don't know what that is and never seen before.  \nThen I asked if it's herpes or anything like that ? Because i don't want to show up like I knew the answers before he told me. \n\nSo I asked later if it's herpes and then he googled herpes tongue and showed me the pictures from his computer.  He said mine doesn't look like those google images and said I can leave it as it is if I want or see someone if I want to. MattKW: Doctors don't see mouth lesions often and have very limited knowledge (no slur intended). You will only know for sure if it is biopsied. Please arrange it and let us all know the results. Stackflow: MattKW said:\n\n\n\n\t\t\tDoctors don't see mouth lesions often and have very limited knowledge (no slur intended). You will only know for sure if it is biopsied. Please arrange it and let us all know the results.\n\t\t\nClick to expand...\n\nOk Dr.  do I need to see a dentist or an oral surgeon. I am in the US.  I don't know if I need to start with a dentist first. Stackflow: MattKW said:\n\n\n\n\t\t\tDoctors don't see mouth lesions often and have very limited knowledge (no slur intended). You will only know for sure if it is biopsied. Please arrange it and let us all know the results.\n\t\t\nClick to expand...\n\nSure sir.  Thanks Dr Matt.  @MattKW \nI will see my dentist. I hope dentist will do a biopsy for me.  My GP said I might try to contact an ENT too."
  },
  {
    "id": 340,
    "title": "Looking for advice / answers about tooth pain turned into partial root canal, then... pull it? Cap it?  Loads of visits ahead?",
    "dialogue": "ConfusedPotentialPatient: I'm frustrated with what's going on with a tooth of mine and how complicated things seem to be.  I am in NY metro area, if that matters to the way dentists work vs. elsewhere.\n\nI had lower molar pain at same time as sinus congestion. sensitivity to cold, dull ache.\n1 Week later with sinuses clear but still have pain, went to general dentist (new guy taking over practice from someone retiring / I've been with for a few years (I am 60).\nHe xray tooth - roots are good he said.  Thought it was a bite issue and grinded down a high spot.\n1 week later, pain was increasing and to more things - anything not room temp, pressure from chewing.\nNot really responding / decreased from advil or motrin.\nWent back to dentist. He said I should / need to go to endontist.\n\nEndontist does 360 xray of tooth. Says root is dying. Sees some cracks in tooth, filling is intact.  Does the first part of root canal as part of assessing situation.\n\nSays he doesn't recommend a root canal / cap? because tooth is cracked - that will only get you 1 - 2 years max.  Better to pull it, implant and crown.\n\nHe doesn't do any of that.  Gotta go to periodontist.\n\nit's been a week and no pain at all, so while I question doing the partial root canal to figure things out (and $700 cost), I guess it was needed to determine how to solve this long term?\n\nPerio looks and says he can pull tooth, wait for healing, put in implant, wait for healing, go to dentist for crown.\n\nMy wife worked with this perio for similar work on her mouth.  She likes him.\n\nI am hesitant about the long process and feeling this is a good example of 'if you only have a hammer, everything is a nail'.\n\nEndo only does root canal?  He does the first part of it to do assessment.\nPerio pulls teeth so that's his solution?\n\nTried to get appt with the older dentist I started with to discuss their involvement / his thoughts / etc.  They rattle off the month long process.  I push to set an appointment consultation and she said he'll call.  No expectation of when though.\n\nSome questions:\n\n1)  I am amazed with the multistep process, no one seems to have this written down.  The perio and dentist are rattling off multi step / multi month process.  I have ADD and OCD... but am I wrong? seems just good customer service to have a sheet detailing that?\n\n2)  perios work on gums?  But they pull teeth?   Endontists deal with pain?  But not pull teeth?  And dentist is a generalist?  Doesn't do much of anything than look in mouth 2x a year?\n\n3) I spent $700 with the endontist, when I pushed the office staff of perio for something in writing, they gave a $5000 proposal for pull and implant.  I don't know cost for crown and any other costs.  Should it need to be a cobbled together process with 3 different people?!  And don't remember when I'll be eating soft food vs. regualr food, etc...\n\nseems complicated and long. I like quick and simple things. MattKW: 1. Sinus pain is unrelated to LOWER molar pain.\n2. If endo finds a crack, then the tooth is unsalvageable. Yes, with consult fee and CBCT, initial access into tooth to find crack, $700 is not unusual. Endos don't pull teeth (except maybe absolute emergency?). They don't carry the instruments, and are well out of usual training.\n3. Perios can advise on implant viability plus assess your general gum condition before you go for implants. They will also perform implant surgery. I co-ordinate with my perio for these reasons. Perios do not always pull teeth but may in implant cases, usu after asking referring general dentist. \n4. General dentists can do lots of things, but need to know limitations. So I do 95% of my own endo, 30% of my own perio, and only the restorative side of the implants (altho I could do implant surgery). Difficult cases or unclear diagnoses get referred to specialists for opinion or treatment for specific issues.\nAfter extraction, the bone has to heal and shrink (remodel) which takes 12 weeks; maybe a bone graft may be needed, thus longer. Only then can you place implant, and usually wait about 8 weeks for bone to heal again. Finally get to do crown. ConfusedPotentialPatient: I love your avatar : )   Great movie!\n\nAnd I really appreciate your comments!  \n\n1 other question if you don't mind?\n\nI went to another perio after posting this and feel much better dealing with them.\n\nTheir office staff gave me a booklet for AVSDentalPlan saying that would save me money on the work they would do (the extraction / implant).  If I am going to net save (after sign up fee) after these procedures, it seems a no brainer? \n\n Any opinion on that or other discount plans? MattKW: I live in Australia and have no experience with overseas dental plans."
  },
  {
    "id": 341,
    "title": "How inconvenient is a denture compared to an implant?",
    "dialogue": "oldcodger: I am probably going to have some teeth removed and wondering whether to have a denture or an implant/s and looking for advice, especially if anyone has had dentures AND an implant/s? MattKW: Implants are better, but...\n\nIf your teeth are being extracted because of neglect, then implants would be high-risk unless you can mend your ways. If you don't maintain a standard car, why would you buy a Ferrari?\nImplant viability also depends upon your remaining bone structure.\nImplants can be quite expensive, and you should go to someone who does them often, and well, and uses good brand implants, e.g  Nobel Biocare, Straumann, Dentsply Sirona.\nYour next step is to talk to your general dentist about your individual circumstances to assess if you even get off the starting blocks for implants. oldcodger: Thanks for your reply, Matt.\n\nOn three separate occasions, I cracked a tooth at the beginning of covid and it took around 6 months to have each of them filled, so I wonder if that made the condition of the teeth worse?  Additionally I am in my 70s, and consequently I wonder if that is partly why my teeth are failing and if other teeth will continue to fail?  Hence is it more sensible to get used to a denture now rather than spend money on implants, I could afford to pay for 2 implants but I don’t know about continuing to pay for more.\n\nI am asking questions here because my dentist is Romanian and wears all the appropriate protective gear and so she is a bit difficult to understand; I am due to see her on Wednesday in 5 days time.\n\nDetails of my teeth using the 1 to 32 numbering system in the attached diagram:-\n\nNo 2 was removed in my 20s, so chewing on my right side is not very effective.\n\nAt the beginning of covid in 2020:-\nNo 15 cracked, but I could not get an appointment for about 6 months, when I eventually obtained an appointment my dentist said there was not much left of the tooth and although she filled it, she said that it cannot be filled again, hence I then tended to chew on the front right corner, around No 27/28.\nLatter, No 3 or possibly 4 cracked, again I could not get an appointment for about 6 months, my dentist filled it, and as before she said that it cannot be filled again.\nTo reduce the strain on my teeth, I then stopping eating nuts and the only meat that I eat is turkey mince, I also avoid eating bread crusts and anything tough.\n\nNo 24 became loose and fell out 6 months ago, leaving about a 3/32 inch gap, so not really worth having an implant or denture there.\n\nThe filling in No 28 fell out in February this year, but I could not arrange an appointment until mid April, then 2 weeks ago that stated bleeding when I brushed my teeth, fortunately I had prearranged a checkup for that day and consequently my dentist only had time to put a temporary filling in.  Consequently, I now chew mainly on No 15, so I don’t expect that to last very long, although I am now trying to get used to chewing on the front left corner.\n\nI am on blood thinners and so need to have any teeth removed in a hospital and although 15 and 3/4 are not giving any problems at the moment, my dentist has suggested removing 28, 15 and 3/4, but that will make chewing food difficult and hence if 28 can’t be filled then I am tempted to just have that removed and then have a implant or denture in place of No 2 so that I can chew food on the right side of my mouth, and then when necessary have No 15 and No 3/4 removed.\n\nI do wonder about getting a second opinion on 15 and 3/4 before I have them taken out?\n\nI am in the UK so I don’t know if the Nobel Biocare, Straumann, and Dentsply Sirona implants are available here.\n\nI am not in any pain or discomfort at the moment and any further advice or comments would be gratefully received."
  },
  {
    "id": 342,
    "title": "Extreme bleeding after wisdom teeth removal",
    "dialogue": "onau1618: I got my wisdom teeth out 7 days ago. There haven’t been many problems up until recently. About 10 minutes after eating, my mouth started gushing blood. Like A LOT of blood. There is no pain or anything. I put gauze on it and that stops the bleeding, but after I remove the gauze it starts again. Same this with black tea bags. Has this happened to anyone? Any advice about what I should do? Dr M: It is very strange that this is happening 7 days after the procedure. By this time clot formation has already taken place and there should be granulation tissue in the socket. Are you on any medication that could lead to increased bleeding? I would suggest going for a follow-up with your dentist or oral surgeon. onau1618: Dr M said:\n\n\n\n\t\t\tIt is very strange that this is happening 7 days after the procedure. By this time clot formation has already taken place and there should be granulation tissue in the socket. Are you on any medication that could lead to increased bleeding? I would suggest going for a follow-up with your dentist or oral surgeon.\n\t\t\nClick to expand...\n\nI called my oral surgeon while it was happening and they agreed it was very strange. I think that maybe that one is infected. Im a little bit worried because the tooth next to it has some discoloration as well. I am going for a follow-up today. Thank you!"
  },
  {
    "id": 343,
    "title": "I have this weird painless bump under my tongue I'm unsure as to what it is can someone please tell me if I should get it checked out",
    "dialogue": "looking for help: I have this weird painless bump under my tongue I'm unsure as to what it is can someone please tell me if I should get it checked out Dr M: Could be a mucous retention cyst or even a salivary stone, depending on the consistency. If it enlarges, it could become symptomatic. I would suggest seeing a oral surgeon for evaluation. looking for help: Dr M said:\n\n\n\n\t\t\tCould be a mucous retention cyst or even a salivary stone, depending on the consistency. If it enlarges, it could become symptomatic. I would suggest seeing a oral surgeon for evaluation.\n\t\t\nClick to expand...\n\nCould it be cancerous.? Dr M: From the appearance alone, I would not think it to be cancerous looking for help: Dr M said:\n\n\n\n\t\t\tFrom the appearance alone, I would not think it to be cancerous\n\t\t\nClick to expand...\n\nThank you so much for your response. So I should just go to an oral surgeon if it becomes bigger.? Are there any at home treatments you would suggest doing in the mean time.? Dr M: I don't know of any home remedies that will help here, but you can wait to see if it changes in appearance. Any sudden enlargement, ulceration or symptoms, I would see an oral surgeon as soon as possible. MattKW: Most likely a mucocele (too high for salivary stone). While some may go away spontaneously, best to see an oral surgeon for proper diagnosis and biopsy. No home remedies - you have to find out what it really is. One article attached."
  },
  {
    "id": 344,
    "title": "Forensic dentistry and dental records",
    "dialogue": "remeeka: Hello, I am a Year 12 student, doing an extended project on forensic dentistry. I decided to conduct some of my primary research here.\n\nTo anyone who has strong knowledge of forensic dentistry:\n 1)How far do our dental records tell us about a person? \n2) Which factor of our teeth makes us unique? \n3) What exactly is included in our dental records?\n\nI would appreciate lengthy, detailed answers, however any sort of answer is good. You can include anecdotes and you can answer beyond the questions above. \nThank you!"
  },
  {
    "id": 345,
    "title": "Is this worth it.",
    "dialogue": "kennethchance: Went to the dentist the other day. was told i need 8 root canals. is it worth the trouble. Or should i just remove them all and get fake ones? kml1998: 8 seems an awful lot, how long was it since you last went to the dentist before this time? kennethchance: kml1998 said:\n\n\n\n\t\t\t8 seems an awful lot, how long was it since you last went to the dentist before this time?\n\t\t\nClick to expand...\n\nMy teeth are bad and. I would rather have them all pulled. Been a few year. Dentist cost to much. MattKW: Well, if you aren't able to afford treatment, then extractions would seem to be the only option. If you need 8 RCTs, then I'm guessing there's a lot of other problems too."
  },
  {
    "id": 346,
    "title": "Bridge/Gum Advise Please",
    "dialogue": "bekola: I have a 4 tooth bottom bridge and a 3 tooth top bridge since 2004.  No issue with bridges but the gums under the outer side teeth on the bridge are really receding very badly.  My NHS now turned private dentist says there is nothing to be done, go easy on sugar and keep clean.   Im worried Im going to lose my gums all together.   In fact he is very slack and really doesn't want to do any work.  There are no other NHS in my town only private.   He refers any complex jobs to other practices.   Advice from a professional would be very welcome.  Thanks kml1998: How long since you noticed this recession happening bekola: Couple years it's been happening kml1998: You could ask about a gum graft MattKW: The question is, why is this happening? I see similar severe attrition around gum margins of other teeth in photo. This is usually caused by the combination of an acidic diet (soft drinks, sports drinks, citrus fruits,...) and a hard toothbrush used aggressively. Has nothing to do with sugar. Also a possible factor is that the crowns appear quite \"chunky\" (overcontoured), which can distort the way the gums react - usually become swollen and bleed easily."
  },
  {
    "id": 347,
    "title": "Have some whitish pink thing on my tongue which looks puffy.",
    "dialogue": "dentalproblem: I have some white thing on my tongue. it's been same size for many months now. noticed this last year. same size. hurts if I touch or rub with fingers. always erected straight and skin just attached to the tongue. it's white in color like white color round at the bottom of that blister and on top of it is pinkish white color. what to do for this? is this something serious? \n\nI have chronic jaw and tooth pain for 3 years for which I had several dental work. no relief though. then noticed this tongue blister. don't know how it's formed. Any thoughts on this please. what to do for this? it's so tiny and hurts very sore if I touch. I tried to prick it out but I couldn't. \n\nIt's so puffy white color at the bottom.  It hurts to touch and rub. Top of that blister looks pink but the bottom is white color and puffy/bulgy.  \nIt's been same size for many months now. \n\nAny thoughts please. What to do about this. Adding images of it."
  },
  {
    "id": 348,
    "title": "Swollen tongue",
    "dialogue": "gemzgg: Hey, so for the past week or so I've had a painless mark on my tongue, which I've been looking at constantly (yikes) today I noticed that my tongue is incredibly swollen, I'm wondering if it's anything to be concerned about or if I've just irritated it by keep pulling it to one side. Picture for reference. gemzgg: @MattKW  could you please advise x gemzgg: Any advice on this would be fabulous"
  },
  {
    "id": 349,
    "title": "Strange marks on tongue, no pain. I also do have geographic tongue.",
    "dialogue": "gemzgg: The back taste buds on the back side of my tongue ar quite inflamed and red. There was also a small mark on my tongue which seems to have gotten bigger over the course of a week, white rim around it, no pain x gemzgg:  gemzgg: Here is another image x MattKW: Yep, looks like GT to me. gemzgg: MattKW said:\n\n\n\n\t\t\tYep, looks like GT to me.\n\t\t\nClick to expand...\n\nGreat stuff, what about the inflamed taste buds? Anything to be concerned about x gemzgg: gemzgg said:\n\n\n\n\t\t\tHere is another image x\n\t\t\nClick to expand...\n\n@MattKW MattKW: No\n\n\ngemzgg said:\n\n\n\n\t\t\tGreat stuff, what about the inflamed taste buds? Anything to be concerned about x\n\t\t\nClick to expand...\n\nNope. That's what you typically see. May stay there for days or weeks before disappearing and then showing up elsewhere. Thought to be an immune dysfunction but no solid evidence. As long as you're otherwise healthy, and as long as the lesion does disappear and reappear, then that's the diagnosis. gemzgg: MattKW said:\n\n\n\n\t\t\tNo\n\nNope. That's what you typically see. May stay there for days or weeks before disappearing and then showing up elsewhere. Thought to be an immune dysfunction but no solid evidence. As long as you're otherwise healthy, and as long as the lesion does disappear and reappear, then that's the diagnosis.\n\t\t\nClick to expand...\n\nAh that's amazing, thankyou so much. As I said its not hurting so all is well. I appreciate your time x"
  },
  {
    "id": 350,
    "title": "Tooth cracked after filling significant pain",
    "dialogue": "Healthy T: I went into the dentist for a loose filling, upon x rays and consultation they found a myriad of problems. \n\nThey performed a  normal filling on a pain free tooth,  which left me in pain immediately after that I still feel now 3 weeks later, and intensifying. They are  now saying that I will need an additonal root canal and crown because „coincidentally“ the tooth is now newly cracked (right after the filling was performed ) and the nerve is now damaged, for some mysterious reason.\nThe dentist claims that the filling and procedure are not the cause of the crack nor pain, but it is due grinding or other trauma.\n\nThe pain has been persistent since the day of the filling, but when I went back in to have it checked the dentist said it looked good in the X-ray ( not infected, fine) .\n\nThe tooth mind you, in now sensitive to cold, heat, touch, and the pain has thrones through my scull and jaw.\n\nI then mentioned that the corner edges of the teeth seemed too sharp and peaking and particularly sensitive since the filling. We looked at the tooth together with a mirror and that’s when I noticed the large crack, that the dentist had not noticed before.\n\nI want to know what is the probable cause of the pain and if the filling was done correctly. And what I should do next.\n\nI am apprehensive to have more invasive work done with this clinic. The dentist has prescribed antibiotics which I have finished and Ibuprofen which I have beten taking regularly, which they say is the only measure that can be done until insurance will approve more future procedures. Their root canal specialist only comes in once a month so I will have to  deal with the ongoing pain for yet a little over another month.\n\nShould I formally complain?\n\nAttached are before and after filling x rays and a photo of the crack itself.\n\nI greatly appreciate any advice."
  },
  {
    "id": 351,
    "title": "Question For Dentists",
    "dialogue": "Fraser Sutton: Hello I'm Fraser, my brother and I have built an all in one tool that helps dentists run their practice's. It can boost your sales, help manage your follow-ups, get more reviews, book appointments online and we have clever AI which reaches out to old patients to ensure calendars are filled and attended to. You can also now launch ads, run email campaigns and much more.\n\nThis has been successful in a couple of other industries and we're now expanding so looking for dental practices to test this for us for free while we're rolling it out and hopefully get some good feedback.\n\nIt can fully sync with almost every patient software and we can set you up for free. (Usually £250)\n\nPlease do reach out if you'd like to try it MattKW: No, thank you. I've used several dental software programs over my 40+ years, and I really doubt your product would improve upon them and certainly doubt that it could \"fully sync\". Sounds scammy."
  },
  {
    "id": 352,
    "title": "Employee Retention Tax Credit for Dentists",
    "dialogue": "krysha24: Hi. Has anyone here tried to apply for Employee Retention Tax Credit? How's your experience? Would you recommend applying for it?"
  },
  {
    "id": 353,
    "title": "Swelling on hard palate",
    "dialogue": "Srh_milner: Help! i’ve noticed a swelling on the right side of my hard palate. It’s painless and feels soft and squishy to touch. any ideas what it could be? Any advice welcome, im worried.\n\nphoto attached MattKW: Pic is too blurry. I doubt that it is of any concern. Take a better pic (if you can), then take another one in 4 weeks time. Srh_milner: Is this picture clearer? it’s been there a couple months. The tooth above it has some black on it so i’m not sure if it’s related but there’s no pain"
  },
  {
    "id": 354,
    "title": "Swelling on hard palate",
    "dialogue": "Srh_milner: Help! i’ve noticed swelling on the right side of my hard palate. No pain and feels soft and squishy to touch. Any ideas what it could be?\n\nlink to picture:"
  },
  {
    "id": 355,
    "title": "White pimple on gum",
    "dialogue": "Dianna97: Few days ago i noticed small white pimple above tooth in gum. Its little and comes and goes. No pain. Also i extracted tooth 5 days ago, and nearby tooth feels gum bigger around him. And that white pimple was at rooth tooth extraction site and disappeared...i have many cavities and headache Dr M: Sounds like a draining sinus of an abscess. If the tooth with the abscess was extracted, then this pimple should disappear and not return. If it does return, it could be related to one of the adjacent teeth that is also carious. Dianna97: Dr M said:\n\n\n\n\t\t\tSounds like a draining sinus of an abscess. If the tooth with the abscess was extracted, then this pimple should disappear and not return. If it does return, it could be related to one of the adjacent teeth that is also carious.\n\t\t\nClick to expand...\n\nCan i die of it. I mean the tooth next to extracted one looks like has something inside in gum, around him. Also on other right side, i have small pimple that comes and goes it is hard when i touch it. Yes i do have few cavities Dr M: You will need a clinical examination by a dentist. Not a lot we can say without any photos or x-rays. Dianna97: Dr M said:\n\n\n\n\t\t\tYou will need a clinical examination by a dentist. Not a lot we can say without any photos or x-rays.\n\t\t\nClick to expand... Dianna97: Dr M said:\n\n\n\n\t\t\tYou will need a clinical examination by a dentist. Not a lot we can say without any photos or x-rays.\n\t\t\nClick to expand... MattKW: First pic looks like draining abscess; 2nd pic is unclear. See a dentist. Dianna97: MattKW said:\n\n\n\n\t\t\tFirst pic looks like draining abscess; 2nd pic is unclear. See a dentist.\n\t\t\nClick to expand...\n\nIs it not too dangerous i have appointments for 2 days MattKW: Not dangerous Dianna97: MattKW said:\n\n\n\n\t\t\tNot dangerous\n\t\t\nClick to expand...\n\nI have piece of tooth left for 5 years, its damaged. It has white pimple above for weeks. Can i die of it, cuz i can't collect some money till next week. Also can jaw hurt due to pain of cavity teeth"
  },
  {
    "id": 356,
    "title": "Condition of teeth ruling my brain",
    "dialogue": "TylerJ: Hi all, \nI was wondering if anyone was having the same problem? \nThe condition of my teeth is literally ruling my life at the moment. I keep having nightmares that my teeth are falling out. My teeth are pretty bad. I've lost 1 tooth so far, I have, surprisingly, only 2 fillings but the front top teeth are chipped badly and the bottom teeth are grinded to a bad point. I used to have a tongue piercing which didn't help. My teeth are yellow from smoking and eating bad stuff. My jaw hurts from grinding my teeth constantly. I think I grind them during my sleep. I have even tried repairing them with an amazon bought repair kit as I feel like I can't afford to pay for them to get fixed. Maybe it is not that I can't afford them because I probably can from a monthly point of view, I think I won't be able to get the finance to do them as I am turned down for finance constantly.\nI literally have been teaching myself not to smile with my mouth open or speak where my teeth can be seen. I can't even look in the mirror because it depresses me so much. It's come to a point where I minimilise my interaction with people outside of work just so they can't see my teeth. I won't even go on dates. It's literally ruling and ruining my life. I forgot to mention that I have tried to get NHS funding help but I couldn't get any.\nI just don't know what to do. Can anyone give me advise. Is finance a thing for every dentist or can other arrangements be made.\nSomeone help me please. Dr M: Some dentists do make arrangements for payment plans, but this is dentist and case specific. A lot of times, you would need to pay some sort of deposit up front. Unfortunately no Amazon self repair kit is going to be the solution here. You will need to see a dentist, so that a comprehensive treatment plan can be worked out. Discuss alternative cheaper options, if finance is an issue. But the buck stops with you. No one can assist you,if you don't start assisting yourself  first by making that first appointment."
  },
  {
    "id": 357,
    "title": "Tooth fell out at root.",
    "dialogue": "vascowon: So yesterday my tooth fell out at the root. It fell out so perfectly that I am able to simply stick it back in place. I take the tooth out when I'm eating or brushing my teeth, then I rince my mouth with salt water and put the tooth back. \n\nWhat do you guys think? vascowon: I should mention that I don't want to lose this tooth. Here is a picture of the tooth. vascowon: So it fits perfectly back in the spot it fell out."
  },
  {
    "id": 358,
    "title": "Enlarged papillae",
    "dialogue": "tillyrose81: Worried. Had this enlarged papillae for 3 weeks. Cancer???? MattKW: No. Within normal limits. Relax."
  },
  {
    "id": 359,
    "title": "Tiny hard painful bump roof of mouth",
    "dialogue": "Jmmorin: I have a dentist appointment this Tuesday, but I am freaking out about this small and hard bump I have on the roof of my mouth. When you press on it, it’s very hard; like bone. It doesn’t hurt on its own, unless I press on it or suck suck air in with the suction directed towards it. It’s been there for at least two weeks, but perhaps years since I do remember being curious as to if I had hyperdontia a few years ago. I noticed it again, or maybe for the first time, after eating fried chicken. Should I be concerned that it’s cancerous? What else could it be? Jmmorin: It’s also worth noting that I smoke marijuana frequently, but use tobacco products very occasionally and drink perhaps twice a month max. Dr M: Poor quality photo. Difficult to see."
  },
  {
    "id": 360,
    "title": "Creative ways to fix a missing front tooth when a dentist is simply not an option.",
    "dialogue": "AritTooth: So a dentist is just simply not an option in my case, long story as to why but its financial.\n\nSo, what i HAVE done and made work for quite some time\nI used a somewhat durable plastic from a product called \"Temp Tooth\" and i ordered a porcelain front tooth set, which had multiple types and sizes.\nI basically then used the \"Temp tooth\" plastic to create a housing for the tooth, then molded it by hand to find in the space in the mouth. (yes it was very difficult and i burnt my hand and mouth with plastic multiple times doing it, but after hours, i finally got it just right.\n\nThats worked for 8+ years for me, but ive never been able to eat with it in and theres times where the housing will just fail, and the tooth flies out (Talk about embarrassing.....\n\n\nThis all started when i was about 10 years old, and a ford explorer hood, the ones that were held up hydraulically, fell on my head pushing it into the motor bay, and my mouth into the fan belt. Ford said not their problem so my family did what they could for me, and i got some implants.. The \"perm\" ones i had put in then, worked untill i was about 17, then the left tooth failed and came out by the post. So since then, my life has been a living hell in that i cant eat publicly, its hard to go out with friends or hang out due to the tooth, i have next to 0 self confidence directly due to the tooth and my make-shift fixes that are often uncomfortable to wear and need tweaking or replacing every few months due to discoloring...\n\nWhen i had insurance, they wouldn't help anyways.... Said it was on me to deal with it as it was \"pre-existing\"....\n\nTheres got to be a way for me to fix this in a way i can live a normal life again, i dont have any real money, nor credit. The dentists offices ive tried around here wont help me since i just cant afford their costs and none with work with me on an extended payment plan.\n\nIs this just How its going to be for the rest of my life? Just simply no hope until I figure out an extra 5 Grand?"
  },
  {
    "id": 361,
    "title": "Tips on how to overcome Dental Phobia...",
    "dialogue": "Kinsey2583: Hello,\n\nMy name is Olivia and I have really bad dental phobia... It has been 3 years since I last went to a dentist... I tried a year ago but couldn't even make myself drive over there for my appointment... I can't even walk into a dentist office anymore without feeling extremely anxious... Does anyone have any advice? I've been having a little pain in a tooth but I'm scared to go... MattKW: Ask friends and family for suggestions of a nice dentist. Find a dentist who can offer nitrous oxide (Happy Gas). Also talk to your medical doctor about your anxiety. Make an appointment with the dentist, letting them know of your acute anxiety, and that you don't want to do anything the first time. \n\nGo with a friend and meet the receptionist and dentist in the waiting room to have a talk. Have a look around the place; does it have a friendly feel?\nI would then try to get you back a 2nd time to try the nitrous (take a friend) - no examination, no Xrays. With nervous patients I always prefer them to have a trial of nitrous without any treatment - they will relax nicely, and I can adjust the concentration to find your \"happy level\".\nThird time maybe nitrous and a short-acting anxiolytic like triazolam (\"Halcion\") if necessary. Take a friend for reassurance and to drive you if taking triazolam. Maybe examination and Xrays. Find out what problems you might have.\nFourth time - nitrous and triazolam and friend, and maybe simple cleaning.\nKeep building up, step by step."
  },
  {
    "id": 362,
    "title": "Is this a cracked filling?",
    "dialogue": "Maisieluke: Hello, \n\nI have been having awful sharp pain on this tooth when biting something hard/at the wrong angle. I went to my dentist and have been told there is nothing wrong. However I have taken a photo and it looks like the filling has chipped? Please help! MattKW: If you have a cracked tooth, the signs and symptoms are a sharp, short pain when chewing food which usually goes away quickly in the early stages. The longer it goes undiagnosed, the worse it will get. Tests to perform on this tooth are: a bitewing radiograph, a FracFinder instrument, and transillumination. emilionorris: If symptoms such as pain or sensitivity are felt when biting or chewing or when exposed to hot or cold temperatures. If you experience any of these symptoms, it's best to schedule an appointment with your dentist for an evaluation. It can determine if your filling is cracked and receive appropriate treatment for it."
  },
  {
    "id": 363,
    "title": "I have an old distill unit, can anyone recommend a better system for my autoclaves?",
    "dialogue": "tomwalker529: My old destill unit seems to be playing funny buggers and not giving me proper readings on my eschamnn autoclave ... thinking of an RO system anyone had any expirance ? MattKW: I used to use ion-exchange filters, then distillers, and finally RO. RO is definitely the best option - get one with a pump and don't rely on your normal tap pressure alone. You should still test regularly for dissolved solids so you know when to change the filters."
  },
  {
    "id": 364,
    "title": "Can retainers substitute for a night guard?",
    "dialogue": "alexx1202: The enamel in my teeth has eroded away greatly thanks to lots of acidic drinks and bruxism (teeth grinding) at night. The dentist proposed a treatment plan which involves wearing an occlusal splint (night guard) to prevent further grinding. The splint costs around $500 which I really don’t want to pay especially if wearing my retainers can already solve the problem.\n\nThe bottom retainer has had some fragments chipped away but still fits (https://ibb.co/djv8j9x)\n\nI also have a mouthguard from boxing so if retainers won’t work could I just use that instead of spending $ on a splint?\n\nThanks MattKW: Either would be fine - the retainer will wear out in time if you're a bruxer. Have you eliminated all acidic foods and drinks from your diet? e.g. soft drinks, sports drinks, citrus juices, vinegar, chewable Vit C tablets."
  },
  {
    "id": 365,
    "title": "Pain in tooth with root canal - Xray and CScan are clear.",
    "dialogue": "iartemch: I had a root canal in my upper front tooth after my veneer replacement. 6 months later I came down with a viral infection that turned into a nasty sinus infection. At the same time, I started experiencing pain in the tooth with root canal. I had an X-ray with endodontist and a 3D Scan with the doctor who did the veneer and they said everything looked perfect. However, it turned out that I needed a bite adjustment - I was hitting my problematic tooth way too hard. I had 2 bite adjustments and it feels much better but not back to normal yet. It has been 9 days since my 2nd bite adjustment. I wear my nightguard at night and sometimes during the day when I am working from home. I noticed that while I am wearing a nightguard I have absolutely no pain or pressure. Should I wait and see if it improves more and go back for another adjustment?  What else might be causing this pain and pressure in my gums? MattKW: X-rays pls? Taken immediately after RCT was completed, plus the most recent Xray. \nSince you experienced relief after the adjustments, I would be going back for a possible 3rd any time. iartemch: Thank you for your reply. Unfortunately,  I don’t have a copy of the X-ray right after the root canal. I should be able to get it next week. Attached is a copy of the most recent X-ray of tooth #9. iartemch: I went for a 3rd bite adjustment. It actually felt worse right after the adjustment but it has been more than a week since then and my tooth seems better but not back to normal. I am not biting into anything and hoping to give it time to heal. I forgot to mention that since the new veneer installation, it feels like this veneer or tooth is making a popping sound especially after I brush my teeth or press on the tooth from the side. The other veneer is fine.\nAnother thing, when I eat warm food, drink warm tea or water or even take a hot shower, my pain and discomfort go away.\nAt this point, I am really scared because this has been going on since Christmas and  my dentist mentioned that it might be root fracture that requires extraction. She did a CT scan and found nothing either.\n What are the symptoms of root fracture in the tooth with a root canal? Should I get a second opinion from another cosmetic dentist? Should I ask them to remove the veneer and replace it with a temporary veneer to see how my tooth feels? \nI am an anxious person and my anxiety is out of control at this point. I am terrified that I am going to loose my front tooth.\nThank you!"
  },
  {
    "id": 366,
    "title": "Broken tooth",
    "dialogue": "eve072011: Last week, I was eating some popcorn when the top of my back molar came off. It is about a medium sized piece and I can now see behind it, my wisdom teeth is growing horizontally, pushing against it and causing it to have decay and eventually break.\n\nI went to the dentist today who has said I have two options. I can leave it or have it removed. She said a filling will not work on this space / area.\n\nI don't know what to do as I do not want the tooth removed if I don't have to bit also very worried about it getting infected / lots of food gets stuck in it of I leave it. It doesn't hurt but she did say it has signs of decay.\n\nAny help please Dr M: Do you have an x-ray that you can share? We need to see if the tooth is indeed unrestorable or not. eve072011: Hi there thank you so much for getting back. I don't have the x rays but I am going to ask my dentist if I can have a copy of them. \n\nThe dentist said that the decay is on the back of the tooth and said we can try a filling but it probably won't work.\n\nI am really worried if I take the tooth out, it's going to make the molar above it come down and make my teeth shift. It will leave quite a bit gap as I don't have a 3rd molar (wisdom tooth as this is growing sideways) \n\nHowever I am also worried if I leave it, it could get worse later on or get infected. \nIs it ok to leave it in as the dentist offered this as an option or? \n\nI am really stressing about this..any help at all would be appreciated. \nThank you"
  },
  {
    "id": 367,
    "title": "Slight Pressure when Flossing in Between Crowned Tooth",
    "dialogue": "marianne810: I have a crown that was placed about a year ago over a cracked tooth. The tooth had a big composite filling that cracked and the tooth was crowned....no root canal. I noticed today when sticking my finger in between that tooth and the tooth next to it to pick some food out, that there was a feeling of pressure similar to how the tooth felt when it had been prepared without the crown. That sensitive feeling you get when there is no crown on the prepared tooth. Is it normal to essentially feel some of the pain underneath a crown if the crown is pushed on? I don't have bite pain with this tooth, only occasionally if a seed gets caught under it. I should also note that on the other side of the tooth, a space has been forming and is now a food trap. I think my teeth shifted since the crown was placed. I mainly would like to know if some sensitivity might be normal when the crown is pushed on. If not, what steps would need to be taken to figure it out? Which type of xray would be needed for this? Thanks in advance! Dr M: I would suggest going to a dentist for a proper examination. I would suggest taking a peri-apical x-ray. It is not normal for a seed to get caught underneath the crown, since this might be an indication of a leaking crown margin. The tooth will need to be re-evaluated for secondary caries, and if found or if found that the margin is compromised, the old crown would need to be removed in order to manufacture a new crown, with or without a root canal, if the nerve is also involved. MattKW: Not a periapical X-ray - this will only show up periapical changes, e.g. abscess. To check margins you need a perpendicular bitewing X-ray. The fact that your teeth have somehow moved may suggest periodontal issues. Would really need at least an Xray to comment more. marianne810: Thanks for your response!"
  },
  {
    "id": 368,
    "title": "Pain in lower jaw teeth",
    "dialogue": "Dianna97: I have dull pain all the time after root tooth extraction. Is it infection spreading to other teeth? MattKW: No.  Pls give more detailed info and Xrays if you want a more detailed answer. Dianna97: MattKW said:\n\n\n\n\t\t\tNo.  Pls give more detailed info and Xrays if you want a more detailed answer.\n\t\t\nClick to expand...\n\nWell idk much English. Many years ago i had tooth pulled but root stayed, i think it had cavity inside, pulled that root 13 days ago. So i have dull pain in jaw, face and other teeth on that lower jaw. Also i have many rotten and cracked teeth. I keep it for years cuz i do t have money. But at least i pulled them 5. Im afraid after that root infection spread and i might have pulpitis"
  },
  {
    "id": 369,
    "title": "Pain after tooth extraction",
    "dialogue": "Dianna97: had root tooth extraction. I pulled out tooth that was uncompletely extracted before. I had pain in wound and npw aching in teeths on that side. Is it normal. One specific tooth hurts more. Im afraid i have pulpitis. Is it dangerous. Some say you can die bcz pf it, in fection. When i eat i feel pain. Many teeth are bad for years and broken. Also one tooth is blue Dr M: Good day\n\nWhen did the extraction take place? There is a chance it might be a dry socket, although it sounds like you might have several teeth with issues. I would go back to the dentist, so that a comprehensive treatment plan can be worked out for you. The longer you wait to fix things, the higher the risk of infection as well as the costs involved to fix the issues."
  },
  {
    "id": 370,
    "title": "Hooked root molar extraction",
    "dialogue": "Littlemewigan: A week ago I had a top molar extraction with a hooked root. It was an extremely unpleasant procedure with lots of rough pulling etc. I was in lot of pain for 4 days afterwards, after which the pain did decrease but I still can’t cope without painkillers. I usually have a very high pain threshold but this is a different level. I have looked carefully at the socket and it appears to be healing well with any bone visibility. Does anyone know if it’s normal to still be in pain after 7 days from this type of extraction? The pain is generally coming from the gum. Thanks in advance Dr M: It depends. Difficult extraction means different things for different people. There are a lot of contributing factors that influence healing-such as systemic conditions, method of extraction, amount of tissue or bone removed etc. I would also not rule out a dry socket yet. Best would be to go for a follow-up with the dentist, just to ensure that all looks good.\nBut if the pain is improving, you can also wait it out. A difficult extraction can sometimes have post op surgical pain that lasts for 2 weeks. Geparddent: Dr M said:\n\n\n\n\t\t\tIt depends. Difficult extraction means different things for different people. There are a lot of contributing factors that influence healing-such as systemic conditions, method of extraction, amount of tissue or bone removed etc. I would also not rule out a dry socket yet. Best would be to go for a follow-up with the dentist, just to ensure that all looks good.\nBut if the pain is improving, you can also wait it out. A difficult extraction can sometimes have post op surgical pain that lasts for 2 weeks.\n\t\t\nClick to expand...\n\n100% agreed. Littlemewigan: Geparddent said:\n\n\n\n\t\t\t100% agreed.\n\t\t\nClick to expand...\n\nThanks very much for replying. I’ve got an appointment at the dentist tomorrow as I’m still in pain. This is what it looks like but I’ve absolutely no idea if that’s normal. MattKW: If you didn't tell me you were in pain, I'd say that looks OK."
  },
  {
    "id": 371,
    "title": "Anyone know what this is? From CBCT",
    "dialogue": "Annino1219:  Annino1219: Photo is of #2 tooth which was extracted about 5 weeks ago. I still feel some discomfort up there."
  },
  {
    "id": 372,
    "title": "Procedure to apply In Ireland as a dentist.",
    "dialogue": "Areeba Naseer: Hi I am fresh dental graduate in Pakistan and soon moving to Ireland, I want to know the details and procedure o apply in Ireland. HELPPPP!!!"
  },
  {
    "id": 373,
    "title": "Dry Socket",
    "dialogue": "Katie B: On Monday 6th February I had a top back molar removed and a temporary bridge fitted next to it.  My dentist had a problem removing it, loads of tugging  it took a while to come out and broke off in bits, but he said he had got it all out.  Tuesday I was just a bit sore but by Wednesday evening I had unbearable throbbing pain. I went back to the dentist on Thursday and he said that I had dry socket, so I was numbed again and he scraped and packed the socket with a medicated gauze. Then by Thursday night I had the throbbing pain again went back to him again on Friday.  He said he could replace the gauze with another one but I would have to be numbed again, which I didn't want as I was in so much discomfort. I told him I thought it was affecting my sinus too. I was told to keep taking the painkillers (paracetamol & ibuprofen) plus he gave me antibiotics (Metronidazole) to take for 5 days.  My socket is still badly swollen and  very sore.  \nWhat I am concerned about now is the packing in the socket. I have read that it's supposed to be removed  after three to five days. But my next dental appointment isn't until 27th February and that is for the permanant bridge.  I have not been asked to come back to have it replaced or removed. He didn't rinse the socket he scraped it.\nI also read ........... (The insertion step is performed quickly. No anesthetic is used.) The packing is usually renewed (removed, the socket gently rinsed, and the packing then replaced) every 24 to 48 hours, typically for 3 to 6 days.\nSo why was I numbed initially and yesterday when he offered  to change it I would have to be numbed again? MattKW: It's not always necessary to numb when dressing a dry socket, but often it's kinder for the patient. I can then give the socket a good cleansing and packing with an obtundent.\nA second dressing is rare but sometimes necessary. Sounds like you need a redressing.\nThe antibiotics do nothing for a dry socket.\nMany dentists use Alveogyl as a dressing. Yeah, it's OK and convenient, but I prefer my own mixture of zinc oxide eugenol on a cotton pledget. Alveogyl should be removed after 3-5 days so that it is not entrapped in the socket and becomes a foreign body. Usually easily washed out.\nIt's a bit odd to make a permanent bridge so soon. I would leave the temp bridge for at least 10 weeks to allow full healing, shrinkage of the bone, and settling down of any soreness. Katie B: MattKW. Thank you so much for your reply. I have had the packing in since Thursday and it is Sunday now. The gum is very swollen, very sore and throbbing. The thought of having a needle up into my swollen gum and palette! Terrifies me MattKW: Well, you may not need the palatal injection (the stingy one). I would only need you numb enough to make it comfortable, so just the simpler injection on the outside of the tooth may be enough.  \nIt may be fiddly to change the dressing in your case because of the temporary bridge. Katie B: Hello again. Thank you for your reply.  Do you think it would be a good idea to swish salt water around the socket?  My dentist told me on Thursday that maybe I should refrain from this, as this was MAYBE what caused the dry socket in the beginning.  As I used salt water the day after extraction ( maybe to vigorously)  Also what would be the longest time to leave this packing in? As I said earlier I have not been given an appointment to have it removed. MattKW: The idea that vigorous swishing after an extraction is a factor in the formation of a dry socket is balderdash. Even at the Uni where I teach, it is printed on the \"Home Care After Extractions\" sheet, but it's too much of a bureaucratic hurdle to get it changed! \nThe main risk factors for DS are: smoking (before & after), lower extractions, difficult extractions, and the contraceptive Pill. \nSo, you had a difficult extraction and the normal process of creating a clot was overwhelmed by the process of breaking down the clot (plasminogen pathways). \nThere is no sure-fire way to prevent DS, and while salt water (a mild antiseptic) is all very well, the only proven mitigating factor is chlorhexidine mouthwashes for 4 days.\nYes, I would like to make sure the Alveogyl was removed, so give the dentist a call. Katie B: Thank you ...... To be honest I didn't think I swished too vigorously. I think it was the difficult extraction.\nI really appreciate you replying to my messages.  Thank you again. Katie B: Well I phoned the receptionist yesterday and asked about removal of the packing. She asked the dentist and he said no, I said so it will dissolve, yes. \nIt is 8 days now  I had the tooth removed. I am on my last day of Metronidazole (3 a day for 5 days)\nBut I am still very sore, the socket looks red and still swollen.  I really don't want to bother my dentist again \nI don't think there is much more he can do anyway. MattKW: OK, then I don't know what he used. \nAs mentioned before, antibiotics won't do anything.\nGood news - nobody ever died of a dry socket (they just wish they did), and the DS will eventually heal up by itself. If you are managing the pain without reaching the limit of your painkillers, and if you feel it is slightly improving each day, then you can let it run its course. Katie B: Good news - nobody ever died of a dry socket (they just wish they did) <<<< That's for sure!!! \n\nI wish I hadn't taken the antibiotics to be honest as they had a lot of side effects too \n\nThank you MattKW"
  },
  {
    "id": 374,
    "title": "Gum infection",
    "dialogue": "BuckheadJim: Went to a new dentist in Sept. 22, had full xrays. #10 tooth had a shadow around the roots.  This was pointed out to me without any detail as to a problem.  Last week, feeling a sensation in that tooth (not pain) I returned to the dentist.  Another xray and I was advised this is a gum infection and the tooth has a crack.  The tooth was crowned over 30 years ago and there is a post in the tooth.  The dentist gave me the option of an implant or bridge.  I asked about watching and waiting and she said that was an option, gave me a weeks Rx of Amoxicillan 875 and left the room.  Hygenist  said I needed to do something soon or I will lose bone and an implant would not be possible.\n\nMy concerns are as follows:\nIf the drugs do not clear the infection, what is next?\nHow will I know the drugs have worked since there is no pain?\nWill the infection come back (as the hygenist said)? Hard for me to see how  a cracked tooth within a full crown is causing infection.\nHow will pulling the tooth correct the infection if the drugs do not work to clear it?\n\nI prefer to keep the crowned tooth but would accept an implant if necessary.  77 years old  I am strongly leaning toward a second opinion in a few weeks to give the drugs ample time to cure the infection.\n\nAny help will be greatly appreciated. Dr M: Firstly it is important to note that antibiotics is never a solution to any problem. The solution would be to get rid of the source of infection, which in your case is the cracked tooth. The tooth has been root canal treated in order for a post to be present. This could be why you are not experiencing any pain at this stage. It is important to note, that as the infection enlarges, pressure builds and this eventually leads to pain. Any root canal treated tooth is technically a dead tooth, and it becomes brittle over time, so there is always a risk of fracture.\nIf the tooth is left in situ, with infection that can recur, there is a risk of bone destruction that can take place. BuckheadJim: Thanks Dr M.  I appreciate your help.  May I ask a follow-up question?  Must I seek immediate care or does the antibiotic buy me a little time to plan for an implant?\n\nThanks again. Dr M: It does buy you a little time yes. But not forever. Hope this info proves to be helpful. BuckheadJim: Thank you. hollybrown: It seems you have a lot of questions and concerns about your current situation, BuckheadJim. If the antibiotics do not clear up the infection, your dentist will likely recommend more aggressive treatments such as root canal therapy or tooth extraction. The only way to know if the drugs have worked is to take another x-ray and see if the infection has cleared. The hygienist is correct that if you wait too long, the infection could spread and cause further damage to surrounding tissues or even lead to bone loss. In terms of watching and waiting, it is essential to keep a close eye on the tooth for any changes in symptoms such as pain, swelling, or sensitivity. If the infection does not clear, your dentist may suggest a root canal or extraction, as these treatments can help prevent further damage and the spread of bacteria. It is also vital that you get a second opinion before making any final treatment decisions. This will give you more insight into other options to help with the infection. BuckheadJim: hollybrown said:\n\n\n\n\t\t\tIt seems you have a lot of questions and concerns about your current situation, BuckheadJim. If the antibiotics do not clear up the infection, your dentist will likely recommend more aggressive treatments such as root canal therapy or tooth extraction. The only way to know if the drugs have worked is to take another x-ray and see if the infection has cleared. The hygienist is correct that if you wait too long, the infection could spread and cause further damage to surrounding tissues or even lead to bone loss. In terms of watching and waiting, it is essential to keep a close eye on the tooth for any changes in symptoms such as pain, swelling, or sensitivity. If the infection does not clear, your dentist may suggest a root canal or extraction, as these treatments can help prevent further damage and the spread of bacteria. It is also vital that you get a second opinion before making any final treatment decisions. This will give you more insight into other options to help with the infection.\n\t\t\nClick to expand...\n\nI appreciate your thoughts and will definitely seek a second opinion.  The proposed cost of an implant from my dentist in excess of $5300 assures that.\n\nIn the meantime, can you suggest how long I should wait for a second xray to determine the effectiveness of the antibiotics?  I finished the 7 day routine on January 30, AM. BuckheadJim: If anyone is interested, I obtained a second opinion and the verdict is quite the same, the tooth needs removal and an implant or bridge is recommended.  However, a possible solution not suggested by the first dentist is a surgical procedure known as an apicoectomy. I have been referred to an endodontist and have an appointment on the 23d.  While the first dentist says the tooth is cracked (which would rule out the apicoectomy) the second dentist did not find it to be cracked.  So I have some possibility of saving the tooth.\n\nI will be seeking further information on the costs of a bridge in the event the surgical procedure is not possible.  I have been surprised to find the cost of a bridge to be about the same as an implant (about $5000) as everything I have read suggests the bridge would be much less expensive. MattKW: A bridge will usually cost a bit less than an implant, but the pros and cons are different.\nDoing a bridge will involve drilling back the adjacent teeth for the crowns (of the bridge), and this carries a 5-10% chance of damaging the \"nerve\" (pulp) to the extent that you need to do an RCT! You would need a very good reason to do a bridge on teeth that have never been filled and damaged in the past.\nPlus, you need the 2 teeth supporting the bridge to be fairly upright because the drilling has to be fairly parallel-sided. This is not always possible.\nSo, bridges nowadays are much less frequent since implants were developed. I did bridges quite often 40ya when implants were only just becoming useful; I haven't done one for the past 10 years because implants are usually a better choice.\nP.S. antibiotics only buy you a little bit of time. It would be like taking antibiotics to \"cure\" a splinter in your hand. No, you take out the splinter. Maybe an apico is possible, but most RCTs that fail after 30 yrs (esp with a post) are going to be due to a vertical root fracture. BuckheadJim: Thank you MattKW.  In this case the adjacent teeth already have full metal based crowns.  While I dread the thought of having them removed/destroyed for the purpose of a bridge I would think further removal of tooth would be either minimal or unnecessay.  I am hoping the endodontist can handle the problem with the infection but if not I will need to make a decision soon.  My second dentist recommended the bridge due to the ability to finish the job in short order rather than a multi-month process with the implant.  My number 10 tooth is the problem and numbers 8, 9, 10 and 11 currently have full porcelin covered metal crowns.  Numbers 8 and 9 are over 30 years old and matching the bridge color to the remaining #8 may be a problem with a bridge.So many things to consider. MattKW: Actually, that's quite good. Tooth 10 are always weak teeth, so to have survived 30 years WITH a post is outstanding. Nowadays I often don't crown root-filled 10s, and suggest an extraction and implant instead.\nSo, yes, I'd do a bridge here; very simple. Just cut off old crowns carefully, tidy up the preparations, and get a bridge. Paralleling will not be a problem. So, something good has come out of your senior age and bashed-up old teeth!\nThe procedure would be: Take a temporary impression (model) of the 3 crowns still in place, cut off the crowns on 9 and 11, extract the 10, then make temporary bridge from 9-11. You then should wait at least 10 weeks for the wound to heal, and the bone to shrink. Then you take off temp bridge, tidy up preps, take master impn for bridge, make new temp bridge if necessary. 2 weeks later, cement new permanent bridge.\nColour-matching is easier nowadays, too. Many dentists have digital cameras of some sort which makes it easier to communicate to the lab. If the colours are very hard to match, I send the patient to the lab. BuckheadJim: Thanks for the additional information.  I am not of the belief my dentist plans to use a multi week process to finalize the bridge.  I do like the idea of the gum and bone stabilizing before the final work is done and I will surely ask about that. MattKW: Yes, it is essential to wait. After an extraction, the wound will achieve initial gum healing within 2 weeks. But the bone will collapse slowly (remodel) over 10 weeks until it stabilises. If a permanent bridge is made too quickly after the extraction, then as the bone remodels, you will get an unattractive and annoying gap under the bridge. This would be very unsightly for a front tooth. And that's assuming the tooth comes out easily. \nWorst case scenario is that your tooth is fragile, and you are not young, so root-filled teeth often fracture, which might necessitate a surgical extraction and loss of even more bone. It may even need a bone graft to rebuild the correct shape before making the permanent bridge. \nThere is no real problem leaving a temporary bridge for this length of time. The only thing is that rather using a soft temporary glue which is only designed to last 2 weeks (for the temp bridge), I suggest the dentist use a semi-permanent glue (zinc phosphate is nice) or a permanent glue. Yes it'll be a bit more fiddly for him in 10 weeks time, but at least it won't fall out until things are ready. BuckheadJim: My wife had an appointment with our dentist today and I had her inquire about the time span between temporary and permanent bridge placement.  Answer: 8-10 weeks.  Makes me feel better about the plan.  I still have hopes that I may qualify for the apiocoectomy \nand save the tooth. Thanks again for all your information."
  },
  {
    "id": 375,
    "title": "The condition of the gums",
    "dialogue": "david562100: hello .\nI am 67 years old and am asking which x-ray (number 1 or number 2) has more receding gums, and if vitamin C on a daily basis can stop deterioration or even improve it, and if so, what dosage do I need.\nBest regards ."
  },
  {
    "id": 376,
    "title": "Backflow",
    "dialogue": "marianne810: I recently learned about the risks of backflow (previous patients' blood/saliva etc.) that could rise up from the suction tube of a saliva ejector under certain circumstances. It seems not every dentist uses the valves that prevent this. Am I overreacting? My dentists have never stopped me from closing around the ejector tip which supposedly triggers the backflow. I have OCD and this has been a triggering discovery for me. MattKW: Saliva ejectors do not backflow. Perhaps you are thinking of the handpiece (drill) or the water syringe (triplex).\nThe amount of backflow into a drill is minimal, and would be contained within the drill, which is going to be cleaned and sterilised anyway. Most modern handpieces have anti-backflow valves, so it would be impossible.\nTriplexes could also have some backflow. But, as for handpieces, it will be minimal and contained within the triplex tip which is removed after the patient and either cleaned and sterilised (metal tips) or thrown away (plastic tips).\nAll waterlines are flushed and disinfected daily.\nTo give you an idea, I found an old worksheet from when I owned my practice (2013) attached.\nIf you can find any instances of patients getting cross-infection from suctions, handpieces, or triplexes, let me know.\nI think good dental surgeries are much more aware and proactive with cleanliness than some doctors I've seen."
  },
  {
    "id": 377,
    "title": "Advice Needed please",
    "dialogue": "webber69: Hi my partner decided to have full set of implants consisting of bar on bottom for lower set and implants for top after having bone graft and sinus lift...due to the pain having lower one's she cannot revisit to have the upper done so is deciding to have false top set...she has already had bone graft and sinus lift and has been advised that the bone graft will deterate if she does not follow through with the implants...is this true she can't go through the pain again Dr M: Pressure from the lower denture on the top denture, during function, over time, will cause bone resorption of the graft to take place, just like it would normally take place. Implants act like artificial teeth, keeping bone in the associated region. Unfortunately you were give the correct information. MattKW: I assume you mean the bar on the lower jaw is connected to implants, and the denture clips over that? webber69: MattKW said:\n\n\n\n\t\t\tI assume you mean the bar on the lower jaw is connected to implants, and the denture clips over that?\n\t\t\nClick to expand...\n\nHi Matt yes that's correct MattKW: Thanks. Then the bone graft will gradually deteriorate, but this will be very gradual because all the surrounding bone will deteriorate at the same time - the forces are spread evenly; I wouldn't be concerned. At least your wife has done the more important lower implants first, and an upper denture against an implant-supported lower denture is much better than vice versa. So, I'm sorry she's had so much pain, but I hope she'll be much happier than before. webber69: MattKW said:\n\n\n\n\t\t\tThanks. Then the bone graft will gradually deteriorate, but this will be very gradual because all the surrounding bone will deteriorate at the same time - the forces are spread evenly; I wouldn't be concerned. At least your wife has done the more important lower implants first, and an upper denture against an implant-supported lower denture is much better than vice versa. So, I'm sorry she's had so much pain, but I hope she'll be much happier than before.\n\t\t\nClick to expand...\n\nThanks ever so much for the reassuring advice nolenjames30: It will be best if you consult with your dentist. As the decision to have dental implants or a removable denture is a personal one that depends on many factors, including your health, lifestyle, and preferences. If your partner is experiencing pain after having the lower implants, it's important to talk to her dentist to determine the cause and discuss options for managing the discomfort. webber69: nolenjames30 said:\n\n\n\n\t\t\tIt will be best if you consult with your dentist. As the decision to have dental implants or a removable denture is a personal one that depends on many factors, including your health, lifestyle, and preferences. If your partner is experiencing pain after having the lower implants, it's important to talk to her dentist to determine the cause and discuss options for managing the discomfort.\n\t\t\nClick to expand...\n\nHi thanks for the message she is not in pain now but the process of having the lower jaw done has put her off having the upper done we are of course consultanting with the dentist but it is good to have a second opinion hence why im here ....thanks"
  },
  {
    "id": 378,
    "title": "Toothache",
    "dialogue": "david562100: hello.\nI have a pain in the tooth I marked in red and in its area while drinking hot and cold, do you think there is a hole in the tooth or its root, and what treatment do you think is needed,\nI have attached a marked and unmarked x-ray so as not to hide the tooth.\nBest regards .\nThe tooth has a large composite filling. How long ago was that done?\nYou have periodontal bone loss around many teeth. Have you had periodontal disease? Has it been treated and brought under control?\nDo you get food stuck around this tooth?\n\nI thank you for your consideration.\nThis is a temporary filling probably from more than fifteen years ago .\nAllocation of gums was performed a year ago.\nYes, food gets stuck around the tooth .\ndo you think there is a hole in the tooth or its root, and what treatment do you think is needed ?\nBest regards . Dr M: Have you been to a dentist? Were pulp tests performed on the tooth? It does have a large filling close to the mesio-buccal pulp horn, which might lead to pulpitis. If the pulpitis is irreverible, a root canal could be indicated. There is also a possibility of gingival recession due to your history of periodontal disease, which might mean exposed areas of dentine leading to sensitivity to temperatures.\nUnfortunately, for an accurate diagnoses in a case like this, a clinical examination is also needed. To many variables to consider."
  },
  {
    "id": 379,
    "title": "Can't chew 2 weeks after extraction",
    "dialogue": "Ms T: I had a molar out 3rd from the back, top right. Came out in one. The tooth next of the extraction site nearest the front of my mouth is still sore 2 weeks later. Can't chew on that side at all. The tooth hurts when I apply a little pressure with my tongue. Slightly red and swollen gums near the front right side of my mouth. Is this normal or is there damage to my tooth? No pain when not chewing, just a tight feeling. MattKW: That's not unusual. Some people also get sensitivity in the adjacent teeth because the gum has been pushed back, but all this usually subsides within 4-6 weeks. Dr M: Might be best to have a follow-up with your dentist. An x-ray might need to be taken to determine if it is possibly an unrelated issue to the extraction or perhaps damage caused during the extraction."
  },
  {
    "id": 380,
    "title": "Toothache",
    "dialogue": "david562100: hello.\nI have a pain in the tooth I marked in red and in its area while drinking hot and cold, do you think there is a hole in the tooth or its root, and what treatment do you think is needed,\nI have attached a marked and unmarked x-ray so as not to hide the tooth.\nBest regards .\nThe tooth has a large composite filling. How long ago was that done?\nYou have periodontal bone loss around many teeth. Have you had periodontal disease? Has it been treated and brought under control?\nDo you get food stuck around this tooth?\n\nI thank you for your consideration.\nThis is a temporary filling probably from more than fifteen years ago .\nAllocation of gums was performed a year ago.\nYes, food gets stuck around the tooth .\ndo you think there is a hole in the tooth or its root, and what treatment do you think is needed ?\nBest regards ."
  },
  {
    "id": 381,
    "title": "Toothache",
    "dialogue": "david562100: hello.\nI have a pain in the tooth I marked in red and in its area while drinking hot and cold, do you think there is a hole in the tooth or its root, and what treatment do you think is needed, \nI have attached a marked and unmarked x-ray so as not to hide the tooth.\nBest regards . david562100: david562100 said:\n\n\n\n\t\t\thello.\nI have a pain in the tooth I marked in red and in its area while drinking hot and cold, do you think there is a hole in the tooth or its root, and what treatment do you think is needed,\nI have attached a marked and unmarked x-ray so as not to hide the tooth.\nBest regards .\n\t\t\nClick to expand...\n\n\nThe tooth has a large composite filling. How long ago was that done?\nYou have periodontal bone loss around many teeth. Have you had periodontal disease? Has it been treated and brought under control?\nDo you get food stuck around this tooth?\n\nI thank you for your consideration.\nThis is a temporary filling probably from more than fifteen years ago .\nAllocation of gums was performed a year ago.\nYes, food gets stuck around the tooth .\ndo you think there is a hole in the tooth or its root, and what treatment do you think is needed ?\nBest regards ."
  },
  {
    "id": 382,
    "title": "I have caught a chill/head cold, should I put off having a filling on Tuesday?",
    "dialogue": "oldcodger: I will decide tomorrow but I am tempted to put the filling off because I don’t want to give a virus to the dentist,  but I wonder if I did have a filling if the germs/virus could be retained in the filled tooth.\n\nAlthough I am self isolating and hadn’t seen anyone for 5 days, the head cold started on Thursday, a bit of a headache and I felt a bit flu-ish, no other real symptoms except maybe a bit tired.  I have felt a bit better since.  I am in my 70s and after I  had a shower on Wednesday I took my time getting dressed, so I wonder if I caught a chill.  To save money after Christmas, I turned the central heating down 3 degrees C, and on Thursday I turned it back up 2 degrees C, as it didn’t feel comfortable.\n\n. Dr M: Never heard of a virus being retained in a dental filling. But it is best to put off the filling until you are recovered. oldcodger: Dr M said:\n\n\n\n\t\t\tNever heard of a virus being retained in a dental filling. But it is best to put off the filling until you are recovered.\n\t\t\nClick to expand...\n\n\nThanks Dr. surprisingly the dentist staff said that they would still see me, but I cancelled the appointment anyway. MattKW: It's a courtesy to the staff to cancel, because we don't want to catch your cold. However, many patients would attend before signs and symptoms became obvious despite being infectious, and if the dental staff are following standard infection control, they wouldn't catch it. I've never caught so much as a cold in the last 40 years (except from grandchildren)."
  },
  {
    "id": 383,
    "title": "What are these?",
    "dialogue": "beaverislander: Obviously I am not a Dentist, I'm a Pharmacist, but I have some of these in supplies in my possession and I have no idea what they are, or what then are used for.\nThey have ORMCO with numbers such as 801-2025 which are Orange. Can someone tell me what they are, as well as what they are used for? Almost look like they could be used for a needle sleeve.\n\nThanks,\nBeav"
  },
  {
    "id": 384,
    "title": "Traumatized front teeth",
    "dialogue": "Anxious person: Hello, \nI have a quick question about traumatized front teeth. I've already visited my dentist and they told me that the teeth don't looked cracked (although the bottom one may be a small chip) and that the pain I'm experinceing is probably due to impact trauma the teeth had. I recently bit on a fork while I was having dinner and 2 days later the gums surrounding the tooth swelled up (mainly on the back on the roof of my mouth). I have a history of gingivitis and so I origionally thought it was just a flare up from that but when I had more pain in the tooth and it was spreading to other teeth I became worried and went to go see the dentist. \n\nAnyway so as I'm having dinner tonight I noticed I wasn't even able to bite on anything with the affected teeth and now the bottom tooth is starting to have more sensitivity (which wasn't there before). I'm just worried that they may have missed something in my check up as I was origionally worried about a cracked tooth. My main question is what differentiates the pain from a cracked tooth to just a traumatized tooth (as that's what the dentist told me my teeth are experincing). Also shouldn't they have done something to the tooth they suspected was chipped? They did say it was something they are going to moniter. They did spray some kind of liquid on the teeth (it tasted like mouthwash with a really bad after taste) but I'm not really sure what it was supposed to do so any help with that would be greatly appreciated \n\nPs. I generally have bad anxiety so when I hyperfixate on something I'll overthink it to death. So it is a possibility that I'm just over reacting but I thought another opinion wouldn't hurt Dr M: Good day\n\nIf it is indeed a traumatized tooth, the periodontal ligament of the tooth could have become inflamed. In such a case, we usually advise a soft diet for about 2 weeks, with some anti-inflammatory medication. If the pain persists, then there is a possibility of irreversible nerve damage and/or a related gum issue.\nAdditional investigation is then needed. Anxious person: Thanks so much for the help, the pain had significantly subsided since yesterday but I am still experincing some sentivity especially after a meal and I can still feel there is inflammation on the roof of my mouth. I am a little more concerned about the chip in the bottom tooth than anything else right now but I am going back for a cleaning in a few weeks so I'll address all those issues then. Thansk so much for your help it really helped put my mind at ease . Sandybob23: Dr M said:\n\n\n\n\t\t\tGood day\n\nIf it is indeed a traumatized tooth, the periodontal ligament of the tooth could have become inflamed. In such a case, we usually advise a soft diet for about 2 weeks, with some anti-inflammatory medication. If the pain persists, then there is a possibility of irreversible nerve damage and/or a related gum issue.\nAdditional investigation is then needed.\n\t\t\nClick to expand...\n\nWould you please tell me which specialist I would see for a diagnosis Of constant biting pain pressure. Ligament issues? had a root canal (he did cone beam X-ray) & the Endo said it came out beautiful. My regular dentist said it is fine. No one sees a crack, but since even before the root canal I have had biting  pain and pressure and now I still have it with my temporary crown. My dentist actually threw up his hands because he did not know what this could be, and told me that a periodontist would not even be the correct person to diagnosis. I am at my wits end. What do I do do? Dr M: I would consider going to a Maxillo-Facial surgeon. They can investigate grinding, TM joint disorders and/or neuralgia."
  },
  {
    "id": 385,
    "title": "Antique Consolidated Dental",
    "dialogue": "Shifty23: Hey all, I’m looking to see if there are any other antique collectors here that may have a part I’m looking for. Its the top handle for an antique consolidated dental davis crown cabinet. Thanks in advance!"
  },
  {
    "id": 386,
    "title": "Tongue lump",
    "dialogue": "micro.softcore: Painful lump on tongue, cant chew or brush tongue very sore. Any ideas of what it is or what to do for treatment to help? micro.softcore: Here's pic Dr M: Looks like normal foliate or vallate tongue papillae. This is normal tongue anatomy"
  },
  {
    "id": 387,
    "title": "Dental Implant or Bridge?",
    "dialogue": "Outsider626: I apologize in advance if I'm posting this under incorrect forum. Feel free to move the thread. \n\nMy question is as follows: I had a root canal procedure done on the 1st molar (#30) a month ago. Went to my general dentist to get a crown on it and he kind of refused to do it, saying that now he sees that tooth # 29 also needs a root canal. I went to the Endo that that did my initial root canal for a second opinion, and after looking at x-rays he said that tooth # 29 is healthy and there is no need to touch it. Apparently my general dentist wants me to get a root canal done on a tooth that doesn't bother me because 1st molar (#30) doesn't have enough tooth structure left for a crown. Have no idea why he didn't tell me that straight up. Now I'm not sure what to do. Implant procedure is pretty expensive. But than again I don't want to touch the tooth that doesn't bother me so that a dental bridge can be made. Are there any other alternatives? What would you recommend? Thanks! MattKW: I'd go to another dentist for an opinion. \n\nI don't understand why your current dentist wants to do an RCT on a tooth the endo is happy about. \nAs for #30, the dentist should have assessed the strength of the tooth before sending you off for an RCT. Sometimes weak teeth can be saved with an RCT followed by posts and a big filling (composite or amalgam) if a crown won't work, but again, this is to be discussed before going to an endo.\nAny Xrays to show us? Outsider626: MattKW said:\n\n\n\n\t\t\tI'd go to another dentist for an opinion.\n\nI don't understand why your current dentist wants to do an RCT on a tooth the endo is happy about.\nAs for #30, the dentist should have assessed the strength of the tooth before sending you off for an RCT. Sometimes weak teeth can be saved with an RCT followed by posts and a big filling (composite or amalgam) if a crown won't work, but again, this is to be discussed before going to an endo.\nAny Xrays to show us?\n\n\nClick to expand...\n\n\nThank you for a reply. To answer all 3 points:\n\n1. My assumption is that he wants to do it because apparently after RCT there is not enough tooth structure left on tooth # 30 for a crown to attach to. I guess he wants to do a dental crown bridge. That's why he told me to get a RCT on tooth next to it (#29) that doesn't bother me at all. But again he did not tell me that there is not enough tooth structure left on (#30). He just sent me to my Endo for another RCT. Meanwhile Endo said that tooth is in good shape and no need for RCT. And he said that maybe he sent me to him for another RCT because not enough tooth structure left on tooth #30 and he want's to bridge it together for a stronger hold.\n\n2. Yeah he did not do that. I showed him a printout of an X-ray and he said that he sees some dark spots on it (Cavity I guess?). He said it's a matter of time until you will need a RCT, and that I should do it now since I have insurance that will cover it. Than told to comeback and he will place crowns.\n\n3. Not a great xray but do you think it's still possible to put a crown on tooth # 30 if he creates some sort of structure with composite or amalgam?\n\nI'll get a better x-ray from my Endo to whom I went for 2nd opinion and post it on Tuesday."
  },
  {
    "id": 388,
    "title": "Not sure what to do about teeth need tips!",
    "dialogue": "HalboAngel: Fyi took my braces of a few months ago, started adhd meds before newyears (pharmacy warns me about oral hygiene with them, anything important i should do while using them?) im fully aware the best thing is to go to a dentist. But its hard to get appointments here, you get called in every few years or smt. Anyways Heres a list of my wishes, questions. want to get rid of my white tongue. (I floss and brush it) should i try a tongue scraper? Or something else. I have yellow teeth with white spots i want them to look prettier. (Dentist blame my water bcs it has a lot of fluoride. But never told me what to do?) they refuse a tooth whitening since im under 18. Is there something i can try to make them white? Or do they look healthy but unattractive. Heres my toothpaste and mouthwash. Should i try something else? Are these a issue or smt? Can changing them help with anything? Should i get Electric toothbrush is that needed for good oral hygiene? I do floss, brush and use mouthwash every day. Something else i need to do? I also wear my retainers every night. Im not sure if theres any more information you need, so just ask. Also my parents have a lot of issues with cavity and salivary stones. Is this something i can grab with genes? Its mostly likely bcs of lack of dentist and money and all that stuff from their childhood. They do not smoke or tobacco. Neither do i. I dont drink alcohol. Only meds are the adhds and no known health issues MattKW: Really a mild hairy tongue caused by long filamentous papillae. You don't have to do anything about it. My old Oral Med Prof used to suggest that patients slice up a papaya (or pineapple) lengthways, put on a smear of honey for 5 mins, then chew up thoroughly. I think he was hoping that the papain would soften up the \"hairs\". Never had the chance to find out how well it worked.\nThe white spots are mild flourosis. There is no whitening toothpaste out there that will help anyone with fluorosis, so save your money and buy standard t'paste. If you eventually bleach your teeth, it will only make the yellowness of your teeth lighten a bit - you will still have the more obvious fluorosis.\nIf you live in a fluoridated water supply, then a fluoride mouthwash is also a waste of money. Just drink tap water."
  },
  {
    "id": 389,
    "title": "Inflammation of the jaw",
    "dialogue": "david562100: Hello\nDo I have inflammation of the jaw according to the xray?\nregards MattKW: Not sure what you mean by that phrase. But you do have widespread bone loss around your teeth, which is called periodontitis (inflammation around the teeth). You need to see a periodontist."
  },
  {
    "id": 390,
    "title": "Loose Adult Tooth",
    "dialogue": "HelpPlease: For a bit of context, I have sensory processing disorder, which makes it so my senses are heightened and there are certain things I find very difficult to do. One of which for my entire life has been brushing my teeth. Throughout my entire life my family has tried to find things to help but none of them worked which has led to my teeth gradually getting worse. I woke up a few days ago with a pain in my tooth which worried me to the point where I tried to commit myself to brushing my teeth at least once a day to try and make things better, but today I noticed that the tooth has started to become wobbly, and my anxiety has increased a lot as I’m worried about losing it. I don’t know what’s best for me to do right now as I don’t know if it can be saved and how so. If not, my problem is then how to cope with the missing tooth as I don’t want it to affect my social life and has left me extremely worried. Any help is appreciated. MattKW: There's nothing we can offer you in this forum except the advice that you go to a dentist and find out what's happening. If one tooth is giving you trouble after years of non-brushing, then it's likely there are more problems. Take a friend along if you're nervous. The first appointment should be an examination with X-rays, and a discussion."
  },
  {
    "id": 391,
    "title": "No teeth but gums hurt like hell.",
    "dialogue": "PleaseHelp: I’m at my wits end and I don’t know where else to go to help my mother. She is in her late 70’s. Had all of her teeth removed and bridges implanted, root canals were done before bridges but were incomplete because dentist who did all the procedures was not a root canal specialist. All of this was done overseas while on vacation during the pandemic. After returning, she complained of her gums being in extreme pain. Took her to the dentist and we decided that all the work that was done had to be removed; now toothless and getting ready for dentures. Even after the removal of her implants she complained that her gums were still in a lot of pain; there’s a protrusion on the bottom of her gums, any pressure causes her pain. I complained to her dentist but he said it was probably swelling and the pain will subside. A year later she’s still in pain, so I took her to another dentist and I was told there’s nothing that can be done. If anyone knows which specialist she needs to see to ease her pain please let me know. I don’t know who else or where else to turn to. Thanks. Dr M: Good day\n\nA photo will definitely help in this case as well as any post extraction xrays. Does your mom suffer from any other systemic conditions? Diabetes etc? The bony protrusion could be a bony specule, although this should have resorbed by now, or it could be a retained root left in situ? \nYou could also seek a second opinion from a periodontist or oral medicine specialist. MattKW: Yes, unlikely to be within the realm of a general dentist. I'd go to a Oral-Maxillo-Facial specialist or similar to check for obvious dental issues (e.g. excessive bone loss overlying mental nerve) , and who may then refer her to a neurologist or pain clinic as he sees fit. Sometimes the pain cannot be removed entirely but needs management (e.g. drugs, psychology). I'd be interested to hear what happens in the long run."
  },
  {
    "id": 392,
    "title": "Ongoing pain",
    "dialogue": "weird_pain: I am 36 years old and have periodically suffered with an ache above my left molar teeth.\nOn maybe 3/4 occasions over the last 10 years I have visited my dentist and he has said he thinks it could be sinus related so here’s some antibiotics and after 7 to 10 days the ache has gone. I never really new if the antibiotics “ did anything as I didn’t always visit the dentist.\nAbout 6 months ago the ache was back and seemed to last for a good week before it started to then throb.\nI visited the dentist, he said it looked ok so here is antibiotics and hopefully it will clear.\nIt did not clear and 3 weeks later it is still aching and sporadically throbbing, mainly in the afternoon but seem to be ok at bed time and lets me sleep.\nI visited another dentist for a second opinion and he also could not see a problem.\nI then went on holiday to Cyprus and spent the whole week with the ache which seemed to get worse again in the afternoon/evening when it again became a throbbing pain, especially around noisy entertainment.\nI tried more antibiotics and the strongest painkillers I could buy and noticed no difference in the pain.\nOn returning to the uk my dentist re examined my x-rays and thought he could see a crack in the root of my molar.\nHe said no option but to pull the tooth which he did.\nAfter a week of extraction pain the ache was back! \nI have since been referred to the Liverpool dentistry hospital who took some basic x-rays but could not find an issue so I am now waiting on a ct scan to see if another tooth is cracked along with an mri to check for facial migraines/sinus issues.\nI am currently trying a TMJ mouth splint and I have also tried countless nasal sprays and medications for potential sinus problems but nothing has touched this ache.\nI am now also experiencing pain/twinges in other teeth I have had work on which is now causing me more discomfort.\nDoes anybody have any idea what is wrong with me?!\nThanks MattKW: Nope, you're probably in the best place at Liverpool Hosp where they can arrange multiple tests and consultations with different specialists. Do let us know how you get on."
  },
  {
    "id": 393,
    "title": "Am i having a gum disease ?",
    "dialogue": "StevenHeng: my bottom mouth feel empty , so i flip the lips and see this, No pain and No irritation. but i am not sure if all the while it is like this or out of sudden.\ni am at age 33 only, please advise if this is normal or type of gum disease, if yes what is the disease name ? do i need to go for any tissue /laboratory test ? MattKW: A better link for the photos, pls. Maybe Imgur?"
  },
  {
    "id": 394,
    "title": "Do I need a root canal?",
    "dialogue": "Tula_fan: I have a problem on #29. It’s been 10 weeks since I got my filling done the first time and it has been sensitive to hot/cold substances since then. The sensitivity lasts <5 seconds and it goes away, there are no other issues. It almost feels like a “snap” of pain and the sensitivity  goes away almost immediately. There has been no improvement and it hasn’t gotten worse.  \n\nI got my part of my filling replaced (at my request) 2 weeks ago. The doctor only replaced the side of my filling, not the filling on top of the nerve. I said I just wanted to replace that side because it was cracked and I was hoping the sensitivity would go away after that. I was wrong and it didn’t help at all. I went back to the dentist and he refused to replace my whole filling because he didn’t want to keep drilling in the tooth and referred me to an Endodontist for a root canal. He said he’s a specialist and will do some 3D imaging or something so I can know for sure if I need one or not. \n\nI feel like my case is borderline and I’d rather not get a root canal if I can help it. I’ll get one if I really NEED it, but the only issue I have is sensitivity to hot/cold that goes away after a few seconds. My dentist said my nerve is close to the top of my tooth and that’s why it’s sensitive. I feel like I’m not going to know for sure unless I get the whole thing replaced. \n\nIf I keep drilling in my tooth will it make my sensitivity worse? I’ve had 2 fillings done in the past 10 weeks on that tooth. \n\nWhat will an Endodontist do differently than a dentist? Will he just immediately say I need a root canal because I was referred or will he examine my tooth on a case by case basis? On the referral my dentist wrote “evaluate 29 and treat as necessary”"
  },
  {
    "id": 395,
    "title": "Swollen gum, pain.",
    "dialogue": "GreyLady: About 6 days ago my gum swelled (like I had a popcorn husk lodged in it). The only thing I had eaten was strawberries and I figured one of the tiny seed things was under the gum line. It has gotten worse each day. Water pikking and flossing have not helped and the pain is terrible. I went to the dentist. They took xrays and picked around and could find nothing. Meanwhile the pain is now so bad it keeps me awake and is all over my jaw. Suggestions? I'm thinking of seeing my regular Dr and getting antibiotics as I suspect an infection. By the way, there is no bleeding  or anything else. Just this terrible pain and swollen gum which I use warm salt water, tylenol and antiseptic rinse. MattKW: Go get a 2nd opinion from another dentist. If you have something lodged under the gum, then antibiotics are a waste of time. What would a regular doctor know of dental matters? (No offence intended!)"
  },
  {
    "id": 396,
    "title": "One sided grinding and jaw clenching?",
    "dialogue": "jennykins: So my top teeth on one side don't like typical of what I've looked up on Google what bruxism causes. It says that only or mainly the middle of the tooth is the only part deteriorating and or decaying. Just wondering if this looks really bad why it's occurring this way. I am deathly anxious for dental appts and know I absolutely need to see a dentist as soon as I can but my fear holding me back. Any comments appreciated thank you so much. jennykins: Photo of what I described my teeth to look like kml1998: Your teeth look fine, doesn't look like any signs of bruxism mattpflock: Well, I don't know if it's me, but your teeth look just fine. By taking a look at this picture, I think you wouldn't have to give anxiety a room to occupy."
  },
  {
    "id": 397,
    "title": "Does tooth cavity mean bad breath?",
    "dialogue": "jude: Does having a cavity in my tooth means i have bad breath and how will i know if i have a bad breath. I am worried? MattKW: No. But bad breath can be caused be poor oral hygiene and gingivitis. Ask a close friend if you have bad breath. james11: Bad breath occurs because of the accumulation of bacteria in your mouth. There are many causes of bad breath including food, dry mouth, food decay, etc mattpflock: No. Having cavities in your teeth doesn't mean that you'd have got a breath of badness. One thing mightn't exactly have to do with another."
  },
  {
    "id": 398,
    "title": "Pediatric dentistry advice",
    "dialogue": "Goofaroo: My daughter is almost 4 years old in 2 weeks. Monday she went to a dental appointment and she has no cavities her teeth look good. But they had 1 concern on her xray. They diagnosed a periapical lesion on the right lower 1st molar distal root. They sent me the xray an the right root looks to be dissolved. They want her to see a oral surgeon for follow up. My question how concerned should I be ? I'm very worried. She does have a bad habit of grinding her teeth every night when she is sleeping. Other than that I'm not sure what could cause this. Can someone give me advice. She has pain off and on on that tooth when she eats crunchy foods. But not all the time. Goofaroo: Goofaroo said:\n\n\n\n\t\t\tMy daughter is almost 4 years old in 2 weeks. Monday she went to a dental appointment and she has no cavities her teeth look good. But they had 1 concern on her xray. They diagnosed a periapical lesion on the right lower 1st molar distal root. They sent me the xray an the right root looks to be dissolved. They want her to see a oral surgeon for follow up. My question how concerned should I be ? I'm very worried. She does have a bad habit of grinding her teeth every night when she is sleeping. Other than that I'm not sure what could cause this. Can someone give me advice. She has pain off and on on that tooth when she eats crunchy foods. But not all the time.\n\t\t\nClick to expand...\n\nHere is the xray\n\n(removed on request) MattKW: I wouldn't be too worried. It looks like resorption rather than an abscess. Quirky things happen.\nDid the dentist check to see if it was \"alive\" with a cold test? I'd expect it to still be alive. \nLots of kids grind their teeth at this age without harm, and NO treatment is required.\nI don't see what an OS would do (apart from extraction); all other teeth and bone looks good.\nI see you as having 3 options:\n\nTake her to a paediatric dentist for an opinion and treatment as they see fit. I think they'd suggest Option 2 or 3.\nLeave the tooth alone. If eventually it starts to give her trouble, then extract and place a space maintainer.\nPerform an elective pulpotomy and stainless steel crown.\nPersonally, I'd go for option 2 for a child of this age. The least traumatic for her."
  },
  {
    "id": 399,
    "title": "Anyone know what this gray patch is?",
    "dialogue": "Annino1219: I’ve had a bunch of dental work on this side in the last 3 months. Lower extraction and upper root canal + crown + retreat MattKW: Really hard to tell. Could be trauma. I'd wait and see if still there in 2 weeks. Certainly not suspicious."
  },
  {
    "id": 400,
    "title": "Teeth shaving?",
    "dialogue": "Mphinthe: I really don't like that my front teeth are a bit bigger and that my upper canine teeth are a bit too \"sharp\". My teeth are otherwise pretty straight and I don't feel like I need to have braces or anything but could this be fixed by shaving the teeth down a bit to make them more even? I haven't talked about this with my parents as I don't like to mention insecurities and it seems unneccessary, but it really bothers me and if it could be so easily fixed and improve my smile and self confidence a lot I would like to do it. I am just not sure if doing this is possible, difficult or what it would cost. Any advice? MattKW: Got a photo? Also a photo of you resting your upper and lower front teeth edge-to-edge? Mphinthe: MattKW said:\n\n\n\n\t\t\tGot a photo? Also a photo of you resting your upper and lower front teeth edge-to-edge?\n\t\t\nClick to expand...\n\nhere is a link to 2 pictures MattKW: Your central incisors and canines are fine with a normal amount of overlap. If you tried to shave them down, it would seriously damage your teeth and biting function.\nYour lateral incisors are a bit smaller (\"peg laterals\") than desired, and this is what makes the canines look pointy.\nThe simplest way to improve this is with composite veneers, an nice example of which I put here. Composite resin can last for many years, and has the advantage of being repaired easily if they chip.\nSome people might suggest porcelain veneers - my advice is to keep it in composite for as long as possible, maybe your lifetime (KISS). Porcelain veneers cannot be easily repaired/replaced and usually mean permanent alteration of your teeth; there is no going back to virgin tooth as is possible with composites. \nAlso, as you age, you will probably have some gum recession which would show the join between tooth and composite (or veneer). This can be easily touched up with composite, but not with veneers."
  },
  {
    "id": 401,
    "title": "Finding Weird Substance inside lower lip",
    "dialogue": "anshjain: Hello,\n\nFor a while now, every few days I am finding something stuck inside my mouth under the lower lip, in a little flesh gap.\nIt is always White with something black in the middle. It feels like coconut flesh to touch, and its always the same thing.\nWondering what it could be.... Dr M: Could you perhaps take a photo? MattKW: Is it stringy?\nDo you use Listerine mouthwash (essential oils)?"
  },
  {
    "id": 402,
    "title": "What drawbacks are there to managing a dental office?",
    "dialogue": "GovorAntonio: Hello, Since everyone mainly discusses the positive aspects of running a dental clinic, I would love to hear from an experienced dental office owner about the drawbacks. MattKW: Staffing issues, regulations, maintenance, stock control, cost of supplies, dealing with landlords, ...\nSome people handle all this very well. Me, I'm glad to have sold after the 1st COVID shutdown (Syd, Australia) and gone into semi-retirement teaching dental students at Syd Uni. Don't get paid as much, but leave all those worries for someone else to handle."
  },
  {
    "id": 403,
    "title": "Partial Denture",
    "dialogue": "Johnuk: Hi \n\nI unfortunately have to have a 4 tooth partial denture where 2 teeth need to be extracted. I am being told that in 6 Months this partial denture will need to be replaced as my gums will shrink? . At £765 per denture is this necessary, cant the first denture be adjusted?\n\nMany Thanks in advance \n\nJohn Dr M: Good day\n\nIf this is a plastic or acrylic denture, they can reline the denture in order to \"add\" plastic in the areas where gum and bone resorption took place. This should not cost as much. If it is a metal chrome denture, this might not be possible. Discuss a reline option with your dentist. Johnuk: Thank you so much for the reply. Happy New Year"
  },
  {
    "id": 404,
    "title": "Parcial denture problems",
    "dialogue": "Danthespan: I have a problem with my parcial denture  Its so tight in morning I struggle to get them in, through the day they are are slack.\nAny advice MattKW: Plastic or metal framework?"
  },
  {
    "id": 405,
    "title": "Fillings",
    "dialogue": "Juju21: I went to the dentist privately 6 months ago and he found 4 decays. I saw him again a few weeks ago (they pester you for check ups every 6 months which seems excessive) and he said there's 4 more decays. How on earth can that happen in the space of 6 months? Especially given its the same scan from 6 months ago!! He apologised and claimed he only just spotted the others? Dr M: Good day\n\n6 monthly check-ups is the norm. I always try and explain it to my patients like this: If a human baby can be formed in 9 months, how quickly do you think a cavity can form?\nMake sure that you brush twice a day and floss. If you don't practice good oral hygiene, cavities can form even faster. MattKW: Get a 2nd opinion. Ask for the Xray copies."
  },
  {
    "id": 406,
    "title": "Dental surgerty in Budapest?",
    "dialogue": "foxleybob: Does anyone have any comments about \"Kreativ\" in Budapest Hungry, please?\n\n\n\n\n\n\t\t\t\t\t\tHome - Dental Implants Hungary | Cosmetic Dentistry Abroad | Affordable Dental Treatment — Kreativ Dental®\n\t\t\t\t\t\n\nDental Implants, Crowns, Bridges, Dentures. Quality Dental Treatment At Affordable Prices in Budapest, Hungary.\n\n\n\n\n\t\t\t\t\tkreativdentalclinic.eu MattKW: All dental treatment carries risks. If you have post-op problems, are you able to go back to this clinic for help? At what cost? Or do you seek post-op care locally where many dentists may not be willing to take over if there are complications?"
  },
  {
    "id": 407,
    "title": "What is the best replacement option after the upper #3 tooth extraction?",
    "dialogue": "compiler: Can anyone share what is the best replacement option after the upper #3 tooth extraction and why? Thank you. MattKW: If adjacent teeth are in good health, than an implant. Or see how you go without it - you won't starve to death. compiler: MattKW said:\n\n\n\n\t\t\tIf adjacent teeth are in good health, than an implant. Or see how you go without it - you won't starve to death.\n\t\t\nClick to expand...\n\nIs it recommendable to undergo the immediate implant after the upper #3 tooth extraction and why? MattKW: No. Allow it to fully heal and bone to stabilise (min. 6 months). However, it might be a time to perform socket preservation. \nAn immediate replacement may cause the bur to go in the wrong direction, and the bone may not be able to get initial stabilisation. And that's assuming you have a simple extraction. compiler: MattKW said:\n\n\n\n\t\t\tNo. Allow it to fully heal and bone to stabilise (min. 6 months). However, it might be a time to perform socket preservation.\nAn immediate replacement may cause the bur to go in the wrong direction, and the bone may not be able to get initial stabilisation. And that's assuming you have a simple extraction.\n\t\t\nClick to expand...\n\nThis is related to a simple upper #3 tooth extraction. The socket preservation probably is the bone preservation procedure, entails placing new bone materials in the socket of the extracted tooth. Is the socket preservation necessary after an upper molar extraction if the dental implant is planned? In addition, what type of the bone material is the best for the upper #3 tooth socket (upper jaw) preservation procedure? Thank you for your help. MattKW: You won't necessarily know if it will be a simple extraction (or a surgical) until you get a grip on it. I have worked for 40 years and extracted 15,000+ teeth yet sometimes get a surprisingly hard (or easy) tooth which I wasn't expecting. Upper and lower first molars are usually very weak by the time they require extracting."
  },
  {
    "id": 408,
    "title": "Acidity of fruits - is there any neutral ph or alkaline fruits out there?",
    "dialogue": "151asevern: hi, it is a fact that acids present in fruits erode enamel... I have been looking for an extensive ph chart of various fruits, but couldnt find any proper chart... except for miner ones that only provides a ph chart of a few fruits. anybody knows where to find one please?\nalso, are there any neutral ph or alkaline fruits out there? if no, then what would be the least acidic fruits? somehow I think it would me any type of melons? as they do not taste acidic and have 90% of water in them,\nmany thanks for any info.\nmod MattKW: The acidity of occasional fruits in a normal diet is of no concern. The bigger problems occur with regular intake of fruit juices or soft drinks. I have seen a couple of patients who liked to eat lots of lemons or oranges because they had trees in their yard, and that was a problem."
  },
  {
    "id": 409,
    "title": "Dental Implants",
    "dialogue": "EasyLivin22: I am new here.  I am having two dental implants done tomorrow. Can someone who has had this done please tell me what to expect? Thanks.... MattKW: Usually quite straightforward and minor discomfort. You should be asking the dentist."
  },
  {
    "id": 410,
    "title": "Does this photo look normal?",
    "dialogue": "Annino1219: - Root canal done end of Sept by Endodontist\n- Permanent crown placed end of Oct\n- Feeling of pressure and sensitivity when pressing on tooth. No bottom tooth so this one is not in occlusion. \n- Got this tooth retreated by an Endo last week. MattKW: All I see is the finished crown. If there is any problem, it would more likely be seen on an X-ray."
  },
  {
    "id": 411,
    "title": "Crown problem",
    "dialogue": "Anit: Hello. I recently placed 12 crown on my lower teeth, since I went to the doctor he said crown is a better idea for my teeth. I had a lot filling failure some were chipped and we decided to make crowns. After we placed the crowns I had a horrible pain, they felt strange and tight. Now it's been 5 weeks and I still have some mild pain. What I noticed is he left cement around gums and my gums are swollen and also I noticed a gap around 1mm between my left canine and a premolar. I'm not happy with this doctor I think I'm gonna go see someone else but I can't see another doctor for about 4 weeks. For this time I'm stressed out I don't know if I'm going to have to remove all my crown or we can do little adjustments MattKW: Can't give you much of a reply without x-rays and photos. Hang in there for the 2nd opinion."
  },
  {
    "id": 412,
    "title": "Ear pain and bad tooth? Bad root canal?",
    "dialogue": "nj9000: I've been having problems with a bad pre-molar on my upper right side. My ear on that side, just above the tooth feels full, and I have a sore throat. Its been like this for months! Since at least May. I got a root canal in September and no change, just constant burning aching pain. Dentists I go to, I've gotten second opinions and they say they don't see much wrong. They tell me each time to stick with the root canal, it should eventually feel better and its better for my long-term health....but is it time to get it pulled? I'm wanting to keep getting teeth pulled until it feels better! Dr M: Good day\n\nDo you perhaps have any x-rays you could share? The root canal might be failing. Also do you have x-rays of your other teeth? Could be an unrelated problem nikroute: Goto a periodontist. Is your burning sensation at nearby gums ? Does it feel rubbery or jelly like"
  },
  {
    "id": 413,
    "title": "A part of my molar fell off. Should I go to an emergency dentist or wait?",
    "dialogue": "Dentist90: On Friday, December 16th a part of my molar (about 1/6) fell off when I was eating. So far, I don’t feel any pain or it’s causing any troubles. I called my dentist to book for an appointment but they are booked full for this week. I already had an appointment for a root canal treatment on January 4, 2023. The woman on the phone who I called said, as long as I don’t feel pain I shouldn’t be worried and wait until my appointment in a few weeks because I was already getting a root canal treatment and have cavity on the molar. I’m keeping the part of the molar in milk that fell off just in case they need it. I was wondering if it’s okay to just wait or should I try an emergency dentist? According to another dentist, it’s usually not harmful to wait for a few weeks."
  },
  {
    "id": 414,
    "title": "Pain around upper left 1st molar and 2nd pre molar",
    "dialogue": "weird_pain: Hi,\n I started suffering a dull ache somewhere around the upper 1st molar and 2nd pre molar in early September.\nThe pain was a very dull ache which came and went through the day but was normally most prominent in the afternoon.\nOnce my head hit the pillow the pain went and allowed me to sleep.\nThen a couple of weeks later the pain became more of a throbbing pain which again came and went.\nI went to see my dentist and he took X-rays and said nothing was wrong and it could be sinus related.\nI then went to my doctor and got various nasal sprays and even took a couple of courses of antibiotics which did nothing.\nEarly November I went back to my dentist as the dull ache was starting to affect my life.\nThe dentist then compared a new and old x-ray and said he thinks there is a slight crack in the root of my 1st molar and this is probably causing the pain. The only solution was extraction which I did.\n2 weeks later the pain from extraction has gone  and the dull ache is still there!\nI was referred to the Liverpool dentistry hospital who did a standard X-ray and a 360 X-ray which both highlighted no issues.\nThey also did some checks for TMJ but found nothing.\nIt is now mid December and I am still suffering with this dull ache which is distracting me from every day life.\nOver the counter pain relief does not seem to do anything nor do antibiotics.\nMy second pre molar is a root canal tooth and the pain seems to come from/above that area, however the pain can spread across my jaw and up the left hand side of my head. \nSince my 1st molar extraction my 2nd pre molar is sore to eat hard food on which I’m not sure is down to the fact there is now a massive gap next to it or if it has a problem?\nI’m now waiting on referral appointments for various scans to check sinuses and for Facial migraines but this could take 6 months.\nLast night I had the throbbing pain when I went to bed and it was very focused above my upper left molar teeth and all around my left eye.\nThe pain eventually went about 4 in the morning but I’m not sure how much longer I can continue with this pain.\nCan anybody help?"
  },
  {
    "id": 415,
    "title": "Tartar build-up due to high diary consumption",
    "dialogue": "151asevern: hi,\nwhen I started to consume very high amounts of protein shakes (which is obviously a diary product containing calcium) - I noticed that the tartar has started to build up on my teeth very heavily.. I do believe it is most likely because there is a very big amount of calcium mineral in my saliva because of high diary consumption.\nI tried to brush 3 times a day, using anti-tartar toothpaste... but nothing helped.\nany tips?\nthanks. kml1998: You need to floss, have you been doing that? 151asevern: yes I floss daily.. I even had started to floss twice a day, at some point but stopped.. as once a day should be enough"
  },
  {
    "id": 416,
    "title": "Partner says they brush twice a day and still gets tar tar build up",
    "dialogue": "we<3teeth: They don't drink or smoke. Apparently they brush twice a day, yet they get really bad tar tar build up on their teeth. I know they need to go to dentist to get the tar tar removed. I want them to prevent it happening in the first place. There was a small period when they were younger that their teeth weren't looked after properly. Apart from the tar tar build up, the teeth look fine. Are they lying to me about brushing twice a day?"
  },
  {
    "id": 417,
    "title": "Crown Issues - two months later...",
    "dialogue": "BlakeVic: Hello,\n\nI'm 41 and have a history of grinding. Two months ago, I received a zirconia / layered with porcelain crown on #19. During the following six weeks I had strained muscles in my back, limited range of motion in my neck, headaches, tooth pain/sensitivity to hot/cold and chewing as well as jaw alignment issues. Eventually, my bite guard broke in the exact spot that the crown was placed. At that point, the dentist determined the crown was too high and drilled it down.\n\n1. After adjustment the surface of the crown felt like sandpaper and is now whiter than before. The dentist went back and polished the surface but I'm still concerned that the porcelain layer was drilled. Can adjusting a crown this way affect the appearance? Also, I clench and grind. Will the altered surface impact my opposing teeth?\n\n2. I still cannot chew or drink hot, cold fluids without pain. Also, in the last couple of weeks, I've developed a dull, cold aching sensation in the crowned tooth. The dentist says it could take six months for the sensitivity to settle. He's also said it's possible I have an infection but has declined to prescribe medication because he says there are no other signs. He does not think I need a root canal. We have a follow up in a couple of weeks to see if the adjustment fixes the pain. But, if the pain and sensitivity persist what could be the problem?\n\nThe two months of the crown being too high threw my bite off. The dentist wants to drill my other teeth to balance. I do not want my other teeth manipulated until we determine what is going on with the crowned tooth. I've considered going to a new dentist and starting this process over. I have consulted other dentists and been told I may need a root canal, new crown, Invisalign...\n\nIn addition to the questions above, does anyone have thoughts, recommendations on how I should move forward with this situation?\n\nThank you. Dr M: 1) Adjusting the crown definitely affects the porcelain layer. If it is not rough, it should not affect the occlusion with your other teeth. Getting the bite correct is more important.\n\n2) The pain could be related to a lot of things. Difficult to say without an x-ray. If the pain does not subside, a root canal would be the next step. This can be done through the crown, but there is also a chance that the crown would need to be replaced. BlakeVic: Dr M said:\n\n\n\n\t\t\t1) Adjusting the crown definitely affects the porcelain layer. If it is not rough, it should not affect the occlusion with your other teeth. Getting the bite correct is more important.\n\n2) The pain could be related to a lot of things. Difficult to say without an x-ray. If the pain does not subside, a root canal would be the next step. This can be done through the crown, but there is also a chance that the crown would need to be replaced.\n\t\t\nClick to expand...\n\nHello Dr. M. Thank you.\n\nI've provided some prepped, crowned X-rays and a photo of original tooth. A few follow up questions, please:\n\n1. The surface of my crowned tooth is visibly whiter. I'm assuming this is because of the drilling. My understanding is that the porcelain is used to match color. Is that correct? Is it common practice to drill this type of crown or should it have been replaced?\n\n2. Regarding my original tooth, there was zero pain to chewing, sensitivity to liquids. I had a dull ache and occasional sensitivity to air (breathing) for six weeks leading up to the crown. I was told the divot was too large to fill and that my grinding could eventually crack the tooth. In the last couple of weeks a dull and cold ache has returned, chewing issues persist and sensitivity to cold almost feels like it's getting worse. The dentist keeps telling me the X-rays look good and sensitivity could last six months. He has mentioned the possibility of infection but says there are no other signs. I'm aware that grinding can extend and complicate the healing process but I grind at night and wear a custom fitted guard. Do you have any additional thoughts?\n\n3. I had braces when I was younger. Prior to this crown the dentist described my bite as \"perfect\". He now wants to drill my molars (opposite the crown) to try and balance my bite. Is that a good idea? I declined with hopes that after the adjustment my bite will settle (the crown was too high for two months before adjustment). If my bite doesn't settle, would ortho treatment balance it? I'd be more open to something like Invisalign as opposed to drilling my healthy teeth.\n\nThanks again."
  },
  {
    "id": 418,
    "title": "Im at a loss",
    "dialogue": "Annino1219: At my wit’s end. Been dealing with mouth pain for 3 months. Root canal done on lower and upper back molars. Extracted the lower a month ago and it still isn’t totally healed. Now the upper is giving me problems despite having a crown and RCT. \n\nThe upper was done by an Endodontist and was examined by 2 different Endodontists who did not see an issue with it. Dentist unsure. When I press around the edges of the crown on the biting surface it gives me sensitivity pain. Also sensitive on percussion. Not sensitive to temps though."
  },
  {
    "id": 419,
    "title": "Can anyone advise on my X-Ray please",
    "dialogue": "JP1983: Hi, can anyone offer any advice on my Xrays please, as I was surprised to hear what my dentist said they revealed.  An unbiased opinion would be appreciated. Many Thanks. JP. Dr M: Good day\n\nIt seems like you have a few cavities in between your teeth as well as some horizontal bone loss. What specifically do you want to know? JP1983: Dr M said:\n\n\n\n\t\t\tGood day\n\nIt seems like you have a few cavities in between your teeth as well as some horizontal bone loss. What specifically do you want to know?\n\t\t\nClick to expand...\n\nThank you, that was what I am looking for confirmation of. Where I am, it is hard to find another dentist for a second opinion. I was just surprised that after 38 years of never having a filling or any problem with my teeth that I needed 5 fillings at once, when I'd had a clear bill of health just 6 months before, is this unusual? It was a new dentist so I felt I needed a second opinion. I wonder what could have caused it, as my diet hasn't changed. Dr M: Did your previous dentist take x-rays during all your check-ups. If not, it is easy to miss cavities, especially if situated in between your teeth. JP1983: The previous x ray from 6 months ago was a different type (where you rest your chin on a shelf). Thanks for your help."
  },
  {
    "id": 420,
    "title": "Pulling sensation",
    "dialogue": "Debbiep: I have a painful pulling or twirling sensation in my mouth Debbiep: Debbiep said:\n\n\n\n\t\t\tI have a painful pulling or twirling sensation in my mouth\n\t\t\nClick to expand... Dr M: Sorry, this is way too little information to comment."
  },
  {
    "id": 421,
    "title": "Crown sensitivity when pressing on tooth",
    "dialogue": "Annino1219: Hi everyone. In late September I got a root canal and crown placed on my upper rear molar. The root canal was done  by an Endodontist and the quality was checked by another Endo. Both docs signed off on it.\n\nThe crown lately feels strange when I press on the tooth from the biting surface. Almost like a sensitive type feeling when I press. No temperature sensitivity fyi. \n\nAny idea what this could be from? Dr M: Could be that the occlusion needs to be adjusted. If the occlusion is slightly off, it could lead to periodontal ligament widening and also pain."
  },
  {
    "id": 422,
    "title": "New dentist - five fillings after clear x ray 6 months ago?",
    "dialogue": "jon600601: Hi, I'm in my 30s, I had my routine 6 monthly appointment today.  I've never had a filling and never had any trouble with my teeth. Six months ago I had a routine x-ray and check up, all was fine.  Today I arrive and there is a new dentist.  Within 5 minutes she tells me I need 5 fillings.  I said that can't be right surely? She said yes.  She did another x ray which she said was not comparable as the previous x-ray was done on the machine (where you rest your chin) and these today were done by plates inside my mouth so the images could not be compared side by side.  I have requested a copy of the x-ray which I await.  I asked if these could just be \"watched\" and she said no, and I have my first appointment for the first filling booked.  I feel very apprehensive about this as I don't have the slightest problem with any of my teeth, no problem with hot or cold food etc and nothing visible to the naked eye (have looked with a torch).  I feel I ought to at least get a second opinion? Any thoughts? Thanks. honestdoc: Go to another dentist for second opinions.  That new dentist may be hungry."
  },
  {
    "id": 423,
    "title": "Can't figure out what's wrong???",
    "dialogue": "nj9000: In 2018 I went to the dentist for the first time in years and they found that an upper pre-molar needed a filling. I didn't get around to it at the time.\n\nIn 2021 I went to another dentist for a cleaning, having completely forgotten about the cavity. They discovered that it needed a root canal, and gave me an estimate for $2800 that I didn't have money for. I was stupid and inexperienced, and they tried to tell me they couldn't do it without everything in the $2800 bill, including deep cleanings on all quadrants/etc. So I thought that's what it'd cost to get it fixed, no other option, and without the money I just decided to put it off. I thought if it got bad, I'd know, and have a toothache and trouble eating with it and all that.\n\nOnward through 2021 and into this year I developed eustachian tube dysfunction on that side, basically my ear feeling \"full\" and unable to pop correctly. Then I had COVID in Dec/Jan and that made it feel like the entire right side of my face/head swelled up. I went to my ENT and primary care doctors and couldn't understand why it was getting better so slowly, but then in June/July I noticed it was all centered around the tooth and the tooth pain increased.\n\nIn Sept I finally got a root canal (for $1200), it took 3 sessions to completely clear it out and get it done. The pain has not gone down, and it and the sore throat and fullness in my ear have been driving me crazy. Literally, I've gotten prescribed xanax for my anxiety as I've felt more and more trapped in this health situation.\n\nI've read online that a bad upper molar, or bad wisdom teeth can give you a constant sore throat, ear problems, etc? The dentists I've been to (2 of them, some of the best in my city) say nothing appears wrong on x-rays. The last 1 said the tooth might be high and he filed it down, to no effect. Every time I go to a dentist they convince me to stick with the root canal and that its important for my future health, but I'm thinking it should be pulled? In fact I'm of the opinion that if that doesn't do it, I'll just ask them to keep pulling teeth! Until there's no more there to irritate my throat/ear?\n\nThe tooth burns constantly and has a dull achy feeling. My gums right there too. The swollen spot in my ear is like an inch above it, and my sore throat right next to that. I've been on several rounds of amox/k-clav, and no improvement. I have no mucus production in my sinuses, and CT scans show my TMJ isn't bad at all. My jaw DOES click on that side but I sleep with my mouth open and I'm not sore when I wake up.\n\nIts so bad I've sold my house so I can just throw money at this pulling teeth or something to fix this, as I've had enormous trouble working over the past several months due to the pain and the disruption to my sleep and I'd run out of money otherwise.\n\nI'm worried about my mental state if/when my doctors stop prescribing me my anxiety med and this isn't resolved. I'm considering moving to another country where this type of med is more accessible just so I don't have a complete mental breakdown? Can someone ground me and comfort me in all this, hopefully its just the tooth and getting it out I'll feel better? I just can't believe I keep going back to these doctors and dentists and they say nothing is wrong even though I feel so bad! AlexG_308: nj9000 said:\n\n\n\n\t\t\tIn 2018 I went to the dentist for the first time in years and they found that an upper pre-molar needed a filling. I didn't get around to it at the time.\n\nIn 2021 I went to another dentist for a cleaning, having completely forgotten about the cavity. They discovered that it needed a root canal, and gave me an estimate for $2800 that I didn't have money for. I was stupid and inexperienced, and they tried to tell me they couldn't do it without everything in the $2800 bill, including deep cleanings on all quadrants/etc. So I thought that's what it'd cost to get it fixed, no other option, and without the money I just decided to put it off. I thought if it got bad, I'd know, and have a toothache and trouble eating with it and all that.\n\nOnward through 2021 and into this year I developed eustachian tube dysfunction on that side, basically my ear feeling \"full\" and unable to pop correctly. Then I had COVID in Dec/Jan and that made it feel like the entire right side of my face/head swelled up. I went to my ENT and primary care doctors and couldn't understand why it was getting better so slowly, but then in June/July I noticed it was all centered around the tooth and the tooth pain increased.\n\nIn Sept I finally got a root canal (for $1200), it took 3 sessions to completely clear it out and get it done. The pain has not gone down, and it and the sore throat and fullness in my ear have been driving me crazy. Literally, I've gotten prescribed xanax for my anxiety as I've felt more and more trapped in this health situation.\n\nI've read online that a bad upper molar, or bad wisdom teeth can give you a constant sore throat, ear problems, etc? The dentists I've been to (2 of them, some of the best in my city) say nothing appears wrong on x-rays. The last 1 said the tooth might be high and he filed it down, to no effect. Every time I go to a dentist they convince me to stick with the root canal and that its important for my future health, but I'm thinking it should be pulled? In fact I'm of the opinion that if that doesn't do it, I'll just ask them to keep pulling teeth! Until there's no more there to irritate my throat/ear?\n\nThe tooth burns constantly and has a dull achy feeling. My gums right there too. The swollen spot in my ear is like an inch above it, and my sore throat right next to that. I've been on several rounds of amox/k-clav, and no improvement. I have no mucus production in my sinuses, and CT scans show my TMJ isn't bad at all. My jaw DOES click on that side but I sleep with my mouth open and I'm not sore when I wake up.\n\nIts so bad I've sold my house so I can just throw money at this pulling teeth or something to fix this, as I've had enormous trouble working over the past several months due to the pain and the disruption to my sleep and I'd run out of money otherwise.\n\nI'm worried about my mental state if/when my doctors stop prescribing me my anxiety med and this isn't resolved. I'm considering moving to another country where this type of med is more accessible just so I don't have a complete mental breakdown? Can someone ground me and comfort me in all this, hopefully its just the tooth and getting it out I'll feel better? I just can't believe I keep going back to these doctors and dentists and they say nothing is wrong even though I feel so bad!\n\t\t\nClick to expand...\n\nI'm sorry to hear you're having such a difficult time  May I ask, does the pain usually bother you while sleeping or eating? I ask because I'm not a dentist but I've had chronic neuropathic pain for over 2.5 years that started after a dental filling. Most people with my condition have had root canals and teeth pulled, and continue to have what feels like a tooth ache. \n\nIf your dental professionals are unable to find anything wrong with your mouth, it may be time to look into a referral to an orofacial pain specialist who can explore different treatments for your pain."
  },
  {
    "id": 424,
    "title": "Crown placement",
    "dialogue": "Patsyp: Will my 2nd right molar teeth shift into open space that I already have a implant placed for my premolar.? I still have my upper braces on but not on my upper  2nd molar right molar cause I had the bracket taken out to put a crown on it 2 month ago,I’ll be getting the abutment and crown in a week time I’m just worried that it might tilt forward. Do you think the space I have is good I’m just very nervous my dentist said everything looks good what do you think.?"
  },
  {
    "id": 425,
    "title": "Flossing and plaque removal",
    "dialogue": "Jhdavids: Morning all,\n\nI’ve just had an appointment with the hygienist and I’m still not removing plaque effectively. \n\nI’ve been given interdental brushes which are ok for most of my front teeth but I really struggle with the sides. \n\nCan anyone recommend the best approach?\n\nMouthwash?\nString floss?\nWaterpik?\n\nThanks in advance kml1998: Waterpik and string floss would be what I'd recommend"
  },
  {
    "id": 426,
    "title": "Root canal question",
    "dialogue": "Erincb: I had a filling replaced earlier this year and it turned out to be quite a deep one. My dentist told me that it would be sensitive to pressure for a while but if it didn’t subside after a two to four weeks to come back. I did and then he advised as the pain had got better to give it a couple of months and if not then may need a root canal. \n\nIt has been several months (trying to get booked in and then getting covid has meant I’ve had to change appointments a few times) and I am just wondering will I still get a root canal or will I end up needing the tooth out. I’m quite anxious re my teeth. I’d like to clarify I only have pain when chewing certain harder foods or if I grind my teeth together. I’m worried it’s been left too long and a root canal isn’t enough. Dr M: Good day\n\nI would start by checking the occlusion of the filling. Perhaps it is too high. Root canal treatment would only be indicated with bouts of severe and spontaneous pain, as well as pain that lingers when exposing to the tooth to stimuli such as heat or cold."
  },
  {
    "id": 427,
    "title": "Eruption cyst under tooth",
    "dialogue": "shawnmcc: I have a eruption cyst forming under the very back molar of my mouth. I plainly see a tooth bridge in front of it. In other word my dentist took the first tooth pushed it back and put a bridge in its place. I accidently popped the cyst under the tooth will this effect anything. The front bridge tooth is falling apart too. Dr M: Good day\n\nIt sounds like the bridge will definitely need removal if the anchor tooth is compromised. You will need to take some x-rays in order to see the reason for the cyst formation i.e unerupted tooth or bone etc. shawnmcc: Ok I will have appointment made tomorrow. It only recently broke. I can see the dentist had cut the bridge up so I could floss for some reason. But on the bottom side it still connected so it has to be tooth eruption pushing the bridge up and breaking it. shawnmcc: I now have dentist appointment I was wondering till then what can I do to get stuff out from under my 30 year old bridge tooth. What popped the cyst was a probe I was using to remove stuff till fixed which popped the eruption cyst. Also the reason I have bridge I think is because I had calcification or plaque coming from under the gum line which replaced my first molar by pushing it back then my dentist drilled what he thought was cavity plowing the plaque away. Leaving space makin him think he goofed."
  },
  {
    "id": 428,
    "title": "Crown on 1st molar. Help appreciated",
    "dialogue": "jamie5jw: Hi everyone,\n\nMy 1st post here so apologies if it's a bit muddly.\n\nI've been told I need a crown/veneer on a 1st molar on the top and the bottom jaw as I've got some fractures and I've been priced up for emax ones.\n\nI've had a little look online and I've kept coming across sites and people saying that emax isn't best used for a molar and zirconia would be a much better option for certain reasons so I'm confused as to why the dentist suggested emax.\n\nIs emax or zirconia a better option for the molars?\n\nAny help would be greatly appreciated.\n\nThanks,\n\nJamie. Dr M: Good day\n\nZirconia crowns are stronger, and can withstand more occlusal force than Emax crowns. I would evaluate your overall \"bite\"  and looks for signs of potential grinding. If there are signs, I would consider going for Zirconia crowns. A lot of dentists opted for Emax above Zirconia, since they are more aesthetic, but modern Zirconia crowns are also highly aesthetic. I would talk to your dentists and ask about Zirconia crowns as an option-the price difference should not be much."
  },
  {
    "id": 429,
    "title": "Feeling bad about myself",
    "dialogue": "Annino1219: History:\nRoot canal on #31 - 9/23\nPost and Crown on #31 - 9/27\nPain for 4-5 days on #31 - 10/5 to 10/10\nPain for 7+ days on #31 - 10/30 to 11/7\nExtraction #31 - 11/7 (No Infection)\n\nI went to the dentist for pain in #31 and they could not find an issue. They adjusted my bite several times, did a percussion test (positive response/soreness/achy), bite test (negative), and cold test (negative).\n\nThe Endodontist that performed the RCT could not see an issue on X-rays or CBCT. No infection. \n\nI finally went to oral surgeon who could not see any issues on CBCT I provided from the Endo. He said pain could be from micro fracture or missed accessory canal.\n\nAll of the doctors besides the oral made me feel bad for wanting to get the tooth extracted, but I felt like I had no choice. I got the tooth extracted last Monday.\n\nI feel like it has been progressing well. I am keeping up on my hygiene and meds. I do feel slight “heartbeat” in the extraction area throughout the day when I’m more stressed, etc. I also feel discomfort from what I think are the stitches (non dissolving). I am 5 days post op.\n\nI am so afraid that this won’t be the solution to my issues. Can anyone think of what the issue with the tooth could’ve been? I am not feeling any shocks or burning in my face that I read is typical with trigeminal neuralgia. Dr M: It could indeed be a micro-fracture or missed accessory canal like the oral surgeon explained"
  },
  {
    "id": 430,
    "title": "Post upper molar extraction",
    "dialogue": "Nee: Hi, I'm actually worried about the appearance of the socket post upper molar teeth extraction. It's day 4 today. I'm having slight throbbing at site of extraction and kind of worries of getting dry socket. Can somebody comment on these socket appearance...can it be dry socket?  Thank you"
  },
  {
    "id": 431,
    "title": "What are the treatments i needed.",
    "dialogue": "Oddmind1230: If anyone, no matter dentists or not can help me suggest treatments to achieve my dream will be appreciated. Dr M: Good day\n\nI would suggest starting with a consult with a dentist, in order to sort out any major issues, such as fillings or extractions of decayed teeth. The dentist would then most likely refer you to an orthodontist in order to work out a comprehensive treatment plan to align your teeth."
  },
  {
    "id": 432,
    "title": "Tooth ligaments",
    "dialogue": "boris: Hi\n2 months ago I had a root canal and post / crown fitted to a front tooth.\nI still have a mild pain that appears to be in the back of the tooth.and its painful if I bite on it.\nI may be ok in the morning but when I get out of bed and walk downstairs there is a sort of pulse throb from the tooth\nBeen back to the dentist twice and had x rays etc but could find nothing wrong.\nHe suggested that its tooth ligaments and should go in time but its been 2 months.\nSome days its better than others but always there.\nWas thinking of getting a boil and bite to wear for a while to settle it. Busybee: It can take a root filled tooth quite a while to settle, but I had a similar experience with a front tooth.  It was root filled through a crown 20 years ago and it was not until that crown was replaced that the main symptoms went (I kept thinking that the root canal was failing).  When I had a bite adjustment  and new crown it became really painful, but that was until the crown was shortened and my bite corrected tered to stop me hitting it.  It didn't really help that I have kept bruising it over the years by accidentally knocking a cup or glass into it.  Root filled teeth that are crowned just aren't as strong but some teeth that have had work are weaker than others.  Teeth can take months to settle after work.   Give it a few more months and try to take the pressure off by avoiding biting on it for a few days and a nightguard when you sleep.  The ligaments around the tooth can really hurt if they are bruised. boris: Thanks for the reply. Dentist checked the bite and the tooth doesn't touch another. \nI was told that once the crown and metal post is fitted then thats permanent and can't be removed. \nI'll wear a bite guard day and night for a few weeks, just remove for eating. If it helps to settle the tooth. John Roberts: Was wondering if you had any luck.  I have what you have but it's basically all my teeth.  My bite feels off. AlexG_308: John Roberts said:\n\n\n\n\t\t\tWas wondering if you had any luck.  I have what you have but it's basically all my teeth.  My bite feels off.\n\t\t\nClick to expand...\n\nDid your issue ever resolve?"
  },
  {
    "id": 433,
    "title": "Never bite down hard on a toothpick. Help.",
    "dialogue": "janks: So, last Tuesday I was eating a homemade burrito. My wife had stuck toothpicks in the burritos to hold them together. I thought I had taken all of them out, but I thought wrong. One of the toothpicks had slid down into the burrito. I took a huge bite and bit into it on my left side.\n\nFor the last week, I haven't been able to eat on the left side of my mouth. Every tooth on my left side feels sore and swollen. I went to my dentist and they did an x-ray and they said they didn't see any cracked teeth, but that the teeth could still be cracked. Could anyone help me out? My gums also feel sore and swollen. This has been going on for a week now. Donnie K: I can tell you what you have probably done. You have probably sprained the PDL ligaments around your teeth. It is very painful and lingers for a very LONG time. I had a root canal done in October and on a follow up visit the Endodontist had me bite down on a bite stick to check my bite. I bit down hard on it and since that time I still have sensitivity around that tooth. This will not show up on an X ray but is very painful and takes a VERY long time to recover from. I've had my dentist do special X rays to check for cracks or anything unusual, when I had my temp crown put on a month ago. I recall that I had this happen with a previous root canalled tooth 6 years ago. The best they could tell me was avoid chewing on that side and give it time. It is three months now and still flares up quite a bit. I hope you have more patience than me because this has been my own personal dental hell. I've found that muscle relaxers seem to help more than Advil for me. Good luck. janks: Thank you! I knew it couldn't be my teeth because it feels like the whole side of my mouth. i have some muscle relaxers left over from my gall bladder surgery a month ago, so they've definitely been helping. AlexG_308: janks said:\n\n\n\n\t\t\tThank you! I knew it couldn't be my teeth because it feels like the whole side of my mouth. i have some muscle relaxers left over from my gall bladder surgery a month ago, so they've definitely been helping.\n\t\t\nClick to expand...\n\nHow did your tooth turn out?"
  },
  {
    "id": 434,
    "title": "Can't figure out tooth pain, nothing shows on x-ray.",
    "dialogue": "superillusion: Hello, I grind and clench my teeth sometimes at night, I do wear an OTC mouthguard nightly but was without it one night last Sunday. I woke up last Monday with a sore jaw (hinge) and headache that persisted throughout the day and have delt with this before. By Wednesday night I was in  great deal of pain, my jaw hinge was almost completely better but the underside of my jaw was hurting now and almost felt like nerve pain, the pain seemed to be coming from a root canaled tooth but the adjacent and teeth above were also sore and maybe a little swollen because my bite felt slightly off.\n\nI went to the dentist the following afternoon and they didn't see any chips or cracks upon exam or x-ray, and I have no sensitivity to hot or cold. I was fitted for a proper nightguard and the dentist did shave down my one of my teeth after after doing the paper test, but I had no problems with my bite prior to this incident. The initial swelling has come down but now my bite is super off due to the drilling. \n\nThe dentist said the pain was fro. Grinding and should subside but I haven't slept in three days and have made a conscious effort to keep my teeth from touching so as not to further aggravate the initial issue. The pain has not gotten any better, only gotten worse and 800mg every 6 hours of Ibuprofen is not helping. I have another appointment this afternoon.\n\nThe pain doesn't seem to really be in my teeth anymore but more so but the area directly below the teeth on the whole bottom right side, like in the area where you would give an injection to numb. What could this possibly be? Could I have a sprained tooth, or maybe even a fracture in my jawbone? \n\nI guess I looking for the right language or ideas to help my dentist pinpoint the issue. Thank you. honestdoc: Did you understand why the dentist shave down one of your teeth?  How does the custom night guard fit and feel?  Perhaps your dentist may need to examine possible pulpal disease if the pain doesn't subside. AlexG_308: superillusion said:\n\n\n\n\t\t\tHello, I grind and clench my teeth sometimes at night, I do wear an OTC mouthguard nightly but was without it one night last Sunday. I woke up last Monday with a sore jaw (hinge) and headache that persisted throughout the day and have delt with this before. By Wednesday night I was in  great deal of pain, my jaw hinge was almost completely better but the underside of my jaw was hurting now and almost felt like nerve pain, the pain seemed to be coming from a root canaled tooth but the adjacent and teeth above were also sore and maybe a little swollen because my bite felt slightly off.\n\nI went to the dentist the following afternoon and they didn't see any chips or cracks upon exam or x-ray, and I have no sensitivity to hot or cold. I was fitted for a proper nightguard and the dentist did shave down my one of my teeth after after doing the paper test, but I had no problems with my bite prior to this incident. The initial swelling has come down but now my bite is super off due to the drilling.\n\nThe dentist said the pain was fro. Grinding and should subside but I haven't slept in three days and have made a conscious effort to keep my teeth from touching so as not to further aggravate the initial issue. The pain has not gotten any better, only gotten worse and 800mg every 6 hours of Ibuprofen is not helping. I have another appointment this afternoon.\n\nThe pain doesn't seem to really be in my teeth anymore but more so but the area directly below the teeth on the whole bottom right side, like in the area where you would give an injection to numb. What could this possibly be? Could I have a sprained tooth, or maybe even a fracture in my jawbone?\n\nI guess I looking for the right language or ideas to help my dentist pinpoint the issue. Thank you.\n\t\t\nClick to expand...\n\nHow are you doing now?"
  },
  {
    "id": 435,
    "title": "Sprained tooth pain for 4 weeks?",
    "dialogue": "AlexG_308: Hi all,\n\n6 weeks ago, I accidentally bit down hard on a cherry pit. My upper left teeth were sore for about a week but completely resolved. Unfortunately, about a week later, I re-aggravated the area while eating chips. It wasn't too bad for the first couple days but then I got sick and the constant aching in those teeth increased.\n\nI saw my dentist after 1 week and he performed tests, took an X-ray and CBCT but couldn't find anything wrong. I continued to wait it out and went back 3 weeks later for my cleaning. He took another look and x-ray but still couldn't find anything wrong.\n\nIt's now been 4 weeks of constant mild-moderate aching in these teeth. I'd say the pain is often sitting around a 4/10 lately. The pain is sometimes significant enough that I have trouble getting to sleep but once I'm asleep, it doesn't usually bother me and feels best first thing in the morning upon waking up. However, once I brush my teeth, the aching and soreness begins again and continues throughout the day. The teeth feel tender and I've been avoiding chewing on that side for these past 4 weeks. I feel the need to be careful while talking not to bump these teeth. I haven't noticed any temperature sensitivity. OTC anti-inflammatory medications have maybe helped minimally but don't eliminate the pain. I have a dentist-made night guard that I wear nightly.\n\nI should mention that I have chronic neuropathic pain in my teeth on the other side that started after dental work 2.5 years ago, however, I no longer have any temperature sensitivity or trouble chewing with those teeth. It's just a constant ache that I can usually ignore, which feels different from this new problem. I got off all nerve meds earlier this year as I felt I could handle the chronic pain without them.\n\nI suppose my question is could a bruised tooth be taking this long to resolve or could this possibly be a sneaky crack causing all this? These teeth have no fillings so a crack would seem drastic.\n\nI suppose there's not much more I can do right now other than wait, but I'm going on vacation in 1.5 weeks and I'm concerned this is going to affect my enjoyment of the trip"
  },
  {
    "id": 436,
    "title": "Grinding on New Crown",
    "dialogue": "BlakeVic: Hello, I'm 41 and have a significant bruxism issue. Two-and-a-half weeks ago I had a zirconia layered with porcelain crown placed on #19. Since then I have seen three dentists (including the doctor who did the work) because of pain. All three have agreed that the crown is seated properly, my bite is healthy and x-rays look good. The tooth has been examined (tapped) with no problems. And my night guard has been examined, determined to be in good condition. However, I still have sensitivity to cold on the inside of the crown. Moreover, there is a dull pain (sometimes sharp) when I chew. Also, I'm still having headaches, and in the evening/night my teeth ache - especially the crowned molar. Twice I've woke up in the morning with a strained trap muscle (left side - same as crown) that has limited my mobility for days at a time. I was told the head, neck and back pain is a result of grinding, but I never had head, neck or back pain prior to this crown. I hate to think headaches, neck and back pain are going to be a new normal. If my bite is okay could this be the result of grinding on the zirconia, porcelain material? I wanted a gold crown and was talked into the layered zirconia instead. I've considered having the current crown replaced but due to the chewing pain the dentists I've consulted believe the nerve is still fragile and want to give it more time to heal (or determine a root canal is needed). I'm in pain and it's affecting my day-to-day as well as my sleep. Any thoughts are appreciated. Thank you. Dr M: Good day\n\nDid your dentist only take normal x-rays or was a CBCT scan also taken? \nDo you perhaps have any x-rays you could share? honestdoc: What were you experiencing before you had the crown #19?  Did you have headaches only after the crown was placed?  You may need RCT #19 (symptomatic irreversible pulpitis) and TMJ consult (headaches). BlakeVic: Dr M said:\n\n\n\n\t\t\tGood day\n\nDid your dentist only take normal x-rays or was a CBCT scan also taken?\nDo you perhaps have any x-rays you could share?\n\t\t\nClick to expand...\n\nHello Dr. M, thank you for taking time to reply.\n\nI do not have CBCT scans, but I have attached available scans and photo.\n\nThe photo is my tooth prior to prep. You'll notice significant wear from grinding - which included a divot that ran front to back on the buccal side. The tooth had been symptomatic for a couple of years. During times that I was grinding harder than usual it would ache for a few days, week and then go away. However, this time the ache lasted for six weeks and eventually became sensitive to air (occasionally, breathing would cause a light but zinging sensation).\n\nI was told the due to my history of grinding the tooth could not be filled (filling, inlay, onlay, bonded). It was explained the previous methods mentioned and/or further grinding could lead to fracture, and that a crown was my best option. In your opinion, does this present as a tooth that needed crowing?\n\nAlso included are scans showing my tooth before and after prep - as well as the tooth with the crown on it.\n\nIt has been one month since the crown was seated. The chewing sensitivity has improved but continues to be present. Sensitivity to hot is almost non-existent. However, sensitivity to cold persists.\n\nThe scans do not show it but the inside of my tooth was prepped on an angle. That is where the tooth is sensitive to cold. I am concerned that the prep damaged the nerve. The owner of the practice where the procedure was preformed advised it may take six months for the root to calm down. I did seek a third opinion and was told if the sensitivity continues beyond two or three months a root canal may be needed. My tooth had significant wear from grinding but did not shows signs or have a history of fracture, chipping, cavity, etc.\n\nIs it common for this type of situation to result in needing root canal treatment? Would a need for root canal cause headaches?\n\nThe dentist believes that at 41 years old, after two-plus-decades of grinding (and never having headaches, neck and back pain) that in the 24 hours after the crown was placed my body developed new symptoms to grinding: headaches, neck and back pain. However, he does not think those symptoms are related to the crown or tooth. I'm struggling with that assessment. He has referred me to a TMJ specialist.\n\nMy night guard fits my top teeth. The crown is on my bottom. I was told it shouldn't cause an issue but I have stopped wearing it temporarily as to test if it's causing the headaches. I'm still in the process of trying to figure this out. Is it possible there's an issue with the guard?\n\nAgain, thank you for time. Your thoughts are welcomed and appreciated. BlakeVic: honestdoc said:\n\n\n\n\t\t\tWhat were you experiencing before you had the crown #19?  Did you have headaches only after the crown was placed?  You may need RCT #19 (symptomatic irreversible pulpitis) and TMJ consult (headaches).\n\t\t\nClick to expand...\n\nHello honestdoc, thank you for your feedback.\n\nPlease feel free to review my other reply with additional information.\n\nI have attached available scans and photo.\n\nYou'll notice significant wear from grinding - which included a divot that ran front to back on the buccal side. The tooth had been symptomatic for a couple of years. During times that I was grinding harder than usual it would ache for a few days, week and then go away. However, this time the ache lasted for six weeks and eventually became sensitive to air (occasionally, breathing would cause a light but zinging sensation).\n\nAlso included are scans showing my tooth before and after prep - as well as the tooth with the crown on it.\n\nIt has been one month since the crown was seated. The chewing sensitivity has improved but continues to be present. Sensitivity to hot is almost non-existent. However, sensitivity to cold persists.\n\nThe scans do not show it but the inside of my tooth was prepped on an angle. That is where the tooth is sensitive to cold. I am concerned that the prep damaged the nerve. The owner of the practice where the procedure was preformed advised it may take six months for the root to calm down. I did seek a third opinion and was told if the sensitivity continues beyond two or three months a root canal may be needed. My tooth had significant wear from grinding but did not shows signs or have a history of fracture, chipping, cavity, etc.\n\nIs it common for this type of situation to result in needing root canal treatment? Would a need for root canal cause headaches?\n\nThe dentist believes that at 41 years old, after two-plus-decades of grinding (and never having headaches, neck and back pain) that in the 24 hours after the crown was placed my body developed new symptoms to grinding: headaches, neck and back pain. However, he does not think those symptoms are related to the crown or tooth. I'm struggling with that assessment. He has referred me to a TMJ specialist.\n\nMy night guard fits my top teeth. The crown is on my bottom. I was told it shouldn't cause an issue but I have stopped wearing it temporarily as to test if it's causing the headaches. I'm still in the process of trying to figure this out. Is it possible there's an issue with the guard? \n\nAgain, thank you for time. Your thoughts are welcomed and appreciated.\n\nAttachments​ honestdoc: In my opinion, the custom night guard is going to help 2 ways.  According to the pioneer of TMJ studies, Dr. Jeffrey Okeson at the Univ of Kentucky, your teeth should only touch each other for about 20 minutes a day.  When you're at rest, your teeth are about a quarter inch apart.  When your teeth are clenched together, they will be subjected to tremendous stress and your muscles will be at tension.  With the muscles in tension, you will get headaches.  \n\nHow you know you need a root canal is if you have intense pain that can wake you at night and unbearable pain to temperatures.  That would indicate the nerve is damaged.  Another indication is if you have swelling which means your nerve had died and became infected.  If you feel cold and it goes away within a few seconds, then the nerve is good.\n\nThe prep looked good.  Unfortunately, any drilling causes trauma to the nerve and prepping for crowns require a lot of drilling.  That means the nerve is most likely injured and inflamed.  It is best not to overwhelm the nerve with too much cold to allow it to heal. BlakeVic: Thank you for such a thoughtful reply, doc.\n\nI'll continue to monitor the nerve and be patient with its healing. \n\nIt helps to hear that you think the prep looks good. \n\nI'm hoping to stop the headaches that started after the crown was placed. I'll be taking my current custom guard to see the TMJ specialist at month's end.\n\nThanks again!"
  },
  {
    "id": 437,
    "title": "Would Zirconia be the right way to go?",
    "dialogue": "tonightwetaco: Thank you for taking a look at my issue.\n\nRecently I suffered an accident to both of my incisors. One was broken in half and will require a crown while the other has a chip on the bottom side of the tooth next to the other incisor. 2 dentists recommended crowns and do not feel a filling will solve the problem for either tooth.\n\nOne dentist offered PFM while the other recommended Zirconia. After researching both I believe Zirconia would be best if I develop gum recession. I do not want to see exposed metal.\n\nQuestion:\n1. is this a sound decisions?\n2. which type or Zirconia is recommended for the two front teeth?\n\nThank you! honestdoc: Great questions!  I would go for Full Contour Zirconia (fake diamond).  PFMs tend to look too opaque and the Porcelain layer over the metal tends to fracture.  There are many grades of Zirconia ranging from the most durable (less esthetic) to the most esthetic (less durable).  The dentist needs to evaluate your bite and assess the risks of fracture.  If you have high risks of fracture, you may need to opt for the most durable.  Emax crowns are very Hollywood esthetic, but they are not durable and will likely fracture. tonightwetaco: Thank you for your input, honestdoc. My bite has been evaluated as low risk for fracture. The dentist is currently inquiring as to the grades of Zirconia produced by his lab. Hopefully, they offer the most advanced options presently available.\n\nWhat is the best aesthetic grade of Zirconia? What are the top 3 best aesthetic grades HAHA.\n\nThank you for your continued help honestdoc: There are many grades.  Keep in mind the more esthetic grade Zirconia, the less strong and more likely to fracture. tonightwetaco: is it correct that even the most esthetic grade of Zirconia is stronger than Emax, PFM or a real tooth?\n\nCan you tell me what the most esthetic grades are called? honestdoc: I've included a link about zirconia.     https://www.ddslab.com/zirconia-in-dentistry/ \n\nKeep in mind that different dental labs have their proprietary products or vendors. brushandfloss: Yes, you're correct. Even the most esthetic zirconia is much stronger than e.Max and the real tooth. These are measured in megapascal for strength and generally the more esthetic and translucent will have a lower MPa. You'd be looking for the more esthetic zir. since it's an anterior restoration. Ideally, you might want to look for a multi-layer which has up to 1,200 MPa and less translucent toward the margin and layers down to 500-700 MPa and much more translucent. The majority of labs will use zirconia since it's very esthetic and stronger than e.Max. You'll find e.Max mostly in office that offer crowns made in the dental office due to the machines their using and no need for a long \"sinter.\" Zirconia is \"sintered\" at high heats over long duration to keep the esthetics but get the strength.  \ne.Max for refence now offers 500 MPa with a new version, up from the 260-300 previously. Higher=stronger. \n\nRight now, there's more zirconia brands and companies to keep track. I wouldn't get caught up asking the Dr. or lab the brand of zir. but maybe ask to see some previous cases and pictures. Also, you can ask to visit the lab for a shade. The lab should be able to have you visit and match the shade of you existing teeth though a VITA shade guide. tonightwetaco: thank you brushandfloss, wouldn't the dental office be able to decide the shade? I like the idea of visting the lab but I have a feeling the dentist will look at me like im nuts. thoughts? tonightwetaco: spoke with my dentist and they recomended something like EMax as it is the most aesthetic. I asked them about strength and she told me not to bite anything harder than a raw carrot. Does that sound about right?\n\ni am considering asking her about the most aesthetic zirconia her lab offers tonightwetaco: my understanding is that the dentist not only thinks emax will be the most aesthetic but she also thinks Zirconia might damage my teeth, I assume this is do to bite. \n\ni am scared to get Emax because I have chewed the way I chew for my entire life on this planet and now I am going to spend $3,000 for 2 crowns that could break that afternoon if I don't change my lifestyle immediately.... honestdoc: I would get an esthetic grade Full Contour Zirconia.  I would strongly consider custom bite guard.  If your dentist disagrees, see a different dentist.  Zirconia does not damage the opposing teeth to the degree conventional porcelain does.  You can protect them with the custom guard. tonightwetaco: than you, honestdoc. The dentist told me that her concern is the tooth beneath the crown breaking if i go with something as sturdy as zirconia. She said the Emax will be very strong and I should be able to eat normally but I shouldnt bite silverware. she remarked that using our front teeth isn't really necessary and most people should be chewing with the backteeth."
  },
  {
    "id": 438,
    "title": "Initialisms!!!",
    "dialogue": "Chris P: Do any of my learned colleagues know what the following initialism stands for. \nI am filling in a patient treatment audit and just can't figure it out! Its: \n\nP.R.T.P.O.T.D\n\nThanks guys"
  },
  {
    "id": 439,
    "title": "Upper Molar extraction,Aftercare advice.",
    "dialogue": "HammerJeff: Hi there everyone,\n\nHad very back upper molar extracted 3 days ago.\n\nEverything going well,soft foods only,rinsing with warm salted water, no alcohol etc.\n\nI don’t smoke but am attending a wedding on day 5.\n\nNot liking juices or soft drinks would an alcohol free beer be safe.I would have thought so but looking for confirmation especially if I used a straw.\n\nMany thanks. Dr M: Good day\n\nStay away from a straw, since the suctioning effect can dislodge the blood clot if it is not fully stable yet, although by day 5 this should not be the case."
  },
  {
    "id": 440,
    "title": "White zit like spot on tongue",
    "dialogue": "Matty1994: Hello\n\nCan anyone give me any ideas as to what this might be?  Just noticed it a couple of days ago. \nThank you. Dr M: Good day\n\nMight just be an area where you hurt your tongue. Keep an eye on it, to see if it changes colour, enlarges or becomes symptomatic."
  },
  {
    "id": 441,
    "title": "Does any of this look concerning?",
    "dialogue": "Annino1219:  Annino1219: "
  },
  {
    "id": 442,
    "title": "Tooth crown aching",
    "dialogue": "Annino1219: About 3 weeks ago I got a crown placed on a molar that had a root canal one month ago. \n\nI didn’t have any issues since with the occasional “tight” feeling of the crown. \n\nTwo nights ago I went to sleep and woke up a few hours later with pain in that area. I didn’t sleep with my night guard that night. \n\nMy tooth ached pretty much all day. Last night I was able to sleep decently and wore my night guard. This morning I didn’t feel much coming from that tooth but as the day dragged on, it started aching again. \n\nAny idea what this could be? No hot/cold sensitivity. Doesn’t hurt when I press with my tongue. Some soreness/pain when I tap it with a blunt object. Dr M: Good day\n\nDifficult to say without an x-ray. Will need to see the condition of the root canal, but it could also just be a \"bite\" problem. Go back to the dentist and see if he can adjust your occlusion Annino1219: Dr M said:\n\n\n\n\t\t\tGood day\n\nDifficult to say without an x-ray. Will need to see the condition of the root canal, but it could also just be a \"bite\" problem. Go back to the dentist and see if he can adjust your occlusion\n\t\t\nClick to expand...\n\nWent to the dentist today. They took a PA. Root canal looked good according to him. No signs of cracking and no sign of inflammation."
  },
  {
    "id": 443,
    "title": "What is this? Swollen behind last molar",
    "dialogue": "Groovy: Noticed swelling on my gum, a bit of discomfort if I touch it with my tongue or press down on it.  I have an appointment just wondering if it can wait or needs an emergency appointment.\n(I’m 23 non smoker/drinker.)\nThanks Dr M: Good day\nDifficult to say without an x-ray, but might be a wisdom tooth giving trouble.Would need to take an x-ray to be sure."
  },
  {
    "id": 444,
    "title": "Broken root canal tooth root",
    "dialogue": "Gawlfer62: Hello, I recently had a filling redone. My dentist noticed on the exray that a near tooth that had been root canalled, and crowned, had a cracked root. He suggested pulling the tooth. My problem is we are going on vacation next week. I would like to wait until we get back. Do I need to have this done right now or can it wait a few weeks. No issues with the tooth right now. shoeabshadique: @Gawlfer62 As per me, I will suggest you should go with your doctor's advice first. Ask your concerns about the vacations thing in detail; then, Dr. might share the actual scenario with you. Suggest the right time for this."
  },
  {
    "id": 445,
    "title": "Weird growth on X-ray",
    "dialogue": "Funnytooth: Hi! Does anyone know what this strange growth-like thing could be on my X-ray? It doesn’t cause me any pain and I had no idea it was even there until I went for a check up and had X-rays taken. The dentist doesn’t know what it could be. I’ve never had a piercing, even though it looks like one! These two X-rays where taken almost 3 years apart, so it is not growing. Any thoughts would be so appreciated! \nThanks! Dr M: Good day\n\nLooks like a odontoma, probably compound odontoma. This is classified as a hamartoma, which means it has limited growth potential. Usually we only monitor and only treat if symptomatic or if it causes problems with adjacent structures.\nIn your case, only monitor the lesion. Funnytooth: Thank you so much, that is so helpful! I really appreciate it!"
  },
  {
    "id": 446,
    "title": "Help.",
    "dialogue": "Cazkev: Hello. I am hoping and praying you will help me. I am 62 and only have 3 teeth at top and front bottom ones missing I did have dentures but have a really bad gagging reflex and end up being sick.It is so wrong to have to live like this I have asked most dental associations but they cannot help I have not left my home for over 2 years due to my appearance, suffering from depression and anxiety and on medication. I really do not know where to go because of my bad credit history, that was due to previous marriage break up I keep being refused for a loan. Just so I can start to have a life again. It is my dream to one day go out and smile and laugh again.  I really don't know what else to do. But the life I have at the moment is not worth living I really want to return to work, but looking like this I do not stand a chance.\nGet Outlook for Android Dr M: Good day\nYou can maybe try a full chrome cobalt upper denture. Although heavier, I have found that the patients with severe gag reflexes, cope better with such a denture."
  },
  {
    "id": 447,
    "title": "Implants in budapest?",
    "dialogue": "foxleybob: I have been searching it seems forever about getting some implants done for my front upper jaw.\nAs I'm  a pensioner and my wallet is rather light   I've looked at Turkish dentists etc but keep getting put off by the people who keep calling me, and the wife and friends saying.... \"what if it goes wrong\" etc etc\nBut now I have recently come across someone whose wife went to dental surgery in Budapest, who has a contact surgery in London If there is a problem. (I expect I'll have to pay?)\nHas anyone else got anything to say about this, please?"
  },
  {
    "id": 448,
    "title": "Do the toys matter? Should I go to a dentist in a different city?",
    "dialogue": "Scorp: So recently I've moved to my hometown, a smaller city in central Europe. And finding a dentist online has been difficult. I've seen some dreadful offices that look like they're from the past, but most importantly I feel like dentistry here hasn't caught up to the modern dentistry.\n\nIn the end I did go to a dentist and got some work done, and now I have problem with a crown, but I'll open a separate thread for that.\n\nThere are things I find dentists here do which I don't necessarily agree with, and toys that no one here seems to have.\n\n1) I've called about 10 dental offices, only 1 has Cerec same-day crowns technology (their office looks like crap)\n2) No one has a T-scan (to check occlusion). So they just use the paper thing, which isn't as accurate\n3) No one takes prints for crowns digitally. They all use the outdated and not as accurate paste in your mouth for the model\n4) Most don't put a temporary crown in while you're waiting for your permanent crown. I feel this can mess up your gums as well as the adjescent teeth.\n5) They're all \"1 dentist does everything\" places. Shouldn't the root canal be done by the root canal specialist? The crown by the crown specialist? etc etc\n\nKeep in mind, these are only things I noticed as a patient with decent experience with dentists in my 32 years.\n\nThe only bright side is that dentists here cost about 40% less than the ones in the capital city.\n\nBut I feel as though I'm living in the past. I want the accurate model so that my crown comes out a perfect fit. I want the temporary crown so that my teeth don't move even a millimeter. I want the temporary crown so that my gums retain their shape while I wait for the permanent crown. And I want my occlusion to be checked digitally after a crown or a filling is done, to make sure that my bite is correct all the way.\n\nSo what do you guys think? Maybe I'm paranoid, I don't know. But should I just eat up the cost and invest my time to go to the capital city, where I'll get the latest and greatest?\n\nThanks"
  },
  {
    "id": 449,
    "title": "Broken tooth",
    "dialogue": "Dental1234: Hi, I’m not sure what to do so thought I would ask on here.\nI was just eating an apple, about an hour ago and part of my tooth just broke off. It’s my bottom 1st molar and I’ve got a big amalgam filling in it, that I’ve had for years.\n\nIt’s too difficult to take a picture of the tooth as it’s the back of the tooth that broke but I’ve attached a picture of the part that broke off, if that will help at all\n\nThere’s no pain it just feels weird as my tongue keeps noticing it! Unfortunately it’s happened on a bank holiday weekend in England for the Queen’s funeral…so it isn’t easy to get dental appointment for the next couple of days.\n\nIs this something I should get checked out now or can it wait for a couple of days? If it can wait, is there anything I should or shouldn’t do to help it?\n\nAlso, I clench and grind my teeth, could that have cause the tooth around the big filling to become even weaker? I have never been told that there was a crack and never felt anything until the tooth broke off.\n\nThanks for any help and advice. honestdoc: Unfortunately I see this too often.  The amalgam is stronger than the tooth holding it.  The larger the amalgam filling, the weaker the surrounding tooth structure.  The dentist usually preps the tooth for an undercut to retain the filling.  The undercut weakens the cusps and fractures are very common.  The most common fractures on lower molars are on the tongue side.\n\nIf you can see your dentist soon, you should be fine.  The problem is the sharp, rough surfaces can irritate and damage the tongue.  Long term irritation to the tongue is very bad and can lead to formation of abnormal tissue (precancer) called hyperkeratosis (callouses).  \n\nIf the dentist requires you to have a crown and you cannot afford it, have him/her smooth the area so it doesn't feel sharp or rough to your tongue.  I will guess that any temporary filling will not stay on and will flake off again. Dental1234: honestdoc said:\n\n\n\n\t\t\tUnfortunately I see this too often.  The amalgam is stronger than the tooth holding it.  The larger the amalgam filling, the weaker the surrounding tooth structure.  The dentist usually preps the tooth for an undercut to retain the filling.  The undercut weakens the cusps and fractures are very common.  The most common fractures on lower molars are on the tongue side.\n\nIf you can see your dentist soon, you should be fine.  The problem is the sharp, rough surfaces can irritate and damage the tongue.  Long term irritation to the tongue is very bad and can lead to formation of abnormal tissue (precancer) called hyperkeratosis (callouses). \n\nIf the dentist requires you to have a crown and you cannot afford it, have him/her smooth the area so it doesn't feel sharp or rough to your tongue.  I will guess that any temporary filling will not stay on and will flake off again.\n\t\t\nClick to expand...\n\n\nThank you for getting back to me so quickly. Yes the break is on the tongue side. I’m trying to keep my tongue away from it. Why are the fractures usually on the tongue side? Does the tongue or more saliva etc help weaken it?\n\nIs Tuesday soon enough to phone up for an urgent appointment (as long as I don’t develop pain)? Or should it be before Tuesday? Most dentists won’t be open on Monday because of the Queen’s funeral.\n\nI have 1 other tooth with a quite a big amalgam filling. I’ve actually had that one in longer than the tooth that broke today….but is there anything in particular I can do to try and strengthen the tooth? honestdoc: On lower molars, the dominant guiding cusps are one the cheek (buccal) side.  The weaker cusps are on the tongue (lingual) side.  It is the opposite on top posteriors where the cheek side cusps on molars tend to break.  On the top bicuspids (premolars) it depends on the size and location of the fillings.  You should be fine since short term irritation usually resolves.\n\nThere are nothing you can do to strengthen your teeth other than preventing cavities.  If you grind and or clench, consider night guards over-the-counter (less expensive but one size fits all) or custom made.  If it starts to deteriorate, you may need a crown (not the queen's). Dental1234: honestdoc said:\n\n\n\n\t\t\tOn lower molars, the dominant guiding cusps are one the cheek (buccal) side.  The weaker cusps are on the tongue (lingual) side.  It is the opposite on top posteriors where the cheek side cusps on molars tend to break.  On the top bicuspids (premolars) it depends on the size and location of the fillings.  You should be fine since short term irritation usually resolves.\n\nThere are nothing you can do to strengthen your teeth other than preventing cavities.  If you grind and or clench, consider night guards over-the-counter (less expensive but one size fits all) or custom made.  If it starts to deteriorate, you may need a crown (not the queen's).\n\t\t\nClick to expand...\n\nThank you for your help. My dentist said the bit that broke off wasn’t that big but the filling looked like it might come loose, so she just replaced the filling and filled in the side of tooth that broke off. No problems since then thankfully!"
  },
  {
    "id": 450,
    "title": "Can a Fistula Go Untreated?",
    "dialogue": "Maggie: My dentist thinks a gum fistula on a back molar is caused by a fractured tooth root.  After a course of amoxicillin he says that the tooth can stay like that for years.  Is this right?"
  },
  {
    "id": 451,
    "title": "Calcification under gum shrinking and disappearing",
    "dialogue": "shawnmcc: I was wondering why the hard calcification under my gum is disappearing and now sharp tooth looks like it is starting to erupt. I think this is partially why my adult teeth never erupted. I think the front tooth I lost had some kind of bacteria in it. Cause the filing in the back of it seemed to grow back if it fell out. Dr M: Good day\n\nDo you perhaps have a a photo of the area in question for some clarification? shawnmcc: I don't think I can get pictures because when it exits under the gum line it is only when I eat then it breaks fillings. My dentist when I was younger my dentist mistook this for my old tooth broken for some reason. They pulled it out my mouth when I was in my 30s and thought it was a tooth then too. Now the real teeth are coming in and I think it is because of the cavity in the lone tooth that fell out had bacteria that produced calcification of some type."
  },
  {
    "id": 452,
    "title": "Hard lump",
    "dialogue": "Ejlf: I have a tooth that was due to have root canal treatment a while back due to many factors this never got done it has been fine for a while but flared up again recently only this time I discovered a honey lump around 2cm big at the very bottom of my gum below this tooth in between the gum and lip if you know what I mean the tooth has settled again and the lump doesn't hurt unless I push on it. I have an appointment in a week but I am just concerned can an abscess show itself this way? Thanks in advance for any help"
  },
  {
    "id": 453,
    "title": "Soft Occusal splint - significant reaction from gums and jaw bone",
    "dialogue": "davegball: I've been using a custom made soft occlusal splint for five years without issue. Recently I had a new splint made. It is also a soft splint but very rigid much more so than I ever felt my first one. I am a clencher. The force of my clenching seems to have increased by a factor of 2 or 3 with the new splint. I have a very severe case of clenching by any standard. The damage to my lower jaw is like someone took a jack hammer to it. I am covered in exostosis since wearing the new splint. I maybe had one or two with the old one. I am going crazy. I have visited three dentists for second opinions and no one knows. My primary dentist says don't worry your teeth are looking great. I'm afraid to sleep. I'm on anxiety meds. What is doing on here? Today we checked load on each tooth via articulating paper and all looked ok. The splint feels like it's made of glass it's so hard. Is it just me? Am I just such a severe case that even a splint can't help me? I have damage to my gums (inflamed) and jaw bone like someone who never wore a splint in their lives. Help! Dr M: Good day\n\nIt is is extremely unlikely that you developed exostosis over a short period. In severe grinding, it is often recommended that a rigid splint such as a Michigan bite plate is used. Soft occlusal splints often contribute to more grinding, since they give way as you bite into them.\nIf you are still struggling with grinding, it might be a good idea to also consider muscle relaxants which you take at night before bed, or to consider evaluation of your TM-joints."
  },
  {
    "id": 454,
    "title": "Its a mystery",
    "dialogue": "Rachelle: I have had tooth ache for 2 weeks. Started as a pressure feeling one night in my up right hand side teeth. Few days later the pain was in my front tooth that has a root canal from 17 years ago. Dental x rays show nothing. Pain is only relieved when eating and chewing then pain returns. The feeling is of intense pressure in the one tooth the front right one. Don’t have a cold but sometimes feel a blocked nostril on the right side. Any ideas we are at a loss. honestdoc: Possible sinus infection.  Many times you may feel teeth pain when you bend forward or walk up and down stairs.  Have your physician evaluate you and tell him/her you are cleared by your dentist.  A lot of times physicians will punt you back to us."
  },
  {
    "id": 455,
    "title": "Recommend me some crowns, please?",
    "dialogue": "foxleybob: I had a traditional bridge fitted to my front upper jaw approx 20 years ago, which has not broken off, unfortunately.\nThis has left me with a 3 tooth gap with two broken stumps that supported the said bridge which is rather ugly. (matches my face )\nI have been in touch with quite a few different dental surgeries who advised a scan, which I'm looking to have done soon.\nMy question is.............if I decide to have a make-over (Front crowns etc etc)\nShould I always choose Zurconium over anything else, and likewise Strauman for implants?\nAny advice will be much appreciated \nBob\n\n\nStrauman\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n crowns"
  },
  {
    "id": 456,
    "title": "Am I headed for serious problems with my teeth?",
    "dialogue": "jb220: Basically, I'm in my mid 30's, I have one root canaled lower molar and a bunch of composite fillings. I think they're medium to large sized, but not sure. I've gotten more and more serious about oral hygiene, to the point of obsessiveness, since my root canal.\n\nThe thing is: I keep reading about how composites are leaky and fail after relatively short periods and worrying I've done irreparable damage. It used to just be a worry in the back of my mind, but its actually been causing me a lot of anxiety over the last few weeks. My last filling was in 2018, and so far I haven't needed any new work since I started flossing nightly. \n\nI think I have at least one filling on a premolar thats facing the tooth next to it (I think you call this Class II) directly on top of, and in front, of a nerve,  and a similar one on a lower molar thats almost, but not quite, to the nerve.  Not sure about the rest. \n\nDo I have to worry about it creating a direct path to the nerve if/when the fillings fail? Can oral hygiene effectively prevent or delay cavities under fillings? Should I actually consider having one or more functional fillings replaced with something sturdier like an inlay?\n\nI keep worrying I have a lot of root canals and extractions in my future and I that I can't prevent it at this point. honestdoc: The best thing you can do is to get regular checkups.  Only through x-rays can we see cavities or defects under fillings.  I always tell patients that it is best not to get cavities and many don't care until they get problems.  Many people don't see the dentist until it is too late (cavities gone into the root canal space).  Proper and effective oral hygiene can definitely prevent future cavities as is proper diet.  Many people drink too much sugary, acidic, and or creamy beverages (lattes).  \n\nI'm a firm believer in less drilling the better.  All too often I see dentists take out old fillings and putting new ones in.  I have 35 year old silver fillings in my mouth.  Replacing fillings unnecessarily can weaken the tooth and make the tooth more sensitive (traumatize the nerve in the root canal).  \n\nWorry what you can control.  Get regular checkups with x-rays, do good OH, eat proper diet, and stay healthy.   Medications can dry your mouth and can lead to teeth deterioration (saliva protects your teeth). jb220: Thanks for responding to me, and for doing it so quickly. \n\nI get checkups. I used to follow a Dr.'s orders to avoid xrays too strictly, but don't anymore. \n\nCan I ask if hygiene can slow or prevent the ones under fillings? \n\nI think my hygiene is pretty good these days. Brush in the mornings and before bed, use waterpik every time I eat anything at home, use floss and/or interdental brushes every night, and use fluoride rinse. I also try to only eat carbs during meals, and working now to minimize carbs in my diet in general. I guess my fear is that my teeth are already so damaged that when the fillings fail things will progress so quickly that they'll require a root canal and those RC's will eventually require extractions."
  },
  {
    "id": 457,
    "title": "Destroyed my teeth",
    "dialogue": "stoooorms: I had one bad tooth and right before my insurance was due to expire, I missed the timeline to go to the dentist. I applied for insurance and for some reason it got denied. I borrowed money from someone and got my tooth fixed out of pocket (i paid the majority with my small savings). After getting home I had the worst pain I felt in my life.\n\nTo make it worse, this pain existed for 5 days straight. I did not sleep more than an hour every night.\n\nFor 4+ years I never returned to the dentist and my genetics, I always had bad teeth even brushing twice a day id get cavities.\n\nSo now, im 26 years old and I lost more than half of my teeth. They mostly destroyed, gone, decaying, my entire top set is pretty much gone.\n\nIts been years of suffering and Its been eating away at me to the point where im suicidal. I got past that stage, but ive just been so depressed lately.\n\nI exhausted all options. I know i can never afford to fix them with insurance or not. I recently been drinking every single night because of the constant thoughts, all I can think about is how I want to fix my teeth and even talk to my family without hiding my teeth. \n\nEveryone assumes I use drugs and I may lose my job now (minimum wage) because its gotten so bad. I probably lost 12 teeth and I could never afford to fix them.\n\nHow grim does the future look for me? any advice? im scared ill get an infection or the pain will start to get really bad. honestdoc: I'm sorry you're having a lot of teeth troubles.  People say they brush & floss10,000 times a day and they still get cavities.  #1, you may not be brushing and flossing effectively.  #2 Diet, you may be drinking too much sugary, acidic and creamy beverages.  The longer those beverages and foods bathe around teeth, the more destructive it can get.  #3, you may not be getting adequate Fluoride.  A lot of people believe Fluoride is poison and they refuse any source.  The science is, with optimal Fluoride, your teeth's mineral content will be more resistant to deterioration.  \n\nIt is impossible for me to assess your teeth's future.  Hopefully you can get your life together for the best. stoooorms: honestdoc said:\n\n\n\n\t\t\tI'm sorry you're having a lot of teeth troubles.  People say they brush & floss10,000 times a day and they still get cavities.  #1, you may not be brushing and flossing effectively.  #2 Diet, you may be drinking too much sugary, acidic and creamy beverages.  The longer those beverages and foods bathe around teeth, the more destructive it can get.  #3, you may not be getting adequate Fluoride.  A lot of people believe Fluoride is poison and they refuse any source.  The science is, with optimal Fluoride, your teeth's mineral content will be more resistant to deterioration. \n\nIt is impossible for me to assess your teeth's future.  Hopefully you can get your life together for the best.\n\t\t\nClick to expand...\n\nYeah I have been trying my best. The help is minimal at this point regardless. Seems like a domino effect.\n\nThank you."
  },
  {
    "id": 458,
    "title": "Help i have bad anxiety",
    "dialogue": "Samd1989: Does anyone know what this is it comes up every 4-7 days then will pop after about two days I am really worried its something serious honestdoc: It can be lymphatics or mucous glands.  When did you first notice them?  Your body/immune system may be fighting a bug.  If those aren't resolving after a few days or you're feeling sick, go see your physician or urgent care (in the US). Samd1989: It's been happening since May it's only one and always comes up in the same spot I'm so anxious and worrying its something like cancer"
  },
  {
    "id": 459,
    "title": "Do my teeth and gums look healthy?",
    "dialogue": "kml1998: Hello, do my teeth and gums look healthy? honestdoc: It can be misleading but from the images, I see light pink gums which is good.  There are no x-rays to show the bone levels and no gum probing to check attachment health."
  },
  {
    "id": 460,
    "title": "Filling fell out no pain, yet full drilling",
    "dialogue": "Lala: Hello\n\nA filling fell out and I had no pain\n\nMy dentist said to me : “You don’t have pain  do you?”  ( I don’t know how he knew as I didn’t tell him) \n\nHe took X ray, he gave me a local anasthetic and started to drill quite a lot)\n\nHe said “even though you had no pain sometimes it develops after procedure. The hole is quite deep and if pain - you would need a root canal or implant” \n\nSure enough I  started having pain and  2 weeks passed in pain( not strong though) \n\nMy question is: \n 1.how did he know I had no pain \n( did I have root canal there I forgot about?)\n2. why drill if I had no pain?\n3.  Why not just do a new filling \n\nI’m so worried as I already have implants ( so lost my natural teeth) \n\nI would be grateful for advice Lala: I just want to add -  this dentist wouldn’t know my past history and this was my first visit with him honestdoc: 1. My interpretation since this dentist never saw you before is that the wording came out the way you heard it not fully knowing.\n2. It is impossible to diagnose in this platform so my guess is to prep the tooth for solid filling retention, strength and to remove any cavities or contamination\n3.  If I had x-rays and did a clinical exam, I could better answer that question.  There are too many variables."
  },
  {
    "id": 461,
    "title": "Confusing check up appointment",
    "dialogue": "Fuseta: I went for a check up last week and it was a new dentist who had just taken over. He said that he had been looking at some old x rays which were taken at least a year ago, if not longer. From looking at those, he said that I needed a big filling on one side and a tooth removed from the other side, as he said that it was a ticking time bomb, so ideally it should be removed straight away. I reluctantly agreed to the filling, but told him that I didn't want the tooth removed, as it wasn't causing me any problems. As I recall, the x rays were taken because I had an infection in the region at the time, but some antibiotics cleared it up. The previous Dentist disn't say that I needed a filling or a tooth out when he looked at the x rays. I can't decide whether this new Dentist is ultra keen and getting me to spend money that I don't have to or whether the previous denist was too lax. Surely the new Dentist should take some up to date x rays, rather than act on old ones. I have an appointment for the filling this week and I don't know whether to cancel it. It is impossible to get a second opinion as Dentists are not taking on any new patients in the town where I live. My husband has recently been struck off because he didn't book a 6 monthly check up and now he can't get in with a new dentist. honestdoc: When a new dentist is proposing treatment that is more costly and invasive, definitely get different opinions.  I'm sorry your area do not have available dentists.  In the Pacific NW where I practice, we have too many dentists (very desirable living environment).  With all x-rays being digitally based, request them (have the staff include the date) and post them here so we can evaluate them."
  },
  {
    "id": 462,
    "title": "What is this on my soft palate",
    "dialogue": "Samd1989: I have really bad health anxiety and was wondering what this is it will pop but in 4 days will come back am really worried"
  },
  {
    "id": 463,
    "title": "Tooth removal",
    "dialogue": "Minsterman12: Hi I am in a great deal of pain with my IR7 tooth. I have seen my dentist and she has done a root canal. She has referred me to the hospital as she says it need removal but she cannot do it owing to length of root and location to wisdom tooth. I am prepared to pay to have it removed but even with this the oral surgeon is only at dentist a couple of days per month and would roughly take a month to be seen. I cannot keep popping painkillers like I am and is wondering if there any other alternatives anyone can help me with. \nMany thanks honestdoc: You can walk-in to that clinic and ask to be on their cancellation list.  You can try over-the counter ibuprofen, Tylenol, and Benadryl in the evenings and ibuprofen, Tylenol, and caffeine during the mornings.  If you have swelling, you will need antibiotics."
  },
  {
    "id": 464,
    "title": "What is the biggest problem you are currently facing as a dentist?",
    "dialogue": "atadagg: I was wondering, what are the biggest problems dentists face on a daily basis. What do you really want to happen in your job/clinic? What would your ideal work day look like? honestdoc: Being a dentist in the US is getting very difficult.  First, the schools are charging tuition of $400,000 or more for 4 years.  Second, most people cannot afford treatment like crowns and rely on dental insurance to help pay for them.  However, the insurance companies are reducing their reimbursements hurting both patients and dentists.  Third, expenses are increasing drastically like supplies, equipment, lab support, staff wages, and rent/building costs.  Due to Covid, we have nationwide shortages of Dental Assistants and Hygienists.  \n\nI graduated 24 years ago with the tuition less than $40,000 paid for by the USAF.  I work on State sponsored Medicaid so I don't have to worry about reimbursements, expensive overhead, staff, equipment and supplies, and over treating patients to pay for my yearly new cars, yachts and luxury vacations."
  },
  {
    "id": 465,
    "title": "Post. palatal seal marking",
    "dialogue": "Denturemaker: Hi there, I am looking for suitable marking pencil to transfer the posterior seal area for denture making. Where can I get one? Is any copying pencil uasable, or do I need a specal dental brand pencil ?"
  },
  {
    "id": 466,
    "title": "What is this on my 2 front teeth?",
    "dialogue": "lovjohnny4: So I recently started taking care of my teeth again (couple of months ago). I suffer from depression and anxiety and now in my late 20s is when I'm taking the step to actively care for my teeth. Brushing twice a day with electric toothbrush, just got a scaler to remove any calculus, flossing once a day and mouthwash as well. What has me worried is this weird line going through my 2 front teeth. I noticed it immediately after taking off my first ever whitening strip. It feels kinda fuzzy and rough, and is more visible when I let my teeth dry out. I was wondering if this could be plaque? Any help is appreciated!"
  },
  {
    "id": 467,
    "title": "3 Bumps above implant",
    "dialogue": "Jassaay: No judgment please but back in September of 21 I had my implant crown put on after waiting the 4-5 months for my bone graph to heal and everything.\n\nEverything was going good and looking good. Until I’d say when I noticed this back in May/June, it appears as if my gums have changed and almost not as dense around my implant. There are 3 kind of hard white painless bumps above the implant and the tooth next to it has some white exposure as well which looks like exposed tooth maybe? I’m not exactly sure. I do smoke weed but no nicotine and it kind of showed up out of nowhere.\n\nUp until this point everything was fine and im kind of concerned about what this could be. I’m not able to see my dentist until the end of September. Can anyone tell me what this sounds like? honestdoc: You mentioned you had no problems while the bone is healing around implant.  You noticed those bumps after the crown is placed. I don't think they are from the crown.  You may get a follow up from the surgeon who placed the implant.  It could be a bone defect. Jassaay: honestdoc said:\n\n\n\n\t\t\tYou mentioned you had no problems while the bone is healing around implant.  You noticed those bumps after the crown is placed. I don't think they are from the crown.  You may get a follow up from the surgeon who placed the implant.  It could be a bone defect.\n\t\t\nClick to expand...\n\nYeah sorry the picture is rough, they just showed up and won’t go away. It’s almost like my gum around the implant is receding or disappearing. It doesn’t feel dense like the rest of my gums. I am going to get with my surgeon soon hopefully!"
  },
  {
    "id": 468,
    "title": "Could this be a cavity or is it acid damage?",
    "dialogue": "Andreasthh: Ive noticed the miscolering on one of my side teeth and Im wondering what it could be Dr M: Good day\n\nTo rule out a cavity, an x-ray would need to be taken. This could be erosion or possible enamel hypoplasia or \" weakened enamel\". These areas tend to cavitate easily or fractures and then requires restoration, either with a filling or a crown."
  },
  {
    "id": 469,
    "title": "Temporary Crown Excruciating Pain.",
    "dialogue": "AyyyyG: Hi. I was wondering if someone could tell me if there is possible infection or other underlaying problems like a possible need for a RCT with my Xray. This Xray is pre treatment to my crown. The tooth needed a crown due to too many fillings with minimal contact. He didn't give me a follow up xray when I told him about pain. He numbed me a second time. He also filled a cavity under there before putting a temporary crown on. It is just ripping thro my face with nerve pain, when I take a breath in even. He told me it's usual and unusual so who knows what that means. I'm going to end up getting it pulled at this point, and of course they already took my 700$ Dr M: Good day\n\nI think it is best to request a follow-up x-ray. Although some sensitivity is usually normal after a crown prep, it should not be excruciating pain. The pre-prep x-ray shows a filling that was very close to the nerve. My money would be on a possible root canal treatment on this tooth. Don't cement the permanent crown before this issue is resolved"
  },
  {
    "id": 470,
    "title": "Fear of Dentist from Childhood experiences",
    "dialogue": "Mart7379: Evening guys, I posted this in the wrong section I think. So reposting in this 1\n\nI have a real fear / phobia of dentist. I get anxious just taking my kids for their check ups. But try and keep it in check for the sake of my kids, if they see I’m fearing their appointment it’s going to make them be fearful.\n\nMy fear comes from my childhood when my dentist always knocked me out with the Gas when I needed an extraction, I used to fight it and always threw up when I came round.\n\nClosest I’ve got to regular check ups since have been visits to the emergency dentist.\n\nI’ve also neglected my teeth over the years, and have a few broken teeth that cause no pain, (broken down to the gum line broken). And recently fractured another tooth over the last few weeks which wasn’t causing any pain until a day or so ago, and started with a severe toothache, but eased slightly today.\n\nBecause I have neglected my teeth. Along with my fear from my childhood, it’s making me more anxious/nervous/fearful of visiting a dentist.\n\nProbably just need some reassurance. That there’s nothing to fear. maybe a little telling off by the dentist. honestdoc: Modern dentistry has improved a lot.  It usually involves less trauma and more predictable results.  Try to get in sooner.  The more your teeth deteriorate, the fewer options available."
  },
  {
    "id": 471,
    "title": "Ongoing Molar problems",
    "dialogue": "Eros: Ive had problems with 4 heavily filled molars this year. Mild pain which comes and goes.\nNow the most curious thing is I have had no pain at night and takes an hour or so in morning to start aching. I'd really appreciate\na explanation - I can't understand it.\n\nSeems to me, pain gradually starts as I use my jaws for eating and talking. Different molars may react on different days but it\nseems to be getting more regular.\n\nNo reaction to hot and cold or pressure.\nTooth pain is not helped by Paracetemol or Ibuprofen.\n\nMy dentist has done various checks but found nothing conclusive.  He did mention about possibility of small hidden cracks but xrays\nhaven't revealed them.\nI find it hard to believe that Ive had molars with the same problem, in a relatively short space of time. honestdoc: X-rays will not pick up cracks unless the crack has separation.  With heavily filled molars, the dentist needs to check on the pulpal health and tooth sleuth (bite stick) for cracks.  Depending on the findings, you may need root canals and crowns. Eros: Thanks for the comments doc.\nAny thoughts on why my sleep has not been effected? honestdoc: Your condition(s) seem more complicated.  You may have multiple factors such as TMJ, grinding, clenching, etc.  The dentist may need to eliminate different possible causes. Eros: My dentist referred me to an Endodontist specialist who did a very thorough check of several problem molars (UL, UR, LL and LR) including percussion, electric, tooth sleuth, cold test. Like my own dentist he didn't find anything of significance.\n\nHe did a CT Scan of two molars and an extraction site which didn't reveal anything very significant. He didnt scan the other areas for the present – and gave me his reasons.\nHe doesnt think its cracking and no evidence of pulpitis. Said there was no suggestion of grinding or clenching.\nBasically, he is very reluctant to do root canal treatment in case he does it and finds that I still have pain. Then have to repeat.\n\nSo I am basically still waiting to see how things pan out.\n\nI did wonder, though I havent asked the specialist, Ive had problems with Lower Left 7 and Lower Right 6 (was extracted but still pain issues) since start of year.\nThe problems with Upper Left 6 and Upper Right 7 started in March.\nAny possibility of referred pain between upper and lower jaw?"
  },
  {
    "id": 472,
    "title": "Recurring white spots on tonsils",
    "dialogue": "Matthew1995: Hi all. I was hoping I could get some guidance on what to do regarding the pictured spots on my tonsils. They first showed up in June accompanied by flu-like symptoms and went. They showed up again a few weeks ago, but the symptoms weren’t as severe as the first time and they resolved quickly. They then showed up again yesterday, accompanied by a fever and mild flu-like symptoms. I have never had tonsillitis or really any issues with my tonsils before. Any advice? honestdoc: Get evaluated by a medical physician.  He/she will have access to medical resources to diagnose and followup. Matthew1995: honestdoc said:\n\n\n\n\t\t\tGet evaluated by a medical physician.  He/she will have access to medical resources to diagnose and followup.\n\t\t\nClick to expand...\n\nHi doc. Will do, it’s a Bank Holiday here in the U.K. so everything’s closed. I have noticed some swelling that wasn’t there before. I have attached a before and after photo. Could it be lymph nodes? honestdoc: Tonsils are part of your lymphatic system.   Try to get seen after the Holiday. Matthew1995: honestdoc said:\n\n\n\n\t\t\tTonsils are part of your lymphatic system.   Try to get seen after the Holiday.\n\t\t\nClick to expand...\n\nDo those look like lymph nodes to you? I was unaware that there were even palpable or visible nodes in the throat but I suppose there has to be, doesn’t there? honestdoc: Tonsils are not lymph nodes.  You have some under your jaws (submandibular lymph nodes)."
  },
  {
    "id": 473,
    "title": "Cheek biting?",
    "dialogue": "lilith: im already a bad cheek biter and end up with lots of lesions, sometimes painful but usually peel and go away after a while so im hoping this lesion and the smaller one below is the same thing. its just quite round in shape and the skin doesnt peel so i was abit anxious lilith: boosting with a slightly clearer image honestdoc: You may be developing abnormal  hyperkeratinized (callous) tissue.  It could become pre-cancerous.  Get it checked and fixed...smooth the sharp cusps, restoration, ortho, bite guard, etc."
  },
  {
    "id": 474,
    "title": "Bad teeth",
    "dialogue": "Blueeyes92: Hi everyone I’m 30 years old my teeth are in terrible condition due to not looking after them as a child and gaining a fear of dentist which has not helped one but I managed to get to a dentist last year for the first time since I can remember.. we discussed my concerns & the obv concerns at the end of a treatment plan was drawn up which included root canal extractions and part dencher.. at the age of 30 this is something  I’m not keen on and as silly as it sounds I feel a dencher will not help me mentally at all I’m in talks with Seville smile studio in Turkey I was wondering has anyone else got work done abroad with bad teeth is there any other options over here for me beside a dencher etc"
  },
  {
    "id": 475,
    "title": "I need dental help asap",
    "dialogue": "veohstew112: My teeth hurt so bad. I don't have any insurance. I wasted my medicare dental because I am not 21 anymore. I don't know what to do. I have to take multiple advils because my teeth hurt. It sucks. Does anyone know what I could do. honestdoc: In the US, sign up for dental coverage.  If that is not possible, try to find community dental clinics or dental schools for lower cost options.  If not, bite the bullet and go to a private office.  You may be looking a full fees that are very expensive. DentistDan: veohstew112 said:\n\n\n\n\t\t\tMy teeth hurt so bad. I don't have any insurance. I wasted my medicare dental because I am not 21 anymore. I don't know what to do. I have to take multiple advils because my teeth hurt. It sucks. Does anyone know what I could do.\n\t\t\nClick to expand...\n\nYour best options would be visiting a dental school nearby as they have cheaper options or you could visit a free clinic in your area if that’s offered. Some dental schools have free clinics that can be used for cases like this but if the pain is very troublesome then go ahead and follow up with a private office."
  },
  {
    "id": 476,
    "title": "Bad breath composite filling",
    "dialogue": "Wmichelle27: Has anyone had bad breath after composite fillings and burning mouth and nasty taste. Dr M: Good day\n\nBad breath could be due to multiple causes. Caries, poor oral hygiene, dry mouth, medical conditions such as reflux. All of these causes need to be evaluated in order to determine the cause. Best to go back to your dentist for a clinical examination."
  },
  {
    "id": 477,
    "title": "Bad breath",
    "dialogue": "Anna678: I have been dealing with this for a while and I’m embarrassed about it. I don’t know what to do. I’m not sure which type of dentist to contact anymore. When I had in the past I was made to feel so much shame that I stopped. But this is my last chance to try and deal with this. If I can’t deal with this I’m not sure what led next for me. Would like to know what type of dentist I should look for for this issue Dr M: Good day\nHave you seen a dentist before for this issue, and did they do/suggest anything? Anna678: I have seen a dentist before and they stated at the time that it might be a stomach issue. I have seen doctor they suggest a dentist. I have used meds for acid reflux and nothing has been resolved. I brush and floss and at times it seems to get worse. Dr M: Do you suffer from a dry mouth or not really? Anna678: Honestly I’m not sure. I know I always have a nasty taste in my mouth, before and after I brush. I’m not sure how to approach a dentist about my issue. When I have in the past I’ve felt so much judgement from the dentists and staff. I don’t know what proper terms to use when describing my situation. DentalArt: Anna678 said:\n\n\n\n\t\t\tHonestly I’m not sure. I know I always have a nasty taste in my mouth, before and after I brush. I’m not sure how to approach a dentist about my issue. When I have in the past I’ve felt so much judgement from the dentists and staff. I don’t know what proper terms to use when describing my situation.\n\t\t\nClick to expand...\n\nHow old are you and can you provide a picture? Might be helpful. Are you experiencing any other problems besides this? DentalArt: Anna678 said:\n\n\n\n\t\t\tHonestly I’m not sure. I know I always have a nasty taste in my mouth, before and after I brush. I’m not sure how to approach a dentist about my issue. When I have in the past I’ve felt so much judgement from the dentists and staff. I don’t know what proper terms to use when describing my situation.\n\t\t\nClick to expand...\n\nNo need to feel embarrassed and that judgement you feel might very well be subjective and emotional. We are accustomed to this and if it is really a dental problem, it's our job. DentalArt: Have you also had any traumatic injuries? Anna678: I am 34. I do not have any traumatic injuries. I’m not to comfortable with posting a picture. Are you asking for a picture of my teeth? I believe my main problem is the odor. I floss probably not as best as I should but I do floss. I don’t have cavities. I’ve used mouth wash and it seems to make things worse at times. I used biotene wash and I thought it was getting better , but it hasn’t. I’m trying to drink more what, but the aftertaste in my mouth at times makes drinking water unpleasant. Anna678: I always feel the need to eat something to take that nasty after taste out of my mouth. I’m not a breakfast eater, so I don’t eat much or anything in the mornings, not sure if that plays a part in this as well. DentalArt: All sounds well and it's hard to give any advice based on this. Yes, what I meant was a picture of your teeth of course otterslide: Anna678 said:\n\n\n\n\t\t\tI always feel the need to eat something to take that nasty after taste out of my mouth. I’m not a breakfast eater, so I don’t eat much or anything in the mornings, not sure if that plays a part in this as well.\n\t\t\nClick to expand...\n\nHave you checked your saliva PH level in the morning ?  You can get a roll of PH paper and just spit it on in the morning when you wake up. I was having terrible morning breath which was not usual for me.. I checked and the PH was 5.5 . I'm taking Coral Calcium liquid now and \"Miracle PHour\" , and my morning PH is up to about 6.5 and the bad taste and breath has improved.. but I have a small cavity or maybe two that I need to fix. If you have a hidden cavity that your dentist is not detecting, it would very surely cause bad taste and bad breath. In my experience it is possible for a dentist to miss a cavity, I'd try to go to another for a free exam if possible.  It's also possible dentist will tell you have a cavity when you don't though, this has happened to me many years ago, and I know others it happened to as well, so it's very though!\nI believe my diet caused low PH saliva which then ate away at my teeth and caused the cavities I've had.  Bacteria make acid that causes cavities. Saliva can neutralize that acid. Also I believe neutral PH saliva will not allow bacteria to proliferate like acidic saliva would.\nGive the PH paper a try if you can, I'm curious what you will find. otterslide: I'd also recommend trying Uncle Harry's Tooth Powder instead of regular tooth paste and see if that helps. It's very minty, and it's so strong that it takes the bad breath away for quite a while. It is very alkaline as well so it will neutralize acidic saliva for a period of time. Frequentvisitor: Anna678 said:\n\n\n\n\t\t\tI am 34. I do not have any traumatic injuries. I’m not to comfortable with posting a picture. Are you asking for a picture of my teeth? I believe my main problem is the odor. I floss probably not as best as I should but I do floss. I don’t have cavities. I’ve used mouth wash and it seems to make things worse at times. I used biotene wash and I thought it was getting better , but it hasn’t. I’m trying to drink more what, but the aftertaste in my mouth at times makes drinking water unpleasant.\n\t\t\nClick to expand...\n\nI think you might want to Google tonsil stones, I am not a dentist but I do have this problem sometimes and it's gross. Do you have your tonsils still?"
  },
  {
    "id": 478,
    "title": "No-timer electric toothbrush?",
    "dialogue": "OralQz: Is there a quality electric toothbrush available without a blasted 2-minute timer? I have advanced-stage gum disease with a lot of extra tooth surface to cover, and it takes over 10 minutes to do it right. I hate having to stop and re-start my toothbrush because of the stinking timer, and I'm looking to buy another toothbrush that doesn't have one. But I can't seem to find one! \n\nMy dentist recommends a round-headed oral-B; he thinks it will get my teeth better than sonicare's traditional head. But neither brand seems to offer a toothbrush without a danged timer! Anybody know of one I can get? honestdoc: Many times when you over-brush, you can traumatize your gums and enamel (toothpaste especially the whitening ones are very abrasive).  You can use some other aids like waterpik.  With advanced-stage gum disease, you will need more frequent gum maintenance visits.  Be aware that in modern times, the gum specialists (periodontists) have no incentive saving your teeth because they make more money placing implants."
  },
  {
    "id": 479,
    "title": "Chipped teeth",
    "dialogue": "Fadlosman1991: Hi there! I recently did a check-up and x-ray at my dentist’s office and I have a few cavities in my mouth that need fillings. Two of them are on the lower right side. These two are also slightly chipped teeth. My dentist said that the damage isn’t too severe but said I need a crown. I prefer trying to repair them by getting new fillings. honestdoc: Fillings are definitely more conservative (less drilling).  Depending on the size of the filling and chipping, a crown may be needed.  Keep in mind that crowns make the dentist more money so hopefully you trust him or her."
  },
  {
    "id": 480,
    "title": "Painful fillings",
    "dialogue": "Costco: Hello world! First-time poster here.\n\nI had three fillings done (3, 14, and 18) in one visit more than a week ago.\n\nI didn't eat solid food the day of the procedure because the local anesthesia in the lower left quadrant was so strong that my left chin/lower lip/left ear remained numb for 5 hours after the numbing shots.\n\nI had cereal as breakfast on Day 2. Ouch! I felt severe pain with each bite in 18. Furthermore, 18 and 14 both became sensitive, even when drinking water at room temperature. I called the dental office and was seen again by the dentist that afternoon. He said 18 seemed a bit tall so he ground it down a bit (his explanation was to reduce the pressure on 18, if I remember correctly), and said my nerves were probably agitated and I should give it two weeks for them to quiet down.\n\nI have been having a hard time eating ever since. Eating only soft food, I still feel pain in 18 and now 14 too with most bites. The pain may not be as sharp, but it's still quite painful. What's more, the whole lower left quadrant would feel sore/inflamed after each meal that lasts hours.\n\nI haven't had a chance to try 3 because one of my teeth in the lower right quadrant is missing and I don't use that side to chew.\n\nI have had many fillings done before (actually, both 14 and 18 had old fillings before this procedure) and I have never experienced discomfort/pain afterwards. That makes me wonder what could have gone wrong this time.\n\nAny insight on what may be causing the pain while chewing in those teeth with new fillings, and how should they be corrected? Thanks. honestdoc: Since you had fillings before, you may understand that any drilling on teeth can cause teeth to be sensitive.  The deeper the cavity, the more drilling is needed which can make the teeth even more sensitive especially to cold.  The best indicator will be if the sensitivity improves over time.  If not, get seen for any problems or need for possible root canal."
  },
  {
    "id": 481,
    "title": "Should I see a dentist for this",
    "dialogue": "SirTreefry3rd: A section between two teeth has swollen into a small lump bleeds just likes like the gums are swollen it’s was painful to the touch originally but not anymore after extra care with flossing mouthwash and brushing. However the inflammation is still there and it bleeds if agitated. What should I do. Dr M: Good day\n\nMight be time for a professional cleaning by a dentist or hygienist. They will assess the inflammation and advise if any medication is required in order to treat the inflammation"
  },
  {
    "id": 482,
    "title": "Calcified tooth pieces in appendix causing appendicitis  possible?",
    "dialogue": "shawnmcc: If a tooth was left in a mouth that was Calcified do to radiation is it possible that it causes appendicitis. Also can the calcification from the tooth spread to the thyroid preventing tooth eruption till later in life. Dr M: Good day\nI have never heard of this happening before. Thyroid problems can cause tooth issues, and radiation can affect thyroid tissue, but a calcified tooth, won't cause this. shawnmcc: My case is unique because I have had this baby tooth since I was 4 it was calcified so I think it spread out and in later few years spread to other areas of the body. My dentist some how missed it all these years for some reason. After it flew out of my mouth the new tooth was already erupted so at least that went fast. I forgot to add that it seemed to shed calcification off like plaque which it did at the root into the blood. It later did this effecting my appendix. Dr M: The calcifications you speak of, sounds like dental calculus. If you had excessive dental calculus, I think there is a possibility that you might have periodontal disease. Studies have showns that periodontal disease has links with heart and kidney disease, cancer, osteoporosis and in some rare cases appendicitis. Acute appendicitis is very rare though.\nIf you are indeed one of these cases, I think you need to see a periodontist, so that this can be evaluated and managed. shawnmcc: Thanks for the response I dont think I have periodontal disease because only one tooth was effected. I believe it was associated with some kind of radiation I got or maybe extreme age of the tooth which effected all the teeth as well as my thyroid and appendix. My pediatrician mentioned thyroid cancer but a house fire had made all my records disappear for some reason."
  },
  {
    "id": 483,
    "title": "Filling Filled Beyond Cavity",
    "dialogue": "otterslide: I had a filling placed at the gumline on a top molar, and the dentist placed the filling material way past the gumline down onto the tooth almost all the way to the biting surface.. at least half the side of the tooth is covered in a thin layer of the filling stuff.. the gum was also covered but it peeled off within a few hours.\nWhat should I do? It feels odd having the rough filling material covering my tooth like that.. shouldn't he have polished after placing the filling so that the filling is only where it's supposed to be??\nI remember my previous dentist always polished a filling after placing it, and it never extended past the place it's supposed to fill.\nI can \"catch\" the edge of the thin layer with a dental cleaning tool.. but it won't come off easily.. Dr M: Good day\n\nFillings need to be polished, especially in the region of the gum, since any rough surface on a filling, becomes plaque retentive and can then lead to future problems. I would go back to the dentist in order to polish and adjust the filling."
  },
  {
    "id": 484,
    "title": "\"Preventive\" crowns turned into blindsiding, expensive nightmare...",
    "dialogue": "highlander: I started with a new dentist this year. After my first check up I was given a list of recommendations. I was a little troubled, because my former dentist (who had gone out of network) was really thorough and I had plenty of major dental work over the years, but never anything that felt fishy or unnecessary. The biggest recommendation related to three of my back molars, placed next to each other, all had old silver fillings in them. The recommendation was to crown those teeth \"preventatively.\" I questioned doing all three at once because budget was a big issue for me and this was going to max out my insurance in only February and cost me about $2200 out of pocket on top. I had NO pain, sensitivity or issues whatsoever with these teeth. When asked if I had any concerns at my check up, the answer was no, I was good. The dentist told me that doing all three at once was recommended so the crowns would match. That felt off to me... I have other crowns and they match.... but I figured to avoid future problems I should just do it and be done with it as recommended. NO mention was made of any possibility of this prompting new serious issues. I asked several questions and made my budget concern VERY clear to the dentist. I asked about surprises too. They prepped the teeth, then put one large temporary crown on all three teeth. As soon as the numbing wore off, I was in pain. It kept getting worse and worse. I was on a LOT of otc pain meds. I call the dentist and go in. She did a \"bite adjustment\" and said if it still hurt in a few days to call an endodontist to \"see what was going on in there\". Sure enough the pain persisted and was excruciating. I go to the endodontist who over the course of 2 months root canaled all three molars through the temporary crown. He didn't want to do them all at once because pain can refer (and them all being under one crown didn't help) and he was hoping they would not all need a root canal. So he started with the one that was obviously the worst and we went from there. All this is going on and I am also in chronic discomfort because the temporary crown had a long edge that was sharp like a razor blade. It tore up my gum and tongue. Unfortunately, I could not go get the awful temporary off and get the permanent crowns installed until the pain was resolved. I spent more than 2 months in chronic pain. Finally, the day comes for my three permanent crowns to be installed. I had already paid in full for the entire crown treatments for these three teeth, plus extra charges for xrays when I returned in terrible pain. The crown install appointment happens. Most of the appointment was bite adjustment after the crowns were on. She did not do much to me other than clean up the teeth after the temporary came off. Nothing about any needed additional services or issues was stated. I leave, thinking my nightmare is finally over, but resentful that I went from no pain, to months of pain and out over $7000+ when I really could barely afford the original budget. Now, two weeks later, a bill arrives in the mail from this dentist for $1,350 for three \"core build up\" @ $450 per. I am, again, BLINDSIDED. They knew my insurance was maxed out when I was there, they sent me on my way without asking for money, the date of core build up services was the crown install date. Doesn't a crown build up happen before the crown (i.e., before that temporary crown was put on in February)? The endodontist had filled the holes, I remember him discussing it with me. Also, the root canals were MAJOR procedures and cost about $1400 each, so how is a treatment that, if done, took less than five minutes worth $450??? Is it okay for a dentist to do work without disclosing they are doing it or the charge that will be forthcoming? This dentist came recommended and I am just dumfounded. Everything about this has been troubling. I have already found a new dentist to move to, but I really am feeling duped and ripped off at this point. Any insights as to whether this sounds kosher would be appreciated? I really don't think it was okay for them to say nothing to me and bill me, but, that won't change my having to pay. I also am angry at myself for being duped into doing all three. If I'd just waited for those teeth to fail, it would have cost me the same and I'd have had to endure a few days of pain instead of months of it. Hopefulgirl: highlander said:\n\n\n\n\t\t\tI started with a new dentist this year. After my first check up I was given a list of recommendations. I was a little troubled, because my former dentist (who had gone out of network) was really thorough and I had plenty of major dental work over the years, but never anything that felt fishy or unnecessary. The biggest recommendation related to three of my back molars, placed next to each other, all had old silver fillings in them. The recommendation was to crown those teeth \"preventatively.\" I questioned doing all three at once because budget was a big issue for me and this was going to max out my insurance in only February and cost me about $2200 out of pocket on top. I had NO pain, sensitivity or issues whatsoever with these teeth. When asked if I had any concerns at my check up, the answer was no, I was good. The dentist told me that doing all three at once was recommended so the crowns would match. That felt off to me... I have other crowns and they match.... but I figured to avoid future problems I should just do it and be done with it as recommended. NO mention was made of any possibility of this prompting new serious issues. I asked several questions and made my budget concern VERY clear to the dentist. I asked about surprises too. They prepped the teeth, then put one large temporary crown on all three teeth. As soon as the numbing wore off, I was in pain. It kept getting worse and worse. I was on a LOT of otc pain meds. I call the dentist and go in. She did a \"bite adjustment\" and said if it still hurt in a few days to call an endodontist to \"see what was going on in there\". Sure enough the pain persisted and was excruciating. I go to the endodontist who over the course of 2 months root canaled all three molars through the temporary crown. He didn't want to do them all at once because pain can refer (and them all being under one crown didn't help) and he was hoping they would not all need a root canal. So he started with the one that was obviously the worst and we went from there. All this is going on and I am also in chronic discomfort because the temporary crown had a long edge that was sharp like a razor blade. It tore up my gum and tongue. Unfortunately, I could not go get the awful temporary off and get the permanent crowns installed until the pain was resolved. I spent more than 2 months in chronic pain. Finally, the day comes for my three permanent crowns to be installed. I had already paid in full for the entire crown treatments for these three teeth, plus extra charges for xrays when I returned in terrible pain. The crown install appointment happens. Most of the appointment was bite adjustment after the crowns were on. She did not do much to me other than clean up the teeth after the temporary came off. Nothing about any needed additional services or issues was stated. I leave, thinking my nightmare is finally over, but resentful that I went from no pain, to months of pain and out over $7000+ when I really could barely afford the original budget. Now, two weeks later, a bill arrives in the mail from this dentist for $1,350 for three \"core build up\" @ $450 per. I am, again, BLINDSIDED. They knew my insurance was maxed out when I was there, they sent me on my way without asking for money, the date of core build up services was the crown install date. Doesn't a crown build up happen before the crown (i.e., before that temporary crown was put on in February)? The endodontist had filled the holes, I remember him discussing it with me. Also, the root canals were MAJOR procedures and cost about $1400 each, so how is a treatment that, if done, took less than five minutes worth $450??? Is it okay for a dentist to do work without disclosing they are doing it or the charge that will be forthcoming? This dentist came recommended and I am just dumfounded. Everything about this has been troubling. I have already found a new dentist to move to, but I really am feeling duped and ripped off at this point. Any insights as to whether this sounds kosher would be appreciated? I really don't think it was okay for them to say nothing to me and bill me, but, that won't change my having to pay. I also am angry at myself for being duped into doing all three. If I'd just waited for those teeth to fail, it would have cost me the same and I'd have had to endure a few days of pain instead of months of it.\n\t\t\nClick to expand...\n\nYour whole ordeal screams “money grubbing dentist!” This is going on so much these days there should be investigations. I too was talked into some dental work, but get this, I was lied to about what she was actually going to do Verses what we discussed. One, I repeat ONE tiny spot was to be filled with a thin milky substance to coat the area from sensitivity but turned into 4 unnecessary spots and her using thick composite! Why I have zero idea! I had no cavities or anything. Then she shaved away at part of my old perfect filling which I don’t know why she touched because it was white and done perfectly fine, and then some of my natural tooth structure! So basically the entire inside of one of my large back molars is totally changed in structure. How on earth are they going to know exactly what to put back or take off if I don’t cis a Picasso dentist!? I keep thinking get it fixed back with bonding but my heart is saying, no one will ever get that right freehandedly and just suck it up that the tooth is lost to a crown or onlay.\nThis mess not only is about to turn into a money pit just like your situation, but I’ve been in pain for going on 3 months when I also had zero. I was comfy and happy, now miserable and depressed daily since. I’m not the same mentally or physically because I can’t eat, don’t want to eat and losing weight Then I have jaw pain, numbing in feet, neck pain, ear pain, skull pain, blurred vision and more. I think my incident gave me TMJD. When a bite is too high, too low, misshaped teeth and more causes this because your bite isn’t right. So  Be glad you didn’t get this at least because my goodness it’s terrible.\nAgain, I agree you were ripped off and talked into those crowns all for the money, and the endo is probably his buddy. I often think my ordeal was for the same reason, to get money for the big jobs! But she was fired. so she won’t be getting a dime. You reminded me of myself when you sat there thinking the recommendation was odd, I did too but we trusted them instead of our intuition which usually never steers us wrong, so here we are. I’m so mad and blame myself and wish I could go back in time smh. So how do you feel lately? Did the crowns at least work out to be comfortable and not mess up your bite, speech, eating etc? highlander: Hopefulgirl said:\n\n\n\n\t\t\tYour whole ordeal screams “money grubbing dentist!” This is going on so much these days there should be investigations. I too was talked into some dental work, but get this, I was lied to about what she was actually going to do Verses what we discussed. One, I repeat ONE tiny spot was to be filled with a thin milky substance to coat the area from sensitivity but turned into 4 unnecessary spots and her using thick composite! Why I have zero idea! I had no cavities or anything. Then she shaved away at part of my old perfect filling which I don’t know why she touched because it was white and done perfectly fine, and then some of my natural tooth structure! So basically the entire inside of one of my large back molars is totally changed in structure. How on earth are they going to know exactly what to put back or take off if I don’t cis a Picasso dentist!? I keep thinking get it fixed back with bonding but my heart is saying, no one will ever get that right freehandedly and just suck it up that the tooth is lost to a crown or onlay.\nThis mess not only is about to turn into a money pit just like your situation, but I’ve been in pain for going on 3 months when I also had zero. I was comfy and happy, now miserable and depressed daily since. I’m not the same mentally or physically because I can’t eat, don’t want to eat and losing weight Then I have jaw pain, numbing in feet, neck pain, ear pain, skull pain, blurred vision and more. I think my incident gave me TMJD. When a bite is too high, too low, misshaped teeth and more causes this because your bite isn’t right. So  Be glad you didn’t get this at least because my goodness it’s terrible.\nAgain, I agree you were ripped off and talked into those crowns all for the money, and the endo is probably his buddy. I often think my ordeal was for the same reason, to get money for the big jobs! But she was fired. so she won’t be getting a dime. You reminded me of myself when you sat there thinking the recommendation was odd, I did too but we trusted them instead of our intuition which usually never steers us wrong, so here we are. I’m so mad and blame myself and wish I could go back in time smh. So how do you feel lately? Did the crowns at least work out to be comfortable and not mess up your bite, speech, eating etc?\n\t\t\nClick to expand...\n\n\nI'm sorry for your ordeal! I am, thankfully, doing much better. The new crowns are good and I've since been to a new dentist who is sooooo much better and didn't try and sell me more treatments. I think the money grubber who got me was a competent dentist overall, just always in a hurry (had to cram in too many patients and make that $$$) and self absorbed. Relieved it is over and a painful, expensive life lesson in the books. I truly hope the TMJ eases up for you. I have that too, not caused by the ordeal though. I've had it for many years due to teeth grinding. I gave up gum and use a mouth guard at night and it is pretty well managed. Good luck with it! Hopefulgirl: highlander said:\n\n\n\n\t\t\tI'm sorry for your ordeal! I am, thankfully, doing much better. The new crowns are good and I've since been to a new dentist who is sooooo much better and didn't try and sell me more treatments. I think the money grubber who got me was a competent dentist overall, just always in a hurry (had to cram in too many patients and make that $$$) and self absorbed. Relieved it is over and a painful, expensive life lesson in the books. I truly hope the TMJ eases up for you. I have that too, not caused by the ordeal though. I've had it for many years due to teeth grinding. I gave up gum and use a mouth guard at night and it is pretty well managed. Good luck with it!\n\t\t\nClick to expand...\n\nHi, thanks so much for responding. I’m trying to get ideas on what I can maybe do to help myself.  So please explain to me, you got crowns put on, it caused pain and discomfort, you go back, dentist adjust them and they weren’t right so that’s why you got another dentist? Did you get new crowns with the new dentist or the old ones were worked with? Hopefulgirl: Hi, thanks so much for responding. I’m trying to get ideas on what I can maybe do to help myself.  So please explain to me, you got crowns put on, it caused pain and discomfort, you go back, dentist adjust them and they weren’t right so that’s why you got another dentist? Did you get new crowns with the new dentist or the old ones were worked with?\nalso, I know you say you already had tmjd but did you have new or flared up TMJD symptoms from those crowns? Did you have bite issues that settled Once new crowns were done? Why you say you’re better, what was wrong at first? I ask because some dentist said get braces and all these things but I truly feel like why can’t I just get the tooth fixed back properly and then the symptoms will subside, I could be wrong but that’s my thought and you didn’t mention you had to get braces or new splint therapy and you’re better, so I’m feeling hopeful"
  },
  {
    "id": 485,
    "title": "Smelly substance from lower gums",
    "dialogue": "Caaronh85: Hello, when I push my gums along my lower gum line, a smelly pus comes out. I can do this throughout the day and it’s been like this for several weeks. There is no tooth/gum pain and my teeth don’t feel loose. I brush my teeth at least once a day and floss frequently as well. My gums aren’t red and don’t appear inflamed. What could this be? Caaronh85: Caaronh85 said:\n\n\n\n\t\t\tHello, when I push my gums along my lower gum line, a smelly pus comes out. I can do this throughout the day and it’s been like this for several weeks. There is no tooth/gum pain and my teeth don’t feel loose. I brush my teeth at least once a day and floss frequently as well. My gums aren’t red and don’t appear inflamed. What could this be?\n\t\t\nClick to expand... Caaronh85: I have attached some gum/teeth pics Dr M: Good day\nIf there is indeed pus coming out, it is clearly a bacterial infection. Your photos suggest otherwise, so you might be mistaken that it is actually pus coming out. If you are unsure, it best to see your dentist for a clinical evaluation, since photos can be misleading."
  },
  {
    "id": 486,
    "title": "What are these white bumps? Canker sores or somethng else?",
    "dialogue": "HTX03: Hi, never had these before. I have a few white pimples on bottom lip and one on inside of top lip which have been here for a little more than a week.\n\nThere is no pain and not hard. Mostly annoying because I keep wanting to mess with the pimples.\n\nAre these cancker sores or something else?\n\nI have attached two pics showing the two pimples on right bottom lip close to the center.\n\nWhat is the best treatment?\n\nThanks! Dr M: Good day\n\nDifficult to see clearly on the photos, but it seems like it might be mucus retention cysts or just common mucoceles. These can pop and disappear on their own, but then re-appear at a later stage. If they don't go away, become enlarged, painful or ulcerated, you can have them excised and sent for histological assessment in order to determine if it is something you should be worried about."
  },
  {
    "id": 487,
    "title": "Flossing under a bridge with tooth about to erupt in a few years",
    "dialogue": "shawnmcc: I was wondering how to floss under a bridge molar attached to crowns with a molar about to erupt under it in a few years. It is pressing against the bridge the adult molar. shawnmcc: I found out that I can put the tooth brush bristles under the molar but not floss. Will that be good enough cleaning till the new ones come in these bridges unbelievably 30 years old I don't really know how they lasted this long and before now I only did normal brushing."
  },
  {
    "id": 488,
    "title": "Maryland bridge problem.",
    "dialogue": "Tony3619: Hello. \n\nMy first post here so thank you in advance! \n\nI had a Maryland bridge fitted about 2 years ago to replace a front tooth. I have noticed that there is a minor silver line/scratch in a curved pattern which runs about half the length of the top surface of the tooth.\n\nMy first thought was the tooth crown has cracked. The scratch is not visible from the underside and if running a nail over it there is no groove or fracture edge. It's still smooth.\n\nDo the wings of a Maryland bridge go through the entire structure of the fake tooth? My feeling is its either a surface scratch that can be polished out or the wing is detaching from the fake tooth ( not the real tooth) cause it to crack other time. \n\nCan white fillings be used to repair Maryland bridges? \n\nI am obviously going to book a dentist appointment to check but being in the UK our dentist service is about a 2 month wait! MattKW: Can you post a photo? The wings are usually metallic but can sometimes be made of ceramic. Either way, I have never seen a false tooth break off the supporting metal substructure. A Maryland bridge fails when the whole thing falls off - wing(s) and false tooth. Tony3619: Where I have circled in the photo you can see a faint line almost like a semi circle on the outer edge in the front incisor. It doesn't show behind and doesn't extend all the way to the edge of the tooth. \n\nDoes the entire Maryland tooth have a metal structure and the tooth is built around it?"
  },
  {
    "id": 489,
    "title": "Extreme fear and dont know what option to choose",
    "dialogue": "Ellery: Hello everyone. I’m new here and had some questions.\n\nI hadn’t gone to a dentist in over 10 years since I’m very afraid. I also have Obsessive-Compulsive Disorder (OCD), pretty severe anxiety and suffer from panic attacks, and struggle with agoraphobia and don’t like to leave my house.\n\nAnyway, my tooth broke in October of 2021 and I let it go until I started to feel some pain around February. I still feel some pain but it’s not too much. I eventually did go to a consultation with a dentist at the end of March and did not like him. I went to a few others and have not found a dentist I like as no one seems compassionate or understanding to my concerns and worries but I have set an appointment with one for June 16th. I will be doing oral sedation which is my first time experiencing that and I’m kind of nervous about how it will go.\n\nThe other thing I’m nervous about is that he says he will do a pulpotomy to help with the pain and then I have to eventually have a root canal if I want to save the tooth, which I do. However, I also really don’t want a crown though and I’m having trouble with the idea of that. I would like to do an onlay after the root canal which I’ve read is possible but everyone is just pushing the crown. I think it might be because of my OCD but the idea of a permanent change like losing my tooth forever and having a fake tooth put over it is incredibly upsetting to me. I feel like the onlay wouldn’t upset me as much because I’d still be able to see some of my tooth and it won’t have to be shaved down like it would for a crown.\n\nI was wondering if it really is possible to do the onlay after the root canal and also if anyone had any experience or thoughts about the pulpotomy. I have read they can last for a long time sometimes and wonder if I could just do the pulpotomy and leave it like that for years?\n\nIf not, I’m just wondering if the pulpotomy would ruin the tooth structure at all and make it less likely I can have the onlay after. Would it be better to not do anything with the tooth and look around more for someone who could possibly do an onlay?\n\nI’m very nervous and would greatly appreciate any help as I really don’t know what to do.\n\nThank you.\n\nP.S. I attached x-rays I just had done last month as well as photos of the broken tooth (sorry the quality isn’t the best). MattKW: After the Root Canal Therapy (RCT), nearly all teeth require either an onlay (more conservative) or a crown (less conservative). Your tooth has a large hole at the back (distal) that will require a crown; an onlay won't suffice. Oral sedation can be fine, but you need someone to come with you and drive you home - don't use public transport. The shortest-acting oral sedative is triazolam; just ideal for typical dental appts. A better choice may be nitrous oxide (inhalation, \"Laughing Gas\") because it is quickly reversible, and more easily adjusted during the appointment. With really nervous pts I would use triazolam PLUS nitrous.\nMy preferred use of triazolam is a dose the night before (get a good night's sleep), and then an early dental appt the next day. The triazolam should be given in the reception area about 45 mins beforehand so we can see if you have an adverse reaction (very rare paradoxical reaction with no harm) - I've only ever seen one in 40 years of practice.\nI look at your Xrays and see significant erosion of your lower teeth, that is seen in people who have many acidic drinks (usually sodas or fruit juices). Start drinking plain (non-sparkling) tap water or an RCT will be the least of your worries. Erosion is very difficult to treat beyond a certain point, which you are very close to achieving.\nLastly, if you get thru the RCT OK, talk to your dentist about removing upper and \"lower wisdom teeth\" on your right side. Hopefulgirl: Hi did you ever get an onlay done if so how do you like it? I wanted your opinion on the onlay in particular, thanks"
  },
  {
    "id": 490,
    "title": "Can anyone tell me about this area. Ive had wisdom teeth removed but the tissue is obviously different.",
    "dialogue": "CalebDDulin: "
  },
  {
    "id": 491,
    "title": "Is this healing well?",
    "dialogue": "Groovy: Extracted exactly a week ago, is this healing well? (No pain at all just the surrounding teeth a bit sensitive. I'm due back to my dentist next week.)\n\n\n\n\nThank you Geparddent: Groovy said:\n\n\n\nView attachment 5139\nExtracted exactly a week ago, is this healing well? (No pain at all just the surrounding teeth a bit sensitive. I'm due back to my dentist next week.)\n\n\n\n\nThank you\n\t\t\nClick to expand...\n\nSeems fine to me. Your dentist will still have a better look than the photo gives. Geparddent: Aside from what you mentioned, are there any other complaints you have?"
  },
  {
    "id": 492,
    "title": "Does this gum line look normal? Or a little patchy?",
    "dialogue": "CalebDDulin:  Dr M: Good day\nEverything appears normal. CalebDDulin: Dr M said:\n\n\n\n\t\t\tGood day\nEverything appears normal.\n\t\t\nClick to expand...\n\nFollow up question, does this appear gingivitis like it somewhat normal? I’ve noticed above the last molar it’s very lose and puffy around the tooth."
  },
  {
    "id": 493,
    "title": "Root Canal query - advice required",
    "dialogue": "Boro22: Hi, I am new to the forum and I was wondering if you can help me with a root canal query on my UR7 (molar).\n\n\nMy NHS dentist concluded that the tooth have decay and would need root canal.\n\nI then went to a private dentist to get it diagnosed and gather a second opinion. They also concluded that it needed a root canal. They completed the initial root canal treatment fine, however when I came back for the root canal filling 2 weeks ;ater, they had to abandon the session after 20 mins or so as they said it was bleeding and they were not sure why. So they said I come back in a week to try again?\n\nCan anyone give me an idea on why this may be the case? I am thinking whether I should go to endodontist instead, but I have already paid for the root canal treatment (which was successful until the filling had to go in?) Dr M: Good day\n\nCould be residual pupal tissue that is still present in the canals or could be infection that still needs to clear up. Worst case scenario is that the tooth became perforated.\nI would go for the follow-up, so that the tooth can be re-assessed. Boro22: Thank you. They did take an x-ray and found no issue last week but I will go back for the reassessment. Do you think I would be better off going to endontist from here or just go see the dentist again? Dr M: It depends. A lot of dentists are experienced in molar root canal therapies, but if you are unsure, you can always go to an endodontist, but the costs might be more. Boro22: I went back today for the follow up/filling and they notice atill bleeding on one of the canals. They have referred me to a specialist. \n\nAny more clues from the x-ray?"
  },
  {
    "id": 494,
    "title": "Decay within tooth without cavity possible?",
    "dialogue": "otterslide: I was just at the dentist and he recommended I fix a tooth (#35) based on the fact that when light is shined on the tooth, one side of it toward 36 looks grayish, as if there's decay within in the interior of the tooth.. is this possible?\nThere's no indication on x-rays at all, no sensitivity, no pain, no breach of the enamel that can be prodded.. \nIs this possible that a tooth gets decay from within and shining a light is the only detection tool? otterslide: I managed to take a photo with my camera:"
  },
  {
    "id": 495,
    "title": "Help! 3 bumps on gums",
    "dialogue": "Srh_milner: I have 1 bump that is around 2mm and 2 smaller bumps around 1mm next to it on my lower gum underneath a tooth. They are hard and painless. I can press them in with my nail. Had them for a couple months now. \nAny idea what they could be? Geparddent: Hi there! Upload an image if possible. Geparddent: Was there any trauma? Geparddent: Did you show the bumps to your dentist? Srh_milner: Geparddent said:\n\n\n\n\t\t\tWas there any trauma?\n\t\t\nClick to expand...\n\nNo trauma. I do have a bad habit of always leaning my head on my hands on that side for long periods of time. Not gone yet can’t get an appointment until next week. Was hoping you had some ideas what it could be? DentalArt: Srh_milner said:\n\n\n\n\t\t\tNo trauma. I do have a bad habit of always leaning my head on my hands on that side for long periods of time. Not gone yet can’t get an appointment until next week. Was hoping you had some ideas what it could be?\n\t\t\nClick to expand...\n\nA photo would help... Srh_milner: DentalArt said:\n\n\n\n\t\t\tA photo would help...\n\t\t\nClick to expand..."
  },
  {
    "id": 496,
    "title": "Discolouration - what can I do?",
    "dialogue": "FiddySmith: Hi all,\n\nWhen I was a young boy in school, I unfortunately fell over in the playground and chipped my front tooth as seen in the photo. This moulding the dentist applied to fix has of course discoloured over time. I think the only way to fix that part of my front left tooth would be to have the moulding replaced.\nBut! What about the whiter stains/discolouration near the moulding, are there any treatments dentists can provide to fix this?\n\nThank you so much in advance for any tips.\n\nKind regards,\nDaniel Dr M: Good day\nThe filling definitely can be replaced. There are some techniques available to remove some of the whiter spots, such as resin infiltration, which can produce great results. Discuss this with your dentist during your consultation DentalArt: FiddySmith said:\n\n\n\n\t\t\tHi all,\n\nWhen I was a young boy in school, I unfortunately fell over in the playground and chipped my front tooth as seen in the photo. This moulding the dentist applied to fix has of course discoloured over time. I think the only way to fix that part of my front left tooth would be to have the moulding replaced.\nBut! What about the whiter stains/discolouration near the moulding, are there any treatments dentists can provide to fix this?\n\nThank you so much in advance for any tips.\n\nKind regards,\nDaniel\nView attachment 5121\n\nClick to expand...\n\nHi Daniel! No worries over the discolouration, as Dr M suggested there are ways to correct this. Make an appointment with your dentist."
  },
  {
    "id": 497,
    "title": "Gum infection",
    "dialogue": "Tyler979797: I recently visit the dentist and they said I had a gum infection and give me 5 Days of antibiotics and mouthwash I was just wondering if there where was anything else I can do while taking the antibiotics and that Dr M: Good day\nYou can practice good home oral hygiene habits for example, brushing twice a day, with a soft toothbrush in a circular motion, and flossing at least once a day. Afterwards, make sure that you go for regular check-ups with your dentist."
  },
  {
    "id": 498,
    "title": "Is this a cavity?",
    "dialogue": "otterslide: On the bottom left corner between the teeth, just below that big filling, is that a cavity??\nThis is the right side of the mouth right?\nMy dentist took these x-rays 5 months ago and never said anything about a cavity.\nI've been having big issues with finding a dentist that is telling me what needs to be fixed.. \nThanks in advance. Dr M: Good day\nThis is the left side of the mouth. It does look like there might be some leakage below the filling that is currently there. otterslide: Here's another x-ray from 2013, does this help at all? It looks slightly bigger in the newer x-ray to me.. \nI am having problems in that area, bad taste in the morning and I went to 2 dentists that did not say anything about a possible cavity there. \nI also had that tooth worked on, the outer gumline was decayed badly, I had that decay for 10 years and dentists did not tell me even after a complete \"exam\"!   I went in myself due to the bad breath and told him to fix it.\n\nI have small black spots on both my canine teeth now in between, they say to wait until goes through the enamel all the way.. I don't know what to do now. They don't seem to want to fix anything (2 dentists). I also have 3 small black spots at the gumlines of other teeth, again I barely got them to accept one should be fixed.\nHow does a dentist decide if a black spot should be fixed? I had the black spot on that tooth in the x-ray go deep and across the gumline entirely without creating a cavity, so black spots can expand.. Should they be fixed as soon as they're detected even if there's no cavity?\n\nThere is a glass ionomer filling at the gumline on that tooth on the first x-ray I posted, I don't see it though, I guess ionomer doesn't show up like composite?\nThank you."
  },
  {
    "id": 499,
    "title": "Will gums fuse?",
    "dialogue": "tomm88: Hi,\n\nI had an extraction a few weeks ago of a molar. A few issues with it but almost all cleared now I believe. Occasionally get a dull throb for a few seconds but not sure if this is just part of the healing process as it's not terrible and quite brief.\n\nWhat I wanted to know was, will the gum fuse together? I had stitches which effectively closed the extraction site off, they have since dissolved and I now have a small line which isn't sealed from front to back of the extraction site. It's quite neat but the gap is around 1mm. Will this fuse together? It looks as though it's healed for the most part but I'm just concerned small bits of food get into it.\n\nOr will the extraction hole \"fill upwards\" if that makes sense?\n\nThanks MattKW: Yes, it takes up to 3 months before the wound will \"fill up\" and become unnoticeable. If this had been a simple cut on your arm and the edges could be brought together, then there is faster healing. After a tooth extraction, there is a bony hole left behind, underneath the gum. This takes longer to heal. Which is why we don't start planning replacement teeth (if desired) e.g. implant, bridge, denture... for at least 3 months. tomm88: MattKW said:\n\n\n\n\t\t\tYes, it takes up to 3 months before the wound will \"fill up\" and become unnoticeable. If this had been a simple cut on your arm and the edges could be brought together, then there is faster healing. After a tooth extraction, there is a bony hole left behind, underneath the gum. This takes longer to heal. Which is why we don't start planning replacement teeth (if desired) e.g. implant, bridge, denture... for at least 3 months.\n\t\t\nClick to expand...\n\nThank you much appreciated.\n\nI was worried that the stitches may not have done their job or come out too early. Fingers crossed it's all healing nicely then!\n\nThank you for your reply. DentalArt: tomm88 said:\n\n\n\n\t\t\tThank you much appreciated.\n\nI was worried that the stitches may not have done their job or come out too early. Fingers crossed it's all healing nicely then!\n\nThank you for your reply.\n\t\t\nClick to expand...\n\nI'm sure it'll heal just fine. Keep this updated tomm88: Thankyou again. I'm due to go on a holiday of a lifetime for 3 weeks at the weekend. Bit anxious.\n\nI'm a nervous person anyway but my jaw has felt a little unusual on the right hand side over the past week or so. Achey...but only at times, mainly on an evening. it almost feels tense and as if it's locked or clenched. No real pain, just discomfort. I was concerned this could be another infection or abscess but I'm not getting any swelling or tenderness to touch, sensitive to cold...but thats all.\n\nDo you think this pain could be more muscular related? For over a month now ive not really \"bitten\" on the right side of my mouth so it hasn't been used \"properly\". It all just feels right and as though a real massage could help. I do rub it myself, but I don't know what I'm doing. Haha. My \"bite\" seems off and I don't feel I can relax that side of my mouth properly as t all. When my teeth clench my teeth feel a little misaligned since the extraction.\n\nBe interested to ok now your thoughts as visually there is nothing."
  },
  {
    "id": 500,
    "title": "Is this tooth cracked/fractured?",
    "dialogue": "Groovy: Had a root canal done in may on bottom molar, had very bad sensitivity to cold and warm temperatures then went back and the dentist suggested we pull it because he suspects it's broken somewhere. I haven't had discomfort from it in a couple weeks tho is this tooth really broken? Dr M: Good day\n\nOn the peri-apical it does appear like you have a crack yes. This can be confirmed with a 3D CBCT scan. I agree that the tooth needs extraction. DentalArt: It's surely a crack, though I agree with the Dr M suggestion. Do a scan."
  },
  {
    "id": 501,
    "title": "Crown and post problems",
    "dialogue": "Anna1910: I have a porcelain fused to metal crown and a metal post. Now i decided to put a zirconia crown, and i want to take off that metal post,because possibly i need to repeat a root canal treatment. my question is how hard is to take off that metal post without ruining a root of a tooth?? Dr M: Good day\nThe metal post can be removed with specialized instruments. If the root canal is very old, there is still a chance of root fracture, when attempting removal, due to an old root canal tooth, becoming brittle with time."
  },
  {
    "id": 502,
    "title": "What is this shaggy white smooth area on my under lateral side of tongue?Is it normal and I am afraid of it.Pls tell me Sirs.",
    "dialogue": "Khant: "
  },
  {
    "id": 503,
    "title": "Can he do this",
    "dialogue": "Stormers: Had a filling 6months ago and it has never been right 4weeks ago I started getting really bad pain I booked and appointment and was told it was an abscess under the filling and I had to come back for root canal. I'm in alot of pain at this point but was told I would have  to wait 3 weeks for an appointment  I received a NHS hc1 for free dentist the day before my appointment so I went as I was still in alot of pain the dentist said he could not work on my teeth as I was now NHS I asked if he had NHS at the practice he said yes we do but I don't deal with NHS patients so if you want me to get you out of pain it would be £150 I told him I could not afford that at this point and he then refused to do anything so I left in pain and now I'm looking for a new dentist.  Can he treat me like this"
  },
  {
    "id": 504,
    "title": "Tooth Infection",
    "dialogue": "AGENT: Morning, I had awful toothache and attended  an emergency appointment with my Dentist on 28th June to find out I had infection in 2 teeth. They prescribed me 5 days of antibiotics which relieved the pain within 2 days (I did finish the 5 day course), but they could not give me an appointment for root canal until 13th July. Today I find myself in the same position feeling dreadful with awful toothache along with a high temperature,  dizziness and pain when swallowing. I called my dentist to see if they could give me another course of antibiotics to see me through to my next appointment and was told they would not do this without seeing me. My dentist is an hours drive away and as I say I feel dreadful and could not face a 2 hour round trip. So, called my GP who informed me that the symptoms I am experiencing are all symptomatic of a tooth infection and I would need to contact my dentist. Any advices to help me through the next 5 days would be much appreciated. Thank you Dr M: Good day\nOften with a dental abscess, the appropriate pain killers to use, is something that is anti-inflammatory. Contact your GP for a possible prescription. Or try over the counter anti-inflammatory medication. MattKW: You really need to see if you can get in sooner somewhere and have definitive treatment (extraction or start root canal). To simply give antibiotics without treating the cause is poor use of antibiotics and sometimes doesn't work (like you). That is akin to treating an infected splinter in your hand with antibiotics: the \"3Ds\" of dentistry are: Diagnosis, Definitive treatment, and only then Drugs."
  },
  {
    "id": 505,
    "title": "Top full dentures",
    "dialogue": "Mel McC: Hi. I have just had my top implant bridge removed as I was in pain due to failing implants.  I am now so scared of more failures and pain I aha e decided to opt for a full removable denture .  Looking for comfort and reassurance on this mammoth decision MattKW: Dentures have been around  from around 7th century BC, when Etruscans fashioned dentures from animal and human teeth. Modern dentures are made from a type of plastic (Methyl methacrylate) since the early 1930s. I have sometimes been very surprised how well people adapt to plastic dentures, but it will take some time and patience. Geparddent: I agree with MattKW, dentures are actually nothing new. According to The History of Dentistry, dentures date even all the way back to 2500 B.C. when they were made from animal teeth. Centuries later, the ancient Egyptians and the Etruscans as MattKW mentioned made dentures from bone, wire, and repurposed animal and human teeth. YSI: Mel McC said:\n\n\n\n\t\t\tHi. I have just had my top implant bridge removed as I was in pain due to failing implants.  I am now so scared of more failures and pain I aha e decided to opt for a full removable denture .  Looking for comfort and reassurance on this mammoth decision\n\t\t\nClick to expand...\n\nI am curious also-I assume they create a custom mold to make a custom denture? Does the denture weigh the same as the sum of the missing teeth? As long as the plastic is as hard as bone it should weigh less than natural teeth??\n\nIs there any 'suction' helping it stay on, or is it all down to the cement/glue? Those devices in the kitchen that attach to a plastic freezer baggie and suck all the air out before freezing-maybe there could be a port in the denture to create suction to hold the teeth on?\n\nCould they surgically tether dentures to bone somehow instead of drilling into the bone as they did for implants? \n\nDo you have to wait for a period of time for gum swelling to subside before proceeding to molding? Do they trim the gum tissue before molding/creating the denture?  What do they call the u-shaped hard rim that our teeth are attached to? \n\nI have noticed for years Joe Biden's teeth slipping during speeches-you can't tell he has dentures until he starts speaking. MattKW: Yes, all dentures require a mould of your mouth. Modern dentures are quite light, but older ones (\"Vulcanite\") early 20th century were heavier. I have also seen some metal ones made in POW camps by inmates made in metal. \nModern dentures rely upon a good seal all around the edges to make a suction seal. If this is not possible (poor bone depth) then people may use denture adhesives to help. Dentures with suction cups were tried once, but they would create damage to the palate and are no longer made.\nIf you tether dentures to the bone, you still need to be able to remove them for cleaning. It would be otherwise like never taking off your shoes! Conventional implants can be used as a supplement for removable full dentures with O-ring type attachments (full coverage) or fixed (partial coverage, able to clean underneath). Sometimes mini-implants are used for removable dentures - easier to place, but mostly used while waiting for conventional implants.\nIdeally you wait 3 months after extractions for the bone to heal and reshape (remodel). \"Immediate\" dentures can be made to replace your extracted teeth on the day of extracting, but will cost more and require more adjustment visits. Sometimes any bumpy bone is removed to make the fit easier. The bone is the alveolar ridge."
  },
  {
    "id": 506,
    "title": "New dentist generating work?",
    "dialogue": "FltEngCPO: My dentist (of 15 years) just retired and sold his practice. A few years ago temp hygienist tried to say my amalgam fillings were getting “old” and needed to be replaced even though I had no complaints…. Happily, my dentist said no they are fine.\n\nFast forward to the other day when I met my new dentist during my 6-month cleaning and she said we need to watch three of my teeth that have shadowing behind the fillings…. I have no issues or complaints and take good care of my teeth.\n\nSo is this new dentist trying to generate some work for pay off student loans or what?  I want to be prepared for my next visit in six months. At first blush, if they tell me I need to have a filling replaced, I’m inclined to say no, not until I have a problem.\n\nOh, I’ve had my fillings since I was a teenager and never had a single one replaced and I’m now in my 50s. \n\nAppreciate any insight. Nancy_Mart: Strong teeth at 50,that's incredible you are following a healthy and hygiene life FltEngCPO: Well, I didn’t start off that way… I had quite a few cavities in my teens…. Nancy_Mart:  Dr M: Good day\nFor an educated opinion, we would need to see some x-rays. To wait until a tooth becomes symptomatic, before doing something, is not the best idea, since usually symptomatic teeth, require more complex treatment, such as root canal treatments etc."
  },
  {
    "id": 507,
    "title": "Swollen gum around a tooth",
    "dialogue": "StreetSmurf: Hi, \nI’m 22 years old and I have a milk tooth canine. I have a decent dental hygiene but recently I started to feel pain towards this tooth. I was wondering if it’s possible that a permanent tooth is growing at my age? Dr M: Good day\nIs your permanent canine impacted? Do you perhaps have any x-rays of your teeth?"
  },
  {
    "id": 508,
    "title": "Tooth abscess or gum disease ?",
    "dialogue": "pittguy578: I did let my teeth go during a bad marriage but have been brushing twice a day with a high end soniccare and high fluoride toothpaste as well as fluoride dental rinse. \n\nThis pain started on Saturday and has waxed and waned. The pain is just the gum and irritation. There is no pain when chewing or drinking something cold \n\nThere was 0 pain yesterday \n\nI was scheduled for a root canal on different tooth next week. I called the endodontist office and described symptoms .. they said doesn’t sound like tooth related . But they said they can do root canal if needed at my appointment \n\nCalled my general dentist .. he can see me Thursday .. but their office said unsure if tooth related ? \n\nJust really confused. Could this be gum irritation from overbrushing and overuse of alcohol mouthwash ? Dr M: Good day\n\nDifficult to see on the photo. To rule out a dental abscess a clinical exam and peri-apical x-ray is required."
  },
  {
    "id": 509,
    "title": "Tooth or gum abscess ?",
    "dialogue": "pittguy578: anyone have any inkling on what this may be ? I know abscess of some type . Just started on Saturday the pain\n\nThe issue is 0 pain in tooth when hot or cold when chewing. I did let my teeth go during bad marriage but have been good for past 6 months. Brushing twice a day with soniccare toothbrush and 3m tooth paste along with fluoride mouth wash and high fluoride gel\n\nI am not sure why things getting worse when my hygiene has been better\n\nThe only pain is the gum.. not tooth it comes and goes .. pain not constant\nLike yesterday I had no pain in the area at all..so I thought gone then today slight discomfort but only because I brushed the area and used listerline\n\nI was scheduled for root canal next week anyways on different tooth but they said they can switch it to this one if needed\n\n\nHowever, endodontist office said this sounds like a gum problem and no issues with tooth?\n\nEdit-my primary dentist can see me Thursday but their office said possibly not tooth?\n\n\nJust really confused"
  },
  {
    "id": 510,
    "title": "Severe pain on teeth 28 region",
    "dialogue": "nikassam: On 7 JUNE 2022 ,My dentist adviced me to remove maxillary wisdom teeth as it is causing damage to next teeth as well as causing injury to my retromolar region tissues .\n\nI did that , extraction done and as usual previous experience of wisdom teeth extraction pain , I know what to follow and which usually fades away in 2,3 weeks .\n\nBut this time my pain is not going away even its almost a month .\n\nI am attaching my xray and CBCT of post extraction evaluation after 3 weeks with this post .\n\nPlease advice whats happening. I am confused about the pain as my regular dentist checkup from a dental college they have different opinion . Surgeon without looking at CBCT says suspects fracture , student dentist says Pain will go away in few weeks , One dentist says soft tissue trauma , one very new dental student in the college says to his senior \"I THINK IT WILL TAKE LONGER TIME TO FADE AWAY THE PAIN \" etc ."
  },
  {
    "id": 511,
    "title": "Night guard",
    "dialogue": "Groovy: Can I put my silicone night guard in after I just had an extraction? It's the same arch where I had the tooth removed from. (I am more clenching than grinding in my sleep.) Geparddent: Hi Groovy!\nWait to wear your silicone night guard until you are fully healed.  In fact, you may have to have a new one made, because the missing teeth may have helped to hold it in place or it might rub on your sockets.\n\nAsking your dentist will be more useful, more accurate & actually based on evidence related to you. Hope this helps."
  },
  {
    "id": 512,
    "title": "swollen gum behind last tooth",
    "dialogue": "tannermccoy: im 15 and have not had wisdom teeth removed. behind my last tooth it is swollen and is touching my top gum when my mouth is closed. it is quite painful. went to the dentist earlier but it just started swelling about 20 minutes ago. drmins: Try saline gargle and a mouth wash for the time being. If it doesnt subside,consult your dentist for a detailed examination.\n\nKeep smiling\ndr.mins Diony: I have swollen gum at the back of my mouth and it affects my jaw to it swollen and pain a lot I cant even chew It hurt so much what do I do Dr M: Good day\n\nIt sounds like you might have pericoronitis, due to a possible partially impacted wisdom tooth. We would need a clinical photo or x-ray to confirm.\nDepending on the severity, the tooth might need to be extracted. I suggest you go see your dentist"
  },
  {
    "id": 513,
    "title": "Is this a cavity?",
    "dialogue": "Username123456789: I'm worried this is a cavity \nI don't smoke or drink etc, but i struggle a lot with them.\nI brush my teeth twice a day and floss at night, so it get really worried when i see marks.\nAny advice on how to reduce cavities? Dr M: Good day\n\nThis does look like a cavity. To determine the extent of the decay, an x-ray will be needed"
  },
  {
    "id": 514,
    "title": "Does this look like normal gingival tissue color? Or patchy? Along the last three molars?",
    "dialogue": "CalebDDulin:  CalebDDulin: Here’s a better photo Dr M: Good day\nEverything appears normal CalebDDulin: Dr M said:\n\n\n\n\t\t\tGood day\nEverything appears normal\n\t\t\nClick to expand...\n\nSo, none of that looks like white patchy or is it just wear and tear of the gums. Especially around the molar areas."
  },
  {
    "id": 515,
    "title": "Billing ethics question for dentists",
    "dialogue": "Med Consumer: My new dentist (like most) is out of network with insurance. In May I paid in full up front for a full mouth\nRPS, done in two appts. They filed 2 claims. I was told when they received payment, they'd send\nit on to me. I found this weird because the old dentist had insurance send refund directly to\nme, but i figured this might have changed.\n\nA few weeks later, I looked at my insurance portal - it said they'd sent a check to the dentist for\nfirst of 2 claims three weeks ago. The second claim is pending. I emailed\ndentist, asking when they planned to send refund. They said, oh, well we usually wait for all the\nclaims to come in before we refund, and also, oh darn, dentist is out of town for 2 more weeks,\nso have to wait til he gets back to sign check.\n\nThen they ask if I want 2nd claim check sent directly to me. Uh, yes, I did, and wondering if this is an\noption, why are they collecting my refund and sitting on it? I assume they're doing this at scale, which allows a bunch of tiny interest sums to accumulate into real money.\n\nSo, dentists, is this common practice, and what is your opinion of it in terms of ethical/not ethical conduct? To be clear, the dentist was paid in full, I owed him nothing. All insurance funds were mine."
  },
  {
    "id": 516,
    "title": "Should the white stuff in recent extraction gum be cleaned out?",
    "dialogue": "SimonSays: I had an extraction on Saturday and I can see this white deposit.  I’m wondering if it’s infection or food that has got lodged there. can you make it out in the picture if you expand it? It was difficult to capture.\n\nI’m doing regular salt washes but I’m wondering if I should help that white stuff to leave the area? Dr M: Good day\n\nNormally granulation tissue or scar tissue forms after an extraction. This can be white or yellowish in colour. This will gradually run pink as healing progresses. \nIf there is no pain, the socket should be left unhindered. esseff: Thank you Dr M.\n\nI am still having pain in my jaw though, roughly about an inch below the ear lobe. It is very painful when I chew, even gently (I chew on the other side and have been for some time as it has been like this for the last 7 weeks). The extracted tooth hadn't felt right since it was crowned/root filled 2 years ago, but it now seems that it was not the one causing the jaw pain. It was removed by an emergency dentist as I don't have a dentist so no time was taken to really understand what might be the underlying issue. The only other tooth left on the right bottom row now is a wisdom tooth. It seems a healthy tooth, no pain at all when I press, push, or tap on it. Could this tooth still be the cause of the jaw pain even though there are no other signs? Dr M: Do you perhaps have any pre- or post x-rays you can share? SimonSays: Unfortunately I don’t anymore. I did have a digital copy of the original X-ray and could see the wisdom tooth in the X-ray, as did 2 other dentists. I’d hope if there had been something about it that wasn’t right someone would have said something.\n\nThe extracting dentist did say in passing, when I described the pain and where it was that the tooth she was going to extract couldn’t be causing it. She never investigated further as her job was just to pull something out."
  },
  {
    "id": 517,
    "title": "Upper Partial for front teeth , RCT , what are the advantages and risks ?",
    "dialogue": "juan.h: Hello everyone,\nFirst let me start with my story : I am 35 years old and 6 years ago I lost my 4 font upper teeth because of an accident. The dentist at that time made a bridge based on the 2 canines but now the bridge is not stable enough and my new dentist told me that I have to do RCT for the 2 canines and make crowns for them, and for the missing teeth she proposed to do another new implants-supported bridge or a denture. Honestly after many lectures and a lot of research I found that implants are not 100% successful and can have some complications plus they are quite expensive (here in Germany one implant cost around 2500 Euros). So I decided to go for upper partial denture and my dentist proposed \"Clearsplint\" denture. So I need your opinion about the following :\n\n- Can the denture hold for years ? (of course with proper care like professional cleaning twice a year)\n- What are the risks of wearing upper partial dentures for the front teeth ? is it true that is can increase the risk of oral cancer because of friction or any other reason ?\n- Also the same for RTC , is it safe ? Some people says it could burn out the immune system and rise the risk of cancer ?\n- Any of you is wearing partial denture at young age or know someone?\n\nSorry if i ask many questions, but sometimes i cannot sleep because of thinking about the above and feel that my life is ruined and has no sense , it is really painful especially when it affects your family.\nI will appreciate any help"
  },
  {
    "id": 518,
    "title": "Teeth being filed- filling was too high. Now sensitive?",
    "dialogue": "Anxiousdentalpatient: I went to the dentist back in April, had a filling worked on. About a week ago, I started noticing temperature sensitivity so I went to the dentist just on Friday. He found that the filling was too high so he filed it down. Said it was hitting the other tooth causing inflammation.\n\nNow, two days later and that tooth is very very sensitive. I can’t even drink room temperature water and swish it around without feeling it. \n\nIs this normal after a filing of a tooth? Could he have filed it too much? I’m debating on if I should wait it out or call in the morning. Tooth otherwise does not hurt. \n\nI bought sensodyne on Friday before I went to the dentist. I also have extreme dental anxiety , but not to the point I avoid it, although I do hate going to the dentist.  I obsess if anything is wrong and worry until it is fixed. MattKW: Every time we drill into a tooth, some damage is done (that's why you need anaesthetic). And the deeper the decay, then the more likely the \"nerve\" may not recover.\nIf it was a composite (white) filling, then the filling is bonded onto the tooth structure. There are a number of reasons why this bonding may not be perfect, and that can often lead to prolonged post-op sensitivity. It is hardly ever due to a high filling - that would cause tenderness, not sensitivity.\nIt's hard to say what to do without knowing what was done. However, you can certainly try the Sensodyne for a few days - it won't do any harm. My next suggestion would be to redo the filling. Also, you could consider changing the filling to an amalgam - they have much lesser risk of post-op sensitivity. Anxiousdentalpatient: Thank you so much for this detailed response. I am going in tomorrow to see what is going on. It seems odd that it got more sensitive after he filed the tooth down a little bit."
  },
  {
    "id": 519,
    "title": "Odd looking x ray",
    "dialogue": "Smithj82: Can anyone explain what's happened to this x ray or what it is? (highlighted in red) I thought initially it had been scratched but there are no indentations on the radiograph.I've taken a photo of both the front and back of the xray MattKW: A poor quality X-ray that is hard to see. Looks like a lower premolar that has a cast post-and-core, followed by an amalgam apicocectomy."
  },
  {
    "id": 520,
    "title": "Abnormal white patch on left tonsil, painful",
    "dialogue": "Matthew1995: Hi all. I hope you can help me! I woke up this morning with what felt like a sore throat. Under further inspection I noticed a patch on my left tonsil which hurt. I thought it might be a canker sore, but I am not sure. It has changed in shape over the course of the day. Is it just the natural progression of a canker sore? I also feel extremely fatigued. I have attached two photos showing the sore’s progression. The only thing I don’t understand is if it is a canker sore, what is the open wound above it. Matthew1995: Most recent picture Matthew1995: Attached > Dr M: Good day\nAlthough this might be a canker sore, the soft palate including the tonsillar complex, is considered a high risk region for potentially malignant disorders.\nIf this area does not resolve within a week, I would seek the consult of an oral surgeon, since this area  might need a biopsy. Matthew1995: Dr M said:\n\n\n\n\t\t\tGood day\nAlthough this might be a canker sore, the soft palate including the tonsillar complex, is considered a high risk region for potentially malignant disorders.\nIf this area does not resolve within a week, I would seek the consult of an oral surgeon, since this area  might need a biopsy.\n\t\t\nClick to expand...\n\nThank you, Dr. M. I have attached a photo as of this morning. All signs lead to the patches being canker sores, the only abnormality is that there is a red puncture wound present and no red border (although this is only the second day so maybe that will form later?). I have read that malignant sores seldom grow in groups and are usually singular. I count three sores. Is this a good sign?"
  },
  {
    "id": 521,
    "title": "Burning in inside ear",
    "dialogue": "Anand123: I had canker sore 1.5 month ago , healed  already . Then dentist found out two big lesions on each cheek , went to oral surgeon he confirmed it’s due to chronic cheek chewing habit , stopped habit in 3 weeks healed , after that I found on left above cheek slightly bulged salivary gland , a tiny one and also found left inner cheek with bluish marks , surgeon confirmed again that I got extra melanin and those things are due to chewed habit , also recommended not to ply with that bulged gland , now he told me not to see him as nothing is wrong w cheek , now since 8 days I got blocked ear , and few like constant burning inside ear , if by mistake my tongue touch those chewed marks or that bulg gland , I get start burning right away in cheek and ear , I m scared , kindly guide dentists what to do , Dr M: Good day\nIt is difficult to give a lot of advice, with limited information, but canker sores are often associated with the Herpes Virus. This virus, once you get infected, remains dormant, often in the trigeminal nerve ganglion, and then gets \"re-activated\" under certain conditions, such as stress or a decrease in your immune system.\nThe virus then travels down the nerve fibres, of which the trigeminal nerve has certain branches associated with the ear region. Most commonly sores is found in the oral-facial region.\nTreatment usually consists out of symptomatic relief, since the symptoms disappear after about 2 weeks."
  },
  {
    "id": 522,
    "title": "Thought-provoked (anxiety) tooth sensitivity?",
    "dialogue": "Subrina98: Respected community,\n\nI have a small issue I consider unproblematic, but let's see. Can a dead tooth be sensitized upon a thought? Namely, last Sunday, during lunch, I had a rather hot pumpkin soup and an hour afterwards I had a beer. However, it was not only until the next day when a friend of mine had a similar case when he took a freshly baked spinach pie and while having agreed to take a beer afterwards. At one moment he said - \"this hot pie and a cold beer immediately afterwards, very bad for the teeth\" - which concerned me internally and from that moment I (sub)consciously(?) thought-provoked a discomfort in my mouth, particularly one dead tooth, minor/mild sensitivity which sometimes tends to jump on the other side of the mouth?\n\nIt's been a week and I still do feel some kind of unusualness as before.\n\np.s. I am taking extensive care of teeth (diet wise, dental care etc.). I had dental checks this winter, next one is in 2-3 weeks. \n\nThanks for answering this rather unusual, perhaps exaggerated issue? Dr M: Good day\nThe photo is a bit unclear, so difficult to see, but it does sound like you are just worrying a little bit too much over the issue. Dental anxiety is a real thing, and can be triggered by a host of factors. Obsessing over a tooth, can also then later manifest a sort of \"phantom \" pain. \nTo put your mind at ease, go see your dentist, for re-assurance that all is well and in the mean time, try not to think about the tooth, or fiddle with the tooth too much.\nMost likely all will be well."
  },
  {
    "id": 523,
    "title": "Inside of cheeks sore/swollen",
    "dialogue": "Rose Thomas: I hope someone can help me. I've been to my dr and dentist and they don't know what is wrong. For 8 weeks I've been Having pain - thought at first was teeth then narrowed it down to inner cheeks. Dentist found no abcess or cavities and had family dr did bloodwork and all was in range. No infection. \n\t\t\n\t\t\n\t\n\n\n\t\n\n \n\n \n\n  It's is like a numbing stinging pain in my cheeks and they feel swollen. I've attached 2 pictures. Does it look like I am maybe doing something like sucking or gnawing the cheeks ( maybe in my sleep) also the cheeks feel puffy and swollen. It's is not everyday but most days. I have an allergist appt in 2 months and oral surgeon in a month. The marks are by the pAratoid duct area. Oh and the dentist did check and there was no blockage in glands. Please help!!!! I've been anxious and cannot eat properly. I just want a solution! I've also been to the ENT. Thanks in advance Adrunio123: Hey! I have the same problem, did you find out what coused this kind of sore? Im stressing out Steven143: I got the same thing for 1 mouth can u let me know wat is the name of that ulcer or wat medicine to.take thanks Steven143: hi bro do u know wat is the name forthe ulcer Dr M: Good day,\n\nChronic cheek biting or even a molar that is slightly titled towards the cheek, might cause this painful area in the cheek. It is called morsicatio buccarum.\nDo you still have your upper wisdom teeth? Steven143: yes that morsticatio buccarum is on my left side of cheek n right side as well but it pain on my left side mostly  on yes I still have my upper wisdom teeth wat I do with that thanks Steven143: here my x ray can u guide me through brother   pic of the mrosticatio buccarum left side right side I'm scared it's not cancer right it just happen 4 weeks the doctor give me antibiotic Steven143: do I remove the upper wisdom teeth Anand: I also have same problem , also having burning sensation after even a second I touch the place Anand: Having same problem morsicato"
  },
  {
    "id": 524,
    "title": "Dry socket healing",
    "dialogue": "tomm88: Hi,\n\nI had a partial extraction of a molar last week. The dentist had trouble extracting and after 2 hours gave up. Managed to remove one root and half the tooth, but a large bit of the tooth remains below the gum line and of course the 2nd root.\n\nI had some pain and awful taste smell, so returned on the following Monday the dentist cleaned it up and packed it with a \"dressing\" which tasted of cloves. They advised me it was probably dry socket.\n\nI've had serious pain in my jaw probably due to the trauma over 2 hours, however I have some questions if anybody is able to offer some insight.\n\n1. I have a burning/scratchy sensation on the inside of my gum - almost under my tongue, could this be a \"burning\" of the dressing that was used, if it spilled over? I can't see any scratches/ulcers but it looks red (ish).\n2. The socket itself, the dressing appears to be beginning to fall out (at the rear side where the root remains), should this be TAKEN out or is it okay to sit until it naturally fall outs?\n3. When the dressing is completely out - how does this heal? If it's an empty socket, with no clot, can the hole ever close up? it's quite deep!?\n\nI'm booked in for surgery in 3 weeks for the remaining root to be removed. I fly long haul 2 weeks after and i'm just hoping to be comfortable when I go. I considered cancelling the surgery, but felt it may be better to just have it removed in case it flares up on a plane or while i'm supposed to be on a holiday.\n\nAny thoughts/comments would be welcome Dr Udeshna Singha: Hi this is Dr Udeshna Singha, consulting dental surgeon from Guwahati, Assam, India. \n\nAnswer to 1. The \"dressing\" that was used was most probably zinc oxide eugenol paste since you said it tastes like cloves. Sometimes a combination of \"iodoform- antiseptic agent\", \"butylparaaminobenzoate- has an anesthetic action\" and zinc oxide eugenol is used. I don't really think any irritation might be caused by the dressing because zinc oxide eugenol has anti-inflammatory and local anaesthetic effects. \n\n\nAnswer to 2. Wait until it naturally falls out\n\nAnswer to 3. Socket healing will take place naturally. But sometimes the speed of healing is compromised due to habits like smoking or tobacco intake. So you should avoid that.  Healing of an extraction socket happens in 3 stages. It will take around 14 days. So do not worry. You will be fine. tomm88: Dr Udeshna Singha said:\n\n\n\n\t\t\tHi this is Dr Udeshna Singha, consulting dental surgeon from Guwahati, Assam, India.\n\nAnswer to 1. The \"dressing\" that was used was most probably zinc oxide eugenol paste since you said it tastes like cloves. Sometimes a combination of \"iodoform- antiseptic agent\", \"butylparaaminobenzoate- has an anesthetic action\" and zinc oxide eugenol is used. I don't really think any irritation might be caused by the dressing because zinc oxide eugenol has anti-inflammatory and local anaesthetic effects.\n\n\nAnswer to 2. Wait until it naturally falls out\n\nAnswer to 3. Socket healing will take place naturally. But sometimes the speed of healing is compromised due to habits like smoking or tobacco intake. So you should avoid that.  Healing of an extraction socket happens in 3 stages. It will take around 14 days. So do not worry. You will be fine.\n\t\t\nClick to expand...\n\nThank you for your reply.\n\nPain seems to be almost gone now which is great. I think the pain I was experiencing was an ulcer that I found just near the extraction site under my tongue, this was disturbed everytime I moved my tongue.\n\nWhat i've noticed this morning is a bad smell coming from the socket once again - much like an infection, concerned I now have an infection while the \"dressing\" is in place. I will try to get back to my dentist to investigate in case it needs any further cleaning/antibiotics.\n\nthanks,\nTom"
  },
  {
    "id": 525,
    "title": "Scared I have periodontic disease",
    "dialogue": "Scaredofdentist2020: So after 3 years without a dentist, several cavities and a root canal later…I was told last ween I need to be measured the space in my gum. Worst news  i am so scared I have periodontal disease.  I googled the symptoms and I dont really hage bleeding gums, I have a devaying back wisdom tooth getting removed, and this part of my bottom teeth are red. Other then redness and a bit of sorness in corner of mouth (i think due to wisdom tooth)….my gums arnt sorr to the touch, i had one slightky red floss pick on one tooth…but I cant help but feel frightened my teeth are doomed and im in an irreversible situation. My friend tells me I woukd have to be in way worse shape, not brushing my teeth at all, etc…and not to freak out. Please help, Im 31 and trying not to stress….. Dr Udeshna Singha: Hi, this is Dr Udeshna Singha, consulting dental surgeon from Guwahati, Assam.\n\nYou don't have to worry much as there are various grades of periodontal disease which ranges from mild, moderate and severe. From the symptoms that you have mentioned in the above statement, it doesn't seem like you have a severe irreversible periodontal disease. However a clinical evaluation is a must.\nPlease dont worry. Dentistry is highly advanced in this era and hence you will receive the best treatment. Just visit your dentist and they will take care of you. There is nothing to worry about. Scaredofdentist2020: Dr Udeshna Singha said:\n\n\n\n\t\t\tHi, this is Dr Udeshna Singha, consulting dental surgeon from Guwahati, Assam.\n\nYou don't have to worry much as there are various grades of periodontal disease which ranges from mild, moderate and severe. From the symptoms that you have mentioned in the above statement, it doesn't seem like you have a severe irreversible periodontal disease. However a clinical evaluation is a must.\nPlease dont worry. Dentistry is highly advanced in this era and hence you will receive the best treatment. Just visit your dentist and they will take care of you. There is nothing to worry about.\n\t\t\nClick to expand...\n\nYes i am going next month for additional cleaning and measurements they said…I know my mouth isnt bleeding after brushing, nor fo my teeth feel loose, Ive really been working at brushing twice a day and using mouthwash that is supposevto be great for gums…just wanting the redness to go away…"
  },
  {
    "id": 526,
    "title": "Growth after tooth removal?",
    "dialogue": "tber2022: I had a tooth removed a month ago and now I have some kind of growth where my tooth was. It also feels like my bone is coming out of my gums. You can see the white spot below the growth. I'm not sure if it's an abscess or what. My regular doctor put my on antibiotics and I'm going to see my dentist this week. Just wondering what all of your thoughts are. Very little pain and no fever.\n\nThanks Dr M: Good day\n\nThis might just be normal hypertrophy or growth of tissues after surgical trauma. A lot of times this gradually decreases in size over time. \nThe yellow, if hard,  might be a bony fragment being extruded. Between the roots of a tooth, you get inter-radicular bone. When the tooth is extruded, this bone is broken down as healing progresses. A lot of time it is just resorbed, but in certain cases, pieces of bone might be extruded over a period of weeks or months.\nIf this piece is irritating,it can be removed."
  },
  {
    "id": 527,
    "title": "1 week gone , but palate burn cause pain",
    "dialogue": "nikroute: Look at this please .\n\nAlmost 8 days gone but still area feels like swellon and causes pain while touch .\n\nIs it healing of need medical attention.\n\nI am eating fruits and normal temp foods , no spicy , outside food since my palate burned"
  },
  {
    "id": 528,
    "title": "Red patch on tongue??",
    "dialogue": "lilith: anyone know what this red patch is near the tip of my tongue?? theres no pain and i dont recall biting or burning it recently, Google says geographic tongue but it doesn't look like that to me lilith: boosting this post with another picture which i think is abit more clear anyway, i have bad anxiety when it comes to my mouth and my next dentist is not til august nikroute: As per my dentist , in most of the time not any issue or you need not to worry about . Food , hot and cold , spicy etc causes variation in color most of the time\n\nThings to take care is :\n\n1. Does it feel like burning\n2. Does it cause pain .\n3. Does it makes pinch and needle feeling\n\nDo not panic or feel anxious .DO NOT GOOGLE ANY DISEASE , GOOGLE ALWAYS WRONG ABOUT DIAGNOSIS .\n\nI was made aware by my dentist years ago WHAT WE SEE IS SYMTOMS , WHAT THEY SEE IS SIGN , most of the disease carries same symtoms . Example TOOTH ACHE always not because the Teeth , it might because nerve , sinus , or irriration so how can google help you !! Tongue shows Vitamin issue , kawasaki disease etc So do not google it\n\nAvoid touching the area.\n\nOur mouth dont like irritation so do not touch it .\n\nYou can take care of your mouth using polyherbal three dry fruit juice , termeric + salt mixed mouth gargal .\n\nThese are totally natural so even you digest them there will be no side effects lilith: nikroute said:\n\n\n\n\t\t\tAs per my dentist , in most of the time not any issue or you need not to worry about . Food , hot and cold , spicy etc causes variation in color most of the time\n\nThings to take care is :\n\n1. Does it feel like burning\n2. Does it cause pain .\n3. Does it makes pinch and needle feeling\n\nDo not panic or feel anxious .DO NOT GOOGLE ANY DISEASE , GOOGLE ALWAYS WRONG ABOUT DIAGNOSIS .\n\nI was made aware by my dentist years ago WHAT WE SEE IS SYMTOMS , WHAT THEY SEE IS SIGN , most of the disease carries same symtoms . Example TOOTH ACHE always not because the Teeth , it might because nerve , sinus , or irriration so how can google help you !! Tongue shows Vitamin issue , kawasaki disease etc So do not google it\n\nAvoid touching the area.\n\nOur mouth dont like irritation so do not touch it .\n\nYou can take care of your mouth using polyherbal three dry fruit juice , termeric + salt mixed mouth gargal .\n\nThese are totally natural so even you digest them there will be no side effects\n\t\t\nClick to expand...\n\nthank you for a reply it doesn't cause symptoms i dont think, unfortunately im a hypochondriac so everything makes me panic and worry. i might try and reschedule my dentist for earlier if it hasn't gone in a week or 2 or ill just end up going crazy and assume the worst Nancy_Mart: lilith said:\n\n\n\n\t\t\tanyone know what this red patch is near the tip of my tongue?? theres no pain and i dont recall biting or burning it recently, Google says geographic tongue but it doesn't look like that to me\n\t\t\nClick to expand...\n\nHi, No need to worry about it. It may be caused by contact with sensitive food items like spicy or hot. It seems like a small infection. It will be okay within one week. If it is not so and feel uncomfortable, consult with a dentist. lilith: Nancy_Mart said:\n\n\n\n\t\t\tHi, No need to worry about it. It may be caused by contact with sensitive food items like spicy or hot. It seems like a small infection. It will be okay within one week. If it is not so and feel uncomfortable, consult with a dentist.\n\t\t\nClick to expand...\n\nhas already been like this for about 2 weeks so i think ill move up my dentist appointment if theres no change next week, thanks for the reply! Nancy_Mart: lilith said:\n\n\n\n\t\t\thas already been like this for about 2 weeks so i think ill move up my dentist appointment if theres no change next week, thanks for the reply!\n\t\t\nClick to expand...\n\nHello, Let me know any status change in your condition?"
  },
  {
    "id": 529,
    "title": "Front Left Tooth gum recession?",
    "dialogue": "ViVi-Anne: I don't know when it had receded but I just noticed it a few minutes ago.\nI normally try to take very good care of my teeth: I brush twice a day with an electronic tooth-brush, floss once a day, and now I've been using an non-alcoholic mouth wash because I get dry mouth. The only new thing I've introduced to my regime is actually the mouth wash (it's Act Fluoride Brand Dry Mouth alcohol-free with Xylitol mouth wash.)\nI also wear my retainers every night (since I was like 18) and brush them before popping them in my mouth. I've also been rinsing them with mouth wash 'cause I thought that would be a good idea.\nI don't drink, smoke, or use drugs.\nThere is 0 pain, 0 swelling, and 0 bleeding. My tooth doesn't feel loose either. My gums have a uniform pink color as well. It's just that all of a sudden my left front tooth gum decided to take a trip upwards. My two front gums are usually uniform except for today I guess. I mean, is this serious? Is it an infection? I've been trying to get an appointment today for the last 3 hours.\nI'm kind of freaking out."
  },
  {
    "id": 530,
    "title": "Dental CT scan Help",
    "dialogue": "nikroute: A redness area medial to left upper molar noticed by me since feb 2022 . Had OPG , Dental CT scan .\n\nDental CT scan of the region and the teeth shows as image attached\n\nA clinical image of the area also attached ( its more red than seen in image )\n\nPlease guide me please nikroute: Studied alot of dental literature and paper on oral medicine and radiology and finally I came to a conclusion thats this \n\nPeriapical infection and bone loss around palatal root causing mucosal redness at proximity of root apex .\n\nSo now discussed this with general dentist and set a date for surgical exrraction of the teeth"
  },
  {
    "id": 531,
    "title": "Discomfort/pain on my gums near teeth area",
    "dialogue": "Clean Man: Hello BG’s. For about a week or two I’ve had discomfort/mild sharp pain (not enough for me to take any pain medication) on my gums, upper right area behind teeth. The Occlusal night guard there I wear all day (for grinding) causes the pain to elevate.\n\nEvery 3 months I go to the Dentist to do cleaning which includes Periodontal Maintenance:\n\nGingival Irrigation - Per Quadrant \nTopical Application of Flouride Varnish.\nApplication of Desensitizing.\nPerio Charting. \n\nLast treatment was 5/9/22. \n\nToday, I went to my Dentist to pick up a new night guard (old was broken/worn out). Took X-Rays. Discovery: Tarter buildup and Hygienist also talked about pockets there. Apparently, my flossing technique was not good meaning I was moving too fast to get through the process. I needed to spend more time running the floss around the side walls of tooth to remove plaque. \n\nAny Advice?"
  },
  {
    "id": 532,
    "title": "Discomfort/pain in upper right gum area near teeth.",
    "dialogue": "Clean Man: Discomfort/Pain has been there for about a week or two. It seems like my Occlusal night guard (for my grinding)  makes it worse (more sharper pain). I do wear it all day. I did get a new guard today. Old one was broken and worn off.\n\nI go to the dentist every 3 months for cleaning which includes Periodontal Maintenance:\n\nGingival Irrigation per Quadrant. Topical application of fluoride varnish, perio charting and application of desensitizing. Last treatment was 5/9/22.\n\nToday dental office took X-rays and discovered tarter buildup in that area and something to do with pockets. I have had bone loss as well. I was recommended to floss better. Apparently, I wasn’t doing floss correctly meaning moving too fast and not scrubbing around the side of tooth.\nI am a 44 years old male. \nAny advice?"
  },
  {
    "id": 533,
    "title": "Something weird noticed today",
    "dialogue": "nikroute: Hello I have noticed this today \n\nPlease what it could be"
  },
  {
    "id": 534,
    "title": "Does this look like pre=cancer?",
    "dialogue": "Kindascared: I have been getting jaw and earaches when chewing food, drinking hot or cold drinks for a couple weeks now. I seems to be getting worse. Finally decided to look for the culprit and this is what I found. Don't know if it's some sort of infection or cancer. That is lower right inside of manible. Dr M: Good day\n\nAny pre-malignant lesion can only be definitively identified with a biopsy. White lesions, as it appears in your photo, can be due to a range of reasons. If you are really worried, you can go and see an oral surgeon for an opinion. You can also google sqaumous cell carcinoma to get an idea of what oral cancer usually looks like. Kindascared: Dr M said:\n\n\n\n\t\t\tGood day\n\nAny pre-malignant lesion can only be definitively identified with a biopsy. White lesions, as it appears in your photo, can be due to a range of reasons. If you are really worried, you can go and see an oral surgeon for an opinion. You can also google sqaumous cell carcinoma to get an idea of what oral cancer usually looks like.\n\t\t\nClick to expand...\n\nThanks for your reply. Going to dentist today to have it checked out. Kindascared: Dr M said:\n\n\n\n\t\t\tGood day\n\nAny pre-malignant lesion can only be definitively identified with a biopsy. White lesions, as it appears in your photo, can be due to a range of reasons. If you are really worried, you can go and see an oral surgeon for an opinion. You can also google sqaumous cell carcinoma to get an idea of what oral cancer usually looks like.\n\t\t\nClick to expand...\n\nTurns out is was a bone spicule. The bone fragment came out yesterday"
  },
  {
    "id": 535,
    "title": "IB extended essay",
    "dialogue": "yiboz: I want to write an extended essay for the IB course around teeth or oral hygiene, but I am unsure of what research question to use, which is not one been done regularly ie effect of different drinks on the enamel. I take HL biology and chemistry, any replies would be helpful"
  },
  {
    "id": 536,
    "title": "Mandibular Nerve",
    "dialogue": "suneela: Over the last 2 ½ years I have been suffering with Left sided facial pain after a dental procedure. The problem started after a filling in my left molar with a local anaesthesia followed by electric sensations/ severe shooting pains across my lower left jaw, teeth, tongue and lip area. I was unable to eat or brush my teeth. The following six weeks, the dentist recleaned & re-filled the Left two molar teeth several times, at times I was jumping off the dental chair due to severe shocking painful currents, as if my whole being was hoovered by the dental suction tube. I asked for a referral to Dental Hospital but was assured that the other dentists would be doing the same. (He was an ‘award winning’ dentist, and I put my entire trust). He then performed root canal treatment on the same molar (I was undergoing IV Alendronic acid infusion and concerned about jaw necrosis). Four weeks later the root-canaled tooth was extracted, the dentist promising me that this would end my misery. With each procedure the pain was getting more unbearable. These 6 weeks, I had multiple injections sometimes even 7 local anaesthesia in one sitting for numbing.\n\n\n\nI’m currently under the care of an Oral Health/Facial pain consultant who referred me for MRI scans, and I’ve been seen by a neurologist in 2021, ruled out trigeminal neuralgia and advised it’s Mandibular nerve injury due to dental procedures and that a surgery will not give relief.\n\n\n\nI am on Pregablin and Oxcarbazapine three times daily. (Initially on Carbamazapine with several side effects)\n\nI continue to suffer from severe nerve pain – every single day, several times – any time I eat.\n\nFirst thing in the morning, the left side of the tongue feels tied at the back giving needle like /broken glass sensations with slight jaw/mouth/tongue movement (although I take the tablets just before bedtime and yet 4-5 hours later even a sip of water is agony lasting few minutes). Brushing my teeth triggers shooting nerve pain. Eating is a bit peculiar as initially it is extremely painful to eat, gradually easing out although not completely as the shocking pain strikes anytime.\n\nI was wondering if anyone in this forum has experienced this?\n\nAny professional suggestions for finding relief.\n\nWill this pain ever go away?\n\nCan the mandibular nerve heal by itself?\n\nAny other therapies that may help? nikassam: In my case a Psychologist and a neurologist handled me and I am fine now after 2 years of treatment . Dont know my nerve was damaged or not but i had same issue .\n\nHope this info could help you suneela: Thank you. It's so comforting to get a response. And thank goodness your suffering has ended. A nerve pain in the mouth is so very debilitating. Only the person experiencing this can ever understand it. \n\nI was seen by a neurosurgeon who discharged me after looking at my MRI scan.  He was pretty confident that it is 'mandibular nerve' damage due to dental procedure.\nCurrently I can't imagine my life without the daily 'epilepsy drugs'. The next move maybe laser treatment but I've not as yet been referred. Even if I do get referred there'll be a long waiting list. \nI will consider looking into what's helped you. honestdoc: I'm sorry you are suffering from nerve pain.  I've been practicing for 24 years and I do get people experiencing electric shock during local anesthesia administration.  Just a few days ago, a young patient experienced his right vision blurriness temporarily for 10 minutes. Nerves have potential to heal and I'm sorry your nerves have been slow to respond.  Hopefully your neurologist will follow up appropriately. suneela: honestdoc said:\n\n\n\n\t\t\tI'm sorry you are suffering from nerve pain.  I've been practicing for 24 years and I do get people experiencing electric shock during local anesthesia administration.  Just a few days ago, a young patient experienced his right vision blurriness temporarily for 10 minutes. Nerves have potential to heal and I'm sorry your nerves have been slow to respond.  Hopefully your neurologist will follow up appropriately.\n\t\t\nClick to expand... suneela: Thank you for your response. \nUnfortunately, my situation is unchanged and I am awaiting an appointment with the oral health consultant to discuss next steps.\nI am glad your patient's eyesight recovered soon, those 10 minutes must have been very long and frightening for him.\nI am still cross with my dentist that he did not acknowledge my neuropathic pain for several weeks despite me describing it as 'electric shock sensations' and ignored my request for onward referral prior to going ahead with an unplanned extraction. I also feel that if my condition had been diagnosed earlier (by onward referral) I could have had the benefit of instant treatment. nikroute: I asked my neurologist . He said Nature of damage and symtoms needs to be accessed first to neuro treatment . nikroute: Hello , go to a experienced neurologist ( surgeon ) . Last step is surgery but as my neuro surgeon who treated me said after taking all history , nature of damage and symtoms , they can order MRI and some other scans ,test than only it will be decided whether surgery can cure it or not ."
  },
  {
    "id": 537,
    "title": "Tooth next to extraction feels as if it has smooth rounded bump at the back of it?",
    "dialogue": "Bettybowe: Hi,\n\nI had a tooth extracted on the bottom right on Monday. I've now got a smooth rounded bump on most of the back of the tooth next to the gap where the tooth was extracted.\nHas anyone else experienced this?\nThanks Dr M: Good day\n\nDo you perhaps have any photos of this bump?"
  },
  {
    "id": 538,
    "title": "Root referral after a tooth extraction",
    "dialogue": "Luke1992: Hi as similar to a post I seen recently I had my first ever tooth extraction 4 weeks ago. It was a bad ordeal and was bleeding a lot, I went to the emergency dentist the day after and they x rayed it and said all 3 roots are still in and quite large so needs referring. Also the reason for extraction was because they said it was infected yet they left the roots in and never said anything to me after. I could of gotten referred by the emergency dentist but that would of costs more so I showed my dentist the x ray and said i need to be referred. They referred me nearly 4 weeks ago and still not heard anything. When I phoned them they tell me there is a waiting list and it will be the hospital that contact me first and it’s only mouth cancer that is an emergency so can be waiting a while. \n\nIs this normal to wait this long for a root referral after an extraction? Dr M: Good day\nThe waiting lists are dependent on the hospital. It is common for more serious conditions to be prioritized. Your condition can be managed in the mean time by medication. The lists are also dependent on the amount of oral surgeons available. You can consider going to a private oral surgeon, but there might be some additional costs involved."
  },
  {
    "id": 539,
    "title": "Is root extraction necessary?",
    "dialogue": "Le Chene: I had a tooth extraction 5/6 weeks ago which broke leaving root remaining. Currently awaiting surgery to extract root. The original extraction appears to have healed fine.\nAny advice on potential problems if I were to leave the roots without extraction?\nTia Dr M: Good day\nIf the tooth was vital ( still had nerve tissue in), there is a chance that the remaining piece could become infected and form an abscess.\nThere is also a chance that it won't.\nDo you have any xrays you can share?"
  },
  {
    "id": 540,
    "title": "X-ray help",
    "dialogue": "Anna1910: Can anyone analyze my dental x ray please, and say what are the biggest issues with my teeth. Thank you Dr M: Good day\n\nFrom the panoramic x-ray, it is visible that you have several missing teeth, including a retained dental root on your upper right side, which might lead to future problems. You have several large fillings on the top left, some of which are very close to the nerve. It does seem like there also might be some secondary caries, although caries is usually identified better on peri-apical or bite-wing x-rays.\nIt also seems like your left front incisor (top), has either a large abscess or cyst, but again this can be better viewed on a peri-apical x-ray than a panoramic x-ray.\nWhat is your specific issue? Anna1910: Thank you so much for a detailed answer. \nI have been told that it would be a problem to extract that root because it is too close to sinus, what do you think about that? \nDo you see any other tooth that is inflammed and need a root canal treatment beside left front incisor? Dr M: I would refer you to an oral surgeon for the extraction of the root. They are qualified to handle most complications associated with such an extraction.\nI can't see any other teeth that need root canal treatments, but as previously mentioned, I would need other type of x-rays in order to give definitive opinions Anna1910: Sorry for asking to much, but what about right front incisor?  My new dentist thinks that i had root canal treatment on that tooth,but i cant remember that? Dr M: Yes you did. It is clearly visible on the x-ray. You also have a post and crown on that tooth."
  },
  {
    "id": 541,
    "title": "Cheap, Stingy, or ADHD?",
    "dialogue": "YSI: I am retired, long history of dental work. Filling in every tooth by end of high school. Root canal and crown after college. Today I have 5 crowns. The crowns have been great, although I opted for porcelain on the last one and don't love it-its size is smaller that corresponding teeth, and its color is nowhere close to my real teeth, causing people's eyes to track down to it when I smile.  So recently I was experiencing pain in 3 natural teeth. I called for an appt last September, was told 1st opening was in March. I whined (pain in 3 teeth) and the scheduler said let me check again and then said oh wait yes she has an opening... (end of November.) I arrive and I am seen by a young woman, but not by who I requested and who I was told the appt was with... The appt was pleasant but waste of time and money. I then was scheduled for February with who I had requested. Appt was pleasant and fillings done on right side. Discussion about crowns, root canals, and pulling teeth. Scheduled for end of April for left side which was the worst side... Fillings done, and again a discussion about crowns and root canals and pulling. My right upper work resulted in my right lower crown popping loose momentarily resulting in electrical lightning arcing from the gold crown forward thru the next two filled teeth. This has happened twice now, and saliva (?salt?) seems to trigger the lightning? The tooth above was shaped like a dagger striking the junction between lower tooth and crown. It had a pointy edge like a dagger. Complained at next appt and the sharp point was filed off but it still feels prominent. Left upper middle tooth, inbetween two crowns, is now also shaped like a dagger. But I finally figured out why this was occurring. Her fillings on the two dagger teeth do not fill to the top of the tooth-I have a gulley running down the length of those teeth. When I bite down on food these upper teeth don't have a flat stiking surface and the food is acting like a wedge giving me the feeling like my tooth is going to break apart, so I immediately back off of the chew (simply bread triggers this the most.) The right worst symptoms have mostly subsided. The left is getting worse-I now have pain above the tooth including the fleshy area left of my nose and above the bone my left upper teeth are adjoined to.  I remember excruciating pain before my root canal in my 20's, and this isn't close to that, yet, but very concerning-even flossing triggers pain along the rim of the dagger tooth so somehow I don't think filing this one down will do the trick. But currently it only hurts to touch/pressure. \n\nI have repeatedly told her I like crowns and don't care what my teeth look like and pulling is fine with me also. What do I have to say to get her to pull the trigger?!  I drive 2hrs for these appts and with inflation rising gas is expensive. How do you be forceful when you know that will trigger their temper?"
  },
  {
    "id": 542,
    "title": "Worried about a black spot I have noticed on my cheek. Pls help.",
    "dialogue": "Steven York: I have noticed a dark, black spot on my cheek on the side of the upper teeth, but it is actualy located slightly above the upper teeth. It shouldn't be caused by cheek biting, it is too high. I think it is very close to parotid duct opening. Isn't also the parotid duct too enlarged? And what do you think on the white bumps around? Pls advise.\nI am very worried. Pls help. honestdoc: Normal.  The big lump is called the Stenson's Duct which is the Parotid Duct opening.  Notice how the black dot (capillary anatomy) is perfectly circular.  Anything of concern usually involves lesions that are irregular and ugly.  Look up the most common cancer in the mouth, Squamous Cell Carcinoma. Steven York: Tnx, but then what do you think is the black dot? honestdoc: Part of the capillary anatomy."
  },
  {
    "id": 543,
    "title": "Cracked Filling? Or is this a normal filling?",
    "dialogue": "tempaccount1988: I just got fillings today and my dentist drilled one of them deeper than I expected (none of my fillings on either side are as deep). Did my dentist crack and break my filling during the drilling? Since my dentist was the one who drilled it to be this deep, should I ask him to refill it? (Attached as many angles as I could get) Dr M: Good day\nEverything appears normal in the photos."
  },
  {
    "id": 544,
    "title": "Bridge",
    "dialogue": "Confused: A few  weeks  ago  my  bridge fell  out. The  dentist  did manage  to  cement  back  in, even though the \"pins\" that  normally  hold  it  in  were damaged. I  have  been  told  that I  cant  have replacement bridge (this  is  where  Im confused) but  can  have a  denture  or  even  pay  privately  and  have implants. Anyone  know  why this  could  be? Dr M: Good day\nThe option to replace the bridge is dependant on the amount of sound tooth structure left. It might be that the remaining tooth structure is not enough or of good quality  to support a new bridge and then the only option left is either a denture or implants."
  },
  {
    "id": 545,
    "title": "Adding Teeth to a Flipper",
    "dialogue": "frank1492: I have two missing lateral incisors, and there is about 5% of my right front tooth missing on the right edge due to an earlier vertical crack. Due to budgetary considerations, my dentist has proposed a 3 tooth flipper with \"teeth\" to replace the two incisors and the broken front tooth which he wants to extract. Although I realize the broken tooth may be prone to further cracks and may not last long, I would like to keep it for now because it satisfies\nmy 3 tooth-keeping criteria: it's still anchored to my bone, it's not loose and it doesn't hurt. (He says it can't be restored.)\n          If it's left in place and a 2-tooth flipper is used to plug the laterals, can a third tooth be added later in the event the cracked tooth absolutely needs to be extracted? I realize for now if the cracked front tooth is left alone there will be a vertical narrow gap but I probably won't be too concerned about costmetics.\n       So can a tooth be added later? Answer and other comments much appreciated. Thank you."
  },
  {
    "id": 546,
    "title": "Cut gum with food, sore for over a week",
    "dialogue": "alexw: Hi, I recently cut my gum eating flatbread. It was a pretty nasty cut but I did not think anything of it until now because it still is sore and has not really healed. This may be because I did not realize how big the cut was and was irritating it while brushing. Nonetheless, it exposed a spot that I cannot tell if is a bruise, an exposed upper tooth, or an infection. It above my left middle big tooth and is white matching the color of my teeth. I am going to schedule a dentist appointment if it does not heal in the next few days / look any better but I was wondering if there are any signs I should be looking for now. alexw: Top right of this image is the sore."
  },
  {
    "id": 547,
    "title": "High risk bridge.",
    "dialogue": "JBO: Hi.\nI need to find an \"out of the box\" thinking dentist who can be creative in designing me a bridge.\nI live in Surrey/Hampshire, willing to travel.\nMy husband is a retired prosthodontist from the US.\nSo, missing teeth 15, 16.\n14 restored with filling, 17 RCT  and broken quite flat to gum, good roots.\nImplants not an option as pneumatised sinus needing grafting.\nDenture not an option.\nThinking a split or conventional gold post core on 17, bridge to 14 with possible finger rest into 13...\nThoughts......\nJulie honestdoc: Prosthodontists specialize in restorations you are seeking.  I do not like bridges in general because of the destruction of abutment teeth and would never recommend cantilever bridges.  Conventional bridges can work as long as the bone and abutments are in good shape and there are contraindications for implants.   Well-done bridges can fail if you get cavities and or gum disease (permanent bone deterioration)."
  },
  {
    "id": 548,
    "title": "Dental phobia",
    "dialogue": "Janey: I don't know where to turn...my teeth are slowing but surely rotting away...their appearance is shocking, I can no longer smile and my self confidence is at zero I just can't brave it to go to a dentist out of pure embarrassment Who can help me? I feel I'm going to be judged yet the fear of yet another tooth breaking or corroding means I must do something..I just don't know who will help me Thisbites: Hi Janey\nIm sorry that you feel this way. It is really hard to not fee comfortable in your smile and appearance. I too have plenty of dental phobia from bad experiences. Are you taking good care of your teeth? First step is to take immaculate care of the teeth. That is all i do to empower myself. I floss 3 -4 x a day, rinse with hydrogen peroxide very mild solution, morning and evening. I gargle with salt water when i have a tooth that is not right (as is the case currently). I rinse with water after each time im eating sweet or drink coffee, never let food or sugary liquids sit on your teeth. \nThere are things ofcourse that are out of our control, such as poor dentistry, money over actual dentistry ethics. For me a combination of bad experiences, and early braces that moved my teeth around at an early age causing very short roots. So all i can do is take care of what i have. I lost my lower left first molar due to a failed root canal and pain x 4 months which led me to have it extracted. Now im looking at the other first molar #30 which was a poor build up and botch patch up over the years that now is on its way out. \n\nDont give up hope. Empower yourself with good hygiene, and a plan to make your mouth healthier, and happier. I'm with you. honestdoc: Find a dentist your family, friends, acquaintances had good experience with and get an exam.  Hopefully he/she will go over treatment options best suited for you."
  },
  {
    "id": 549,
    "title": "Tooth pain, nothing on x-ray.",
    "dialogue": "superillusion: Hello, I grind and clench my teeth sometimes at night, I do wear an OTC mouthguard nightly but was without it one night last Sunday. I woke up last Monday with a sore jaw (hinge) and headache that persisted throughout the day and have delt with this before. By Wednesday night I was in  great deal of pain, my jaw hinge was almost completely better but the underside of my jaw was hurting now and almost felt like nerve pain, the pain seemed to be coming from a root canaled tooth but the adjacent and teeth above were also sore and maybe a little swollen because my bite felt slightly off.\n\nI went to the dentist the following afternoon and they didn't see any chips or cracks upon exam or x-ray, and I have no sensitivity to hot or cold. I was fitted for a proper nightguard and the dentist did shave down my one of my teeth after after doing the paper test, but I had no problems with my bite prior to this incident. The initial swelling has come down but now my bite is super off due to the drilling. \n\nThe dentist said the pain was fro. Grinding and should subside but I haven't slept in three days and have made a conscious effort to keep my teeth from touching so as not to further aggravate the initial issue. The pain has not gotten any better, only gotten worse and 800mg every 6 hours of Ibuprofen is not helping. I have another appointment this afternoon. \n\nThe pain doesn't seem to really be in my teeth anymore but more so but the area directly below the teeth on the whole bottom right side, like in the area where you would give an injection to numb. What could this possibly be? Could I have a sprained tooth, or maybe even a fracture in my jawbone? \n\nI guess I looking for the right language or ideas to help my dentist pinpoint the issue. Thank you."
  },
  {
    "id": 550,
    "title": "1 EXTRACTION, BONE GRAFT, ZIRCONIAIMPLANT & 1 ZIRCONIA IMPLANT",
    "dialogue": "HandyGuy: Hello and thank you for allowing me here to ask a question. I'm about to get a #25 EXTRACTION, BONE GRAFT, ZIRCONIA\nIMPLANT & #3 ZIRCONIA IMPLANT and just received the estimate for the procedure which is over $9,000. My question is the procedure takes approx 1.5 hrs to do so why the outrageous cost? Also bear in mind this does not include the teeth once everything has been healed. I'd love a place for doing complete work in my area 06611 and have a second opinion but everyone is booked so far in advance.  Thanks again for your input and advice. Thisbites: Hi Handy\nI'm a poster and am just responding to your post, not seeing very many responses from the dentists  :/\nI too am looking at a zirconia implant and was wondering how it went for you and if you got a better price for those two teeth, and why you were prompted to go the zirconia route. The dentist i saw does them and he is really good, so im seeing him for this specifically.\nhope all is well."
  },
  {
    "id": 551,
    "title": "Xrays showed cavity on Upper Canine. During filling, Doc said she found another cavity in adjacent",
    "dialogue": "BUghy22: So I had some xrays taken that showed a single cavity in my right upper canine. Went in for filling, and during the filling the Doc said she found a cavity in the adjacent tooth. I was very confused because she had just taken xrays of my whole mouth and nothing was found in this tooth. The tooth looked completely fine to me, no pain etc...I was sort of reluctant to have any more fillings put in, but she was adamant that I should have it done right away. I finally agreed, and now I have a very noticeable filling in my front tooth. It doesn't blend in well at all. I very much liked the way my teeth looked before I had this filling put in, and now not so much.There is also some mild irritation in the area between the two teeth that were worked on.  What can I do? Thanks so much for any help. nikassam: XRAY , CT supports the diagnosis . They can mis things"
  },
  {
    "id": 552,
    "title": "A redish lesion near upper left wisdom teeth",
    "dialogue": "nikassam: A brief history\n\n10 years 6 cigrate a day history , Ex smoker ( 19 months of quit smoking )\n\nNon acoholic , No any other drug abuse or tobacco\n\nNow the issue\n\nInfected by SARS COV 2 , DELTA VARIANT in 2021 march april ( asymtomatic ) accidental diagnosed during routine border travel check .\n\nThan on August 2021 , My throat , mouth , gums as well as my brochial infection found .\n\nThey mentioned some kind of mucomyosis infection and viral infection ( ENT , MAXILOFACIAL , EMERGENCY RESPONSE TEAM COVID ICMR india ).\n\nLater all redness , yellowish , pus , white rice like objects gone .\n\nMaxilofacial , ENT and diet team took case in hand with extensive care . They did a tremendious work .\n\nLater sent me to Neuro dept as they said ORAL PAIN due to neuro issues ,\n\nCBCT , XRAYS , MRI and HIV 2  , PBS , CBC , ESR , TSH , STOOL TEST FOBL and something one more , URINE TEST , ORGAN TEST FOR LIVER , KIDNEY also carried out .\n\nI was under observation for atleast 17 days also\n\nNow after doctor said You need to maintain a strict diet as well as Lifestyle with prescribed things\n\nLater my anal hemorhoide found ( stage 1 ) ref to AAYURVEDIC RESEARCH CENTER near to me as My Doctor says Its better to go for their to avoid side effects of allopathic medicines ( i was in medicine of antibiotics and many others for a long time ) so i gone there\n\nCentral Ayurvedic research center india , Under Ministry of Aayush\n\nThere they also found that I have another issue with my pranceras .\n\nThey ordered some kind of tests\n\nThan slowly i am recovering\n\nDuring all these , i developed few ulcers near root level area towards palate side of upper left last molar and area turned slight red with the ulcers\n\nUlcers healed aftee few weeks , but i can feel some painless small pimple like thing inside gums now and the redness is less than when there was ulceration but it not going away .\n\nWith tongue i feel weird at the area . Those teeth also turned discoloration now . Maxilofacial sees nothing wrong with the mucosa but Head of MnO Surgery dept saying my two molars at the area deminerilazation . He precribes me lactoferrine and hydroxyapatite based toothpaste .\n\nCARI ( AAYURVEDIC RESEARCH INSTITUTE ) Doctors also said i have to be carefull of my lifestyle . As their words I must required to give time my body to oveecome the covid effects .\n\nNow my worry about of this red area near my wisdom teeth .\n\nWhy it could be"
  },
  {
    "id": 553,
    "title": "Tense/stuck jaw",
    "dialogue": "ashleigh1105: Hi, I hope someone can help shed some light on an issue I have. This doesn’t happen frequently, but when it does, it concerns me. \n\nBasically, every once in a while my jaw will kind of seize up. When this happens, my jaw is slightly pushed forward/back (I can’t think which way until it’s actually happening)  and I will have to just force open my mouth for a few seconds then it immediately goes back to normal. \n\nI feel sudden panic as when it does happen, I can feel my top and bottom teeth being pushed together at extreme force due to them being misaligned with my jaw being in a different position, and the extreme pressure/friction feels like my teeth will just pop out. \n\nAny googling just comes up with lockjaw, but from what I’ve found that seems something more long lasting, as what happens with can be sorted in the few seconds. \n\nI have TMJ due to clenching mainly, and sometimes teeth grinding. \n\nAny insight would be amazing, thank you!"
  },
  {
    "id": 554,
    "title": "Dentist say nothing to see",
    "dialogue": "Eros: I had a lower right molar extracted 8 weeks ago. Which left me requiring root removal by a specialist. Whilst waiting for the root removal I was in steady, but bearable pain for 7 weeks from the extraction site. These roots were surgically removed 8 days ago. I am in quite a lot of pain and have been told it could take a couple of weeks to settle. So am using pain killers.\n\nIn the days following the original extraction, I was aware of a top left molar starting to give occasional twinges. Then a few weeks later my top right molar (above the extraction site) started to do the same. Both molars have fillings. Some weeks on I'm still getting more regular nips of light pain and am concerned in case it worsens. Doesn't effect sleeping and don't seem to respond to pain killers.\n\nI've seen two dentists (different practices) who have both looked at separate xrays and visual checks and both say there is no obvious problem.  I shouldn't doubt two dentists stating the same thing but am still concerned it could be something they have missed . As might be obvious I have allowed myself to become stressed out about it.  Any thoughts or advice appreciated. MattKW: Hard to say without access to your records and Xrays. however, given that the lower right wound is still uncomfortable, then it may be that the pain is being referred to the upper right area. It might also be supposed that due to the right side healing, you are eating more on the left side than usual, so maybe that explains the upper left. All this is guesswork and a bit of experience. The fact that 2 different dentists have found nothing wrong is encouraging. Eros: Thanks for your comments Matt."
  },
  {
    "id": 555,
    "title": "Yellowish strain never goes",
    "dialogue": "nikassam: Even i do scalling , cleaning my teeth strains returns too quick \n\nI had my teeth cleaned by dentist 8 days and as usual my teeth inner side again visible with strains \n\nI have no idea or clue why this happen to me\n\nI dont drink any tea , coffee or drinks . \n\nMy food habbits are very balanced and i dont eat meat , fish etc \n\nI have nothing like anemia type disorder whether its vitamin or blood related \n\nNo thyroid issue . \n\nOverall physically as per my physiotherapist and doctor i am normal \n\nCan i get idea on this why ?"
  },
  {
    "id": 556,
    "title": "Help and advice needed for peridontal issue",
    "dialogue": "nikassam: Hello dentist\n\nRecently after extraction of my upper molar ( crowded ) I have been ref to neuro dept by my dentist , neuro doctor said i have developed Neurpathic pain in my mouth specially effecting my right palate .\n\nNow i need to treat my peridontitis found in teeth 15,14 .\n\nI just wanted to know \n\nMy conditions \n\n1. Neuropathic pain effecting right hard palate area\n2. I am Hyper sensative ( oral )\n\n3. My recovery always late than normal . My dentist knows this well as my wound healing takes more time than others \n\n4. Every time i go for dental work , i also do face gastro issue for weeks ( i dont know why )\n\nSo one junior dentist from my dentist office suggested me to use oral product containing LACTOFERRINE + NANO HYDROXYAPTITE for 6 weeks and than he will check me again \n\nDo I follow this !!!"
  },
  {
    "id": 557,
    "title": "NHS dentistry soon to be a thing of the past",
    "dialogue": "Adele_Hedley: We all know the conspiracy behind the NHS not admitting the truth as to why people are now having to be placed on a waiting list that could take as long as a year to receive dental treatment\n\nThrough suffering ill health and a mental illness my teeth have really suffered. Every tooth is now loose, I obviously have some sort of severe gum disease. By the time i move up the waiting list to be seen (18 months) I doubt I will still have any teeth left.\nI am being seen tomorrow by a dentist due to a rotten tooth that is causing me to have regular abscesses. My gums move easily where the pocket keeps filling up with puss.\n\nThe dentist will only treat this one tooth, is it just me........thinking how on earth could a dentist  witness such bad gum disease with every tooth hanging on by a thread allow me to wait a further 18 months to be treated on the NHS. \nWhen I booked the appointment I was given a choice of four appointments that were empty. I believe all UK dentists are giving preferential treatment to all private patients. Why can't I be seen next week knowing there are appointments available or allow those on the waiting list to get seen quicker.\nI feel it's no different in a Doctor treating an open bleeding wound on my arm that is broken. No doctor will send someone home without treating my fractured arm or put them on an 18 month waiting list Surely it's the same principle. I just can't get my head around why the NHS are no longer performing preventative treatments, my teeth could of been saved but now I face pulling them out myself the looser they get. \n\nThe NHS have proven they have no duty of care towards us NHS patients. Does anyone know the truth behind it all.\nI require intensive cleaning, treatments costing huge amounts of money. I have no choice but to allow my teeth to fall out. At 47 all my feminity will be lost. I will look awful being all gummy\n\n\nAdele MattKW: I've seen private and public dentistry in Australia. An \"open bleeding, broken arm\" might compare to a jaw fracture in dentistry where treatment would be prioritised. Unfortunately, cavities and gum disease are probably more akin to worn out hips and knee joints; the urgency is not high (you're not about to die). Governments are usually counting the pennies, looking for cost efficiencies. They also want to treat the greatest number of people in the shortest possible time to keep waiting lists low. So, they don't offer intensive, lengthy, and high cost treatments to public patients. It's far from a perfect world and I wonder sometimes why so much money is spent on high-tech expensive medical equipment and procedures rather than better dentistry. nikassam: Its because of mis managment of health system . I got 11 times treated in india and my experience in indian medical system is\n\nYou visit the OPD , register your name , address and specify your issue , they will ref you to concerned doctor , clinical examination done and on basis of case severity ( extraction usually requires 3 days antibiotics prior to extraction ) all done\n\nNo need of waiting .\n\nEven you can directly talk to super speciality doctor like i dont want to talk with dentist so i said can i talk to MAXILOFACIAL SURGEON they said yes you can\n\n\n\nThats how other countries should device their medical managment\n\nEven indian medical system has ORS system fill the online appointment , choose your date , time and medical name , DONE\n\n\n\n\n\n\t\t\t\t\t\tORS Patient Portal\n\t\t\t\t\t\n\n\n\n\n\n\n\t\t\t\t\tors.gov.in\n\t\t\t\t\n\n\n\n\nAnd ine superb experience of my life is i had a complaint of left side headache since 2014 in my home country. Doctors suggested finally for some kind of tablets and to reduce my stress . But when as of my work shifted to india and while visiting AIIMS doctor immediatlt said Sir your headache is caused by your wisdom teeth mesio buccal root is inside your sinus . Immeriatly extraction done , ref to maxilofacial amd ENT OPD they examined me prescribed few tabs and a lifestyle change and aftee few months my headache is gone . Since than i always talk to doctors from there"
  },
  {
    "id": 558,
    "title": "Doctors has no answer for me",
    "dialogue": "nikassam: Can I get some idea\n\nI started my quit smoking almost 8 months ago\n\nInitial 3 months like My BODY V/S Infection ( throat , mouth )\n\nThan next 2 months heavy body pain , sometimes hands and foot suddenly stopped working I feel like i have lost one hand or leg sometimes than in oct nov 2021 my stool became tarry . I started eating more and more like i have not eaten for decades\n\nNow after jan 2022 my face muscles , head muscles , neck muscles feels weird NEURO , CARDIO , ENT , MAXILOFACIAL all checked me with CBCT , USG , XRAY , MRI, CBC , PBS , STOOL TEST ( DOUBLE ) , URINE TEST ( cant recall other test names ) but no abnormility . NO LESIONS , NO NERVE ISSUE .\n\nBut my face sometimes feels like lost control of movements , sometimes my lips became very heavy .\n\nI appriciate my dentist and doctors effort to keep me away from nicotine and smoking\n\nAt start psychologist said i might have some withdrawl symtoms but now I became their research subject . Entire medical de addiction Dept now keeps track of my daily events , they provided a telecaller health professional who calls me every morning and night daily\n\nI am frastrated too cause why my health conditions behaving weird\n\nLast few days while driving or working at office i do behave like i am totally blank , i can see things but sudden failure to recognize what it is , who is he or she .\n\nI even sometimes drive away in car without realising where i am going\n\nMy vision also act like I just looking at things failing to recognize what it is\n\nLike sometimes i see bannana but i do fail to recognize that its a bannana .\n\n\nWill this end soon\n\nI believe as all doctors says Stay strong You have no disease just stay strong\n\nBut sometimes i feel like i cant make it\n\nPresent medication and activity\n\nTryptomer 10mg ( daily 2 )\nVit supplimemts\nNo caffine , no tea , no meat etc\n\n10km walk daily\nMorning 2 hr , evening 2 hr Gym workout"
  },
  {
    "id": 559,
    "title": "Mystery Tooth pains",
    "dialogue": "Tardious: I was hoping some keen minds could help me out, as I seem to have a mystery issue which 6 of the dentists I've seen cannot figure out. I'm getting very depressed and feel like no one is taking me seriously.\n\nAbout a month after I had my 2nd upper molar removed, I starting getting shooting aches in random teeth at random times. Over a week they settled into a pattern of discomfort along my front uppers, this over the last week has also started up in my molars. My bite feels off, one sides uppers and lowers meet but the other side doesn't. But each side switches throughout the day. I have now also starting getting aching and sounds from my jaw just in front of the ears and running round the back bottom part of the jaw. I also get pain under the cheekbones on the front. I have been on 3 courses of various antibiotics.\n\nSo far 2 dentist's have said they can't find anything wrong, the other four have guessed;\n\nJust needs cleaning\nSinusitius\nTMJ\nWisdom teeth (I only have bottom ones, tops never happened)\n\nMost of the aching starts just after I wake up and then gets worse throughout the day before clearing up a bit in the evening. Occasionally I even get phantom pain from the missing molar.\n\nI would be forever grateful if someone could figure this out, or has had something similar Will From Hull: Why did you go to 6 dentists to look into this? Wasn't one enough??...I have been experiencing similar (but not exactly the same issues).\nI have an appointment with a dentist next week. nikassam: Sound similar to my past experience .\n\nMy Maxilofacial surgeon suggest me first an OPG xray , than He get me into CBCT than he also had an MRI PNS done .\n\nThan my mysterious pain issue solved by him .\n\nConsult someone cronofacial pain expert\n\nRecovery time for me was almost 5 months after my Maxilofacial surgeon treatment , for the time being after treatment i had to be in medicine like TRYPTOMER 10MG for 30 days, ACCELOFENEC 100MG for 5 days daily 2 and daily 3 antibiotics tablet for first 5 days ."
  },
  {
    "id": 560,
    "title": "CNY patient in dire need of dentist",
    "dialogue": "ThePoser: I'm Steve and my. teeth. are about as bad as it. gets. I'm missing one of them I like a Jakeolatern I don't even. want to smile. Is there anyone out there that can help? me I'm on disability so. I have crape insurance and I can't afford to pay 5000 dollars upfront. I. have an abyss that is prob going to get infected but no one will help they all want the money upfront. I'm. so embarrassed I wish. I could work something out with a dentist where I make payments or something. I know it. not free and you guys go to. school forever to be who you are. I just need a break. someone willing to work with me. Can anyone relate?"
  },
  {
    "id": 561,
    "title": "Root canal therapy",
    "dialogue": "Mobley: Any help is appreciated ,\n\nSo I bit into another fork within an 8 month period. This time I actually chipped one of my lower teeth however my dentist said that it was a minor chip and didn't need any treatment. He did a sensitivity test on my teeth (by spraying something cold onto a q-tip and touching the affected teeth with it). All of the teeth had a reaction except one of my top front teeth (I couldnt feel anything at all of the cold substance he sprayed). He suspects he'll need to do a root canal for it but that I should wait a few weeks (2-3) to see if it'll get better in that time since the tooth was recently traumatized (like 3 days ago). He emphasized that if the tooth is to change colour or pain increased I should go back to see him. I have issues with bruxism as well so I know my teeth are really stressed. Yesterday the pain was intense (however I think that because he aggravated it), while this morning it was much more relaxed. Me being very anxious about this stuff I've been examining it all morning and I think I may have aggravated it and the pain is back. This morning the pain was non existent, but now it's back a little less intense than yesterday but there none the less. I've been really careful not to use the tooth (while eating or not letting anything touch it while drinking). \n\nMy question is I've been really trying not to grind my teeth and I've been doing salt water rinses and burshing and flossing twice a day, is there any way I can prevent a root canal? My teeth are generally not in the best shape as I didn't really put in the effort to take care of them in the past, but I've been working diligently this past year to fix up any of the issues I've had (I've been going to dentists and even some specialists, I have a cleaning every 3 months or so to keep them in good shape). I really want to prevent doing a root canal for any of my teeth for the longest possible (and especially for my front ones since I really value my smile and I'm worried it'll affect it). \n\nSorry for the long post but I'm just looking if there's anything I can do in the next few weeks to help the nerve recover at all?"
  },
  {
    "id": 562,
    "title": "Sudden sensitivity to cold 4 months after a Class I and Class V fillings to upper right molar",
    "dialogue": "Jono: Hi,\n\nI had a Class I and Class V filling on a right upper molar done in November last year.\n\nThe Class I was a replacement for a stressed composite filling which I had for 9 months and was pressure sensitive upon mastication, especially with crunchy foods. I had no sensitivity to cold or hot with the old filling.\n\nThings were fine with no sensitivity whatsoever after replacing the old Class I in November and getting the Class V for abfraction.\n\nHowever, in recent weeks (4 months later), I’ve started to notice sensitivity to cold on the occlusal surface of said tooth right on the filling. It’s a sudden burst and disappears after a second or two. It’s especially evident when chewing salad or drinking cold water. I don’t seem to notice any sensitivity around the gum line and there’s no cold sensitivity in surrounding teeth. X-rays don’t show anything out of the ordinary with the tooth. There are no noticeable stains on the filling edges after examining the occlusal surface.\n\nI brush gently and use sensitivity toothpaste. I have been eating an apple a day and I figure I will ease up on this just to see if acidity is an issue.\n\nI’m posting here if any dentists could share any experiences of treating patients with similar cases or if there are any ideas on what the source is. Suggestions on how to diagnose/pinpoint the source would also be appreciated.\n\nThanks,\n\nJono"
  },
  {
    "id": 563,
    "title": "Anyone know what these white spots may be in back of throat? Dry throat.",
    "dialogue": "Jhorn513:  nikassam: Look sort of infection , tonsil also effected . \n\nIf no pain , no swallowing issue than might be acid reflux issue .\n\nConsult family doctor or ENT for proper evaluation"
  },
  {
    "id": 564,
    "title": "Why my this side of cheek always looks swellon",
    "dialogue": "nikassam: Hello dentist\n\nI have noticed this since 3 years . No issues except my last teeth upper jaw friction \n\nMy right cheek is always looks like swellon \n\nOPG , CBCT records of my dental work  say nothing abnormal about it \n\nEven Last year USG NECK says nothing , saying all glands normals \n\nWhy this is looks this ( image attached )"
  },
  {
    "id": 565,
    "title": "Extraction",
    "dialogue": "Bobbie2022: Hi i had an extraction last thursday 24gh march but it doesnt seem to be healing right. It doesnt look dark red like it should it looks like bone its not very painful just feels a little bruised. I will book an appointment with the dentist tomorrow. But im the meantume does this sound like dry socket to you Bobbie2022:  Dr M: Good day\nIt does not sound like a dry socket. You would have had severe pain. As a socket heals, it first forms granulation tissue, which is yellow or greyish in colour and then gradually changes colour to pink. A socket can take 2 weeks to 1 month to close fully. I would be more patient if I were you. Bobbie2022: Dr M said:\n\n\n\n\t\t\tGood day\nIt does not sound like a dry socket. You would have had severe pain. As a socket heals, it first forms granulation tissue, which is yellow or greyish in colour and then gradually changes colour to pink. A socket can take 2 weeks to 1 month to close fully. I would be more patient if I were you.\n\t\t\nClick to expand...\n\nThank you that has reassured me."
  },
  {
    "id": 566,
    "title": "Comprehensive evaluations",
    "dialogue": "misservin: my new Dentist requires a comprehensive evaluation before she accepts me as a patient, has anyone had this evaluation, and what all does it entail. Dr M: Good day\nThis is just basically a full consultation, so that she can evaluate exactly what all your problems are. A prioritized treatment plan can then be drawn up."
  },
  {
    "id": 567,
    "title": "Advice required",
    "dialogue": "nikassam: I wanted to remove 2 back teeth at once ( upper molars ) and than invisible alianger and one implant after few months\n\nCan I have surgical extraction of 2 teeth at once Dr M: Yes you can"
  },
  {
    "id": 568,
    "title": "Actually I like my childhood days dentist rather than new one",
    "dialogue": "nikassam: Its just an experience of my dental checkups\n\nRecently i shifted to a new place and i see here dentist are more to RCT etc \n\nWhen I asked my old dentist about my root level decayed teeth he said remove the teeth and get an implant rather than RCT \n\nNew dentist said You just need RCT no need to remove \n\nWhen I studied more on it I came to realize that RCT IS good only when cavity is above crown or crown level .\n\nMy old dentist always says WHEN PROGNOSIS IS POOR than no need to save the teeth just remove and implant ."
  },
  {
    "id": 569,
    "title": "Help from dentist please",
    "dialogue": "nikassam: Look at the area in picture \n\nTue entire palate was red , many painfull pimple like thing on the area , painfull and a burning sensation at first in December first week 2021 . ENT dept doctor checked me prescribed medicines and i got relief from pain than redness , burning sensation kept irritating me till feb 2022 . Than this marked area feels slight soft swellon like a small pimple and its painfull when i touch with my tongue \n\nENT made a comment on January visit that My 18 and 17 teeth need to be extracted these two are the source of infection . So i did that\n\nBut now this area keeps me irritate , when i eat something , when i touch with tongue .\n\n\nI want for any surgical procedure to treat this as No gel , Vitamin working to relief of this from DECEMBER till now . Symtoms like painful redness gone , all other pimple like swellings gone except this . Till Feb this things kept me irritating round tge clock , but now it irritates me only when it comes to contact of any food or my tounge\n\nI cant handle it anymore \n\nTeeth extraction also traumatized due to one dentist error .\n\nShe said teeth extracted ( 21 December 2021 ) of 18 but later 3 weeks i came to know that roots are still there  , I was like WHAT !!! Than another dentist extracted roots in January last week but my pain increased than on 19 Feb 2022 , My friend who used to be a radiologist asked about my healt i said all thing to him he immediatly did a CBCT maxilla and found a root stump is in possition of near to furcation area of 17 causing endo perio lesion and a very small palatal root stump of 18 seen \n\nI was like What the hell is this . I also checked my CBCT .\nthe situation was that without exrraction of 17 dentist unable to remove 18 root stump along with 17 PDL widening along with 17 palatal root . Trauma etc \n\nI agreee to remove 17 as well\n\nBut my palate issue at the marked area still irritates me . I am worried \n\nAll said its nothing but I wanted to have a surgical procedure to remove the irritating area now even I said Do a surgical excession with biopsy . \n\nBut dentist seems to be like Nothing there"
  },
  {
    "id": 570,
    "title": "Have noticed this spot behind my molar on upper gums. What could this be and what would this area be called?",
    "dialogue": "Cdulin:  nikassam: With this you need to post the last 3 teeth position image also ..\n\nMost possibly wisdom teeth impacted or related to wisdom teeth , go to a dentist"
  },
  {
    "id": 571,
    "title": "Agonising pain when biting with tooth which has lost a filling",
    "dialogue": "borontrichloride: Greetings,\n\nI seek any advice and thank you in advance.\n\nLast year during the summer I lost a filling - I assume it is because I chewed gum everyday because I rarely eat sugary food and/or hard/chewy food. Anyway I have stopped chewing gum. \n\nI haven't had it treated because here in the UK the waiting list is a long time for NHS dentist registration and when I went to a private dentist they gave me a laundry list of \"recommended treatments\" which was just shy of £1000 which I can't afford.\n\nEver since this initially happened my bite has been affected - any time I bite on that side of my mouth (filling came out of left side, upper, back tooth) whereby if I bite any food during chewing, the tooth in question has a feeling of being jammed further into my gum and I get a very intense, agonising and sharp pain, (maybe the nerves?). I find it perplexing that the loss of a filling can alter the direction/angle of bite to the point where this can happen.\n\nAdditional context - I have no pain if I bite down with an empty mouth, even if I bite hard as a test. It is only when some food is in between the upper and lower jaw on the side of the filling loss and then I bite, the feeling is that of the food mass pushing against the filling loss tooth and jamming that tooth further into my gums, agonisingly painfully.\n\nIt doesn't hurt when I touch it or even when brushing my teeth. I get only minor/dull pain also when drinking hot/cold drinks or eating hot/cold food.\n\nAny advice is of course appreciated. \n\nThanks so much for your time. Dr M: Good day\nAny lost filling, if left untreated for too long, has a chance of becoming carious and will then eventually lead to either root canal treatment or tooth loss. The pain you are experiencing might be due to exposed dentine only, however it is impossible to say without a clinical examination or x-rays. \nMy advice would be to get the lost filling replaced as soon as possible."
  },
  {
    "id": 572,
    "title": "Checked my own and found something",
    "dialogue": "nikassam: Hello Dentist , Please make me sure about this\n\nI was asking more than 7 dentist here for a slight swelling in hard palate near last 2 upper molar \n\nInitially it was said as infection with redness and pain \n\nPain redness gone but swelling at a small area still exist\n\nSo I did a CBCT scan . I was good at Biology during my University specially microbiology .\n\nRadiologist noted 17 teeth root level carries but \n\nI see something else with the help of my professor\n\nI see PDL widening in relation to 17 palatal root and palatal root trauma \n\nLook at the picture and is this the cause of that tiny swelling at hard palate near the teeth\n\nMy ex university professor suggesting me to surgical extraction of teeth 17 but dentist looks greedy only saying it just need decay filling .\n\nI am forcing them to extract the teeth .\n\nBut I doubt now on this dentist , he is after money as far as i realize now. \n\nBecause My University is a leading medical research hub in my country and professors of this university can not be wrong having 40 years experience and lots of lots of research on medicine , vaccine , diseases etc\n\nImage attached look at the outcome Dr M: I agree with your professor. The tooth will need a surgical extraction"
  },
  {
    "id": 573,
    "title": "Child's adult teeth never erupting??",
    "dialogue": "girlblushes: Hello everyone! I'm new here so I hope my post is ok, and not something already covered extensively! I'm wondering about my 7 yr old sons adult teeth. My son plays rough & unfortunately he injured his 2 front teeth& the dentist said we needed to pull them (I think to not negatively affect his adult teeth? Can't remember for sure) - he was only 3 at the time! The dentist told us his adult teeth look fine and they can already see them, theyll be coming in. Well that was years ago, now he's 7 (8 in October!) and STILL NO SIGN OF the 2 front teeth! (On top)...i think of cute 5 year olds in kindergarten singing \"all I want for Christmas is my 2 front teeth!\"... At 7 though?! That doesn't seem right to me and I'm increasingly worried. He's already given up hope that he will ever have anything there by now, it's so sad. With how many years going without them, I'm now worried about how it could negatively affect speech (his words tend to sound babyish), tongue position, tooth placement etc! Is this abnormal for his age, should I be worried?! Please let me know, thank you in advance!! Dr M: Good day\n\nI think it would be best to be a little more patient. The normal eruption age of your front incisors is between 7 and 8. If you are really worried, you can go take an x-ray at the dentist, to confirm the presence of the central incisors as well as how far they are from erupting.\nSpeech should not be affected that much at this stage.\nWith the loss of any baby tooth prior to its normal eruption time, there is a chance that the permanent incisors can come out rotated or slightly malpositioned. Orthodontic evaluation can then take place around 11, to determine if ortho is required. shawnmcc: I started to erupt my first adult teeth at 40 years old. The first one was my center front tooth. I dont know what my dentist did to keep my baby teeth there or maybe they are implants but I am not sure maybe little both. So its possible he wont erupt them till late in age. Plus I think I have a thyroid problem that might have caused it. So you can get him checked out just in case if you want."
  },
  {
    "id": 574,
    "title": "Fillings",
    "dialogue": "Peters tooth: Had 2 right lower fillings put in.  After the fillings were put in my jaw began to give me throbbing pain.  Went to another dentist.  He said a tooth between fillings will eventually need a tooth graft.  So he deep cleaned that area and felt better.  Went home felt ok 1st day.  Second day back to the beginning.  Same throbbing pain.  Do you think I need a root canal.  It’s been over 14 days with this pain Dr M: Good day\nDo you perhaps have any x-rays to share? Peters tooth:  Peters tooth: It’s tooth number 30. Went to another dentist he thinks I’m grinding my teeth and the area is sensitive so that may be causing the pain.  Got a mouth guard like he recommended. Said if still in pain after few days he thinks he will put in crown Peters tooth:  Peters tooth: This picture before the deep cleaning in that area bye the second dentist Peters tooth: Still feeling tightness in jaw area.  Thought maybe it was a knot and trying to massage the pain out. Peters tooth: Dr M said:\n\n\n\n\t\t\tGood day\nDo you perhaps have any x-rays to share?\n\t\t\nClick to expand... Dr M: Good day\nThe pain could be due to grinding. Especially if you describe it as stiffness in your jaw. I would maybe try an over the counter mouth guard to sleep with at night, to see if it makes a difference. Also make sure that the dentist checks the occlusion of your teeth. It might also be that one of your fillings need to be filed down.\nI also noted that you have bone loss around your teeth, which might be an indication of active periodontal disease. If this is the case, you will need to be seen by a periodontist. Exposed tooth roots can sometimes be very painful! Peters tooth: Dr M said:\n\n\n\n\t\t\tGood day\nThe pain could be due to grinding. Especially if you describe it as stiffness in your jaw. I would maybe try an over the counter mouth guard to sleep with at night, to see if it makes a difference. Also make sure that the dentist checks the occlusion of your teeth. It might also be that one of your fillings need to be filed down.\nI also noted that you have bone loss around your teeth, which might be an indication of active periodontal disease. If this is the case, you will need to be seen by a periodontist. Exposed tooth roots can sometimes be very painful!\n\t\t\nClick to expand...\n\nI tried the mouth guard last 2 days. Any type of cold drink of semi cold drink cause pain and it lingers. Both dentist I went to recommend I get a root canal.  Do you agree"
  },
  {
    "id": 575,
    "title": "Tooth/gum query",
    "dialogue": "Peter1963: Hi, I've noticed that when I run my tongue behind the lower incisors, I can feel what seems to be the base of one of these teeth. Should I be able to feel the base of the tooth, or is there an issue? Thanks, Peter. Dr M: Good day\n\nDifficult to say without a consultation. Might be that you have some recession on your teeth. Mention this to your dentist during your next check-up. Peter1963: OK thanks - will check with my dentist next time. Daniellexxoo: Hi Dr M would you be able to help me ? I’m really worried and it’s really effecting my mental health"
  },
  {
    "id": 576,
    "title": "Missing Tooth Jaw Affects",
    "dialogue": "keepgoing99: Hi,\n\nI got punched about ten years ago and the tooth from that area was a bit loose for years and came out last week. When I went to get it checked they said I had periodontitis, some recorded gums and some bone loss. \n\nI'm due a two part scaling and polish and a potential deep clean, a denture has been put in with the logic being I should fix my gum issues and let some bone regrow prior to an implant. Thus, an implant could be months away. I'm 34 so this is alarming and I'm keen to fix all my dental health ASAP, dentist said if I managed it now I won't lose other teeth etc which slightly calmed me.\n\nAll the same, I'm reading that having missing teeth can affect your jaw strength and how you look. Let's say for whatever reason I can't get an implant for 4 months, does one missing tooth (the one next to the two middle ones, front) for that amount of time really pose a threat to my jawline and jaw etc/how I look? Be depressing if so but I'd rather know!"
  },
  {
    "id": 577,
    "title": "Dark shadow under tooth",
    "dialogue": "Chardbv: Hi I have been to 3 dentists 1 said that I need a root canal as there is shadowing under the root\n The other said I dont need a root canal and that the old filling has to be restored as they can see a black line in the filling? What should I do. The pain is mainly just a dull ache not a sharp pain but has been there ever since I got the filling done over 2 years ago. Dr M: Good day\n\nIt does look like there might be some darkening around the palatal root. If you are unsure, you can get a CBCT done, that will give a lot more information. Chardbv: Thankyou so much for your reply. If there is darkening does this usually mean I need a root canal? Dr M: This might be an indication of a peri-apical infection, which is an indication for a root canal yes. Chardbv: Ok thankyou so much."
  },
  {
    "id": 578,
    "title": "Ulcer/canker sore??",
    "dialogue": "lilith: felt pain typical of an ulcer afew days ago and its turned into this, never had an ulcer on the floor of my mouth tho and it looks bigger than every other one ive had and looks more like a hole. stings abit but eating and drinking isn't a problem so far, does seem to have gotten bigger since first noticed it afew days ago. also what is the tiny lump circled in the third picture ive never noticed it before"
  },
  {
    "id": 579,
    "title": "Large Hard Bump Bottom of Gums (see picture)",
    "dialogue": "saxon11: I'm a 43 year old male, take very good care of teeth (floss, brush, rinse every night).  I was going through my normal routine and notice this large rather hard bump along the bottom of my gum.  I have never had anything like this.  My next 6 month checkup isn't for 3 weeks yet.  Is there something I should be concerned with?  There is no pain (at least yet).  thank you Dr M: Good day\n\nThis could be a normal bony exostosis, or it could be something else. What is needed here is an x-ray of the associated area to determine if it is something sinister or not."
  },
  {
    "id": 580,
    "title": "After extraction - effect on other teeth",
    "dialogue": "Eros: I had a lower right side molar extracted 13 days ago. My dentist was unable to get the roots out due to being flaky. I'm going to have oral surgery to have the roots removed in the next 3 to 6 weeks by a specialist. After extraction I had bad pain for 3 days and then less but steady pain which comes and goes since. The dentist says it might well last until after the oral surgery.\n\nOn my lower and upper left side molars and I have been experiencing regular niggles. The lower has a back molar and a gap from previous extraction. It's hard to pinpoint where the niggle comes from.\nThe upper molars and premolars, since the extraction I have been getting regular niggles. Again it's hard to pinpoint the exact location.\nI have returned to my dentist twice since the extraction and she has tried to re-assure me. The lower left she says could be due to movement of the solitary molar or chewing food on the gap. The upper left she put down to possibly bits of food irritating between my tight teeth.\nShe has xrays taken 6 months ago and seems reluctant to take any more. She says everything looks fine on them.\n\nDue to ongoing dental work over the 6 weeks I have been in a poor way mental health wise - being unbearable for my poor wife. Am I just overreacting or right to be concerned?\n\nThanks"
  },
  {
    "id": 581,
    "title": "My teeth god remove on Monday, and I'm worried it if it is healing of infected thankyou hope everyone can help me",
    "dialogue": "Alfredo: "
  },
  {
    "id": 582,
    "title": "Mucosol thickening noted on floor of maxillar sinus",
    "dialogue": "nikassam: Do this condition needs any treatment .\n\nI have no issue with breathing or nasal issue"
  },
  {
    "id": 583,
    "title": "Was my root canal necessary?",
    "dialogue": "Tissue: I had a mild pain after eating sweets in early February. I didn't feel pain the next few days, but had discomfort/sensitivity. I went to the dentist to make sure and he said there was a cavity in between the teeth and put a deep filler in it. He said I should try the filler and if it hurts, I need a root canal. I tried not to chew from that side since it was a little sensitive, but if I accidentally did, it was fine. Then I decided to try biting (cereal bran) directly on it after a week to test it out since I have a dental appointment the next day. I had a jolting pain that lasted a few seconds, the pain lingered a little bit but went a way. I was concerned because I never felt that kind of pain before after fillers. So I told my dentist and he performed a root canal on it. I didn't know the disadvantages of root canal (stupid I know) and I didn't want to make it worse so I just went with it. Learning more about it, I was wondering if it was really necessary since I didn't feel pain all the time. I asked my dentist again and he said I had no other option since the cavity was deep. I want to make sure I did the right thing to follow his advice. I don't have the x-rays unfortunately. Thank you!\nPs: I've been with this dentist for a year since moving to Japan."
  },
  {
    "id": 584,
    "title": "White patches",
    "dialogue": "Torresg3: Can you please tell me what this is \nI noticed it yesterday not sure what to think \nDoesn’t hurt and can’t rub it off should I be concern. Also noticed that my molar that had root canal and crown is turn black \n\nThanks any advice will help Dr M: Good day\n\nAre you a smoker or do you chew tobacco? Did you put any medication onto your gums in the affected area?\nThis could be a leukoplakia. To find out if this is sinister or not, a biopsy needs to be taken of the affected area. Torresg3: Dr M said:\n\n\n\n\t\t\tGood day\n\nAre you a smoker or do you chew tobacco? Did you put any medication onto your gums in the affected area?\nThis could be a leukoplakia. To find out if this is sinister or not, a biopsy needs to be taken of the affected area.\n\t\t\nClick to expand...\n\nThank you for your reply\nNo I’m not a smoker and do casual drink once and awhile nothing major, the only thing I’ve done in that area is I get food stuck in between those teeth and I pick at it with a wooden toothpick for very long time and it usually till it starts to bleed \nIs it normal for that molar to turn black under the crown? I never seen that till I took those pictures.. \n\nThanks"
  },
  {
    "id": 585,
    "title": "Advice me what to do from here",
    "dialogue": "nikassam: I had a self CBCT request and done it , as I feel something weird to near my right side of palate near my upper right molar \n\nIn CBCT , report says\n\nEndo Perio Lesion in relation to retained root stump of 18 causing moderate peridontitis in relation to 17 and periodontal trauma along witg palatal root of 17 \n\n\nLocalized moderate peridontitis in relation to 16,15\n\n\nPlease suggest Dr M: Good day\n\nSounds like you will have to have the retained dental root removed, and then be evaluated by a periodontist or dentist for periodontal disease and management."
  },
  {
    "id": 586,
    "title": "Constant Staining",
    "dialogue": "CDT: My daughter is 15, since her wisdom teeth were removed a year ago, she keeps getting greyish staining between her teeth an along her gum line on top and bottom. This is new, has never happened before. I take her for a cleaning every two months and the staining comes off, but within 3 weeks it’s back. No one can tell us why and it’s very frustrating. She has impeccable oral hygiene, no cavities, and no high stain food in her diet at all. We’ve even tried a “white diet” and it still came back. She’s had blood work to test iron level, everything was normal. If anyone has any ideas, it would be greatly appreciated! honestdoc: Could you provide an image of the staining? CDT: honestdoc said:\n\n\n\n\t\t\tCould you provide an image of the staining?\n\t\t\nClick to expand...\n\nThe greyish plaque is just starting to come back, she had a cleaning approx 3 weeks ago. CDT: Is there any chance that the prescribed antibacterial mouthwash she used after her wisdom teeth came out could have upset the natural order or bacteria in her mouth? It started showing up shortly after they were taken out. Wondering if an oral probiotic could help her…? honestdoc: If she uses prescription mouth rinse called Chlorhexidine, it can cause those stainings.  She should stop using the rinse after 2 to 4 weeks. CDT: Thank you. She did use it for 2 weeks following the removal of her wisdom teeth almost a year ago and hasn’t used it since, however, the staining keeps coming back within weeks of a professional cleaning. \n\nIs it possible that the normal balance of bacteria in her mouth has been altered from its use? I’m wondering if an oral probiotic might help her? honestdoc: It can be difficult to identify the source(s) of staining.  Probiotic may help with digestive conditions but not prevent staining or changes in the oral flora. CDT: Do you have any experience/success with oral probiotics? We were recommended a lozenge type that is meant to promote “good” oral bacteria. It had great reviews online for improved oral health and even reduced bad breath. I’m a bit sceptic, but at this point willing to try just about anything."
  },
  {
    "id": 587,
    "title": "Broken tooth.",
    "dialogue": "Rachel12345: Hi, I'm asking for some advice for a friend. A tooth of his has broken more or less in half. It's a top tooth, just to the side of his front teeth. Hes been to his dentist and requested a crown, however his dentist has said she doesnt feel confident doing a crown, as he has a heavy bite and it will make contact with a bottom tooth, she said that's why the tooth had broken, the bottom tooth has more or less sheared it off. Shes not advised any alternative treatment, I'm concerned if the tooth goes untreated,it will become infected. I'm finding it hard to believe that a crown cant be done on the tooth. Can anyone offer any advice? Surely it's not a good idea to just leave it?"
  },
  {
    "id": 588,
    "title": "Need a dentist",
    "dialogue": "Renebe: I have quite few missing teeth, few broken ones, weird tasting puss coming out of my teeth/gums and I suspect I have a gum disease or/and decaying teeth. I was scared to go dentist so I never did but now I'm pregnant and I'm scared something will happen to my baby. I've read a lot about bad teeth affecting pregnancy. What can I do? I've tried to get a dentist but no one wants to take me on and I need a referral to go to dental hospital to get it fixed. Please help honestdoc: If you live in the US, most likely you may be on Medicaid.  Find dentists that will take your insurance.  It will be very difficult because most dentist do not take it.  You cannot let your teeth and mouth go.  It will harm your baby."
  },
  {
    "id": 589,
    "title": "New Valplast Partial issues",
    "dialogue": "maria80199: I have a new Valplast Partial, I have a sore spot which I am using Oral B Mouth Sore Oral Rinse after brushing my teeth. I take Partial out first and put in Valplast Cleaning solution to soak. I brush it first with the brush my dentist gave me to get any food left behind before putting it the cleaner. My dentist never gave me any instructions with my Partial on how to clean or take care of it when I first received it. Just started using the proper cleaning solution, that I know I'm not supposed to use Polident tablets. The main issue I am having is the part of the Partial that is on the roof of my mouth that comes in contact with my tongue is making constantly feel like I have dry mouth, and it has this rough texture it's not smooth. Did I damage it by using the polident tablets and brushing with toothpaste which my dentist also told me to do. I constantly have to drink water because my Partial has this weird texture and makes my mouth dry. Can you please help? honestdoc: It is unusual to have a partial denture causing dry mouth.  Usually it is caused by side effects of medication(s).  The Valplast should not feel sore or have a rough texture.  Have your dentist make necessary adjustments and send it to denture technicians for polish.  Valplast needs special instruments and equipment to handle or it can be damaged."
  },
  {
    "id": 590,
    "title": "Emergency help needed please for Pain after refilling the teeth",
    "dialogue": "lifeismess: I had my (lower left side last two teeth) refilled in my home country (Bangladesh) in 26th dec 2021. Those teeth had filling already by the same dentist back in 2005. Well, he took the filling off and redone three composite filling  in last two teeth and thats where the problem started from. Teeth became sensative. anything i eat i feel very discomfort. dentist tried his best to cure the problem but couldn't.\nThen I went to another dentist and he took the filling off and put temporary fillings. this time it was feeling better than before. after three days he put permenant filling (composite filling). problem didn't solved but it was still better than first dentist. As i came back to london, problem became worse now. teeth has bacome hyper sensitive.\nprobelms are as follows\n1. Super sensitive to cold and hot \n2. if i press on the filling by finger tip i feel slow pain which slowly increase and last for 5 to 10 minutes.\n3. If i eat any solid things, like grains, seeded bread or soft bones straight i feel discomfort and weird pain.\n\nI went to many emergency dentists in london and also my registered dentist . they did many x-rays and couldn't find any wrong. They prescribed me Duraphats and recommended me some other sensodyne tooth paste which I am using three time a day. Nothing is helping me. I can eat just soft things only which cause not severe pain. but anything else even normal crisps as well cause irritating pain.\nNow I am in Antibiotic Metronidazole (7days course). \n\nCan anybody kindly suggest me what shall or What else can I do? \n\nI have attached my X-ray here as well. Thank you. honestdoc: Have the dentist do a cold test (liquid nitrogen) sprayed on a cotton ball, not a Q-tip (not cold enough).  If the test shows healthy pulp (nerve), check bite and tooth sleuth.  The tooth may need root canal depending on the cold test or crown depending on tooth sleuth.  If you get a root canal, you need a crown afterwards.  The best scenario would be to adjust bite and feeling better after. lifeismess: honestdoc said:\n\n\n\n\t\t\tHave the dentist do a cold test (liquid nitrogen) sprayed on a cotton ball, not a Q-tip (not cold enough).  If the test shows healthy pulp (nerve), check bite and tooth sleuth.  The tooth may need root canal depending on the cold test or crown depending on tooth sleuth.  If you get a root canal, you need a crown afterwards.  The best scenario would be to adjust bite and feeling better after.\n\t\t\nClick to expand...\n\n\nHi,\nThanks for the reply. Biting has been tested and adjusted while i was in Bangladesh. cold test with cotton ball was done in London few times. everytime last tooth reacted most sensitive but 2nd last has got pain as well. dentist in guy's hospital said i need root canal. i am confused whether i should wait more longer for it to be adjusted or i should go for root canal straightaway. honestdoc: If you have pain and cannot tolerate it, then get the root canal.  If the pain is tolerable, don't get the root canal.  If you get swelling, then the nerve died and became infected prompting the need for a root canal. lifeismess: honestdoc said:\n\n\n\n\t\t\tIf you have pain and cannot tolerate it, then get the root canal.  If the pain is tolerable, don't get the root canal.  If you get swelling, then the nerve died and became infected prompting the need for a root canal.\n\t\t\nClick to expand...\n\nI only get pain when i use that side..otherwise if i use right side it doesn't hurt that much. My point is, can they be fixed themselves over the time? honestdoc: They have the potential to get better.  Dentistry is hard to predict because of varying lifestyles and anatomy. lifeismess: Thanks for the relies honestdoc. Day before yesterday I went to the emergency. She said she could have taken the filling off and put temporary filling. As i was late she couldn't do it..She recommended me to go back to her.\nI have spoken to Bangladeshi dentist over the phone. He gave me similar type of advice. He said to do temporary filling then after a week take the half filling off and put insulation and silver filling on top of it. This is called sandwich filling and this is the way to avoid root canal.\nMy teeth overall are good. After having antibiotic, i feel bit better. But still if i chew any bone little hard..the pain will slowly come back and will last an hour around.\nShall i get sandwich filling? Or i should wait few more weeks honestdoc: Try all glass ionomer filling like Fuji Equia."
  },
  {
    "id": 591,
    "title": "Hard pimple roof of mouth",
    "dialogue": "Ladsit52: Let me start my sayong i have EXTREME health anxiety. I have had this hard pimple on the roof of my mouth for 2 months. It ruptures heals, goes away but then comes back agan. Im scared to see gp or dentist because of covid but the anxiety its causing me is horrendous. thanks in advance for your help Dr M: Good day\nOn your palate, you have several minor salivary ducts. Sometimes these ducts can become blocked, leading to the formation of a mucous retention cyst, that ruptures and then heals. It can then return at a later stage. I would keep an eye on the area. If it enlarges or if it becomes painful, go and see an oral surgeon to have it excised. Ladsit52: Thankyou so much for your help. I have been given a referral to an oral surgeon as it doesnt seem to be going away on its own. Thankyou for your response it has definitely reassured me. I appreciate it"
  },
  {
    "id": 592,
    "title": "Extraction or second opinion",
    "dialogue": "Willywonka: Last week had to do to a new dentist because I was experiencing swelling in my face. \n\nHe determined it was an infection and based on the X-ray tomorrow wants to extract the tooth.  There’s no visible issue on the tooth, but he’s assuming there is a possible like microscopic crack somewhere that caused it.  \n\nIt’s a lower back molar, the X-ray did have darkening toward the top of the tooth between the roots. \n\nTooth had a previous root canal 17 years ago. \n\n\nI’m just conflicted over no visible issue and just his clinical guess basically. It’s making me wonder if I should go see my old dentist (I had moved and he’s 2 hours away). \n\nAny opinions and thoughts are highly welcomed Dr M: Good day\nIt sounds like root canal might be failing. A root canal be re-done in certain cases. You're more than welcome to seek the opinion of an endodontist, who specializes in root canal therapies, to determine if re-treatment is an option. He can also take a 3-D scan to determine the presence of any cracks"
  },
  {
    "id": 593,
    "title": "Small pimple roof of my mouth",
    "dialogue": "Ladsit52: Let me start my saying i have EXTREME health anxiety. I have had this hard pimple on the roof of my mouth for 2 months. It ruptures heals, goes away but then comes back agan. Im scared to see gp or dentist because of covid but the anxiety its causing me is horrendous. thanks in advance for your help"
  },
  {
    "id": 594,
    "title": "Are these considered cracked gums? Or just lines from flossing my teeth?",
    "dialogue": "Cdulin: "
  },
  {
    "id": 595,
    "title": "Having a tooth removed and a pig's tooth immediately implanted. No drilling",
    "dialogue": "700e8uhwe: I am having something done called a bioimplant\n\nThe broken tooth is removed, and then they immediately push in a pig's tooth\n\nIn Austria, they do this with a ceramic implant and identical shape of your root\n\n\n\n\n\nAmazingly a 6000 year old skeleton was found with a dental implant and something similar was done to it\n\n\n\n\n\n\n\n\n\t\t\t\t\t\tDental implant - Wikipedia\n\t\t\t\t\t\n\n\n\n\n\n\n\t\t\t\t\ten.wikipedia.org"
  },
  {
    "id": 596,
    "title": "One of my gums was swollen for a few days, when it came down, there was this white little bump on it. What is it?",
    "dialogue": "Maria_Ghirga: I don't smoke nor drink, unfortunately due to the pandemic, I haven't been able to go to the dentist for checkups. I feel neither pain nor fever, I have no loose teeth, \n\t\t\n\t\t\n\t\n\n\n\t\n\nand there's no bad taste in my mouth. What is this thing? Is it an abcess? Dr M: Good day\nThis could be the draining sinus of an abscess. Sometimes a tooth can have a cavity in between the teeth that you can't see. A draining sinus also prevents a pressure build up, and this might be why you aren't experiencing any pain. For a better evaluation, a x-ray of your teeth will be required. Best to make an appointment with your dentist. You can try rinsing with some saltwater in the mean time."
  },
  {
    "id": 597,
    "title": "Headache pain after dental procedure",
    "dialogue": "james489: Went to the dentist 2 weeks ago for a filling. And after having the procedure I've been in a lot of pain (was in no pain before this). First the pain was in my teeth and now suffering really bad headaches. I went back to the dentist, and she said I've got an infection and gave me antibiotics. Can anyone give me advice on why I'm still suffering with really bad headaches? I'm using a lot of paracetamol\n\nAlso dentist did say I might need root canal work and a wisdom tooth removing. Dr M: Good day\nFor toothache, it is usually best to take anti-inflammatory medicine, since paracetamol, by itself, won't do the trick. The pain might be because of the required root canal treatment that needs to happen or a combination between that and the wisdom teeth that needs removal. I think it is best that you go back to see your dentist. Surely he must have arranged a follow-up visit with you."
  },
  {
    "id": 598,
    "title": "Oral Health",
    "dialogue": "Teresalng: I haven’t been to a dentist in years. I’m going to one on March 17th. I was looking in my mouth and found 3 things that look alarming. I have a small (about 1mm) blue patch inside cheek. I also have a dark vein under my left tonsil. Upon inspection I discovered purplish bumps at the base ( hard to see unless using a mouth mirror) of my tongue. The bumps are on both sides. I have allergies, smoke( trying to quit) and have GERD. Also have high BP. I’m 46 yrs of age.\nI appreciate any insight"
  },
  {
    "id": 599,
    "title": "Does this Cancerous or what ?",
    "dialogue": "nikassam: I have noticed this since December 2021 . Intitally i had pain in throat , redness in October than , i looked in mirror and found this ... look at the image\n\nOpposite side of the tongue is totally pink and with no such red and blood like tissues\n\nMarked as LEFT and RIGHT sides\n\nSince the first noticed this remained same , with some irritation sometimes"
  },
  {
    "id": 600,
    "title": "Its been 15+ years since I have been to a dentist",
    "dialogue": "Jgess623: I am 39 and have had fillings fall out and broken teeth. I don’t even know where to begin to go and not be ridiculed to no end. I need work done. Anyone have any advice or anything? Dr M: Good day\n\nThe best would be to go see a dentist for a consultation, so that a treatment plan can be drawn up. farsyed0214: Going to the dentist is very hard for some people but they are most nice people . Just when you make a appointment  for dental  check up. Let them know about your anxiety.  They'll do everything  to make you comfortable.  Hard step is going to t b e first appointment  after that , it won't seem scary as you had thought."
  },
  {
    "id": 601,
    "title": "Does this gum look cancerous or anything?",
    "dialogue": "Cdulin:  honestdoc: From the image, everything looks normal.  The most common cancer in the mouth is Squamous Cell Carcinoma.  Goggle it to see what it looks like and compare it to your concerns. Cdulin: honestdoc said:\n\n\n\n\t\t\tFrom the image, everything looks normal.  The most common cancer in the mouth is Squamous Cell Carcinoma.  Goggle it to see what it looks like and compare it to your concerns.\n\t\t\nClick to expand...\n\nI will. Thank you. I think some of that swelling on that molar is from me pulling on that gum and lip tissue."
  },
  {
    "id": 602,
    "title": "Worried about few oral issues",
    "dialogue": "nikassam: These areas making me anxious too .\n\nPicture Marked as 2 , there is something weird shaped slight light colored than rest of the area . Which my tongue feels like slight rough .\n\nPicture marked as 1 , that small area at first was very red and on tongue touch feels like a very small painfull pimple . Now its not red but slight pink white , but the pain intensity is reduced\n\nMy full body diagnosis and Maxilofacial appointment is scheduled but it will take another 3 weeks\n\n\n\nDoes these all sign to something serious"
  },
  {
    "id": 603,
    "title": "Gum texture related question",
    "dialogue": "nikassam: Hello Dentists\n\nMy gums near front teeth looks very weird\n\nIs it any issue or just normal and healthy\n\nPlease consider any advice\n\nPicture attached honestdoc: I notice some gum recession.  You will get a better evaluation with clinical exam and x-rays.  Unfortunately we can't do that on this platform. nikassam: honestdoc said:\n\n\n\n\t\t\tI notice some gum recession.  You will get a better evaluation with clinical exam and x-rays.  Unfortunately we can't do that on this platform.\n\t\t\nClick to expand...\n\nHere is my OPG , Extraction will be done to two wisdom teeth lower and upper honestdoc: I notice you may have 4 wisdom teeth (UR, LR, UL, LL) including possible retained root on UR (image is not very clear).  LR wisdom tooth is damaging the tooth in front of it.  You also have a lot of tartar (calculus) build up and need deep cleanings.  Your bone has slight recession. I cannot see in-between  teeth with the pano x-ray.  You need bite-wings to diagnose interproximals. nikassam: honestdoc said:\n\n\n\n\t\t\tI notice you may have 4 wisdom teeth (UR, LR, UL, LL) including possible retained root on UR (image is not very clear).  LR wisdom tooth is damaging the tooth in front of it.  You also have a lot of tartar (calculus) build up and need deep cleanings.  Your bone has slight recession. I cannot see in-between  teeth with the pano x-ray.  You need bite-wings to diagnose interproximals.\n\t\t\nClick to expand...\n\nBone recession !!! honestdoc: It is a sign of gum disease and or gum trauma (improper brushing).  With the amount of tartar buildup, you may not have had a cleaning for a while.  You can't neglect your gums. nikassam: I\n\n\nhonestdoc said:\n\n\n\n\t\t\tIt is a sign of gum disease and or gum trauma (improper brushing).  With the amount of tartar buildup, you may not have had a cleaning for a while.  You can't neglect your gums.\n\t\t\nClick to expand...\n\n\n\n\nhonestdoc said:\n\n\n\n\t\t\tIt is a sign of gum disease and or gum trauma (improper brushing).  With the amount of tartar buildup, you may not have had a cleaning for a while.  You can't neglect your gums.\n\t\t\nClick to expand...\n\nI was in a very remote area on duty for last 3 years , COVID19 came and we had no chance to return to our base for last 3 years including last 2 years .. Dental consultation is impossible durint that time nikassam: Also want to ask for now does this look abnormal ( going to see full body diagnosis on 24 FEB .) honestdoc: Understand.  Your condition is not bad.  Just get your teeth checked and cleaned.  Thank you for your military service.  I was an USAF dentist. honestdoc: The lesions on your palate does not look serious.  I anticipate those lesions to resolve soon."
  },
  {
    "id": 604,
    "title": "Is this normal for the back molar gum tissue to look like this?",
    "dialogue": "Cdulin:  Cdulin:  nikassam: Ssme here , dont know ..."
  },
  {
    "id": 605,
    "title": "White spot on top gum",
    "dialogue": "Davidhazel96: Hey everyone, I just noticed a white spot on my top gum and I’m not sure what it is. If anyone could help me that would be greatly appreciated since I’m kinda freaking out. honestdoc: It may be an anatomic bony projection (tori).  You will get a better evaluation with x-rays and clinical exam. Davidhazel96: honestdoc said:\n\n\n\n\t\t\tIt may be an anatomic bony projection (tori).  You will get a better evaluation with x-rays and clinical exam.\n\t\t\nClick to expand...\n\nThank you! I was kinda scared it was herpes or something even though I always test negative for it honestdoc: Herpes does not look like that.  Google it.  However, 75-80% of all people have the herpes virus in/around their mouths. Davidhazel96: honestdoc said:\n\n\n\n\t\t\tHerpes does not look like that.  Google it.  However, 75-80% of all people have the herpes virus in/around their mouths.\n\t\t\nClick to expand...\n\n\n\n\nhonestdoc said:\n\n\n\n\t\t\tHerpes does not look like that.  Google it.  However, 75-80% of all people have the herpes virus in/around their mouth\n\t\t\nClick to expand...\n\nOf course! That’s why I always get tested for it just to make sure. I just noticed this spot out of nowhere. It doesn’t really hurt that much honestdoc: It is most likely a tori like I mentioned before.  I have it too."
  },
  {
    "id": 606,
    "title": "White spot. Does it look bad?",
    "dialogue": "farsyed0214: Hello I have a white tiny spot on side of tongue. Any insight honestdoc: You may be rubbing your tongue against you teeth similar to people biting their nails.  It looks like hyperkeratotic tissue (callous) that may be high risk to become pre-cancerous.  Get it checked if it is not resolved within 2 weeks. farsyed0214: Thank you for replying.  Yes I feel like my back two teeths are running against me. Can they shape down my teeths . What would the dentist  do this spot? I have horrible  anxiety. farsyed0214: Rubbing against  the tongue. Misinterpreted honestdoc: Have your dentist smooth them down. farsyed0214: Ok thank you. Would that make this spot go away. Its very small. Pinkish to white. Last question honestdoc: Let me explain to you.  Thickened skin/callous/hyperkeratotic tissue can go away if it is not irritated.  Have your dentist follow up.  I cannot predict all the sources of irritation on the area. farsyed0214: That makes sense.  Thank you I'll get it check and ask her to do a exam."
  },
  {
    "id": 607,
    "title": "Splintered Teeth",
    "dialogue": "Oddods: I have an issue with my top 4 front teeth. I feel splinter like sharpness when I run my tongue between the gaps of my teeth. This increases after flossing.\nThe problem is, many dentists I've asked to look at this say there is nothing there. Even x-rays don't show anything.\nThey are definitely there.\nHas anyone patient or dentist come across this?\nIt's been irritating me for over 20 years now. honestdoc: You may have gum recession where the cementoenamel junction may feel like you described.  Have your dentist identify the source of your recession which may be from brushing too hard."
  },
  {
    "id": 608,
    "title": "Bumps on right side lateral tongue.",
    "dialogue": "Kindascared: Does anybody got any idea what this is. It's not painful or anything. And it feels like the is another one farther back on the tongue and irritates the throat a little. nikassam: Its normal , if throat irritation is only limited while swallowing own saliva than chances is high of SILENT REFLUX \n\nENT as well as DENTIST both can diagnose it by a simple clinical exam looking at your back of tongue and throat Kindascared: Thanks.. Dentist appointment on Tuesday."
  },
  {
    "id": 609,
    "title": "Filling too low?",
    "dialogue": "hbradshaw777: Will a filling that is shorter and smaller than the original tooth matter much? I had a premolar filled and now the left and right side don't match. Maybe it's not super noticeable, but I do have more of a gap now between the top and bottom teeth when my teeth touch. I'm a bit anal these days about my teeth bc I've had so much work done. The premolar is also pretty pointy now at the cusps,  while the opposite side seems to be more rounded. \nI am getting a crown on the top tooth above it, idk if she did this on purpose, being that I grind my teeth Dr M: Good day\nThis occlusal adjustment might have been made due to the fact that you grind your teeth. If the filling is large, this increases the chance that you might fracture the filling."
  },
  {
    "id": 610,
    "title": "Weird feeling on hard palate",
    "dialogue": "nikassam: Hello Dentist\n\nI had a palate infection as diagnosed by ENT on 7 December 2021 . Medication , diet etc offered by ENT and slowly all the pain , redness etc gone \n\nBut after 23 december 2021 i have noticed burning sensation is back and entire palate feels like fire . Than the sensation gone by 5 Januray as ENT said to apply some kind of oral gel . \n\nMeanwhile it developed a weird spot on palate area which was not there as my last dental visit was 12 november 2021 and clearly remember how my palate , throat , tongue , cheeks and gums look like cause My dentist showed me on screen when he used a camera thing to look everyrhing from cheek to hard to see areas on back of tongue , below tonsils etc \n\nPlease note sir I have cancer phobia , Restlesness and Mild anxiety headcahe as said by Medical college Psychologist on 13 sept 2021.\n\nI am attaching two images one is old one and one is new as on uploading this post \n\nPicture marked with 1,2,3 is new one and Picture marked with a,b,c is 1 month old\n\nsuggest me what it is . marked number 1 slightly feel itchi and burning feel is there and as i see it is now visible clearly rather than before"
  },
  {
    "id": 611,
    "title": "Tongue problem",
    "dialogue": "Vishal@2022: Ive been noticing this bump for about 1.5 years. Doctors said it's normal, but it's very irritating. Can anyone help me finding what's exactly this is Dr M: Good day\nIs the lesion painful or increasing in size? Or is it staying more or less the same size? Vishal@2022: It's not painful, and remained still just irritating me."
  },
  {
    "id": 612,
    "title": "Picture of 6 year molar under gum healthy?",
    "dialogue": "shawnmcc: I am posting a picture of my 6 year molar about to erupt under the gum. I was wondering if it looks normal. My age is 40 and I am wondering if because at my age if it is all rot or a healthy tooth? Dr M: Good day\nOn the photo , I can only see your first molar with an amalgam filling. Not sure what you are referring to? shawnmcc: click on the picture its in the lower left half. I might have better photos I thought this might be good enough. The bump or tooth has grown I think its going to erupt in a few months or less. shawnmcc: I am going to post a picture with dental mirror when I get one. I already erupted a front tooth recently. I knew it was there because it would scrape the baby front tooth with a crown on it. I think  my dentist put crowns on all my baby tooth roots unfortunately the front tooth proves it when it erupted it. shawnmcc: I just uploaded new pictures with a tooth mirror. I was wondering if  they tried to decalcify a tooth root would it effect a calcified thyroid since I was 4 or 5 years old. Cause this could explain these eruptions I have had."
  },
  {
    "id": 613,
    "title": "Hello is my mouth  normal",
    "dialogue": "farsyed0214: Hello . My new insurance  is starting  on the 7th February.  I just need to look at my pictures of my mouth please. Thank you for answering in advance. farsyed0214: I'll be visiting my dentist  . I have a appointment  once my insurance  is active."
  },
  {
    "id": 614,
    "title": "Why do my teeth hurt when i wake up",
    "dialogue": "drmoody: When you wake up with painful teeth, there is something wrong with your mouth. There is a possibility that you have gum disease, and you are unaware of it yet. If you grind or clench your teeth at night, it could be that you have been doing this."
  },
  {
    "id": 615,
    "title": "Laser Biostimulation",
    "dialogue": "Mikep: Is it possible for laser biostimulation to slightly melt a temporary crown?  Can it cause damage to the underlying tooth such as creating a crack or actually cutting into the tooth? Dr M: Good day\n\nIf you use most lasers for biostimulation, this should not be the case. Assuming the treating dentist is using the laser correctly and on the correct setting."
  },
  {
    "id": 616,
    "title": "White dot on the tongue",
    "dialogue": "Klodi7:  Klodi7: Hello, its been 5 months that i jave this dot and i am worried about it, can someone tell me what it is? Dr M: Good day\n\nIf it has been present for 5 months, I think it is best you see a dentist. Might only be an area of scar tissue due to a sharp edge on a related tooth, but best to be on the safe side."
  },
  {
    "id": 617,
    "title": "White spot side of tongue",
    "dialogue": "Bruins818:  Bruins818: This was painful for one day three days ago. This lasted for literally one day. Does this look sinister at all? Thank you. honestdoc: It can be.  Look up Squamous Cell Carcinoma of the tongue.  If the white lesion does not go away in 2 weeks, get it removed (biopsy) fast. Bruins818: Thank you! farsyed0214: Bruins818 said:\n\n\n\nView attachment 4126\n\nClick to expand...\n\nDid you do the biopsy"
  },
  {
    "id": 618,
    "title": "Does my gum line look bad or cancerous?",
    "dialogue": "Cdulin:  Dr M: Good day\nNormal healthy gingiva noted. Cdulin: Dr M said:\n\n\n\n\t\t\tGood day\nNormal healthy gingiva noted.\n\t\t\nClick to expand...\n\nAwesome thank you so much!"
  },
  {
    "id": 619,
    "title": "Do I have to extract the second last tooth or can it be saved?",
    "dialogue": "helger: Lower right-side teeth as shown in the picture.\n\nVery painful (seems from the nerve inside the tooth) since the Christmas period. No pain at all before.\n\nThe pain is intermediate (not consistent), but if it comes, can wake up from sleep.\n\nCurrently taking amoxicillin for the infection.\n\nMy question is: do I have to extract the second last tooth or can it be saved using method using root canal treatment? Dr M: Good day\n\nThere is a high risk of losing the second molar unfortunately, due to the cavity extending into the distal root as well as the bone loss distally"
  },
  {
    "id": 620,
    "title": "Lower Posterior LP17 and LP32 have moderate Swelling of gum tissue behind these teeth and white patches on gum tissue.",
    "dialogue": "SRWall: Lower Posterior LP17 and LP32 have moderate swelling around these two teeth. Behind these teeth are small white patches 2cm to 3cm in diameter. The swelling is causing my jaw not to close naturally. ( meaning, my jaw closes no pain but I feel the swelling pressure when I try to close my jaw completely.\nAny ideas on over the counter treatment for this condition?"
  },
  {
    "id": 621,
    "title": "Flossing",
    "dialogue": "Acmx721: Pros/cons to flossing about once a month rather than daily?"
  },
  {
    "id": 622,
    "title": "Core Buildup",
    "dialogue": "jcgc: New to the forum but unfortunately not new to dental work. I have a couple of questions about the experience of others regarding two issues.\n\nI've been around the block with dental care for many decades now. However, my wife and I have lived at our current home for just over a couple of years now and  I don't know if things have changed or it's peculiar to the area. It seems now that there is a lot of emphasis on collecting the money up front which includes some charges that might not be needed. It happened again yesterday with a new dentist who was replacing a porcelain on metal crown. It included the full cost of the crown and a core buildup despite the fact that the dentist had commented that he couldn't see what was under the crown due to it being metal. Is that the new normal?\n\nThat raises the second question about the need for a core buildup. How do they know that will need that until they look? It seems that is now routinely added whenever a crown is being done whether it's new or a replacement. More and more often these days going to a dentist feels like going to your auto mechanic which leads to the issue of how to find a competent and honest dentist but I'll save that for now."
  },
  {
    "id": 623,
    "title": "EXCESSIVE MOUTH WATERING/SALIVATION (WHILE AWAKE)",
    "dialogue": "Jayson Briones: Hi guys. \nDo any of you happen to know what causes excessive salivation/mouth watering? (only during the day)\n I've had this since 5 years ago and until now im scared to know what is causing this. I keep salivating like for every minute or two. I don't know im so helpless i feel like im going crazy because i just couldn't stop my self from gulping everytime. Please help me pleaseeeeee..."
  },
  {
    "id": 624,
    "title": "Normal or Should I be worried?",
    "dialogue": "Jason109: It looks like a blood vessel. Could’ve been there forever as it’s not visible in normal viewing of my tongue as it’s just over the back of my tongue. I’m extremely stressed out about it and unable to see a dentist at the moment. I’ve taken the best photo I can. I’ve also added a photo of my tongue sticking out so you can see how far back it is as you can’t see anything."
  },
  {
    "id": 625,
    "title": "Teeth issues",
    "dialogue": "Freddy320: So the last couple years have been rough, after getting out of the military, and not having dental insurance due to not difficulty finding a job where I live I now have insurance and then covid shows up. With in the last two years and the stress of working in and around covid patients my teeth are showing bad damage. Wondering if at this point if It would be worth having four of my teeth removed due to one chipping and three teeth breaking at the base of my gums. Here I have attached two pictures. Please help with some advice."
  },
  {
    "id": 626,
    "title": "Should the floor of my mouth look like this?",
    "dialogue": "Cdulin:  NA12: Mine looks pretty similar. honestdoc: Normal.  I don't see any external disease or tumors.  X-rays may show saliva duct stones or possible internal diseases. Cdulin: honestdoc said:\n\n\n\n\t\t\tNormal.  I don't see any external disease or tumors.  X-rays may show saliva duct stones or possible internal diseases.\n\t\t\nClick to expand...\n\nGreat! One more question, IV been constantly sticking my tongue out for a few years checking my mouth. Could that cause the right under part of my tongue to be more swollen. Beng that it's pressing against my teeth and I'm pulling it to the side? honestdoc: Sorry, that is a good guess.  I can't diagnose anything in this platform."
  },
  {
    "id": 627,
    "title": "Can I have a bone graft removed and will it all be easily removable 3 weeks after placing?",
    "dialogue": "mikerides: I have nerve damage in my UL2 area from a prolonged infection that was there for years when my past dentist ignored my complaints that there was a problem.\nI was told I would never get rid of the pain by many specialists but after having my UL1 & UL2 removed the pain went away immediately.\nFor 2 years I never felt the pain again.\n\n3 weeks ago I had an implant placed in the UL1 area, knowing it was a risk but I told the dentist if there was a reaction to the implant then I would have him remove it, I also told him not to go anywhere near the UL2 area, despite this, he has put a bone graft in the UL2 area, and my nerve damage pain has returned and is worse than ever.\n\nI am going back to the dentist exactly 3 weeks after him placing the implant & graft (due to xmas holidays is first appointment available)\nI will request him to remove the graft I did not want and the implant.\n\nMy question is, will it be simple and possible for the dentist to remove every microscopic drop of the bone graft?\nAs I fear if some is left in there this pain will never go away.\n\n\n\n\nThank you very much for your time"
  },
  {
    "id": 628,
    "title": "What is this bleeding lump under my tongue?",
    "dialogue": "spoiledmilk: Hi, I’m 20 yrs old (F) and I recently noticed that I have this lump under my tongue. I noticed it August 9 and it’s now August 11 and somehow the lump seemed to have gotten bigger. It doesn’t hurt or anything but I noticed that it bleeds and I’m really worried about it. Like I said it’s not hurting me even if I eat but I can feel the lump under my tongue and I feel uncomfortable. If you look closely the lump seems to have more smaller bumps and idk what this is and it’s freaking me out :-( Busybee: There's normally a lump there with other lumpy bits, but if yours is bleeding then you should see a medical professional.    You probably just injured it but best to be checked out if you are worried. MattKW: Traumatised lingual frenum. Nothing to worry about, just leave it alone. Joshdan: spoiledmilk said:\n\n\n\n\t\t\tHi, I’m 20 yrs old (F) and I recently noticed that I have this lump under my tongue. I noticed it August 9 and it’s now August 11 and somehow the lump seemed to have gotten bigger. It doesn’t hurt or anything but I noticed that it bleeds and I’m really worried about it. Like I said it’s not hurting me even if I eat but I can feel the lump under my tongue and I feel uncomfortable. If you look closely the lump seems to have more smaller bumps and idk what this is and it’s freaking me out :-(\n\n\nView attachment 2700 View attachment 2701\nView attachment 2699\n\nClick to expand...\n\nDid you ever find out what is was I'm dealing with something similar"
  },
  {
    "id": 629,
    "title": "Will having a dental bone graft removed 3 weeks after placing, remove the entire bone graft?",
    "dialogue": "mikerides: I have nerve damage in my UL2 area from a prolonged infection that was there for years when my past dentist ignored my complaints that there was a problem. \nI was told I would never get rid of the pain by many specialists but after having my UL1 & UL2 removed the pain went away immediately.\nFor 2 years I never felt the pain again. \n\n3 weeks ago I had an implant placed in the UL1 area, knowing it was a risk but I told the dentist if there was a reaction to the implant then I would have him remove it, I also told him not to go anywhere near the UL2 area, despite this, he has put a bone graft in the UL2 area, and my nerve damage pain has returned and is worse than ever.\nI would rather end it all than to carry on with this pain as it is unbearable. \n\nI am going back to the dentist exactly 3 weeks after him placing the implant & graft (due to xmas holidays is first appointment available)\nI will request him to remove the graft I did not want, and the implant.\n\nMy question is, will it be simple and possible for the dentist to remove every microscopic drop of the bone graft? \nAs I fear if some is left in there this pain will never go away.\n\n\n\n\nThank you very much for your time"
  },
  {
    "id": 630,
    "title": "Infected? Wisdom coming through",
    "dialogue": "natleelee: I am feeling really bad, thought it may have been a bad cold or possibly covid but lateral and PCR negative so now thinking it maybe because of the toothache I have from my wisdom teeth coming through???? Any advice on if this looks infected? Many thanks honestdoc: Rinse with warm salt water to remove any possible contamination and see your dentist to get an overall assessment."
  },
  {
    "id": 631,
    "title": "I coughed 30 minutes after extraction of my upper tooth.",
    "dialogue": "NA12: I tried my best to suppress it but even then the cough came out with minimal force. It's been an hour since I left the dentist, the bleeding hasn't stopped or even slowed, Have I dislodged the newly formed blood clot? Will I get dry socket? How do I check? My dentist recommended ice cream but I can't drink water or have ice cream when it continues to bleed. honestdoc: Your mouth has a high healing potential so I wouldn't worry too much.  Just follow reasonable healing protocols and you should do fine."
  },
  {
    "id": 632,
    "title": "Small white bumps under my lip??",
    "dialogue": "bruh: Really small white bumps under my lip showed up today, not sure what they are. They are a little sensitive but not terribly painful, no idea how long they’ve been there for but I went to the dentist today and when I left they were irritated, though I don’t think my dentist saw these as they were under my lip, Can anyone who can tell me what these are?? ( sorry the picture is kinda gross ) honestdoc: They are minor salivary glands.  I have them too and sometimes they may feel more prominent depending on stress/immune levels."
  },
  {
    "id": 633,
    "title": "Hi i have a white sore on above my back tooth on top of my gum can anyone help me",
    "dialogue": "cruzadrianag: I have been eating nut bars and had a feeling it caused irritation to my gum cause they were hard bars. also, i flossed the other day and ate a chocholate nut bar before bed without brushing my teeth.  does anyone have an idea what this is if it will go away and if I should be worried thank you so much god bless NA12: Looks pretty similar to a mouth ulcer. Those aren't that serious and usually go away on their own."
  },
  {
    "id": 634,
    "title": "Do I need nhs referral for oral surgery privately?",
    "dialogue": "catseyes: I am waiting to see my nhs dentist to discuss impacted wisdom teeth, horizontal ones on the bottom. \n\nIf I wish to have these removed and want to go privately do I need a rerferral?\nThanks"
  },
  {
    "id": 635,
    "title": "Bumps on tongue",
    "dialogue": "Chloe ann: Should this be anything to worry about?"
  },
  {
    "id": 636,
    "title": "Failed molar filling or impacted wisdom tooth?",
    "dialogue": "catseyes: Hi all. I went to see my dentist as an emergency for throbbing pain today. My first molar has a very deep filling which has worn down. I thought that was the cause. \n\nShe recommended I have that extracted which is booked for Xmas eve. Xmas ruined!\n\nWhen she did X-ray she noted that I have a horizontally impacted wisdom tooth but said nothing else about it.\nI’ve been given antibiotics to clear any infection but I’m concerned that pulling this first molar isn’t the best thing to do. \n\nHave I been recommended the wrong course of treatment? \nThank you"
  },
  {
    "id": 637,
    "title": "White spot on side of tongue.",
    "dialogue": "dylan235: White bump on left lateral under side of tongue. I am 17 years old and am worried for any sort of STI or signs of developing infections. Any idea what it could be? Has been there for more than 3 weeks, however there is no pain."
  },
  {
    "id": 638,
    "title": "Can this tooth be be saved?",
    "dialogue": "James007: Decent size cavity . No pain and no infection in root honestdoc: It may not be strong enough even with a good filling, a root canal if appropriate, and crown to support chewing forces. James007: Thanks for the response ! I completely understand …I just didn’t think extraction was the only option…tooth looks like a regular tooth in mouth ..tiny hole on corner .."
  },
  {
    "id": 639,
    "title": "In a panic. Any options?",
    "dialogue": "David S.: Back in July I began a series of dental visits for a broken tooth and lost filling that happened during the COVID shut down when offices were closed. Due to the back up appointment times were lengthy. My dentist suggested having several teeth pulled and a bridge put in. In Sept. when I went to see the oral surgeon I found that my original dentist had left the practice and a new dentist changed my course of treatment. He wanted to try and save a few teeth and the number of extractions was cut.  After the extractions I was given a temporary bridge. I was then seen in Oct. for several root canals and crown prep. In early Nov. I was in for a final impression. At that time I informed them I was moving out of state and time was of essence. He assured me it was no problem and I was set in early Dec. for my bridge work to be completed. A week before my appointment I received a call stating the lab needed a new impression. I explained to them my situation and the lab agreed to try and use what they had and rush my work. I move next week and they have still not received my bridge. All of this work was paid in advance per their policy. They refuse to entertain a refund and tell me I will have to return when they receive the bridge which is not possible. I will be 12 hours away and my family only has one vehicle. I do not have the resources to fly and rent a car. Do I have any recourse open to me? Can you sue a dentist for failure to complete their work.? Thanks for any assistance! honestdoc: I also have lab support difficulties.  I usually don't like to cut it close with rush jobs.  Communication is the key.  If you were my patient and told me when you will be leaving, I will usually have you see your next dentist instead of rushing it.  A rush job on a bridge can be disastrous such as poor esthetics, poor margins where contaminants can leak, poor bite, poor contouring, pain, sensitivity, pulpal damage, bone damage, and poor gum health."
  },
  {
    "id": 640,
    "title": "Useing colgate duraphat 5000 as main toothpaste?",
    "dialogue": "Deanp111986: Hi can anyone tell me if I can use Colgate duraphat 5000 toothpaste indefinitely? My dentist has prescribed it me for the last 6 months? But I've nearly run out and my next dental appointment isn't for another 6 months, and I want to buy some, would it be OK to keep useing the duraphat 5000 toothpaste indefinitely instead of regular toothpaste? honestdoc: It is more expensive.  Usually the 5000 ppm toothpaste is used as a supplement to regular toothpaste.  It may not have the necessary micro-abrasives to remove plaque effectively."
  },
  {
    "id": 641,
    "title": "Leukoplakia? Or just normal tongue tissue",
    "dialogue": "Curlygurl105: I recently noticed a clearish whiteish marking on the left side of my tongue. It is next to a capped tooth but it isn't painful at all and isn't elevated. It's totally smooth and I wouldn't know it was there if I hadn't been inspecting my mouth.\nMy dentist yesterday did an oral cancer screening and said my mouth looks normal but then I noticed this and am getting worried. Is it possible he missed this and it is leukoplakia? Thanks honestdoc: It's hard to see due to some glare (shine) at the white area.  Abnormal white tissue usually presents as a callous or thickening of the skin."
  },
  {
    "id": 642,
    "title": "Inflamed papillae, possible geographic tongue?",
    "dialogue": "dallywallyfc: Hi there,\n\nFor a couple of months now I’ve noticed some problems with my tongue. It’s started off with red patches with white lining the patches, which I’ve summed up to be geographic tongue but now I’m not too sure.\n\nI stopped smoking the devils lettuce which I used to mix with tobacco about 2 months ago and recently had an iron infusion hoping that the patches would go away. I’ve found that geographic tongue is meant to be migratory but on my tongue, it seems to just appear on the one side, heal, and just before it’s done healing more small patches appear on the same spot that grow into bigger patches. The whole process repeats itself.\n\nIn the past 2 weeks the side of my tongue has been a little bit sore, not painful but just uncomfortable especially if it accidentally graze it with teeth.\n\nI’ve got an appointment with the dentist next year since that’s the only time they could get me in, so I’m just after some peace of mind. I’m hoping it’s not linked to any oral cancer, as I haven’t had any symptoms of it but my mind keeps telling me it possible that I do and it’s early stages.\n\nPictures to help,\nCheers,\nDallas\n\nAlso, if you spot an orange tongue I’ve just eaten a mandarin honestdoc: From the images, your tongue appear as geographic.  You will get a better exam at the dentist clinic."
  },
  {
    "id": 643,
    "title": "Granulation tissue timeframe help",
    "dialogue": "Nik Nik: how long is granulation tissue meant to stay in the extraction site for? I had two premolar extractions 2 weeks ago and I’m just wandering what the holes should look like! Do they heal from the bottom up? honestdoc: Granulation tissue usually does not form in extraction site unless there are some traumatic event(s) happening to connective tissue.  Usually in uncomplicated extractions, there are blood clots, then reparative epithelial tissue and final closure.  Even evidence of recent teeth extractions can appear on x-rays for up to 4-6 months."
  },
  {
    "id": 644,
    "title": "Limewater mouthwash",
    "dialogue": "Mar: In the beginning of the 20th century, limewater solutions were recommended as mouthwashes. Wondering why nowadays we don't usually hear about them? Should they not be used? Are they beneficial?"
  },
  {
    "id": 645,
    "title": "What happen under my tongue",
    "dialogue": "Khant: Dear doctor,\nI saw small red vessels under my tongue and one small white area. I don't feel anything. There is no pain and the texture is so smooth no bumps."
  },
  {
    "id": 646,
    "title": "Worried - inflammed pappilae/trauma ?",
    "dialogue": "saumyashekhar: Second pic is of my left tongue. Have been facing some burning for last 14 days and  some white inflammation at back of my tongue(know it's a high risk area). 2 ENT surgeons and 1 Oral specialist say its nothing - and just glossitis and inflammed pappilae and normal structure. Should I follow up and push for biopsy ? None of them even entertained that thought and gave me vitamins honestdoc: It does not appear sinister.  I believe you have an autoimmune response to some substance.  Did you recently (last 15 days or so) used new toothpaste, taken new medication(s), herbal or over-the-counter supplements, cinnamon products, oral rinses, spices, etc.?  Your body (tongue) is mildly trying to reject/attack itself to rid of that substance similar to allergic response. saumyashekhar: Yes ! Was on antibiotics Amoxicillin when this started and painkillers for some ear pain Ilie Delia: saumyashekhar said:\n\n\n\n\t\t\tSecond pic is of my left tongue. Have been facing some burning for last 14 days and  some white inflammation at back of my tongue(know it's a high risk area). 2 ENT surgeons and 1 Oral specialist say its nothing - and just glossitis and inflammed pappilae and normal structure. Should I follow up and push for biopsy ? None of them even entertained that thought and gave me vitamins\n\t\t\nClick to expand...\n\nHow are you?Did you had a biopsie? aminakrati: how are you today Ilie Delia: aminakrati said:\n\n\n\n\t\t\thow are you today\n\t\t\nClick to expand...\n\nDo you have something similar? aminakrati: Ilie Delia said:\n\n\n\n\t\t\tDo you have something similar?\n\t\t\nClick to expand...\n\nyes the same. you took a biopsy. aminakrati: Ilie Delia said:\n\n\n\n\t\t\tDo you have something similar?\n\t\t\nClick to expand... Ilie Delia: No I did no biopsie, my Ent said this is normal foliate papillae, what about you?What did your Ent told you? aminakrati: Ilie Delia said:\n\n\n\n\t\t\tNo I did no biopsie, my Ent said this is normal foliate papillae, what about you?What did your Ent told you?\n\t\t\nClick to expand...\n\nhe told me to do a biopsy to make sure he wasn't there before.\nwhat color are your taste buds? are they irritated? Ilie Delia: aminakrati said:\n\n\n\n\t\t\the told me to do a biopsy to make sure he wasn't there before.\nwhat color are your taste buds? are they irritated?\n\t\t\nClick to expand...\n\nThey are exactly like yours Ilie Delia: aminakrati said:\n\n\n\n\t\t\the told me to do a biopsy to make sure he wasn't there before.\nwhat color are your taste buds? are they irritated?\n\t\t\nClick to expand...\n\nDo you have acid reflux? aminakrati: Ilie Delia said:\n\n\n\n\t\t\tDo you have acid reflux?\n\t\t\nClick to expand...\n\nyou take pictures of them plz Ilie Delia: Ilie Delia said:\n\n\n\n\t\t\tDo you have acid reflux?\n\t\t\nClick to expand...\n\nI've posted 2 pictures aminakrati: Ilie Delia said:\n\n\n\n\t\t\tDo you have acid reflux?\n\t\t\nClick to expand...\n\nnn ,\nyours are normal mine are red aminakrati: aminakrati said:\n\n\n\n\t\t\tnn ,\nyours are normal mine are red\n\t\t\nClick to expand...\n\nme it burns me;; Ilie Delia: aminakrati said:\n\n\n\n\t\t\tme it burns me;;\n\t\t\nClick to expand...\n\nYes,mine burns also aminakrati: Ilie Delia said:\n\n\n\n\t\t\tYes,mine burns also\n\t\t\nClick to expand...\n\nI have to drink or eat all the time to get rid of the burning sensation,\nwhat do you take to relieve., Ilie Delia: aminakrati said:\n\n\n\n\t\t\tI have to drink or eat all the time to get rid of the burning sensation,\nwhat do you take to relieve.,\n\t\t\nClick to expand...\n\nI gargle with  warm water and salt,but I have acid reflux, and if I eat something that makes me acid then it burns, if I watch my diet then I don't feel the burning sensation aminakrati: Ilie Delia said:\n\n\n\n\t\t\tI gargle with  warm water and salt,but I have acid reflux, and if I eat something that makes me acid then it burns, if I watch my diet then I don't feel the burning sensation\n\t\t\nClick to expand...\n\ntomorrow I'll do my biopsy and I'll keep you posted pray for me I'm scared"
  },
  {
    "id": 647,
    "title": "Post tooth extraction pain and rash",
    "dialogue": "spc123: Hi\n\n3 weeks ago I chewed a tough bit of beef jerky and ended up with tremendous pain in my jaw, teeth, ear and sinus area\n\nA week ago I visited my dentist who removed a bottom back tooth next to my wisdom tooth\n\nSince then the pain has varied but I am still having to take a lot of ibuprofen and paracetamol to keep it manageable \n\nIn particular I seem to have developed a rash on my neck and the I know also seem to have ear/ neck pain\n\nAm a type 1 diabetic so am just a bit concerned as to whether this is normal following an extraction \n\nThanks for your help"
  },
  {
    "id": 648,
    "title": "Help! Canker sore turned into a deep, painful hole!",
    "dialogue": "nervousreality: I had a canker sore for about 2 weeks in the beginning of October, and it kept coming back, but around the beginning of November, it began developing into what looked like a cut/hole. I’ve tried benzocaine and rinsing with hydrogen peroxide, but nothing has helped. The hole seems to be getting worse. It is painful to eat or even speak. I can’t tell if this is a sign of something bad, or if it’s just a cut that won’t heal! Please help! honestdoc: Have your dentist prescribe Kenalog in Orabase (Dental Paste) 0.1%.   The medicine may not be covered by insurance if you're in the US.  Also have you dentist round and smooth some of the teeth cusps to minimize further trauma."
  },
  {
    "id": 649,
    "title": "Help! Does my throat look bad/worrisome?",
    "dialogue": "nervousreality: I’ve had a persistent sore throat for about 2 months now. It’s been red, and it looks like there’s holes in my tonsils, but no tonsil stones. The back of my throat has also looked lumpy, if that makes any sense? My doctor took a strep and covid test, and the results were negative so she told me it was definitely just a cold, but I’m beginning to get worried. Please help! I attached images. honestdoc: 2 months is a long time to have the persistent sore throat.  Get a referral to an ear, nose throat specialist for evaluation."
  },
  {
    "id": 650,
    "title": "White papillae?",
    "dialogue": "db1988: think i bite my tongue in my sleep a couple of weeks ago. it was sore and hurt a bit. the pain is gone but this one papillae or whatever is white. is this normal?"
  },
  {
    "id": 651,
    "title": "Unnecessary Replacement fillings leading to 2 dead teeth",
    "dialogue": "Cherryjam: Hi forum-ers I have written a complaint letter to my dental office in Canada which explains my experience. Would love some feedback. I am a dual British canadian citizen. This was my first experience with dentistry in North America and honestly i am gutted  \n\nDear ******\n\nI am writing to address a complaint with you. \nLast year I registered at your surgery and was booked a check up with Dr ****. I was surprised when she told me I needed 2 of my larger fillings replaced (due to some hairline fractures on my teeth). As I informed her, these teeth had never given me any pain or problems and the need to replace them had never even been suggested to me by my dentist in the uk who I had last seen approximately 10 months earlier. I asked Dr **** more than once if it was really necessary to replace these fillings and was assured that yes it was. I wish I had gotten a second opinion. \nA few weeks after the procedure, the first replacement filling failed. I had irreversible pulpitis which was extremely painful and led to me having to have a root canal procedure (something that I strongly do not believe in).\nFast forward 10 months later, the second filling that was replaced by Dr ****  has now also failed. I am experiencing painful sensitivity to hot cold and sweet much like before. \nDr ****performed a bite adjust on my latest visit 2 weeks ago which unfortunately has done very little to ease the symptoms. It now seems that I am looking down the barrel at an extraction and ceramic implant. \nObviously I am extremely disappointed and frustrated. I have been told that there is a higher risk of pulpitis when the filling being replaced is as deep as mine were. If this was the case I feel that this procedure was suggested knowing that there was a high chance that this could be the outcome for me, 1 dead and 1 currently dying tooth. This does not seem like an acceptable risk to me. Sometimes isn’t it better to not fix what isn’t broken?\nI would like to let you know that I have now reached out to the College of Dental Surgeons of BC who have suggested I raise my complaint with you first before requesting them to investigate further. \n\nYours sincerely\n\n*****"
  },
  {
    "id": 652,
    "title": "Extraction Sensitivity normal? Please help",
    "dialogue": "Nik Nik: Hi, I had premolar extraction on my lower jaw 13 days ago and it’s healing well and I have no problems with that BUT my tooth exactly above it on my top jaw is really sensitive and has been ever since day 1. Is that normal?"
  },
  {
    "id": 653,
    "title": "Sensors",
    "dialogue": "jp6: Has anyone used acteon sopix or vatech sensors?  Any feedback?"
  },
  {
    "id": 654,
    "title": "Cavity for 8yrs old. Is this cavity need to be filled immediately?",
    "dialogue": "Stackflow: Hi,\nNeed some dentist's opinion for my 8 yr old kid's xray and treatment plan.  \n\nHe was going to dentist for regular cleaning and didn't go last year due to pandemic. He had his cleaning recently and the dentist spotted cavities on his teeth. He said that has to be immediately filled and he suggested something like coating on other few teeth to protect the teeth and prevent cavity(he said it leaves as it is and doesn't get bigger). He said some abbreviation like Sdf for this coating.\nI got the treatment plan from the dentist. I would like to know the professional opinion for these x-rays and treatment plan.\n\nIs this cavity need to be filled immediately?? Any thoughts please.\n\n[x-rays]\n\n(https://drive.google.com/folderview?id=1GFDtS4OUhXugRL-URQWRn1ZYSiq7F8AW)"
  },
  {
    "id": 655,
    "title": "Whether 4mm pockets need to be deep cleaned? Can we do deep cleaning on a tooth which was root canal retreated??",
    "dialogue": "Stackflow: Hi,\nDo we need to do deep cleaning for a tooth which has pocket of 4mm? \nCan we do deep cleaning on a tooth which was root canal treated recently?\n\nA brief history of my issue:\nI have constant jaw pain under ear and neck for 1.5 years now. Have seen TMJ specialist, OMFS, ENT, physical therapist etc. No relief and definite answer yet. \n\nDentist spotted a tooth issue which hurts for tapping and biting pressure on it during my jaw pain visit. Tooth#30. Sent me to Endodontist. \n\nI had root canal on it an year ago. No relief. Same tapping and biting pressure pain on it. \nHad taken cbct scans. Nothing evident. \n\nI went to another Endodontist and he told me that one of the root in that tooth is not filled properly till the end and that could be the reason for the pain.\n\n I had retreat root canal last week and they placed the medicine inside that root. No relief yet. That Tooth still hurts for tapping, biting on it, pressing on it with tongue and even brushing on it. It feels like pressure when I brush on it. Is this normal and expected?\n\nThey also noted that pockets in this tooth is 2mm and tooth 31 ( next to this rct tooth) is 4mm. So dentist suggested deep cleaning. \nDo we need to do Deep cleaning for 4mm pocket? Or it goes away with regular brushing and flossing?\n\n Whether this #31 pocket could be the reason for the next tooth which is #30 pain for so long even after root canal and retreatment?\nAny thoughts please. \n\n[x-rays]\n\n(https://drive.google.com/folderview?id=1AboL_QUWHBtlFDQkJ5biVp27-2g0I6_y)?"
  },
  {
    "id": 656,
    "title": "Does my throat look inflamed?",
    "dialogue": "Matthew1995: I have really bad health anxiety, so everything always concerns me. My wife says it doesn’t and that the red bits are just darker pigmentation, but I don’t know. A dentist told me the white dots were glands - but does my throat look inflamed or just healthy? Dr M: Good day\n\nEverything seems in the normal limits to me gerogiad: I don't think so, maybe try gargling with warm water and salt. that usually helps with irritation in the throat that can feel like inflammation."
  },
  {
    "id": 657,
    "title": "Why does my bite hurt constantly?? Please help",
    "dialogue": "Toothache in Texas: So a bit of a long story but...\n\n5 months ago, got procedure done for a new crown, a miscommunication and two failed crown molds let to about 3 and a half months of wearing a temp crown and waiting (AND turns out I need a Root Canal too) until I finally get a permanent crown l but it's got a hole in it, ordered new one, replaced the crown. \n\nNow the area around my tooth (as well as the tooth itself I think) ache constantly and always fluctuates between just fine and a literally \"pain button\". This last week I've had no issues with it and could eat and drink normally with no pain whatsoever. Then I had to floss deep to get a piece of food out and since yesterday morning my tooth is back to putting me through agony.\n\nI'm on 6 months of tooth pain and discomfort and I can't get help from anyone. My dentist claims it's fine but I DONT FEEL FINE!! It's been a more than a month since I got the new crown and NOTHING IS GETTING BETTER.\n\nPLEASE HELP ME FIGURE OUT WHAT THIS IS???"
  },
  {
    "id": 658,
    "title": "Crown issue",
    "dialogue": "Mattant1984: Hope someone can answer my question:\n\nHad a new crown fitted today on a bottom tooth which ended up sticking up a little higher than my other teeth. I had a slight gap all the way round my mouth and could close my teeth fully.\n\nAnyway the dentist filed down the crown a little but also my healthy tooth on my upper jaw to try and help with the gap.\n\nIt didn't really work and I still have the gap but now where my healthy tooth has been filed I'm getting a horrible feeling g as if I'm chewing on tin foil.\n\nMy question is should the dentist have filed my healty tooth as it makes sense to me? Surely just removed the crown and re set it lower??\n\nMany thanks honestdoc: I only have to adjust the opposing healthy tooth if the crown tooth is too short to prep further.  I would tell the person before we proceeded to prep that it is necessary due to lack of vertical space.  You may be experiencing a galvanizing effect where different metals touch."
  },
  {
    "id": 659,
    "title": "Preventing cavities 100%",
    "dialogue": "donaldbathe: Can listerine total care prevent cavities 100%?  If not, why?  If an anticavity mouthwash or colgate total toothpaste combined cannot prevent cavities 100%, what can?? honestdoc: Nothing in your mouth can be claimed to be 100% of anything.  We can only prevent cavities and products should never mislead."
  },
  {
    "id": 660,
    "title": "Tonsils and throat help/question",
    "dialogue": "Leah Powers: Here the last few weeks I kept noticing white stuff in my tonsils. I figured it was just food and normally can easily push it out. This time it is more like a sore and the roof of my mouth is a strange yellow color that I don't remember being there before.\n\t\t\n\t\t\n\t\n\n\n\t\n\n . Ahmedemad: I nearly have the same case.. have you figured anything out? Omi: Ahmedemad said:\n\n\n\n\t\t\tI nearly have the same case.. have you figured anything out?\n\t\t\nClick to expand...\n\nSame here please answer asap Ilie Delia: Omi said:\n\n\n\n\t\t\tSame here please answer asap\n\t\t\nClick to expand...\n\nThis is because you have acid reflux or gerd, go see a gastrointestinal doctor"
  },
  {
    "id": 661,
    "title": "Teeth whitening U18s",
    "dialogue": "Mel**: My son had a trauma to a front tooth causing it to go grey. Had to have a root canal and was told after 3 months if no pain he could have the tooth whitened as it was still grey. Just been to the dentist and now been told they won’t do it as he’s 16. This was not advised when he had the root canal. He’s now left with a very unsightly grey front tooth. Any advise appreciated. Thanks honestdoc: Was the dentist the same person who did the root canal?  You may consider another opinion.  I've internal bleached a tooth on a person under 18. Mel**: honestdoc said:\n\n\n\n\t\t\tWas the dentist the same person who did the root canal?  You may consider another opinion.  I've internal bleached a tooth on a person under 18.\n\t\t\nClick to expand...\n\nThanks for the reply. It is the same dental practice but the dentist that did the root canal has since left. I was advised they would try teeth whitening first and then internal bleaching if that wasn’t successful. Nothing was ever mentioned about my son having to be 18. honestdoc: Old out-of-date thinking was the internal bleaching agents could cause internal root resorption.  Modern agents do not cause that anymore.  If the tooth can have a root canal, it can hold the internal bleaching.  External bleaching can cause irritation and sensitivity more so for younger people which is why they may have mentioned that."
  },
  {
    "id": 662,
    "title": "For Class I composite replacements, how do dentists identify where the filling is on the occlusal and differentiate between filling and enamel?",
    "dialogue": "Jono: Assuming there are no identifiable filling margins on the occlusal surface, how does a dentist identify where to drill exactly on a molar? \n\nPhosphoric acid etch the entire occlusal surface? honestdoc: Usually we have magnification with full lighting.  The filling to be replaced usually have numerous visible defects and fillings reflect light differently than enamel.  I etch only on the surfaces to be bonded.   If the filling is intact and has no defects on x-rays, then the filling does not need to be replaced (unless you're in a learning facility and working on a typodont, then look for the different light reflection)."
  },
  {
    "id": 663,
    "title": "Is this oral hpv?",
    "dialogue": "Askingquestions: Noticed these fleshy bumps at the back of my mouth, on the arch.\n\nPreviously they were just raised flesh (as seen in third pic) but now they’re individual bumps.\n\nI’ve had genital warts before so I’m concerned they’re in my mouth too."
  },
  {
    "id": 664,
    "title": "What are these spots on my gum?",
    "dialogue": "Beth11: These spots popped up out of nowhere and are slightly painful/throbbing. Beth11: "
  },
  {
    "id": 665,
    "title": "7 year old daughter got two of her adult teeth knocked out.",
    "dialogue": "Binx: Hello, my 7 year old daughter recently had an accident where two of her bottom adult teeth got knocked out. I'm trying to get advice on the best course of action to take. First, what is the best way to preserve the bone till she is old enough to get permanent implants? Or is that unable to be done? Second, what is the best way to preserve the gap in her mouth? Any advice is much appreciated."
  },
  {
    "id": 666,
    "title": "Question for Dentists and Clinic Owners",
    "dialogue": "Dr. Dentist: Hey all!\n\nWhat's the number 1 pain point in your day-to-day operations?\n\nWhat's one area of running a clinic you need the most help with?\n\nFor me:\n\nThing I hate: scheduling. We still rely on phone calls and appointment requests through our website. I hate how there's no accountability for the patient and it's not really their fault as they often forget or don't feel all to obligated to respect the appointment. Makes some days go haywire, and others be dead quiet (not ideal)\n\nThing I need help: Acquisition and retention. Getting new patients and activating existing ones. Direct mail and ads in the local paper used to work, but the neighborhood has changed over the years and everyone is online. I tried hiring a social media manager but the results were worse than direct mail. Having trouble getting patients to WANT to come in for regular hygiene appointments. Hygiene makes up about half of my total production, and I'd like to get it higher so I can start transitioning away from day-to-day practice.\n\nCurious to know everyone else's thoughts. Do either of the above sound similar to you? How bad is it for you on a scale of 1-10? Curious to know what methods everyone's using to address these or whether I'm the odd one out experiencing these challenges\n\n\nCheers,\n\n- a frustrated dentist who owns and runs his own clinic Cloud: I’m not an owner or dentist, but as a patient I prefer places that send out email confirmations. I get a confirmation email once appointment is made and then a follow-up about a week before the actual appointment date. I’ve seen some places use some sort of calendar link attached to the email, so by the press of a button, the date is placed into your calendar.\n\nI feel calling to confirm patient dates to be an inefficient use of time. Almost two years with my current place and it’s all been done via email. The only time I call is to reschedule. Maybe it’s because I’m in my 20s and prefer the convenience of technology, which has placed a greater preference on texting/emailing."
  },
  {
    "id": 667,
    "title": "RCT or extraction?",
    "dialogue": "Sweetpeas: Hi guys. My dentist and oral surgeon gave me conflicting advice. I desperately need some help to make a decision. \n\nMy #30 was extracted years ago. #31 is tipping into the space. This year, I had repeat infection around #32 #31. There was abscess on the gum of #31.  After 2 rounds of antibiotics. The pain and the abscess was gone. \n\nMy oral surgeon said #31 is non-vital. His treatment plan is: extract #32, RCT and crown #31 after a few months . \n\nHowever, my dentist thinks #31 has a very poor prognosis due to the bone loss caused by the impact wisdom teeth and infection. He won’t bother RCT because it’s just waste of time and money. He suggested extraction of #31 and #32 immediately. \n\nMy biggest question is: What is the prognosis of #31 after RCT and crown? Is it likely to fail within 5 years? \n\nAny advice is appreciated. honestdoc: I wish I can see the entire tooth #31 as well as the root tip and bone on 30.  How did the surgeon know 31 is non-vital?  If 31 is vital, take out 32 first and see how the bone around 31 heals.  Consider implant(s) if 31 bone heals poorly. Sweetpeas: honestdoc said:\n\n\n\n\t\t\tI wish I can see the entire tooth #31 as well as the root tip and bone on 30.  How did the surgeon know 31 is non-vital?  If 31 is vital, take out 32 first and see how the bone around 31 heals.  Consider implant(s) if 31 bone heals poorly.\n\t\t\nClick to expand...\n\n\nThank you for your reply. Unfortunately, this X-ray is the only one I have. You can see the entire 31 if you click on the attachment. My #30 was extracted years ago and never got replaced. \n\nI had repeated tooth ache and abscess on the gum of 31. Now the abscess is drained and the gum healed. There’s no pain. The surgeon said 31 is non-vital because there was no response from the cold test. honestdoc: I see the whole tooth #31 now.  It is a very tough call.  I always favor the least traumatic which indicates saving #31.  I get that the dentist thinks 31 has a poor prognosis.  If 31 has any possibility of a fracture that may contribute to bone loss, then extraction is needed. Sweetpeas: honestdoc said:\n\n\n\n\t\t\tI see the whole tooth #31 now.  It is a very tough call.  I always favor the least traumatic which indicates saving #31.  I get that the dentist thinks 31 has a poor prognosis.  If 31 has any possibility of a fracture that may contribute to bone loss, then extraction is needed.\n\t\t\nClick to expand...\n\n\nThank you for your clarification. It’s very helpful. Sweetpeas: honestdoc said:\n\n\n\n\t\t\tI see the whole tooth #31 now.  It is a very tough call.  I always favor the least traumatic which indicates saving #31.  I get that the dentist thinks 31 has a poor prognosis.  If 31 has any possibility of a fracture that may contribute to bone loss, then extraction is needed.\n\t\t\nClick to expand...\n\n\nAnother question: Is RCT a must in order to save 31? Is that a possibility that 31 heals itself without RCT? Thanks！ honestdoc: If 31 does not respond to cold, its nerves had died (necrotic pulp).  It is a source for infection.  One option is to do a pulpectomy where the canals are cleaned and a paste called Calcium Hydroxide gets placed in to help heal the area and over time (about 2 months) if everything looks good (no pain, no swelling, good stable bone) to finish the RCT."
  },
  {
    "id": 668,
    "title": "Impacted Front tooth",
    "dialogue": "phoebeandgary: Hello.\n\nI would like just to ask with regards to my panoramic xray.\n\nQuick story. Eversince i was in the sixth grade,12 years ago, my permanent front tooth never grew and during that time we consulted with a dentist and he thought my front tooth was just impacted, based on the xray, so we just decided to put me on dentures and wait for it to grow (since we are not that well off).\n\nFast forward to now, I finally have a job and decided to get braces. I had an xray but my dentist told me I never had a permanent front tooth and what I thought was my front tooth was just a bone.\n\nCan anyone confirm this?\nIt will really help my decision making about what to do with my teeth. Thank you so much! honestdoc: Your dentist was wrong.  The \"bone\" is actually the front tooth.  You have a supernumerary in its place.  Get some opinions from orthodontists.  I believe it may be more predictable to remove the supernumerary and place an implant. phoebeandgary: honestdoc said:\n\n\n\n\t\t\tYour dentist was wrong.  The \"bone\" is actually the front tooth.  You have a supernumerary in its place.  Get some opinions from orthodontists.  I believe it may be more predictable to remove the supernumerary and place an implant.\n\t\t\nClick to expand...\n\nHello.\nThank you for replying.\nOne of the reason why my dentist said it wasnt my front tooth is because its much bigger than my other front tooth.\nWhich to me is a valid point so I believed her.\n\nAnd also, are you suggesting that implants are my best option? honestdoc: I think it may be the most predictable option.   What are the orthodontists' opinions? phoebeandgary: honestdoc said:\n\n\n\n\t\t\tI think it may be the most predictable option.   What are the orthodontists' opinions?\n\t\t\nClick to expand...\n\nThe dentist is also an orthodontist. I originally went to her for braces since I thought supernumerary tooth that was showing was my front tooth. But after taking a look at my xray she concluded that braces is out of my options.\n\nI did considered an implant but thats too expensive for me. So i went with fixed bridge. It just sucks that two of my teeth need to be shaved but thats my best option if I want to get rid of my dentures.\n\nAny tips on fixed bridge care? I saw some videos that the teeth decayed and I would like top prevent that. honestdoc: I don't like bridges because of the teeth drilling as you are aware.  You may experience a lot of sensitivity after the bridge prep.  You are right in that it is very important to keep the bridge clean especially under the pontic.  Be very careful not to bite into an apple, carrots, etc because the bridge can be more fragile."
  },
  {
    "id": 669,
    "title": "What is this?",
    "dialogue": "Worried87: I get very anxious about the health of my gums and teeth. At the moment I have pain when swallowing as my tongue is rubbing against something and it's causing a sore throat type of pain. It's on the inside of my gums and at the very back so is very difficult to take a photo of. I have uploaded the best photo I have (sorry it'snot very clear). It's the white circle. Is it an ulcer or somethingmore serious? Should it go in a few days?\n\nThanks for any help.\n\nI have a dentist appointment in 2 weeks, do I need to book an emergency appointment or will 2 weeks be ok?"
  },
  {
    "id": 670,
    "title": "New cleaning method - Painful!",
    "dialogue": "Rich_H: yesterday I went to my new dentist for just a general cleaning.  Instead of using the little metal pick tool to clean, she used some type of machine/tool.  She said I might feel a \"little pressure.\"  I have never experienced so much pain in all my life!  I jerked from the pain several times, I got really hot and started sweating, wincing in pain.  Does any one what fresh new hell this is?  Are all dentists using this now? Does anyone still use the old tools, and so, can you request that method?  I've never had any issues with sensitivity and my gums and teeth are healthy.  This was the first time I went to this dentist after moving, and if this is what I will experience each visit, I will go elsewhere."
  },
  {
    "id": 671,
    "title": "Bottom of left lateral tongue look like glossy and small white lesions ?",
    "dialogue": "Khant: Dear sir,\n    I want to know what is this? I saw small white lesions and glossy patch on my tongue. i am worried about it. Is it the normal shape of my tongue or not?Please reply to me sir .Thank you so much"
  },
  {
    "id": 672,
    "title": "Small yellow bump toward the back of my mouth",
    "dialogue": "jcrk2013: I have a small yellow bump toward the back right side of my mouth since i picked up brushing my teeth again  it dosent seem to be swelling bigger. And my face isnt swelling at all."
  },
  {
    "id": 673,
    "title": "Iv had this raised whitish lump on posterior lateral tongue. Does it look cancerous?",
    "dialogue": "Cdulin: "
  },
  {
    "id": 674,
    "title": "Mouth cancer?",
    "dialogue": "Elio: I have had this (painless) ulcer on my gum for approx 6 months and it won’t heal. I think it has been growing in size lately. It bleeds very easily, especially after brushing my teeth.\n\nToday I visited a dentist. It didn’t look suspicious to her (even though it hasn’t healed within 6 months?), she refused to take a biopsy and claimed that I probably brush my teeth too hard. That’s not the case. I’m worried about this ulcer. My grandmother died from mouth cancer and my mother was diagnosed with advanced lung cancer last month. What should I do?\n\n(Btw, those brown spots on my teeth result from mouthwash.) Elio: Sometimes the ulcer seems to almost disappear but the area still looks somewhat weird and whitish and even a tiny poke reopens it. Can mouth cancer behave like this?\n\n(I took this photo today.) katiev85: I think you should take a second opinion. Elio: Does it look like oral cancer? Can oral cancer sores come and go? Elio: This it what it looks like atm (no visible ulcer).\n\nI have to wait at least a month before I can get a new appointment. katiev85: I double-checked with multiple photos and believe there is no need to be concerned. It is always preferable to seek expert advice.​Please check this link which I got randomly from google​\n\n\n\n\n\n\n\n\n\t\t\t\t\t\tPictures of mouth cancer\n\t\t\t\t\t\n\nThese photos give you an idea of what possible mouth cancers can look like, but remember that they might appear differently to this.\n\n\n\n\n\t\t\t\t\twww.cancerresearchuk.org honestdoc: Cancer doesn't come and go.  I believe (no x-rays to reference) there may be a wisdom tooth under or the top wisdom tooth/back molar may be irritating it during chewing. Elio: honestdoc said:\n\n\n\n\n\n\nCancer doesn't come and go.  I believe (no x-rays to reference) there may be a wisdom tooth under or the top wisdom tooth/back molar may be irritating it during chewing.\n\t\t\nClick to expand...\n\nThank you for your response. I don’t have wisdom teeth and my upper back molars have been removed (irreversible pulpitis and necrosis caused by a severe malocclusion). Therefore, it can’t be trauma from the opposing teeth. \n\nI have noticed that there are three or more yellow-white bumps on my gum. Are they Fordyce spots or something else?"
  },
  {
    "id": 675,
    "title": "New crown over root canal.",
    "dialogue": "Theroadsofar003: I went to a new dentist yesterday and am questioning a few things and I wanted to get other dentists opinion. He showed me a little area on my tooth that has a root canal. Said that it looked like the crown has a little lip which can allow bacteria in. I have seen that odd looking area for years on my x-rays and a dentist has never mentioned it.When he was doing the inspection he said he could feel the lip and said I needed a new crown. \n\n1. Is having a little lip a reason to need a new crown that is 4 years old?\n\n2. They added buildup to my charges. Do I need buildup when replacing a crown?\n\n3. They are giving me a metal/porcelain crown (the code says it is a noble metal crown) but they also added on a line that says zirc origin upgrade 5 year warranty for another 250.00. What is this? \n\nThank you! honestdoc: Could you provide the x-ray?  I don't like PFMs because the porcelain layer can fracture off.  I like full contour (not layered) zirconia.  Buildup code D2950 can be legit but many dentists rip patients off with this code and 3rd party insurance may not cover it.  When you are unsure, find another dentist many of your friends and family trust and get his/her opinion."
  },
  {
    "id": 676,
    "title": "How would you fix this?",
    "dialogue": "antoine789: I'm afraid this not fixable..the other side is the same... honestdoc: The image is blurry.  X-rays are important because it can show how deep the hole is.  Depending on how deep, it may or may not be fixable."
  },
  {
    "id": 677,
    "title": "Brushing confusion",
    "dialogue": "Cloud: I read online that you shouldn’t rinse after brushing only spit and follow up with a mouthwash, but when I look at the mouthwash instructions it says brush, rinse with water, and then use the mouthwash. Apparently by rinsing with water right after brushing I’m removing the toothpaste properties that are essential for my teeth.\n\nWhat exactly is the correct way? Dr M: Good day\n\nThe main aim of toothpaste is to stay in contact with your teeth for about 5min in order to actually work the way it is intended to work. I advise my patients to spit, wait 5min and then rinse. Thereafter they can use the mouthwash. The mouthwash instructions doesn't specify how long you have to wait before rinsing. It only indicates the order. gerogiad: Dr M said:\n\n\n\n\t\t\tGood day\n\nThe main aim of toothpaste is to stay in contact with your teeth for about 5min in order to actually work the way it is intended to work. I advise my patients to spit, wait 5min and then rinse. Thereafter they can use the mouthwash. The mouthwash instructions doesn't specify how long you have to wait before rinsing. It only indicates the order.\n\t\t\nClick to expand...\n\nYes, I usually do that as well, the mouthwash can wash away the concentrated fluoride in the toothpaste. katiev85: Dr M said:\n\n\n\n\t\t\tGood day\n\nThe main aim of toothpaste is to stay in contact with your teeth for about 5min in order to actually work the way it is intended to work. I advise my patients to spit, wait 5min and then rinse. Thereafter they can use the mouthwash. The mouthwash instructions doesn't specify how long you have to wait before rinsing. It only indicates the order.\n\t\t\nClick to expand...\n\nI also do the same. Is this the correct way?"
  },
  {
    "id": 678,
    "title": "How frequently can I clean teeth with oxygenated water?",
    "dialogue": "Robert_: Hello, How frequently  -per day and per week-   can I clean teeth with 3% oxygenated water? Robert_: Robert_ said:\n\n\n\n\t\t\tHello, How frequently  -per day and per week-   can I clean teeth with 3% oxygenated water?\n\t\t\nClick to expand...\n\nAlso: is better to use oxygenated water alone of mixed with baking soda and brush? gerogiad: For 1-2 mins for a week, but this must only be done occasionally. Personally, I wouldn't recommend it at all as it can often damage the enamel. Brush, floss and rinse your teeth regularly and apply a whitening strip for a week or two and you should be good! Hope this helps"
  },
  {
    "id": 679,
    "title": "Bumps on side of tongue",
    "dialogue": "Dash: I had my 6 month dental check-up yesterday.  When I was looking at my mouth getting ready for it I noticed these inflamed looking bumps on the left side of my tongue.  I do have smaller bumps on the right side of my tongue.  Pictures of both sides attached below.\n\nI pointed them out to my dentist and he believes they are nothing more than irritation due to foods or biting my tongue.  He said he is not concerned as they are small, soft and do not bleed or hurt.  He said that unless they grow or change color we can review them again at my next check-up.  He did not suggest anything to reduce the irritation.  I did just start regularly using a gun detoxifying toothpaste and I sometimes use chlorhexidine rinse.\n\nDo you think I need second opinion?\n\n\n\nThank you! Dr M: Good day\n\nLooks like slightly enlarged foliate papillae of the tongue. Nothing to worry about. Dash: Hello Dr., thank you so much for your reply!  Is there something I can do to reduce the inflammation?  Or will stay like this? Dr M: If it is not very painful, nothing needs to be done. Otherwise you can try and stay away from spicy food that might irritate the area.\nMore often than not, no treatment is indicated Dash: Thank you. Anxiety girl: Dr M said:\n\n\n\n\t\t\tIf it is not very painful, nothing needs to be done. Otherwise you can try and stay away from spicy food that might irritate the area.\nMore often than not, no treatment is indicated\n\t\t\nClick to expand...\n\n\n\n\nDr M said:\n\n\n\n\t\t\tIf it is not very painful, nothing needs to be done. Otherwise you can try and stay away from spicy food that might irritate the area.\nMore often than not, no treatment is indicated\n\t\t\nClick to expand...\n\n\nI'm sorry @Dr M , i have a question about inflamed looking bumps and what if one of them has turned white? Is it something bad, or there is possibility that it can be something else, not only cancer. It is white already for a year. Doesn't hurt, and doesn't get any bigger. Ilie Delia: Anxiety girl said:\n\n\n\n\t\t\tI'm sorry @Dr M , i have a question about inflamed looking bumps and what if one of them has turned white? Is it something bad, or there is possibility that it can be something else, not only cancer. It is white already for a year. Doesn't hurt, and doesn't get any bigger.\n\t\t\nClick to expand...\n\nHello, I think what you have is an lymphoid cyst. Have you been to an Ent? Dash: Hello, I would like to follow up on my post from June.  The inflammation seems to have gone down a bit, however a small white spot has developed this week.  Is this something that I should be concerned about or can I wait to see my dentist for my scheduled appointment in December?\n\nI really appreciate you taking the time to reply.  Thank you."
  },
  {
    "id": 680,
    "title": "Getting a second opinion from the dentist",
    "dialogue": "geek84: Good Morning Folks\nMy dentist says I need to have one of my back teeth (I presume it's the wisdom tooth) removed. However, I'm not so sure and would rather have a 2nd/3rd opinion.\nDo you think I should register with another dentist in order to get another opinion? How would I choose which dentist to join?\nShould I then go to the new dentist and just simply ask him/her for a 2nd opinion or just go for a regular check up and let him/her tell me that I need to tooth removed?\n\nThanks in advance Dr M: Good day\n\nYou can just make an appointment with another dentist and say it is for a second opinion. Do you have any x-rays or more info regarding the tooth in question? geek84: Thanks\nI don't have much information except the dentist says the wisdom tooth is at a curve and in danger of touching the tooth next to it.  Also, I have  difficulty reaching the wisdom tooth with my brush, as the gum has eroded. Dr M: Good day\n\nIt sounds like there might be indications to remove it, to prevent damage to other teeth as well. If you are really worried, you can get a second opinion, but it sounds like it might be the same advice given. geek84: Thanks"
  },
  {
    "id": 681,
    "title": "Help, any idea what this is",
    "dialogue": "BigDaz: So the other day i have a crisp and a sharp bit went down my gum, my gums look ok when i look in the mirror but my inner lip is quite sore, it is irritating as it feels as if its rubbing against my tooth and gum. Do i need to see anyone about this? pablomustangue: yes, your dentist"
  },
  {
    "id": 682,
    "title": "Normal Milk Tooth Loss or due to Bruxism?",
    "dialogue": "LauraDavies81: Hi, our daughter has just lost her first bottom central incisor. She is 6.5 years of age. However, it’s fallen out with a complete route. It wobbled for about a week and then fell out. The tooth looks healthy but very worn due to her bruxism. Losing a milk tooth with a root attached seems odd. Should we be concerned her bruxism caused this or is this ok? Dr M: Good day\n The usual age to lose your front incisors are usually between 5 and 7. I don't see a need for you to worry. Children also go through various stages of bruxism, due to the constant changes they undergo at such a young age."
  },
  {
    "id": 683,
    "title": "Second(or third) opinions?",
    "dialogue": "Theodore: Hello\n\nIn my experience, different dentists, with the best will in the world and the best  good faith, have given very different opinions. Could I ask for a second- or third, opinion regarding a dental problem for me to gain better insight on it?\nOn the other hand I would like to ask moderators how can I edit, modify, etc my posts?\n\nThanks"
  },
  {
    "id": 684,
    "title": "What happens if decayed molar is overgrown by gum tissue?",
    "dialogue": "Nasher: If a molar in the mandible jaw decays and disintegrates rapidly to just below the gum-line and is subsequently overgrown by gum-tissue:\n\nWhat then eventually happens to the remnants of this hidden decayed molar and its roots? If there is no evidence of it being ejected out of the gum, has it been resorbed? Can the molar completely disappear on its own?\n\nThank you for reading and considering this. Dr M: Good day\nThe gum tissue will eventually cover the tooth, but the entire tooth will not be resorbed. There is a chance that the tooth can still become infected over time, leading to abscess formation. The best option would be to remove a tooth like this. Nasher: Many thanks for your reply. This is what I expected to be the case.\nBest wishes and thanks again"
  },
  {
    "id": 685,
    "title": "Broken tooth implant",
    "dialogue": "shawnmcc: I have a broken tooth implant and was wondering if I have to go to the dentist right away or can it wait. I can see were it is connected to the base. I also have a permanent tooth coming in right next to it and probably one right under it too. Dr M: Good day\n\nWith implants I would not hesitate to go see my treating dentist as soon as possible. Any contamination of the implant system could lead to potential implant failure, if left for too long."
  },
  {
    "id": 686,
    "title": "Tiny red dot edge of tongue",
    "dialogue": "redroses: Hi, I am hoping someone can help me out. \nI have a very small red mark at edge of tongue, near the front. \nIt has been there for weeks and at first I thought it could be, what they call a lie spot. But read these go within two weeks. \nCan't get to see dentist for few weeks and it's worrying me\nThank you in advance for any help honestdoc: Usually spots on your tongue resolve in a couple of weeks.  Any chance for a high quality image? redroses:  redroses: Unfortunately this is the best I can get with my phone camera. \nOn closer inspection it looks like a raw piece of the tongue but does not bleed\nThis has been there for 5 weeks roughly\nThank you for replying to my message redroses: I do have bruxism and wear a night time gum shield but I am wondering if I could be causing trauma on my tongue, I often wake up with my jaw clenched \nI am more concerned why it isn't healing honestdoc: It does not look sinister.  Those lesions usually appear irregular.  I'm suspecting it's a vascular lesion like broken capillaries from your trauma.  Look into over-the-counter night guard at the drugstore or maybe a custom bite guard made at your dentist office (more expensive). redroses: honestdoc said:\n\n\n\n\t\t\tIt does not look sinister.  Those lesions usually appear irregular.  I'm suspecting it's a vascular lesion like broken capillaries from your trauma.  Look into over-the-counter night guard at the drugstore or maybe a custom bite guard made at your dentist office (more expensive).\n\t\t\nClick to expand...\n\nThank you so much for your reply and advice, very much aporeciated"
  },
  {
    "id": 687,
    "title": "Bruxism for 2 weeks : teeth damage?",
    "dialogue": "Luna: Hi, \n\nI am a 20 year old woman and I have questions. I saw the dentist today who cleaned my teeth and is making me a mouth guard for the night. I have been clenching my teeth for 2 weeks due to stress caused by tinnitus. I haven't been sleeping well and stress made my teeth clench. \n\nBut I have been wondering if 2 weeks can cause a lot of damage. I feel like the teeth at the back of my upper front teeth are smaller? Or is smaller back teeth normal? I don't regularly check my teeth that much but I have been touching my teeth with my tongue. I feel like some of my teeth are smaller. \n\nNot only that but I am sure that some of my teeth has moved a bit. Something feels different and I am already stressed and would like some stress off my shoulders. honestdoc: How do you know you've been clenching for 2 weeks?  A lot of times, you are not aware.   Teeth shift every day.  I tell my patients if they lose a crown, they must come back to recement it ASAP because the back teeth tends to shift forward and the opposing teeth will shift into the lost crown making recementation impossible.  It is hard to assess the amount of damage.   What did your dentist say about your teeth? Luna: I have been clenching for two weeks almost three because I had tinnitus start three weeks ago. It has put me in a lot of stress and since then I have not been able to sleep well. I noticed myself clenching when I was awake in bed and also outside. My dentist didn't seem to think that anything was wrong my teeth. He cleaned my teeth and has suggested a mouth guard. I initially went to see him for really bad tooth and gum pain. However ever since my teeth cleaning, I feel like my teeth have slightly shifted? I don't know, my mouth feels weird."
  },
  {
    "id": 688,
    "title": "Posterior lateral tongue.",
    "dialogue": "Cdulin: Is it normal to have these kind of bumps on my tongue? Also, I have the same bumps in the lingual tonsils area on the backside as well. honestdoc: Normal Cdulin: What are those bumps called? Thank you though! honestdoc: Foliate papillae Cdulin: honestdoc said:\n\n\n\n\t\t\tFoliate papillae\n\t\t\nClick to expand...\n\nThank you"
  },
  {
    "id": 689,
    "title": "Got my teeth cleaned/scaled by a hygienist and now three of my teeth look like this?",
    "dialogue": "lewis2021: I got my teeth cleaned by a hygienist a few days ago and now three of my teeth (see pictures) have these marks on them and when I touched them with a tweezer end I felt a nerve shock as if the tooth has been damaged from the tools used to clean them.\n\nDoes anybody know what this damage may be called or what has happened and how it can be fixed?\n\nThanks! honestdoc: Did you have fillings there before the cleaning?  It could be that the ultrasonics the hygienist used may have debonded the fillings. lewis2021: Hello no there was never fillings there is it possible the tools used to clean the teeth could Inflict this? honestdoc: If there were no fillings, I cannot explain how the damage happened unless it was there previously.  The tools used to clean teeth do not cause that kind of damage."
  },
  {
    "id": 690,
    "title": "Question for Dentists / Clinic & Practice Owners",
    "dialogue": "Dr. Dentist: Hey all!\n\nWhat's the number 1 pain point in your day-to-day operations?\n\nWhat's one area of running a clinic you need the most help with?\n\nFor me:\n\nThing I hate: scheduling. We still rely on phone calls and appointment requests through our website. I hate how there's no accountability for the patient and it's not really their fault as they often forget or don't feel all to obligated to respect the appointment. Makes some days go haywire, and others be dead quiet (not ideal)\n\nThing I need help: Acquiring new patients and activating existing ones. Direct mail and ads in the local paper used to work, but the neighborhood has changed over the years and everyone is online. I tried hiring a social media manager but the results were worse than direct mail. Having trouble getting patients to WANT to come in for regular hygiene appointments. Hygiene makes up about half of my total production, and I'd like to get it higher so I can start transitioning away from day-to-day practice.\n\nCurious to know everyone else's thoughts. Whether any of the above resonates with you or if there are other issues and areas for improvement that you're facing.\n\nCheers\n\n- a frustrated Dentist who owns his own practice"
  },
  {
    "id": 691,
    "title": "Plz I'm paranoid this is dry socket can somone help",
    "dialogue": "Swiftylee: I'm on day 6 of the healing process of a tooth extraction I'm worried it's not heeling properly I was advised by my dentist not to smoke for 3 days which I did I kept up and still keeping up with the warm salt water rinces but I feel like it's not healing well honestdoc: It is hard to see the image.  I tell my patients to call me if they have swelling, unusual pain, or any other concerns.  Hopefully you feel comfortable to do the same. Swiftylee: honestdoc said:\n\n\n\n\t\t\tIt is hard to see the image.  I tell my patients to call me if they have swelling, unusual pain, or any other concerns.  Hopefully you feel comfortable to do the same.\n\t\t\nClick to expand...\n\nI'm really not  comfortable with my dentist at all she is verry this is your fault you deal with the consequences of your actions and she is very stern honestdoc: I'm sorry you feel that way.  In the US, you can choose to go to a dentist you will feel comfortable with unless your insurance restricts where you go. Swiftylee: this is a photo just taken 5 mins ago I have no pian but I'm concerned is this a clear enough photo for you honestdoc: It appears to be healing fine.  I'm not seeing any disease.  That particular molar can be traumatic to remove. Swiftylee: honestdoc said:\n\n\n\n\t\t\tIt appears to be healing fine.  I'm not seeing any disease.  That particular molar can be traumatic to remove.\n\t\t\nClick to expand...\n\nThank you ever so much its just been a big worry for me as I'm 31 and it's was my first ever tooth taken out and its 8 days no since the extraction so I'm guessing it's very minimal chance of getting dry socket now? honestdoc: Your guess is correct, usually after 3-4 days after extraction. Swiftylee: honestdoc said:\n\n\n\n\t\t\tYour guess is correct, usually after 3-4 days after extraction.\n\t\t\nClick to expand...\n\nThank you ever so much for your help much appreciated"
  },
  {
    "id": 692,
    "title": "Geographic Tongue or Fissured Tongue?",
    "dialogue": "Dash: Hello, I was wondering if you could tell me if this was geographic tongue or fissured tongue.  I had a thorough check-up with my dentist a few months ago and nothing has change since then but he didn’t mention the darker spots at all.\n\nThank you in advance. honestdoc: Did you Google geographic or fissured tongue?  Your tongue does not resemble any of them and it is normal looking. Dash: Thank you for the reassurance, Dr.  I appreciate you taking the time to reply."
  },
  {
    "id": 693,
    "title": "Discomfort on tooth with new crown",
    "dialogue": "jacoru: Hi, \nI have a 73 yo pt who had a fractured #30 PFM crown, which I replaced with a zirconia (Katana) crown on 8//5/21 (Cerec, delivered same day). Pt has come twice because he experiences discomfort and cold sensitivity when he chews food on that side. He describes the discomfort as dull ache \"deep in the tooth\" and points to tooth's roots; sharp pain when something cold hits the tooth. The prep was not close to the pulp chamber at all (didn't even need a core buid-up) and pt's bite feels fine to him. I took a PA and checked for excess cement. PA is WNL and no clinical or radiographic signs of excess cement. I checked/adjusted the occlusion on the distal marginal ridge, which is the area the pt says bothers him the most when he's eating. I replicated the patient's symptoms by having him bite on a cotton roll and eliminated any possible excursive interferences. Pt is still experiencing discomfort and it's been almost 2 months since I cemented the crown. Any thoughts on what could be causing his symptoms?"
  },
  {
    "id": 694,
    "title": "What is this?",
    "dialogue": "jessicavallejo: Why is my gum red around that tooth? It is bothering me a lot. And why do my back molars have those white spots on them? Is this a sign of bad dental health? I have not been to a dentist since 2018 and currently cannot find a dentist that isn’t booked 6+ months out. honestdoc: Where are you located to not have a dentist be available?  We cannot diagnose without a clinical exam and x-rays.  If the x-rays are negative then the white spots will be hypo-mineralization and the red gums is gingivitis.  However, the x-rays could also show deep internal decay and possible bone damage which is why you need to see an available dentist."
  },
  {
    "id": 695,
    "title": "Wisdom tooth extraction questions",
    "dialogue": "Rgo12: Hello everyone. \n\nSo I got one of my upper wisdom tooth extraction yesterday. I felt fine. I also suffer from gerd and heartburn. Yesterday I had tomato soup. This morning I woke up with chest tightness. I wanted to see if anyone had this after a extraction chest pain? Before I call my dentist wanted to see if that was normal side effect. \n\nThanks honestdoc: Having your wisdom teeth removed will not cause chest tightness.  I suspect the tomato (acidic) soup may have triggered heartburn/acid reflux."
  },
  {
    "id": 696,
    "title": "What is tonsil regrowth? Also, what does it usually look like? I have a small yellow lump connected to the back side of the anterior tonsillar pillar.",
    "dialogue": "Cdulin: I have a small yellow lump connected to the anterior tonsillar pillar. No pain or discomfort. I don’t have any tonsils, but it seems that one side is trying to grow back honestdoc: It's hard to see what you're talking about.  If you notice the problem for over 2 weeks, go see a physician to rule out any diseases back there."
  },
  {
    "id": 697,
    "title": "A pimple under tongue",
    "dialogue": "farsyed0214: Hello on the right  side of my tongue. The under part of my tongue. I put a heart in the picture.  It's the area right above.  Does it look normal. It has a tiny pimple . farsyed0214:  farsyed0214: Its the reddish pimple. It's on the right side in the sublingual  area farsyed0214: Anyone can please response"
  },
  {
    "id": 698,
    "title": "Mouth ulcers due to dangerously low iron, B12 and folate levels",
    "dialogue": "HayleyB: Hello I was wondering if someone could give me some advice. At the moment my iron, b12 and folate levels are dangerously low so I’m taking medication and keep having blood transfusions. Because my levels are so low I really suffer with a lot of mouth ulcers which I have spoken to my doctors and dentist about many times and both say once my levels are better the ulcers will stop. I currently have 12. Anyway I’m paranoid I’ll end up with cavities when I struggle brushing my teeth properly because my mouth is so sore. I do also try to still floss and use mouth wash. Is there anything else I can do to make sure I don’t start getting cavities at the moment? TIA MattKW: You're doing all you can within your constraints. Use a 0.12% chlorhexidine mouthwash to help keep plaque levels low. HayleyB: MattKW said:\n\n\n\n\t\t\tYou're doing all you can within your constraints. Use a 0.12% chlorhexidine mouthwash to help keep plaque levels low.\n\t\t\nClick to expand...\n\nOk I will do thank you."
  },
  {
    "id": 699,
    "title": "Red lump under tongue",
    "dialogue": "Gaya: Hi i noticed out of the blue a dark red lump under my tongue. Gaya:  MattKW: Small haematoma (blood blister) of no significance."
  },
  {
    "id": 700,
    "title": "Dental Cost frustation",
    "dialogue": "jaboy55: Thought I had \"good dental coverage\".  My yearly max was $4,000 a year. Recently went to the dentist who referred me to the endodontist and the result was that I needed to have three root canals done.  I successfully did all 3 root canals.\n\nSo I went back to my regular dentist to make an appointment and they check my insurance and saw that my yearly max of $4,000 of almost entirely used up by the three root canals and I only have $70 left for the year. The new year begins January 1st. I called to insurance company and they gave me a breakdown of the charges by the endodontist which was close to the $4,000.\n\nOf course, I am shock and disappoint because now, I have to get 3 crowns and there is no money in my dental insurance coverage to pay for. When I spoke to my regular dentist, he said the my out of pocket cost for the 3 crowns(since there is no money left in my insurance plan) is $4,300 which is the discounted rate they would normally bill to my insurance company.\n\nI don't have that type of money to pay for 3 crowns and I don't think it would be safe to leave my teeth like this until January when the new insurance year kicks. in.\n\nWhat are my options.?\n\nI heard that there are some dental schools with dentist in training that may charge a discounted rate?\n\nAny other suggestions? I am desperate.\n\nThanks MattKW: I don't know about dental schools in the US. You might ask your dentist to stabilise your teeth to prevent fracturing until Jan 1st. The simplest way is to place orthodontic bands."
  },
  {
    "id": 701,
    "title": "Worries",
    "dialogue": "panda: hi had three top teeth out 2 weeks ago and my tooth i had out in front the gum above that tooth is red not hurt but my nose is constantly blocked now why had sedation on that day is it to do with tooth out at front inn top so worried Dr M: Good day\n\nDo you photos of the area or any x-rays? Also rule out a possible sinus infection. If you are worried, go back to your treating dentist for evaluation."
  },
  {
    "id": 702,
    "title": "Proper torque value for an implant screw holding the crown?",
    "dialogue": "Lucubrate: I had two implants and the dentist used a torque wrench set to 15.  Then I got two implants (molar) and this dentist torqued the screw holding the crown to 25.  What's correct and why the difference? Dr M: Good day \n\nDifferent implant systems and screws are torqued to different values. Often molar implants are torqued to higher values than pre-molar or anterior teeth, but this is entirely up to the manufacturer's instructions. The correct values are also sometimes indicated on the packet that the screw comes in."
  },
  {
    "id": 703,
    "title": "Extraction",
    "dialogue": "Adele_Hedley: 3 days ago I had my lower 2nd molar removed due decay that has effected part of the root!\n\nDue to it being an emergency NHS appointment It was pot luck who would treat my painful tooth\nThe dental surgeon really did make me feel like an NHS patient. I received 1 filling a lower molar extraction. \nI explained that due to gum disease all my teeth were very loose so may not require a lot of pulling out. I was totally dismissed!! I was in my opinion given the less timely treatment in just getting it pulled out\nCan I get a false tooth to fill this gap\nIt’s been 3 days since my tooth was removed, I have jaw pain and swelling on my lower jaw\nI’m on antibiotics as I had an abscess at the time my tooth was extracted but feel something isn’t right\n\nit’s been 10+ years since I’ve seen dentist and embarrassed at the state there in. Due to an illness getting my teeth treated was the last thing on my list!\nCan you see from this photo how the wound where my tooth was has gone white? Shouldn’t I have a red blood clot where the tooth was \n\n\n\n\nThe nurse and surgeon worked sync as if being timed by a stop watch. \n\nHaving contacted 111 due to tooth ache \nIt was apparent that the dental surgeon was there to do only one thing did feel rushed andlittle embarrassed for using up an appointment for MattKW: Wound appears fine. You don't get dry scabs form in the mouth - you get white, sloughing material. Your lower front teeth have severe attrition - do you have a lot of acidic drinks?"
  },
  {
    "id": 704,
    "title": "Is this normal?",
    "dialogue": "Sarahh2399: Hi, I am hoping someone might be able to put my mind at ease.\nI went to the dentist today as I have a slightly cracked lower molar which has a filling and still has a nerve.\nI was told that I am to have a temporary filling and stabilisation of the tooth in a months time. Why can’t I just have a normal filling? Does anyone know? I’m a little concerned that if the temp filling fails I’ll be left with an exposed nerve. My dentist doesn’t want to do a root canal on the tooth and says I might need to have it removed if the temp filling doesn’t work. All in all I’m a little confused about the whole progress. Could anyone enlighten me please? honestdoc: Do you have pain and or discomfort with the tooth particularly when you chew?  Your dentist want to place sedative materials to allow the nerve to heal and not traumatize it if a normal filling that is very close can do.  I like modern glass ionomer materials like Fuji Equia which helps desensitize the nerve and pulpal protectant like Pulpdent's Lime-Lite.  Depending on how deep the filling, this can be placed as a final restoration.  Aslo depending on how big the filling is, you may need a crown.  The tooth most likely will get cold sensitive and if so, do not overwhelm it since the cold can damage the nerve."
  },
  {
    "id": 705,
    "title": "Do dentists practice Zirconia Reinforced GIC filling these days?",
    "dialogue": "gkr334: I have 5 cavities in my posterior teeth including the wisdom teeth. I have visited a few dentists before, they say the best option would be Glass Ionomer Cement, GIC.\n\nThey neither suggested me composite nor amalgam filling. As in composite filling, tooth should be kept very dry which is difficult to maintain in the posterior and wisdom teeth. Even though amalgam filling would last much longer, suitable for posterior teeth and can withstand chewing forces but it requires a larger tooth structure has to be removed resulting in weaker tooth. Also I already have 2 amalgam fillings.\n\nBut I didn't went for normal GIC filling because it can only last upto an average of 5 years.\n\nI researched about new dental filling materials which had the benefits of both GIC and Amalgam, is suitable for posterior teeth and would last longer. And I got to know about Zirconia Reinforced GIC.\n\nI read the research papers, and surprisingly, this material provides mechanical strength equal to that of Amalgam. And on top of that, it provides the benefits of GIC such as flouride release and lesser removal of tooth structure.\n\nSo what dentists have to say on this new material and do they practice it? MattKW: I had to look this up. The reports I read didn't give much detail and there appear to be no long-term studies. GIC should also be placed without moisture contamination. I'd suggest you either a  composite or amalgam placed under a rubber dam to keep moisture out of it. It's not necessarily true that amalgam requires more tooth removal. Often the decay creates enough retention without further drilling than usual."
  },
  {
    "id": 706,
    "title": "Root canal pain",
    "dialogue": "bbreeding: I had a root canal and crown several months ago.  No pain for one month,  Then tooth startrd tingling,  Still tingles.  Not especially painful but annoying.  Any thoughts? honestdoc: It's very rare for the tooth to have tingling sensation and if it is spontaneous and continuous.  Get followed up to make sure the tooth and fillings are intact and if so, try to get a crown if appropriate."
  },
  {
    "id": 707,
    "title": "Large bump on tongue, what is it?",
    "dialogue": "Christianmama23: I noticed a small bump about a month or so ago, it has now gotten larger, raised and somewhat painful.  What is this? Dr M: Good day\n\nThis could be a traumatic fibroma or pyogenic granuloma. I would suggest going to a dentist or oral surgeon. The lesion will be excised and sent for a histological evaluation to confirm diagnoses"
  },
  {
    "id": 708,
    "title": "So i have been having slight tooth pain and sesitivity that come and go for the past 3 years?",
    "dialogue": "Mikee44: Ok so i had a root canal 4 years ago that failed and ever since that i had a phobia of going back to the dentist. The infected root canal was the worst pain i ever had in my life. I eventually got the tooth extracted and was pain free again. Anyway, know i have this one tooth that has been hurting me on and off. Sometimes it doesn't hurt for a couple days and then pain comes back and goes away again. Their is also sensitivity to cold and hot drinks. Could it be time to go see the dentists again? i really don't want another root canal im thinking just an extraction because i don't want to go thru that again. Im a little worried know i might have waited too long with the pain since this tooth has been bothering for almost 3 years know but it wasn't serious enough to seek immediate dental care.  What do you think? Dr M: Good day\n\nIt is never a good idea to wait until the tooth becomes painful, because usually in such a case, the chances of it being another root canal or even an extraction is quite high. I would make an appointment with the dentist as soon as possible so that the pain can be evaluated and treated."
  },
  {
    "id": 709,
    "title": "Dental pain",
    "dialogue": "clau: So I have been experiencing pain in what feels like my front tooth and the tooth to the left of it. it has been going on for some time . I been to the dentist many and many of times and they always say they see nothing wrong with the tooth or gums. I did get sensitivity to the front tooth so they finally did a root canal. its been two months and the pain still comes. now when I press on the back of the tooth there is a pain. I went back to two different dentist and they still find nothing wrong. Has anyone experienced this???? honestdoc: If you have teeth pain and numerous dentists could not find any problems, you may be grinding and or clenching and not being aware of it.  I have a similar problem and I wore a custom bite guard which fortunately resolved the pain. clau: hi, I use a guard at night . the weird thing is I have a overbite so if I clench down the tooth that hurts doesn't touch the bottom tooth."
  },
  {
    "id": 710,
    "title": "Random question",
    "dialogue": "Penluvin: So is is something I never thought about till the other day and i know it's silly.. but let's say a patient is at the dentist and goes in to a grand mal seizure.. do dentists let the patient/ neurologist know so that they are aware of it when it happened etc? Dr M: Good day\n\nA seizure is of the most common medical emergencies a dentist can encounter. Usually the dentist tries to minimize the damage the patient can do to himself by moving all harmful equipment away and then monitoring the patient. If the seizure continues for more than 5 min and the dentist is capable, he can give some Diazepam. After the attack, the patient's air way should be monitored, since the patients smooth muscles relax, including the airway muscles. \nI would then refer the patient to a medical practitioner for an examination, who will then decide to refer to a neurologist if applicable."
  },
  {
    "id": 711,
    "title": "Is this leukoplakia or what? Kinda nervous about the way it looks.",
    "dialogue": "Cdulin:  Dr M: Looks like normal anatomy. Nothing to worry about Cdulin: Dr M said:\n\n\n\n\t\t\tLooks like normal anatomy. Nothing to worry about\n\t\t\nClick to expand...\n\nIt’s a bright white spot but it’s a small patch. I was just curious! Thank you! Cdulin: Dr M said:\n\n\n\n\t\t\tLooks like normal anatomy. Nothing to worry about\n\t\t\nClick to expand...\n\nThis is from today. Dr M: At this stage it still looks normal"
  },
  {
    "id": 712,
    "title": "Another tooth coming in behind the old tooth at odd angle",
    "dialogue": "shawnmcc: I was wondering if I should be concerned about a middle incisor on the top row of my teeth starting to crown behind the old tooth should I be concerned. The smaller tooth is being pushed by it and the old one is pushed forward. I might go see a dentist but I don't know if I need to. I forgot to add like I said before another tooth had recently come through on the left side. MattKW: What is your age? Can you post a photo? shawnmcc: I am 40 years old and I don't understand why these teeth didn't come in before. I was told once that the roots hadn't formed before but forgot all about it. Its hard to see in blurry photos so far that I have gotten. I dont think I can get a clear on on the inside of the top jaw. shawnmcc: My new tooth that emerged before the others has arteries that now are turning white is that a normal tooth. Cause the arteries before were visible and now are turning white."
  },
  {
    "id": 713,
    "title": "Gum scrape during mouth guard molding",
    "dialogue": "gummy44: I find myself in an urgent situation and would appreciate assistance and/or reassurance. My son recently was fitted for a night mouth guard, and when the technician was removing the mold tray, she pulled it out quite forcefully resulting in a 7mm round scrape of gum being removed exposing his jawbone! This is directly under his back molar. There was no bleeding, he thought he was hurting from his routine cleaning. He’s been in quite severe pain. When we returned to tell her, she said that gum will grow over the exposed jawbone and gave him oracort to be applied 4 times a day, together with Tylenol 3 for the pain. It’s been 10 days since and it looks the same, no new gum tissue seems to be growing to cover the scrape and cover his exposed jaw bone! I’ve googled everything I can think of, but can’t find an answer to whether gum will grow over and fill in over his jaw bone. Will he need a gum graft procedure or will it eventually close with time? He can’t eat anything but soft food and it’s been terrifying thinking that gum will not grow back. Thank you for reading and would appreciate any assistance! Dr M: Good day\n\nDo you perhaps have a photo of the area? It is very unusual to remove gum tissue and exposing bone during an impression. gummy44: Good evening Dr M,\n\nI appreciate your reply, and I thank you! It’s quite difficult to take a photo as I can’t get back enough to focus. The photo I’m attaching “may” show the white “lesion” or is a reflection in the mirror of a tooth? We went back to the dentist yesterday and she now said that the white scrape doesn’t appear to be either his impacted wisdom tooth, nor is it his exposed jawbone! She said the scrape appears to be healing as it went from a size of 7mm round last week, to 6mm by 5mm yesterday. My son feels no evidence of healing as he’s experiencing severe pain still. She now says that perhaps his gum is also bruised from the trauma and that she does feel thin gum there. She assured us that it was NOT osteonecrosis, and that it should heal and pink up again in a few weeks. She doesn’t find it necessary for a referral to an oral surgeon to look at it instead to continue with the Oracort and Tylenol and to follow up with her again next week to monitor any possible healing progress. He was healthy before the mouth guard impression but this is still frightening. \n\nDo you believe that the gum will pink up and the white patch will heal and disappear? I still don’t understand why it’s white and looks like bone. Thank you again for reaching out to me! Dr M: Good day\n\nUsually a traumatic lesion can appear yellow as healing progresses, due to scar tissue or granulation tissue formation. This will then gradually transition to pink.\nI would maybe consider using additional anti-inflammatory medication. Tylenol does not have strong inflammatory properties. \nI would monitor this area only. I also agree that it should heal by itself. gummy44: Good day Dr M\n\nThank you for your reassurance, and I greatly appreciate your reply and following up with me!\n\nIn addition to the Oracort and Tylenol 3, the dentist also prescribed \nChlorhexidine Gluconate oral rinse and Tantum oral rinse on our last follow up visit 2 days ago. He’s also been using salt water rinses a few times a day. \n\nThe dentist had initially prescribed Naproxen 500mg for the pain but at the time it did little to alleviate it, so that’s why she then prescribed Tylenol 3 on our last visit. As Naproxen is an anti inflammatory perhaps he can once again try it instead of the Tylenol, being the better choice as an anti inflammatory medication for his pain. \n\nHis gums and lesion are still quite inflamed and painful, and he’s still only eating soft food. It’s difficult to tell whether the lesion has any yellow tinge to it (not as white as bone) to verify whether the healing process has begun. We will be following up with her again next week for monitoring. Do you know a rough timeline on how long the healing process will ultimately take?\n\nI thank you again for your assistance, reassurance and explanation of the healing process and that he will heal in time!"
  },
  {
    "id": 714,
    "title": "Tooth Removal.",
    "dialogue": "Ramsey: Hi, \nI have a question. My girlfriend that I love, has two teeths that are jutting out when she opens her mouth. This make not want to laugh to avoid opening her mouth. Even when she smiles, she does so with her mouth closed. Those teeths are not bad. I want to know if they can be removed. Can they also be replaced with perfectly aligned tooths too? I need answers, please.\nThanks Dr M: Good day\n\nDo you have x-rays or photos of the teeth? Ramsey: Dr M said:\n\n\n\n\t\t\tGood day\n\nDo you have x-rays or photos of the teeth?\n\t\t\nClick to expand...\n\nNone sir. She is staying very far from me at the moment. I'm trying to get info so I would take her for treatment by surprise. Lemme say those teeths are jutting out like those of a rabbit, at the center, upper part of the mouth. Dr M: Difficult to give an opinion without more information, regarding the condition of the adjacent teeth or lower opposing teeth etc. Ramsey: Dr M said:\n\n\n\n\t\t\tDifficult to give an opinion without more information, regarding the condition of the adjacent teeth or lower opposing teeth etc.\n\t\t\nClick to expand...\n\nThese are the only pictures I have Dr M: Those teeth can be removed, but I would advise against it, since they are completely healthy teeth. I would rather look to options such as orthodontic treatment or braces in order to bring those teeth back in line. Ramsey: Dr M said:\n\n\n\n\t\t\tThose teeth can be removed, but I would advise against it, since they are completely healthy teeth. I would rather look to options such as orthodontic treatment or braces in order to bring those teeth back in line.\n\t\t\nClick to expand...\n\nOk. I think I would go with that. I know the process would be painful. How long would the pain subside? Dr M: Orthodontic treatment is not as painful as people fear. Pain is relative.\nUsually most pain is only associated with the times you go in for adjustments of the braces, but then it subsides. Ramsey: Dr M said:\n\n\n\n\t\t\tOrthodontic treatment is not as painful as people fear. Pain is relative.\nUsually most pain is only associated with the times you go in for adjustments of the braces, but then it subsides.\n\t\t\nClick to expand...\n\nOk. Thank you"
  },
  {
    "id": 715,
    "title": "Permanent tooth coming in with a denture screw",
    "dialogue": "shawnmcc: If there were to be a denture screw and a permanent tooth came in behind it or under it would the new tooth be damaged in any way? Should I go see my dentist if I recently erupted new teeth to be sure the new molars when they come through wont be damaged in any way? Cause I believe my old molars are dentures cause the wisdom teeth they supposedly  pulled were the remains of the old molars. Dr M: Good day\n\nAre you referring to implants? or loose and removable dentures? shawnmcc: Implants I can plainly see the top of a screw under my gum can that interfere with tooth eruption or other teeth? I didnt even know I had implants till I saw this. Dr M: Do you perhaps have any x-rays of your teeth so we can evaluate the eruption of the molars as well as the position of the implants? shawnmcc: I don't have x-rays some reason the new tooth didn't show that erupted in the front. If my dentist has them he wont show them to me. I had though the side teeth were going to erupt but the middle on instead that I thought was a permeant did instead and its a full sized tooth not the small one."
  },
  {
    "id": 716,
    "title": "Getting dentures or not?",
    "dialogue": "trabian: Hello, I am 56 yo and have been living with bad teeth all my life. I was a neglected child and was never taught to brush properly (among many other things). I had my first checkup at 5 and my milk teeth were so bad that they had to put me into general anesthesia and surgically remove some of the teeth. Between 6 and 8, my front permanent teeth began to stick out outside my milk teeth, especially the upper ones. These milk teeth were later extracted instead of falling out naturally, but had already caused a severe overbite. Practically all my teeth already had caries and fillings by the time I was 12. I'm trying to understand how this all came to be without any plan of intervention to try to salvage some of the damage, and it was probably a combination of neglect from my parents and the fact that my parents kept moving to another city or country every 1 or 2 years. When my wisdom teeth came out, things got even worse because they pushed my front teeth into a jumble. I simply got by with it. I have very thick lips and my mouth was always slightly open at rest, and my lips were always dry and cracked.\n\nAbout 10 years ago a dentist suggested I had my premolars removed. I was stupid enough to not get a second opinion, because I was very afraid of going to another dentist. After the extractions and the orthodontic treatment I could at least close my mouth properly, but now when I smile you can't really see my teeth if I'm not grinning very broadly. \n\nI've been very unhappy and self-conscious about smiling ever since. I was recommended another dentist who studied the situation, and I got braces to try to pull the teeth forward and maybe have new premolar implants on the lower row. I was in treatment for 18 months and finally got my money back because they hadn't really managed any result. I later went to a supposedly even better dentist, but she said that even with new implants it wouldn't be possible to get my teeth forward significantly, to make them \"show\" as with a normal set of teeth. \n\nThe situation today is that I'm starting to lose molars, many have enormous fillings that are starting to fail after so many years and the teeth crack from top to bottom. I had two extracted last year and probably one more will go soon. The enamel of my teeth is also very deteriorated, and just a couple of days after a cleaning by the dentist they're dark and spotty again from drinking tea and coffee. \n\nToday I still brush and floss and go to checkups, but it's as if my teeth don't exist, I've given up, I'm not sentimentally attached to them and would gladly pull them all out. I'd very much like to be able to smile and see my teeth in a photo with other people, but right now it's like an empty hole between my lips. My fear is that my gums and bones underneath won't permit a set of dentures to look \"normal\"...\n\nHas anyone had a similar experience, or is there a professional here that has treated a similar case successfully? Any response would be appreciated. Dr M: Good day\n\nIt is difficult to give an opinion without knowing the exact state or condition your remaining teeth are in. It is important to note however that with aging, you lose the natural elasticity in your face. This means showing less and less teeth as you get older. For an opinion of exactly what can be done, we would need to do a full clinical examination , to evaluate the condition of the remaining the teeth. the condition of the supporting structures of the mouth, such as your alveolar bone and gum tissues. trabian: Dr M said:\n\n\n\n\t\t\tGood day\n\nIt is difficult to give an opinion without knowing the exact state or condition your remaining teeth are in. It is important to note however that with aging, you lose the natural elasticity in your face. This means showing less and less teeth as you get older. For an opinion of exactly what can be done, we would need to do a full clinical examination , to evaluate the condition of the remaining the teeth. the condition of the supporting structures of the mouth, such as your alveolar bone and gum tissues.\n\t\t\nClick to expand...\n\nThank you for your reply, Dr M. I am aware that an examination is necessary for a qualified opinion. Maybe what I'd like to hear here are simply examples of similar cases or others' personal experiences, because I feel very lost right now. Also, perhaps you or other professionals may have some general thoughts about the following: \n\nHow many teeth do people usually lose before a full denture is considered? I don't like the thought of partial dentures or just filling the gaps with implants since the state of my remaining teeth is so bad and in 10-15 years they're probably going to fail anyway. At the same time it seems a bit radical to pull everything out, because my teeth are largely functional at this time although I have some gaps in the back.\n\n\nCan dentures work well even though they're not exactly aligned with the original gums and the bones underneath? I mean, in order to correct a large overbite?\n\n\nDo people of my age (56) generally get implants or dentures, when everything is removed? I'm trying to think pragmatically: costs, maintenance, general satisfaction etc. I do have some resources tucked away for this, but spending more than a sports car's worth on the treatment (like Iggy Pop) seems extravagant to me.\nRegards, \nTrabian Dr M: To answer your questions :\n\n1) It depends. I was taught that if you have at least 8 occluding teeth, this should be enough to function. But this differs from person to person and where these teeth are located. \n\n2) If you decide to go the denture route, you will most likely be looking at what we call immediate dentures. This is where the dentures are manufactured and then all the teeth are extracted upon delivery of the denture. This is usually what I like to call a \" guesstimate \", because the teeth are set up in such a way to provide optimal function, but not always optimal aesthetics, since you can't have a try in visit to see how they would look like, while you still have teeth in your mouth. You can still have some improvement on the overbite you mentioned. \nAfter the teeth has been extracted, your alveolar bone remodels. This can sometimes take a year. After this, a new set can be planned out and made to suit your specific functional and aesthetic requirements. \n\nIt is important to note that removable dentures will never ever be as comfortable as your own teeth. Since it is REMOVABLE.\n\n3) You can get either implants or dentures at your age. This choice is only dictated by your available tooth supporting structures as mentioned previously and finances. For an estimate you will have to go for a consult first, with your dentist or treating specialist. trabian: Thank you again for your professional opinion, Dr M. What you say about the guesstimate worries me since I'm very concerned about the aesthetics, in fact it's the main reason I'm considering dentures right now since my remaining teeth are at least functional. A denture with teeth in the same position as now would still be invisible when I smile, however white and perfect they are.\n\nBtw I've now read a bit about fixed dentures, wouldn't that be a good option if one removes all the existing teeth? \n\nI would still like to hear from someone that has gone through something like this, from a patient's view. Dr M: For fixed prosthesis, you will need an evaluation from a dentist or dental specialist, in order to see the quantity and quality of bone you have to work with. Fixed dentures are attached to implants. This process can be expensive"
  },
  {
    "id": 717,
    "title": "I Asked My Dentist for Copies of my X-Rays and this is What He Gave Me",
    "dialogue": "joey: When I requested dental x-rays in the past I would receive individual x-rays of each tooth that I could take to another dentist.  Recently, when I requested my dental x-rays the dentist sent me the following.   What is the standard of care these days when giving x-rays to patients?\n\nThanks. Dr M: Good day\n\nWe don't take peri-apical x-rays of each individual tooth if not indicated. Ethically each dentist should follow the ALARA principle when it comes to taking x-rays. This stands for \" as low as reasonably acceptable \" in terms of radiation exposure. This means that we only take x-rays when there is a clear indication or need for it. Your dentist sent you copies of the x-rays he felt he needed to take. \nIn some cases these days, your dental insurance also only pays for a certain amount of x-rays, which limits the amount the dentist takes. joey: Thanks for the helpful reply.  When looking at the x-rays he sent some only show partial teeth and some don't show the gum line.\nWould these x-rays be helpful to another dentist? Dr M: Yes they would. These \" bite-wing x-rays \" are used to evaluate cavities or fillings in-between teeth and not the teeth roots."
  },
  {
    "id": 718,
    "title": "Whats wrong with this tooth",
    "dialogue": "Kel95: Can anybody tell me what is wrong with this tooth, on pics it looks like im missing a tooth because it goes in. And would clear braces fix this ? Thanks Dr M: Good day\n\nIt looks like you have a severe crossbite on your right side. For this you will need fixed orthodontic treatment. Consult with your dentist for a referral to an orthodontist."
  },
  {
    "id": 719,
    "title": "Tooth 12",
    "dialogue": "Horsegirl686: For the last 18 years my xrays were showing that tooth 12 was not going to grow in right if at all. All of a sudden a few months ago it finally erupted. However since it is a molar it hurts like crazy growing in. I had braces to keep the space open so that's not the problem. I'm an adult teething so I was wondering what's your best advice? Dr M: Good day\n\nUsually any anti inflammatory medicine will help during the \" teething \" process."
  },
  {
    "id": 720,
    "title": "Is This a Good Crown?",
    "dialogue": "joey: My dentist put an all porcelain crown on my right front tooth #8. \nThe process took many months, including three different temporary crowns.  When I floss I notice a defect or something near the gum line on the side of the crown nearest to #9 tooth. \nthe x-ray of the tooth is unlike any of my other dental x-rays.  There appears to be a defect or something at the gum line across from tooth #9\nLooking forward to your comments. Dr M: Good day\n\nIt looks there is an air bubble in the porcelain itself, and if there might be inadequate seal of the margins of the crown. This could be as a result of impressions or scans not done properly or contacts between teeth not checked prior to seating, resulting in slightly open margins, which might lead to micro-leakage."
  },
  {
    "id": 721,
    "title": "How to restore white teeth?",
    "dialogue": "BrowsingGnome: My teeth were highly abused and poorly taken care of in my childhood. I didn't know any better and no one taught me. Now I have very thin enamel that the dentin would show through. No matter what I did it would not get any whiter. Bleaching, UV, etc did nothing. I think those only made it worse. What is the least expensive way for me to restore my teeth? Dr M: Good day\n\nThe least expensive way might be composite veneers. This is different from normal lab fabricated veneers and cheaper. I would seek out a dentist that specializes in aesthetic dentistry and discuss this option with them. Have seen some really good composite resin build ups. Just be aware that there are risks involved."
  },
  {
    "id": 722,
    "title": "What are the prerequisites for an African dentist to get Licensed in the U.S or Europe ?",
    "dialogue": "Bruk: Here is the thing am gonna graduate soon from an African university as a Doctor of Dental Medicine. Can you guys please give me some advice about the prerequisites before licensure for international dentists at the U.S or Europe. Thanks in advance."
  },
  {
    "id": 723,
    "title": "Long term strategy",
    "dialogue": "Dental Impatient: Long story, but I'm at a crossroads and I'm questioning how I should handle my dental care for the back half of my life.\n\nI didn't see a dentist from the time I was 18 to the time I was 25. When I finally did, it was because I needed a root canal, badly. And that experience made me want to get serious. The first guy I saw did a ton of work, something like 19 fillings all at once all around my mouth. My bite was never quite the same, and he made a lot of adjustments over the next few years as I was clacking and it was causing pain. My bite is unbelievably bad now, my teeth no longer fit together. I'm a heavy grinder. I can destroy crowns if they're not the right material with my bite. I wear a store bought night guard now, which helps a lot, but I destroy one about every six months. I have a lot of large fillings in my molars, and now it seems like every time I go in and they find something, I need a new crown. It is costing a fortune to maintain my mouth, and I'm miserable and the teeth still don't look very good. I've had 5 root canals and have 7 crowns so far, as well as an implant on #19.\n\nWhat are my options at this point? My teeth make me absolutely miserable. There is a long standing thought that although it may be challenging, I might be happier just getting them pulled and having dentures. If the best option is to keep getting all this incremental work until I have at least 16 crowns, what are some methods of keeping the costs from becoming crippling? MattKW: Unfortunately dentistry is a form of smash repairs. There is not much that can be guaranteed to work for a long time, and the more complicated your situation, the worse it becomes. \nYou mention that you crack crowns - this is unusual. I would suggest you talk to a prosthodontist about reassessing your current occlusion, and consider replacing some molar crowns with gold crowns."
  },
  {
    "id": 724,
    "title": "Tooth loss an ongoing problem",
    "dialogue": "Ali55: I am sorry this will be a little long winded. In November last year I had an abscess in my canine which nearly hospitalised me, I called my dentist and the receptionist told me I had been taken off the list, since then I have lost 2 teeth at the bottom front and now my canines are about to fall out. I cannot eat properly or talk properly or sleep!\nI cannot find a dentist to take me on on NHS here.\nMy background is that I am petrified of the dentist, at 15 I was involuntarily anorexic and have survived a string of abusive relationships, at 22 I had 7 front top teeth drilled and capped due to facial trauma after an attack from my ex husband. \nI have a bridge of 6 teeth at the top, the canines hold that in!\nBasically I am only 55 and only have 11 teeth left, I need to find a dentist to extract and create full dentures, please can anyone help? I am in Bedfordshir"
  },
  {
    "id": 725,
    "title": "Red itchy spot on palate.",
    "dialogue": "Rcs887: Hello.  I have had an itchy palate for about a week.  It didn't occur to me to take a look at it until now.  I see now that there is a red area associated with the itch.  Anything to worry about? Am I able to see if it resolves on its own or do I need to see a dentist? \n\nthank you! honestdoc: The mouth has a high potential to resolve most ailments.  I'm suspecting you may have used something like new toothpaste, herbal supplements, medications, etc. Rcs887: I have actually been using a new toothpaste.  Well,  not completely new, I have used it in the past.  It never made my mouth itchy but I did always seem to get canker sores whenever I used it.  No new medicines or supplements but I have been eating a new brand of quite a few groceries this past week or so.  I'll switch back to my old toothpaste and familiar groceries.  Thanks!"
  },
  {
    "id": 726,
    "title": "Laser gum pocket therapy painful and burning smell? Malpractice?",
    "dialogue": "GrecoRomantic: I've read accounts of the laser therapy being painless. Everywhere I read indicates it should be painless.  \n\nHowever, I personally experienced a burning smell through the entire procedure, and sharp laser burning pain, despite being FULLY NUMBED with local anesthetic for the deep cleaning procedure minutes before.\n\nWas the laser intensity set too high? Was I given gum line reshaping instead of gum pocket therapy? Is this maltreatment? Dr M: Good day\n\nLaser therapy being painless is very relative. The burning smell is normal and sometimes during a deep pocket cleaning, there might be a possibility of it being sensitive. Can't give any information regarding the settings, due to not knowing what wavelength diode laser was used and to what intensity the settings were adjusted to prior to the procedure. GrecoRomantic: Thank you. That is reassuring. I am healing well."
  },
  {
    "id": 727,
    "title": "medical accident, what do you do?",
    "dialogue": "guts_feeling: First visit to a dentist for a new patient exam and regular cleaning.\nI think the doctor(they do not have a hygienist) chipped the enamel of the inside of the lower central incisor, the round part near the gum line.\n\nMy tongue felt something strange. When I look at the mirror, the round part is gone for one incisor. It is been half an hour, so far, no hurt.\n\nWondering \n1. what can be done to fix the chip?\n2. for a  medical accident like this, what do you do? honestdoc: Go back to the dentist for followup.  Enamel does not chip that easily during the cleaning.  If so, the enamel is going to chip anyway from normal activity. MattKW: A common \"complaint\" after a cleaning. Most likely you are feeling where the calculus (tartar) has been removed as part of the cleaning. If you're unsure, go back and they may be able to show you in a mirror."
  },
  {
    "id": 728,
    "title": "Recent Dentist Visit - Deceptive Practices - Advice Needed Please!",
    "dialogue": "Jay.Steinberg: In brevity timeline:\n1 - Woke up last week with extreme tooth pain, called a local dentist for immediate appointment and they were able/willing to see me same day.\n\n2 - Scheduled same day appointment and was told $50.00 for a limited evaluation to diagnosis which I was more than fine with.\n\n3 - Went to appointment, issue was diagnosed and was told cost is $650.00.  One extraction and one root canal.\nThey were ready to do immediately but I was NOT ready, just did not have the cash on me and they were willing to write me a script for pain meds in the interim of appointment.  Scheduled appointment for the following day.\n\n4 - Came for my appointment the next day, sat in dental chair and front desk personnel comes into room and required payment upfront before anything is done.  I was fine with that, really had no choice.  So I paid her $650.00 while in chair and she said she will email me receipt in 5 minutes, not a problem for me.\n\n5 - Cosmetic* dentist came in (same women I did limited evaluation with) to do root canal and completed.\n*Per dentist.\nAfterwards, the Endodontist came in room to do extraction and that was fine too, few minutes.\n\n6 - Procedure was done and right before I am about to leave, cosmetic dentist told me I have to come back next week for second part of root canal which will be another $350.00.\n\nThis was a total shock to me and was certainly deceptive and nobody told me a second visit was needed with more money.\n\nAll thoughts/opinions/advice are much appreciated! honestdoc: The $350 should have been explained prior to treatment.  I don't know what all the procedures were so I couldn't tell if they scammed you.  Was this at a chain like Aspen Dental or Heartland?  How were your dental visits prior?  Do you have dental insurance?  They should always give you different options like extraction instead of root canal.  After a root canal on the back teeth, you will need a core build up and crown which can get expensive.  My advice is to go to a dental office you trust where you see the same dentist.  Try to go regularly to minimize any surprise emergencies. MattKW: Did you get initial quote in printed form? Always good to ask before starting any treatment so we can see what was proposed, and you have it in writing. Usually should have a written explanation of any other likely required procedures e.g. crown, like honestdoc says. GGG: What would you think of a dentist who does not provide any treatment plan of costs? I need a lot of work doing and I’ve consulted two dentists one of which I prefer but he refuses to put anything in writing? honestdoc: GGG said:\n\n\n\n\t\t\tWhat would you think of a dentist who does not provide any treatment plan of costs? I need a lot of work doing and I’ve consulted two dentists one of which I prefer but he refuses to put anything in writing?\n\t\t\nClick to expand...\n\nNot sure about other countries but here in the US, treatment plans must be in writing.  Do you use 3rd party dental insurance for help with fees?"
  },
  {
    "id": 729,
    "title": "I had root canal twice on a front tooth, i have a lot of tooth structure but would i need to crown it?",
    "dialogue": "Memz9595: Hi, so i had to get two root canals on a front lateral incisor. I had to get second canal treatment due to my dentist doing a poor job, i went to a specialist. My tooth colour is slightly different than the rest now but not very obvious, i do have a lot of tooth structure. But would i need a crown or not to protect it? As i had a lot of work done to it. Thank you Dr M: Good day\n\nIn terms of the tooth color, you can sometimes get quite an improvement with a procedure called non-vital bleaching. You can ask your dentist about this. Basically it is bleaching the crown of a root canal treated tooth from the inside.\nSecondly it is not necessary to have the tooth crowned, if you have enough tooth structure left. Just keep in mind that all root canal treated teeth are technically dead teeth and can become brittle and break over time, especially when accidentally biting into something that is too hard. MattKW: Lateral incisors are small teeth. I would try internal bleaching (your dentist) to see if you could lighten it. I would be very unlikely to suggest a crown because while you might improve the appearance, you will weaken the tooth - the crown won't strengthen it in this type of case."
  },
  {
    "id": 730,
    "title": "Gum damage during filling?",
    "dialogue": "Sky: had a filling done in April as my older filling was getting cracked. I had no pain or other issues in the tooth area. After the filling was done my mouth was numb that evening and I was in pain. From the next day onwards I was extremely sensitive to anything cold around that tooth. This went on for a couple of weeks and I went back to the dentist thinking something was wrong with my filling. And they told me it was gum erosion/damage. It’s been 2 months since then and the gum hasn’t healed though the pain isn’t as bad as it was in April. \n\nI guess my question is, can the gums get damaged during the filling process? It’s suspicious to me that there was no gum damage the day I went to get the filling and a week later the damage was so bad that it still hasn’t healed? Trying to understand what happened and if I can trust the dentist or should I find another provider? Dr M: Good day. \nJust to clarify some of the terminology..what you have might either be enamel erosion or abrasion,  or gum recession. Both of this could lead to sensitivity. This is also something that won't disappear with time. All that you can do is manage the symptoms. Try rubbing some Sensodyne toothpaste on the affected area for about 1 minute, and then don't rinse your mouth with water. This sometimes help to manage the symptoms. Also switch to a toothbrush that is soft. In severe cases you might also need a filling to cover the damaged areas.\n\nIt is important to keep in mind that the sensitivity could also be due to a defective filling or filling close to the nerve of the tooth. Impossible to give advice on this without more information like an x-ray."
  },
  {
    "id": 731,
    "title": "Failed Root Canal!?",
    "dialogue": "Teresa1989: Hello, \nBack in may I had a cleaning they found a cavity so i obviously needed a filling. While they drilled my tooth it broke apart than I needed a crown and a root canal all within a month now end of July my tooth still feels weird when i bite on it. It doesn’t feel sensitive but some sort of pressure. I called my dentist and she said it’s normal and it takes month to recover from a root canal. I’m worried that the dentist is just crapy. Dr M: Good day\n\nIt can sometimes take a while for a root canal treated tooth to settle. This is normal. You can also have the occlusion checked on the crown. It might be biting a bit too high. Teresa1989: Ok thank you. I have scheduled an appointment at my dentist to see if it’s not sitting right."
  },
  {
    "id": 732,
    "title": "Red Line on Tongue",
    "dialogue": "Dash: Hello, I recently noticed this red line on the side of my tongue towards the back.  It looks like a varicose vein (which I do have all over). I had a cleaning last month and my dentist thoroughly examined my tongue at that time due to inflamed papillae.  This line was there at the time but he didn’t mention it.  Is this something that should be looked at again?  Thank you.\n\n\nThe picture on the left is today, the right was taken on June 7th. Dr M: Good day\n\nI won't panic. This looks like a variation of normal to me. I would just keep an eye of the area, and if there is any major changes, such as enlargement or ulceration, I would have it checked out again, since the lateral borders of the tongue is a high risk area. Dash: Thank you for your reply, Dr. Dash: Hello, I was able to take a clearer picture today. I was wondering if you think this could have been caused by grinding my teeth and clenching my jaw? Is there anything I could do to reduce the redness or is something that is just going to be there? Thank you for taking the time to reply! Aja: Is that resolve???"
  },
  {
    "id": 733,
    "title": "wisdom tooth infection?",
    "dialogue": "megchlo: i went to a dentist for a possible wisdom tooth infection, it’s too left and is coming through at a bad angle. \nthere is a lump on the inside of my cheek where the tooth is pushing into it. the dentist said there was nothing there but there is as i can feel it. i’ve been having an overall weird feeling on the left side of my face, and my left eye feels smaller than my right, but doesn’t look it. i’ve had pain in my neck, swollen lymph nodes and pain going down my left side of my back and heart pain but i don’t know how much is connected. google says that an infection should be treated by a dentist and can’t be done at home by yourself, but she sent me home and told me to clean it well with a small head toothbrush and corsodyl mouthwash. but i feel like she didn’t acknowledge the possible infection and asked no questions. she scraped around the tooth and rinsed it i think, and that is all. i’ve been feeling very paranoid and worried that it is an infection and that it could get worse and develop into sepsis, but i don’t feel i’ll be taken seriously or anything. i’ve been feeling so off, tired and anxious. the tooth is causing pain, the little lump is kinda sore and my mouth hurts after eating. i don’t wanna go to the dentist and not get anywhere again. i also think i have gingivitis or periodontitis, so i dunno what to do bout that either. i’m female, 21. Dr M: Good day\n\nDo you perhaps have any photos or x-rays or your teeth? If your wisdom tooth is indeed infected, you will have to have it removed by an experienced dentist or oral surgeon.\nHave you been diagnosed with periodontal disease? Periodontal disease is diagnosed by a dentist or periodontist."
  },
  {
    "id": 734,
    "title": "Multiple fillings needed.",
    "dialogue": "ChrisR: Afternoon all. Quick question for you. I haven’t been to the dentist in about fifteen years. I wouldn’t say it’s a phobia but when I was 16 I had a tooth smashed by someone and my experience wasn’t great. Since that treatment I’ve avoided going. \n\nToday I looked at my teeth using my phone light. My teeth are absolutely riddled with little holes, some as many as ten in a tooth and they obviously need filling before it progresses. Most are small ones that would ordinarily be filled I think but I don’t know how dentists go about filling these. Can they drill out multiple holes in a tooth and fill at the same time per tooth?\n\nThanks for any replies. honestdoc: Your questions are valid.  The answers are it depends.  First thing the dentist will do is take x-rays.  They are like a road map of your teeth and I will never drill on a tooth without them.  They are necessary because we don't know where or how deep the cavities will get inside your tooth and where the nerve in the root canal will be.  We can't see the bone health under your gums without them.  If you have multiple holes in one tooth, it depends on the size of those holes.  You may need to have a crown if the holes get too big for the tooth to remain strong enough.\n\nI am very big on prevention of cavities.  I would evaluate the patient and if he or she has rampant cavities all over, I would have a serious discussion on why they are deteriorating because fillings will also get cavities under them and you can potentially lose all of your teeth. ChrisR: Thanks for the reply. My teeth were pretty perfect until I was in my mid to late twenties. One cavity and no other issues. \n\nI went to rural Kenya for 30 months in 2010 and due to where I was I didn’t have access to dental care or indeed the means to properly clean teeth sometimes. It was also not unusual to find fizzy drinks (coca cola) specifically which I’d regularly have as the only available luxury. I came back from there in 2013 with more than a few small cavities I’d guess. In any case I developed a tendency to drink the fizzy drinks even when I returned and it wasn’t uncommon for me to wake in the middle of the night and eat or drink something without then brushing teeth again. I’ve had no real pain and the cavities have actually been unnoticeable to the naked eye without using a bright light. \n\nIn any case I haven’t been eating or drinking sugary foods since January and my tooth care routine now is pretty good. I brush after every meal, floss and use mouthwash. Probably excessively so if I’m honest. I certainly won’t go down this road again. If I had a starting point where I could maintain the health of my teeth I’d certainly keep it up. \n\nTo tell you the truth embarrassment inhibits me from going to the dentist but I do have an appointment booked. As much as I want to cancel it and save myself the shame of it all I guess it needs doing. honestdoc: There should be no embarrassment visiting the dentist.  You should find a dentist you trust.  In the US, we have an oversupply of dentists in big cities and suburbs and a shortage in the rural areas.  I see a lot of members of the underserved population with severe problems."
  },
  {
    "id": 735,
    "title": "Chipped tooth",
    "dialogue": "Anxious person: Hello, \nSo I posted a while ago about potentially cracking my teeth because I bit into a fork while having dinner. I was experiencing pain in the roof of my.mouth around a particular front tooth and I got that checked out. During my visit the dentist told me that it looks like I may have actually chipped the bottom tooth and just traumatized the top tooth. Since then my pppaun in the top tooth has pretty much gone away with some sensitivity when pressure is applied. \n\nBut I've been experincing some pain in the bottom tooth and I've actually noticed the chip. It doesn't seem to be too bad (it's the middle (third one in from the six in the front) tooth on the bottom), and my dentist didn't seem too concerned about it but I have developed some sensitivity in it and my dentist didn't do anything to fix it at the time I was there. She just told me she was going to moniter it. I'm just a little concerned about the pain I'm experiencing and I'm wondering if I should get this looked at asap? I've been trying to stick to soft foods and I've had to be gentler with my brushing because of the pain. I've also noticed that the tooth is most sensitive to cold air or if I take a sharp breath from my mouth. I have a cleaning appointment for this Friday and I'm wondering if I should wait till then or go earlier? Dr M: Good day\n\nI don't see a need to go in earlier. It can wait. Try applying some sensitive toothpaste to the affected tooth by rubbing it on for about  a minute and then NOT rinsing your mouth afterwards. I have found this sometimes reduces the sensitivity a lot. If this doesn't help,it might be necessary to do a filling in that area. Anxious person: Thank you so much"
  },
  {
    "id": 736,
    "title": "Tooth extraction - healing/dry socket? Help!",
    "dialogue": "Penny2021!: Hi, \n\nI had my L6 molar removed on Wednesday afternoon. The pain does not seem to be reducing and my jaw/lower cheek is still sore to touch. \nI am pregnant and I am only able to take paracetamol. I wasn't sure as I was on day 4 now if I have dry socket or is pain (not reducing) on day 4 completely normal? \n\nI will try to attach a photo. Penny2021!:  Dr M: Good day\n\nOn the 4th day, the pain should be reducing. The photo is unclear. I would follow-up with my treating dentist for a possible dry socket."
  },
  {
    "id": 737,
    "title": "Diabetic with excess plaque in saliva, Is it real?",
    "dialogue": "DiabeticsDaugther: My mum is a diabetic and has been complaining for the last year about excessive plaque on her teeth and gums, no matter how much she cleans she feels it. In addition she has had a fine sandpaper like rash on her arms during the same period. \n\nFive weeks ago she had a stroke and she is fixated more than ever now on feeling excessive plaque to the point of gagging, vomiting and constant spitting to expel the plaque. All of the doctors/dentists do not see excessive plaque when examining her mouth. This feeling is causing heightened anxiety and mental fixation during this important time of recovery and repair for stroke. \n\nTheories are - excess sugars in saliva, gingivitis, allergy to medication rash on tongue, nerve damage. \n\nWe are unsure what to do to help her? \n\nShe is on metformin, ozempic, advair inhaler, amlodipine, gliclazide, bisoprolol, perindopril, pravastatin."
  },
  {
    "id": 738,
    "title": "Pericoronitus?",
    "dialogue": "Katie416: I posted previously about a lump in my cheek. This has now gotten worse upper and lower wisdom teeth are currently making their way through however this link appears in the inner cheek and is very painful. I am away atm but have booked to see the dentist when I return. Can anyone advise what this could be? Thanks"
  },
  {
    "id": 739,
    "title": "How to decide which dentist to perform a load of work?",
    "dialogue": "GGG: Okay so what do I do? \n\nI need a load of work doing and have been failed by UK Dentists in the past. I’ve done lots of research and had plenty of assessments done. One practice was my preferred but is sadly out of my price range in central London. \n\nThe second practice is a local London team who seem very experienced with the dentist overseeing the orthodontics being \nqualified as a Dentist from Liverpool Dental School in 1993 and worked as a vocational trainee in Hertfordshire. He then spent three years working in hospital, when he gained his Fellowship in Oral Surgery qualifications from both the Edinburgh and London Colleges.\nIn 1997 he began his specialist orthodontic training at Kings and Guildford hospitals. He gained his MSc and MOrth qualifications and completed his training in 2000. Since then, he has been busy developing his specialist orthodontic practice in South-East London and has trained in the provision of Invisalign, Damon and Lingual braces. He was the Secretary and then the Chairman of the Orthodontic Specialists Group of the British Orthodontic Society from 2009 - 2014. In 1999 he began his legal training, and was called to the English Bar in 2006. As well as his clinical work as an Orthodontist he also serves as a Chariman on the GDC's fitness to practice panel.\n\nI found his manner a little bit offhand but hen assessed me, did a report and would oversee the orthodontics with a specialist consultant who works in hospitals and lectures doing the restorative work. Obviously they’re very experienced but I can’t find reviews on their work and from patients and the one treatment I had from that specialist dentist I have no way of assessing how good it is but I know that it took 2 1/2 hours in the chair (cleaning out decay and putting a post in) with a lot of dribble around my mouth. I also don’t find him particularly good at explaining things.\n\nThe other practice is a slick modern practice focusing on cosmetics/aesthetic’s which appeals to me actually because if I’m spending all this money I might well have a good looking smile and beautiful teeth. However, I found it a little concerning that the principle Dentist charged me £79 for an initial consultation but I’m getting no report from that and it was really just a chat about what I want and what his approach is. He refuses to give me a report or even a rough estimate first saying that I need the orthodontics done before they can look at what I need doing.\n\nI’m 59 and it would be nice to straighten my teeth although they’re not terrible but a little bit overcrowded and uneven and I understand as you get older they move so this might get worse. The orthodontics isn’t essential for me so I don’t even mind saving the money if anyone on here thinks it’s not worth doing. \n\n\nOpinions please!"
  },
  {
    "id": 740,
    "title": "What value in sharp teeth?",
    "dialogue": "SL Prentice: My MIL has been avoiding any food that is remotely chewy for the past 20 years, wistfully stating “My teeth aren’t as sharp as they used to be.” Do humans need sharp teeth to chew effectively? Dr M: Good day\n\nThe natural anatomy of a tooth does contribute to function, but that does not mean that she can't function if the teeth are a bit worn down. I assume she is referring to her own teeth and not dentures? honestdoc: People's neuromuscular system for chewing is very adaptable.  I'm suspecting your MIL may have TMJ dysfunction and not because of her \"dull\" teeth."
  },
  {
    "id": 741,
    "title": "Dentist performing \"sinus clean out\"? Dentist or ENT?",
    "dialogue": "rdk2020: I had been having severe pain in my upper right wisdom tooth and 2nd molar area with infection and got those teeth pulled. I went for post op last week and was still having pain. It is hard to describe, but I will get pain \"attacks\", where the pain radiates from the area where those teeth were, into my ear, behind my eye, and in my sinus and will eventually calm down to more of an annoying throbbing. Dentist did another xray and could see that I have a sinus infection, and the tooth hole where the wisdom tooth was still draining pus. He also noticed some abnormal growth of bone that is very close to my sinus wall. Have been on antibiotics for the last week, and I still have pain though it is to a lesser degree. Went back today and next week he wants to do another surgery to remove the abnormal piece of bone and \"clean out\" my sinuses, which I assume means removing the infection. Is that a thing? What is this procedure called and would this be better to have an ent look at me? My fear is that I will pay all this money to get the bone removed and sinus cleaned out and will still be having this pain. He hasn't really answered whether it will solve the pain issue, just keeps saying I have a sinus infection and that there was a lot of infection where the teeth were. But I've been on antibiotics since last Monday, shouldn't the sinus infection have cleared up by now? Dr M: Good day\nHas your dentist been trained in oral surgery? If not, it best to have a maxillo facial surgeon look at the problem. rdk2020: Dr M said:\n\n\n\n\t\t\tGood day\nHas your dentist been trained in oral surgery? If not, it best to have a maxillo facial surgeon look at the problem.\n\t\t\nClick to expand...\n\nyes, he is also an oral surgeon. I got more info from their office that he is performing a sinus lift, but he has kept saying he will clean it all out while he is doing this. I guess I am just worried that this is not going to address the problem of the pain I am having. Dr M: If he is a qualified oral surgeon, then he should know what he is talking about, and will be able to clean out the sinuses as well as remove the bone piece that is in question. No need to go see an ENT"
  },
  {
    "id": 742,
    "title": "Painful teeth after treatment",
    "dialogue": "Tex: Hi. I know no one can solve my problems based on what I write here but I hope someone can give me a hint.\n\nOver the past few weeks, I did several teeth repairs including 1 extraction and 3 root canals. Now I have 2 problems that the dentist cannot solve.\n\n1.) I have pain in my last 2 top teeth on my right side. The dentist did the filling on both of them and took an x-ray afterward which shows no cavities left. However, the pain is so bad that I can't chew. What makes it more confusing the pain is exactly in between the teeth. (not the gum). When I put a toothpick in between the 2 teeth I can't tell which one is hurting. They both do. Is there a way to figure which one is hurting?\n\n2) The second issue that the dentist is puzzled about is my 3rd tooth on top from the back on the left side. On that one, I did a root canal a year ago and it broke a few weeks ago and started hurting on the spot where it broke. I got it filled but the pain remains. The dentist removed and filled the painful part but then the other side of the tooth hurt. He did it again and took an x-ray but the pain is still there. \n\nAny suggestions? Dr M: Good day\n\nDo you perhaps have any photos or x-rays of your teeth?\n\nRegarding your first question, it could be that the occlusion or bite on the filled teeth are not correct, leading to an increase in pressure of the ligaments surrounding the teeth, and then the resulting pain. \nIt could also be areas of exposed dentine due to recession of the gums, causing pain. \nHow deep are the fillings? Again, x-rays will really be helpful.\n\nSecondly, the root canal treated tooth, could either have a crack in, that is not visible with the naked eye or 2D x-rays, or the root canal itself could have been compromised due to microleakage. This would have led to the root canal starting to fail, and in such a case, a re-treatment might be indicated. Also have the occlusion checked on this tooth.\n\nIn the end, it could be a lot of things, but we would need more information to be more helpful. Tex: Dr M said:\n\n\n\n\t\t\tGood day\n\nDo you perhaps have any photos or x-rays of your teeth?\n\nRegarding your first question, it could be that the occlusion or bite on the filled teeth are not correct, leading to an increase in pressure of the ligaments surrounding the teeth, and then the resulting pain.\nIt could also be areas of exposed dentine due to recession of the gums, causing pain.\nHow deep are the fillings? Again, x-rays will really be helpful.\n\nSecondly, the root canal treated tooth, could either have a crack in, that is not visible with the naked eye or 2D x-rays, or the root canal itself could have been compromised due to microleakage. This would have led to the root canal starting to fail, and in such a case, a re-treatment might be indicated. Also have the occlusion checked on this tooth.\n\nIn the end, it could be a lot of things, but we would need more information to be more helpful.\n\t\t\nClick to expand...\n\nThanks for the reply. My dentist did mention the possibility of it being broken (the one with a root canal) but nothing else and will probably send me to a specialist. \n\nThe second photo is not taken from the side but of complete mouth because they want to order a night guard. I took the best picture I could and the pain is exactly between the 2 teeth right in the center where those red lines are pointing to. When I chew on something solid I can't tell which tooth hurts more because they both do. The last 2 on the bottom same side have been done after this x-ray was taken but they too hurt although not as bad but that prevents me from finding out which tooth is more painful on the both sides.\n\nWhen you have 4 painful teeth that push on each other it is hard to tell which one hurts the most. But I am not concerned with the bottom ones it's these upper 2 on the x-ray and the one on the other x-ray I attached.\n\nThank You Dr M: I agree with your dentist. If the root canal is still giving problems, it is best you consider seeing a specialist endodontist.\nOn the other x-ray, I can see that the top tooth, right at the back, has a very large filling, close to the pulp or nerve of the tooth. Over time, such a large filling, could lead to a pulpitis of the nerve ( inflammation). If the pulpitis becomes irreversible, it might be an inidication for root canal treatment on that tooth as well. I would still check the occlusion or bite on these teeth first. \nHave you been taking anti-inflammatory medication? This could help.\nIf you are being referred to an endodontist, you can have him look at these teeth as well."
  },
  {
    "id": 743,
    "title": "Heart problems and root canal",
    "dialogue": "Bendaughtry41@googlemail.: My wife has a history of heart and angina attacks, with a low pain threshold. Obviously root canals are done pain free(UK). This isn't great for heart problems, so are dentists able to give anything to help with pain? \nThanks, Ben Dr M: Good day\n\nThe dentist can consider using a local anaesthetic without adrenaline."
  },
  {
    "id": 744,
    "title": "Can a tooth that has been root canalled and then re-done by an Endodontist still Hurt?.",
    "dialogue": "Ivegotaproblem-uk: Hi All,\n\nI have an issue that is baffling many people.\nMy UL2 tooth had issues in Dec, that would result in pain/numbness that radiated to my left nostril/runny nose and slight numbness, the tooth would hurt and using sensitive tooth paste would actually seem to go up the gap (UL1/UL2) and cause the issue, same trigger with Hex mouthwash\nLong story short, it was root canalled. Same issue.\nI had a Endodontist re-root canal it. Same Issue. \nI had the adjacent tooth (UL1) root canalled - Same Issue. \nHad various Anti-B's, same issue.\nPeridontist cannot explain it (no gum pockets etc) just a lot of recession either side.\n\nHex mouthwash sets it off 100% but sensitive toothpaste not so after the root canals. \n\nThe tooth is sensitive still, and produces incredible pain if triggered. I can trigger it now with an interdental brush on the other side (the gap) by simply brushing lightly.\n\nI think I need it out, but very worried that as no one knows what the issue is that it will cause even more issues (I know that sounds crazy). its like the gums either side are inflammed.\n\nAny one ever heard of a similar thing?."
  },
  {
    "id": 745,
    "title": "Root canal or extraction",
    "dialogue": "Two30: hi all, I know there is no right or wrong answer but I've been given the difficult decision of a root canal or extraction.\nIts on one of my molar teeth on the bottom, 3rd tooth from the back.\nthe tooth has had a couple fillings on it in the past and now has started to cause me pain and have a slight infection near the tooth root / nerve. Will the tooth having work on it in the past and causing me problems the last 3 months have any bearing on root canal?\nAny advice on which option to go with? Dr M: Good day\n\nIf the tooth has a large filling or fillings on it, it might be and indication that after the root canal has been completed, you would need a crown on the tooth. A root canal treated tooth is technically a dead tooth and can become brittle over time with a high risk of fracture. The cost of the additional crown will have to be kept in mind. The fact that there is currently infection, should not have bearing on the root canal procedure. Severe infection might only mean more than the usual number of visits to complete the root canal. Two30: thanks for the reply.\nI'm just so undecided what to do, if having the tooth extracted will this cause other teeth to be extracted in the future or can I still keep a good set of healthy teeth after one extraction?\nThe extraction is just seeming like a more viable option due to I have a feeling after having root canal I could end up having it out anyway with the tooth not getting better after it.\nThe tooth does have a deep filling on it at the moment. Dr M: One extraction won't mean you will lose all your teeth. Unfortunately the risk is always there that a root canal can also fail and then extraction is the only option. Once the tooth is extracted, you will have options to replace it, which you can discuss with your dentist. Two30: also, could I just ask another question.\nI did have a deep filling done on the tooth ( which previously had a filling on but was still experiencing discomfort ). the tooth has been sensitive for 4/5 weeks since the filling especially to cold things and then the weekend just gone I was in serious pain and agony, but when I woke up Monday morning the pain was no where near as bad as it was and the sensitivity the tooth had is no longer there.\nI still took a trip to the dentist due to the pain I was in and then obviously they told me as above - root canal or extraction.\nwhy did the pain really flare up the weekend then not so bad now and sensitivity all gone? I may opt for the root canal in hope it can keep my tooth. Dr M: Once the nerve gets inflamed, you go through times of spontaneous pain, while the nerve slowly dies."
  },
  {
    "id": 746,
    "title": "NHS Band 3 was estimated as 400 GBP (for rootcanal and white tooth). Why is it more than normal band 3 costs (282.80 GBP)?",
    "dialogue": "Loki8008: Recently I have attended an appointment with one of the NHS dental practice in my area (Barking, London). The consultation cost and root canal costs was charged as 65 pounds which is Band 2 treatment.\nBut the dental crown costs was estimated as 400 GBP.\nThe doctor suggested me either silver or white tooth. I said ok for the white tooth.\n\nI thought the band-3 cost was 282.80 GBP. Why is it charged as 400 pounds (plus 65 GBP for consultation and rootcanal). Could you please confirm?\n\nAlso, are there any mixed porcelain tooth (mix of metal and porcelain) that would be cheaper than the 400 GBP one? That is - that can be covered with the 282.80 band?"
  },
  {
    "id": 747,
    "title": "Tartar coming back in a month",
    "dialogue": "UglyToothJoe: I always had problems with tartar formation, bit in the recent months it got to a whole new level.\n\nI didn't change anything in my eating habits. No sugar, brushing everyday three times a day for about 20mins each time.\n\nI used to get a cleaning every 6 months and i had quite some tartar, but nothing troublesome.\n\nNow my lower front teeth build tons of tartar in a month or even less. The dentist here keeps cleaning, but it comes back super quickly.\n\nI have a strong gum recession in one of my front teeth, it's been like that all my life. Now the tooth is moving a bit, but no pain or swelling.\n\nJust this tartar building up incredibly quickly.\n\nWhat is possibly going on? Dr M: Good day\n\nFirstly tartar build up could be because of a lot of reasons. It could be that you are brushing, but neglecting to floss, and then plaque builds up in between the teeth where your tooth brush can't reach. Secondly, if you have a lot of crowding of your lower incisors, cleaning can be difficult in between these teeth, leading to build-up. Are you using a mouth rinse as an adjunct to normal brushing and flossing?\nIt is important to keep in mind, that recession as well as tooth mobility, might be an indication of periodontal disease. Brushing excessively for 20 minutes, can actually be harmful as well, since you might cause damage to the supporting tissues around your teeth.\nI think it is important to be evaluated for periodontal disease. You might be in need of a deep cleaning. UglyToothJoe: Thank you for your response. \n\nI do suffer from periodontal disease. I would add screenshots if I knew how to do it. Tooth 31 already has a 9mm pocket. It's moving a bit and I already know it's gonna go. My current dentist suggested an implant as only solution, he never mentioned deep cleaning (you mean SRP?).\n\nThe tartar is forming only on the lower part of my teeth, not really in the flossing area, but maybe this is irrelevant?\n\nThing is I can't understand why so quickly. Until 3 months ago I needed just the usual 6 clean up every 6 months, then it changed all of a sudden. Dr M: With periodontal disease, you might require more regular cleanings. If you have a deep pocket or pockets, food can get trapped here, making it almost impossible to clean conventionally. Have you been referred to a periodontist for evaluation? UglyToothJoe: So SRP can't help with this.\n\nThe dentist said already that food doesn't get trapped, as I have wide spaces between my front teeth due to other problems, which actually makes cleaning easier, but somehow I can't prevent this tartar. Dr M: Pockets can lead to areas that are plaque retentive, even if your teeth are widely spaced. Has your dentist referred you to a periodontist as per my previous question? UglyToothJoe: No, they didn't. They just told me to go back every week to check how the tartar builds up Dr M: Ask for a referral to a periodontist. This is a specialist that deals with periodontal disease and can give you a better idea of what steps to follow as well as possible reasons for the tartar build up."
  },
  {
    "id": 748,
    "title": "Please Help Crown Vs Extraction/Bridge",
    "dialogue": "517nk71: Hi  Everyone,\nI recently chipped my tooth and visited different dental offices that gave me different recommendations. I've had the chipped part of the tooth removed already.\nThe first dentist recommended to get the whole tooth extracted and replace with a Bridge.\nThe second dentist recommended to put filling over the gap and crown over the tooth.\nThe tooth that was chipped is the only tooth I have that had a Root Canal. No other medical issues (I do smoke occasionally) . No pain in the tooth and still functions pretty normally. I  have my xrays posted below. \nI am mostly worried about what is better for the long term for my teeth and gums (price isn't a big factor since I have insurance).\n\nThank you for your help! 517nk71:  Dr M: Good day\n\nThe most important factor to keep in mind is if you will get adequate seal with a conventional crown and/or crown and post?\nIf the fractured part is below the gum line, crown lengthening would have to be considered. If this is not an option, any crown without a proper seal, might lead to leakage and eventual tooth loss. \nIn such a case, extraction might be a better option,  but I would not immediately recommend a bridge. In my opinion, the adjacent teeth are completely healthy. By prepping those teeth to accommodate a bridge, you will be damaging completely healthy teeth. Since cost is not really an issue, I would perhaps consider a dental implant. This will be a better long term solution in my opinion, and you won't damage the adjacent healthy teeth. 517nk71: Dr M said:\n\n\n\n\t\t\tGood day\n\nThe most important factor to keep in mind is if you will get adequate seal with a conventional crown and/or crown and post?\nIf the fractured part is below the gum line, crown lengthening would have to be considered. If this is not an option, any crown without a proper seal, might lead to leakage and eventual tooth loss.\nIn such a case, extraction might be a better option,  but I would not immediately recommend a bridge. In my opinion, the adjacent teeth are completely healthy. By prepping those teeth to accommodate a bridge, you will be damaging completely healthy teeth. Since cost is not really an issue, I would perhaps consider a dental implant. This will be a better long term solution in my opinion, and you won't damage the adjacent healthy teeth.\n\t\t\nClick to expand...\n\nThank you so much for your input! Appreciate it"
  },
  {
    "id": 749,
    "title": "Dental practice - courses for practice manager",
    "dialogue": "M2021: Hi All,\n\nI am looking for some courses for the practice manager.\nDoes anyone recommend any useful resources?\n\nThank you. honestdoc: Are you located in the US?  Here in the US, there are many different practice models such as community health, Medicaid, PPO, managed care, etc.  Maybe find some courses on dental insurance reimbursements. M2021: honestdoc said:\n\n\n\n\t\t\tAre you located in the US?  Here in the US, there are many different practice models such as community health, Medicaid, PPO, managed care, etc.  Maybe find some courses on dental insurance reimbursements.\n\t\t\nClick to expand...\n\nHI, \nThank you for your message .I am in UK , I will check  these courses on my insurance provider .\nThanks once more ."
  },
  {
    "id": 750,
    "title": "Gum higher on one tooth",
    "dialogue": "Gz1234: I noticed that one of my molars (second to last molar)  had the gum higher than the other and is more sensitive to the cold. I brush twice a day and floss once a day with mouthwash twice a day as well. I am very worried and I am not sure if I brushed the area too hard or injured it before. honestdoc: You have gum recession that is permanent (the gums can't grow back).  You may be brushing too hard.  The best you can do is not to scrub to hard and to minimize further trauma there.  For sensitivity, you can try Sensodyne toothpaste, MI Paste, and or 5000 ppm prescription Fluoride toothpaste.  I would avoid whitening toothpastes since they can be more abrasive and cause further trauma. Gz1234: honestdoc said:\n\n\n\n\t\t\tYou have gum recession that is permanent (the gums can't grow back).  You may be brushing too hard.  The best you can do is not to scrub to hard and to minimize further trauma there.  For sensitivity, you can try Sensodyne toothpaste, MI Paste, and or 5000 ppm prescription Fluoride toothpaste.  I would avoid whitening toothpastes since they can be more abrasive and cause further trauma.\n\t\t\nClick to expand...\n\nThank you for the reply. I will stop using my whitening toothpaste and switch and try to brush lighter. Do you think the other teeth are also receded, as I am not sensitive on those. Do you think the recession was caused by brushing or could it have been some other trauma to that area such as from eating?(I am just curious so I can prevent my other teeth getting injured). honestdoc: Anything is possible.  In my opinion, brushing incorrectly and traumatically can potentially cause gum trauma and recession.  I'm not seeing recession on the other teeth."
  },
  {
    "id": 751,
    "title": "Lumps at back of throat (look almost like blisters) should I be worried?",
    "dialogue": "Gramsci123: Hard to get a good picture but Does anyone know what these are? They’re behind my tonsils. They look almost like blisters or puss filled? Should I be worried? honestdoc: If those lesions are still around about a month from now, get them checked.  They will usually go away by then."
  },
  {
    "id": 752,
    "title": "Recent Intern",
    "dialogue": "Bruk: Any Advices for a new Dental Intern ? honestdoc: Every intern will have different experiences even in the same location.  Only advise is to absorb as much as you can."
  },
  {
    "id": 753,
    "title": "Worried over xray",
    "dialogue": "Chris85: Hi, I went to a new dentist yesterday and had my initial appointment during which xrays were taken. I'm concerned as the dentist said they were going to send one of the images over to the hospital to get checked as there was something she saw near one of my teeth. She said it could be calcified saliva? She said not to worry but I'm very worried! She said the teeth around that area were normal and I could feel the cold stuff she tested them with. Is this something I should be concerned with or just precaution? MattKW: Wait and see. Sounds of little significance. Let us know."
  },
  {
    "id": 754,
    "title": "question about gum graphing",
    "dialogue": "pearly whites: What is a gum graph and what does it do for the human mouth? pearly whites: bumping"
  },
  {
    "id": 755,
    "title": "Uneven Tonsils",
    "dialogue": "Lay: Hi I just want to know if my tonsils are normal, the side is larger than the other side tho I have cold but not runny nose. Hope someone will answer. Thank you."
  },
  {
    "id": 756,
    "title": "I just had a filling done yesterday",
    "dialogue": "Lover: A year ago, my old dentist filled my tooth and I’ve never had cavities in my front teeth before, but I did, and he filled them, but it fell out, the filling did. So I went to a different dentist because it was my front teeth, and it might not have been his fault but I was upset. Anyway, so a new dentist tried to fill it again, and it fell out again. So yesterday, he filled it again, after making a tooth hole so infection could come out, I guess. It was 3 appointments. But now, every couple minutes I feel a throbbing heartbeat sensation in my tooth, I’ve been taking my antibiotics, but it hurts extremely bad, can’t bite on anything on that side of my mouth, my other teeth have even become sensitive around where the filling was placed. He had to clean out my gums and it hurt so bad, but is this normal? What do I do? Dr M: Good day\n\nDid he do a root canal treatment and finish it? Do you have any photos or xrays? Lover:  Lover: Idk, he didn’t tell me much, but he had to clean out my gum where the tooth fell out it felt like sandpaper and he stuck needles up there. Dr M: It sounds like you had the first step of a root canal done. The pain should subside over a few days, especially with antibiotic use. If the infection was very severe, a second \" cleaning \" of the root canal will be done. Thereafter the root canal will be completed.\nAfter the root canal has been completed, you can consider placing a crown over the tooth, to protect it. Depending on your occlusion and function, front resin fillings sometimes break easily."
  },
  {
    "id": 757,
    "title": "White spot on the roof of my mouth",
    "dialogue": "Matthew1995: I’m not sure what it is, and it’s giving me a fair bit of anxiety. It’s been there for quite a while, doesn’t hurt, and isn’t inflamed. I thought that it could perhaps be some tissue?\n\n\n\n\t\t\thttps://www.upload.ee/image/13256828/D8787749-98CE-4372-84F8-3308BDA750DF.png Dr M: Good day\n\nCould be an area that was previously traumatized and then healed with fibrous tissue. Keep an eye on it and have it checked out if it enlarges"
  },
  {
    "id": 758,
    "title": "Worried Hard bumps almost feel like gums in back of throat",
    "dialogue": "CritchCS: Hello everyone I have been dealing with a bit of acid reflux and I am now on tablets that help it but I have recently noticed these bumps. I am quite a hypochondriac and very paranoid and always think the worst this could be normal but my mind is telling me different please can someone have a look and reassure me I am quite stressed at the moment thank you"
  },
  {
    "id": 759,
    "title": "Three days post wisdom tooth extraction",
    "dialogue": "The first one: Hi,\n\nI’d really, really appreciate some responses.\nAfter having weeks of pain with my wisdom tooth coming through, I had to have it extracted as it was found to have a hole in it caused by decay. It was a hard extraction as I was given five lots of anaesthetic and had an extra dental surgeon to help.\n\nPlease could you look at the below images and let me know whether this is normal three days post extraction.\n\nI’m experiencing discomfort throughout the day and pain at night from my gums and the roof of my mouth. I do not have any pain at the moment from the actual extraction."
  },
  {
    "id": 760,
    "title": "Hole in cheek",
    "dialogue": "abbylee678: i have a hole in the back of the inside of my cheek, its not by my teeth but it hurts and makes it really hard to eat or talk abbylee678: this is what it looks like"
  },
  {
    "id": 761,
    "title": "Pressure built up in front teeth",
    "dialogue": "NJB: Hi,\n\nFor the past 3 weeks I have been suffering from severe pain in my lower front 4 teeth, this subsequently spread into my gums and the flesh between gums and bottom lip.\n\nI had to wait 2 weeks for an ‘emergency app’ the dentist ha da quick look and crated and states root canal was needed but couldn’t tell which tooth, so has decided to proceed with the one that hurts the most currently. This appointment is now 4 weeks away as that’s the earliest they can get me back in.\n\nIn the mean time my biggest query is the pain that isn’t in my teeth, as I said the gums and flesh are extremely sore and tender (looks and feels infected to me) and now suffering with severe pressure and pain in my chin, which when I press my chin the pressure travels up into my teeth, very painful to eat and difficulty sleeping due to the pain.\n\nI expressed all these symptoms to the dentist who suggested it was just trapped gas in my\nChin. I never knew that was even a thing.\nSo my only option in now the root canal.\nThere is clearly something going in that whole patch between teeth and chin that is unlike anything I’ve felt before.\n\nJust wondered if anybody has ever had similar experiences or symptoms in the past?"
  },
  {
    "id": 762,
    "title": "Tooth hurts when I apply small pressure, pain goes away when I increase the pressure. Dentist found nothing wrong",
    "dialogue": "riegel41: Only one tooth hurts. The pain is provoked only by small pressure/touch, also when I'm eating. But the pain disappears when I increase the pressure and for 30 seconds I feels no pain. The harder the pressure the less pain I feel. Cold or warm stimuli don't provoke any pain.\n\nAll started 1 moths ago, gradually the I could feel more pain and the peek lasted 2-3 days, after that no pain. This cycle repeated itself 3 times. This third time I see that the pain continues to last event after 5 days.\n\nToday I went to the dentist,first he did a visual inspection and didn't find something wrong, then he decided to do a X-Ray (yellow arrow points to the tooth) and again, nothing wrong. Told me to change the tooth paste to Sensodyne rapid relief and different tooth brush.\n\nI had multiple tooth interventions in the past (not at that tooth) and this is nothing like what I have experienced before. I's a strange situation where I feel a strange pain (only on small and medium pressure) and the tooth seems to be OK.\n\nIs this something to do with tooth sensibility?? Or do you think its something else ? honestdoc: Having an image where the root tip is captured (Periapical angulation) may help.  There may be different possibilities.  You may be stressed and you grind/clench without knowing it.  You may have an anterior open bite where your lower incisors are not contacting against the tooth and it may be slightly hyper-erupting.  You may have a history of trauma or braces. riegel41: Thank you for taking time to respond! I don't have a history of trauma or braces. Only thing that I changed, 3 weeks before any pain started, was my toothpaste. I decided to try Colgate Active Charcoal. Two weeks after the first symptoms I changed the toothpaste to Sensodyne protect and repair.\n\nOnly logical explanation that seems reasonable is that by using the charcoal toothpaste the dentin canaliculi were exposed, making the tooth sensible. The only problem with this is that I feel no pain at cold or hot stimuli. \n\nYou are right, it would have been good to capture the entire root. But the nurse was really clumsy. She give me two doses of X-Ray because se forgot to plug something during the first one. Anyhow, I don't think is something wrong at the tip of the root, because we can see almost all of it. I have to be extremely unlucky to have an infection at the very tip of the root with no gums inflammation or constant pain. \n\nOnly explanation for now is:  Colgate Active Charcoal -> exposed dentin canaliculi -> maybe some pulp inflammation (hopefully reversible if this is the case). \n\nIf the pulp is inflamed without any visual effects (gums...) is there any medication for it  ? If I take some anti-inflammatory, just in case, is OK ?"
  },
  {
    "id": 763,
    "title": "Red dots on roof of mouth (like bloodshot)",
    "dialogue": "Gramsci123: I’ve noticed some red spots on the roof of my mouth and potentially some yellow colouring (although I’m not sure if this is just the colour of my torch shining lol). There’s no pain or irritation. Should I be concerned?? honestdoc: It looks like oral petechiae usually from some trauma/irritation to capillaries or autoimmune response to medications, herbal and or other supplements, new toothpaste, cinnamon products, etc.  If none of the above applies to you and the red spots don't go away after 2 to 4 weeks, see your medical doctor if you may have some unknown medical condition(s)."
  },
  {
    "id": 764,
    "title": "is it bad or not using replacement toothbrush heads",
    "dialogue": "kenny siu: I'm been using Philips sonicare toothbrush for many years and never tried any replacement heads,\nalways original one. Is it bad or not using replacement heads? By common sense I think there\nshouldn't be any harm to the teeth or gum but could those replacement heads have less benefits\ncompared to the original one?"
  },
  {
    "id": 765,
    "title": "Advice on dental payment plans",
    "dialogue": "katiexxx: Hello,\n\nI am at a loss. I need composite bonding on 4 teeth and whitening done to match the bonding they will do. They’ve quoted me around £950. I applied with my registered dentist. They said the only options i’ve got is to apply for a dental loan through mydenta or to save up myself. (it would take me years). I applied through mydenta and the application was rejected. My question is what other options have i got. I’m good for the monthly payment but i fear i will keep getting rejected for any payment plan any dentist suggests. Any help appreciated. Thank you"
  },
  {
    "id": 766,
    "title": "Incisive papilla",
    "dialogue": "margreetder: A white spot on my incisive papilla. No pain, what is it? Dr M: Unclear photo. Need a better image."
  },
  {
    "id": 767,
    "title": "Does my crown have to be replaced?",
    "dialogue": "trey_songzzz1234: HI,\n\nI went to the dentist about a week ago and they told me I had to get a new crown because the old one(3-4 years) had an opening and a decay was forming. I made the appointment and it's coming up in a couple days so I don't really have flexibility to go to another dentist. Can any dental professional check this out? \n\nIt's tooth 16, and it's crowned + root canaled. I also put up tooth x ray 13 + 14 because it had also had tooth 16 in it. honestdoc: It is tooth #15 and I see the defect they are talking about (Mesial margin).  I don't think it is urgent that you need a new crown.  Depending on how well you clean your teeth, I've seen crowns like that have no problems for many years.  I've also seen crowns decay if you drink a lot of sugary beverages. trey_songzzz1234: honestdoc said:\n\n\n\n\n\nhonestdoc said:\n\n\n\n\t\t\tIt is tooth #15 and I see the defect they are talking about (Mesial margin).  I don't think it is urgent that you need a new crown.  Depending on how well you clean your teeth, I've seen crowns like that have no problems for many years.  I've also seen crowns decay if you drink a lot of sugary beverages.\n\t\t\nClick to expand...\n\n\n\nClick to expand...\n\nI'll probably just reschedule the appointment and get my other dentist's opinion to help with my decision. I just need a 3rd opinion because it's going both ways right now. \nThanks for the reply"
  },
  {
    "id": 768,
    "title": "Composite filling",
    "dialogue": "Krispy: I recently had a composite filling on the side of a tooth. It was an old filling that fell out. Thing is that the new one now contours the tooth, It fills the hole but also overlaps the surrounding ‘good’ enamel considerably to smooth out the natural contour of the tooth. My question is: would covering healthy enamel with composite filling material have any lasting issues or concerns? Krispy: Krispy said:\n\n\n\n\t\t\tI recently had a filling on the side of a tooth from amalgam. It was an old filling that fell out. Thing is that the new one now contours the tooth, It fills the hole but also overlaps the surrounding ‘good’ enamel considerably to smooth out the natural contour of the tooth. My question is: would covering healthy enamel with amalgam have any lasting issues or concerns?\n\t\t\nClick to expand...\n\nSorry it’s not amalgam, it’s a white composite filling honestdoc: Composite white fillings are resin material and not as durable.  If the filling covered the enamel, then it must be very thin and prone to fracture."
  },
  {
    "id": 769,
    "title": "I had a Impacted tooth causing another to fall out damaged new tooth maybe",
    "dialogue": "shawnmcc: I was wondering if I should have my new tooth to be checked out. I recently figured out that I actually lost a tooth only for the impacted one to take its place. There is a small chip on the new tooth probably from impaction or damage from the eruption that occurred over night some how. I believe I was throwing up from the blood when it happened but I didn't know what caused it till I saw a huge tooth in my top jaw and a new front middle tooth. Should I go see a dentist if its not really bothering me? Dr M: Good day\n\nNo need to see a dentist immediately if it is not bothering you. Mention this at your next bi-annual check-up shawnmcc: Thank you for your response I will tell my dentist during my check up. The tooth that grew surprised me because there was not warning. I didn't even notice that it was growing in before I saw it was huge compared to the other teeth. But as I said no pain except when the old one must have shattered and I swallowed it while I slept."
  },
  {
    "id": 770,
    "title": "White patch on inner gum",
    "dialogue": "Mammonh: So i am 60 years old male used to be a smoker but left more than 17 years ago.never smoked ever since.have never drank alchohol or used any other kind of tobacco.\nOral hygiene not good. Just had an tooth abcess for which i took antibiotics.\nYesterday i noticed this white patch on my inner gum and I'm really tensed it's not painful.\nAttached pic"
  },
  {
    "id": 771,
    "title": "whats wrong with my mouth",
    "dialogue": "lilith: i have very bad anxiety so any change or symptom sends me over the edge, im constantly googling cancer symptoms etc. my mouth is normally normal looking and im good with my oral hygiene but it looks weird lately, white line on each side and some white patches thats the only way i think to describe them, also a stale taste in my mouth sometimes and it gets quite dry. \n\t\t\n\t\t\n\t\n\n\n\t\n\n\n\n\n\n\n\nshould i be worried lilith: also my tongue on both sides, im very concerned Dr M: Good day\n\nThe white lines in your cheeks seems like Linea Alba. This usually happens in people that bite their cheeks and this is common in people that suffer from anxiety. If these areas don't become ulcerated, it is not necessary to worry and only observation is required. Dry mouth can sometimes predispose you to fungal infections. Try taking frequent sips of water during the day and chew some sugar-free gum. This stimulates salivary flow. You can also try and rinse with a chlorhexidine mouth rinse to disinfect the mouth. If you get a thicker coating on your tongue, especially one that you can scrape off, it means that you possibly have a fungal infection and your dentist will need to prescribe anti-fungals. lilith: Dr M said:\n\n\n\n\t\t\tGood day\n\nThe white lines in your cheeks seems like Linea Alba. This usually happens in people that bite their cheeks and this is common in people that suffer from anxiety. If these areas don't become ulcerated, it is not necessary to worry and only observation is required. Dry mouth can sometimes predispose you to fungal infections. Try taking frequent sips of water during the day and chew some sugar-free gum. This stimulates salivary flow. You can also try and rinse with a chlorhexidine mouth rinse to disinfect the mouth. If you get a thicker coating on your tongue, especially one that you can scrape off, it means that you possibly have a fungal infection and your dentist will need to prescribe anti-fungals.\n\t\t\nClick to expand...\n\nthankyou so much for replying it was very helpful as i was so worried, could you also tell me what this is? whatever it is its less swollen on the other side is that normal lilith: lilith said:\n\n\n\n\t\t\tthankyou so much for replying it was very helpful as i was so worried, could you also tell me what this is? whatever it is its less swollen on the other side is that normal\nView attachment 4358\n\nClick to expand...\n\nanother picture although its abit dark sorry Dr M: That is part of your palatoglossal and palatopharyngeal folds. Sometimes the one side can be slightly more developed, but this is still normal anatomy."
  },
  {
    "id": 772,
    "title": "Redness and swelling under the tongue/floor of the mouth. Is this something serious or go away on own?",
    "dialogue": "Jack crew: Hi,\n\nI have Constant jaw pain under the ear and neck pain which is ongoing for an year now. Have seen multiple dentists, ent and oral surgeon. No definite diagnosis or relief yet. \n\nThis post is  about the tongue issue. I have used a new mouth wash recently (for the last 4 days). That's the new thing I did in the last week. I am using the same brand Mouth wash for  few months but this is a new bottle of that brand(bought online) which I started 4 days back. \n\nI noticed some redness and swelling at the base of my tongue. It's red and looks mildly swollen. \n\nIt feels itchy and very sore. I run my tongue over that area and it feels like skin bruised feel.  \n Will this itchiness and redness with Swelling go away?\n\nIs this normal or should I go to dentist immediately? \nNothing was spotted yesterday and this redness appeared this morning when I woke up.  \n\nIs this something serious? Will it go away on its own? Is it related to jaw and neck pain in anyway.  \n\nAttaching the pics. Any help is really appreciated. Thanks a lot."
  },
  {
    "id": 773,
    "title": "Options after Molar Extraction",
    "dialogue": "rs1971: Hi,\nI am 51 years old and as a result of a gum infection that has not responded to antibiotics I am about to lose my first tooth to extraction.  The tooth in question is my forward most molar (third from the back) on the lower left hand side.  I have a couple of questions about my options with respect to what comes after the extraction.\n\nThe dentist suggested that I could either get an implant or use braces to pull the rearmost two molars forward to cover the gap  So my first question concerns the advantages and disadvantages of those two options.  I know that an implant is more expensive, but what are the other differences?  Would repositioning the other teeth via brace be more or less effective in the long run?  Any other issues with either approach to consider?\n\nSecondly, if the gap isn't noticeable as I suspect it won't be as I don't have a wide smile, how deleterious an effect would it have on my other teeth if I just did nothing?  And if that were a bad idea, how long would it take for said effects to start to manifest themselves? (ie, is there any reason to rush into a decision?\n\nThanks in advance for any advice you can offer! Dr M: Good day\nDoing nothing is an option yes. Over time, as your teeth move, the teeth behind the gap will tilt and try and close the gap. This happens over a period of months to years. In the mean time, you might have an irritation of food going through the gap when chewing, but a lot of people get used to one gap quite quickly.\nI am not convinced that one implant and crown will cost you less than orthodontic treatment. This depends on a lot of factors. If you had a \" severe gum \" infection, which resulted in tooth loss, it might be that you actually have periodontal disease. If this is the case, probing has to be done around all your remaining teeth, in order to evaluate their periodontal status. Any teeth that are periodontally compromised, are not ideal candidates for orthodontic treatment and in active periodontal disease I would not consider implant treatment as well. I would make sure the rest of my mouth is okay first, before commencing with the next stage of treatment. It won't really matter that much if you only continue with the next stage of treatment in a year from now. rs1971: Dr M said:\n\n\n\n\t\t\tGood day\nDoing nothing is an option yes. Over time, as your teeth move, the teeth behind the gap will tilt and try and close the gap. This happens over a period of months to years. In the mean time, you might have an irritation of food going through the gap when chewing, but a lot of people get used to one gap quite quickly.\nI am not convinced that one implant and crown will cost you less than orthodontic treatment. This depends on a lot of factors. If you had a \" severe gum \" infection, which resulted in tooth loss, it might be that you actually have periodontal disease. If this is the case, probing has to be done around all your remaining teeth, in order to evaluate their periodontal status. Any teeth that are periodontally compromised, are not ideal candidates for orthodontic treatment and in active periodontal disease I would not consider implant treatment as well. I would make sure the rest of my mouth is okay first, before commencing with the next stage of treatment. It won't really matter that much if you only continue with the next stage of treatment in a year from now.\n\t\t\nClick to expand...\n\n\nThanks for all that; it is really helpful.  I do have periodontal disease or at least I am prone to it.  By which I mean that I have been diagnosed with it in the past and had a number of deep cleanings over the years and go in for regular periodontal maintance and take the best care I can between cleanings.  What I'm trying to say is that my gums aren't perfect, but I suspect that, this one acute infection, which I think that I had under the tooth for months before it finally manifested in a severely swollen gum aside, they are probably as good as they will ever be. rs1971: Dr M said:\n\n\n\n\t\t\tGood day\nDoing nothing is an option yes. Over time, as your teeth move, the teeth behind the gap will tilt and try and close the gap. This happens over a period of months to years. In the mean time, you might have an irritation of food going through the gap when chewing, but a lot of people get used to one gap quite quickly.\nI am not convinced that one implant and crown will cost you less than orthodontic treatment. This depends on a lot of factors. If you had a \" severe gum \" infection, which resulted in tooth loss, it might be that you actually have periodontal disease. If this is the case, probing has to be done around all your remaining teeth, in order to evaluate their periodontal status. Any teeth that are periodontally compromised, are not ideal candidates for orthodontic treatment and in active periodontal disease I would not consider implant treatment as well. I would make sure the rest of my mouth is okay first, before commencing with the next stage of treatment. It won't really matter that much if you only continue with the next stage of treatment in a year from now.\n\t\t\nClick to expand...\n\n\nAlso, with respect to the pricing, the numbers he gave me off of the top of his head was $2000 for the orthodontics and $4000 for the implant.  I actually live right on the border of Mexico and while it's probably not a popular option on the board, if I decide to get an implant, I might investigate a dentist in Los Algadones (basically a hub of dental tourism).\n\nThanks again for taking the time to reply! Dr M: If your periodontal disease is stable-which I hope was confirmed with a periodontist, I would rather opt for the implant treatment. This minimizes the periodontal trauma on the rest of your teeth. If you move a lot of teeth, especially those which were periodontally compromised in the past, there is a higher risk of complications. You will have to confirm that you have enough quantity and quality of bone though, to support an implant"
  },
  {
    "id": 774,
    "title": "Whitening pens and blue light creating stains",
    "dialogue": "Marigolden: Since using whitening pens and a blue light I've had stains appear on my teeth that weren't there before. So while my teeth are whiter now I have prominent dark spots, most noticeably on the teeth directly next to my front teeth. How did this happen? And what should I do to fix it Marigolden: Here are 2 pictures. The left is before using the pens and light and the right is after. Dr M: Good day\nWhen last did you have a check-up with your dentist. Although this might only be staining that is more visible now since the rest of the teeth are now whiter, it might also be interproximal cavities. Difficullt to say for sure, since the quality of the photos are not clear enough, and you would need an x-ray to evaluate the presence and extent of cavities."
  },
  {
    "id": 775,
    "title": "Should i be worried",
    "dialogue": "RubenJ: I have these white spots on my gum they've been there a while im freaking out Dr M: Good day\n\nThe white spots is nothing to worry about. What is more worrying is the inflammation around your teeth. When last did you have a cleaning? I would suggest making an appointment with your dentist RubenJ: Yeah im making a appointment and yeah my gums normal do that when I brush some bleed not all off it I sadly I'm 22 now but around 12 too 16 I had a dumb teenager no brushing teeth Phase and it hit bad sadly I have a few teeth where on the back bits will come off sadly Nrose2: RubenJ said:\n\n\n\n\t\t\tYeah im making a appointment and yeah my gums normal do that when I brush some bleed not all off it I sadly I'm 22 now but around 12 too 16 I had a dumb teenager no brushing teeth Phase and it hit bad sadly I have a few teeth where on the back bits will come off sadly\n\t\t\nClick to expand...\n\nAny update? RubenJ: Nrose2 said:\n\n\n\n\t\t\tAny update?\n\t\t\nClick to expand...\n\nNot yet haven't been able too see my dentist yet due too covid he's been fully booked"
  },
  {
    "id": 776,
    "title": "Tooth with root canal sensitive to air",
    "dialogue": "Bethany95: Last Thursday I got the impressions done for 2 crowns. One on top and one on the bottom, both teeth have had a root canal over a year ago. \n\nSense getting the impression done and a temporary crown put on, the tooth on the bottom has been having sensitivity to air and also when liquids touch it. And, when I look at the tooth it looks like there's a very tiny gap between the temporary crown and the actual tooth. I've read online that a tooth shouldn't have any sensitivity after having a root canal. \n\nShould I be concerned about this?"
  },
  {
    "id": 777,
    "title": "Pink spot on the side of the tongue",
    "dialogue": "OP091: Hello, I'm 26 non smoking / drinking male. I have this strange pink area on the side of my tongue. I have Notice it 9 weeks ago by accident. It doesn't hurt at all, I can't even fell it under my finger - it just feels like every other spot on my tongue. One interting thing that I've noticed is that when I touch it after washing my hands I can taste a strong taste of my washed finger (if that makes any sense). When I pull out my tongue as far as I can it seems to open itself with a visible gap in the middle. When I just pull it a little bit it is barely visible. I've been to like 5 different laryngologist during this time and they all have examined it (touched it etc.) and everybody says that it's nothing serious and I should observe if it changes but no one could tell me what that is and if it should dissappear or not. I've also been to one desist like 3 times with this and he was taking photos of it. At the last appointment he told me to forget about it but from what I understood he thought that it should go away. Is it just normal anatomy? Appreciate any help. OP091: Here is another photo of it stretched out. Dr M: Good day\n\nLooks like it could be your palatoglossal fold. This is normal anatomy OP091: Thank you very much for the answer. That is great to hear"
  },
  {
    "id": 778,
    "title": "Painful hard lump inside cheek",
    "dialogue": "Katie416: I have an upper wisdom tooth coming through not sure if this is related but I have a very hard painful lump on the inside of my cheek very painful to touch any ideas what this could be? Seems to be a white mark on it.  I’m very worried and won’t be able to see a dentist until after the bank holiday now Dr M: Good day\n\nCould be trauma related. Sometimes when a wisdom tooth erupts, it could scratch the inside of the cheek due to a sharp edge or inclination of the tooth. Sometimes you even bite your cheek in that area without knowing it. Keep an eye on the area. Rinse with salt water or chlorhexidine mouth rinse, and if no improvement in 14 days, go to the dentist for an examination. Katie416: Dr M said:\n\n\n\n\t\t\tGood day\n\nCould be trauma related. Sometimes when a wisdom tooth erupts, it could scratch the inside of the cheek due to a sharp edge or inclination of the tooth. Sometimes you even bite your cheek in that area without knowing it. Keep an eye on the area. Rinse with salt water or chlorhexidine mouth rinse, and if no improvement in 14 days, go to the dentist for an examination.\n\t\t\nClick to expand...\n\nThank you for replying I will try the salt water rinse"
  },
  {
    "id": 779,
    "title": "Pin sized blk dot  on tooth looks raised",
    "dialogue": "Fabian: I have a tiny blk dot in the back of molar looks raised MattKW: Photo? Fabian: MattKW said:\n\n\n\n\t\t\tPhoto?\n\t\t\nClick to expand...\n\nIt's fine was only a knock ..been to my dentist Dr M: Good day\n\nDon't think \" knock \" is a diagnoses. Glad you went to the dentist though and that it is sorted"
  },
  {
    "id": 780,
    "title": "5 year old son with 'extra' front baby tooth",
    "dialogue": "bigmatt: My 5 year old son has an extra front baby tooth growing behind his front baby tooth which is a bit wobbly.\n\nWe have had it checked a couple of times but keep getting asked to wait and come back in 6 months. Would appreciate a second opinion. Dr M: Good day\n\nIt is difficult to say if this is indeed a supernumary or extra tooth, or just the permanent incisor erupting behind the primary tooth. Do you perhaps have any x-rays of this area? MattKW: Looks like a supernumerary tooth (maybe a mesiodens). Would be obvious on an Xray. If so, it may interfere with the correct adult tooth coming through in the next year, and it likely needs to be extracted (plus extract the misplaced baby tooth). Katie416: My daughter had this it was her adult tooth coming through it soon pushed through and the baby tooth did come out eventually the tooth moved into correct position. It’s a very strange sight to see though"
  },
  {
    "id": 781,
    "title": "is this enamel erosion, or just yellow teeth?",
    "dialogue": "bbunshi: hello! these are my teeth after a 3 year (and counting) depressive episode. im trying to fix my self care habits, including teeth. so, i was wondering if this was enamel loss/erosion and if there was a way i could fix it. thank you! \n(also don't mind the gunk, i hadn't brushed them yet in this day, but its the only good picture i got)"
  },
  {
    "id": 782,
    "title": "Bump on the left side of the tonsil",
    "dialogue": "CipR: Hi ,\n\nRecently I have discovered a bump on the left side of tonsils and I do not know what it is. . The bump doesn't cause any pain but I do not know if it's dangerous .\nCan someone tell me what it is ? I am anxious because of it .\n\nPlease reply because I am worried . CipR: I checked the right side of tonsil and is not the same as I thought in the first instance it is the normal anatomy. Dr M: Good day\nEverything looks like a variation of normal anatomy. Nothing to worry about. CipR: Thank very much . I feel much better now .\nBut is it normal to have that bump only on one side ?\nWhat is it actually?"
  },
  {
    "id": 783,
    "title": "Bite too high after getting temporary crown",
    "dialogue": "Bethany95: I had the impression for a crown done today, and now my bite feels too high with the temporary crown on. If I'm not really careful, it is a bit uncomfortable to chew since I can that tooth hitting the one below. The rest of my teeth also don't touch anymore because of it. I have an appointment in 2 weeks to have the permanent crown put on. \n\nCan my current situation wait 2 weeks, or should I try to get it fixed before then?\n\nShould I be concerned about my bite being off with the permanent crown as well?"
  },
  {
    "id": 784,
    "title": "Flesh coloured lumps on soft palate",
    "dialogue": "mat75dub: I have had these lumps on my soft palate for a few years, they are painless but every so often I get hoarse and the lumps become more noticeable to me as I swallow, any idea what they are ? Thank you. \nany idea what they are, doc thinks its caused by reflux. Dr M: Good day\n\nLooks like your minor salivary glands in your palate or part of your palantine aponeurosis. The minor salivary glands can sometimes enlarge when irritated or inflamed and this entire area can be sore when you have a constant post nasal drip leading to an upper respiratory tract infection mat75dub: Dr M said:\n\n\n\n\t\t\tGood day\n\nLooks like your minor salivary glands in your palate or part of your palantine aponeurosis. The minor salivary glands can sometimes enlarge when irritated or inflamed and this entire area can be sore when you have a constant post nasal drip leading to an upper respiratory tract infection\n\t\t\nClick to expand...\n\nThank you very much, I do indeed have chronic post nasal drip so that explains it, much appreciated."
  },
  {
    "id": 785,
    "title": "Strange bumps on gums",
    "dialogue": "tessyj61: I've looked all over and no info out there. I have tiny bumps only on the upper right gum. my dentist seams to not worry anymore. I wondering if I picked up a virus from the crowns he put in. because now there's a few more, please does anyone know anything? Nrose2: tessyj61 said:\n\n\n\n\t\t\tI've looked all over and no info out there. I have tiny bumps only on the upper right gum. my dentist seams to not worry anymore. I wondering if I picked up a virus from the crowns he put in. because now there's a few more, please does anyone know anything?\n\t\t\nClick to expand...\n\nAny answers yet? Dr M: Good day\n\nPlease attach photos for more information"
  },
  {
    "id": 786,
    "title": "Oral hpv or something normal?",
    "dialogue": "Karina741: I just found this in the inside of my cheek. I have hpv, could this be oral hpv? Or is it something normal.  Its like.. I dont even know how to explain them they are bumps \n\t\t\n\t\t\n\t\n\n\n\t\n\nbut like I can move them with a cottonswab.  I went to the dentist a month ago so if it is oral hpv she would of said something?? Pictures in the coments please help. Dr M: Good day\nEverything looks normal. Maybe a slight bit of linea alba in the one photo due to cheek biting. Karina741: Dr M said:\n\n\n\n\t\t\tGood day\nEverything looks normal. Maybe a slight bit of linea alba in the one photo due to cheek biting.\n\t\t\nClick to expand...\n\nThank you! So those small bumps are normal? Dr M: Yes"
  },
  {
    "id": 787,
    "title": "Can I get a filling on a wisdom tooth?",
    "dialogue": "troubledsoul: I cannot afford to lose another tooth. My lower left wisdom tooth has fully erupted and seems to be in okay health, can I perform regular protective procedures on it such as filling and inlay/onlay? honestdoc: In short, you can have any work on any teeth.  The question is how long will it last?  There are a lot of factors like bone and root health, amount of remaining coronal structure, your biting patterns and how thorough is your homecare (brushing and flossing). setondwg: Are you looking to receive tooth-coloured fillings in Cranston? If you would like to receive tooth-coloured fillings near you, it's possible to receive them on any tooth. As long as your wisdom tooth is healthy and not causing any pain or issues, you can receive a filling. Wisdom teeth are only recommended to be extracted if they are causing pain, grown in at an angle, or your jaw has no room to accommodate them. They are typically removed to prevent future oral health problems from occurring. You can speak to your dentist to see if a filing will suffice for your wisdom tooth or if it requires removal. Your dentist will provide a more accurate answer after examining your mouth."
  },
  {
    "id": 788,
    "title": "What are the four or five thin ridges on the roof of the mouth called?",
    "dialogue": "Tdr11188: I’m trying to find what these things are called but can’t find it anywhere on the internet.\n\nThere are two rows of these thin protruding ridges or lines on the roof of the mouth that run perpendicular to the bone in the centre of the hard palate and meet on it. \n\nMy front one of these is cut and I’m wondering on how to treat them but can’t find anything because I don’t know what they’re called. Dr M: Good day\n\nI think you are referring to your palatine rugae. You can rinse with some luke-warm salt water or a chlorhexidine mouth rinse. Should clear up within 7 days if it is trauma related. Tdr11188: Thank you"
  },
  {
    "id": 789,
    "title": "My 5 Months Old Braces",
    "dialogue": "jjoeeunn: Good day doctors, it's me again. Got my braces last december 2020 (sponsored by my sister). The following photos are captured today. I just want to know your opinions about the result because I noticed that I no longer feel pain on every adjustment since  february. I am thinking that this is already the limit of the movements of my teeth. Thank you. \n\nThis is the link of my last thread here with the photo of my teeth before without braces. Thanks to the doctors who replied. \n\n\n\n\n\n\n\n\n\n\t\t\t\t\t\tCan It Be Saved?\n\t\t\t\t\t\n\nGood day. I am already 22 years old and was only using retainer because of money hoping to save my teeth. I dont know but still thankful that my canines lowered even wasnt inserted properly. I just want to ask if will it be saved or is it okay if I will only undergo braces? At my age? Thank you...\n\n\n\n\n\t\t\t\t\twww.dentistry-forums.com Dr M: Good day\n\nJust because you don't feel pain after adjustments, doesn't mean you have reached the limit of tooth movement. Usually with the orthodontic treatment, the initial few months is a bit painful. If the orthodontist decides to use a thicker arch wire in the future, you might experience pain again. There is still a lot of movement that needs to happen. jjoeeunn: Dr M said:\n\n\n\n\t\t\tGood day\n\nJust because you don't feel pain after adjustments, doesn't mean you have reached the limit of tooth movement. Usually with the orthodontic treatment, the initial few months is a bit painful. If the orthodontist decides to use a thicker arch wire in the future, you might experience pain again. There is still a lot of movement that needs to happen.\n\t\t\nClick to expand...\n\nI see. Looking forward for it. Thank you doc."
  },
  {
    "id": 790,
    "title": "What is this toothache - grinding pain, TMJ  or something more?",
    "dialogue": "Andrew20: At the end of last year, I have root canal on my premolar and the back 2 molars removed on the lower right side. Since then, I was diagnosed with mild TMJ where my jaw on the left side pops out at night (and I can usually wiggle it back in in the morning) or I get a sore tightening of the muscle between the jaw and cheekbone - also on the left. I have an achy jaw and tender jaw joint on the right.  This doesn't really bother me too much, the problem is, I also have an ache in the 2nd from last tooth on the top on both the left and right sides on and off. I have had these teeth checked by my dentist a few times (x-ray, percussion, sensitivity) and she can see nothing wrong with the teeth. The pain alternates between either side and I never have it on both sides at the same time / same day. For that reason my dentist thinks it due to me clenching / grinding my teeth as its hopping from tooth to tooth.  This has been ongoing for the last 6 weeks and it driving me mad. Ive had daily pain on one or other side each day. There is no stimulus I can point to that brings on the ache - I can eat and drink hot or cold without any immediate or shooting pain or sensitivity and it usually lasts from mid morning until the afternoon. My question is, is this typical of grinding tooth pain and if my dentist cant see anything wrong, is there else can I turn to try and sort this or do I just accept its grinding pain? I have a mouthguard for the last week to see if that helps but I cant say it has helped just yet."
  },
  {
    "id": 791,
    "title": "White Gums & Pain after eating Sugar?",
    "dialogue": "madmaxnightrider: I know it looks like I have Periodontal Disease but my Dentist said nothing about it to me. I am having an aching tooth pain anytime I eat something with Sugar in it or when I lay down flat but the pain goes away after about 30 minutes if I use Hydrogen Peroxide & Salt Water. Could it be that my teeth are worn down to the Dentin & they are Sensitive or could it be my 2 Cavities that I have? My teeth are sensitive to only Sugar & not hot or cold. So I have stopped adding sugar to my coffee & eating as little sugar as possible.\n\nI just noticed that my Gums have turned white around one tooth after I brushed my teeth, flossed & rinsed with mouthwash. What could it be? Inflammation? or something else? Does it look like my gums are receding or that I have periodontal Disease? I have horrible genetics for teeth. Both my Mother & Grandfather had to get all their teeth pulled when they were in their 50's. I brush & flush twice a day & gargle after each meal.\n\nI have an Appointment with my Dentist in early June to get 2 Cavities Fixed. honestdoc: When your teeth are sensitive to sugar, that indicates you have exposed dentin and or roots (receding gums).  You can consider using Sensitive Toothpastes like Sensodyne.  The dentist may suggest restoring exposed dentin but there are no absolute treatment for receding gums (I have them and I have sweet sensitivities).  Grafting, lasers, gum surgeries won't bring back the recession but they may strengthen the surrounding gums.\n\nIt is hard to fully view the white gum area, but I'm suspecting hyperkeratinized  (calloused) tissue.  That is abnormal tissue in response to trauma and irritation.  Try not to brush that area too hard. madmaxnightrider: Thanks for all the good info & advice honestdoc. I have a tooth that is really sensitive to touch but doesn't hurt unless touched or brushed. What does that mean? I will probably have most of my teeth pulled in the next decade because of terrible Genes. I am sick & tired of my teeth & gums hurting all the time. I had to order Max Strength Benzocaine for the Pain. I have been taking 4 Aleves for the Pain & that helps it the best. honestdoc: Have a good visit and plan with your dentist about your pain and expectations.  I favor the least traumatic which is to manage your pain as best as possible (like people with back pain).  Extracting your teeth should be the last resort because you will lose a lot of function unless you can afford implants. madmaxnightrider: I have had 2 of my teeth extracted already because they couldn't be saved with root canals & crowns. My Insurance covers 100% on all Cavities & 100% on one crown per year. I am not sure about dental implants. Probably doesn't cover that I would imagine. I don't want to get into taking pain pills all the time. I had an addiction to them & I've been clean for 9 years now. So that's a big no no for me. Thanks for all the good advice. madmaxnightrider: I've been using pure Dr. Tichenor's lately & it really helps with the pain. You have to put up with the burning sensation but the for the pain relief you get it's well worth it."
  },
  {
    "id": 792,
    "title": "Problems after wearing retainer/gum shield at night - help!",
    "dialogue": "ajayel1: Any thoughts or advice please. Was strongly advised by my dentist a number of years ago to wear a retainer/gum shield at night as I was gringing my teeth badly and causing damage. Wore through a soft one (lower) within 12 months  and was then given a harder one (upper). Noticed at start of lockdown issues with bite (top and bottom not meeting but back (wisdom) teeth grinding. Eventually went to see dentist (delayed 12 months by covid - which has made the problem worse!). Turns out retainer doesn't go right to back wisdom teeth (to avoid gagging issues) and so by biting down on retainer in my sleep, have managed to move my teeth - hence the gap when not wearing it. Dentist a bit flummaxed what to do. Currently not wearing in the hope that teeth will regain shape and reviewing in 3 months. Meantime, back to grinding and damaging my teeth. Hope is that once shape regained, can then try a full length retiner to also cover wback wisdom teeth. Anybody else experienced this/got solution?"
  },
  {
    "id": 793,
    "title": "Chipped wisdom tooth",
    "dialogue": "Bota Andrei: So i might have to start by saying that i am an unresponsive 17 year old, i kinda stoped eating candies or sweet thinga but i do drink cook or other sugary drinks and i have some momentes when i don t brush my teeths so i got cavities to the second and third molar.2 days ago i started to see that to the wisdom tooth on the lower left part of the jaw a cavities started to grop, well the next day i went to a party and out of nowhere i just feel something hard in my mount and yea, it was a part of the tooth, but nothing happened to cause it tho, i did not eat something hard or got punch or anything like that, it just feel. I would say imagine a square as my teeth, well 1/4 the lower right side went off. As i said i already got cavities over there and i got the nervs removed, so it doesn t hurt or bleed (neither that it did when it feel) but now there is an edge there which is scrapping my tongue. Should i see a dentist about this? I mean most proabably yes but it doesn t hurt or anything so i thought i may ask Dr M: Good day\n\nI think it is important to see a dentist. More pieces can break off and then the tooth could become compromised. Based on what you said, I think it is a good idea to go see a dentist for a full consultation."
  },
  {
    "id": 794,
    "title": "Sensitive Teeth - I am at my wits end with my teeth!",
    "dialogue": "FreakinOut1977: I am at my wits end with my teeth!\n\n\nI recently visited my mom who is fighting cancer in South Africa and with everything going on in the world - I got stuck, not able to return to the UK as flights got cancelled etc.\n\n\nIn the time I took the opportunity to visit the dentist. The dentist is the son of a family friend. Let’s call him Leon. Leon ended up doing a lot of work to all my teeth. I should point out that I had no pain whatsoever before I visited. I knew that I needed to get to a dentist for a routine check-up and clean. It transpired that I needed a lot of work doing. Nothing major really. Small little holes, fine cracked fillings, etc. The biggest issue was probably a crown which Leon fitted bottom left. I have been told in previous years by another dentist that this would have to be done when the filling ever cracked… This was back in 2006. So fair enough this wasn’t a surprise.\n\n\nLeon did a thorough assessment of my mouth and scanned my whole jaw in 3D which we could see on screen. He could cut sections through all the areas and identify everything on screen and explain to me where the issues were. In conjunction with photos of each tooth - I could see I needed more than one appointment to sort it out. Leon replaced all silver fillings with white ones.\n\n\nWe agreed that I would make a weekly appointment or 1.5 hours and we would start in the bottom right quadrant and work our way through every quadrant and clean as we go along. The last appointment would be a polish and overall clean. Leon ended up replacing all my fillings in my mouth.\n\n\nI was happy to proceed and spending South African Rand to do all this work made a lot more sense than British Pounds!\n\n\nThis is a dentist I know and trust.\n\n\nThe work was done over approx. 4 weeks in total. Starting with the bottom right quadrant, then bottom left, (where the new crown was fitted), top left and finally top right.\n\n\nDuring my second visit I mentioned to Leon that my bottom right of my mouth is very sore when I eat. He checked my bite and made a slight adjustment. He told me not to worry as we will be doing work to the top right he would sort out the bite finally when we get to it…\n\n\nMy first appointment was the 20th January 2021. I went back weekly for each agreed appointment till the work was completed. All this time most of my teeth were very sensitive when I ate anything. But I assumed that I had a lot of work done and it needed time to settle. I mentioned it to Leon again during the third visit who then prescribed anti-inflammatory tablets, which didn’t make any difference to reduce the pain. So, I gave it more time to settle.\n\n\nI completed the last appointment. A week after I managed to fly back to the UK.\n\n\nBut the pain stayed! I made an appointment to see my local private dentist here in the UK to whom I explained the whole story and he examined my mouth. Everything looks good and the work done is to a high standard. He made me bite on a cotton sausage for every tooth. Then something harder. Cold air wasn’t sore and tapping each tooth in my mouth wasn’t sore.\n\n\nI explained that I can’t eat anything crunchy like toast, crisps, a choclate, any nuts, muesli or anything that has a slight crunch or hardness to it! This has been like this since the first visit in South Africa, January! And is extremely sore. I have no sensitivity to hot or cold.\n\n\nMy local dentist suggested we make a mouth guard seeing that my bite could have changed during all the work that was done recently. And he wanted to rule out grinding teeth at night out before making adjustments to my bite. (I am going through a very stressful time with my mom being unwell…)\n\n\nI agreed.\n\n\nWe gave this two weeks. This made the bottom right of my mouth hurt even more as I was now biting down on the mouthguard at night, which was slightly higher on the teeth... Went back to the dentist who took an X-Ray and noticed a “fracture” in my tooth bottom right. Great! Now we getting somewhere… He replaced the filling and corrected the \"fracture.\"\n\n2 weeks later and the pain is back. Slightly (very slighty) better but still hurts when I bite on the tooth eating.\n\n\nIn the meantime the top left of my mouth one tooth has started to flare up when I eat….\n\n\nSo to summarise:\n\n\nI have no pain or sensitivity to hot drinks or cold ice cream.\n\n\nEverytime I eat food I am acutely aware of sore teeth in the back of my mouth. It feels like most teeth hurts! But I guess the teeth that are inflamed makes the whole mouth hurt?\n\n\nI have managed to identify what I think the culprits are: It feels like the fillings themselves are sensitive - If I touch the filling with my nail it’s sensitive/hurts.\n\n\nWhen I work floss between the affected area/s it hurts until it passes the top part of the tooth. Then flossing is not sore between the teeth. Pulling the floss out from between my teeth hurts again.\n\n\nMy local dentist adjusted part of the high points of my bite and was better. But still hurt when I eat food.\n\n\nI am not biting down on any high points or fillings. We have checked and adjusted this a few times already.\n\n\nI am really scared for a root canal procedure and heard some really bad stories. I suspect my dentist might suggest we do a root canal as I can see he is also very confused over the symptoms…\n\n\nI have been searching loads of forums but always end up in a dead end…\n\n\nPlease if anyone can suggest something?\n\n\nI am scared of Dr Google!!!! But someone mentioned a Dental Granuloma?\n\n\nI am at my wits end! I feel I can cry everytime I have to eat. And I am so tired of soft baby food by now, three months down the line…"
  },
  {
    "id": 795,
    "title": "Help. Layer of white under my tongue and bottom lip.",
    "dialogue": "CamB05: For the last 2 weeks my tongue and bottom lip have felt raw and tender. It started with a couple canker sores on my bottom lip which I thought was due to stress or food irritation. This happens fairly often to me. But, now I have a layer of white stuff under my tongue and on bottom lip. The stuff on my tongue  almost looks fuzzy and can’t be scrapped off. I have pretty bad anxiety and this isn’t helping. Is this something to be worried about? Do you know what it may be? And ideas would be appreciated. Thanks Dr M: Good day\n\nDo you perhaps a photo of this area? Would be a lot of help CamB05: I was actually able to brush everything off the following day. Though I’m still curious what your thoughts are, if you don’t mind. I was getting worried because it had been over two weeks and nothing like this had happened to me before. \nI was stress eating this past week because of work and may have indulged in a bit too many sweets. I read that stress and excess sugar could have caused this...not sure tho. I suspect I have some food allergies (and high stress levels) because I get canker sores more often than the average person. Dr M: Good day\n\nWhite lesions that persists for longer than 2 weeks, sometimes have to be biopsied for possible malignancy. I would suggest going to your dentist for a full consultation. He will maybe start you off with a chlorhexidine mouthrinse, antifungal treatment or corticosteriod ointment depending on the clinical presentation and then follow up. If no improvement again in 2 weeks, then a biopsy will have to be performed to determine the diagnoses."
  },
  {
    "id": 796,
    "title": "Three weeks wait for the procedure after antibiotics?",
    "dialogue": "ButtonApprehensive11: At the beginning of the year, I went to the dentist with a minor and fleeting dull toothache. She said that there was nothing wrong, but said that one of my other tooth (upper left second molar) needed a filling replacement (I never asked why) therefore we did so.\n\nAfter the procedure, the tooth was extremely sensitive to cold water (composite filling), and I complained a couple of times about it but she said to wait, as the filling was quite deep and it might take a bit longer to settle.\n\nI waited but the tooth suddenly began to give me a throbbing pain, so I booked an emergency appointment to have it looked at. The dentist present (my usual dentist wasn't working that day) said that the filling was slightly too high, which stressed the tooth to the point it got infected. He trimmed the filling and gave me antibiotics (500mg Amoxicillin for one week - three times a day) as well as booked an appointment in three weeks time (they are currently very busy) to get the filling replaced, and said that it hopefully won't hurt until then (this was a week ago, and I'm about to finish the course of the antibiotics).\n\nFrom my little understanding of dentistry (hence why I'm here), the antibiotics won't make the infection magically go away (just make it subside) to allow the work to be done(?). My concern is that until I can see my dentist (in three weeks), the infection will come back and cause me pain again. Am I correct to assume so? If so, would you perhaps recommend that I try to find another dentist practice who might be able to replace the filling sooner?\n\n(I have also been randomly experiencing sensitivity/pain to pressure in the tooth directly underneath it (premolar) ever since, which had a root canal treatment about five years ago, but I'm not sure if that's related - could it possibly be?)\n\nMany Thanks in advance,\n\nB Dr M: Good day\n\nYou are right. Antibiotics is never the solution to a problem. It only masks the symptoms. Luckily it sometimes stays in your system for about 1 month. Usually antibiotics is never given for a filling that is high. If the filling caused irreversible pulpitis or nerve damage, due to a deep filling etc, then it might be that the tooth actually requires a root canal to be done. Was this discussed with you? ButtonApprehensive11: Dr M said:\n\n\n\n\t\t\tGood day\n\nYou are right. Antibiotics is never the solution to a problem. It only masks the symptoms. Luckily it sometimes stays in your system for about 1 month. Usually antibiotics is never given for a filling that is high. If the filling caused irreversible pulpitis or nerve damage, due to a deep filling etc, then it might be that the tooth actually requires a root canal to be done. Was this discussed with you?\n\t\t\nClick to expand...\n\n\nThank you for your time with this,\n\nNo, a root canal treatment was never discussed with me. The dentist who gave me the antibiotics said that they should provide relief until I can get the filling redone/replaced (no mention of RCT).\n\nFrankly, the previously mentioned premolar (which had RCT five years ago) (the tooth directly underneath the molar which needs the filling redone/replaced) began to give me a throbbing pain today, so I'm considering going back for an emergency appointment again to see what's really going on.\n\nMany Thanks,\n\nB"
  },
  {
    "id": 797,
    "title": "Pus on gum",
    "dialogue": "sara.b: i had small spot on top gum which popped when i touched it. I had a dentist appointment so told her but she didn't seem concerned just said keep an eye on it. 4 months later and it has come up few times more but not as big as i put my nail on it and it goes away. i went back to my dentist as bit concerned so she took an xray. she said there is nothing there. i am really concerned can anyone help? Dr M: Good day\n\nWithout a photo or x-ray it is difficult to give an opinion, but it might be that you have a draining sinus from a possible abscess on one of your teeth. This can be painless and can go through periods where it comes and goes.\nWill need more info to give a better opinion. sara.b: Hi Dr M.\nThanks for replying. It came up again the other day, I tried to get a photo but didn’t really show too well. If it is a draining sinus from a possible abscess on one of my teeth would that not show on an X-ray? I’m concerned but dentist is not so how will I get it sorted?! Will a hygienist be able to help if I booked an appointment? Dr M: If you have a draining sinus, there should be some evidence of which tooth is giving you a problem. Unfortunately a hygienist won't be of much help if an abscess is the case sara.b: Thanks for replying. I really don’t know what to do. I have no other problem other than the pus, which is on the gum above top left incisors. So I am unable to give the dentist any other information and nothing is showing up on the X-ray so dentist is just saying there is nothing there. I’m surely not getting the pus for no reason so what ever it is l want it sorted before it gets worse. Getting very frustrated as do not know what to do next! Dr M: The only other option is that the puss is due to a periodontal problem i.e gum issue. Don't know when last you've had a cleaning done?\nIf your dentist can't do the cleaning, then an oral hygienist might be of some assistance. sara.b: Thank you very much for all your replies. I have booked in with hygienist but earliest they can do is beginning of Aug! She has put me on short list so may get in earlier if they have cancellations. I am concerned about waiting all that time, that whatever it is will just get worse. I am also very upset that I have been to see my dentist twice about it and feel like I haven’t been taken seriously. I have no idea what it is so rely on my dentist and all this waiting and nothing being done it will only be getting worse! \nsorry for going on. Thanks again for answering my questions."
  },
  {
    "id": 798,
    "title": "UK treatment during COVID or a dodgy dentist?",
    "dialogue": "STH: I went to the dentist this morning as I have an impacted wisdom tooth which has started to crumble apart and its very painful. They charged me before I went in (Band 1, even though I knew I would probably need removal). They took one X-ray of the effected tooth and didn't look at any of my other teeth or comment on if their were any other issues. He said the tooth has a hole (surprise surprise) and I could either have it removed then (I had driven so couldn't have painkillers/sedation) or call them back in 2 months to arrange it. I actually had to ask if my other wisdom teeth were okay, to which I was told 'well no they're impacted too' and that was it. I was expecting the to at least look for signs of decay on my other teeth? I'm not sure if this was because of Covid and them only dealing with issues, not doing anything routine, or if it is a bad dentist that I should avoid. Dr M: Good day\n\nUsually if this was a first consult, the dentist should  have a look at your entire mouth to formulate a treatment plan."
  },
  {
    "id": 799,
    "title": "Can someone help me. I have a white roof of mouth with bumps on the back of my throat.",
    "dialogue": "Collin: I’ve noticed that the roof of my mouth has turned white and bumps formed on the back of my throat. It seems that my tonsils are inflamed a little also. I keep having mucus build up in the back of my throat but don’t have a fever or anything. Busybee: Maybe you have a fungal infection.  You should see your doctor. Ilie Delia: Collin said:\n\n\n\n\t\t\tI’ve noticed that the roof of my mouth has turned white and bumps formed on the back of my throat. It seems that my tonsils are inflamed a little also. I keep having mucus build up in the back of my throat but don’t have a fever or anything.\n\t\t\nClick to expand...\n\nHello, do you still have this condition?This is reflux pharyngitis,I really like to know if you got rid of this problem, I have this to Aja: Ilie Delia said:\n\n\n\n\t\t\tHello, do you still have this condition?This is reflux pharyngitis,I really like to know if you got rid of this problem, I have this to\n\t\t\nClick to expand...\n\ndelia its preety normal.. Its just a normal condition.."
  },
  {
    "id": 800,
    "title": "Advice needed",
    "dialogue": "Zakvt11: Hi everyone I have severely crooked teeth and I’m trying to find out what the best method for fixing them would Be.  I want to to ask if you think metal braces would be able to straighten my teeth and also would a bridge be okay to fill the gap ( missing teeth ) Or would you have any recommendations for what treatment you think I would need I’m in the process of having teeth removed and the cavities  fixed thanks in advance Dr M: Good day\n\nThe first step would be to have all the cavities fixed and broken teeth removed. Thereafter a referral to an orthodontist must be made, so that a comprehensive treatment plan can be drawn up. This will tell you if any more extractions are needed to align teeth, or if the space available is sufficient. If the gaps at the back, can't be closed orthodontically, then the plan will include bridges or implants after the ortho has been completed.\nBut the first step would be to get the mouth into a condition that can support braces. If there are cavities and/or poor oral hygiene, then the orthodontic treatment might only worsen the situation. Zakvt11: Dr M said:\n\n\n\n\t\t\tGood day\n\nThe first step would be to have all the cavities fixed and broken teeth removed. Thereafter a referral to an orthodontist must be made, so that a comprehensive treatment plan can be drawn up. This will tell you if any more extractions are needed to align teeth, or if the space available is sufficient. If the gaps at the back, can't be closed orthodontically, then the plan will include bridges or implants after the ortho has been completed.\nBut the first step would be to get the mouth into a condition that can support braces. If there are cavities and/or poor oral hygiene, then the orthodontic treatment might only worsen the situation.\n\t\t\nClick to expand...\n\nThank you for the reply doctor"
  },
  {
    "id": 801,
    "title": "Consistent Teeth and Jaw Ache",
    "dialogue": "RyanKeller: I have been experiencing stiffness and aching in my teeth and jaw for a long time. The issue worsens when I eat food. My ears also will often get blocked and my Eustachian tubes will not open when I swallow. I also experience stiffness in the back of my neck. Cracking my neck seems to alleviate some of the symptoms, I have tried TMJ stretches and anti inflammatory medications but they only help for a short time. Please help! Dr M: Good day\n\nIt might be that you are a severe bruxer, and might need to have a bite-plate made to sleep with. Arrange a dentist visit, and explain your symptoms. He will manage accordingly"
  },
  {
    "id": 802,
    "title": "8 days after 2 teeth extraction",
    "dialogue": "Joymichelle: Today is day 8. I have some small fragments of tooth coming through my gums and my site is still very sore . Minor throbbing when I bend over. The dentist said some bone came out with my tooth. How long does this pain last ? Dr M: Good day\n\nIf the pain is still severe at the extraction site, arrange another follow-up visit with the dentist to evaluate healing."
  },
  {
    "id": 803,
    "title": "Is extraction the only way due to this infected root?",
    "dialogue": "AmirA: Hi,\n\nI have an abscess close to the tooth highlighted in the attached X-ray. I visited doctor and I am told the tooth root is infected and the only way to treat it is the tooth extraction. Is there anyway to kill the infection without tooth extraction?\n\nThanks. Dr M: Good day\n\nIn my experience thus far, in such a case the best option would be to extract.\nMandibular pre-molars sometimes have very complicated anatomy, with lots of accessory canals etc. This can prove difficult to treat. \nBut you are always welcome to get a second opinion from a specialist endodontist. A CBCT scan might provide some insight into why the tooth has been giving problems, and if the reason is purely endodontic failure, or perhaps a perio-endo lesion, which is due to a localized periodontal problem.\nIn such a case, I always advise my patients to keep the cost factor in mind. Is an extraction and implant perhaps cheaper than re-treatment with the risk of future problems? AmirA: Thank you Dr M for your message."
  },
  {
    "id": 804,
    "title": "6 days after removal of 2nd and 3rd upper molar",
    "dialogue": "Joymichelle: I went in for a checkup yesterday,  the dentist said everything looks well. I've been in such pain for 6 days. He said some bone was removed with the 2nd molar which takes longer to heal. Anyone else go this long or have this happen? Dr M: Good day\n\nSurgical pain, especially with difficult extractions, in which bone had to be removed, can sometimes last up until 2 weeks. Remember every person's healing process is also unique.\nIf you went for a check up with the dentist, and he indicated that everything seems well, then everything should return to normal. Just be patient. You can take some painkillers, especially anti-inflammatory meds.\nIf the pain is not getting better each day, and you still have severe pain after 2 weeks, go back to your dentist, so that further investigations can be done. Joymichelle: Thank you. It's just quite annoying when so many people tell me the pain should be gone by now. Dr M: Healing differs from person to person, and it also depends on the severity of the extraction, post op wound care etc."
  },
  {
    "id": 805,
    "title": "Flapping piece of gum question / help",
    "dialogue": "domduv87: Hi all\n\nPicture attached can anyone offer any advice on what this is? It really worries me it looks like a piece of gum that is flappy between the broken tooth but I suffer with health anxiety so constantly think it's sinister and the dreaded C word\n\nI know I need to get booked in to sort my teeth out and I am in the process of doing so but cannot get into a dentist for weeks domduv87: advice or thoughts welcome\n\nYou can see the shattered tooth at both sides of it honestdoc: It doesn't look like cancer but the tooth fragment is a source of infection that needs to be removed.  Find another dentist that can see you sooner."
  },
  {
    "id": 806,
    "title": "Problems with gum disease and white spots",
    "dialogue": "Amanda.Garden21: Hi \n\nI have recently had dental work completed in Mexico. Fillings, etc... And I am due an extraction of my wisdom tooth on Wednesday which was made worse by a stupid dentist who decided it was ok to fill over what she referred to as 'soft decay'. That was even though I asked her not to. I have had no end of problems with that tooth since. While at was at her surgery, which was back home in London, she told me that my teeth were all fine,that is even though I was complaining of tooth ache in the top wisdom tooth, that is above the one she filled over. Fast forward two weeks later, I arrived in Mexico and was suffering major pain with the tooth she filled over. I went to the dentist and he told me I need an extraction and there is nothing I can do to save the tooth. He also pointed out a cavity I had in the top wisdom tooth, that is the same tooth I had been complaining about two weeks earlier in the surgery in London. To cut a long story short, I had that tooth filled and he also pointed out other fillings (almagaram) that needed replacing. I had all of them replaced with composite fillings and another two I think are either being crowned or inlays because the decay under the fillings were quite large. I have since complained about the London dentist, and have gone to a solicitor. Not only this but they also fitted me a filling a year earlier which snapped taking some of my tooth and when I returned told me I needed a crown. I then waited a year for an appointment with a broken tooth and when I returned another dentist said I shouldn't have a crown and try with another filling because crowns can cause infections. My point here is that I am scared senseless of all these cavities and it has got to the point where its affecting my mental health. I can't eat and I am now self medicating because I have white spots on my front teeth which I have convinced myself is decay. I fear Re-visiting the dentist in the UK because of the problems I've had and although a friend told me to try private as its better, I just can't afford private dental care back home. I also have gum disease, again the problem wasn't diagnosed by my own dentist and was diagnosed after I visited the dentist in Spain. I really want to sort my teeth out and currently on xilotol, omega 3, magnesium, calcium and vitamin D and also oil pulling... That is along woth flossing, interdental brushes, 6-8 bottles of mouthwash per month and sensodyne toothpaste with 1426 ppm flouride. However, it feels nothing is helping and I am honestly suffering mentally. I have enquired about tooth implants in Turkey which is definitely more affordable than the UK, but I see dentists in UK warning against it on YouTube video content. I am beginning to feel suicidal with what is happening to my teeth. I am 36 almost and it has really knocked my confidence... I just feel I am going to loose my teeth and my life and career will be over. Any advice would be appreciated. Thanks in advance."
  },
  {
    "id": 807,
    "title": "Nerve damage 2 years after procedure",
    "dialogue": "Elston: I had a coronectomy in 2014 with no issues, then 2 years ago I had to have the root removed as was causing pain. Ever since then I have had permanent numbness in lower right side of face. I was told nerve damage should only be temporary but obviously not in my case. It tingles and burns constantly and sometimes I feel as if I am drooling ( I’m not ) but feels horrible. Any advice? MattKW: Can't be too specific because we have not even Xrays to see. It sounds like they suggested there was a risk of nerve damage, and unfortunately this sounds like you are the unlucky one. Go back to the surgeon - he/she won't be able to undo the damage, but may suggest medication to help with the symptoms. Elston: Thankyou. Something to consider."
  },
  {
    "id": 808,
    "title": "3 tooth dentures",
    "dialogue": "Monaghan21: I have to have 3 tooth dentures at the rear top of my mouth and worried I may not be able to eat certain foods. My question is are there different types of dentures.? Dr M: Good day\n\nYou get acrylic partial dentures, which are plastic. They sometimes cover your palate, and can be uncomfortable. They also sometimes limit your taste.\nThen you get chrome cobalt dentures, which are more comfortable, but also more expensive. Depending on the design, they don't influence your taste as much, but are less adjustable.\nYou also get flexible type of dentures, such as valplast dentures. Monaghan21: Thanks.. Can I ask what you mean by adjustable.? I gather the Valplast type are the most expensive.? Dr M: Valplast dentures are not necessarily the most expensive.\nWhen we talk about adjustable, I mean that you can repair or add on additional components such as an additional tooth with relative ease. Acrylic dentures can easily be added onto.  With chrome cobalt dentures, you have a metal framework. The clasps can't always be adjusted and you can only add in certain cases. Monaghan21: Many thanks. MattKW: Further to Dr M: Valplast are an injected nylon that can be made with plastic clasps. Probably wouldn't be used in your case. Cannot be added to if you later lose more teeth.\nAny type of 3-tooth denture for only back teeth may not be particularly useful or comfortable. So, prob suggest you go for a cheap acrylic denture, but it may be a bit bulky. A CrCo (metal framework) would be less bulky and fit better but often in cases like yours the metalwork may be hard to design."
  },
  {
    "id": 809,
    "title": "Grinding",
    "dialogue": "Himatt: Hey everyone! I’m Matt and I grind my teeth.\n\nI am 27 and was lucky to have parents who forked over the money have my teeth straighten when I was a child. Forever greatful (When I get my into a decent career, I owe them big time!)\n\nAnyway!  I take pretty good care of my teeth. Never had a cavity, but I grind my teeth.  I want to prevent damage.\nMy questions- I wear a wire retainer every night. Is this the same as a guard? Could I use a sports mouth guard if replaced frequently?\n I have slight over bite will my top incisors be affected from grinding? \nThanks! Dr M: Good day\n\nA wire retainer is not meant to prevent grinding. Only to prevent relapse after orthodontic treatment. Although you get lots of custom over the counter mouth guards, that are advertised to assist in grinding habits, the best option would still be to go and see your dentist. He will evaluate the extent of the grinding, and then also other contributing factors such as erosion and abrasion lesions or if there is an underlying TMJ issue that is more critical.  A custom bite-plate can then be made, that is specifically designed for your teeth,that will help negate the effects of the grinding. This plate will have to be evaluated as well during your normal check-ups, since after a few years, you might grind through it, and then you will need it replaced. MattKW: OK, how do you know that you grind your teeth? are your teeth showing signs of excessive wear (any photos or Xrays)?"
  },
  {
    "id": 810,
    "title": "Dummy help!",
    "dialogue": "EmmaEdwards: So my son is still using dummies that are 6-18 months old in size.. he won’t move onto the 18-36 month ones... should we be worried this is doing more damage to his teeth? MattKW: If he's happy, then I'd leave him on the smaller size as it'll probably be easier to get him off them when the time arises. Personally, I like to see them coming off dummies about 3yo. Certainly they should be stopped before adult teeth start coming in at 6yo. Simplest way is to simply not replace them when they finally get all chewed up."
  },
  {
    "id": 811,
    "title": "Terrible pain after 3 fillings, any help greatly appreciated",
    "dialogue": "Philo: Nice to find a place where people help others without asking for something in return. Thanks in advance\n\nAnyhow,\nI recently had (March 25th) 3 fillings (or so I was told) done.\nI'm not entirely convinced 2 of these were necessary, so far as the possibility of remineralization is concerned. I've had this aching/throbbing pain in my jaw, teeth and gums on the side where I had three composite resin fillings done. Two were in between teeth and 1 was on top/side. This was a week ago, and it took around 1.5 hours. It seemed like a very rough procedure, and I feel perhaps much of it was not 100% necessary. I've never had such consistent oral pain. Eating makes it somewhat worse as does anything hot/cold, even moving my jaw. I have some difficulty even sleeping because it's ever present, only calming down rarely.\n\nHistory:\n-Went in for initial cleaning and xrays February 18th. Was told Dentist didn't have enough time to do comp check, had to schedule for a month later. The lady who cleaned my teeth I recall even saying \"You may need a root canal\" for almost no apparent reason....\n-March 25th had 3 fillings done\n-I went back 6 days after as I called and expressed concern, an xray of the fillings was taken. First was told to wait longer to see if it calms down, then was told by the dentist that there are \"air bubbles\" in one of the fillings (the one closes to the middle) and that it may need to be refilled, so I was scheduled for 3 weeks out to come in and supposedly do it (if pain persists? He wasn't really clear on this). He also very nonchalantly said (almost inferring) that I may very well need a root canal now, and that he's seen the nerves of teeth die from very tiny fillings before. I would like to avoid a root canal at all costs. When I asked him if he could point out the cavities on previous Xrays he pointed to the tooth closest to the middle (which I agree with?) then to other teeth he didn't even work on. Then on the other two he did he just vaguely put is finger over them and said they had blemishes...I cannot personally see anything that looks as though it's down to the dentin.\n\nPrior to all this I only had very minor sensitivity every now and then with hot/cold and the like (maybe once a week or less). It hadn't been very sensitive since I started taking more care of my teeth. It really wasn't too bothersome and doesn't even come close to the discomfort I am experiencing now.\n\nThe work was done on 17, 18 and 19 (I believe?) The 3 back lower left (my wisdom teeth were pulled some 15 years ago, I'm 31 now)\n\nI have the Xrays:\n-First is most recent, after fillings.\n-The next set is very recent.\n-Second set is from about 1.5 years ago.\n\nGeneral opinion would be appreciated, regarding both if there are/were cavities that NEED(ed) to be filled and/or if remineralization is/was not possible. I think that if it cannot be certain the cavity is down to the dentin, I personally would much rather do all that I can to reverse it before being drilled. Air bubbles? What is he talking about. How concerned should I be, and what do you think I should do from here? I really want to keep my teeth alive at all costs (ie. not taking out the nerves/blood supply). Were these fillings poorly done, should I allow this dentist to try and refill, or should I go to another dentist (there aren't a lot of options around here).\n\nHe also said that there are 3 cavities on the upper left that need to be filled and wanted to schedule me to do those in a month +.\n\nAfter fillings (air bubbles??):\n\n\n\n\nXrays 1 month before fillings: honestdoc: Unfortunately any drilling on teeth can introduce sensitivities/pain.  #29 Distal cavity is marginally necessary (I have 3 cavities like it and I had been monitoring them for over 25 years).  If you had rampant cavities, I may have filled it.  Otherwise, I would have tried remineralization.  #14 Distal should be filled.  I would not fill any others.  \n\nYou do have a lot of interproximal incipient cavities.  I would inquire any sugary, acidic, and or creamy beverages (lattes) you drink often and cut them out.  I would put you on 5000 ppm supplemental toothpaste like Prevident/Gel-Kam, etc for daily remineralization. Philo: honestdoc said:\n\n\n\n\t\t\tUnfortunately any drilling on teeth can introduce sensitivities/pain.  #29 Distal cavity is marginally necessary (I have 3 cavities like it and I had been monitoring them for over 25 years).  If you had rampant cavities, I may have filled it.  Otherwise, I would have tried remineralization.  #14 Distal should be filled.  I would not fill any others.\n\nYou do have a lot of interproximal incipient cavities.  I would inquire any sugary, acidic, and or creamy beverages (lattes) you drink often and cut them out.  I would put you on 5000 ppm supplemental toothpaste like Prevident/Gel-Kam, etc for daily remineralization.\n\t\t\nClick to expand...\n\nMany thanks for the reply and expertise mate, really appreciate it.\n\nIronically neither of those were filled. #29 is on the lower right, all work was done on lower left (as you can see in filling image). The dentist did say they wanted to do 3 in upper left as well, which I image would include #14 however after having these three filled (which I already believed to be unnecessary, and according to your assessment they were not necessary either) I am VERY reluctant about having this dentist do anymore work at all. Let alone correct what they've already done.\n\nWhat would you recommend I do now? I had 3 teeth filled that were seemingly unnecessary which are now causing me lots of pain/discomfort almost 2 weeks after procedure. Two of them also appear to have voids (air bubbles) in them.\nI'm upset with myself for having gone through with this, and I'm upset with this dentist for having done this and not explicitly stated potential outcomes, let alone being trigger happy with fillings and now permanently compromising the integrity of my teeth. I put my trust in someone \"responsible\" for my physiological care, and they abused that as well as my body. honestdoc: I'm so sorry, I meant #20 on LL (sorry I had different cases on my mind).  If those are my teeth, I would leave the fillings alone (air bubble and voids can happen), obtain the 5000 ppm and try remineralization and flossing regularly.  If you drink any of those high risk beverages I mentioned, drink it fast (less time it bathes around your teeth) and drink lots of water to flush it out.  In theory, you sensitivities should subside. Philo: honestdoc said:\n\n\n\n\t\t\tI'm so sorry, I meant #20 on LL (sorry I had different cases on my mind).  If those are my teeth, I would leave the fillings alone (air bubble and voids can happen), obtain the 5000 ppm and try remineralization and flossing regularly.  If you drink any of those high risk beverages I mentioned, drink it fast (less time it bathes around your teeth) and drink lots of water to flush it out.  In theory, you sensitivities should subside.\n\t\t\nClick to expand...\n\nAh alright, yes #20 on LL is what I initially thought you were referring to. The to behind it were also. #14 was not, however the dentist did say that they wanted to fill the top left three as well, not just #14! No way....\n\nI've cut out 90% of sugar aside from Fruits really. And pretty much only drink water. Brushing and flossing well also.\n\nJust to confirm, you think that all of this pain/sensitivity I am experiencing will subside on its own if I just use personal care? It's been just about 2 weeks and it's not really lessened any. Both in the jaw and those three teeth themselves. Sensitive to hot/cold and pressure of any kind. Flossing in between the three teeth is quite painful as well, at the tops in between them. I chew 95% on my right now, because it's too painful on left which can be bad if prolonged as well....\n\nThe three things I've been expressed to try by others have been:\n1. Attempt to fix bite (although I don't personally feel that my bite is very off)\n2. Redo one (or all?) of the fillings\n3. Root canal\n\nMy dentist wants to redo filling #20, because of the \"air bubbles.\" And even made it seem like that very well may not work, so a root canal is likely in store. I DO NOT want a root canal at all costs and this is absurd, do you concur?\nThe 5000 ppm paste should help the three teeth that were filled...?\n\nThis is just terrible...dental work here (in U.S.) is SO expensive, and even if you can get some form of dental insurance they don't cover many things and still paying 50-30% is A LOT of money when your impoverished. honestdoc: If you have to redo the filling, ask the dentist to use Fuji Equia.  It's a glass-ionomer material that bonds naturally and will help desensitize the tooth.  It won't have air bubbles and it won't have polymerization shrinkage (1%).  You won't need root canal unless the pain is so intense that it wakes you up at night or you have swelling on the tooth.  You may consider going to another dentist. Philo: honestdoc said:\n\n\n\n\t\t\tIf you have to redo the filling, ask the dentist to use Fuji Equia.  It's a glass-ionomer material that bonds naturally and will help desensitize the tooth.  It won't have air bubbles and it won't have polymerization shrinkage (1%).  You won't need root canal unless the pain is so intense that it wakes you up at night or you have swelling on the tooth.  You may consider going to another dentist.\n\t\t\nClick to expand...\n\n\nI should like to avoid having to drill anymore (especially as I'm afraid of doing any more damage to the nerve), but I will keep it in mind.Looks like the dentist used FUJI Forte. Is Equia that much better?\n\nI went to a walk in clinic (as I have no other options here without $$$) had a dental student see me that eventually said they needed to do a full check and schedule for 3 weeks out (all they had). Here's what we concluded there though: #18 seems fine\n\nBoth #19 (MOD compostie) and #20 (DO composite):\nPalpation - negative\nPercussion - positive\nEndo ice - positive (lingering response)\nChecked occlusion w/ articulating paper - no visible high spots.\nTooth sleuth used to check for fractures - pain/sensibility on all cusps of both teeth.\n\nDoes this help give any more idea as to what's going on? Also, would you consider these fillings to be deep?\n\nThanks again for your help mate\n\nXrays taken there: honestdoc: Forte is the same product.  Fuji Equia Forte.  Fillings look fine for now. Philo: honestdoc said:\n\n\n\n\t\t\tForte is the same product.  Fuji Equia Forte.  Fillings look fine for now.\n\t\t\nClick to expand...\n\n\nThe chart notes only state the #18 was filled with Fuji Forte (because of moisture etc...), though #19 and 20 do not mention it, and those are the troublesome teeth.\n\nYes, in observing them in those Xrays they do look \"alright.\" Interesting how different Xrays from same/similar angle can appear quite different.\n\nDo the most recent \"test\" results that I posted in previous post help to give any idea as to what is happening and what may need to be done? (aside from just looking at the Xrays themselves) (the cold test pain dissipated within 15 seconds or less, and the percussion on #19 & 20 was very minor)\n\nAnother dentist said to me (regarding those results): \"A positive lingering response would mean the nerve is dying, but positive percussion muddies the water. Generally positive to percussion occurs after the nerve is dead and no long has a cold sensitivity. I wouldn’t consider those filling deep at all and am shocked that you have the lingering response on 19 AND 20. You may just be EXTREMELY unlucky. I have yet to see someone develop pulpitis in two adjacent teeth from simple fillings.\"\n\nWhat do you think? Should I just keep waiting this out maybe, not have any of the fillings redone and hope that the pain/sensitivity dissipates eventually (it's been a little over 2 weeks now).\n\nAlso I apologies for taking your time, it really does mean a lot to me though. honestdoc: I'm very conservative and I favor the least traumatic in waiting it out.  Consider taking anti-inflammatories like ibuprofen (taken with food) to minimize pulpal inflammation and minimize exposures to colds."
  },
  {
    "id": 812,
    "title": "Why no mouthwash which really removes 100% of plaque?",
    "dialogue": "Zopkios: Why hasn’t a mouthwash or the like been developed which really does remove 100% of plaque on our teeth?\n\nIt is now 11 years later since Professors Dijkstra and Dijkhuizen deciphered the structure and functional mechanism of the glucansucrase enzyme which is responsible for dental plaque sticking to the teeth.\n\nSo one would think that by now, regular visits to dental hygienists would be mostly unnecessary. Dr M: Good day\n\nUnfortunately some plaque has to be removed mechanically, by means of brushing, flossing or then regular scaling and polishing. \n\" Swooshing \" around some mouthwash around in your mouth, does not reach all the areas it should, so quite often there is some plaque left over, which then become mineralized to form calculus, which can only be removed with a scaling.\nA lot of people also don't adhere to the instructions of the mouthwash i.e rinse for one minute and then spit out. Most rinse for like 20 seconds, and then spit out the mouthwash, where after they immediately rinse there mouth with water as well. This then defeats the entire purpose.\nBest way to prevent tooth decay and gum is still old fashioned brushing, with the correct techniques. MattKW: The mouth is just the beginning of the alimentary canal. To somehow remove or destroy all micro-organisms in your mouth with a mouthwash would likely either cause direct damage to your mouth and alimentary canal, or severely disrupt the biome of the alimentary canal. In your example, I wonder if preventing plaque from sticking to the teeth may just simply swap one microbial problem for another. There has also been consideration of making a vaccine to act against Strep. mutans as a way if reducing decay, but other microbes would just step into place and create other problems. Just brush and floss; mouthrinses are overhyped. Zopkios: Dr M said:\n\n\n\n\t\t\tGood day\n\nUnfortunately some plaque has to be removed mechanically, by means of brushing, flossing or then regular scaling and polishing.\n\" Swooshing \" around some mouthwash around in your mouth, does not reach all the areas it should, so quite often there is some plaque left over, which then become mineralized to form calculus, which can only be removed with a scaling.\nA lot of people also don't adhere to the instructions of the mouthwash i.e rinse for one minute and then spit out. Most rinse for like 20 seconds, and then spit out the mouthwash, where after they immediately rinse there mouth with water as well. This then defeats the entire purpose.\nBest way to prevent tooth decay and gum is still old fashioned brushing, with the correct techniques.\n\t\t\nClick to expand...\n\nThis may be the case with mouthwashes as they are now.  But you have not addressed my question about the published research 11 years ago by Professors Dijkstra and Dijkhuizen.  Has that been built upon insofar as a product which is infinitely better than what we have now? Zopkios: MattKW said:\n\n\n\n\t\t\tThe mouth is just the beginning of the alimentary canal. To somehow remove or destroy all micro-organisms in your mouth with a mouthwash would likely either cause direct damage to your mouth and alimentary canal, or severely disrupt the biome of the alimentary canal. In your example, I wonder if preventing plaque from sticking to the teeth may just simply swap one microbial problem for another. There has also been consideration of making a vaccine to act against Strep. mutans as a way if reducing decay, but other microbes would just step into place and create other problems. Just brush and floss; mouthrinses are overhyped.\n\t\t\nClick to expand...\n\nIf you go to a dentist to have your teeth whitened, don’t they place the whitener in a mold which fits around your upper or lower jaw?  And now don't they have such kits which you can do on your own at home?  So if such a “mouthwash” could be developed, it would be applied using the same method.  Zero danger to the alimentary canal since the treatment is confined to the teeth and thereby isolated from the rest of the mouth.  And as I replied to Dr M, you have not addressed my question about the published research 11 years ago by Professors Dijkstra and Dijkhuizen.  What has happened to it? MattKW: So, I found an article they wrote. It was interesting, but why it hasn’t progressed is not clear. Maybe the cost? You’ll have to do follow-up, maybe even contact the authors. Dr M: Also found the article they wrote, and I agree, very interesting stuff. No idea why this has not been more fully publicized and discussed. Maybe cost or difficulty finding and effective inhibitor of the enzyme to add into products.\nThe authors did however also mention that they themselves believe that the age of the toothbrush is still far from gone."
  },
  {
    "id": 813,
    "title": "Root canal issues or TMJ / Grinding pain?",
    "dialogue": "Andrew20: 5 months ago I had 2 back molars removed due to a crack and infection. The 3rd tooth right next to these (premolar?) then had a root canal and crown. The extraction of the 2 teeth was not easy as both were attached to the jaw bone. In the last couple of weeks, the root canalled tooth is a little tender to side pressure only when pressed (not pressure at the top, no sensitivity to hot or cold or general ache) and I have a mild ache in the jaw were the 2 teeth were removed and under my ear. I've been to both my dentist and oral/maxfax suregon (but not my endodontist who did the root canal yet) and neither can see anything wrong with the root canal tooth or in the area where the teeth were removed. My oral/maxfax surgeon has diagnosed TMJ as my jaw on the opposite side pops out of place at night and sometimes locks so I cant open it fully. He thinks the pressure pain in the root canal tooth could be due to grinding my teeth and 'Im getting a mouthguard.  My question is, could the grinding be hurting the root canal tooth (the bite is fine) or is the root canal failing?  I know its hard to answer without x-rays. Dr M: Good day\n\nGrinding could cause some pain on the tooth. Even though the tooth has had root canal treatment done, it still has ligaments around it, and if these ligaments become stretched, due to grinding, it could lead to some pain on the tooth. The occlusion should be double checked as well.\nUnfortunately it could also be a combination problem. If the root canal is indeed problematic, then this could also contribute, but without more information, it is impossible to tell. Andrew20: Thank you so much Dr M. I know I should just go back to the Endodontist as ask his advice, but Im so afraid he'll say I need more work done. I had so much done and had pain for so long last autumn, to be back here now is so upsetting  - although I have almost no pain except on flossing really and a very mild pain in jaw, my mind is going straight back to where I was and worst case senario.  My husband thinks I should wait until I get the mouth guard and see if that helps, especially as my dentist and oral surgeon think the root canal looks good. Dr M: You can always wait and see how the mouth guard works. If no relief, go and see the Endodontist again."
  },
  {
    "id": 814,
    "title": "Need help (#31 or #30 / root canal vs extraction vs neuralgia)",
    "dialogue": "Somuchpain: I've seen a number of dentists, endodontists and periodontists over the past month, and people haven't been able to diagnose what I should do. So I'd be interested in hearing what the dentists in this forum think of the situation. I'll provide background below, and I've included CT scans and X rays I received in this dropbox folder: https://www.dropbox.com/sh/6tmnap4wxuw3aqz/AADCaflVW6OWPLexwdCSsBJaa?dl=0\n\nThe pain began on Feb 23, when I began feeling occasional stabbing pain, like electric jolts, in my right and lower cheek and around my lower gum area and teeth. They would occur every few minutes and when I moved my jaw, for instance when eating or talking, and so I went to see my dentist on Feb 25. Since the pain hadn't localized to a specific tooth and X-Rays didn't show any specific issues, the dentist suspected neuralgia and sent me to an oral surgeon who I saw on Feb 26. The oral surgeon didn't believe that neuralgia was the issue and recommended that I see an endodontist. The pain intensified over that weekend and localized to my back lower gum area, with more pain on #30 than #31, but pain in the general area. At the time, I had already received a root canal on #30 about 5 years ago and had a 15-year old filling at #31. I saw 3 endodontists on March 1, and explained the pain to them and they took X Rays and CT scans, as well as tapped the tooth, did the bite-and-release, the cold test and other tests, and concluded that it wasn't clear whether either teeth needed endodontic treatment.\n\nOne endodontist suspected that #31 was the tooth giving me problems but said it was inconclusive. I began taking antibiotics -- Augmentin -- on March 1, and the endodontists felt waiting to see how the antibiotics helped and how the pain developed was advisable. As the week progressed, the pain isolated more to #30, and to a lesser degree #31, and intensified. I emailed two of the endodontists on March 5 and told them that the pain seemed to be coming from #30 and since that had a root canal, they emailed back for me to see a periodontist or oral surgeon to have the tooth extracted. I saw a periodontist for a consultation on March 8 and he also advised an extraction of #30. I saw one of my prior endodontists also on March 8, and he believed it was too early to extract #30 and advised that he suspected I was feeling referred pain from #31, and he advised that I get my crown replaced on #30 (since that was needed anyways) and the dentist could see if there were any fractures or other issues with #30 when he replaced the crown, since he (nor any of the professionals) could not see any fractures with #30. I replaced the crown on March 11, and the dentist saw no fractures or issues with #30. The pain was steadily getting worse and worsened over the weekend. The pain was pulsing; when I touched my front teeth together or pressed my lip, I'd feel pain around #30/#31, and when I moved my jaw, I'd feel pain in #30/#31. On March 15, I called the endodontist who suspected #31 and decided to go forward with the root canal on #31, and he did the root canal in two phases, first cleaning out the tooth and disinfecting on March 17 and then performing the root canal on March 22. Upon opening up the tooth, he saw that the nerves were dead and there was debris, and thus the tooth did indeed need a root canal. On March 18, the pain intensified and my jaw began to swell, and the endodontist recommended antibiotics (Augmentin) which I began taking. Over the weekend, from March 19-22, the pain became very intense, with throbbing, pulsing pain on #31. By the time I arrived to the endodontist's office on March 22 for the root canal, I couldn't close my mouth and the pain was very intense, with sharp, stabbing pains in #31 every 45 seconds - indeed, following the first phase of the root canal the pain had shifted from #30 to #31.\n\nAfter the root canal, for a day, the pain in my teeth were gone, though the trauma to my jaw and the gums behind #31 caused pain in my jaw area, and regular spasms to my jaw. That has since dissipated. However, the tooth pain has returned, with a focus on #30. The area around #31 remains sensitive, and given the very extreme pain on March 19-22, my cheek, lower jaw, and gums behind #31 continue to have spasms and suffer pain, but that has lessened since the root canal was performed. Now, it's more pain around #30 that is continuing to grow. I feel occasional throbbing on #30; there remains tenderness around my inner cheek, gums, back gums connecting to the back of my mouth behind #31, as well as small spasms to that back gum area behind #31 when i open and close my mouth, although this could be lingering effects from the extreme pain of March 19-22; there is a lingering dull pain in #30; there is pain on #30 when I touch my two front right teeth together. I'm also constantly feeling a sharp, very painful electric jolt in the middle of my cheek, that's what kept me up at certain times at night and it's returned today after I spoke for a minute in the afternoon. I still can't eat or talk without incurring substantial pain.\n\nI'm trying to ascertain the appropriate next step, especially since the pain is getting worse and I'm concerned going into the weekend, and would welcome any thoughts you guys have. MattKW: The RCTs look fine on the single and zipped X-rays. Sorry, but I'm not going to download and install viewing software for the CBCT images. \nHowever, your pain does not seem to correlate with your current dental state as seen on those Xrays. Also, I can't even be sure that #31 was actually in need of an RCT as I only have the info that you relay. I would really need to see the endodontist's detailed notes to see why he came to that decision, and what he found when he opened up the tooth. There are too many vague signs and symptoms in your narration that limit what I can suggest for you. I would not extract either tooth unless a very clear and substantiated diagnosis was made. Somuchpain: MattKW said:\n\n\n\n\t\t\tThe RCTs look fine on the single and zipped X-rays. Sorry, but I'm not going to download and install viewing software for the CBCT images.\nHowever, your pain does not seem to correlate with your current dental state as seen on those Xrays. Also, I can't even be sure that #31 was actually in need of an RCT as I only have the info that you relay. I would really need to see the endodontist's detailed notes to see why he came to that decision, and what he found when he opened up the tooth. There are too many vague signs and symptoms in your narration that limit what I can suggest for you. I would not extract either tooth unless a very clear and substantiated diagnosis was made.\n\t\t\nClick to expand...\n\nSo what should I do, given that I’m still feeling significant pain, which also seems to morph day by day. Right now, it’s an occasional pulsing to the area around #30/#31, and a strained, stabbing sensation around my jaw when I try to move my jaw. Is there some sort of medication I can take to calm down the inflammation to the ligaments / nerves? What’s causing the stabbing? I can’t really talk or eat without incurring pain so should I just rest and do nothing, to see how the pain evolves? I’m just trying to figure out what I should be doing given that the evidence to extract either tooth remains inconclusive. Btw, the CBCT scans don’t seem to show any problems either, based on the conclusions of the 3 endodontists and 1 periodontist that viewed them. honestdoc: Did you have any history of trauma, stress, grinding/clenching your teeth and or viral infection?  With all the inconclusive findings, it may be referred pain from undetected source.  I'm suspecting TMJ and or possible Facial/Trigeminal Nerve branch.  It's really hard to give you our opinions as we basically play Dr. House and provide differential diagnoses.  Consider TMJ and neurology evaluation. Somuchpain: honestdoc said:\n\n\n\n\t\t\tDid you have any history of trauma, stress, grinding/clenching your teeth and or viral infection?  With all the inconclusive findings, it may be referred pain from undetected source.  I'm suspecting TMJ and or possible Facial/Trigeminal Nerve branch.  It's really hard to give you our opinions as we basically play Dr. House and provide differential diagnoses.  Consider TMJ and neurology evaluation.\n\t\t\nClick to expand...\n\nI don't have a history of trauma or stress, and if I grind my teeth at night, I'm not aware of it but certainly may do so. It definitely feels like there's an issue with the trigeminal nerve branch (pain is triggered when I tough my lip or my front chin or when I bite my two front teeth together). But I suspect that that pain to the trigeminal nerve branch has been caused by a dental issue inflaming it. Somuchpain: I have an update I'd like to share, and would be interested in any thoughts you guys may have: It is now 14 days since the root canal, and the pain remains and most recently over the past few days has not shown much signs of abating. It’s remained relatively constant the past few days. It was getting a little incrementally better for a few days, and then for the past few days, it’s gotten a little incrementally worse, with these day-to-day changes being relatively small. From the day of the root canal on March 22 to around March 31, the pain improved, to a large degree as my jaw healed, but since then the pain has somewhat flatlined and in certain ways has gotten a bit worse. In terms of how it’s worsened, as an example, I get brief ripples of pain as described above now sometimes when I walk whereas I wasn’t experiencing that 5-6 days ago.\n\nI’ll describe the current pain. For the most part, it’s activated when I move my jaw, whether through talking, eating, or moving my tongue around. When these actions result in a ripple of pain, I basically feel a successive set of stabbing pains (maybe 4-7) in the gum / root area of 30 / 31, or somewhere along the gums of my lower jaw. The ripple of pain stabs makes me contort my mouth and, weirdly enough, lick my bottom lip – somehow, that action subconsciously seems to control the pain. This has been a feature of the pain since the original Feb 23 pain. \n\nPain is also activated when I press my front right lip, or front right chin, or touch my two right front teeth together. I’ll feel a jolt in my lip, or a streaking pain across the right side of my face along the bottom gums, or I’ll feel the jolt of pain in my lip and in the gum / root area of 30 / 31.\n\nI feel the pain in the gums / roots area of molars 30 and 31, a little more towards 31. If I reach inside my mouth and touch the inner top of my gums behind molar 31, it’s highly sensitive and sends a ripple of pain. If I press down on my teeth with my finger, at varying times, I’ll feel pain in different teeth. On occasion, it may be my first 3 teeth, and the pain is felt in that tooth’s gum / root area. On other occasions, it’ll be when I press down on 30 and 31. But there’s always a time if I press on one of the teeth, there’s some sort of pain.\n\nThe pain will vary in intensity at different points in time. The pain is a little more active after I wake up and do my first set of talking or eating breakfast, and will moderate a bit over the course of the day, and then end up being pretty active by end of the night until I stop moving my jaw and go to sleep. For the most part, if I’m not moving my jaw and just holding still, there’s not much pain. It’s more activated when I do some of the above-described actions involving moving my jaw. \n\nThere does seem to be a point in the gum / root areas of 30/31 where the pain tends to be the central point. This also seems to be the same area that was suffering far more significant pain prior to the root canal, especially in the excruciating days of pain in between my first phase of the root canal (the pulpectomy) on Weds March 17, and the actual root canal on Monday March 22.\n\nI went to see an oral surgeon on March 25 after my root canal, when the pain was more severe, and when the pain was really focused on my inflamed back lower jaw following the excruciating pain of March 17-21 prior to the root canal. At that point on March 25, a few days after the root canal, I could not talk at all. The oral surgeon advised pain killers, Methylprednisolone 4 mg and waiting to see if the pain continues to decline. He mentioned that if the pain continued to decline, I could skip the Methylprednisolone, and so I never took it. I haven’t really been taking pain killers either, since the issue is less that I’m dying of pain, versus I just want to recover so I can talk, exercise and live a normal functioning life again.\n\nThe pain did continue to decline but has flatlined and has stayed constant, with small variances of improving or worsening, since about March 31.  As of now, I continue to not talk or exercise (running, jumping and heavy breathing activate the pain). honestdoc: You may have TMJ dysfunction.  If you are in the US, have your medical doctor refer you to a TMJ specialist that your medical insurance may cover (it is very expensive without insurance help).  If that doesn't resolve it, consider neurology evaluation. Somuchpain: honestdoc said:\n\n\n\n\t\t\tYou may have TMJ dysfunction.  If you are in the US, have your medical doctor refer you to a TMJ specialist that your medical insurance may cover (it is very expensive without insurance help).  If that doesn't resolve it, consider neurology evaluation.\n\t\t\nClick to expand...\n\nI definitely seem to -- so much of the lingering pain is centered around the TMJ right now. When I google TMJ, google says: \"Temporomandibular joint (TMJ) syndrome is a disorder of the jaw muscles and nerves caused by injury or inflammation to the temporomandibular joint.\" Yep, that sounds about right -- the tremendous toothache (that I think I agree with my endodontist was brought about by tooth decay in #31, since the root canal seemed to dramatically cut down the pain in the tooth) has caused \"injury or inflammation\" to my trigeminal nerve and my temporomandibular joint, and both those are what seem to account for 80% of the pain now, although there still is pains in the gum and tooth around 30/31, but they seem to be lessening very little each day. What's nutty about this pain is the healing is so slow, and every few days seems to worsen, then gets a touch better, then evolves to some new form of pain -- I feel like I've felt so many different types of pains on the right side of my face over the past 6 weeks. Every few days when I draft a description of my pain, it's different than before, but still debilitating enough that I can't talk. Today, for instance, the pain is focused right at the TMJ, right at the point where my lower jaw and upper jaw meet, and it's just ongoing spasms and pain ripples focused in that area. It's almost as if once the spasms start, the muscles just get used to spasming regularly, and so it takes days for the spasms to calm down. A good night's sleep and complete rest to the muscles helps -- they get a chance to calm down and spasm a bit less the next day. I guess my concern is that there's a microfracture in one of the teeth that's triggering the ongoing pain, but it may be just that the healing process for TMJ and trigeminal nerve inflammation/injury is just real slow. I guess I'm just continuing to wait it out. You're right though, I should probably book an appointment with a TMJ specialist because by the time the appointment arrives, I'll have either gotten worse or I can just cancel it then. Thank you very much for the comments."
  },
  {
    "id": 815,
    "title": "Is this a dry socket?",
    "dialogue": "Isthisdryscoket: I got my wisdom teeth removed about a week ago and I’m worried if this might be a dry socket. Dr M: Good day\n\nThis is not a dry socket. A dry socket appears usually after about 3 to 4 days and is accompanied by severe pain. In your case it looks like healing is progressing normally."
  },
  {
    "id": 816,
    "title": "Bone removal during extraction",
    "dialogue": "ManicaJay: A large portion of pallet bone was removed during a molar extraction that has left a large divot in my mouth. I was not informed that this may happen prior to extraction, nor did the dentist inform me that he had removed any bone. It wasn't until my 2 week follow up appointment with different dentist that I was told the divot was actually bone that was removed, as I assumed it was just an incision. That follow up dentist said it is \"the worst case he's ever seen\". I saw a 2nd dentist the following day and he said \"it is a very large defect\" and suggested I see an oral surgeon. Is this common practice amongst dentist to not inform their patients that bone was removed, or do I have a legal case on my hands?\n\nI also ended up getting a perforation in my sinus membrane that I never was informed could happen. Thankfully that healed on its own. honestdoc: Unfortunately, removing that molar can be very traumatic because it has 3 flared out roots including the prominent palatal root where the defect is.  Without removing bone, the roots may never come out.  I cannot comment on the lack of communication.   I communicate fully with my patients and they can still say I never said anything to them.  When a person is in pain, he/she may not fully comprehend details.  Since it was a traumatic procedure, that first dentist should have followed you up.  The 2nd dentist should never had commented like that because I guarantee you that 2nd dentist did not perform enough of those procedures.  By the way, I've seen Oral Surgeons traumatize way more than that. \n\nIf a person can wait, I would usually refer molars like that to Oral Surgeons.  If they can't, I will inform them I may leave roots in to minimize further trauma.  A lot of dentists will disagree with me but I would go back in 1 month (If the person can't go to Oral Surgeon) when the bone would naturally soften around the roots making it less traumatic to remove. MattKW: Extractions don’t always go the way we’d hope, despite careful assessment. If someone reckons they could have done it better, then they’re only saying that with the benefit of hindsight. I’ve done 15000 in my career, and I still get the occasional one that is unexpectedly difficult. Sometimes the opposite happens where I feel it will be quite difficult, but then both the patient and I are pleasantly surprised by an easy extraction."
  },
  {
    "id": 817,
    "title": "Help.",
    "dialogue": "Andrew12362: Help! So I’m a 13 year old kid and my last teeth are coming, there is a tooth growing and it has a piece of GUM on top of it, not chewing gum but mouth gums. Will it come out naturally? Should I worry? Andrew12362: This it it Andrew12362: It feels like the piece of gum will fall off and note the tooth is still growing Andrew12362: Also if I use my tongue to move it it feels like its going up when I move it so it’s kinda falling out, I just noticed it today. honestdoc: As long as that piece of loose gum is not hurting you, everything should be fine. Andrew12362: honestdoc said:\n\n\n\n\t\t\tAs long as that piece of loose gum is not hurting you, everything should be fine.\n\t\t\nClick to expand...\n\nYeah it’s fine, it’s not hurting and it went back a little bit, the tooth it is on (the second molar) is growing so it should be good.."
  },
  {
    "id": 818,
    "title": "Missing Braces adjust appointment",
    "dialogue": "tom2000: Hello All,  I am looking to get braces for the first time. The Doctor has advised to extract 4 tooth and appointments to adjust the brace every 4 weeks.\nBraces will be put first and after 2 weeks tooth will be extracted.\n\nI can meet Doctor during initial 2 months of treatment, but will be out of country for 2 and half months(75 days).\n\nMy question is that if I miss the 4 week appointment to adjust the brace and meet Doctor after 5-6 weeks of missed appointment, will I have any issues?\nShould I adjust my brace with another orthodontist during my stay out of country.\n\nWould appreciate any advice. Thanks! Dr M: Good day\n\nThe best advice will be to bring this up with your orthodontist during your next visit MattKW: You can't go to another orthodontist while you're away. usually, all that will happen is that your teeth will stop moving. Talk to your ortho. tom2000: Thanks Dr M and MattKW for your advice."
  },
  {
    "id": 819,
    "title": "Canker Sore?",
    "dialogue": "Sebastian Jaime-Prieto: hi is this something that i can just leave alone and it’ll heal by itself? MattKW: Yes, looks like canker sores (minor apthous ulcers). They are thought to be related to an altered immune response of no significance. They will go in 10-14 days without intervention. If they bother you and you want quick relief, get some \"Kenalog in Orobase Oint.\" and apply a small amount 2x daily after meals. The oint (a corticosteroid) will relieve the pain and make them heal faster but doesn't prevent them recurring. The ulcers are not contagious or dangerous. Some people (my daughter) get them quite often, and most people seem to grow out of them. James Barber: Canker Shield is a lifesaver for canker sores. MattKW: James Barber said:\n\n\n\n\t\t\tCanker Shield is a lifesaver for canker sores.\n\t\t\nClick to expand...\n\nWent to their website. Supposedly in \"Pre-release\" stage, yet they have testimonials and no links to any of their \"...numerous studies\". Nor could i find anything with a quick look via Google Scholar. The listed ingredients are underwhelming."
  },
  {
    "id": 820,
    "title": "Black tooth underneath",
    "dialogue": "Steven York: I had a root canal a few years ago and then a kind of plastic temporary crown was placed. The temp crown remained there for 5-6 years. Meanwhile I was told that the worst can happen is the temporary crown to brake. One day I decided to change it. The temp crown was still perfectly fine. I went to have it removed and replaced last year, and the dentist found that the tooth underneath had gone completely black. He said this is nothing to worry about, but I am very worried. Attached please find a pictures of the tooth with the temporary crown, then the tooth underneath after temp crown removed and x-ray image with the new crown placed after. My new crown covers my tooth well, but I worry about the black tooth underneath. Is this normal or it could be dangerous? Is it possible the black tooth to affect the gums and bone. It is one thing for the tooth to get darker, but in this case it is absolutely black. My main concern is whether it could become malignant? Should I keep this tooth? I am even ready to remove it. Please advise. Steven York: I had a root canal a few years ago and then a kind of plastic temporary crown was placed. The temp crown remained there for 5-6 years. Meanwhile I was told that the worst can happen is the temporary crown to brake. One day I decided to change it. The temp crown was still perfectly fine. I went to have it removed and replaced last year, and the dentist found that the tooth underneath had gone completely black. He said this is nothing to worry about, but I am very worried. Attached please find a pictures of the tooth with the temporary crown, then the tooth underneath after temp crown removed and x-ray image with the new crown placed after. My new crown covers my tooth well, but I worry about the black tooth underneath. Is this normal or it could be dangerous? Is it possible the black tooth to affect the gums and bone. It is one thing for the tooth to get darker, but in this case it is absolutely black. My main concern is whether it could become malignant? Should I keep this tooth? I am even ready to remove it. Please advise. Dr M: Good day\n\nThe discoloration could be because of two things.\n1) Discoloration of the temporary cement used with the temp crown. Usually this can be cleaned off.\n2) Normal discoloration due to the fact that the tooth has undergone root canal treatment and is now non vital.\n\nAs long as the remaining tooth structure is sound, and there is no decay visible on the x-ray, this should not be a cause for any concern. MattKW: The blackness isn't the sign of anything harmful. However, there's no good tooth structure remaining, and a permanent crown is not feasible. You can keep going like before with some sort of temporary crown or buildup, but don't spend any big money on this tooth. be prepared to have it extracted the next time the temp crown comes off."
  },
  {
    "id": 821,
    "title": "Gum chewing",
    "dialogue": "Red: Is it ok to chew gum while you are waiting for your gums to heal after whole mouth extraction Dr M: Good day\n\nI assume you have immediate dentures placed after the whole mouth extractions? Red: No I have no teeth whatsoever. I am waiting for my mouth to heal completely. I had the procedure done about 4 weeks ago. I will be getting dentures Dr M: Good day\n\nI would stick to  a soft diet. At least until the sockets have healed more or less. You don't want to disturb the healing process Red: I eat handfuls of popcorn"
  },
  {
    "id": 822,
    "title": "What is this",
    "dialogue": "Sebastian Jaime-Prieto: is that a bad thing to see(bubble like object)"
  },
  {
    "id": 823,
    "title": "Fillings in front teeth falling out 6x in 4 yr old!",
    "dialogue": "Ester: My daughter had cavities between her front two teeth. The dentist cleaned them out and filled them in. The fillings have fallen out within the week 6 times in a row. We have been to two dentists with the same results. She is 4 years old but is sitting very still and patiently in the chair. Any suggestions? She has a bign jagged gap now between her front two teeth. Dr M: Good day\nFront fillings on kids are sometimes very difficult to do. They bite into things, eat sticky sweets, and all of these things sometimes cause the fillings to come loose.\nThat being said, it might be a good idea to visit a pediatric dentist in your area, that specializes in working on children. They might have alternative options or alternative filling materials that can be used, that might last longer than conventional composite materials, that area also very sensitive to certain conditions during placement, that might also influence their bonding to the teeth. Ester: Thank you for your reply. She went to a pediatric dentist for the initial treatment and the subsequent visits. After it fell out 5 times we took her to an adult dentist..any other suggestions? honestdoc: Traditional tooth colored fillings do not bond very well to baby (primary) teeth.  I like Glass Ionomers such as Fuji Equia (available in the US) which bonds better but does not have the esthetics traditional fillings provide.  Fuji Equia should have plenty of shades that can match fairly close. MattKW: Sometimes it isn't worth the effort to fill front baby teeth if they are causing no pain. These lower front teeth are usually the first to fall out at 6yo. I would be more worried to see if she has decay in the back teeth. Has she had X-rays of the back teeth?"
  },
  {
    "id": 824,
    "title": "My adjacent crown (#20) got chipped after an extraction on #19.",
    "dialogue": "yentakaren: Hi -\nI just had an extraction of #19 tooth.  Everything went very well.  The after-extraction side effects went\nvery well and I experienced very little pain and the tooth socket is healing very well.  I will be having\nan implant in that space.\nWhen the dentist did the extraction, he inadvertently chipped the crown on #20 quite a bit.  Is this normal to happen or is the dentist at fault and\ndid not take care to prevent this from happening?  I am 78 years old (if that is important)\n\nOriginally I was going to have to pay 50% of the total cost of the new crown.  But then they decided that I shouldn't pay anything.\nMy question is:  \nShould I be reticent to use this particular dentist again for another extraction.\nHe previously did another crown on my front tooth when the crown came loose after a fall I had and he did a wonderful job.\n\nKaren\nI Dr M: Good day\n\nUnfortunately chips on fillings and crowns are a normal risk to any extraction procedure. I would not hesitate to use the dentist again. It seems like he did the right thing in paying for the new crown. And the extraction also  went very well with minimal complications.\nMost dentists have had this happen at least once, even though we take care not to damage adjacent structures. yentakaren: Dr M said:\n\n\n\n\t\t\tGood day\n\nUnfortunately chips on fillings and crowns are a normal risk to any extraction procedure. I would not hesitate to use the dentist again. It seems like he did the right thing in paying for the new crown. And the extraction also  went very well with minimal complications.\nMost dentists have had this happen at least once, even though we take care not to damage adjacent structures.\n\t\t\nClick to expand...\n\nHi,\n\nAnd thank you Dr. M for your input.  My husband never had this happen (and he's had many extractions - maybe not near\nan adjacent crown (I don't know), but he was thinking that because the dentist was unseasoned that was an error in judgment.\nI didn't feel that way, but I really wanted to know whether these things happen.  I feel better.\n\nKaren MattKW: It's a risk, and sometimes in the best of hands these things happen. At least they seem to be taking care of you."
  },
  {
    "id": 825,
    "title": "Am I suppose to replace my tooth brush every 3 months?",
    "dialogue": "pearly whites: Yes? or No? or other comment? honestdoc: Recommend replacement every 3 to 4 months."
  },
  {
    "id": 826,
    "title": "What is this ?",
    "dialogue": "Jessxxica: Hello, any thoughts on what this can be ? It looks like a canker sore but i am not sure. honestdoc: It does look like one but usually canker sore are situated in the more loose, red tissue.  It should go away in 1 to 2 weeks.  If it persists, take multiple images because I can't see the fine details."
  },
  {
    "id": 827,
    "title": "Receding gums & overbrushing",
    "dialogue": "Danmcmahon: Hi all, first poster here, so do let me know if I'm doing anything wrong.\n\nI've had rapid gum recession over the last few years & dentists keep saying it's due to overbrushing.\n\nThe trouble is, I've already been brushing extremely lightly for the past 3 years, any softer and I wouldn't be brushing at all. \n\nI use an Oral-B electric brush with soft bristled heads for 2 mins 2x a day, Pro-expert toothpaste, fluride mouthwash, floss & waterpik (though only once a month). \n\nI never touch the gums directly, other than slightly \"penetrating the gumline\" while brushing, as the NHS website says to do.\n\nI've also cut out all sugary/starchy/greasy/sticky food & drinks & don't smoke or drink alcohol.\n\nIt just recently started getting painful, as there are a few super exposed areas of teeth that are really sensitive to pressure (eg from the pillow at night).\n\nAny help would be greatly appriciated.\n\nThanks for reading honestdoc: It is true that traumatic brushing can cause irreversible damage to your gums and teeth.  I had the same problem and my dentist growing up never mentioned it until it was very damaged.  There is a difficult balance between traumatic brushing vs thorough brushing.  I find that your soft bristled toothbrush or brush head needs to look like new and not be flattened or bent when it is replaced after 3 to 4 months.  If it doesn't look like new bristles, you are causing damage.   I told my mother she was brushing too hard (she taught me to brush when I was young) and she continued to flatten her toothbrush in less than a week and her gums receded near the root tips.  We grafted her gums and it promptly failed.\n\nThe receding gums and teeth abrasions are permanent and will never grow back.  If you have sensitive teeth, you can try sensitive toothpaste with Potassium Salts to block the sensitive dentinal tubules.  You won't feel immediate relief because it takes a few weeks to work. Danmcmahon: Hi honestdoc & thanks for your reply.\n\nI use \"sensi ultrathin\" brush heads and swap them every 3 months, or when the blue tip fades to white. There isn't any noticeable flattening when swapping them out, which is why I find the continuing recession is so baffling. I know people who are much older & brush much harder, yet they have way better gums, go figure! The gum I still have is surprisingly healthy, no inflammation, bleeding or gingivitis, it's like there's some other mysterious force causing it.\n\nOne dentist suggested acid reflux, or the effect of braces pulling teeth forward & out of the gumline, though taking antacids doesn't seem to have slowed it down, and I had braces over 5 years ago. I do also have a wisdom tooth pointed sideways into the other teeth, which I've wondered if that could be pushing them.\n\nSorry to hear about your Mother's gum graft, I've stumbled on a lot of \"gum graft horror stories\" today & hope to avoid it like the plague, unless absolutely necessary.\n\nI'll look into sensitive paste with potassium salts, the Pro-expert toothpaste offers some protection, but not enough for the worse bits.\n\nThat said, I could definitely live with it as is now, the fear is that it'll keep getting worse until things like gum grafts & extractions are inevitable, which is a pretty scary thought at age 22.\n\nUntil then, thanks again for your help & stay safe."
  },
  {
    "id": 828,
    "title": "Biting cheek",
    "dialogue": "jlr: A few months ago my dentist fitted me with an occlusal guard for grinding (which I pursued based on help from this forum, so thanks!).  More recently, I've noticed the when I bite down cheek tissue gets between my teeth.  I can see the tissue when I open my mouth, as if there some extra tissue especially on one side.  This started a few weeks ago with some severe nighttime biting; however, it is still a problem.  I'm wondering if this will go down on its own, calm down, or if some topical treatment may help.  I've switched to iced beverages in the day, which temporarily shrinks the tissue.  My guess is that there is a surgical option, if the tissue is permanent.  I did have an oral cancer screening just a months ago, and it does not appear at all unusual by appearance, just getting in the way. \n\nThanks for any thoughtful replies.\n\nJohn Roberts honestdoc: Have your dentist adjust the borders of the occlusal guard.  You should not be traumatizing any parts of your mouth.  You mouth can heal quickly with short term trauma, but with chronic (physical and or chemical), the mouth will make abnormal tissue to protect itself (precancer)."
  },
  {
    "id": 829,
    "title": "What is this red patch on my gum?",
    "dialogue": "arnaudlambert:  honestdoc: It appears like a reactive lesion.  It will usually resolve in a few days.  If it persists longer than 2 weeks, have it checked."
  },
  {
    "id": 830,
    "title": "Painful & red gums",
    "dialogue": "elricwizard: Yesterday, my gums started hurting slightly in one spot near my back molars. For the past year I've been brushing my teeth 0-1 times a day and eating ~1000 calories a day because of really bad mental health issues, and so my oral hygiene is extremely poor right now. However, I'm not in a very stable financial position, so I don't want to go to the dentist unless it's really necessary. I was hoping to gain some insight as to what might be going on and what I should do about it.\n\nHere's a picture of what it looks like: \n\n\n\nI apologize in advance; I know my mouth and teeth look very, very gross. I'm trying to get better at taking care of my teeth but I'm worried that it's already too late.\n\nSome other details that may be relevant are that:\n1. My cheeks and inner lips peel when I wake up and sometimes just randomly throughout the day. This has been going on for a few months.\n2. I have bad breath even after doing proper brushing, flossing, and mouthwash rinsing. This has been the case for many years, not just this past year.\n3. My tongue has always had lots of white stuff (I'm assuming it's bacteria) on it, no matter how much I've scrubbed at it.\n4. I may have a mild allergic reaction to something that's common in a lot of foods (my best guess is a type of processed sugar), and so after eating almost any type of food I will get lots of mucus buildup in my throat and at the back of my mouth.\n5. I have had acid reflux since I was a kid. For a few years it got to the point where I would throw up in my mouth multiple times a day, but fortunately that isn't often the case anymore. When this happened as a kid, I would not rinse my mouth with water afterwards.\n6. I have been on a medication that causes dry mouth for around 5 months now.\n7. I have Irritable Bowel Syndrome. I'm not totally sure if that's relevant but I'm including it just in case.\n\nI also wanted to ask: I recently bought 3% hydrogen peroxide to use to whiten my teeth. I'm worried now though that it may make whatever is happening with my gums worse. Should I still use it or no? Dr M: Good day\n\nFirstly it is never too late to start looking after your teeth. I would hold off with the tooth whitening for now, until some of the other issues are sorted out first.\nThe white coating on your tongue, might be because of the medication you are on. Dry mouth can lead to all sorts of fungal infections taking hold, and it is therefore wise to drink a lot of water, and chew sugar-free gum, in order to stimulate salivary flow. Saliva is the natural cleanser of the mouth. If the white area persists, it might be that you have an underlying fungal infection already, and for this you would need anti-fungal treatments. But it is best to visit your dentist, so that this can be evaluated clinically.\n\nBad breath could be associated with the acid reflux. I would visit a medical doctor for this issue. They need to investigate the cause of the acid reflux, and then treat it accordingly. Continuous acid reflux, can lead to severe dental erosion, which in turn leads to yellow teeth, due to enamel loss, and sensitivity.\n\nFurthermore, brushing 0-1 times a day is not enough. Poor oral hygiene habits lead to plaque build up, caries formation and gum infections, that can be appear to be more painful in certain areas. The fact that you suffer from dry mouth, worsens this. If left untreated, this could lead to a condition called periodontitis, which might end up in tooth loss.\nI think it is a good idea to go see your dentist, for a full evaluation, so that all the issues can be addressed and a treatment plan can be set in place.\n\nIt is never too late to start taking your oral health seriously. elricwizard: Dr M said:\n\n\n\n\t\t\tGood day\n\nFirstly it is never too late to start looking after your teeth. I would hold off with the tooth whitening for now, until some of the other issues are sorted out first.\nThe white coating on your tongue, might be because of the medication you are on. Dry mouth can lead to all sorts of fungal infections taking hold, and it is therefore wise to drink a lot of water, and chew sugar-free gum, in order to stimulate salivary flow. Saliva is the natural cleanser of the mouth. If the white area persists, it might be that you have an underlying fungal infection already, and for this you would need anti-fungal treatments. But it is best to visit your dentist, so that this can be evaluated clinically.\n\nBad breath could be associated with the acid reflux. I would visit a medical doctor for this issue. They need to investigate the cause of the acid reflux, and then treat it accordingly. Continuous acid reflux, can lead to severe dental erosion, which in turn leads to yellow teeth, due to enamel loss, and sensitivity.\n\nFurthermore, brushing 0-1 times a day is not enough. Poor oral hygiene habits lead to plaque build up, caries formation and gum infections, that can be appear to be more painful in certain areas. The fact that you suffer from dry mouth, worsens this. If left untreated, this could lead to a condition called periodontitis, which might end up in tooth loss.\nI think it is a good idea to go see your dentist, for a full evaluation, so that all the issues can be addressed and a treatment plan can be set in place.\n\nIt is never too late to start taking your oral health seriously.\n\t\t\nClick to expand...\n\nThank you so much. I've started brushing 2 times a day and am going to try working it up to once after every meal. I'll also try drinking more water and chewing sugar free gum. I'll definitely visit my dentist soon! Thank you so much for the advice, I really appreciate it."
  },
  {
    "id": 831,
    "title": "Root canal treatment",
    "dialogue": "Opal: Root canal treatment. I had root canal treatment on Friday on the NHS and the dentist told me she had managed to remove two nerves but not the third one and that I would have to go to a root canal specialist. She made an appointment for me and I have found out it is going to cost me £900. Is it normal that a dentist cannot finish the procedure? Bindu: General dentist some times may not be able to find the nerves, because of the tooth anatomy i.e..the roots are not in a right position or maybe the canal is calcified (nerve is obliterated) . In such cases a specialist is called for the treatment. He will be an expert only in root canal treatments, so he will be able to solve the problem. This is very common, no need to worry."
  },
  {
    "id": 832,
    "title": "Can still taste my root canal after 2 weeks. Is this a problem?",
    "dialogue": "ashleyg92: Hey all,\n\nI recently had a root canal done. But very faintly, mostly in the mornings, I can taste that that bacteria killing liquid (the one which the bleach smell). It's only randomly and not consistent.\n\nIs this normal - even after 2 weeks? Does it mean theres a leak somewhere\n\nThanks for all your replies. honestdoc: No, it is not good that you taste anything from that tooth.  Most likely the dentist placed a temporary filling and it is leaking.  That is not good because the root canal must have a sterile environment or it can get reinfected.  Have it looked at ASAP."
  },
  {
    "id": 833,
    "title": "Fillings",
    "dialogue": "an innocent man: Hi\nFirst of all I have to admit to not having any dental treatment for over 20 years. I am trying to overcome this  phobia and part of this is about getting fillings. \nI last went to a dentist 2 years ago where I was told I needed eight filings. Apart from my massive fear of having all this work done, I am seriously worried as to how effective fillings are.\nEveryone I know who has had fillings has said that they broke/came out/ had to be re-done/ caused a lot of pain afterwards. \nThe dentist I saw two years ago was unable to give me much assurance that the fillings would not fall out. He would only say they should not fall out!\n\nSo I don't want to get a lot of fillings and then have to keep returning to the dentist year after year to get them re-done etc. Can  anyone provide me with any truthful reassurance on this or will getting fillings lead to a terrible dependence on going to a dentist over and over to get my fillings replaced (something, frankly, I could not face).\n\nMany thanks\n\nCiaran honestdoc: I'm very big on prevention.  It is best not to get any cavities.  If you have cavities, then you need fillings.  Fillings will never be as good as natural teeth (no fillings).  If you have cavities, you can't let it go.  If so, then the cavities will get bigger until you teeth break off or you get pain and swelling.  Sorry, we don't have a magic wand.  1.  Don't get cavities.  2.  If you get cavities, the smaller the cavity (filling), the better."
  },
  {
    "id": 834,
    "title": "Front bottom teeth",
    "dialogue": "Biabia: I'm having a strange sensation behind my bottom front teeth... It's nit like pain or bleeding etc it's just I've urge to rub my tongue behind front teeth... And it's not continuous... Can u plzz guide me is it something normal or not? Biabia: The sensation or irritation is occuring in the highlighted area honestdoc: It is tartar build up.  You need a good cleaning after a thorough exam."
  },
  {
    "id": 835,
    "title": "Denture Question",
    "dialogue": "John Foster: Hello all;\n\nThis is my first post. I am 59 years old, I have naturally soft teeth that are prone to decay and breakage, also I am a terrible clencher and do a lot of damage to my teeth.  I am currently scheduled to have all my remaining bottom teeth extracted, and will be receiving a temporary full bottom denture, which will be replaced by a permanent denture +/- 6 months. I will also be having my all top teeth extracted EXCEPT for a couple of molars on each side. these molars are not pristine, but they are serviceable. I will be having a temporary partial top denture installed, followed by a permanent one. Both my dentist and denturist strongly recommend retaining these molars to better secure the top plate. My closest friend tells me that the best thing he ever did was to get rid of the last few natural teeth on the top and go for a full top plate. My wife thinks that since most people have so few problems with with their top plates, that to keep some natural teeth will result in ongoing dental costs as well as ultimate top plate modification or replacement. This is a tough decision, once teeth are out they can't be put back in, on the other hand, I don't want to spend money unnecessarily on replacing or modifying my top plate.\n\nThanks\n\nJohn Dr M: Good day\n\nDo you perhaps have a xray of the remaining top teeth, so that we can evaluate their condition and give an opinion?"
  },
  {
    "id": 836,
    "title": "What to expect",
    "dialogue": "Chocwolf: I’ve only been to the dentist once and it was when I was 6 years old. I’m 24 now. I know, that’s really bad. I know I have quite a few cavities and recently I noticed a few of my teeth are getting brown spots that are different from cavities. I’m not sure if they’re stained or it’s the enamel wearing down. I had a lot of health problems for a while and was vomiting often for a few years. I also wasn’t taking the best care of my teeth. If I were to go to the dentist, how would they fix this? I’m so scared to go because I don’t want to be judged but I’m so ashamed to smile anymore. honestdoc: You should find a dentist who is highly recommended by people you know.  In the US and other advanced countries, dental visits can be very expensive.  If costs are prohibitive to you, consider going to a teaching facility like dental schools where faculty (instructors) are supervising your case."
  },
  {
    "id": 837,
    "title": "On a scale from 1-10 how worried should I be",
    "dialogue": "Jacobd: First let me explain a few things, so I'm not very normal I guess you could say. I was born with teeth first off, I didn't keep them very long because I needed room for my normally baby teeth but that's a thing. Also my teeth as a baby had little to no enamel when they emerged from the gums and the same goes for my adult teeth and I think I still have a baby tooth or two at the age of 21. I also grind my teeth A LOT while I sleep and clench my teeth when I'm stressed or concentrating really hard. I have tried several kinds of mouth guards and I either shred it and swallow pieces of it or spit it out while asleep and grind my teeth. On several teeth it's missing so much you can see the root pocket through the top of the tooth.\n        ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^\nIf you have any ideas on how to fix or stop this stuff that'd be cool.\n\n\n\nSo now for the whole reason I came here. I noticed my tooth had a cavity when a piece of the tooth broke off from using a wooden tooth pick. It doesn't hurt at all unless I poke deep inside of the tooth with a tooth pick. It has a dark spot close to the gums that looks like it's inside the tooth but showing through the dentin if that's possible. This tooth had a cavity about a year ago and I had it filled but I'm thinking now after seeing it that it was never cleaned and was just sealed shut. Here's a picture, can't really get any better pictures because it's hard to focus the camera on something In my mouth. My new health care does not provide dental coverage so I tend to wait till it's life threatening or just let it take its course if not threatening. But I've heard that an infection of the root can spread to the jaw and if that goes on to long you may need a bone graft and that sounds like a lot more money and it sounds painful. I want to try to have a filling or root canal procedure but I don't know if that'll be possible, I just really don't want an extraction. Dr M: Good day\n\nIt does look like you have a cavity on the affected tooth. With an x-ray, we can see a little bit more of how the tooth structure is looking on the inside of the tooth. Unfortunately, the longer you wait, the less likely it is to fix the tooth, and the more likely it can become that an extraction will be the only option.\nMake some time to see a dentist."
  },
  {
    "id": 838,
    "title": "What is this?",
    "dialogue": "okayokay: I went for a tooth cleaning in early January. I had tartar on the gum line, where my molars are. It was way up there and annoying to remove. It hurt. It was like the assistant was digging severely into my gums.\n\nOn January 18, days later, I see this bump where the tartar used to be. I showed the dentist and he said he doesn’t see anything. How could he not? Anyway, I believe the gum was traumatized because of the cleaning.\n\nIt is now February 5th, and it hasn’t gone away. It was flattening at one point, not it looks like it did when I first noticed it.\n\nIt doesn’t hurt or anything. Dr M: Good day\n\nIt is difficult to see the bump on the photo provided. I can see however that you have some dark triangles in between your teeth. This can be caused by excessive \"tartar\" or calculus being in that area for a prolonged period of time. Without proper cleaning, this leads to gum recession as well as interproximal bone loss, leading to these dark triangles. It is important that you go for regular check-ups every 6 months okayokay: Hello! Thanks for the reply. Sorry for the confusion. The dark triangle, if you zoom in, is the bump I am referring to. okayokay: In this new photo, you can see that at one point it was flattening. As though it was healing. But now, like in the first photo I posted, it looks bubbly again. okayokay: I do hope someone out there can help me out. Again, the dark triangle in between the teeth, is the bump I am referring to. Please, zoom in the first photo, and you’ll see what I mean. Dr M: I think it is best that you go back to your dentist, so that a full periodontal examination can be done, to rule out gum disease. Newuser: Dr M said:\n\n\n\n\t\t\tI think it is best that you go back to your dentist, so that a full periodontal examination can be done, to rule out gum disease.\n\t\t\nClick to expand...\n\nWhat is done as part of periodontal examination?\nI see some white patches in few of my teeth. Like white deposit at the base of teeth. I didn't go for cleaning last year since I have jaw and neck pain.  I can't open the mouth wider for long time. So I didn't go for cleaning.  Will these deposits cause any gum issue? Dr M: Yes.\nThose deposits can lead to gum disease. It is called calculus and needs to be professionally removed. Part of the periodontal examination includes full mouth x-rays to evaluate bone levels around teeth, as well as a periodontal probing, to see if there is any attachment loss of gum tissue surrounding the teeth."
  },
  {
    "id": 839,
    "title": "Sensitivity after a very recent filling , never happened before ?",
    "dialogue": "Alexinmiddleofnowhere: Exactly one month ago , I got a filling on a molar \nEver since I got it , the filling felt sensitive but after 2 weeks it reached peak sensitivity , meaning I couldn’t eat on that tooth , I couldn’t chew , I couldn’t drink very cold drinks,  ecc so I immediately went back to the dentist - TWICE! She did an X Ray to check , she checked my filling she said everything was alright , she asked me if the pain was persistent , if I had it all the time but I replied it only happens when I chew . She concluded it needs more healing . \n\nIs this possible ? It’s never happened before and I got tons of fillings . I’m sort of concerned . It seems like it’s slightly better but it hasn’t gone away ?\nCrumbs and small pieces of food make it more sensitive . Do you think it needs a root canal ? Should I go ahead and get one ( I could afford it) is it worth it in my situation or ... do I just wait and see if the sensitivity goes away ?\n\nAlso this tooth had some complications during the filling process when the dentist started drilling on my tooth the anesthesia hadn’t quite kicked in yet (never happened before ) and she drilled with me feeling all the pain .it was very painful . I had to stop her and She had to give me 4 more injections . I wonder if that could be the reason why it feels super sensitive now .like if that irritated it inside or something . Any help is greatly appreciated Dr M: Good day\n\nThere could be a lot of reasons for the sensitivity. Firstly, if the filling was very deep and close to the nerve, it could've caused pulpitis. Eventually this could lead to root canal treatment.\nIf the filling is a bit too \" high \" , the occlusal interference could cause pain. It is important that the occlusion is checked after every filling, to minimize interference.\nIf a composite resin filling was placed, and there was moisture contamination during the process, it could also cause post-operative sensitivity and in such a case the filling might need to be re-done.\nHas the dentist tried to adjust the occlusion on the filling? \nHave you tried going on a short course of anti-inflammatory meds? Alexinmiddleofnowhere: Yes so , it was a bit too high but it was adjusted . She hasn’t tried to re do it completely just smoothed it out . The meds won’t do anything because it’s not a constant pain ... I only feel it for about 2-3 seconds if I bite something down with the tooth . dentist is pretty confident my tooth is fine and she doesn’t  need to redo the whole thing\nI’m not sure what to do\nAlso from the X ray the filling wasn’t super deep and it wasn’t close to the nerve - it was medium I would say . I do have a filling that coveres the entire tooth and it was a try to save me from a root canal and it never gave me a problem. It’s always the same dentist who filled all the teeth Dr M: There might also be a crack on the tooth. Usually a crack is symptomatic as you apply pressure to the tooth, and then disappears as pressure is released.\nIf your dentist has access to a CBCT scan, this could help to determine if a crack is there, since it gives a 3-D image of the tooth. Alexinmiddleofnowhere: Dr M said:\n\n\n\n\t\t\tThere might also be a crack on the tooth. Usually a crack is symptomatic as you apply pressure to the tooth, and then disappears as pressure is released.\nIf your dentist has access to a CBCT scan, this could help to determine if a crack is there, since it gives a 3-D image of the tooth.\n\t\t\nClick to expand...\n\nShe used the orthopantomography ? Is it \nvisible from there ? I doubt they have access to something even more modern Alexinmiddleofnowhere: Also what I’ve been told since I’m young (early twenties) is , a root canal would be bad for the tooth and to give it a chance to heal but at this point it still hasn’t gone away Dr M: No, unfortunately that only gives a 2-D image. It might be necessary for her to refer you to an endodontist. Alexinmiddleofnowhere: Dr M said:\n\n\n\n\t\t\tNo, unfortunately that only gives a 2-D image. It might be necessary for her to refer you to an endodontist.\n\t\t\nClick to expand...\n\n Oh she is also an edondontist . Maybe I can ask ? Weird that she didn’t bring it up Alexinmiddleofnowhere: I\n\n\nDr M said:\n\n\n\n\t\t\tNo, unfortunately that only gives a 2-D image. It might be necessary for her to refer you to an endodontist.\n\t\t\nClick to expand...\n\nIs it true that if I get a root canal now that I’m young I might have a lot of issues down on the road ? Cuz I’ve been told that and it kinda made me not want to get it anymore Dr M: A root canal might not even be possible if there is a crack that goes deep, through the pulpal floor and into the roots. I think it is best that she refers you for a CBCT and then, if she is a endodontist, she can determine if a root canal is a viable option. Most of the time root canals can save the tooth for a long period of time. Failure of a root canal is determined by a lot of factors, including operator technique and experience, if the root is short filled or not, if the tooth was crowned to prevent fracture etc. \nThe truth is, that a root canal can be a good option, but it is necessary to determine the presence of a possible crack first. If there is a crack, and it is a deep crack, then maybe extraction with implant placement might be a better long term option Alexinmiddleofnowhere: Dr M said:\n\n\n\n\t\t\tA root canal might not even be possible if there is a crack that goes deep, through the pulpal floor and into the roots. I think it is best that she refers you for a CBCT and then, if she is a endodontist, she can determine if a root canal is a viable option. Most of the time root canals can save the tooth for a long period of time. Failure of a root canal is determined by a lot of factors, including operator technique and experience, if the root is short filled or not, if the tooth was crowned to prevent fracture etc.\nThe truth is, that a root canal can be a good option, but it is necessary to determine the presence of a possible crack first. If there is a crack, and it is a deep crack, then maybe extraction with implant placement might be a better long term option\n\t\t\nClick to expand...\n\nOk ! Dr M: Hope this info helps a little. Good luck! Alexinmiddleofnowhere: Dr M said:\n\n\n\n\t\t\tHope this info helps a little. Good luck!\n\t\t\nClick to expand...\n\nI’m going back to the dentist in a day . I’ll update this thread on what is going to happen to my tooth Alexinmiddleofnowhere: Dr M said:\n\n\n\n\t\t\tHope this info helps a little. Good luck!\n\t\t\nClick to expand...\n\nI went back to another dentist this time . He said the problem was bonding issues and re did the filling today , trying to keep it as dry as possible \nIt’s been 3 hours since I got it done and my gums hurt so bad . Not only the spot where I got the injections done but many other spots , it feels like it’s bruised . My tooth is hurting , my gums are throbbing ecc he said I need to wait 1-2 days . I don’t know if this is normal . I also have gengivitis on top of the tooth issue . It’s really hurting . How long do I wait before I ask for a root canal this time ?! Dr M: Is the pain only on that specific tooth that was worked on? Alexinmiddleofnowhere: Dr M said:\n\n\n\n\t\t\tIs the pain only on that specific tooth that was worked on?\n\t\t\nClick to expand...\n\nYes the tooth that got worked on feels like it’s burning but my entire gums hurt\nThe spot where I got the injection is better but my tooth feels like it’s burning and I can’t really chew very hard or else it hurts inside . I am trying not to chew hard or on that area. I’m slightly concerned\nMy jaw also hurts a little bit but not on the side where my tooth is . I wonder if it’s from keeping my mouth open for a long time Dr M: If the filling was re-done and the pain persists on this tooth, then the only other possibility is a crack on the tooth. A root canal will be the only option left . Or extraction if the fracture is too deep. Again this can be determined with a CBCT as previously discussed in this thread. Alexinmiddleofnowhere: Dr M said:\n\n\n\n\t\t\tIf the filling was re-done and the pain persists on this tooth, then the only other possibility is a crack on the tooth. A root canal will be the only option left . Or extraction if the fracture is too deep. Again this can be determined with a CBCT as previously discussed in this thread.\n\t\t\nClick to expand...\n\nI used to have very strong sensitivity when biting down food which is now completely gone so it must have been bonding issues because that’s over . Now I have a completely different kind of pain that’s not related to the issue I had previously and it doesn’t happen when I bite down food anymore only when I clench my jaw . The burning sensation on the gum comes and goes in waves Alexinmiddleofnowhere: Dr M said:\n\n\n\n\t\t\tIf the filling was re-done and the pain persists on this tooth, then the only other possibility is a crack on the tooth. A root canal will be the only option left . Or extraction if the fracture is too deep. Again this can be determined with a CBCT as previously discussed in this thread.\n\t\t\nClick to expand...\n\nI finally found someone who performs 3D scans close to where I live . I’ll  finally be able to solve this mystery !!!!! Alexinmiddleofnowhere: Alexinmiddleofnowhere said:\n\n\n\n\t\t\tI used to have very strong sensitivity when biting down food which is now completely gone so it must have been bonding issues because that’s over . Now I have a completely different kind of pain that’s not related to the issue I had previously and it doesn’t happen when I bite down food anymore only when I clench my jaw . The burning sensation on the gum comes and goes in waves\n\t\t\nClick to expand...\n\n\n\n\nDr M said:\n\n\n\n\t\t\tIf the filling was re-done and the pain persists on this tooth, then the only other possibility is a crack on the tooth. A root canal will be the only option left . Or extraction if the fracture is too deep. Again this can be determined with a CBCT as previously discussed in this thread.\n\t\t\nClick to expand...\n\nI am finally WELL ! After 4 months of pure hell . I went to see a FOURTH different dentist . She decided to open my tooth and see what was going on . Here’s what the other dentists weren’t able to spot :\n4 cavities close to the nerve and spread all over that weren’t showing on the X rays because they were hidden\nOne crack that luckily was on the filling - and not the tooth. So there was actually a crack but it’s ok bc it wasn’t on the tooth\nAnd biting issue ! I have a medicated paste on my tooth now but I am so relieved : I am well . After four months of pain and not being able to even close my mouth properly . I am shocked that no other dentist could find those hidden cavities and they weren’t able to take my pain seriously even telling me “I was imagining it “ and to leave their office ,  I could cry because of how happy I am right now ! Guys if you’re having an issue with your tooth GO GET a second or third opinion. Thanks everyone in the thread . My pain was very much real Thank you"
  },
  {
    "id": 840,
    "title": "I need help",
    "dialogue": "renebean: Hi I have a big problem and need a advice. I have several teeth missing and my other teeth are not in the best of conditions. Some are breaking some rotting I think. I can't find any nhs dentists that would take me as a patient and I can't afford to use private care so here's my my question. Is there anything I can do or any place to go that could help me? I will have no teeth in few years and the thought of it is just unbearable. Any advice will be appreciated honestdoc: I'm from the US.  Does your location have a teaching facility like the Dental School?  Are there community dental clinics that provides care to the underserved population? renebean: Hi I'm in the UK. I'm not sure about the schools but we have nhs which provides care for not a lot of money but there're only limited spaces and unfortunately there's no space for me. Private care would cost thousands and I can't afford it. I'll have a look at those schools now. Thank you"
  },
  {
    "id": 841,
    "title": "Numbing nerve shots for diagnosis purpose. Any side effects",
    "dialogue": "Newuser: Hi,\nhave been dealing with lower jaw pain under ear and side of neck for more than 10 months. No injuries prior. It's like burning and sore pain in the jaw under ear and neck. Been to multiple doctors and dentists. They said it's Myofascial pain dysfunction. I do have muscle tightness and stiffness.  \n\nI have 2 lump like spots in jaw under ear and neck. The lump in neck is pea like size and hard. It's the same from June'20 till now. No change in size. My physician ordered neck ultrasound and CT scan to check.\n\n Extracted upper wisdom tooth and rct on lower molar 30( suspecting tooth root fracture,cbct clear,no cavity. 30 hurts for tapping and biting pressure before and after RCT )Pain is constant under ear & neck. My dentist told me to check about Eagles Syndrome. He said it's a rare condition and wanted me to check with ent/OMFS. 30 hurts for tapping,biting pressure. dentist want to try numbing shots to see if cause of my pain is from that tooth or not. is it safe? how to find find tooth root fracture?\nIs numbing nerve shots really helpful to diagnose if the pain is  from tooth or not? Does it cause nerve damage? I am not sure if my source of pain is pinched nerve or any neuralgia. So not sure if nerve numbing shots is ok to try. This is a new dentist who is suggesting this diagnosis thing to see if it's from any tooth which cause jaw pain under ear. \n\n\n\n\n\n\n\t\t\t\t\t\tX-ray images - Google Drive\n\t\t\t\t\t\n\n\n\n\n\n\n\t\t\t\t\tdrive.google.com"
  },
  {
    "id": 842,
    "title": "Dry socket",
    "dialogue": "shaun1990: Had teeth removed 2 days ago is this normal healing or possible dry socket honestdoc: I'm not seeing any information or images."
  },
  {
    "id": 843,
    "title": "What could be the issue here?",
    "dialogue": "Newuser: Hi,\nI have been dealing with lower jaw pain under ear and side of neck for more than 10 months. No injuries prior. It's like burning and sore pain in the jaw under ear and neck. Been to multiple doctors and dentists. They said it's Myofascial pain dysfunction and internal derangement because of bruxism. I do have muscle tightness and stiffness.\n\nI have 2 lump like spots in jaw under ear and neck. The lump in neck is pea like size and hard. It's the same from June'20 till now. No change in size. My physician ordered neck ultrasound and CT scan to check.\n\nExtracted upper wisdom tooth and rct on lower molar 30( suspecting tooth root fracture,cbct clear,no cavity. 30 hurts for tapping and biting pressure before and after RCT )Pain is constant under ear & neck. My dentist told me to check about Eagles Syndrome. He said it's a rare condition and wanted me to check with ent/OMFS. 30 hurts for tapping, biting pressure. dentist want to try numbing shots to see if cause of my pain is from that tooth or not. is it safe? \nNumb nerve shots really helpful to diagnose if the pain is from tooth or not? Is my issue the dental origin or something else? \n\nI Tried custom splint and PT. Pt makes my pain worse. I have been told I am grinding and clenching hard. \n\n@honestdoc, any inputs doctor? I deleted my previous account and couldn't login back. I have posted earlier about my issues and still the same symptoms. I had taken another new cbct scan and it doesn't show any bone loss. So my Endodontist didn't do the retreatment. He told me to hold on with pain or to go for Extraction if I don't find any other diagnosis. I am still struggling to get a diagnosis .any thoughts. I appreciate it."
  },
  {
    "id": 844,
    "title": "Half of baby tooth has been loose for a year or more",
    "dialogue": "saturn: i've had a baby tooth that came out probably sometime in 2019, but only one half of it came out. its the 3rd to last tooth from the molar, not the wisdom tooth. i don't know what the tooth is called, but its hollow inside and the permanent tooth came in fine, but the gum above the loose part is hurting. (it's not infected, i can tell, but it just hurts) it wiggles a lot, but it won't budge at all and even if i pull hard it won't come out. i've tried using floss to get it out, but it didn't work.\ni might get it pulled out today but if i start to panic (i have anxiety + a fear of the dentist) we'll leave and schedule another appointment. i don't know what i'll do besides getting the dentist to take it out, but i'm absolutely terrified of throwing up or having weird symptoms after i get it taken out (if i even do). is there any advice on somehow taking it out at home? or am i gonna have to get this done at the dentist? saturn: i ended up getting it pulled out, it was stuck to the gum so part of my gum was torn off but it came out pretty easy since it was just a hollowed shell of a tooth instead of a root or filled in tooth... the permanent one was unharmed and is normal"
  },
  {
    "id": 845,
    "title": "Abscess",
    "dialogue": "Luka: Hi i am new here. so. after my tooth was taken out i develop  large abscess so i went back to dentist he drained the abscess give me antibiotics for 7 days . but there is still small abscess and pus is coming out  i see him 2x this week this week and he told me not worry it healing. i dont understand why he didnt drain the abscess again. dont know what going on i am very concern he told me if it was dangerous he would drain it again i am seeing him again in few days i just dont get it Dr M: Good day\n\nDo you have a photo of the area in question? Luka: Dr M said:\n\n\n\n\t\t\tGood day\n\nDo you have a photo of the area in question?\n\t\t\nClick to expand...\n\nHi I tried to make good photo . but failed lol. i dont understand my dentist what is he hopping for that the abscess will just disappear .i am seeing new dentist in few days i dont think it normal Dr M: Good day\n\nIf the area becomes smaller and less painful, it might be an indication that the abscess is clearing up. It is sometimes necessary to drain the abscess more than once. If you are worried about the area, you are more than welcome to get a second opinion from another dentist. Luka: Dr M said:\n\n\n\n\t\t\tGood day\n\nIf the area becomes smaller and less painful, it might be an indication that the abscess is clearing up. It is sometimes necessary to drain the abscess more than once. If you are worried about the area, you are more than welcome to get a second opinion from another dentist.\n\t\t\nClick to expand...\n\nHi again Dr M , u living in USA ?. i need good dentist .living in uk Dr M: Unfortunately living in South Africa. Won't be able to recommend a dentist on that side."
  },
  {
    "id": 846,
    "title": "When a crown can’t be fitted",
    "dialogue": "Islandhopper: Hi, I have three molars which are root filled (but not crowned). I was recently referred to an endodontist by my new dentist, as two of the root filled teeth showed signs of infection (dark areas around root tip on x-ray) and one in particular (LR6) had recently given me some bother (tenderness under the jaw). The other one (LL7) we agreed to take out, as there is doubt as to the restorability of it , as the filling extends below the level of the gum (also, having a root filling re-done is very expensive).\n\nAs LR6 also has a rather large filling on it, there is question mark on the restorability of it as well but also, the roots have some calcification-though I guess the benefit of visiting an endodontist is that they are highly specialised & have the appropriate tools & jigs.\n\nMy question is, do I have to have a crown fitted ? I understand the benefits and that they strengthen the tooth, but it seems it’s not always possible to fit one.\n\nThe original filling I have on this tooth is 23years old. Couldn’t i just have another filling fitted after the tooth has been re-root filled ?\n\nCurrently, I have a large metal filling, which is the top part of the tooth, and none of the original tooth is visible.\n\nMy regular dentists has mentioned about lowering the gum level (which I’ve never heard off or am keen on) in order to fit a crown, but on my recent visit, he cleaned and polished the tooth and said there was some of the tooth and they might be able to do something (ie fit a crown)\n\nI’m a bit confused. If I can’t have a crown, can’t I just have a big filling (like I have currently) which has previously served me well.\n\nThanks,\nIslandhopper Dr M: Good day\n\nOnce a tooth has been root canal treated,  it becomes brittle over time due to a lack of blood vessels etc. A large filling is also never as strong as normal tooth structure, and once a tooth has been re-treated, it might be a good idea to crown the tooth, to prevent any fracture.\nThat being said-because this tooth has a history of a failed RCT first time round, I would consider delaying crown treatment until the re-treatment has shown some signs of success. A crown is very expensive.\nIf the access cavity is small enough, a new filling can be done at the end, and if the occlusion is adjusted so that the filling is not \" in the bite \", it might last you a long while. As long as you remember to not chew something that is too hard on that side, since this could result in fracture."
  },
  {
    "id": 847,
    "title": "#2 Tooth removal or Root Canal???",
    "dialogue": "FosterR143: I need a root canal on my #2 tooth. In case I got that wrong, it’s the tooth on the upper right side next to the wisdom tooth. I have been having pain there for a long time and last year had that upper right wisdom tooth pulled hoping that was the issue. Wasn’t very long after the pain continued and this time I was told the #2 needed a root canal. My question is, I have been told I don’t need that tooth. But I don’t want to lose it if I don’t have to. The only reason I have not had a root canal done is financial. I can have the tooth pulled for $20.00 or pay over $1000.00+ for the root canal. The Endodontics Dr. told me when people have teeth replaced, the back 2 teeth are not replaced on each side so I shouldn’t miss it. Curious if anybody has had this tooth removed, either side upper or lower, and if you noticed it being gone.\n\nThanks honestdoc: I understand the finances can impact your decision making.  Keep in mind after the root canal, the tooth will also need a crown.  If you live near a teaching facility like the dental school, you can consider having a referral to graduate endodontics dept for root canal and have the school place the crown.   Since teeth erupt until they are opposed,  any unopposing bottom teeth  can continue to erupt if #2 is extracted.  If all options and consequences are considered, extraction of #2 would make most financial sense. FosterR143: Thanks for your advice.  I am aware I will need a crown.  I don't have access to a dental school locally but that is a good idea and I will look into that.  It's my understanding, having the upper pulled with an opposing tooth still below is better than an upper without the bottom.   Thanks again for taking time to reply, extraction is looking like the best option. honestdoc: Sometimes when you pull #2, the bottom opposing tooth will oppose to the back side of #3 and not hyper-erupt.  From my observations, it takes about 5 years of shifting (not having any other teeth pulled or restored during this time) to see where they'll likely end up."
  },
  {
    "id": 848,
    "title": "Question on material type to use",
    "dialogue": "Lacredita: I apologize for pestering people with this question. I have tried messaging those who make fangs for a living but havent gotten anyone friendly enough to talk to me muchless share their secrets.\n\nIve watched hundreds of dental videos from professional dentists on youtube, read dozens of articles, and have come to the conclusion of using luxatemp to make fangs. I've been using it so far with decent results but my real goal is to make full upper removable veneers instead of caps, sort of like a denture/veneer. I've learned to use dental plaster, shake tables, wax ups, dental putty that hardens into a rigid yet somewhat pliable mold and a dental drill for shaping and filing. The problem is I can't make a fully functional upper even painting the luxatemp on a casting with a silicone brush in fairly thick layers (I even tried to use a UV cure composite as a base layer.) What can I use to make an upper similar to a snap on smile design? Something thin yet very strong. Dental acrylic as a pourable medium has been horrible which is why I resorted to luxatemp in the first place. Should I resort to learning how to work with porcelain with a metal backing? I've always been interested in this for some reason and I've finally picked up a second job so I could afford the materials. I'm willing to learn/experiment with any materials. \n\nAny help anyone can provide is greatly appreciated and I thank you for your time and ideas."
  },
  {
    "id": 849,
    "title": "Need help urgently",
    "dialogue": "Shri: This lump is formed in the month of December it has been almost 3 months it's there I thought it will go away is it some serious problem honestdoc: Without much information to go on, it's basically a guessing game.  We guess the most likely lesion to the least.  You can provide helpful information like any new medications around that time, relevant medical conditions, trauma, tobacco use, etc.  I believe the most common would be traumatic fibroma.  The only way to fully diagnose it would be to take a sample (biopsy) and examine it under a microscope. Shri: I wear dentures no medication my age is 27. Some time I chew tobacco honestdoc: I don't think it is caused by tobacco but it can chemically irritate the lesion increasing it's risk for bad results.  I strongly recommend you quit tobacco use (easier said than done).  I think your top dentures may be irritating and traumatizing that area so have your dentist adjust it to eliminate that effect.  Lastly, have it removed (biopsy) to rule out anything sinister."
  },
  {
    "id": 850,
    "title": "I could not diagnose the problem",
    "dialogue": "mrjohnson: Hi, I am a dentist who recently graduated.\n\nlast week there was a patient and he had pain in the lower jaw. On pressure of the 3rd lower molar (by biting), the pain relieved.\n\nUpon examination, the third molar was inclined towards the 2nd molar and there appeared to be caries on the xray distally from the second molar.\nI wanted to extract the third molar and restore the second molar, but because it was inclined and hooked under the 2nd molar, I sliced the third molar mesially to extract the third molar without pulling the second molar out.\n\nHowever the pain got worse even though the mandibular block was good.\n\nthe upper third molar had a huge cavity and was almost gone, there was also a radiolucency apically from the upper third molar.\nhis entire face was hurting on this side, the pain was radiating from his lower jaw to the temporal muscle.\n\nI did not know where the pain came from and started to doubt myself, so I aborted the procedure and referred him to a specialist.\n\nI suspected a sinusitis because of the atypical symptoms.\nWhat could it have been and did I do the right thing? honestdoc: When patients have pain, it can be difficult to find the source since it can be referred (from a different source if the x-rays do not clearly show).  I like to start palpation and percussion on teeth slightly outside the suspected area and work into the suspect area.  You may have to do cold tests with a cotton ball (not a Q-tip since it will not get cold enough and will get a false negative).  If the pain is from the upper posteriors, I have the patient bend forward to knee level to rule out sinus pain.  Last resort is to anesthetize the suspect tooth.  Many times if all the teeth look normal and they all have symptoms, patients may be grinding and or clenching.  That can be remedied by Over-the-counter night guard or even better with a custom occlusal guard (more expensive).\n\nWhen you are taking out the lower 3rd molar, it is very difficult at times to achieve profound anesthesia.  I usually give the mandibular block and Gow Gates (aim for the ear hole), wait until all the pain is gone and give supplemental lingual & buccal infiltration to anesthetize possible mylohyoid and Buccal nerve branches.  I usually refer lower 3rd molars because the whole process takes longer and can get potential complications.  Upper 3rds usually comes out with minimal trauma. mrjohnson: thank you man, it was really difficult to diagnose.\nthe patient called again today, still in pain, and I referred him to a colleague of mine, I hope he is fine now.\nI feel lots of guilt for being such a retard. honestdoc: We've all been there.  I still have cases where it's harder than I thought.  My view of dentistry is how do you achieve the desired results with the least amount of trauma?  I've been a dentist for 23 yrs and I'm always trying to learn and get better."
  },
  {
    "id": 851,
    "title": "Hi just really want to know what this is",
    "dialogue": "James tucker: This have been like this for the past two days and the bottom row of my teeth the gum either side is really sensitive and I can’t really bite down swallow or do anything without something really hurting don’t understand what it is I only have the pic of my through and have t taken any pics of my teeth but they have like some white stuff around the back gum part u might see a gla,s in the pic I took but and help would be appreciated honestdoc: Can you take more images?  It is at an unusual angle."
  },
  {
    "id": 852,
    "title": "Sore tooth after hygienist appointment.",
    "dialogue": "Dentalworries: I had a hygienist appointment yesterday. My first in a while due to the pandemic. It was with a new hygienist and she had to do quite a bit of scraping around 1 tooth (at the front).\n\nI've never had sore teeth after an appointment before (and it wasn't sore before the appointment) but now when I bite food it hurts a bit and feels a little sore when I brush my teeth.\n\nNeither my hygienist nor dentist said anything was wrong during or after the cleaning and appointment.\n\nSo is it likely this is just temporary discomfort and will go in 2-3 days or something I should be concerned about?\n\nThanks. Dentalworries: It hurt to bite into an apple today which it never has done before. Is this possibly just bruising etc that will go in a few days?!\n\nWill do a warm salt water rinse tonight and see if that helps.\n\nWould really appreciate any thoughts or advice. Dr M: Good day\n\nIt might be a good idea to go back to your dentist, especially if the discomfort persists, so that they can take an x-ray of the affected tooth, to rule out any other problems. Dentalworries: Thanks for your response. It's feeling a bit better so far today. I'll keep an eye on it over the next 2-3 days and if not better I'll go back to the dentist.\n\nThankyou again."
  },
  {
    "id": 853,
    "title": "*URGENT* Please help me!!",
    "dialogue": "Devasish: Please look at the attached image, a white bump is present and that side is too much irritating, is any thing serious here? I am scared! honestdoc: Looks like tonsillitis.  Go see your physician."
  },
  {
    "id": 854,
    "title": "Question about my new partial plate",
    "dialogue": "DCare: My dentist created a new partial plate for me, but when he put it in my mouth, it didnt fit properly. He tried several times to readjust it with his tools, and I had to go back to him several times as the denture continued to hurt my mouth. \n    After all of this, he drilled my teeth several times to try to make my teeth fit the denture. After several more visits, and more drilling of my teeth, he never was able to correct things, and I now have no denture, and my previous denture which was getting old no longer fits my mouth because he altered the dimension of several of my teeth.\n     Is it acceptable to drill a patient's natural teeth to fit the teeth to the ill-fitting denture? \n     Thank you for your opinions. If you are a dentist or denturist, please include that information in your response. Much appreciated! honestdoc: When fabricating a metal frame partial denture, it is customary to lightly prep (drill) teeth for guide planes and metal rests on teeth for stable fittings before final impressions (moldings).  It is unusual to drill teeth after fabrication.  Since I am not familiar with your case, I cannot fully speak about the reasons for drilling.  \n\nI don't like metal frames unless you are a heavy grinder and clencher and if you don't have adequate vertical space.  I prefer flexi gum colored (pink) frames which may be more accommodating."
  },
  {
    "id": 855,
    "title": "What all is wrong here? (Alot)",
    "dialogue": "Rabbit87: What's do you see wrong with my mouth? Sadly, I feel like I have ruined my teeth. I had a bunch of fillings years ago because of sour candy and I never stopped. honestdoc: Sour candy can be very acidic and can cause a lot of teeth damage.  I can not see everything in detail.  It is best to have a full exam with x-rays to view internal teeth structures."
  },
  {
    "id": 856,
    "title": "Do I have gum disease?",
    "dialogue": "Oliviah9992: Hello,\n\nI'm concerned that I might have periodontal or gingivitis disease. My gums always feel sore and I feel a dull pressure in my upper teeth especially the top front teeth. Sometimes it feels like my upper top front teeth are clicking or moving even though it doesn't appear to be loose. This bothers me because I haven't experienced something like this before. When I brush my teeth it bleeds a bit near one of the canines on the left but I thought this was due to brushing a little too hard but I tried brushing gently and it still bleed a bit but not a lot. I've had gum and teeth problems for the past 9 months and it comes and goes constantly. From the pictures I've posted, do my gums look healthy or do they look like I have gum disease? Is it necessary for me to contact my dentist and let them know what's going on? I've phoned them before and they told me to leave it for a few days to see if it gets worse but it usually goes within a few days to a week. I am using corsdodl mint mouthwash to help with my gums and I also use salt rinse mouthwash. The last time I been to the dentist was January 2020. I've had two dental check up appointments cancelled due to Covid 19. My teeth are definitely due for a dental clean. I have problems with my jaw sometimes and sometimes I struggle to open my mouth to yawn or eat because my jaw would lock or be really stiff. My wisdom teeth have not fully grown and could possibly be impacted and cause the other teeth to push eachother. I've also noticed that behind my bottom front teeth it looks brownish and white and I try to clean it but it doesn't come off. The top front canine teeth on the right discoloured but I believe it's due to using corsdodl mouthwash in the past and I have been using whitening products lately and the stain seems to have improved a bit. I was a light smoker but have recently given up due to worrying about my teeth and gums. Roof of my mouth feels sore but there's no lesions. I have a slight stuffy nose and wondering whether I have a sinus infection that is causing these teeth problems or not? I really would appreciate some advice on what to do so I can stop worrying about it and get on with my daily life stuff.\n\nThank you\n\nOlivia"
  },
  {
    "id": 857,
    "title": "Is my tooth infected?",
    "dialogue": "Tomp94: For the last few days I have been experiencing discomfort in the areas marked, I can’t describe the pain, as it’s not pain as such and is not happening all the time And I can describe it only as annoying. sometimes I can feel a painless throb in the tooth indicated. On the first day of noticing there was cold sensitivity when drinking Cold or touching tooth with cold finger, That has now gone. \nif I run my tongue along the gum area highlighted I can sort of feel my pulse. There is no I tap the tooth there is no pain either. \nthe pain/aches are not getting worse or better. \ni will go and see a dentist. Tomp94: An update.... The ache is still on and off. It radiates all over top and bottom teeth sometimes, it feels like the tooth highlighted is sensitive, today sensitive to heat. Never had this before. Cold water seems to get rid of the sensitive ache.\nThe area highlighted feels sore when the ache is on. I type this and everything feels normal. \nI can't see a dentist at the moment, firstly because i am not registered with one (on waiting list) and can't see anyone unless in extrucating pain which I am far from.\n\nI brush teeth twice a day for two minutes using an electric toothbrush\nI then use a mouthwash that claims to kill 97 to 99 % of bacteria.\nRecently I have changed toothpaste to a sensodyne repair and protect (it was on sale I usually use a general colgate toothpaste.\n\nUntil I can see a dentist would it be worth me getting some sensodyne toothpaste specifically for sensitive teeth? And the same for mouthwash?\n\nThanks! honestdoc: It is hard to diagnose based on the images.  Your dentist will have better access to x-rays and clinical findings.  From the images, it does not look like any disease other than gingivitis.  The back of the tooth may appear as normal bony tori.   You may be grinding and clenching."
  },
  {
    "id": 858,
    "title": "Why are my gums turning white?",
    "dialogue": "TTP1: My gums started turning white? What could be going on and or what can I use to help cure it.. honestdoc: That is normal.  You have anatomic bony areas with minimal connective tissue which is why it appears more white. TTP1: honestdoc said:\n\n\n\n\t\t\tThat is normal.  You have anatomic bony areas with minimal connective tissue which is why it appears more white.\n\t\t\nClick to expand... TTP1: Thank you. Is there something that causes this? Because it’s only been a week or so that it’s been showing like this. honestdoc: The bony projections (tori) are getting more prominent and a lot of the science is still unknown.   Unfortunately the priority to place more resources in this subject is fairly low."
  },
  {
    "id": 859,
    "title": "Periodontics... or not?",
    "dialogue": "Jakobslander: Hello all!\n\nQuick question... Went for my checkup two weeks ago and the dentist found an infection right under tooth 15 (top left /second to last.) I was given various treatment options (money was not discussed) and went with the implant. I was basically explained that, due to the bone mass loss, they would have to extract the existing tooth, graft the molar cavity and, if all heals well, continue with the treatment. All is well... until I go to pay my copay and am told that the work (extraction + grafting) isn't periodontal in nature and that, due to that, they would have to charge me full price for the treatment. I looked at my insurance coverage and found out that if the work is periodontal in nature, they cover all the costs, if it's a simple extraction and grafting, they do not. My agreement to the treatment was that the extraction and grafting HAD to happen because of the infection.\n\nIs this correct?\n\nAny information would be greatly appreciated."
  },
  {
    "id": 860,
    "title": "How Would A Tooth Be Taken Out Question",
    "dialogue": "SlimeySimey: Hi Al!\n\nI need a tooth taken out that has broken off about 18 months ago. Top left (my left) of my mouth about half way along. I've been getting bad headaches on the same side and think the 2 might be related so I just thought, best get it removed as there's no point it being there really as it isn't a working tooth anymore and see if the headaches stop.\n\nMy question is, the tooth isn't loose so I'm wondering (without having the whole tooth there to pull now) how would the tooth be extracted? Guessing the gum might need drilling (which sounds horrendous lol!). Anyway, if so, could that procedure be done under local anaesthetic or would it require to be put to sleep (which was an option my dentist suggested about a year odd ago).\n\nThanks. Dr M: Good day,\nEven if the tooth requires a surgical extraction, it can take place in chair by an experienced dentist under local anaesthesic.\nDepending on the severity of the fracture, the tooth might need to be split with a surgical drill. The gum is never drilled, but sometimes a small incision is made for a flap, to allow better access and vision and then afterwards sutures is placed to facilitate healing. SlimeySimey: Dr M said:\n\n\n\n\t\t\tGood day,\nEven if the tooth requires a surgical extraction, it can take place in chair by an experienced dentist under local anaesthesic.\nDepending on the severity of the fracture, the tooth might need to be split with a surgical drill. The gum is never drilled, but sometimes a small incision is made for a flap, to allow better access and vision and then afterwards sutures is placed to facilitate healing.\n\t\t\nClick to expand...\n\n\nThanks. Need to book in for an extraction. Didn't really want be put sleep so glad you think it can be done via anaesthetic. Emmab: If it helps I had a wisdom tooth out that was mainly filling and it was out in 3 minutes maybe and it has a very long root SlimeySimey: Dr M said:\n\n\n\n\t\t\tGood day,\nEven if the tooth requires a surgical extraction, it can take place in chair by an experienced dentist under local anaesthesic.\nDepending on the severity of the fracture, the tooth might need to be split with a surgical drill. The gum is never drilled, but sometimes a small incision is made for a flap, to allow better access and vision and then afterwards sutures is placed to facilitate healing.\n\t\t\nClick to expand...\n\n\nOk thanks.\n\nI rang up to get it extracted a month ago and still haven't gone. Now I'm getting a bit of aching in it. They prescribed me amoxicillan and I was reluctant to take them because they were to clear any infection before the tooth extraction but I thought, do I really need to take them, they don't know if it is infected and I don't want to just take antibiotics if I don't need them so haven't rang them back to book in for the extraction for this reason. I really need this tooth out though pronto.\n\nWould people just advise I take the antibiotics anyway? I shall ring them back up tomorrow. MattKW: It is neither required nor good antibiotic practice to prescribe antibiotics \"to clear an infection\" prior to extraction. The sooner you get that tooth extracted, the better. Ring up and ask for an appointment for the extraction. SlimeySimey: MattKW said:\n\n\n\n\t\t\tIt is neither required nor good antibiotic practice to prescribe antibiotics \"to clear an infection\" prior to extraction. The sooner you get that tooth extracted, the better. Ring up and ask for an appointment for the extraction.\n\t\t\nClick to expand...\n\n\nYeah I rang up and got in the same day believe it or not (last Monday - 18.1.21). I've had it removed now. Wasn't much hassle really, took about 3 or 4 mins. A couple of days later had a filling too and a slight clean up. After those procedures and good thorough long brushing, flossing, interdental brushes and salt water mouthwashing (apparently I've been advised not to use normal mouthwash for 2 weeks after the extraction), my teeth / gums seem to be really improving so that's good. Was getting quite a bit of blood when brushing and there's some occasionally but 2 out 3 times non at all now.\n\nThanks for the comments."
  },
  {
    "id": 861,
    "title": "Could this be a cavity?",
    "dialogue": "Tomp94: Could this be a cavity, when I press my finger on the area i don’t feel a hole. honestdoc: It looks like a stain.  To confirm it is not a cavity (penetrated internally), x-rays and clinical exam must be done.  It does not appear urgent so hopefully you can get it checked on you next annual/biannual exam."
  },
  {
    "id": 862,
    "title": "Front tooth pain",
    "dialogue": "Zaia: For the last 2 days, I've been experiencing slight pain on my front tooth. It's like a little hint of pain that feels more like sensitivity and then it goes away and doesn't bother me for the rest of the day. I put ice on it to see if it would hurt and it doesn't. When I bite down it doesn't hurt and even when I put pressure on it with my finger, it feels completely normal. Is this something I should worry about? honestdoc: Did you have a history of trauma or big filling on the front tooth?  When you put ice on it, does it feel cold?  If not, then the nerve (root canal) maybe dead and you will need a root canal.  I'm only guessing so hopefully you can see a dentist and get it checked."
  },
  {
    "id": 863,
    "title": "Listerine",
    "dialogue": "Dentalworries: Hi there, yesterday my mouth started peeling, the inside of my cheek. Only a little bit but i'm not totally sure what the cause for it was.\n\ni did use listerine mouthwash, i'm guessing it was on Tuesday evening and felt a burning feeling. could that be what caused it?\n\ni dont have any photos of it and its stopped now but was worried a bit yesterday. \n\nthanks honestdoc: It is the chemical irritation from Listerine.  I'm not a fan of oral rinses due to chemical irritation potential.  I believe in proper and thorough brushing and flossing with no short cuts from any rinses.  If you have deteriorating gum disease with deep active gum pockets, short -term prescription rinse (I prefer non-alcohol base) may be beneficial. Dentalworries: thanks for reply.\n\ni brush for 2 minutes twice a day and use interdental brushes every day, my teeth are generally ok. i just sometimes use mouthwash for an extra fresh feeling-not insted of brushing or flossing.\n\nnot used listerine in a long time and i actually didn't like the feeling when i used it so think i won't use it again. MattKW: Annoying, but apparently not harmful according to a hospital Oral Biologist I asked. A better mouthwash is a 0.1% chlorhex solution, e.g. \", \"Periograd\", \"Savacol\" Dentalworries: thanks MattKW. will look into that."
  },
  {
    "id": 864,
    "title": "Leukoplakia coming back?",
    "dialogue": "MR505: Hello - back in August, I had some leukoplakia removed with CO2 laser. At my most recent follow up, mid-Oct, my ENT thought everything looked good with the healing.\n\nYesterday, I noticed a whitish patch next to the scar tissue. It looks like I might have just bit it and it's healing, but I can't tell. I'm going to see if my ENT will see me after the holidays, but until then, can anyone chime in whether this looks more like healing skin or leukoplakia recurring?\n\nIf I didn't directly shine light on it, it doesn't pop out as white like my previous leukoplakia did. It also feels smooth/like the skin around it, nothing raised or rough.\n\nThe pictures aren't the best. It's a difficult area to photograph.\n\nThanks for any help! honestdoc: Could you provide August images?  It looks like hyperkeratinized tissue in a high risk area.  Definitely check in with your ENT. MR505: I don't have those anymore unfortunately. Back in August, it truly looked white (even without a light shining directly on it) and was visible above the skin. Is there any chance it's just healing tissue from a bite? I ask because there appears to be a minor indentation similar to what I've seen in past bites, but given everything that happened, I'm more paranoid now.\n\nI have my follow up scheduled for end of February but will try to get in sooner. MattKW: Leukoplakia is a broad term that is not a disease on its own; it's more a description simply meaning \"white plaque\". They are nearly always non-cancerous unless they start showing speckles of redness. Did your ENT biopsy it? MR505: Yes - the original leukoplakia that was removed had epithelial dysplasia. The oral surgeon was quite surprised it came back as anything and then referred me to the ENT who removed the rest using CO2 laser with clear margins in August. honestdoc: MR505 said:\n\n\n\n\t\t\tYes - the original leukoplakia that was removed had epithelial dysplasia. The oral surgeon was quite surprised it came back as anything and then referred me to the ENT who removed the rest using CO2 laser with clear margins in August.\n\t\t\nClick to expand...\n\n\nEpithelial dysplasia (hyperkeratinized tissue) is precancer (not metastatic yet).  It can be caused by constant irritation in your case possibly physical (rubbing on something rough/sharp).  The mouth does not like constant irritation and will make abnormal (dysplasia) tissue to protect itself.  Have your dentist examine where the sharp/rough spots are around the area and smooth/polish it down.  Avoid any alcohol, tobacco, mouth rinses and/or anything to chemically irritate it. MR505: Thanks. I've never been a smoker/ user of tobacco products and only a light drinker, quite young too (33). I'll have by ENT examine the area further.\n\nJust wondering how certain you are that this looks like hyperkeratosis vs. healing skin/tongue bite? If it's hyperkeratanized, should I be able to feel it?\n\nDefinitely not thrilled if it's coming back, especially given it wasn't there ~2 months ago at my follow up. honestdoc: We can't tell.  I suspect that side of the tongue has been desensitized.  Have your dentist check for any rough/sharp areas and smooth/polish it. MR505: Will do! My molar looks like it may be a bit sharp and it roughly lines up where that white patch is, so maybe that's it. Hopefully it's just that or healing and nothing more sinister.\n\nHappy holidays and Thank you!"
  },
  {
    "id": 865,
    "title": "Red irritation on gums (back of mouth)",
    "dialogue": "Sarahottawa: Hi!\nMy gums have been feeling pretty “raw” today and easily irritated. I just took a look and noticed this irritation/red marks on the gums. I had my last full cleaning a few months ago. \nIs it likely to resolve itself or should I try and see my dentist? Any tips?\nThanks! MattKW: Ever get cold sores? Looks like palatal herpes. Sarahottawa: MattKW said:\n\n\n\n\t\t\tEver get cold sores? Looks like palatal herpes.\n\t\t\nClick to expand...\n\nMmhm! I never got cold sores no. honestdoc: It could be a primary outbreak (your first time).  About 75 - 80% people have the virus but never express it.  Ask your health care provider for prescription of Acyclovir or Valaciclovir."
  },
  {
    "id": 866,
    "title": "Gums",
    "dialogue": "Nanami_0201: Behind my last tooth, it is swollen and is touching my top gum when my mouth is closed. it is quite painful. I didn't go to the dentist because of the corona virus. Dr M: Good day\nThis could be related to your wisdom tooth. Sometimes if you have a wisdom tooth that is only partially erupted, the gum around the tooth can get swollen and inflamed and cause what we refer to as pericoronitis. This pain can be quite severe and in some cases you might need antibiotic treatment. If this is a repeat occurrence, it might be an indication to have the wisdom tooth removed.\n\nDo you have a photo of the region in question? Isabella White: Swollen gum around one tooth, might be the result of gum disease, poor dental hygiene. Visit your dentist to make sure that your swollen gum is properly treated. And if you don't want to go to dentist then try this at home.\n\nRinse your mouth with a saltwater solution to rid your mouth of bacteria.\nDrink a lot of water.\nAvoid strong mouthwashes, alcohol, and tobacco."
  },
  {
    "id": 867,
    "title": "Hot drinks",
    "dialogue": "Emmab: Hello\n\nI am 9 days post wisdom tooth removal. The hole has not closed up for I think it will be a good week or more yet. The hole was very big. I am in no pain and eating more normal food now but I really would like to start having tea again but I have read it can dissolve the blood clot so I haven't yet. \n\nWhen can I have hot drinks and carbonated drinks again? Dr M: Good day\n\nUsually about day 9, the blood clot has already been transformed into more stable tissue. Hot drinks should not have any effect anymore."
  },
  {
    "id": 868,
    "title": "Sensitivity and Pain 8 weeks after filling",
    "dialogue": "Gabby: I’ve had a filling on my wisdom tooth over 8 weeks ago. I have been in pain ever since (had no pain before the filling was done). I went back to my dentist last Wednesday and he said it’s just sensitivity following the filling and it should get better within couple of weeks. I asked him if this tooth need root canal and he said no.  I had many filings done in the past but never been in pain after for more than few days. I have notice that the composite filling has grey area ( I have noticed that at the time straight after the filling was done but didn’t think much of it at the time and he don’t raise any concerns ether ). Could this be a reason for the pain? It’s very difficult to take a good image of that tooth but I have attached the best one I could take , it is very blurry but can see the dark/ grey area. I feel like this sensitivity to cold liquids/ air is slowly turning to a toothache. Does the grey area mean that there is something going on underneath the filling? That the filling haven’t bonded properly with the tooth and bacteria gone in ? Any help would be much appreciated before I ring them back ( I don’t think I want to wait another 2 weeks as I worry I will be left with toothache over Xmas) many thanks honestdoc: I'm not a fan of composite fillings for wisdom teeth because it is hard to isolate the bonding from contamination.  I prefer modern glass ionomer restorations like Fuji Equia (US market, not sure about UK) that will bond naturally to dentin and help desensitize the nerve.  I believe you may have 3 options. 1) have the dentist redo the filling.  2) root canal which will have very difficult access, 3) extract.  Make sure you don't have any sinus problems such as tooth pain when you bend forward or walk up & downstairs. Gabby: honestdoc said:\n\n\n\n\t\t\tI'm not a fan of composite fillings for wisdom teeth because it is hard to isolate the bonding from contamination.  I prefer modern glass ionomer restorations like Fuji Equia (US market, not sure about UK) that will bond naturally to dentin and help desensitize the nerve.  I believe you may have 3 options. 1) have the dentist redo the filling.  2) root canal which will have very difficult access, 3) extract.  Make sure you don't have any sinus problems such as tooth pain when you bend forward or walk up & downstairs.\n\t\t\nClick to expand...\n\nThank you for your comment, so I’m guessing you don’t think that’s just sensitivity following the procedure that will go away ? honestdoc: Sensitivity should lessen especially after 8 to 9 weeks.  I'm not a fan of posterior composites.  Modern composites shrink about 1% when the dentist light cures it (polymerization shrinkage).  That means there will be a microscopic gap for contamination.  On x-ray there may be a black line around the composite.  We won't know if the black line is pooling of extra bond, gap, or cavity.  Modern bonding agents are radiopaque showing up white on x-ray now.  I prefer the above material Fuji Equia.  Glass ionomer naturally bonds to dentin.  It also desensitizes the nerve in the root canal.  I always tell my filling patients to expect cold sensitivity and not to overwhelm it with anything too cold.  Newer filling materials are bioactive like Activa but I haven't worked with it yet (I don't own my clinic so I'm not able to try a lot of things until they go mainstream)."
  },
  {
    "id": 869,
    "title": "PPE Charge",
    "dialogue": "Jonathan Phelan: I need some dental work done & have been told due to covid rules I have to pay £15 for PPE, I get free dental treatment, should they be trying to charge me this amount ? honestdoc: In the US, some dentist do while most don't since dental insurance companies prohibit extra charges to their members.  Call your dentist ahead of time and inquire. Jonathan Phelan: honestdoc said:\n\n\n\n\t\t\tIn the US, some dentist do while most don't since dental insurance companies prohibit extra charges to their members.  Call your dentist ahead of time and inquire.\n\t\t\nClick to expand...\n\nIt was my dentist that told me this today, I wanted to know if they were allowed to (UK) as I don't pay for treatment"
  },
  {
    "id": 870,
    "title": "Occasional sharp pain when eating",
    "dialogue": "Peter2019: This  tooth is in the upper back area of the jaw. It first had a crown installed many years ago and more recently had root canal . On three separate occasions now  , when eating , I had a very sharp pain in that tooth . When not eating it is fine and doesn't hurt and doesn't always hurt even when eating. What could be causing this ? Is it safe to go to the dentist with this problem now with Covid 19 ? I did go for a check up and cleaning not too long ago but this started happening afterwards.  Can I wait till after Covid-19 with this ? Does the risk outweigh the benefit of going now ? honestdoc: Have your dentist perio probe around the gums to detect any vertical root fracture.  Undetectable root fractures will show up after a few weeks so if the pain is recent, probings may not pick up. Peter2019: honestdoc said:\n\n\n\n\t\t\tHave your dentist perio probe around the gums to detect any vertical root fracture.  Undetectable root fractures will show up after a few weeks so if the pain is recent, probings may not pick up.\n\t\t\nClick to expand...\n\n\nHello honestdoc,\n\nSo I wanted to keep you informed as to what is happening with me. I went to my dentist this morning and she took a couple of x-rays. X-rays showed up nothing. She then filed down a couple of spots on that tooth. She said for me to wait and see what happens. If the tooth becomes bothersome it will have to be removed and replaced with an implant. She said that a specialist would charge $6000 Canadian for this but she could do it for $4000 Canadian and I would also get a 15% discount as well. She said that I might be able to get another 10-15 years out of that tooth. Her advice was to wait and see, not urgent at this time. Oh and she did probe around my gums as well. honestdoc: Peter2019 said:\n\n\n\n\t\t\tHello honestdoc,\n\nSo I wanted to keep you informed as to what is happening with me. I went to my dentist this morning and she took a couple of x-rays. X-rays showed up nothing. She then filed down a couple of spots on that tooth. She said for me to wait and see what happens. If the tooth becomes bothersome it will have to be removed and replaced with an implant. She said that a specialist would charge $6000 Canadian for this but she could do it for $4000 Canadian and I would also get a 15% discount as well. She said that I might be able to get another 10-15 years out of that tooth. Her advice was to wait and see, not urgent at this time. Oh and she did probe around my gums as well.\n\t\t\nClick to expand...\n\n\nI favor the least traumatic option of wait and see.  How you know it is going bad is pain and or swelling.  If you experience neither, continue to monitor.  Probing on recent fractures will not reveal anything.  It may take a few weeks for vertical root fractures to lose gum attachments. Peter2019: honestdoc said:\n\n\n\n\t\t\tI favor the least traumatic option of wait and see.  How you know it is going bad is pain and or swelling.  If you experience neither, continue to monitor.  Probing on recent fractures will not reveal anything.  It may take a few weeks for vertical root fractures to lose gum attachments.\n\t\t\nClick to expand...\n\n\n\"pain and or swelling\" When eating or even when not eating ? If it is pain when not eating that's when the real trouble starts. I know because I already went through this with another tooth 20 years ago. It too had root canal and a crown but needed to be removed when it started hurting and not when I was eating. At that time I opted for a bridge instead of an implant but this time I would go with an implant. Which do you favour, implants or bridges but hopefully I won't need either one, lol honestdoc: Peter2019 said:\n\n\n\n\t\t\t\"pain and or swelling\" When eating or even when not eating ? If it is pain when not eating that's when the real trouble starts. I know because I already went through this with another tooth 20 years ago. It too had root canal and a crown but needed to be removed when it started hurting and not when I was eating. At that time I opted for a bridge instead of an implant but this time I would go with an implant. Which do you favour, implants or bridges but hopefully I won't need either one, lol\n\t\t\nClick to expand...\n\n\nGood questions.  You had experience with tooth pain before so this hopefully this gets resolved.  I prefer implants over bridges because good adjacent teeth gets drilled (prepped) to hold the bridge.  I've seen bridges fail and you can lose those adjacent teeth as well.  Implants are very expensive but it does not involve any other teeth.  They can fail too so it is best to find an experienced team of restorative dentist and surgeon. Peter2019: So I have been fine for 12 days now since I went to see the dentist. Yesterday I was eating peanuts and experienced the most excruciating pain that I have ever experienced in that tooth that I went to see the dentist about. The dentist took x rays and could see no problem at that time. So what should I do now ? To make matters even worse, we just went into a 30 day pandemic lock down, where I live in Ontario, Canada. honestdoc: Don't chew on the tooth.  Have the dentist evaluate it (perio probe, tooth sleuth adjacent non-crowned teeth) after the lock down.  Make sure you are not experiencing swelling. Peter2019: honestdoc said:\n\n\n\n\t\t\tDon't chew on the tooth.  Have the dentist evaluate it (perio probe, tooth sleuth adjacent non-crowned teeth) after the lock down.  Make sure you are not experiencing swelling.\n\t\t\nClick to expand...\n\n\nSo my dentist wants to refer me to a root canal specialist but I don't see why I would need to go there, because I have already had root canal work done on that tooth ? I prefer to wait and see ."
  },
  {
    "id": 871,
    "title": "Sensitivity to hot/cold after root canal",
    "dialogue": "Gabby: I’ve had a root canal done on Monday (9/11/20), I still have sensitivity to cold as much as I did before the procedure. Does this definitely mean that nerve been left behind? If so is this the dentist error? I will obviously have to have root canal re done but will I have to pay for it again ? It’s cost nearly £700 honestdoc: Most likely your temperature sensitivity is from adjacent teeth.  Have your dentist cold test with a cotton pellet saturated with liquid nitrogen (Endo Ice).  The root canaled tooth should not feel any cold.  The x-rays appeared like the dentist did his/her best.  Your costs in the UK is similar to US of about $1000.  Dentists usually bill you in good faith so you shouldn't worry about paying extra. Gabby: honestdoc said:\n\n\n\n\t\t\tMost likely your temperature sensitivity is from adjacent teeth.  Have your dentist cold test with a cotton pellet saturated with liquid nitrogen (Endo Ice).  The root canaled tooth should not feel any cold.  The x-rays appeared like the dentist did his/her best.  Your costs in the UK is similar to US of about $1000.  Dentists usually bill you in good faith so you shouldn't worry about paying extra.\n\t\t\nClick to expand...\n\n\nThank you for your comment. Yes I have noticed that the tooth next to it has a very large filling close to the nerve. Do you think the root canal could of “ disturbed” this tooth and this could settle down or I will need root canal on this tooth too? It is a very bad deep nerve pain that I have not just little bit of sensitivity. Probably even worse than before the root canal was done. Many thanks Gabby: honestdoc said:\n\n\n\n\t\t\tMost likely your temperature sensitivity is from adjacent teeth.  Have your dentist cold test with a cotton pellet saturated with liquid nitrogen (Endo Ice).  The root canaled tooth should not feel any cold.  The x-rays appeared like the dentist did his/her best.  Your costs in the UK is similar to US of about $1000.  Dentists usually bill you in good faith so you shouldn't worry about paying extra.\n\t\t\nClick to expand...\n\nHello, I have seen my dentist on Wednesday and after doing the cold test he said the sensitivity is on my wisdom tooth. Im relieved that the one that the root canal was done is ok BUT now I worry about the wisdom tooth. I have asked if this tooth need root canal too he said no and that it’s probably just sensitive after the filling was done. The filling on this tooth was done 9 weeks ago, is it common to experience sensitivity so long after a filling? I had many fillings in my life and never experienced that before. He gave me some kind of special toothpaste and said the sensitivity should go within couple of weeks. I was hopeful but I feel like the pain is getting worse , more sensitive not just to cold drinks but also when I eat or just touch this tooth with my tongue. I have noticed that this tooth that had the white composite filling have a grey area in one corner ... could this be the cause of the pain? I know it’s hard to tell from this image but I’m guessing that’s micro-leakage, should new filling with micro-leakage be replaced straight away especially if it’s causing pain? It is very difficult to take a picture, I have attached one anyway but it is very blurred, any thoughts would be much appreciated"
  },
  {
    "id": 872,
    "title": "Are \"Radio-opacities\" concerning?",
    "dialogue": "troubledsoul: I received this note along with the provided xray: \"eval and tx #17, 32 area radio-opacities noted on the angle of mandible in both areas\". My general dentist referred me elsewhere and it's taking forever to hear back from them. He also mentioned they would possibly take a biopsy to check if cancerous. Based on what's circled, are those area lymph nodes? That's what I am really worried about because as you may know that's not a good thing. Please provide any assistance /knowledge you have.\n\n51 yr female old with just partial denture in lower teeth honestdoc: The image is very difficult to evaluate.  All dental x-rays should be available in digital format.  You are free to request them.  That being said, the radiopacities are fairly symmetric and borders appear distinct (well defined) indicating slow growth.  Usually radiopacities are not as sinister in the jaw bone.  Since the x-ray is only 2 and not 3 dimensional, there is a remote possibility that the submandibular lymph node may be calcified.  That is usually from Tuberculosis and or other infectious scar forming diseases.  In my opinion, it is not sinister but a 3D CT scan may be helpful before getting a biopsy. troubledsoul: honestdoc said:\n\n\n\n\t\t\tThe image is very difficult to evaluate.  All dental x-rays should be available in digital format.  You are free to request them.  That being said, the radiopacities are fairly symmetric and borders appear distinct (well defined) indicating slow growth.  Usually radiopacities are not as sinister in the jaw bone.  Since the x-ray is only 2 and not 3 dimensional, there is a remote possibility that the submandibular lymph node may be calcified.  That is usually from Tuberculosis and or other infectious scar forming diseases.  In my opinion, it is not sinister but a 3D CT scan may be helpful before getting a biopsy.\n\t\t\nClick to expand...\n\n\nty for your reply\nI've been on google for hours trying to figure out if there are lymph nodes in the jaw, so you're saying there are ? What out of the circled items do you suspect being a node (if any)? and if the image was 3d how would its appearance change?\n\nLast year I underwent surgery for  stage 1b1 cervical cancer, luckily there was no micrometastasis which was good news and I didn't need additional chemo/radiation. After this xray, having gone through traumatic times and knowing about the whole lymph node scenario when it comes to the c word I couldn't help but worry about what was circed being node(s) and even worse cancerous. The place I was referred to is covered by my insurance aka no charge to me so they are taking forever and my anxiety is soaring. honestdoc: I don't think it's the lymph nodes.  Try to obtain a digital copy of your x-rays.  You can request them from your provider.  I can't accurately assess with your image provided. Dr M: Good day,\n\nI agree with honestdoc. More advanced imagery is needed to accurately diagnose the lesions. Another possibility might be submandibular sialoliths or \" salivary stones \". If small, these are harmless, but if they are larger, they can block salivary flow and drainage and then additional treatments might be required. \nBUT first step would be to get a better image to make an accurate diagnoses. honestdoc: Dr M said:\n\n\n\n\t\t\tGood day,\n\nI agree with honestdoc. More advanced imagery is needed to accurately diagnose the lesions. Another possibility might be submandibular sialoliths or \" salivary stones \". If small, these are harmless, but if they are larger, they can block salivary flow and drainage and then additional treatments might be required.\nBUT first step would be to get a better image to make an accurate diagnoses.\n\t\t\nClick to expand...\n\n\nGood point on sialoliths.  I thought of them but the symmetry of the radiopacities threw me off.  What are the chances right? troubledsoul: ty for your replies. dentist that i was referred to is asking for another xray and won't take that one, the xray they want is the one where your whole jaw is examined by the machine going around you while you bite on something.. how much radiation does that emit? Dr M: It sounds like you are referring to another Panoramic x-ray. It might be that he doesn't agree with the quality of the one you supplied and just wants a new one. The radiation emitted is the same you previously experienced. Modern digital radio-graphs emit low dosages of harmful radiation. A lot less than a few decades ago. honestdoc: Dr. M is correct.  Dental companies stopped supporting film based x-rays years ago.  Film x-rays need more radiation to expose the silver particles to reveal the image.  Digital require very minimal radiation to produce better quality images.  As in everything in health care, the doctor and patient must weigh the risk of radiation exposure to the benefits of accurate diagnosis."
  },
  {
    "id": 873,
    "title": "HELP! Impacted wisdom teeth / brain fog",
    "dialogue": "Jimjam99: Hi I'm 20 years old and my wisdom teeth started coming through however they are impacted. Over the last 2 months I've been experiencing really bad brain fog and been finding it hard to do everyday activities, even attend work! The contrast in my eyes seems weird and blurred. Im constantly tired. I visited a hospital and they said my top wisdom teeth are catching my cheeks and have left an ulcer like hole in my cheeks. I then visited a dentist recently to have a molar tooth extracted I hoped this would get rid of the brain fog however it didn't. The dentist also noticed the gum around my lower right impacted wisdom tooth was red and it felt sore to touch and my lower left impacted wisdom tooth was showing signs of decay. They are referring me to a hospital for possible extraction of the wisdom teeth. Do you think the teeth are the cause for the brain fog? The teeth themself are not to painful besides the gum around one of them. Thanks Dr M: Good day\n\nThe change in vision is very strange. Impacted wisdom teeth can cause headaches and sometimes earache, but I would advise seeing a medical doctor about the \" brain fog \" and change in vision, to rule out poor eye sight ( which can cause headaches and blurry vision ) and other neurological possibilities."
  },
  {
    "id": 874,
    "title": "Pain blockers that work",
    "dialogue": "teresa: My system blocks all Novocaine and laughing gas and I am VERY sensitive to pain.. Is there another alternative to blocking pain for getting  a simple filling w/o anesthesia? Dr M: Good day\nI have had some success with Ubistesin injections. This is also a local anaesthetic, but belongs to a different group, and might be successful in your case. teresa: Thank you. I have never heard of that , but will look into it. teresa: teresa said:\n\n\n\n\t\t\tThank you. I have never heard of that , but will look into it.\n\t\t\nClick to expand...\n\nI see that is also a \"caine\"..I wonder if my system will block that as well?I have had so many types(lots of crowns) Hmmm honestdoc: Dr M said:\n\n\n\n\t\t\tGood day\nI have had some success with Ubistesin injections. This is also a local anaesthetic, but belongs to a different group, and might be successful in your case.\n\t\t\nClick to expand...\n\n\nIn the US, it is 4% Articaine.  Although reported safe and widely used in Canada and Europe, American lawyers love to sue dentists over higher risks of paresthesia.  My company lost $800,000 on that lawsuit and they banned its use.  I'm at a different company now, and I use it only on the most difficult cases. Dr M: honestdoc said:\n\n\n\n\t\t\tIn the US, it is 4% Articaine.  Although reported safe and widely used in Canada and Europe, American lawyers love to sue dentists over higher risks of paresthesia.  My company lost $800,000 on that lawsuit and they banned its use.  I'm at a different company now, and I use it only on the most difficult cases.\n\t\t\nClick to expand...\n\nWe use Articaine here as well. Luckily low risk of law suits...so far."
  },
  {
    "id": 875,
    "title": "Food stuck in socket",
    "dialogue": "Emmab: Hello\n\nSorry its me again. I have some food stuck in my wisdom tooth socket (day 6 post extraction) I am now in no pain and I have tried swishing it out with salt water but its really jammed in there.\n\nHow long can I leave it before I should be worried? honestdoc: The mouth has great healing potential so I wouldn't worry too much.  I wouldn't traumatize the area any more while allowing any debris to naturally exfoliate.  The only time to worry is if you develop abnormal swelling and or pain. Emmab: Thank you"
  },
  {
    "id": 876,
    "title": "Dry socket",
    "dialogue": "Emmab: Hello\n\nI had my lower wisdom tooth out yesterday and I looked in my socket tonight expecting to see red or dark red and its black with maybe little bits of white over the top. I don't think I can see any bone and I have had very mild pain today. \n\nI am completely freaking out about having more pain as I had severe nerve pain before it was taken out all around my jaw and ear that even tramadol would not touch. Emmab: Oh I forgot to say the black is level with my gum level. \n\nThe pain I feel is a general soreness pain like when you have a sore gum and you poke at it not a throbbing pain Dr M: Good day\n\nThe pain that you are experiencing is normal since the tooth was only removed yesterday. A dry socket usually appears after about 3-5 days after an extraction. It is accompanied with a bad taste or smell and severe pain. If it suddenly becomes very painful, then go back and see your dentist. Emmab: Thank you for replying \n\nDo you think the black that is level with my gum is the blood clot? Dr M: Yes it could be dark in colour. Emmab: Thank you for your reply I really appreciate it Emmab: Hi sorry another question\n\nI have very limited pain today its more like a bruised feeling around my jaw and gums. I have not taken any pain medication as I don't feel I need it but should I take ibuprofen anyway to reduce swelling? Dr M: Good day\n\nThis is still part of post-op surgical pain which is normal. You can take an ibuprofen. It will help with the inflammation. Emmab: Hello\n\nToday is day 4 post extraction. Well i had it out 10am on Tuesday so technically its been 96 hours but not sure if you count from the time of extraction or if that day is just day 0.  \n\nI have no pain (not on any pain relief) or bad taste or breath but the black you could see in my extraction site seems to be further down now and speckled white. I am still only eating very soft liquid food and sleeping upright. Doing salt rinses every few hours. \n\nWould you say I am unlikely to develop dry socket now? If I was just looking at the socket I feel concerned as its so far down. I do think the hole in general looks smaller and my gum behind it which was quite big seems to be coming forward. \n\nThe redness above my tooth came out on day 2 and seems to be fading\n\nMost posts I read say you will get it day 3-5 yet websites say it can develop right up to day 10 which is quite worrying. Emmab: Just to say the pain I have is behind my ear. Can this be pain from my jaw still being inflamed? It was an easy extraction Emmab: The pain behind my ear has not subsided today. Its the most pain I have felt since extraction. Its very bearable but feels like pressure and its only my ear i dont feel any normal toothache pain. The only thing I can relate it to is if you tense your jaw too much. \n\nI assume if this is dry socket it will really hurt by tomorrow? \n\nNo smell or taste yet. \n\nMy jaw is sore when I open my mouth it hurts more today than previous days. \n\nReally quite worried Dr M: If the pain is increasing and not decreasing, it is best to go back to your dentist for a follow-up visit. He can then clean it out if a dry socket is expected and give you additional antibiotics if it is needed. Emmab: It hurt a bit more for a few hours but then went away. No more pain now and its day 6 so I think that means I am in the clear?"
  },
  {
    "id": 877,
    "title": "Cracked crown",
    "dialogue": "dizay81: I had a crown fitted just under a year ago. A couple of months ago I noticed it was a little loose. On checking I saw a crack in it. My dentist is currently only seeing emergencies and because its not painful they won't see me. It's getting looser and I've noticed an awful smell and taste. When I floss and rinse with mouthwash it seems to help for a short time. I can't eat because of it and I'm trying to not speak too often so that nobody notices the smell. Is there anything I can do to clear out the bacteria under the crown or is it possible for me to safely remove it mysel? I've emailed my own  dentist twice in the past month but had no response. Dr M: Good day\n\nYou can rinse with water and salt. Don't try and remove it yourself. It will become more loose by itself and most likely fall out as you are eating something. If you try and remove it yourself, you can damage some of the remaining tooth structure, which might influence the chances of you getting a new crown.\nTry and get hold of another dentist. Don't wait too long.You don't want to risk infection, which might cause severe destruction of the remaining tooth structure, leading to possible tooth loss."
  },
  {
    "id": 878,
    "title": "Filling or something else required? Advice needed!",
    "dialogue": "grantwinchester: Hi, everyone.\n\nI was inspecting my teeth this morning and noticed a very small hole on the side of one molar.\n\nMy dentist is currently not doing check-ups/routine appointments so I can’t get in to see anyone - and this clearly isn’t an emergency. \n\nAppreciate it’s difficult to tell just from a photo but do you reckon this would require a filling, or can a dentist apply sealant or something? Is this likely to get bad quickly, or take a long time? I have no symptoms from it - I only saw it through looking abnormally closely at every tooth!\n\nThank you in advance for your help. honestdoc: It is called a Buccal Pit on lower molars.  It doesn't seem urgent but you will benefit from a filling or sealant. grantwinchester: honestdoc said:\n\n\n\n\t\t\tIt is called a Buccal Pit on lower molars.  It doesn't seem urgent but you will benefit from a filling or sealant.\n\t\t\nClick to expand...\n\nIs that the area of the molar, or generally what a hole in the side of a molar is referred to?\n\nAnd, when you say it doesn’t seem urgent, how quickly can I expect this to deteriorate, presuming good oral hygiene? I.e. if I don’t get an appointment for a couple of months, is it going to be significantly worse? honestdoc: Buccal pit is an anatomic area in the lower molars (upper molars have a lingual pit).  Google Buccal pit of lower molars should bring up plenty of images.  It is hard to predict urgency because I can't detect internally.  As long as you are not drinking sugary/acidic/creamy beverages daily and keeping up with hygiene, 2 months should be ok."
  },
  {
    "id": 879,
    "title": "Is this a cavity ?",
    "dialogue": "Gabby:  honestdoc: With the x-ray upside down, it is hard to fully view.  The adjacent tooth has similar radiolucency.  Cavities do not develop so close to the bone.  With the difficult view, it's hard to see if it is normal anatomy or external resorption.  If I were the dentist, I would take bite wing shots to minimize foreshortening or elongation of periapical angles and have multiple images to compare anatomies. honestdoc: I was reviewing your other x-rays from your previous posts.  I think it is cervical concavity (anatomy).  As stated before, the more accurate view of the area would be a bitewing shot. Gabby: honestdoc said:\n\n\n\n\t\t\tI was reviewing your other x-rays from your previous posts.  I think it is cervical concavity (anatomy).  As stated before, the more accurate view of the area would be a bitewing shot.\n\t\t\nClick to expand...\n\n\nthank you , I am going to see the dentist on Monday in regards to what I believe is failed root canal , I will question this too"
  },
  {
    "id": 880,
    "title": "2 chip/dint on gold crown",
    "dialogue": "Craigs20: I have just noticed 2 chips on top of my crown, they are blackish and clearly chips when scratched. Any idea what these are sorry for bad photo Dr M: Good day\n\nThe areas you are describing looks like normal wear of the gold crown, due to normal function or due to grinding. If they aren't bothering you, leave as is, otherwise it can be smoothed out to remove any sharp edges. Also make sure the occlusion with the opposing tooth is right. If it becomes more severe at a later stage, the crown might need replacement, but this will take years usually and not happen overnight."
  },
  {
    "id": 881,
    "title": "Dry socket ?",
    "dialogue": "Stevey: Hello I had a molar extraction 11 days ago going onto the 12th day , sorry I’ve been asking a lot of questions recently I’m just trying to make sure , I’ve read online that dry socket is painful yet I haven’t had any pain yet , but I looked a my extraction site and it’s seen empty ? Is this dry socket ? Dr M: Do you have a bad taste or smell in your mouth associated with the socket? Stevey: Dr M said:\n\n\n\n\t\t\tDo you have a bad taste or smell in your mouth associated with the socket?\n\t\t\nClick to expand...\n\nThank you for the reply , I don’t believe so I don’t notice any irregular smells or tastes , and it’s still not painful , would you say this is dry socket ? Dr M: No I would not. It seems like you just heal a bit slower than expected. Sometimes a tooth socket can take up until 3 weeks to close fully.\nIf you have no pain, just leave it as it is. Stevey: Thank you for the reply , the extraction itself was rather awkward , was working my tooth for just over an hour before it came out so I guess the long healing time makes sense , the original hole was quite big so it definitely has closed up a bit Stevey: Dr M said:\n\n\n\n\t\t\tNo I would not. It seems like you just heal a bit slower than expected. Sometimes a tooth socket can take up until 3 weeks to close fully.\nIf you have no pain, just leave it as it is.\n\t\t\nClick to expand...\n\nHello just a follow up question , I checked my extraction tonight and noticed that it’s literally all gone white ? Still haven’t experienced any pain but I’ve still got concerns of dry socket , any help would be appreciated"
  },
  {
    "id": 882,
    "title": "Gums swell during night",
    "dialogue": "Edina34: Over many years I lost the five leftmost teeth on my upper jaw and similar on the right apart from one molar that has a metal crown. Over time little some little hard lumps came up on the gaps then mainly on the chewing edge on the left side but now also high up on the outer part of the gum. I can’t remember the name given to the condition but was told some years ago when they were smaller it was not a concern. Over the past year or two they have got bigger and swell/increase in size overnight and used to decrease again as the day went on but now less so. I am aware of them but they are not exactly painful and my face does not show any swelling. I rub Gengigel or Bonjela on them and also rinse in salt water which seems not to do much. I had an upper denture in the late 1970’s but abandoned it as it made me lisp and food got behind it moving it when eating despite alterations.\n\nCan anyone suggest the cause of the overnight swelling honestdoc: I don't understand when you said you had an upper denture and you still have a molar?  Without x-rays, I'm guessing the molar is necrotic and infected. Edina34: I said that had an upper denture that I abandoned honestdoc: Edina34 said:\n\n\n\n\t\t\tI said that had an upper denture that I abandoned\n\t\t\nClick to expand...\n\n\nDo you still have the molar with a metal crown?  If so, you probably had a partial denture.  I was thinking full denture. Edina34: Yes, It was a partial denture and I still have the metal crowned molar. That came well after the denture probably twenty years ago.. Dr M: Good day\n\nCan you perhaps attach a photo of the affected area? Difficult to give an opinion with limited info. Edina34: When trying that previously I found it awkward and had poor resukts Dr M: Do you perhaps then have a latest xray of the area? Edina34: No. British dentists don't do that. Dr M: Don't they take x-rays? Edina34: Yes but they don't give them to the patient to take away. That area has not been X-Rayed as the lumps and swelling have worsened since I was last there two years ago...........Dentists are not my favourite people, I cancelled three appointments over that time due to hypertension and A. Fib problems on the day. Have an appointment for next week. Dr M: Without a photo of the area or more information,  we won't be able  to give you an idea if what the problem is. Go see your dentist, and hopefully he can help you. Edina34: The gum also swells if I eat at that side which I don't usually do at the moment as I've lost a filling on one on my lower jaw."
  },
  {
    "id": 883,
    "title": "Molar extraction",
    "dialogue": "Stevey: Hello , I had a molar extraction 8 days ago and my extraction site seems to have devolved some white layer on top ? Or it could just be white ingeneral it’s rather hard to tell sorry . Is this a cause for concern ? honestdoc: No, normal tissue repair."
  },
  {
    "id": 884,
    "title": "Brown mouth roof",
    "dialogue": "Genetagar: I’ve notice brown color in roof of my mouth, went to dentist but they kept saying it’s normal and I’ve never had anything like that and I want ask what I got there. That’s the pic I took honestdoc: It is normal melanin skin pigment. Genetagar: honestdoc said:\n\n\n\n\t\t\tIt is normal melanin skin pigment.\n\t\t\nClick to expand...\n\nAre you sure because I’ve never seen like this before honestdoc: Look up melanin pigmentation in the oral cavity.  You must have internet if you're on this site. Genetagar: honestdoc said:\n\n\n\n\t\t\tLook up melanin pigmentation in the oral cavity.  You must have internet if you're on this site.\n\t\t\nClick to expand...\n\nOk thank you."
  },
  {
    "id": 885,
    "title": "Dark spot on front teeth. What is it?",
    "dialogue": "Error_Glittering: So, I try and take good care of my teeth, but I noticed very small, tiny dark, black spot/dot on my two front teeth. It can barely be seen by naked eye. Been to dentist yesterday, he said he cant remove it, cause he will use 10x more of healthy tooth, just to remove this tiny spot. It bothers me. Anyone know why it appeared? Is this cavity? Dentist called it \"pigmentation\" or something. honestdoc: It appears like a deep stain and your dentist is right about destroying tooth structure to polish or restore it with bonding (weak restoration).  Try some Over-the-counter whitening strips or maybe professional whitening agents to bleach the stain away."
  },
  {
    "id": 886,
    "title": "Molar extraction",
    "dialogue": "Stevey: 48 hours ago I had my bottom left molar extraction, it was double rooted, and I’m noticing a mainly white but slightly yellow layer on top of the extraction sight. Is this normal I should I be worried ? honestdoc: The varied colored top layer is reparative epithelium.  Make sure you don't have any swelling.  The mouth has high healing potential. Stevey: honestdoc said:\n\n\n\n\t\t\tThe varied colored top layer is reparative epithelium.  Make sure you don't have any swelling.  The mouth has high healing potential.\n\t\t\nClick to expand...\n\nThank you so much for the reply ! I’ve woke up today to the swelling around my cheek going down significantly, so I’m gonna assume it’s doing okay ! Also after an x-ray of my teeth , literally all my teeth are double rooted , will this not make the recovery process longer ? Dr M: Good day\n\nAs honestDoc said -you should be fine. Just keep the area as clean as possible and healing should progress normal Stevey: Dr M said:\n\n\n\n\t\t\tGood day\n\nAs honestDoc said -you should be fine. Just keep the area as clean as possible and healing should progress normal\n\t\t\nClick to expand...\n\nThank you for the reply , think i just needed the reassurance"
  },
  {
    "id": 887,
    "title": "Post extraction pain",
    "dialogue": "PaulH: I had a molar removed 6 days ago and it was pretty difficult to get out due to the size and location, I also had problems with the anaesthetic and took a bit of a ‘funny turn’ in the chair. I’ve had other teeth out before but the pain following this is unreal, almost as bad as the original toothache . My gums are throbbing constantly and the tooth next to it is sore. I’m gargling with warm salt water and also using a mouthwash with hydrogen peroxide in which I think helps a little. Is it normal for the pain to be this bad? A_s: PaulH said:\n\n\n\n\t\t\tI had a molar removed 6 days ago and it was pretty difficult to get out due to the size and location, I also had problems with the anaesthetic and took a bit of a ‘funny turn’ in the chair. I’ve had other teeth out before but the pain following this is unreal, almost as bad as the original toothache . My gums are throbbing constantly and the tooth next to it is sore. I’m gargling with warm salt water and also using a mouthwash with hydrogen peroxide in which I think helps a little. Is it normal for the pain to be this bad?\n\t\t\nClick to expand...\n\n\nHi Paul,\n\nSorry to hear this.\n\nDo you have bad breath from the tooth as well? Sometimes a \"dry socket\" can happen after extraction, and the risk increases if you smoke (regardless whether you stopped smoking prior or after extraction), immune suppressed, drinking alcohol, etc. The best idea will be to go back to your dentist and check it out. In the meanwhile, after you eat, rinse with warm salt water (bathe in your mouth for 1 minute).\n\nHope it helps."
  },
  {
    "id": 888,
    "title": "Sponge left in tooth after root canal?",
    "dialogue": "JJL08: I need some advice, and I’ll try to make this short. I had a root canal done by an Endodontist back in March. He placed a temporary filling in the tooth, and the tooth already had a crown on it. I went back to my regular dentist two or three weeks later for my permanent filling. I kept having pain in my gums even after the permanent filling was placed, so I would keep going back to my regular dentist. I was told it was the tooth behind it, the tooth in front of it, the bite is too high. Now I did have cavities in those teeth I mentioned that I got fixed and I also had the bite adjusted on the root canal tooth. The gum pain kept on, and I had a weird sensation if I rubbed the top of that tooth. I thought this was weird, but I figured it was taking a long time to heal because my dentist said the root canal looked great.\n\nFast forward to a few weeks ago. I am now seeing a new dentist, and I had cracked the filling that my previous dentist placed earlier this year on the tooth in front of the root canal tooth. I had that fixed a few weeks before Christmas, and while I was there I mentioned again my gum pain on that root canal tooth. The X-ray showed signs of infection. I know root canal treatments can fail, so I wasn’t upset too much about this.\n\nI didn’t get upset and mad until I went to see the Endodontist and he told me why I have been in pain since March. My previous dentist left the sponge/cotton pellet the endodondist put in there when he did the temporary filling. So my previous dentist filled my tooth while leaving a sponge in there. He also only halfway filled the tooth in when he permanently filled it in. I did get a second opinion and they confirmed what the Endo stated. I’m posting the X-ray to show you. Maybe it will help.\n\nI called my previous dentist and told them what happened. He is currently not wanting to take responsibility for the problem. I was told it will cost $950 to retreat the tooth. I feel like the dentist should have to pay the bill, but right now he’s not offering. I don’t go back to get it fixed until the 3rd, and they have been closed since Christmas.\n\nHe supposedly told the Endodontist that the presence of a sponge was not noted on the notes that was sent over and that he didn’t see it while filling it.\n\n1. Is it common practice to place a temporary filling in a tooth that has root canal treatment, but already has a crown? The Endodontist said he would permanently fill it this time around. Why didn’t he do this the first time? This would have saved me all this trouble.\n\n2. Is it common practice to place a sponge/cotton pellet in a tooth after a root canal treatment? If so, why did a dentist with over 25 years experience not see it? Just a hypothetical question.\n\n3. Is this a case of malpractice? All I want is my previous dentist to pay for retreatment. I think that is only fair and the right thing to do since he left the material in there. I’m not sure what my legal options are.\n\n4. This will be a somewhat stupid question, but I want to verify. Do dentists have to keep extensive records of their findings? Like if he opens the tooth up and it is indeed a cotton pellet left in there, will he note that in his records? Just in case this goes to a lawyer for review or whatnot.\n\n***Here is an X-ray of the tooth. Yes, I’m aware of the cracked filling shown on the X-ray. This was taken the same day I had the filling fixed. This is not the cause of my gum pain I’ve had since March.*** malibu: Did you get a response on this? I have something similar that happened to me. Dr M: Good day\n\nI am sorry to hear about your case.\n\nUsually after a root canal has been completed, a permanent filling is placed. The only time a temporary filling might be placed, is if the treating dentist is considering additional treatments on the tooth, such as a new crown, or if the dentist is unsure about the outcome of the root canal treatment, and might want to retreat it.\n\nA cotton pellet is usually placed after the first step of a root canal treatment, after the nerve has been removed, and covered with a temp filling. This is done to close the \" hole \" and allow the medicine to work on the inside of the tooth. After a certain period of time, you then go back to the dentist, and he removes the cotton pellet and then finishes the root canal treatment, ending with a permanent filling.\nIf the cotton pellet was left, it could lead to a failure of an adequate coronal seal, and lead to leakage, which might end up in root canal failure.\nIf the cotton pellet was left, with a temp filling, because the dentist was still planning a new permanent crown or restoration, this should have been communicated with you.\nAll this should also have been part of his dental records.\n\nI feel it is reasonable to expect the treating dentist to come to an agreement with you, because if this pain was caused by the lack of coronal seal due to a leaking temp filling/ cotton pellet left in situ, and it was not communicated with you that it was left in for a reason or that you have to go back for additional treatment on the tooth, then the dentist could be held liable.\n\nHope this helps"
  },
  {
    "id": 889,
    "title": "Gum problem",
    "dialogue": "Enamel Hunter: Hello,\n\nI had a 10+ year old chipped crown on an existing root canaled tooth #46. The chipped crown was removed on Oct 09 and cleaned under and prepped for a new crown. The dentist also performed “perio lengthening” on the outside of my gum just below that tooth. I had a temporary crown placed and waited for the permanent crown schedule later.\n\nDuring this time the gum area outside and below tooth #46 was swollen and very irritated.It wasn’t painful unless any contact or pressure was placed on the gum area through chewing or brushing.\nOn October 27 the permanent crown was placed and dentist said that he suspected that the material of the temporary crown must have caused the gum pain and irritation as well as the perio lengthening so he asked me to monitor the area and return for further diagnosis if the problem persisted.\n\nAs of today November 05 the swelling has almost gone away and minimal to no pain is present during brushing or chewing. However in contrast, the gum now looks a lot worse where there is a U shaped red and raw looking tissue (picture attached) to the outside area gum of the tooth. Any idea what is going on? honestdoc: In order to properly assess, we will need a Bitewing and periapical x-ray.  You mentioned that you had perio lengthening surgery and the tooth had a previous root canal.  There are some scenarios.  There is a chance the perio lengthening surgery was not adequate and the new crown margin violated the perio biologic width of 3 mm minimum (1 mm sulcus, 1 mm junctional epithelium, 1 mm connective tissue to bone).  Worst case scenario, the tooth may have a vertical root fracture and may not be saved.  The dentist may perform a perio probe to detect any gum attachment loss and if so, will confirm or rule out the above scenario."
  },
  {
    "id": 890,
    "title": "My facial (buccal) fillings keep falling off",
    "dialogue": "markowich: Hi,\n\nI was not able to find similar problem on the forum so I decided to make a post. I hope someone can help me with my problem.\n\nIn a period of couple of months my dentist has replaced the same buccal fillings for the third time and it fell off again. You can see the dentine exposed on teeth 4 and 5 on the picture (enamel eroded). He explained that there is problem with the materials because a large portion of my dentine is exposed and this composite fillings don't stick well on this kinf of flat surface. I would need some advice if there are more suitable materials for these kind of situatins. I am concered because I think that every time in this procedure I loose some healthy tissue and my tooth is more and more exposed.\n\n\n\n\n\nI am very grateful for any piece of advice from a dental expert, Dr M: Good day\n\nUnfortunately the fillings on these buccal surfaces have a tendency to come loose, especially with a hard brushing method.\nI always advise my patients to rather use a soft tooth brush as well as to use the circular method when brushing, instead of scrubbing these areas.\nOne way to increase the bonding between the filling and the tooth is to maybe cut away a larger area on the tooth to provide a sufficient area for the filling to \" stick \", but you risk damaging healthy tooth structure unnecessarily. markowich: Dr M said:\n\n\n\n\t\t\tGood day\n\nUnfortunately the fillings on these buccal surfaces have a tendency to come loose, especially with a hard brushing method.\nI always advise my patients to rather use a soft tooth brush as well as to use the circular method when brushing, instead of scrubbing these areas.\nOne way to increase the bonding between the filling and the tooth is to maybe cut away a larger area on the tooth to provide a sufficient area for the filling to \" stick \", but you risk damaging healthy tooth structure unnecessarily.\n\t\t\nClick to expand...\n\nDear Sir or. Madam,\n\nI appreciate your prompt reply. The issue is that they do not fall off during brushing. I also use the softest possible Curaprox toothbrush. In 2/3 times I have mentioned they fell off while eating or drinking and they havent lasted more than couple of days, so I am thinking if there is a fundamental problem with the material being used. Are you referring to the \"retention grooves\" that I have came across in the literature?. Thank you and best regards. Dr M: Good day\n\nYes. Retention grooves is one way to increase retention for the fillings. Your dentist can try this next time.\nAre the composite resin fillings done under rubberdam isolation? Moisture contamination can lead to decreased bonding strength markowich: Dr M said:\n\n\n\n\t\t\tGood day\n\nYes. Retention grooves is one way to increase retention for the fillings. Your dentist can try this next time.\nAre the composite resin fillings done under rubberdam isolation? Moisture contamination can lead to decreased bonding strength\n\t\t\nClick to expand...\n\n\nAgain thank you very much for all the information. I really appreciate taking the time. Best regards! honestdoc: Dr M makes some really good points.  Another point I like to add is teeth abfraction which can occurs when the teeth \"flexes\" during grinding and clenching.  Like Dr M mentioned, the fillings have a strong tendency to come loose.  I find that even with the best retention and optimal bonding environment, fillings can still separate from the tooth.  Options are to leave it alone, restore them again, and if the teeth deteriorates further, consider crowning them.  I highly recommend custom bite guards to minimize stress to the teeth. markowich: honestdoc said:\n\n\n\n\t\t\tDr M makes some really good points.  Another point I like to add is teeth abfraction which can occurs when the teeth \"flexes\" during grinding and clenching.  Like Dr M mentioned, the fillings have a strong tendency to come loose.  I find that even with the best retention and optimal bonding environment, fillings can still separate from the tooth.  Options are to leave it alone, restore them again, and if the teeth deteriorates further, consider crowning them.  I highly recommend custom bite guards to minimize stress to the teeth.\n\t\t\nClick to expand...\n\n\nAlso thank you for taking the time and sharing your advice. Will definetly look into it.\nBest regards!"
  },
  {
    "id": 891,
    "title": "What is teeth quadrants.?",
    "dialogue": "Patsyp: What tooth are in 4-6 quadrants? How many tooth is that? I’m confused as my dentist labeled it as I needed gum flap surgery on it. honestdoc: Do you know why you are needing flap surgery?  There are 4 quadrants (quad means 4 in Latin) in the mouth.  There are Upper Right, Upper Left, LL, LR.  If you are missing all wisdom teeth (3rd molars) then there are usually 7 teeth per quad. Patsyp: honestdoc said:\n\n\n\n\t\t\tDo you know why you are needing flap surgery?  There are 4 quadrants (quad means 4 in Latin) in the mouth.  There are Upper Right, Upper Left, LL, LR.  If you are missing all wisdom teeth (3rd molars) then there are usually 7 teeth per quad.\n\t\t\nClick to expand...\n\nFor periodontal disease it’s my LL and LR on both sides it shows 4-6 quadrants honestdoc: Patsyp said:\n\n\n\n\t\t\tFor periodontal disease it’s my LL and LR on both sides it shows 4-6 quadrants\n\t\t\nClick to expand...\n\n\nI think you mean the flap surgery will cover 4 to 6 teeth in the quadrant. Ella White: This surgery is needed to save the teeth that are supported by a bone damaged by gum disease."
  },
  {
    "id": 892,
    "title": "Cavity x-ray help!",
    "dialogue": "Patsyp: I just had my stitches taken out because I had osseous surgery and bone graft  surgery my periodontists said to wait two weeks to get a filling on an already existing tooth as the gum and teeth need time to heal he said to get periodontal surgery first before fixing the cavity as gum will be more healthy to fill it.\nmy question is does the cavity look big I hope it’s still fixable with just a filling.?\nI just want a filling Im hoping it’s not a root canal and a crown I don’t feel any sensitive on it with hot and cold or when I bite down on it. Dr M: Good day\n\nAt this stage the cavity does not appear to be close to the nerve and since you don't have any symptoms, most likely only a filling will be necessary."
  },
  {
    "id": 893,
    "title": "Very sore pain in gum and tooth after core and temporary crown work.",
    "dialogue": "Du_deleted: https://drive.google.com/file/d/1_LSnYSfSZ69yy2a9ouXvQZQy5MdXmV_V/view?usp=drivesdk. \nI Have lower jaw pain under ear, neck pain since may. Went to dentist,he suspect a tooth fracture in lower first molar#46.he sent me to Endo.he couldn't spot any tooth fracture,said that tooth is sensitive to bite/cold. I waited till September if it improves.Still the same pain symptoms,my dentist told me to do RCT.I had rct done 7 weeks back.Still same symptoms. Dentist still suspect I have a tooth fracture.I went for core and temporary crown work this week.Told me to come after 3 weeks for permanent crown.I don't know for sure if I have tooth fracture.Still have same symptoms.constant burning pain in neck and lower jaw under ear.Can I do permanent crown?How to know if I have tooth fracture? I have very sore pain on the gum,tooth on that area after temp crown work. Is this normal or because of fracture?do I need extraction?x-rays normal.dentist took CBCT,suspect a root fracture from it. added cbct images link on the top.\n\nMy x-rays are normal. I had few different dentists opinion before this root canal. None of the dentist are sure about the tooth fracture. My dentist suspect my pain and symptoms from this tooth fracture or tmjd. I don't know if I did root canal without knowing if that's actually needed. Still have same burning pain in jaw under ear and neck.\n\nI have very sore pain after this build and temporary crown work done. It's been 2 days and very sore pain and pinch like pain on the gum and tooth of #30. What to do for this? Is this normal? Do anyone see any fracture on my tooth? Appreciate your inputs. DrD: Hello,\n- Fracture is very difficult to see on x-rays and very hard to diagnose.\n- RCT may not help if the tooth is fractured. \n- Depending on how is the fracture but tooth may need to be removed if the fracture is deep in the gum. \n- The tooth looks fine on the first x-rays. And the RCT looks good on the second x-rays. \n- Sensitive to cold and biting are normal signs of tooth fracture.  \n- Did you get a biting test with a tooth slooth?\n- Is the pain constant, spontaneous or only if you bite down on that side? or does it wake you up at night?\n- Did you get any medication for it? Du_deleted: DrD said:\n\n\n\n\t\t\tHello,\n- Fracture is very difficult to see on x-rays and very hard to diagnose.\n- RCT may not help if the tooth is fractured.\n- Depending on how is the fracture but tooth may need to be removed if the fracture is deep in the gum.\n- The tooth looks fine on the first x-rays. And the RCT looks good on the second x-rays.\n- Sensitive to cold and biting are normal signs of tooth fracture. \n- Did you get a biting test with a tooth slooth?\n- Is the pain constant, spontaneous or only if you bite down on that side? or does it wake you up at night?\n- Did you get any medication for it?\n\t\t\nClick to expand...\n\nThank you @DrD  for the reply. Appreciate it. \nI have taken NSAIDs, antibiotics, steroid pack and muscle relaxers.  Nothing helps. It's constant burning pain in lower jaw under ear and neck. \nI did a tooth sloth test too. It was paining and sensitivity to bite on one spot on that tooth. So dentist suspect a tooth fracture and took CbcT scan. But the Endodontist couldn't see any fracture and he told me not to extract tht tooth. Told me to try root canal. \n\nMost of my pain is only on lower jaw under ear and neck. It's burning pain. \n\nI had temporary crown work done on Wednesday. Since then I have very sore and sharp pinch like pain on that tooth and gum. Along with lower jaw under ear pain, this tooth and gum pain. Taking NSAIDs. Attaching xray taken this week. \n\nI have this pain since may. Constant burning pain. Does it indicate that I have tooth fracture and need extraction? DrD: It's understandable that the tooth is sensitive to biting but with all the meds + treatments you got on this tooth and still have those symptoms, you probably need to get tooth removed. I would also investigate other places/teeth, or tmj. Du_deleted: DrD said:\n\n\n\n\t\t\tIt's understandable that the tooth is sensitive to biting but with all the meds + treatments you got on this tooth and still have those symptoms, you probably need to get tooth removed. I would also investigate other places/teeth, or tmj.\n\t\t\nClick to expand...\n\nThank you @DrD. I have started a conversation with you. Hope you received it. \nYeah, I am looking into tmj treatment. Tmj specialist told me to start the treatment after all the dental work. \n\nI don't know if I should extract the tooth now. Endodontist didn't recommend me to remove the tooth. Even though my Dentist suspect w tooth root fracture. Endo want me to try crown and see if it helps. \n\nI have been dealing with that pain since may. I don't know if I should try permanent crown or extraction. \nI have very sore pain after this temporary crown work. It's sharp pinch like pain, scratching pain inside in gum and tooth. Is it normal to have pain for a week after this work? Du_deleted: DrD said:\n\n\n\n\t\t\tHello,\n- Fracture is very difficult to see on x-rays and very hard to diagnose.\n- RCT may not help if the tooth is fractured.\n- Depending on how is the fracture but tooth may need to be removed if the fracture is deep in the gum.\n- The tooth looks fine on the first x-rays. And the RCT looks good on the second x-rays.\n- Sensitive to cold and biting are normal signs of tooth fracture. \n- Did you get a biting test with a tooth slooth?\n- Is the pain constant, spontaneous or only if you bite down on that side? or does it wake you up at night?\n- Did you get any medication for it?\n\t\t\nClick to expand...\n\n@A_s ,\nIt's been 2 weeks after temporary crown. I still have sore pain in that gum and tooth. I did salt water rinses. It's like sore , sharp like pinch pain and scratchy like pain. It's on and off and am not chewing that side at all. \nI asked my dental office and they said to wait till my next appointment and see if it improves. \nI have my next appointment for permanent crown next week. I dont know if I should wait for this pain to settle down or to get permanent crown. Du_deleted: DrD said:\n\n\n\n\t\t\tIt's understandable that the tooth is sensitive to biting but with all the meds + treatments you got on this tooth and still have those symptoms, you probably need to get tooth removed. I would also investigate other places/teeth, or tmj.\n\t\t\nClick to expand...\n\n@DrD ,\nIt's been 2 weeks after temporary crown. I still have sore pain in that gum and tooth. I did salt water rinses. It's like sore , sharp like pinch pain and scratchy like pain. It's on and off and am not chewing that side at all.\nI asked my dental office and they said to wait till my next appointment and see if it improves.\nI have my next appointment for permanent crown next week. I dont know if I should wait for this pain to settle down or to get permanent crown."
  },
  {
    "id": 894,
    "title": "What are these dents in 6 year olds teeth?",
    "dialogue": "Denthelp: Hello, \n\nHas anyone seen these before and are they something to worry about? They are on nearly every tooth - especially the molars.\n\nHe is booked in to see a dentist next week but I am feeling a bit anxious about them so any advice would be welcome. \n\nThey are very symmetrical and even and look like little dents. I hadn’t noticed them before so not sure how long they have been there for.\n\nThank you A_s: Denthelp said:\n\n\n\n\t\t\tHello,\n\nHas anyone seen these before and are they something to worry about? They are on nearly every tooth - especially the molars.\n\nHe is booked in to see a dentist next week but I am feeling a bit anxious about them so any advice would be welcome.\n\nThey are very symmetrical and even and look like little dents. I hadn’t noticed them before so not sure how long they have been there for.\n\nThank you\n\t\t\nClick to expand...\n\n\n\nHi,\n\nThey are caused by normal wear from eating and chewing, or from grinding. And a bit of erosion (perhaps from juices, sugary drinks). honestdoc: Those \"dents\" are on baby teeth.  Baby teeth have thinner, less dense enamel and may form pits during function.  The molars will fall out in 4 to 5 years (10.5 years to 12 years) while the baby canines will come out in 3. Denthelp: honestdoc said:\n\n\n\n\t\t\tThose \"dents\" are on baby teeth.  Baby teeth have thinner, less dense enamel and may form pits during function.  The molars will fall out in 4 to 5 years (10.5 years to 12 years) while the baby canines will come out in 3.\n\t\t\nClick to expand...\n\n \nThank you so much for your reply.  Is it likely they will need treatment? Are they a warning sign for cavities? Denthelp: A_s said:\n\n\n\n\t\t\tHi,\n\nThey are caused by normal wear from eating and chewing, or from grinding. And a bit of erosion (perhaps from juices, sugary drinks).\n\t\t\nClick to expand...\n\n\nThank you for your reply. I’m not aware of any grinding but he does have juice. No fizzy.  We are really trying to switch to more water but it appears he would rather go without than drink water! honestdoc: Denthelp said:\n\n\n\n\t\t\tThank you so much for your reply.  Is it likely they will need treatment? Are they a warning sign for cavities?\n\t\t\nClick to expand...\n\n\nI don't think they need treatment for now.  They are more vulnerable for cavities.  Brushing and flossing are a must, proper diet and reduced sugar and acids are very important, and discuss optimal Fluoride with his dentist. Denthelp: honestdoc said:\n\n\n\n\t\t\tI don't think they need treatment for now.  They are more vulnerable for cavities.  Brushing and flossing are a must, proper diet and reduced sugar and acids are very important, and discuss optimal Fluoride with his dentist.\n\t\t\nClick to expand...\n\n\nThank you so much for your time - you have been very helpful.\nI called our dentist today and they are still hopeful our appointment next week will be able to go ahead despite lockdown, so I will ask about the Fluoride then."
  },
  {
    "id": 895,
    "title": "Osseous surgery with existing crown.",
    "dialogue": "Patsyp: I’m getting osseous surgery on my bottom mouth and I have one existing crown already  on my 2nd molar that’s 1year old with no cavity or decay will this affect it.? honestdoc: What kind of osseous surgery are you getting? Patsyp: honestdoc said:\n\n\n\n\t\t\tWhat kind of osseous surgery are you getting?\n\t\t\nClick to expand...\n\nIs there different type of osseous surgery.?\nI think a different term used is Gum Flap surgery. honestdoc: Gum flap surgery may encompass many goals.  Under local anesthesia, the gums are flapped open to access the bone underneath.  The surgeon may employ guided tissue or bone regeneration using various membrane barriers.  Hopefully he or she discussed the case fully because you need full compliance to recommended protocols."
  },
  {
    "id": 896,
    "title": "Aching jaw",
    "dialogue": "Worried87: Hi, the last few months I've had a really aching lower jaw and when I mentioned it to my dentist the last time I saw her she couldn't tell me why I might have it.\n\nThe xrays (which I don't have unfortunately), don't show anything worrying and she wasn't concerned by it or by anything she saw. She said just to monitor it and see how it goes between now and next appointment.\n\nIs there anything other than cavities for example that could make your jaw ache? honestdoc: Grinding and clenching.  This happens very often and especially during Covid.  Consider getting Over-the-Counter night guard for now and the more expensive custom hard bite guard for long term. Worried87: Thank you honestdoc. Are there any other symptoms or ways I can easily tell it's grinding and clenching that is causing the ache? Or is that the only possibility?\n\nI will get an over the counter night guard anyway and see if that helps.\n\nThank you. honestdoc: It can include a lot of symptoms like sore teeth, sore jaw, headaches, and sensitive teeth.  You usually aren't aware you are clenching. Worried87: Thank you. I often have headaches and my teeth are a bit more sensitive than they used to be, so looks like it could well be that. I will try and get the night guard tonight and see how that goes.\n\nThank you again."
  },
  {
    "id": 897,
    "title": "Bone graft material",
    "dialogue": "Patsyp: How long does bone graft  material take to harden around the tooth.?\nI had it done it’s been 3wks. Dr M: Good day\n\nDiffers from person to person. To evaluate healing it would be best to talk to the surgeon that did the graft."
  },
  {
    "id": 898,
    "title": "Using cleanings to inflict damage.",
    "dialogue": "RMaddoc: During the summer one of my front crowns came loose and needed replaced so I called a dentist that I have seen in the past and told I had my crown and just needed it placed back on so they made a appointment for me to visit,\nUpon my arrival the dentist seen I had my crown in a plastic ziploc bag and immediately took it from me as she seated me in a room,the next thing I know is another dentist came in and looked at my mouth and said she would give me a temp crown until my next one arrives in a few weeks.\nI asked what was wrong with my orginal and she acted oblivious that I had it,\nThe other dentist then brought it back to the room and told me the fee which would be to put it back on and also made comments that it's 5 years old.\nA few weeks go by and their office calls me up to come have a cleaning..\nI had no dental issues that needed attention and I was in absolutely no dental pain but I thought businesses are suffering so may as well help them generate business by going to a cleaning ,\nDuring the cleaning they bring another colleague in that I never met before and she tells me I have gingivitis but the good news it's completely curable she says ,\nSo she scraps at my gums a bit with a metal hook but after a few moments she goes to the side of my mouth and starts picking at the bottom of one of my molars so hard that she has to struggle and grunt.,\nAfter what feels like she broke something loose she said looks like you may have senstivity in that area when I eat or drink..\nI replied I never had before,she said I will need to have a filling done and they scheduled me to come back later,\nThat night whenever I ate or drank it hurt \"altho it never happened before the cleaning\"\nI went back to have the fillings done and the same associate that performed the cleaning also was assigned to me for the filling, it felt like she went deep into my tooth with the drill and she asked for other dentists assistance multiple times,\nAfter the filling I went home and after the novocaine wore off I had alot of pain,I then called their office and told something is wrong and they asked me to come back that day,\nThe same dentist was assigned to me to drill down the filling some and I was told it may have irritated a nerve.\nA few days went by and the pain became worse so I called another dentist who seen me and they mentioned it my need a root canal now,\nI told I had no pain at all before the first dentist pried on my molar with a hook,\nThis dentist drilled out the filling and said they didn't put any insulation inside known as dycal,\nHe put some nerve soothing medicine inside with a temporary filling and asked I come back in a month to see if it's better,\nAll of this leads me to believe that the first dental office is milking people for money by intentionally causing damage to people's teeth in the guise of cleaning,\nThey called the procedure scaling but the dental associate struggled with all of her might as she was pulling something loose on my molar,\nMy older records should show if I had a filling in that tooth before the cleaning and I will ask when I go back for my permanent filling,\nAny advice in this area ? Dr M: Good day\n\nIt is difficult to give an exact opinion without a consultation BUT it does sound like you had a lot of calculus associated with the affected molar. When plaque becomes hard, it becomes mineralized and forms calculus. Calculus is almost impossible to brush off with a normal toothbrush and therefore you require scaling.\nOften after removing the calculus with a scaler, the areas underneath become exposed again, as it should have been naturally, and then these areas become very sensitive. That is why you only felt the sensitivity after the cleaning. This should gradually normalize if there wasn't any severe gum recession as well.  If the calculus was there for a long period of time, a cavity could also have formed underneath or associated with the calculus. Depending on how deep the cavity was, the resultant filling could have been close to the nerve or into the nerve and thus resulted in a root canal treatment to be performed.\nThat being said, improper scaling can lead to enamel destruction and cavity formation, so it is important for whoever does the scaling to see where there was calculus or just demineralization. RMaddoc: And does this build up of calculus form on the bottom of a molar where fillings are normally placed?if I understand correctly calculus normally forms around the gumline yet she pried on area in which fillings are normally placed with all of her might, no one expects prying with the word cleaning and when a procedure is prone to using leverage of force I feel patients should be warned  that they may risk breaking stuff off causing additional problems, the innocent word cleaning was only said to me at the time when the first dentist performed it as she never mentioned scaling as afterwards I researched the procedure and found it was the term scaling when using the metal hook and my 2nd dentist confirmed that is the term which is used.\nCleaning was the bait to get patients to agree as it sounds innocent ,if told in advance that they would be doing scaling that involved such force that they risk breaking things off then patients like me could and would most likely refuse.\nFull warning should be advised aforehand .\nI had no warnings whatsoever and it also doesn't explain why they wanted to redo my crown instead of placing my old one back on.\nInstead they played as if they never seen my old crown after taking it from me which a crown on average is 800 plus dollars and insurance only pays half leaving approximately 400 dollars plus bill on my out of pocket expenses,\nThat being said is there not evidence that points to performing service for profit rather than patient wellness. Dr M: Good day\n\nI agree that communication was not great in your situation. Proper understanding of planned procedures as well as the reasoning behind them, should have been explained to you, since this is part of informed consent."
  },
  {
    "id": 899,
    "title": "Cavity",
    "dialogue": "Ouin: Is this a cavity? I’ve tried poking around with the dental pic but I don’t feel a hole. It’s been here for about 6-7 months and it hasn’t gotten any bigger. It doesn’t hurt either. DrD: Hello, If you don't feel a hole with the small pick, then it may not be a cavity. It may just be some stain that got accumulated in a deep pit on the tooth surface. Just make sure the pick is small enough and you have to push it in the spot to feel if it's sticky or not."
  },
  {
    "id": 900,
    "title": "Impacted Teeth Wisdom Teeth Underneath",
    "dialogue": "Jacqui22: Hi There, \n\nI need some serious dental advice as I’m not sure what my options are and I don’t fully trust some of my dentists.\n\nso I’m pretty sure the majority of my wisdom teeth haven’t come through what I gather from thexrays I have been shown I have 2/3 teeth on each side at at back of my mouth that haven’t come through- now that I’m 30 this is starting to cause problems to the point one of my teeth the first molar towards the front on the left (baby tooth is loose and starting to become damaged as one of the adult teeth is pushing underneath it.\n\nI have an appointment on Friday and I’m pretty sure they are just going to fill this baby tooth - if they don’t it will be extracted and leave a gap with a half pertruding adult tooth ...\n\nWith the teeth at the back of my mouth lying underneath baby teeth on both sides I really would like to know what options I have for some serious treatment - \n\nmy concerns are the following - if they all got taken out would veneers be possible as the adult teeth are underneath ?\n\nwould crowning be suitable to protect the other teeth as they are only baby ones ?\n\nAny help would be much appreciated I’m just terrified of having gaps in my teeth / not being able to rectify them \n\nthanks all\n\nJ A_s: Hi\nAny radiographs or photos please, these will help with the suggestions. Thank you."
  },
  {
    "id": 901,
    "title": "Sharp shooting pain left side",
    "dialogue": "A195x: Just tonight I have noticed this sharp shooting pain in the left side came on suddenly unsure if it’s the teeth or jaw! I did have these sweets that were very chewy. The pain is horrible, I’d say it gets worse when opening the mouth but seems to be coming on suddenly then going away then coming back.\nEarlier it felt like my gum was stinging a little at the bottom of the teeth, but that sounds silly. My tooth teeth have been bleeding when brushing lately and I brush daily with Fluoride\nConcerned with this sharp dullish pain ans it feels like its affecting left side of face? What could it be, should it disappear as never had this before! honestdoc: It's hard to diagnose everything through this forum but I suspect you may be grinding and clenching.  The least expensive option is to go to the store and pick up a dental night guard for $20 to $30.  If that is resolving your pain but feels awkward to use, you may need to consider a custom bite guard which can run $400 or more.  You also may be brushing too hard causing irreversible gum recession and damage to the teeth.  Make sure you are using a soft bristled tooth brush and you're not scrubbing and flattening the bristles.  The bristles should look straight and new when you throw it out after 3 to 4 months."
  },
  {
    "id": 902,
    "title": "Root canaled crown pain",
    "dialogue": "Helloeveryone111: Hi\n\nEveryone I am new to this forum, and i need some advice, i live in the uk and I am getting treated under the nhs. I had advanced decay on my upper left premolar (tooth just before the molar) my dentist did a root canal on feb 2019 with no crown, and it caused no problems, however there was a hair line crack on the tooth and eventually a small amount broke off. Then in August 2019 she did a crown on the root canal tooth, at first it did cause me problems such as throbbing and my bite was off but i thought it was just the adjustment period. Then march this year the covid happened and dentist closed. I had my dentists personal email and emailed her may time to say the crown is throbbing, she adviced to floss and use mouthwash. Then the pain went for a bit then it came back August/September time. And only to be fobbed off with antibiotics and an xray. On the xray there is a very tiny shadow on the adjacent premolar root tip which also has been root canaled by has no crown and she is blaming that tooth for my woes. I am adament it is the crowned root canel tooth that is causing the pain and not the adjacent non crowned root caneled tooth.\n\nNote: the shadow on the root tip of the adjacent premolar was there before the other tooth got crowned on xrays and at this time i had no problems, pain only occurred when tooth was crowned\n\nMy symptom: 1)Old taste in mouth 2)Throbbing which comes and goes 3) tender to bite on the crown (the adjacent premolar is absolutely fine to eat on) 4) wobbly crown that i can move with my finger nail.\n\nAny advice please honestdoc: I'm suspecting fracture.  Do you have any swelling?  Many times fractures can be undetectable initially.  Over a course of a few weeks, it can present with attachment loss detectable with gum probe.  It depends on how serious.  Best case is that you were grinding and or clenching due to stress and hyper-inflammed it.  Worse case you need to extract the tooth. Helloeveryone111: honestdoc said:\n\n\n\n\t\t\tI'm suspecting fracture.  Do you have any swelling?  Many times fractures can be undetectable initially.  Over a course of a few weeks, it can present with attachment loss detectable with gum probe.  It depends on how serious.  Best case is that you were grinding and or clenching due to stress and hyper-inflammed it.  Worse case you need to extract the tooth.\n\t\t\nClick to expand...\n\n\nHey thanks for your reply, yes i think i teeth grind or jaw clench at night and the crown isnt good for my bite as the base of the crown is high, not only that i think it is loose, and no i have no swelling and the pain goes away when i dont eat on that side for a few days. Helloeveryone111: honestdoc said:\n\n\n\n\t\t\tI'm suspecting fracture.  Do you have any swelling?  Many times fractures can be undetectable initially.  Over a course of a few weeks, it can present with attachment loss detectable with gum probe.  It depends on how serious.  Best case is that you were grinding and or clenching due to stress and hyper-inflammed it.  Worse case you need to extract the tooth.\n\t\t\nClick to expand...\n\nAlso like today when i press down with my thumb on the base of the crown, it doesnt hurt much, but before when i had the peak of the pain it would hurt, giving me the impression if it was an fracture then the pain wouldn't go away?"
  },
  {
    "id": 903,
    "title": "Dentist ruined two front teeth",
    "dialogue": "SteveC508: I had a dentist completely butcher two of my bottom front teeth during the process of removing bonding that I didn’t want added in the first place. I’ve been completely depressed and distraught ever since. She ruined them for the rest of my life. They’re rough on the surface, jagged and uneven to my tongue, and thinner than they used to be. My bite is also uneven because if it.\n\nI’m seriously contemplating whether I should just rip them out and get implants. Or crowns. FML.  I don’t know what to do. honestdoc: Why did your dentist bond your teeth that you didn't want?  Were there cavities or something else?  What did she say about your teeth now.  Give her a chance to correct the problem. SteveC508: Dentist 1 bonded three of my front teeth without my asking. I specifically said I had a small crack in the top of one front tooth that I asked if he could bond. I sat back in the chair. I sat back up a few minutes later and was told ‘I went ahead and bonded all 3 front teeth’. We had met several months prior and discussed potentially adding bonding to the 3 teeth. He took it entirely upon himself that day to actually do it. \n\nA few days later the bonding is bothering me. Dentist 1 is not in the office for 3 more weeks. I agree to see Dentist 2 to remove the bonding, assured she is fully capable. Dentist 2 butchers my teeth.\n\nI no longer trust the office whatsoever and will not go back to them. I’ve since seen two other dentists and have been told there is no great way to fix them. Polishing the roughness likely means removing additional enamel. Adding back bonding to fix the unevenness would likely come off since the are where I bite down. It seems the only answer is an entirely new tooth."
  },
  {
    "id": 904,
    "title": "Gum abscess, can antibiotics only work..?",
    "dialogue": "Barkermush: I started with swelling/pain on Wednesday, phoned emergancy dental line. I was told it was a abscess due to what I described. (Never had one before) anyway due to Covid and the situation here in the UK, they just did a perscription for amoxicillin 500 mg (3 times a day for 5 days) that I picked up from a local pharamcy.\nAnyway I am at the end of the 3rd day, and I am in constant pain.. seemed to get worse after the first day (late on Thursday evening), and I have been in a constant pain since (i'd say 8 out of 10 pain) the throbbing is unbareable at times even with Ibuprofen. Tried warm salt water rinses, a soft brissle tooth brush.. but nothing is really helping.\nAfter searching up on mouth abscess, almost all of the advice threads say that it's drained by a dentist first then antibiotics are to be taken.\nJust decided to pull my mouth open with a toothbrush (not been able to open it right due to the pain) and looked into the mirror to see what was going on, and I noticed it's right at the back of my mouth and comes across to the side (like it's split in two) and the side is a big red swallon mess.. explains all the pain I'm feeling, as my upper teeth are inprinted into the side of the swelling \nTaken a picture, but not sure if you can see it clearly.\n\n\nAnyway, should I just persist with the pain and give it 2 more days till the end of the amoxicillin, or should I be trying to get into a dentist asap? Sorry if it doesn't make sense or is too long/cluttered... it's currently 3am for me, I'm in pain and tired due to lack of sleep these past 2 nights. Sonia Salamuri: Hi!\nTooth pain is exausting, is it possible for you to get a video call to a dentist, due to the Covid? I've heard from the news that in UK somethings will be closed for some time.\nWish you to get better! A_s: Hello,\n\nIf it is an abscess caused by a tooth, the best option will be to drain it through the tooth, extraction (if the tooth cannot be saved), or drain through soft tissues. Antibiotics can help to settle down the infection a bit. But after the infection has settled down, less painful, the cause of the abscess should be treated i.e. the tooth - if it is the cause. \n\nHope you can see someone in the UK soon."
  },
  {
    "id": 905,
    "title": "Lump in the middle of my cheek",
    "dialogue": "Vincentre: I notice it when i wake up, one side of my face is swollen near the cheeks. Days later it shrink but when i check my mouth i see a lump in the middle of my cheeks and when i touch it, it was not painful. Up until now the lump staying on its own and the size remain the same. Every morning i gurgle salt with warm matter but it's still here. My mother and i go to doctor to check this up, doctor said maybe it is bacteria infection. But there's know changes after drinking those antibiotics he gave me. My lump still not shrinking. I don't know what to do. Dr M: Good day\n\nDo you perhaps have a photo of the area in question? Vincentre: sorry doctor, i couldn't provide the picture because the camera of my phone is low. and im renting at the computer cafe this time,to know what is this.i don't want to worry my parents because we do not have enought money. i search the google in look for the part of the mouth and the part where the lump in my cheek is in buccal. i read about some info about buccal and im scared maybe it's a tumor. the shape Dr M: Unfortunately I would need to see a photo of the area to give you more advice. If you are scared, rather go see a dentist, that will evaluate the area and take an x-ray. He will then manage accordingly.\nIt is important to note that you have an opening, called the Stenson's duct, that is actually a salivary duct opening and part of normal anatomy in that area. Some people have been known to misjudge this as pathology."
  },
  {
    "id": 906,
    "title": "Spot",
    "dialogue": "Same-dust2407: 3 So 3 months ago I hurt the roof of my mouth and a small spot appeared. I picked at it and it now hasn’t gone away after 3 months. I went to the dentist and he took an X-ray and said it was just gum growth. However the spot fluctuates in size. As seen it is not huge but it does annoy me and I have noticed it getting bigger. It feels quite hard and I have burnt my mouth this weekend and now it is a bit sore. Before this it was not sore. I know I have been to the dentist but this spot is worrying me. I have googled and think it might be a persistent Mucous cyst? Which apparently I can just leave alone? Or do you recommend I have it removed! Thank you!!!! Same-dust2407: Here it is today. I believe it to be a oral Fibroma honestdoc: With your history of trauma, appropriately it is called Traumatic Fibroma.  Have it removed and confirm it with a biopsy. Same-dust2407: Thank you so much! I’m just curious... Why did the dentist not say to have it removed? He said I could have it removed but it wasn’t necessary?I also have a small lump in my jawline, the doctor said that this was a lymph-node because it has gone down and it hurt at one point could this be related e.g. cancer. I do know that lymph nodes sometimes never go down but just wanted to check that this could not be related! Thank you Dr M: Good day,\n\nUsually with your history, the most likely diagnoses is a traumatic fibroma. It can be biopsied if you wish, to confirm diagnoses, but in a lot of cases it is not necessary to remove it, if it is not causing you any discomfort. It is just important to be aware of this lesion, and if you notice any changes, then rather have it excised. Same-dust2407: You are all amazing thank you so much! I am a teacher and don’t get time to get things checked as much and you’ve just made my life so much easier! The spot does annoy me and has appeared to have gotten bigger... however I do touch it alot so I will try and leave it alone and if it causes me further issues I will then get it removed! Thank you again you are amazing!"
  },
  {
    "id": 907,
    "title": "Can we do crown work after wisdom tooth procedure?",
    "dialogue": "Du_deleted: Hii,\nI have extracted upper right wisdom tooth on July. I did that because I had lower jaw pain and neck pain. I went to dentist and he said that wisdom tooth could be a reason. Extracted it and still same symptoms. Dentist suspect a tooth root fracture in tooth#30 and told me to extract that. Went to Endodontist and he said he couldn't see any fracture and did RCT. I did rct in September first week. Crown not done yet.\n\nAfter my wisdom tooth extraction, I see some hard bump on the gum of extraction site. I went back to OMFS in August and he said it will absorb on own. It didn't. Went back to him on Monday and he shaved it down. He put anesthesia and scraped that area so hard and aggressive. I still feel soreness and pain in the extraction gum and inside cheek area. He did stitches too. I have a crown work #30 scheduled for next week. Can I do crown work or should I wait till this wisdom tooth area heal completely?they said it will take 2 weeks to dissolve the stitches.\n\nThanks. A_s: It should be fine to go ahead with the crown, as long as you do not experience any pain from the root treated tooth and the root canal treatment is good. Du_deleted: A_s said:\n\n\n\n\t\t\tIt should be fine to go ahead with the crown, as long as you do not experience any pain from the root treated tooth and the root canal treatment is good.\n\t\t\nClick to expand...\n\nThank you for the response @A_s . Rct treatment is good and that tooth is not showing any symptoms. My pain is in the lower jaw and neck. They suspect tooth fracture on this tooth could be the reason for my symptoms. \n\nMy concern is about the crown impression material.  I never had crown before. I read online that impression material will be placed on all the teeth on the right side. I still have hole in the extraction site area where I did that bone fragment shaving done. It has some stitches too. \nI see a socket hole too.  I don't want the impression material to get into socket. Will the material be placed on all the tooth or only on that particular tooth? Any inputs. A_s: Dental user said:\n\n\n\n\t\t\tThank you for the response @A_s . Rct treatment is good and that tooth is not showing any symptoms. My pain is in the lower jaw and neck. They suspect tooth fracture on this tooth could be the reason for my symptoms.\n\nMy concern is about the crown impression material.  I never had crown before. I read online that impression material will be placed on all the teeth on the right side. I still have hole in the extraction site area where I did that bone fragment shaving done. It has some stitches too.\nI see a socket hole too.  I don't want the impression material to get into socket. Will the material be placed on all the tooth or only on that particular tooth? Any inputs.\n\t\t\nClick to expand...\n\n The crown impression material itself is safe, but if you are concern about the material to get into the socket or any other concerns, you can always postpone the crown treatment for now, provided that you can take care of the root treated tooth e.g. do not eat/chew anything hard onto it (but you can still brush normally).  Hope it helps. Du_deleted: A_s said:\n\n\n\n\t\t\tThe crown impression material itself is safe, but if you are concern about the material to get into the socket or any other concerns, you can always postpone the crown treatment for now, provided that you can take care of the root treated tooth e.g. do not eat/chew anything hard onto it (but you can still brush normally).  Hope it helps.\n\t\t\nClick to expand...\n\nHave you had crown before? If yes, How is the impression taken? Any idea? Is it done on one tooth or the lower teeth and upper teeth?? A_s: Dental user said:\n\n\n\n\t\t\tHave you had crown before? If yes, How is the impression taken? Any idea? Is it done on one tooth or the lower teeth and upper teeth??\n\t\t\nClick to expand...\n\n\nI have taken many impressions for my patients. The impression sets in a few minutes will come out in one piece. The impression taken ideally needs to capture all the teeth because we need to simulate your bite and jaw movements, etc in order to make a crown that actually fits with your bite. Because every crown is different and it needs to be accurately made just for you. Du_deleted: A_s said:\n\n\n\n\t\t\tI have taken many impressions for my patients. The impression sets in a few minutes will come out in one piece. The impression taken ideally needs to capture all the teeth because we need to simulate your bite and jaw movements, etc in order to make a crown that actually fits with your bite. Because every crown is different and it needs to be accurately made just for you.\n\t\t\nClick to expand...\n\nThank you @A_s. \nAre you a dentist?? See you mentioned about patients. \n\nSo, for the impression of a lower first molar, do they take impression of upper teeth too? So it might hurt or affect the extraction area on upper? I don't want the material to stuck into the socket and don't want the material to pull up the stitches. That's the only concern. \nI don't want to postpone too. Because I am dealing with lower jaw and neck pain since may. No diagnosis yet. This root canal is done suspecting the lower molar fracture is the reason for my pain. Same symptoms after rct.  My dentist want me to extract that tooth. The Endodontist don't want me to extract and told me to try RCT. I have to finish this crown procedure and have other specialist visits(ent, neuro) to find the diagnosis. \n\nI asked my dentist office if it's ok to do crown after wisdom tooth stitches and the staff said it's ok to do. \nI have scheduled for next Thursday as I thought 10 days time after this stitches will be ok. But now the dentist office asked me to come on Monday as they have a schedule open. \nI don't know if the area will be healed so soon and stitches dissolved. I still have soreness and little discomfort in tht gum area. Taking ibuprofen. \n\nDo you think the crown impression might affect this healing process or take off the stitches?"
  },
  {
    "id": 908,
    "title": "Did the dentist hit dentin if I felt a sensation during drilling?",
    "dialogue": "SteveC508: I recently had a dentist remove bonding from one of my bottom front teeth.  During the removal the dentist used a drill and at one point I could feel a sudden sensation in the tooth.  Does that mean she drilled through enamel and hit dentin?  \n\nThe tooth has also been slightly tingly at times since then (it happened over a month ago). I'm concerned the dentist removed enamel and the sensation I felt was a sign she drilled entirely through it. Dr M: Good day\n\nIs the tooth still sensitive now? SteveC508: It is a bit yes. It still tingles or I sometimes get a light throbbing feeling. It doesn’t hurt though. I like to think it’s the tooth trying to heal itself a bit. Dr M: That might indicate that the dentin is exposed. Unfortunately it is impossible to determine what happened since everyone is different and I don't know what your enamel looked like before the time.\nIf you can get hold of some Sensodyne toothpaste, I would suggest trying some. I often advise my patients to rub some Sensodyne on the affected tooth with your finger, all over the tooth, and then leave it on the tooth. Don't rinse your mouth. Do this twice a day. This often alleviates the symptoms. SteveC508: Thank you.  I do actually use Sensodyne toothpaste, and it helps.  It's helpful to know that the sensation I'm feeling might indicate dentin is exposed.  That's what I had thought. SteveC508: Also, this is how the tooth looked before.  It had plenty of enamel I believe.  I know these are different angles but still maybe is helpful."
  },
  {
    "id": 909,
    "title": "Swollen inside cheek-right side only",
    "dialogue": "Newbie0107: It's been a week since it's here, there's a swelling inside of my cheek. I feel no pain about it, plus I have a growing lower wisdom tooth which is actually not painful to. I just eat normal no pain feeling. I'm just worried about this and it really bother me up. I keep on searching on google but it turns to overthinking side of me. As you see it's visible in the camera Dr M: Good day\n\nThe photo is not really clear? Do you perhaps have additional photos? Newbie0107: Dr M said:\n\n\n\n\t\t\tGood day\n\nThe photo is not really clear? Do you perhaps have additional photos?\n\t\t\nClick to expand...\n\n\nSorry for replying late, Sir. I hope you can help me to cope with this. In the first picture, inside cheek is swollen while in the other side is normal. Dr M: Do you perhaps bite your cheeks? Newbie0107: Dr M said:\n\n\n\n\t\t\tDo you perhaps bite your cheeks?\n\t\t\nClick to expand...\n\n\nNo, Sir. I never do biting my cheeks. Maybe it is the cause of growing wisdom tooth, Sir? Dr M: It could be. I would need to do a clinical exam with x-rays to be sure. Might also be due to a blocked salivary duct. I would suggest going to a dentist in your area for an examination Newbie0107: Dr M said:\n\n\n\n\t\t\tIt could be. I would need to do a clinical exam with x-rays to be sure. Might also be due to a blocked salivary duct. I would suggest going to a dentist in your area for an examination\n\t\t\nClick to expand...\n\n Is it dangerous, Sir? Dr M: A blocked salivary duct can enlarge and become painful. Newbie0107: Th\n\n\nDr M said:\n\n\n\n\t\t\tA blocked salivary duct can enlarge and become painful.\n\t\t\nClick to expand...\n\nThank you for answering. I do really appreciate it, will take action right away."
  },
  {
    "id": 910,
    "title": "Tooth extraction socket",
    "dialogue": "Liz197712: I had a tooth removed 3 days ago, I’m not in pain but feeling unwell and swallow. But the site looks to be healing well.\n\nhave attached a picture could some advise as to weather looks like healing ok\n\nthanks Dr M: Good day\n\nIf you are not in pain, the healing process is proceeding normally. Usually after an extraction, the socket is filled with a blood clot, which forms granulation tissue, which appears yellow and then gradually it becomes pink.\nIf you suddenly experience pain, it might be that the socket became infected i.e dry socket, and then you need to arrange for a follow-up visit with the dentist in order to clean it out."
  },
  {
    "id": 911,
    "title": "MY BACK RIGHT OF MOUTH HURTS SO BAD.",
    "dialogue": "NAE_NAE23: Im unsure of what happened to make my mouth hurt but 2 days ago my mouth became sore. The pain has only been getting worse and now i cant eat or chew. There is a constant pain on that side of my mouth and when i look in the mirror it is very red and irriatated looking. Any advice or ideas what it is? i havent had any \n\t\t\n\t\t\n\t\n\n\n\t\n\n\n\nrecent dental work done. Dr M: It looks like an apthous ulcer. This is quite common. It should disappear on its own, but you can rinse with salt water in the mean time, in order to keep the area clean, or if you have access to Kenalog in Orobase, apply to the area to help with the symptoms."
  },
  {
    "id": 912,
    "title": "any ideas on what this is please help",
    "dialogue": "angelluv:  Dr M: Good day,\n\nIt looks like it might be an apthous ulcer although the photo is not clear. Apthous ulcers is an auto-immune disorder and flares up if you are stressed or if your immune system is a bit under pressure due to something else. They usually disappear between 14-21 days, but can flare up again."
  },
  {
    "id": 913,
    "title": "Hard pimple like boil on the gum of the wisdom tooth extraction site",
    "dialogue": "Du_deleted: Hi,\nI extracted my erupted upper right wisdom tooth on July 2nd. It's been more than 7 weeks. I went for a follow-up at 2 weeks and it was normal and healed. I didn't had any stitches. \nFrom last week, I feel a pimple like blister bump above the extraction site. I run over my tongue and could feel that. What could be the boil on the gum?\n\nI do have some sore pain on the extraction site. I am also having TMJD pain with lower jaw swelling and pain under the earlobe for 3 months now. Dentist days the upper wisdom tooth is the issue and told me to remove it out and I extracted it. My upper jaw is so stiff and tight still. I couldn't open wider. \n\nAnd whenever I eat hot foods, I feel sore sharp pain in the extraction site. I don't know if the holes are closed. I couldn't see further on the mirror. \n\nI am worried about the blister on the gum and the pain in front of the ear. It's very severe sore pain. Any thoughts anyone? Cloud: On one of my wisdom bottom extraction I noticed a red blister/pimple just last night while brushing. I don’t have any pain at the moment, but I hope it’s not an infection or dry socket. Du_deleted: Cloud said:\n\n\n\n\t\t\tOn one of my wisdom bottom extraction I noticed a red blister/pimple just last night while brushing. I don’t have any pain at the moment, but I hope it’s not an infection or dry socket.\n\t\t\nClick to expand...\n\nWhen did you have your extraction? Cloud: Dental user said:\n\n\n\n\t\t\tWhen did you have your extraction?\n\t\t\nClick to expand...\n\n\nOver 3 weeks ago. I still have no pain so I don’t know what it is. I read it’s the wound healing itself and if t were a dry socket I would have extreme pain, so I hope that’s true. Not sure why my other extraction site doesn’t have that pimple though. Cloud: My dentist said if it doesn’t hurt it would go down on it’s own and it did. I had my regularly cleaning and my wisdom site is healing just fine. I just can’t wait until it completely covers up, so I can go back to eating rice (been scared to).\n\n2 months in and I read it takes like 3-6 months Du_deleted: Cloud said:\n\n\n\n\t\t\tMy dentist said if it doesn’t hurt it would go down on it’s own and it did. I had my regularly cleaning and my wisdom site is healing just fine. I just can’t wait until it completely covers up, so I can go back to eating rice (been scared to).\n\n2 months in and I read it takes like 3-6 months\n\t\t\nClick to expand...\n\nYour bump blister went away? Mine is still there and very hard to touch. It's a hard bump. But very small though. I went to OMFS a month back. He said to give it few weeks and see if it goes away. If it doesn't, asked me to come back to take that off. I don't want to go through another procedure, so waiting for it to go on it's own. But it's paining now like sharp throbbing pain in that spot. Cloud: Yes, it went down actually like a month ago or so and I never felt any pain. I’m not an expert, but if it hurts it could be something else. Du_deleted: Cloud said:\n\n\n\n\t\t\tYes, it went down actually like a month ago or so and I never felt any pain. I’m not an expert, but if it hurts it could be something else.\n\t\t\nClick to expand...\n\nI have it since August and it's paining for last 2 weeks. I have been dealing with lower jaw and neck pain. So I didn't focus much on this wisdom tooth extraction site pain. Cloud: August, damn. Hopefully it isn’t anything too major. Du_deleted: Cloud said:\n\n\n\n\t\t\tAugust, damn. Hopefully it isn’t anything too major.\n\t\t\nClick to expand...\n\nI went to oral surgeon in September and he said it will go off in its own. I am waiting till now and it's not. Have to check again"
  },
  {
    "id": 914,
    "title": "Dentist damaged teeth with bonding removal",
    "dialogue": "SteveC508: A dentist recently added, without my consent, bonding to 3 of my front bottom teeth. (I suffer from bruxism at night and had started to grind on these teeth. I had asked if he could bond one small crack in the top of one tooth and he completely bonded 3 whole teeth.) Days later I had the bonding removed and I think the dentist removed some healthy tooth with it. They now feel thinner, jagged on top, and uneven. I can’t stand it. The teeth that were bonded are 23-25, and 23/24 are the ones that bother me.\n\nMy question is - I'm considering doing Ortho to correct a deep overbite that may contribute to the teeth wear. I’m also seeing a Sleep Apnea Dentist to possibly get an oral appliance to help with the bruxism. Do I bother seeing someone about the teeth that are bothering me now, or hold off since I’m considering Ortho?  I’m struggling with this on a daily basis. They aren’t sensitive, just very annoying.\n\nSee a before (teeth look whiter) and after pic (teeth look a little yellower due to lighting). Dr M: Good day,\n\nIt might be that not all of the material was removed evenly and thus it feels as if certain areas are a bit rough. If it bothers you a lot, you can go back to the same dentist in order for them to polish the teeth. Sometimes a little bit of polishing can make a major difference."
  },
  {
    "id": 915,
    "title": "Treatment",
    "dialogue": "Dad61: Morning all. My 12 year old girl was told last year she needs braces but she'd have to have 4 teeth removed first. She was put on a waiting list for the extractions at Kings, London. However, no doubt due to the pandemic, nothing has been heard since. How do I go about having the extractions done privately so she can continue with her orthodontic treatment? Our NHS surgery says they cannot do the procedure in their surgery.Thanks. \n. Dr M: Good day,\n\nHave you been seen by an orthodontist for a consultation? If you have, the teeth that needs removal should be noted on his treatment plan. You can then take this to a private dentist and he can then manage accordingly."
  },
  {
    "id": 916,
    "title": "Hole in back of cheek! Help :(",
    "dialogue": "Imseagraves: It’s been about 3 days, I’m becoming concerned.. does this look like a canker sore or possibly something more serious? It’s very painful!!! No fever or other symptoms. \nhas anyone had something similar? honestdoc: That is called apthous stomatitis.  It's an autoimmune response will go away in about 7 to 10 days.  If you get frequent painful sores, have your dentist prescribe you Kenalog in Orabase.  It is most effective if you apply it on the first day you notice."
  },
  {
    "id": 917,
    "title": "Wetting toothpadte",
    "dialogue": "Graceson05: shoukd I put water on my toothpaste before brushing honestdoc: I do.  It will help form suds."
  },
  {
    "id": 918,
    "title": "Oral B Electric Toothbrush and Waterpik",
    "dialogue": "Cloud: I brush after every meal and use those GUM toothpicks to floss because I have trouble running the floss thread with braces, but still face some tartar. I been reading good reviews of oral b and those waterpik.\n\nDoes anyone use these products with braces mind recommending one to me? So many oral b products, I have no clue which is good. honestdoc: Unfortunately you will always get tartar buildup.  Your saliva has minerals and will stick to leftover plaque and calcify.  At best, you may get about 90 to 95% plaque removal (most only get 50 to 75% and many don't even brush in my location).  Some people's saliva have more mineral content than others.  It's hard to look up reviews  on hygiene products since many are sponsored and biased.  Call your orthodontist office and hear what they recommend.  You shouldn't go wrong with Oral B as long as you use it. Cloud: Thank for the information. That makes me feel better since I thought I could get 100%."
  },
  {
    "id": 919,
    "title": "Is it possible to spit out all the fluoride from the toothpaste after brushing your teeth?",
    "dialogue": "DavidM22: Hi, folk.\n\nI know that rinsing after brushing your teeth is bad, but is it also bad if you would spit out all the remaining toothpaste left in your mouth after brushing, without leaving some of it inside?\n\nI ask this because usually, whenever I'm done brushing my teeth, I try to spit out as much toothpaste in my mouth as possible, usually because I don't like the taste of the toothpaste that I use.\n\nI'm starting to wonder if this is bad for me? Do I spit out the remaining fluoride in my mouth from the toothpaste this way, making the whole point of not rinsing have no effect? Should I change my spitting habit to only spit out a little bit, and leave a small amount of foam in there, or should I do something else? honestdoc: I rinse all the toothpaste out of my mouth. The amount of Fluoride you need depends on your risk factors.  It is impossible to gauge the the microscopic Parts Per Million you've been receiving or spitting out.  1.  Does your drinking water have Fluoride?  2.  Did you have a lot of cavities at your last dental exam?  3.  Do you have a lot of fillings and dental work?  4.  Are your teeth deteriorating (if you haven't visited the dentist)?  If you are considered high risk, in addition to nutritional and oral hygiene counseling, I would prescribe you a 5000 PPM Fluoride toothpaste (no rinsing) after using regular Over the Counter high Fluoride toothpaste like Crest, Colgate, any ADA approved."
  },
  {
    "id": 920,
    "title": "Lower front tooth feel sensitivity after eating hot food. What helps.",
    "dialogue": "Du_deleted: Hi,\nI was eating some hot meal today.  It was so hot and I always eat warm or normal temperature food. Today it was very hot and it was a soft meal. So I was eating and swallowing it hot. After the meal, I felt sensitivity on lower front tooth. #25,#26. It was there for a second like sharp sensitivity and goes off. After that, I felt some soreness or discomfort on that tooth and gum area. Is this normal to have sensitivity like this? I don't have any cavities on that tooth. Will this sensitivity repeat or persists? I would like to know what does it indicates and what helps? Please share your thoughts. Dr M: Good day,\n\nEvery single tooth has nerve tissue on the inside. If you exposed the tooth to certain temperatures, hot or cold, and this exceeds what is \" normal \", the nerve can get damaged. This damage can be reversible and take some time to get back to normal or it can be irreversible, in which case dental intervention will be required. \nIt is also possible that the hot food actually damaged the gum in that area as well, and thus it feels like the teeth are sore, but in reality the gum was damaged.\nMy advice would be to avoid food that is too hot. This could lead to soft tissue damage as well as damage to your teeth.\nYou can rinse with some luke warm salt water and give the area at least a week to heal. If it doesn't get back to normal, arrange a consultation with your dentist. Du_deleted: Adding my recent x-rays. Du_deleted: Dr M said:\n\n\n\n\t\t\tGood day,\n\nEvery single tooth has nerve tissue on the inside. If you exposed the tooth to certain temperatures, hot or cold, and this exceeds what is \" normal \", the nerve can get damaged. This damage can be reversible and take some time to get back to normal or it can be irreversible, in which case dental intervention will be required.\nIt is also possible that the hot food actually damaged the gum in that area as well, and thus it feels like the teeth are sore, but in reality the gum was damaged.\nMy advice would be to avoid food that is too hot. This could lead to soft tissue damage as well as damage to your teeth.\nYou can rinse with some luke warm salt water and give the area at least a week to heal. If it doesn't get back to normal, arrange a consultation with your dentist.\n\t\t\nClick to expand...\n\nThank you @Dr M. Appreciate it. \nI have attached my recent x-rays too."
  },
  {
    "id": 921,
    "title": "Dental struggles",
    "dialogue": "veohstew112: Hopefully this is in the correct thread. But at this point I feel like my life is ruined and spoiled. I am 21  and have had major dental problems since 17. I had to get an extraction on the top row of my teeth. I really feel like my life is over at this point. I feel like it’s harder for me to do everything because of the way my teeth look now. \n\nNow I am 15 times more angry at myself because I missed my opportunity to get my teeth fixed before I was 21. That was my goal but my fear of the dentist kept me away. i am still having difficulty right now with being comfortable and not anxious about being with a new dentist. I need some encouragement. I don’t mention my dental problems to my therapist. Yet it is the main and only source of my unhappiness and anxiety. \n\nAs of right now I am in need for a deep cleaning then a dental plan. But could anyone tell me how many procedures I can get done in one day. I;m trying to get them done as soon as I can. Also I wanted to know if there is a difference with the front and back teeth. Would it be more difficult to treat? Dr M: Good day\n\nI am sorry to hear that you have such anxiety when it comes to seeing a dentist? I don't know if you had a bad experience previously, but it is important to mention this to your dentist. In these modern times, there are a lot of methods we can employ to actually make you more relaxed when in the dental chair such as conscious sedation etc.\nWith regards to your question-my opinion would be to go for a a consultation first. This will allow the dentist to do a thorough examination and then draw up a prioritized dental plan. I say prioritized, so that the dentist can try and save the teeth that needs saving first, to prevent further tooth or associated soft or bone tissue loss. \nThe amount of procedures that can be done, depends on what type of procedure is required. Certain procedures such as root canals and crown preparations take longer than a normal filling and as such the amount of treatment would be limited, since an appointment time is also limited.\nPlease mention your fears to your dentist. We are  here to help you, and not to hurt you. And I know many dentists want to work with you and not only on you.\n\nAll the best! veohstew112: Dr M said:\n\n\n\n\t\t\tAnd I know many dentists want to work with you and not only on you.\n\t\t\nClick to expand...\n\n\nMost of every dentist I've worked with had something negative to say about my teeth. So I don't feel comfortable doing anything with them.  And they think they can ask me a bunch of personal questions when all I want is my teeth fixed. Dr M: Good day\n\nSometimes personal questions are necessary in order to determine why your teeth got to the point where it is. Anything that you say, should be kept confidential. This also forms part of your medical history.\nI am sorry to hear that every dentist has only focused on the problems and proceeded with negative comments. Although it is sometimes necessary to stress the seriousness of a situation, since some patients don't take their oral hygiene seriously, it is important for the dentist also to focus on what can be done in order to fix what is needed to be fixed, in order to give you a positive outlook of what the end result should be."
  },
  {
    "id": 922,
    "title": "Fluid leaking from teeth - Intraoral sinus tracts (Dental fistulous)",
    "dialogue": "zorba25: Has anyone come across fluid leaking through teeth with bad taste.  \n\nWe have read about  Intraoral sinus tracts (Dental fistulous) starting to wonder if this may be happening.\n\nWould such a thing show up on cbct scan as we have had one but no infection or abcess showing.\n\nIt may explain why the toothache is worse sometimes than others as the pressure would build and as the pus releases ease again.\n\nHad a not too bad day then major pain for a couple of days then last night he flossed and noticed more blood than has been and today the fluid leaking is much more again.  Been leaking all day explained as equivalent of a cup full. \n\nWhen mentioned to our dentists about the fluid they dont seem to have come across it.\n\nAlso noticed yesterday when taking pain killers getting the taste of what he has had coming back through in the fluid.\nAny ideas? honestdoc: There are some details that don't make sense.  1)  Who are you talking about that is experiencing this?  2)  Why did \"he\" need CBCT scan?  3)  Your dentist couldn't figure your problem?  4)  Why is \"he\" taking pain killers?  Try to provide an x-ray of the area and a picture.  We can't read minds with all these vague details. zorba25: Sorry for the lack of clarity just wanted a\na general idea on a sinus tract as I have posted previously in an earlier thread in relation to the history of my husband’s toothpain and problems.  He has seen both his NHS dentist and we have paid to also see a private dentist due to the restrictions for doing any detailed treatment currently with the pandemic. (the NHS are limited at present) neither dentist can see any infection or decay on xray or by examination or identify where the pain is coming from) .  The CBCT scan was done to see if more detail would help but hasn’t.\n\nHe has been taking pain killers for the toothache as advised by Dentist and Doctor.\nWe do not have a copy of the xray or scan currently. \n\n\n\n\n\n\n\n\n\n\t\t\t\t\t\tToothache for weeks\n\t\t\t\t\t\n\nMy hubby has now had toothache for over 9 weeks and due to the current situation is hitting walls with no NHS medical services and no idea what to do.  Started initially with bleeding gums both top and bottom on left handside. Used corsadyl for a bit and sorted the bleeding.  Then started a few...\n\n\n\n\n\t\t\t\t\twww.dentistry-forums.com\n\t\t\t\t\n\n\n\n\nThanks honestdoc: \"Sinus tract\" may be interpreted in 2 ways.  The sinus has a thin membrane over the top teeth.  When a top molar tooth gets extracted, there is a risk for perforating the membrane and the sinus and the mouth will have an unfortunate connection.  Another interpretation of \"Sinus tract\" is a fistula where the tooth abscess wants to drain in the path of least resistance.  There will be a pimple in the gum with drainage.  Usually the x-ray will detect the abscess if enough time has passed.  If the abscess is acute and recent, it may not show up on x-rays since the abscess needs time to resorb through the bone.  With the extended period of time your husband is suffering, any abscess will be detectable.  \n\nWhat are all the medical conditions and medications your husband is taking?  It is impossible for anyone to diagnose on this forum especially without any images, x-rays, tools, and full work up.  Your husband's case seem complicated since many doctors aren't able to determine the problem.  I suggest you consider  seeing an experienced faculty at a dental school or similar private dentist.  Since I'm in the US, I'm guessing that the NHS dentists are inexperienced and unmotivated. zorba25: Thank you for your reply.  The medications are basic ibrupofen and paracetamol as he still has to work and drive so nothing stronger however, due to the length of time he has had the pain and been taking tablets these are starting to affect his stomach and he is getting fatigued easily so he is trying where possible to reduce the painkillers.\n\nThe NHS dentists are very restricted in what they can do at present basically anything involving aerosol procedures there is no sign of when they can perform these as yet such as root canals or replacing teeth with implants or dentures etc if they extract any. This is partly why we went private as they have full PPE and are carrying out more indepth procedures but currently they still cannot see where the issue is they have wondered if there may be a crack in the tooth that isn’t showing and it is a capped tooth which is the possible culprit so the testing is not as simple.\n\nwe have at long last managed to get an appointment with the hospital this week to see the oral surgery and maxillio facial department so we are hoping something gets resolved.\n\nwe just wondered on the fistula as a possibility on the fluid so we can then raise this with them.  The leaking has eased again today and the pain subdued slightly again which would make sense if it then takes pressure off until the fluid builds up again.  \n\nThank you again for your help. zorba25: Meant to ask with a fistula is the pimple always on the gum and visible or is there a chance the exit point could be between the teeth outside of immediate view? honestdoc: Yes, drainage can happen anywhere.  If it is between the teeth, the gums will look more red and puffy (healthy gums are light pink and very tight).  Fractures are very tough to detect but if it is deep, with the time your husband had been suffering, it should show up on x-rays as stated previously. zorba25: Thank you again for your help it is most appreciated zorba25: Dentist has advised on trying a mouthguard for a couple of weeks now which my husband has done but it hasn’t helped and now his speech is affected. He has stopped using it as it has made things worse.  The dentist has just had to rearrange his revisit and he is due to go and see him in a few days.  \n\ncould the mouth guard have caused this and will it gradually rectify or should we be more concerned? honestdoc: I don't believe the mouth guard will affect his speech unless he leaves it in during speech.  Is it Over-the-Counter drugstore bought or custom made?  If it is custom made and he takes it out, I cannot explain his speech difficulty. zorba25: Custom made"
  },
  {
    "id": 923,
    "title": "General dentistry protocols",
    "dialogue": "Ivory12: I'm posting here today to ask if guidelines for \"general dentistry protocols\" can be found here on the Internet.\n\nThe reason for asking is that one item on the statement from my dentist included \"Periodic oral evaluation - est. patient.\"  \n\nAre there guidelines that describe the actual procedures that could or should take place with a \"Periodic oral evaluation - est. patient\" ?  \n\nThanks in advance! honestdoc: I'm not sure you can find this protocol.  The procedure code is D0120.  This exam will be a continuation from New Patient Exam (D0150).  What I do is to review health history including medical conditions, medications taken, and drug allergies.  I do exams on head & neck and inside the mouth for any unusual lesions (cancer or tumors).  I exam the x-rays on your bone health, cavities, and teeth deterioration.  The hygienist will probe your gums to check for any gum disease.  I would go over all my findings and develop a treatment plan and recommendations.  There may be situations where I refer you to appropriate providers such as your physician for consistent high blood pressure readings, TMJ specialist for TMJ pain, gum specialist (periodontist) for serious gum disease, oral surgeon for any precancerous or cancerous lesions, etc.  This code is utilized in the US.  I'm not sure how this is interpreted in other countries. Ivory12: I failed to specify \"120,\" which was listed under \"Code.\"  \n\nDuring the visit I referred to, my dentist and I got carried away talking about the pandemic, and I think he spent c. one minute in actually looking at my teeth.\n\nThanks! honestdoc: Did you get x-rays and a cleaning?  Does your dentist tend to have elaborate conversations that make you feel short changed in your exams and procedures or is it just the one time?  How likely will it be for you to change dentists?  I know it is hard to change due to your attachment to him and if you're in the US, dictated by what and who your insurance covers.  You should trust that he is doing a good job. Ivory12: honestdoc said:\n\n\n\n\t\t\tDoes your dentist tend to have elaborate conversations that make you feel short changed in your exams and procedures or is it just the one time?\n\t\t\nClick to expand...\n\n\nWell, that thought did enter my mind, but \"caveat emptor\" also entered my mind.  (The idea that perhaps an elaboration existed -- on just what a patient could expect -- provided the motivation for me to ask about \"dental care protocols.\" )"
  },
  {
    "id": 924,
    "title": "Partial dentures",
    "dialogue": "Kav: I recently had a bridge removed. I have had a lot of bone loss and we discussed doing a partial. I have had it since Monday and it's horrible. It's loose,  I'm biting the inside of my cheek and it's affecting my speech. I'm beyond disappointed and discouraged because I'm concerned this is going to be an ongoing problem. I'll call Monday but I was so hoping this would work out. Dr M: Good day\n\nUnfortunately partial dentures are always going to feel more loose, compared to a bridge which was a fixed unit. If the partial is acrylic, then additional clasps might provide a bit more retention and stability. Alternatively a chrome-cobalt partial denture could be considered. They are a lot more comfortable than acrylic partial dentures, and the various design options provide a bit more stability and retention, but a chrome cobalt denture is also more expensive.\nDiscuss your worries with your dentist, and see what can be done.\nYour speech should normalize once you get used to the partial denture. It always takes some time."
  },
  {
    "id": 925,
    "title": "Small chipped tooth",
    "dialogue": "Cloud: I chipped my tooth swimming and was wondering how I go about fixing it. I’ve read bonding lasts 4-8 years, but is there nothing else that’s a permanent solution? Thanks honestdoc: In dentistry, no artificial material will match natural tooth.  There are considerations in material, amounts of drilling trauma, and longevity.  Typically bonding involves less drilling.  This is appropriate if the defect/damage is small.  Unfortunately as you read, bonding's longevity can be short under certain conditions.  If you subject your teeth to a lot of trauma such as grinding/clenching, habits like chewing nails, ice or other objects, and or have malocclusion (non-ideal teeth positioning), then bonding will not last.  Porcelain (or Zirconia) crowns are more durable, but since they involve a lot of drilling, it is not appropriate for a small chip.  For many activities that can potentially damage teeth, I recommend sports mouth guard.  I have a custom sports guard like the professional athletes use and I use it for mountain biking, basketball, and martial arts training.  You can pick up an Over-the-Counter Sports Mouth Guard at any drugstore. Cloud: Thanks for the reply!\n\nMy dentist is out on vacation and I was planning to ask her this question below.\n\nI’ve seen YouTube videos by other dentist that if the chip is small they polish the area. I’m guessing they shave off part of the tooth like teeth contouring where it makes your tooth line up. Unless polishing is completely something else. honestdoc: Yes, I had chipped my tooth and I had my dentist (unable to do it myself) smooth it.  There is no fee for smoothing so hopefully your dentist doesn't charge you for the procedure.  She may charge you for the limited evaluation."
  },
  {
    "id": 926,
    "title": "Nano-Ormocer filling safety",
    "dialogue": "fillingq: I have a question about nano-ORMOCER fillings, particularly Admira Fusion from VOCO.\nIt is a material based on silicon oxide and nano particles, it also contains silicic acid. \nMy concern is that the nano particles would leak or out gas from the filling similarly to how amalgam fillings leak mercury. \nI'm a bit afraid of the nano particles causing damage, potentially crossing the blood brain barrier as well. \n\nI'll include links for further details. \n\n\n\n\t\t\thttps://www.voco.dental/us/portaldata/1/resources/products/scientific-reports/us/Admira_Fusion_Scientific_Compendium.pdf\n\t\t\n\n\n\n\t\t\thttps://www.voco.dental/us/portaldata/1/resources/products/safety-data-sheets/us/admira-fusion-flow_sds_us.pdf\n\t\t\n\n\n\n\t\t\thttps://www.voco.dental/us/portaldata/1/resources/products/scientific-reports/us/Admira_Fusion_SDS.pdf MattKW: Nano only refers to the size of the particles. Most composites have nano-sized particles for increased strength. There is no evidence that they cause any health issues. Similarly for amalgam."
  },
  {
    "id": 927,
    "title": "Crown issues",
    "dialogue": "Bpm1011: I have a crown with a root canal on my upper left molar. The root canal was done almost 2 years ago and the crown a little over a year ago. I had no problems after the root canal. The problem started after the final crown was placed. I started to notice a funny taste and smell when I floss. I floss that area 2-3 times per day. The gum stays sore all the time. I’ve mentioned to my dentist all of this and he says to just continue flossing and doing what I’m doing. He said there’s a small overhang but everything is sealed. I’ve had cleanings and they never say anything is wrong with it. I’m thinking I need to try a second opinion but I paid out of pocket for all of this. I included my x-ray. honestdoc: Try to obtain a BiteWing X-ray.  It will capture the overhang more accurately.  I do believe the overhang is causing the gum irritation and possible bad taste and smell.  Give the dentist a chance to possibly redo this crown since you paid a lot of money for this."
  },
  {
    "id": 928,
    "title": "Upper and lower jaw position and tongue position",
    "dialogue": "thetiggler: I know this may seem a strange question.  I have tried to ask friends this question all I just get in reply is \"I don't know really\"\n\nDue to various issues from the middle of January to September, I was only able to wear my upper dentures.  That at the end of beginning of September I got a full set of implants fitted in my upper and lower jaw. I have had them in for 6 days.\n\nI am struggling with the implants in one aspect.  I forget how my lower jaw should be in my resting state and where my tongue should be in my resting state.  What I mean by that is say I am doing something like driving, reading, watching TV, etc and my face is in a resting relaxed state (not smiling, frowning, etc).  How should my lower jaw be and where should my tongue be?\n\nWhen you are watching tv, reading or driving is it A or B for you?\n\nA) Are your upper and lower teeth touching each other?\n\nIn other words, is your mouth/jaws closed tightish shut and the lower and upper teeth slightly clenched together.   Upper teeth sitting firmly on the lower teeth.\n\nOr is it for you\n\nB Are your upper and lower teeth not touching each other?\n\nJaws not fully closed, mouth not fully shut but, not open-mouthed. Lower and upper teeth not touching but very close to touching.  You have about a 1 to 2 millimeter space between all the upper and lower teeth. thetiggler: When my face and lower jaw are in a relaxed state where should my tongue be?  \n\nWhen you are in a relaxed state is your tongue touching the roof of your mouth?  If it does touch the roof of your mouth is your tongue touching the upper jaw front teeth or is your tongue further back touching the middle of the roof of your tongue? honestdoc: When you are at rest, your teeth should be about quarter inch to 1/3 inch apart (or about 1 cm).  Your tongue position may vary.  If your tongue is higher above you lower teeth, it may block your airway particularly during sleep which could cause sleep apnea.  It is favorable if your tongue rests as low as possible."
  },
  {
    "id": 929,
    "title": "Tooth pain 10 days after filling",
    "dialogue": "sedadadss: went in for gum pain. Basically I felt sharp pain in between teeth/gum area while I was having dinner and thought something is stuck so I used soft brushes to poke which caused a lot of bleeding.\n\nDentist said I probably hurt myself with the brushes and that salt rinses should help. She said there is very tiny cavity on that tooth which needs a filing. She also said she will open the gum area or something to treat it. I was like ok please treat it and make my gum pain go away.\n\nA filing was done which took 1 hour.\n\nSince the filing last week, my tooth is in pain every time I bite down and also pain in all teeth in the treatment area when I floss. Now this is two types of which I NEVER had before going to the dentist. On top of this, the treatment made no difference to the gum pain what so ever.\n\n\n\nTold the dentist about this. She cleaned my gum where I was having pain and that finally made the pain go away. Regarding the tooth pain now, she said 'bite needs adjustment' and that its very 'common'.  This made it a bit better where I can at least eat but still causes slight pain. She said pain might still happen after a filing and if its still there for 10 days, come back again.\n\n\n\nWHAT UTTER BULLSH#$ !! come back again if the pain is still there after 10 days?? really?\n\nNow I've had filings before and never did I experience pain in the TOOTH a WEEK after the filing. How is it possible that a tooth that never caused pain suddenly starts causing pain after a filing??\n\nI can not eat properly now, I can not bite properly without feeling pain. Flossing makes my teeth hurt.\n\nI have a strong feeling she screwed up something up.\n\nHere are my x-rays. Did I even need a filing? or they just wanted to shell $100 out of me for nothing.\n\n\n\nbefore treatment x-rays: \n\n\n\n\n\nafter treatment x-rays: Dr M: Good day\n\nDo you perhaps have any post-op x-rays of the filling after it was done. Sometimes after a filling was done, there might be some sensitivity for a day or two, but this should gradually go away, especially if the filling was not deep. If the filling was deep, it might be that the nerve got irritated, leading to pulpitis and pain.\nDo you have photos of the area, so that I can see if the gum is inflamed in the area, or swollen or not?\nOn the x-rays, it doesn't look like you have any fillings that should have gone close to the nerve. sedadadss: Dr M said:\n\n\n\n\t\t\tGood day\n\nDo you perhaps have any post-op x-rays of the filling after it was done. Sometimes after a filling was done, there might be some sensitivity for a day or two, but this should gradually go away, especially if the filling was not deep. If the filling was deep, it might be that the nerve got irritated, leading to pulpitis and pain.\nDo you have photos of the area, so that I can see if the gum is inflamed in the area, or swollen or not?\nOn the x-rays, it doesn't look like you have any fillings that should have gone close to the nerve.\n\t\t\nClick to expand...\n\n\nthank you. the bottom x-ray is of the filing after it was done. ok that is a relief to know that the filing was not too deep."
  },
  {
    "id": 930,
    "title": "Front Teeth Erosion, Bonding Fail",
    "dialogue": "scody: Hi all!\n\nI (32/f) moved to a new state in 2015 and was sad to leave my long time family dentist. I went to my first cleaning at a new dentist and they said I should have my front teeth bonded due to abnormal erosion. They couldn’t figure out what caused the erosion (“do you suck on lemons?”). Basically there are “indents” in the top middle 2 teeth, especially towards the inside. In photos this area looks grey. The top teeth do look thin and there are vertical cracks.\n\nThey bonded the front middle 4 teeth. It looked fine. The bonding came off a tooth within 24 hours, first when I bit into a piece of pizza. They rebonded it, and then I bit into a soft tortilla and another entire bonded tooth piece came off. They rebonded my front teeth maybe 8 times over the next 2 months, all 4 teeth, and even had the orthodontist next door check my bite (couldn’t find any issues). The bonded pieces either all came off pretty quickly, or they detached in corners and I would feel it unattached with my tongue, and things like a piece of black pepper would be stuck in between the tooth and the bonding (and then it would eventually loosen and fall off). I was back at square one (nothing on the teeth) and horrified of going back to have this work done again just for it to fail. I literally have post traumatic stress from this experience, being horrified to eat anything, have the anxiety that my teeth are going to crack and fall out constantly. I had nightmares for years and would constantly check my front teeth with my tongue to make sure everything was ok. (Also, the last time and final time I went in, the bonding on the front teeth was so ridiculously crooked.)\nSO... are my front teeth cursed? Should I let another dentist (maybe a cosmetic specialist) bond them? Should I do veneers? Crowns? (I’m horrified that they’ll just break and fall off like the bonding!) Cost isn’t an issue, but my sanity is.\nAny helps or ideas appreciated!\n\nExtra background info: I had braces for 5 years or so, 2nd grade to 7th grade. I have a permanent metal bar/retainer on my lower bottom teeth (this is bonded on, and still holding strong).\n\nNote: Photos included. These are current photos, no bonding. Dr M: Good day\n\nIt does like you have extremely thin enamel. Although rare, in some cases enamel dysplasia could be related to either an infection, genetics or antibiotics use during the development and mineralization of the affected teeth.\nBonded restorations tend to not last very long, since they can easily be chipped off due to the fact that you use these teeth to bite into things.\nThe best option for you would most likely be full coverage crowns. With the fact that your enamel is already so thin, unfortunately the crown preparations might need to go hand in hand with root canals, due to the preparations being close to the nerve.\nThey will most likely give you a better outcome than bonded restorations and/or veneers which is almost as expensive as full crowns."
  },
  {
    "id": 931,
    "title": "Brown translucent blotch has appeared on front right tooth (image in-text). Can someone help identify what it may be and what my options are?",
    "dialogue": "SamGC96: Unfortunately unable to attend a dentist atm. honestdoc: It's hard to tell based on the one image.  I can't tell if it is internal or external (staining).  It does not appear like the tooth had trauma.  How long ago when you first noticed it?  Does it feel rough or smooth to your tongue?  You can try Over-the-counter whitening strips.  I would avoid whitening toothpastes since it can be too abrasive and cause damage.  Treatment options are...1.  bonding with minimal drilling.  You many not need anesthetic.  The disadvantage is the bonding tends to be fragile so no biting into apples, carrots, hard toasts, etc.  Another disadv is it can stain.  2.  Veneer(s).  This requires minimal drilling and the technician fabricates a porcelain facing.  Advantage is it can look really nice.  Disadvantage is it is very expensive, very fragile, and can be hard to match just one tooth.  If different lighting hits the veneer, it absorbs/reflects light differently than the adjacent teeth and could stand out.  If your job requires absolute best esthetics, then maybe 2, 4, or 6 veneers to blend it to your liking.  I would recommend the bonding (least expensive and traumatic) first. SamGC96: honestdoc said:\n\n\n\n\t\t\tIt's hard to tell based on the one image.  I can't tell if it is internal or external (staining).  It does not appear like the tooth had trauma.  How long ago when you first noticed it?  Does it feel rough or smooth to your tongue?  You can try Over-the-counter whitening strips.  I would avoid whitening toothpastes since it can be too abrasive and cause damage.  Treatment options are...1.  bonding with minimal drilling.  You many not need anesthetic.  The disadvantage is the bonding tends to be fragile so no biting into apples, carrots, hard toasts, etc.  Another disadv is it can stain.  2.  Veneer(s).  This requires minimal drilling and the technician fabricates a porcelain facing.  Advantage is it can look really nice.  Disadvantage is it is very expensive, very fragile, and can be hard to match just one tooth.  If different lighting hits the veneer, it absorbs/reflects light differently than the adjacent teeth and could stand out.  If your job requires absolute best esthetics, then maybe 2, 4, or 6 veneers to blend it to your liking.  I would recommend the bonding (least expensive and traumatic) first.\n\t\t\nClick to expand...\n\nHello and thank you \n\n\nhonestdoc said:\n\n\n\n\t\t\tIt's hard to tell based on the one image.  I can't tell if it is internal or external (staining).  It does not appear like the tooth had trauma.  How long ago when you first noticed it?  Does it feel rough or smooth to your tongue?  You can try Over-the-counter whitening strips.  I would avoid whitening toothpastes since it can be too abrasive and cause damage.  Treatment options are...1.  bonding with minimal drilling.  You many not need anesthetic.  The disadvantage is the bonding tends to be fragile so no biting into apples, carrots, hard toasts, etc.  Another disadv is it can stain.  2.  Veneer(s).  This requires minimal drilling and the technician fabricates a porcelain facing.  Advantage is it can look really nice.  Disadvantage is it is very expensive, very fragile, and can be hard to match just one tooth.  If different lighting hits the veneer, it absorbs/reflects light differently than the adjacent teeth and could stand out.  If your job requires absolute best esthetics, then maybe 2, 4, or 6 veneers to blend it to your liking.  I would recommend the bonding (least expensive and traumatic) first.\n\t\t\nClick to expand...\n\n\nHello and thank you for your response! \n\nIt's certainly helpful to hear a professional perspective. I first noticed it about 2 weeks ago, it feels a little rough over the tongue I think. I have been using Colgate whitening paste with baking soda, may I ask why this is actually damaging? I've also ordered some crest whitening strips so will see how they work before trying the other options you mentioned.\n\nFinally, in the attached, I've posted an updated picture from today. It kinda seems like it has gotten worse but I cant tell if so or just lighting? I'd be really grateful to get your opinion.\n\nMany thanks\nSamuel honestdoc: Whitening toothpaste are usually more abrasive and can damage the enamel and gums. If the stain is external (my guess), try the whitening strips' chemical action to bleach out the staining.  If the results are not to your liking, try the professional strength from you dentist office.  Last resort is for your dentist to lightly drill and place bonding filling. SamGC96: Thank you so much"
  },
  {
    "id": 932,
    "title": "Extractions and then denture",
    "dialogue": "Garyf1985: Hi all, just found this group online due to seeking information/advice. I have a severe phobia of dentists and as a result my teeth have deteriorated so much that I now require 6 top teeth removed along the front and a couple at the back top and bottom (wisdoms). I'll be given a short term denture and then long term I'll most likely be getting a more permanent denture as implants are just far too expensive. \n\nBasically I am looking to see if anyone has had similar done and how the experience was ie. The extractions and then getting used to the denture. I'll be sedated for the extractions due to my phobia, so to summarise, 8 teeth removed, short term denture then return for a more permanent denture. Anyone had similar and can advise what to expect etc, hopefully put my mind at ease slightly.\n\nThanks for your time. Dr M: Good day,\n\nYou are referring to what we call an immediate partial denture. Usually this denture is place immediately after extractions, hence the term. \nFor the first 24 hours, don't remove the denture at all. Then for the next week, only remove the denture after meals, to rinse out your mouth to clean the extraction sockets, and to clean the dentures. After about a week you can remove it at night. This will allow the tissues to adapt to the denture.\nInitially you will have some discomfort in certain areas, since the denture presses on the sockets and might also cause pressure ulcers in other areas. It is important to not that you can then go and have them adjusted a bit, to relieve the pressure. This might happen a few times and require a few adjustments.\nEating might be difficult. Stick to soft foods in the beginning and then gradually work your way up. Get used to cutting food into smaller more manageable pieces.\nSpeech might also be affected, since your tongue has to get used to the smooth surface of the denture on your palate. Speak slowly in the beginning, and then usually it normalizes by 2 weeks.\nThe denture will gradually become loose, since your bone in the areas where you removed the teeth, will gradually diminish as well as the associated soft tissues.\nThis is usually why after about 6 months you will have to have the denture either relined, to adapt it to the new dimensions of your mouth, or have a new denture made once your bone level has stabilized."
  },
  {
    "id": 933,
    "title": "Fastbraces",
    "dialogue": "Trishapa: Has anyone used Fastbraces? If so how is your experience with them? Any complaints? I’m thinking of implementing it in my office, any thoughts would be appreciated. Dr M: I have found that you have to be very careful with case selection, and usually I would recommend that an experienced orthodontist/dentist with ortho background, implement it, since root resorption is a risk. Relapse is also prevalent in a lot of cases, so post-braces retainers is a must."
  },
  {
    "id": 934,
    "title": "Tooth slightly gray 4 days post trauma (Photo)",
    "dialogue": "Sarahottawa: I had a biking accident 2 weeks ago where I chipped my 2 front teeth.\n\nI was seen and the dentist said my tooth was fractured (visible but can’t be « felt » so no treatment advised there) and I had an exposed nerve. Note- I had no pain. He covered the nerve with calcium and did a bonding for the chipped teeth, telling me we were trying to avoid a root canal. Teeth are still sensitive, mostly like a pressure feeling and won’t chomp with them, but still no pain. 4 days after the accident I noticed that the one tooth with the exposed nerve is turning a little bit gray.\n\nIs this more likely to just be a temporary bruise or is my tooth dying? How could I know?\n\nthanks honestdoc: The gray discoloration indicates the nerve had some excess bleeding in the pulp space from trauma.  Since your nerve appears fairly open, there may be potential for vascular repair.  Don't expose it to too much colds.  Cold substances could traumatize the nerve more and damage it.  Couple of scenarios could happen if it doesn't heal.  You could experience intense pain which may indicate irreversible nerve damage.  You could experience no pain but swelling which indicates the nerve dying and becoming a source of infection.  Either way, you may need a Root Canal."
  },
  {
    "id": 935,
    "title": "How do they shave off bone fragments? Did it require anesthesia?",
    "dialogue": "Du_deleted: I have extracted my upper wisdom tooth 2 months back. I had lower jaw pain with swelling and neck pain under earlobe. Dentist days it could be because of upper wisdom tooth and I removed it. I still have the same pain in the lower jaw and neck even after the removal. I am still finding answer for that.\n\nI didn't have any stiches after the WT extraction. I went for follow-up after 2 weeks of extraction and OMFS said it's healing good. Now, I noticed a small lump which is very hard on the gum of the extraction site. It's been there for 2 weeks now. It was painful if I touch or press. And sometime gives sore pain. I thought it will go off on it's own. It didn't. Since I have severe pain in the lower jaw and neck, I couldn't differentiate if it's from this boil on the gum.\n\nI went today to check with OMFS. He said, it's a bone fragment and told me to wait for 2 more weeks to see if how it goes. If it's painful, told me to come back to take it off. He asked if it's painful and I said it gives some sore pain sometimes. He told me to wait for 2 weeks and see.\n\nI came home and now I feel some throbbing and sore pain on that spot on and off. Sometimes like pinching pain. Is it something to check it out soon or can I wait? What is shaving it off mean? Will it be another anesthetic procedure? I was so nervous at dental office and didn't ask much questions to the OMFS.Is this normal to have that in the gum? Will it go away on its own? How do they do it? What if we leave it like that? Is it harmful? Please anyone who experienced this before, please share your inputs. Dr M: Usually after an extraction , the alveolar bone resorbs in various dimensions. Sometimes sharp edges can occur during this process, that can be painful on the associated gingiva and even cause an ulcer. In such cases, a conservative alveolotomy can be considered. This is done under local anaesthetic. No need for general anaesthesia. The sharp bone will be exposed and then the sharp edge will be cut with a bone rongeur instrument or it can be shaved with a surgical drill. Du_deleted: Dr M said:\n\n\n\n\t\t\tUsually after an extraction , the alveolar bone resorbs in various dimensions. Sometimes sharp edges can occur during this process, that can be painful on the associated gingiva and even cause an ulcer. In such cases, a conservative alveolotomy can be considered. This is done under local anaesthetic. No need for general anaesthesia. The sharp bone will be exposed and then the sharp edge will be cut with a bone rongeur instrument or it can be shaved with a surgical drill.\n\t\t\nClick to expand...\n\nThank you doctor. Mine is so small hard lump. He told me to give it 2 weeks. \nDoes it require any recovery period after this surgical drill procedure? Is it necessary to drop it off or will it go on it's Own? Dr M: There is a possibility that it can resorb on its own without any intervention. That is why the OFMS advised you to give it another 2 weeks. After the procedure is done however, recovery can be as quick as 1 to 2 weeks Du_deleted: Dr M said:\n\n\n\n\t\t\tThere is a possibility that it can resorb on its own without any intervention. That is why the OFMS advised you to give it another 2 weeks. After the procedure is done however, recovery can be as quick as 1 to 2 weeks\n\t\t\nClick to expand...\n\nThank you doctor. Because, I have planned a RCT for lower first molar this or next week. So, I don't know if this procedure will affect that or vice versa. Du_deleted: I feel throbbing pain on that gum spot where I have hard blister like bump. Is it harmful if I delay removing it? I feel some throbbing pain since last night. Du_deleted: @honestdoc . Any thoughts doctor? honestdoc: I agree with Dr. M.  Bone changes after extraction.  The least traumatic option is to allow the bony bump to resolve on its own.  I don't anticipate the bump to be too serious because the upper wisdom teeth are usually less traumatic to remove. Du_deleted: honestdoc said:\n\n\n\n\t\t\tI agree with Dr. M.  Bone changes after extraction.  The least traumatic option is to allow the bony bump to resolve on its own.  I don't anticipate the bump to be too serious because the upper wisdom teeth are usually less traumatic to remove.\n\t\t\nClick to expand...\n\nThank you @honestdoc. Appreciate it. \nI have severe throbbing pain in the extraction site. So I am thinking if that bony bump is causing the pain.  It's very small on the gum. I will try to get a picture of it. Do I need to remove it or wait with pain? honestdoc: Totally your call.  If you cannot tolerate it, then the surgeon will anesth, flap the gum back to expose the bump and smooth or remove the bony projection(s). Du_deleted: honestdoc said:\n\n\n\n\t\t\tTotally your call.  If you cannot tolerate it, then the surgeon will anesth, flap the gum back to expose the bump and smooth or remove the bony projection(s).\n\t\t\nClick to expand...\n\nThank you doctor. \nOh...is it another anesthetic procedure? Do they cost more? How about the recovery period? I am currently going through lower jaw pain too. So, don't want to mess around. Is this a simple procedure? honestdoc: It is usually a simple procedure.  You will need to be anesth.  After the flap exposure, the surgeon will suture it closed. Du_deleted: honestdoc said:\n\n\n\n\t\t\tIt is usually a simple procedure.  You will need to be anesth.  After the flap exposure, the surgeon will suture it closed.\n\t\t\nClick to expand...\n\nThank you doctor. I will see if i can handle this pain. It's so throbbing. It's so small bump though."
  },
  {
    "id": 936,
    "title": "Feel like something present or stuck in throat",
    "dialogue": "Du_deleted: Hi,\nI have lower jaw pain under ear, neck and ear. Went to ENT and dentist. No ear infection. Dentist said it looks like  tmjd. \nI have swelling in the lower jaw under ear, side of the neck, sore pain inside the ear,some lump on side of the neck and lower jaw. It hurts to open the jaw wider. I hear some clicking or snapping sound in the jaw whenever I open the mouth. \nSince last week, I feel like something stuck in the throat. No throat Infection or redness. I am not able to swallow properly and it's difficult to swallow. I fee like some object present in throat all the time.is it a symptom of tmjd? Or it's something else? \nAnyone with TMJD had this symptom? Please share your thoughts. honestdoc: Have a physician evaluate your throat. Du_deleted: honestdoc said:\n\n\n\n\t\t\tHave a physician evaluate your throat.\n\t\t\nClick to expand...\n\nThank you doctor. I can get to my doctor only by Tuesday. \n Does it indicate something serious or it indicates tmjd? honestdoc: I have not observed or read about TMD involving throat symptoms. Du_deleted: honestdoc said:\n\n\n\n\t\t\tI have not observed or read about TMD involving throat symptoms.\n\t\t\nClick to expand...\n\nThank you doctor. I just googled about it and I saw an image which shows the symptoms of tmjd in throat,neck,eyes,ear,head, neck. It says, feeling of foreign object in the throat constantly. honestdoc: Thanks for the info.  I'm not familiar with that symptom. Du_deleted: honestdoc said:\n\n\n\n\t\t\tThanks for the info.  I'm not familiar with that symptom.\n\t\t\nClick to expand...\n\nThis was the image. I don't know if my throat symptom is tmjd or something else. honestdoc: Thanks for providing the image.  I would still get the throat checked out and rule out anything sinister like tumors, disease, etc. Du_deleted: honestdoc said:\n\n\n\n\t\t\tThanks for providing the image.  I would still get the throat checked out and rule out anything sinister like tumors, disease, etc.\n\t\t\nClick to expand...\n\nThanks doctor. I will check it with GP first and ask for any referral if required."
  },
  {
    "id": 937,
    "title": "Pain five weeks after extraction",
    "dialogue": "Craig: I had a lower third molar extracted (hospital) five weeks ago, after a wait of around six months due to coronavirus. The tooth was extracted due to infection.\n\nI have got mild pain in the jaw under the extraction site, no other signs or symptoms. Thoughts? honestdoc: Lower wisdom teeth are usually more traumatic to remove than upper due to anatomic differences.  The lower jaw bone is thicker and more dense requiring more forces to remove wisdom teeth.  As long as your discomfort is tolerable and have no swelling (infection), you should expect improvement."
  },
  {
    "id": 938,
    "title": "Brown/yellowish tongue 13 days post op",
    "dialogue": "Valibrae: 13 days post op wisdom tooth extraction. And tongue still brown/yellow with like a \"morning breath\" taste even after I clean and rinse well. Is this of any concern? honestdoc: I don't believe the changes in you tongue came from the wisdom tooth extraction.  Most likely it is the body's response to certain medications, supplements, herbals, etc. (lichenoid reaction).  The breath could also be from medications, medications/supplements causing dry mouth, changes in your diet, acid reflux, maybe even borderline to full diabetes.  To minimize your symptoms, obviously hygiene (everyone's standard of hygiene is different from brushing once a month if at all to OCD overkill), plenty of hydration, and proper diet (keto diet equals keto breath)."
  },
  {
    "id": 939,
    "title": "Toothache for weeks",
    "dialogue": "zorba25: My hubby has now had toothache for over 9 weeks and due to the current situation is hitting walls with no NHS medical services and no idea what to do.\n\nStarted initially with bleeding gums both top and bottom on left handside. Used corsadyl for a bit and sorted the bleeding.\n\nThen started a few weeks later with toothpain in front insisor (prev capped and root canal about 12 yrs ago). Still has this pain after 9 weeks. Initially couldn’t see a dentist due to lockdown and even once opened only gave phone advise they gave antibiotics and he was told to take paracetamol. Didn’t work by this time they were willing to do xray nothing showing up so they gave stronger antibiotics. These seemed to start the pain to get worse and made him feel a lot worse.\nnow bottom teeth have started which dentist says need to brush harder but gums are physically receded in last week or so and pain worsening plus sudden onset of fatigue over last few weeks comes over like a wave to extreme just smallest thing creates major tiredness.  Plus bad taste in mouth and at one point felt like fluid leaking from teeth.\n\nDoctors won’t physically see him we eventually got bloods done but nothing out of norm other than white platelets and neutrophils doubled compared to last test but still in ranges.\n\nHad to see a private dentist still can’t see anything on xrays and we have booked for root canal in case a crack in tooth causing but can’t do until September as busy. \n\nMy husband is now struggling and doesn’t think he can go on with it so the only option looks like to start pulling teeth but seems drastic as we don’t know which as both top and bottom now a problem which seems very unlucky if this has all happened together.\n\nWorried in case an infection spreading but just don’t know what to do and who to contact as NHS dentist and doctors not dealing with and looks a while before they will.\n\nFeel totally lost with it all and the stress is getting worse each day.\n\nAny ideas if had something similar. Does anyone know if abcess can be missed on xray although now had a further xray since the pain got worse and still nothing showing.\n\nReally starting to worry now as seems to be worsening but not classed as an emergency unless his face swells and can’t breathe apparently.  Then they will just pull it - with one being a front tooth it’s difficult. Dr M: Good day\n\nA tooth can have secondary infection, even though the tooth has had a root canal treatment done on it. The root canal could be short filled, or there could be a lack of apical seal or a lot of other similar reasons.  It could also have a crack, which might be difficult to pick up on a conventional x-ray, and might require some more sophisticated scans, such as a CBCT.\nThe increase in white cells and neutrophils, indicate that there is some infection and that the body is mounting an immune response.\nThe bleeding gums, could also be an indication of a severe gingivits, which could also lead to pain, a bad smell and/or taste in the mouth, as well as swelling in certain areas.\nDo you perhaps have photos of his teeth/gums and a photo of his x-rays that were taken? It is difficult to give more of an opinion, since more information is needed. zorba25: Thank you so much for your reply unfortunately we do not have the xrays but may be able to sort a photo.\n\nThe gum issue seems to have suddenly started since the second antibiotics. Seems really bad luck to get the top and bottom teeth at the same time is it likely one may be connected to the other?\n\nThere hasn’t been any bad breathe or smell only the taste.\n\nIf a tooth/cap is cracked is a further root canal likely to work or is it normally extracted?\n\nDo patients normally suffer such fatigue with these things literally gone from being a fairly fit individual to having to rest after doing something simple like having a shower or putting on a pair of socks. \n\nSorry for all the questions and do appreciate your help.\nWe have recontacted his dentist again and they have agreed to do a deep clean and prescribed some form of prescription toothpaste for the gum issue. So fingers crossed on that part but even if that works we still have the top tooth issue.\n\nHe has always flossed and cleaned with electric toothbrush quite well so quite frustrating that it’s all happening now at a difficult time.\n\nThank you again your comments are very much appreciated. Dr M: A photo will help a lot.\nUsually a gum issue might require a deep cleaning to be done, so it is good that his dentist will do that.\nIf a tooth is cracked, it depends on how deep the crack goes. If the crack extends into the root of the tooth, then the tooth will have to be extracted unfortunately.\nIt is strange that he is suffering from fatigue. Usually tooth related issues, won't cause such fatigue, especially after a simple task like putting on a pair of socks. I think it is best he goes to see a medical doctor regarding this issue. zorba25: Thank you again for taking the time to reply.  Couldn’t persuade him to do a photo.\n\nHe has now had a deep clean around the area but still currently same level of pain and fatigue.  We expect it will need to settle for a couple of days.  The dentist has advised to come back in 2 weeks she noticed a weak area on a tooth but not the one in pain.  Her option is to remove the nerve and then at some time in future extract the tooth but not yet as will be s long time before able to replace it.\nIf the top tooth still an issue then will look to refer to hospital but who knows how long a wait that will be.  We are starting to think it must be a fine crack not showing up.\nHad blood tests that came back ok and Doctors don’t seem to want to know at the minute to progress anything further.\n\nwill see in next 48 hours if anything settles from the deep clean. Sonia Salamuri: There is also problems related to sinus, that could give a lot of pain and sometimes looks like there's something wrong with the upper teeth. I think the CBCT could help you in solving that mistery, along with a visit to an endodontist (because of the tooth with root canal). They have a microscope that helps a lot to find cracks that are difficult to spot with the naked eye, even in the X-ray. Mixing different types of medication could also give that fatigue problem, along with stress of dealing with the constant pain. zorba25: Hi Husband still with pain and nothing yet found to be able to sort it.  Paid for a cbct scan and nothing showing up.\n\nThe one thing he has constantly noted is fluid leaking through into his mouth with a bad taste as though from the teeth. He has mentioned this now to both the NHS and the private dentist and both noted as though never heard of anything like that.\n\nWe have read about a sinus tract that can develop to drain pus from a chronic infection has anyone ever had or heard of this and would know how it is identified. There are no infections showing up still on xrays, would such tracts show on one?\n\nIntraoral sinus tracts (Dental fistulous tracts. \n\nno obvious pimples showing on the gums."
  },
  {
    "id": 940,
    "title": "This filling has made me sick",
    "dialogue": "Benn: Hi thank you very much for your time . I am forever thankful. I had mercury fillings placed directly into my gum when I never even needed the filling done I have since found out . It is such a horrible fillings and am ill please any dentists  look at it and tell me if it is a normal filling as I am sure it is illegal . Mercury is so toxic I was unaware before but worst of all the way it’s done Dr M: Good day\n\nThe photo is very blurry, but the filling looks like a classic inter-proximal amalgam filling ( filling that goes in between teeth) and is most likely only \" touching the gum \" , because the cavity was most likely deep. There is currently no evidence to show that amalgam fillings is poisonous to the body. It is still routinely placed in certain practices. Methyl-mercury, a different form of mercury, is not found in amalgam fillings, and this can be neurotoxic, but only if found in large quantities in the body. Benn: Dr M said:\n\n\n\n\t\t\tGood day\n\nThe photo is very blurry, but the filling looks like a classic inter-proximal amalgam filling ( filling that goes in between teeth) and is most likely only \" touching the gum \" , because the cavity was most likely deep. There is currently no evidence to show that amalgam fillings is poisonous to the body. It is still routinely placed in certain practices. Methyl-mercury, a different form of mercury, is not found in amalgam fillings, and this can be neurotoxic, but only if found in large quantities in the body.\n\t\t\nClick to expand...\n\nHello sir . The whole was only so big because of the original unneeded filling. Amalgam cracks teeth! I have read over thousand hours and mercury is toxic .  Methyl mercury comes from fillings when drilled or even through saliva. Mercury is not safe and even more so I’m allergic patients like me . Are you a dentist or what? Dr M: I am a dentist yes. There has been no clinical evidence to show that any amalgam filling in the mouth has been toxic to the patients that have them. When amalgam fillings are drilled, special precautions are taken in order to limit the amount of material that enters your system. This is done with high volume suction units and some dentists even remove amalgam under rubberdam isolation. \nIf you happen to get methyl mercury in your system, the amount needed in order to have any measurable neurotoxic effect, is more than you would get from drilling a filling.\nIf you are allergic to mercury or any other metals, this should have been mentioned to your dentist before the restoration was placed.\nThis is part of your medical history. Dr M: Methyl mercury usually comes from fish, or from drinking water. Elemental mercury is the mercury found in dental amalgam and then releases a mercury vapor when drilled. This is not harmful. And as previously mentioned, even methyl mercury is only poisonous when you are exposed to a lot of it.\nIf you are truly allergic, then you should have the filling removed and replaced with a resin filling Benn: Please re train as a dentist sir. I spent my salary on getting removed by a holistic dentist . It is most dangerous substance on earth and has caused me illness and teeth to crack sir honestdoc: I am a dentist and you absolutely have no science knowledge.  When mercury gets mixed with other metals, it loses its toxicity.  I have mercury fillings in my mouth so it is very disrespectful for an ignorant person to respond like you did.  Do you know that tooth colored fillings holistic dentists use also have metals in them?  The white fillings have Barium Sulfate so the fillings will show up white (radiopaque) on x-rays to indicate fillings instead of voids.  White fillings also shrink about 1% when light cured (polymerization shrinkage) so that introduces potential for microleakage.\n\nHolistic dentists do not believe in Fluoride.  Without adequate Fluoride, the teeth minerals are vulnerable to acid damage.  It doesn't matter to them because they can make more money doing more work on you as your teeth deteriorates further. Benn: I have a degree in chemistry see smoking teeth documentary and tell me it don’t leak . Every time you chew it leaks honestdoc: Benn said:\n\n\n\n\t\t\tI have a degree in chemistry see smoking teeth documentary and tell me it don’t leak . Every time you chew it leaks\n\t\t\nClick to expand...\n\n\nI would like the speaker or you to explain why I have 2 mercury fillings in my mouth for 35 yrs with no traceable toxicity.  I'm sure I'm suffering from toxicity in parts per trillion (insignificant) and probably exposing myself on outside radiation and radon gas.  As I was explaining to a fellow forum user in PM, amalgams are an outdated restorative material and there are some options out there that seem promising such as bioactive restorative materials.  I despise other dentists bad mouthing each other.  They have to bad mouth in order to upsell their inferior skills.  What if your competitor bad mouths you to me and I tell you to go back to school?\n\nFor your information, we dentists and doctors are required to \"retrain\" 20-25 hrs every year (depending on state) to maintain our license. honestdoc: Benn said:\n\n\n\n\t\t\tI have a degree in chemistry see smoking teeth documentary and tell me it don’t leak . Every time you chew it leaks\n\t\t\nClick to expand...\n\n\nIf you are a scientist, you would understand the difference between legit peer reviewed science vs junk science.  There was a British physician who claimed that vaccines cause Autism.  Despite that big news, I had all my family and myself vaccinated as recommended.  The science community is very efficient and the doctor was quickly exposed and shut down.  Junk science are made by those \"professionals\" who can't get recognized by legit means.  \n\nEveryone responds differently to dental procedures.  Depending on the case, it may be prudent to use a different material.  You have to understand there are pros and cons to every dental procedures and dental materials.  I believe in keeping it simple, predictable, and minimal trauma.  It is traumatic to drill on teeth which is why I refused to get any of my  good fillings replaced.  There are a lot of hungry dentists who want to replace good silver fillings for white ones.  Afterwards I get calls about extremely sensitive teeth after the new fillings are placed.  As a result these people think all dentists are bad since they never had any problems before. Benn: The evidence is undeniable honestdoc: Benn said:\n\n\n\n\t\t\tThe evidence is undeniable\n\t\t\nClick to expand...\n\n\nIf the evidence is undeniable then I would be dead and I'm a ghost.  All vaccines like that British doctor claims will cause Autism. honestdoc: I have silver fillings placed when I was 14.  I'm 49 and refuse to remove them.  I'm questioning your science and your chemistry background.  I'm a few credits away from a chemistry degree myself so I know almost as much chemistry as someone with a Bachelors of Science in Chemistry.  Only a pretender will not know the difference between legit science vs fake. Benn: Sir it’s ok to be upset you have a toxic metal in your mouth as do I . That is known as the second most toxic element . It certainly has no place in a persons mouth inches from there brain. How can it be unsafe in the environment but safe in your mouth . WAKE up!!!! The filling I posted you even tried to say that as normal . And I guess this one is too.  Where he has drilled half amalgam half  white. That’s why I am going to court over it Benn: . Dr M: I am sorry that you feel this way. As honestdoc said previously, the mercury that is in a amalgam filling, is non toxic since it is in combination with other metals.\nPlease find attached, just one of the many, and I emphasize many, peer-reviewed articles that try and illustrate that there is no clinical evidence to show that there is a need to discontinue the use of amalgam or to remove clinically acceptable restorations. \nI have highlighted a paragraph that will hopefully try and explain what we are trying to bring across. \nYou can take some time, and read up yourself on all the decades of research that was done on this topic. Just go on Google Scholar and have a look.\nI am sure, as you have stated, that you are also a professional person. Rather than taking a dentist to court over one filling, have you tried asking the dentist to replace the filling with a filling more to your liking? There is no need to rush to court-I am sure you would understand if you were in a similar situation. I am not even sure if the case will be taken up to be honest either way.\nThere are risks when removing a filling that is clinically acceptable restoration, such as Honestdoc mentioned. Foremost possible pulpal damage or additional tooth structure loss. But an amalgam filling can also be safely removed under the correct protocols as we are taught as dentists.\nI really hope that you can ease your mind when you take the time to do additional research, and to know that no harm will come to you.\nAnd in the future, please ask your dentist to not place amalgam restorations. Dr M: Please find attached the article I mentioned. There are a lot of others if this one is not to your liking. Dr M: Hope you find this helpful. honestdoc: Benn said:\n\n\n\n\t\t\tSir it’s ok to be upset you have a toxic metal in your mouth as do I . That is known as the second most toxic element . It certainly has no place in a persons mouth inches from there brain. How can it be unsafe in the environment but safe in your mouth . WAKE up!!!! The filling I posted you even tried to say that as normal . And I guess this one is too.  Where he has drilled half amalgam half  white. That’s why I am going to court over it\n\t\t\nClick to expand...\n\n\nDr. M, you're not going to change his mind.  NO SIR I'M NOT UPSET AT ANY TOXIC METAL IN MY MOUTH.  I got sued before by a meth user.  Good luck with court.  Going to court is very expensive and your lawyer will decide if it is worth his/her time to invest in it.  \n\nAs stated before, every filling case is different and there are different restorative options.  I feel sorry for you being a \"scientist\" and not know the difference between legit science vs fake science. Dr M: I am also sorry for the dentist that has to have him as a patient for all future problems."
  },
  {
    "id": 941,
    "title": "Does tooth verticar root fracture show a symptoms? Different Endo opinions.  How to know if I need a Rct or not. Anyone experienced like this before?",
    "dialogue": "Du_deleted: Hi,\nI have been dealing with lower jaw pain under earlobe for past 3 months. I have ear pain, lower jaw pain with Swelling in the jaw. I have severe pain in the lower jaw. After a month, I started feeling pain on the side of the neck. It's mildly swollen too.  I have some spots in the side of the neck and under the earlobe in the lower jaw. I have been to ENT and different dentists. No ear infection. \n\nMy dentist said it could be from a tooth crack or fracture on tooth#30 or upper wisdom tooth. I extracted the upper wisdom tooth 7 weeks back and no changes in my symptoms. I have pain on top side of the head above the ear. It hurts whenever I open the jaw and my jaw clicks or pops Everytime.  My upper molars are so tight since may when all these started. It's still the same and no increase or decrease in the swelling. It's the same. \n\nI went to an Endo based on my dentist referral and he tested. He said no fracture.  And during the cold test, I felt more sensitivity on that tooth and felt soreness for 20 seconds after that. \nI felt pain to bite on one spot on that tooth. So he said no RCT needed. I told him that pain in the lower jaw is so severe and throbbing when I lie down.  So, he said if it's throbbing pain to lie down , I can do RCT and send me with a treatment plan.\n\nMeanwhile, I saw an OMFS for a post op follow up and he said my issue might be TMJ issue and referred me to tmj specialist. \n\nI have severe pain in the lower jaw under ear lobe and side of the neck. It hurts to touch under the ear and neck. It's so tender and sore. My PCP told me to try physical therapy if it's from tmjd and any muscular issue. \n\nMy dentist is very sure that my issue is from the tooth crack only. He said all the pain and swelling could be a referred pain from the tooth crack on #30. He talk to the referred Endo and he told me to so RCT with Endo and come back to him for a crown. \n\nI never had RCT before and very nervous and panic about it. I am not against my dentist treatment plan or thoughts. I wanted to know if my jaw pain under earlobe and neck swelling and pain is from the tooth crack before proceeding with RCT. But no answer for that. \n\nI did see a physical therapist based on my PCP suggestion. He did say that my symptoms looks like tmjd and needed some manual therapy treatment. But my PT wanted to make sure if there is no issue from the tooth before moving on with PT. \nI went to another Endodontist today to check if any issue on my #30 tooth. This Endo has good Google reviews and was listening to me so patiently. He didn't take any new x-rays as I have all my x-rays and CBCT scan. He didn't see my cbct scan or didn't take one. He said the scan is not required. \n\nHe did bite test, cold test, fibre optic light test. I felt little soreness after the cold on that tooth. I also felt some pain to bite on one spot on that tooth. He said, no RCT needed now. Couldn't see any crack in the light. If it's a root fracture, we cannot see it. But other symptoms will show up. So, told me to check with TMJ specialist and ENT for the jaw and neck pain. \n\nSo, I have 2 different opinions regarding the root canal now. So, it's very confusing how to proceed further. Is it really a crack or I should hold on with RCT for now?\nAny thoughts or inputs anyone? Please. \n\nP.S: during my 2 Endo visits, both the Endo didn't take or see the cbct scan. They said it's really not necessary. But during my first dental visit, the dentist said that I have fracture by seeing the cbct. So it's very confusing why the Endo not seeing the cbct scan and they rely on cold test and bite test along with fibre optic light test. honestdoc: If you get a vertical fracture on a tooth or root, it may take a few weeks to manifest into gum attachment damage.  The dentist will probe around your normal teeth with readings like 3 mm, 2 mm, 3 mm.  If vertical root fracture happened about 4-6 weeks before, depending on how deep the fracture is, the readings will be like 3 mm, 7 mm, 3 mm.  The 7 mm indicates gum attachment loss (damage).  After a few months, the bone around the problem root or fracture will show damage on x-ray as black (radiolucent). Du_deleted: honestdoc said:\n\n\n\n\t\t\tIf you get a vertical fracture on a tooth or root, it may take a few weeks to manifest into gum attachment damage.  The dentist will probe around your normal teeth with readings like 3 mm, 2 mm, 3 mm.  If vertical root fracture happened about 4-6 weeks before, depending on how deep the fracture is, the readings will be like 3 mm, 7 mm, 3 mm.  The 7 mm indicates gum attachment loss (damage).  After a few months, the bone around the problem root or fracture will show damage on x-ray as black (radiolucent).\n\t\t\nClick to expand...\n\nThank you doctor @honestdoc.\nHow do they do this probe? Like scratching over the gum area? I do remember that my new Endodontist did that yesterday. He said it will be very tender and painful before doing it. I felt so painful and tender. He scratched over the gum, but he didn't say anything like these values. He was checking all the tooth gum area. This was the first test he did. \n\nIt's been 3 months since this issue started. He didn't take any new x-rays though. Saw my old x-rays. If its a root fracture, it would atleast show up with a gum probe by now? \n\nI did email my general dentist after the second Endo opinion. Endo have sent his report to my dentist as well. My dentist is not so friendly and good with anxious dental patients like me. He replied me that, what is your next step and getting multiple opinions can be very confusing. \n\nSo, he is not suggesting anything on my issue now. He just want me to decide my next plan and let him know about it. He actually want me to try the RCT and see if helps in my symptoms. He told me that when I talk to him last week. \n\nI have very severe pain in the lower jaw under earlobe, side of the neck. It has a small lump on the side of the neck. It's very painful to touch the jaw area and neck. My PCP wants me to do a neck ultrasound to check if that lump is a cyst. I have mild swelling in the side of the neck for last 2 months and in the jaw for last 3.months.\n\nI did ask the new Endodontist that a crack will cause these symptoms. She said certainly not. So, it's confusing if I am missing something or should try RCT and see if I have a root fracture or not since it's not visible on the xray or through diagnosis."
  },
  {
    "id": 942,
    "title": "Been for a scan at hospital",
    "dialogue": "rach.atkinson: Hi , just joined . Just wondered if anyone has had the same experience as me ! \nI had my 2nd molar removed in January and ever since my wisdom tooth behind it has been hurting on and off. Dentist thought I might be biting down on it and it hurting so 3 dentist visits later they kept filing it down. Pain comes and goes but is getting worse now . Filed tooth down again a couple if weeks ago but it’s still getting worse.  They sent me for a dental x ray at the hospital and they have just rang me and said that they cannot see anything wrong on the x ray so they are referring me to another hospital further away to do some more Tests? Please help ? Thank you . I have photos of the X-ray too Dr M: Good day\n\nCan you please attach photos of the x-ray? rach.atkinson: Dr M said:\n\n\n\n\t\t\tGood day\n\nCan you please attach photos of the x-ray?\n\t\t\nClick to expand... honestdoc: Fortunately I'm not seeing any disease and according to the pano x-ray, you had your Lower Right first molar removed.  The 2nd molar behind it has the tendency to tip forward (towards the midline, mesial drift).  You don't have a wisdom tooth on that side unless your wisdom tooth shifted to the 2nd molar position.  Since the molar was extracted, your biting dynamics have changed shifting more biting stress on the 2nd molar.  I recommend trying an Over-the-Counter Night Guard at your local drug store and consider full restorative options to stabilize your bite and consider custom bite guard. rach.atkinson: Thank you for your reply. I forgot to say in first bit that I had a bite guard made about 3 weeks ago and have been wearing it every night for 3 weeks and it just seems to be getting worse. Feel like I’m imagining the pain that comes and goes because no one can see anything wrong ! I’m very scared that no one knows what’s wrong as I don’t want to be in pain for the rest of my life . rach.atkinson: Also I was told that the tooth was my wisdom tooth as when I was younger i had 4 teeth removed to get prepared for a brace which I didn’t end up having honestdoc: rach.atkinson said:\n\n\n\n\t\t\tAlso I was told that the tooth was my wisdom tooth as when I was younger i had 4 teeth removed to get prepared for a brace which I didn’t end up having\n\t\t\nClick to expand...\n\n\nI'm not trying to contradict you unless you provided someone else's x-ray.  Usually the 4 teeth removed for braces are 1st Premolar (Bicuspids) and sometimes 2nd Premolars on all 4 quads.  I notice you have both Premolars on LR, UL, & LL.  Only the UR is where you have the 2nd Premolar missing.  I suspect you had all wisdom teeth removed (3rd molars).  You can see on the LR (LL on the x-ray) where you have no 3rd molar and remnants of where the first molar was extracted.\n\nDo you have expanded x-ray showing the neck of your jaw bone?  I wonder if you have any arthritic changes in you TMJ.  I suggest you see a TMJ specialist for an opinion of your pain.  I agree with the previous dentists in that the x-ray provided (other than images of your TMJ joint) show no sources of your pain.  My differential guesses from most likely to least is this.  1.  TMJ/grinding/clenching joint degeneration 2.  Referred pain from previous injury(ies) or surgeries, 3. idiopathic (unexplained) or further workup/details (medical conditions, etc) are needed. rach.atkinson: I think if I remember rightly I have had 10 teeth removed. The pain is not only on that back tooth sometimes it seems likes it’s spreading along my jawline- both upper right and lower right. That’s the only x ray I have I’m afraid . I did read about TMJ and thought this maybe related as I read that TMJ could cause headaches too which I get quite a bit. Thank you very much  for explanations and help . rach.atkinson: Another thing to add is I do have like a clicking when I open my mouth wide and I’ve seen this can be related to TMJ too"
  },
  {
    "id": 943,
    "title": "Wisdom tooth extraction and one bottom teeth extraction",
    "dialogue": "Cloud: Hello I have been using warm water and salt couple times a day, but I’m wonder if I can brush with toothpaste on the first day following the surgery. Dr M: Good day\n\nAvoid brushing on the socket and be careful around the teeth close to the socket. Cloud: Ah okay thank you so much. The bleeding has stopped quite a bit would I still need to use the gauze until blood is completely stopped? Im surprised majority of the pain is gone already.\n\nI was thinking of buying those curve tip syringe from amazon and filling it with (warm?) water to clean the extracted area. Is this bad? Dr M: No, once most of the bleeding has stopped-no need for further gauze. Cloud: Dr M said:\n\n\n\n\t\t\tNo, once most of the bleeding has stopped-no need for further gauze.\n\t\t\nClick to expand...\n\n\nHello thank you. One last question if you don’t mind near end of day two and the wisdom extraction area is giving of an itchy feeling, temptation to the point like I want to itch at it, but I won’t of course. I googled and it said it’s part of the healing process and would like to know if this is accurate.\n\nThank you again Dr M: Good day\n\nThis can be part of the healing process. Don't disturb the area and everything should be fine Cloud: Hello again.\n\nI’m curious if could I start eating things like bakery bread with meals, soft bread with peanut butter, or rice? Or I must wait until the extraction site is completely healed. Been worried about an infection so been sticking to very soft food, but they get a bid bland over time.\n\nTy Dr M: Good day\n\nIt is fine to gradually work up to harder foods. Cloud: Ty!"
  },
  {
    "id": 944,
    "title": "Dentistry Groups?",
    "dialogue": "joannab72: Hi\n\nI'm pleased to find this group as I have dentistry issues I need to discuss and look into and get expert opinions. Does anyone know if there is a UK WhatsApp group for dentistry patients? \n\nThanks\n\nJo"
  },
  {
    "id": 945,
    "title": "Should I go to oral surgeon or a regular dentist will be fine to take out my non impacted tooth ? Please see attached",
    "dialogue": "Yomiko: Hi doctors and everyone,\nI need an opinion Should I go to the dentist or oral surgeon for my tooth situation? \nThank you so much! Dr M: Good day\n\nA competent regular dentist would be able to perform this extraction without any major issues. honestdoc: Usually the upper wisdom teeth like your case are fairly straight forward with minimal trauma.  1.  The bone around it is thinner and less dense.  2.  Many times the root anatomy as indicated on your x-ray are more fused and less flared (less anchored) due to the lack of space.  3.  The tooth is unopposed (no bottom tooth to subject forces which hardens the bone)  which allows the tooth socket and bone to be less resistant to surgical forces.  Best case scenario, the tooth will roll out gently in 5 to 10 seconds. \n\nHowever, I encounter many dentists who are afraid to touch extractions so hopefully your dentist feels confident with this."
  },
  {
    "id": 946,
    "title": "Extraction",
    "dialogue": "DarrenR: Just had a tooth extracted couple of days ago, anybody tell me if this is healing OK? honestdoc: It's hard to see all the details.  As long as discomfort is tolerable and most important no swelling. DarrenR: Thanks. Had a few mouth sores since, possibly with where needles were put in, or been a bit run down, the hole is a darkish colour, no swelling honestdoc: The changes of color usually indicates repairing epithelium developing.  Swelling indicates disease, infection, and contamination."
  },
  {
    "id": 947,
    "title": "Help what can I do at this point?",
    "dialogue": "Buster: I just got the all on four. I hate my final prosthetic. I feel like the dentist made this and this was not made in a lab.i wish I could get it made somewhere else. What are my options? I got stuck in a bad position my dentist had the dental assistant do you mostly all of my work. She claims she was a dentist in Mexico and went to dental school for one year. This is not what I wanted. I paid 30,000 for this upper and it feels so wrong. honestdoc: Go back and discuss all of your concerns.  You paid a lot of money and the team should make it right.  If you feel that your concerns aren't being addressed, you may consider filing a complaint with the licensing authorities. Buster: This is so hard I don’t even know where to begin  i found a doctor I think is highly educated in implants. we decide to do the all on four on top and remove my two teeth in the very back on the bottom. We also did two implants on the bottom which was another 10,000 on top of the 30,000 for the top. my first appointment the dental assistant did my impression which it was falling out of my mouth and I had to reach up and push it in before I could tell her it was falling. She does another one wasn’t feeling confident. So the next time I see the doctor he removes my teeth and puts in my implants and bone grafts and attaches my temporary. After ‘‘tis point all my future appointments were with a girl from Mexico that practiced there but I don’t believe is licensed here. She said she had to go to to school for a year after she graduated high school to get her license in Mexico. So couple weeks after I get the implants on the top I go to the appointments and the doctor removes my stitches and then places the two implants on the bottom with bone graphs. Is it normal to do that with just numbing medication? Just curious..... also when the doctor put in my temp bridge it was messed up and had to go back to lab and I had to be sedated for a couple extra hours......\nwonder why. when we came out after surgery he said he was sorry my temporary was perfect bad he will make sure my final results are. Time comes for me to get my two teeth on the bottom there were two quarter inch black slashes on the tooth. I asked the dental assistant which is the one who installed them about it she didn’t know. I asked her why would a lab send something like this over here.(paid $5000 for that tooth) she did ask me if I wanted her to grind about it and I was a little disgusted no I was concerned with the integrity of my tooth and my final result. now I’m wondering what type of imaging they’re going to do for my final prosthetic on top. I want to the appointment and once again the dental assistant is doing everything. She has a scannerconnected to a computer screen and is taking images of my  messed up temporary. Then I did an impression of my temporary. Then she had some caulking gun and squiet some purple stuff along my front bite line and that was it. I thought maybe they would take an impression of my gums seeing how they have change so much after surgery. I thought at some point someone would see how my implants are doing the doctor hasn’t looked at them since I got the stitches out. One of them I can wiggle back and forth with my tongue. Are they supposed to be like that? I don’t even know what kind of implants I have or what my teeth are made of. And my permanent all on four feels cheap and poorly made.I don’t feel I can talk to him about this without insulting him. Is there a place where I can go to find out what happened to me where they can check his work out? honestdoc: Implants aren't supposed to move or wiggle with your tongue.  You aren't supposed to get crowns with black slashes.  I don't understand how you can pay so much money and get poor results.  What currency did you pay and what location did you get it done...I'm not understanding any of this. Buster: American currency..... I got it done in northern california. This guy has written books and teaches implants.  The dental assistant plainly saw the black slashes on that tooth when she put it in my mouth. I saw it when I looked in the mirror on the way home the next time I saw her I mentioned it and she said oh yeah I saw that too do you want me to remove it. I just have a feeling they’re making stuff there and acting like they’re working with the a lab. I paid a lot of money for my prosthetic it sure doesn’t look or feel like it. The dentist hasn’t looked at my implants since he took my stitches out. The tooth I can wiggle the implant with my tounge has always been like that it’s never changed. The dental assistant has taken it off and put it back on several times but never touched or inspected the implant. I’m lost, I don’t know how to handle this. Buster: Also that implant is sticking out from the plate and my bottom teeth are using it as a chewing surface. In fact when I close my teeth the implant is the first thing it hits as all my bite seems to be on my front teeth also. honestdoc: I'm sorry to say that implants aren't supposed to be like that.  They should not be movable.  That means the bone did not integrate into the implant which means failure.  The crown should not be biting first.  Implants don't have Periodontal ligaments (shock absorbers for the teeth) and cannot tolerate forces like natural teeth.  The implant team needs to address it...surgical team on integration and restorative team on bite and esthetics.  If not, may need to file complaint with the California Dental Board. Buster: I’m still struggling. I tried going to a perio and getting that implant checked. He took images and said it looked ok and he would not take my piece off and check. I told him how much I paid for this he shook his head and said I need to have a sit down with him. He said he doesn’t know what my teeth are made of. Can you tell me what this is made of? Is this what I paid 30,000 dollars for? It feels horrible and is making my mouth stress a lot. Feeling like I’m loosing facial support in my lower jaw. I thought I was getting new teeth tease feel horrible. Why? Buster: Also when I bite my bottom teeth slide along the back of my front teeth and when it comes to rest it has moved my bottom Jawas for back as it will go. I think this is causing the stress. Also I’m a hairdresser and I know all about body positioning and I think this was caused by taking impressin with me in a laying down position. I told them from the get that something was wrong ther I was cut off and told no that’s your bite. Also I feel my top teeth should be wider than the bottom so it can come around my teeth. It seems off..... sending a pic. Perio also said my lip was trapped. Buster: I want to this dentist because he specializes in implant and has written books and teaches. I paid him upfront (requirement ) and he put my implants in and then turned me over to the dental assistant to do my prosthetic. She went to dental school in Mexico for 1 year After highschool. I stayed in the us to get my teeth done right."
  },
  {
    "id": 948,
    "title": "Bit tongue 2 weeks ago - Healing?",
    "dialogue": "MR505: Hello,\n\nJust over 2 weeks ago, I bit the side of my tongue (posted about it then but wanted to see if it looks better to a more trained eye). It's in an area where I probably bite a bit more frequently than others, on accident. It looks like it's healing but still has some whitish/pink coloration and hasn't fully returned to normal.\n\nIs this typical? Does it look concerning based on the photo? Trying to avoid going to the dentist unnecessarily given COVID, but if it should be more healed by now, I'll setup an appointment.\n\n\n\n\n\nThank you! Dr M: Good day\n\nI am judging my opinion on your photo. Usually after about 2 weeks, your tongue should be almost back to normal. It is a good sign that you are seeing some improvement.\nI am a bit concerned about the white-red lesion you still have in that area. This is a high risk area, and I would still suggest going to a dentist, to have a consult and screening done, on this area specifically. It might be necessary to consider a biopsy to rule out any underlying pathology. MR505: Thanks Dr. M. If I'm going in next week to have some dysplasia removed with a laser by an ENT surgeon, is this something I can have them look at/take care of while I'm in for that? Or would I need to deal with this starting all over (dentist > referral > surgeon, etc)? Dr M: Good day\n\nThey should be able to look at this at the same time.\n\nGood luck MR505: Thanks! I'll be sure to point it out.\n\nOne last question- I've noticed a couple somewhat whitish but mostly fleshy colored small bumps (like 3 or 4 of them) pop up under my tongue in the past week or so. They don't hurt, the only one I kind of feel is in the back side of my tongue. I assumed they might be small canker sores from rubbing against my teeth (I've been looking at my tongue so much lately) or possibly stress related. I realize this isn't much to go off of, but any idea what they could be? Could stress cause something like this?\n\nI have had a dentist, an oral surgeon, and an ENT look at my mouth in the past month, so I assume they'd catch anything concerning?\n\nI tried taking a photo but it isn't the best. Hope it helps. Dr M: I don't see anything you need to worry about. Might just be some fibrous tissue from rubbing against your teeth. MR505: Thank you! MR505: Dr M said:\n\n\n\n\t\t\tI don't see anything you need to worry about. Might just be some fibrous tissue from rubbing against your teeth.\n\t\t\nClick to expand...\n\n\nJust wanted to follow up,  the front one in the photo seem to have cleared up. The back one is still there. Not painful, just feel it sometimes when I swallow. Any ideas on what I can do to make it go away? Or just not worry about it?\n\nThanks!\n\nHere's a somewhat better photo. Dr M: Good day\n\nDon't worry about it. There is nothing extra you can do. Just observe the area. MR505: Dr M said:\n\n\n\n\t\t\tGood day\n\nDon't worry about it. There is nothing extra you can do. Just observe the area.\n\t\t\nClick to expand...\n\n\nHello Dr M - I had my operation to remove the dysplasia a couple weeks ago. I noticed that little bump is still at the back of my tongue however. Not sure if it went away and came back or if it hasn't gone away at all. Do you have any recommendations for what could help get rid of it? Should I have it looked at?\n\nThanks! Dr M: Good day,\n\nI would not worry too much about that. It might only be a variation of normal anatomy of a papillae or minor salivary gland. It can also be an area of the tongue that is just a bit irritated and enlarged, due to scratching against an area on the adjacent tooth. Observe the area and if ever it becomes larger, then you can have it investigated."
  },
  {
    "id": 949,
    "title": "How to heal a swollen incisive papilla quickly",
    "dialogue": "Twinsitter: Roughly two weeks ago I stabbed my gum with a chip. It hurt. The following night I ate corn on the cob. While there was some discomfort while eating the corn, it was not enough to make me stop. Fast forward a few days and the gum behind my front teeth is swollen. I've had the swollen gum for a week now. I was frustrated enough to have a telehealth call with a dentist. He diagnosed me with a traumatic injury to the incisive papilla and gave me a list of foods to not eat, as well as instructions for salt water rinses. Does anyone else have experience with this and can tell me how long it'll last. Dr M: Good day\n\nIt sounds like your dentist gave you good advice. It can take up to 2 weeks for a traumatic injury to heal, depending that there is no further damage to the area. Rinse with the salt water and it should clear up. honestdoc: If you are sure any lesions are from an injury or canker sore, ask the teledentist to prescribe you Kenalog Orabase or in Dental Paste.  In the US, this medicine may not be covered by many insurances because it is considered a luxury to have your wounds heal sooner than without it."
  },
  {
    "id": 950,
    "title": "Tooth filled then adjusted no longer touches teeth (redo?)",
    "dialogue": "chip5: I had a tooth filled after i saw a small chip in it the old silver filling was removed and a composite filling was put in its place after 2 bite adjustments it was revealed with shim stock that my tooth doesn't touch. The paper slides right out, how big of a problem is this. Do I have to have the filling redone, will this cause an issue with that tooth or others if i don't? Dr M: Good day\n\nAs long as your occlusion is balanced on both sides, it doesn't matter that the filling doesn't touch. Sometimes this is preferred in order to reduce force on a tooth that could lead to additional fractures of the restoration or if the tooth is symptomatic. due to excessive biting forces.\nIf you start having pain on one or both of your TM- joints or muscles on the sides of your head, go back to your dentist to balance your occlusion."
  },
  {
    "id": 951,
    "title": "Teeth click especially in the morning",
    "dialogue": "jlr: I'm 54 and have a good dental history, braces growing up, some cavities over the years.  I see my dentist every 6 months, last time in 12/19 due to the pandemic. My dentist always says I have really strong teeth, with mild gum recession. My lower incisors are becoming crooked.\n\nAnyway, I recently bought an electric toothbrush, and a week or so after using it my teeth became very sensitive, and my left molars, top and bottom gave me a little pain when biting hard.  But the most disconcerting experience has been that I've noticing my teeth (top and bottom incisors) shift or click very slightly occasionally when I press forward with my tongue, especially after puckering or sucking in.  It's  worse in the morning.  I bought a mouth guard  a few days ago and have been wearing it when I sleep and when I exercise, in case I'm grinding my teeth or clenching.  After a few days of wearing the guard, the sensitivity has gone down, but the clicking is still there, though less in the daytime.\n\nI've noticed my teeth click once in a while over the years, but I've never really focused on it, and it seems worse now.  So, I'm a bit worried about it, have read that teeth shift, etc. and my wife says her teeth occasionally do this.  But still, I cannot shake the worry about it as of now. Dr M: Good day\n\nTeeth that click are not normal. Usually teeth have a small amount of physiological movement that can take place, but if you can move it with your tongue, this might be indicative of another underlying condition or bone loss. Over time, if your teeth become more crowded, this could lead to a shift in your occlusion, which could result in grinding. Usually these teeth are more symptomatic in the morning and can be associated with headaches as well. \nI would also be careful with an electric toothbrush. Hard bristles on the head, in combination with toothpaste, can be abrasive. If you are already someone that brushes too hard, you can damage your enamel and expose areas of dentin, which are more prone to sensitivity. Rather stick to a softer toothbrush/head for the electric toothbrush.\n\nMy main concern would be the grinding. Mouth guards you buy at a pharmacy or drug store aren't always custom made for your specific dentition and thus sometimes don't solve the problem. I would consider getting a custom occlusal guard made by a dentist. If the teeth continue to \"click \", have the dentist check for any cracks or loose fillings in the affected areas, as well as evaluate the bone around those teeth. jlr: Thanks very much for your response, Dr M.  I made an appointment to see my dentist tomorrow."
  },
  {
    "id": 952,
    "title": "Jaw and temple pain",
    "dialogue": "MCH2012: Hi! Not sure if this is a dentistry problem but I’ve had pain when I open and close my mouth by my temple and jaw on one side.. none of my teeth hurt. Has anyone had that before? Dr M: Good day,\n\nIt sounds like you have a TMJ problem. For further investigation, make an appointment with a dentist, who will investigate and treat, or refer you if necessary. MCH2012: Thank you so much"
  },
  {
    "id": 953,
    "title": "I like to chew on a synthetic dog bones intended for small dogs - am I weird?",
    "dialogue": "EnamelKing: Hi, \nI have a pretty weird situation. I always have this urge to chew on anything chewable really. Bubble gums are too effortless for me. Pens, pencils, my own fingers etc. Every time I get this chewing fixation, I'd usually go and buy myself a medium-rare sirloin steak. But recently, it has gotten worse. \n\nI recently purchased a \"small-dog teething bone\" on Amazon and it reached today. I instantly started chewing on it and felt nice and relaxed. \n\nSo my questions are:\n\n1) Is it weird for a human to want to chew on a dog bone? (just to be clear -not the bone of a dog but a cosmetic/synthetic store-bought bone meant for dogs)\n2) After chewing on it for 10 mins, I feel a slightly gratifying yet weird sensation in my jaws. Should I be worried about harming my jaws?\n3) The bone I bought is intended to be for very small dogs to chew on during their teething phase which means it ultra soft - but still tough enough for humans. Is it okay if I keep chewing on it? \n\nA few details about me:\n1) An omnivorous diet (70% meat 30% everything else)\n2) I smoke (there may be a connection)\n3) I'm a 30-year-old male with strong teeth that I generally take care of\n4) I can chew food/fruits/other edible stuff better than other people around me. MattKW: Asking for potential TMD or fractured cusp trouble. We're not meant to be built for chewing a cud like cows."
  },
  {
    "id": 954,
    "title": "Not sure why all my teeth are sensitive after one filling",
    "dialogue": "chip5: I went to the dentist for a small chip in my tooth on the upper left side and he took out the old filling and replaced it I felt my bite was off after the first adjustment it still seemed off so he adjusted it again after that adjustment everything went crazy face pain ear pain my bite felt off, he told me to wear a night guard and that it might be another tooth causing the issue but none of my teeth hurt prior to this and the tooth i had a chip in didnt even hurt before i went. I wore a over the counter night guard and after 3 days some most of the facial and ear pain stopped. but all my teeth still felt off and very sensitive especially if you tapped on them   I wanted a second option on everything so i went to a different dentist who checked my bite with shim stock  and that i could be suffering from tmj sent me home to take a load of motrin soft diet and warm pack 4 days later no change i called them back and he wants me to redo the filling and get a custom night guard I guess iam just baffled that one tooth could cause all my teeth to be sensitive this badly like i never in my life felt this way before after a filling usually the pain would be isolated to that tooth but all my teeth? and especially the one in front of it  and the one below the one worked on also both recommend a custom guard but they differ on what the problem is honestdoc: What you're experiencing happens too often.  Teeth pain can be referred from various locations.  I think you are on the right track in using a bite guard.  If your pain/sensitivity doesn't improve in another week, go back and have the dentist perform tooth sleuth, probe and illumination tests for possible fractures and cold test for any pulpal problems."
  },
  {
    "id": 955,
    "title": "Anyone tried physical therapy for TMJ? Does it really help?",
    "dialogue": "Du_deleted: Hi,\nI have right lower jaw pain under the ear and jaw pain for more than 2 months. I went to different doctors and finally to a tmj specialist. He said I have tmd.\nI have pain in my side of the neck, top side of the head, inside the ear, under the ear. It hurts to touch under the ear where the lower jaw ends.\n\nTmj specialist took a pan xray and told me that there was no space between the bones and he spotted a place in the xray. I have circled it and I am not sure of he pointed out the same spot. \nHe said bones are scratching each other and that gives the pain in my head and neck. I hear some soft sound or music in my right ear whenever I lie down at night. This sound hearing is new and it's been there for a week. \n\nTmj specialist told me to try physical therapy for my tmd. I am planning to try that. Anyone tried PT for tmjd? Does it really helps? How long does it take for PT to work? How many sessions of PT? Any inputs anyone? Du_deleted: Tagging @Dr M ,@MattKW . Du_deleted: Attaching another pan xray which I have taken in the month of June. Before and after extraction of my upper right wisdom tooth. Dr M: Good day\n\nUsually the treatment for TMD can consist of various methods. We usually try to start with the least invasive therapies first, such as bite plates, or physiotherapy or medication. Sometimes it can be a combination of these. The TMJ specialist will most likely give you examples of exercises that you have to do, in order to focus on certain muscles groups, in order to relieve the pain. I am speaking under correction, but if you don't see any improvements in 2-3 months, or at least a reduction in pain symptoms, then alternative therapies needs to be considered Du_deleted: Dr M said:\n\n\n\n\t\t\tGood day\n\nUsually the treatment for TMD can consist of various methods. We usually try to start with the least invasive therapies first, such as bite plates, or physiotherapy or medication. Sometimes it can be a combination of these. The TMJ specialist will most likely give you examples of exercises that you have to do, in order to focus on certain muscles groups, in order to relieve the pain. I am speaking under correction, but if you don't see any improvements in 2-3 months, or at least a reduction in pain symptoms, then alternative therapies needs to be considered\n\t\t\nClick to expand...\n\nThank you so much @Dr M. Appreciate it. \nI did see a PT who specializes in TMJ. He did say that PT will help in TMJ pain and swelling. I do have swelling in the jaw and neck. It's kind of continuous sore pain in the neck jaw and head. \nTmj specialist didn't say about any exercises and just referred PT. \n\nI tried medications and taken muscle relaxers NSAIDs. Nothing helps. So, I would like to try another treatment. So, going with PT. \nDoes tmd diagnosis require imaging? The tmj specialist did only the pan xray and nothing else. Does the pan xray show the tmd issues? How the diagnosis done? My pan xray shows anything?\nPT did some evaluation hands on  and said I have tmd. My PT said that it will take one or 2 months to see improvement. \n\nApart from trying PT, does night guard helps tmd? Not the mouth appliance which tmj specialist gives,the custom night guard which the regular dentist gives. Dr M: Good day\n\nUsually a panoramic radiograph can be used to visualise the bony components of the TMJ. Sometimes additional imaging such as an open-and closed TMJ radiograph can also be used or advanced imagery such as MRI's or CB-CT scans. \nA night guard can give some relief, it just has to have an adequate thickness in order to relax the involved muscles. If too thin, it is of no use to TMD. The appliance given by the TMJ specialist would be more helpful in this regard I would think, since it is made for TMD."
  },
  {
    "id": 956,
    "title": "Aerosol Removal Device Development",
    "dialogue": "PDEngineer: Hello there,\n\nI am a product development engineer currently developing a device that would be used in the dental office for aerosol mitigation. The idea behind the device came to fruition as a response to Covid-19. It is an attempt to quickly adapt to our current environment by getting dentists and hygienists back to work sooner in a safer environment.\n\nOur initial user feedback has revealed a wide range of standard practice and regional restrictions. I wanted to reach out to the community that would use this device for further input to ensure it’s something that fulfills a need, something that you would want, and is something that will improve the safety for you and concurrent patients. For anyone interested, below are some questions that would be helpful to have discussions around:\n\nDo you view aerosol production as an obstacle that increases the risk of being exposed to Covid-19 and prevents you from comfortably returning to work?\nWould connecting an additional device through a splitter valve to your operatory’s HVE port be acceptable? In this scenario, only one device that utilizes HVE would be available at a time, but this ensures full evacuation power to the device being used.\nHave you found other devices that are effective at aerosol removal and that you like to use?\nPlease reply here or direct message me if you would like to have any additional conversation. Thanks! zorba25: Hi \n\nI am not a dentist but think it would be good to get something sorted that helps the position. We are in a living nightmare at the minute with dental issues and can’t get sorted due to this issue.\n\ngood luck with things and I hope you receive the relevant feedback you require. Sonia Salamuri: Hello,\n\nI didn't understand exactly what type of devices you are refering, but, in my country we work with a air cleaning device inside each room, including the waiting room and two operatory rooms were the dental treatment are done. We also wear the PPE recomended for the practice by the health department of the Government. Until now, we've been working for three months in the most critical place related to the COVID-19 and, with all the precautions, including checking with patients their simptons before the appointments, and on their arrival to the clinic, we've been making a good work. Of course, there is always a risk, but I think, at the moment, is safer to be inside the clinic than inside of a bus or train, were it's just impossible to check the cleaning and avoid being to close of another person. PDEngineer: zorba25 said:\n\n\n\n\t\t\tHi\n\nI am not a dentist but think it would be good to get something sorted that helps the position. We are in a living nightmare at the minute with dental issues and can’t get sorted due to this issue.\n\ngood luck with things and I hope you receive the relevant feedback you require.\n\t\t\nClick to expand...\n\nHello zorba25 - Thanks for the reply. Do you work in the dentistry field? We're seeing that this idea is positioned best for use by hygienists. If you're interested in learning more I'm happy to provide more detail on the concept. As a company, we really want discussion with the people we are designing for as this pushes the device in the direction of something that would actually be used. PDEngineer: Sonia Salamuri said:\n\n\n\n\t\t\tHello,\n\nI didn't understand exactly what type of devices you are refering, but, in my country we work with a air cleaning device inside each room, including the waiting room and two operatory rooms were the dental treatment are done. We also wear the PPE recomended for the practice by the health department of the Government. Until now, we've been working for three months in the most critical place related to the COVID-19 and, with all the precautions, including checking with patients their simptons before the appointments, and on their arrival to the clinic, we've been making a good work. Of course, there is always a risk, but I think, at the moment, is safer to be inside the clinic than inside of a bus or train, were it's just impossible to check the cleaning and avoid being to close of another person.\n\t\t\nClick to expand...\n\nHello Sonia - I appreciate your response and I'm glad to hear you're able to take the precautions to increase the safety for your team and the patients. I know all of these additional asks make the job much more difficult. The goal of our device is to provide an additional layer of safety without being in the way, increasing your comfort during the work day and the comfort for the patients. I'm happy to provide more detail about the concept and answer any additional questions you may have. If interested I will provide my contact information."
  },
  {
    "id": 957,
    "title": "Worried about sons teeth",
    "dialogue": "JMum: My son (9) has quite thick looking yellow what I assume is plaque on his top and bottom teeth and in between each tooth on the bottom row.  He brushes twice a day with an electric toothbrush, has 6 month check ups and although eats sweets etc he doesn't eat them to excess. The dentist has told me in the past that it's just the natural colouring of his teeth but it looks so awful that I can't see how this is the case.  His current check up was cancelled because of covid so he's probably 2 months overdue but how can his teeth get so yellow with daily brushing?? Dr M: Good day,\n\nDo you have any pictures of his teeth? I would need to distinguish between plaque, which can be brushed away, or calculus, which will need to be removed with a scaler. honestdoc: The erupting adult teeth will look more yellow compared to baby teeth due to the differences in mineral content.  My kids' teeth are that way as the wife was similarly concerned.  The only way to whiten is to bleach them.  I don't recommend doing that at this time because the child is so young.  Bleaching can cause the teeth to be more sensitive and can cause gum and cheek/lip irritation.  I would wait until he is older and his teeth can withstand chemical changes (I don't plan on having my kids doing that at all). honestdoc: harrymiller said:\n\n\n\n\t\t\tHi! I think your son's enamel is quite weaker or thinner since it is clear that he keeps his teeth clean. It cannot be plaque anyway. I suggest you work on his nutrition schedule like adding more calcium-rich food and watching on oral hygiene moe. These have worked for some kids and helped them improve with their enamel thickness. Teeth-whitening is not something for his age. Try it. I hope it gets better.\n\t\t\nClick to expand...\n\n\nSorry, although your response is good, enamel cannot be thickened or added.  It can only be microscopically strengthened by Fluoride and remineralized by minerals in your saliva.  Child's enamel when the adult teeth first erupts is very vulnerable to acid damage and hopefully have some Fluoride to protect it. Sonia Salamuri: JMum said:\n\n\n\n\t\t\tMy son (9) has quite thick looking yellow what I assume is plaque on his top and bottom teeth and in between each tooth on the bottom row.\n\t\t\nClick to expand...\n\nElectric brushes are a good option but sometimes the child needs some help to clean better on the cervical part of the tooth, that is, near the gingiva. Between each tooth, you could help him to use a floss (there are avaible in small sizes with colours for children), to take the plaque (or food) that is difficult to clean,even with the electric toothbrush. After the final rinsing, you can leave some toothpaste in your teeth to help the fluoride action on the enamel, so you can ask your dentist if it is wise to apply a  really tiny amount of toothpaste in your child teeth for the same purpose."
  },
  {
    "id": 958,
    "title": "X ray",
    "dialogue": "Minionfan: The dentist I saw a couple of weeks ago sent me the OPT x ray he took. I was wondering if anyone can look at it and just see if they notice any problems.\n\nExcuse the deep fillings...they're all from a particularly bad period where I wasn't looking after myself well enough in general! I've got my act together better now.\n\nI've been getting pains here and there in the area of the deep fillings but never lasting a long time (but I am also quite congested and have pain in and around my ear on the left side too). The dentist did vitality, pressure and temperature tests on the teeth and they all seemed fine.\n\nThe dentist said there may be a slight issue with my sinus on the left (said it looks slightly cloudy on the x ray). He said that sinus problems can sometimes cause tooh pain too. Is that right?! honestdoc: Sinus problems may cause pain similar to tooth ache on upper teeth.  Your teeth may feel more pronounced pain when you bend forward to pick up an item or walking up & downstairs.  Many physicians will not take you seriously and have you go to a dentist.  Most likely your teeth with the big fillings are ok since all the testings were normal.  I do see a cavity on LL and LR molar.  Keep in mind the pano x-ray is not very diagnostic for cavities.  Another source of pain could be from grinding and clenching.  You may not be aware you are doing it. Minionfan: Thanks for your response. I will keep an eye on all my teeth.\n\nDo the cavities look big? I only had a proper dental appointment with my own dentist (the one 2 weeks ago was a second opinion type appointment) at the end of June and had bitewing x rays taken and there didn't seem to be any problems?! That's a bit worrying if they are.\n\nI am aware that I clench my teeth during the day and am trying to stop and reteach myself when I'm doing that. Not sure if I'm doing it during the night. honestdoc: The cavities are on tooth #18 Mesial (towards midline) and #31 Mesial.  They are small to moderate.  I would get them filled before they get bigger.  You cannot teach yourself not to clench.  Consider Over the Counter night guard and really consider the more expensive custom bite guard. Minionfan: Sorry all I was meaning was that when I become aware of clenching my teeth I tell myself to stop it and try and relax my jaw. It's working a bit as i'm a lot more aware than I used to but I'm also well aware it may be happening at night. I'll definitely look into night guards, thanks.\n\n\nHow long does it take for cavities to appear?  We're they missed by the dentist do you think or have only happened in the 6 or so weeks since I was there? : -/ honestdoc: It's hard to say.  The pano x-ray does not reveal between teeth well.  I saw black spots on those teeth.  Have your dentist take bitewings for better assessment.  If not, show your dentist those areas from the pano provided because sometimes the bwxs could overlap making it really hard to see. Minionfan: honestdoc said:\n\n\n\n\t\t\tIt's hard to say.  The pano x-ray does not reveal between teeth well.  I saw black spots on those teeth.  Have your dentist take bitewings for better assessment.  If not, show your dentist those areas from the pano provided because sometimes the bwxs could overlap making it really hard to see.\n\t\t\nClick to expand...\n\n\nOk thanks very much. Will book another appointment with my dentist asap and get it looked at. Sonia Salamuri: please don't take my opinion to seriously, but I think you could also check the interproximal  margins of the #26 and #27, were you have the fillings. Sometimes is not easy to clean right the small gaps between those theeth and, if is not well cleaned some decay could developed under the filling. There's a small shadow around it (it could be only a shadow), so, it's not a bad idea to check on that too, if you wan't."
  },
  {
    "id": 959,
    "title": "Worried tooth may have to be extracted.",
    "dialogue": "anxiety7000: I went to the dentist for a cleaning/check up 2 months ago. Dentist told me there were 2 holes in my teeth that need to be filled, but he wanted my wisdom teeth to be removed first. I went to a surgery place and had all my wisdom teeth removed a few days ago. One of the ladies working on my teeth there told me I need to get the two cavities filled before they \"needed to come out.\" I am moving next week, so I have to make an appointment at a new dentist to get the cavities looked at. The soonest would most likely be in 2 weeks from now, so now I am having major anxiety that one of my front teeth will have to be extracted. I don't mind having it filled or even a root canal, I am just freaking out at the thought of a front tooth needing to be removed. I'm looking for thoughts or opinions on how severe the hole looks, I know the picture isn't the best. Dr M: Good day,\n\nIt is difficult to judge from this photo, and without an x-ray, an honest opinion cannot be given, due to the fact that we have to determine the extent of the decay. I can barely see the cavity on this photo.\nMy advice would be to keep the area as clean as possible with normal oral hygiene habits, and then make an appointment with a dentist as soon as you can. I doubt you will have to have the teeth extracted. We don't normally extract front teeth, if there are other options we can consider first.\n\nHope this helps to put your mind at ease a little bit. Sonia Salamuri: I think that Dr M is right. To extract the wisdom tooth I believe you nedeed to make an X-Ray, or maybe a CT, and maybe from there you can have a better view of the cavity in your tooth. Also, the advice for a good hygiene is essential, specialy with the use of floss or small brush to clean between each tooth."
  },
  {
    "id": 960,
    "title": "Root canal or crown?",
    "dialogue": "Roney: Hi, my name is Roney I live in Brooklyn NY \nDue to Covid my regular dentist is not coming in, so I went to a local dentist he said that one of my teeth needs a crown $2400 with quite a few cavities before performing I went for a second opinion (due to past bad experience unfortunately) \nand second dentist said that this tooth needs \n\n1) premolar retreat root canal \n2) prefabricated post and core\n3) temporary crown (fractured tooth)\n=$4600\n4) permanent crown \n$2650\n\nI'm confused and scared as my appointment is scheduled 2 weeks from now and the teeth is getting smaller with black spots  \n\nCan someone please chime in with anything I can do on my end & if that makes sense?\nThanks a million Dr M: Good day\n\nDo you have any photos or x-rays of the teeth? honestdoc: Do you have any pain and or swelling?  When was the last time you saw your regular dentist?  If you saw him/her within the past year, I find it suspicious that the local dentist found quite a few cavities.  Like Dr M asked, provide x-rays if you can and some mouth images.  We can't determine if your root canal needs retreatment without x-rays.  Keep in mind we cannot diagnose with x-rays alone. Roney: Dr M said:\n\n\n\n\t\t\tGood day\n\nDo you have any photos or x-rays of the teeth?\n\t\t\nClick to expand... Roney: honestdoc said:\n\n\n\n\t\t\tDo you have any pain and or swelling?  When was the last time you saw your regular dentist?  If you saw him/her within the past year, I find it suspicious that the local dentist found quite a few cavities.  Like Dr M asked, provide x-rays if you can and some mouth images.  We can't determine if your root canal needs retreatment without x-rays.  Keep in mind we cannot diagnose with x-rays alone.\n\t\t\nClick to expand...\n\n\nHi, thank you for your detailed reply.\nUnfortunately I do have so much pain (when eating and food getting stuck between teeth-cavities) honestdoc: Unfortunately there are no uninterrupted images of the Upper Right First Premolar where the tooth is not cut off.   As stated before I can't diagnose based on x-rays and much less without an intact one.  An important factor is swelling indicating infection and failing root canal.  I do see cavities on Lower right and fracture or cavity on LL back molar.  If you need root canal retreatment, I recommend going to a root-canal specialist (endodontist) because a lot of things can go wrong.  However, it can get very costly.  You may consider going to the dental school and maybe faculty practice where there are a lot of resources to meet your needs.  Consider cutting way back on sugary, creamy, and acidic beverages like soda, Star Bucks, and Energy Drinks. Roney: honestdoc said:\n\n\n\n\t\t\tUnfortunately there are no uninterrupted images of the Upper Right First Premolar where the tooth is not cut off.   As stated before I can't diagnose based on x-rays and much less without an intact one.  An important factor is swelling indicating infection and failing root canal.  I do see cavities on Lower right and fracture or cavity on LL back molar.  If you need root canal retreatment, I recommend going to a root-canal specialist (endodontist) because a lot of things can go wrong.  However, it can get very costly.  You may consider going to the dental school and maybe faculty practice where there are a lot of resources to meet your needs.  Consider cutting way back on sugary, creamy, and acidic beverages like soda, Star Bucks, and Energy Drinks.\n\t\t\nClick to expand...\n\n\nThank you so much for your reply. \nOn your opinion based on this xray does teeth number 18 needs a filing or is it broken and needs an olnay?\n\n(Dentist who did the xray said posterior composite and second opinion said teeth is broken and needs an onlay)\nThanks in advance for your professional opinion honestdoc: Only seeing the x-ray, #18 can do a filling (cheaper & less traumatic).  The filling won't be as strong as an onlay (crown) which is more expensive.  You have an existing large silver filling on #18.  After any work on the tooth, it may feel more cold sensitive. Roney: Wow your advice is so helpful \nI can't thank you enough Roney: Where is your dental office? honestdoc: Roney said:\n\n\n\n\t\t\tWhere is your dental office?\n\t\t\nClick to expand...\n\n\nPacific NW Roney: honestdoc said:\n\n\n\n\t\t\tPacific NW\n\t\t\nClick to expand...\n\n\nAh got it.  that's to far away from my area unfortunately honestdoc: Roney said:\n\n\n\n\t\t\tAh got it.  that's to far away from my area unfortunately\n\t\t\nClick to expand...\n\n\nIn the 70's, we lived in Yonkers for 4 yrs while my dad completed his medical residency in Manhattan.  I missed the pizza."
  },
  {
    "id": 961,
    "title": "Pain on left side of mouth teeth for over 3 months now, have seen two dentists. Could wisdom tooth be issue?",
    "dialogue": "InPain56: So I’ve had a pain on the left side of my mouth for while, take ibuprofen and Advil daily to somewhat help it. After I had this X-ray done, my family dentist filled a cavity on the top left of my mouth and pulled the wisdom tooth next to it. The pain has not gone away....... I can’t pinpoint a specific tooth either it’s just a general pain in the back left. Could it be my wisdom tooth on the bottom left? I’m thinking about going to an oral surgeon and getting it removed as well as my other wisdom teeth. Or could it be something else? Dr M: Good day\n\nBased on your x-ray, it does look like your bottom left wisdom is impacted. Sometimes this pain can radiate up to year ear and even cause headaches or earache.\nMy opinion would be to remove the wisdom tooth, as well as the teeth on the right side.\nYou have several other fillings and it is difficult to judge their quality on a panoramic x-ray alone. For this a clinical exam with peri-apical x-rays may be required, since it \" zooms in \" on the area and then it can be seen if there is possible secondary decay. The filling on your upper left also looks quite deep and close to the nerve ( assuming the decay was removed and a new filling was done? ). If it is too close to the nerve or in the nerve, this could also cause pain, even at the bottom, since pain can be referred. \n\nHope this helps"
  },
  {
    "id": 962,
    "title": "Advice Denture / Partial",
    "dialogue": "only2sunshines: My quality of life has plummeted, seeking advice as to the partial I received that still doesnt fit. I have had upper denture and partial that I have never worn on bottom for 8 months. The first one was adjusted several times so he had another one made and Im disgusted . Am I over reacting ? I went from a few bad teeth to none and its just overwhelming. Now my insurance is maxed out on these . Honest opinions, is this good work? Dr M: Good day\n\nAn honest opinion can only be given if I see the dentures in your mouth, as well as an idea of what your remaining teeth look like. A picture of a partial chrome cobalt denture on its own, is of no value, since it looks fine from the pictures alone, but it might be a different story once it is in your mouth and opposed to the top denture.\nHave you been to your dentist for some adjustments after it was made? Sometimes it needs small adjustments in order to get the fit just right. only2sunshines: Dr M said:\n\n\n\n\t\t\tGood day\n\nAn honest opinion can only be given if I see the dentures in your mouth, as well as an idea of what your remaining teeth look like. A picture of a partial chrome cobalt denture on its own, is of no value, since it looks fine from the pictures alone, but it might be a different story once it is in your mouth and opposed to the top denture.\nHave you been to your dentist for some adjustments after it was made? Sometimes it needs small adjustments in order to get the fit just right.\n\t\t\nClick to expand... Dr M: It looks like you have a bit of an open bite on your right. Was the partial denture designed with the full upper or seperate?"
  },
  {
    "id": 963,
    "title": "Clinical cases dental debridement/scaling/gingivitis",
    "dialogue": "ng7: I need some clinical cases before and after treatment. Is there someone who can help me? honestdoc: Couple of links...https://www.dentistrytoday.info/\n\n\n\n\n\n\n\n\n\n\t\t\t\t\t\tDentaltown - Where The Dental Community Lives®\n\t\t\t\t\t\n\n\n\n\n\n\n\t\t\t\t\twww.dentaltown.com ng7: honestdoc said:\n\n\n\n\t\t\tCouple of links...https://www.dentistrytoday.info/\n\n\n\n\n\n\n\n\n\n\t\t\t\t\t\tDentaltown - Where The Dental Community Lives®\n\t\t\t\t\t\n\n\n\n\n\n\n\t\t\t\t\twww.dentaltown.com\n\t\t\t\t\n\n\n\n\nClick to expand...\n\n\n\nHi! Thanks, but I don't find what I am looking for. I need some clinical photos (before/after). honestdoc: Look into the link I provided in dentistrytoday on archived magazines.  I found this randomly....https://www.dentistrytoday.com/articles/10549\n\nWhat kind of cases are you looking for?   Dentistrytoday has a lot of cases."
  },
  {
    "id": 964,
    "title": "Infection after extraction ?",
    "dialogue": "Madmandy: I had a wisdom tooth and another  in front of it extracted on the 22nd July.\nOver the next few days the 2nd site got swollen. I returned to the dentist and am just finishing a course of metranidazole and amoxicillin. 1 of each 3 times a day plus salt water 4 times a day.\nNo improvement at all, no real pain but a light dragging in my jaw under my ear and a bit of stiffness when I open my mouth.\nWhat if anything can I do to help or what will the dentist do ? I'm concerned it might spread ? Dr M: Good day\n\nBased on your photo, it looks like everything is healing as it should. No need to worry. The stiffness in the jaw is normal after a wisdom tooth extraction, since the muscles in the associated area can be a little bit sore. This can happen due to the extraction procedure itself or even because of the local anaesthetic that was injected into the area.\nFor difficult wisdom teeth extractions, it can take up until 1 month for the hole to close completely as well as any lingering pain or sensitivity to go away.\nMy advice would be to observe the area and to give it some more time. Most likely everything will return to normal.\n\nHope this helps."
  },
  {
    "id": 965,
    "title": "Does this need checking out",
    "dialogue": "Cartersclan: I had a tooth extraction, packed and stitched on weds. The past few days I've noticed this jelly type sac protruding from my socket. It's a grey/green colour.  I rinse with salt water, I have a mouthwash prescribed by the dentist and I'm taking amoxin500mg 3 times a day. I'm a bit concerned as due to fly on 8th augist Dr M: Good day\n\nWhen a tooth socket heals, if forms granulation tissue, that can appear yellow in colour, and then it gradually turns pink as healing progresses. If the area is painful after 3-5 days, it can also be an indication of a dry socket, which will have to be cleaned out by a dentist.\nIf the area is not painful, just follow the post-op information given to you by your dentist, and observe the area.\n\nHope this helps."
  },
  {
    "id": 966,
    "title": "Could anyone tell me what this is?",
    "dialogue": "Worried87: I check my teeth and mouth regularly and this red bump (in the photo) has come up over night.\n\nI'm guessing I probably bit my cheek while asleep? But just wanted to check if it was anything else?\n\nThanks. honestdoc: The image is not clear, but I believe it to be petechiae or broken capillaries.  When I first look at lesions, I look for regular vs irregular patterns and presentation.  Your lesion is regular looking and likely not serious.  Irregular lesions are like squamous cell carcinoma which is ugly, usually different colors, irregular borders and patterns.  Make sure any lesions resolve after 2 weeks.  If any lesions look suspicious (not yours), the only way to diagnose it is with a biopsy. Worried87: Thanks very much honestdoc! It's already reduced a bit and starting to look better.\n\nI had just never had anything like that before so wasn't sure what it was.\n\nThanks for your advice."
  },
  {
    "id": 967,
    "title": "1st molar problems",
    "dialogue": "Drrn23: So I had an onlay done about 2 years ago.. the dentist recommended it and I as young and had no clue what was going on. I really wasn’t even feeling pain in the tooth at the time.. but I had insurance and it was covered. Fast forward to now It started hurting when I chewed anything. Then about 4 days later I bit on a peanut and my tooth broke off.\nI went to another dentist because I had a horrid exp with my old one and he said he said he doesn’t know if it was the tooth or the filling that cracked. He recommended a root canal and crown. He also mentioned that he wasn’t sure if the crack when down past the gum line. I got the root canal.. but still felt pain. I went back and got multiple xrays and they said “it’s fine, maybe food irritating the gum” so I got the got the crown placed hoping that would help prevent this “irritation from food”. It’s been maybe a month or so. And I still have the intermittent discomfort/pain on the same side that the tooth chipped on. I floss 3x daily to fish for food under there. It still hurts. I’ve been searching on google and saw things like hairline fracture etc and it confident that’s what I have now. Prior to getting the root canal, the tooth would only hurt if I bit on it and let go. I don’t want to consistently take nsaids for a tooth that I’ve paid almost $4000 total for (including the first onlay) \nWhat do I do? Are they going to have to extract the tooth? Should they have extracted the tooth when I went to them in the first place instead of pushing for a root canal? Am I gonna have to pay for an implant at only 23?!! Can I get a refund on the prior treatments on the tooth? I’m just so lost and annoyed and also tired of spending money for no results Dr M: Good day\n\nUsually if a crack was seen, it is important to follow the crack in order to determine how deep it goes. If it was superficial, the root canal and crown should have solved the problem-keeping in mind that a root canal has various factors that also determine if it was successful or not.\nIf the crack goes into the pulpal floor or root of the tooth, the tooth usually gets extracted, since it is deemed unrestorable. \nAfter a root canal has been completed, there can be some residual sensitivity for a time, but this should gradually decrease.\nI usually don't place crowns on symptomatic root canals if I am not sure the root canal was successful.\nIt might be best to get a second opinion, maybe from an endodontist, which is a specialist in root canal treatments. He can evaluate the root canal that has been done, to see if there was any canals missed or roots that has been short filled, and then possibly re-do the root canal through the crown if this is the case.\nHe also has sophisticated technology, to determine if there is a crack ( cbct scans and/or microscopes ) and can then determine if the tooth is worth spending money on or not.\n\nHope this helps a little bit."
  },
  {
    "id": 968,
    "title": "Does this look like a chipped tooth, or a cavity that fell out?",
    "dialogue": "kmg37: Does this look like a chipped tooth, or a cavity that fell out, or can't tell from the pic? kmg37: Meaning on the near side of the lower back right molar Dr M: Good day\n\nIt looks like you have a filling on the affected tooth as well as a new cavity that requires a filling. Best to go to your dentist for a consult.\n\nHope this helps. kmg37: Dr M said:\n\n\n\n\t\t\tGood day\n\nIt looks like you have a filling on the affected tooth as well as a new cavity that requires a filling. Best to go to your dentist for a consult.\n\nHope this helps.\n\t\t\nClick to expand...\n\n\nThanks for the reply.  They said the \"new cavity\" is a chipped tooth and that I need a crown, which honestly does not look like a chip to me.  Looks like a big, round hole (cavity) Dr M: From the photo it looks like a new cavity yes. I don't know what the x-ray shows, but just know that a larger filling tends to be weaker and has a higher risk of fracture, since it is never as strong as normal tooth structure. \nMake sure that the cavity can't be fixed with a normal filling first."
  },
  {
    "id": 969,
    "title": "New med- tongue issues",
    "dialogue": "Bmxrcer190: So I started on some new meds (adderral- Please no lectures) a few months ago and since then I've had some issues with my tongue. I get like these white bumps on the edge of my tongue that hurt. My tongue has been sore and the meds do cause dry mouth. I'm not sure if the issues I'm having are from dehydration or because the meds make me sometimes rub my tongue on my teeth and occasionally I'll create a suction with my tongue. Any thoughts? It's only isolated to the edge of my tongue. I got to the dentist in a couple of weeks but trying to get some ideas before then. I've been using toothpaste with peroxide and also mouthwash for sores. honestdoc: The tongue in the images have normal lesions known as migratory glossitis or geographic tongue.  It could be more pronounced after medication due to changes in your body's autoimmune system.  Medications could cause dry mouth and rubbing your tongue could also make it more sensitive.  I would not use peroxide, mouth rinse, or harsh toothpastes due to their chemical irritation.  If appropriate, have your dentist prescribe you Kenalog in Dental Paste (very expensive in the US not usually covered by most insurances) to apply on sore spots."
  },
  {
    "id": 970,
    "title": "Is this normal after WT extraction?",
    "dialogue": "Du_deleted: Hi,\nI have removed my right upper wisdom tooth 3 weeks back. It was supra erupted and OMFS took out within 2 minutes and no stiches. He said Upper WT doesn't require stitches.\n\nI didn't chew that side from day 1 and having only soft foods till today. No hard foods or chewy foods.\n\nYesterday I tried to eat some hot food on that side. Suddenly I feel sharp pain on that extraction side. It was sharp sensitive pain for a second and nothing after that. I stopped eating that side. I tried today to have some hot liquid and I feel sudden sensitivity on that extraction side. Not sure if it's from extraction side or adjacent tooth.\n\nI did go for a follow-up last week and OMFS said the site looks healed and took a cbct. Is this normal to have sensitivity on that site till gums formed?\n\nAnd I feel very weird on the right side teeth. I feel like it has shifted and not meeting properly. The molars feel so tight and hard while closing the mouth. I am also having lower jaw pain and swelling issue going on for 2 months. So not sure this tightness is because of that or upper wisdom tooth.\n\nMy lower jaw moves to left and my lips are not looking normal while closed. The lower lip looks standing to the left and not proper\nIf I consciously close my mouth, it is properly closing and looks normal. Is this something to be checked out or is this normal?\n\nI am also checking a TMJ specialist to check my lower jaw pain under the ear, neck pain with swelling. Whether the above issues are related to TMJ? Any input is really appreciated.\nThank you."
  },
  {
    "id": 971,
    "title": "Bite Problem",
    "dialogue": "thatman: When I bite my teeth don't touch usually but sometimes it seems I push my lower jaw forward meaning there is contact? Sometimes, I tend to make contact with them so I assume I push my lower jaw forward, this happens about 5-20 times a day for the last 4 months. I know that my bite is slightly off as most of my contact is on my premolars on the right hand side but my molars do touch. I am wondering how this touching can go away and why it is occurring? Furthermore, in probably a month I will be getting Invisalign so should this problem then go away? Dr M: Good day,\n\nIf there is a problem with your occlusion, your orthodontist would have picked it up during his consult and planned for this in his treatment plan. The problem should go away after your orthodontic treatment is complete."
  },
  {
    "id": 972,
    "title": "Potential dry socket Again!?!?!",
    "dialogue": "Mattc: Good afternoon! I recently had a tooth removed in the back of my mouth last Thursday 7/16 I went back in on Wed 7/22 and the results were a dry socket. The dentist put the dry socket paste in and restitched extraction site.  I have been taking pictures every day in fear that I will get another one. It was an incredibly tough extraction that took 3 hours.  Today I noticed a hole forming, is that another dry socket forming? Please help, I just want this to heal. Dr M: Good day\n\nIf the area is not painful, I would leave it to heal. If it becomes painful, it is possible that there is still some infection that needs to be cleared and in such a case, the dentist will need to clean it out again. Sometimes it is necessary to clean out an infected socket 2 or 3 times, before it gets better."
  },
  {
    "id": 973,
    "title": "Tooth abcess",
    "dialogue": "Shawnster01: Hey guys. My name is shawn and I have a pretty nice sized abcess on my lower gums because of an infected tooth. I've had it for about a month now. The only reason I havent gotten it taken care of is because I dont have dental insurance and trying to get it has been a hassle or I would have to wait like a year before I could use the insurance . Any ideas on what I can do? Dr M: Good day\n\nTo have an abscess on a tooth for so long is never a good idea. The abscess can enlarge and spread to adjacent teeth or spaces and can even become life threatening. A chronic source of infection, also strains your immune system, in a time where you need it to combat other viruses.\nMy opinion would be to get some antibiotics as soon as you can, or to remove the tooth. Always remember antibiotics is never the solution to a problem, although it will reduce pain and swelling for a period of time. The solution will be to get rid of the source of infection.\n\nHope this helps."
  },
  {
    "id": 974,
    "title": "Emergency dentist help",
    "dialogue": "gary2019: Tomorrow i'm going straight to the emergency dentist, as that is the only thing that is open during this pandemic we're having.\n\nPlease can I have some advise on here before I accept any of their options that will be offered to me?\n\nI'm experiencing serve pain but only when I push the gum above three of my teeth which has got me real concerned. I've actually noticed one of my molars looks like the gum above it has receded cause the root looks visible!\n\nThe pain is ONLY when i push against the gum above the teeth, when drinking cold drinks, the molar that looks to have receded (middle tooth in the red circle) is extremely sensitive, and sensitive to cold air.\n\nLast time I went to my dentist about this issue with another tooth, (gum pain, sensitivity - but no receding) it was an immediate root canal they done. Does it look and sound like this may be the case again?\n\n**Last time I had an X-ray on all my teeth I got told I have short roots to begin with, but upon researching, this is a side effect of having braces I think Dr M: Good day\n\nThe sensitivity you experience might be because of the exposed root surface due to the gum recession in that area. The fact that you experience pain when pressing on the tooth, is a bit worrying. This might be an indication of infection around the roots of the tooth or the tooth might also have some underlying bone loss in that area, causing the tooth to be a little bit mobile leading to the pain. Either way, a x-ray will be needed to give a proper diagnoses. It is best that you visit the dentist so he can do a full examination."
  },
  {
    "id": 975,
    "title": "Is this just a bitten tongue?",
    "dialogue": "MR505: Hello-\n\nNoticed this on the side of my tongue today. It's sore but not exactly painful. I'm thinking I might have just bit it but want to be sure I am not overlooking anything more serious. \n\nThank you! Dr M: Good morning\n\nThe issue might be trauma related due to tongue biting or even a sharp filling on one of your molars. I would suggest leaving the area for about 7-10 days, maybe just rinsing with luke-warm salt water to clean the area. If the lesion does not disappear, then it might be a good idea to go to your dentist to get it checked out. The lateral or side border of the tongue is a high risk area of possible pathology. So rather be safe.\n\nHope this helps. MR505: Thanks for the reply! I actually saw an ENT Doctor today for another unrelated tongue issue. He seemed thorough. Is this something that would be caught by a decent doctor?\n\nNo fillings either, thankfully. I'm hoping a few days of warm salt water and it'll be gone. Dr M: Good day,\n\nI would rather go to a dentist, since some general practitioners might miss the issue. Give it time, and if it doesn't disappear, go see a dentist and mentioned the tongue lesion. A dentist will then evaluate the lesion and send you to an oral surgeon for further examination if he deems it necessary. This specialist will be fully capable to diagnose and manage the problem, since this is his area of expertise. MR505: Thanks for the follow up. The past month I've seen a dentist, an oral surgeon, and today was the ENT (have another issue being resolved). I'm hoping with all those people looking in my mouth and at my tongue, they'd have noticed it. Either way, I'll keep my eyes on it and reach out to my dentist again if it doesn't go away. \n\nThanks! honestdoc: The tongue has a lot of anatomic blood supply which could be both good and bad.  The good is the blood supply provides repair nutrients for efficient healing during acute one-time trauma.  The bad is the blood supply acts like a busy freeway for cancer/tumor cells to spread elsewhere.  When the mouth (tongue) experiences constant irritation and trauma like rubbing on sharp rough surfaces, it wants to protect itself by making abnormal thicken skin (hyperkeratinization) or callouses.  It is rare that this will progress into cancer but it is precancerous.  Couple that with chemical irritation like smoking and alcohol, you increase the chance for out-of-control abnormal cell growth.  The key is to not have any irritation. MR505: It seems like it's healing already, thankfully. I don't smoke (ever) and I only drink socially. What sort of irritation should I look for? Would just a normal tooth do it?\n\nAlso, are you seeing hyperkeratosis or just mentioning it? honestdoc: I couldn't see it on the images.  Make sure your teeth don't feel rough or sharp.  Sometimes with dental work and or wear can cause sharp and rough surfaces.  Occasional alcohol shouldn't be a problem.  I don't like mouth rinses but many modern rinses are alcohol free. MR505: Is it something a dentist would see in a normal examine or do I need to ask specifically - both for hyperkeratosis and if my teeth are sharp? They don't feel particularly sharp but I'm not positive. honestdoc: The dentist will need to check it during routine periodic exam.  Many times it may appear normal so ask you dentist to look into it."
  },
  {
    "id": 976,
    "title": "How to remineralize translucent teeth?",
    "dialogue": "thatman: I am wondering how to get from having translucent parts of my teeth to them becoming white? Like what are the recommended toothpastes for this change. Dr M: Good day\n\nUsually any toothpaste with fluoride is recommended. It is always important to note certain areas are normally a bit more translucent depending on the thickness of enamel. This is part of normal tooth structure. thatman: Dr M said:\n\n\n\n\t\t\tGood day\n\nUsually any toothpaste with fluoride is recommended. It is always important to note certain areas are normally a bit more translucent depending on the thickness of enamel. This is part of normal tooth structure.\n\t\t\nClick to expand...\n\nHi\nShould be such a drastic change in colour or a gradual one to being translucent? Dr M: Hey,\nIt depends on your opinion of what drastic change is.\nUsually as we get older, our enamel layer becomes thinner. Some people are born with an already thin enamel layer. As the enamel layer becomes thinner, it can lead to some sensitivity. In worst case scenarios, it requires RCT or full coverage crowns.\nSome people who have a very acidic diet, such as drinking lots of lemon juice and other similar drinks, accelerates this process."
  },
  {
    "id": 977,
    "title": "identifying a sensitive tooth",
    "dialogue": "grahamfromoldham: I had a check up and mentioned  have a sensitive tooth (lower molar). There are two teeth and one of them is causing pain when something cold touches it although I'm not too sure which tooth it is. I suggested to my dentist that it could be the molar with the existing white filling and he suggested that he replaces it completely at a cost of over £150 (I am a private patient). I don't know why I didn't ask while I was at the surgery (probably because I felt rushed with them wearing the PPE and the current situation) but I assumed that the dentist would spray cold air/water on the tooth to correctly identify the problem tooth. \nMy question is this...Does this not happen anymore as I came away a bit surprised that he just wants to replace the white filling on my say so?\nThanks Dr M: Good day\n\nIt is never a good idea to replace a filling if there is no real indication to do so.  Any unnecessary drilling on a tooth could lead to possible nerve damage. I would rather let the dentist, take a radio-graph to evaluate the tooth as well as the teeth next to it. Cold sensitivity could mean a range of possible causes. It is also possible that the gum has receded a little bit on teeth in that specific area, leading to some exposed dentin and this could lead to the sensitivity.\nI would suggest that you request a proper examination of the area, before agreeing to do a new filling grahamfromoldham: Dr.M....many thanks for your reply I appreciate your input.\nRegards, Graham (UK)"
  },
  {
    "id": 978,
    "title": "Painful spot on my gum",
    "dialogue": "soqrates: dear doctor i have this pain full spot  in my gum what iit could be ?  its been for the last 4 days it hurts but it doesnt stop me from eating or so Dr M: Good day\n\nThis looks like a ulcer - could be trauma related or due to your immune system just being a bit off. Usually this type of lesion disappears within 10-14 days. Rinse the area with luke-warm salt water and observe the area. If it doesn't disappear, go and see your dentist for an examination with an x-ray of the region."
  },
  {
    "id": 979,
    "title": "Complex tooth extraction and what is after. Need advice please",
    "dialogue": "degerardo: Hello guy's,\nI need an advice, if anyone, anyone can help just a little, that would be great \nI have been on extraction 6.months ago, of my 17th tooth (7th on left bottom side) and it went horribly wrong.\nLong story short is, that during removal, my trigeminal nerve got a bit damaged and removal was so bad that after there was an infection and dry socket. Drilling 4.times to clean it up and it got healed.Also there were a jaw disk displacement during removal of tooth and it end up on wearing braces. I've finally got after long search great orthodontist. He made braces, but it couldn't be attached into any teeth on that side because of huge pain, so he made it half attached on right side lower jaw up to tooth 12(2nd on left side).\nNow I just want to get a little help.. \nI am still having a pain on that left side, on last tooth where braces are attached (2nd on left side) and also from tooth 14 (4th on left side - where I have had two weeks ago a root canal done) after 3.weeks of wearing braces.\nWhat can cause the pain and also like aching feel on them and on the healed \"hole\" where the extraction was done?\nIs it from braces, that they are moving teeth or from the wound or you think from damaged nerve or all together?\nAny help, or opinion would be amazing. I know it is complex, and hat's why I am trying this forum guy's.\nHuge thank you! Dr M: Good day,\n\nIt sounds like you have a very complex case and it is difficult to give an exact opinion without any related x-rays or scans.\nAfter nerve damage it is possible that you might be suffering from neuralgia, depending on how bad the damage was and this can continue for years. Usually an oral surgeon would prescribe some medication you can take to alleviate this.\nIt is also very important to note that in the beginning phase of orthodontic treatment, the teeth are sometimes a bit painful, due to the forces exerted on them as well as the movement they are undergoing.\nThis usually clears up at a later stage.\nMy advice would be to monitor this pain and maybe mention this to the specialist, which will advise you if any further investigations are needed. degerardo: Hello, thank you very much for your reply. I thought so as well. But I am not sure anymore.\nDo you guys think that tooth 4.weeks after root canal can be still sensitive to pain from braces as well? Also with the healing wound? Is it possible that braces are moving soft tissue (gums) and it is painful? \nThank you so so much for all answers. Dr M: Good day\n\nTeeth are moved through a process of inflammation. Usually during the first few weeks of orthodontic treatment you can have various teeth that are painful, including the soft tissue.\nIt is completely possible that the pain is from the orthodontic treatment."
  },
  {
    "id": 980,
    "title": "Mild sharp pain after 17 days of Upper wisdom tooth removal. Is this normal?",
    "dialogue": "Du_deleted: Hi,\nI had lower jaw pain, ear pain with mild swelling over the jaw line for 2 months. Been to many dentist and no definite answer. Told me to try removing the upper wisdom tooth and extracted it 2 weeks back. I still have the same lower jaw pain, continuous ear sore pain and neck pain. My neck is so sore and tender to touch. Under the ear was sore to touch.\nI didn't feel much pain on the extraction site as I was having more pain on the lower jaw and ear, neck.\nFor last 2 days, I feel sharp pain on the extraction site. I am still using peridex rinse and salt water rinse. I haven't used that side to chew at all till yesterday. Only yesterday I chewed little food on that side and after that I felt sharp pain on and off.\n\nThen I stopped chewing that side.\nI am not able to open the jaw wider and it does hurt on the site when I open the jaw. When can we start chewing food on that side? And paining while opening jaw is normal?"
  },
  {
    "id": 981,
    "title": "Why my bottom teeth are touching my top front teeth?",
    "dialogue": "thatman: For some reason my bottom front teeth have been touching the back of my front top teeth. I have been doing this for a month or two I think and I don't know why I am doing it and how to get rid of it. Thanks. Dr M: Good day,\n\nIt is completely normal for your bottom teeth to contact the back surface of your top teeth, when you close your mouth. This is part of normal occlusion. thatman: Hi sorry i mean like at rest they don't touch but then they do as my jaw moves or something. I happens sometimes after eating.\n\n\nDr M said:\n\n\n\n\t\t\tGood day,\n\nIt is completely normal for your bottom teeth to contact the back surface of your top teeth, when you close your mouth. This is part of normal occlusion.\n\t\t\nClick to expand... Dr M: I don't think you have anything to worry about. It is normal that our teeth touch as we go through active and passive movements. It might be that you are only noticing it now. Dr M: if you are worried about your bite, maybe let your dentist have a look. If a malocclusion is present, this can sometimes be fixed with minimal or specialized orthodontic treatment."
  },
  {
    "id": 982,
    "title": "How to know whether I'm grinding when I have a mouth guard on?",
    "dialogue": "thatman: I think I may have stopped grinding but I want to know how I would know when I wear a mouth guard when I'm sleeping? Dr M: Good day\n\nA mouth guard is usually given to alleviate symptoms associated with grinding such as headaches and muscle spasms etc. To evaluate if the teeth are okay, you will have to go for follow up visits with your dentist, to monitor tooth surfaces. This happens over a period of months. If you feel some relief with regards to symptoms , then usually this is a good sign. Keep in mind, that mouth guards will need to be replaced every year or two, depending on the severity of your grinding, since you can grind through your guard."
  },
  {
    "id": 983,
    "title": "How many x-rays and CBCT scan can we take in a month? Is it harmful?",
    "dialogue": "Du_deleted: Have lower jaw pain, under the ear pain for 2 months. I also have swelling in the jaw line for 2 months. Been to many dentist and taken multiple xrays. No definite diagnosis yet. My dentist took CT scan, panaromic  and bite wing, periapical x-ray. Went to another dentist for second opinion. They also took many x-rays. No one is willing to see the x-ray images which I have got from previous office. So this makes more exposure to x-ray images. I have been to oral surgeon and he took CT/pan xray before the wisdom tooth removal. I removed it ten days back. Went for a follow up. Took another CT scan to check if everything is ok. So, totally many CT scan,pan x-ray and bite wings and periapical xrays in a month. I feel so nervous about it. Is it harmful?\nMy OMFS told me to go to TMJ specialist to check out.  here all offices take own x-rays. So, if i go to TMJ specialist, they will take another x-ray or cbct scan. So all these images within a month. Is it harmful?? Please help. \n\ni didn't injure anywhere in jaw.had some soft foods chewed more than usual on 3rd week of may. Next day jaw swelling and pain under ear. No other injury happened. I hear popping and snapping sound in the jaw while opening the mouth and sore pain inside the ear."
  },
  {
    "id": 984,
    "title": "Wisdom tooth infection and upcoming extraction",
    "dialogue": "Craig: I have had an infected wisdom tooth for about six months, finally able to have it extracted (hospital) in a couple of weeks. Firstly, once it is removed, will the chronic infection in the bone resolve spontaneously? Secondly, the crown of the tooth broke two days ago, so will the removal of the root be more difficult in any way, given it is obviously a fragile tooth?\nThanks in advance for your advice. honestdoc: Yes, once the removal of the source of infection (tooth), the bone and gums should heal.  If the crown of the tooth broke leaving only the roots, it can be more difficult to remove.  Usually when you have an infection, the bone around the infected tooth and roots are softer and it usually comes out fairly easy."
  },
  {
    "id": 985,
    "title": "I need the wise words of a gentleman or lady dentist, please.",
    "dialogue": "Eme: Hi, I need to pick the brain of a sympathetic but not about to hear a so story, dentist... I have an array of factors I need to run past an educated mind in the field.... I know a lot of people but I realised none of my friends, in all the people I know... is a dentist . I'm hoping what I need to run past you isn't too broad that it's silly of me to include it but that's why I need to know. Appreciations and gracious thanks in advance Ellis: Hi my wife is 8week pregnant and is in really bad pane with her teeth she has been taken solfudine and augmentine antibiotics nothing ie working can it be taken out..I feel the baby be under more stress now cause the pain she is in Dr M: Good day,\n\nGo to your dentist. Usually the safest time for an extraction is during the 2nd trimester, but if the risk of leaving the tooth, poses a greater risk to the baby, and especially if the antibiotics didn't relieve the pain, it might be best to remove the tooth. Usually as atraumatic as possible. Ellis: Thank u she went this morning and got two removed the antibiotics didnt work coz Routh was to long"
  },
  {
    "id": 986,
    "title": "Tooth extraction during pregnancy",
    "dialogue": "Ellis: CAN you get a tooth out at 8weeks pregnant Dr M: Good day,\n\nUsually the safest time for any dental treatment is during the 2nd trimester of pregnancy. However, if there is a severe abscess or any other issue, that poses a greater risk to the baby, an extraction can be performed. Go and see your dentist. He will evaluate what treatment is necessary."
  },
  {
    "id": 987,
    "title": "Job unfinished",
    "dialogue": "Carlito: Is this comomn practice? T go to the dentist and i tell her i need to get an exam and then want to take care of whatever needs to be done. So i ended up having 2 Root-canals and two fillings put in after about 3 days i notice that my rear teeth in then back hurt when food got between them when i  feel back there with my lounge i can tell imediately that it's a cavity on the same tooth  that my rout-canal was done on.so i call her and let her know that i need to come in asap my teeth  are hurting. I get there and i tell her what i discovered and she says no you don't have any cavities in your mouth then when she took a closser look she realized oh yahoo do have a cavity. She didn't even tell me i had  to find out by accident she didnt think i would find it.\nMY QUESTION IS IS THISA COMMON PRACTICE,should she have filled it at the same time she performede the root canal is thgis a job left undone?\n\nThanks i need an honest dentist to give me some adviced on this one."
  },
  {
    "id": 988,
    "title": "People diagnosed with TMJ",
    "dialogue": "Minionfan: What are the main symptoms/signs of TMJ and how is it diagnosed and treated? honestdoc: Temporomandibular Disorder TMD usually presents as pain and lack of function (unable to open wide).  Many times TMD can be symptom-free (no pain, no limitations) but your dentist may detect severe or uneven wear on your teeth.  It can be like malfunctioning brake calipers in your car where the brake pads are prematurely engaged and wearing abnormally.  TMD can be serious enough that the bone around the joint will wear each other down (arthritis).  The dentist and or TMJ specialist may order imaging such as MRI and CT scan to view the joint anatomy.  Many times, the dental pano x-rays may reveal flattening of the mandibular condyles indicating abnormal wear/damage.  \n\nTreatment may include bite and or stabilization splints, physical therapy, and surgery (last resort due to its invasive nature and unpredictable results).  My asymptomatic TMD started during a friendly pickup basketball game over 30 years ago and had my Right jaw nailed by an aggressive elbow and dislocated the Right TMJ.  With stress of Dental School and being a dentist, I was grinding and clenching and had uneven wear on my posterior teeth.  Fortunately I prescribed myself a custom bite guard and relieved headches and random teeth pain.  I still have risk for arthritis and if my condition worsens, I will see a TMJ specialist. Minionfan: Thanks very much for your reply.\n\nA few months ago I went through a period where my jaw would lock open or closed, so made eating and talking difficult when it happened. I'd also hear a noise in my ear beforehand as if it were a spring being wound and then the jaw would lock for a few seconds/a minute or two etc.\n\nThe locked jaw hasn't happened recently but at the moment I have a regular ache in my jaw but when I went to the dentist a couple of weeks ago there were no fillings etc needed to explain any ache. It also hurts sometimes when I open my mouth wide.\n\nI also currently have pain in/around my ear, although that isn't unusual as I've always had a lot of ear infections and ear problems.\n\nI also clench/grind my teeth when I feel stressed, although I'm trying to recognise when I'm doing it and to stop as much as possible.\n\nDoes this sound like it could be a TMJ issue? Can it cause your jaw to ache on a regular basis or only when you clench/grind your teeth? honestdoc: Minionfan said:\n\n\n\n\t\t\tThanks very much for your reply.\n\nA few months ago I went through a period where my jaw would lock open or closed, so made eating and talking difficult when it happened. I'd also hear a noise in my ear beforehand as if it were a spring being wound and then the jaw would lock for a few seconds/a minute or two etc.\n\nThe locked jaw hasn't happened recently but at the moment I have a regular ache in my jaw but when I went to the dentist a couple of weeks ago there were no fillings etc needed to explain any ache. It also hurts sometimes when I open my mouth wide.\n\nI also currently have pain in/around my ear, although that isn't unusual as I've always had a lot of ear infections and ear problems.\n\nI also clench/grind my teeth when I feel stressed, although I'm trying to recognise when I'm doing it and to stop as much as possible.\n\nDoes this sound like it could be a TMJ issue? Can it cause your jaw to ache on a regular basis or only when you clench/grind your teeth?\n\t\t\nClick to expand...\n\n\nI suggest you see a TMJ specialist to prevent further deterioration as stated previously.  If you are in the US, consider using your medical insurance since dental does not cover TMJ treatments which are very expensive. Minionfan: honestdoc said:\n\n\n\n\t\t\tI suggest you see a TMJ specialist to prevent further deterioration as stated previously.  If you are in the US, consider using your medical insurance since dental does not cover TMJ treatments which are very expensive.\n\t\t\nClick to expand...\n\n\n\nOk thank you. I'll look into seeing a specialist.\n\nI'm in the UK, I was just curious as to whether it sounds like a tmj issue. I'd never heard of tmj issues until recently and then thought it sounded like it may be that. honestdoc: It's not a topic normal people discuss casually at work or parties unless they are suffering or severely impacted by it.  Only professionals have this experience and observations."
  },
  {
    "id": 989,
    "title": "How to avoid dry socket after WT removal?",
    "dialogue": "Du_deleted: Hi,\nI have extracted my upper WT yesterday and it's been 24 hours now. I did bleed for 7 hours and I kept changing the gauzes.\nI didn't brush and rinse yet. I had only soft foods like jello, pudding, Greek yogurt and water. Nothing else. \n\nToday whenever I drink and swallow water, I feel like blood oozing from the extraction site. I am taking antibiotics and ibprufen. I have been prescribed mouth rinse and I didn't use it yet. Told to use the next day. \n\nI saw the extraction site today and it looks like black reddish dark color. Is it normal? \n\nI already  had low jaw pain under the ear, ear pain and swelling before this extraction. All dentist said extraction might help and did this. There are two scenarios going on with this issue.  Either tooth#30 crack or #1 WT issue. So they told me to try extraction first .\n\nI still have the ear and low jaw pain from yesterday and it didn't reduce at all. Along with that , having the extraction pain. \n\nI am having pain inside the ear, like burning. Is it indicate dry socket? Also, I have pain under the ear.it was there before extraction too.\n\nI have pain in front of the ear and inside. Is it dry socket? And how does the extraction site looks after a day?\n\nFor how many days, we have to be careful to overcome the risks of dry socket??\n\nI will try to post the pic of the extraction site."
  },
  {
    "id": 990,
    "title": "Bleeding for 6 hours after wisdom tooth removal. Is it normal?",
    "dialogue": "Du_deleted: I had removed my upper wisdom tooth today at 2.30pm. it's 8.30pm now and still changing the gauzes every 45 minutes. When the bleeding will stop? I am sitting straight since extraction and didn't lie down or sleep. I have to change gauges and don't want to sleep with gauze. \n\nPlease help. How long is the normal and how to stop bleeding?"
  },
  {
    "id": 991,
    "title": "Dentures",
    "dialogue": "Mksmith71: I need dentures ...they cleared one side of my upper of the roots. But they wont finnish off then create my dentures still because of this virus,  and it is severely effecting my mental health and confidence...\nConsidering the guys who make them are not the ones who come into contact with the patient..why are THEY STILL not up and running yet"
  },
  {
    "id": 992,
    "title": "Small bubble inside lower lip",
    "dialogue": "Deamo55: I have had a very small clear bubble inside my lower lip that will not go away. It doesn't hurt but it's bugging me like crazy. I've tried salt water rinses and special mouthwash. What could it be? Dr M: Good day,\nThis looks like either a mucocele or mucous retention cyst. Sometimes it can form if there was some trauma to the lip, and sometimes it forms spontaneously. Nothing to worry too much about.\nIf it doesn't bother you, no treatment is required.\nIf it does,or enlarges, you can see a dentist which will just cut that small area out, or use a laser to remove it.\nUsually it doesn't come back. Deamo55: Dr M said:\n\n\n\n\t\t\tGood day,\nThis looks like either a mucocele or mucous retention cyst. Sometimes it can form if there was some trauma to the lip, and sometimes it forms spontaneously. Nothing to worry too much about.\nIf it doesn't bother you, no treatment is required.\nIf it does,or enlarges, you can see a dentist which will just cut that small area out, or use a laser to remove it.\nUsually it doesn't come back.\n\t\t\nClick to expand...\n\nThank you. This helps a lot."
  },
  {
    "id": 993,
    "title": "Urgent wisdom tooth removal. Anyone done that?",
    "dialogue": "Du_deleted: Hi,\nI have been dealing with jaw pain and swelling for almost one and a half months. Had sinus infection and ear infection and assumed this jaw pain is because of sinus. Took antibiotics and sinus cleared. But this jaw pain and swelling still there. \n\n I went to ENT and cleared that no sinus and ear infection. Then went to the dentist and he told x-rays and said no infection seen since I took antibiotics already, he couldn't see any infection in any tooth. Did bite test and said I might have crack or fracture on first molar. Went to an Endo and he said no fracture and might be a minor crack and told me to get a crown. I said I have bad pain everyday and he said I can go for RCT if pain is worse. My pain is not on the cracked tooth. It's on upper jaw, low jaw, ear pain and under the ear. Top of the neck. All places swollen. Lymph nodes under the ear on top of the neck is swollen too. \n\nI went to an oral surgeon and he said my upper WT is hitting the lower gum. I don't have WT on lower. It's remobed already. So I need to remove it and I also have some hard clicking and snapping. So he prescribed some muscle relaxant and ibprufen 800.\n\nI am taking it for a week and still the pain is throbbing. It's throbbing pain in the upper jaw, ear, neck, lymph nodes, under the ear. All looks swollen. I thought of waiting till the pain subsides to extract this WT. Looks like it getting worse. I couldn't bare the pain. Don't know if it's TMJ issue or sinus issue or WT issue. The lower end jaw under the ear and top of the neck is hurting a lot. Throbbing continuously. \n\nI am meeting my dentist tomorrow. he said he will look into my bite using intra oral scanner and check the bite and to see how hard I am biting.\n\nI am also thinking to take out the WT tomorrow. Hope the OS office will gave some urgent openings. Any of you done like that? How to be ready for that? What we need to know before going for WT removal? My neck is hurting a lot from yesterday. Ibprufen doesn't help at all.  \n\nI am planning for only local anesthesia and don't want to sleep during procedure. Anyone did that before?\n\nWill they remove the tooth with pain and swelling? Or we have to wait till it subsides??\n\nAnyone had neck pain on that side with WT pain? It's throbbing inside the ear, right side neck, low end jaw under the ear. I am hoping it's from WT. \n\nAny inputs anyone?"
  },
  {
    "id": 994,
    "title": "Dental Product Suppliers - UK",
    "dialogue": "SnoopM: Hi all - I am looking to make my own dental products, like toothpaste and floss, toothbrushes - does anyone know of a market place for suppliers within the UK? Or know of any good suppliers for these products in the UK? Thanks"
  },
  {
    "id": 995,
    "title": "Worrying marks, lumps and bumps in mouth",
    "dialogue": "itsthat24: Hello,\n\nApologies for the multiple images, I've kinda been saving up things I've noticed over the past 6 months in mouth that don't quite seem normal, and it's been worrying me a bit. I plan to see a dentist as Covid restrictions reduce, but I'm not sure if they'll be so willing to go over my list of problems!\n\nI'm a 23 year old male and I'd say I've been a light user of e-cigarettes (juul) in the past few years, and it's the biggest worry that it might've caused some of these problems. I have 1/4 wisdom teeth through (top left) and the others are barely visible out - from my research I know these can cause issues.\n\nI'd appreciate any feedback on the following things I've picked up on, and also anything you may pick up on.\n\nFirst of all, on the roof of my I have these two white patches - are these normal? \n\n\n\n\nSecond, I have two thick red lines; these are painless but look a bit irritated. \n\n\n\n\nThese two (above) I've noticed recently and am not sure when they appeared.\n\nThird, I have a patch of white bumps which cause no pain, but I can feel them with my tongue and feel similar to an ulcer. These have been here for 6+ months and are the most worrying of the issues. These are on my right cheek, which is the side where no wisdom teeth have protruded yet \n\n\n\n\nFourth, I'm not really sure what this is, I can feel a little bump with my tongue but it's fairly hard to see - could this be some kind of scar from biting perhaps; and below that there's a larger lump that I think may be wisdom related \n\n\n\n\nFinally, does this lighter patch of my gum look normal? \n\n\n\n\n\nI frequently have a dry mouth which I know is a side effect of e-cigarettes, usually worse in the morning sometimes associated with a strange dry taste. I worry this could be some kind of gum disease.\n\n\nApologies again for the image dump, but I'd greatly appreciate any feedback or anything I should be worried about.\n\nThanks honestdoc: First off, can you get off the vaping?  Although there is no long-term studies with vaping, many sources report health hazards.  The bump on the roof of your mouth appears to be palatal bony tori.  The bony tori looked a little irregular and asymmetric which we prefer to look regular and symmetric indicating slow, controlled growth if any.    It's hard for me to pin point the bumps on the back.  Most likely they are minor salivary glands that may be irritated or inflammed from the chemical irritation of vaping.\n\nWe cannot diagnose any lesion without biopsy.  Since biopsy can be traumatic and expensive (cutting the lesion and preparing it to look under the microscope by experts) it usually is reserved for likelihood of tumor or cancer.  Get off the Vaping...I know it is easier said than done.  I had an unfortunate lady come in with swollen face & numb lip 3 yrs ago.  She had no teeth and upon xray, the massive cancerous tumor invaded the left swollen side and separated (fractured) the thin toothless jaw bone.  She probably had less than 2 weeks to live. itsthat24: honestdoc said:\n\n\n\n\t\t\tFirst off, can you get off the vaping?  Although there is no long-term studies with vaping, many sources report health hazards.  The bump on the roof of your mouth appears to be palatal bony tori.  The bony tori looked a little irregular and asymmetric which we prefer to look regular and symmetric indicating slow, controlled growth if any.    It's hard for me to pin point the bumps on the back.  Most likely they are minor salivary glands that may be irritated or inflammed from the chemical irritation of vaping.\n\nWe cannot diagnose any lesion without biopsy.  Since biopsy can be traumatic and expensive (cutting the lesion and preparing it to look under the microscope by experts) it usually is reserved for likelihood of tumor or cancer.  Get off the Vaping...I know it is easier said than done.  I had an unfortunate lady come in with swollen face & numb lip 3 yrs ago.  She had no teeth and upon xray, the massive cancerous tumor invaded the left swollen side and separated (fractured) the thin toothless jaw bone.  She probably had less than 2 weeks to live.\n\t\t\nClick to expand...\n\nThanks for the advice.\n\nI have given up vaping completely cold turkey for 2 weeks since your reply, it was what I needed to read to finally let it go.\n\nI appreciate your feedback on the palatal bony tori, and bumps on the cheeks. I still haven't booked a dentist appointment but I hope to this week. Is it a good idea to show them these photos, or just let them look for themselves?\n\nAny idea about the red marks in photo 2, and the patchy gum colour in the last photo?\n\nThanks for your time! honestdoc: Fortunately I don't see anything of immediate concern.  the 2nd photo is just capillaries.  The last photo doesn't really show much of a concern.  Continue to watch those areas and look for any further redness, irritation, and or pain."
  },
  {
    "id": 996,
    "title": "Anyone taken valium 5mg for jaw pain??",
    "dialogue": "Du_deleted: Hi,\nI have been dealing with some jaw pain and swelling for more than a month. Been to different dentist office and couldn't get a proper answer yet. Dentist said I have a crack and that might cause jaw pain and swelling, but the Endo couldn't find any crack and said might be a minor one.\n\nWent to an oral surgeon on Friday. He said my upper wisdom tooth is supra erupted and need to be extracted. He told me that is hurting the low jaw area. He prescribed ibprufen 800, robaxin 750, valium 10 mg. He said to take valium at bed time.\n\nI took robaxin for last 2 days and no changes in the pain and swelling. I was taking ibprufen even before the oral surgeon visit and it didn't reduce the pain/swelling. I read about valium and it's side effects. Is it a sedation drug?\n\nI never had valium before. Any of you taken it for jaw pain? Does it really hello? I am so worried that it will make me sedate for hours. I do keep check on my kid who sleeps very late.\n\nAnyone taken this before?? MattKW: It has no use for pain, and I don't know why he gave it to you; it's only good for anxiety and sometimes as a muscle relaxant. Yes, it will stay a long time in your system with a long half-life. Other benzos are shorter. 10mg will knock most people out and they'll still be inattentive the next day, so no driving ( I just wouldn't take it). Similarly with the robaxin - seems an unusual choice, esp if combining with diazepam. Du_deleted: MattKW said:\n\n\n\n\t\t\tIt has no use for pain, and I don't know why he gave it to you; it's only good for anxiety and sometimes as a muscle relaxant. Yes, it will stay a long time in your system with a long half-life. Other benzos are shorter. 10mg will knock most people out and they'll still be inattentive the next day, so no driving ( I just wouldn't take it). Similarly with the robaxin - seems an unusual choice, esp if combining with diazepam.\n\t\t\nClick to expand...\n\nThank you doctor.\nIt's valium 5mg doctor, not 10mg. Typo.\n\nI took both the medicines. The oral surgeon said that will relax the pain and inflammation in my jaw. But there is no change in the symptoms after taking medicines. I took valium dosages only once, but took robaxin for 3 days ( 750mg twice a day). \n\nDoes it harm my body and stay in the system longer? I am so nervous now that will it harm my liver or something? I will stop taking it from today. \nIs it harmful?"
  },
  {
    "id": 997,
    "title": "Bamboo Toothbrushes NON charcoal infused brushes",
    "dialogue": "Irishmann: Hey all. Maybe this is a bit of a silly question but im looking to avoid plastics as much as I can. I want to get a bamboo plastic free toothbrush however ALOT of the bamboo brushes bristles seem to be infused with charcoal. I CANNOT use charcoal on my teeth as I have veneers which I really love. It would be great if I could find just a standard non charcoal infused bambooo brush but Im unable to tell the difference of what is charcoal infused and whats not. Are all of the bamboo toothbrushes charcoal infused or can I find one thats not and how would one be able to tell what is infused with charcoal and whats not as its not very clear. Anyway appricate the info if anyone has anything to contribute. honestdoc: I not sure about what your location has to offer.  You may check some naturopathic sources. Irishmann: honestdoc said:\n\n\n\n\t\t\tI not sure about what your location has to offer.  You may check some naturopathic sources.\n\t\t\nClick to expand...\n\n Hey thanks for replying. Would you know yourself if a starndard bamboo toothbrush isnt automatically infused with charcoal? honestdoc: Sorry, I don't have much experience with that."
  },
  {
    "id": 998,
    "title": "Can feel outline of tooth root, HELP!",
    "dialogue": "WorriedIncisor: Hi\n\nI had braces to close a gap left by my lower incisor being extracted, the gap has now closed from having braces however I can feel the outline of the middle lower incisor from the back of the tooth. The outline feels hard and when I feel the area with my tongue feels like a large bump, it is all covered with gum. is it normal to feel the outline of an incisors root from the back of tooth and if not could this be caused by bone loss or root resorption??\n\nany help would be greatly appreciated.\nThanks Sonia Salamuri: Hi,\nThe doctors here at the forum could give you a better answer, but, could it be plaque and debris that need to be clean with the ultrasonic tip? Or orthodontic adesive? Sometimes is possible to have a gum recession on the lingual side, and, due to that, you may experience sensitivity, because of the root exposure, but you feel that is something diferent with the structure around the gum line (if I correctly untherstood).   Only with the X-ray you can get some answers about the bone loss or tooth resorption, so, a visit to the dentist is probably a good start to check on the theeth health. WorriedIncisor: Sonia Salamuri said:\n\n\n\n\t\t\tHi,\nThe doctors here at the forum could give you a better answer, but, could it be plaque and debris that need to be clean with the ultrasonic tip? Or orthodontic adesive? Sometimes is possible to have a gum recession on the lingual side, and, due to that, you may experience sensitivity, because of the root exposure, but you feel that is something diferent with the structure around the gum line (if I correctly untherstood).   Only with the X-ray you can get some answers about the bone loss or tooth resorption, so, a visit to the dentist is probably a good start to check on the theeth health.\n\t\t\nClick to expand...\n\n\nhi thanks for your reply, it’s not tartar and I don’t have gum recession but can just feel the root of my tooth from the back under the gum but can’t feel any of my other teeth’s roots under the gum. Thanks"
  },
  {
    "id": 999,
    "title": "Pushing lower jaw out",
    "dialogue": "thatman: For some reason sometimes I push my bottom jaw out and so when I eat, speak or just sometimes sit my bottom teeth touch my top teeth. How do I stop this? It just happens without me realising. I feel like I may chip my teeth one day. It isn't clenching as it like happens in a split second. Dr M: Good day,\nThis does sound like a bad habit that formed. The first step would be to consciously recognize the habit and then try to break this habit by actively thinking about what you are doing. This can take up to 1 month to do, sometimes longer.\nIf this doesn't work, I would suggest maybe getting an occlusal guard made, that will protect your teeth at night when you are sleeping in order to prevent damage to them.\nYou can also consider seeking the advice from an orthodontist, who might have some removable appliance that can assist with breaking this habit. honestdoc: You may consider having a TMJ specialist evaluate your condition.  Over time, your TMJ may deteriorate (like mine) and your teeth may damage each other."
  },
  {
    "id": 1000,
    "title": "Nerve problem??",
    "dialogue": "Joan Palmer: After a tooth extraction (rear back top right - cracked root) five years ago, all double top teeth still hurt. I had lots of pain in a rear top left tooth.  Again the root was cracked and tooth extracted.  The teeth roots' seem red hot and as though there are stinging nettles in the gums. On occasions my cheek bones painfully ache. My lips also tingle.  Although it is not painful to eat, seconds after finishing eating this sensation is heightened.  I have taken various medication (gabapentin etc}, had numerous kinds of x ray and have been told my teeth are ok.  Six weeks ago I had the top back (left) tooth removed as the pain was very bad in that tooth.  The dentist said the tooth was ok.  I still have the pain and sensation in that site. I have had regular appointments at a Dental Hospital, the Consultant has now told me there is nothing he can do. Please Please is there anyone out there that can help. I'm now finding it difficult to cope. honestdoc: This is difficult to analyze your problem.  Possibilities are you may have sinus pain that mimics upper teeth pain.  How you know is if your pain is more pronounced when you bend forward and walk up & downstairs.  With all the medications you are taking, you may experience dry mouth which can be very uncomfortable.  You maybe grinding/clenching you teeth which can stress your teeth and TMJ.  With your lips tingling, you may be experiencing a nerve problem. MattKW: Sounds neuoropathic, and that's why they've tried the gabapentin. Either dentally or neurologically it's odd that both sides are hurting.\nSo I assume you've been to the dentist, endodontist, and neurologist to end up in this situation? Is there any sort of facial pain clinic where you live? They won't necessarily be able to get rid of the pain, but they can help you manage it. I don't know if you'd be suitable for some type of permanent nerve block - getting out of my depth here. Joan Palmer: Yes I have seen them all, also had ENT check to eliminate sinus issues.  I have also seen a psychologist to help manage the pain but everything that is suggested I am doing already. I am on no medication at present as nothing worked.  I wear a splint at night which does ease the pain and oddly enough chewing gum helps the pain too. It seems gentle pressure, even with holding a finger on the teeth helps Busybee: It sounds as though you have a trapped nerve.  Have you tried physiotherapy?   I am not an expert but if you find relief by both chewing and pressing on the area then this sounds like the same interference when touching certain pressure points.  So you may benefit from something like deep tissue accupressure as it could be that your muscles are in spasm due to the change in bite and that this is causing pressure on the nerves.   When you are chewing that changes the height of the jaw because you have food between your teeth.  So the collapse of the jaw appears to be causing the problem with the nerve.    Our muskulo skeletal system is no different to a building.  Take away a storey and you end up with instability and pain. MattKW: I'm sorry, I cannot offer further suggestions. You sound like you are in the best possible hands, despite the fact that nothing has been found as a cause. Unfortunately, medicine and science don't yet have the answer to every ailment or the appropriate treatment. I would be very wary of trying any other treatment without discussing with your treating doctors first - you may cause other problems and confuse the issue even more. lolzita: Atypical odontalgia... Read Sarno/Ozanich's books on TMS MattKW: Atypical odontalgia - which really means we don't know. Any symptom we don't fully understand yet goes under the heading of atypical, but that doesn't help the OP. As for TMS, unscientific twaddle of a pet hypothesis. lolzita: TMS is definitely not a hypothesis. Psychosomatic pain can cause any type of pain in the body and make you feel like it has a physical cause. I agree atypical odontalgia is a term used by dentists that just means \"nothing physical\" can be found. Therefore the psychological approach needs to be looked at.\n\nTrust me, I just went through the whole ordeal for the past 2 years. I had extreme dental nerve pain (pins and needles, burning, numbness) in my front teeth. I tried everything and wasted my time and money for way too long, MRI, Xrays, ENT, TMJ, Neurologists, Acupuncture, 4 different dentists. I took a tone of meds (benzos, gabapentin, and even opioids). But nothing worked.\n\nI healed myself completely in a matter of months with the TMS method. Phantom tooth pain, tingling lips, burning gums and the fact he doesn't have pain while he eats but returns right after.. all are a clear giveaways for TMS. That is EXACTLY what I had. What does OP have to lose?\n\nOP send me a PM if you want and I'll guide you to your healing the way I did Busybee: Pardon me, but the idea that dental pain is psychological is a poor excuse when medics cannot find or understand the cause.   I went through the ordeal of this nonsense but all I needed were a few adjustments after poor quality dental work.   It's used as a go to by some dentists when they reach a dead end.    The fact is that true psychosomatic dental pain is incredibly rare.  Most dental pain which appears to have no cause is just a combination of variables that are very difficult to pinpoint. lolzita: Ok then tell me what type of dental issue causes tingling/burning type of sensation\n all the way into the lips and cheeks? OP is not describing a traditionnal type of dental pain.\n\nTo me that’s the trigeminal nerve acting up. A neurologist could determine what’s going on better than a dentist. I don’t buy the whole “pinched nerve” theory. There so much dentists/neurologists can do based on Xrays/MRIs. If they come out clear then what? Busybee: A trigeminal nerve problem is not psychosomatic.  There is simply insufficient understanding of the link between the teeth, the bite, the posture and the nervous system.   This is because it is impossible to form a good study method when there are so many variables as everyone has a different physiology in combination of these elements. lolzita: Sorry to be insisting but I'm the living proof that it can be. Any type of nerve pain can be psychosomatic including Trigeminal neuralgia. I'm not saying that it's always the case. But it definitely shouldn't be ruled out, unless you don't want to heal.\n\nWhen a neurologist diagnosis you with Trigeminal neuralgia, they'll usually simply tell you nothing can be done and that you'll live with it for the rest of your life. They will also put you on pills like gabapentin or other crap nerve meds that don't work. I'm sorry but that is the alternative.\n\nBut I agree with you that there are a ton of variables involved and that the face is probably one of the most complex part of the body with the brain. Busybee: I had trigeminal neuralgia which resolved after three or four months.    Most such conditions do resolve over time.  Some are unlucky and have a chronic problem.    I think mine was linked to the bite because it was around the same time as I first noticed a clicky jaw.    \n\nStress can make you grind more or clench more or hunch your shoulders but the pain (in all but a tiny minority of cases) is caused by a physical source.   Mine may have been triggered by a poorly made night guard.  Your body and jaw can re-align and rebalance itself over time.  Teeth move over time.  We don't fully understand the nature of pain but when I looked into this a couple of years ago, it turns out that psychosomatic pain is rare. \n\nI really do wish there were more specialists covering the whole area crossing over from dental to neuro to orthopaedics and muskuloskeletal.    Unfortunately the body is treated like a car going into the mechanics.   The bite \"specialists\" I have met don't really seem to be any more clued up than general dentists.   As for neurologists, don't even start me on that topic. lolzita: I agree 100% Robert Bailey: lolzita said:\n\n\n\n\t\t\tTMS is definitely not a hypothesis. Psychosomatic pain can cause any type of pain in the body and make you feel like it has a physical cause. I agree atypical odontalgia is a term used by dentists that just means \"nothing physical\" can be found. Therefore the psychological approach needs to be looked at.\n\nTrust me, I just went through the whole ordeal for the past 2 years. I had extreme dental nerve pain (pins and needles, burning, numbness) in my front teeth. I tried everything and wasted my time and money for way too long, MRI, Xrays, ENT, TMJ, Neurologists, Acupuncture, 4 different dentists. I took a tone of meds (benzos, gabapentin, and even opioids). But nothing worked.\n\nI healed myself completely in a matter of months with the TMS method. Phantom tooth pain, tingling lips, burning gums and the fact he doesn't have pain while he eats but returns right after.. all are a clear giveaways for TMS. That is EXACTLY what I had. What does OP have to lose?\n\nOP send me a PM if you want and I'll guide you to your healing the way I did\n\t\t\nClick to expand...\n\nCan you tell me what you did to heal yourself? John Roberts: Is this thread still alive?  Some of this sounds like my problems with my teeth.  I don't know if I just haven't been to the right doctor or dentist or what.  I suffer everyday with no relief.  I hate to get up on the morning. Joan Palmer: I think I started this thread. I am still suffering. I have been discharged from the dental hospital as they feel they can do nothing.  I saw a neurologist who couldn't do anything. I am waiting for an appointment to see a consultant to consider nerve blocking.  In the meantime the pain and the sensations are getting worse.  I don't want to eat as the pain afterwards is terrible. Although it isn't painful to eat it's just not worth the aftermath. John Roberts: Sorry for your suffering Joan.  Although our problems don't sound exactly the same ( I wish they did ) it is a hell of a thing to go through.  I just turned 73.  This November will be three years I have been having my problems.  Right now I am at  a stand still as to what to do.  I still don't know if it is something dental or neurological.  Of the three neurologist I have been to one said dental, one treated me for trigeminal neuralgia and one said he didn't know what is wrong.  The dentist I gave been to don't know.  The xrays don't show anything.  I thank goodness I can sleep.  They can really be hurting but one I get in bed I can go got sleep.  I do thank the dentist and other people commenting.  I know some of them don't agree with each other but I know that's to be expected.  Keep posting.  I am trying to decide what to do next. Robert Bailey: John Roberts said:\n\n\n\n\t\t\tIs this thread still alive?  Some of this sounds like my problems with my teeth.  I don't know if I just haven't been to the right doctor or dentist or what.  I suffer everyday with no relief.  I hate to get up on the morning.\n\t\t\nClick to expand...\n\nYes this thread is alive.  I have had this issue for going on 2 years now. I have been to many dentists, ear nose and throat, and neurologist.  I clench my jaw. Do you?  I have noticed that my teeth are moving too."
  },
  {
    "id": 1001,
    "title": "Prep for a new crown on 18 month old root canal",
    "dialogue": "davexnet: Hello\nI had a root canal done on bottom tooth, far left, about 18 months ago.\nIt was successful, I've had no problems with tooth, but for various reasons I left it open\n(uncrowned) until 3 weeks ago.\n\nI have some questions about the treatment I received prior to this tooth being ready to\ntake a fresh imprint for the new crown.\n\nFirst of all, a lot of material was removed from the inside of the tooth, it was almost hollowed out.\nSo much so that it had to be replaced with the hardening resin.  Tooth \"basically rebuilt\"  (his words)\nWhen I was asked about why this was done, the answer was not satisfactory (convincing) to me,\nblaming the other doctor from 18 months ago who did the root canal (who has been in business\nfor years) - In fact, now, I'm considering calling the root canal doctor to get his thoughts on the matter.\n\nSecondly, some kind of string was pushed down into the gum all the way around .\nHe sure pushed it in deep.  When I asked about it, he said it had something to do with the \nbleeding.  This explanation, again, left me slightly uneasy.  I'm not even sure if this string was removed.\n\nThirdly, about two weeks later, the final crown was installed everything OK.\nThey wanted to, and did, take one more x-ray of the tooth at this point.  I asked about it,\nI said \"Is there something else wrong there\" -  the assistant just mumbled something about they wanted to make sure\nthe glue was cleaned up properly.  I've never heard this, I've had crowns before, never an x-ray at the end.\n\nSomething about this whole thing is worrying me.  Any thoughts or reassurance?\nThanks Dr M: Good day\n\n1) Depending on the amount of tooth structure that was left after the root canal was completed, the dentist might have needed to build up the tooth, to create a core onto which the crown could hold on to. Sometimes after a root canal has been completed, and there isn't enough tooth structure left ( note tooth structure and not filling ) , we place a post and core in order to create better retention for the crown. This might entail a pin like structure that was placed into one or more roots and then a core of filling material( metal or resin ) around that, which would create a larger area for the crown to hold on to.\n\n2) The string like structure the dentist placed around the tooth, is called retraction cord, and this is used commonly in cases where the gum is either to close to the margins of the crown prep, which might influence the impression detail, or to control bleeding around the margins, since fluid ( blood or saliva or water ) can influence the detail of the impression, which might lead to less accurate fit of the crown, if not controlled correctly. This is normal in certain situations.\n\n3) It is very important to take a post op x-ray of the crown after it is placed, to ensure accurate fit and seal and to make sure there is no excess cement in between the crown tooth and adjacent teeth. Excess cement could lead to inflammation, food traps and this could lead to eventual crown or tooth loss.\n\nHope this helps"
  },
  {
    "id": 1002,
    "title": "Dental Implant Surgery and Crown",
    "dialogue": "Salina: The Dental implant surgeon did implant surgery Extraction #23, 24, 25 and 27 followed by immediate implant fixture placement at #23 and 27 lower teeth 5 months ago and went back to my surgeon they take scans and he said every thing looks good. I have to see my dentist for the implant crown.\n\nWhat confused me is that the surgeon said he will order the materials and I will pick-up and taken it to the dentist. I am not sure what materials go to the dentis honestdoc: Usually the surgeon's office send the implant parts (screws, impression copings, etc) to your dentist's office.  We don't like for patients to touch them because any missing pieces can be a headache and waste of time to recover. MattKW: Usually I order all the components myself so the details appear on my invoices for my records, and for the patient. Unfortunately had to do this when one lab I dealt with tried to give me a cheaper copy. honestdoc: It is important for the dentist, surgeon and yourself to keep records of the parts because if you were to have problems with your implant and go to another dentist or that dentist & surgeon retired, moved, etc., the parts information will save everyone a lot of trouble. Salina: The dentis provide two choices for crown of the dental implant I had, could you please provide the difference of this two code and which one is better also costs\n\nD6066  implant supported porcelain fused to metal crown\nD6069 abutment supported retainer for porcelain fused to metal honestdoc: From my Electronic Records, D6066 & D6069 are both $1201.  D6066 is the crown, D6069 is the metal part that screws into the implant under the crown.  You need to have both the crown and the abutment to connect the implant screw. Salina: For the Implant Bridge He gave two options\n\none option is  D6069_D6240 and 6057\n\nsecond D6066_D6240 and D6057 honestdoc: Salina said:\n\n\n\n\t\t\tFor the Implant Bridge He gave two options\n\none option is  D6069_D6240 and 6057\n\nsecond D6066_D6240 and D6057\n\t\t\nClick to expand...\n\n\nSorry, I won't have access to the codes until Monday.   The key is to trust your dentist and surgeon.  Ask them what the difference and pros and cons.  If you are unsure, never commit especially surgery. Salina: Thank your for your reply!\nFrom the two choices I am not sure which one is better and cost for my implant bridge #23/#27 and 24, 25, 26\n\none option is D6069_D6240 and 6057\n\nsecond D6066_D6240 and D6057 honestdoc: D6240 is Pontic Porcelain fused to high noble metal $1055\n\nD6057 is custom abutment $855.\n\nPlease provide the whole treatment plan.  I don't do implants but I'm covering for a dentist that does and I can run it by his manager."
  },
  {
    "id": 1003,
    "title": "Painful swelling on inner cheek, any help would be appreciated!",
    "dialogue": "ThrowawayAccount1234: Apologies for the unglamorous photograph, I'm very insecure about my teeth due to antibiotics I had to take when I was younger, \nAnyway, \nI've had this swelling for about a week now and it ranges from being mildly irritating to reeeeally painful, as of writing this post it's about a 5/10.\nI'm 18 years old. \n\nThanks in advance for any advice given! honestdoc: Appears like pericoronitis.  Your 2nd molar looks partially impacted.  Usually the tooth erupts when you're 12.  Try to go to the dentist for options like referral to orthodontist to upright the molar and maybe a prescription of Peridex 0.12% rinse for 2 to 4 weeks.  Don't go beyond since it can darken your teeth."
  },
  {
    "id": 1004,
    "title": "Toothache in the right side of the mouth with swelling in the jaw under the ears",
    "dialogue": "Du_deleted: I had some fillings on the left side last year. I will get regular cleanings done.I have toothache in the right side for past 2 days.it started after I take fish and chicken after a long time.means I didn't eat those past 2 months. I did chew those a lot.it started off with dull toothache on the right side.it was there on top side first. then I felt some pain on the down side too.it was like needle pain and the whole right end side is not comfortable. I avoided eating on that side past 2 days. today I see some swelling on the end of the right down side.its close to my ears and end of the jaw. I have already taken wisdom tooth on the lower side and upper wisdom tooth is still there. I have bad breadth and smells very bad. the Swelling is at the end of the lower jaw. does it related to any tooth or sinus issue?I have sinus issue and never had any swelling like this before. I am in US.  what could be the issue? upper wisdom tooth has small cavity. Lower ones doesn't have any cavity as per last x-ray. The swelling is little but feels very uncomfortable inside the mouth. But not very continuous pain in the tooth. I am able to eat and drink hot liquids. What could be the reason? The little swelling is on the upper and lower jaw side. Exactly under the ears. No pain when I touch any tooth or gums. Only the jaw hurts while I touch.what could be the reason? I am in the US and feel scared to go to dentist. That too in this current covid-19 situation, I am very nervous.\nWhenever I open my mouth,it hurts on that side and hear some scratchy noise in there. The swelling is small only. Will it go away on its own. \n\n Please share your inputs.\n\nEdit to add: it gives a sharp pinch like pain in the right side sometimes lower and sometimes on the upper side. I see swelling only today. The pain was there for past 2 days. I feel like shiver and chill along with bad breath. Checked my temp and it's normal. Du_deleted: Is it related to my tooth or ears? Anyone have any inputs? \nI feel some discomfort inside the ear and under the ears where I see some little swelling. Should I check with dentist or general physician? honestdoc: It's impossible to diagnose your problem.  You may need to get a pano xray to check LR wisdom tooth.  I don't think it is related to your sinuses.  If you have pain on your upper teeth when you bend forward or going up & downstairs, then your sinuses are the likely problem.  You may need to go to the dentist first to rule out any teeth problems before you go to the physician. Du_deleted: honestdoc said:\n\n\n\n\t\t\tIt's impossible to diagnose your problem.  You may need to get a pano xray to check LR wisdom tooth.  I don't think it is related to your sinuses.  If you have pain on your upper teeth when you bend forward or going up & downstairs, then your sinuses are the likely problem.  You may need to go to the dentist first to rule out any teeth problems before you go to the physician.\n\t\t\nClick to expand...\n\nThank you doctor for the reply. \nI tried bending down. I feel some pinching feel pain in the upper side of the mouth, ears, under the ears. Nose and head feels very heavy. \nWhat is LR wisdom tooth? I had my last x-ray on July 2019. No cavities deducted on lower side of the right side teeth. Only cavity in upper wisdom tooth. \nWhether the pinching needle pain in the lower end of the jaw under the ears is because of tooth issue or sinus or ear ? I also feel some scratchy pain inside the ear from this morning. It's inside the ear.nose and  ears completely blocked. honestdoc: Sorry, I missed your lower wisdom teeth were previously removed.  Just make sure you have no urgent dental problems by seeing the dentist and have your physician check you ears. Du_deleted: honestdoc said:\n\n\n\n\t\t\tSorry, I missed your lower wisdom teeth were previously removed.  Just make sure you have no urgent dental problems by seeing the dentist and have your physician check you ears.\n\t\t\nClick to expand...\n\nThank you doctor. I will check if any dentist office opens in my area. Most of them were closed for a long time. I am able to chew and swallow food. I am not sure why I get this all of a sudden. \nThanks for your reply. Du_deleted: I just have another quick question doctor. \nAfter removing the wisdom tooth, will it grow again? I removed my both lower wisdom tooth a decade back. \nYesterday, since I had swelling my husband checked all of my tooth on the right side if any gums are red in color. And he said he can see something like white spots on that spot where I had wisdom tooth before. When I run over my tongue there, I couldn't feel anything apart from some hard surface there. \nWe couldn't get a clear picture of it when we take it from camera. Whether we get the tooth back?\nAlso, I have TMJ problem I think. I haven't diagnosed yet. My dentist once told me that I am grinding my teeth a lot during sleep and he can see the edges. \nI hear some popping , stretchy sound whenever I open my mouth and swallow something. honestdoc: Your wisdom teeth won't grow back.  You may be experiencing stress and grinding and clenching.  That could deteriorate your TMJ.  In the US, dentists are opening up.  I have been seeing emergencies only since the closures so you should find a dentist to get it checked.  You could go to the drug store and pick up an OTC night guard and try it out.  If indicated you may need to consider custom bite guard (very expensive though). Du_deleted: honestdoc said:\n\n\n\n\t\t\tYour wisdom teeth won't grow back.  You may be experiencing stress and grinding and clenching.  That could deteriorate your TMJ.  In the US, dentists are opening up.  I have been seeing emergencies only since the closures so you should find a dentist to get it checked.  You could go to the drug store and pick up an OTC night guard and try it out.  If indicated you may need to consider custom bite guard (very expensive though).\n\t\t\nClick to expand...\n\nThanks doctor. \nI do check the otc night guard. I will check for the custom ones later. Am not planning for any new treatments during this covid crisis. \nI didn't check with my dental office yet. They were closed till may 1st. I have to call them and check.  My pain is mostly inside the ear from yesterday. And also near the lower jaw end under the ears. My ear is completely blocked and scratchy pain all the time. I am not sure if it's dental or sinus or ear issue. \n\nThank you!! Du_deleted: Just an update here. \n\nI have the same ear pain, lower jaw pain, swelling under the ear and top of the neck area along with nose and ear congestion. Finished the amoxicillin antibiotics 2 weeks back. I have severe ear and jaw pain with swelling. \n\nSo, I  went to an ENT today to check if it's ear or sinus issue. \n\nI thought of checking with ENT before going to a dentist. I told them the history. I am prone to cold , sinus infection and strep throat throughout the year. I get almost one infection in 2 or 3 months. So I told them about that too. I have not tested any allergies before.\n\nENT checked my ears with an otoscope and did nasopharyngoscopy with Endo to check my sinus. He said my ears are completely fine and no sign of any infection. He said my sinus also looks clear and no pus.\n\nHe said may be the swelling a secondary infection from sinusitis or TMJ. He was not sure. He told me to get an x-ray and CT scan after 2 weeks just to check if any infection present. He prescribed cefdinir for 2 weeks.\n\nThe doctor was not sure why I have the jaw pain and the swelling. My sinus and ear is clear now as per the scope examination. He prescribed the antibiotics for 2 weeks and imaging after that.\n\nIt could be TMJ or any tooth issue? I don't have any gum redness. \nI have called my dentist today to check this out. He is booked up today and till July 2nd. So they put me with another dentist tomorrow. I am planning to go in and check this out. I don't know if I am assumed this swelling as ear and sinus pain so far(more than 3 weeks).  I am going to the dentist tomorrow. This is going to be a new dentist and I am not sure how he is going to check. \nWhat should I ask for? Just posting here to get some information on hand. Do I need to ask for full mouth panaromic x-ray? Or normal x-ray? What else do we need to check since this involves my jaw area under he ear. \n\nPlease help if you have any inputs. Thank you. honestdoc: I'm suspecting TMJ problem.  Have the dentist clear you of any dental problem.  If you have medical insurance, it may cover TMJ treatments because dental doesn't.  After getting cleared by your dentist, get referred to TMJ specialist and inquire about accepting your insurance because treatment can be very costly. Du_deleted: honestdoc said:\n\n\n\n\t\t\tI'm suspecting TMJ problem.  Have the dentist clear you of any dental problem.  If you have medical insurance, it may cover TMJ treatments because dental doesn't.  After getting cleared by your dentist, get referred to TMJ specialist and inquire about accepting your insurance because treatment can be very costly.\n\t\t\nClick to expand...\n\nThank you so much @honestdoc. I really appreciate it. I will ask for all x-rays they can take there in their office. \nBtw, what's the treatment for tmjd? You have mentioned it's expensive. Whether it's need to be treated asap or wait and see approach? Just asking this to know if I can postpone till covid situation gets better. honestdoc: There are many treatment modalities depending on your specific TMJ problem.  Most common are bite appliances and physical therapy.  Alternative may be acupuncture.  Last resort may be surgery but it is too traumatic and the results are unpredictable (I would avoid it almost totally).  I wouldn't wait too long because your TMJ can further deteriorate.  Try to get seen as soon as you can. Du_deleted: honestdoc said:\n\n\n\n\t\t\tThere are many treatment modalities depending on your specific TMJ problem.  Most common are bite appliances and physical therapy.  Alternative may be acupuncture.  Last resort may be surgery but it is too traumatic and the results are unpredictable (I would avoid it almost totally).  I wouldn't wait too long because your TMJ can further deteriorate.  Try to get seen as soon as you can.\n\t\t\nClick to expand...\n\nThank you so much @honestdoc. \n\nI went to my dentist office and saw the new dentist. I told them the history. I also told them I did chew some meat and fish hard before all this happened. I also hear a big snap or click from the jaw. Like a knuckle the next day. After that, swelling started with pain.followed by ear pain, jaw clicks while opening. \n\nThey did check my bite with blue color stick(I think bite stick) and asked if I have any discomfort. I feel tender when I bite on tooth#30. He checked for few more times and that feels so tender. So he said I might have a fracture in that root. And he told me to get a CT scan for that tooth to check a clear picture. \n\nI asked if it could be a TMJ problem or jaw bone issue or jaw fracture problem. He said that doesn't look like jaw issue. And they said if it's jaw issue or TMJ, I won't get swelling under the ear and the jaw line.  I insist them to take panaromic x-ray just to check the jaw. Then he said ok. I had both pan and CT scan for that tooth. \n\nI am yet to receive the xray pictures from their office. I will share it here once I receive my email. \nAfter the CT scan, he said that it's predictable or not predictable. He couldn't see much of a crack or root fracture in the tooth. And guessing there might be a fracture and told me that either I have to extract the tooth or root canal with crown. \nBut he insist me that it's a trial and error. Even after root canal, it might give you the same pain. Then we have to extract it.  So, it's better to extract in the first place and do implant immediately. I was so shocked to hear these and completely blanked out. I don't have any idea how root canal or extraction will be. \n\nI would be happy if he said the answers conclusive. Not by a guess. Do the tooth crack or root fracture doesn't show up in x-ray or CT scan??? \nI asked if it works for wait and watch approach. He said I have to do it within a week. I have already delayed this because of assumption of ear,  sinus infection and he is surprised that it doesn't hurt me more all these days. He said it will hurt more if untreated. \n\nSo, I have to decide if I have to do root canal or extraction on tooth 30. But I don't have any throbbing pain or gum redness or swelling inside on that tooth before I go in for a visit. I totally didn't think about that could be an issue. \n\nAnd about my upper wisdom tooth, in the xray the root color was black. So the dental assistant told me that root is getting there. Since I had already taken antibiotics in the past weeks, the dentist said he couldn't see any infection in any of the tooth in the x-ray. \n\nSo, he also told me to take out the wisdom tooth #1. I am ok to take that. But I am thinking if I should take off #30. Whether the lower jaw pain, ear pain and swelling could be of wisdom tooth pain or infection. Since I taken antibiotics, that might be resolved. Is that possible??\n\nWill the upper wisdom tooth cause swelling on the lower jaw?? Any inputs?\n\nThe dentist whom I saw today is new to the dental practice and he has been \npractising for an year. He asked one of his colleagues for an opinion and she also said the same after reviewing the CT scan. Whether fracture of tooth or root not shown in the images??\n\nSorry for long post. Thanks for reading. I just want to be as detailed as  possible. honestdoc: Attach the x-rays like pano and periapical.  The CT image may not accurately depict any fractures.  It is very difficult to detect fractures.  Using the tooth sleuth, you bite down, ease firm and let go.  When it hurts when you let go indicates possible fracture.  Another test is the gum probings.  The probings will have normal readings until a sharp drop in deep probing indicating attachment damage.  Did the dentist do a cold test on #30?  I would not do RCT and or extraction unless it is absolute which I  think they were more or less guessing. \n\nExtracting #1 is fairly minimal trauma so that shouldn't be a big deal.  TMJ may have some swelling depending on the amount of damage.  If the swelling is away from the ears under the jaw line, it may be coming from the tooth. Du_deleted: Thank you @honestdoc.\nI had the following x-rays today. I will send the images once I receive from their office.\n1. intraoral - periapical first radiographic image\n2.intraoral - periapical each additional radiographic\n3. panoramic radiographic image (no charge)\n4. 3D Cone Beam capture lim FOV #30\n\nthey did bite test. I don't know if he did gum probing. He did scratch my gums with some metal thing and that was painful. He go over the gum lines and checked. It was very painful for me. Like scratching the gum edges. He didn't do cold water test.is that necessary to find the cracks or fractures?\n\nI do have swelling under the ear. And also under this tooth too. The whole lower jaw area. In this tooth #30, I have some tenderness and shoot pain from this afternoon. Don't know if it's because of that gum probing which he did in the office. I also have shooting pain from upper wisdom tooth. Feel shooting and sharp pain in tooth#1 and 30. If I touch the bottom or gum area on tooth 30, it's so tender and painful. I have to press it hard with my finger to feel tenderness.it gives a shooting pain on the bottom of that tooth in the jaw outside( the cheek.)  \n\nHe is not very absolute in his answer. He is very sure to say trial and error. \n\nI want to know if it's from TMJ issue.  He said it's not. I am not sure why I have pain under the ear with swelling. I do have swelling on #30 tooth cheek side. So, don't know what's the issue. Whether crack and fracture will give swelling all over the jaw? He did say that my jaw looks fine from the pan\nx-ray. It's so painful and I am continuing the antibiotics and anti inflammatory for pain. I think I have to go for a second opinion or to an endodontist to get consult. Will share the x-rays as soon as I receive. Their office is already closed and I can catch them up only on Monday. Meanwhile, how do I control the pain and swelling? What is the normal treatment for the fracture? I asked the dentist if I can wait and watch? He said I should do extraction or RCT in one week. I am so confused and worried. I never done RCT before. There is not even a big cavity in that tooth. I don't know how this crack or fracture happened. \n\nThanks. honestdoc: Without images, its like driving to a new location without a map.  The x-ray will not indicate anything but a baseline.  It will not diagnose or pinpoint any details unless obvious in which your dentist will see it.  Your dentist would have detected any bone disease or defects.  In order to diagnose a fracture, there are illuminating tests where the dentist use a high powered lighting unit used to cure white fillings.  Sometimes an internal crack will show up sometimes not especially if it's down in the roots.  Tooth sleuth (bite test) is used on each tooth cusp and after you bite down and upon release, the crack will flex painfully.  Gum probing will detect attachment damage but usually after a few weeks after the crack forms. So sometimes the probe will not detect anything yet. To cold test if the tooth needs a root canal, a cotton pellet will be saturated with liquid nitrogen and placed on the tooth. If the tooth feels no cold, then the nerve inside the root canal died. Many dentists use Q-tip which does not get cold enough and will yield false results. If the cotton feels extremely painful and lingering over 30 seconds, the nerve is irreversibly damaged and needs a root canal. If the tooth feels cold and minimal pain, then it is normal. Du_deleted: I am so sorry @honestdoc for asking questions without images. I will try to get the images and post it here. He didn't talk about any bone disease or defects after seeing the images. He couldn't find anything and guessed about the fracture. \nThank you so much for other test information. I have never heard about it and done that before. I think an endodontist can test that for my issue. I will get the referral on Monday.  \n\nJust another question here. \nI bite down on tooth 30 and when I close the mouth, that side upper and lower tooth feels hard while biting. \n\nAnd when I bite down on 30, it hurts while biting and relieved while releasing the bite. Does it mean cracked it fracture root? \n\nThanks. honestdoc: This is just a guess.  From my experience, the best case and most likely scenario is that you are clenching and grinding.  Fracture is when it hurts upon releasing the bite because the fracture flexes.  Try going to the store and pick up an Over the Counter Night Guard and try it.  Seeing a TMJ specialist will make custom bite appliances to manage and treat the condition. Du_deleted: honestdoc said:\n\n\n\n\t\t\tThis is just a guess.  From my experience, the best case and most likely scenario is that you are clenching and grinding.  Fracture is when it hurts upon releasing the bite because the fracture flexes.  Try going to the store and pick up an Over the Counter Night Guard and try it.  Seeing a TMJ specialist will make custom bite appliances to manage and treat the condition.\n\t\t\nClick to expand...\n\nThank you so much @honestdoc .\n\nAre you in USA or uk? If you are in US, do you have any recommendations for good dentist, endodontist, TMJ specialists in Atlanta. I really not trust the dentist opinion and I don't want to jump into extraction without concrete answer. My regular dentist also always give a guess answer. He did fillings on my left side  tooth which was very very small and I had a lots of trouble from that for an year. I don't know if I will get a genuine and concrete diagnosis from him on Monday if I go in. I am also planning to check with some endo to ask if I need RCT . I never been to any Endo in the US. \n\nThank you!!"
  },
  {
    "id": 1005,
    "title": "Canadian company that makes dental antibiotics and anethetics etc",
    "dialogue": "jafar: Hello everyone. I am looking for Canadian company(s) that makes dental antibiotics and dental anethetic and other dental products. thanks MattKW: Just curious, but why specifically Canadian? jafar: I am helping someone who buys from  manufacturers from other countries and would like to know if there are any Canadian manufacturers too.  I will be thankful if you or anyone who can help me help my friend."
  },
  {
    "id": 1006,
    "title": "Swelling under ears near the lower right jaw. Is it any tooth issue?",
    "dialogue": "Du_deleted: Hi all,\nI have jaw pain and swelling under the right ear near the lower end jaw. Exactly under the ear. It's very tender to touch. It's been there for more than 2 weeks. I had facial pain and pressure. I have nose and ear congestion. Went to the urgent care and they diagnosed sinus infection and Otitis media. Prescribed antibiotics and NSAIDs. \n\nFinished the medicine for a week. I still have the swelling and jaw pain. I also have sinus pain. I feel the pain in the face, upper jaw, ears when I bend down. I know sinus infection will take time to clear up. But this is the first time I have swelling under the ears near the jaw along with my sinus and ear pain. \n\nWhether it could be any tooth issue? I don't have any dental fillings that side. Upper wisdom tooth with cavity. No lower wisdom tooth. I chewed fish for a long time before this happened. i.e before 2 weeks. I chewed on the same side only. Whether that cause any swelling? I don't see any gum redness and tooth doesn't hurt when chew and swallow. \n\nI don't want to go to a dental visit at this current situation. I am not really sure if it's dental issue or swollen lymph nodes because of sinus infection. Any input is really appreciated. I still have the stretchy sore pain in the jaw under the ear and it hurts down the jaw line. I feel very sensitive in those teeth from this morning. It feels sensitive without chewing or anything inside the mouth. It's not sensitive to cold and hot foods. I feel very sore inside the ear and under the ear(jaw area). The swelling is still the same from day 1. I am keeping up with ice.  Anyone have any experience like this? Dr M: Do you perhaps have any radiographs of your teeth to better help us with an idea of what the cause can be? Du_deleted: Just an update here. \n\nI have the same ear pain, lower jaw pain, swelling under the ear and top of the neck area along with nose and ear congestion. Finished the amoxicillin antibiotics 2 weeks back. I have severe ear and jaw pain with swelling. \n\nSo, I  went to an ENT today to check if it's ear or sinus issue. \n\nI thought of checking with ENT before going to a dentist. I told them the history. I am prone to cold , sinus infection and strep throat throughout the year. I get almost one infection in 2 or 3 months. So I told them about that too. I have not tested any allergies before.\n\nENT checked my ears with an otoscope and did nasopharyngoscopy with Endo to check my sinus. He said my ears are completely fine and no sign of any infection. He said my sinus also looks clear and no pus.\n\nHe said may be the swelling a secondary infection from sinusitis or TMJ. He was not sure. He told me to get an x-ray and CT scan after 2 weeks just to check if any infection present. He prescribed cefdinir for 2 weeks.\n\nThe doctor was not sure why I have the jaw pain and the swelling. My sinus and ear is clear now as per the scope examination. He prescribed the antibiotics for 2 weeks and imaging after that.\n\nIt could be TMJ or any tooth issue? I don't have any gum redness. \nI have called my dentist today to check this out. He is booked up today and till July 2nd. So they put me with another dentist tomorrow. I am planning to go in and check this out. I don't know if I am assumed this swelling as ear and sinus pain so far(more than 3 weeks).  I am going to the dentist tomorrow. This is going to be a new dentist and I am not sure how he is going to check. \nWhat should I ask for? Just posting here to get some information on hand. Do I need to ask for full mouth panaromic x-ray? Or normal x-ray? What else do we need to check since this involves my jaw area under he ear. \n\nPlease help if you have any inputs. Thank you. Dr M: Good day,\nA full mouth panoramic radiograph would be best, since we can then assess your wisdom teeth and sometimes your TMJ as well. If it is a TMJ related issue, further investigations might be required. Du_deleted: Dr M said:\n\n\n\n\t\t\tGood day,\nA full mouth panoramic radiograph would be best, since we can then assess your wisdom teeth and sometimes your TMJ as well. If it is a TMJ related issue, further investigations might be required.\n\t\t\nClick to expand...\n\nI went to my dentist office and saw the new dentist. I told them the history. I also told them I did chew some meat and fish hard before all this happened. I also hear a big snap or click from the jaw. Like a knuckle the next day. After that, swelling started with pain.followed by ear pain, jaw clicks while opening. \n\nThey did check my bite with blue color stick(I think bite stick) and asked if I have any discomfort. I feel tender when I bite on tooth#30. He checked for few more times and that feels so tender. So he said I might have a fracture in that root. And he told me to get a CT scan for that tooth to check a clear picture. \n\nI asked if it could be a TMJ problem or jaw bone issue or jaw fracture problem. He said that doesn't look like jaw issue. And they said if it's jaw issue or TMJ, I won't get swelling under the ear and the jaw line.  I insist them to take panaromic x-ray just to check the jaw. Then he said ok. I had both pan and CT scan for that tooth. \n\nI am yet to receive the xray pictures from their office. I will share it here once I receive my email. \nAfter the CT scan, he said that it's predictable or not predictable. He couldn't see much of a crack or root fracture in the tooth. And guessing there might be a fracture and told me that either I have to extract the tooth or root canal with crown. \nBut he insist me that it's a trial and error. Even after root canal, it might give you the same pain. Then we have to extract it.  So, it's better to extract in the first place and do implant immediately. I was so shocked to hear these and completely blanked out. I don't have any idea how root canal or extraction will be. \n\nI would be happy if he said the answers conclusive. Not by a guess. Do the tooth crack or root fracture doesn't show up in x-ray or CT scan??? \nI asked if it works for wait and watch approach. He said I have to do it within a week. I have already delayed this because of assumption of ear,  sinus infection and he is surprised that it doesn't hurt me more all these days. He said it will hurt more if untreated. \n\nSo, I have to decide if I have to do root canal or extraction on tooth 30. But I don't have any throbbing pain or gum redness or swelling inside on that tooth before I go in for a visit. I totally didn't think about that could be an issue. \n\nAnd about my upper wisdom tooth, in the xray the root color was black. So the dental assistant told me that root is getting there. Since I had already taken antibiotics in the past weeks, the dentist said he couldn't see any infection in any of the tooth in the x-ray. \n\nSo, he also told me to take out the wisdom tooth #1. I am ok to take that. But I am thinking if I should take off #30. Whether the lower jaw pain, ear pain and swelling could be of wisdom tooth pain or infection. Since I taken antibiotics, that might be resolved. Is that possible??\n\nWill the upper wisdom tooth cause swelling on the lower jaw?? Any inputs?\n\nThe dentist whom I saw today is new to the dental practice and he has been \npractising for an year. He asked one of his colleagues for an opinion and she also said the same after reviewing the CT scan. Whether fracture of tooth or root not shown in the images??\n\nSorry for long post. Thanks for reading. I just want to be as detailed as  possible. Du_deleted: Dr M said:\n\n\n\n\t\t\tGood day,\nA full mouth panoramic radiograph would be best, since we can then assess your wisdom teeth and sometimes your TMJ as well. If it is a TMJ related issue, further investigations might be required.\n\t\t\nClick to expand...\n\nI have been dealing with upper and lower jaw pain with swelling under the ear. It's been more than 4 weeks. I did have some sinus infection and ear infection. I got some antibiotics from urgent care. After 2 weeks of antibiotics, the jaw pain, ear pain with swelling doesn't reduce. I went to an ENT this week to check my ear. He did Endo to check my sinus and also checked my ear. He said there is no infection in sinus and ear.\n\nI was so confused and did go to the dentist. He checked for infection in the x-ray and it's not. He said since I was on antibiotics, if at all there was an infection present in the upper wisdom tooth or any other, it would have been cleared. He checked all my tooth in that side with a blue color stick and asked me to bite. I felt some discomfort and tenderness on one tooth bite. It's tooth #30. He said I might have a fracture in that tooth root and asked me to get CT scan. I took CT scan for that tooth(#30) and pan xray.\n\nHe didn't see any jaw bone issue in the pan xray. He said he couldn't find any crack in the CT scan. But he see something little and he is guessing that it might have a fracture. So he told me to go for extraction asap. He said RCT with crown might not work. If I feel pain after RCT, it's a waste of time and money. So he told me to go for extraction and implant immediately.\n\nI was totally confused and worried. He is not my regular dentist . My regular dentist is not available today and he is a new dentist and he has been practicing for an year.\n\nI don't know if I can proceed with extraction with this guess. I do have some pain in the upper wisdom tooth and i have to extract that. I feel sore and stabbing/throbbing pain in the upper wisdom tooth area and the lower jaw (exactly under ear and under tooth #30). It's swollen on the whole lower jaw. I don't know how to proceed with.\nI was assumed that this swelling and jaw pain was because of ear pain and that was cleared by ENT. Then I thought it's TMJ. But that is not as per the dentist. He said TMJ issue will not give this swelling. I feel continuous pain in the lower jaw area. If i bite down, I feel sharp pain on tooth 30 and relief while releasing.\n\nI don't know if its because of tooth# 30 crack or upper wisdom tooth or TMJ inflammation. How to identify?\nI do have throbbing pain in the upper jaw and the lower jaw throughout the day. I have some sharp pain in the upper wisdom tooth area and the lower tooth area(#30).\n\n\nI don't want to proceed with tooth #30 for rct or extraction without knowing the concrete answer for this issue. I don't want to exaggerate tmj pain if that's the cause. Dr M: Good day\n\nI had a look at your x-rays. It is difficult to determine if a tooth has a crack from a normal panoramic radio-graph alone. I would have to have a look at the CBCT as well.\nOn your radio-graphs it does look like you have some infection on the top right wisdom tooth. And you mentioned that it is painful?\nIn my opinion I would approach this through a process of elimination. The top wisdom tooth needs to be extracted anyways, due to infection and due to no opposing lower wisdom, which means that over time this tooth will continue to grow in a downwards fashion, leading to problems later on. It is also completely possible that a top wisdom tooth, could cause pain on the lower jaw, especially if it is on the same side-this is called referred pain. So I would start there.\nIf the pain does not go away, I would consider getting a second opinion from a dentist that you trust-maybe have him look at your CBCT-this is your records after all.\nIf a crack is suspected, I would start with the first step of a root canal, rather than extracting the tooth.\nBy opening up the tooth, and removing the nerve tissue, you can sometimes better evaluate the crack, if there is any. If the pain and swelling disappears and no crack can be seen, the tooth can still be saved with a root canal obturation ( which is the second step of a root canal treatment ).\nIf there is a crack and the crack does not extend to the pulpal floor, or roots, root canal therapy can still be done with a crown to protect the top part of the tooth.\nIf however there is a crack that extends down, this might lead you to extract the tooth.\nEither way, the first step of a root canal treatment or emergency root canal treatment, can be used as a diagnostic tool in this case, and at least you don't pay for the full root canal treatment if it goes either way. ( Usually the second phase is more expensive ).\n\nIt might also be worth your while to consider getting a referral or opinion from an endodontic specialist. This is a type of dentist that specializes in root canal therapy as well as the management of cracks. He could give you better advice on whether a tooth is worth saving or not, since he makes use of microscopes etc.\n\nHope this helps."
  },
  {
    "id": 1007,
    "title": "White spot protruding inner cheek",
    "dialogue": "ElaineW: Hi all,\n\nI just wanted to check if anyone knows what this is on my gum ... first 2 pics are from about 5/6 weeks ago ... lil small protruding spot on my inner cheek along the bite line, last 2 pics are today ... still has a little white mark but no longer sticking out ... anyone anything similar? Thanks so much!! honestdoc: It's very hard for me to see clearly.  I notice a lot of glare and blurriness.  Since you are not experiencing protrusion, I'm going to guess hyperkeratinized (calloused) tissue.  You may be constantly rubbing, irritating, and or traumatizing the area and the mouth is making thickened skin to protect itself.  Try to minimize irritation in the area because thickened skin there is abnormal.  If possible, try to provide more clear images. ElaineW: honestdoc said:\n\n\n\n\t\t\tIt's very hard for me to see clearly.  I notice a lot of glare and blurriness.  Since you are not experiencing protrusion, I'm going to guess hyperkeratinized (calloused) tissue.  You may be constantly rubbing, irritating, and or traumatizing the area and the mouth is making thickened skin to protect itself.  Try to minimize irritation in the area because thickened skin there is abnormal.  If possible, try to provide more clear images.\n\t\t\nClick to expand...\n\n\nhi, thanks so much for your reply  it was protruding at the start which was about 6 weeks ago then went flat, it had nearly disappeared but then came back very white looking the day b4 yesterday. its about 2 or 3mm in size, hasnt gotten bigger since the beginning. I was with a dentist nearly 3 weeks ago n he filed a top broken back tooth but it still felt a bit rough n he said if it was not gone in 2 weeks i was to go back n see an oral surgeon, I went back to another dentist yesterday n he had a look, he said it doesnt look suspicious and said it is right on the biteline ... At the corner of my upper n lower back teeth is where the white dot sits and there is a tiny line on both sides of it which sit at the back and side of the lower molar. I have been on antibiotics the passed 10 days but doubt that would have made it come back, I have been rubbing vitamin e oil into it hoping that would help. I also keep touching it with my tongue but dont believe that would irritate it?? Im putting orabase on it too. The dentist said to give it a month, he filed the upper back tooth down more. He said if it doesnt go he would get the oral surgeon to have a look so that has me a bag of nerves now  this is the pic of it now .... honestdoc: Do you smoke?  Do you consume more than 1 alcohol servings per week?  If so, I would get it removed.  The image is more clear and I believe it to be a callous (hyperkeratinized tissue) with the etiology as stated above.  The body is making abnormal tissue from constant irritation/trauma.  Couple that with chemical irritation such as alcohol and tobacco increases your risk for uncontrolled abnormal tissue growth (tumor/cancer).  Don't be scared but be aware of your risks.  White is good.  Red is bad and that could happen if you continue to overwhelm that area.  Don't use mouth rinses (most have alchohol) and use the least irritating toothpaste without whitening, baking soda, peroxide, tarter control, any other additives (use the most plain toothpaste). ElaineW: honestdoc said:\n\n\n\n\t\t\tDo you smoke?  Do you consume more than 1 alcohol servings per week?  If so, I would get it removed.  The image is more clear and I believe it to be a callous (hyperkeratinized tissue) with the etiology as stated above.  The body is making abnormal tissue from constant irritation/trauma.  Couple that with chemical irritation such as alcohol and tobacco increases your risk for uncontrolled abnormal tissue growth (tumor/cancer).  Don't be scared but be aware of your risks.  White is good.  Red is bad and that could happen if you continue to overwhelm that area.  Don't use mouth rinses (most have alchohol) and use the least irritating toothpaste without whitening, baking soda, peroxide, tarter control, any other additives (use the most plain toothpaste).\n\t\t\nClick to expand...\n\n\nHi, thanks so much for your quick reply  I dont smoke and Id drink alcohol once a week .. 3 or 4 max glasses. I had a broken upper tooth in my mouth from the end of February up until 3 weeks ago when I went to the first dentist, he filed it down but it still felt a little rough, it was filed down more yesterday. the white mark sits right between the tooth that was broken and my lower back molar. I got corsodyl mouth wash since it has no alcohol and im using warm salt water .. are they ok to continue? I dont know if im still biting on it while eating so afraid of making it worse .... honestdoc: ElaineW said:\n\n\n\n\t\t\tHi, thanks so much for your quick reply  I dont smoke and Id drink alcohol once a week .. 3 or 4 max glasses. I had a broken upper tooth in my mouth from the end of February up until 3 weeks ago when I went to the first dentist, he filed it down but it still felt a little rough, it was filed down more yesterday. the white mark sits right between the tooth that was broken and my lower back molar. I got corsodyl mouth wash since it has no alcohol and im using warm salt water .. are they ok to continue? I dont know if im still biting on it while eating so afraid of making it worse ....\n\t\t\nClick to expand...\n\n\nI don't like any mouth rinses unless I prescribe an antibacterial rinse (Peridex 0.12%) if you have severe gum disease.  Try not to drink alcohol for a month for resolution because it can irritate it causing higher risk for further damage.  Feel your tongue or your finger around the broken spot to locate any sharp or rough spots.  The key is to minimize any irritation physical or chemical. ElaineW: honestdoc said:\n\n\n\n\t\t\tI don't like any mouth rinses unless I prescribe an antibacterial rinse (Peridex 0.12%) if you have severe gum disease.  Try not to drink alcohol for a month for resolution because it can irritate it causing higher risk for further damage.  Feel your tongue or your finger around the broken spot to locate any sharp or rough spots.  The key is to minimize any irritation physical or chemical.\n\t\t\nClick to expand...\n\n\nthanks so much for that  I wont use the rinse anymore n Ill stay off the drink for another few weeks. I think the dentist managed to file the tooth down ok this time, it was still pretty rough b4 he fixed it for me even after the other dentist filing it 3 weeks ago. I got an awful fright when I seen that on my cheek n then googled ... very bad idea. You have eased my mind a lot n Im very grateful for that!!!"
  },
  {
    "id": 1008,
    "title": "Extraction/dentures/cost",
    "dialogue": "Askingforhubby: My husband is 34 and needs almost a full mouth extraction and dentures or some sort of implants. His mouth is in constant pain and he has to take excedrin 24/7. He is a wonderful husband and father and works around the clock to pay the bills. We were told that these combined procedures will cost $60,000 and we cannot get approved for that kind of loan for medical work. We have “good” insurance through his work, but they will cover close to nothing (maybe $5,000-$15,000). Today his gums were bleeding. I am so outraged that he cannot get the medical care he needs. I am looking for any advice from anyone in the field or anyone who has gone through it is going through something similar! Please and thank you! honestdoc: Where are you located?  You don't need to pay $60,000.  Implants are not a necessity.  I'm not sure how many teeth needs extraction.  You can consider the local Dental School for lower costs.  Keep in mind if your husband considers having dentures made before extraction (called immediate dentures), it won't fit as accurate after the teeth are taken out.  Some places like in Aspen Dental will make you 2nd denture (very costly) after 6 months of healing.  You can opt to make 1 denture after 2 to 3 months of healing.  Unfortunately, there are a lot of cost considerations. Askingforhubby: honestdoc said:\n\n\n\n\t\t\tWhere are you located?  You don't need to pay $60,000.  Implants are not a necessity.  I'm not sure how many teeth needs extraction.  You can consider the local Dental School for lower costs.  Keep in mind if your husband considers having dentures made before extraction (called immediate dentures), it won't fit as accurate after the teeth are taken out.  Some places like in Aspen Dental will make you 2nd denture (very costly) after 6 months of healing.  You can opt to make 1 denture after 2 to 3 months of healing.  Unfortunately, there are a lot of cost considerations.\n\t\t\nClick to expand...\n\nWe are located in PA. I will have to look into Dental Schools! I appreciate the advice!"
  },
  {
    "id": 1009,
    "title": "Impacted Wisdom Tooth Extraction: Dry socket or Healing?",
    "dialogue": "AnaisAlvarez96: Hi! I had my lower right impacted wisdom tooth extracted 5 days ago. This is the current condition of it. I’m worried I may have a dry socket though currently there’s no bad taste and bad smell in my mouth. I’m currently experiencing slight throbbing pains in the area of extraction. I tried poking it but it seems like a tissue or I don’t know it may be a stucked food debris. See photos attached. honestdoc: It looks like normal epithelial repair tissue and healing good.  Hopefully you are not experiencing outside swelling.  Removing lower wisdom teeth can be very traumatic because the dentist/surgeon had to work inside the thick, dense jaw bone.  The soreness should subside soon."
  },
  {
    "id": 1010,
    "title": "Health anxiety and possible periodontitis. Scared.",
    "dialogue": "alwaysworried101: Hello, all. I am a 29-year old male who has had some form of gingivitis for the past 6 years or so. I remember my dentist pointing it out back then, but didn't pay much attention because it said I should just brush my teeth properly and see her regularly. Basically, my gum line, where the gums and teeth meet, are kinda reddish.\n\nI have diagnosed health anxiety, but haven't been really worried about dental problems even with this until now. I think being stuck at home, pandemic and all, has made me more focused on my body.\n\nEver since I was a kid, I have always been told by dentists that I have the perfect set of teeth. I never had the need to wear braces. I never had a toothache in my life. Over the past 6 years, I've seen maybe around 3 different dentists all of whom said that I really have nice teeth but \"yeah, you're gums in the front are a bit irritated, but they're mild. So I'll just clean this and then you do this and that so they'll improve.\"\n\nI'm so frustrated because nothing hasn't changed much. I just want to reverse the inflammation and turn my gums into perfect pink. In a way, the problem hasn't gotten any worse. It's just that, the inflammation hasn't gone away completely.\n\nOkay, I understand I do have some problems with my dental habits:\n\nFor the longest time, I've always brushed my teeth less than 30 seconds with the vertical technique only. Please don't judge me. I do this because I have this wrong mentality of \"the lesser I brush, the lesser I harm my teeth with all the movement so they won't bleed.\"\nI rarely floss. I only floss whenever there's food stuck in my mouth.\nI rarely do mouthwash. And if I do, I only gargle it in my mouth for like 10-15 seconds.\nI've had some blood tests and all for other unrelated dental issues and they all come back fine. I don't have any bleeding problems that I know of.\n\nAnyway, it's been a week since I've consciously altered my dental habits. I've been brushing for two minutes, been using mouthwash for 30 seconds, and been flossing regularly. I haven't been bleeding since I started doing these except for tonight, I saw some blood when I spat. \n\nI know I need to see my dentist to do more deeper and more professional cleaning, but with the pandemic, they only accept dental emergencies for the time being so I guess I have to wait. It's been more than a year since I last saw a dentist.\n\nI do think with the long time that this has been going, I do think it's some sort of periodontitis already.  Is there hope for me to somehow make my mouth healthier?  I feel it's the end of the world. Dr M: Good day Alwaysworried101.\n\nFirstly..don't despair!\nIn the beginning when trying to alter your brushing and flossing habits, it can be completely normal for it to bleed. Remember, your gums are inflamed and with inflammation, comes bleeding. The most important thing to do is to continue, since the inflammation will disappear and the bleeding will become less and less.\nIf you're worried about damaging your gums when brushing too hard, I recommend an Ultra Soft tooth brush for all my patients. A lot of them tell me that they feel it doesn't clean their teeth as well as they feel it should, but that is not the truth. With the correct frequency and technique, it does the job just fine. If you brush too hard, with a toothbrush that has hard bristles, it can actually damage your gums and teeth even more and lead to bleeding.\nGive it some more time to see if the altered habits make a difference.\nWith regards to periodontal disease, it will be difficult to give you an opinion about that, since a periodontal examination and xray might be needed.\nIn the mean time, just continue your good oral hygiene habits. The fact that you made this decision is already a step in the right direction. \nThe next step will be to see a dentist again for a thorough cleaning and examination, since sometimes, if we don't floss and brush as we should, especially in the lower anterior region, plaque can become mineralized and then unfortunately it becomes very difficult to remove with a normal toothbrush, causing constant irritation and bleeding.\nIf you have underlying health conditions such as hypertension or diabetes or even certain hormone fluctuations, this could lead to hyperinflammation and this could then be investigated if all else fails.\nStay positive!"
  },
  {
    "id": 1011,
    "title": "Wisdom tooth infection???! Help",
    "dialogue": "Faithb777: Hello, I had my wisdom teeth extracted around 4 days ago. I am still experiencing pain and a tiny bit of swelling but it has improved. I am worried that my bottom tooth suture may be infected as there is a white past near the suture that stings when I swish with salt water. I have read on certain websites that it’s normal and others that it’s an infection. I can’t see my dentist until Friday so I would really appreciate anyone’s help! I have been ensuring to do all that the dentist instructed btw. Dr M: During normal healing of an extraction socket, the tissue sometimes appears yellow and then later turns pink as the normal process of healing progresses. It is also normal for some food to get stuck to the sutures, and this can also appear yellow. Some pain and swelling is normal 4 days after a surgical extraction and if the pain is improving, it is a good sign. My advice is to give it at least a week, and continue to keep the wound as clean as possible. Rinse with salt water or mouthrinse ( if prescribed ) and if there is no improvement at all, go and see your dentist, to make sure there is no infection."
  },
  {
    "id": 1012,
    "title": "Why is the roof of my mouth such a weird color?? should i be concerned?",
    "dialogue": "stevesteve:  honestdoc: I see no concerns at this time.  The area is where the hard palate meets the soft palate.  There are some vascular (blood vessel) anatomy in the region that may be sensitive to many factors such as trauma (and or irritation), hormone fluctuations, diet, medical conditions, and autoimmune responses to new medications, toothpastes, mouth rinses, herbal, cinnamon, etc.   I will be concerned if it has swelling, pain, and or irregular lesions."
  },
  {
    "id": 1013,
    "title": "Should I take amoxicillin for another 7 days? I just finished taking antibiotics for 7 days but my teeth still ache.",
    "dialogue": "storm: Can someone give me any advice, please?\n\nMy concern is i need to get my two left molars extracted as they have been pestering me for a very long time now. I just found out that dental abscess can cause some serious problems like brain abscess if not treated. So its starting to get to me. I had my teeth checked last week. And just when I thought they could be yanked out as soon as anesthesia kicked in, the dentist had to stop the procedure because I could still feel the pain when she was trying to move my molar which shouldn’t hurt considering that shed already injected anesthesia thrice to numb them. I had also finished taking amoxicillin for 8 days but i feel like they gonna hurt again anytime soon. Ive never had extraction before cus im such a puss so Its gonna be my first time.\n\nCould you evaluate what happened? Should I take amoxicillin for another 7 days? She suspected that it still has pus inside my gum thats why its still hurting so she prescribed another amoxicillin but I no longer want to take any antibiotics as i might get resistant. Im planning to have an appointment again after my period. I appreciate your help. honestdoc: I would stop taking antibiotics.  You are correct about risk of resistance and a possible risk for C. Difficile infection.  Ask for laughing (nitrous) gas to help you relax and to numb more effectively.  Infected teeth usually comes out easier because the infection softens the bone. storm: Hi, thanks for your response doc. I really appreciate it. But is it okay to remove it even if it's gonna be painful because it still has pus on the gum? honestdoc: It needs to be removed.  Again, ask for gas.  It will help relax and numb the area. storm: Thank you honestdoc"
  },
  {
    "id": 1014,
    "title": "Enamel gone?",
    "dialogue": "deanfourie: Hi there. I have a very frustrating problem.\n\nI while ago I scraped my tooth to try get something out or off. I think I may have removed the enamel as now it is permenantly stained.\n\nWhat are my options here? I've had a full clean before and they were convinced it would fix it but it came back not long after.\n\nThanks Dr M: Good day,\n\nAre you a smoker by any chance? Any photo of the \"stain\" ? deanfourie: Dr M said:\n\n\n\n\t\t\tGood day,\n\nAre you a smoker by any chance? Any photo of the \"stain\" ?\n\t\t\nClick to expand...\n\n\nThanks for the reply. Yes unfortunately I am.\n\nProbably one of the most awkward photos I've ever posted \n\nThank you Dr M: When looking at the photo it is difficult to discern if it is only staining or perhaps a cavity. For this a radiograph might be needed to make sure there is no decay. It might be that you already had a area that was demineralized due to underlying decay and in such a case a filling might be needed.\nIt is also important to note that unfortunately smoking always causes staining that returns even after a cleaning and can even stain the filling, as well as the filling margins, over time .\nIt is best that you go and see a dentist and let them take an x-ray to evaluate the area fully. deanfourie: Thanks for the reply. Is there at least a way I can clean it. I have a date or two Dr M: It depends on how deep the stain/cavity goes. If it is a cavity, then no, you can't clean it. If the stain is superficial you can maybe try and remove it with a toothbrush and toothpaste."
  },
  {
    "id": 1015,
    "title": "Can a water flosser damage gums",
    "dialogue": "WorriedIncisor: I just bought a Waterpik water flosser and used it for the first time and my gums are really sore. I’m wondering if Waterpik’s can cause gum recession or other damage? I also used it on highest setting. Dr M: Good day,\n\nIt is important to use a Waterpik water flosser according to the manufacturers' instructions. Do not use it on the highest setting to start with. Research also showed that people who weren't regular flossers to begin with, might experience pain when starting with the Waterpik water flosser. This usually subsides within 10-14 days as you continuously use the water flosser. Any bleeding, swelling or pain that persists hereafter, should be brought to the attention of your dentist. WorriedIncisor: Dr M said:\n\n\n\n\t\t\tGood day,\n\nIt is important to use a Waterpik water flosser according to the manufacturers' instructions. Do not use it on the highest setting to start with. Research also showed that people who weren't regular flossers to begin with, might experience pain when starting with the Waterpik water flosser. This usually subsides within 10-14 days as you continuously use the water flosser. Any bleeding, swelling or pain that persists hereafter, should be brought to the attention of your dentist.\n\t\t\nClick to expand...\n\n\nHi, thank you for your very helpful reply. I used the Waterpik on the higher setting could this have caused any damage to my gums or braces/retainers? Thank you."
  },
  {
    "id": 1016,
    "title": "Best antibacterial mouthwash",
    "dialogue": "ST1789: What is the best antibacterial mouthwash? honestdoc: I'm not a big mouthwash fan due to its chemical irritation to the oral mucosa and the tendency for people to be more lazy such as \"I don't feel like brushing and flossing right now so I'll rinse briefly instead.\"  \n\nIf you are considering mouth rinses, look for non-alcohol base to minimize irritation. MattKW: A 0.12% chlorhexidine mouthwash, e.g. Peridex, Savacol. honestdoc: MattKW said:\n\n\n\n\t\t\tA 0.12% chlorhexidine mouthwash, e.g. Peridex, Savacol.\n\t\t\nClick to expand...\n\n\nIn the US, Peridex 0.12% is only by presciption.  Non-alcohol base is usually on back order.  Long-term use can discolor/darken teeth. ST1789: Ok, so it’s best to not use mouthwash after brushing and flossing? honestdoc: ST1789 said:\n\n\n\n\t\t\tOk, so it’s best to not use mouthwash after brushing and flossing?\n\t\t\nClick to expand...\n\n\nDepends on gum disease risk factors.  IMO, if you have fairly healthy gums, no need for oral rinses.  I prescribe 0.12% Peridex for only 2 to 4 weeks in conjunction to deep cleanings for those with 5-6 mm gum pocketing and or poor home care/plaque control.  I try to get people not to rely on them.\n\nFor people with bad breath, we try to identify causes such as poor hygiene, poor diet, possible diabetes, acid reflux and or other gastro-intestinal conditions.  A mother complained that her foster daughter had bad breath.  Upon examination, I concluded she may be anorexic due to Keto breath since she was confirmed not to be diabetic. Dr M: I agree with Honestdoc. A Chlorhexidine mouthrinse can  stain teeth if used too often for long periods of time. Best to use it when a dentist recommends it. Mouthwash is only an adjunct to normal oral hygiene habits such as toothbrushing and flossing"
  },
  {
    "id": 1017,
    "title": "Difference between a dark stain and cavity",
    "dialogue": "ST1789: What is the difference between a dark stain and a cavity? Dr M: Good day,\nUsually when a dentist does a clinical examination, we use a dental probe, which is sharp instrument, to check if the dark spot is sticky or hard.\nUsually a hard black spot can be an area were bacteria has become inactive and doesn't necessarily need a filling, whereas a soft brown spot does.\nSometimes we do additional examinations such as taking relevant radiographs.\nA stain can usually be removed by scaling or polishing the surface of the tooth.\nIt is best to let a dentist evaluate a stain/mark that you might suspect is a cavity and not a stain."
  },
  {
    "id": 1018,
    "title": "First post",
    "dialogue": "ST1789: New here. ST1789: I’m 30 years old, and am considering being a male dental hygienist. Being that it’s predominantly a female job, do you think I would be better off pursuing something else? honestdoc: Where are you located?  Depending on your desired location, there could be saturation that could impact your job searches. ST1789: honestdoc said:\n\n\n\n\t\t\tWhere are you located?  Depending on your desired location, there could be saturation that could impact your job searches.\n\t\t\nClick to expand...\n\nI live in a small area in AL honestdoc: ST1789 said:\n\n\n\n\t\t\tI live in a small area in AL\n\t\t\nClick to expand...\n\n\nI don't know how saturated AL is.  I'm in the Pacific NW.  After the Covid Crisis, we hope to hire more hygienists.  We work on Medicaid so it may not be as glamorous.  In areas that have a lot of dental group companies, you may have more opportunities."
  },
  {
    "id": 1019,
    "title": "Any idea what this is?",
    "dialogue": "Helpme1997: The discoloration just showed up. It’s right on my gum line and it’s very painful Dr M: Good day\nVery difficult to give an exact cause without a full history and examination, but it looks like some inflammation of the gingiva in that area.\nI would suggest rinsing with some luke-warm salt water first and then just observe the area to see if it disappears. Sometimes the gum  can be inflamed due to accidental injury to the area while eating, or even because of something that got stuck underneath the gum. Try flossing and see if something comes out and then just rinse the area first. If it becomes more swollen and red, then it might be necessary to go and see a dentist, to see if it is not maybe tooth related, and if additional medication is necessary. honestdoc: Have you had cold sores before?  It could be herpetic in which 75-80% of people have the virus.  Usually it will go away in 7-10 days.  If you constantly get it as well as in the lips, you could ask your doctor or dentist for acyclovir or valacyclovir."
  },
  {
    "id": 1020,
    "title": "Can It Be Saved?",
    "dialogue": "jjoeeunn: Good day. I am already 22 years old and was only using retainer because of money hoping to save my teeth. I dont know but still thankful that my canines lowered even wasnt inserted properly. I just want to ask if will it be saved or is it okay if I will only undergo braces? At my age? Thank you. ( I dont know how my teeth turns out like that haha.) Dr M: Good day,\n\nBy looking at your photo, it is clear that you have a space deficiency with crowding that could have been caused by various factors during your development. \nOrthodontic treatment can be undertaken at any age. Usually Orthodontist are reluctant to remove canines for the purpose of orthodontic treatment.  They would rather remove other teeth, for example your premolars, in order to create sufficient space so that the canines and other teeth can be positioned in a more harmonious relationship.\nIt is also sometimes necessary for additional jaw surgery in severe case in order to reposition the jaws as well.\nMy opinion is to rather go and see an orthodontist, which will do his own clinical examination as well as other measurements regarding your growth pattern, to formulate the ideal treatment plan for your case and then take it from there.\nLuckily it is never too late to improve your smile jjoeeunn: Dr M said:\n\n\n\n\t\t\tGood day,\n\nBy looking at your photo, it is clear that you have a space deficiency with crowding that could have been caused by various factors during your development.\nOrthodontic treatment can be undertaken at any age. Usually Orthodontist are reluctant to remove canines for the purpose of orthodontic treatment.  They would rather remove other teeth, for example your premolars, in order to create sufficient space so that the canines and other teeth can be positioned in a more harmonious relationship.\nIt is also sometimes necessary for additional jaw surgery in severe case in order to reposition the jaws as well.\nMy opinion is to rather go and see an orthodontist, which will do his own clinical examination as well as other measurements regarding your growth pattern, to formulate the ideal treatment plan for your case and then take it from there.\nLuckily it is never too late to improve your smile \n\nClick to expand...\n\nNeed to save more money. Haha. Thank you so much. ❤ honestdoc: Since you are 22 yrs old, you are still in good shape.  The older you get, the harder it is to move teeth because your bone gets harder.  Super important you don't get cavities and gum disease.  If you have severe gum disease that irreversibly damage a lot of bone,  then you may not get treatment because moving teeth on unstable bone will be disastrous.  If you get older, the orthodontist can't move your teeth too fast because you can get root, bone, and pulpal damage.  Also the older you get, the more traumatic it is to remove necessary teeth on harder bone.  I agree with Dr M that canines need to stay because it frames you facial profile and it has the longest roots to stabilize your jaw's functional movements to prevent crashing your other teeth together. I suggest you save you money and explore payment plans and start as soon as you can (before you are 25). jjoeeunn: honestdoc said:\n\n\n\n\t\t\tSince you are 22 yrs old, you are still in good shape.  The older you get, the harder it is to move teeth because your bone gets harder.  Super important you don't get cavities and gum disease.  If you have severe gum disease that irreversibly damage a lot of bone,  then you may not get treatment because moving teeth on unstable bone will be disastrous.  If you get older, the orthodontist can't move your teeth too fast because you can get root, bone, and pulpal damage.  Also the older you get, the more traumatic it is to remove necessary teeth on harder bone.  I agree with Dr M that canines need to stay because it frames you facial profile and it has the longest roots to stabilize your jaw's functional movements to prevent crashing your other teeth together. I suggest you save you money and explore payment plans and start as soon as you can (before you are 25).\n\t\t\nClick to expand...\n\n\nYes, thank you so much . I will. ❤"
  },
  {
    "id": 1021,
    "title": "Which shape of brushing surface better?",
    "dialogue": "Toothed: The toothbrush I want to buy comes in two variants. (It's toothbrush with ultra thin hairs from Aliexpress) One has flat shape of hair's edge, the other's are toothed. honestdoc: There are no peer-reviewed studies that proved one design is better than the other.  If they are inexpensive, buy both and see which feels better to you. Toothed: Alright, thank you. honestdoc: Here is a good link to toothbrushes...https://www.drchetan.com/tips-to-choose-a-toothbrush.html Toothed: Thanks. Unwind: Toothed said:\n\n\n\n\t\t\tThe toothbrush I want to buy comes in two variants. (It's toothbrush with ultra thin hairs from Aliexpress) One has flat shape of hair's edge, the other's are toothed.\nView attachment 3187\n\nClick to expand...\n\n\nIt's personal preference.  Go with what you like best.  I like the gentlest brush I can find, and then I'd probably pick the grooved.  And remember, flossing is the most important thing, then brushing.  So don't forget to floss."
  },
  {
    "id": 1022,
    "title": "Should the tooth be removed or it’s possible to save it?",
    "dialogue": "Nata: Please, can anyone tell me if the left 2nd molar should be removed or it’s possible to save it. \nhad a pain and the check was swollen, but after three days of antibiotics the pain gone and the swelling as well. thanks. honestdoc: I cannot open the image Nata: Thank you for the reply. Will try to download image again. Nata: honestdoc said:\n\n\n\n\t\t\tI cannot open the image\n\t\t\nClick to expand... Dr M: Are you asking about the top or bottom left side? Nata: Bottom left side. Do I need to remove both teeth or just one? Do I need to do on the top left as well? Dr M: The bottom left tooth might need to be removed since the decay underneath the crown has gone into the root. Since it  is part of a bridge. The bridge will have to be sectioned and then only that tooth needs to be removed. Obviously you will be left with a large gap, but I would consider seeing a dentist for a full workup before replacing the gap with something fixed, since there are a lot of other problems that needs attention too Nata: Thank you for your reply. The 3rd molar should be removed as well or it could be save? Or 2nd and 3rd molars should be removed together? honestdoc: I agree with Dr M.  You have a lot of recurrent cavities under crowns and bridges.  You also have severe gum disease with deteriorating bone.   Where are you located? Nata: Russia Nata: I would love to know what exactly I need to do, that I can make sure the doctor would do the right thing. Unfortunately we don’t have many good doctors where I live and it’s cost a lot , and I want to make sure if I spend my savings that at least I get proper care and the money wouldn’t be wasted. honestdoc: How old are you?  You have deteriorating teeth and bone.  If you have pain and or swelling, it's more predictable to remove the bad teeth.  If no problems, get deep gum cleaning and repair all the cavities to try to save the teeth as long as possible. Nata: I am 64. I had a swelling and pain on the left side couple of weeks ago, and then I took some antibiotics for five days and swelling and pain gone. I went to dentist but the only thing they could do was  the X-ray ( other doctors were away due to quarantine). The doctor who did X-ray said I might need two bottom molars removed but the  only person who would remove it can say for  sure but he wasn’t there. But he didn’t tell me about other things on the X-ray and I didn’t know that I have cavities and bone lost. He didn’t say anything about that. MattKW: Your teeth and fillings are in a very bad condition. Both molars on the lower left have to be extracted, and you might be lucky to keep the crown on the lower left premolar. lower right bridge is also highly questionable. Too hard to tell much else about other teeth with better x-rays; sometimes an OPG will create artifacts. Nata: MattKW said:\n\n\n\n\t\t\tYour teeth and fillings are in a very bad condition. Both molars on the lower left have to be extracted, and you might be lucky to keep the crown on the lower left premolar. lower right bridge is also highly questionable. Too hard to tell much else about other teeth with better x-rays; sometimes an OPG will create artifacts.\n\nThank you.\n\t\t\nClick to expand..."
  },
  {
    "id": 1023,
    "title": "What is this lump in my upper gum?",
    "dialogue": "Kbrown644: Hi! I've had a lump right above one of my front teeth on my gum, it's been swollen now for a few weeks, I've taken antibiotics but still hasn't went away. It's sore too touch and just 2 days ago it went from a red lump to now a yellowish lump.\n\nI have not yet been to the denstist due to the coronavirus, I've attched pics! Dr M: Good day,\n\nFrom the picture is does look you have an abscess on the associated tooth. This can be verified with a good peri-apical radiograph as well as a clinical examination from a dentist.\nIt could be that there is decay, or that a filling on the tooth has secondary decay, that is not visible in the photo, and it is an indication that the nerve has died.\nIt is important to note that antibiotics prescribed by a medical doctor or dentist, doesn't always take the infection away completely, and that antibiotics is never a solution to the problem.\nIf the swelling becomes bigger or the tooth becomes painful, it is better to rather go and see a dentist, so that a thorough examination can be done, to prevent complications that could lead to eventual tooth loss. Dr M: The yellow change in colour might be because the abscess has become more fluctuant and the abscess might start forming a draining fistula. Tooth might need a root canal treatment to be performed."
  },
  {
    "id": 1024,
    "title": "Front crown",
    "dialogue": "Alwena: Hi my porcelain bonded crown with post is on a tooth that has been root filled. My crown which it is at the front has come out and I’m being sent a repair kit by the dentist due to the Coronavirus. Have I managed to put it back just for now.  I’m concerned is it possible for me to get toothache or infection if the tooth is root filled? Thank you honestdoc: Anything is possible.  The key is to keep it as clean as possible and try to have the dentist recement it in."
  },
  {
    "id": 1025,
    "title": "Do I have cavities/ caries?",
    "dialogue": "Nata: Can someone tell me pls what do they see on this panoramic X-ray. Do I have cavities? Dr M: Good day,\nCaries are vary difficult to diagnose on a panoramic radio-graph. For this we sometimes require a peri-apical radiograph or bite wings, that show  more detail. On the PAN it can be noted that you have several leaking crowns on the left as well as hole in you last upper left molar.\nIt also looks like you have generalized bone loss around your teeth with areas containing calculus, especially on your lower front teeth, which is an indication of possible periodontal disease, and could lead to sensitivity, mobility and eventual tooth loss.\nFor a proper idea of what is happening, it is important to rather visit a dentist for a full consultation, so that all the possible problems can be noted and attended to. Nata: Thank you very much for your reply.  I Would see a dentist after  clinics will open(ASAP).Can you tell me pls if my second molar on the left should be removed or it could be saved? Dr M: Difficult to say. Would need a better radiographsas well as a clinical examination."
  },
  {
    "id": 1026,
    "title": "White raised spot inner cheek",
    "dialogue": "ElaineW: Hi, I noticed a small raised white spot on my inner cheek right along my bite line, its beside my back tooth which was broken by a dentist in Feb while he was removing a lower back tooth and the tooth its beside is a bit rough now. I noticed the spot 2/3 weeks ago .. not getting better or worse ... 39, non smoker. Any info much appreciated!! Dr M: The most obvious cause could be a sharp edge on the lower molar that is rubbing on the soft tissue, causing keratosis or the white line/spot\" as you see it.\nI would go see a dentist, and first get the lower molar either smoothed or fixed and then give it another 10-14 days to see if there is any difference.\nIf the lesion doesn't disappear, I would then maybe consider a biopsy of the lesion to test for any abnormalities. ElaineW: Dr M said:\n\n\n\n\t\t\tThe most obvious cause could be a sharp edge on the lower molar that is rubbing on the soft tissue, causing keratosis or the white line/spot\" as you see it.\nI would go see a dentist, and first get the lower molar either smoothed or fixed and then give it another 10-14 days to see if there is any difference.\nIf the lesion doesn't disappear, I would then maybe consider a biopsy of the lesion to test for any abnormalities.\n\t\t\nClick to expand...\n\nThanks so much for your reply. Is it suspicious looking?? Dr M: I would rather think it is trauma or friction related. Rule out the most obvious cause first"
  },
  {
    "id": 1027,
    "title": "Lower right jaw / ?? tooth ache",
    "dialogue": "mreed1988: Hello, suddenly today I have had a lower right jaw ache come on. There was nothing particular that stands out to have caused this. it is a dull ache generally but when I swallow its more noticeable. I haven't been to the dentist for 2 years was meant to go last year but practice cancelled the appointment and never got a new one through, however I do have relatively good dental hygiene, only 1 filling in 32 years and when I did go to dentist they always commented on how good my teeth were. I have looked at the teeth in the mirror and they look fine nothing obvious like a crack etc. When tapping or touching the teeth again nothing of concern, and when I clench my teeth I also get no pain. The pain doesn't change when I have hot or cold drinks. When looking at the gum area I don't seen anything particularly inflamed or red. When I touch the gum area I get no pain. Its very weird just this sudden dull ache that has appeared form almost no where. One thing to note is that for the past 4 months I have been having a clicking noise coming from the right side of my Jaw when eating, up until now I have had no pain in the jaw with this issue. And now as I write this when I try and open my mouth as wide as possible I would say the ache in the jaw is worse. I'm worried it could be an abscess primarily as the dental practices are really limited at the moment with covid. But at the same time with all the other things that I have mentioned I am no sure if it is. any advice or input would be really appreciated to try and help me until I can get to dental practice. honestdoc: It's hard for me to diagnose your problem.  As long as a dentist clear you of any teeth or gum problems, I'm suspecting your pain coming from the Right TMJ.  Did you have any history of trauma in the area, orthodontic treatment, and or grinding and clenching?  You can try the OTC night guard and if it is helping, consider custom bite guard."
  },
  {
    "id": 1028,
    "title": "Temporary Crown during pandemic",
    "dialogue": "wallkillricky: I will be wearing a temporary crown for over 3 months because of the pandemic. Can this cause problems for the placement of the permanent crown?\nIs there anything I can do to prevent issues with setting the permanent crown? MattKW: You might get a temp crown coming off. Keep away from sticky lollies or similar. allieberrie: im due to get three front teeth removed during this pandemic but they have said they wont be replaced till after lockdown,is there anything i can do? i am only 24yrs old and already stuggling with confidence. MattKW: If that's the rule in your area, then you won't find anyone able to make dentures. However, you can wear a mask which will help protect you from COVID and have the added benefit of covering up for your missing teeth. No-one will know."
  },
  {
    "id": 1029,
    "title": "May someone's teeth be more sensitive to adicds?",
    "dialogue": "Toothed: I have a suspicion that my teeth are more sensitive to acid than most of people have. What dentistry knows about it, what to know about such teeth, any recommendations? honestdoc: Your teeth have minerals that can degrade with acids.  Fluoride is used to chemically change those minerals to better resist acid degradation. Toothed: Right, but I meat: may some person has teeth less stable to acids than other people have? honestdoc: Who knows?  It could mean some people had a disruption to teeth formation during childhood like a bad fever or disease that makes their teeth break down more.  It could mean they had less exposure to mineral strengthening Fluoride in water or toothpaste, and more exposures to acidic drinks or acid reflux conditions.   It is hard to prove if genetics play an important role.  Many times you see kids with rotten teeth being with parents with no teeth.  Could we place it on genetics or that they just don't brush and floss like we recommend and drinking sodas all day long? Toothed: Ok. Thanks."
  },
  {
    "id": 1030,
    "title": "Red and swollen between front teeth",
    "dialogue": "Ingabella: Hi\n\nI have a very sore red inflamed area between my front teeth. I brush and floss regularly and am really worried. Will it cause gum recession?\n\nI breath through my mouth a lot at night, could that be the cause?  How do I get rid of it? I’m already using Chlorhexedine rinse (Corsodyl) \n\nThank you"
  },
  {
    "id": 1031,
    "title": "Fluorides",
    "dialogue": "nikkipor: What will happen if the child swallows entire tube of fluoridated toothpaste? Please explain in detail honestdoc: Possible kidney damage.  Need to call Poison Control or go to the Hospital ER.  It is very easy for a small child to overdose on any substances."
  },
  {
    "id": 1032,
    "title": "Gum Sensitivity",
    "dialogue": "Steve123: Anyone know if I should be feeling sensitivity to gum only on outer side wherei had a tooth extracted. Used flap method. That flap side is where. Hard cookies feel like knife blades. Hot liquid gets a reaction. Seems like i have more nerve endings then most ppl. The area that ks pale white has no feeling. But the reddish pink skin tissue is where i get sensitive. It has been around 4 months since it happened. can anyone relate? Steve123: If i can make the parts that are alive and red turn to that pale pink or white. Then i think its more bone then tissue which would help with the pain. Feels like a fresh wound. Will it heal stronger as in turn to bone and not tissue that has many nerves in it Steve123: So i think by getting a laser to burn skin tissue could be te answer. Will burning this area kill nerves? How do i convince my dentist i know what im doing. They will moat likely try and deter me from doing this. I know this us the solution so how can i listen to ppl when I know I can be pain free if this is done."
  },
  {
    "id": 1033,
    "title": "Loose crown",
    "dialogue": "Mdoll: Cant get to  the dentist to get crown cemented back in. What do u recommend for me to buy online to do myself. honestdoc: It's important to cement the crown ASAP because your teeth could shift causing the space to close in preventing good fittings.  You can go to the drug store and find temporary filling material as temp cement and hopefully your dentist will see you soon.  I know I've been recementing other dentists' crowns (my crowns don't come off...I'm hoping). MattKW: Yes, but maybe we never hear about them because the patients go somewhere else! Ha! Steve123: You Dentists forgot to mention. When a loose crown happens. The real.concern is leakage. You will get buildup of plaque and sugar which in turn will rot your tooth and give infections inside your gum fast. Steve123: Sorry. Worded it wrong decay deep insids tooth and will cause infections deep inside roots"
  },
  {
    "id": 1034,
    "title": "Laser RCT",
    "dialogue": "Devasish: My doctor told me that he have to clean my tooth through laser process but when he did treatment I came to know that he started RCT and the tooth he treated I think I didn't had any problem in that tooth, I have Xray image can you please verify by seeing it honestdoc: I'm not seeing any RCT treatment on the blurry x-ray.  I do see a big cavity on the back side (distal) of the tooth you indicated.  Your dentist needs to explain more clearly your conditions and treatment options. Devasish: honestdoc said:\n\n\n\n\t\t\tI'm not seeing any RCT treatment on the blurry x-ray.  I do see a big cavity on the back side (distal) of the tooth you indicated.  Your dentist needs to explain more clearly your conditions and treatment options.\n\t\t\nClick to expand...\n\nHe started RCT at that tooth honestdoc: The x-ray provided did not show any work.  I could only see a big cavity.  I hope that answers your question. Devasish: S\n\n\nhonestdoc said:\n\n\n\n\t\t\tThe x-ray provided did not show any work.  I could only see a big cavity.  I hope that answers your question.\n\t\t\nClick to expand...\n\nSorry xray is of before RCT and thank you for your reply it actually helped"
  },
  {
    "id": 1035,
    "title": "Open mouth 1/4 inch causes Sharp pain in Jaw, ear,and on side of nose. makes bone cracking sound in my ear.",
    "dialogue": "Carlito: Two weeks ago I went to my dentist and received 2 Root Canals, 1 Tooth Extraction(rear Molar), and a Filling. this Dr. was extremely heavy-handed, she was actually leaning with her palm on my lower jaw while doing my root-canal until I SAID SOMETHING.now two weeks later I cannot open my mouth barely wide enough to bite a slice of bread without having severe pain in my jaw, my ear, and the side of my nose. And once I get past the quarter-inch it sounds like my jawbone is cracking in my ear. I feel like there is a problem, the pain is so bad I have to force myself to eat' and I'm losing weight because of it. Is it possible that my jaw is fractured. honestdoc: You may be experiencing something serious.  Get proper followups and or referrals. Carlito: Thank you for your response but when you say serious what do you mean what is it that i can possibly be suffering. honestdoc: Make sure you don't have jaw fracture, post-op infection, or joint damage."
  },
  {
    "id": 1036,
    "title": "Broken Blood Vessel?",
    "dialogue": "Sjk23: I noticed that I may have a broken blood vessel in the back corner of my mouth.  It is a small purple spot and when I put pressure on it or pull my cheek back, it disappears.  Is this a common issue inside the mouth?  I have had it for a long time.  My dentist has never said anything about it so I have always assumed that it is not a health issue.  It is in an area where there could be trauma when eating/talking.  You will also notice in one of my pictures that my gums on the top are very wide compared to my gums on the left side of my mouth and the gums extend all the way back to the corner of my mouth.  So I think it could be related to the inside of the cheek (where the possible broken blood vessel is) is continually rubbing against my top gums when resting/eating/talking.  So therefore, it caused a broken blood vessel. \n\nAbove the purple spot in the picture, which is difficult to see, is very vascular.  It is dark purple and a lot of blood vessels.  Do you see that in some of your patients?\n\nI am going to bring it up at my next dental visit in July but thought I would see if I could get some clarification beforehand.\n\nI consider myself healthy and do not have any bleeding issues that I am aware of. Also, I do not have any symptoms related to that area of the mouth.\n\nThanks for your time, honestdoc: I'm not understanding your concern for \"wide\" gums.  I'm not noticing any problems.  Vasculature appearance can vary and change.  Keep track of the appearance and provide us further images if it looks more scary. MattKW: There's nothing abnormal there. If you really want to see \"worrying\" vasculature, look at the underside of your tongue. All normal."
  },
  {
    "id": 1037,
    "title": "Outgrown wisdom teeth",
    "dialogue": "Noah.v: My wisdom teeth are all already growing out of the gums, and I was suppose to have surgery to remove them last month. But due to covid my surgeon closed. Now I have a lot of pain when my mouth is closed because my top wisdom teeth are biting down into my gums. I have used oragel but it didn’t do much. How do I get rid of the pain and discomfort ? honestdoc: Many Oral Surgeons are available to provide emergency care.  Your pain should qualify for such care.  A better product than Orajel is Colgate Orabase.  It is very hard to find but it sticks and won't wash off providing longer relief. Noah.v: Thank you, I called a few offices and left a message on their emergency line. Now I’m just waiting for a response"
  },
  {
    "id": 1038,
    "title": "Gingival curettage vs scaling and root planing",
    "dialogue": "nikkipor: Is gingival curettage necessary? Are scaling and root planing not enough?\n Please give answer with detailed reasons honestdoc: Gingival curettage is an outdated surgical procedure that provides no additional benefit to SRP.  In the US, dental insurance requires documentation for appropriate probing depths and bone loss to pay for SRP per quadrant procedures.  We don't have any billing codes for \"gingival curettage.\""
  },
  {
    "id": 1039,
    "title": "Fluorides",
    "dialogue": "nikkipor: Why flourides and not other halogens are not used for caries honestdoc: Fluoride is the only element that reacts with the minerals of the tooth to become an insoluble compound such as CaF2.  Other halides such as Cl, Br, I reacts with the minerals to form soluble compounds meaning they will degrade.  In essence, Fluoride will react with the tooth to form super strong mineral compounds resisting degradation especially from acids."
  },
  {
    "id": 1040,
    "title": "I need photos of dentures",
    "dialogue": "Alonso: Hello, I need as many photos of people's dentures as possible, labeled with what color they are (from A1 to D4).\nI would be really thankful if you could help me"
  },
  {
    "id": 1041,
    "title": "Overbite problem?",
    "dialogue": "Johnbhoy1993: Hi everybody, I had braces when I was younger but didn't fix problem with my overbite but it straightened my teeth ( made me happy) I'm 26 years old now and I'm just worried if my overbite will get worse with age? I'm in no pain and it doesn't bother me that much, the only reason I'm asking is that I would love veneers for my top and bottom teeth, but I think my overbite could be a problem, cause I think I put too much pressure on teeth, I really don't want braces again cause at my age I'm uncomfortable with it, is jaw surgery an option, or will it be fine the way it is, I'm just worried about the future as I get older,any advice is much appreciated, thanks"
  },
  {
    "id": 1042,
    "title": "Hole in mouth?",
    "dialogue": "llrosee: I have what looks like a small hole/indent in the back of my mouth behind my last teeth, there is some white around it. Has been hurting for a few weeks but can’t get it checked out because of quarantine. It always hurts more in the morning when I wake up and subsides slightly durning the day to hurt again at night. Any ideas what it could be? MattKW: Looks more like a bite indentation from your upper tooth which appears to be at an angle. llrosee: MattKW said:\n\n\n\n\t\t\tLooks more like a bite indentation from your upper tooth which appears to be at an angle.\n\t\t\nClick to expand...\n\nAnything I can do to remedy that? honestdoc: Try wearing Over-the-Counter night guard for now.  Once the office closures reopen, have a dentist evaluate it, possibly polish down the sharp cusp, and discuss options."
  },
  {
    "id": 1043,
    "title": "Please help, gap getting bigger",
    "dialogue": "Ingabella: Hi, \n\nI’ve had problems with my gums for over a year now and have recently noticed a gap between my teeth that wasn’t there before. What can I do? Does it spoil my smile?"
  },
  {
    "id": 1044,
    "title": "Help with temp filling",
    "dialogue": "roland: Hi there, hoping some one can help. Obviously with the coronavirus dentists are all closed. I have a decaying tooth that some times becomes extremely painful. Will a temp filling help or is it a bad idea as I guess it won't stop the decay. Please help?\n(quick edit)I'm referring to the do it yourself filling kits. MattKW: Depending upon where you are, some dentists may be open for emergencies. Find your local dental assocn (e.g. ADA) to see what restrictions apply. My assocn has a listing of all the dentists still operating. Of just ring around. If no luck, then try an emerg kit and you probably won't do harm. roland: I should add I mean tg\n\n\nMattKW said:\n\n\n\n\t\t\tDepending upon where you are, some dentists may be open for emergencies. Find your local dental assocn (e.g. ADA) to see what restrictions apply. My assocn has a listing of all the dentists still operating. Of just ring around. If no luck, then try an emerg kit and you probably won't do harm.\n\t\t\nClick to expand...\n\n\nOh yeah, silly me, I just assumed this was a British forum LOL. Over here in the UK there is no dentist open until the government gets some kind of Coronavirus protection dentist built. Thanks for the reply, any tips on using it, if you have time? MattKW: I'm in Australia. Most fora are US-centric, including this one.  I looked at the British Dental Assocn website, not much info there except to call your local dentist. Over here we've set up a directory of dentists open to the public."
  },
  {
    "id": 1045,
    "title": "Filling Fell Out But A Portion of Tooth Is Loose & Cracked : Any Self-Solution in COVID-19 Climate?",
    "dialogue": "Toothache: My dentist of 20 years has shut down over coronavirus concerns (he's in an area heavily affected). He's canceled all appointments for the next 4 weeks. \n\nI had a filling done maybe 25 years ago on my upper tooth molar (#15 or #2) - it's the right side of my face. The material is cheap, ugly metal (tin?). I may have cracked it and what broke off is from the tooth center but apparently the tooth also cracked (or lost what was holding it together) when the filling portion came off. A small portion of the tooth is a bit loose (that's where pain is coming from - the majority of the tooth is pain-free). It's beginning to smell and since the hole is really a slit & uneven, not easy to get food particles out.\n\nThinking about waiting it out til my dentist reopens. Or do you think I find another dentist?\n\nWhat am I looking at here: a root canal if I wanna save the tooth? It's a big one and I believe I rely on that one to chew most challenging stuff (like steak).\nCan you temporarily fix with Dentemp? I don't see how since a loose tooth piece is involved and this isn't a simple, missing filling problem.\nHow about pulling the small loose portion since that's where pain is limited to? Would that aggravate the situation?\nWhat's the best way to clean/disinfect: so far use tooth picks to clean & then Listerine to rinse. \nNo, not been able to eat except soup & liquid fare for a week now. It's too painful to chew on that side. Is it realistic to think I can eat like this for 4 weeks? Any suggestions will be greatly appreciated. honestdoc: Go to a dental clinic open for emergencies.  Get a x-ray and have it assessed for restorability. Logan: Toothache said:\n\n\n\n\t\t\tMy dentist of 20 years has shut down over coronavirus concerns (he's in an area heavily affected). He's canceled all appointments for the next 4 weeks.\n\nI had a filling done maybe 25 years ago on my upper tooth molar (#15 or #2) - it's the right side of my face. The material is cheap, ugly metal (tin?). I may have cracked it and what broke off is from the tooth center but apparently the tooth also cracked (or lost what was holding it together) when the filling portion came off. A small portion of the tooth is a bit loose (that's where pain is coming from - the majority of the tooth is pain-free). It's beginning to smell and since the hole is really a slit & uneven, not easy to get food particles out.\n\nThinking about waiting it out til my dentist reopens. Or do you think I find another dentist?\n\nWhat am I looking at here: a root canal if I wanna save the tooth? It's a big one and I believe I rely on that one to chew most challenging stuff (like steak).\nCan you temporarily fix with Dentemp? I don't see how since a loose tooth piece is involved and this isn't a simple, missing filling problem.\nHow about pulling the small loose portion since that's where pain is limited to? Would that aggravate the situation?\nWhat's the best way to clean/disinfect: so far use tooth picks to clean & then Listerine to rinse.\nNo, not been able to eat except soup & liquid fare for a week now. It's too painful to chew on that side. Is it realistic to think I can eat like this for 4 weeks? Any suggestions will be greatly appreciated.\n\t\t\nClick to expand...\n\n Did you get an appointment?"
  },
  {
    "id": 1046,
    "title": "Horrible teeth :(",
    "dialogue": "Ingabella: I hate my teeth. The gums are receding and I feel like they’re not white enough. Plus the gums are all red and sore. What can I do?"
  },
  {
    "id": 1047,
    "title": "Black triangles appeared",
    "dialogue": "Ingabella: Hi, my gums are receding and I’ve noticed black triangles between my teeth that didn’t used to be there. Is this permanent. Do they look bad? honestdoc: It's hardly noticeable.  I don't see much gingival inflammation.  You must be brushing too hard."
  },
  {
    "id": 1048,
    "title": "Small dark spots roof of mouth",
    "dialogue": "BES85: I noticed I have a few small dark spots on the roof of my mouth. Is this normal? I did have a crown replaced on the top molar tooth about 7 weeks ago and believe the anesthesia injection may have been in that location. Should I be concerned about it? honestdoc: Most likely a pigmented lesion like oral nevus.  Usually something that small is harmless."
  },
  {
    "id": 1049,
    "title": "Ongoing infection and my health",
    "dialogue": "Benzanna: Hi,\nI really hope someone can help me.\nI've recently had Invisalign followed by composite binding on my front 4 upper teeth.\n\nI told my dentist that my right central incisor has been very sensitive to touch at the very top of the tooth where it reaches the gum line. He took an x-ray and told me I would need root canal treatment.\n\nMy question is whether having had this issue for a good few years could have resulted in any health issues.\n\nMy kidney blood tests never come back quite right and I'm tired most of the time.\n\nI'd really like to know if this could be the cause.\n\nThanks in advance for any help.\n\nPs I've not yet had the root canal treatment due to coronavirus.\n\nThanks again! MattKW: No. Dead teeth are much like having a splinter stuck in your skin. The infection and resultant inflammation etc is very localised. Benzanna: MattKW said:\n\n\n\n\t\t\tNo. Dead teeth are much like having a splinter stuck in your skin. The infection and resultant inflammation etc is very localised.\n\t\t\nClick to expand...\n\nThank you. Much appreciated. It's hurt for so long but only when I press it. Will get it sorted asap"
  },
  {
    "id": 1050,
    "title": "Someone help?",
    "dialogue": "Anonymous12: I’ve been suffering from anxiety lately due to working in a dentist since January I’ve saw a lot of treatments and stuff etc let’s say. It’s lead me to have anxiety about my own oral health & teeth realising myself I have 11 fillings since the age of 15 (I’m now 20) so I’ve had these fillings a good 5 years. I know 11 fillings is a lot but I suffered with binge eating as a child and not taking care of my oral health as I should have, when your 15 you don’t really care about your teeth. But now it’s made me feel really depressed thinking what if In a few years due to having so many filled teeth one of them falls out and the only other option is a crown or if the crown isn’t possible, extraction of the tooth is needed and then I’m left with hardly any teeth.. I brush 3 times a day now and look after my teeth but I feel like it’s too late to look after them and to prevent this happening. It keeps me up at night thinking that my teeth might not last a lifetime and I may have dentures in my 20s or 30s or something :/  makes me want to cry I’m already self conscious as it is"
  },
  {
    "id": 1051,
    "title": "Small Red Lesion",
    "dialogue": "Sjk23: Hello\nI noticed that I have this small red lesion on the inside of my right cheek. Not sure how long I’ve had it but I noticed it approx 8 weeks ago. No symptoms at all. I showed my dentist about a month ago when in for a cleaning.  He took a picture of it and said he will take a look at it again at my next six month check up. He said he didn’t have any concerns but if i notice any changes, I can come back in.  Is that standard protocol? I was hoping to get a resolution as I am tired of looking at it to see if it is still there. I was thinking of maybe getting another opinion but maybe I am overreacting. There doesn’t appear to be any ulceration or elevated growths. Just discoloration.\n\nI know pictures are difficult to judge, but does this spot look concerning at all? I have had a lot of injections the last 14 months (wisdom teeth removal, crown, scaling) so maybe the redness is from a previous injection? MattKW: That is not sinister at all. Stop worrying. Stop checking it. Chill."
  },
  {
    "id": 1052,
    "title": "Broken temporary teeth and nerve pain",
    "dialogue": "steve7000: hello,\n\nI have been going through treatment with my local dentist culminating in getting ready to have two crowns fitted to my two front upper teeth. these teeth were knocked out during an accident and replaced with temporary teeth. \n\nthe local dentist has done the preparation work for the crowns to be fitted and shaved down my teeth. he then made some temporary teeth until the crowns had been made and were ready to put on. thew crowns were due to be fitted this week but now the temporary teeth have broken and I have pain and sensitivity in the exposed areas. My appointment to get the crowns was canceled last week with no date for a rebooking 9due t the current situation).\n\ni cannot stay looking like Dracula or in pain so i am trying to seek some advice about reducing the pain and sensitivity and and secondly is there any temporary solution that can tide me over for while?\n\ni have rang dentists but most are closed.\n\nthanks in advance\n\nsteve MattKW: At a minimum, get some desensitising toothpaste and lather your teeth. I don't know what the regulations are in your area, but we are still able to treat pain or cases where lack of treatment could worsen a situation. the biggest concern for health authorities about dental clinics is minimising the use of drills and the aerosols they generate. In an emergency, this can often be controlled by a rubber dam. For the replacement of the temp crowns, there is little or no use of drill in the mouth. Ring around. If they recement new temp crowns, ask for a hard, long-lasting cement like zinc phosphate, but hardly anyone keeps it anymore."
  },
  {
    "id": 1053,
    "title": "Toothache and Quarantine",
    "dialogue": "Herb: Came back from the Caribbean on March 25. My wife and I are in self isolation. Now I lost half of my molar in the back. Pain is starting what can I do? MattKW: Depends on your local regulations. See if there is any posting on your local government website, or dental board website, and ring around some dentists. Herb: MattKW said:\n\n\n\n\t\t\tDepends on your local regulations. See if there is any posting on your local government website, or dental board website, and ring around some dentists.\n\t\t\nClick to expand...\n\nThank you will do Kim Osborne: Herb said:\n\n\n\n\t\t\tCame back from the Caribbean on March 25. My wife and I are in self isolation. Now I lost half of my molar in the back. Pain is starting what can I do?\n\t\t\nClick to expand...\n\n\nDentemp\n\nTry over the counter temporary filling material to seal the tooth so the tooth does not become sensitive to hot/cold food or have food remain in it from breakage. Look up (Dentemp) or a product like it. You should be able to purchase it at any pharmacy."
  },
  {
    "id": 1054,
    "title": "Change in a stain",
    "dialogue": "SJ0: Hello everybody,\n\nI have a stain on my molar since maybe two years (remineralized cavity according to me dentist), and a few days ago I noticed that the stain is more round, more orange and has more little white spots around. My last dental check up was in December. I used a sewing needle to touch the stain, and I can feel that the texture is different from my other teeth. Do I need to worry? I do not have pain or sensitivity when eating hot or cold meals. Here's a picture. Thank you!"
  },
  {
    "id": 1055,
    "title": "How do you prevent tongue thrusting?",
    "dialogue": "Mark Rogers: Two months ago, my orthodontist took out my bracers and set me up on mobile retainers.\n\nAfter these two months, I go to my scheduled appointment and now my orthodontist tells me that my mouth is starting to create an open bite again (which is the whole reason why I got the braces in the first place) because I tend to thrust my tongue when I swallow.\n\nI never knew I even had this habit. I even got a small \"tongue cage\" in my retainers to help prevent this sort of thing, but my tongue always goes under it when I swallow.\n\nIs there a way to fix this? Like, are there any exercises I could do to prevent this from happening? I find it difficult right now to consciously try to swallow without thrusting my tongue, but I believe I can do it. I've also noticed that even when I put my tongue behind that cage, it tends to push to the roof of my mouth, is this bad?\n\nIf anyone knows how to prevent this, please tell me. This really makes me worried since I don't want my teeth to go back into the same position as they were before I got braces, making all this time and money invested in this wasted"
  },
  {
    "id": 1056,
    "title": "What is this?? Should I be concerned??",
    "dialogue": "Genesis95: What is this on the roof of my mouth near my molar?  it’s on the side of my mouth I normally eat on that side so it’s uncomfortable and kinda irritating I’m not sure what it is MattKW: Looks like herpes. Ever get cold sores on your lips?"
  },
  {
    "id": 1057,
    "title": "NHS Bridge Pricing",
    "dialogue": "Needadvice999: Hi All,\nI am registered with an NHS dentist and have just had both my bottom front teeth come out due to gum disease.\nI was given the option of a denture under NHS but if I wanted a bridge it would be £1200+. I would prefer to have the bridge but have now been told I need to have a further 2 teeth removed and total cost £1775, they have said the denture would not be a good option because of the  position of one of my lower teeth. I am just confused why I am paying so much if they say the denture wouldn’t work and now they say I need to see a gum specialist with an approximate cost of £1000. Has anyone had this done before with a rough idea of cost. I don’t mind paying but not sure if this is standard dentist pricing. Please help as very confused. MattKW: Can't comment much about prices as I'm in Australia, but they seem OK. However, if you have lost 2 lower front teeth due to gum disease, then it's very likely the adjacent teeth are badly damaged and a bridge is unlikely. Better to spend the money on a gum specialist (periodontist) and get all gums fixed up before you consider the options."
  },
  {
    "id": 1058,
    "title": "Dental Implant Crown",
    "dialogue": "Salina: I am visiting few dentists for dental consultation to have crown for the implant that I have recently and I would like to know that is the difference between these codes.  Also, I am allergic to metal and if there is anything that I need to put into consideration    \n\nD6068\nD6071\nD6075\n\nand \nD6245\nD6240 MattKW: Allergic to metal is a very broad statement. Do you eat with plastic utensils? \n\nYou must be more specific about the metals which give you problems and in what manner. honestdoc: Even \"metal free\" dental restorative materials have metal particles to show up on x-rays.  Without them, x-rays would show dark spots looking like cavities, tumors, infection, defective teeth, etc.  The metal nickel is the main culprit that irritates the skin. Salina: Allergic to metal jewellery. Salina: I would like to know that is the difference between these codes.      \n\nD6068\nD6071\nD6075\n\nand \nD6245\nD6240"
  },
  {
    "id": 1059,
    "title": "A tiny dark dot on tooth.",
    "dialogue": "danwhodan: Hello. I have a little dot that’s on one of my teeth. I’ve had it for a while now, it doesn’t hurt or anything it’s just.. worrying me a bit. Was wondering if someone could give me an answer! honestdoc: Most likely just a stain on anatomic pit (Cusp of Carabelli)."
  },
  {
    "id": 1060,
    "title": "Could Jane Doe be my sister?",
    "dialogue": "Onefluover: My sister disappeared in 1980 along with her boyfriend. In late 1980 were found a Jane and John Doe that fit all descriptions. Photos of my sister smiling are rare. I remember she had some issues with her teeth. I will post a picture of my sister at age 7/8 and a picture of Jane Doe's teeth. My question is: could my sister be showing her primary laterals but permanents be congenially missing, then as her permanent cuspids descend, loose her retained primary laterals and only then in her later teens develop a gap between her permanent incisors? Is this possible? I have other photos of sister as well as info on Jane Doe's dentals if anyone is interested in looking this over with me. Thank you. Onefluover: \"* Dentals: Available. Prim cuspid between 5, 6. Teeth 7, 10, 14 congenitally missing.\n* DNA: Complete - Profile available at state lab.\"\n\n......\n\nSister at age 13 years 10 months. Laterals appear to be missing. It was at not long after this age that I last physically saw my sister (though she was alive for about four more years) so I cannot verify such extreme gaps between her teeth. But I do remember vividly in the swimming pool her spraying me with water through her teeth... Zuri Barniv: There really is not enough info to go by because there are some gaps in your written history and in describing what each picture represents, But, yes, it is possible the permanent lateral incisors would be missing and permanent canines could take their place, but usually the canines look sharp and longer than either the lateral or central incisors. In other words, it would look quite different than the orange zoomed in picture and more like the cell phone image. But its unlikely it could look like orange pic and then a few years later like the cell phone pic with all the gaps. Not sure if that helps, but that's all I can say based on your info.\nDr. Barniv Onefluover: Thank you, Zuri.\nThe gapped-tooth picture is a mockup of a photo of Jane Doe's maxilla and mandible. Additional info on her:\n\n\"The Doe Network:\nHot Case 1278 http://www.doenetwork.org/hot/hotcase1278.html\nNamUs UP Case 2517 https://identifyus.org/cases/2517\n\nNo Image Available\n\nUnidentified White Female\n\n* The victim was discovered on November 17, 1980 near Ludlow, San Bernardino County, California\n* Estimated date of Death: 1-6 months prior\n* Partial Skeleton\n\nVital Statistics\n\n* Estimated age: 17 - 22 years old\n* Approximate Height and Weight: 5' 5\"; 115 lbs.\n* Distinguishing Characteristics: Light red/brown/blonde hair. Pierced left ear.\n* Jewelry: Yellow metal, 10-K, size 7 ring, with 7 glass stones, center glass stone missing.\n* Dentals: Available. Prim cuspid between 5, 6. Teeth 7, 10, 14 congenitally missing.\n* DNA: Complete - Profile available at state lab \n\nCase History\nThe victim was located in the desert, about 5 miles east of Ludlow, California on November 17, 1980. She may possibly have been a nurse.\"\n\n....\n\nThe only picture I have of my sister with semi clear smiling teeth showing was taken about 1969 when she was about 7. About ten or eleven years before she vanished and Jane Doe was discovered. I will now post the full family portrait only because my mother, brother and sister are all deceased and I, pictured at bottom at age 5/6 am authorizing it. What I'm trying to determine for starters is does the picture of my sisters teeth, in the opinion of an expert such as yourself, exclude a potential match or does the possibility remain that Jane Doe's teeth could be what my sisters teeth grew into ten years later? Zuri Barniv: In response to your private message, I was not able to open the attachment, but suffice it to say that between age 7 in 1969 and around age 17 when she vanished, the teeth change A LOT. Spaces could form or close, some teeth could stick out more and some less. Nothing much stays the same during those 10-11 years. The only indication you have that she was missing permanent incisors was the orange picture where they look short. But that can be explained easily without missing any permanent teeth. For example, that is the age they usually erupt and you may be simply seeing them mid-way through that eruption (thereby appearing short). So unfortunately, I don't think you have anything that points to Jane Doe as your sister using her teeth as a match, but it also does not rule Jane Doe out as your sister either. I just wouldn't hang much hope on it using the dental evidence alone.\nDr. Barniv Susanne: I hope you are still active on this page. I came upon the missing of your sister while searching for a possible match for a Jane doe. I couldn’t find your sister in NamUs based on the info here, so that is why am sending you a message. I can send you the link if you want. Kind regards, Susanne \n\n\n\n\n\nOnefluover said:\n\n\n\nView attachment 708 \"* Dentals: Available. Prim cuspid between 5, 6. Teeth 7, 10, 14 congenitally missing.\n* DNA: Complete - Profile available at state lab.\"\n\n......\n\nSister at age 13 years 10 months. Laterals appear to be missing. It was at not long after this age that I last physically saw my sister (though she was alive for about four more years) so I cannot verify such extreme gaps between her teeth. But I do remember vividly in the swimming pool her spraying me with water through her teeth...\n\t\t\nClick to expand..."
  },
  {
    "id": 1061,
    "title": "Is The Bottom Of My Gums Normal?",
    "dialogue": "JohnnyC: Hi, I wanted to know is the bottom of my gums suppose to be that color? \n\nI had a periodontal cleaning about 2 weeks ago, there is no bleeding at all when brushing or flossing but I felt a bit of sensitivity today when brushing, not sure if it's related to what I ate or not but I just wanted a second option.\n\nHere is a photo: \n\n\n\n\nThanks! MattKW: Looks fine. JohnnyC: Great, Thank You!"
  },
  {
    "id": 1062,
    "title": "Commissioned hygienists?",
    "dialogue": "Anumpaikbi: I've been to several dental hygienists in the past 10, or so, years and every single one has talked me into paying more for what I know I don't need.  They'll usually do a couple of routine cleanings and then, suddenly, say I need a more expensive cleaning.  And, go figure, that more expensive cleaning takes no longer and, from my position, does nothing differently.  But it does release the office from their agreement with my insurance company as well as charging me much more.\n\nI live in Marion County, Florida and wonder how you can find out what offices pay their hygienists salary, commission, or a combination of the two.\n\nI'm 72 years old, still have all my teeth except the wisdom teeth, and tired of being ripped off.\n\nThanks for any suggestions. MattKW: In Australia they're usually paid an hourly rate. If you feel they're ripping you off, then tell them once about your irritation and maybe they'll back off in future."
  },
  {
    "id": 1063,
    "title": "Whats in my tongue",
    "dialogue": "soqrates: hello doctros  i have this for the last 15 days is it serious. whats this could be my dentist appointment  next week but im worried honestdoc: Normal tongue anatomy.  Also, if something appears on both sides, you're in the clear. MattKW: Circumvallate papillae. Normal. soqrates: thank u so  much doctors for ur time in replying to me  i feel much better now reading ur comments"
  },
  {
    "id": 1064,
    "title": "Anyone ever have their dentist use the STA anesthesthia machine",
    "dialogue": "Lc415: I didn’t like it, and I don’t know if he did it wrong but it dripped into my mouth and I swallowed some drops! Just a scary experience!"
  },
  {
    "id": 1065,
    "title": "Where to go for dental stem cell research?",
    "dialogue": "pearly whites: Hi, question is in the title. I don't know if this is the right section of the forum to ask. I searched on the net for this and also for the closest facility near me however there is so much info on that, I am not sure where to go and also don't want to fall into the wrong hands as there may be many frauds or fraudulent information out there that I cant trust, especially on the internet. I want to help develop stem cell teeth, to fix up teeth cracks/chiped teeth/, stem cell gums and stem cell teeth enamel by volunteering to be researched on. I live in Dallas Texas if that helps. honestdoc: Check Baylor Dental School.  Not sure if UT San Antonio will have it although they are one of the top schools in the nation. MattKW: You can't repair chipped teeth with stem cells, nor will it be EVER possible. Maybe they'll be able to grow new teeth with stem cells, but that's way, way, way in the future. pearly whites: @hon I tried bailor already even before posting this thread here. they don't do stem cell studies. Is there anywhere closer to me then UT san Antonio? pearly whites: @Hon or anyone else as well MattKW: Never going to find anyone."
  },
  {
    "id": 1066,
    "title": "Botched teeth whitening?",
    "dialogue": "Tacotown: Got laser teeth whitening treatment last Friday evening and it destroyed my gums.Had to go to my doctor to get an antibiotics and then the dentist for access the damage..could anyone.give me an opinion if there could be long term damage dome please .It's very sore even when taking stong pain killers MattKW: Looks like a chemical burn to me from the bleach getting onto the gums (the laser won't do that). Unlikely to be long-term damage. Normally the dentist applies either a rubber dam or a liquid silicone-like coating to the gums to prevent bleach getting onto the gums."
  },
  {
    "id": 1067,
    "title": "Filling",
    "dialogue": "Steve123: How hard would it be to do a filling here? Is one here worth the risk? Steve123: I can feel hollowness when flossing there. Very different feeling than any other tooth"
  },
  {
    "id": 1068,
    "title": "Blood in mouth",
    "dialogue": "gabla: When I  wake up I see blood in mouth while sleeping at night. MattKW: Probably bleeding gums. Go see dentist."
  },
  {
    "id": 1069,
    "title": "Root Canal Coverage Cost",
    "dialogue": "Jenna_Mcnigh: Hello, I had what my dentist called a \"bad cavity\". When he first drilled in and filled it he said I needed a root canal. I wasn't having pain so he then said he would just put a crown on it. Once he put the temporary crown on I was in a ton of pain and when I went in to have the permanent crown placed on he said that I would need a root canal and get fitted for another permanent crown. Should I have to pay for the permanent crown that was never placed on me for the cavity filling? Thanks in advance! honestdoc: You should only pay once for the crown.  Many times your dentist or an endodontist can access the root canal without altering the crown margins and should be able to use the same permanent crown.  If it was my case, I keep the temporary crown and not proceed with the permanent crown until we both know the tooth is vital or it needs a root canal."
  },
  {
    "id": 1070,
    "title": "Missing a central lower incisor",
    "dialogue": "20200227: Hello, my first post here.\nI'm trying to verify how common it is to only have one lower central incisor.\nI need to come up with a fancy fact about myself and the fact I only have one central lower incisor is the best I can think about.\nIt's not something you discuss everyday so I can't tell if it's common or not, and I didn't get any specific results with Google, other than a lot of people are missing their wisdom teeth.\nIf it helps, the one central lower incisor I have got is exactly in the middle, ever so slightly in front of all the other teeth. There are no gaps and it all looks pretty normal until you count.\nSo is it pretty common, or is it fairly unique? honestdoc: Was your missing lower central incisor verified with xrays?  Hopefully it wasn't ectopic or impacted.  I see no problems with your condition. MattKW: More commonly people miss 2 incisors or 2 premolars (my daughter missed all 4), but if you function well and are happy with appearances, then all is well."
  },
  {
    "id": 1071,
    "title": "Peridex, salt water rinse, salty gums, pain flossing, bad taste in mouth, halitosis",
    "dialogue": "Superstar88: Been dealing with halitosis I stopped flossing three years ago (got injured ended up in hospital) and idk what happened I was taking antipsychotics and my mouth chemistry just changed. I've started flossing again recently cus I noticed my gum was bleeding in one area. I've also started swishing with salt water. My gums hurt when I floss not all the areas but yah they never used to hurt. I went to an emergency dental clinic today the guy said my gums don't look bad whatever that means and he prescribed me peridex which I am now using as of tonight along with flossing with thread brushing tongue scraping and using mouthwash. Idk there's just this bad taste in my mouth and also my right tonsil has been sore for quite some time I hoenstly believe it could be from them so I'm planning on getting them removed once I get the green light from the ent I will see in March. I also get a bad taste sometimes when I swallow which is why I think it could be from that. It's just that like.for a while I would suck on my teeth and like it didn't taste good. I wonder if it's dry mouth? The only things I could think of it being is dry mouth, gum disease, acid reflux, tonsil stones, sinus infection/post nasal drip?? Or something to do with my stomach I read some people talking about histamine and hpylori which I don't know much about. Can I use the salt water rinse while using peridex or is that bad ? I hope I dont get black tongue from using the peridex I even read it could cause dry mouth and gingivitis ??? Lol like what? I saw a perio he said my gums look good but I'm getting a second opinion in JULY. I just really wanna clear up this halitosis it's taking a toll on my mental health and self confidence nah mean? Also I sneeze like three times a day (never had this) and idk why is that a sinus infection? honestdoc: How you know you have gum disease is the pocket probings are 4 mm and higher.  4 mm usually means inflammation, 5 mm and higher means inflammation with attachment loss.  Try to do as thorough home care as possible including cleaning the tongue.  You may need to visit the medical doctors for discussions on medications, possible gastro conditions like you mentioned, and possible diabetes.  The most common cause from my observations are people not eating properly and developing \"Keto\" breath.  That happens when the body breaks down fats instead of sugar.  There are numerous diet trends that restrict carbs leading to that breath.  I don't like Peridex rinse especially long term if you have normal pocket depths.  It may lead to discolored or darkening of teeth and the laziness of thorough hygiene."
  },
  {
    "id": 1072,
    "title": "Should hygienist measure the gum pocket sizes before or after the prophylaxis?",
    "dialogue": "ForMe: I moved cities and just started as a new patient at a different dental practice with a new patient exam.    I don't have any dental insurance, so I paid upfront before seeing the dentist.\n\nThey started with Xrays and a dentist exam. The dentist said there are no cavities and just get a basic cleaning.  I went to the receptionist to pay cash for the prophylaxis.\n\nThen a hygienist looked at my Xrays and began cleaning.  I asked about having the pocket sizes measured.  The hygienist nodded but continued to clean. Just before polishing, the pocket size measurements were measured: mostly 3mm (which is within the healthy range) but also about ten 4s (warning signs).  No gum bleeding.  In the past I've only had a few 4s that improved to 3mm by the next appointment because the hygienist spent more time cleaning on those areas.\n\nShould the pockets have been measured before the cleaning?  The hygienist could've then cleaned more carefully where the 4s are located.  Maybe that's where there might be some calculus below the gum causing the 4mm pocket irritation. honestdoc: Usually probing is done before cleaning unless there are tons of tarter preventing accurate pocket measurements.  Maybe the hygienist forgot or thought probings were completed."
  },
  {
    "id": 1073,
    "title": "Is it generally safe to use expired toothpaste?",
    "dialogue": "kenny siu: I bought a pack of toothpaste a few days ago but happened to find that they are going to expire very soon\n(manufactured in 2017 and will expire in Mar 2020)\n\nNo exchange or refund possible because they are not a big merchant. I'm not able to use them all up very soon.\nI'd like to know if it's safe to use toothpaste that has expired for a few months?? What is the possible risk of using\nexpired toothpaste?? honestdoc: I'm still using expired free samples.  In theory, the active ingredients may be breaking down such as epinephrine injectables 6 months life span, but I'm not concerned with toothpastes (others may disagree with me).  If materials are kept at comfortable room temperature, then it may be a guess when they actually break down and not by the \"expired\" date.   The only risk (not only expired) is if it irritates your mouth.  When I use tarter control toothpaste many years ago (not expired) I get my cheek skin sloughing off. MattKW: Ha! Me too, I use all the old samples that we can't give to patients. There's no ingredients that will cause harm after the use-by date.\nThat does not apply to all other medicines. Sonia Salamuri: And, if you don't wan't to use those tooth paste in your teeth, you can also find some tooth paste bricolage nice techniques, like filling some nail holes in a wall! :-D"
  },
  {
    "id": 1074,
    "title": "Filling irritating me",
    "dialogue": "Smittenkitten: I went to the dentist a month ago..I needed 3 fillings (I hadnt been to the dentist for 10 years) I had slight irritation in 1 tooth it never hurt but it ached and I found myself constantly playing with it with my tongue. The dentist said it will be a deep filling as the hole is quite big. The day after I had it done I had intense pressure constantly and felt like I needed to play with it with my tongue..I went back to the dentist the following week and told him it was still irritating me..he looked at it and said it looked fine..I changed dentist and got another opinion and she also said it looked fine..she took an exam of the tooth and said all looked ok and no swelling or nerve irritation however it still annoys me..like I said it doesn't hurt but when I brush it it feels like pressure after and i just feel like there is something wrong with it and I'm still finding that I'm constantly playing with it I have even cut all my tongue. I was wondering If it was in my head I had to wait 2 months for the first dentist to even look at my tooth by that time I had got into the habit of playing around with it..I feel like ripping the damn thing out! Busybee: It's not in your head.  Unfortunately dentists cannot see what a filling feels like just by looking at it.  Good luck with trying to get it replaced! Smittenkitten: Do you think they will need to take my tooth out or just replace the filling? Busybee: If they have any integrity then they will try to replace the filling first.   An extraction is a last resort.   But it depends entirely on the dentist! Sonia Salamuri: When you brush your teeth, do you use the dental floss in that tooth? Sometimes the contact point or another very small imperfection on the restauration on the occlusal surface...sometimes when we have something different or painful inside our mouth we are always aware of it, and because the tongue is so sensitive, you can feel things that it's not easy to see immediately."
  },
  {
    "id": 1075,
    "title": "Crown sensitivity to sweets?",
    "dialogue": "Thisbites: when i eat anything sweet on this particular crown it is sensitive.\nthis crown was placed a few months ago but with temporary cement as it took a long time to settle down.\n\ncould it be that the temporary cement is not sealing sufficiently and the sugar is entering under the crown?\nits weird because it hurts right away but otherwise its doing ok guess..\nI am ready to have it sealed with permanent cement but maybe not? MattKW: Temporary cement will leak, so shouldn't be used for more than a few weeks, not months. Thisbites: MattKW said:\n\n\n\n\t\t\tTemporary cement will leak, so shouldn't be used for more than a few weeks, not months.\n\t\t\nClick to expand...\n\n\nThanks for the reply. I have read from several dentists that temporary cement is not really a problem and not such a great rush to put on permanent especially when tooth has been symptomatic and took awhile to settle down.\nI will call them and ask. The dentist doesnt really even get back with me, my friend also has two teeth with temp cement for quite awhile now and no problems. Thisbites: I meant to ask also\nWill this dentist be able to look at the crown and determine if there is leakage? Or perhaps not admit to it if he did see the margins were not good... MattKW: The margins will never be as good as a permanent crown, and temporary cements are designed to be soft. So, isn't it time yu moved to a permanent crown with a better cement? Thisbites: MattKW said:\n\n\n\n\t\t\tThe margins will never be as good as a permanent crown, and temporary cements are designed to be soft. So, isn't it time yu moved to a permanent crown with a better cement?\n\t\t\nClick to expand...\n\nThanks for your quick reply well aside from a lot of anxiety about dealing with the dentist and he not calling me to get it done probably those two reasons\nMainly because I take a long time to heal and anytime my teeth are messed with it's an ordeal.\nDo not want to Rattle things\nBut yes you are correct in that it should probably be done if my tooth is basically settled down"
  },
  {
    "id": 1076,
    "title": "What's that white spot on my throat? It scares me",
    "dialogue": "Devasish: White spot back of my throat really scares me and btw it's not painful honestdoc: I may be an over-active tonsils releasing lymph fluid.  Your immune system may be active against some early infection and winning if you are feeling fine. Devasish: honestdoc said:\n\n\n\n\t\t\tI may be an over-active tonsils releasing lymph fluid.  Your immune system may be active against some early infection and winning if you are feeling fine.\n\t\t\nClick to expand...\n\nYes I feel fine, just a little irritation when I smoke"
  },
  {
    "id": 1077,
    "title": "Could these all be cavities?",
    "dialogue": "Sherman3: Could these all be cavities? I’m booked into the dentist for the first time in a few years after some self neglect following having children, I have a look at my teeth and I’m beyond terrified now. I have dark spots in just about every single pit in my teeth, could these all be cavities? I hope not MattKW: Most o9f those are pit stains in the premolars. Maybe some decay in the lower right 1st molar, but nothing disastrous. Get a check-up with bitewing Xrays. Repost them here if you want further opinions. Steve123: I let them drill in my tooth for less then what you have on your back molar. Grey spot. And ended up losing my tooth. Because the filling was bad. Meaning they made a huge hole and left cracks in the remaining walls. Pain like you would not believe. So i pulled it. A filling doesnt always go smoothly. That drill can cause cracks veeerrrrry easily. 99% of my fillings went good. But 1. Check out photo. You dont want to go through this."
  },
  {
    "id": 1078,
    "title": "Getting the right tooth...",
    "dialogue": "DF-Mark: I have had sensitivity in an upper left tooth for almost a year now. The sensitivity is there most of the time, but occasionally subsides.\nThe sensitivity only presents itself when eating/chewing on food on the left side.\n\nI'll spare you a detailed history of what transpired in this area of my mouth for now.\n\nI had a root canal done on (26) (Canadian numbering system) on June 11, 2015.\n\nWhen I consulted my regular dentist about the sensitivity on May 2, 2019 he did tests on the teeth in the upper left\nand said he was 99% certain the problem tooth was the root canal tooth (26).\nHe recommended I go see the endodontist who did the root canal.\n\nI saw the endodontist on May 9, 2019 and he did his own tests as well as take two X-rays (attached).\nHe concluded that (26) was fine and that the problem tooth was the one next to it (27).\n\nWhen I went back to my dentist, told him what happened and showed him the X-rays, he did more tests and now agreed that\nthe problem tooth was (27). He is recommending having a root canal done on the tooth.\n\nBefore I do any work, I'd like to be certain the correct tooth is being worked on. Before the root canal was done on (26), my previous dentist\nmisdiagnosed a pain problem as coming from (27), (took out filling and re-did work on the tooth), when the problem tooth was actually (26).\n\nWhen I chew on the left side of my mouth, it feels like the sensitivity is coming from (26) or (25).\n\nAny advice? MattKW: From the Xrays alone, there has been a deep composite filling in the 27. So that makes it a prime suspect. If you're only having mild sensitivity, then a root canal is not required. Either the composite is leaking because the bonding is failing at the gumline (most likely), or the tooth has a crack. As a first step I would refill that tooth with an amalgam. Doing a composite at that depth is risky. DF-Mark: MattKW said:\n\n\n\n\t\t\tFrom the Xrays alone, there has been a deep composite filling in the 27. So that makes it a prime suspect. If you're only having mild sensitivity, then a root canal is not required. Either the composite is leaking because the bonding is failing at the gumline (most likely), or the tooth has a crack. As a first step I would refill that tooth with an amalgam. Doing a composite at that depth is risky.\n\t\t\nClick to expand...\n\n\nThanks Matt for your help!\nYes, all the testing (including cold tests) have fingered 27 as the culprit, but whenever I feel the sensitivity it seems to be coming from a neighboring tooth.\nMy regular dentist was shying away from re-doing the filling. I think he said the tooth was cracked and a filling wouldn't be possible. MattKW: Pain is elusive and misleading. What you personally feel is only one factor to consider.\nI would go somewhere else. If your current dentist did this filling, then I doubt he likes/wants to do amalgams. Find someone who does amalgams. I teach 1x day a week at my local uni, and all the students want to do is composite. This really limits their skill set, and means they can't do an amalgam when the situation absolutely calls for it as the superior material.\n To jump into an RCT when all you have is sensitivity is totally unjustified. Once you do an RCT on that sort of tooth, you have taken further risks (what if the RCT fails?), AND you will have to do a crown. DF-Mark: MattKW said:\n\n\n\n\t\t\tPain is elusive and misleading. What you personally feel is only one factor to consider.\nI would go somewhere else. If your current dentist did this filling, then I doubt he likes/wants to do amalgams. Find someone who does amalgams. I teach 1x day a week at my local uni, and all the students want to do is composite. This really limits their skill set, and means they can't do an amalgam when the situation absolutely calls for it as the superior material.\nTo jump into an RCT when all you have is sensitivity is totally unjustified. Once you do an RCT on that sort of tooth, you have taken further risks (what if the RCT fails?), AND you will have to do a crown.\n\t\t\nClick to expand...\n\n\nOK thanks Matt I have made a note of this.\nMy current dentist didn't do this filling.\nI mentioned in my first post \"I'll spare you a detailed history of what transpired in this area of my mouth for now.\"\n\nI'll fill you in with a little more information.\nAround five years ago I started seeing a new dentist. I complained about a pain somewhere in the upper left.\nShe determined the problem tooth was way at the back (27).\nShe took out existing filling, and re-did a new filling (first temporary, then permanent).\nBut the pain didn't go away, so she had worked on the wrong tooth!\n\nWhen she determined the problem tooth was 26 she recommended an endodontist to do a root canal.\nI went to this endodontist and he did a root canal on 26.\n\nSo the last work that was done on 27 was not done by my dentist. He just feels that the tooth at this stage \"can't be saved\".\n\nI will try to see another dentist to see if they will put an amalgam in 27.\n\nI would also add that I was told the fillings in 27 are so close to the nerve that redoing the filling would be very risky.\nCould this be true?\nFor example, if problems arose when doing the amalgam, could that rule out a possible root canal? MattKW: You are having sensitivity now. That is irritation to the nerve, and the longer you leave it, the less chance of recovery with just a filling. Sure, taking out the filling and redoing will entail some risk of it stirring up the tooth a bit more and may well tip it into doing a root canal. But you're heading towards that certainty UNLESS you do something. You would still be able to do an RC if necessary, but here's the biggest problems: \n\nThat 27 is already structurally very weak...\nIf it turns into an RCT, then it will be further weakened...\nIf you do an RCT for the 27, then you would need to do a crown to prevent fracture...\nA crown that deep is risky.\n\nSo, if the FILLING can be done done for the 27 WITHOUT ending up in an RCT, then accept that it will break one day and will have to be extracted. Don't do a crown on the 27, but do a crown on the 26.\nIf the 27 gives you trouble and an RCT is suggested, then I would instead have it extracted, and spend my money on doing a crown for the 26. You can survive happily with one molar, but don't lose both. The 2nd molar is the least desirable tooth to spend money on and keep. Steve123: Just remember time is of the essence Mark. If it is a cracked tooth. You dont want to waste time. An infection inside your gums can happen in no time based on your diet and brushing. So fix it asap."
  },
  {
    "id": 1079,
    "title": "Is it normal for hygienist to remove decalcification?",
    "dialogue": "grinder: My two front lower teeth #24, 25 had decalcification (white spot) on the edges. Recently during a dental cleaning the white part was scraped off along with some plaque. Is this normal? I found out because after the cleaning my tougue felt some sharp edge and I looked in the mirror.\n\nI asked the dentist about this and he said decalcification area eventually become soft and will be removed during cleaning. Is this a valid explanation?\nOr should decalcification be left alone? Busybee: It's interesting that you should post this because I came back to this forum after a long absence as I went for a routine hygiene appointment only to have pain and sensitivity two days later because of a metal sandpaper tape being used which appears to have dislodged some cement on a crown.  It is my impression that hygienists are not regulated sufficiently and can cause permanent harm to dental work and enamel.  They should stick to cleaning teeth and leave any adjustments to enamel to the dentist!"
  },
  {
    "id": 1080,
    "title": "Deep fillings",
    "dialogue": "markio1988: hi everyone, I went to the dentist about 3 weeks ago to get 2 fillings and a clean... I haven’t been to the dentist in a very long time and I had to have quite deep fillings and the clean took a little while too... was in there for about an hour.\n\nlike I said it’s been about 3 weeks now but all my teeth are aching and every time I eat my gums inflame and a very sore. I have another appointment but it’s not until the 16th of March.\n\nis this is normal behaviour because it’s not calming down MattKW: Not enough info. markio1988: MattKW said:\n\n\n\n\t\t\tNot enough info.\n\t\t\nClick to expand...\n\nWhat else would you like to know?? Other than having the fillings and clean I assumed my teeth were in good condition. \nI have had no problems with my teeth or gums before, my teeth are now extremely sensitive so I’ve been using a sensitive tooth paste and also Colgate floriguard mouth wash to try and strengthen them but doesn’t seem to be working... my gums look a light pinky colour no harsh redness but as soon as I get any food stuck between the teeth after about 15 mins they flair up honestdoc: What did your dentist say about your aching teeth.  Like Dr. MattKW mentioned, we cannot explain everything without a thorough exam, x-rays to see the anatomic and bony structures, gum probings, medical history and medications taken, etc.  We may be able to explain diagnosis and x-ray interpretation."
  },
  {
    "id": 1081,
    "title": "Question about crown",
    "dialogue": "Kittykat2020: Hi,  I have a metal post crown on my second upper premolar. It’s been there for over 10 years but\na few months ago it just fell off along with the metal post attached (which freaked me out when I saw it) and I had it cemented back in again. I have been worrying about this ever since incase I swallowed it as it looks quite dangerous with a blunt metal post? I worry it could come out when I eat or sleep.\nCould this tooth be built up instead and a new crown put on? It’s causing me a lot of worry incase it comes loose again and it isn’t a neat fit so I get sore gums a lot. Thank you. MattKW: Premolars are small teeth, so rebuilding them is risky. If it falls out again and you swallow it, then it will pass all the way through. It would only be ani issue if it accidentally went into your lungs, but that's really unlikely. It's also unlikely that redoing the post and crown will make it better, so prepare for an extraction."
  },
  {
    "id": 1082,
    "title": "What is this on my teeth?",
    "dialogue": "pete: I just noticed this in my mouth today after feeling some strong sensitivity. What do you think it is? If I touch it with my tongue or nails it feels rough and is like a dent. I don't drink alcohol or sodas or smoke or have too much sugary foods but I do have acid reflux frequently and I do have coffee in the morning on empty stomach. MattKW: Nothing to do with acid reflux. This is simple decay, usually from not brushing here adequately, and sometimes made more likely if you've had braces in the past and not maintained your hygiene. pete: I have never had braces, have been brushing twice daily using electric toothbrush. \nHow come the decay is happening so evenly on both the sides on the exact teeth? \n\nWhat is the solution and does this look serious that needs to be fixed right away or can be done in a few months? MattKW: Then there was a period in your life when you weren't brushing so well. It's not going to give you pain any time soon; just get them filled in the next few months."
  },
  {
    "id": 1083,
    "title": "Red spot on gums",
    "dialogue": "Jack263748: I’m not sure when this happen but I believe it came after something I ate but I’m not sure any thoughts? MattKW: Too hard to see clearly. Probably a burn from hot food, like melted cheese? If it doesn't heal within 10 days, go see a dentist."
  },
  {
    "id": 1084,
    "title": "Partial v. Dentures?",
    "dialogue": "MaryKay: I have 2, maybe 3, upper right back teeth that need to come out. They are loose and I have bone loss so implants are not an option. I can't afford them, anyway. I'm 73 and all of a sudden, my teeth are giving me problems. I had an abscessed gum in May where the teeth need removed but I was a coward (horrible dentists in the past) and didn't get them pulled. Now, the infection is back and I need to see my dentist next week for another round of penicillin and talk to him about my options. He told me in May I could get a partial but I'm wondering if I might be due to have more teeth pulled in the near future. I have broken and fractured teeth (all uppers) and my one front tooth is nothing but filling. It's been ground down so much that there isn't any tooth left for a crown.\n\nI'd appreciate your opinion. Thanks. MattKW: Hard to say. Your dentist is in the best position to assess the history of your teeth, and the prognoses for the remaining teeth. Acrylic (plastic) partial dentures can usually be altered if further teeth are lost later; nylon (\"Valplast\") and metal (CrCo) partial dentures can't be altered if any further teeth are lost. MaryKay: MattKW said:\n\n\n\n\t\t\tHard to say. Your dentist is in the best position to assess the history of your teeth, and the prognoses for the remaining teeth. Acrylic (plastic) partial dentures can usually be altered if further teeth are lost later; nylon (\"Valplast\") and metal (CrCo) partial dentures can't be altered if any further teeth are lost.\n\t\t\nClick to expand...\n\n\nThanks for the info. It's so weird because all the swelling of my gum is gone. I'll still be calling my dentist tomorrow."
  },
  {
    "id": 1085,
    "title": "Implant vs. Bridge",
    "dialogue": "Jimd3246: To begin, I am 74 years old and just broke a front (#9).  I'm advised the tooth can't be saved.  Considering my age does it make sense to do implant, or a bridge? MattKW: Usually I would suggest an implant unless the teeth adjacent to the gap have been heavily filled. \nIt isn't wise to do crowns on healthy, untouched teeth if avoidable. Also, older teeth generally have a longer crown so the tipping forces and root support can be unfavourable for a bridge. And older teeth are more glass-like, and therefore liable to fracture. Jimd3246: Thanks. For the response. I'm still thinking it over. Lot of expense difference. I'm just trying to justify it. MattKW: Well, you can always stick in a small partial (acrylic or Valplast) denture for the moment. Another possibility is a Marylands bridge, cantilevered off the adjacent central incisor if you meet the criteria."
  },
  {
    "id": 1086,
    "title": "What is the cause of the stains on my teeth?",
    "dialogue": "Tomp94: Is it tartar or tooth decay?\n\t\t\n\t\t\n\t\n\n\n\t\n\n\n\nThanks for your help MattKW: Tartar (calculus), and food stains (tea, coffee, red wine). Not decay."
  },
  {
    "id": 1087,
    "title": "Root canal or pull it",
    "dialogue": "Steve123: I have a serious cracked tooth pain. The cracked pain is from a large filling made on a molar. I believe microcracks were made inside the filling from how violent the dentist was when using the burr tool. It has now lead to many visits with diff dentists and most are clueless. I am very sure it is microcracks causing it. It will not allow anything from a blackberry seed to pizza crust to be chewed on it. The tooth before this operation was perfect. Im thinking tooth has too many microcracks inside of filling. Now i may be pressed to choose between root canal/crown or extraction. All because of someone elses carelessness. Photo does not show much. You can see more of the shape in dark room with white led light up close. It has most of its cusps cut off. The shape is 90% flat. The filling to tooth ratio is 90% filling. No real tooth left. The dentist put this huge unnecessary filling to be proactive with decay. I want to know is removing this tooth smarter than a root canal. I hear more bad things with root canals like Heart attacks and bacteria inside. Rather not have that potential with removal of tooth.\n\nTooth is bottom back molar. I believe it is my 2nd molar since i took out my wisdom teeth Sonia Salamuri: Hello, if the dentist put a very big filling inside a cavitie, maybe you have an irritaded pulp right now. It could be pulpitis. Sensitivity in a tooth could be caused by the proximity of the restoration material to the pulp tissue, and the bite pressure could also affect the pulp, causing inflammation. If you need a root canal, you should see an endodontist. But first, try the dentist, to check the vitality of the tooth pulp, and a rx, to check the periapical area. Steve123: Hi Sonia\n\nNo this is not a case of irritated pulp. Filling not close to pulp and it has been over 6 months straight with same pain. Feels like the tooth got shattered and was taped back together. Funny thjng i had same type pain on another tooth that dentists were lost about and that made me not eat on a side for 2 straight years. What fixed that was a simple burr tool shaving it down. Just came back from a dentist and he said looks good. So this is what i hear when i do not flinch when they give me there bite test. Anf they do not want to touch a healthy tooth. It may look healthy in xray. But it is far from it. It doesnt work all day everyday. So i need to find a doctor who has a listening ear. Will be going to another dentist in 2 days. honestdoc: I understand you have pain for over 6 months.  Does the tooth hurt spontaneously?  Is it sensitive to colds or heat?  What was the condition of the tooth before the filling was placed?  It is hard to diagnose and locate fractures.  Many times the micro-fractures or craze lines pose no problems...I have them on all of my teeth.  For me, I would take a bite wing and periapical x-ray to study the bone and root tip patterns.  I would perio probe around your teeth for any attachment loss.  I would utilize the tooth sleuth biting stick on each cusp.  Next I would apply cold test.  Do you grind and or clench and not know it?  There could be many different possibilities for your pain.  2nd lower molars are more vulnerable due to their smaller size and the enormous stress they take. Steve123: I appreciate the help. I do not have spontaneous pain. It is def not pain in gum or pulp. It is almost most def cracks on inside of tooth. The Doc who used the drill excavated a bit too much leaving a fishbowl frame. Was very violent with that tool. Took 20 mins of drilling. The bigger the cavity the more risk of pain that can happen. I know it is tooth telatedfir many reasons. Hot cold barely any. No throbbing ever in gums before and after the faulty filling. Mouth before op was in tip top shape. No pains or aches at all. All teeth had no decay. This was an attemot to be proactive and stop decay. Because of a slight grey area. The tooth sleuth doesnt trigger the pain due to the stick only landing on the real tooth which is the 4 cusps remaining. If there was a pea size ball i could place on the flat filling surface then try. It would send me through the roof. That sleuth misses the area that has the pain. I fixed a similar pain on another tooth after 2 years of not eating on 1 side by a simple trim job with burr tool.\nI should have got a second opinion for this filliing. The grey spot was staining. So i switched a working tooth for a massive pain and no function at all. Steve123: This is what im talking about. The red lines are the microcracks which are close to dentin and nerves. Even tons of cracks on the paper thin walls made. Cant hold much toughness and cracks on those walls would feel twice or 100x more amplified due to how fragile it is due to thickness. \nI can go on and on about this tooth. And all the theories. Steve123: So i am an investigative person. When i was given the sleuth stick test and no pain was triggered. I knew that wasnt the best test for this problem. I needed a smaller tool. Skinnier also. So i used a match stick. And i can pin point the exact location. Reason why the matchstick. An trigger it has to do with a couple things. Here is a shot of where i lay the matchstick and bite with a fully closed mouth. Instead of that sleuth which has half the force being used because half your mouth is still open. Impossible to get an accurate account with that tool because my pain never happens with my mouth open.\nSo with this find i think i may have saved my tooth from a root canal or extraction. The matchstick is the one that has dimension so it mimics a food like a blackberry seed which gives me extreme pain. When the matchstick is being bitten on those 2 back cusps it feels like none of my teeth are touching on either side. Which means pressure pain is the cause.\n\nThank u ahead of time honestdoc: I'm trying to make sense of your situation.  Where did you have your dental work done?  You can always go for 2nd or more opinions. Sonia Salamuri: I agree with Honestdoc. I was thinking about what you said about the gray staining, and the drilling. I believe that, you probably had a X-ray before the treatment, to check if there was a big decay on the tooth, even if it wasn't to big from the outside view. You can, using those x-ray, have an ideia about the necessity of the treatment that was done, or get a second opinian about it. At least, is what I can think that could help. I hope you can solve that situation soon. MattKW: It would help if we could see a  pre-op digital xray. Impossible to say anything much else today. Steve123: Not sure why you need it as im dealing with a cracked tooth pain. And it does not show cracks on the xray. Even with the xray. Your still half clueless as to how the filling sits in the tooth due to the xray only being 2d MattKW: Because you are the one saying it is cracked tooth pain, not the dentists, and all you have to show is a unhelpful photo. Correct, cracks don't show up on Xrays, but it will show me the depth of the cavity that you think the dentist has overdrilled, and possibly an idea of what materials he used to fill it."
  },
  {
    "id": 1088,
    "title": "Teeth fell twice",
    "dialogue": "Azhar: Hello everyone,\n\nI have a son who is almost 7 years old. One of his front upper tooth fell off about 2 months back and then second upper front couple of weeks back.  In place of his first teeth that fell off, a permanent tooth was growing, which was about half way out but that fell off too which has got us really concerned. Is there any chance that it will grow again??? \n\nAlso his dairy teeth were straight, but the new ones that are growing are angled what could be the reason for that?? Sonia Salamuri: Hi! That's strange, was there any traumatic incident in the past that could affected his teeth? Did you went to see the dentist? Maybe he has to make an ortopantomography rx, to check the growing of his teeth in a total mouth vision. Azhar: Thanks for replying\n\nHe did once fell off from the stairs, and he said it hurt his tooth (which fell off twice). This happened yesterday, so we are planning to visit a dentist today.\n\nIs there, by any chance, that his tooth will grow again. And if not ( which it doesnt) that should we get an artificial one now or when he grows up. Sonia Salamuri: Azhar said:\n\n\n\n\t\t\tThanks for replying\n\nHe did once fell off from the stairs, and he said it hurt his tooth (which fell off twice). This happened yesterday, so we are planning to visit a dentist today.\n\nIs there, by any chance, that his tooth will grow again. And if not ( which it doesnt) that should we get an artificial one now or when he grows up.\n\t\t\nClick to expand...\n\nHi,\nI think something had happened to that tooth, but without a x-ray it's not possible to know what's going on inside. It's possible that you already know the answer, since you probably had your appointment in the dentist. How did it go?"
  },
  {
    "id": 1089,
    "title": "Black dots on teeth",
    "dialogue": "xjconfused27: Hi everyone,\n\nI have an appointment in 15 days, but before that happens I'd like to know does anyone know what could be these black dots?\n\nI didn't have it before and I have it on another side as well (2-3 teeths). Is it something danger?\n\nThank you honestdoc: The black dot on the tooth may be a stain and the dark groove may be incipient/surface cavity.  It is hard to tell without x-rays showing any internal lesions.  The dot on the cheek may be a ruptured capillary. Steve123: Key word  \"may\". Im not a Doc but a black dot is not a good thing unless it is a stain. If a hole and decay then it will spread in time. I have it on one of my teeth. Im leaving it alone.  But this is what i think when i see it."
  },
  {
    "id": 1090,
    "title": "I can see my dentin",
    "dialogue": "kostas: One of the 5 sides of my molar tooth is chipped and i can see a yelloiwish small piece on the back side which is likely dentin please help me can it be repaired with a filling? i had done root canal treatment there but the tooth is still strong can it be fixed with a simple filling please im so anxious im having an appointment tomorrow and im afraid if the dentist will say i need extraction or crown even though its just a small piece of tooth Smithsonian1: I am in a similar boat too, but all my top teeth are beginning to show dentin at the gum line. I shall let you know if I get any information which may help you too.\n\nI think if it is minimal, they may use bonding or tooth coloured cement maybe. Definitely quite commonly fixed without crowns I am told!! DocT: Hey guys,\nDentin showing on the chewing surface and at the gum line - not the same thing. On the chewing surface dentin becomes visible when enamel is gone, is usually related to 1 -mechanical trauma - excessive biting forces to this particular tooth (tooth seats higher than the rest of your dentition or some kind of parafunction (grinding, clenching, biting on an objects...), or 2 - chemical trauma - acidic environment in your mouth ( acidic beverages and foods, tobacco/alcohol, acid reflux/bulimia). Your tooth surfaces wearing down from these and exposing dentin definitely need to be fixed, but exposed dentin at the gumline and on the chewing surfaces are absolutely not the same thing. If more than a third of the chewing surface is exposed dentin, the general protocols call for a crown. Exposed dentin only on the chewing surfaces most likely means that you are bruxing (grinding) your teeth against one another. Exposed dentin at the gumline from a chip can occur for many more reasons, but if it is relatively small, it can likely be fixed with a simple filling. Smithsonian1: Very informative thanks. Most of my upper teeth at the gumline are showing dentin progressing down, and it has happened over the last year or two. Would bonding be an option if it is just cosmetic?\n\nP.S Never had a filling no issue on the chewing surface, and teeth have been looked after always!! Thanks again!! DocT: It sounds like predominantly gum problem. I would check two things : 1- the way you bite down / bring your teeth together. If during chewing or even just swallowing your saliva you put too much pressure on the side of your teeth, you might start losing gum and underlying bone as the result of chronic trauma. 2 - see a gum specialist to check your individual anatomy, it might be the way your jaw was built from the beginning. With first scenario you need some bite correction followed by night guard to prevent further damage and possible gum graft to restore proper teeth support and gum protection if needed. If trauma is not the case, gum graft alone or nothing would be the answer. Of course it could be other explanation as well, but this is what I can tell, based on your problem description. Smithsonian1: Cheers doc appreciate that. There doesn’t seem to be any gum receding just less enamel at the top of each tooth. I will look into it, thanks again!! DocT: Well, if your gum is not receding and defects look like wedges, you are talking about enamel dentin junction, where enamel - tissue covering tooth - border with cement - tissue covering root. This area works like stress relief and over prolonged withstanding to excessive stress can be damage. So, you need to check bite forces, brushing technique ( could be too aggressive), toothbrush you use (bristles condition) and do not worry. As long as they are shallow and you do not feel any discomfort, you are on the safe side. If they are getting deeper, do bonding or feelings; deep defects at the enamel dentin junction weaken your teeth and potentially can cause fracture. Smithsonian1: Cheers Doc thanks again, think I got the general jist of what you recommend.\n\nHave a good day.\n\nKind regards,\n\nStuart. DocT: Good luck!"
  },
  {
    "id": 1091,
    "title": "Should My Tonsils Look Like This?",
    "dialogue": "JM: Every month or 2 i get a really bad sore throat. They can last for weeks and usually come with a fever, sometimes it is so bad i have had to go to the hospital for several days. But the weird thing is every single time i go i get a different diagnosis. herpes, Kawasaki disease, hands foot and mouth disease, strep throat, ear infection, Early meningitis. Every time its different, i just want to get to the bottom of it, and if possible find out what is causing it, and if i can prevent it.\n\nFor the last couple years, i noticed my tonsils look like how they do in the picture, whether i have a sore throat at the moment or not. They looks like they have little holes, almost like a honeycomb. I also get large sores like the one you can see in the picture as well, that hurt so bad, sometimes i can hardly drink water.\n\nHas anyone seen anything like this? Or have any suggestions for things i can try to get it to stop? Anon1234: The holes are a normal feature of the tonsils and I believe they are referred to as tonsil crypts. Many people struggle with tonsil stones and these stones can bring on a variety of symptoms, such as a sore throat. As for the sore, it looks like a common canker sore and these can occur from a poor diet, trauma or a weakened immune system. Rinsing with warm salt water will help relieve pain."
  },
  {
    "id": 1092,
    "title": "What could this be? Lump on papilla",
    "dialogue": "irishnavarro31: .\nIts been three days already since i noticed the gums underneath my two front teeth is swollen and theres a bump in it\nIs there any home remedy for this?\nI tried googling the symptoms i got and it says nasopalatine duct cyst.\nI hope its not\nAttach is the picture of gums behind two front teeth. MattKW: They look like crowns. Are they new? Do you have Xrays after they were placed?\nMy initial guess is margins that are too deep, or poorly fitting margins.\nIt's not a nasopalatine cyst. MattKW: They look like crowns. Are they new? Do you have Xrays after they were placed?\nMy initial guess is margins that are too deep, or poorly fitting margins.\nIt's not a nasopalatine cyst."
  },
  {
    "id": 1093,
    "title": "Dentin treatment.",
    "dialogue": "Smithsonian1: Hi guys, not sure if I am posting in the correct area, apologies if not.\n\nI have been suffering over time from loss of dentin, particularly on my upper teeth. I believe it is due to bleaching them when younger, and also medication taken long term for Crohn’s disease. Of course I am no expert, hence being here.\n\nI just wanted to enquire, on whether this is a relatively common issue and how it can be minimised and fixed if possible?\n\nKind regards,\n\nStuart. MattKW: Not due to bleaching. If you have any loss of enamel, it has to be due to external acidic erosion. This may in the form of drinks and foods (most common, e.g. soft drinks, sports drinks, juices) or stomach acids from bulimia or reflux. Not from any medication, although I have seen it happen from chewable Vit C tabs (ascorbic acid). Smithsonian1: Hi Matt thanks for your response. Really? That does surprise me, I am very careful with what I eat and drink, being from a professional sports background. I was always told that whitening my teeth as I used to could cause this. My doctor also mentioned particular meds can affect teeth. What in your opinion is the likely suspect then?\n\nAlso Is it relatively easy to cover, or would I need crowns or caps? MattKW: Whitening definitely won't cause it. You'd have to examine your diet carefully for any acids. Best if you go see a dentist and see what they think. Without clinical photos and Xrays, I don't have an answer. Smithsonian1: Will do, thanks mate, appreciate your advice"
  },
  {
    "id": 1094,
    "title": "Order of Events",
    "dialogue": "Thisbites: I have a plethora of questions but would like to begin here.\nIve been  in the process of getting restorative work, e.g. crowns fillings, and now am \ntrying to figure out how to go about my dental work.\nTreatment plan suggests restorations, ortho, gum graft and implant and more\nHow does one know how to go about a could treatment plan?\n\n\n6 yrs ago i had an extraction #19 due to failed root canal, and post rootcanal pain x 2mo that i couldnt deal with any longer hence no fist molar that i miss dearly everyday.\nI loved dentists prior to the failed root canal and extracion, now the dentist and my teeth are a great source of stress. \n\nLong story short, or short story long. \nMy bite is off, i have recession, bone loss, verrry short roots on front teeth from ortho at 14,  missing tooth, super sensitive teeth and in need of a night guard asap. I take very good care of my teeth, rinsing after eating, tooth mouse, gum rinse, salt water rinse different tooth brushes for times of the day.. the list goes on. \n\nDo my xrays show that i am a candidate for an implant on this first molar? Should i go the route of a partial?\nThe dentist i see now wants to do all of these things and then the night guard last. \nMakes no sense to me as all l need is to get an impression of the upper teeth so i have at least a barrier between my teeth at night. Thisbites: Any insight or suggestions as to how to go about plan of care in order of importance..\nappreciated\n(im not bipassing my dentist by any means but there are many variables here..thanks ) DocT: Can you specify : 1- where do you have recession? ( I see bone loss in upper right and upper left molar areas only) 2- why do you think your bite if off? What exactly is off? 3- why do you need ortho? What does need to be corrected? What are you trying to achieve with orthodox treatment? \nAnd yes, implant is the best solution to restore missing tooth #19. I would definitely go for this Thisbites: goodevening and thank you for the prompt response.\nim also seeing that i duplicated some images\n\nSo when i say recession im referring the the receding gumlines on the molars especially the lower. Just exposed roots here and there, part of aging..\nI moved from out of state and have seen two dentist since being back. One was the one who wanted to do on the spot implant at every visit\nThe new dentist i have now is basically giving me a snap shot treatment plan of what things should be taking place. \nI believe he is suggesting ortho because i have no support in my bite (14 & 15) are not biting or connecting with the lowers, and the shifting continues due to the missing 19 x 6 yrs. \nHonestly i would like\nto focus on taking super care of my teeth while i have what i have, and then get my own night guard (send out lab) and then the implant as soon as i heal from the recent work i had done yesterday.\nI heal slowly so i am ofcourse nervous about going down that route but believe its a great option..maybe a perio vs oral surgeon to do it?\nThanks DocT: Well, it’s hard to recommend a treatment plan, based on the x-rays alone, without clinical evaluation. But based on the information given, there are some recommendations addressing your concerns. \n I would be super careful considering second orthodontic involvement since you have many roots affected / shortened throughout your entire dentition as the result of your previous ortho treatment, not only the front ones. Your dentist can use different approaches to restore vertical contacts except braces. \nYou need implant or bridge on the bottom left to restore not only extracted tooth #19, but tooth #20 which probably was removed for your first ortho. Edentulous space is pretty big  and will adversely affect any treatment. You need to have uninterrupted row of teeth not only to restore, but also preserve and keep proper achieved occlusal pattern.\nNG is just a piece of plastic protecting something while you are sleeping. Before you go for it, you need to know, what exactly you want to guard in your mouth at night. Your dentist might postpone fabrication of this orthotic device because he is planning specific kind or design that requires properly restored bottom teeth. Just ask him, I’m sure he can explain. Thisbites: Super reply\nCan you be my dentist?\nAlthough my current new dentist (recently moved from out of state) is definitely efficient, I wonder why he would suggest ortho\nwhen ive had it prior and there are short roots (yes not just the front ones but many) I would think that he would not suggest that>\nIm guessing to get the bite right and have as you say a proper occlusal pattern.\nWhat approach could he use as a dentist to help with my malocclusion?\n\nYes 20 is  missing is due to ortho and its a big space for sure.  Does this mean that any work done wont matter? \nI guess i would like any plastic between my teeth at night because its better than grinding and contact.\nI want a barrier between my teeth, so as to preserve what i have. \nYou are right he does want to wait until everything gets completed before he takes an impression for the NG.\nI still see it as a timing issue and for me personally Prevention is almost more important than having everything perfect as that could take months and months to complete a successful implant.\nAnother question i had was pertaining to a flipper to have in the interim for 19.\nLike a valplast fitted thing i  could use. I can say honestly that not having a first  molar has been such a hard time. \nthanks for your insight..your good! DocT: Well, I definitely don’t want to interfere with your doctor’s plans. I’m sure he knows what he’s doing. Still regarding your questions.\nOrtho treatment - If we are talking about limited ortho (3-4 month duration of treatment) just to upright teeth #18/17, you can place implant or implants ( if edentulous space is too big for one tooth) and use them as a fulcrum / pivot point for ortho leverage instead of your natural teeth in front of the defect. Root length of you molars #17,18 appears to be normal, and can survive another ortho treatment; premolar #21 and especially canine #22 look a little shorter than normal and probably not the best candidates.\nFlipper for missing teeth - not a bad idea, especially as a temporary restoration. I’m not a big fan of dentures retaining by remaining teeth. There is nothing wrong about it, but your hygiene in this case must be flawless, immaculate. You always will accumulate excessive bacterial plaque b/w teeth surface and contacting denture parts. Just be sure you clean your teeth and denture at least 3 times a day or you become susceptible to demineralization of outward teeth layers followed by incipient caries and finally actual cavity that needs to be fixed. So, be careful.\nNG - could be neutral device just guarding your teeth from wear and fracture, retainer-like trays to prevent teeth drifting, shifting, angulating as well as teeth surface protection from light occlusal forces; deprogrammed preventing TMJ misalignment due to parafunction triggered by excessive muscle movement; repositioning orthotics to correct muscle contraction and prevent spasm or stabilizers. Do you know which one you need? What kind of problem are you trying to solve with NG? \nOcclusal alignment - without ortho, if you just need to bring you disoccluded teeth back into contact ( usually localized problem,Involves a few teeth) you can go with occlusal overlays ( composite chair side or lab fabricated ceramic restorations). They do not restore any teeth defects, but bonded on top of your teeth to fill the open space b/w top and bottom teeth. It’s not that simple and primitive as I described, but this is the idea. Thisbites: Thanks so much for the information\nI used to have a night guard in the past form grinding,and have woken up mornings with very sore teeth.\nI think it comes and goes (grinding) but I simply want to be preventive, and a NG seems to be practical.\nThe dentist im seeing is new (just moved here) so hes not really privy to all that is with my teeth and has a practice that he manages \nalon\nAfter these xrays were taken ive had a few more restorative things done. \nNov 3 crownprep and seat on #21 as part of filling came out.\nDec 2  #18 was redone..the crown as i had intermittent dullpain with it.\n\nQuite a bit for my taste, but prior dentist suggested it and i trust him so the new dentist confirmed it so i went with it. Now ive got dull pain in #30 after  29/30/31 were done.(december 27) composite filling on the buccal side of 30..kind of cracked and old.\n\nid like to take a break and let things settle. I really do not enjoy going to the dentist but feel like its necessary if two dentists say the same thing and its prevenive.\nA question for you\nHow long should i wait for this 30 to settle down? It just feels like pulp is inflamed mildy but not going anywhere as  far as settling down.\nThis is why i really have anxiety about my teeth and dental work because you dont know what will happen to you, and if you will lose your teeth...very stressful.\nAlso why is it that people who literally take $#%^ care of their teeth have no pain? no nerve pain..minimal.\nYet those folks like myself perhaps..who are over the top careful (to the point of declining food)so as not to chew or deal with pain have so much sensitivity and pain? DocT: Dull pain, mild discomfort, sensitivity to temperature after restorative work happen  quite often, relate predominantly to the properties of dental material and usually take 6-8 weeks to disappear. \nWe all have our week spots - teeth, skin, joints,metabolism. We all have our challenges in life. Nobody’s perfect so do not be too upset about it. Thisbites: DocT said:\n\n\n\n\t\t\tDull pain, mild discomfort, sensitivity to temperature after restorative work happen  quite often, relate predominantly to the properties of dental material and usually take 6-8 weeks to disappear.\nWe all have our week spots - teeth, skin, joints,metabolism. We all have our challenges in life. Nobody’s perfect so do not be too upset about it.\n\t\t\nClick to expand... Thisbites: Thanks Doc T\nVery comforting to hear.\nI guess I dont hear about other people complaining as I do..very few.. or having so many endless issues such as pain after dental work..or failed root canals.\n Its like people go to the dentist, have work done and forget about it, like it didnt happen.  Amazing.\nCut my arm, draw my blood, sutures, colonoscopy, whatever no big deal.\nTeeth? different story. \nIm mid 50's now and Im seeing the reality of our teeth and the road we go down, restorations that inevitably lead to tooth loss\ndentures, etc. So when my teeth are dull nagging pain and not settling down, it stressful because it basically spells a waiting game of\npain that continues until the tooth is either gone unless you can get lucky to save your tooth with a rc or implant- another pandoras box..\n\nI have so many questions and you are, very knowledgeable thank you again, Thisbites: One thing i have learned along my dental journey is that our oral health is intimately tied with our well being. I dont care what anyone says.\nAlso\nwhen going into dental work, one must really understand that its a roll of the dice as to whether or not your teeth are going to recover. The pulp is so sensitive and dental work is TRAumatic to teeth. I never underestimate this now, hence hesitation going in. DocT: Ok, you do not heat people complaining about their teeth and dental work since you are not a dentist or any dental office team member. I see this situation often enough. Check dentists around, get word of mouth referral. Today we have a lot of really great dental materials available to eliminate post-treatment complications. If your dentist is up to date with his materials, you should  not be uncomfortable after treatment. Dentist has a beautiful opportunities to combine material the way he wants to achieve certain goal; we have desensitizing bases, liners, surface sealants. You can discuss sensitivity issues with your dentist and he might try to solve the problem. It’s very doable.\nPlease do not hesitate to ask me a questions, if you have any - I would be happy to help, if I can.\nBy the way, your teeth are in a not bad condition at all. You are pretty far from dentures Thisbites: Thanks Doc T\n\nI will post the conebeam scan (that the other denstis is verrry reluctant to give me) and a few new xays when i get them done, perhaps it can give you more insight as to whether or not I could even handle an implant because of how crazy painful my gums get.\n\n\nI believe that dentists do their best. I also have had poor luck with a few dentist who did not really make sure that \nI was comfortable or ok..just sent me home. \nIt a hard profession im sure to deal with patients like myself. \n\nBut like you said, a pt shouldnt have to be uncomfortable weeks after treatment. I believe he did what he thought was correct for the fillings. Im not sure what material he could have used but you mention desensitizing bases? If he is aware of how sensitive my teeth are wouldnt he have used this material? \n\nMaybe it was alot of work (29,30,31)and the tooth is not ready to settle down. Not dentist fault. \nim 1 week tomorrow..post tx,  inflamed sore gums, and dull mild ache on 31. oh well DocT: I would definitely share my experience with the doctor and, if appropriate, ask him about desensitizing therapy. I’m sure he has an options. Do you see inflamed swollen bleeding gum? Or you only feel the discomfort but can’t see anything unusual?\nCBCT images are very helpful. Let’s see what you have there Thisbites: My gums never bleed really, but with this dental work on the composite filling on buccal side 30 its quite inflamed and very sore.\nmy gums and teeth are just sensitive no matter what.\nwill post ugly picture\nmy pano came in just early what a coincidence finally after a good wait and resistance\nwill send over Thisbites: This might help ? Thisbites: If everything settles down, then id like to see about doing the 19 implant.. maybe 3 months from now..I just am not sure if im a candidate being a worry wart and having slow healing gums. DocT: On the buccal of tooth #30 you show gum recession. I'm not sure if you had this issue before restorative work was done or after. Most likely this is preexisted condition. You can try to rinse with salt water or backing soda warm solution.\nAs for conebeam, it is not the images that show you 3D for proper measurements and I did not get any additional information to be able to do so. Sorry Thisbites: Thank you for the response. Yes this was before restorative work. This tooth has intermittent dull achy thing going on x 5 yrs.\nWhat would it mean when you have a tooth (#30 crown) that spontaneously has naggy pain that comes and goes. Does this merit a root canal or should i simply deal with it? I dont believe that there is anything that is serious on the tooth other than the recession.\nThis nagging feeling isnt gummy its deep in the tooth.\nThe redo o the buccal composite didnt seem to help this although the \ngums have healed ok. You were right, healing takes time.  i turned the corner about 8 days post work."
  },
  {
    "id": 1095,
    "title": "How do these teeth implants look?",
    "dialogue": "neu: Please evaluate your opinion how well the implants are positioned in the oral cavity, are their location correct?\n\n\nplease,help me ;((\n\n\ni think my implantologist made a mistake DocT: Looks good to me."
  },
  {
    "id": 1096,
    "title": "Dry mouth + oral care [Research]",
    "dialogue": "tomstanfordu: Hey Everyone,\n\nMy name is Tom, and I'm currently an innovation fellow at Stanford University. My fellowship goal is basically to go out, with a team of physicians and engineers, and try to identify problems in healthcare. Well, we went out and were amazed at some of the issues related to oral care.  My team and I are currently pursuing two areas of interest, focused around 1) medication induced dry mouth, and 2) in-hospital oral care. At this point, we are hoping to hear from both patients and dentists about these problems. \n\nI'm hoping to connect with any dentists or patients with experience with either dry mouth or in-hospital oral care - if anyone is interested, shoot me a message! Any and all feedback would be greatly appreciated!\n\nAll the best!"
  },
  {
    "id": 1097,
    "title": "Erythroleukoplakia?",
    "dialogue": "Darbygirl: Hello,\n\nI am having some redness on my palate. It is adjacent to a tooth that had a root canal several years back. I haven’t gotten the permanent crown yet.\nMy concern is that this is maybe something sinister as I used to drink alcohol quite regularly but gave that up 2 years ago. \nI noticed this a week ago and it looks like it’s grown a little, towards the back where it is curving off...however my tongue keeps running over it so maybe that’s not helping. The area is bordered by a distinct line around the back and feels smooth and maybe a little swollen. I thought maybe even an infection? My health anxiety is getting the best of me so any insight would be great.\nThank you! honestdoc: It is hard to diagnose off of the image.  I have a lot of questions.  Is that crown a temporary since you had mentioned of not getting a permanent crown.  X-ray images preferably peripical and bitewing views would be very helpful.  I need to know the status of the previous root canal treatment, any recurrent cavities under the crown, gum probing for loss of attachment, etc. Darbygirl: Thanks for your reply!\n\nThe tooth does not have a permanent crown. It was just the temporary but it broke about a year ago. I haven’t had any problems with it but did notice some darkness so thought maybe that was decay but maybe that’s just what it looks like? I was going to get the crown soon...been saving for that. When I feel with my tongue from the back side it feels puffy.\nI also feel like it’s been irritated for a little while. I notice I tend to chew things on that side and I think I’m pretty full gusto when I do. I took a picture in mid October to see if anything was there but it was totally clear. So I don’t know how long it’s been this way. Here is another picture just for a different perspective on color. Everything I have read says Erythroplakia is fire red which I don’t know that this is but I guess that could be unreliable.\nI do plan to call my dentist on Monday but was trying to calm my fears a little.\nI appreciate your help! honestdoc: I see the red area but I don't know what is causing it.  Hopefully after x-ray images and full evaluation may lead to more accurate diagnosis. Darbygirl: I really hate to bother but I’m having so much anxiety right now. Looking at last Sundays picture and this mornings picture, it looks quite a bit worse. If this would be something bad would it change this much in a week?\nI appreciate your time in helping me. honestdoc: The borders look regular so I don't think anything sinister.  Try to get seen ASAP.  I think it can be treated. Darbygirl: Thank you again. I have an appointment tomorrow with my dentist. Hopefully I’ll get some answers."
  },
  {
    "id": 1098,
    "title": "Choking On Water During Root Canal",
    "dialogue": "dental_issues_101: I went to a new dentist. They recommended fitting me for crowns due to my bruxism. I agreed and they started the procedure.\n\nI was choking during the procedure from the water flow that wasn't being siphoned. Is this normal? I had a root canal before and this never happened. i was choking for 30 minutes, and the dental assistant told me to \"try to breath out of my nose\". I'm assuming she didn't turn on the siphon, and let the water drain down my throat during the procedure. MattKW: Root canals have rubber dams, and this can also be used for fillings. Can also be used if necessary for some part of the crown preparation, but would need to be taken off in final stages. Doesn't sound like this place is going to be able to do multiple crowns for you. dental_issues_101: Sorry this was not a root canal. I have bruxism and they were preparing my lower left and lower right teeth to being fitted for a crown. They worked on both teeth.\n\nDoes that change your answer at all? They did not use a rubber dam. The dental assistant had a water tube and water siphon, and the dentist had a mirror and a drill. That's all they used, and I was choking for 30 minutes on the water draining down my throat.\n\nWhy isn't that place going to be able to do multiple crowns for me? I'm not making a connection between multiple crowns and the rubber dam. MattKW: I mean to say that root canals are always done with rubber dams, and fillings can be done with dams, but crowns aren't normally done with dams (I've certainly never tried it). And if you found a single crown preparation hard to manage at this clinic, how are you going to manage doing more? Maybe it's a DA who doesn't suction well, maybe you'll have to ask to be put more upright? dental_issues_101: Thank you for the response.\n\nIs it normal for a DA to not suction well after I told them I was choking multiple times? Has this happened in your own experience?\n\nI'm looking for a baseline, since you do this every day. Is this abnormal? MattKW: If the tooth is nearest the DA (usually left side), then that's harder for her to suction but easier for the dentist, and vice versa. Some procedures are harder to control the suction, some patients are more tolerant of water; it's a game of adaptation. Modern dentistry is larely performed with patients flat on their backs or even tilted slightly with their head down. Great for dentists, not so good for patients. But you can always ask to be seated more upright, or ask for more breaks in treatment - I find this is commonly required by patients with back or neck injuries.Sometimes my DA and I do dentistry standing up. dental_issues_101: Have you had patients complain about choking on water, who did not have back or neck injuries? If so what did you do in response? Did they continue to choke throughout the procedure, and you took breaks as needed? MattKW: Sit them more upright, give them more breaks."
  },
  {
    "id": 1099,
    "title": "Teeth not improving.",
    "dialogue": "gary2019: Hi,\n\nOn March 27, 2018 I first posted on here about my teeth having multiple issue due to having high volumes of sugary drinks all of the time, and many other \nreasons. (https://www.dentistry-forums.com/threads/will-my-teeth-last-forever-is-it-too-late.24951/)\n\nI got advised to buy tooth mousse, as a many of my teeth started to have white patches, where begins. After using tooth mousse since then, I have also been brushing twice a day with Colgate Duraphat 5000ppm Toothpaste given to me by my dentist. (attached below) \n\nI don't understand why I have seen no difference? I have had the odd sugary drink still here and there, do I need to fully stick with plain water?\n\nAm I using too sodium fluoride? Is that causing the damage? \n\nShould I be brushing my teeth with fluoride tooth paste, flossing and then applying my retainer containing the tooth mousse in that order like I have been? Or does that remove the toothpaste?? I am really confused, and beginning to worry. MattKW: The order is  of usage fine, but don't expect miracles. \nI see that you haven't done anything about the decay in the canines. I'd also suggest you replace the old composites for a better appearance. gary2019: But will all of the white area of my teeth eventually go back to how they were originally? Also, is that all the tooth mousse is for? The white patches? Or black parts as well? \n\nWith the decay on the canines, what can I do? When I feel around that area it feels like there is no holes there, but just black spots... I am not sure if I can have a filling on them?\n\nWith replacing the composites, I am guessing you are mainly referring to the two circles? I worry that the Red circle more specifically would just snap my tooth if they were to renew that as it is a root canal tooth, Doesn't that make it significantly weaker?\n\nThank you. MattKW: The decay as arrowed.\nYou may not have to remove the entire composites, but cut back the top 2mm and fill over. If your dentist thinks that's OK. DocT: You can’t use toothpaste or dental gel to cure the cavities. 100% agree with Dr. MattKW - decay needs to be removed and cavities filled. Regarding white spots, if you do not see much or any improvement after using hygiene product for a while, you need to talk to your doctor. Those white spots can become a real cavities and will require treatment at some point and it would be better if you act now. There is ICON resin material that can be applied on affected areas utilizing resin infiltration technique. ICON will infiltrate the tooth surface to fill voided and defects and restore structural discrepancies  throughout entire enamel up to the first layer of dentin; doesn’t require any shots, drilling, no additional tooth damage, just one appointment. gary2019: Problem is with my dentist, I do get treatment for free, but only \"essential\" treatment. I mentioned the black areas to my dentist in your photo MattKW last year, I got told that it was not essential to have the fillings done as I am not in pain. (even though I thought decay grows if left) I do think they look bad, so what do I do at this point? Lie and say they hurt to get the fillings done? I do want them, but I cannot pay for it with being in full time education at college with 0 income. \n\nAlso, to DocT, is ICON resin material I thing I can purchase at home and do at home, or is that something I'd need to do at a dentist? I'm not sure what it is, but it sounds like another thing my dentist will refuse to do as it's not essential, but more of a thing I want??\n\nShould I continue to purchase mousse if I am not seeing any difference? Or is it still making my teeth stronger? If I fully stop carbonated drinks and flavored water (that I drink frequently) will I see a large impact to my teeth? \n\nThank you for both taking the time to respond Sonia Salamuri: It seem's that you have a very beautiful smile, it was very sad if you let those decays go on. And those drinks won't help if they also add pigmentation to your teeth. Acidic drinks will weaken the enamel, and, although you're trying to care your teeth with additional cleaning , at the same time, other habits could be doing the opposite. gary2019: I'm doing as much as I can to reverse any of the effects that I can, I'm now brushing and flossing after each meal, only drink plain water permanently now (until I see some sort of improvement to my teeth) and applying tooth mousse at night times, and sometimes in the afternoons shielded inside of my retainer. \n\nI regret my decisions that I made when I was younger, sugary drinks use to be my only drink. I am thankful I did not get diabetes any similar medical conditions like that with the high volumes of sugar that I had. And It is much more awkward for me to smile (showing my teeth) in public, or even for a photo\n\nI am just hoping that none of my teeth ever need extracted - that's what worries me the most. I just don't know if I have left it too late or not. Either way, I am going to continue trying my hardest, and I am still looking into ICON resin material what was mentioned above as i've never heard of that, and will try my best to get any remaining fillings done that are needed. MattKW: gary2019 said:\n\n\n\n\t\t\tProblem is with my dentist, I do get treatment for free, but only \"essential\" treatment.\n\t\t\nClick to expand...\n\nWhat I've indicated is decay, and is essential treatment. These are easy, quick fillings - why wouldn't a dentist want to do it? Can you see a different dentist?\n\n\n\n\t\t\tIf I fully stop carbonated drinks and flavored water (that I drink frequently) will I see a large impact to my teeth?\n\t\t\nClick to expand...\n\nFlavoured water has similar problems to carbonated drinks - both have sugars and acids. It doesn't appear that you will see further improvements to your teeth, but at least you're less likely to develop new decay if you go to plain fluoridated tap water (not bottled water).\nICON is not something you could buy or use as a general consumer. gary2019: When you say it doesn't appear that I will see further improvements, do you mean at all? I thought I can get rid of those white patches forming on my teeth myself if I just stick with plain water, regular brushing and tooth mousse? I have tried tooth mousse for a while now, but at the same time I was drinking flavored water and having the odd carbonated drink, so haven't actually tried just plain water.\n\nAlso, why does it have to be from a tap and not bottled water? As for fluoridated tap, unless that is your standard tap, I don't have that. My current tap water I don't drink a lot of as you can taste the chlorine inside of it, i've had it checked and got told it was fine, but still unsure.\n\nI don't think i'll be able to do ICON, as my current dentist doesn't even do teeth whitening and some other options... I'll have to look into that.\n\nI have a new concern with these white patches, from reading different sources on the internet, they suggest white patches are a symptom of fluorosis? Is it not possible that I have that? I have been on high fluoride toothpaste for a while now... I hope I don't have that. MattKW: Why buy bottled water? It costs thousands of times more than tap water and is less tightly controlled. Some don't have fluoride. So you can taste a bit of chlorine, no big deal. If you've ever tried truly filtered water (like I use in my autoclave and water lines), it is weird because it has absolutely no taste at all. It is also not healthy for long term use. gary2019: True that bottled water costs more. But with me, drinking the water that taste of chlorine makes my physically ill. Not sure why, it doesn't have the same effect on family members. But there is many drinks that I cannot stand such as milk ect..\nAnd when drinking it constantly, for some reason I get like dry mouth and my tongue goes a weird colour and breath starts to smell, this is the same with bottled water however less likely. More of a waking up in the morning thing. Mouth wash tends to fix it.\n\nI know some bottled water doesn't have fluoride, but as mentioned above I'm concerned I could have or get one of those problems that you can get from having too much fluoride. Fluorosis or enemal hypoplasia or any other problem. Surely being on high dose of fluoride toothpaste and tooth mousse is good enough? DocT: White patches on the teeth surface can have different etymological roots 1) - MIH ( molar incisor hypomineralization) - histologycal defect of enamel, formed before teeth eruption, 2) -demineralization as the result of different events ( insufficient hygiene with excessive bacterial plaque formation) formed after eruption, 3) - acidic drinks, 4) - braces, 5) - fluorosis. Despite of the etiology and mechanism they all have one think in common - histological enamel defect, abnormal tissue formation and weakening of superficial layer of the tooth. In order to stop the process of distraction and restore histological shield - natural tooth protection - you need to rearrange histological pattern. You tried special toothpaste, that was a great idea often providing desirable result. You can try different pastes, GC tooth mousses plus. But if lesions surfaces are not permeable, it’s not gonna work. gary2019: Like mentioned previously, I haven't actually gave tooth mousse and my fluoride toothpaste a go as well as quit drinking acid drinks.. I'm giving that a go and just hoping something changes.\n\nI just hope it's nothing like fluorosis as it appears that teeth go completely white eventually and the completely discolour. Sonia Salamuri: The process of demineralization could lead to decay, so it's better to find a dentist that could really help you, and, if you don't like the taste of tap water, try to drink tea instead, with no sugar. But, of course, too much tea, like cofee could stained your tooth if the enamel is already porous..well, there's no miracles. gary2019: The main problem with \"my dentist\" is each time I go to an appointment, it's always a different person, who is not use to the way my teeth look, and think that I don't look after my teeth, even though I consistently look after them now compare to my past. This is why I believe they don't give me the treatment I should have. I can't just go with a different dentist as like I mentioned, it's free here. To move dentist, it can take up to half a year. What can a new dentist actually do? From what I've been informed, the only thing that can be done is ICON for demineralization... The only thing my dentists have done is prescribe high fluoride tooth paste for that I'm guessing.."
  },
  {
    "id": 1100,
    "title": "What’s wrong with my tooth?!?!",
    "dialogue": "slimebby: Photo attached.\n\nI cracked it a while back but now it’s starting to stink a little and still bleeds a little..5 years later. What’s going on!! I’m scared MattKW: The nerve is dead, and you are developing a nidus for bacteria. Ut has to be extracted; that can't be saved."
  },
  {
    "id": 1101,
    "title": "Failed root canal or sinus problems",
    "dialogue": "Quaker: Hello,\n\nI wonder if anyone might be able to offer advise.\n\nThe last eighteen months I've been going private to have a some long overdue dental work.\n\nThe problem I have is in the upper left. My wisdom tooth was pulled five years ago due to failed root canal. However, the tooth immediately next to it needed root canel too. This only seemed to be a partial success as mildly hot drinks would trigger pain. However, the dentist did a scan and x-ray and said nothing could be seen. However, this sensitive tooth was now being used to support a bridge, not the ideal foundation I know. So, I got a specialist root canal person to drill though the bridge and have another attempt at the tooth. She told me that one pathway out of four she could not get acsess to. This was upsetting as I am now living with a bridge supported by a tooth which is nervy.\n\nThis is my predicament, I need to do something as its affecting the quality of my life enormously. However, the dentist said my  nerve pain and headaches could equally be a result of on going sinus problems I have as the tooth in question shares the same pathway. THIS I CAN UNDERSTAND, HOWEVER, IF IT WAS NOT FOR THE PAIN I EXPERIENCE WHEN HAVING WARN TEA, I WOULD BE INCLINED TO THINK MY PROBLEMS ARE SINUS RELATED.\n\nMy dentist has said that if he pulls this tooth out he can't put an implant in as it's too close to the Sinuses. So it looks like I will have a very large space (4 teeth in total) on the upper left.\n\nI have got an ENT appointment pending, however, I feel sure the problem is with the tooth affecting the sinus, rather than the sinus affecting the tooth. I feel this way as the tooth is the only trigger it seems."
  },
  {
    "id": 1102,
    "title": "What is this?",
    "dialogue": "Meelieelizabeth: So I have been on holiday abroad for a week, I started having pain on my gum about 4 days ago, I have good dental hygiene so I dont really understand what has happened. Anyone got any idea what this is? Its caused my gum to recede in a matter of a few days & it's only getting worse MattKW: Looks like trauma - scraped, burnt, ? The gum also has previously receded a bit;  that is not recent recession. I'd wait and see. Meelieelizabeth: MattKW said:\n\n\n\n\t\t\tLooks like trauma - scraped, burnt, ? The gum also has previously receded a bit;  that is not recent recession. I'd wait and see.\n\t\t\nClick to expand...\n\nThank you for your reply. This was 3 days ago and it only seems to be getting worse. Can you see what I mean about the recession over only a few days? honestdoc: If it is not trauma, then it may be an autoimmune response.  We are only guessing without x-ray image, full medical history, etc.  Did you use a new toothpaste, oral rinse, whitening or any other mouth products that seemed to irritate?  Do you use any cinnamon, herbal, and or naturopathic products?  Stress from an overseas trip can throw your immune system off balance.   My guess besides trauma is herpetic (viral triggered by stress) or autoimmune response.  If the lesion is diagnosed as herpetic, have a doctor/dentist prescribe you Acyclovir.  If autoimmune, get Kenalog in Orabase.  If unknown and very painful, start with Acyclovir or Valacyclovir (don't use Kenalog if it is viral because it suppresses your immune system to fight off the virus) and if not responding in 3 days, switch to Kenalog and try to identify any source mentioned above and stop using it."
  },
  {
    "id": 1103,
    "title": "Gum Pain At Night",
    "dialogue": "SlimeySimey: Hi All!\n\nI've been suffering gum pain at night (on the right side of my mouth) for the past couple of nights.\n\nI think it's gum and not tooth, it's hard to exactly pin point but think so.\n\nWhat's happened is I've become fearful of the general anaesthetic and had to leave my past 2 dental appointments. My last was about a month-5 weeks ago.\n\nI'm worried it could be an abscess and not sure what to do as I can never get the treatment done. I'm in the UK and the dentist has offered to refer me elsewhere for laughing gas but I don't feel I could go through with that either (I think I have pharmacophobia) and worried as to what to do now.\n\nIt was very painful last night and I took some paracetamol which severely lessened it. Today I woke up and it wasn't good but after I had a shower it seemed to be completely ok and no pain but has kicked off again about 2 hrs ago (at half 3pm.) Seems to flare up later in the day, any ideas why and I know an appointment is probably the logical answer but what I should do going forward?\n\nThanks! Sonia Salamuri: Maybe you should talk with the dentist about your fear, it's not uncommon. And you should go to the appointment, to check everything, because periodontal problems could arise from not treated gums."
  },
  {
    "id": 1104,
    "title": "Wisdom tooth pain",
    "dialogue": "Toothpain: Hi \n\nOn my left side upper teeth wisdom tooth has started hurting over the past few days feels sharp and kind of like there’s a hole in the sense i can create a vacuum over it when I run my tounge accross\n\nwhat’s your opinion does this look like it’s broken? Toothpain: Also appears to be making a hole in my cheek from the sharp bit\n\ndo you think it will need removal? MattKW: I'd suggest you have a dentist take an Xray. The wisdom tooth and the adjacent 2nd molar are tilted away from each other, and this can lead to decay between the teeth because of a broad contact area. Or it can lead to bone loss and a gap which might account for your feeling. Often I would advise the extraction of the wisdom tooth to prevent future problems with the more important 2nd molar."
  },
  {
    "id": 1105,
    "title": "when I get a new crown, is the tooth under the crown dead?",
    "dialogue": "patmich: I am having a continued problem with my root canal and crown. I got a root canal and crown in late August of this year (upper canine tooth). The temporary crown felt great. But then I got the permanent crown.  Soon after I got my permanent crown, it started feeling sore. It is sensitive to hot food. It is sore when I push against it with my finger, or pull on it with my tongue. It is sensitive when I am out walking in the cold weather with my mouth open. It is not painful. It's just sore. Not terribly sore. But the soreness worries me because it should not be occurring\n\nI went back to the dental office, and a senior dentist examined my crown. He did a 3-D xray. He decided to give me a powerful antibiotic which I took 4X a day for seven days. He said IF my root canal still has an infection this antibiotic will make it feel better. Well, the antibiotic had no effect on the tooth. It continued to be sore. I went to the dentist yesterday to update him about outcome of the antibiotic treatment. He suggested I see an endodontist. I asked him if I would be responsible for the cost, and he said yes. (I don't have insurance).\n\nTonight I may have figured out what the problem is. But first give you this information: After getting fitted with my permanent crown, I attempted to put on my Hawley retainer, and it felt uncomfortably tight. I wore it for about a week, and took the retainer back to the dentist office and she did an adjustment. It was still tight. Brought it back again. Another adjustment. Still too tight. So I went and got a new retainer.  The new one is an Essex retainer.\n\nTonight it dawned on me that when I put my essex retainer on, my tooth ceases being sore. The soreness vanishes.  The essex retainer covers my entire crown all the way to the top. Is it possible that air has been getting into the crown, and the retainer is blocking air from getting inside?  I told the dentist that I can put my fingernail at the top of my crown and feel the top edge of it. I asked if that was normal, but I didn't get a straight answer. I asked her if it was possible that air was getting into my crown, and she no. I think she also said that the tooth under the crown is dead. So I am here to ask you if, in fact, the tooth under the crown is dead? Are there any live nerves under a crown after someone has a root canal and the old tooth is ground down? Because I think air is getting into the crown and is causing the soreness I Thank you for your reply! MattKW: If you have had a root canal in the canine, then the tooth is dead and you should not feel hot or cold sensations. If you have a post-op digital Xray, post it up for us to see. Any Xrays of adjacent teeth would also be helpful. patmich: MattKW said:\n\n\n\n\t\t\tIf you have had a root canal in the canine, then the tooth is dead and you should not feel hot or cold sensations. If you have a post-op digital Xray, post it up for us to see. Any Xrays of adjacent teeth would also be helpful.\n\t\t\nClick to expand...\n\n\nThanks, I don't have any x-rays. Not sure why I am feeling sensation if this tooth is dead. So maybe my \"air is getting in\" theory is wrong."
  },
  {
    "id": 1106,
    "title": "Feeling faint after flossing gums",
    "dialogue": "Steve100: I have been diagnosed with Gingivitis.. Sometimes my gums get very bloody if I haven’t flossed in a while eg 2 weeks etc . Problem is they get very bloody and I have to do a solid workout of flossing to reduce the blood(it’s like popping a pimple), as the gums want to be flossed as they are inflamed by gingivitis.. Thing is often I feel weak/even faint and lightheaded and crave sugar etc and salt which I do eg sugary foods or drinks/and electrolytes etc. I have type 2 diabeties to. But I’m worried by this and every time I do big floss and gums very bleeding I feel side effects after. Want advice please here why this happens.. I’m okay the next day or if I have a sleep for like one hr or so.. honestdoc: It is best to control your diabetes.  Left uncontrolled, you may experience further, irreversible gum damage.  Hopefully you will have a dental cleaning soon.  Your gums needs to be diagnosed by a dentist with x-rays showing the bone levels relative to your teeth.  If you have bone loss as well as attachment loss, you will need deep cleanings. DocT: If you recently diagnosed with gingivitis, it's a very good news. It means, you don't loose bone; not yet. In your case I'd try PerioProtect home care. It's periodontal trays similar to whitening trays, but for different purpose. Instead of putting there whitening gel (10-15% peroxide) you use 1.7% peroxide gel designed specifically for cleaning teeth. Benefits : 1 - tray distributes medicament evenly throughout the entire dentition; 2 - tray insures medication will be in a contact with your teeth and gum long enough to complete cleaning process; 3 - it will push cleaning component in hard-to-reach areas, like spaces b/w the teeth - your problematic spot. This method  was developed by dentist who's mother was in a nursing facility and had no dexterity to support her mouth hygiene. Just google \"PerioProtect\" and I'm sure you will find the information. Just remember, some doctors will claim this is treatment and can restore missing tissues. I recommend this as a hygiene product only. Good luck!"
  },
  {
    "id": 1107,
    "title": "Will tracks help grinding?",
    "dialogue": "Beni: My son is 14 years son has ground his canine teeth down quite badly. \nThe dentist feels it is important to put tracks in to shift the jaw and ease the pressure of the grinding. \nIs this a necessary procedure and are there other options? MattKW: By \"tracks\" do you mean braces? Beni: MattKW said:\n\n\n\n\t\t\tBy \"tracks\" do you mean braces?\n\t\t\nClick to expand...\n\nYes DocT: If your son grinds his teeth to the level of destruction, this activity is related to an excessive, spastic and potentially harmful activity of chewing muscles and braces are not going to stop / prevent this process. But from the information you provided, if only canines are showing a signs of wear, most likely it is not related to muscle’s parafunction - grinding - but rather traumatic teeth position. Your dentist suggested braces to move your son’s teeth into more favorable position and away from heavy contacts. MattKW: I wonder if you are talking about his baby canines? Any photos? Beni: No it’s his adult canines. Thanks for the advise DocT MattKW: I would be extremely surprised to see teens wear down their canines to the point of concern. And trying to adjust his chewing pattern by braces for this reason appears strange and unnecessary. Canines are adapted to take lots of shearing forces (canine guidance). Any photos?"
  },
  {
    "id": 1108,
    "title": "Dark little spot on side of filled molar",
    "dialogue": "JosephS: Hi,\n\nI brush my teeth everyday and now I have discovered a little dark spot on one of the sides of my filled molar. \n\nThis is stressing me out. honestdoc: Could you provide images?"
  },
  {
    "id": 1109,
    "title": "CDT 2020- Dental Procedure Code Book",
    "dialogue": "SMSDental: Hello,\n\nThe ADA no longer provides a PDF version of the annual Dental procedure code changes. Does anyone happen to know if there are any other companies that I can purchase these books from that might offer a PDF version option? I do have the e-book but it is not user friendly for a large team. \n\nThank you!"
  },
  {
    "id": 1110,
    "title": "Is it legal for an assistant to adjust bite?",
    "dialogue": "Sunshine2020: Hello!\n\nI had cavities filled back in November and the dentist drilled it out but then the assistant filled the cavities and adjusted the bite! I thought this was strange as I have only had a dentist do all of this before. Does anyone know if it’s legal for a dental assistant (not the hygienist) to adjust a bite in Kansas?\nThanks for your help! I’ve had nothing but issues since this and just had to have a root canal done yesterday bc of ongoing issues with this tooth now!!"
  },
  {
    "id": 1111,
    "title": "Pretty sure it's tooth decay...",
    "dialogue": "feynman: Goin to the dentist tomorrow. I'm pretty sure my tooth is dying. Just wanted to see if any one here could confirm. Forgive the ugly pictures, and thankyou. feynman: No one? honestdoc: It's hard to diagnose off the images.  X-rays could show internal structures and cavities.  The dentist visit should be helpful."
  },
  {
    "id": 1112,
    "title": "What is this painless spot on my lower outer gym?",
    "dialogue": "Tonixx84: I just found it. I’ve been taking very good care of my teeth (I thought). It is hard and painless. Tonixx84: Hard to capture a good picture. It looks a bit whiter in person. MattKW: Poorly focused photos. Looks like a bony prominence as often found over canine teeth."
  },
  {
    "id": 1113,
    "title": "Was the job done correctly?",
    "dialogue": "gil: The crown is now over one year old. In the last few days, it started to be painful in contact with heat or cold. It goes away after a while. Should I go back to my dentist to have it checked? Will that generate a cost? Was the job not done correctly? Thank you very much for your advice. Gil MattKW: Perhaps the nerve is dying; this happens in 5-10% of crowned teeth. Maybe this is something that will pass and I would advise you to wait a bit longer. Certainly if the pain becomes more serious you will have to go to a dentist and that will incur a fee. We can't tell if the treatment was done correctly."
  },
  {
    "id": 1114,
    "title": "Stained teeth from green tea?",
    "dialogue": "floor: Hey guys I really like to drink green tea... like a lot.  However, I read that it can stain your teeth.  Can I just go to the dentist every once in a while and have his fixed?  If so what type of whitening procedure would I want?\n\nthanks guys!"
  },
  {
    "id": 1115,
    "title": "Sour upper teeth?",
    "dialogue": "grinder: Recently, my mouth becomes sour over severel hours of inactivity. If I rinse it out, after a few hours it feels sour again. What's even odder is it seems to feel sour only around the upper teeth and not much around the lower teeth. If I rinse with a mouthwash, the sourness comes back slower. This has never happened before, and I floss and brush my teeth every night and see a dentist twice each year.\n\nThe only possible thing I have done that may be related is I stopped wearing my retainer on my upper teeth (I had braces) every night, but wore it every other night instead. A few weeks later is when I noticed the sourness. Coincidence?\n\nThe sourness I refer to is the same thing you feel in the morning especially if you go to sleep without cleaning your teeth, except I do clean my teeth.\n\nI now wear the retainer every night, but it doesn't help. I'm worry this sourness would cause bad breath and accelerate tooth decay.\nAny idea what I may be dealing with? I already asked my orthodontist this question but he had no answer.\nI'm pretty sure it is not acid reflux because it happens in the daytime and because the sourness is concentrated around the upper teeth. MattKW: No idea."
  },
  {
    "id": 1116,
    "title": "Crazed lines",
    "dialogue": "Basebali10: So the last few months on the back of one  my top front teeth and now one of my best bottom teeth I felt what I thought was something stuck in between my teeth.  Come to find out, it was more permanent which I did some research online and came to an amateur conclusion that these were “crazed lines”.  \n\nIt is not painful at all, more of an annoyance when I brush my tongue on the back of my teeth and feel that roughness.  I was just seeing if there’s anything I can do to smooth it out ?\n\nJames honestdoc: Craze lines are tiny lines that look like fractures.  I have them on all of my teeth.  They do not feel rough.  If you feel roughness, then you may have an enamel or dentinal fracture and depending on how big, you may or may not need a filling or just smoothing.   Beware, a hungry dentist with an intraoral camera will expand the images to show that you have cracks in your teeth and that you need crowns on every teeth. Basebali10: O ok, thanks for your response. It has that Feeling of a piece of food stuck in between your teeth when you brush your tongue along the back of your teeth, except in two spots and ones been there for the past couple months. It hasn’t happened yet but but it feels like it’s getting slightly more tender, not sure if that’s from the mouthwash I started using tho"
  },
  {
    "id": 1117,
    "title": "Red spot/ tiny shallow hole roof of mouth",
    "dialogue": "Bg1989: A couple days ago a small shallow hole appeared on the roof of my mouth, it doesn’t really hurt but it causes small discomfort when sucking/ swallowing. Any ideas what it could be ? honestdoc: Apthous ulceration believed to be autoimmune origin.  It usually happens during stress, trauma, or some sort of immune imbalance and will resolve in about 7 to 10 days. MattKW: Apthous ulcer."
  },
  {
    "id": 1118,
    "title": "Werido Doc Wanted to Take 18 Xrays!!!",
    "dialogue": "sil: Today I went today to Presbyterian Hospital in NYC for my toothache. The tooth is in the left top part of my mouth. I told the doc that I dont want any xrays but convinced me to take 2. He ended up taking 3 instead. He said I had 3 cavities and he'd put in a temporary filling. He said in order for the hospital to place permanent filling he'd have to take 18 xrays. I asked why 18. He said because since its a student facility of the hospital its to help educate dental students. Wtf is this???\n\nThis is the last time I'm going there. But I want to report this doc immediately. He's putting unaware patients at health risk for unneeded radiation. He needs to be reported on very soon. Where can I report him to?\n\n. MattKW: It used to be standard practice when I was a student at Sydney Univ to take a full mouth series before sending patients to the student clinic (35 yrs ago). Nowadays at Syd Univ they start with bitewings and take it from there following the ALARA principle. An OPG is quite commonly the next step. So I think your problem is more with the hospital than the specific dentist, and I'd suggest you talk to someone about your concerns, and ask if they can justify it if they are trying to teach the students best practice principles for radiation. And no-one can force you to have Xrays taken, although they may consider not seeing you as a patient, which I think would be unfair."
  },
  {
    "id": 1119,
    "title": "Is this my wisdom tooth or something else? crying with panic",
    "dialogue": "Faraway11: ive had pain in the left side of my jaw for a couple days. noting major, just when i smile or move my cheek to much, just looked in my mouth and saw this and now im panicking! is this my wisdom tooth? Its a literal hole! i have my two bottom teeth, then another tooth, then my bottom fang, then 3 molars, then this, im panicking so much thinking my gum is wasting away Sonia Salamuri: Did you went to the dentist?"
  },
  {
    "id": 1120,
    "title": "Crown number 3",
    "dialogue": "Banjoman: I had a root canal and crown 3 years ago that failed on my top left second from back tooth, I think it's 15. So I had to get another root canal and another crown. Well a year later that crown failed SO I went to a different dentist and last July had that crown replaced. WELL it hurt to chew on and about 3 months ago they adjusted it by grinding some off. Well a week later they did another xray and say the nerve or root is cracked and I'll probably need an implant. There was a piece along the inside gumline I could feel like glue or something right at the top edge, the dental assistant picked at it and said maybe it was where the old tooth was, she called it a shelf but today I noticed it was gone. Now there's a hole at the edge of the gumline. I took a pic of it... honestdoc: It is hard to exactly determine from the image.  In general, anytime you have drilling on a tooth, it becomes weaker.  When the tooth gets a root canal (the first time), the tooth gets so weak you need a crown to protect it.  From my observations, retreating a failed root canal is very risky and weakens the tooth even more.  I would give the patient the option of placing an implant instead of retreating."
  },
  {
    "id": 1121,
    "title": "Last upper tooth needs root canal?",
    "dialogue": "Jerrydiakiw: I’m an 83 year old with an upper removable plate. Which was anchored by two teeth. I had one extraced two weeks ago. And now pain remains and onlined,  the symptoms suggest the remaining tooth beside it just at my lips edge is in need of a root canal.  I have an apptment Monday to have a tooth added to my plate for my upper but now I wonder what to do if it is worth the expense of trying to save the remaining tooth or just remove it too. And just have one new plate I live in Canada and have no dental insurance    Should I do the root canal. Or just remove it ? MattKW: Extract; a waste of $ for an RCT. stellawilliams: RCT for this case be waste, just go for extraction."
  },
  {
    "id": 1122,
    "title": "Upgrade from omnicam to primescan",
    "dialogue": "Scottschwartz11: Hi all, I have a proposal for anyone that’s trading in their omnicam for a new prime scan to use the $20k trade in. I’m a new practice owner, and acquired a blue cam with the practice, want to upgrade, but can’t afford prime right now. Is anyone willing to simply trade me their Omni for my blue cam and they still get the same $20k trade in towards your prime scan? I’ll even throw in $1k or so to sweeten the deal!  You would really be helping a new young dental practice owner. Email scottschwartz11@gmail if willing to help!! Thanks"
  },
  {
    "id": 1123,
    "title": "This office is taking advantage of me?",
    "dialogue": "red37sx: Hello ,\nRecently I was quoted $4500 for some dental work ($3000 post insurance , works like a bucket of funds). \n\nAnyway, I am getting my wisdom teeth removed. Two of them have come out, and the other two have not yet. Also , I am getting a fifth tooth removed (it is dead at this point), and getting a bone graph put in its place. I am going to be put under during the whole procedure.\n\nCan anyone give me an idea if this is way too expensive in terms of a quote ?\nI am locating out of Dallas area, Texas. \n\nThank you MattKW: For Australia that sounds about right, done by a specialist oral surgeon and anesthetist. red37sx: Thanks for the input. @MattKW \n\nAny other opinions, everyone?"
  },
  {
    "id": 1124,
    "title": "Number 18 Tooth pulled question",
    "dialogue": "wildfig: The dentist inflicted lots of pain in the process of pulling this molar. He did num it extra times, the question is why didn't he divide the tooth and pull it out in pieces? \nAlso I request the tooth and gold crown be given to me , he kept the gold and gave me the tooth. Why wouldn't he have given me the gold too? MattKW: 2nd molars are not always easy teeth to divide. That is a much better idea for 1st molars where the roots widely diverge. He should have given you the gold, it's your tooth and gold. Most likely he is building up a store of leftover gold pieces and when he has a jarful, he will be able to sell it. wildfig: Thanks MattKW"
  },
  {
    "id": 1125,
    "title": "Disabled Patient",
    "dialogue": "dmxsixersfan: I have Duchenne muscular dystrophy and can not get my mouth open enough to get work done. I was told by a dentist to use tongue depressors to slowly increase the jaw opening with no success. Does anyone know of a device to stretch my jaw open? MattKW: Talk to your managing physician or physiotherapist. Maybe a type of mouth prop?, but this is out of my field."
  },
  {
    "id": 1126,
    "title": "Upper gum & palete irritation",
    "dialogue": "tonyboy: Around 2 months ago I started getting a sore throat feeling for a while went to Doctor who took a throat culture, negative results. Then upper gum around front teeth and upper palete felt irritated but I couldn't see  anything. Went to ENT doctor who examined me thoroughly saw nothing but told me to take vitamins with minerals, and to have my doctor see if I had anemia and change my high blood pressure medicine. Results of blood test No anemia, and change blood pressure medicine. Saw my dentist who examined my mouth, saw nothing . What is causing irritation is baffling me. Any answers would help me immensely MattKW: Just feels irritated or looks irritated? Any photos, pls? tonyboy: Nothing to see. Yesterday I went to a periodontist who examined me thoroughly, and took x-rays. Nothing out of the ordinary. Only thing she said was maybe I am having an allergic reaction to something. Ever hear of that? MattKW: Then there's nothing more I can add in an internet forum. Sorry. Maybe see if a topical anaesthetic mouthwash helps relieve the sensation."
  },
  {
    "id": 1127,
    "title": "White spot on the right side of tongue",
    "dialogue": "hoss1985: Hello! I recently found this little white spot on the right side of my tongue. Any thoughts are greatly appreciated. honestdoc: It seems like enlarged tonsillar papillae which should resolve on its own.  Watch it for 2 weeks and if still present, take another image. hoss1985: Thanks for the response. I’ll upload another image in 2 weeks if it’s still there. hoss1985: Hello again, \nThe bump still looks the same. Not tender, pretty soft. Any thoughts are highly appreciated. honestdoc: I cannot expand on your latest image to view.  I believe it may be a capillary (simplex) lymphangioma.  The tongue has many  lymphatic vessels and capillaries.  Your lesion is very small fitting the capillary size.  Have a dentist evaluate it for possible excision. hoss1985: Here is another image. \nI’ll try to see a dentist. Is what you said any cause for concern? honestdoc: I don't think it is any cause for concern.  As long as it does not get bigger, turn color, or become painful and or ulcerating, I wouldn't worry too much.  Fortunately the spot is very small and the body could control the size at this point. hoss1985: Thanks a lot for the reassuring comment. The spot has not changed color or become any bigger. Not tender or ulcerating. I'll see a dentist and post an update soon. Thanks again. hoss1985: Hello Honest Doc,\nI have an appointment with an oral surgeon on November 14, but yesterday, I noticed that the white bump is almost disappearing. I have attached a photo here. Any help is appreciated. Thanks in advance. honestdoc: There is a fair chance the oral surgeon may feel it is not worth removing, but go for the consultation to cover all bases. hoss1985: I see. So, you think because it changed the color and is going away, it’s not anything to worry about? Thanks. honestdoc: Keep your Oral Surgery consult appointment and have his/her opinion. hoss1985: Will do. Thanks hoss1985: Hi Honest Doc. Just wanted to give you an update. I saw an oral surgeon and he decided to get the bump excised. The procedure was yesterday. Like you said, he thought it was an inflamed lingual tonsil. But he wanted to get it biopsied to be safe. The results should be in next week. hoss1985: Just an update. My doctor called today, saying that the nodule was a hypertrophic lingual tonsil. So, nothing to worry about. Thanks for your advice, Honest Doc. Much appreciated."
  },
  {
    "id": 1128,
    "title": "Inflamed gum  cement intolerance after crown prep",
    "dialogue": "Thisbites: I had #21 prepped for a crown and today the permanent was placed. If feels ok.. but ive had ongoing redness at the site of the crown and the dentist said it is because my tissue is so thin and the margin is not good.\nI am taking impeccable ocd care of my teeth with rinses and floss and gentle brushing, all soft foods.\n\nCould it be that my body is rejecting the material? Im also wondering\nif the permanent cement is the same as the temporary.\n\nI asked about putting temporary cement on the permanent but she said that the back of the tooth was not inflamed only on the outside of the gumline. So the dentist went ahead and did the placement. Really hoping the inflamation goes away. Is this normal? \nIm 55. MattKW: Would've been better to resolve the inflammation before placing the permanent crown. May have been a poorly fitting temporary crown, and maybe with the final crown it will resolve. Not enough info to say anything else. Thisbites: Thanks for your response. I really appreciate it.\nIts slowly getting better but i wished she had listened to my request of letting it heal first before placing the permanent.\nI would like to send my images to you as i have a plethora of things needing to be done but need to find a dentist who can take a look at the big picture and assume a plan of care for me.\nIve got a malocclusion, missing #19 shifting no bite basically, huge fillings an old crown #18 that is now hurting after this #21 was seated, bone resorption, very short roots, hypersensitivity.. you name it. Oh yeah i forgot i also need a new night guard as its been years.\nIts like...\nwhere does one begin? (if you look at my teeth, they are looking good, i take immaculate care of them, flossing, mousse, rinses, drinking even from a straw so as to avoid sugar on the teeth and sensitivity..\nThe dentist that did the crown on 18 realllly wanted to do an impant on missing 19 right away. Every time i went in they would push the implant when the crown was obviously still trying to settle and heal.\nSo perhaps you could give me a big picture as far as sequence of events go in order to bring my teeth back to some sort of calmness.\nYes im one of those patients..lots of anxiety around teeth and pain. Also due to past failed root canalx 2 months (#19) and the extraction that was basically straddling me to get it out..all very upsetting.\nThanks again"
  },
  {
    "id": 1129,
    "title": "Dental x-ray machine run times",
    "dialogue": "lizardrock11: Why would I notice a big difference in how long a dental x-ray machine is on?\n\nAt my regular dentist, I hear it \"buzz\" for only a fraction of a second, but when I went to a periodontist for a root canal, the machine was \"buzzing\" for several seconds. Why would there be such a difference? MattKW: I think you went to an endodontist for the root canal (RCT). Maybe he used a CBCT machine?\nThe buzz on my standard Xray machine lasts much longer than the actual exposure time to ensure that the button is held down long enough. Leonardregister75: Lipoma inside the cheek remedies"
  },
  {
    "id": 1130,
    "title": "My teeth started braking down (I am 19 years old)",
    "dialogue": "CrismMirkovski: Hello everyone,\n\nA little backstory, I am not into this medical terminology so im gonna try to  make sense out of it as much as possible.\n\nSince I was born I had issues regarding my oral health, it was something that I got genetically from my Father, I would keep hygine do all the routine stuff however cavity and gum problems were a constant problem.When I was 12 (7 years ago) my teeth started to corrode and started to crumble down.I went to a dentist and he sealed them with a filling, it was all good until a couple of years later when I started smoking and my oral health went into nowhere but down, I quit smoking just to figure out that half of my teeth started to brake down again, getting the same problem as I did but now its even worse. This month alone every morning im finding out that Im missing teeth from my mouth, this morning I woke up with an entirely broken number 1 tooth.From what I read online, it is possibly an Advanced Paradentosis. Tommorow im off to a dentist to see what am I gonna do next.\n\nMy question is, how can I prevent something like this from happening in the future and is this gum disease curable? \n\nThank you all in advance\n -Christian MattKW: Your best solution is to give the dentist a full history of your teeth, and an honest talk about your diet, hygiene, and general health (e.g. smoking, medical conditions, drug use) ."
  },
  {
    "id": 1131,
    "title": "Lower gums getting worse",
    "dialogue": "Angie12345: I’ve seen 4 dentists and they say it’s normal. It started with one circular spot and started spreading over the years. Now it’s uncomfortable, tingling, and causing weird bone pain down to my chin...please help. I’m scared it is cancer. honestdoc: From the image, the area looks normal.  The only way to diagnose oral cancer is by biopsy (cutting the suspicious lesion and looking at it through a microscope).  The dentist will determine if it is really worth cutting you up for that.  For example, if you chew tobacco (known carcinogen) and place that tobacco in a part of your mouth with gross looking callouses and red sores, the dentist or doctor will need to biopsy it to confirm it is cancer or precancerous tissue.  Otherwise numbers are in your favor. MattKW: Looks all very normal and healthy. I don't even know which part concerns you."
  },
  {
    "id": 1132,
    "title": "What is this in my Xray?",
    "dialogue": "wildfig: There are two things wrong with tooth 18 in the pic. What are they? MattKW: Looks like someone \"made\" a canal where it doesn't exist. Also nearly perforated the chamber towards the front of the tooth. That's a poorly performed RCT. wildfig: MattKW said:\n\n\n\n\t\t\tLooks like someone \"made\" a canal where it doesn't exist. Also nearly perforated the chamber towards the front of the tooth. That's a poorly performed RCT.\n\t\t\nClick to expand...\n\nWhat is the tubular shape thing about 1/2 way up the tooth running off horizontal? Has this root canal failed? Do you see any access? thanks for reviewing this ,  my new dentist just stared at it then told me to see a specialist. Should i just have it extracted, it was painful 7 days ago, now the pain is gone. MattKW: That tubular thing is what I'm guessing is a canal made where one doesn't exist. It's hard to tell more from that image, esp with the Moire pattern. Go see an endodontist and at least get an opinion. Overall it's not a good RCT, so don't waste too much more money on it if he give a poor prognosis. wildfig: MattKW said:\n\n\n\n\t\t\tThat tubular thing is what I'm guessing is a canal made where one doesn't exist. It's hard to tell more from that image, esp with the Moire pattern. Go see an endodontist and at least get an opinion. Overall it's not a good RCT, so don't waste too much more money on it if he give a poor prognosis.\n\t\t\nClick to expand...\n\nTHANK YOU wildfig: The dentist that did this root canal, (now retired) said the tubular thing is a Silver Point, and the X-ray show a root canal failure and also show abbess on the bottom of the X-ray. He said have the tooth extracted. The odd thing  is the pain has been gone for 10 days, it was so bad  i could not even chew on that side."
  },
  {
    "id": 1133,
    "title": "Marks and invisalign",
    "dialogue": "Emmalg: Can anyone tell me what the dark marks are near my front tooth? I have veneers on them. And also wondering if invisalign would work for making the front row straight again\n\nThanks!"
  },
  {
    "id": 1134,
    "title": "Short Root Anomaly",
    "dialogue": "concernedparent: We have been told by our dentist that my 13 yo son has short root anomaly.  It was first noticed that he has short roots at the age of 7 and hasn't progressed since then. Although it has been closely watched for years, I have just now realized how important and rare this condition is to the health of his teeth. I have had multiple orthodontist express how important it is that he NOT have braces and that is out of the question for sure. ( His teeth aren't that bad for needing them anyway and is the least of my concern.)  If you are a dentist, have you had a patient with SRA and what are your suggestions to protect his teeth? Do you know causes and solutions?  If you are a patient with SRA, what have you been told about this?  Thanks in advance."
  },
  {
    "id": 1135,
    "title": "Silver Fillings",
    "dialogue": "laddymargaret: Hi i had a silver filling removed last week trouble is i am realising perphaps i should have went to a specialist to remove  worried that i breathed in the mercury and swallowed some of it with all the scare of affecting the memory .\nAnyone advise ? thank you MattKW: There is nothing inherently wrong with amalgams apart from the colour. They generally last much longer than white (composite) fillings.\nThere is no such class of \"specialist\" for the removal of amalgams. I consider such dentists to be vultures preying on the anxieties of their patients. If you really wanted to avoid swallowing the amalgam during removal, this could be easily achieved by any dentist with a rubber dam and maybe a nitrous oxide mask.\nThe only way you could breathe in the vapour would be if the fillings were removed without a water spray. Only then could you possibly inhale some miniscule mercury vapour. Taking out amalagms is done by drill under water spray, with an assistant suctioning the granules. The granules you might swallow are in solid form and will not be inhaled but swallowed, and as such will pass right through your gut without absorption. laddymargaret: MattKW said:\n\n\n\n\nThere is nothing inherently wrong with amalgams apart from the colour. They generally last much longer than white (composite) fillings.\nThere is no such class of \"specialist\" for the removal of amalgams. I consider such dentists to be vultures preying on the anxieties of their patients. If you really wanted to avoid swallowing the amalgam during removal, this could be easily achieved by any dentist with a rubber dam and maybe a nitrous oxide mask.\nThe only way you could breathe in the vapour would be if the fillings were removed without a water spray. Only then could you possibly inhale some miniscule mercury vapour. Taking out amalagms is done by drill under water spray, with an assistant suctioning the granules. The granules you might swallow are in solid form and will not be inhaled but swallowed, and as such will pass right through your gut without absorption.\n\n\nClick to expand...\n\n  Many Thanks is reassuring to know  as I have more to come  information on internet is conflicting so nice to hear from qualified people"
  },
  {
    "id": 1136,
    "title": "Are my gums healthy?",
    "dialogue": "ajelm3: New here. I was looking online and honestly can’t tell if my gums are healthy or not. Decided to look for some help. My dentist will be out of town for a week and a half so I figured I might as well get some sort of information on it. Thanks!\nIf better pictures are needed let me know. I know they aren’t the best."
  },
  {
    "id": 1137,
    "title": "Advice Please",
    "dialogue": "Richings: Is there anything visibly wrong with my extracted tooth ? MattKW: Well, there's at least one cavity I'm staring at. You're not going to get a diagnosis just with a photo. Richings: Thanks for your responce. Is there infection on the left root ? I am not a dentist so dont know if the round bit attached to the root is infection. MattKW: I can't tell."
  },
  {
    "id": 1138,
    "title": "What are these on my teeth?",
    "dialogue": "Trace36: Hi! I am a 21 year old male who has had braces in the past. My two front teeth are lower than my other teeth and they also have these grooves in them (they kind of look like mamalons) I was wondering what these were and if it is possible to get rid of them (likely from grinding them down) MattKW: They're not grooves, but rather accentuated enamel allowing shine-through. Assuming there's nothing else involved than what I see, then the simplest solution is to place some opaque composite over the outside incisal 1/2 of those teeth."
  },
  {
    "id": 1139,
    "title": "Is my molar extraction site infected?",
    "dialogue": "Curiousb: I had my infected molar extracted 3 days ago and have a wisdom tooth coming through behind it. The dentist said that he got out all of the infection with the tooth and did not need to stitch it up or give me any antibiotics! Now the extraction site looks rather green. It doesn’t throb too bad and it tolerable with pain meds. It doesn’t seem to have a foul taste or smell. So I’m just wondering, does this look normal? Or does it look like a sign of infection? Thanks! honestdoc: The extraction site looks normal.  You can't judge color,  there are epithelial repair tissue forming in varying colors.  You don't need antibiotics unless you have swelling and or fever above 102 F or 38.8 C.  Taking unneeded antibiotics increases risks of resistance.  Your mouth heals very efficiently and as long as your pain is not excessive and have no swelling, you should be fine."
  },
  {
    "id": 1140,
    "title": "Dentist hit my teeth with metal hammer.",
    "dialogue": "Jivey: Hi.\n\nJust a quickie question.\n\nI had an examination today because of absess under an old bridge and painful teeth, Ache pain, Not sharp pain.\nDuring the examination the dentist hit each of my teeth with a metal object/hammer.\nAs he started i thought it a bit odd. He hit 1 tooth quite hard.\nThis tooth did not have sharp pain before the examination.\n20 minutes after the examination and tooth hitting i started to get sharp pain when applying any pressure to this particular tooth.\n\nI think he may have cracked the tooth.\nThe tooth in question is the tooth next to the bridge which now makes my front teeth.\n\nIs it normal to hit teeth with metal objects during an examination ?\n\nThank You. Jivey: I should say that after the dink on my teeth with the metal object the dentist took 2 x-rays. He then said that i had 3 options.\nKick the can down the road and take antibiotics (His own words) or extract the tooth (which is part of the bridge, Destroying the bridge as a result) or have an Apiceptomy. I opted for the later as the bridge was/is in his words \" A very fine piece of dentistry.\"\n\nAlso i am NHS so i am wondering how much the Apiceptomy is going to cost.\n\nOnce again, Thank you. MattKW: No idea how much an apicoectomy will cost - you should ask the dentist. An apicoectomy can be a risky procedure - I would get a 2nd opinion, preferably from an endodontist. Jivey: Thanks for the reply. Your words have been noted. j4kskateboarding: Ive had a dentist bang on mine recently for the extractions of front top teeth and it turns out that it cracked many others from the vibration of the jaw... and wow I dont think its standard practice unless they are trying to make a customer of someone. He even made me  swoosh a liquid in my mouth that tasted toxic and claims it was just the tap water from where I got it done. I suspect now that it was something to make the teeth weakened for that purpose... Im facing a lot of fractures now in several different teeth that have now became troublesome."
  },
  {
    "id": 1141,
    "title": "Dental DNA tests!",
    "dialogue": "Chickpea: My mom is interested in buying Dental DNA tests online ( My Grandma lose her teeth in her 40s ) So she worried about her teeth \nand also mine. I tried googling some info or reviews , but I couldn't find it much;  I saw one company called Chromozoom offer a\ntests on their website, which I not sure should I buy or not.\n\nLuckily, I found this forum , so hopefully, someone will give me more info about this testing.\n\nPlease write to me if some of you have done the test! What can the test tell us? Is the worst thing to buy?\n\nThank You MattKW: Looks like a total waste of money. A lot of these so-called genetic test companies are preying on people's fears and ignorance of what genetic testing really means. They certainly won't analyse your whole genome, and scientists have yet to figure out the complexity of the multiple genes involved. There is a genetic link with gum disease, but if you look after your dental health, then there will be no problems. Chickpea: MattKW said:\n\n\n\n\t\t\tLooks like a total waste of money. A lot of these so-called genetic test companies are preying on people's fears and ignorance of what genetic testing really means. They certainly won't analyse your whole genome, and scientists have yet to figure out the complexity of the multiple genes involved. There is a genetic link with gum disease, but if you look after your dental health, then there will be no problems.\n\t\t\nClick to expand...\n\nHi MattKW,\n\nThank you fo your replies."
  },
  {
    "id": 1142,
    "title": "Space maintainer sideways?",
    "dialogue": "johnknee: My child has a dental space maintainer that all of a sudden seems to be slanted or even sideways? It used to be in the up position. Any idea what might have happened, perhaps the tooth is coming out? MattKW: Photo? And how old is your child? johnknee: Child is 9 years old. MattKW: Photo?"
  },
  {
    "id": 1143,
    "title": "Bruxism Guard with Metal Posts Hitting Gum",
    "dialogue": "Red John: Hi,\n\nFirst post.\n\nI have had a night guard for Bruxism for many years. My dentist created a new one with two metal posts part way along the outside of the night guard. When I put the guard on my upper teeth one of the pins hits my gum and it hurts. Not a lot, but enough that I do not use the night guard. Is this the way it is suppose to be?\n\nThe dentist did not really explain the purpose of the two metal posts and the guard is very uncomfortable. How or why do the metal posts help.\n\nI have not used the night guard as it really is uncomfortable.\n\nAdvice appreciated.\n\nThanks,\nRed John A_s: Red John said:\n\n\n\n\t\t\tHi,\n\nFirst post.\n\nI have had a night guard for Bruxism for many years. My dentist created a new one with two metal posts part way along the outside of the night guard. When I put the guard on my upper teeth one of the pins hits my gum and it hurts. Not a lot, but enough that I do not use the night guard. Is this the way it is suppose to be?\n\nThe dentist did not really explain the purpose of the two metal posts and the guard is very uncomfortable. How or why do the metal posts help.\n\nI have not used the night guard as it really is uncomfortable.\n\nAdvice appreciated.\n\nThanks,\nRed John\n\t\t\nClick to expand...\n\n\nCan I please see the photo of your new night guard?\nI am not sure about the metal post - maybe he wants to strengthen the night guard for you? You can ask him why? \nBut if you do break night guards, you can always make new ones. MattKW: I'm guessing the metal posts have a small ball on the end? These are ball clasps to give a better grip for the night guard. Go back to the dentist and have them adjusted. Some nightguards don't need them at all, but there are occasions when they're useful adjuncts."
  },
  {
    "id": 1144,
    "title": "Hard lump gum line",
    "dialogue": "Rico99: Hi everyone \nI am glad I found this site I have horrific teeth due to bad genetics , accidents and drinking way too much Pepsi over the years . I have not seen dentist in 20 years  I am a very hyperactive person with extreme energy and anxiety . I am so afraid to see a dentist and of course embarrassed !! I have had  dental problems since I was 5 years old ! By my teenage years I already had 8 root canals and 2 extractions . Last time I saw a dentist I was 23 which was back in 1999 . I feel ashamed and ugly . Of course I have a history of bad dentists which does not help things either . \nRight now I have this concern : About 5 years ago I was stupid I took a very hard frozen piece of ice and put it in my mouth and chew it . I cracked the root canal of the lower molar tooth , boy did that hurt ! I know stupid of me not going to the dentist . I discovered a lot of hard  white Tatar around that tooth about 4 years ago , part of that tooth broke and I also discovered a lump in my gum line right  below that tooth . I am sure it is related . That lump is a bit smaller than a dime . It is somewhat  painful but sometimes I have no pain . This lump is relatively hard but it has not grown at all in 4 years , I feel bony cracking when I push against that lump , the same feeling when you crack your knuckles . The color of that lump is the same as the surrounding tissue and gums . There is no dark red and there is no white either . By the way I quit Pepsi 7 years ago and  started to be much more health conscious \n\nHere is my question is that Lump a Cyst ? or is it hard calcium built up under the roots and inflamed the gum area of that tooth ? An Odontoma ? An oral fibroma ? A buccal exostosis ? I ruled out an abscess tooth , I do not think that what it is . I have no fever , a great appetite and a high functioning immune system . I know it is hard to diagnose something you can not see . Any guesses and answers would help . I will go see a dentist , it is going to be so difficult for me but I have to do this soon !!! Thank you A_s: Hi Rico99:\n\nI understand going to see a dentist can be scary (I can remember this when I was a child/teenager, unsure what dentist would do to me, and all these instruments and noise). \n\nBut please please know, there are dentists who are passionate about their jobs and willing to help you and they are happy they can help, instead of laughing at you. If you are not feeling comfortable with seeing one dentist, you can always change to another dentist that you are happy to work with. There will be at least one dentist there that is willing to help you \n\n\nAccording to your concern:\nWhen you cracked the tooth, the tooth may have been reinfected, and it is possible to have an abscess. But I cannot just say it must be an abscess because I didn't have all the clinical information. \n\nThe tooth may not be salvageable, depending on how severe is the crack, is it still possible to do root canal treatment, is it still restorable, etc. \n\nHope it helps. A_s: Also you will need some clinical examination and radiographs. Rico99: Hi A-s first thank you so much for replying I greatly appreciate it \nI have to wait until my dental insurance from work kick in . Yes I know I have to have X rays and maybe even other types of more modern radiographs . I have not seen a dentist in 20 years . I am sure there is new technology  I have so much work that needs to be done but right now I am just concerned about that hard Lump in my gum line . Is this pain excruciating ? No it is not but sometime I have painful moments I have been eating raw garlic and that has helped somewhat with the pain \nI am keeping this as a secret  from family , friends , neighbors , coworkers , my girlfriend , my daughter no one knows about this . I want to keep it that way until I make that appointment and I will go ahead and announces this dental secret  . \nI just need to find a good dentist who is very understanding . I have no dental insurance at the present moment  but come 2020 the dental insurance at work is very different than the previous years , it is an excellent plan .  \nYes I am aware of clinical examination and radiographs , U think it is more of a Dental abscess and not a cyst . As far as I know a dental abscess is different from a cyst ?? \nThank you again for talking to me !!"
  },
  {
    "id": 1145,
    "title": "Bad Breath",
    "dialogue": "TenseiOW: Hello. I've suffered from bad breath for basically my entire life. I brush my teeth every single day, twice a day. I've tried using mouth wash, I've tried using better tooth pastes, I clean my tongue regularly and properly, but for whatever reason, it doesn't seem to go away. Why do I have bad breath that can't go away?\n\nWhat can I do to stop this? Thanks! A_s: TenseiOW said:\n\n\n\n\t\t\tHello. I've suffered from bad breath for basically my entire life. I brush my teeth every single day, twice a day. I've tried using mouth wash, I've tried using better tooth pastes, I clean my tongue regularly and properly, but for whatever reason, it doesn't seem to go away. Why do I have bad breath that can't go away?\n\nWhat can I do to stop this? Thanks!\n\t\t\nClick to expand...\n\n\nHi TenseiOW,\nDo you have any stomach reflux issues (e.g. can taste last night's food in the morning, eating late at night, burp etc)? Do you snore at night? Do you have any underlying stomach issues? Do you take any medications/herbals?\nDo you have gum disease?\nDo you use floss daily?\nDo you use tongue scraper daily?\n\nDid you see the dentist to address this before? And what did the dentist say?\nWhen was your last time visit your dentist and how regularly? TenseiOW: A_s said:\n\n\n\n\t\t\tHi TenseiOW,\nDo you have any stomach reflux issues (e.g. can taste last night's food in the morning, eating late at night, burp etc)? Do you snore at night? Do you have any underlying stomach issues? Do you take any medications/herbals?\nDo you have gum disease?\nDo you use floss daily?\nDo you use tongue scraper daily?\n\nDid you see the dentist to address this before? And what did the dentist say?\nWhen was your last time visit your dentist and how regularly?\n\t\t\nClick to expand...\n\nFrom what I know, I don't have any stomach reflux issues, I do not snore at night, I don't have any underlying stomach issues, I don't take any medications at all, I think I may have gum disease? (My gums to me look pink and a bit puffy, not the vivid red that I see on other people's gums), I do not floss at all, I do scrape my tongue daily, I haven't been to the dentist in a long time. But, the last time I went to my dentist, she didn't say anything at all about anything.\n\nWhat do you think my problem is?\n\n(My teeth are also pretty yellow, I don't know if that would have anything to do with it though) A_s: TenseiOW said:\n\n\n\n\t\t\tFrom what I know, I don't have any stomach reflux issues, I do not snore at night, I don't have any underlying stomach issues, I don't take any medications at all, I think I may have gum disease? (My gums to me look pink and a bit puffy, not the vivid red that I see on other people's gums), I do not floss at all, I do scrape my tongue daily, I haven't been to the dentist in a long time. But, the last time I went to my dentist, she didn't say anything at all about anything.\n\nWhat do you think my problem is?\n\n(My teeth are also pretty yellow, I don't know if that would have anything to do with it though)\n\t\t\nClick to expand...\n\n\nI can only provide some possible causes from the information you have given here:\nMay have underlying stomach issues - need checked/confirmed by the doctor because you may not notice any silent reflux.\nAlso, do you have any issues with tonsils? Any tonsil stones? Regular inflammation?\nAnd do you drink coffee (a lot)? beer?\nGum disease - any clean (scale and polish) at the dentist regularly (e.g. every few months)?\nNo flossing - may have food trap - plaque & bacteria accumulation\nHow long ago was the last dental visit? If it was 2-3 years ago, can go for a visit to find out more information about your oral health.\n\nIn terms of teeth - everyone has different teeth colour. TenseiOW: A_s said:\n\n\n\n\t\t\tI can only provide some possible causes from the information you have given here:\nMay have underlying stomach issues - need checked/confirmed by the doctor because you may not notice any silent reflux.\nAnd do you drink coffee (a lot)? beer?\nGum disease - any clean (scale and polish) at the dentist regularly (e.g. every few months)?\nNo flossing - may have food trap - plaque & bacteria accumulation\nHow long ago was the last dental visit? If it was 2-3 years ago, can go for a visit to find out more information about your oral health.\n\nIn terms of teeth - everyone has different teeth colour.\n\t\t\nClick to expand...\n\nI'll get checked by my doctor to make sure that I don't have any sort of reflux.\n\nTo my knowledge I don't have any issues with my tonsils at all. I've never seen any tonsil stones in my mouth, and I don't think I have ever had any sort of inflammation.\n\nI have never drank coffee, the most I drink is apple juice.\n\nI haven't had a regular cleaning at the dentist for a while. My last cleaning was a little over a year ago I think.\n\nI will floss tonight.\n\nIf I do have any sort of gum disease (which I think I do have,) how do I get it fixed? Do I just go to the dentist and they clean my gums? Or how does it normally get solved?\n\nAlso, would any sort of gum recession contribute to bad breath? A_s: TenseiOW said:\n\n\n\n\t\t\tI'll get checked by my doctor to make sure that I don't have any sort of reflux.\n\nTo my knowledge I don't have any issues with my tonsils at all. I've never seen any tonsil stones in my mouth, and I don't think I have ever had any sort of inflammation.\n\nI have never drank coffee, the most I drink is apple juice.\n\nI haven't had a regular cleaning at the dentist for a while. My last cleaning was a little over a year ago I think.\n\nI will floss tonight.\n\nIf I do have any sort of gum disease (which I think I do have,) how do I get it fixed? Do I just go to the dentist and they clean my gums? Or how does it normally get solved?\n\nAlso, would any sort of gum recession contribute to bad breath?\n\t\t\nClick to expand...\n\n\nIf you have gum disease, your dentist will generally tell you which type of gum disease you have and will plan for you according to that. The main things for you to do at home are flossing daily, brush twice daily with fluoride toothpaste.\n\nCan also have a rinse of water after each meal.\n\nWould recommend to go see your dentist - just to make sure the halitosis is not caused by any diseases from the mouth. And if is not from the mouth, then could be other underlying diseases - need to ask the doctor. TenseiOW: A_s said:\n\n\n\n\t\t\tIf you have gum disease, your dentist will generally tell you which type of gum disease you have and will plan for you according to that. The main things for you to do at home are flossing daily, brush twice daily with fluoride toothpaste.\n\nCan also have a rinse of water after each meal.\n\nWould recommend to go see your dentist - just to make sure the halitosis is not caused by any diseases from the mouth. And if is not from the mouth, then could be other underlying diseases - need to ask the doctor.\n\t\t\nClick to expand...\n\nAlright, thank you! I also have a hawley retainer that I wear 24/7, would that factor into anything? Or no? A_s: TenseiOW said:\n\n\n\n\t\t\tAlright, thank you! I also have a hawley retainer that I wear 24/7, would that factor into anything? Or no?\n\t\t\nClick to expand...\n\n\nIf you don't clean retainer properly, food/bacteria/plaque get stuck in there might also contribute to bad breath. But did you have bad breath before/after you start to wear retainer? If it was before - retainer was not the major contributor (it may also play a role). TenseiOW: A_s said:\n\n\n\n\t\t\tIf you don't clean retainer properly, food/bacteria/plaque get stuck in there might also contribute to bad breath. But did you have bad breath before/after you start to wear retainer? If it was before - retainer was not the major contributor (it may also play a role).\n\t\t\nClick to expand...\n\n\nI had bad breath before my retainer. By the way, is acid reflux when I taste the food I ate earlier in the day in my mouth when I burp? A_s: TenseiOW said:\n\n\n\n\t\t\tI had bad breath before my retainer. By the way, is acid reflux when I taste the food I ate earlier in the day in my mouth when I burp?\n\t\t\nClick to expand...\n\n\nIf you have bad breath before your retainer, then bad breath is likely to be caused by something else (not retainer). But your retainer should always keep clean as mentioned above.\n\nI won't say your bad breath is caused by the reflux, unless you have been seen by your dentist and doctor and they confirm it clinically. This is just one of the possibilities related to your bad breath.\n\nMore information if you want to read:\nAcid reflux and heartburn more than twice a week may indicate GERD.\nGastro-oesophageal reflux disease is usually associated with heartburn (intermittent retrosternal pain radiating along the oesophagus, worsened by lying down or a recent large meal), or epigastric pain (centred over the xiphisternum). Symptoms include burning pain in the chest that usually occurs after eating and worsens when lying down. When you wake up in the morning, you can taste last night's food. \n\nMild reflux, however, is common. A_s: TenseiOW said:\n\n\n\n\t\t\tI had bad breath before my retainer. By the way, is acid reflux when I taste the food I ate earlier in the day in my mouth when I burp?\n\t\t\nClick to expand...\n\n\nAlso to add: do you smoke?"
  },
  {
    "id": 1146,
    "title": "Clenching question",
    "dialogue": "John Roberts: Is it possible I am clenching my teeth and don't realize it.  My teeth hurt to the touch all the time.  Mainly from half way forward top and bottom.  I am missing a top molar on the right and a bottom molar on the left.  I know the occlusion there isn't good.  I sleep with a soft nightguard on the bottom teeth.  She I wake up in the morning my teeth feel ok only because they aren't touching.  I am wondering if I put them together to hard during the day and making them hurt more as the day goes on. honestdoc: According to TMJ expert Dr. Jeffrey Okeson from Univ of Kentucky, your teeth only touch 20 minutes a day including all meals and function.  At rest, your teeth are about 1 cm or 0.25 inch apart.  If you notice your teeth clenching during focus or stress, you are exceeding that 20 minutes and risking pain and possible teeth damage as well as TMJ dysfunction. John Roberts: Thank you Honestdoc.  We have talked on here before.  I am 73 now and until all this started I never noticed or paid any attention to how my teeth functioned.  This is going on three years now.  At rest mine probably are 1cm apart but everytime I swallow they come together especially the front teeth.  I do have a overbite.  One of the dentist told me that I have a overbite which I never paid any attention to.  My two front teeth are crowned and they are actually too long which I think makes the overbite look worse.  \nAnyway my teeth come together everytime I swallow and I wonder if that could be causing them to stay sensitive to the touch.  Like I said my bite doesn't feel right.  It does feel like my front teeth come together maybe a little too much.\nI guess my question is can my teeth contacting everytime I swallow keep them sore, or sensitive to the touch all the time and never get any better.  If that were to be the case I don't know what I could do.  Thank you for the reply.  I haven't found out much here. honestdoc: Where are you located?  If you live in the US, hopefully you have medical insurance.  Find a TMJ specialist (usually dentists with extra training) that will take your medical carrier and have an evaluation.   Pain associated with TMJ will usually be covered by medical."
  },
  {
    "id": 1147,
    "title": "Black Artifacts on Digital Xrays",
    "dialogue": "rideforever: Most artifacts are white.\nI believe that on older film Xray black artifacts also sometimes occurred due to handling errors.\nCan anyone provide information photos or reseources for black artifacts on digital xrays ?\nThank you honestdoc: Are you encountering numerous radiolucent artifacts? MattKW: Please post up examples. rideforever: It's a technical enquiry, does anyone know the technical details of black artifacts ? MattKW: rideforever said:\n\n\n\n\t\t\tIt's a technical enquiry, does anyone know the technical details of black artifacts ?\n\t\t\nClick to expand...\n\nNever seen black artifacts on digital films, only white. It may be something specific to the type of system, the software, the machinery, the handling, .... What else can I say unless you show us an example?! rideforever: I thought there might be some expertise on the matter here.\nI have read that on digital xrays the only black artifacts come from flecks of metal left over in the sensor ... these appear as geometric shapes reflecting the flecks that create them, rectangles and geometric shapes like that.  They are quite easy to identify.\n\nBut I would like to know if anyone knows of any other black artifacts on digital xrays or has resources to point to which have the info."
  },
  {
    "id": 1148,
    "title": "Pain in back tooth",
    "dialogue": "charlie123: so I've had sensitive gums for a while now and I've been dentist numerous times about it . couple weeks ago I got really bad pain in my back tooth well think it was my back tooth couldn't really tell where pain was coming from .   she said I had a infection and give me antibiotics the first ones didn't work so I went back and she give me some different ones. the pain as gone a lot it's still sensitive thou and I have a sore on my gum behind my front teeth now.. anyway I been back today and she said that if it starts  to hurt again to come back and she will look at maybe a root canal .  i cant cope with it coming back will antibiotics alone get rid of infection . dont they ave to do something to the tooth or wherever the infections come from . dont they do something so it dosnt come back not wait till it has  ? im so worried about It . does anyone know been in simular situation. thanks MattKW: Sensitive gums or tooth?\nSensitive to hot, cold, or pressure?\nAny Xrays to show us? charlie123: MattKW said:\n\n\n\n\t\t\tSensitive gums or tooth?\nSensitive to hot, cold, or pressure?\nAny Xrays to show us?\n\t\t\nClick to expand...\n\n\n\nshe didn't do any xrays .. it's just tender now it was sensitive to hot and cold. \nit was my gum and tooth \nI want to know if antibiotics work on they own or will the tooth need work? that's what im worried about I don't want to jsut leave it and it be getting worse MattKW: With such little info to go from, I don't know enough about the nature of your problem. It is not good practice to only give out antibiotics in the hope they will somehow work. The cause of the infection has to be tackled in order for the antibiotics to have best chance of working. Go back again or go to another dentist. A_s: Is there any photographs or radiographs?"
  },
  {
    "id": 1149,
    "title": "How does pocket reduced after scale and polish? or after flap surgery?",
    "dialogue": "A_s: What is the mechanism behind pocket reduction after scale and polish?\nI know there is repair by forming the long junctional epithelium. But how the pocket is reduced? What is the process?\nThank you!"
  },
  {
    "id": 1150,
    "title": "Holes in mouth to sinuses",
    "dialogue": "31jd: I am working with a client that has holes in his mouth from his wisdom teeth removal several years ago. These holes are open to his sinus cavities. I am searching for someone that can provide the care he needs to have these addressed.  Please help. Any suggestions referrals would be greatly appreciated. John Roberts: Good for you for asking for help. MattKW: If you don't feel confident advancing flaps to effect a closure, then refer to an oral surgeon."
  },
  {
    "id": 1151,
    "title": "Crown lengthening",
    "dialogue": "TomL: Ok, I was looking for advice on a crown that fell out.  I was told I need a crown lengthening.  I waited 6 or so years to have 2 crowns done last year that had fallen out after around 7 years function.  The dentist who had put them in seemed to think that was a good life span for crowns.\n\nI am thinking there are competence levels with dentists as a fellow worker who had the same dentist last year complained about the crowns he had put in fall out and he had to go back to her.  She was very nice though.  \n\nI am in SW Ct, am looking for an affordable option.  As I have insurance that covers post and crown but not periodontal, are there dentists who have associates in their shop that does lengthening at a discount to make money on the post and crown? MattKW: Crown lengthening has disadvantages. I would be wondering about why crowns fell out after only 7 years. Get copies of your records and go get a second opinion. Or post Xrays etc up here for comment. TomL: Thanks for the advice; I went back to Newfield that did the work last year and then Shel that had done the work previously; I went to the dental school up in Farmington 5 or so years ago that insisted on doing all the cavities first, then told me I would need an implant into the jaw which I can't afford.  The lengthening was mentioned by a couple dentists as an option, but one in Bridgeport said that an implant would be necessary at $3500! Can't afford so won't get that done.  I would go to Breiner in Trumbull who is the best I have been to but he doesn't take my insurance. honestdoc: Like Dr. MattKW mentioned, try to obtain a digital x-ray from the dentist and post it here.  As you experienced, different dentists will give you different opinions...some more motivated by profit/production.  Most of my patients cannot afford crowns, surgeries, implants, etc and hopefully I can give you options as I would give my patients. TomL: I went to three places, here is one of the xrays; they all seem to want to do full panels but this should be enough. TomL:  MattKW: Those sort of small lower incisors with root canal therapies are very prone to fracture. So I think 7 years for that sort of tooth is reasonable. Those type of screw-in posts are risky as the roots can fracture more easily. There's no good answer here\n\nCrown lengthening is only going to make the situation worse because you will take away some supporting bone of teeth that already have short and thin roots.\nYour best chance is to do cast parallel-sided posts with gold cores (all one piece). You have pre-made posts with pre-made \"cores\" that are for desperate situations - I wouldn't use them. Even with cast-post-and-cores I would be worried about the longevity of those teeth, and unless you have money to burn I would probably not advise it.\nA simpler idea is to just put in pre-made posts and build up with composite for cheapest alternative. At least when they fail you won't have spent as much as proper crowns.\nOr extract the teeth and put in a denture. A bridge is another possibility but carries its own set of risks - careful assessment would be required.\nImplants would be the only way to get some sort of guaranteed long term stability and strength.\nBTW, how old are you, and do you have all your back teeth? TomL: I'm 59, in good health, health food mineral rich diet.  \n\nBack teeth are OK.  \n\nFor economic reasons implants are not affordable, $3500 was quoted.  I have insurance that covers posts, crowns, fillings, etc..  So an option is just re-doing the crown where it was, only better by a better dentist this time?  Frankly I would go to Dr. Breiner if I could afford him, he is the best I've seen in the area. honestdoc: The 2 teeth with crowns (not sure which x-rays are correctly displayed) have a poor prognosis.  The intact crown has root disease and possible root fracture.  It is most predictable to take out the 2 teeth.  I dislike most bridges because you have to drill on good teeth and when it fails, you lose those good teeth as well.  Bridges can almost reach implant prices.   My opinion is to consider partial denture and in the future consider implants.  Downside is partial denture can feel and fit awkward.  \n\nSeparate discussion is on prevention.  Did you have trauma to the 2 front teeth earlier in life?  My main concern is possible grinding/clenching.  I noticed some incisal wear.  There is a possibility that grinding/clenching has the potential to damage any restoration especially implants. TomL: Probably right about trauma and grinding.\n\nIs a post and crown as is possible here?  I would go on a soft diet if necessary. honestdoc: Anything is possible but I'm fairly confident it will not last longer than a month or so.  No licensed dentist will attempt that.  The tooth with the intact crown is infected with what looks like a root fracture.  If you try to put a post & crown on the retained root, there will be no ferrule and violate periodontal biologic width.  Even if the post and core remain intact (for a short period without ferrule) you will have severe gum problems.  Consider a partial denture (different grades/levels/materials of partials and fees) and save for implants in the future. TomL: With these recommendations, how much would fall into post and crown which my insurance covers?\n\n\nYour best chance is to do cast parallel-sided posts with gold cores (all one piece). You have pre-made posts with pre-made \"cores\" that are for desperate situations - I wouldn't use them. Even with cast-post-and-cores I would be worried about the longevity of those teeth, and unless you have money to burn I would probably not advise it.\nA simpler idea is to just put in pre-made posts and build up with composite for cheapest alternative. At least when they fail you won't have spent as much as proper crowns.\nMy insurance only covers crowns, cavities, root canal, etc.. MattKW: You would have to get itemised quotes so you could then ask your insurer directly. But as I said before, trying to hang onto those teeth in the long term is not very likely. Maybe it's time to cut your losses and extract, then place metal framework denture. The KISS Principle is always best. TomL: Thanks for all the advice.  At this point I can't afford anything the insurance does not cover more or less.  I paid a lot last year to do the two crowns, one has fallen out the other is a little wobbly. John Roberts: It's amazing you can tell all that by just looking at the xrays.  My teeth have been killing me for three years.  Been to countless doctors and dentists.  My gp says neurological.  My regular dentist says he can't see anything wrong.  I have told him my bite doesn't feel right and he just seems to pay no attention.  Maybe I so have some type neurological problem but when all you teeth are super sensitive and hurt all the time I think something is wrong with my teeth.  I was treated for trigeminal neuralgia twice and didn't do a thing.  I am going to a orthodontist next week and talk to him.  I don't look for any miracles but I am hoping. MattKW: John Roberts said:\n\n\n\n\t\t\tIt's amazing you can tell all that by just looking at the xrays.\n\t\t\nClick to expand...\n\nWell,this is a case more about mechanical failure than neurological problems which can be much more difficult to fathom. John Roberts: I have been to three neuroligist and one pain management doctor.  The pain management doctor labeled me with tn 6 years ago.  One neurologist said dental, one said tn and one said he didn't have any idea.  I have way more symptoms of o occlusion type problems than a netulgia.  My teeth are the same all the time.  I don't have attacks or anything that sets them off.  Sitting on the couch this morning my bite feels like it is more to the right putting more pressure on one of my lower right front teeth.  I am 73 s d just hard headed I guess just not wanting to accept this is not a dental problem especially after it started after a cleaning at the denist hospital with no trouble before.  I held my moth open a long time that day.  Did I get something ever so slightly out of place."
  },
  {
    "id": 1152,
    "title": "Thesis subject",
    "dialogue": "khalil: Hello to all my fellows dentists,\ni wanted to take your opinion on the future of dentistry... i am willing to do a pHD thesis and i need ur advice to choose an interesting subject to make the study.\nanything innovative comes to your mind,??\n3D printing are today the most innovative subject but it still lacks of permanent restorative materials. any idea would be great if we can discuss it here.\nhave a nice day honestdoc: A good topic may be bioactive dental materials such as Activa, Lime-Lite, Mineral Trioxide Aggregate, and bioactive root-canal sealers.  Another topic may be tooth bud implantation.  They are already studying on rats using embryonic stem cells from the rat's bladder."
  },
  {
    "id": 1153,
    "title": "Advice needed on worn front tooth",
    "dialogue": "Monica145: My major concern is one of the front teeth, the enamel is worn and the teeth surface is very rough. My mum offered me some warm lemon juice drink and ginger and unknowingly, I brushed my teeth after consuming this drink and now it's damaged. It become stained a week after and then I went to the dentist, got some fillings on molars and the stain was removed with microabrasion. The tooth's surface is extremely is beginning to become stained again despite me being careful, and I don't consume any coffee or soft drink, and I've only had 4 cups of tea ever since the dental work. I've also increased my intake of dairy products and drink water after every meal, to help the tooth as much as I can. As for teeth brushing, I floss and also use mouthwash, and brush two times a day.\n\nI want to prevent any further any further damage to this front tooth, and have considered getting tooth bonding for it. Will the tooth bonding match the rest of my yellow teeth? Are there any other options for this worn tooth?"
  },
  {
    "id": 1154,
    "title": "Gum boil since 9/11/2019",
    "dialogue": "rjeoifir: I went to my dentist on sept 11th to check my left back molar #18. On the back, it has had a gum boil because I did not brush my teeth with toothpaste for 2 days.\nMy lymph nodes on neck/left ear have also been swollen, so I bought amoxicillin from a shop so that it does not get worse swelling.\nShe took an x-ray, pic came out good, there was no infection so it does not need a root canal. \nShe gave me a cotton ball with disinfectant, asked me to bite and wait until it would get better or she said she should cut it.\nIt's now already sept 24th. Since it's been a long time, I desperately want to pop it myself, and then bite cotton balls. \n\nShould I do that?\nThank you very much. MattKW: Do you have an impacted or unerupted wisdom tooth behind it? rjeoifir: Oh thank you!  Yes, I had one but had removed it. Sorry to ask the question. It's all good now. Thank you very much."
  },
  {
    "id": 1155,
    "title": "Retained baby teeth",
    "dialogue": "Cara1990: Hi, i'm new to this forum and am hoping someone could offer me some advice. I am a 25 year old and I still have my two canine baby teeth and one lower one. I have all my adult teeth which have grown round them. I have one wisdom molar on my lower jaw on the side of the lower baby tooth which has not come through (is it possible to have one wisdom tooth missing?)\n\nDue to my sister having problems with having a brace fitted on her own teeth, my mum refused to allow me to have a brace or any treatment as such when I was a teenager.\n\n I have always looked after my teeth, brushed twice a day and used mouthwash, I've never had and decay from my adult teeth all very clean. However regrettably I developed bulimia 6 years ago when I was 19 (my mum passed away, this may of triggered it). Since then my teeth have \"eroded\", almost shrunk in size and started crumbing and chipping and breaking in places. My two baby teeth have broken quite literally where the backs to the teeth have broken off, leaving very thin pieces for baby teeth. I have a lower baby tooth which the dentist said was \"hanging on\". I have since managed to stop bulimia nearly altogether. The damage is done though in my opinion. The last dentist I saw took a look at my mouth and said he didn't want to say anything but he could tell I had bulimia at the very end of the appointment as I mentioned it, tiny unusual holes & where there is no enamel left. The pain now in my whole mouth is excruciating and I can barely eat and I avoid sugar and acidic food altogether. I use sensitive enamel care toothpaste which is the only thing that makes the pain manageable.\n\nI have celiac disease which affects my bones due to lack of nutrients from the condition, so my teeth have probably suffered more from being weak and brittle, and I also have MS, none of this has helped but I am not working currently because of the latter illness, so I am on a low income and don't know how to get this treated. I suffer from a lot of mental and physical fatigue and sometimes struggle to take in information/function depending on how ill I am so i'm finding this to be a total minefield right now looking for answers on how to correct this problem with my teeth\n\nThe fact I have 3 baby teeth in my mouth which I am guessing will not last any longer. The prospect of losing these teeth where I will have 3 large gaps in my mouth I find the thought very distressing and depressing. My dentist said don't worry, it's not right at the front when they fall out. When I open my mouth to speak it will be obvious, and to me so it is no consolidation really. Is it possible to get an adult brace and realign teeth in some way? My teeth aren't wonky, just my adult canines aren't where they should be and I will be left with sizable gaps. As for the lower baby tooth, the wisdom tooth has not come through on that side but I don't know if it's there or I only have 3?  Any advice would be very much appreciated. Thanks Plaza Dental Group: I would say a baby tooth like yours can develop a toothache and infection at any age without undergoing any orthodontic treatment. I think you should be fine getting Invisalign and don't worry about your baby tooth. The Invisalign could work and be gentle on the baby tooth as all aligner movements are very slow and incremental. Hope this advice will surely help you. evensmiles: Hi Cara. Unfortunately, fixing your problem has only one solution: Dental implants. Having said that, baby teeth could last for a long time if there's no adult teeth sitting underneath them. I've actually seen adults in their 30s, 40s and even 50s hang on to their baby teeth believe it of not. On average, these teeth go bad at age 30-35 at latest. Once the baby teeth get loose or infected, it's time to remove them. If I were you, I would start consulting with a dental implant specialist in my neighborhood right away. There's always one tooth that is in worse condition as compared to the rest. Start with this one. You don't have to replace all 3 teeth at once. If you plan accordingly, you can remove one tooth at a time and replace it with dental implant so you can extend your treatment over the course of 3 to 5 years. This way you can make small monthly payments to your dentist. If you ignore your problem then you will eventually lose all 3 teeth and get stuck with a huge bill! So in my opinion, start planning early. It sounds to me like you need to find a new dentist, one who specializes in dental implants and has affordable prices! The final question which you might have is what to do during the healing process? After all, it may be 6 months to a year to have each tooth replaced. My favorite option is to wear a set of clear retainers with fake teeth built into them. Basically, your dentist will make you a set of clear retainers that look like clear aligners. Then, he or she will fill in the missing gap with white filling material to resemble your natural teeth. You can wear these while your bone graft and dental implant are healing so you're not embarrassed by having missing teeth. Hope this helps and I wish you best of luck! MattKW: evensmiles said:\n\n\n\n\t\t\tHi Cara. Unfortunately, fixing your problem has only one solution: ...\n\t\t\nClick to expand...\n\nHello evensmiles, just a heads-up. This post is from 2016 so you may wish to watch for more recent posts."
  },
  {
    "id": 1156,
    "title": "Disappointed",
    "dialogue": "Greenman13: On Sunday I broke one of my teeth (1st Bicuspid) where the front of the tooth had separated but remained on intact to the naked eye.\nI had an appointment with my dentist yesterday and she gave me the options of whitening the surface of the tooth or going for a white filling. I decided the best option was the white filling which was £95. I am really not happy with the result as I now basically have a stub of a tooth which is not symetrical and looks completely out of place with the rest of my teeth. It also appears to be at a funny angle. Should I complain to the dentist? Was I wrong in expecting the tooth to remain roughly the same size and shape after this procedure?\nKind Regards MattKW: You'll have to talk to the dentist. On rare occasions I will deliberately make the replacement filling for a broken tooth shorter so that it doesn't take as much biting pressure as before, but I always warn the patient in advance."
  },
  {
    "id": 1157,
    "title": "Can someone explain what inflamed gums means?",
    "dialogue": "Question?: Hi , I visited the dentist a couple weeks ago to get tar tar removed from my bottom front teeth and she said my gums were severely inflamed. I was too scared to ask what that actually meant , is it serious ? MattKW: It means that the bacteria associated with the tartar, plus the physical roughness of the tartar, has caused your gums to mount an immune response. It's just like if you get a splinter in your skin - the body rushes blood cells to the area, so it goes red and swollen. If you clean your teeth, then the inflammation will go away."
  },
  {
    "id": 1158,
    "title": "I have terrible teeth.",
    "dialogue": "Samo: Well from the front they look pretty good, which hasn't really helped matters, \nWhen I was younger, I had vaneers put in the front teeth, because mine where really thin and week, genetic or something along those lines if I remember correctly, this led to me being referred to a dental hospital who then put the vaneers in.\n\n\nNow I brush twice everyday, around the gum, and use floss between the teeth that are close together.\n\nThe flash is making them look a hell of alot yellow than they actually are,but they are bad.\n\nWhat I'm really concerned about is the gum disese with these front teeth, where you can see the red spot has suddenly become a sharp ridge/hole ..\n\nThe dentist has cancelled the last 2 appointments I have made, which is quite a pain because I book the days off.\n\nWhat can be done at this point, if anything to stop the teeth just falling out. MattKW: It looks like a lot of erosion on those back teeth. Are you a regular drinker of acidic drinks, e.g. soft drinks, juices, sports drinks, flavoured drinks,...? The tartar around the lower front teeth is minor, and the least of your problems. Samo: I'll have a single junk food meal a week, maybe twice,which includes a bottle of coke, and a cigar (no smoking otherwise)\n\nOther than that it's just milk and water and no acidic fruits, just bananas.\n\nUnfortunately they've been like this since I was a child, weak enamel, thin and just generally crap, same with my siblings which is why it was concluded it will have been genetic I think.\n\nI can cut out the junk food, and drop the cigar to once a month, but honestly I don't know what more I can do on top of the normal cleaning?\n\nHow bad do the gums look? The last time I was in the dentist, she was really quite rude but she did say I had gum disese and my teeth would eventually have nothing holding them in honestdoc: The only way to diagnose your gum conditions are to take x-rays to view the bone levels and to probe around your gums for attachment depths."
  },
  {
    "id": 1159,
    "title": "Bumpy/enlarged/inflamed gum 1 month from oral surgery",
    "dialogue": "dante4x: hi guys, i had an oral surgery in my lower left about 4 weeks ago to remove an infected root-canal tooth, and ever since then, the gum tissue around that spot feels bumpy/inflamed when i'm feeling it with my tongue. when i compare the surface of my gum tissues anywhere else in my mouth like on my lower right, everything feels flat and normal. you would think after 1 month of recovery the gum or spot should return to normal but it hasn't. should i go see a periodontist to have this checked out? i'm very conscious of it during the day and it's annoying me quite a bit. thanks."
  },
  {
    "id": 1160,
    "title": "Does using dentures have a correlation with life expectancy?",
    "dialogue": "SugarFiend: I think I read that using dentures can reduce life expectancy by 10 years.  \n\nImagine someone lost all of their teeth at 30, what sort of reduced life expectancy might there be?  Are there any studies on this matter?\n\nWhat of they didn't have dentures but where missing say 4 molars, might that have an effect on life expectancy? honestdoc: The article you are citing is a marketing ploy from an oral surgeon promoting dental implants.  I can't think of any scientific sources to support the theory.  It may be a difficult to isolate direct correlation vs coincidence with medical conditions and or neglect.  You can make an argument for those that don't take care of their teeth, won't take care of their bodies as well.   I worked on a patient who had dentures since she was 17.  The patient is in her early 50s.  Her quality of life may not be as satisfying relative to her peers.   I also worked on many patients who had dentures in the 20s.  I'm not able to correlate early dentures to reduced life expectancy without considering other factors such as pre-existing medical conditions, and lifestyle. winnifred: not sure about that because my uncle lived to be 98 with no teeth just dentures...but the stress from dental work and money will kill you early...its surely stressing me out...My husbands grandma lived to be in her late 90s again no teeth just dentures...my husband dad lived to be 52 and had all his natural teeth so this is bull and be wary of people wanting to make a buck...hope you feel better knowing this winnifred: by the way my uncle ate organic and did take care of himself but back in the day they pulled an infected tooth and it was over with"
  },
  {
    "id": 1161,
    "title": "Fillings",
    "dialogue": "mlh59: I have been seeing a dentist and got all fillings done.\nI had to go to a different dentist to get partials.\nThis one tells me I need fillings in the same place the last dentist already did them recently over the last three months it just seems very odd when my last dentist cleared me for no decaying teeth left to fill MattKW: Then you have to tell the new dentist this and ask why he thinks they need to be redone. It would help if you could get copies of the records and xrays to show him. I've had a number of patients get confused about exactly which teeth have been filled and when. mlh59: MattKW said:\n\n\n\n\t\t\tThen you have to tell the new dentist this and ask why he thinks they need to be redone. It would help if you could get copies of the records and xrays to show him. I've had a number of patients get confused about exactly which teeth have been filled and when.\n\t\t\nClick to expand...\n\nThanks I told him I just had those teeth filled recently and took him my xrays he still insists that they need filling.\nAlso wants to do a cleaning which also ready has been done recently.\nI have insurance but my concern is that I want my partials asap I've already been without teeth needed for eating normally for there months.\nNot to mention going through the same painful proceedures all over again.\nSo what can I do now honestdoc: Why do you have to go to a different dentist for partials?  The first dentist doesn't do them?  How did you know who to go for the partials?  I feel there is a lack of continuity and communication. mlh59: The first dentist doesn't do partials and I called my insurance company to find who near me takes my insurance and does partials and that's who I went to MattKW: Fillings aside, it seems odd that dentist2 sees the need to reclean. That shouldn't be up for dispute. You can refuse treatment and ask that he only does the denture. BTEW, I haven't done dentures for 15 years - too difficult and messy in a smallish surgery, so I refer people to a local prosthetist."
  },
  {
    "id": 1162,
    "title": "If a tooth infection has spread into the jaw and sinus will a amoxcillin kill all infection ?",
    "dialogue": "left-to-die-92: i have had a reoccuring infection the last 6 months . i am being left to die by both dentists and doctors in scotland\ni can feell it spread into my sinuses and jaw . my doctor refused to give anti biotics so luckily i found a guy who sells them on the side\nand dentists are refusing to extract the teeth saying it isnt infection , im a 27 year old man i know what an infection is my gums are red raw and i have foul taste with bad tooth ache and jaw pain the pain is now spreading into  sinuses now its spread into my head i keep gettn stabbing pains now in my head and nearly fainting all the time .\n\nso i have no choice but to self extract with the forceps i bought from ebay . im going to extract the bottom back molars myself .\ni dont want you tell me dont do it !! im doing it either way . either i let the tooth infection spread to my brain and die or self extract\n\nso the question is  if the infection has spread into my jaw ,sinuses and head will an amoxcillin be enough to kill all infection for extraction ??\ni can get 100 amoxcillin pills for a good price from this guy but i think im becoming anti biotic resistant since the dentist kept giving me amoxcillin but refused extraction .\nlately im also struggling to breathe from my right nostril now and i feels like something is going to burst in right sinus . i read up that tooth infection can cause a blood clot in the sinus as defence to stop the infection from spreading . now the back of the roof of my mouth is in constant pain now ,n my upper right molar and ear is aching all of a sudden.im ready to collapse from head pain and dizziness  all the time now ,\n\n\nseems like im F*ked guys\n\nwill amoxcillin kill all infection even if it has spread to jaw sinus and head?\nthank you\n\nsorry for the bad grammar im an idiot honestdoc: One should not self medicate especially with antibiotics.  Most people don't understand oral antibiotics don't kill the targeted bacteria after a few doses and many will only take it sporadically or when they remember .  It needs to be taken for a full course to be therapeutic.  If the infection has spread, certain areas may be very difficult for oral antibiotics to penetrate.  Depending on the severity, one may need IV antibiotics and possibly medical/surgical intervention. MattKW: Are you taking something besides antibiotics? Nandhini K M: Firstly, need a full mouth X-ray to give an unbiased suggestion. \nSecondly, Infections are like an ocean, and not everything can be treated effectively with Amoxicillin alone. And any antibiotics are certainly NOT meant for self-medication. As said by @honestdoc, oral antibiotics might not support you if your rate and spread of infection are severe and high. On that case, you are definitely worsening your health condition and risking it more and sometimes, life-threatening too. Your present situation is much better than what you would encounter it later because of insane activity. Moreover, Antibiotic resistance is a serious issue and just like that cannot be taken without an expert's advice. Any of your efforts shouldn't go vain rite !!! \nThe best thing you can do is to consult a different dentist and take a proper opinion and treatment. MattKW: Yeah, I was being sarcastic again... left-to-die-92: if i extract the 2 molars that are infected at the root , will the abscess drains itself ? MattKW: left-to-die-92 said:\n\n\n\n\t\t\tif i extract the 2 molars that are infected at the root , will the abscess drains itself ?\n\t\t\nClick to expand...\n\nYes, it's akin to removing a splinter. Once you get rid of the source of the infection, your healthy body will clean up the dregs in 99.9% of the time. \nIn some rare cases if the infection has been there too long, it can continue to spread after the extractions and hospitalization with IV antibiotics is necessary - I might refer an urgent case to hospital once every 7 years. For the last fellow I called an ambulance because I was very concerned he was going to pass out on the way. left-to-die-92: MattKW said:\n\n\n\n\t\t\tYes, it's akin to removing a splinter. Once you get rid of the source of the infection, your healthy body will clean up the dregs in 99.9% of the time.\nIn some rare cases if the infection has been there too long, it can continue to spread after the extractions and hospitalization with IV antibiotics is necessary - I might refer an urgent case to hospital once every 7 years. For the last fellow I called an ambulance because I was very concerned he was going to pass out on the way.\n\t\t\nClick to expand...\n\n\nthank you mate , i have had this for 6 month . i have no choice but to extract my own teeth now as im being left , been to 3 diffrent hospitals and 10 diffrent ddentists , \n\nthanks for replyinfg you dont know how much you have helped thank you bro. its time for some self dentistry , wish me luck left-to-die-92: last question when i extract the tooth what should i use to clean it out salt water straight away ? left-to-die-92: cant breathe out my right nostril its been like for 6 months . when i try to falll asleep my body jerks 10 x a night waking me back up this seems very serious now"
  },
  {
    "id": 1163,
    "title": "Is it good to mouthwash after EVERY meal/drink?",
    "dialogue": "modestas: I wonder since mouthwash contains fluoride and other ingredients... would it not somehow affect enamel/oral health if rinsing with the mouthwash after every single meal or acidic drink?\n\nI have been doing so for the last 10 years or so and didnt have any dental problems. but now started to wonder should I carry on or not... cause for example since brushing after every meal might damage the enamel as far as I know, is there any health risk of using mouthwash after every meal?\nthank you. MattKW: No particular risk, except maybe to your wallet. If you brush and floss well, then the contribution of a standard mouthwash (not a fluoride mouthwash) is negligible. honestdoc: Your questions about any health risk associated with mouthwash after every meal are legitimate.  My concerns are constant chemical irritation to the oral tissues.  I checked with ACT fluoride rinse and it doesn't seem to include alcohol.  Alcohol can potentially harm the tissues long term.  The second problem I encounter with people using mouth rinses is their tendency to take the lazy way out...\"I don't feel like brushing and flossing so I'll rinse for 5 seconds and call it good.\""
  },
  {
    "id": 1164,
    "title": "Are nuts acidic and not healthy for enamel?",
    "dialogue": "modestas: I have seen some articles that nuts and nut butters have low ph. I searched the web but couldnt find nuts ph acidity. anybody knows what ph do nuts have? if so, source pls\nthank you. honestdoc: I'm not sure how valid (peer reviewed) this link is... https://foodary.com/130/acid-alkaline-nut-and-seed-products-food-chart-2/   There are a lot of different values of the acidity/alkalinity of nuts depending on what kind of nuts and how they are prepared.  As a dietary viewpoint, it has a lot of beneficial nutrients.  From a dental viewpoint, if someone has a lot of large fillings, he/she may need to consider having crowns due to its high teeth/filling fracture potential. TomL: I would think that raw nuts, not rancid though, would be preferable to roasted for the teeth.  Almonds, walnuts, etc. could be a nice addition to the diet.  Getting enough calcium, magnesium and other minerals are overlooked by some."
  },
  {
    "id": 1165,
    "title": "Chipped tooth #18, has huge filling already",
    "dialogue": "Dental Impatient: Tooth 18 has a huge filling in it and I chipped off a huge chunk of enamel from the top. I know it's going to need a crown, that's a given. Here are my concerns. \n\n1. I'm very concerned that when he gets in there to remove the filling, the tooth is going to crack and need to be pulled. I know this is a risk regardless. Tooth 17 was pulled a long time ago, and 19 was pulled and I have a dental implant there. If I do have to have 18 pulled, will the implant prevent teeth 20+ from shifting?\n\n2. Should I go ahead and just get it root canaled? I'm reasonably certain that there's so much filling in there that the root will be exposed when it gets opened. Wondering if it'd be better to just see my endodontist and get that knocked out. \n\nThanks in advance. MattKW: Taking out the filling won't cause the tooth to crack. But if I see a large cracked filling like that, I worry that the crack may also already be present in the tooth underneath. You have to take out the filling to see, and then you have to assess if the tooth is still suitable for a crown.\nThe implant will prevent other teeth from moving.\nIf you have no pain, then the tooth will be a better base for a crown if it hasn't had an RCT, so try to avoid an RCT. The first step is to get out the filling and assess is you will be able to save it with a crown; an RCT is a secondary consideration. If the tooth will be too weak to support a crown after an RCT, then I don't start an RCT. What's the point in putting a new engine in a car with a crapped out chassis?"
  },
  {
    "id": 1166,
    "title": "A new bridge.",
    "dialogue": "Antonio: Hi Everybody! I have a big money question: my dentist has to re do my Bridge that he/she installed years ago my problem is : the work has already been done on the teeth to glue the bridge on,  he/she cut the old bridge and cleaned the two but one need a root canal he/she is charging me approx 1500.00 3 times i don't understand why,   I know I have the pay for the new bridge but why i am getting charged again the other 2 ? Can somebody explain? I think it should be the bridge, the root canal and the cleaning of the 2 that hold the old bridge...please help me understand this... honestdoc: Bridge is charged out depending on units (number of teeth and pontic).  So a 3 unit bridge (2 abutment teeth and 1 pontic) gets charged 3 times a unit crown charge. Antonio: honestdoc said:\n\n\n\n\t\t\tBridge is charged out depending on units (number of teeth and pontic).  So a 3 unit bridge (2 abutment teeth and 1 pontic) gets charged 3 times a unit crown charge.\n\t\t\nClick to expand...\n\nThank you so much sir, even if it’s a replacement bridge ? Like take one out and put a new one in the same place? honestdoc: Most likely they will make a temporary bridge first.  Then they will take out your existing bridge by drilling it out.  They can't use that drilled out bridge anymore.  They will refine the abutment (teeth underneath the bridge) and take an impression and glue the temporary bridge in.  The dentist will send the impressions to the dental crown & bridge technicians to fabricate a new bridge and cement it back in your mouth when it is finished.  It is very labor intensive and the impression materials are very expensive which is why the bridge fees are so high. MattKW: Just drilling off the old bridge can take quite some time, and then you have to get rid of all the old glue, and probably have to readjust the height of the margins if your gums have receded."
  },
  {
    "id": 1167,
    "title": "Teeth-damaged teeth",
    "dialogue": "snaggletooth: My front bottom teeth dig into the backs of my upper front teeth and I'm wondering if that damage can be repaired by drilling and filling. MattKW: It usually only becomes a problem in a couple of circumstances:\n\nIf your lower teeth dig into the gums and start pushing them off the upper teeth - you'd need to see an orthodontist.\nIf your lower teeth are chipping badly, or your upper teeth are wearing excessively. This is usually due to lack of back teeth nad/or too many acidic drinks. It is sometimes reparable, but you'd have to see a dentist or even a prosthodontist. snaggletooth: I can't afford a prosthodontist. Can a dentist repair the damage? I use a night-guard when I sleep. MattKW: What was the cause of the damage? Missing back teeth or acidic drinks? snaggletooth: As I said, the tops of the bottom teeth dig into the backs of the upper teeth. Apparently the cause is Bruxism, but I use a night guard now and I don't grind my teeth when awake. MattKW: Then the nightguard will have to do. If you can afford it, get a cutom-made by a dentist or dental prosthetist; don't get DIY form a store or internet. snaggletooth: You're saying that the damage done to the backs of the front teeth can't be repaired with fillings? MattKW: Without the benefit of seeing you, in my experience it means that if you build up the back of the teeth, then that will open your \"bite\" and you will either have to open up all your bite (i.e. build up all teeth), or hope that the back molars overerupt to compensate. snaggletooth: Does this mean that if I go to a dentist he probably will not drill and fill the back of the front tooth? I'm too poor and too old for crowns. MattKW: Probably will not drill and fill. snaggletooth: What do you know about Silver Diamine Fluoride? MattKW: Useful for sensitivity, probably good for early decay. It cannot rebuild tooth structure that is not there. honestdoc: Silver Diamine can darken your teeth.  Another option is to lightly adjust your lower teeth so they won't bite heavily against your top teeth. Busybee: honestdoc said:\n\n\n\n\t\t\tAnother option is to lightly adjust your lower teeth so they won't bite heavily against your top teeth.\n\t\t\nClick to expand...\n\nHow can you recommend this without examining this patient's teeth or checking their bite? honestdoc: Busybee said:\n\n\n\n\t\t\tHow can you recommend this without examining this patient's teeth or checking their bite?\n\t\t\nClick to expand...\n\nCan you make that examination possible for me?"
  },
  {
    "id": 1168,
    "title": "Clicking sound or popping sounds in front of ears when opening the mouth and moving the jaw",
    "dialogue": "Du_deleted: Hi all,\nI had a cavity filling 8 months back on my left side teeth. (13,14,15,19).  I have some issues with fillings and I have to go to a different dentist for that.\nRecently,I am having this issue. I am hearing some popping or clicking sound in my ears or near my jaw joint when I open the mouth and sometimes when swallowing something. I hear it only on the left side ears. So, is this anything related to my fillings on the left side? \nOr it could be cold or sinus problem? I had cold for 2 weeks. But the sound was there before that too.  Any inputs on this please. What should I do? \nI asked about this to my dentist once. He said my bite looks like a donkey bite where I am moving my teeth to right side jaw and closing the mouth. He said that's normal.\nI really don't know if I have donkey bite. Whether that's the reason for the popping sound? Busybee: It sounds like a clicking jaw.  It means one side isn't engaging as it should.  It's not normal but it's very common.  Usually doesn't cause problems, but can cause pain.   It may have been worsened by your recent dental work. Du_deleted: Busybee said:\n\n\n\n\t\t\tIt sounds like a clicking jaw.  It means one side isn't engaging as it should.  It's not normal but it's very common.  Usually doesn't cause problems, but can cause pain.   It may have been worsened by your recent dental work.\n\t\t\nClick to expand...\n\nThank you so much for your reply.\nI will check with the dentist next time when I go. John Roberts: TmJ.  Read up on it. Nandhini K M: Hi,\nClick sound will occur for various reasons. Yes, it is possible because of your filling if it has \" high-points\". This you have to rule out with your dentist. However, another major reason could be the eruption of the wisdom tooth ( if you are at the age of 19-25 years or even more and if your wisdom tooth gets impacted), kindly Check with that too. Malocclusion could also be a reason where your bite is not in proper order. This can be rectified with orthodontic treatment. You have to sort out the actual cause to rectify the issue. I have explained about it in more details in my page about the reasons for clicking sound in the TMJ, You shall also have a look on to it for an overall idea."
  },
  {
    "id": 1169,
    "title": "Not being sure which tooth is the problem",
    "dialogue": "Charlieboy: Hi all \n\nHere is my issue, I have a tooth in the upper right hand side of my jaw that I suspect is bad or has faults for the following reasons:\n\n1. I get a.  bad taste from that area\n2. I never get blood from brushing but sometime if I suck hard or poke between the teeth I get bleeding it is hard to tell where the blood comes from I wonder if there could be something in the tooth some blood supply that bleeds\n3. I have been to several dentists none can be confident of which is the problem except when one put something on number 7 and it was very unpleasant / sore (four or so years ago)\n4. I feel I get a build of pressure in the area 6 / 7 and number 7 concerns me as there is an amalgam filling going down forming where the outer part of my tooth was and it looks to go right down and be in contact with my gum line. Is an amalgam filling in contact with the gum line some of a concern? I wonder if it could leak directly into my gum line.\n5. No 4 has been route canaled and I am also uneasy about route canals based on some of the information I have read, I am tempted to have it out. \n6. If I get any new filling in England what is the best material to go for these days, is there one that could go in contact with gum tissue. \n7. Between 7 and 8 I can get food trapped but I try to keep it clean I can go weeks without any bleeding just sometime when using tooth pick or floss I get the issue I think it happens most after trapped food that I have missed and later go out. \n8. I get no pain from the teeth.\n\nAny thoughts will be great \n\nMany thanks\n\nCharlieboy MattKW: Can't tell too much without Xrays. An amalgam in contact with gumline will give a better seal than a composite (white filling), and is to be preferred for deep cavities or cavities going below the gumline.\nBut the gum can only tolerate a certain amount of foreign material (filling), so you'll have to see a dentist for a fuller examination with Xrays. You can get digital copies of your Xrays and post them up here or via Imgur.com if you want further comment."
  },
  {
    "id": 1170,
    "title": "Dental Hygienist stating I have gingivitis.",
    "dialogue": "tonyr1512: Hey guys I need your input, I'm a healthy 35 year old male with straight teeth no cavities until a few years ago got diagnosed with my first cavity with filling. I recently switched dentists and they did there set of xrays, what I was wondering is the dental hygienist, not the doctor did my exam if you want to call that and rated all my teeth with periodontal numbers stating all my molars in all quadrants were 5 and greater that I had gingivitis and needed a deep cleaning and with my insurance is going to cost me around $500. I never had an issue with my teeth, but what I want to know is it within a dental hygienist scope of practice to give periodontal numbers versus the DDS. The DDS came later and never said anything else about my periodontal numbers and they are now trying to schedule me for a deep cleaning. so again is it within a dental hygienist scope of practice to give periodontal numbers? or should I see another dentist. honestdoc: What were your gum readings previously?  You can get a second opinion.  If the x-rays show full bone heights (no bone recession/loss), probing numbers should be low although x-rays are not 3 dimensional.  In the US, hygienists are licensed and are allowed to document their readings.  Some may be paid on production and may have incentive to over treat."
  },
  {
    "id": 1171,
    "title": "White painless bump on gum",
    "dialogue": "Oleboydoug: I have had a white bump under my gum for a little over a year now. It is completely painless and it’s very visible until I pull my lip down. From what I can tell it hasn’t grown since I first noticed it. Just a little worried it’s something dangerous. I have had one dentist look at it and he wasn’t to concerned but I wanted a 2nd opinion. Thank you honestdoc: Can you provide more images?  I'm seeing various small white dots.  If you are referring to the big bump under the tooth, it is normal bony contouring."
  },
  {
    "id": 1172,
    "title": "Six year old mollar question - Mini tooth/root!?",
    "dialogue": "eddavidson: Hi Folks, newbie here so apols if I'm posting this in the wrong place.\n\nI noticed a few days ago that my 6 year old son has what look like two very small molar (approximately 4mm x 4mm) in the gum of where teh six year old mollar is starting to erupt. They are wobbly and not part of the actual tooth. My wife took our son to the dentist (in the UK) this morning where he said they were so wobbly that he simply tweaked them out. There was little blood and no pain but he did say he'd never seen anything like this before and they were either part of a root or a small cap that helps the eruption but isnt part of the tooth.\n\nHas anybody heard of this before, seen anything like it with their kids. Now they're out I can see the actual tooth nice and shiny and waiting to sprout.\n\nThanks in advance, pics attached/below\n\nEd MattKW: Don't know. Hard to say from those photos alone - hopefully it's not part of the adult teeth. Time will tell. eddavidson: Thanks, yes.\n\nDentist has confirmed no decay and not part of the erupting molars and the items removed from lower left and right side are pieces of root. You can now see the fresh white teeth coming through below. It’s almost as if my son was almost going to have three waves of teeth! \n\nWhat and where from remains a mystery! MattKW: Consider getting an OPG (full-head) Xray to check for other anomalies."
  },
  {
    "id": 1173,
    "title": "In agony",
    "dialogue": "Annette R: I have an unbearble toothache, its been going on for 10 days, I was given antibiotics that did not work, and today I was given a different antibiotic Metronidazole 4000mg. I have been alternating painkillers, 500g paracetamol,now taking 1000g, every 4 hours and Ibuprofen 400g every 3 hours. I cannot sleep, it hurts constantly and painkillers are not working, I am hoping these antibiotics will work as I a in so much pain. its affecting my ear, the pain is so bad it makes me shake when its at its most intense.\nI also have swelling on the inner cheek lining? on the same side as lower  my double tooth which is painful. I had an at the beginning of the first appointment which  I was seen without a pre arranged appointment due to being seen on the day I rang with the pain I was in, had an  xray and was told to either have it removed or have a root canal at another appointment and had prescribed antibiotics .\nI am going back monday to check up . I had to go to an emergency appointment today as I cannot sleep and no painkillers are working, I am in so much pain, I cannot lie down to sleep, I can barely eat. The infection appears to be in the root I am only getting through the pain by holding water on the side of the infected tooth, and keeping it there until the wave of pain subsides.then repeat again and again all the time.  I have not slept for 3 days, I cannot sleep in such pain. I dont know what else to do.Any help or advice, I cant stand the pain . should i go to A and E to get help? MattKW: Do not rely purely upon antibiotics as they don't always work. Can you get into any dentist ASAP for the extraction or start of a root canal therapy? I doubt A&E will be able to do anything except maybe admit you and put you on IV antibiotics, but much better if you just get something done to the tooth ASAP."
  },
  {
    "id": 1174,
    "title": "Review Management Software that is HIPAA compliant?",
    "dialogue": "Thiery27: Does anyone have any experience with an online reputation management software that is fully HIPAA compliant that will \"hide\" the client's information? Thiery27: Anyone? AlishaS: Super late! Try Medcohere  Free trial for new users as well. Completely secure"
  },
  {
    "id": 1175,
    "title": "TMJ/Crown Issues",
    "dialogue": "AMich19: Last weekend I had a crown on my upper left side pop out. Everything looked fine, and it was replaced Tuesday. This happened while I was in the middle of a pretty nasty TMJ flare up. Flash forward to today and a tooth I had a root canal on about 10 years ago has started to hurt (on the opposite side). It has never hurt before and I haven’t had any issues with it. My jaw and neck are hurting, and the old root canal tooth is sensitive to touch. My dentist did file down the crown on my left side and a few of my other teeth to relive my bite, could this be why my root canal tooth is hurting? Could it just pain associated with TMJ and the dental work made it worse? I feel like I’m going crazy. MattKW: I would get the old root canal reassessed."
  },
  {
    "id": 1176,
    "title": "Teeth of a patient",
    "dialogue": "UnknownUsar222: This patient's teeth is weird, I don't know what type of formation is that? Any ideas what is that condition (file attached). honestdoc: Lower teeth are canted possibly due to trauma during jaw development and or possibly bad orthodontic and orthognathic treatment to try to correct it."
  },
  {
    "id": 1177,
    "title": "Wisdom tooth possibly infected? Image inc.",
    "dialogue": "Katie98: Hi, I have query about my wisdom tooth. I am seeing my dentist in 2 days but I’m concerned I need to see them sooner. The gum above my wisdom tooth has a large gap/ hole in it. I have a very small about on pain and discomfort in the area but it’s like a 2/10. Also have a headache and minor ear ache but could be unrelated. Any advice?"
  },
  {
    "id": 1178,
    "title": "Black spot on my tooth but doesn't hurt?",
    "dialogue": "Micah klassen: so I noticed this spot on my tooth a couple years ago and I sorta presumed it was something from the dentist when I was younger, but is it potentially a cavity? Doesn't hurt at all. sophiewass99: does anyone know what this is?? I have something exactly like that but slightly smaller. I also have tiny ones behind my teeth. I don't think it's a hole. How can I fix it?? Zuri Barniv: Your picture is out of focus so I can't know for certain. If it has looked this way for a \"couple of years\" and hasn't changed then it is almost certainly a normal metal filling. In the profession we call it a \"buccal pit amalgam\"."
  },
  {
    "id": 1179,
    "title": "Terrified, can't sleep - Periodintitis?",
    "dialogue": "v0latile: Hi all,\n\nA bit of background: last teeth cleaning was last summer/fall and had no major issues. My teeth brushing habits at the time were brushing 2x per day and flossing a few times/week. Since then I've gotten a bit lazier and notice that I usually brush only once per day (electric toothbrush) and floss a few times per week (I know it's awful..and I'm not sure why I backslid into laziness..)\nLong story short - I was supposed to have a cleaning in February but missed it due to switching insurance. I still haven't been able to find a new dentist that is suitable but at this point I'm willing to see whoever. \nLately I've noticed that there's a bitter taste in my mouth. Even if I floss and brush several times per day it won't go away. I'm hoping its just telling me I need a cleaning but I'm petrified that it's periodintitis, that I'll lose my teeth and that it's irreversible.\nI feel extremely guilty and anxious that I've been ignoring this problem and that now it might be too late. \n\nPosting image below at the end of this post, can any dentists let me know if they have any thoughts based on the photo? and how quickly it can progress from gingivitis (if it was in that stage first?)\n\nI don't have any symptoms except occasional bleeding when flossing in the back molars (top mostly) and the bad taste. I don't think gums have receded but my understanding is that damage can all be under the gum?\nI haven't been able to sleep all night, unfortunately got sucked into too much googling and reading horrible articles about how dangerous this is. I feel like such an idiot for not keeping up with brushing enough  \n\nhttps://imgur.com/a/WkGf02N honestdoc: Unfortunately we cannot diagnose without x-rays and clinical examination including probing your gums to measure gum attachments.  The x-rays will reveal the level of bone attachment and if any bone has receded, that receded bone is permanently lost.  Gum probing shows 2 valuable information.  The higher the number (5 and over) shows greater gum attachment loss and bleeding which shows active disease and inflammation.  You can have bleeding and inflammation with no bone loss (gingivitis).  If you have bone loss, you need to quickly receive deep cleanings and re-evaluation for gum improvement.  If your gums improve, you must have regular maintenance and followup because periodontitis usually damages bone in spurts and cycles for life.  If your gums don't improve, you need to see a gum specialist (periodontist) for possible gum surgery or laser treatments.  Possible conflicts of interests with periodontists are that they make more money placing implants than saving teeth."
  },
  {
    "id": 1180,
    "title": "Almost three years of referred pain",
    "dialogue": "Mark2675: A little info about myself. I am in my late sixties and have had issues with TMJ. Sometime in the last 2-3 years I started experiencing pain in the left side of mouth. It was infrequent and would come and go. It was never in an exact area. Sometimes in my jaw, other times in my lower molars and then upper molars. I could be walking or sitting and suddenly a crescendo of pain. It might last for a few hours and then things would be fine for days and weeks. My dentist would test my teeth and never find anything wrong. X-Rays would reveal nothing. The pain would disappear for a few months and then return. I would have my teeth cleaned regularly and the hygienist suggested I might be grinding my teeth. After one of the cleanings the pain went away. Then it came back. The dentist even shaped some of my molars slightly hoping that would alleviate the pain. It was suggested I go to a neurologist saying that I might have Trigeminal Neuralgia. I went to a local chiropractor who treated me for TMJ years before and his associate said I had all the symptoms of Trigeminal Neuralgia and they had a device that many chiropractors were using with success but the treatments were too expensive. I tried to using a mouthguard to prevent grinding. It didn't help the pain.\n\nI went to an oral surgeon who took a parabolic x-ray and he confirmed I was grinding my teeth at night. The pain became so bad that I couldn't sleep on a pillow on that side of my face. I was going out of the country for three weeks and I called my dentist to see me again just to see if there was anything he could give me to make it through the trip. Finally the pain revealed itself after almost three years. This time when he blew air on my one of my rear molars I reacted. All the previous trips to the dentist tapping on my teeth and blowing air on them the nerve never reacted. He sent me to an endodontist and when he went inside the tooth he saw what was causing all the pain. I had a root canal and just had a crown put in when I returned.\n\nI am so upset about this because I can't believe I had to suffer for almost three years. The last 10 months have been absolute hell with pain every day. As I am neither a doctor or dentist or knowledgeable in the the diagnosis of pain I don't understand how no one could figure out that I had internal tooth decay that was causing the nerve inflammation and referred pain. How can't there be any type of imaging device to reveal where the pain was originating. Have other people had similar situations. I am not looking to level blame but this isn't the 1800's when dentistry was in the dark ages.\n\nI just remembered and forgot to put this in the original thread. My lower molars became sensitive to slightly cold water in the last several months and one my symptoms also in the past couple years was when I chewed food on that side of my mouth if felt like there was pain below one of my fillings. In both cased the dentist found nothing wrong. MattKW: Pain can be very elusive. I had a patient who'd been to a dentist with pain but found nothing, went to a GP who found nothing and referred him to a neurologist. The neurologist gave him some hefty neuropathic medicine which did nothing, then patient went to ER and had full head scans, blood tests, the works - nothing found. Patient by now has now been suffering immensely for several weeks.Went to a GP that I know who then referred him to me for 2nd dental opinion. The fellow had very good teeth with no previous fillings or extractions. I found an almost imperceptible crack in a perfect lower molar - a hopeless prognosis so I extracted it and all pain gone. \nI have only ever seen one similar case in 40 years. And to make it harder for you, the suffering patient, is that the longer the pain continues undiagnosed, the more confusing the signs and symptoms become. Mark2675: When thinking about it now there were enough symptoms to pinpoint that it was originating in the lower molars. The sensitivity to cold water or drinks in that area and one of the original symptoms which was the feeling that there was a bad filling when I chewed food on that side. Strangely that symptom disappeared the last several months which was replaced by the sensitivity to cold liquids. I used Sensodyne during that time and it didn't help at all. It took the internal decay all those years to worsen for the nerve to finally react on the surface of the tooth for my dentist to find it."
  },
  {
    "id": 1181,
    "title": "Billing to insurance companies...",
    "dialogue": "jlou122: I know they are ridiculous, but is it ever ok to file for bitewings one day, and the panoramic film the next (if they are both taken on the same day)?  I feel its fraudulent, but my office manager seems to think its ok. help! honestdoc: Unfortunately it is fraudulent to bill at different times from actual treatment.  Also during billing, the paying insurance company will require records including dates on when the procedure is completed. jlou122: honestdoc said:\n\n\n\n\t\t\tUnfortunately it is fraudulent to bill at different times from actual treatment.  Also during billing, the paying insurance company will require records including dates on when the procedure is completed.\n\t\t\nClick to expand...\n\nthat's what I thought. I worry about it catching up to them and being audited. doesn't happen that often, but I am extremely uncomfortable. We still have to play by the rules. thanks for your confirmation!"
  },
  {
    "id": 1182,
    "title": "Dentists, what are your thoughts about investments?",
    "dialogue": "TimLi93: Hello everyone, hope you’re all having a fantastic day!\n\nI’m starting my own small business as a consultant for dentists who are interested in developing a investment strategy. I’m basically helping dentists learn to how to create and manage their own investment strategy, without having to dedicate a lot of time or energy to execute. \n\nBut before getting serious about it, I’d like to find one or two more test clients to really perfect my method. I won't be asking for anything but constructive feedback or recommendations. If you’re interested send me a message / comment below!"
  },
  {
    "id": 1183,
    "title": "Deep cleaning question",
    "dialogue": "Kristina555: I need a deep cleaning where they go under the gums. Do they inject behind your teeth and in the roof of your mouth?\n\nIs the numbing gel that is inserted into the pocket sufficient? Dr M: Good day,\n\nI understand that what you are referring to is Root planing, where the dentist attempts to scrape clean the root surfaces of your teeth to allow an improvement in your periodontal health.\nDuring this procedure it is quite common for the practitioner to inject small amounts of local anaesthetic to reduce the sensitivity of the procedure. It might be possible to receive a injection in your palate as well.\nA topical anaesthetic might be applied to reduce the pain of the injection, but this is very subjective from person to person\n\nMy advice is just to stick it out. The pain is just for a second or two and thereafter it is over \nHope this helps! Kristina555: It wasn't bad. She used the numbing gel, I think it's called oraquix. I didn't need injections. My teeth weren't sensitive, just a couple spots but it was ok. I asked her halfway through if she was even going under the gums. First she used this device that sounded like a drill, but it was ok. Then she manually scraped, which was intense but it never hurt."
  },
  {
    "id": 1184,
    "title": "Itchy, swollen lips and there is a white lining inside my cheeks and an aching tooth.",
    "dialogue": "cherbie: i have a itchy, swollen lips and there is a white lining inside my cheeks and an aching tooth. what do you think is the cause of this? i need hep this is very itchy. \nits in 5th day today. honestdoc: Can you remember what you ate, any new medications, herbal supplements, toothpaste, cinnamon products?  If it is getting worse, you need to see a doctor."
  },
  {
    "id": 1185,
    "title": "Dentist may have ruined my tooth.",
    "dialogue": "Sawyer9: Hi, I'm absolutely fuming. My tooth has been ruined after a treatment I had at the dentist. I had stain removal on my teeth a week ago and it went really well, I was happy with it, the first time I checked it, however, there was a small hole at the top of one my front teeth, which had the worst stain on it before. I thought the stain itself, which had been there for years, had maybe caused the hole, but this particular tooth has developed something else which may be linked.\n\nI woke up this morning, and the same tooth has now been discoloured most of the way down. It's gone yellow, and stops at the bottom with a small whiter patch. My teeth have never been fantastic in terms of whiteness, but that colouring was definitely not there before. It's only happened overnight, how is that possible?!\n\nWhat on Earth has happened? Has the enamel gone? I'm going to go back to the dentist and get this rectified as their treatment has ruined my tooth, and I'm not paying some ridiculous fee, either! Dr M: Hey it sounds like the dentist might have missed a possible cavity on your tooth. Depending on what type of \"stain removal\"  procedure was performed, a dentist should always do a proper clinical and radiological assessment before initiating the treatment, to rule out any problems from arising from the above said treatment. Some procedures can lead to sensitivity problems, nerve damage with resultant necrosis or irreversible inflammation of the nerve and discolouration. \nIt is important to remember that some procedures are very diet sensitive with some having a certain amount of time that you have to abstain from certain \" stain inducing \" foods such as coffee and red wine etc. \nGo back to your dentist and find out what has been done or can be done to fix the problem. Sawyer9: Dr M said:\n\n\n\n\t\t\tHey it sounds like the dentist might have missed a possible cavity on your tooth. Depending on what type of \"stain removal\"  procedure was performed, a dentist should always do a proper clinical and radiological assessment before initiating the treatment, to rule out any problems from arising from the above said treatment. Some procedures can lead to sensitivity problems, nerve damage with resultant necrosis or irreversible inflammation of the nerve and discolouration.\nIt is important to remember that some procedures are very diet sensitive with some having a certain amount of time that you have to abstain from certain \" stain inducing \" foods such as coffee and red wine etc.\nGo back to your dentist and find out what has been done or can be done to fix the problem.\n\t\t\nClick to expand...\n\n\nHey. Well, the actual hole itself is where the stain was; I thought it had been under the stain for a long time, but maybe the dentist was too forceful with the machine that it caused a hole? I can see it when I look in the mirror, it's not massive but it's not entirely small, either. Dr M: Sawyer9 said:\n\n\n\n\t\t\tHey. Well, the actual hole itself is where the stain was; I thought it had been under the stain for a long time, but maybe the dentist was too forceful with the machine that it caused a hole? I can see it when I look in the mirror, it's not massive but it's not entirely small, either.\n\t\t\nClick to expand...\n\n\nSometimes you can have a lesion that we call incipient caries. This can progress to a brown stain that is soft, but not yet cavitated, which is a more advanced carious lesion.\nWhen the dentist scaled with his scaler, it could have caused the lesion to form a cavity. This would have happened on it's own if left alone anyway. \nIt sounds like you might need a restoration or filling to be done on the tooth.\nGo back to the dentist to evaluate the lesion as well as the yellow/white part. Sometimes the yellow/white part can still be reversed before it becomes a brown cavity.\nDon't wait to long before doing this, since carious lesions can spread deeper and start affecting the nerve of the tooth. Dr. Ashmita Upadhyay: Hello, as you said it was a hole, there might be a cavity that is more visible after scaling. Get your cavity treated either by a filling or by a RCT followed by a crown."
  },
  {
    "id": 1186,
    "title": "Wisdom teeth causing pain to all teeth?",
    "dialogue": "Zamarko: Hello everyone, I am 21 yo\n\nI apologise for my english in advance.\n\n\nI went to the dentist after 3 years, when my wisdom teeth started hurting.\n\nThey have found only 1 cavity and weakened enamel at bottom right part because of acid reflux, I had also and x-ray where they found that cavity, however all of my teeth randomly hurt and more when i feel that my wisdom teeth are hurting.\nMy teeth are sensitive to sweet (I can feel pain in my back teeth).\n\nSo i would like to ask, is it normal that all of my teeth randomly hurt because of my wisdom teeth even front teeth?\n\nI had been at hygienist and I had lot of culculus, when she was scrapping it off, it was not painful. \nWhen my wisdom teeth are not pushing or not hurting i am chewing food normally and nothing hurts.\n\nThank you for the answer and wish you a great day! Dr M: Good day,\n\nFirstly a proper diagnosis can't be made without any clinical photos or radiographs, but it is entirely possible for wisdom teeth to cause pain to other structures especially if they are impacted.\nPain from 3rd molars can radiate to your ear leading to earache, headaches as well as neck pain.\nIt can also feel that all your other teeth are painful, due to something we as dentists refer to as referred pain.\nIf possible, rather visit a dentist for a full evalution"
  },
  {
    "id": 1187,
    "title": "Wet dental tools",
    "dialogue": "susan414141: Hi, I have a question ,I will make it quick,I went to get my teeth cleaned and she pulled open a bag with the instruments and they were wet inside,I never saw that and asked why are they wet,she said the steaming process from the auto clave does that to them sometimes. WELL HERE WE ARE,so my question is,is that truthful? also are they still sterilized if wet in package? and am i at any risk for anything? Please answer my question ,any advice would help ,even if its scary ,lol MattKW: Probably been through an autoclave because it works on steam, pressure, heat, and time. But they should come out dry. That autoclave needs servicing and certification. Or it's a cheap autoclave. You are probably safe. susan414141: Thank you ,I never saw them come out wet,I made the mistake of googling it and it terrified me,It said if they come out wet they harbor bacteria,is that true? and should i say something or just let it go to my dentist,i love it there Dr M: I can agree with MattKW. Some models of autoclaves, can make the packaging containing the instruments appear wet after steam sterilization and sometimes the instruments too. Usually they leave them out to dry. It might be that they were busy and had to rush and therefore did not leave them out. Some packaging is specifically designed to indicate if sterilization has been completed successfully. For example, little black stripes appear on the packaging.\n9/10 you are safe. But don't hesitate  to ask your dentist about it. A honest dentist will surely put your mind at ease. susan414141: wow,you are so very kind ,thank you . I do feel better and honestly ,that was kind of the 2 of you to answer. The internet can be very informative where it scares you and doesn't tell you they are worst case scenarios,again have a great day and thank you so very much  I remembered what the pouch looked like and googled that they have an indicator that shows pink to brown and it was brown on the top ,so ,it just didn't have adequate time to dry. Dr M: susan414141 said:\n\n\n\n\t\t\twow,you are so very kind ,thank you . I do feel better and honestly ,that was kind of the 2 of you to answer. The internet can be very informative where it scares you and doesn't tell you they are worst case scenarios,again have a great day and thank you so very much  I remembered what the pouch looked like and googled that they have an indicator that shows pink to brown and it was brown on the top ,so ,it just didn't have adequate time to dry.\n\t\t\nClick to expand...\n\nNo problem. Here to help MattKW: Just to clarify: if they are wet, then there is the capacity to transfer bacteria into the bags, so they should be dry. In a dental surgery setting, it could be argued that the chance of cross-infection from wicking is miniscule, and that's why I say you'll be safe. But they should NOT be wet packs. So there's something inadequate or wrong with the autoclave.\nThe indicators on the bag are limited in their usefulness. they really only show that the bag has been exposed to autoclaving, but do NOT indicate if it has been effective. For that you need to examine the printout, and use Bowie-Dick tests or similar as required. Ask to see their daily records and proof of regular validation (certification). susan414141: ummmm,well,I guess at this point I cant worry about it,I know for next time to just leave and say I have a stomach ache,lol  . There isn't anything I can do ,they were already used on me ,What kinds of bacteria are they talking about? Hep. C and things of that nature? I did ask her and I wish they would of been honest with me and just said at this time we dont have adequate tools,but this was the first time ever they were wet,I did read some moisture is expected ,is that incorrect? susan414141: If I ask for all that stuff to prove there auto clave is working ,they may never want me back ! lol MattKW: susan414141 said:\n\n\n\n\t\t\tummmm,well,I guess at this point I cant worry about it,...\n\t\t\nClick to expand...\n\nThe instruments MAY have been sterilised, but a wet bag can potentially allow micro-oranisms to re-enter. I personally wouldn't worry about it, as the chances are extremely low. But we don't know if they really have been sterilised, do we? All we really know is that they appear to have been through an autoclave. Nobody should shoo you away from asking these questions - I am always happy to show my processes and records. If they don't want to allow that, then I'd contact the dental board for an inspection. \nIn Australia, if an inspector comes out for ANY reason, he will also ask the dentist in charge to show sterilising processes and records even though it may not be relevant to the current investigation. And the dentist can't simply direct the inspector to a staff member; the DENTIST must know the details. susan414141: No we don't know ,but I'm gong to assume that they were , for the sanity that is welcomed,lol  I think I have a lil peace knowing that they were in a sonic cleaner,she may have threw them in he bag and grabbed them after that or they were never steamed ,I will never know, but as for now from this point on I will make sure all the instruments are dry and my dentist is so cool ,hes like family,iv been going to him since i have been 19 and this is the first lil scary episode ,so I WILL TAKE IT ! susan414141: Thank you Matt,for all the advice and Im glad to see your practice is so open and thoughtful towards your clients,thats a rarity! Have a wonderful day and I think my beautiful teeth and I will be just fine Dr. Ashmita Upadhyay: Hello, sometimes the instruments and the pouches remain wet after steam sterilization. And are thereafter left out to dry. The sterilization pouches generally have colour indicators to indicate adequate sterilization.so if the indicator says the pouch and instrument are sterile then you are save. MattKW: Dr. Ashmita Upadhyay said:\n\n\n\n\t\t\tHello, sometimes the instruments and the pouches remain wet after steam sterilization. And are thereafter left out to dry. The sterilization pouches generally have colour indicators to indicate adequate sterilization.so if the indicator says the pouch and instrument are sterile then you are save.\n\t\t\nClick to expand...\n\nThis is what we used to do in old days. But modern regulations demand the pouches be dry when removed from autoclave. But hey, look, it's different in different countries, and as long as they get scrubbed and put through an autoclave then it's pretty good for a dental situation."
  },
  {
    "id": 1188,
    "title": "Sudden non-painful sensitivity",
    "dialogue": "fievelgp: Hi!    I'm hopeful to get some feedback before I make an appointment with my dentist about some sudden sensitivity in my lower 4 teeth.\n\nSaturday afternoon(June 1st) I had fruit punch slushie from McDonalds, and a few hours later I noticed a cold/sensitive sensation in my bottom 4 front teeth. Its almost a ticklish sensation. It's not painful and it feels no different when I eat or drink something hot or cold. When I wake up in the morning, the sensation is completely gone. Using mouthwash and brushing doesnt bring it back. It only seems to come back a few hours into the morning after I've drank cold water. During the day it seems to go away when I'm busy working and not thinking about it, but comes back again a little while after drinking my water\n\nThe only things that have changed recently that I can think of are :   I got  Tetanus and Hepatitis A vaccines on May 30th. I had also been using Chlorhexidine consistently for about a week prior to this. My dentist prescribed it to me due to my front upper gums bleeding around my veneers/crowns, but I hadnt only been using it once or twice a week for the last few months until a little over a week ago.\n\nMy teeth and gums look no different to my untrained eye. I notice no swelling or inflammation either. \n\nIt has seemed to get slightly better over the last few days, but  how long should I wait for it to go away before making an appointment with my dentist?  \n\nThank you for any feedback! Busybee: It's definitely not linked to the vaccinations you had.  For how long has the dentist suggested you use Chlorhexidine? fievelgp: Well, he gave me unlimited refills. I havent even used half of the first bottle though.\n\nEvery cleaning since I've had veneers and crowns placed on my front four upper teeth, they bleed alot apparently. For the first 2 or 3 years, the hygienist and dentist seemed like they didnt believe me when I said I flossed them every single day. He eventually gave me the Chlorhexidine about a year and a half ago. To be honest , I hardly used it. I still had over half the bottle left when i threw it out . In February he prescribed a new bottle which I used about 1 time a week . I finally stopped being lazy about a week and half ago and had been using it every night until this sensitivity started.\n\nThe sensitivity has been getting better. Instead of all 4 lower front teeth feeling it, it's now just the 2 leftmost incisors. Although eating,drinking, or touching it doesnt bother them I can feel a sensitive spot with my tongue on the gum just below the tooth on this inside Busybee: How often do you visit the hygienist?  Has the dentist checked that the margin on your crowns/veneers are good?  With normal hygiene, you don't normally get inflamed gums like that unless the fit is poor making it harder to really clean the area well. fievelgp: I go every 6 months. To be honest, I dont have complete confidence in my dentist in that area. He is the one that did the veneers and crowns.  I believe you replied to my thread in the cosmetic section a month or so ago regarding them.\n\nThe hygienist mentions the bleeding to him everytime . And every time I get lectured about flossing Busybee: You really should get a second opinion on all the work you've had done.  Given your issues you should be seeing a hygienist every three months.  I would change dentists.   \n\nTry to avoid getting very sweet and acid drinks getting on your teeth and get a second opinion about the Chlorhexidine.   I'm not sure anything like that should be used long term.  I am personally against using mouth washes routinely as I think they are full of chemicals that upset your mouth's PH, but that's just my opinion.  Dentists here may have different views on mouth wash.  Apparently these products are championed by the dental profession (according to the marketing).  \n\nYou should be referred to a periodontist who will be able to ascertain whether the problem is related to your dental work or your gums.  It could be that you have a genetic disposition to gum disease, but it could be your margins.  If you do have a genetic predisposition then you should be seeing a perio regularly for a proper clean and treatment to help manage the gums.  But a periodontist will be able to give you advice and the right products and treatment. fievelgp: Busybee said:\n\n\n\n\t\t\tYou really should get a second opinion on all the work you've had done.  Given your issues you should be seeing a hygienist every three months.  I would change dentists.  \n\nTry to avoid getting very sweet and acid drinks getting on your teeth and get a second opinion about the Chlorhexidine.   I'm not sure anything like that should be used long term.  I am personally against using mouth washes routinely as I think they are full of chemicals that upset your mouth's PH, but that's just my opinion.  Dentists here may have different views on mouth wash.  Apparently these products are championed by the dental profession (according to the marketing). \n\nYou should be referred to a periodontist who will be able to ascertain whether the problem is related to your dental work or your gums.  It could be that you have a genetic disposition to gum disease, but it could be your margins.  If you do have a genetic predisposition then you should be seeing a perio regularly for a proper clean and treatment to help manage the gums.  But a periodontist will be able to give you advice and the right products and treatment.\n\t\t\nClick to expand...\n\n\n\nThank you. I am in the process of doing that now! Dr. Ashmita Upadhyay: Hello, you might be suffering from mild gingival recession or wearing out of enamel. You will most probably be benefitted by desensitizing toothpaste. If the problem persists for 2 weeks after using the desensitizing toothpaste, kindly visit your dentist."
  },
  {
    "id": 1189,
    "title": "Help please Dental Crown X Ray",
    "dialogue": "Richings: Can anyone help please with reading my X Ray of a crown I had fitted recently.\nThere seams to be a dark pocket showing I am not sure why. Can anyone see anything else that could be showing problems with this crown/tooth and surrounding tissues\nThank you. Richings:  MattKW: A stump of a tooth remaining, and a poorly fitting crown. needs to be redone. Richings: MattKW said:\n\n\n\n\t\t\tA stump of a tooth remaining, and a poorly fitting crown. needs to be redone.\n\t\t\nClick to expand...\n\nThank you for your reply. \nWhat do you think the black bit is? MattKW: A gap between crown and tooth core that has not filled with cement. Richings: Thank you for this information Richings: I have a diagnosed under active thyroid ( I take thyroid hormones)but when that lithium Disilicate crown was fitted I suddenly became over active thyroid and gave me chest pains snd I was extremely agitated. Food seemed to activate the crown material and made me more over active with a racing heart beat. I have had the crown removed now and am back to under active thyroid which is normal for me\nCould it be that the void where there was no cement had residue of lithium in it or some other substance and an osmosis process was occuring upsetting my system?  I have allergies and sensitivities. It was a dreadful experience.  That x ray was taken by another dentist. The dentist who fitted that badly fitted crown failed to take any x ray despite me reporting to him having  major adverse symptoms from when I had the crown fitted.\nI am trying to make sence of it all. I wonder if you have a theory? Richings: P.S. I have other Lithium Disilicate Crowns which don't seem to cause me a problem.\nI do think I react to Lithium I was given it once many years ago by mistake and took one dose which resulted in chest pains and heart my racing just like the badly fitted crown experience. MattKW: Lithium salts as a medication is entirely different to lithium dislicate as a crystal glass. Just like hydrogen is different to H2O (water). A crown of ANY type will have no effect on thyroid function.\nIt's simply a poorly fitting crown which is going to be very difficult to clean with those crappy margins. Richings: Ok thank you.  \nSomething went wrong may be another substance I am very sensitive. \nThere is a study stating Lithium is Cytotoxic and not inert. MattKW: Lithium as an  pure element is extremely reactive, but you won't find it in elemental form outside of a chemistry laboratory.\nLithum carbonate is the medicinal compound, lithium disilicate is the crystal compound."
  },
  {
    "id": 1190,
    "title": "My Dentist Lied about giving me an X-ray, ruined my teeth, now stuck with them because Insurance.",
    "dialogue": "DepressedAWD: A little backstory: I was raised with neglectful parents my teeth weren't taken care of as a kid, as I got older I was an idiot and didn't brush them plus have SEVERE dental anxiety and need to take medications just to make it through the appointment. They almost all have cavities and are in very bad pain so I finally decided to the dentist.\n\nI've been seeing a dentist for about 5 visits this past year. The first visit before he even really exams my teeth he immediately says I'll need braces even though I've never been told this the few times I did go to the dentist in the past nor do my teeth even remotely look that crooked except for the front 2 and its a very small slant, nothing poking out.\n\nHe then probes my teeth and reads off numbers to the hygienist who logs them, I assume saying which teeth need work on but I don't know for sure as he never takes any time to explain anything to me and is a rush to get me in and out of there. He then sends me to get a cleaning, (and Idk if I just had very bad plaque and was overdo but I left there with way larger gaps in between them than I ever had before) The next several appointments he fills various teeth.\n\nWith each appointment my mouth stays in more and more excruciating pain after the fillings are over. Last filling I brought this up at the appointment and pointed to a tooth that was giving me particular trouble. He said it was fine but proceeded to drill and \"fill\" it more, and I believe in the process of either filling that one or the one next to it he damaged another tooth.\n\nThis tooth in particular didnt have a deep cavity and he made it so sensitive I can barely floss it without jumping. This tooth gave me no pain or sensativity prior to this appointment nor could I even see a cavity with this particular tooth.\n\nIt's now been 2 months, I've been eating Ibuprofen like candy and my teeth are in WORST condition than before they were filled. All of my teeth are now hot and cold sensitive, I can barely chew with any of them not so much as a soft food like SLICED black olives it would send me through the roof. They sometimes hurt for no reason, or air hurts them or chewing wrong hurts them, or breathing hurts them. They literally hurt more than if I never got them filled.\n\nSo I call and make an appointment for a new dentist at the same office. She sits down with me and I tell her about all the issues my teeth are giving me and how the last dentist shook them off.\n\nI know im not a dentist but before you defend the old dentist, He lied about giving me an X-ray.\n\nNew dentist goes over my chart and informs me the old dentist gave me an X-ray back in march according to the computer, He did not and never has. I've gotten X-rays when I've had to get teeth extracted and she GAVE me one this appointment, he did not give me one then nor ever.\n\nIm trying to keep calm and plead with her just to please fix my teeth as I can't take this pain, I even say I don't want the others filled before the ones giving me trouble are fixed because if THOSE also give me issues, I will literally have no other teeth to chew with.\n\nShe tells me she can't\n\nAccording to her, I can't change dentists at this place because of insurance, she doesn't really explain but I ask her If I wait a large amount of time (thinking maybe it's because I just got the last dentist) THEN can I switch because I do not want to go back to that man.\n\nShe fakes concern and says \"yes but we want to get your teeth fixed now\".\n\nIf anyone needs to know said insurance its Masshealth which was with tufts but now it's called Care plus? I'm on SSI and too poor to pay out of pocket.\n\nIs there anything I can do? I don't want to go to this dentist again but I'm popping Ibuprofen so much and want this pain gone. Busybee: Have you discussed your problem with the insurance company?  If the practice have lied about your x rays perhaps they have lied about the insurance terms too.  Because it seems to me that the second dentist simply does not want to have to fix her colleague's mistakes.   It's not unusual for that to be the case in a practice.    So I would ask your insurance company what to do in your circumstances. MattKW: If Dentist2 said that Dentist1 took an Xray of you in March, then it should be on the computer too (not just the item number). Did she find the Xray and show you? Did you ask to see it? DepressedAWD: All she did was look up on the computer and say when he did the X-ray, The computer was behind the chair and i was so upset I didnt think to ask to see it. She ended up taking one and now I'm worried if I ask for it, they'll just give me that one to cover their ass. I have another appointment coming up and Im not even going to let the guy fill my teeth and  am just going to ask for \"both\" X-rays, is it possible to tell if its the same one or not? like are fillings apparent on X-rays so I can tell if they just gave me 2 copies of the same one?\n\nI figure If i can get the X-rays and have proof they lied I can call insurance since I have \"evidence\" versus just my word. Busybee: Yes fillings are apparent on x rays so any treatment you have had will be recorded.  I don't know the rules in your country but you should normally be entitled to all your medical records including x rays.  In any case there must be an external body in your country that can investigate your concerns if you think that the practice is behaving unprofessionally.    Any dental authority should be able to audit all your records and check whether any impropriety has taken place. MattKW: Sure, ask for digital copies of both of them and post them here or on Imgur. Sometimes it's possible to tell Xrays apart just by looking at them, and usually they come with attached metadata that gives the date. DepressedAWD: Will do, thank you!!"
  },
  {
    "id": 1191,
    "title": "Can you tell me what this is? (maybe a dental related tool)",
    "dialogue": "hk4321: A friend found this in an abandoned storage unit that used to be owned by a dentist so I think it may be related to dentistry, but not sure. Does anyone here know what it is?"
  },
  {
    "id": 1192,
    "title": "Sensitivity a few months after filling",
    "dialogue": "sefoxa: One of my rear molars had an existing cavity and filling on the top from years ago (exactly how long ago I don't recall).  More recently a tiny cavity developed on the back side of the same tooth.  The new cavity would occasionally produce a \"sensation\" - not pain or discomfort - but just enough of a tingle I mentioned it during a cleaning and they found something which was described as minor and a new cavity just starting to form.\n\nMy dentist removed the existing filling, and replaced it with one that covers both the existing cavity and the new one.  Ever since then the tooth has been very sensitive - to both hot and cold.  I had mentioned it a few times and they said it would eventually go away - but after 3-4 months it has not.  I was back after about a month and new x-rays showed no issues.  The tooth is actually more bothersome now than when it had the tiny cavity, in which case it rarely bothered me if at all.\n\nMy dentist basically said there's not much else they can do - he would refer me to some other type of specialist and said most likely that person would come back with nothing.  \n\nMy fear is the tooth may be rotting/degrading as time goes on, and will eventually reach a point where it needs to be pulled if nothing is done.  Most if not all of the discomfort is from sensitivity.  Occasionally I'll feel what I would call slight throbbing, but not painful.  \n\nBased on what I've said, what do you feel is the most likely issue(s)?  I have considered going to another office for a second opinion, but I'd rather avoid any issues as I do like going to this dental office.  The other office may require the dental records to be transferred etc.  So let's start with online second opinions Busybee: It can take some time for sensitivity to settle but 4 months is too long.   The filling most likely needs to be redone.  If it were my tooth I'd go elsewhere because your dentist isn't being very understanding about your symptoms.   Is it a white filling?"
  },
  {
    "id": 1193,
    "title": "Here as other site doesn’t respond really",
    "dialogue": "Joeb: Hello people new here! I am just here for some advice really .. I found an amazing dentist I trust around 2 weeks ago now and begun treatment straight away.. he filled a lower molar next to the wisdom tooth on the right side as the tooth had half of it broke off.. next to that tooth was confirmed to be pretty well decayed but hasn’t done anything as I weren’t having no pain but for the last 4 days I keep getting twinges there but my main concern is my right side as 3 weeks ago I was eating some chicken and all of a sudden I started getting what I thought was bad jaw pain or a bad toothache... was sick relentlessly that night as I suffer from anxiety pretty bad... fast forward 2 weeks later I have begun stage one of root canal on my first molar on the upper right side and a temporary filling bottom right side next to wisdom tooth, I only eat on my left side now as I don’t want to worsen the right side... but Saturday/Saturday night I started getting mild pulses/pain I would say on the bottom right side where the temporary fillings are but I’m thinking is it my wisdom tooth as that is the only one that hasn’t fully come through yet meaning there’s gum still over the tooth. My other 3 are fine to date (thank the lord) I’m not in unbearable pain but the sharp pulses I’m getting are getting me worried. I have an appointment with my dentist Wednesday to get fillings done on the temporary, polishing (whatever that is lol) and possibly a tooth out. I’m wondering if anyone knows what I’m going through as I’m clueless.. I may call my dentist tomorrow to see if he can fit me which he usually does to see if there’s any problems... I have just finished a 5 day antibiotics course he put me on to flush away any possible infection. I worry like crazy.. what would/do people recommend? Sorry for the long post Busybee: I'm not surprised you are having twinges of pain when you are having so much work done on one area in your mouth.   I don't understand why you had a temporary filling on the right side.  Did the dentist suspect an infection in that tooth? You mention temporary \"fillings\" - how many temp fillings are there on your bottom right side?  Because you must have a temp filling on the tooth you are having root treated on the upper right side.   If you have temp fillings in several teeth then they won't be so strong.   Even if you try to avoid the area you may end up accidentally grinding on it when you sleep.   If you try to relax you may be less likely to grind  But you seem to have a number of variables at play (including the wisdom tooth)  Perhaps you have x rays you could post? Joeb: Thank you for your reply busybee unfortunately I don’t have any x-rays I could post  .... the bottom right side the dentist said I had a small cavity hence why he has put a temporary filling, which today he is going to do a proper one, on the same side on the upper side where he has has begun root canal there is a temp filling in there yes.... but the bottom left side where there is a filling on a broken tooth is giving me twinges also... even when i sleep on that side, I had the filling done over 2 weeks ago now I’m thinking I shouldn’t be having no issues with it now I’m thinking?... been using 2800pm fluoride toothpaste for the last 4 weeks that the dentist prescribed for me so I’m not sure why I’m having these issues still... I have just finished the course of antibiotics to flush away any possible infection as the dentist didn’t see any on my x-ray but he suspected a possible crack in my tooth. Will update more today after my appointment Busybee: If you're putting all pressure on the left side because you are having work on the right then a broken tooth on the left may find that too much.    Hopefully once you have the permanent filling and root canal completed on the right the left will settle.  Have you mentioned the left tooth to the dentist? Joeb: yes I have mentioned it to him but he says that it’s normal to feel twinges after a filling as long as I’m not in “unbearable pain” but I will mention it once more to him today when I go... it’s annoying as one minute the left side is twinging and pulsing then it’s the right side... quite annoying actually haha. Yeah like you said hopefully after he does the correct filling and root canal or possible extraction then it should settle. Joeb: so I went to my appointment had no work done whatsoever expect for a mouth guard mould fitted which will be ready on the 26th of this month and also my temporary filling done then aswell, I mentioned the twinges I was getting on the left side and he said the filling looked fine and hit it with that silver thing they do lol no pain occurred but still the twinges are there... he said he thinks it due to me grinding and clenching in my sleep despite me saying the twinges would happen whenever it wants.... he felt my jaw and surrounding areas and said all feels fine.... I’m already taking tegretol (carbamazepine) upping my dose from 1 to 2 tablets starting from today in case it is my jaw..... also already been referred to the hospital on the 14th August to have a scan. So fingers crossed whatever has/is occurring goes away because it’s doing my head in lol Busybee: Joeb I am curious - what country are you in and is this private dentistry?    Is there a reason the scan will be at a hospital?\n\nIt's great that you are getting a mouth guard.   If you grind your teeth at night you can get twinges during the day at random moments.    As you cannot control your jaw when you sleep a night guard should protect your teeth.   It's best not to worry about the twinges because the more you worry the more you are likely to unconsciously clench your jaw and add to the problems.  So it's a vicious cycle.    \n\nI found your original post hard to follow.  From what I understand you are having a root treatment on an upper right molar and you've also had a temp filling on a lower molar that was possibly cracked.   I don't understand why the dentist has put in a temp filling in the tooth that is not having a root treatment.  Has this been explained to you?   Is it to check whether that might also need a root treatment or to be extracted if cracked too far?  \n\nYou should be able to request X rays from your dentist to be emailed to you.   They are usually quite happy to do this.  Posting X rays here would help a lot. Joeb: Hello there I am in England , I had a tooth out yesterday afternoon. So trying to allow that to heal today... been impossible to sleep to be honest . Going to try relax today. It’s a private and NHS dentistry, I am under the NHS, your right is it a viscous circle, the tooth that came out was bottom left where there was a broken tooth with a filling on it and that has stopped the twinges (for now and good) yes root canal treatment has begun on upper right molar. And bottom right molar has temporary filling in due to cavity was what I was told... hope this helps more. Thank you Joeb: Also the scan at the hospital is to rule out any jaw problems, which I’m not sure I do, I think it’s dental to be honest , I’m getting sharp , electric type shock pains in the stage one root canal tooth so I’m not sure what to think."
  },
  {
    "id": 1194,
    "title": "Swelling in front of ear",
    "dialogue": "Deamo55: I just had a root canal on tooth #2 and a new crown put in. I had a crown on it before but the endo said there was some decay. After the root canal, my pain went away but the pain actually started when the dentist did the prep for the crown. I had him look at it before he put in the permanent crown 4 days ago and he said all looked ok. Well now I'm having swelling in front of my ear exactly where the tooth is inside my mouth. I can feel my heartbeat on it too. What could be the problem? I have no more root. Busybee: Perhaps the endo missed a canal.  You should go back. MattKW: Could be the crown, could be the RCT. First stop - dentist. Deamo55: Busybee said:\n\n\n\n\t\t\tPerhaps the endo missed a canal.  You should go back.\n\t\t\nClick to expand...\n\n She did have trouble finding 2 canals but told me she finally found them. Hmmm... Deamo55: MattKW said:\n\n\n\n\t\t\tCould be the crown, could be the RCT. First stop - dentist.\n\t\t\nClick to expand...\n\nThis dentist was on his way out. I just found I he retired and is no longer there. UGH! Maybe the endo can find something. I had 5 days of Amoxicillin in the house leftover from another time and took them. I'm feeling much better but don't have anymore. Deamo55: MattKW said:\n\n\n\n\t\t\tCould be the crown, could be the RCT. First stop - dentist.\n\t\t\nClick to expand...\n\nWhat is RCT? Busybee: RCT = root canal treatment.  That's too bad about your dentist retiring.  I have found that dentists near retirement do not necessarily do the best work.  Not always the case, but there is a reason they retire.    It's a physical job and with age it's natural that eyesight and coordination reduces, judgement can also be impaired.    Maybe you could ask your endo for x rays to post here.  It seems you have an infection of the antibiotics are helping but you really should not self-medicate because there's a risk you don't have the right dose. Deamo55: Busybee said:\n\n\n\n\t\t\tRCT = root canal treatment.  That's too bad about your dentist retiring.  I have found that dentists near retirement do not necessarily do the best work.  Not always the case, but there is a reason they retire.    It's a physical job and with age it's natural that eyesight and coordination reduces, judgement can also be impaired.    Maybe you could ask your endo for x rays to post here.  It seems you have an infection of the antibiotics are helping but you really should not self-medicate because there's a risk you don't have the right dose.\n\t\t\nClick to expand...\n\n I plan on calling the endo asap on Monday morning. She did take 3D xrays. I understand about the antibiotic but I needed relief so bad. I felt like I had the mumps. Thank you for posting. Deamo55: MattKW said:\n\n\n\n\t\t\tCould be the crown, could be the RCT. First stop - dentist.\n\t\t\nClick to expand...\n\nDoes this sound like a crack in the tooth? I've had a root canal and a new crown. If I take amoxicillin I feel great. After finishing the antibiotics (7 days) the pain came back. I feel like I have the mumps. Busybee: Sounds like an infection.  Go back to your dentist. MattKW: Deamo55 said:\n\n\n\n\t\t\tDoes this sound like a crack in the tooth? I've had a root canal and a new crown. If I take amoxicillin I feel great. After finishing the antibiotics (7 days) the pain came back. I feel like I have the mumps.\n\t\t\nClick to expand...\n\nCan't be sure. Only way to tell is to go back. Deamo55: Well I just went back to my Endodontist. She wants to wait another week to see if the tooth calms down. She did another gum test. How did I go from a #3 gum test to a #7 in 1 month?  Something is very wrong. We will see next week. On day 6 of 10 of Augmentin. sohcsol: Does sound similar to my problem except mine was before I had root canal in #31.  It shouldn't be happening unless they left some dead tissue in there during the root canal that is causing infection.   Or possibly vertical fracture?\n\nI am hoping that mine stays good now after RCT but I just finished my antibiotics.  Fingers crossed.  I had enough bone loss that the tooth was loose, almost felt like it could fall out.  But it has improved since. Deamo55: sohcsol said:\n\n\n\n\t\t\tDoes sound similar to my problem except mine was before I had root canal in #31.  It shouldn't be happening unless they left some dead tissue in there during the root canal that is causing infection.   Or possibly vertical fracture?\n\nI am hoping that mine stays good now after RCT but I just finished my antibiotics.  Fingers crossed.  I had enough bone loss that the tooth was loose, almost felt like it could fall out.  But it has improved since.\n\t\t\nClick to expand...\n\n\nGoing back to my Endodontist in a week. She wants to take more xrays (3 D) to compairwith the ones she took before all this. Just want the pain gone even if I have to pull this one out after spending $1600 on root canal/crown. UGH Dr. Ashmita Upadhyay: Hello, first we have to take an x-ray and a thorough examination has to be done. There might be an accessory canal which is present or it might be related to your parotid gland.you can first revisit your dentist and if required visit your ENT."
  },
  {
    "id": 1195,
    "title": "Inlay cost",
    "dialogue": "jnrh78: What's the typical lab cost of a gold inlay vs a composite inlay?"
  },
  {
    "id": 1196,
    "title": "Crown Question",
    "dialogue": "paula123: I had a crown fitted yesterday , over a post. Upper right molar.  The dentist had to drill away some of the crown , to enable a good fit with my crown below. He also had to drill away some of the crown below as well. It feels good, but, when my husband looked in my mouth, he could see a silver/black post in the middle of the tooth. We are assuming it's the post. Its about 4mm long. Is that normal, as there is no mark like that on my other crowns that have a post in them? Dr. Ashmita Upadhyay: Hello, the silver/black thing which you can see is not the post. It is the metal core inside the ceramic crown which is visible. The dentist probably had to trim away the ceramic from that spot to adjust the height and make your occlusion normal. MattKW: Hopefully you will not have further chipping of the remaining porcelain."
  },
  {
    "id": 1197,
    "title": "Impacted molars hygiene",
    "dialogue": "Nnani: Both of my mandibular 3rd molars are completely impacted and unerupted. They lie horizontally. The space between the gum covering these molars and crowns of the normal 2nd molars next them is very tight. I have difficulty keeping this small space clean. None of the cleaning tools (floss, tape, toothbrushes) are small enough to enter. \n\nI have recently been told that I have periodontitis and I am anxious to keep my oral hygiene to a very high level. \n\nThanks for any advice. MattKW: Have the 3rd molars extracted. You are never going to be able to keep clean for rest of your life, especially in older age when life becomes more difficult. Bacteria can get in where your toothbrush can never reach. This is a 69 year-old patient of mine who left it too late."
  },
  {
    "id": 1198,
    "title": "Extraction 3 weeks ago",
    "dialogue": "Tiffany: I had an extraction of a lower molar done on 6/17. I'm fairly concerned with the healing, as I've had an extraction before that healed up nicely. I got the stitches taken out after about 1.5 weeks, was told it was slow to heal, and a couple days later the socket legit filled up with red gum tissue WITHIN THE DAY. It's pretty much stayed the same for the last few days, MAYBE grew a little more but not too, too much. I see random spots of a creamy color substance but doesn't seem to actually ooze like I would expect pus to. I wasn't given antibiotics. In 3 days will mark the 3 week point. \n\nAlso, I actually went into a different dentist today as my dentist is closed for a long holiday weekend. This dentist did an exam on all teeth, and told me I actually have  periodontal disease(she showed me in the X-ray where I've already lost about 50% of the bone in between my two front bottom teeth). In terms of the extraction, she said it's not uncommon to not get antibiotics, and that it's just healing slowly... But to explain the sudden filling of the socket she said I just have really fast gum growth...seems contradictory to me.\n\nI just want to give as much info as possible, attach a picture, and get some opinions. The picture is from this morning b4 the dentist & it shows the creamy substance I referred to. What's causing the slow healing (periodontal disease?). Should I have gotten antibiotics? Should I see my regular dentist as soon as they're open or just wait this out until my appointment next month for my cleaning?\n\nThank you in advance. MattKW: Antibiotics are only indicated where there is already significant infection - I maybe prescribe 5% of the time.\nThe white spot looks like a head of pus. It may be simply that there are some tiny bone or tooth fragments working their way out through the healing (granulation) tissue. If you have no pain and no facial swelling, it will probably sort itself out.\nAnd yeah, your gums look poor and I suspect just from that photo that you're a smoker."
  },
  {
    "id": 1199,
    "title": "Back again",
    "dialogue": "John Roberts: I started posting a couple of years ago about my teeth.  Most of them strayed giving me trouble after a cleaning and fluroide treatment. No trouble before that.  Most all of them hurt to the touch especially the front.  Top and bottom.  Been to several types if dentist, neurologist, gp, ent.  Had mri's, ct scans, stays, and a sleep study.  No help.  Dentist I have been to say they can't see anything wrong. There is something keeps my teeth like this.  It is all the time.  I sleep with a mouthguard. When I wake up with the guard on my teeth feel ok.  They still hurt but they aren't touching.  As soon as I take the guard off that's when it begins.  Then I feel the pain as they start touching when I swallow, eat, so.etime talking.  That's another thing, my speech isn't the same or my smile either.  My occlusion does feel off a little but not bad.  What could possibly cause most all of my teeth to be like this 24/7. One doctor diagnosed me with trigeminal nerulgia.  I don't have attacks.  Mine us constant.  I have jst had the regular type xrays.  No cone beam or anything.  I can't have an infection, I don't think.  I don think you could have an infection in your teeth for 2 1/2 years.  I don't know.  Anybody had anything like this or have any suggestions.  Been tried on a lot of medecine."
  },
  {
    "id": 1200,
    "title": "Can we fly internationally with sensitive tooth and sharp pain?",
    "dialogue": "Du_deleted: Hi,\nI am planning for an international trip and I have some issues going on with my tooth. I have sensitivity to chew hard and crunchy foods and to hot beverages. This is happening for past 2 weeks after my recent filling replacement. Also, I have a sharp needle pinch like pain coming on and off without any triggers. It will be there for few seconds and goes off. Comes back after a min or so. \nI am planning for an international trip within 10 days and I am worried whether this sensitive tooth and pain increase during plane travel? Also, my current dentist say it might be a crack underneath. Not sure though. Whether the minor cracked tooth cause any issues while on plane travel? Any inputs on this. Appreciate your inputs. Should I go for an airplane travel or I should avoid it? Any precautions to be taken? Du_deleted: Any inputs? @Busybee MattKW: Unlikely to give trouble. Take some plain ibuprofen with you in case.\nAlternatively, have filling changed again, but to amalgam. Du_deleted: MattKW said:\n\n\n\n\t\t\tUnlikely to give trouble. Take some plain ibuprofen with you in case.\nAlternatively, have filling changed again, but to amalgam.\n\t\t\nClick to expand...\n\nThank you so much for your reply @MattKW. Appreciate it.\nYeah. I am planning to go to a new dentist there and insist them to change it to amalgam. Busybee: Dental user said:\n\n\n\n\t\t\tHi,\nI am planning for an international trip and I have some issues going on with my tooth. I have sensitivity to chew hard and crunchy foods and to hot beverages. This is happening for past 2 weeks after my recent filling replacement. Also, I have a sharp needle pinch like pain coming on and off without any triggers. It will be there for few seconds and goes off. Comes back after a min or so.\nI am planning for an international trip within 10 days and I am worried whether this sensitive tooth and pain increase during plane travel? Also, my current dentist say it might be a crack underneath. Not sure though. Whether the minor cracked tooth cause any issues while on plane travel? Any inputs on this. Appreciate your inputs. Should I go for an airplane travel or I should avoid it? Any precautions to be taken?\n\t\t\nClick to expand...\n\nI cracked a lower molar tooth eating a French fry in Marrakech at the start of a hiking trip up a mountain in North Africa.  I just took care to avoid eating on it or putting pressure on as it was like an electric shock to eat hot food.   I had it fixed as soon as I got home.  So I hope you will be fine too. Du_deleted: Busybee said:\n\n\n\n\t\t\tI cracked a lower molar tooth eating a French fry in Marrakech at the start of a hiking trip up a mountain in North Africa.  I just took care to avoid eating on it or putting pressure on as it was like an electric shock to eat hot food.   I had it fixed as soon as I got home.  So I hope you will be fine too.\n\t\t\nClick to expand...\n\nThank you so much for your reply @Busybee. Appreciate it.\nI am also doing the same. Not eating on that side of the mouth. \nAnd how did you fix it when you back home? What did you do to fix it? Busybee: Dental user said:\n\n\n\n\t\t\tThank you so much for your reply @Busybee. Appreciate it.\nI am also doing the same. Not eating on that side of the mouth.\nAnd how did you fix it when you back home? What did you do to fix it?\n\t\t\nClick to expand...\n\nI went to a dentist near work and they told me I needed a root canal and referred me to a specialist.  He was all set to do the canal or even extract the tooth if it the crack was really bad.  \n\nSo I went for a second opinion to a minimally invasive dentist a dental nurse friend recommended.   He said he didn't think it needed a root canal as I could feel the cold and the root looked good on x ray.  He said he would open it up in order to have a look and to fill it if possible, with a view to referring me if the crack went past the gum line.  It was not past the gum line and he filled it very carefully.  He said let's try this and see whether it settles before we do anything more radical. That was 11 years ago and it has not hurt since. Du_deleted: Busybee said:\n\n\n\n\t\t\tI went to a dentist near work and they told me I needed a root canal and referred me to a specialist.  He was all set to do the canal or even extract the tooth if it the crack was really bad. \n\nSo I went for a second opinion to a minimally invasive dentist a dental nurse friend recommended.   He said he didn't think it needed a root canal as I could feel the cold and the root looked good on x ray.  He said he would open it up in order to have a look and to fill it if possible, with a view to referring me if the crack went past the gum line.  It was not past the gum line and he filled it very carefully.  He said let's try this and see whether it settles before we do anything more radical. That was 11 years ago and it has not hurt since.\n\t\t\nClick to expand...\n\nThank you @Busybee. \nThat's so awesome. A normal white filling helped you a lot and for a long time. I didn't know that fillings help to cover up the crack. I thought crown is the only option. Busybee: Dental user said:\n\n\n\n\t\t\tThank you @Busybee.\nThat's so awesome. A normal white filling helped you a lot and for a long time. I didn't know that fillings help to cover up the crack. I thought crown is the only option.\n\t\t\nClick to expand...\n\nDental User I was lucky because the crack was not deep.  I had a crack on the same  tooth on the other side but that one had to be protected with a gold onlay.  Luckily neither was past the gum line.  If it's too deep then there is no remedy but to remove the tooth.  I hope yours is ok and that the flight goes well. MattKW: Fillings rarely cover up cracks unless you are also cusp capping (or onlay as for Busybee). Teeth naturally function by wedging cusp against incline, and cavities/fillings disrupt the strength of the tooth. Merely covering a crack with the same size and shape filling will do nothing. Unfortunately, post-op sens after composite fillings is often falsely attributed to a \"crack\" (requiring an RCT!), or a \"high spot\". If you have pain due to a crack, a pathognomonic sign is pain upon release of biting pressure, not random pain \"...without any triggers...\". Du_deleted: MattKW said:\n\n\n\n\t\t\tFillings rarely cover up cracks unless you are also cusp capping (or onlay as for Busybee). Teeth naturally function by wedging cusp against incline, and cavities/fillings disrupt the strength of the tooth. Merely covering a crack with the same size and shape filling will do nothing. Unfortunately, post-op sens after composite fillings is often falsely attributed to a \"crack\" (requiring an RCT!), or a \"high spot\". If you have pain due to a crack, a pathognomonic sign is pain upon release of biting pressure, not random pain \"...without any triggers...\".\n\t\t\nClick to expand...\n\nThank you so much for your inputs @MattKW.\nAppreciate it.\nThanks for letting me know about the crack pain. Du_deleted: Just an update on my issue.\nI am in my native country now and I went to a dentist here. And told my past dental history. He took x-ray for that particular tooth and he checked for cold sensitivity. He said it was a very shallow filling. I feel sensitive to crunchy foods after my refilling. So he applied some desensitizing agent on that tooth. He said that should improve the sensitivity.  He also prescribed the desensitizing tooth paste. \nHe told me to see for a week if that sensitivity subsides. If not, he says he will do the root canal with capping. He says that will solve the issue immediately. Also, he says this tooth looks healthy on the x-ray. So let's wait and see before we do root canal.\n\nHe applied some desensitizing gel and press on the blue light as we do with fillings. And after that, he checked for bite and put on some water floss. I feel the taste as bitter. Does it mean the desensitizing agent doesn't bond properly?  I forgot to ask this to him. Why did I feel bitter taste? Is it harm if it doesn't bonded and I swallowed? \nAny inputs @Busybee ,@honestdoc , @MattKW . Du_deleted: Is root canal with capping is a good option to solve this issue? Busybee: Dental user said:\n\n\n\n\t\t\tIs root canal with capping is a good option to solve this issue?\n\t\t\nClick to expand...\n\nNot if you have a crack going below the gum down the root.  But hopefully the dentist would see that when working on the tooth.    I thought you were planning to get the filling changed to amalgam as a first step? Peter2019: Busybee said:\n\n\n\n\t\t\tI cracked a lower molar tooth eating a French fry in Marrakech at the start of a hiking trip up a mountain in North Africa.  I just took care to avoid eating on it or putting pressure on as it was like an electric shock to eat hot food.   I had it fixed as soon as I got home.  So I hope you will be fine too.\n\t\t\nClick to expand...\n\n\nWhat kind of \"french fry\" was this that it could crack a tooth ? I thought that french fries were soft ? Busybee: Peter2019 said:\n\n\n\n\t\t\tWhat kind of \"french fry\" was this that it could crack a tooth ? I thought that french fries were soft ?\n\t\t\nClick to expand...\n\nSorry thinking back I cracked it crunching polo mints.  But i didn't realise it was cracked until a few days later when I ate the french fry in Marrakech.    A friend's premolar broke in half eating soup on a ski holiday,but that was obviously the last straw rather than the cause.  The straw that broke the camel's back.\n\nBut I did crack a lower molar with a massive filling when I was I was still at school in my teens and the thin wedge of tooth left came off.  That was on an actual \"French fries\" crisp/chip .  They are made by walkers and can be pretty tough.   it's pretty easy to crack restored teeth if you abuse them with hard foods.  I almost popped a crown off with a fishbone the other day.   Luckily it was just bruised. Du_deleted: Busybee said:\n\n\n\n\t\t\tNot if you have a crack going below the gum down the root.  But hopefully the dentist would see that when working on the tooth.    I thought you were planning to get the filling changed to amalgam as a first step?\n\t\t\nClick to expand...\n\nThank you so much for your reply. \nYes. I wanted to change it to amalgam. But none of the dentist are doing amalgam. They say, no need to refill that for the third time. We can do root canal with a crown for this sensitivity issue. \nAlso, I am not sure if I have a crack. The dentist didn't do any bite stick test to check for cracks.  He just saw the x-ray and examined the tooth. I will go back again and ask for bite stick test. \nAlso, he did do small bite changes on that tooth as he see some high spots with carbon paper check. He filed it down. After that, I feel so tight on that tooth while closing my mouth. \nIs that normal? blisskindental: Flying can cause toothaches because your body experiences a pressure change with an increase in altitude, a condition known as aerodontalgia. You may notice a pain in your ears or get a headache for the same reason Du_deleted: blisskindental said:\n\n\n\nFlying can cause toothaches because your body experiences a pressure change with an increase in altitude, a condition known as aerodontalgia. You may notice a pain in your ears or get a headache for the same reason\n\t\t\nClick to expand...\n\nThank you so much. \nI did fly without any issues and I am currently in other country and checked with new dentist here. And I have updated the things happened. And asked for opinions. \nAnyways, thanks for your reply. Du_deleted: Busybee said:\n\n\n\n\t\t\tNot if you have a crack going below the gum down the root.  But hopefully the dentist would see that when working on the tooth.    I thought you were planning to get the filling changed to amalgam as a first step?\n\t\t\nClick to expand...\n\nThank you so much for your reply @Busybee.\nYes. I wanted to change it to amalgam. But none of the dentist are doing amalgam. They say, no need to refill that for the third time. We can do root canal with a crown for this sensitivity issue. \nAlso, I am not sure if I have a crack. The dentist didn't do any bite stick test to check for cracks. He just saw the x-ray and examined the tooth. I will go back again and ask for bite stick test. \nAlso, he did do small bite changes on that tooth as he see some high spots with carbon paper check. He filed it down. After that, I feel so tight on that tooth while closing my mouth. \nIs that normal?"
  },
  {
    "id": 1201,
    "title": "Got tooth extraction it's been 6 days worried about healing .",
    "dialogue": "Therealone27: Good morning eveyone,\nI got my tooth extracted last week Thursday with my top 2 wisdom teeth I'm just wondering if this looks like it's healing properly for 6 days in I have my follow up tomorrow just wanted to see cause I am getting worried looking at it . I attached a picture and I appreciate your help .I have been cleaning with salt water and taken care of it I haven't smoked in the 6 days aswell. MattKW: Looks fine. You're past the danger time for dry sockets.\nThat 1st molar is badly eroded - I suspect you have a lot of acidic drinks or foods? (soft drinks, sports drinks, citrus fruits, etc). Therealone27: So Matt what happened was that molar/wisdom tooth came in slanted and my previous dentist looked past it and by the time I got a good job with coverage I went back to the dentist and that wisdom tooth was hitting the tooth infront and I couldn't brush inbetween and damaged the tooth in front really bad I was recommended to pull it then do a root canal. I'm going to get that tooth fixed and hopefully will look better once the cavity is fixed. I do drink lot of bad drinks which I need to cut down I'm also on my 6 day of not smoking cause I was nervous about the dry socket.thanks for your response made me feel a lot better and if you recommend anything else let me know! MattKW: Glad to help. It's hard to give up those drinks, but you really must. I've just finally given up coffee and alcohol for good ."
  },
  {
    "id": 1202,
    "title": "Left side of tongue raised after sticking out the tongue",
    "dialogue": "hoss1985: Hello everyone,\n\nHope you are doing well. I have one question about my tongue. Basically, when I stick it out, my tongue deviates slightly to the right. Also, when I curl up my tongue, the left side is slightly more raised than the right side. Any input on this would be appreciated. \n\nThanks Ain advance! \n\nHoss"
  },
  {
    "id": 1203,
    "title": "Tongue questions",
    "dialogue": "Blasko_j: Hello,\n\nI just noticed these bumps on my tongue. I’m worried that they’re warts, but hoping they’re not. I had an oral hpv test 3 weeks ago which came back negative. They are flattish bumps unless you run against them with your finger, then they raise up like ridges as seen here. It’s towards the back of my tongue on the top. Thanks for the help!"
  },
  {
    "id": 1204,
    "title": "Issues months after crown...  loose tooth and swelling",
    "dialogue": "sohcsol: Hi everyone, new to this forum but I don't know where else to look for opinions and advice.  Sorry for the long first post, but thanks to anyone who reads it.\n\nBack in early January I broke my lower right molar on a popcorn kernel.  I had not seen a dentist since I moved from out of state, so I picked one close to my work that had good reviews and took my insurance and made an appointment.\n\nAll went well at first, they gave me a temporary filling so the broken tooth wouldn't cut into my tongue.  Then I got a temp crown.   At this point I had had no pain at all in this tooth and could chew with it just fine.  But he told me that the break was deep enough that the nerve might die and I might need a root canal on this tooth eventually.\n\nThen the day came in late January that I went for my permanent crown placement.  When the dentist forced it down on the broken tooth it hurt a little.  Then I noticed it felt too high.  They said \"that's weird, that never happens\" and he went to work filing it down to where he thought it was OK, or until he couldn't afford to spend any more time on it that day.  I figured it just felt funny because I would need to get used to it.\n\nWell that wasn't the case.  I have bruxism and after a couple nights of grinding on it, I had a terrible toothache.  I thought maybe it had abscessed because my entire face and jawbone hurt on that side.  The lymph node under my jaw was swollen like a golf ball.  I went to an urgent care to get antibiotics and pain meds because it was the weekend, and the dentist couldn't get me back in until the following Wednesday.  When I went back to the dentist, he adjusted the bite for about 5-10 minutes and sent me on my way.\n\nAfter not chewing on that side for a few days it seemed to get better.  Then as soon as I started chewing with it again on soft foods, it was like the tooth shifted and suddenly the bite was way too high again.   So back to the dentist I went.\n\nThis cycle went on for a couple of months, I went back about every two weeks to get the bite adjusted.  The dentist explained that the tooth could be moving because the bite wasn't right, I was grinding on it, or some other unknown reason.  They actually seemed kind of stumped.\n\nI looked up my symptoms online and they sounded like the result of tooth trauma, or periodontitis.  I decided to wait for several weeks after the last bite adjustment, since it doesn't feel too terrible at the moment, and see if the tooth just needed to rest so it could heal.  Well it's been four weeks now that I haven't been chewing on it or had any work done, and the tooth is not painful but it is still loose and wiggly if I push on it.  I can't chew with it because it moves and starts to hurt.  I also have had periods where the gum around it swells up quite a bit, probably after accidentally contacting it or grinding.\n\nI called the dentist again and he said I need to come in for an xray, that I probably need a root canal because the nerve might be dying.  We are now 4 months since the original crown placement.  I am wanting to go to a different dentist for another opinion because I do not trust him at this point, especially if I need a root canal.  I feel that the only reason that I am going through this is because they made the crown wrong in the first place, causing severe damage to the tooth ligaments and probably my jaw bone, which now has a big lump under it and feels sore if I press on it.  \n\nAny other opinions or advice I can get on what might be going on with my tooth would be appreciated.  Does it seem like this dentist was negligent in giving my an ill-fitting crown and not replacing it, but instead trying to file it down to fit?   The bite still doesn't seem perfect, if I bite down all the way it feels like it gets pushed out to the side.\n\nI am especially fearful if I need more work done or a root canal, because no dentist has been able to get me fully numb in my lower molars before. Busybee: You should definitely go for a second opinion.  Particularly as your dentist doesn't understand what could be wrong.  All teeth have a little bit of give to absorb shock but molars should not be \"wiggly\".   A molar wouldn't shift position every two weeks.  It could be that the crown is moving and from what you've said there was something not right when it was fitted.   Your dentist's comments do not inspire me with much confidence. honestdoc: Could you provide an x-ray image?  Did the dentist perform any tests like percussion and cold response?  The dentist appeared inexperienced...\"That never happens.\" sohcsol: Thanks for your responses.  The dentist did not perform any tests that you mention, he has just inspected it visually and adjusted the bite.  Now I am sure my gum is infected or abscessed.  I am going back to him today for an xray to see what it shows.  He seems convinced now I will need a root canal and that the nerve is dying.  I will not be having him perform any more work on my teeth, but he is an experienced dentist of over 40 years so I thought he would be knowledgeable.\n\nI'll see what he says today then go to a different dentist for another opinion.  It bothers me now looking back that he has not already done another xray or any other tests to find out what was actually going on with my tooth.  He has given no definite explanation.  Now I fear that the damage has already been done and I will either need a root canal or lose the tooth.  I also fear that I may have bone damage from allowing the infection to linger for so long.  I had felt a hard lump under my jaw bone for a while, it seems to be going away now but not sure if it was a cyst from pus trying to escape or just a hard swollen lymph node.\n\nMy hope is that the xray looks good and its just a periodontal infection, then should antibiotics clear it up and my tooth be okay? sohcsol: Here are the xrays.  Image R6 is from January 22, right after the crown was placed (the taller crown).  Image R7 is from today.\n\nHe says there is a 50/50 chance I will lose the tooth.  The bone around it has deteriorated causing it to be loose.  He says most likely the nerve is dead causing the infection and bone loss.   It probably died back in February when I was having severe pain and swelling in my lymph node.  We both just thought the pain was because the crown was too high.\n\nHe wants to do a root canal to see if the tooth will tighten back up once it is cleared out, and I am starting antibiotics today.\n\nBut, if it doesn't tighten up after the root canal, the only option will be extraction. honestdoc: You said this dentist has been practicing over 40 years.  I see a lot of problems both in x-rays and his discussions with you.  You mentioned he \"forced\" the crown in and quick to do a root canal without performing diagnostic tests.  The R6 xray showed the \"taller\" tooth with bad margins under the crown with the shorter crown with recurrent decay under the crown.  In the R7 x-ray, the taller tooth bone deteriorated unusually fast indicating a root fracture.  The \"taller\" tooth cannot be saved unfortunately. Busybee: Honestdoc I am glad that you posted with your expert opinion.   I am not a dentist and was shocked when I saw the profound change in such a short time.  Sochsol you should not go back to this dentist.  You should take legal action because this is shoddy work.    \n\nGood online reviews are unfortunately very misleading these days.  There are no longer any online sites where you can find out the whole truth about clinical work.    You have to go by recommendation.   Are you in the US? sohcsol: Thanks for your responses guys.  I will take these xrays to another dentist then.  Are you saying that there is no hope for saving the tooth even with a root canal?  He offered to do the root canal for free saying there was a 50% chance it could save the tooth.\n\nI also did forget to mention that he did a cold sensitivity test on the tooth, I could not feel anything on the one in question but could feel it when he applied cold to the crown in front of it.  Also the reason for the height of the crown is because when the tooth broke, the break went down below the gum line.  If it is a root fracture, I don't think it occured at the time it broke though.  I would guess it happened when the bite on the crown was initially way too high.\n\nWhat do you suggest my course of action should be?   Should I not bother going through with the root canal he offered?   Just go somewhere else and see what they say?\n\nThanks again. Busybee: If you have a crack that is below the gum then you cannot save a tooth with a root canal.    I'm sure that some try but you're then going down the experimental route.   The dentist offering to do the root treatment for free realises he has messed up.  He thinks that legally it would look better if he offers to make amends.   I think you should get legal advice.   This dentist should not be in practice. \n\nYou should get two to three second opinions.   That is the best course of action right now.   Don't give them too much background information upfront.  That way they will be more objective. sohcsol: Thanks Busybee.  I did schedule a visit with another larger office in our area for an exam, and I sent them the xrays with a brief explanation.  I am trying to understand better what \"should\" have been done, since apparently this tooth should not have been crowned in the first place?   Was it never saveable because the break went below the gum line?   And finally, if it is root fracture, what would cause this and is it not possible to save such a tooth then?\n\nIt is looking like my only option now is extraction, just trying to better understand how I got to this point and what the appropriate response would have been by the dentist.  I am new to all of this lingo sohcsol: Additionally, if I were to decide to take legal action, is there a good method for locating a competent dental malpractice lawyer? Busybee: Teeth break because they have been under stress for years and suddenly that one popcorn kernel is the last straw.    But if it is broken below the gum a dentist should realise this based on symptoms and tests.  Then they should realise it because they start to prepare for a crown and they can see there is a problem.   \n\nSometimes a dentist who has been practising for 40 years no longer has good eyesight or doesn't have the most up to date training or equipment because they have not invested in their business.   It's a very physical job and although some dentists carry on way into their 70s that's not always wise given the physical and mental changes that the body goes through during the ageing process.   Instruments slip and damage dental tissue or surrounding teeth, hands shake, judgement is impaired.   Along with other professionals dentists don't always realise they have limitations.   It becomes complex to correct long sight and that might make it harder to spot faults.  Just generally the brain slows down.  \n\nAnyway I hope you do find some redress and that you are back to dental health soon.  Hopefully your insurers will pay for any implant you need.  Do update on the second or third opinions. Busybee: sohcsol said:\n\n\n\n\t\t\tAdditionally, if I were to decide to take legal action, is there a good method for locating a competent dental malpractice lawyer?\n\t\t\nClick to expand...\n\n I can't advise you because I am in the UK and I think you are in the US.   But to find a good lawyer I suppose the best way would be to research recent cases that have been successful.   In the Uk that is information that is usually available to the public.   We have regulatory authorities that strike dentists off when they are found guilty of misconduct.    Case histories are the way to go.  Then look to who was the winning lawyer. honestdoc: This is just opinion since I have no law degree/license other than knowing a few attorneys.   I don't think you have a legal case.  Most lawyers in the US will not touch dental cases unless they know they will collect more than $100,000 because it is a waste of their time.  You may get an unqualified, new graduate, starving attorney that will take your case.  In the US, if you win $100,000, the plaintiff lawyer gets around $40 k, you pay about $47-48K in taxes and keep the remainder.  There is no proof he caused the root fracture.  You did mention of grinding your teeth which can cause root fracture. Busybee: In the UK they focus on negligence.  It would not be about the dentist causing the fracture, but his failure to spot it via symptoms and treat it accordingly.   The trauma that ensued through poor diagnosis and treatment.  The financial loss.  The loss of bone through failure to diagnose, which may make implants less successful.  There are so many angles.   Here you don't pay if the lawyer does not win the case.  They take on a case only if they think they have a good chance of winning.   If you were in the UK they would take this case.  The US has certainly changed. sohcsol: Thanks for the information.  I have been thinking about whether I would have a legal case or not.  There are quite a few unknowns where, depending on the competency of lawyers on either side it could go either way as to who is at fault.   I think that the dentist should have done more thorough tests to see what was going on, but at the same time he might blame me for not describing my symptoms or complaining about the pain I was in as much as maybe I should have?   I don't know.  I imagine they would want to settle it out of court, but yeah probably wouldn't be enough in it for an attorney.\n\nThat said, I am a week into taking my antibiotic and the gum around the tooth is still very inflamed, and I still cannot bite all the way together without that tooth getting pushed sideways in a way that is painful.  I am seeing a different dentist Wednesday and hope they can shed some more light on what could happen.  I know it is possible that jaw bone can regenerate but at this point I don't want to go through any more trouble with this tooth, would almost rather it just be removed. Busybee: In terms of liability you have pretty clear clinical evidence with those x rays that the dentist missed something important here.   They do not blame you for not complaining enough about pain.  The fact that he knew something wasn't right just after fitting, having to keep filing down what should have been made properly by the lab.  Surely he should have seen some alarm bells right away and should not have fitted it but sent it back.  It's possible the impression he sent the lab were wrong and he was not alert enough to check them.   Or the lab made a faulty fitting crown, but again that is down to the dentist to check and return if it's not a good fit.    Try to get your medical records including any models and take these to another dentist to examine.   If you lose the tooth because of this then you should take action.   Let us know how  you get on with the new dentist. Busybee: Take action before he retires! sohcsol: Lol thanks.  I have contacted an attorneys office who deals with medical and dental malpractice and they are giving me a free consult to see if we may have a case.  If anything it would be nice to help prevent anyone else from having to suffer due to his negligence.\n\nAnd yeah I didn't go into much detail about the process when they made the crown initially.  They used some 3D scanning device to scan my upper and lower teeth.  It took them quite a while and they started to get frustrated with the equipment, not sure why.  Also not sure how this works since A) my original tooth was already broken and B) they never had me bite together when using the device, so how would it know where the limit should be for my bite?   But anyway, yeah the crown was a total failure.    From everything I've read, he should have redone the crown completely once they saw that it wasn't right.   I've had several other crown in the past and never had a problem, though they were all made by using a bite impression and mold. Busybee: sounds like you have a good case.  Make sure you act while the evidence is still in situ."
  },
  {
    "id": 1205,
    "title": "Best toothbrush and toothpaste",
    "dialogue": "Helpppp7: What is the best toothpaste and toothbrush to use for teeth that aren’t the healthiest or strongest? They aren’t sensitive but I do know I have some enamel loss. I’ve had a lot of fillings and multiple root canals. Just looking for the best stuff to use as I am trying to prolong the life of my teeth MattKW: Brush and floss\nHave a sensible diet!\nUse a high-fluoride toothpaste, e,g. Colgate Neutraluor 5000 Busybee: I'd recommend a sonicare as it's gentle on enamel but effective on gums.    I'd avoid any whitening pastes.   I use ultra dex because it's low on chemical abrasives and irritants.   I like the sensitive version.  I used to love colgate total but they keep changing the formula of traditionally popular products.   But it's more about technique and regular brushing /flossing than the paste you use, as long as it has fluoride it should be good enough.  Avoid sticky carbs and fizzy drinks."
  },
  {
    "id": 1206,
    "title": "Is it ok to get fillings done before deep cleaning/root scaling",
    "dialogue": "Skittles123: I haven't been to the dentist in a long time but was finally able to go recently. They said I need a deep cleaning/root scaling and 9 cavities filled. My question is, is it ok to have the cavities filled before they do the deep cleaning? I'm worried about having composite fillings done on my front teeth and then having my teeth cleaned and the composite fillings no longer matching my teeth. Will the deep cleaning actually change the current color of my teeth? Especially since its been so long since I've had a professional cleaning done? I would just do the cleaning first to be safe,il but the first available appointments for the cleaning aren't until late July and I can get my fillings done next week. I really dont want to wait until late July or aug to have my fillings taken care of,  but I certainly don't want fillings that are noticeable becauae they don't match my tooth color. Any advice someone with experience could give me would ve greatly appreciated! Busybee: It's not likely that a deep clean will significantly change the colour of your teeth unless they are badly stained with something like tobacco.     But if you are worried do not have the front teeth done now.  If you are having fillings done on both front and back teeth then you can always have the back teeth done now and the front after your deep clean.   It's very important to get the colour right on front teeth.  Can't you have the deep clean done elsewhere?"
  },
  {
    "id": 1207,
    "title": "Cannot figure out tooth issue.",
    "dialogue": "kspen01: I had four fillings done in the past 5 months. The top two were no issue but the bottom two ugh.\n\n\nIn filling the bottom one tooth I felt some pain. The dentist said she had to drill one more as the tooth there was thinner. They are. Afterwards biting there HURT. I felt it jolt right down to my root. They were small fillings. I went back a couple of times and had the filling shaved and it was better. However anytime I eat anything small and hard it hits the two back molars in between in a way it hurts my teeth. It does not hurt my root at all and i do not believe it is the filling. Another dentist in the office said the fillings looked fine including my dentist who did them. They do look okay. I can eat steaks, chicken, some chewy things etc. But say I eat ice cream with jimmies (which I cannot now) and the jimmy hits the one cusp down to the two teeth they hurt. I have been back countless times and all really looks okay. Could it be because my tooth structure changed there? Both fillings are in between the teeth there. Outside of me getting another opinion I think I am just no longer able to eat somewhat hard food there. A new x ray of the tooth looked okay to. I do trust my dentist and she is great but cannot believe a crown or anything else would need to happen on two small fillings MattKW: Post up the Xrays, either before or after to get us started. kspen01: I will need to get the x rays"
  },
  {
    "id": 1208,
    "title": "Does this look like a stain or cavity?",
    "dialogue": "cole_w16: "
  },
  {
    "id": 1209,
    "title": "Increased gum swelling 8 days after extraction?",
    "dialogue": "Aschwane: I had 4 impacted wisdom teeth removed 8 days ago. On the bottom left side there is swollen gum partially covering my second molar that appears to keep getting larger. I visited my OS 2 days ago, and he said it was not infected nor had a dry socket but didn’t explain why it was swollen. I’m not really in pain, but it does feel like I’m “teething” or want to chew something really badly and sometimes I get pain that zaps for a second and goes away. \n\nI attached a picture showing swelling 3 days ago (left) and swelling today (right). Packaging gauze was placed inside 2 days ago and is slightly coming out which you see in the right picture as well. \n\nAre there other reasons it could be swelling still? I have an appointment tomorrow, but I’m scared I won’t get answers again."
  },
  {
    "id": 1210,
    "title": "How to do an ecologycal cleaning",
    "dialogue": "Sonia Salamuri: Hi, I would like to question how can I make the cleaning of ultrasonics disinfectant without throwing it directly down the drain, in the sewer? It looks that, to the point I am aware, people don't really care about this type of residues, but the truth is that they are toxic to the aquatic environment.  I would like to know how it is done in your country.\nThank you very much!\nSalamuri Busybee: They only worry about having separate waste/filters for amalgam here.  But I'm sure there is a market for having separate hazardous domestic and clinical waste drainage systems.   Chemical manufacturers must have systems in place that could be shared with other industries. MattKW: Disinfectants are not used in ultrasonic baths; you should be using a detergent or enzyme-based product. It's purpose is to remove minute debris, not to disinfect or sterilise. Before instruments are placed in the bath, they should already have been scrubbed of most heavy debris (which goes down the sink). What product are you using? Sonia Salamuri: MattKW said:\n\n\n\n\t\t\tDisinfectants are not used in ultrasonic baths...  What product are you using?\n\t\t\nClick to expand...\n\n Hello! Thank you for your reply!\n You are right, it is an enzyme-based product. I'm still studying to work as a dental assistant,  and I've worked for one month in a clinic to achieve practical experience.  The truth is that I saw many wrong practices there, mostly because of a lack of knowledge from other assistants or wrong teaching. The term \"disinfectant\" was used to refer the liquid for the ultrasonic. So, I used the wrong term. \n I clean the instruments before putting on the ultrasonics, but many don't do this correctly. So, I used to change the liquid every time there was a surgery or tooth extraction to avoid that debris you were referring, and cross infection. (I couldn't actually say that I was doing that, because the colleague didn't like any \"suggestion\" from someone with no experience...) They usually clean with water the instruments after they were removed from the ultrasonic, with no other \"detergent\". Is this correct? I mean, the cleaning was to see if any organic residue was still there, but shouldn't be used something else besides water?\nThank you for your help!\n\nSalamuri Sonia Salamuri: Busybee said:\n\n\n\n\t\t\tThey only worry about having separate waste/filters for amalgam here.\n\t\t\nClick to expand...\n\n\nThank you for your reply.\nThey do the same here, along with needles, anestubes (not sure about the term in English) and surgical cutting material. There are specific places to put those things safely. \n\nBest regards\nSalamuri MattKW: Scrub off heavy debris under running water in \"contaminated\" sink;\nPut through ultrasonic with detergent solution to remove fine debris; change solution at least once daily.\n\nRinse under running tap water again to remove detergent\n\nDry\nPlace in autoclave bags and sterilise. Sonia Salamuri: That's what I'm going to do for now on.\nThank you for the good advice \n\nSalamuri"
  },
  {
    "id": 1211,
    "title": "Teeth Advice (urgent)",
    "dialogue": "supernick_2000: Hi everybody, if you can please be kind and give me some advice for my teeth, that will be much appreciated. I attached both camera photos and X-Ray images here: \n\nhttps://drive.google.com/open?id=1CdVF3kEsiJ1_C7L3fuTk1q_E-fBWjGab\n\nPlease let me know which tooth is main priority to fix first, to prevent it causing pain. Right now I’m not experiencing urgent pain yet, however I need to be very careful with how I eat. I am only eating from the left side of  my mouth, because if I use the right side one of the teeth may hurt.\n\nA while ago my dentist mentioned my right side has a tooth that needs to be pulled/ removed, which I believe will cost a lot, so I won’t fix that one yet, since as long as I don’t use right side of my mouth, it doesn’t cause pain for now. What do you suggest is my next top priority tooth, judging from the pictures I shared?\n\nI am on a very tight budget, only have a few hundred dollars (Canadian currency) to pick one tooth. I need to have best strategy on how to use this budget carefully. Is there some very basic/ temporary fix I can get?\n\nSince I am only using the left side of my mouth to eat, I am constantly worried those teeth will wear out/ deteriorate much faster, as a few of those existing teeth are already not in the best shape.\n\nIf I can only afford a few hundred dollars per month (Canadian currency), what would be your best strategy to maintaining/ fixing my current teeth, to prevent pain from happening, according to priority?\n\nPlease include name of suggested methods (e.g. temporary filling, root canal, crown, etc.), and/ or estimated price, if possible, as I don’t know about dentistry. Thanks Sonia Salamuri: Wow, looks that it's quite expensive to go to the dentist where you are, in my country also the same, but it's getting better if a person has insurance that covers some or half the treatments. It´s very sad because our health starts also from our mouth and the care we give to our teeth, and it´s not easy to do this treatment regularly. I hope you can have good answers here.\nSalamuri MattKW: Did the dentist who took the Xrays give you a treatment plan and quote? That would help me correlate the Xrays with the priorities."
  },
  {
    "id": 1212,
    "title": "What can be done about this?",
    "dialogue": "Chasonc: So, ever since I had my 2 kids, my teeth have gotten so bad.  Particularly this one tooth and it's getting worse and actually starting to hurt. Its like my tooth is decaying. Its in between my 2 teeth. I haven't been to the dentist in about 10 years. I know, that's bad. But I just started a new job and I'm waiting on my insurance to take a effect and then I'll make an appointment. I'm just wondering what you think they're going to do about this? I'm terrified of the dentist and just want to prepare myself. Thank You! Busybee: I'm sure it won't be as bad as you think.  Perhaps you just need a small filling.   Do you floss regularly? Dr M: Best case scenario, is that you will need a small filling. Based on your symptoms, it sounds like the nerve might be irritated due to the caries. If the nerve is reversibly inflammed, it most likely means, that you will need just a filling. But if the pain becomes spontaneous and lingers, it might be that nerve is irreversibly damaged, in which case a root canal would be a likely result.\nIt's best to not wait too long. \nThe longer you wait, the more expensive the treatment becomes."
  },
  {
    "id": 1213,
    "title": "Skin flap over 2nd molar after wisdom teeth removal??",
    "dialogue": "Aschwane: I had 4 impacted wisdom teeth removed yesterday with IV sedation and local anesthesia. After the local wore off I noticed there was a piece of skin covering my bottom left 2nd molar that prevents me from closing my mouth. Today the skin looks/ feels bigger, and it’s even harder to close my mouth. I also keep accidentally biting it in my sleep and randomly throughout the day. My oral surgeon said this is normal swelling and should go down by Sunday, but I haven’t been able to find anything like this online. The side of my face the skin flap is on is also muuuuchh more swollen than the other side. My mouth/ jaw also hurt a lot more tonight, but I think that’s regular. \n\n\nIs the skin flap normal???"
  },
  {
    "id": 1214,
    "title": "Are you supposed to see the metal on a metal occlusal porcelain crown?",
    "dialogue": "paula123: With my other crowns, you cannot see the metal . Just wondered if the dentist had shaped the new crown too much, and gone through to the metal on the bite surface. Or are they made like that? I would be very grateful for some advice.... MattKW: Happens sometimes if the lab makes the metal too thick or porcelain too thin; sometimes the dentist underprepares the tooth; sometimes the bite/occlusion is unstable and hard to get right. Even sometimes I will deliberately ask for a metal biting surface.\nHowever, the metal is the strength of the crown, so a bit of metal showing through is usually insignificant. paula123: MattKW said:\n\n\n\n\t\t\tHappens sometimes if the lab makes the metal too thick or porcelain too thin; sometimes the dentist underprepares the tooth; sometimes the bite/occlusion is unstable and hard to get right. Even sometimes I will deliberately ask for a metal biting surface.\nHowever, the metal is the strength of the crown, so a bit of metal showing through is usually insignificant.\n\t\t\nClick to expand...\n\n\nThank you for your help!"
  },
  {
    "id": 1215,
    "title": "Just got work done",
    "dialogue": "cez: Hello,\n\nI went to the dentist to get work done on my front tooth.  It was previously worked on from being chipped but part of the composite fell off, leaving a small hole/gap between my two front teeth near my gum line before the teeth came together again.\n\nThe dentist fixed my tooth and it looks better but the new composite looks discolored in relation to the rest of my mouth.  \n\nWhen he gave me a mirror in the office to look at his work I noticed it but wasn't too concerned because my lip was numb leading to a goofy smile and there was some blood around my gums and I figured the lighting wasn't great.  I found excuses to not bring it up.\n\nNow I am home and am still bothered by this discoloration because it's not a result of any of the things I made excuses for previously.  There is still blood on my gums near the tooth so maybe that is drawing my attention to it, but the discoloration seems quite noticeable.  \n\nI am disappointed to have this dilemma.  I don't think he could do anything except redo the entire procedure and I don't think he would do that without me having to pay again, which I did out of pocket.\n\nIs there a way he could change the discoloration without redoing the whole procedure?  \n\nWhat would you do if you were in my position? MattKW: Probably have to redo it. Just ring and express your concerns - he might do it for nothing or at a discount."
  },
  {
    "id": 1216,
    "title": "Question (with pictures)",
    "dialogue": "Deamo55: What is the brown area on my gums above both of my crowns? Is that part of the crown? In the other picture, I have a bump with a red dot in the middle. I seem to recall biting my cheek there. Is this some kind of cyst/injury? Thanks MattKW: The brownish area appears to be exposed dentine that the old crown doesn't cover. It is usually of no significance.\nThe bump is most likely the opening of Stensen's duct (from the parotid salivary gland). There's a little flap of skin over the duct opening and on rare occasions it gets a bit swollen or bitten. Leave it alone. Deamo55: MattKW said:\n\n\n\n\t\t\tThe brownish area appears to be exposed dentine that the old crown doesn't cover. It is usually of no significance.\nThe bump is most likely the opening of Stensen's duct (from the parotid salivary gland). There's a little flap of skin over the duct opening and on rare occasions it gets a bit swollen or bitten. Leave it alone.\n\t\t\nClick to expand...\n\nThank you so much. Maybe this is why I'm having a swollen feeling in my parotoid gland area under my jaw? MattKW: No, the parotid gland is up near the ear. Deamo55: MattKW said:\n\n\n\n\t\t\tNo, the parotid gland is up near the ear.\n\t\t\nClick to expand...\n\nI just went to my Dr today and she gave me an antibiotic. She thinks my gland is clogged. Hoping this helps. Thank you. You've been very helpful <3"
  },
  {
    "id": 1217,
    "title": "Your honest opinion about my teeth (Please comment)",
    "dialogue": "mejlo131: Hello, I will appreciate every comment about my teeth.\n\nI apologise for my English but I was born in Europe.\n\nShort explanation:I am 20, I have never liked cleaning my teeth(the toothpaste taste was making me nauseous), my family had many family issues (I was running from home, living with grandparents) and the least thing I would think about were my teeth and brushing them. However I actually was brushing my teeth but not that much like I would wish, (sometimes 10 times a month, sometimes never=this mostly)\n\n\nThe lose of enamel on my front teeth started when I was 13 yo and it stayed like this until now (no decay)\nI have teeth sensitivity when I breat cold air through mouth, eating cold food, eating high sugary stuff like chocolate. However when im hitting teeth with an item, it does not hurt and also when eating something like cereals or chewing a gum also makes no pain.\n\nDiet: I have never drunk soda drinks (occasionaly), I am no smoker, I dont drink alcohol. I stayed away from sugary food like candies etc. as much as possible. I was not at dentist for 4 YEARS, and it was a big mistake because I would be brushing if I was going to visit him regurarly.\n\nI know I have damaged enamel, but do you think the yellow colour is actually dentin and my enamel wore off totally or its just from not brushing?\n\nI know I cant turn back the time and I regret this everyday when I started brushing full time.\n\nIm adding more photos, it actually looks different all time when photographed at different places.\n\nI am now using charcoal paste, high fluoride and other mineral paste (I know enamel cant be repaired).\n\nWhat do you think of my teeth? Can you give me any advices or is it possible atleast to turn them more white? Can you tell me what probably will happen to me in few years? Any possible treatments?\n\nI want to thank for all comments, it means a lot for me. Busybee: I think you have nice teeth that look healthy and are are normal colour.  \n\nI would avoid abrasive pastes.\n\nIf you are really unhappy you could of course have them bleached but I do not think bleaching is good for teeth.  Many dentists may disagree and it's a big industry (also I have not met many dentists who have bleached teeth!),  I've had it done once and I would not do it again as it did not feel \"healthy\".   It can increase sensitivity and it's only temporary so in my view  a waste of time if you have to keep having it repeated (and pay for that).\n\nSo your teeth look fine. MattKW: Teeth are naturally shades of yellow, grey, red (see Classic colour chart here). The myth is that white teeth equates to healthiness, and this is largely driven by marketing and all those ghastly Hollywood smiles. From the limited photos you proved, I see no enamel loss, and think your teeth are natural-looking.\nIf you want to whiten them, then it is safe to do so (speaking as a dentist). There is some sensitivity during the process, but this can be controlled with desensitising toothpastes, and it will fade away afterwards. ( I attach a sheet here that I give to my patients). Charcoal toothpastes or any whitening toothpastes do not work at all.\nI worry that you do not clean your teeth. Even brushing and flossing alone without toothpaste is useful. There are some fluoridated plain toothpastes on the market, but can be hard to find, and I have no idea of what's available in your area."
  },
  {
    "id": 1218,
    "title": "Effective ways to grow a dental practice?",
    "dialogue": "aarongoldstein: I'm getting a little nervous because when I start my own practice how will I get patients? Are there certain marketing strategies that work well for growing a practice? MattKW: A lot of social media like Facebook and website stuff nowadays. Never found print media like newspaper ads to be worth it. Mailouts can be a reasonable way. Get involved with local Chamber of Commerce and other networking groups too. Kaushik: Hey aarongoldstein, The best way to market a dental practice in this day and age is through social media. I'll give you 6 steps below to grow your practice.\n\n1. Website: Your website should be your main source of traffic as 77% percent of patients use online searches while looking for a new dentist. The website should be optimised with appropriate keywords and should have the correct backlinks for great SEO. The site should also have plenty of calls to action(like book an appointment) as the patient needs to see it multiple times before they actually click on one\n\n2. SEO: This is by far the best way to get new patients. SEO basically ranks your website higher in the google search list. For e.g: if you have great SEO, when patients search for \" Dentists in (your city)\" or \"Dentists near me\" you'll be in the top search and guess what, they'll definitely be coming over to your site.\n\n3. Blog: Every dental practice should have a blog as its great in educating the patients and allows you to position yourself as the expert\n\n4. Content Marketing: Posting regular content on your website and social media channels like FB and Instagram is great for branding\n\n5. Social media marketing: Promoting your content in this digital age is key. Promote your page and clinic using paid ads to increase market share and gain an edge over your competition\n\n6. Google PPC: this is my favorite. When people search for \"dentists near me\" i'm sure you noticed the sponsored link at the top. Often times people cant diffrentiate between and actual link and a paid one and this is going to give you a lot of traffic\n\nHope these 6 points help and feel free to shoot me a message Busybee: Make sure you also get your friends to post some fake reviews MattKW: Kaushik said:\n\n\n\n\t\t\tHey aarongoldstein, The best way to market a dental practice in this day and age is through social media. I'll give you 6 steps below to grow your practice.\n\t\t\nClick to expand...\n\n\nYou should keep a very close eye on how Google rates websites, and act accordingly. If you do this, then you will achieve normal top ranking (under the ads) without having to pay for Google advertising.\nSimilarly for other paid redirections. For example, we use a popular appointment provider over here called Health Engine, but it costs money per redirection. So we have a heavy presence on Facebook and direct people directly to our website for bookings."
  },
  {
    "id": 1219,
    "title": "Started my residency.Currently in prosthodontics.Any advice?",
    "dialogue": "Dr Pepe: Hello\nAny advice for a beginner ?"
  },
  {
    "id": 1220,
    "title": "Roof of mouth pain and color question",
    "dialogue": "Gkozak94: Hello, recently (4 days ago) I noticed pretty intense pain in the roof of my mouth. In between my hard palate and soft palate there is a hard bump as well. The pain has slowly gone away, however I have provided a picture. I am wondering if the color difference on my palates is cause for concern. \nThank you honestdoc: From this view, it looks normal Dr M: Nothing of concern noted. Don't think you need to worry too much MattKW: Nothing of concern. It appears you may have a small palatal torus developing as a hard lump on that photo; nothing to worry about."
  },
  {
    "id": 1221,
    "title": "Dentists in Japan- copies of X-rays",
    "dialogue": "cloa513: For anyone who has visited or lived in Japan, have you got the dentist to give you a digital or physical copy of the X-rays that they have taken? MattKW: Why don't you contact the Australian Embassy and ask them for assistance? I can't read Japanese! cloa513: Great non-sequitur answer- must be taking the wrong drugs. MattKW: cloa513 said:\n\n\n\n\t\t\tGreat non-sequitur answer- must be taking the wrong drugs.\n\t\t\nClick to expand...\n\nWell, May 9th you said you were an Australian living in Japan. It would seem logical to start there. cloa513: Totally absurd that you think embassy would assist with handling a dentist. If they assisted with those minor matters, they run off their feet. Embassies don't  personally assist individuals except in exceptional circumstance such as major disasters. The question is not about me but whether anyone else has succeeded. It is not considered normal by Japanese to have the ability to exercise such personal rights in Japan."
  },
  {
    "id": 1222,
    "title": "Should I get second opinion?",
    "dialogue": "tuxedodragon: I had tooth pain in my left front tooth. Its fluctuated and isn't unbearable. But there is puss coming out of it.\n\nSo I went to aspen dental and discovered I have early gingivitis. My four front teeth also need root canals due to infections. They gave me a quote for 10,000 dollars.\n\nThe problem is my dental insurance only will give me a 1000 dollars for dental work. I qualified for 5400 in financing. Because I still had to pay a signifant amount in out of pocket expenses that I didn't have, they told me I could save money by just taking care of the two really bad ones.\n\nSo now my insurance and the financing will cover everything. But I will have to pay 110 dollars a month for 60 months. Which is hard for me. Not to mention that they will probably treat me for other things. Which I just don't see how I will afford.\n\nThe first apointment was free. But I have heard bad things about aspen dental, so I went in skeptical. I don't doubt that I have serious issues that need to be dealt with. I just want to make sure they aren't over charging me.\n\nI was gonna make an appointment for next tuesday but they had to put a 2000 dollar deposit from my finacing. The finacial person told me I could get that refunded if I cancelled. When I told her I wanted to get a second opinion, she assured me that the dentist was the one who owned the local chain was was very experianced. Also their prices are very competive. She ended up going back to talk to the dentist and he told her to tell me that he didn't want to make me wait a week with the infection, so he offered me an appointment on Wednesday ( just a few days from now). I am officially booked but I told the financial person that I would tell her if I was canceling tommarrow. .\n\nI would like to get a second opinion. But with my work schedule and the the holiday this Monday, I am worried it would take a few weeks to get looked on. I don't know if I'd be risking things getting worse. I am not in unbearable pain right now and I did get my x-rays at Aspen printed out just in case. But I also don't want to burn my bridges with them if the other dentists aren't any better. They did give me a prescription for antibotics MattKW: Ask them for digital copies of your Xrays so that you can put them up here properly. A photo is useless. The Xray software can easily export images to a flash drive (or CD) as JPG or TIFF.\nYou can also then take those images to another dentist for 2nd opinion. Don't take that printout and expect anyone to be able to see a good image.\nThey're putting the hard sell on you because you think you're in a corner. Don't rush in - would you buy a car from the first car lot you went to? honestdoc: Aspen will send you digital x-rays through your email.  You need to go there to fill a form to request them. Busybee: That's a lot of money for four front teeth because root treatment in a front tooth is less complex as there's just one root.  Presumably they plan to crown them.  You should definitely get a second opinion because you don't want to waste your money but more importantly it's a lot of trauma to have so much work done at once.    Get the x rays, post them here, but also get a second opinion.  Did they not even give you some antibiotics?    It's important to get this treated but don't be rushed into something, be informed and be sure you need so much work done.  Get a proper diagnosis from at least two other dentists.   Experience means nothing.  Reputation is what is important."
  },
  {
    "id": 1223,
    "title": "Whether hot sensitivity tooth needs root canal?",
    "dialogue": "Du_deleted: Hi,\nI had recently replaced(3 weeks back) old fillings with new one on one tooth. I am experiencing some sensitivity in that tooth whenever I chew hard and crunchy foods. Also, I feel a sharp pinch like pain whenever I sip a hot beverage. I feel this only for the first sip. The second sip i feel like normal. The same for hot food too. I haven't tried with very cold items yet. I have just tried with normal tap water(little cold) and  I feel little sharp and sensitivity. I would like to know if it's treated using only root canal? Is root canal necessary?\nI had some discomfort with my first filling and replaced it. The sensitivity was not there with my first filling and it stared after my refilling which is 3 weeks back. \nWhat is the treatment for this? A crown or root canal? I am just looking for some valuable inputs, so that I am not scammed with new dentists which I am gonna visit. \nAnother additional question. When is root canal neccessary and to be done? I have no idea on this. \nThank you. MattKW: Why was the filling replaced?\nWhat was it replaced with? Composite or amalgam?\nDo you have any digital Xrays to show us? Du_deleted: MattKW said:\n\n\n\n\nWhy was the filling replaced?\nWhat was it replaced with? Composite or amalgam?\nDo you have any digital Xrays to show us?\n\n\nClick to expand...\n\nThank you so much for your reply @MattKW. Appreciate it.\n1. It was giving some discomfort for 8 months. No sensitivity. Just some discomfort on the left lower side. So he replaced it.\n2. Composite.\n3. I have x-rays which was taken before this replacement. I don't have any x-rays after this refilling."
  },
  {
    "id": 1224,
    "title": "I'm out of here.",
    "dialogue": "MattKW: Best wishes to honestdoc, but I'm out of here. This forum is disappointing. Whilst trying to help genuine patients has been somewhat satisfying, I particularly dislike also having to run a second front battle against the oft-times uneducated and anecdotal advice handed out by Busybee which is a disservice to the patients. Becky: Thanks for your feedback, and I'm sorry that this has become an issue. Sending you a message now so that we can work to resolve this. honestdoc: I'm very heartbroken.  As a dentist of 21 years, I'm a lifetime dental student who loves to hear other dentist's opinions and experiences especially from another country.  Best wishes to you as well sir! MattKW: Thanks honestdoc,\nBecky's input and yours has made me re-evaluate my despondency, and I will return! But I won't let silly Busybee get under my skin again. honestdoc: Nice to have you back.  I look forward to your posts and replys! MattKW: Thanks, friend. Just knowing that Becky and you are there has been very helpful. I had a lot on my plate. John Roberts: Glad you decided to stay.  Most of us need all the advice we can get.  I know I do.  I am still fighting teeth pain with no answers.  2 1/2 years now."
  },
  {
    "id": 1225,
    "title": "Is this normal looking please",
    "dialogue": "Stacer: Hi guys\nI had my whole top set of teeth removed saturday morning. It's Tuesday night and the pain today has been so bad painkillers aren't taking the edge off , which they have been helping great until now. Is this a dry socket ? Soooo much pain. Stacer: Oops s sorry it's now Monday lol painkillers affecting my brain. Please tell me it's normal. honestdoc: So far it looks normal as long as you are not experiencing swelling and fever.  You dentist/surgeon will usually follow you up after removing a set of teeth. Stacer: Thanks so much for replying that eases my mind a bit.\nThursday now and the throbbing just will not stop. I have a very high pain threshold believe me but this whole extraction takes the cake. NOTHING i take gives any relief and the throbbing is just continuous, i feel like I'm going to go crazy the off white patch on the back top side my hand is on all feels like rock hard tooth. Looks soft but isn't i think there's roots still in there 4 sure. Stacer: So the bottom here that all feels like tooth around outside it is rock hard will it eject  on its own or go back to dentist? I have my wedding soon so i really need to heal and get dentures in or have to postpone which will cost us. Stacer:  honestdoc: Everything seems Within Normal Limits.  I'm not sure why the surgeon didn't do a followup with you since you had a traumatic procedure.  Did the dentist talk to you about dentures and when to fabricate it? Stacer: He is doing a follow up this saturday. Still in so much pain it's ridicolous. I guess to be expected. He didn't pack any gauze in or, put in any stitches. I wish he had as the very back top amd bottom don't seem to have healed or even started healing, they are just big empty holes. Im a lil surprised to be still in this much pain. The throbbing is so bad if not for that i think I'd be coping.\nThanks so much again x Stacer: Oh as far as dentures i was advised to wait awhile till healing has taken place and gums not so sore. Haven't had impressions or anything done so fingers crossed 4 healing fast. I havent left the house and i have 4 kids so embarassed i look terrible."
  },
  {
    "id": 1226,
    "title": "cracked tooth as possible extraction complication",
    "dialogue": "bordor: I had a molar extracted in 2014.\n\nThe next time I saw a dentist he noted  a crack on the remaining molar on that side. (A tooth which also has a couple of old amalgam fillings.)  Unfortunately at that time I did not make a connection between this fracture and the extraction. I don't remember being informed damage to the neighboring tooth was possibility. So it never occurred to me to return to the surgeon who did the extraction to bring this up as an issue.\n\nI have now and then noticed sensitivity in the tooth (from exposure to hot/cold) but it was never really bad, and only very intermittent. But earlier today I bit down on a piece of gum on that molar, and felt an extremely sharp pain which lingered afterward for awhile, even after I stopped chewing. No previous discomfort I experienced in this tooth was anything like this bad, and this just happened out of the blue. The night before I had been chewing gum as well, yet no pain whatsoever.\n\nI am wondering if the surgeon who extracted my tooth in 2014 could have accidentally as a result of the force applied caused a crack in the neighboring tooth during the procedure? If so what is the best thing for me to do under the circumstances, given that now a few years have passed?\n\nAs a side question, is chewing gum a concern if you have a cracked tooth? can it make the crack worse?\n\n\nThanks for your feedback! MattKW: Rather than the surgeon having inadvertently damaged your too0th, it is much more likely that:\n\nThe remaining tooth is now taking a greater chewing load and is more prone to fracture;\nThe remaining tooth has already been filled, and this always makes teeth more likely to fracture as time goes on. It is very rare for an unfilled tooth to fracture.\nDon't chew gum if your teeth have existing fillings. Go see a dentist if the sensitivity continues."
  },
  {
    "id": 1227,
    "title": "Panaromic x-rays. Can someone look into it and say the issues. Any cracks?",
    "dialogue": "Du_deleted: Hi,\n\nI am attaching my panaromic x-ray image. I have fillings on few tooth. 13,14,15,19. And on 19th I did replace it with a new filling last week. This panaromic taken before the filling replacement.\n\nI have some discomfort on tooth 19 and my dentist said that I need crown to cover it up because he guess there might be a crack underneath. I would like to know if you see any cracks on this x-ray?\n\nWhat can we identify using panaromic x-rays? This is the first time I have taken that. Please look into it and share your opinion.\n\nMy current dentist say I need crown on 19. I see a new dentist a couple of months back and she suggested root canal for 15. Is both necessary now? Can we identify using panaromic x-ray?\nThank you. MattKW: Are you sure you mean 19 (lower left 1st molar). I can't see obvious decay on the OPG, but granted they're not the usual film to diagnose decay.\nAnyway, cracks are not diagnosed on Xrays. Do you have standard small dental Xrays taken after your recent treatment? These are usually called bitewings. Du_deleted: MattKW said:\n\n\n\n\t\t\tAre you sure you mean 19 (lower left 1st molar). I can't see obvious decay on the OPG, but granted they're not the usual film to diagnose decay.\nAnyway, cracks are not diagnosed on Xrays. Do you have standard small dental Xrays taken after your recent treatment? These are usually called bitewings.\n\t\t\nClick to expand...\n\nThank you so much for your reply @MattKW. Appreciate it.\nWhat is OPG mean? \nI have x-rays taken after few months of my first filling.  I had the filling replaced 2 weeks back and I didn't take any x-rays in these 2 weeks. \nI am attaching the x-ray taken before this refilling. \nAnd I had a very very small decay on 19 and have a very shallow filling on surface O. honestdoc: Why did your new dentist suggest you need a root canal treatment on #15?  A test that I use for possible fracture is a \"tooth sleuth\" bite stick.  I place it on each of your 4 cusps on the #19 (usually the 5th cusp is too small to isolate).  During the bite test, if you have pain upon releasing, the cusp may have an internal fracture.  If you have pain only when biting down, you may be grinding and clenching. Du_deleted: honestdoc said:\n\n\n\n\t\t\tWhy did your new dentist suggest you need a root canal treatment on #15?  A test that I use for possible fracture is a \"tooth sleuth\" bite stick.  I place it on each of your 4 cusps on the #19 (usually the 5th cusp is too small to isolate).  During the bite test, if you have pain upon releasing, the cusp may have an internal fracture.  If you have pain only when biting down, you may be grinding and clenching.\n\t\t\nClick to expand...\n\nThank you so much for your inputs @honestdoc. Appreciate it.\nThe another dentist told me about the root canal because she said that the filling sometimes not work in the back molars and they prefer root canal. And she said that might be the reason I am getting the pain and discomfort near the lower left (18 and 19). \nBut now I refilled the filling with my old dentist 2 weeks back. And now I have sensitivity to hard and crunchy foods when I chew and some dull ache in that tooth which comes on and off. \n\nAnd about the bite stick, my dentist checked something like a hard plastic stick(not sure if it's bite stick) and told me to bite on it for few times. And i don't feel any pain with that. He didn't say anything after the bite check. He just said we can try crown on this tooth as we already tried refilling. \nAnd told me to check if I am grinding or clenching in the night. \nI think I should go for a new dentist and see. I am just olanniny to wait for few more weeks if it subside on its own. The pain actually increased after the recent visit to my dentist (I went on Monday for bite check). The pain comes for few seconds and goes off. Du_deleted: MattKW said:\n\n\n\n\t\t\tAre you sure you mean 19 (lower left 1st molar). I can't see obvious decay on the OPG, but granted they're not the usual film to diagnose decay.\nAnyway, cracks are not diagnosed on Xrays. Do you have standard small dental Xrays taken after your recent treatment? These are usually called bitewings.\n\t\t\nClick to expand...\n\nWhat is OPG mean? Du_deleted: honestdoc said:\n\n\n\n\t\t\tWhy did your new dentist suggest you need a root canal treatment on #15?  A test that I use for possible fracture is a \"tooth sleuth\" bite stick.  I place it on each of your 4 cusps on the #19 (usually the 5th cusp is too small to isolate).  During the bite test, if you have pain upon releasing, the cusp may have an internal fracture.  If you have pain only when biting down, you may be grinding and clenching.\n\t\t\nClick to expand...\n\nWhether the minor cracks are reversible? honestdoc: Cracks unfortunately are not reversible.  It can be very difficult to determine the extent of the crack.  I worked on a colleague who I prepped a tooth for a crown and placed a temporary crown for about 3 months.  His symptoms disappeared and we placed the final crown.  He didn't have any issues afterwards.  If cracks are deeper/more extensive, extraction would be the most predictable option. Du_deleted: honestdoc said:\n\n\n\n\t\t\tCracks unfortunately are not reversible.  It can be very difficult to determine the extent of the crack.  I worked on a colleague who I prepped a tooth for a crown and placed a temporary crown for about 3 months.  His symptoms disappeared and we placed the final crown.  He didn't have any issues afterwards.  If cracks are deeper/more extensive, extraction would be the most predictable option.\n\t\t\nClick to expand...\n\nThank you so much for your reply @honestdoc. Appreciate it.\nThe extraction really scares me. I really don't know if I have crack and that's the reason for these issues. I also suspect that the crack being formed when the dentist drilled and filled. Because, he didn't say anything about the cracks before my procedure. Is that possible that fillings can create cracks? \nI don't want to do extraction. Let me see another dentist in few weeks. What symptoms should I check if I have crack? \nThe symptoms I have right now are, sensitivity while chewing down hard and crunchy foods. And dull or some pinch needle like pain comes on and off.\nI know these questions should be the asked to the dentist in person.  But just asking here if I can have some inputs myself on hand. honestdoc: Try to go to the drug store and find a dental night guard and use it during sleep.  It can be very difficult to identify cracks.  As mentioned above, when you bite into a tooth sleuth and you feel pain letting go of your bite, that may indicate an internal fracture.  I had a tooth that was very sens to biting and after wearing a night guard for 5 years, the pain gradually disappeared. Du_deleted: honestdoc said:\n\n\n\n\t\t\tTry to go to the drug store and find a dental night guard and use it during sleep.  It can be very difficult to identify cracks.  As mentioned above, when you bite into a tooth sleuth and you feel pain letting go of your bite, that may indicate an internal fracture.  I had a tooth that was very sens to biting and after wearing a night guard for 5 years, the pain gradually disappeared.\n\t\t\nClick to expand...\n\nThank you so much for your reply. Appreciate it."
  },
  {
    "id": 1228,
    "title": "Tooth Check (X-ray)",
    "dialogue": "maxim1477: I just got several diagnoses that differ somewhat from one another, so I'm turning to you to find out what thoughts you have about the tooth depicted in the photo. Do you see anything wrong with the tooth? What do you see in the tooth, besides the filling? Do you detect any inflammation or anything out of the ordinary?\n\nThanks in advance. honestdoc: I see root canals that are poorly filled with an abscess at the distal root (right side root tip with a dark spot).  If the tooth is asymptomatic, you are lucky.  If you want a more definitive result, have a endodontist (root canal specialist) retreat (redo) the root canal under microscope to check for fractures, extra roots, damage, etc and have your dentist place a crown.  Otherwise you can leave it alone or extract it. maxim1477: Thank you very much for the answer! Could you please answer one more question? Do you see anything else, perhaps a cavity, in this picture? honestdoc: Tooth #3 (in US), #16, Upper Right first molar has a large cavity on Distal surface and moderate cavity on Mesial surface.  Lower Right first molar #30 (in US) has recurrent cavity (cavity under filling) on Mesial surface or defective/fractured filling.  X-rays don't show 3 dimensions (tongue or cheek sides). maxim1477: Thank you for the detailed answer! It helps a lot. \n\nRegarding tooth #3 with the large cavity, do you think it has affected the nerve? What do you suggest doing to that tooth? honestdoc: If you have no pain and no swelling, try getting a filling.  Have your dentist place a bioactive pulpal protectant liner like Lime-Lite.  If you have intense pain that wakes you up that means your nerve (root canal) is damaged.  If you have swelling, that means your nerve died and became infected.  You would then need a root canal treatment and later a crown. \n\nBeware, most dentists are production hungry and would skip all that in favor of root canal and crown.  If you tell them you only want a filling, they would intentionally drill too deep.  It is very hard to find a dentist (like an auto mechanic,  contractor, etc) you can trust. maxim1477: Yes, I am quite weary of such types of dentists, which is why I've had to turn to this forum.\n\nCould it be that the nerve is damaged but no pain is felt? \n\nOne doctor has suggested checking, but I'm concerned that this \"check\" will mean having to drill in order to determine whether the nerve is damaged. Is it in fact necessary to drill into the tooth to check if the nerve is damaged, or is there another way to determine this, for example by scanning? honestdoc: Cold test.  We use liquid nitrogen spray to a cotton ball.  If the tooth feels cold...great, the nerve is working.  If no cold is felt, then the nerve may be necrotic (dead).  If the dentist uses a Q-tip, false negative because it doesn't get cold enough.  If the tooth feels intense lingering pain, nerve is damaged.  On molars, it can get trickly because there are about 4 nerve canals and some canals maybe dead while others are good.  If so, the tooth will need a root canal as well.\n\nI feel the electric pulp tester is not as accurate especially if the tooth has a crown (cap).  I like the cold test better. maxim1477: Yesterday, I felt a sensation in the back tooth with the large cavity that you had seen earlier (molar, I believe, which was pictured above in my post on April 26th). To be precise, the feeling was in the gums. I felt it after I drank something cold (and the same when I eat certain things), and I felt the sensation continue until I used an antiseptic, at which point the sensation subsided significantly but not entirely. Does this indicate that the nerve is damaged?\n\nAlso yesterday, I talked with my doctor about that back tooth and she suggested drilling into it to find out. Does this sound like an appropriate approach to you, given the trickiness of having 4 nerve canals in a molar? In other words, is it necessary to drill the tooth because of the difficulty of identifying damages to the nerves?\n\nLastly, would be okay to ask where your practice is located? If not, no worries. Thanks again for your thoughts. Busybee: You should find a minimally invasive or conservative dentist for a second opinion.   These professionals are committed to ethical dentistry and preserving the health of the natural tooth as much as is practically possible whilst solving any dental health problems.  So if they do a filling they will remove only what is necessary. honestdoc: Did your dentist place a filling on the tooth with a large cavity?  The tooth feeling cold is a good thing.  It indicates the nerve is working.  Damaged nerve feels intense pain that can wake you a night and you can't chew on that side.  The dentist needs to drill on the tooth to fill the cavities.  There should be no extra drilling to identify anything. maxim1477: No, the large cavity wasn't filled. Thank you for describing this test on whether the nerve is damaged!\n\nThe dentist I visited today said the following:\n\nThe cavity has to be drilled into to see if the horns of the pulp (she calls \"horns\" the nerve's connective tissue/texture) are affected, because it could be affected, but I may not feel pain. The solution she proposed is to NOT remove the nerve but to try to cure it first, if the pulp is affected.\nThe sensation I am feeling (which I described previously) comes from the unevenness of the gums between the teeth (indicated in the photo). She called it periodontitis. She thinks it is the result of the cavity in the tooth. She was able to stimulate the sensation by using an instrument that blew air into the area.\n\nQUESTIONS:\n\n1. Do you agree with her conclusion and proposed approach about the horns of the pulp?\n\n2. Do you agree that the sensation is because of periodontitis? And how is the periodontitis related to the cavity? honestdoc: Where are you located?  You discussion with the dentist is odd.  I agree not to remove the nerve.  I recommend a pulpal protectant (bioactive dentinal liner) such as Lime-Lite near the pulp before a filling is placed.  This product helps the nerve heal.  Periodontitis is diagnosed after probing your gums for attachment loss.  If the probe reads 5 mm or deeper then you may have active disease.  GET THE TOOTH FILLED as soon as possible.  Afterwards, have your gums probed and determine if you have active disease.  If so, you may need deep cleaning. maxim1477: I am from Russia, and unfortunately, here the dentists tend to contradict each other. So the diagnoses and approaches are different. \n\nDo you have a general recommendation that I can follow? In particular, dentists want to remove the nerve, but I don't want to, so what should be the least invasive solution for my situation? I'm concerned that some of them don't know what Lime Lite is, so they choose instead to just remove the nerve. Is removing the nerve the only approach available if Lime Lite is not an option?\n\nIs it possible that an internal cavity (like I have) will be so complex to reach that it will be necessary to reach it through the neighboring tooth? Obviously, I wouldn't want anyone drilling two teeth to get to one cavity.\n\nThank you for all your help. It's really difficult getting consistent consultation where I live. honestdoc: Do you live close to a big city?  I may be naive to Russia, but I assume the big city dentists may have more modern equipment/supplies.  The most conservative/least traumatic procedure is to do the filling.  I'm not sure Lime-Lite is readily available in Russia but an older alternative is Dycal (Calcium Hydroxide liner) to protect the nerve.  Have the filling done as soon as possible so it doesn't get bigger.  Even better is going to a teaching facility like a Dental School and have instructors overlooking or doing the procedure.  They may not be as aggressive to want to remove the nerve. maxim1477: Yes, I do live in a big city, but when you get different opinions, it makes you question the motives of the dentists.\n\nDo I understand correctly that Lime-lite is used only to protect the remaining uninfected pulp and nerves? In other words, the dentist will remove the infected parts of the pulp together with the infected nerves and apply Lime-lite to the remaining uninfected pulp and nerves. And afterward, the dentist will put a filling to seal up the tooth. This avoids a fill root canal as there remains good pulp and nerves in the tooth.\n\nThis means Lime-lite doesn't cure the infected pulp and nerves, it only protects further spread of the infection and inflammation to the rest of the pulp and nerves.\n\nIs above understanding correct?\n\nI don't want to lose the nerves if it is not necessary, but I can't understand whether the problem is so serious that l should simply agree to lose all the nerves or continue looking for a dentist that performs such a procedure. What would you say in this case? Is it so serious that I should forget about saving the nerves with even if only some of them?\n\nI've spoken to at least 5 dentists since this problem began. Busybee: Are you in any position to perhaps hop on a plane to Hungary?  They have some of the best dentists in the World. honestdoc: When the cavity gets close to the nerve (pulp) of the tooth, I like to use Lime-Lite (by Pulpdent) which protects the nerve from injury and inflammation.  The nerve is very fragile and when you have a cavity close to the nerve, the nerve can get injured or die from the trauma of removing the cavity or contamination from the cavity.  The nerve must not get drilled into and keep intact.  If the nerve is exposed, you will need a root canal treatment removing the entire nerve down to the root tips. maxim1477: Thank you for your reply. Of course, my first choice is to go to Europe to attempt treatment, and to the list of Germany and France, I'll be considering Hungary also.\n\nUnfortunately, it's not so easy to get a visa to the EU. So, I am considering Israel. I've heard Israel has a lot of good dentists there, and I wouldn't need a visa. \n\nWhat do you think about treatment in Israel? maxim1477: honestdoc said:\n\n\n\n\t\t\tWhen the cavity gets close to the nerve (pulp) of the tooth, I like to use Lime-Lite (by Pulpdent) which protects the nerve from injury and inflammation.  The nerve is very fragile and when you have a cavity close to the nerve, the nerve can get injured or die from the trauma of removing the cavity or contamination from the cavity.  The nerve must not get drilled into and keep intact.  If the nerve is exposed, you will need a root canal treatment removing the entire nerve down to the root tips.\n\t\t\nClick to expand...\n\n\nThank you for the explanation.\n\n\n\nI am attaching a scan of the upper area. Do you see anything here to be concerned about? These dentist visits of mine seem to create more problems than solve them."
  },
  {
    "id": 1229,
    "title": "Dull toothache when biting down after one week of filling replacement",
    "dialogue": "Du_deleted: Hi,\nI had my filling replaced on last Monday. I feel sensitive and tingly feel on that tooth whenever I chew the food. After eating, it gives a dull ache on that tooth side and it goes off after a while. And when I keep closing my mouth in resting, it gives that dullache when upper and lower teeth touch. Is this normal after filling or should I go back to the dentist? \nAny input is really appreciated. Busybee: These things take time to settle.   Usually 3 months. MattKW: If not settling within 2 weeks, go back to dentist. Or if it worsens. White (composite) fillings are much more likely to give post-op pain than amalgams. Du_deleted: Busybee said:\n\n\n\n\t\t\tThese things take time to settle.   Usually 3 months.\n\t\t\nClick to expand...\n\nOh!! Thank you so much for your reply. Appreciate it. I will wait and see if it subsides. I thought it could be a bite issue. Du_deleted: MattKW said:\n\n\n\n\t\t\tIf not settling within 2 weeks, go back to dentist. Or if it worsens. White (composite) fillings are much more likely to give post-op pain than amalgams.\n\t\t\nClick to expand...\n\nThank you @MattKW for your reply. Appreciate it. \nThanks for the information about the white fillings. I will go back and check my bite for this dull ache. Du_deleted: Busybee said:\n\n\n\n\t\t\tThese things take time to settle.   Usually 3 months.\n\t\t\nClick to expand...\n\nJust a quick question. \nIf I chew soft food on that side of the mouth or on that tooth, I don't feel anything. If I chew something little solid like vegetables, apple, nuts I feel the sensitive and tingly pinch feel on that tooth. Is that normal? Busybee: it can be while it's settling down.   Go easy on it for a while.   If it gets worse see your dentist. Du_deleted: MattKW said:\n\n\n\n\t\t\tIf not settling within 2 weeks, go back to dentist. Or if it worsens. White (composite) fillings are much more likely to give post-op pain than amalgams.\n\t\t\nClick to expand...\n\nJust a quick question. \nIf I chew soft food on that side of the mouth or on that tooth, I don't feel anything. If I chew something little solid like vegetables, apple, nuts I feel the sensitive and tingly pinch feel on that tooth. Is that normal? Du_deleted: Busybee said:\n\n\n\n\t\t\tit can be while it's settling down.   Go easy on it for a while.   If it gets worse see your dentist.\n\t\t\nClick to expand...\n\nThank you @Busybee  for your quick reply. MattKW: Sensitivity implies polymerisation shrinkage and microleakage along the bonding interface. Two weeks maximum for it to settle, that's all I allow. It would be several years since I had a case that lasted 2 weeks, and then I replaced it. Simple good public relations. Du_deleted: MattKW said:\n\n\n\n\t\t\tSensitivity implies polymerisation shrinkage and microleakage along the bonding interface. Two weeks maximum for it to settle, that's all I allow. It would be several years since I had a case that lasted 2 weeks, and then I replaced it. Simple good public relations.\n\t\t\nClick to expand...\n\nAwesome. Thank you so much for your reply.\nI will go back and check with my dentist. He told me to wait for 3 to 4 weeks and come back. I can't trust him anymore. Thanks for your inputs. Du_deleted: MattKW said:\n\n\n\n\t\t\tSensitivity implies polymerisation shrinkage and microleakage along the bonding interface. Two weeks maximum for it to settle, that's all I allow. It would be several years since I had a case that lasted 2 weeks, and then I replaced it. Simple good public relations.\n\t\t\nClick to expand...\n\nHello doctor @MattKW and @honestdoc,\nI just talk to my dental office today and told them that I still have sensitivity to the hard foods like apples, veggies etc. They discussed with my dentist and called me back. They said that, I might need a full crown coverage on that tooth. They just guessing that it will resolve the issue. They doubt that my tooth has been cracked underneath and they did fillings 2 times on that(replaced fillings last week). So, they say I need a full crown. I am totally shocked and worried now. Because, that was a perfect tooth which had no issues before the filling. That too, I had a very very shallow filling means that very  very small cavity. So, I don't know if I should go for crown as per his guess. \nI asked for a couple of days time and have to call them back. \nDo you think the crown will help this? Actually, I don't have any idea about crowns. Either me or my family doesn't have any before. So, no idea on that. Is it a good idea to go for crown now? Or my dentist is pushing me to some options? \nI can't trust him much as I don't have satisfaction in his work. He always guess and do the things and I have already taken 2 chances of fillings on that tooth. \nAny inputs or your opinion please? Busybee: Go to another dentist or two and get a second opinion.   If you do not have confidence in this dentist find another through personal recommendation. MattKW: Dental user said:\n\n\n\n\t\t\tHello doctor @MattKW and @honestdoc,\nI just talk to my dental office today and told them that I still have sensitivity to the hard foods like apples, veggies etc. They discussed with my dentist and called me back. They said that, I might need a full crown coverage on that tooth. ...Any inputs or your opinion please?\n\t\t\nClick to expand...\n\nI don't put crowns on irritated teeth because it will just irritate them more. They must have firstly settled.\nGo somewhere else. Du_deleted: MattKW said:\n\n\n\n\t\t\tI don't put crowns on irritated teeth because it will just irritate them more. They must have firstly settled.\nGo somewhere else.\n\t\t\nClick to expand...\n\nThank you so much for your reply @MattKW.\nAppreciate it. \nI will wait for a week and see if it subsides. If not, I will go for second opinion. Stacer: Dental user said:\n\n\n\n\t\t\tHello doctor @MattKW and @honestdoc,\nI just talk to my dental office today and told them that I still have sensitivity to the hard foods like apples, veggies etc. They discussed with my dentist and called me back. They said that, I might need a full crown coverage on that tooth. They just guessing that it will resolve the issue. They doubt that my tooth has been cracked underneath and they did fillings 2 times on that(replaced fillings last week). So, they say I need a full crown. I am totally shocked and worried now. Because, that was a perfect tooth which had no issues before the filling. That too, I had a very very shallow filling means that very  very small cavity. So, I don't know if I should go for crown as per his guess.\nI asked for a couple of days time and have to call them back.\nDo you think the crown will help this? Actually, I don't have any idea about crowns. Either me or my family doesn't have any before. So, no idea on that. Is it a good idea to go for crown now? Or my dentist is pushing me to some options?\nI can't trust him much as I don't have satisfaction in his work. He always guess and do the things and I have already taken 2 chances of fillings on that tooth.\nAny inputs or your opinion please?\n\t\t\nClick to expand... Stacer: I've had this before it never went away and ended up needing root canal. I have issues going numb so while the dentist was attempting 1st root canal the pain was unbearable and I told her to just pull the tooth. I would say go and see dentist if it's been a week or more. I'm not a pro but I've had enough tooth work done lol Du_deleted: Stacer said:\n\n\n\n\t\t\tI've had this before it never went away and ended up needing root canal. I have issues going numb so while the dentist was attempting 1st root canal the pain was unbearable and I told her to just pull the tooth. I would say go and see dentist if it's been a week or more. I'm not a pro but I've had enough tooth work done lol\n\t\t\nClick to expand...\n\nThank you for the reply.\nMy dentist want me to go for a crown for this issue. I already tried redo the filling on that tooth. So he is guessing that I may have a crack underneath and I should try crown for that. He says that he is guessing a crack and hoping crown helps.\nI did go back to my dentist yesterday and checked for my bite too. He said bite is fine and I am not biting on the filling. He said to come back for a crown. I have to wait and see a second opinion. MattKW: If this was a composite filling, then my first idea would be to redo with an amalgam, perhaps with a smear of a corticosteroid (\"Ledermix\"). So, my lining would be smear of Ledermix, then Dycal, amalgam. If your dentist is unwilling to do an amalgam, then ring around and go elswhere. Keep in touch. Any Xrays to show us, pls? Du_deleted: MattKW said:\n\n\n\n\t\t\tIf this was a composite filling, then my first idea would be to redo with an amalgam, perhaps with a smear of a corticosteroid (\"Ledermix\"). So, my lining would be smear of Ledermix, then Dycal, amalgam. If your dentist is unwilling to do an amalgam, then ring around and go elswhere. Keep in touch. Any Xrays to show us, pls?\n\t\t\nClick to expand...\n\nThank you so much for your reply @MattKW. Appreciate it.\nYes, it is a composite filling and replaced with the same filling. My dentist is not interested in amalgam and he want me to do a crown on that tooth. I have enquired with my friends and neighbors. Most of them say that their dentist do only composite fillings. I have to call up few more places and check. \nI have attached my x-ray in the another thread. I have a panaromic x-ray and few x-rays taken after the first filling.  I don't have any x-ray taken in these 2 weeks(after filling replacement)."
  },
  {
    "id": 1230,
    "title": "Private Dental costs",
    "dialogue": "Danthespan: Hi  I am in uk...Can anyone tell me if I have been over charged..I have a private dentist..had a small filling without anesthetic..also a scale and polish  it took 35 mins... £129 is this correct price. Diana honestdoc: In the US, that would be similar ~$190.00.  Most people here would use their 3rd party dental insurance to pay for it.  Unfortunately in the US, seeing the dentist for routine care can seem like a rip off.  For medical, I had to pay ~$900 for my daughter's ear wax removal (took 3 appointments and I have a high deductible only medical insurance). Busybee: That is a reasonable cost for private work here.   Surprised you were not given an injection.  I hope it's a good dentist that was recommended to you."
  },
  {
    "id": 1231,
    "title": "Which services do dentists like providing?",
    "dialogue": "Rocks614: What type of services do you like providing at your practice and why?"
  },
  {
    "id": 1232,
    "title": "What's the most profitable procedure you enjoy doing?",
    "dialogue": "aarongoldstein: Hello! I'll be a dentist in a couple years and wanted to know if you had to pick what's the most profitable procedure you do that also is enjoyable and why. Thanks! MattKW: Simply aiming for most profitable is not a good road to follow; as an example I see some dentists perform pathetic composite patches for broken cusps which I assume are easy money, but rather poor work and unethical. You can charge what you like for any procedure and work accordingly. The most enjoyable procedures is a complex plan that takes a patient from despair to happiness."
  },
  {
    "id": 1233,
    "title": "Pain in the other side jaw after filling",
    "dialogue": "Du_deleted: Hi,\nI had refilling on tooth #19 last Monday. I had few other fillings on the left side of the mouth 9 months back. \nI never had any dental work done on the right side. I have some discomfort and pressure like feel on the right side lower end jaw from yesterday. Is the bite issue on the left side causing the discomfort on the right side? \nI also have some other symptoms with my filling tooth. I feel tingly and sensitive whenever I chew food. Also feel sensitive when I drink cold water. \n\nI didn't go to my dentist again for the bite check. Whether the bite issue is the reason for the discomfort on the right side? I feel some pressure and discomfort more in the right side when upper an lower teeth touch together. \n Any inputs anyone? Du_deleted: Any inputs anyone?"
  },
  {
    "id": 1234,
    "title": "ulcer looking weird",
    "dialogue": "soqrates: hello doctor how are u  \n3 days i got an mouth ulcer  and i went to permanency to get medicine  for it and he used somthing called oral medic i posted a picture for it it hurt me like hell but then there was no pain after that  i looked in mirror and the whole area was white  and  after that in 2 days which is today  the ulcer not hurting bu this white stuff is hurting i eat normal but it hurt but not that pain prevent me from eating  i talk normal no pain but google got me scared about cancer  can u please tell me if this is normal or its cancer  i take appoint me  with dentist   but that untill the 9/5/2019 honestdoc: That is a canker sore or apthous ulceration.  It will go away in about 7 to 10 days. soqrates: okay doctor thank u so much for replaying me"
  },
  {
    "id": 1235,
    "title": "Chipped Tooth or Tartar",
    "dialogue": "mls2807: I was brushing my teeth on Tuesday, and two small things that felt like little pebbles came out of my mouth. I wasn't able to save them, but from what I saw they were very small and a little discolored. \n\nI'm wondering if it was just tartar or maybe a piece of my tooth came out. I can feel a small gap/hole on the bottom left of by back front tooth with my gum, but it doesn't hurt, and there has been no bleeding at all. \n\nI'm in no pain, able to chew, and drink hot and cold beverages ok. Feeling the gap/hole in my back tooth is what scares me. Thanks! MattKW: Probably tartar (calculus). A common concern. bruce878: Its not a big issue but just visit a dental clinic for precaution."
  },
  {
    "id": 1236,
    "title": "Research",
    "dialogue": "Nur: Hi, I’m a third year dental student and i have a research to submit this week. \nI’ve been searching for a simple topic and have thought of \nNano hydroxyapatite \nTeeth sensitivity \nI’m not satisfied though as I’m not sure how I’d conduct a questionnaire based on these two. \nCan y’all please let me know your thoughts on these two and whether there’s something different that i can talk about. honestdoc: I like the topic of bio-active restorative materials, sealers, cements, etc.  Another topic is the advantages and disadvantages of the latest bonding/adhesive systems.  Maybe consider digital vs conventional VPS impressions."
  },
  {
    "id": 1237,
    "title": "Strange bump or lump. Please help!",
    "dialogue": "Matthew C: Hello, well for the past week I've been having a slight stinging sensation on the roof of my mouth. Being 16 I assumed it was just wisdom teeth coming through until I saw someone's wisdom teeth at school. When I went home I shined a light into my mouth to find 2 red lumps on the roof of my mouth on both sides pretty much symmetrical of each other. I'm really worried as to what it might be as I have a phobia of dentists. Any advice would be helpful and also I believe the attached picture is upside down Mohammad: You need to be checked by an Oral Medicine Specialist or Maxillo-Facial Surgeon as soon as possible to find out what is it? Why is it? Any treatment needed or not? Don't be scared...every problem has solution, I am sure your problem has solution too. I appreciate your self consciousness to see and identify abnormality in your mouth, highly appreciable, Mathew. If your city / state has any dental school please visit and seek help they will help you. If no dental school then visit any Oral and Maxillo-Facial Surgeon."
  },
  {
    "id": 1238,
    "title": "Is this dry socket or healing properly?",
    "dialogue": "Finkiea: Help me please.I recently got a tooth pulled on an emergency dentist appointment and it’s been two days. My mouth still hurts and my jaw line. I have a really bad dentist and need to switch but I want to make sure this isn’t getting infected or that I’m getting dry socket. MattKW: Extraction sites rarely get infected unless there was massive infection before the extraction. I very rarely need to prescribe antibiotics.\nA dry socket is not an infection. Antibiotics will neither prevent nor cure a dry socket.\nIf you develop a dry socket, it will manifest 3-4 days post-op with enormous pain, bad breath, and foul taste. You would revisit the dentist for a sedative dressing. I prefer zinc oxide/eugenol mix."
  },
  {
    "id": 1239,
    "title": "Tongue peeling on the left side",
    "dialogue": "hoss1985: Hi,\n\nI am 33; non-smoker. I recently found out that the left side of my tongue is kind of peeling off. Any idea what it can be? Many thanks! honestdoc: I'm having a hard time seeing where you are pointing to .  Could you provide more images?  From my limited view, I'm not seeing anything abnormal. hoss1985: I took a better picture. The left side of my tongue is kind of red. Peeling off, maybe? Thanks a lot for your time. honestdoc: Those bumps look normal.  Look up \"foliate papillae.\"  If you have pain, extreme redness, asymmetry, callous like lesions, have a dentist look at it. honestdoc: Also look up \"migratory glossitis.\" hoss1985: I will. Thanks a lot! It’s not symmetrical. The red spot is not painful. It’s not very much red. Looks slightly inflamed. I’m attaching another photo. Once again, thanks a lot. hoss1985: Also, the red spot hasn’t “migrated.” It’s been there for a few weeks. Is it something abnormal? Many thanks. honestdoc: I believe that is normal anatomy.  You could get another opinion.  Did you consume or rinse with anything that irritates like a new mouth rinse, cinnamon, new toothpaste, herbal substances, or similar?  If so, get it checked.  If the bumps happened for no apparent reason, continue to watch for symptoms I mentioned. hoss1985: I use cinnamon every now and then. But not that much. Also, I go back and forth between several toothpaste and mouthwash types. I was afraid it’s Erythroplakia. That got me scared a lot. honestdoc: You want to minimize/avoid chemical irritation in the mouth.  You mouth/body does not like irritation of any kind and may form abnormal tissue to protect from it.  Some toothpastes can irritate and I dislike mouth rinses especially if they are alcohol based.  For your peace of mind, have a dentist thoroughly examine the area and be sure to disclose all potentially irritating products you are using. hoss1985: Thanks a lot for the info! I've made an appointment with an ENT doctor for tomorrow. Will keep you posted. hoss1985: Hi. A quick update. My NET doc said it’s the geographic tongue and the bumps are taste buds. He said to not worry about it at all. Thanks again for your help."
  },
  {
    "id": 1240,
    "title": "Freaking out over xray... help!",
    "dialogue": "Amberlynn85: Hi y'all... my dentist is worrying me and I don't understand why she won't tell me what's going on! I have all these dark shorts on my xrays and she is insisting I get an endo consult but won't tell me why! There's spots where there are no teeth!  \n\n(I just recieved my upper abs lower partial dentures the other day) \n\nI'm including my xray that I took a picture of... if anyone can tell me what they think I need an endo for I'd really really appreciate it!  I don't know why I have so many spots! honestdoc: The big black spot on Upper Left is normal sinus.  The smaller black spot is possibly a bony abscess on the farthest right tooth.  The endo consult will determine if the tooth needs a root canal (most likely).   Keep in mind that dental x-rays are only 2 dimensional and does not provide full diagnostic information.  Other tests and examination are needed to fully assess."
  },
  {
    "id": 1241,
    "title": "Please help dent in my tooth",
    "dialogue": "Ms_samira: Pleas can anyone help. I had a filling done a month ago (top molar) and im sure at one point during the procedure the dentist hit my lower tooth. When i got home and that lower tooth had a dent in the tooth. It didnt cause me any pain and i didnt go back to dentist  however now its causing me sensitivity when eating sweet things ok with cold and hot. I really dont want another filling can anyone recommend what treatment the dentist can do. Also how do i say to him oh by the way i think you did that last month. Photo has been attached. Ms_samira: Anyone"
  },
  {
    "id": 1242,
    "title": "Trauma to my 2 year olds primary front right tooth. Please help!",
    "dialogue": "Jenniferphillips: Hello, \nThree days ago, my two year old daughter fell and hit her face on a desk at a doctors office. :/ There was blood and tears and me freaking out. This was not the first time she had hurt this particular tooth. Around 10 months she flipped her tooth and they were able to put push it back and it healed beautifully and stayed white. During this particular incident at first the damaged tooth had a ever so slight very light grey color, barely noticeable. \nThis time is the same way only through X-ray she was found to have a horizontal fracture. The pediatric dentist recommended  antibiotics and to extract the tooth in a week. \nI received a second opinion, and that was to leave the tooth alone and evaluate since it wasn’t completely knocked out,  however it was a little dislodged and very quickly cleaned and out back in place. Treatment was fast! She is not experiencing any sensitivity to hot or cold. (She ate soft ice cream without a flinch) she does not seem to want to bite down on the tooth, but she knows she has a boo boo there and is favoring the side of her mouth (this only happened 72 hours ago) Her swelling has drastically gone down as well. It’s a little grayish between the gum and tooth but that’s where it was bleeding. \nMy question is what should I do? I obviously don’t want to extract the tooth and want to save it at all costs. I have two different opinions from two very respectful dentists. She doesn’t seem to be in anything more than a very mild discomfort. I was told that was could happen if it becomes infected, but as of right now, it’s not. I really want to wait and see or should I immediately extract? I have been cleaning the area with warm salt water, giving her a good diet, Tylenol for pain and did not give her the antibiotics. I didn’t give her the antibiotic because they said as of now there was no sign of infection. I know amoxicillin will fight the good and bad so I didn’t think there was really a point in giving it to her without infection present. Please advise!\nThank you for taking the time to read and respond to my post. honestdoc: I am not a pediatric dentist but work with a few of them.  I will be back at the office with them this Thursday and ask their opinion as well.  My opinion is to watch for swelling.  Amazingly, children are fast healers due to their efficient vascular system.  They have the potential to repair traumatized mouths naturally.  As long as they have no swelling or fever, continue to watch her and hopefully she will develop better coordination.  Her teeth may change color to maybe gray or darker.  Her teeth may exfoliate sooner or may need to be extracted before its time.  The key is swelling and or fever.  I'll ask one of the pediatric dentist of her opinion this Thursday. Jenniferphillips: honestdoc said:\n\n\n\n\t\t\tI am not a pediatric dentist but work with a few of them.  I will be back at the office with them this Thursday and ask their opinion as well.  My opinion is to watch for swelling.  Amazingly, children are fast healers due to their efficient vascular system.  They have the potential to repair traumatized mouths naturally.  As long as they have no swelling or fever, continue to watch her and hopefully she will develop better coordination.  Her teeth may change color to maybe gray or darker.  Her teeth may exfoliate sooner or may need to be extracted before its time.  The key is swelling and or fever.  I'll ask one of the pediatric dentist of her opinion this Thursday.\n\t\t\nClick to expand...\n\n\nIt means the world to me that you took the time to respond. I REALLY appreciate you asking and thank you for your advice. honestdoc: I had talked with a pediatric dentist.  She recommends regular followups every 3 weeks with pediatric dentist for possible abscess.  Most likely the tooth will need to come out in the very near future and the most likely outcome from early removal of a front baby teeth is the adult tooth may have varying degrees of mineral defects (possible white spots or tooth discoloration) and the future front teeth midline may be off center. Jenniferphillips: honestdoc said:\n\n\n\n\t\t\tI had talked with a pediatric dentist.  She recommends regular followups every 3 weeks with pediatric dentist for possible abscess.  Most likely the tooth will need to come out in the very near future and the most likely outcome from early removal of a front baby teeth is the adult tooth may have varying degrees of mineral defects (possible white spots or tooth discoloration) and the future front teeth midline may be off center.\n\t\t\nClick to expand...\n\nThank you so very much for taking the time to respond to me. Unfortunately, we had to extract the tooth. It was devastating. The pediatric dentist said that she will put in what’s called a pedi-partial when she is two (in the next fees weeks) pending on how she reacts to an oral sedation. Of course this scares me as well and I’ve been researching the net up and down for the pros and cons of it. It’s seems fairly save and the pedo is pretty well trained in this field. Hoping for the best outcome. Thank you so much again"
  },
  {
    "id": 1243,
    "title": "Am I Being Overtreated Question...?",
    "dialogue": "SandwichMonster: All,\n\nThank you for taking the time to read this -- Essentially, I recently decided to use my dental insurance to look into my teeth (as I was experiencing throbbing jaw pain, possibly from grinding my teeth, as it runs in my family apparently). My question will delve into suspicion that I am being over-treated possibly for profit. I will provide some background information about me/my habits, as well as x-rays taken before I had work done, as well as what work was performed to the best of my memory, and then why I have these suspicions. If any experts could chime in, it would really help me with this quasi-investigation! \n\nI'm prior military, and had fillings performed during and before my time in service, some of these fillings having fallen/chipped out, or were replaced while I was in the Air Force (2006 to 2012). My dental hygiene wasn't great. I seldom flossed and brushed only once a day (I'm now flossing after dinner and brush twice a day with fluoride, I am 31 years old). I have only gone to the dentist before in 2017 where I needed a filling re-filled, and it was discovered I needed an additional filling in the neighboring tooth (My top right incisors, next to the front teeth (12 and 13, I believe). The dentist was affordable, suspected I may need a root canal in them but I told him to do his best with the filling. Since then, they've been fine (until this most recent dentist).\n\nI went to a dentist around January 2019 for the pain I mentioned earlier (the potential teeth grinding), where they took a full X-ray of my jaw (attached, hopefully below). They determined I needed approximately 12 fillings in my entire jaw. Four in my top front teeth (to include 12 and 13 as well as 22 and 23), four along my upper right molars, and then four more (I can't recall which part of my jaw, as I have not had them filled yet). They did inform me I'd need no root canals. Though the dentist did want me to undergo a full cleaning prior to the fillings (where they go under your gums, I think?). However, when I arrived for the cleaning the nurse/assistant(?) only felt I needed a simple cleaning and didn't need to go as deep.\n\nI had the front teeth filled, as well as the top right of my molars. They insisted on removing/re-filling 12 and 13, which I originally had filled by the dentist in 2017. I believed them and let them do it. Perhaps a month ago (two months after they filled 12 and 13), I awoke to throbbing pain around 12 and 13, which wasn't unbearable, but made it hard to sleep and concentrate. Concerned for my teeth, I scheduled an appointment that day and they concluded I needed a root canal in 12. I was fairly annoyed/upset, as the tooth was fine originally before they re-filled it, and now I was being told I'd need a root canal I'd have to pay for (the quote was around $500 after my insurance).\n\nIt was around this time I read some articles about over-treatment, something I'd never considered a possibility before -- Doctors should be trusted. Sure, my dental hygiene wasn't good -- But to have upwards of 12 cavities which needed filling? And I must've mentioned I suspected I grind my teeth at least three times during varied appointments with this dentist/office, and they never once suggested a mouth guard or any real concern. None of my teeth currently hurt (the \"root canal\" pain went away after about two days, after the pain was isolated to 12 for one day and then felt completely fine by the third day). None of my teeth even really hurt when I first went to this dentist (aside from the suspected teeth grinding pain that was off and on randomly).\n\nSo I requested my x-rays, to try and look at what they saw, and I cancelled my remaining appointments until I can figure this out. However, the x-rays they sent me honestly look like something out of some Top Secret document with lines being redacted. I reviewed some guides on how to view dental x-rays, but I'm hardly qualified.\n\nCan anyone advise on what they think is happening, am I being ripped off or is it all in my head? Thanks for your time! honestdoc: I do see cavities between your teeth.  How did you know to go to this new dentist?  I do agree that many dentists over treat teeth unnecessarily...how else will they produce income?  Unfortunately so are many other fields like auto mechanic, veterinarian, etc.  Find a dentist you trust, brush, floss (to reduce between the teeth cavities), and cut back on sugary beverages like soda, flavored coffee, and energy drinks. Busybee: Sandwich monster I would suggest you seek a second opinion on your current situation.  Unfortunately what your dentist did cannot be reversed but you can find out whether the work can be improved upon so that you are no longer in pain. \n\nIt's impossible to say whether you have been over-treated but  it certainly sounds as though you had poor dental treatment whilst in the armed forces.   You are right to be cautious about undertaking any more extensive work.   You are where you are and the priority is to get you to a place where you feel comfortable again.\n\nTry to look for a \"minimally invasive\" or \"conservative\" dentist who should try to find a good solution for you with the least invasive treatment method.   Anyone who is using a minimally invasive label should be ethical because their whole ethos is to retain your dental health whilst doing as little as possible. SandwichMonster: Busybee said:\n\n\n\n\t\t\tSandwich monster I would suggest you seek a second opinion on your current situation.  Unfortunately what your dentist did cannot be reversed but you can find out whether the work can be improved upon so that you are no longer in pain.\n\nIt's impossible to say whether you have been over-treated but  it certainly sounds as though you had poor dental treatment whilst in the armed forces.   You are right to be cautious about undertaking any more extensive work.   You are where you are and the priority is to get you to a place where you feel comfortable again.\n\nTry to look for a \"minimally invasive\" or \"conservative\" dentist who should try to find a good solution for you with the least invasive treatment method.   Anyone who is using a minimally invasive label should be ethical because their whole ethos is to retain your dental health whilst doing as little as possible.\n\t\t\nClick to expand...\n\n\n\nThanks! But to be clear -- I am in no pain currently. The \"teeth grinding pain\" is sporadic and random, and lately not as common. I was just beginning to suspect my current dentist was looking to drill whatever they could to take advantage of my insurance/profits, etc. Busybee: honestdoc said:\n\n\n\n\t\t\tI do agree that many dentists over treat teeth unnecessarily...how else will they produce income?  Unfortunately so are many other fields like auto mechanic, veterinarian, etc.\n\t\t\nClick to expand...\n\n\nThat's appalling. Why are ethical dentists not calling such charlatans out?  Patients are not automobiles.   Patients can only trust dentists if their peer group expose them when they act unethically. SandwichMonster: honestdoc said:\n\n\n\n\t\t\tI do see cavities between your teeth.  How did you know to go to this new dentist?  I do agree that many dentists over treat teeth unnecessarily...how else will they produce income?  Unfortunately so are many other fields like auto mechanic, veterinarian, etc.  Find a dentist you trust, brush, floss (to reduce between the teeth cavities), and cut back on sugary beverages like soda, flavored coffee, and energy drinks.\n\t\t\nClick to expand...\n\n\nI just looked in my area and saw they had a few good reviews -- I was trying to get my teeth looked at ASAP as I wanted them handled before New Years, and the first one I went to wasn't available. Busybee: SandwichMonster said:\n\n\n\n\t\t\tThanks! But to be clear -- I am in no pain currently. The \"teeth grinding pain\" is sporadic and random, and lately not as common. I was just beginning to suspect my current dentist was looking to drill whatever they could to take advantage of my insurance/profits, etc.\n\t\t\nClick to expand...\n\n\n\nHi Sandwich monster you should still seek a second opinion because not being in pain does not always mean that there is no underlying problem.  A second opinion does not cost much and it may be that you can make a complaint if it is found you were overtreated. Busybee: SandwichMonster said:\n\n\n\n\t\t\tI just looked in my area and saw they had a few good reviews -- I was trying to get my teeth looked at ASAP as I wanted them handled before New Years, and the first one I went to wasn't available.\n\t\t\nClick to expand...\n\n\nGood online reviews mean little.  Go by personal recommendations.   A lot of practices strive to delete negative feedback on search engines. honestdoc: Busybee said:\n\n\n\n\t\t\tSandwich monster I would suggest you seek a second opinion on your current situation.  Unfortunately what your dentist did cannot be reversed but you can find out whether the work can be improved upon so that you are no longer in pain.\n\nIt's impossible to say whether you have been over-treated but  it certainly sounds as though you had poor dental treatment whilst in the armed forces.   You are right to be cautious about undertaking any more extensive work.   You are where you are and the priority is to get you to a place where you feel comfortable again.\n\nTry to look for a \"minimally invasive\" or \"conservative\" dentist who should try to find a good solution for you with the least invasive treatment method.   Anyone who is using a minimally invasive label should be ethical because their whole ethos is to retain your dental health whilst doing as little as possible.\n\t\t\nClick to expand...\n\nOne shouldn't assume the Air Force provides poor dental care.  I was an Air Force dentist and we had to go through quality controls and many hours of continuing education and specialized training.  We cannot have military personel experience any dental problems while on missions. Busybee: honestdoc said:\n\n\n\n\t\t\tOne shouldn't assume the Air Force provides poor dental care.  I was an Air Force dentist and we had to go through quality controls and many hours of continuing education and specialized training.  We cannot have military personel experience any dental problems while on missions.\n\t\t\nClick to expand...\n\n I'm not assuming anything.  We don't know in which country the OP was treated or who they were treated by.  But if several fillings break or fall out that IMO is poor dental care, whosoever administers it.  I am sure you agree. honestdoc: I think the easiest method of finding a good trustworthy dentist is to ask family, friends, coworkers, neighbors, etc.  A sneaky way to find a good dentist is to check out a dental lab and ask the technicians which dentists do good work.  Other good source (if you are in the US) is to go through Academy of General Dentistry and look up providers in your area.  Members have to keep up with stringent continuing education requirements.  Even better is combining all of the above. Busybee: honestdoc said:\n\n\n\n\t\t\tI think the easiest method of finding a good trustworthy dentist is to ask family, friends, coworkers, neighbors, etc.  A sneaky way to find a good dentist is to check out a dental lab and ask the technicians which dentists do good work.  Other good source (if you are in the US) is to go through Academy of General Dentistry and look up providers in your area.  Members have to keep up with stringent continuing education requirements.  Even better is combining all of the above.\n\t\t\nClick to expand...\n\n\n\nHi honestdoc that's what I suggested - personal recommendation.  I am not sure that good technicians are easily accessible to patients or that they would tell patients who they work for.  Certainly not sure if they would in the UK.  After all they don't know who you are or your motives.  But I do think that this information should be in the public domain to improve patient decision making.   Perhaps the way forward is transparency of dental pathways and subcontracting routes, so practices should be revealing their business partners.   I don't see why that would be contentious given they work on humans. NB CPD IMO is not relevant as it's a tick box for most professionals.  It does not test competence or outcomes. honestdoc: From my observations and experience, it can be very hard to find a dentist you can trust.  In the US, most people choose their dentist based on who their 3rd party dental insurance will cover.   I'm in a unique situation where I don't have to over treat to make a good living.  My modest student loans 21 years ago is paid off by the US government.  I work on state sponsored poor people and I make more than many private dentists who have to pay for their operating expenses.  Many of my contemporaries have student loans approaching or surpassing $400,000!  I don't know how to set up transparencies for the public.  However, in order to get credentialed for 3rd party dental insurance plans, dentists have to go through lengthy application and background processes."
  },
  {
    "id": 1244,
    "title": "Enamel worn away, help!",
    "dialogue": "leolallani: So basically the enamel on a few of my teeth have worn away (or at least thats what my dentist told me) and I was just wondering if the enamel has completely worn away? (or can I use an enamel strengthening toothpaste to improve the yellowing)\n\nAlso is there any other ways to improve the yellowing without undergoing cosmetic treatment as I don't really want to do anything abrasive to my otherwise \"healthy teeth\" honestdoc: Do you consume a lot of acidic foods and or beverages?  Acid can really damage the mineral content of enamel and teeth.  Avoid whitening toothpastes because they can be very abrasive.  You can try Over the Counter Whitening gels/strips initially because they are less irritating and work your way up to professional products from the dental office. leolallani: honestdoc said:\n\n\n\n\t\t\tDo you consume a lot of acidic foods and or beverages?  Acid can really damage the mineral content of enamel and teeth.  Avoid whitening toothpastes because they can be very abrasive.  You can try Over the Counter Whitening gels/strips initially because they are less irritating and work your way up to professional products from the dental office.\n\t\t\nClick to expand...\n\n\nI don't think I consume too much and thanks I'll give it a shot"
  },
  {
    "id": 1245,
    "title": "I have question about a chip in my tooth please help",
    "dialogue": "Kitkat: Can someone please tell me if they think I need to see a dentist for this chip ASAP? I chipped it today while trying to fix a bracelet, I was biting and pulling on a piece of metal with my fri t teeth. It looks as small in person as it does in the picture but my sister and father are scaring me. I was hoping someone who actually knows what they're looking at to tell me if its going to get worse(chip more on its own) or if there may be any nerve damage. Please and thank you all. I'm desperate. Ms_samira: I would go to the dentist its small he probably will smooth it down"
  },
  {
    "id": 1246,
    "title": "Referal to endodentist after failed root canal on premolar",
    "dialogue": "GiddyG2001: Basically my dentist can't complete a root canal on my premolar because of its difficult roots. He's said he can refer me to the hospital for a specialist endodentist but they may not take the case. My son sees a private dentist and at his surgery,they have a endodentist and I know they take NHS patients on referrals. Can I ask for them to refer me to that surgery instead of the hospital?\n\nI'm on a tax credits exemption certificate in the UK so don't pay for my treatment. Currently awake with an abscess on the same tooth (I have antibiotics) and am very anxious about either getting the root canal or an extraction sorted soon as I'm aware abscesses can return if the procedure isn't done quickly after the infection clears. Busybee: I don't understand why your dentist started the root treatment instead of referring you in the first place.  You will have to pay for treatment if he refers you to the private sector.  Did you discuss an extraction with the dentist? GiddyG2001: I  don't know either! He did the first session,then said he wouldn't be able to get it done as my roots had \"vicious curves\" and I'd need to come back.\nWent back,took him 30mins to numb me,and even then,I wasn't completely numb so still couldn't finish.\nTold me to rebook a 3rd appointment on a certain day so a more experienced colleague was there to consult.\nI think what happened was,he's fairly young,he wanted to give it a go then realised he couldn't do it. So he should have admitted defeat. Which it seems he hasn't.\nHe did say extraction was an option if it failed (which it now has) but he also mentioned an endodentist at the hospital,which would be free on the NHS but would come with the caveat that I may not be accepted and would prob be on a long waiting list.\nI'm quite surprised I'd have to pay as my son's dentist say they accept NHS referrals. And my status on the NHS is free treatment. Busybee: You'd have to speak to your son's practice.   You should complain to the NHS about the treatment.   If the dentist cannot complete treatment then he should not have attempted it. MattKW: Busybee said:\n\n\n\n\t\t\tYou'd have to speak to your son's practice.   You should complain to the NHS about the treatment.   If the dentist cannot complete treatment then he should not have attempted it.\n\t\t\nClick to expand...\n\nUnfortunately, it's not always possible to fully appreciate the difficulties of some treatment until you get into it. The important thing is to recognise when you are out of your depth and pass it on, rather than keep trying and possibly do irrreversible damage. Busybee: MattKW said:\n\n\n\n\t\t\tUnfortunately, it's not always possible to fully appreciate the difficulties of some treatment until you get into it. The important thing is to recognise when you are out of your depth and pass it on, rather than keep trying and possibly do irrreversible damage.\n\t\t\nClick to expand...\n\nMattKW the most sensible dentists I have met do not even attempt a root treatment, even the simplest canal.  They always refer to a specialist.    it must be awful to have a treatment half done and have to eat and live with the pain and a weakened tooth while you wait to have it retreated. MattKW: I know a great many more dentists than you, and I tutor in the clinics at the Uni, so I know very well what is taught, and to what standard upon graduation, and what my many colleagues practise. You lack detailed knowledge of RCTs and the principles of pain control as properly applied in dentistry. \nAs a pertinent example, dentists are often presented with toothaches and to relieve the pain, they must extirpate the pulp. That is not \" awful\" or \"half done\"; that is standard first stage emergency pain relief for acute pulpitis and similarly for necrotic pulps. Done properly (and simply), there is prompt cessation of pain. If we didn't at least accomplish that step, then how would patients wait up to several weeks to get into a specialist (if that's who they need)? \nYounger dentists may defer their more complex RCTs to senior dentists in the practice, and senior dentists will sometimes refer to endodontists. RCTs are very much bread-and-butter for many general dentists - I finished 2 molars today. It sounds like you haven't always met the right ones. Busybee: We will have to agree to disagree on this.  In my opinion MattKW general dentists should never attempt root treatment and I would like to see this as a legal requirement.   Financial considerations should certainly not be part of any decision making in this respect.  We see plenty of examples just on this forum of the disaster that follows and patients who end up with long term pain and tooth loss.   It's best left to the specialists who have years of experience and the right equipment to save a tooth. MattKW: In your very limited opinion. Should we also leave surgical extractions to oral surgeons, and crown and bridge to prosthodontists? General dentists are trained in many procedures and should refer more difficult cases wisely. Busybee: General dentists should not be attempting root treatment and implants.     If they want to do either then they should complete the same training as a specialist and be required to have the same equipment.    Were this a legal requirement then there would be far more specialists than we have now. MattKW: General dentists are trained to do RCTs and are qualified to do so immediately upon graduation. They also receive rudimentary lessons in implants, and can do it after post-grad training. \nWhy on earth would you want more specialists? The cost of specialists is well out of the reach of most people, and should receive referrals when the treatment is too difficult for the general dentist. Why can you not understand this simple concept? (and you avoided answering about oral surgeons and prosthodontists).\nI infer that you work in some sort of health field, and I don't mind when you give general and supportive advice, but you really have no technical knowledge of dentistry, and some of your comments are dangerous and misleading.\nYou and your \"legal requirement\" nonsense, really. Do you not think that Dental Boards or Councils, specialist organisations, and Dental Associations are somehow less astute than you? Inneedofdentalhelp: I agree with Matt here, but what if they adopted a system more similar to medicine? One in which you specialise in some field upon graduation. That way there can be a number of specialists in each dental practice and the overall level of care would improve for all patients. Also dental associations/boards/councils are never infallible and there is always room for improvement. Busybee: Like I said MattKW we will have to agree to disagree on this one.  There are plenty of examples on this forum of inexperienced general dentists leaving people in enormous pain and distress by attempting complex root treatment.  The whole area of dentistry is insufficiently regulated.   Considering the damage that results from poor shoddy work it needs massive reform and a big rethink as to who can do what and who should not be allowed to do risky procedures.  To become a qualified doctor you are trained in all sorts of areas during a rotation but you do not have GPs attempting surgery even if they have done some training many years earlier.  General dentists should stick to the basics just as GPs do and leave invasive high risk procedures to specialists who do them all the time.    Passing patients around on a conveyor belt once it's too late is simply not acceptable. MattKW: Again, just what is your field of expertise? What recognised qualifications do you have?\nYou also don't seem to understand that fora like this attract problems, not successes, and are skewed representations of the population. MattKW: Inneedofdentalhelp said:\n\n\n\n\t\t\tI agree with Matt here, but what if they adopted a system more similar to medicine? One in which you specialise in some field upon graduation. That way there can be a number of specialists in each dental practice and the overall level of care would improve for all patients. Also dental associations/boards/councils are never infallible and there is always room for improvement.\n\t\t\nClick to expand...\n\nLovely idea, but the extra training (time and money) to be a specialist won't make it cheaper. And specialists don't want to work in the same practice as GDP and vice versa. I prefer to send patients to independent specialists of whom I approve - not all specialists are good. There are 3 local dental specialists to whom I refuse to send my patients (an orthodontist, endodontist, and paedodontist).\nBoards/councils aren't perfect, but Busybee hasn't proposed a better arrangement, just wishful thinking and no practical solution. Busybee: MattKW I am not sure how much you know about NHS Dentistry but it has never had a good reputation.  Most dentists here start their training in NHS practices straight out of university.   These dentists may have studied root treatment at dental school but they are insufficiently experienced and should not be in a position to start complex work where there is no clear referral path and where they have no specialist backup.    The NHS  needs to address this because people are ending up with serious health problems as a result of a lack of expertise.  There should be a specialist in every NHS practice but it's hard enough for them to try to find qualified dentists in the first place.   \n\nThe majority of private practice general dentists here do not carry out root treatment themselves.  Even though they may be very experienced most refer that to a specialist.  That may be different in Australia but that's the case here.   You've said yourself that you do not trust some of your specialist colleagues to carry out work so how can patients have confidence in dental professionals?   Have you reported these specialists as incompetent?  There appears to be knowledge of incompetence amongst professionals but how many are outed to their boards? MattKW: Where do you get your information to make these assertions? You haven't answered any of my earlier questions, but just answer me this specific statement: \"The majority of private practice general dentists here do not carry out root treatment themselves.\" I simply don't accept that phrase unless you can provide a reference. e.g. how many RCTs does a general dentist perform, and what percentage does he/she send to an endodontist?\nSo much of your talk is unsubstantiated nonsense, and misleading to other people needing expert opinion on this forum. You speak from personal anecdotes at best. Busybee: MattKW my comments aren't anecdotal and you are taking this discussion too personally.  Everyone who lives in the UK is acutely aware of the failings of the dental system and particularly NHS dentistry for decades now.  There is a toxic environment and many dentists have retired with inexperienced new entrants or cynical sharks filling the gaps.  Private practices do not want litigation so they refer to specialists.  The NHS does not have the same easy referral routes.  In fact private practices are able to refer back to NHS specialists with \"too difficult\" cases.   The whole system needs reform here.   Yes there are good experienced dentists around but they do not put themselves at risk to perform anything complex.  They refer on because why would they expose themselves to potential litigation?   \n\nhttps://www.dentistry.co.uk/2015/09/04/i-am-a-dentist-get-me-outta-here/\n\nhttps://www.nature.com/articles/sj.bdj.2018.359\n\nhttps://onlinelibrary.wiley.com/doi/pdf/10.1002/j.1875-595X.1997.tb00793.x honestdoc: Busybee said:\n\n\n\n\t\t\tMattKW I am not sure how much you know about NHS Dentistry but it has never had a good reputation.  Most dentists here start their training in NHS practices straight out of university.   These dentists may have studied root treatment at dental school but they are insufficiently experienced and should not be in a position to start complex work where there is no clear referral path and where they have no specialist backup.    The NHS  needs to address this because people are ending up with serious health problems as a result of a lack of expertise.  There should be a specialist in every NHS practice but it's hard enough for them to try to find qualified dentists in the first place.  \n\nThe majority of private practice general dentists here do not carry out root treatment themselves.  Even though they may be very experienced most refer that to a specialist.  That may be different in Australia but that's the case here.   You've said yourself that you do not trust some of your specialist colleagues to carry out work so how can patients have confidence in dental professionals?   Have you reported these specialists as incompetent?  There appears to be knowledge of incompetence amongst professionals but how many are outed to their boards?\n\t\t\nClick to expand...\n\n\nIn the US, according to a source I read about 10 years ago, general dentists perform about 80% of all root canals while the specialists do about 20%.  The general dentists are held to the same standards as specialists by the licensing authorities (state dental boards).  I am a general dentist and was assigned to work full time on root canals at my large group practice since many dentists don't like to do them. \n\nIncompetent dentists are quickly identified and shut down in my state.  Just because we don't refer to specific individual specialists does not mean they are incompetent. MattKW: honestdoc said:\n\n\n\n\t\t\tIn the US, according to a source I read about 10 years ago, general dentists perform about 80% of all root canals while the specialists do about 20%.  The general dentists are held to the same standards as specialists by the licensing authorities (state dental boards).  I am a general dentist and was assigned to work full time on root canals at my large group practice since many dentists don't like to do them.\n\nIncompetent dentists are quickly identified and shut down in my state.  Just because we don't refer to specific individual specialists does not mean they are incompetent.\n\t\t\nClick to expand...\n\nThank you. That would be my anecdotal feeling too, and I have read similar stats somewhere but can't be bothered to find details just to rebut Busybee when she goes off-topic and doesn't address the needs of the OP."
  },
  {
    "id": 1247,
    "title": "Please help. Had cavity refilling yesterday. Still have gum numbness on the injection site.",
    "dialogue": "Du_deleted: Hi\nI redo the cavity filling on tooth#19 yesterday. The numbenss goes off after 5 hours. I had some juice after that. \nBut I still have some pain and numbness feel on the gum where the injection is given. I took ibuprofen last night and I was able to sleep thru it. And after I wake up, it started again. It's like needle like pain. Also feel the area is very sore. I still don't feel my bite that side and I didn't chew anything on that side of the mouth.\nIs this pain normal or should I go back to dentist? How long will be the pain in the injection area after the fillings done? Any inputs? honestdoc: Hopefully the pain should subside soon.  To numb the lower teeth, the needle has to travel quite a distance to its target nerve and can be somewhat traumatic.  Your mouth heals very quickly unless you have uncontrolled diabetes, any immune compromised condition(s) or smoke more than a chimney. Du_deleted: honestdoc said:\n\n\n\n\t\t\tHopefully the pain should subside soon.  To numb the lower teeth, the needle has to travel quite a distance to its target nerve and can be somewhat traumatic.  Your mouth heals very quickly unless you have uncontrolled diabetes, any immune compromised condition(s) or smoke more than a chimney.\n\t\t\nClick to expand...\n\nThank you so much @honestdoc. Appreciate it.\nI don't have any uncontrolled diabetes or any immune things. \nI will take ibprufen for few more days and see. It really hurts down the jaw line and the gum area. \nJust another quick question. \nDoes the tooth which had the filling will be sensitive to hot and cold? I just had some water now and I feel t sensation on my tooth. \nWhether it will be sensitive to cold and hot foods? When can I start eating on that side of the mouth?\nAnyone have any inputs? honestdoc: Unfortunately any teeth that has dental work can get sensitive to colds.  You could be fine for some time and suddenly get sensitive out of the blue...it is unpredictable.  I have very sensitive teeth for about 1 month through out the year.  Don't rush into eating on that side and just ease into it like you had sprained your ankle.  Cold sensitivity of short duration is good.  It means your root canal is vital and is letting you know that excessive cold can hurt the nerve.  Damaged root canal (nerve) is when you have intense pain that wakes you up at night.  If that occurs, you will need a root canal treatment.  You shouldn't feel hot sensitive after a filling.  If you did, have your dentist check it out.  It could mean further pulpal (nerve) disease. Du_deleted: honestdoc said:\n\n\n\n\t\t\tUnfortunately any teeth that has dental work can get sensitive to colds.  You could be fine for some time and suddenly get sensitive out of the blue...it is unpredictable.  I have very sensitive teeth for about 1 month through out the year.  Don't rush into eating on that side and just ease into it like you had sprained your ankle.  Cold sensitivity of short duration is good.  It means your root canal is vital and is letting you know that excessive cold can hurt the nerve.  Damaged root canal (nerve) is when you have intense pain that wakes you up at night.  If that occurs, you will need a root canal treatment.\n\t\t\nClick to expand...\n\nThank you so much @honestdoc."
  },
  {
    "id": 1248,
    "title": "Cavities and Crowns",
    "dialogue": "kyu: I went to the dentist and I have twelve cavities and two that needs crowns. Im really scared because Im relatively young, and am a bit devastated to have already done this damage to my teeth. - Ive never had to have a crown before.\nI brush and floss twice everyday but I continue to get cavities, if it keeps going at this rate I'll have to get false teeth or something, does anyone have any advice? honestdoc: What beverages do you drink?  Do you eat sweets?  Have your dentist prescribe you Fluoride supplements and drink more water while cutting the sweets."
  },
  {
    "id": 1249,
    "title": "Whether multiple bite adjustments good? Does it really hange the bite or the structure of the mouth?",
    "dialogue": "Du_deleted: Hi all,\n\nI had 4 fillings in the month of June. I had few bite adjustments after the filling as I was having some sharp pain while biting down. I went in for 3 visits and had adjustments.\n\nI still have some discomfort or pressure like feeling on one of those fillings and on the left jaw side and sensitivity to cold.  So, went back again few weeks back. My dentist said there is no need of refilling now, as it is very shallow. And he adjusted the  bite again. Again, after that bite adjustments, I had sharp pain. So they put me in and did another bite adjustment. Then he said he will redo the filling as many adjustments (around 5 visits) are done already.\n\nSo, i have to wait and watch for few days and go back to redo.\n\nWhether many adjustments on the tooth which had the fillings makes really worse to the shape of the teeth or the bite structure?\n\nWhy I am asking this question is, he adjusted all the tooth in that left area. Even those tooth which is not been filled.\n\nI am really worried whether it makes my left side bite of the mouth feels little weird than right. Is it ok to do many adjustments?\n\nI gonna have the redo in couple of weeks. Whether that will make few more changes to the bite?\n\nHope this question is not silly. As I am worried about many adjustments to the teeth, I posted this. honestdoc: You should have this conversation with your dentist.  You are right to have concerns. Du_deleted: honestdoc said:\n\n\n\n\t\t\tYou should have this conversation with your dentist.  You are right to have concerns.\n\t\t\nClick to expand...\n\nThank you so much for your reply @honestdoc. Appreciate it.\n\nI am just back from the dentist office. I had the refilling now. That particular tooth keeps on bothering me and he also tried so many adjustments. \nHe did the refill and hope it works. \nHe mentioned that, he was discussing about this discomfort on tooth after shallow filling with another dentist. The another dentist said some information like, young females are getting these type of discomfort after a shallow filling. He seems to seen few patients like that. Is that true? \nSo, he did the refill and am still with numb face. I don't feel any bite now. Hope i can see some changes after few hours. honestdoc: I don't have information, experience, or observations of \"young females are getting these type of discomfort after a shallow filling.\"  I had a personal experience that may have some relevance.  When I was a dentist in the US Air Force, my colleague had place a shallow filling on my lower left farthest back molar.  I had no pain but the bite felt strange.  Jump ahead 8 - 9 years.  I was grinding on it and wore the molar half way down!  You may be experiencing stress, life changes, etc.  Consider a custom night guard that is soft on the inside and hard on the outside after all of your dental work are completed. Du_deleted: honestdoc said:\n\n\n\n\t\t\tI don't have information, experience, or observations of \"young females are getting these type of discomfort after a shallow filling.\"  I had a personal experience that may have some relevance.  When I was a dentist in the US Air Force, my colleague had place a shallow filling on my lower left farthest back molar.  I had no pain but the bite felt strange.  Jump ahead 8 - 9 years.  I was grinding on it and wore the molar half way down!  You may be experiencing stress, life changes, etc.  Consider a custom night guard that is soft on the inside and hard on the outside after all of your dental work are completed.\n\t\t\nClick to expand...\n\nThank you so much for your reply @honestdoc. \nI will check with my dentist about the night guard. May be I am grinding on it too. I am not sure though. Do we need prescription for the night guard? \nAnyways, I did the cavity refill just in case if it works. Hoping for the best."
  },
  {
    "id": 1250,
    "title": "Does anyone know what this is?",
    "dialogue": "dt224564: I had a root canal on Friday and this has now formed around the tooth. Should I be worried? honestdoc: It could be trauma from the rubber dam clamp.  If if persists, go back to the same dentist for followup."
  },
  {
    "id": 1251,
    "title": "Best scan/xray for cavity detection",
    "dialogue": "azazel: Hello all.\n\nCould you please tell me the best scan or xray for cavity detection.\n\nApparently an OPG is good, but is mainly for seeing roots, wisdom teeth location etc...\n\nApparently the bitewing xray is better, but still not the best.\n\nWhat's the best? \n\nCT perhaps?\n\nThanks in advance. MattKW: Bitewings are best. Old film-type bitewings are still better resolution than newer digital. The diagnostic advantage to digital xrays is the ability to easily magnify the image, and to adjust for brightness, contrast, saturation, and gamma.\nCTs and OPGs have their place but poor resolution for decay. azazel: MattKW said:\n\n\n\n\t\t\tBitewings are best. Old film-type bitewings are still better resolution than newer digital. The diagnostic advantage to digital xrays is the ability to easily magnify the image, and to adjust for brightness, contrast, saturation, and gamma.\nCTs and OPGs have their place but poor resolution for decay.\n\t\t\nClick to expand...\n\n\nHi Matt, thanks for the reply.\nI was a little concerned with something I read about bitewings and relation to certain tumours - not definitive, but enough to want to research. MattKW: If you worry about radiation, bitewings are nearly the smallest you can get. Much, much less than OPG and CBCT. We are all exposed to background radiation every day, and a bitewing is about 8 hrs background radiation (BERT). I have never read of any association to tumours."
  },
  {
    "id": 1252,
    "title": "Help Determine Cause of Tooth Wear",
    "dialogue": "spennny: Hi there\n\nI have recently become aware that my teeth seem to display some evidence of wear. This can be seen on my two top front teeth, and my two bottom front teeth. I am trying to determine the cause of this problem. I have researched the possible causes of this type of wear and my understanding is that it is usually caused by: attrition, abrasion and/or erosion. Although it is possible that one of these is the cause of my problem, it certainly is not clear to me for the following reasons.\n\nAttrition:\nI do think it is likely that I clench my jaw at night and at times during the day, and subsequently grind my teeth to some extent, in particular my molars. However I do not understand how this could cause wear on my top and bottom front teeth. When I clench my jaw my front teeth go in front of my bottom teeth so they are not touching anything. I do not see what my front teeth could be grinding against. When I place my top front teeth directly on my bottom front teeth it feels incredibly unnatural and I am sure that I do not grind my teeth in that way. \n\nAbrasion:\nThere have been times in my life where I simply bought the cheapest toothbrush. This caused some gum line cavities. I have since corrected this problem and now use an electric toothbrush with extra soft bristles. Although this time using a hard bristled toothbrush could have contributed to the wear on the tops of my front teeth, I don't think it could have caused this amount of wear because I don't spend much time brushing the tops of my front teeth. At times I do use my teeth to help open something but it's extremely rare and hardly worth mentioning. I also used to bite my nails as a child but not since then.\n\nErosion:\nThis cause is very unlikely in my mind as I do not drink pop, fruit juices or much of anything acidic. \nAny help in understanding the cause of this problem would be greatly appreciated. In particular if this could be caused by bruxism and if so how? I have attached some pictures. I am happy to answer any questions if more information is needed.\n\nSome other notes: \nI have tooth sensitivity on one of my bottom front teeth\nI am a 40 year old male\nI have never had my wisdom teeth taken out\nI obviously have some crowding issues\nI use sensodyne\nI brush and floss once a day before bed Busybee: It's normal to have some wear at age 40.  The likely reason for your wear is your tooth alignment and your jaw habits (so attrition), but there's no point changing your tooth alignment at your age.  Your best preventative measure is to get a night guard for when you are asleep and can't control your jaw, and to try to relax your jaw in the day when you are awake and able to control things.   Your dentist can make you a night guard.   You have to consciously change your daytime habits.   A dentist can repair the damage but all dental work has costs and benefits and it's best you try the conservative route before any artificial solutions."
  },
  {
    "id": 1253,
    "title": "Recemented Dental Crown",
    "dialogue": "ianian14: Hello! \n\nI got my dental crown in front recemented today. Is it normal for it to feel thick and weird at the back? Weird that makes you feel your bite weirder. honestdoc: You said your crown was \"recemented.\"  Does that mean your crown came off and was recemented or did the dentist remove the temporary crown and cemented the new crown you are talking about?  Your bite should not feel weird, different or uncomfortable."
  },
  {
    "id": 1254,
    "title": "Is too much dental x-rays good for health? Didn't use apron for paranomic x-ray. Is it harmful?",
    "dialogue": "Jack23: Hi,\nI just had few dental x-rays today and I am freaking out now.\nI went to my dentist office last Wednesday for some issues and he did take an x-ray on that particular area. So it's just an x-ray for the lower left side.\n\nI went back today for some urgent dental issue and the dentist took another x-ray today also. It's also on the same lower left side. Same as last week . The x-ray for 2 teeth. Within a week, I had taken 2 x-rays of same kind.\nToday, he also wanted me to take a paranomic x-ray and I did take that to rule out if there is anything causing the issue. This is the first time I am taking the paranomic x-ray and haven't done that before. The staff asked me to remove my earrings and told me to put my face in there.\n\nMy concern is,\n1. She didn't give me any apron for the paranomic x-ray and I also forgot to ask her. Just realised after coming back.\nIs she forgot to give apron? Anyway, the body would have got some radiations right? I so scared if it cause any harm?\nI am not pregnant. But she did give me apron for the small x-ray which she has taken when I was in the dental chair. The paranomic machine was in another room and she took me there and didn't give me any apron. The dentist office is closed now and I cannot call her and ask white she didn't give me apron. Also, I tried to close my eyes during the panaromic x-ray and may be I opened after few seconds. Does it do any harm to the eyes if open?\nAnd without apron does it harm to the body and any harm to the Head/brain?\n\n2. Whether too much dental x-rays within a short time is good for health? Does it harm?\nI know these questions will be silly to some of you. But as a dental nervous patient and very naive on the dental stuff, these are running on my mind.\nPlease help if you have any inputs on this. Busybee: In the UK they only give you an apron if you are a child or pregnant.   The levels of radiation used in dental x rays are very low.  You are exposed to similar levels of natural radiation or if you take a plane journey.    That said they do avoid unnecessary x rays these days."
  },
  {
    "id": 1255,
    "title": "Lower left jaw feels sore and swollen near the tooth root and under the ears",
    "dialogue": "Jack23: Hi,\nI have posted a query regarding my recent filling. Here is the link.\n\nhttps://www.dentistry-forums.com/th...ng-which-side-of-the-tooth.24778/#post-123259\n\nI went back to my dentist last week to check if I really need to redo the fillings. He did an x-ray and said those fillings are very very shallow and doesn't even look like I have fillings on that tooth in the x-ray. He checked for bite and adjusted my bite on lower tooth where the fillings are done and also adjacent lower tooth too. And told me to tell watch for 2 weeks. I was fine the next day and sometimes I got the sharp pain while biting/chewing(sometimes on upper side and sometimes on lower side too)and  left jaw under the ears started hurting. It feels sore when I touch under my ears and looks like little swollen lump. I just don't want to go back to the dentist and thought of wait and watch. \n\nI had the same discomfort or the soreness in the left jaw side and under the ears for past 5 days. Today morning I see a small lump which looks like swollen under my tooth root.its near the tooth number 18 and 19. Not sure which tooth exactly. It feel sore to touch and looks like hard lump. Near the bottom cheek area.  \nI touched both the tooth by giving some pressure and there is no pain. I feel the sore lump feeling like swollen. It's under those tooth and also near the jaw under the ears. It feels so sore. Whenever I eat food, it feels so sore and very sensitive to the first bite though. I get the sharp pain on the left jaw side for the first bite and it goes off.\n\nWhat should I do? I am so freaking out now. Should I go back to the dentist? What could be the reason for the small swelling? Please help. Jack23: I just called up my dentist today and they were not able to for me in.\n\nThey just told me to do same water rinse and take ibprufen.\n\n\nI have to wait for them to call back. There is a small swelling on the tooth root and sharp pain near jaws and under the ears. Jack23: Just an update \nI got call from my dentist office today morning and they asked me to come for a filling redo next week. I told them that I have something like hard lump on the skin outerside and I would like to check it out. I was already in the Urgent care when they called me up.\nSince I have sharp pain under ears and jawline, I went to the urgent Care to rule out any ear infection and Dr said everything fine and she said lump looks hard and it might be an access and asked me to check with dentist. \n\nWent back to dentist office today and told about the hard lump. They did take another x-ray and said there is no infection around there. \n\nThe dentist also said that I may try redoing the filling as that may be the reason for the issues on the left side jaw. Redoing the filling scheduled after 2 weeks. \nHe also checked my bite today and did some bite adjustments. Last Wednesday I went for a dental visit for the issue in the left side of the mouth around the filling areas and he did take an x-ray and did some bite adjustments.\n\nI am so so worried now if too much bite adjustments are really good enough and solve the issue?\n\nAlso, it was another dentist today in the office(not the same dentist who did my fillings and all those previous bite adjustments). He said he wanna do a paranomic dental x-ray. So, I also had taken that today. He said that panaromic x-ray looks fine and normal.\n\nI came home and feel the tooth is so sharp when I run through the tongue. Is that normal? Will it go off on its own after few brushing? Do I need to go back ?"
  },
  {
    "id": 1256,
    "title": "Root extraction",
    "dialogue": "kayleighg33: A couple of months ago I had a tooth extracted but the root was left behind. I was told it would be fine unless it started getting infected which of course it did... Several times! I was then told I'd need an op to remove it but the root is now sticking out of my gum and I may be able to get it removed in the surgery. My question is how is this done? Obviously I'll be prepped before but I can't seem to stop my mind running away with me I'm hoping they can just pull it out without any overly-invasive surgery? Thanks! honestdoc: The surgery is generally straight forward.  Your body is trying to exfoliate the root tip and makes the dentist's job much easier.  He/she will get around the root tip with an elevator instrument and gently loosen the fragment and remove it."
  },
  {
    "id": 1257,
    "title": "Bad smell when flossing my root canal tooth. Is there something wrong with it?",
    "dialogue": "nmarie93: I live in the U.S. In January 2018 I had a root canal done on my upper left second molar #15 (due to a chip in the tooth near the gum line). It’s been giving me no issues for the year and a half that I’ve had it.\n\nAbout two weeks ago when I was flossing around it, it smelled putrid. I thought maybe I had food stuck there so I didn’t think much of it and continued my normal routine of brushing twice daily, mouthwash, and flossing at night.\n\nFast forward until now, the smell still happens when I floss. Sometimes a tiny amount of pink substance is on my floss and it smells TERRIBLE. This tooth doesn’t smell during the day, and the tooth doesn’t hurt. It just smells when I floss around it. Is there something wrong with my tooth? Busybee: When is the last time you saw a hygienist? nmarie93: Busybee said:\n\n\n\n\t\t\tWhen is the last time you saw a hygienist?\n\t\t\nClick to expand...\n\nThe last time I saw one was last January. It was the first time I had seen one in a while though. Busybee: May be worth scheduling a dental check up to see what your dentist thinks.   The dentist may be able to adjust your dental work to stop food being trapped."
  },
  {
    "id": 1258,
    "title": "Would I be suitable for veneers? Mild question before visiting the dentist",
    "dialogue": "Kompound: just wondering if it’s even worth going to see a dentist. My top front incisor is really the main problem I see with getting veneers. Just wondering if it’s to far gone and braces will be the only solution to fix the crookedness of it. All my other teeth I know can be cleaned, filed, and have veneers places. All my upper teeth are straight besides my front tooth that was pushed out of line. I had braces when I was a younger teen\n\n\nHere are more pictures that I couldn’t upload\n\nhttps://ibb.co/KGx6WHd\nhttps://ibb.co/BjpW3fP\nhttps://ibb.co/s2hzFn1\nhttps://ibb.co/gFnm4f1\nhttps://ibb.co/K5RCs7R\nhttps://ibb.co/BnXjm9C\nhttps://ibb.co/LhR81rB\nhttps://ibb.co/D1CK2wN\nhttps://ibb.co/RTtJzr7\nhttps://ibb.co/6Hcj7HR\nhttps://ibb.co/T2mQ7QC"
  },
  {
    "id": 1259,
    "title": "Is this healing properly?",
    "dialogue": "Inneedofdentalhelp: Hello guys, Sooo, I had my 2nd upper premolar extracted last Thursday (today is day 5) and the hole seems to be getting larger by the day! \n\nI am just wondering is this is healing as it should or if I should be concerned. My next question is, on which day can I truly stop worrying about dry socket? I have had no increase in pain yet and so I doubt I have one atm and its been over 120 hours since the extraction. \n\nAny help would be greatly appreciated. MattKW: Looks like normal healing. You are past the danger time for a dry socket. Dry sockets in upper teeth are rare. Inneedofdentalhelp: MattKW said:\n\n\n\n\t\t\tLooks like normal healing. You are past the danger time for a dry socket. Dry sockets in upper teeth are rare.\n\t\t\nClick to expand...\n\n\nI hope I am just being overly worried but this huge hole has filled in very rapidly (24 hours) with a really red and soft tissue, it also feels like its bulging and overgrowing the size of the gum. I have attached another picture. Do you think this is still healing normally or shall I book myself a dental appointment? Inneedofdentalhelp: I’ll also add there is absolutely no gum covering this tissue either, it is hard to find pictures of what healing should look like but I have not found any pictures that look like this. In most i’ve seen its almost as if the edges of the existing gum get closer and closer closing the hole. Instead, I have this huge growth that seemingly appeared from no where. Also, it’s been 8 days and I still have the same level of pain as day 1. Inneedofdentalhelp: It is hard to capture this in 3D but it is overgrowing the size of the gum quite significantly, feels really tender and soft (I try my absolute best not to touch it with my tongue) and that side of my face is generally quite sensitive. It is growing, and has been since that last photo. drlolk: relax its take anywhere from a week to 2 weeks for the extraction site to recuperate, the actual healing part that includes bone takes about a year. This is the normal blood cot that forms. so you are in the clear for dry socket. try to ice it and sleep upright also try not to bend or do any strenuous workouts. I find that it is best to tell patients to do slat water gargles with room tempo water.  Happy healing and hope you feel better"
  },
  {
    "id": 1260,
    "title": "Acrylic",
    "dialogue": "Ljas: Hello, I was just at my dentist to pick up my newly made Mouthguard. After being in the chair for 45mins with her trying to make it fit, sanding etc... it was perfect. She went to polish it, and then it didn’t fit, she took off too much. \n\nThe dentist told her to put acrylic on the guard and then set it in my mouth for a fit. When she did this I had not known until then it was acrylic b/c I hadn’t heard that discussion with the dentist. When she put it in my mouth, the stink of the acrylic and it being in my mouth I told her to take it out. I felt like I was being poisoned. I know the guard is made out is a acrylic, but this was wet acrylic. My dentists said they use that to make temporaries all the time. I told him however, this was wet not already made acrylic and that it couldn’t possibly safe or good for you. So now I am freakin out that it was in being absorbed in my mouth and lungs.\n\nAnyone ever had this happen...thoughts?"
  },
  {
    "id": 1261,
    "title": "Red Gums & Pain, HELP! (Urgent)",
    "dialogue": "nick62: Please help!\nIn the lower left side of my mouth, my gums are red and it is very painful. Advil isn’t even helping anymore! What is this, and what can be done to heal it? Help! honestdoc: Have you had cold sores before?  It could be herpetic (viral).  Have a doctor prescribe you acyclovir. nick62: honestdoc said:\n\n\n\n\t\t\tHave you had cold sores before?  It could be herpetic (viral).  Have a doctor prescribe you acyclovir.\n\t\t\nClick to expand...\n\n\nI do get canker sores often. nick62: Another photo taken today. honestdoc: Good photo.  I think it is herpetic gingivostomatitis that can be treated with Acyclovir."
  },
  {
    "id": 1262,
    "title": "Pain! (Help)",
    "dialogue": "nick62: So to start off, I get canker sores quite often. \nSo when my gums started hurting last week, I figured it was a canker sore coming in. Well, turns out it is not a canker sore. I had severe pain up untol yesterday, and my gums are red and have lesions. Today I noticed a white spot under my tongue with some slight swelling near it. What is this? Do I go to a dentist or a doctor? Help! (It hurts!)\nThe first photo is under my tongue, second is my gums."
  },
  {
    "id": 1263,
    "title": "Red Gums",
    "dialogue": "nick62: Help!\nI started having pretty severe pain in my gums, and kind of in my teeth too. I noticed the painful section of my gums are red. I have been using Anbesol, Advil, and  CBD oil for pain, but they are starting to not help much anymore. I can't even sleep well due to this. What is this and will it go away? I would like to avoid a dentist as I do not have the money, but if it is necessary I will have to go somehow. I do often get canker sores, but I see no white spot here, so I am assuming it is something else. \nImage Link: https://ibb.co/mJWyCgB honestdoc: I see a faint white spot.  The symptoms are consistent with canker sore.  Did you traumatize the area?  Are you using any new toothpaste, rinses, medications, herbal supplements, cinnamon products, etc?  I'm suspecting it to be an autoimmune response."
  },
  {
    "id": 1264,
    "title": "Canker sore",
    "dialogue": "nick62: Okay, so I had a bad canker sore about a week ago that was causing my whole jaw to hurt.\nWell, It went away and my jaw is still hurting!! Does it take a couple days for the pain to go away? It shouldn’t, should It? I have attached a photo of the most painful area, my gums/teeth hurt. Sometimes it is towards the back of my mouth that hurts and sometimes it is towards the front, however it is where I had 3 canker sores in a row. Should I go see a dentist? I can’t really afford it but I may have to. Thanks in advance!! MattKW: That link isn't working for me. please try for yourself."
  },
  {
    "id": 1265,
    "title": "Dental Practice Owners - Your Biggest Problem with Marketing?",
    "dialogue": "Lexfalken: Hey,\n\nI'm starting a business where I want to help dental practice owners with marketing. But so far, I feel I might be offering services that are too broad and not specific enough.\nIf you don't mind me asking:\n\n\nWhat are your biggest problems with marketing?\n\n\nWould you pay to have them solved? (if you can find someone you trust would do a good job).\n\nThanks in advance! Really appreciate it."
  },
  {
    "id": 1266,
    "title": "Shape of crown as on radiograph",
    "dialogue": "datamatters: Hello,\n\nI have had a new crown placed about 1 year earlier. For check up, I went to dentists a few times with xray.\n\nThe PA radiograph on the very top says the shape of crown (which is on the left) changed(right-bottom side became longer) as compared with other 3 radiographs. I'm not sure what is going on with either shape of my crown or gum line. The angles from which each of the 4 radiograph was taken look reasonable and similar.\n\nHere is the link to radiographs:  the https://www.blogger.com/blogger.g?b...;onClosedMenu=allposts;postNum=0;src=postname\n\nIt would be appreciated if you can share some thought with me!\n\nThanks in advance! MattKW: Sorry, can't get into post, and not interested in opening up yet another account and email. How about posting them on Imgur? A PA radiograph by definition is taken at an acute angle and is not used for checking crown margins. It is much better to have bitewings taken perpendicularly. datamatters: Thanks for your reply! What is Imgur? My question is whether the radiograph on the very top is significantly different from other 5 xrays on the link at https://www.blogger.com/blogger.g?b...;onClosedMenu=allposts;postNum=0;src=postname MattKW: Type in Imgur.com. It's a free site for uploading images. Often used on forums like this."
  },
  {
    "id": 1267,
    "title": "Need info: what type and is this a real dental bridge?",
    "dialogue": "Cece Rocha: Hello,\n\nI'm having a dental bridge made for my lower front teeth (6 of them to be specific).\nMy dentist and I were discussing how I wanted the lab to make my bridge and I pointed out little things that I did or did not want. Long story short, he makes my temporary and I see that the bottom of the bridge isn't seated all the way down on my gums and there is actually quite a bite of space underneath. I asked him why it looked like this and he basically said for cleaning purposes. I have family and friends that have dental bridges and NONE of theirs look like mine. He said he told his dental lab to not bring the bridge all the way down and to leave \"3-4mm of space for cleaning\". \n\nDoes anyone know what kind of bridge this is? And is this legit? It's not aesthetically pleasing whatsoever and I've tried to ask him to please not do this but he insists that I need this. My gums are a bit \"droopy\". Not sure how to describe it other than it kind of sags a bit but I still don't see why the bridge has to be open. \n\nAgain, I've looked online but can't find anything on it which makes me feel worse about it.\nAny help is appreciated. Thanks Busybee: Sounds like a great trap for food waste and bacteria.   As well as this it will make you whistle when you talk. Cece Rocha: Busybee said:\n\n\n\n\t\t\tSounds like a great trap for food waste and bacteria.   As well as this it will make you whistle when you talk.\n\t\t\nClick to expand...\n\n\nIt's VERY uncomfortable to eat with. Pieces of food have been getting stuck underneath the bridge, fortunately I have a Waterpik to get it all out. \nThe entire situation is very discouraging. Busybee: it does not sound right at all.  Is the bridge now permanently fixed or did they put it in with temporary cement so you could try it? Cece Rocha: Currently have on temps. I have an appointment today for a fit in (dentist said they will have one of the employees from the lab come and bring the bridge for me to try on so I guess that's where I will be able to see what it looks like). I will take a picture and upload it so you can see. Cece Rocha: This is the bridge. I think it looks awful. I asked them to take it back and fix the space between the teeth because it looks so fake. My husband also thinks it looks really noticeable. If you look at the bottom you can see what I mean with the bridge not touching my gums. When they put it in the try it felt okay but I just can't get past the look. I'm so disappointed and actually dreading the final cementing part. Busybee: It looks pretty poor workmanship. MattKW: Temporary bridges can be a bit rough. The porcelain will be much smoother - you should consider a try-in without anaesthetic. I try to do fittings of crowns or bridges without LA so patients can feel better, especially the bite.\nThere are competing schools of thought sometimes when it comes to whether to contact the gums or not. You would have quite a lot of porcelain to touch the gums in your case, and cleaning could be difficult. Primarily, the patient needs to be able to maintain the supporting teeth with good hygiene. So some bridges are designed to be easily cleansed. \n\nOf course other factors come into it too. For example, do you show the gap when talking normally? \n\nIf you're not sure, maybe ask for a temporary bridge down to the gums to try before committing yourself to the current bridge."
  },
  {
    "id": 1268,
    "title": "weird cut? on roof of mouth",
    "dialogue": "SC5602: I was eating lunch today and when I drank some water, I noticed that the roof of my mouth hurt a lot. I noticed it kind of looked like a scratch but I can't figure out what it is. It hurts a bit when I touch it with my tounge. But feels like it is not there when left alone. I will leave a picture of it.\n\nWarning: Could be uncomfortable to see for some people"
  },
  {
    "id": 1269,
    "title": "Many critical doubts regarding the management of my dentures",
    "dialogue": "b.dup: I have recently got a dentures and I have many doubts regarding its correct management.\n\n- I wake up and wear the dentures, using the adhesive.\n- I have my breakfast ... and now there is a lot of residual food between the dentures and my palate !\n- Let's say that I accept this unpleasant circumstance ( I don't ... ) : should I spend the whole day, and have my meals, until bedtime, detaching and gluing repeatedly the dentures, or should I keep it in place ?\n- The latter doesn't sound good but, hower, oral mucosa is heavily irritated by the \"take away and glue\" method repeated two or three times. What's worse, each time I can remove the crumbs, not the dirty blob of glue, food and microorganisms.\n- Anyway, bedtime has come. My gums are a mess of glue ( and germs firmly joined ... ) really hard to get rid of. How can I thoroughly wash the mouth ?\n\nI'm truly confused. What's the correct way ?\n\nThanks a lot for reading my post ! honestdoc: Consider reline.  If you had dentures made before your teeth were extracted (immediate dentures), the fit is not as accurate because the denture technician was guessing how your bone will heal.  If that is the case, consider remake if reline does not improve the fitting. b.dup: Thanks for your reply! Do you mean that in a perfect fitted dentures should be no empty space between it and the palate  ? I'm newcomer and I have supposed that its existence was unavoidable ... honestdoc: Hopefully with a full reline, the molding placed during the procedure will fill in the space.  There are always some contraction of acrylic material during processing. b.dup: Thanks !"
  },
  {
    "id": 1270,
    "title": "Legality of doing less than what was diagnosed",
    "dialogue": "20GT: I was in my dentist office and heard the dentist and a patient in a loud discussion. The dentist was saying he had the beginnings of periodontal disease and would need a $300 deep cleaning and they could fit him that day but his rance did not cover it. He told them that he could not afford that right now and asked for just a basic cleaning and was told that they legally could not do that.\n\n I've also been reading forums and have heard this complaint several times about it being illegal.\n\nI'm in Florida is this the same in other states.  What is the law they are talking about? or how would i find it if it is a law? honestdoc: From my state, the dental board will drop the hammer on the provider stating \"unacceptable treatment based on diagnosis\" and the provider will have the board disciplinary action for all to see.  That is why dentists & hygienist refuse to just do a simple cleaning. MattKW: I think that would be unreasonable. We all have patients who can't afford or want certain treatment that we deem necessary. As long as it's explained and recorded, and I am at least doing no harm, then there is no compulsion on me to refuse treatment in such a case. But i must not do that treatment to an unsatisfactory degree. So, if you want a simple scaling, but I tell you you need a root planing etc, then I'll do a scaling for you. Better than doing nothing. If the dentist feels uncomfortable however, he can refuse to do treatment too. It's a two-way street of consent and understanding. honestdoc: I agree with Dr. MattKW that when patients cannot afford full treatment, we can reasonably accommodate them.  Here in the US, where if you spill hot coffee on yourself and the cup didn't warn you \"contents are hot,\" you can sue McDonalds or Starbucks, etc. The legal system is flooded with hungry lawyers.  A particular case involved a non-compliant periodontal (severe gum disease) patient who refused advice, treatment, referrals, and appointments later sued the dentist and won for teeth loss.  The jury found for the patient because the \"dentist did not adequately prove to the patient his deteriorating gum disease.\"\n\nThe licensing board in my state is very strict on appropriate \"acceptable treatment\" which can be vague. We will have a large group conference with a board investigator in a few months and it will be interesting what his views on that would be.  I anticipate it to be reasonable like Dr. MattKW mentioned."
  },
  {
    "id": 1271,
    "title": "Xray question",
    "dialogue": "rey71: Hi, \n\nI am writing to see if someone can help me out. My girlfriend has been without teeth for 12 yrs. No dentures either. She is in the beginning of seeking treatment (insurance issues) What concerns me and I am not a radiologist. The xrays she had look very different and from my understanding when you lose your teeth you also lose bone in the jaw.\n\n1st pic is xray in 2017 - you clearly can see the dips where the bone loss is on her arches\n2nd pic xray  in 2018 - doesn't look even the same - the dips appear to be gone and look more flat.\n\nShe can't regrow bone, right?"
  },
  {
    "id": 1272,
    "title": "Is it safe not to rinse toothpaste?",
    "dialogue": "johnsim: Hi, \n\nToothpastes usually state that teeth should be washed for at least a minute. So, it is safe to keep toothpaste in a mouth for at least that much. Is there some period of time after which it is unsafe to keep toothpaste in the mouth? For instance, if I only spit the toothpaste but not rinse with water, then there will be some traces left. Is that safe? \n\nThanks. Busybee: I think you should not worry too much about this.    But you don't need to retain paste in your mouth in order to ensure the teeth are clean.   You should only use a tiny amount of paste as most of the cleaning is in the brushing and not the paste."
  },
  {
    "id": 1273,
    "title": "Possible abscess after 2/3 root canal treatments?",
    "dialogue": "GiddyG2001: Went for my first root canal treatment a week ago,they did half and said they'd complete it next week as I have a \"wicker curve\" in my root.\nWent back today,took 5 hits of anaesthetic and could still feel them prodding. But wanted to get it done so told them to continue. They still couldn't finish today as they spent 30 mins trying to numb me up.\nThat was at 9 this morning,anaesthetic has worn off and I'm left with a sinking feeling I've developed/got an abscess in that tooth. Its throbbing and sore when I press down.\nAfter the first treatment,my whole mouth was sore for a few days,but this is a different pain and isolated to the the tooth.\n\nIs it possible to develop an abscess that quick? I'm panicking quite a bit as I suffered with abscesses a few times in the past and honestly,the pain was that bad,I'd rather go through child birth again! I'm hoping against everything my tooth is just sore from all the prodding around but it feels exactly like it did all those years ago.\n\nI have a fear of the dentists anyway so this is not helping.\n\nAny advice? GiddyG2001: Anyone? honestdoc: Ask to be referred to an endodontist (root canal specialist).  He/she may be more expensive but that is all they do and will have all the latest and greatest equipment.  If costs, time, convenience etc are prohibitive, consider extraction."
  },
  {
    "id": 1274,
    "title": "What is one surface posterior ( Surface O) in the tooth filling? Which side of the tooth?",
    "dialogue": "Jack23: Hi all,\nI had fillings on my tooth#19 last week. I had few more fillings along with this on the upper side.\nI had some pain and discomfort and I went in for a bite adjustment. The sharp pain while chewing went off. But there is a pressure like feeling on the tooth#19 and pain in the left end jaw starts after the day of the fillings. It keeps on hurting on the left side jaw. I am not sure which tooth causing this issue as I did fillings on the lower and upper left. \nI called up my dentist and he said I need to redo the filling in the lower left as it cause the pain on the left lower jaw. And said that it's not bonded properly. They could be reason. But didn't confirm it though. I had white resin filling.\nI had the filling on tooth number 19 mentioned as posterior one surface O. Which side of the tooth is that? Please let me know if you have some inputs. Is refilling necessary?\nThank you. Jack23: jacobmillar said:\n\n\n\n\t\t\thi Jack23\n\nyour filling process is not completely done. this is the big issue you need to check again dentistry to redo filling. some case it is not completely done. so dentist say again the refilling\n\t\t\nClick to expand...\n\nThank you so much. MattKW: A one-surface O most likely mean on the top biting surface of the tooth (O for occlusal). Bonding can be more questionable than amalgam. Sure, try another composite if you want, but if still continues maybe an amalgam would be better yet. I don't like to start root canal therapy because a composite wasn't working unless I've tried an amalgam. But.... I don't even have X-rays of your teeth or other relevant details that make my opinion here more than educated guesswork. Jack23: MattKW said:\n\n\n\n\t\t\tA one-surface O most likely mean on the top biting surface of the tooth (O for occlusal). Bonding can be more questionable than amalgam. Sure, try another composite if you want, but if still continues maybe an amalgam would be better yet. I don't like to start root canal therapy because a composite wasn't working unless I've tried an amalgam. But.... I don't even have X-rays of your teeth or other relevant details that make my opinion here more than educated guesswork.\n\t\t\nClick to expand...\n\nThank you so much. Appreciate it.\nI will try to get the x-rays from the dentist office. Can we see if it's not bonded in the x-ray? MattKW: No. But deeper cavities are more likely to give post-op sensitivity than shallow, so X-ray will give idea of the depth. Also ask dentist if he uses direct bonding (more troublesome) or places a GIC lining (less troublesome) under his fillings. Jack23: MattKW said:\n\n\n\n\t\t\tNo. But deeper cavities are more likely to give post-op sensitivity than shallow, so X-ray will give idea of the depth. Also ask dentist if he uses direct bonding (more troublesome) or places a GIC lining (less troublesome) under his fillings.\n\t\t\nClick to expand...\n\nThank you so much @MattKW.\nHe didn't use any lining. He would have told me if he did anything like that. He just put on the filling. Also, I am sure that the cavity is not so deep and it's a very small filling.\nSo, how to identify if the filling is not bonded? \nI am just asking these questions just to make sure before I go ahead and drill my mouth more. I don't wanna lose more of my original tooth. MattKW: If it's shallow, then simply change it to an amalgam. You shouldn't lose any more tooth in this process. Jack23: MattKW said:\n\n\n\n\t\t\tIf it's shallow, then simply change it to an amalgam. You shouldn't lose any more tooth in this process.\n\t\t\nClick to expand...\n\nThank you so much for your reply.\n\nIs amalgam the black filling? I don't know if that is available in the US. Anyone knows that available in US? MattKW: Yes, it's available. You might just have to ask around to find someone who uses it. A perfectly good material but difficult for some dentists to use, and of course it's not tooth-coloured. Jack23: MattKW said:\n\n\n\n\t\t\tYes, it's available. You might just have to ask around to find someone who uses it. A perfectly good material but difficult for some dentists to use, and of course it's not tooth-coloured.\n\t\t\nClick to expand...\n\nThank you so much.\nI will check it out. Does the amalgam filling has Mercury? MattKW: yes"
  },
  {
    "id": 1275,
    "title": "Hate my yellow teeth",
    "dialogue": "Annabela: hi there,\n\nI’m 44 and have noticed just how yellow my teeth are! They are also quite translucent at the bottom. It’s teally affecting my confidence.\n\nHow bad do they look? Whitening strips haven’t worked. I just want to look better and feel better \n\nThank you Annabela: Georgedavis said:\n\n\n\n\t\t\tI think you should visit your nearest dentist. And Don't worry. \n\nClick to expand...\n\nThank you \n\nDo you think they look yellow? KVMCruces: Annabela said:\n\n\n\n\t\t\thi there,\n\nI’m 44 and have noticed just how yellow my teeth are! They are also quite translucent at the bottom. It’s teally affecting my confidence.\n\nHow bad do they look? Whitening strips haven’t worked. I just want to look better and feel better \n\nThank you\n\t\t\nClick to expand...\n\n\nI wouldn't worry too much about it. It's natural for your teeth to start yellowing as you get older but you're teeth don't look like they're \"unhealthy\". Just maintain your dental hygiene (floss, brush 2x daily, etc.) and you'll be fine. \nIf you want your teeth whiter then you can always go to your dentist and discuss it with them. Almost every dentist nowadays offer at home whitening kits. Annabela: KVMCruces said:\n\n\n\n\t\t\tI wouldn't worry too much about it. It's natural for your teeth to start yellowing as you get older but you're teeth don't look like they're \"unhealthy\". Just maintain your dental hygiene (floss, brush 2x daily, etc.) and you'll be fine.\nIf you want your teeth whiter then you can always go to your dentist and discuss it with them. Almost every dentist nowadays offer at home whitening kits.\n\t\t\nClick to expand...\n\n\nThank you KVM Cruces. I know I keep asking, but, do they appear yellow on these photos? KVMCruces: Annabela said:\n\n\n\n\t\t\tThank you KVM Cruces. I know I keep asking, but, do they appear yellow on these photos?\n\t\t\nClick to expand...\n\n\n1st pic - slightly yellow but again, nothing out of the ordinary. \n2nd pic - not very clear. The lighting makes it appear like your upper teeth are whiter than your lower but I think its just the quality of the photo. \n\nDon't stare at them for too long, you'll start creating problems that don't really exist.\nIt's easy to get fixated on these types of things. We ALL do it. \"my pores look big, if my butt was just a little bigger, if I could lose this bit of fat here\" and so forth. Annabela: KVMCruces said:\n\n\n\n\t\t\t1st pic - slightly yellow but again, nothing out of the ordinary.\n2nd pic - not very clear. The lighting makes it appear like your upper teeth are whiter than your lower but I think its just the quality of the photo.\n\nDon't stare at them for too long, you'll start creating problems that don't really exist.\nIt's easy to get fixated on these types of things. We ALL do it. \"my pores look big, if my butt was just a little bigger, if I could lose this bit of fat here\" and so forth.\n\t\t\nClick to expand...\n\n\n\nI guess it’s just that you see SO many people around with really bright white teeth. I like the wow factor KVMCruces: Annabela said:\n\n\n\n\t\t\tI guess it’s just that you see SO many people around with really bright white teeth. I like the wow factor\n\t\t\nClick to expand...\n\n\nPersonally, when I'm scrolling through social media it appears like everyone has that \"Hollywood\" smile but when I see people in person, just about everyone's smile is pretty average because we can't Photoshop our smiles in real life lol.\nI don't think your teeth are yellow beyond the usual/natural yellowing that occurs with age but if you want them to be whiter than by all means - go for it. MattKW: Your teeth colour are about an A1 or A2 on a Classical Vita Shade Guide (B1 is actually the whitest); the Classical guide with Bleached Shades has been brought out to cope with the white-teeth craze. You colours are good and natural for your age, and I wish my looked that natural (I'm C4). It is all marketing hype to suggest we should have white teeth; they are naturally shade of yellow, brown, grey.\nPersonally, I dislike toilet-bowl white because they look so fake, almost like dentures. I don't know I'd call it a \"Wow!\" factor but more a \"Oh my God!\" factor. Sure, people will notice, but maybe not in the way you think. Would they really tell you want they think, or would they be socially polite? A bit like boob implants that are too round.\nHowever, if you really want teeth that white, there are no significant risks in bleaching. Steer clear of more invasive procedures like veneers or crowns. drlolo: You can naturally white your teeth.\n\nTry Oil Pulling. ...\nBrush With Baking Soda. ...\nUse Hydrogen Peroxide. ...\nUse Apple Cider Vinegar. ... MattKW: drlolo said:\n\n\n\nYou can naturally white your teeth.\n\nTry Oil Pulling. ...\nBrush With Baking Soda. ...\nUse Hydrogen Peroxide. ...\nUse Apple Cider Vinegar. ...\nUse Fruits and Vegetables. ...\nPrevent Tooth Stains Before They Happen. ...\nDon't Underestimate the Value of Brushing and Flossing.\n\n\nClick to expand...\n\nWhat a load of rubbish! Annabela: MattKW said:\n\n\n\n\t\t\tWhat a load of rubbish!\n\t\t\nClick to expand...\n\n\nI think these are better photographs of what I mean by transparent teeth:-\n\nI can’t work out if whitening will help or not MattKW: I still think they look fine despite blurry photos. Bleaching will not reduce the translucency at all. Annabela: MattKW said:\n\n\n\n\t\t\tI still think they look fine despite blurry photos. Bleaching will not reduce the translucency at all.\n\t\t\nClick to expand...\n\n\nBy ‘fine’, do you mean good? MattKW: I mean that they suit you for your age, and are lighter-coloured than mine. Teeth get darker as we get older. If you think that white is \"better\", then explore your options. When it comes to colour of teeth (or hair, or skin, ...), then beauty is in the eye of the beholder. I think old people (e.g. celebrities etc) with white teeth look like dentures. Annabela: MattKW said:\n\n\n\n\t\t\tI mean that they suit you for your age, and are lighter-coloured than mine. Teeth get darker as we get older. If you think that white is \"better\", then explore your options. When it comes to colour of teeth (or hair, or skin, ...), then beauty is in the eye of the beholder. I think old people (e.g. celebrities etc) with white teeth look like dentures.\n\t\t\nClick to expand...\n\nOk, thank you. I think that whiter teeth make a person look more youthful, which is what I want. I think I will explore Zoom whitening. devonshiredentalgroup: If you want to make your teeth whiter then professional teeth whitening procedure is good for you. I also suggest you maintain oral hygiene and brush your teeth twice a day and use Listerine after a meal. This will help you to make teeth whiter. MattKW: devonshiredentalgroup said:\n\n\n\n\t\t\tIf you want to make your teeth whiter then professional teeth whitening procedure is good for you. I also suggest you maintain oral hygiene and brush your teeth twice a day and use Listerine after a meal. This will help you to make teeth whiter.\n\t\t\nClick to expand...\n\nListerine helps whiten teeth? Nonsense."
  },
  {
    "id": 1276,
    "title": "Strange \"tooth\" between lower front in 4 yr old",
    "dialogue": "TOM42: Curiosity question. My 4yr old, 7months, just lost her first tooth, top center left, rather quickly. Took about 3 days to go from solid to out... which seemed fast. She mentioned her bottom tooth, 2 off the center line was sore last night. Upon closer inspection this morning I noticed a VERY small white \"tooth\" that was loose in between her front left baby teeth. It's exactly where you would find your gums extended between the teeth, about the size of a pencil lead. It's very loose, and appears to be almost like a micro tooth pushing up between her baby teeth, not in front or behind. Imagine the broken tip of a pencil max, it's about that size, seated in her gums between her 2nd and 3rd lower front teeth. If she would let me touch it, I bet it would come out. The 2 surrounding teeth are still firmly seated. If she continues to express discomfort I will take her to the dentist immediately but I was just wondering if anyone has seen anything like this before. Just seems odd... any information is appreciated. Thanks~ honestdoc: Could you provide an image?"
  },
  {
    "id": 1277,
    "title": "ADC - Part 2 - Practical Exams",
    "dialogue": "gaptoothfairy: Hi All,\nI'm currently studying for the practical exams for ADC. I've been told I can have my own set-up in my home but it does cost a bit of money. Can someone please let me know how much it would cost for the set-up?\n\nThanks"
  },
  {
    "id": 1278,
    "title": "Question! (Help)",
    "dialogue": "nick62: Hi! So I often get canker sores, they are painful but it's just something i've learned to deal with. Well when one showed up on my gum, I didn't think much of it. Until it started hurting more often than other canker sores i've had. Usually it's just painful when eating, but with this one its almost always painful. I am starting to wonder if it is an abscess gum and not a canker sore? I don't want to end up going into the dentist for a just a canker sore, I really do not have the money for that. However if it is an abscess gum I will have to go in. It is located on my bottom gum on the left side of my mouth. ---- Image of it is attached below. Thanks in advance!! honestdoc: It looks like a cancer sore (apthous ulceration, autoimmune response).  Where are you from?  In the US, you'll need a prescription for Triamcinolone in Dental Paste.  Use it on the first day you get it and it may go away the next day.  If you can't get the prescription, use topical numbing gels and the lesion should go away after 7 to 10 days. honestdoc: Correction \"canker sore\"  sorry for the scare."
  },
  {
    "id": 1279,
    "title": "Bad teeth due to grinding",
    "dialogue": "Charlene352019: Hi I have a front crown due to a injury when I was a teenager. This crown as now moved and has a grey gum line . Because I grind my teeth in my sleep  it has chipped my front two top teeth .  My regular dentist wouldn't do anything as he says they are healthy and because i grind my teeth he wouldnt feel comfortable doing it. Does anyone have any advice please .  They don't look healthy and  I feel I don't want to eat as it might make it worse and they feel weak.   I use a nightguard at night so I dont actually feel like I do grind my teeth now I think im clenching my teeth now in my sleep which I can't help doing which is now making me not want to sleep.  If i went to a private dentist do you think they would replace my crown and put crowns on the chipped ones .  Also does anyone know the costs of crowns privately. I would have to look at finance as I can't afford them really but it's really affecting me I don't want to talk to people as I feel that's all they see and judging me . Busybee: There's no reason why they would not replace a crown with a grey margin.  They might not want to crown the others though.   It does not sound as though you have a good night guard.  Is it hard or soft?   In terms of cost it depends where you are based.   In the UK you should be able to get a good crown from £200 to £900.   But for a front tooth it's worth paying more at a place where they use good technicians and getting it right (colour, fit etc).   There is always a risk of a root canal if you change a crown.  You should get your gums checked if you have recession.  Again recession can be caused by grinding.  It's worth investing in something like this at a reputable place, because you can end up spending three times as much by going to a cheap smile clinic type place.\n\nJust wanted to add that I think you will come up against the same issue as your dentist has mentioned - because you grind there may be reluctance to make any changes.    So what you might find is that you are given a night guard and kept waiting until your bite miraculously stops grinding (which it never really does if you're a grinder).  Catch 22.\n\n   Many dentists are worried about touching this type of problem for that reason.  They worry anything done will make it worse.  It' may be best to just say you are not happy with the appearance of that tooth and then deal with the grinding issue afterwards.  It's not like it will go away easily whether you change the crown or not.   \n\nIt's a risky business and you may find that you are happier now than after any changes.  Particularly if they lead to a root canal or if you're still not happy with your appearance.   Dentists rarely improve on nature and there is a very wide variety of quality out there in terms of function, aesthetics, craftsmanship.    Have a few consultations and don't sign up to anything without a good deal of thought.   In particular be wary of anyone suggesting you have other teeth touched.   Once you start that's it."
  },
  {
    "id": 1280,
    "title": "Hole near tooth in gums",
    "dialogue": "Deekotah: I have a hole in my gum near my tooth and was wondering if it’s going to grow back or if there’s anything I can do to fix it? I’m very self conscious about it and unsure what to do Busybee: It won't grow back.  Your gums look sore - see a periodontist or hygienist regularly to prevent gum recession.  The only thing you can do to change the appearance is have some cosmetic dentistry to meet the margin but that's not recommended because there are too many other risks (plus you may not be considered a good candidate if you have poor gum health).    Flossing is important but so is lifestyle.  Do you smoke, eat a healthy diet?  it's a combination of factors.  Sometimes if you're unlucky, hereditary. honestdoc: You have severe gum inflammation.  You need to go to your dentist for a check up with x-rays to show amount of bone around the teeth and get proper cleaning or deep cleaning if you have bone loss.  Like Busybee mentioned, the gums need regular maintenance or it can permanently deteriorate. Deekotah: Busybee said:\n\n\n\n\t\t\tIt won't grow back.  Your gums look sore - see a periodontist or hygienist regularly to prevent gum recession.  The only thing you can do to change the appearance is have some cosmetic dentistry to meet the margin but that's not recommended because there are too many other risks (plus you may not be considered a good candidate if you have poor gum health).    Flossing is important but so is lifestyle.  Do you smoke, eat a healthy diet?  it's a combination of factors.  Sometimes if you're unlucky, hereditary.\n\t\t\nClick to expand...\n\n\nI brush my teeth twice a day and try to have a healthy diet but I just learnt I’m low in some vitamins which I’m taking a meds for if that does anything... my gums aren’t sore anymore, they used to be but have stopped hurting for a while now when I started focusing more on what I was eating and brushing a second time a day... I’ll definitely start flossing though! My mother has lost most of her teeth but has dentures, I don’t know why but could it possibly be something related? Thank you for your advice and opinion! Busybee: Yes it could be inherited in which case, on top of a healthy diet and flossing/cleaning you should be seeing a periodontal specialist regularly."
  },
  {
    "id": 1281,
    "title": "Hardly any teeth left",
    "dialogue": "Wishing4change79: So it's been years since my last visit to a dentist due to a horrible experience. It took 3 different dentist to pull my tooth which left blood and me needed stitches. So over the tears my teeth have worsened. Ive been married now 13 years and during this time they have got worse. Hardly any left and now I have a developed gap,hole at the front of my gums which is starting to cause pain. I need help, I life in the UK but am scared of what will happen. MattKW: You should ask friends, family, workmates for recommendations of a nice dentist. Don't wait for pain to force a decision. Go see one for a check-up and see how they treat you."
  },
  {
    "id": 1282,
    "title": "Root canal pain after 4 weeks",
    "dialogue": "Terry04: Hi all\n\nI had root canal work done 4 weeks ago and am still in quite a bit of pain - have been back to my dentist a couple of times and she says the filling is good but I still feel pain when putting any pressure on it. I also had a deep filling on the molar behind and this had a high filling on it - I had it drilled down and another bit taken off yesterday. She says it may need root canal work done too so I don’t know if the pain is coming from the first one or the second. She also says she wouldn’t retreat the root canal work and the tooth would need extracting - any advice? stefenmoore: Hi,\n\nBrush gently& don't give pressure to the root, my advice Busybee: Get a second opinion. Kim Osborne: Possible grinding/ clenching... TMJ issues, sinus infection. Possible recession with an exposed root on the back molar . 2ed option agreed! drlolo: 2rd option"
  },
  {
    "id": 1283,
    "title": "Looking for some advice",
    "dialogue": "Rosie7814: I am  months pregnant and have awful jaw ache in my lower jaw at times it is unbearable. I am petrified of the dentist I don't have great teeth genetically and last time a visited a dentist she told me she needed to remove quite a few of my teeth but wouldn't replace them with anything to be told I'd be left with nothing only made my fear worse and now im worried I'm taking to much paracetamol and ibruprophn and may be harming my baby. KVMCruces: Rosie7814 said:\n\n\n\n\t\t\tI am  months pregnant and have awful jaw ache in my lower jaw at times it is unbearable. I am petrified of the dentist I don't have great teeth genetically and last time a visited a dentist she told me she needed to remove quite a few of my teeth but wouldn't replace them with anything to be told I'd be left with nothing only made my fear worse and now im worried I'm taking to much paracetamol and ibruprophn and may be harming my baby.\n\t\t\nClick to expand...\n\n\nIf you're pregnant and unsure if those medications/dosages are harmful to your child then you shouldn't take them without consulting your PCP first. \nTake care of your problems step by step - contact your doctor and let them know your situation that way they can prescribe you something that isn't harmful to your child that will help manage the pain.\nSecondly - you HAVE to see a dentist. You could have something minor like a cavity that needs to be filled or it could be something more serious like a root canal, either way you need to see a professional. \nKeep in mind they can't perform ANYTHING without your consent so you can go to a local dentist and see what the problem is. If you're skeptical about what they say then go get a second opinion. When the time comes that you do need some dental work done, they'll take care of you to ensure you don't feel any pain or discomfort."
  },
  {
    "id": 1284,
    "title": "Extreme Sensitivity during filling",
    "dialogue": "Agonzalez: I went to the dentist yesterday to get fillings done on teeth 20 and 21. He had to give me 4 different shots to numb me and even then I still felt extreme sensitivity during the procedure on one of them. It didn’t hurt but I was coming out of the chair because it was so sensitive every time he used the drill. Why didn’t the tooth respond to the numbing medication? The tooth wasnt infected, he said it had some decay underneath the filling that was already there. I’ve attached the sheet so you can see exactly what was done. Thank you!"
  },
  {
    "id": 1285,
    "title": "Dentist says for root canaled tooth difference between emax and zirconia negligible, is he right?",
    "dialogue": "waterpikker: I didn't completely understand what the dentist was saying, when he said that crown strength is only important on un-root-canaled teeth. He says that since there are some cavities that he'd have to drill away from the outside, tooth structure wise, it's about the same. He also said 1.) something about since it's a root canal tooth, in terms of strength emax and zirconia are pretty much the same and 2.) zirconia will wear away teeth.\n\nThe tooth in question is an upper molar. Is there something about adding a post, the physics of this somehow, that explains this? Can anyone point me to some studies? I don't even know what terms to google.He says he rarely has cracking cases with emax. Is what he's saying in the most updated research or is this a hard sell since he has a Cerec machine? I read somewhere that emax is 300 while zirconia is 1000. That's not an insignificant difference...\n\nThanks in advance for any advice."
  },
  {
    "id": 1286,
    "title": "Upper wisdom tooth causing Eustachian tube dysfunction and sinus issues on the right ( x-ray )",
    "dialogue": "ionicle: Alright, gals and guys, here's my issue:\n\nAbout 4 months ago, I woke up one morning with a right ear that felt strangely congested. Slight congestion, that I first wrote off as earwax that needed to be removed at a doctor's office. Didn't think too much of it for about a week, then I finally got the ear irrigated, however, the slight congestion still persisted even though the ear canal was completely clean. By that time I had already started suspecting I got a mild form of Eustachian tube dysfunction - the tube, connecting the middle ear with the throat was partially plugged up with mucus and was unable to drain properly. I had not suffered any colds or viral illnesses prior to the day I started feeling this congestion though.\n\nThe issue persists up to this day, and is only happening on the right side. When I move my jaw around in a certain way, I can hear crackling and popping inside the ear, as if something sticky is moving around. It's not getting worse, but not getting better either, and for the past 10 or so days I've been having pretty intense postnasal drip on the right side of the back of my throat, with somewhat thick mucus that is slightly salty in taste. Whenever I move my jaw around in order to try and open the Eustachian tube for better drainage, my right maxillary sinus clogs up almost immediately, which makes me believe the sinus itself is somehow affected and when swelling up, it also impairs the drainage of the Eustachian tube. Whenever I swallow forcefully ( this activates the opening of the Eustachian tube ), I can sense thick mucus at the back of my throat and I feel something moving a few centimetres below the ear ( should be my right Eustachian tube ). Can't really say if it's moving up or down, but down would be my guess, since then I can feel that mucus in my throat.\n\nI feel marginally better when walking around and doing any sort of physical activity - sinuses are opened up, and postnasal drip rate is very slim.\n\nHere comes the dental part:\n\nSince this whole issue is unilateral ( one-sided ), is it possible that it's caused by my right upper wisdom tooth? Haven't had that pulled out yet, but is it possible that it's somehow irritating the sinus cavity above the tooth, causing chronic inflammation, which in turn presses on the Eustachian tube, impairing its function? The tooth itself doesn't hurt at all, hasn't hurt before, and the sinus itself or the ear and tube affected are not painful either. The tooth feels slightly painful when I press on it with my finger, but the pain is not severe at all. Is it possible that that tooth is somehow traumatizing the area directly above its roots ( which seems to coincide with the area I am feeling the tube discomfort in )?\n\nI had a panoramic x-ray done of that side of my jaw. Here's the image:\n\nhttps://pasteboard.co/I6004hz.jpg\n\nCan someone with sufficient knowledge in reading dental x-rays take a look, and tell me if there's any indication of something in the upper right jaw segment messing with my sinus? I am particularly interested in that long black canal that starts right above the root of the upper wisdom tooth. A fellow dentist told me that's just an artifact, and nothing to worry about. Is that so?"
  },
  {
    "id": 1287,
    "title": "Anyone from Atlanta, Georgia? Can someone please suggest a good dentist in Atlanta?",
    "dialogue": "Du_deleted: Hi all,\n\nI have recently moved to the US from another country. I went to a dentist last year based on the reviews online.  I went for 2 cleanings and had 4 cavity fillings after that. Those are very tiny cavities and most of them say that those are not required to fill it up. I didn't know that before I fill up. \n\nIt's been 8 months of fillings and I still have some issues going on with my fillings and some other problems in my mouth too because of the filling issue. \n\nSo, I am planning to visit a new dentist now. I am again looking into online reviews again. But still I can't figure out a good dentist. Can someone suggest a good dentist in Atlanta? \n\nThank you. honestdoc: Go to Academy of General Dentistry Web site and click on \"Find-a-dentist\" on the right hand side.  Enter your location.  A list of dentists will appear.  Look for FAGD (Fellow of Academy of General Dentistry) or MAGD (Master of Academy of General Dentistry).  If you don't have dental insurance, treatment will be very expensive.  A less expensive option is to consider teaching facililty like Augusta Univ. Du_deleted: honestdoc said:\n\n\n\n\t\t\tGo to Academy of General Dentistry Web site and click on \"Find-a-dentist\" on the right hand side.  Enter your location.  A list of dentists will appear.  Look for FAGD (Fellow of Academy of General Dentistry) or MAGD (Master of Academy of General Dentistry).  If you don't have dental insurance, treatment will be very expensive.  A less expensive option is to consider teaching facililty like Augusta Univ.\n\t\t\nClick to expand...\n\nThank you so much. I do have dental insurance. I will check it out. Du_deleted: honestdoc said:\n\n\n\n\t\t\tGo to Academy of General Dentistry Web site and click on \"Find-a-dentist\" on the right hand side.  Enter your location.  A list of dentists will appear.  Look for FAGD (Fellow of Academy of General Dentistry) or MAGD (Master of Academy of General Dentistry).  If you don't have dental insurance, treatment will be very expensive.  A less expensive option is to consider teaching facililty like Augusta Univ.\n\t\t\nClick to expand...\n\nThank you @honestdoc.\nI see few doctors as Pre-fellow in the Academy of general dentistry website. Is there any difference between Pre-fellow Dentist and FAGD dentist? \nBecause, I see a dentist nearby my location who has 480+ good Google reviews. But I see the dentist name in the AGD website and I see the award as Pre-fellow. Do we need to choose only the FAGD or MAGD dentist and not Pre-fellow? honestdoc: Pre-fellow means the dentist has not completed fellowship requirements.  The website with fellow & master is just a guide or introduction and doesn't guarantee anything.  Schedule with this dentist and see how you feel about it.  Ask a lot of questions.  Hopefully you will feel comfortable. Du_deleted: honestdoc said:\n\n\n\n\t\t\tPre-fellow means the dentist has not completed fellowship requirements.  The website with fellow & master is just a guide or introduction and doesn't guarantee anything.  Schedule with this dentist and see how you feel about it.  Ask a lot of questions.  Hopefully you will feel comfortable.\n\t\t\nClick to expand...\n\nThank you so much for your inputs.\nI did visit the dentist with good reviews."
  },
  {
    "id": 1288,
    "title": "Why Does My Tooth Hurt After A Filling?",
    "dialogue": "Scottstanis: I had a deep filling in my wisdom tooth a week ago. I am still getting toothache now and again throughout the day. Will it take time to settle or should I go back to the dentist"
  },
  {
    "id": 1289,
    "title": "Dental advice please.Tooth pain or pressure even after 8 months of cavity fillings",
    "dialogue": "Du_deleted: Hi,\n\nI had 4 tooth cavity fillings in the month of June 2018. The numbers are 13,14,15,19.\n\nI had severe sharp pain after the fillings done and I went to my dentist and he filed down the high fillings. I went for four visits as I always feel some discomfort or some pressure in the left lower side of my mouth. He filed down the extra in my 3 visits and in the 4th visit, he said there might be bubbles inside the filling and the filling has to be replaced. \n\nI am always do nervous about dental visit and this was my first cavity filling done in my life. So, I was worried about doing it again. He told that it has to be redone to the tooth number 19.He didn't take any x-rays. \n\nI am so worried and didn't go back to the dentist. I still get the pain or pressure feeling in my lower left side of the mouth. I am not sure if it's because of the air bubbles in the tooth number 19 or the fillings done in the upper left side tooth too. I am not sure which one is causing problem. How to identify the air bubbles in the cavity filling? What should do I do now?\n\nkindly please help me with your advice. It really makes me nervous. \n\nThank you! honestdoc: Most likely your dentist placed tooth colored composite fillings.  Unfortunately all modern composites shrink about 1% during light cure.  With the shrinkage, there could be gaps, voids, or sometimes air bubbles.  There is a new bioactive filling material called Activa which won't shrink and bonds naturally to teeth.  Ask your dentist about that product.  It is more expensive because it is relatively new to the market. Du_deleted: honestdoc said:\n\n\n\n\t\t\tMost likely your dentist placed tooth colored composite fillings.  Unfortunately all modern composites shrink about 1% during light cure.  With the shrinkage, there could be gaps, voids, or sometimes air bubbles.  There is a new bioactive filling material called Activa which won't shrink and bonds naturally to teeth.  Ask your dentist about that product.  It is more expensive because it is relatively new to the market.\n\t\t\nClick to expand...\n\nThank you so much for your reply @honestdoc.\nYes,my doctor used composite resin fillings. \nI will check it out about the new material. And do the refilling is the only option to recover from pain or any bite adjustments is enough? I am so worried that doing the filling again will drill out my tooth more. Whether the filling done again with composite resin material cause issues like this again? Need inputs on this please.\nThank you! honestdoc: If x-rays look ok, it is best to minimize drilling. Du_deleted: honestdoc said:\n\n\n\n\t\t\tIf x-rays look ok, it is best to minimize drilling.\n\t\t\nClick to expand...\n\nThank you @honestdoc. I will check with dentist to take an x-ray. Even if the x-ray looks fine, should I go for refilling with resin? Du_deleted: honestdoc said:\n\n\n\n\t\t\tIf x-rays look ok, it is best to minimize drilling.\n\t\t\nClick to expand...\n\nWhether the air bubbles will be identified in the x-rays? How to identify air bubbles? I am planning to go to a new dentist this time to check this issue. I am not much satisfied with my previous dentist filling work. So, I would like to know how to identify the air bubbles or gap between the fillings and the tooth? honestdoc: It's difficult for an untrained eye to diagnose dental x-rays.  The filling will be white (more dense).  A gap or an air bubble with be dark (less dense).  Many times you may see a dark line around the white composite due to its light curing shrinkage.  You may post it for us to look at it. MattKW: The other possibility is to replace with amalgam. There is no shrinkage, and post-op sensitivity is rare. Du_deleted: honestdoc said:\n\n\n\n\t\t\tIt's difficult for an untrained eye to diagnose dental x-rays.  The filling will be white (more dense).  A gap or an air bubble with be dark (less dense).  Many times you may see a dark line around the white composite due to its light curing shrinkage.  You may post it for us to look at it.\n\t\t\nClick to expand...\n\nSure. I will definitely post it here. I am planning to go to a different dentist this time and get an x-ray done. Du_deleted: honestdoc said:\n\n\n\n\t\t\tIt's difficult for an untrained eye to diagnose dental x-rays.  The filling will be white (more dense).  A gap or an air bubble with be dark (less dense).  Many times you may see a dark line around the white composite due to its light curing shrinkage.  You may post it for us to look at it.\n\t\t\nClick to expand...\n\nHi,\nI have an another issue that happens only after the fillings are done. I don't feel like my upper and lower tooth not meeting properly after the fillings and those bite adjustments i had in the 3 visits after the filling. In the 4th visit, the dentist said the bites are fine and i have to refill the one filling again.But i still feel the teeth are non aligned. The lower ones are sliding over the upper ones and not aligning properly.Is that because of the air bubble in the filling? Do i need to visit another dentist for second opinion? Du_deleted: honestdoc said:\n\n\n\n\t\t\tIt's difficult for an untrained eye to diagnose dental x-rays.  The filling will be white (more dense).  A gap or an air bubble with be dark (less dense).  Many times you may see a dark line around the white composite due to its light curing shrinkage.  You may post it for us to look at it.\n\t\t\nClick to expand...\n\nHi,\nShould I go to orthodontist or dentist for this issue?\nI need to check why the pain or sharp pressure coming up from left lower side.  I suddenly feel the pain coming more often past 2 days. Usually it will be on and off for sometime. It's coming up more often for past 2 days.\nThank you so much for replying all my queries @honestdoc. honestdoc: Have your dentist check your bite when you are sitting upright not laying down.  Sitting up should give you a more accurate bite. Du_deleted: honestdoc said:\n\n\n\n\t\t\tHave your dentist check your bite when you are sitting upright not laying down.  Sitting up should give you a more accurate bite.\n\t\t\nClick to expand...\n\nThank you so much for the reply.\nI will check the bite. Du_deleted: I just have another question. \nI am planning to go to a different dentist this time to check this issue. I need to tell them the history and they may take new x-rays if needed.\nI don't have any new x-rays after the fillings done. Should I tell the new dentist that my previous dentist said that there are air bubbles and I had to refill the fillings. Should I tell this or not? Or I just mention the issue and wait for their inputs/solutions? Du_deleted: honestdoc said:\n\n\n\n\t\t\tHave your dentist check your bite when you are sitting upright not laying down.  Sitting up should give you a more accurate bite.\n\t\t\nClick to expand...\n\nI just have another question. \nI am planning to go to a different dentist this time to check this issue. I need to tell them the history and they may take new x-rays if needed.\nI don't have any new x-rays after the fillings done. Should I tell the new dentist that my previous dentist said that there are air bubbles and I had to refill the fillings. Should I tell this or not? Or I just mention the issue and wait for their inputs/solutions? Du_deleted: Can  someone please reply to the query above. honestdoc: Where are you located?  In the US, dental insurance will only pay for the fillings once.  The other dentist will charge you for any new fillings/work done.  You may have a massive bill that insurance won't pay for.  Best to see the same dentist. Du_deleted: honestdoc said:\n\n\n\n\t\t\tWhere are you located?  In the US, dental insurance will only pay for the fillings once.  The other dentist will charge you for any new fillings/work done.  You may have a massive bill that insurance won't pay for.  Best to see the same dentist.\n\t\t\nClick to expand...\n\nThank you so much for your reply @honestdoc . I am in the US. My first dentist said he will do the refilling for free as the first work was not properly done. I know there will be out of pocket even for the consultation with second dentist.\nBut I am not so happy with my first dentist work and i want to make sure what's the exact issue. That's the reason, I am looking for second opinion. If the second dentist say that the refilling has to be done and can I go to the first dentist to redo the filling? In that case, I can save my dollars and I can be sure of what's the exact issue.\n\nAlso, I got a chance to send my x-rays to my family doctor back in my home country. He said, I don't need fillings for these small cavities and he mentioned that 2 cavities were small and you would have avoided that. So, I am just confused why my new dentist in the US told me to do all the 4 fillings. I didn't look for any second opinion and filled it up. So, I am just wanna make sure with another dentist. honestdoc: I'm sorry to say, many dentist in the US can be money hungry.  You can try the 2nd dentist.  Hopefully it will work in your favor. Du_deleted: honestdoc said:\n\n\n\n\t\t\tI'm sorry to say, many dentist in the US can be money hungry.  You can try the 2nd dentist.  Hopefully it will work in your favor.\n\t\t\nClick to expand...\n\nThank you @honestdoc .\nIs that ok when we do the filling when it is actually not necessary? I mean that unnecessary cavity fillings. Does it cause any issues? I am feeling so bad that I filled it up without a second opinion. Looks like my cavities are not so big and the filling would have been avoided.\nSo, do we need to replace these small fillings once every 5 or 7 years?"
  },
  {
    "id": 1290,
    "title": "Fresher dentist",
    "dialogue": "Meghatandel: I'm a fresher dentist from India.\nHow do I approach next?\nShould I wait and prepare for ORE exams or should I start working as a dental nurse to observe the clinical scenario??\nOr are there any other ways to understand the clinical scenario or gain experience??"
  },
  {
    "id": 1291,
    "title": "Root canal/crown issues",
    "dialogue": "Bjorkmd99: I had a root canal and crown put on my left lower molar about 4 years ago.  Went for my cleaning/checkup today to be told that my crown is showing bacteria that is \"eating\" away at my tooth nub and eventually will break off and so more damage to my jaw bone if left untreated!  My options at this point are to pull tooth, bridge or implant.  One, how does this happen?  Two, they say implant is my best option which happens to be most expensive.  Is this true? honestdoc: Could you provide x-ray images? Bjorkmd99: I dont have copy.  They are at dental office.  Would they question me for asking for copy? honestdoc: Usually, they don't.  If so, just mention you would like another opinion."
  },
  {
    "id": 1292,
    "title": "Worried about my inside cheek gums. Please help",
    "dialogue": "Therealone27: Good afternoon,\nI'm 29 years old and been having problems with my wisdom teeth I'm waiting till my benefits kick in may, but I had my tooth crack infront of my wisdom tooth because my wisdom tooth came in crooked and is pushing against the tooth that cracked. Where the tooth cracked is where my gum rest when I close my mouth and now not sure if it's cause it's sharp the crack it made a piece of my gum have a bit of a bump. I uploaded a picture and hopefully you guys and girls can give me some piece of mind.\n\nHave a great day and thanks for the help. Busybee: Hi Therealone that's normal.  Don't worry.  I have them too. honestdoc: You will need to have a pano x-ray and upload it here for us to evaluate it. Busybee: Sorry I totally misread the post based on the title.  Please ignore my reply."
  },
  {
    "id": 1293,
    "title": "Is this damaging my teeth?",
    "dialogue": "Dentistry1001: Hello, Can I damage my teeth if I 3-4 days out of the week brush at 5 AM and 12 PM then eat before I fall asleep at 12 AM (without brushing) then brush again at 5 AM and 12 PM? The last visit to my dentist she and the hygienist told me my oral care is meticulous (I make sure every spot is brushed before finishing) my tooth shade is A2 and no cavities, but am curious to know long term effects of this schedule Busybee: I reckon it's probably more important to floss before you fall asleep.  Over brushing isn't that good for your teeth either."
  },
  {
    "id": 1294,
    "title": "Gap in my lower teeth. Image attached. How to fix this?",
    "dialogue": "Du_deleted: Hi all,\nI recently see a gap in my lower tooth(front left). I never had that before. How to fix this? \nI had few fillings 8 months back and I have some issues in that still. Is that issue cause any gap in the other teeth? Please help.\nHow do I fix this gap? stefenmoore: You can go for Braces or Invisalign accordingly. According to me Aligners are the best option as they can fix widely spaced or over crowded teeth easily. Moreover these are invisible, have no diet restrictions and are easy to maintain."
  },
  {
    "id": 1295,
    "title": "Recently filled cavity needs root canal in 2 months",
    "dialogue": "Big dave: A tooth was filled (cavity) in December. In February it turned out to need a root canal. Did the dentist miss the root canal the first time or did the filling that wasn’t done properly cause the root canal and subsequent infection? Or is it normal to have this happen? Busybee: It could be either/or.  You;d need to have x rays from before and after so that the dentists here can analyse."
  },
  {
    "id": 1296,
    "title": "hello doctors can ulcer appear like this under the tongue",
    "dialogue": "soqrates: hello doctor is this an ulcer? it been here for 3 days painful but  the pain not always  i eat fine it does not  give me so much pain when i eat but sometime when  i talk its painful"
  },
  {
    "id": 1297,
    "title": "Dental Chair safety",
    "dialogue": "Compair System: Hello,\nI have seen many dentists changing the pressure regulator setting. They are doing it to compensate the de-graded performance of Airotors. How often does a Dentist required change the pressure? Importantly, whether it is correct to change the factory setting of pressure? Does anyone know about any regulations/guidelines/standards to be followed? Increasing the pressure could be a potential risk to the Patient as well as Dentist. Please provide your opinion."
  },
  {
    "id": 1298,
    "title": "I got a tooth cap, but there is spot nearby where gums hurt since 3 years",
    "dialogue": "VishwasG: Did anyone had similar symptom like me. I had got a tooth cap some 3 years ago. But just nearby there is a spot/lining where my gums seems to have become sensitive and whenever I chew something hard for a longer time, my gums on that spot start hurting and then gradually radiate out pain. \nDid anyone got similar symptom, and was able to solve such issue? Busybee: Maybe the margin of your crown has not been done well.   Or the gum could be receding.  So if dentine is exposed it could be causing the pain.   You should see a dentist. VishwasG: I have already shown the dentist. But she seems like can't find anything.  She says, it must be related to gums, because if root canal has been done, that means the tooth is dead and you should not feel any pain because of tooth or dentine. I am doubtful about it though. Because even if tooth is dead, it's roots are connected with gums. Busybee: I think it's like I said.   A bad crown margin will irritate the gum whether or not the tooth is root filled.    Exposed dentine can also let bacteria get into the root area and cause symptoms.  Nothing will show up on x rays but you end up with irritating symptoms.  Changing the crown could help but only if you go to a dentist who understands the need to have good margins."
  },
  {
    "id": 1299,
    "title": "What is a ring cap?",
    "dialogue": "VishwasG: I was looking into a different forum. For answers regarding problem of gums paining because of teeth gap. Someone replied in one line \"Use a ring cap\" .  Does anyone have any idea what is a ring cap? MattKW: No"
  },
  {
    "id": 1300,
    "title": "I have a loose tooth and want to glue it.  Please help.",
    "dialogue": "tumbz: Hi, i have a loose tooth from trauma.  I want to glue it to the next tooth to secure it.  I want to use a PERMANENT CEMENT that can last and withstand to eating, brushing, etc...  Do you know of any products that i can buy myself? Busybee: You can't do this yourself.    You could damage the next tooth.   Go and see a dentist. MattKW: No. No consumer products."
  },
  {
    "id": 1301,
    "title": "Mouthwash",
    "dialogue": "Francis678: Hi all, I'm just wondering if I accidentally eat after using mouthwash will the fluoride left on my teeth after brushing go away.\nMany Thanks Busybee: I'd be more worried about ingesting mouthwash."
  },
  {
    "id": 1302,
    "title": "Can a dentist tell if...",
    "dialogue": "pava: Hello\n\nI sought a second opinion and was told that my fillings are cracking (four teeth)\nI ended up having them fixed by the \"second opinion\" dentist.\n\nMy question is - will my original dentist be able to tell that someone else  did the work?\nI am afraid he may think I am disloyal. \n\nI would be grateful for your advice. MattKW: Why did you go for a 2nd opinion?\nWhy did you go through with the proposed treatment?\nWhy are you going back to your former dentist?\nAnd of course he can tell. Wouldn't bother me though, you're not my pet dog or something. pava: MattKW said:\n\n\n\n\t\t\tWhy did you go for a 2nd opinion?\nWhy did you go through with the proposed treatment?\nWhy are you going back to your former dentist?\nAnd of course he can tell. Wouldn't bother me though, you're not my pet dog or something.\n\t\t\nClick to expand...\n\n\nThe second dentist x-rayed the teeth I complained about.  \n\nI went for a second opinion as my first dentist did nothing on several occasions when I complained about a tooth. \nFor example I had pain in a newly root canaled and crowned tooth and he kept saying: it looks ok.  (He prefers to shave off  opposing teeth instead of taking an x-ray). As it turned out the tooth in question was broken (its root).  \n On another occasion I was scheduled for two implants. I complained about a neighboring tooth;  and he said this particular tooth could also be replaced by an implant. He didn't even check if this tooth could be saved in another way. Again no X ray was taken to check.\nAnd it happened again with another tooth.\nI was planning to go back to him, as he has a very good implant specialist.\nit's  also so hard to tell who is good and who isn't.   My friend went to four dentists and one told him he needs 9  fillings, and another said only 2."
  },
  {
    "id": 1303,
    "title": "No Xray required or waiver OK for a Dentist in Dallas Ft Worth Texas area",
    "dialogue": "Noni: PLEASE NO LECTURES JUST ANSWER MY QUESTIONS if you can.  I'm looking for a dentist in the Dallas Ft Worth Texas area that is not stuck on needing x rays to clean my teeth. I don't need cavities filled or anything else.  I just want my teeth cleaned.  I have tried off and on for 10 years but keep giving up.  I've been able to do a pretty good job of it on my own but I would like a decent cleaning. I know they exist. And no it is not law that they do x rays.  So please only people answer that can answer my request for a dentist. Thanks!!! honestdoc: No licensed provider in the US will clean teeth without x-rays.  X-rays are like road maps to guide you.  Without them, we can't see where the bone levels are, if you have gum attachment loss, if you have deep tartar below the gums, if you have any tumors, cancer, cysts, etc.  We are liable for all the above plus more.\n\nAny savvy lawyer can go around any waivers and put the licensed dentist out of business. MattKW: I think it's possible, and I have a couple of patients that only wants cleanings and no Xrays. But I have recorded it several times in their records that they have refused and that I have given them leaflets explaining risks of Xrays and risks of not taking Xrays. It's not that dissimilar if you visit a doctor and then ignore his advice to have blood tests etc. You are correct that it is \"not the law\", but we do have a duty of care. You will have a lot of dentists refuse to see you because they don't like to be placed in a potentially difficult situation. So many people like to sue today, and the lawyers can be rapacious. Noni: MattKW said:\n\n\n\n\t\t\tI think it's possible, and I have a couple of patients that only wants cleanings and no Xrays. But I have recorded it several times in their records that they have refused and that I have given them leaflets explaining risks of Xrays and risks of not taking Xrays. It's not that dissimilar if you visit a doctor and then ignore his advice to have blood tests etc. You are correct that it is \"not the law\", but we do have a duty of care. You will have a lot of dentists refuse to see you because they don't like to be placed in a potentially difficult situation. So many people like to sue today, and the lawyers can be rapacious.\n\t\t\nClick to expand... Noni: I put a post asking if you are in the Dallas Ft Worth area but it disappeared.  I am serious I need to find a Dentist and will travel 100 miles if I need too. I guess since I can't put my email maybe if I had the business name I could locate it myself.  Maybe I need to just head to Mexico?? honestdoc: Are you concerned with the costs or radiation?  If costs are a concern, there is Baylor dental school.  If radiation is a concern, modern digital x-rays emit very minimal radiation.  You get more radiation walking to the park than 20 dental x-rays. Noni: I am not interested in the reasons you need to state for the needs of x rays.  I am only interested in having my teeth cleaned without x rays and so if you have that info fine, if not move on. Thanks! MattKW: Noni said:\n\n\n\n\t\t\tI put a post asking if you are in the Dallas Ft Worth area but it disappeared.  I am serious I need to find a Dentist and will travel 100 miles if I need too. I guess since I can't put my email maybe if I had the business name I could locate it myself.  Maybe I need to just head to Mexico??\n\t\t\nClick to expand...\n\nI'm nowhere near you. Maybe you'll have to Google and start ringing around with your request."
  },
  {
    "id": 1304,
    "title": "My front teeth is little forward after the fillings done.",
    "dialogue": "Du_deleted: Hi all,\nI had my cavities done 8 months back in the teeth numbers 13,14,15,19. I usually have my front teeth a little forward compared to others. But it doesn't bother me to close the mouth or to talk. Now after the fillings and after many bite adjustments, I feel the front teeth move bit forward when compared to the teeth before the fillings done. Now, I feel like difficult to close the mouth.Does it related to fillings or the teeth move forward over the time?\n\nI still have issues with the fillings.I have some discomfort on the left side of the mouth.\nmy dentist asked me for refilling because of air bubbles. Whether this makes the front teeth move forward? Or any bite issues?\nIs this normal? Please help.\nThank you."
  },
  {
    "id": 1305,
    "title": "Do I have an abscess? Lump above front tooth",
    "dialogue": "WorriedIncisor: i have a lump above my front tooth, it feels weird, it doesn’t hurt and isn’t at all painful. It feels like a bubble could this be an abscess or would it hurt if it was an abscess? Thanks MattKW: Could be. Any photos? WorriedIncisor: MattKW said:\n\n\n\n\t\t\tCould be. Any photos?\n\t\t\nClick to expand...\n\n\nHi thanks for your reply, it doesn’t really show up in photos, the bubble did pop and now it’s just red, if it was an abscess would I be in a lot of pain? Thanks MattKW: If it popped, it is likely to be a draining abscess. They don't always cause pain; it's like bursting a pimple. But the cause is still present (dead tooth), and you need to get it checked properly and treated. Antibiotics won't cure it, and should only be used for facial swelling - don't let it get that far. WorriedIncisor: MattKW said:\n\n\n\n\t\t\tIf it popped, it is likely to be a draining abscess. They don't always cause pain; it's like bursting a pimple. But the cause is still present (dead tooth), and you need to get it checked properly and treated. Antibiotics won't cure it, and should only be used for facial swelling - don't let it get that far.\n\t\t\nClick to expand...\n\n\nHi thanks for your reply, is there any possibility it could have just been an ulcer, there is no lump there now my gum is just a bit red, I’m so scared Busybee: You should see a dentist.   Nobody here can diagnose you without x rays.    But if it's an abscess then it will come back.  Ulcers do not pop."
  },
  {
    "id": 1306,
    "title": "Knocked tooth turning grey",
    "dialogue": "suze1983: Hello\n\nI fell and banged my front tooth a couple of weeks ago. It is now turning grey. My dentist has done and xray and said there's just a bit of swelling. My question is has anyone experienced this and the tooth whitened up again?"
  },
  {
    "id": 1307,
    "title": "Can someone please identify cavities in this? X-ray attached.",
    "dialogue": "Jack23: Hi all,\nI moved to the United States recently. I used to go to dentist once in 2 years when I was in my home country.\nAfter I come to US, I see the practice of going to dentist every 6 months. So,i got an appointment to go to a dentist nearby my location. I got to know about this dentist through Internet search and read the reviews.\nI went for a general cleaning visit and the dentist did an x-ray and told me that i have 4 cavities on my left side of the mouth. I never had cavities before and my tooth was perfectly fine when I went to my dentist 2 years back.\nThe dentist told me that I have to fill it asap.\nI don't know how to read the dental x-rays. Could someone please help me to confirm the cavities. I don't want to do the fillings as i am so scared and nervous about that. Please let me know if I really have cavities and how soon should i fill it up? honestdoc: I don't see the attached x-rays. Jack23: Thank you for the reply @honestdoc.\nThe upload was not succesful and i attached it again now.\nCould you please check the attached images. Jack23:  Jack23: I have attached all the x-ray images.\nplease let me know if i have cavities and do i need to fill it soon? honestdoc: Your cavities are very small.  The largest one will be tooth #16 UL wisdom tooth and is unopposed and hyper-erupting.  It is more predictable to extract both upper wisdom teeth.  I see incipient small cavities between #4 Mesial & Distal, #5 Distal, #13 Distal, 14 Mesial, 15 Mesial.  These cavities have not penetrated through the enamel layer and can be remineralized (healed).  Use Over the Counter Fluoride rinses and floss between your teeth every night.  I don't see any need for fillings at this time.  You may see a different dentist if you don't feel comfortable with your present one. Jack23: honestdoc said:\n\n\n\n\t\t\tYour cavities are very small.  The largest one will be tooth #16 UL wisdom tooth and is unopposed and hyper-erupting.  It is more predictable to extract both upper wisdom teeth.  I see incipient small cavities between #4 Mesial & Distal, #5 Distal, #13 Distal, 14 Mesial, 15 Mesial.  These cavities have not penetrated through the enamel layer and can be remineralized (healed).  Use Over the Counter Fluoride rinses and floss between your teeth every night.  I don't see any need for fillings at this time.  You may see a different dentist if you don't feel comfortable with your present one.\n\t\t\nClick to expand...\n\nThank you so much for your reply @honestdoc . He also mentioned number 19. He said number 19 has lot of cavity and told me to get it done and don't wait till it gets to root canal.\nHe mentioned the numbers as 5,13,14,15,16,19. Does 19 have cavity? honestdoc: #19 has no cavities on the sides, maybe small ones on front (cheek) or back (tongue) sides.  This dentist must be hungry.  Find another dentist.  You don't need any fillings.  Use Fluoride rinse to help remineralized all of the small cavities still outside the enamel layer.  I have 3 cavities so much bigger and have been watching them for 30 years. You do need 2 upper wisdom teeth extracted.  They should be minimal trauma. Jack23: honestdoc said:\n\n\n\n\t\t\t#19 has no cavities on the sides, maybe small ones on front (cheek) or back (tongue) sides.  This dentist must be hungry.  Find another dentist.  You don't need any fillings.  Use Fluoride rinse to help remineralized all of the small cavities still outside the enamel layer.  I have 3 cavities so much bigger and have been watching them for 30 years. You do need 2 upper wisdom teeth extracted.  They should be minimal trauma.\n\t\t\nClick to expand...\n\nThank you so much for the reply. I really appreciate it.\nHow soon should I extract the upper wisdom teeth? honestdoc: It's not urgent and it shouldn't be too traumatic.  Those teeth should roll right out. MattKW: honestdoc said:\n\n\n\n\t\t\tYour cavities are very small....\n\t\t\nClick to expand...\n\nAgree. You have a good history of no fillings, and with a good diet and hygiene you should be able to stop those tiny holes from developing any more. Jack23: MattKW said:\n\n\n\n\t\t\tAgree. You have a good history of no fillings, and with a good diet and hygiene you should be able to stop those tiny holes from developing any more.\n\t\t\nClick to expand...\n\nThank you so much for your reply. Appreciate it. Jack23: honestdoc said:\n\n\n\n\t\t\tIt's not urgent and it shouldn't be too traumatic.  Those teeth should roll right out.\n\t\t\nClick to expand...\n\nThank you so much. I will check it out.\nShould I go to orthodontist to remove the upper wisdom teeth? Jack23: I got the below treatment plan from my dentist as priority number 1. honestdoc: You don't need those fillings.  The dentist is scamming you. Jack23: honestdoc said:\n\n\n\n\t\t\tYou don't need those fillings.  The dentist is scamming you.\n\t\t\nClick to expand...\n\nThank you so much @honestdoc.\nShould I go to the orthodontist to remove my wisdom teeth? honestdoc: Orthodontist only does braces and straightening teeth.  Oral surgeon removes wisdom teeth but many insurance companies may require referrals from general dentists to be covered.  The wisdom teeth you have should be easy to remove.  It is hyper-erupted (lower than other teeth) which will have less bone attachment and unopposed (no lower teeth to apply resistance) so the bone would be less dense.   Only request the 2 wisdom teeth to be removed or find another dentist. Jack23: honestdoc said:\n\n\n\n\t\t\tOrthodontist only does braces and straightening teeth.  Oral surgeon removes wisdom teeth but many insurance companies may require referrals from general dentists to be covered.  The wisdom teeth you have should be easy to remove.  It is hyper-erupted (lower than other teeth) which will have less bone attachment and unopposed (no lower teeth to apply resistance) so the bone would be less dense.   Only request the 2 wisdom teeth to be removed or find another dentist.\n\t\t\nClick to expand...\n\nThank you so much."
  },
  {
    "id": 1308,
    "title": "Whether the first dentist will do the refilling if I go for a second opinion.",
    "dialogue": "Du_deleted: Hi all,\nI had fillings in my teeth. The numbers are 13,14,15,19. I had the fillings in the month of June 2018. I was having the pain or pressure like feeling in my lower left teeth since I had these fillings. I went to my dentist 4 times and he did some bite adjustments 3 times and in the 4th visit, he said that I have to refill the filling since it's giving me some issues and am coming for 4th time. I went for the 4th visit in the month of September. He said it could be air bubbles. He said he will do the refilling for free because it's just air bubbles issue. \n\nI still have the pressure like feeling in my left side and I want to get rid of it as it affects me everyday and my day to day life.  I am thinking if I should go for second opinion to check this issue and to check the bites. My upper and lower teeth not aligning properly. I wanted to check if I really should do the refilling. If I go to a second dentist, he will take x-ray and examine. If he says that I have to redo the filling, can I go back to my first dentist for filling? Because he said he will do that for free. \nWhether he identify or able to catch up my record that i went to another dentist for second opinion. Is that possible in US?\nWhy I am asking this question is, i have changed my  insurance plan this year and I have to do out of my pocket.So, if he does the refilling for free, it will be good for me.\nAny inputs on this ? Busybee: If the first dentist has done a filling badly you should get your money back.  If you ask the first dentist to do it again how do you know it will be ok this time? Du_deleted: Busybee said:\n\n\n\n\t\t\tIf the first dentist has done a filling badly you should get your money back.  If you ask the first dentist to do it again how do you know it will be ok this time?\n\t\t\nClick to expand...\n\nYeah..you are right. That's what I am worried about now. Whether if I do the refilling with him, I am worried that the same issues comes back again. I have no guarantee on that.\nI am new to the US and I saw online reviews to choose this dentist and went there.\nI will choose the second dentist again based on internet reviews. I am worried if the second dentist do the refilling, will it be ok or cause any issues.\nI am not sure if he will give back my money after 8 months.\nThank you so much for your reply @Busybee. Appreciate it."
  },
  {
    "id": 1309,
    "title": "Can someone please identify the cavities in the x-ray?Images attached.",
    "dialogue": "Jack23: Hi all,\nI moved to the United States recently. I used to go to dentist once in 2 years when I was in my home country.\nAfter I come to US, I see the practice of going to dentist every 6 months. So,i got an appointment to go to a dentist nearby my location. I got to know about this dentist through Internet search and read the reviews.\nI went for a general cleaning visit and the dentist did an x-ray and told me that i have 4 cavities on my left side of the mouth. I never had cavities before and my tooth was perfectly fine when I went to my dentist 2 years back.\nThe dentist told me that I have to fill it asap.\nI don't know how to read the dental x-rays. Could someone please help me to confirm the cavities. I don't want to do the fillings as i am so scared and nervous about that. Please let me know if I really have cavities and how soon should i fill it up? Jack23: "
  },
  {
    "id": 1310,
    "title": "Want dentist from usa for some inquiries",
    "dialogue": "Dyaakhaled: hello, \nI am a dentist want USA dentist for some inquiries \nPlease reply to post and i will start conversation with you\n\nThanks"
  },
  {
    "id": 1311,
    "title": "Implant question",
    "dialogue": "Bazgriffo1967: Hi all.. Yesterday I had drilling and three dental implants inserted, i was told it went well.. I have a concern though, because with two of the three implants the surgeon used what I can only describe as a ratchet to screw down the implant nice and tight, but with the third he jeasily just screwed it in with his fingers, wasn't a tight fit at all, is this okay no ratchet required?\nThanks for any possible help. Oceansightdental: Lol, wow you pay close attention. There's two major reasons we put an implant in with our fingers insteda of using a ratchet: Bone is too stiff or bone is too weak. If your bone was too stiff then  this is not an issue whatsoever. If on the other hand your bone was too weak, then you need to be careful not to apply any pressure to the implants. Occasionally, when we're placing a dental implant near the sinuses (upper back region), we use hand torque to ensure that the implant doesn't fall into the sinus. My recommendation is to not stress and let your dentist handle this one. It sounds like he or she knows what to do. \nAli Jazayeri DDS Bazgriffo1967: Thank you for your kind reply Dr Jazayeri..\nAll three of my implants are lower jaw molars..\nI've had a thought though... the one implant that was screwed in by hand only, happens to be right nextdoor to one that a ratchet was used for, is that common practice? My thinking is, you can't torque off two implants that sit only mm's apart from one another, in case of fracture maybe?\nIm probably way off the mark but thought it might be worth mentioning.\nKind regards,\nBarrie Oceansightdental: Well the fact that the implants are in the lower jaw is great since the mandible has much higher bone quality for implant placement. The torquing has nothing to do with implant proximity. There's two scenarios here: (a) your bone was so stiff that your dentist was comfortable hand torquing it in place. (b) You recently had a tooth pulled in the region and the area still had softer bone. In these cases, we can't get enough stability on the implant so we just throw it in there and hope for the best. Hope this helps. If you attach an X-ray I can tell you exactly what is going on."
  },
  {
    "id": 1312,
    "title": "Not sure where to post.. need help",
    "dialogue": "Jackteeth91: Hello, I wasn’t sure where to post this but I need advice on what may be wrong, it’s causing me pain and I cannot get to a dentist in the foreseeable future. I’m not sure if it’s maybe a wisdom tooth or extra tooth? I’m 27 and male, otherwise in good health.\nAny help would be greatly appreciated \nThank you honestdoc: Without an x-ray image, it looks like an extra (supernumerary) tooth.  How long has it been hurting?  It looks pretty stable and if you experience discomfort, you can use numbing gels for the mouth available at any drug store. Jackteeth91: Thank you very much for taking the time to read/reply. It hurts in phases. Sometimes not giving any discomfort for weeks then all of a sudden il get pain for a day or two. I think it may still be growing and hurts as it grows maybe? I take co-codamol when I get pain Oceansightdental: It looks like you have a hole on your wisdom tooth. You also have an extra tooth, a supernumerary, which I would recommend removing along with your wisdom tooth. Because your wisdom tooth was too far back, you were unable to clean it and it got infected. hope this helps.\nAJ Jazayeri DDS"
  },
  {
    "id": 1313,
    "title": "Root Canal Bill",
    "dialogue": "Wesleyd123: Hello, I went in for a dentist check up yesterday and was told I need a root canal. I received the bill and was shocked. Can someone tell me if this is normal for a Root Canal Procedure?\n\n\nLim Oral Eval-Prob Foc       $72.00\nIntraoral Periapical - Si        $28.00\nPorcelain                             $1154.00\nCore Buildup, Inc. Pins        $254.00\nBicuspid (ex final resto)       $840.00\ncomposite-two surf-post      $216.00\n                       Total              $2565.00 Wesleyd123: Anyone know anything about this? Is this at least in the ball park? I need to pay this tomorrow so I just want to make sure this isn't like absurdly overpriced. honestdoc: The core bu and composite 2 surf post filling shouldn't be charged together.  In theory, if you are not having a crown, then they could bill you the composite fee but not core bu.  Core bu is when you will have a crown.  The dentist appears production hungry.  Do you have dental insurance? Wesleyd123: Yes I have dental insurance. Met-life $2500 a year. My insurance brings the bill down to $552.60. However that eats all my dental for the year and I definitely need more work. However judging by your answer the bill seems somewhat reasonable? Maybe a bit over priced but not something crazy? honestdoc: I think if the dentist is going to put a crown on your tooth and charging core bu procedure code, that dentist shouldn't charge you for composite 2 surf procedure.  Ask your dentist to not charge you for it."
  },
  {
    "id": 1314,
    "title": "hello doctors  can u plz tell me  whats is this in my tongue",
    "dialogue": "soqrates: hello doctor i had this  looks like skin tag like way to small in size today i feel pain so i looked in mirror and  i notice its way to big and its pain a little bit when it touch my teeth or my gum doesnt hurt when i eat or talk  but i wonder whats this could be  is it dangerous ? MattKW: Skin tag; innocuous."
  },
  {
    "id": 1315,
    "title": "visiting the dentist next week, but wanted to know in advance lay it on me.",
    "dialogue": "zeek: its bad isn't it? TALDDS: That is difficult to diagnose.  Lesions along the gum line and extend into the tooth.  \nIF they can get clean margins those should look very nice upon completion.  I have also had several of them turn into root canals...if you haven't had symptoms you are likely clear"
  },
  {
    "id": 1316,
    "title": "Indemnity Insurance for Dentists",
    "dialogue": "nau06113: Hello\n\nLooking for some opinion or input from dentists.\n\nWhat is the deal with indemnity insurance? What do I need to look out for?!\n\nThank you in advance MattKW: Complicated. My Australian Dental Assocn has a deal that they offer to members after they've done all the research. Some people prefer to choose their own insurer, but it's difficult to know if you'll get what you need."
  },
  {
    "id": 1317,
    "title": "Partials",
    "dialogue": "Deborah Murphy: Hi, I just received my partial. I understood there could be issues, adjustments were more than likely.  And, with having autoimmune diseases (One being sjogrens, thus taking saliva from my mouth, creating a terrible DRY mouth, & a breeding ground for cavities).....I am just already sick of this. This is the start of my second week. Right off, I got a huge cut, type bleeding blister, JUST from putting the partial in 4 times to make sure I could put the dental partial in and out with ease. Oh and I am faithful in my bioteen product use for adding moisture to my mouth. I use magic mouthwash prescription to aid in healing cancers etc.\n\nSo, I kept it out, allowing some healing and after a week, I tried to wear it. I had it in, 3 hours, and WOW little did I know, I had a huge blood blister/cut bleeding in the same spot, but I have bleeding behind the first tooth the partial clips on to. Still slight bleeding, and the tooth now hurts And a tooth near where the second part of the partial wraps on to? Toothache! I had a terrible, terrible canker inside my left cheek. My jaw is off some too in lining up when I bite, due to my jaw being dislocated years ago. \n\nI wonder if this is just putting off me needing to eventually go to dentures. We have worked so hard trying to save my teeth .My bottom 3? I swear they had more fillings, would break, and then event the roots decayed. All that for nothing I guess.\n\nI want to add, I really love my dentist. I go to my local hospital's dental clinic, as Medicare does not offer dental insurance & no way could I begin to face dental bills\n\nAll ideas, thoughts & comments welcomed. Having Lupus also can make an ordinary day discouraging. \nThanks for taking time to read. honestdoc: Hopefully you can have your autoimmune condition managed as best as possible.  I would try to keep your partial denture as long as possible because you lose more function with full dentures.  Have your dentist adjust your partial dentures so they won't hurt.  Even show up in the morning and \"test drive\" the adjusted partial throughout the day especially during lunch and possibly have it readjusted before closing time.  Wearing the partial may feel awkward but never painful. Deborah Murphy: Thank you very much. I see the dentist Friday, and I will have my list of questions, and I will post a follow up to this. I am disappointed, but hoping for a solution. Fingers crossed."
  },
  {
    "id": 1318,
    "title": "Prolia",
    "dialogue": "Yvee: Hi, I am on Prolia for osteoporosis, I have been advised that I need root canal on a molar, is it safer to have root canal work or extraction?? honestdoc: Unfortunately there are dental side effects with your medication.  Are you taking it in pill form (oral) or by injection?  There are more risks with injections that can cause jaw bone damage and bone necrosis after extraction.  Usually the physician will want your dentist to clear you before you start therapy. Yvee: honestdoc said:\n\n\n\n\t\t\tUnfortunately there are dental side effects with your medication.  Are you taking it in pill form (oral) or by injection?  There are more risks with injections that can cause jaw bone damage and bone necrosis after extraction.  Usually the physician will want your dentist to clear you before you start therapy.\n\t\t\nClick to expand...\n\nThank you. I have injections. That puts me in a bit of a pickle!! Not sure what to do now. honestdoc: Having root canal would be more ideal, even leaving the root in the bone and removing the damaged crown if the tooth is nonrestorable. Yvee: honestdoc said:\n\n\n\n\t\t\tHaving root canal would be more ideal, even leaving the root in the bone and removing the damaged crown if the tooth is nonrestorable.\n\t\t\nClick to expand...\n\n\nThank you for advice. Will chat with my dentist. MattKW: RCT safer. If an extraction is your choice, it is best timed just before your next Prolia injection, and maybe delay next injection for another month afterwards. Talk to dentist/GP. Yvee: MattKW said:\n\n\n\n\t\t\tRCT safer. If an extraction is your choice, it is best timed just before your next Prolia injection, and maybe delay next injection for another month afterwards. Talk to dentist/GP.\n\t\t\nClick to expand...\n\nThank you, have appointments  set for tomorrow with both GP and dentist - looks like it’s a root canal, can’t believe just had Prolia injection 10 days ago ! MattKW: Don't worry too much. Osteonecrosis is a risk, not a certainty; this is a sheet used in my state of New South Wales for the Dept of Health staff. About 1/2 way through is a risk assessment table which is useful. Prolia is not included in this (dated 2011) Yvee: MattKW said:\n\n\n\n\t\t\tDon't worry too much. Osteonecrosis is a risk, not a certainty; this is a sheet used in my state of New South Wales for the Dept of Health staff. About 1/2 way through is a risk assessment table which is useful. Prolia is not included in this (dated 2011)\n\t\t\nClick to expand...\n\nThank you, am a bit worried though!"
  },
  {
    "id": 1319,
    "title": "Moler crown help",
    "dialogue": "JezBannister: Hi. I've a crown on my last lower moler not (wisdom tooth). It's not covering all the tooth, some tooth walls are intact. it's come off a couple of times. The dentist re fit it and it came off again a month later. I was eating jelly sweets at the time, not toffee though. I've refit it with using a paste type kit from Lloyds pharmacy and it feels as good as before. Will this kit secure it as well, and also protect it from any bacteria? Busybee: No a kit won't secure it long term.   You need the tooth to be adjusted and a new crown made.  Crowns should not come off if they are well made and if the tooth is well prepared.  Perhaps it's time to find a new dentist."
  },
  {
    "id": 1320,
    "title": "Traumatic experience",
    "dialogue": "Emma68: Hello I’m looking for help I’m with a nhs dentist, I’ve never been scared before of a Dentist,\n but I am now terrified 2 weeks ago my tooth snapped after having a large filling\nSo I had to have half a tooth removed it took an hour and she couldn’t get the root out the pain  in my front tooth is still bad it’s been badly bruised as she was leaning into it ,I had to pay £95 to a private dentist who took 5 seconds to remove the root he didn’t hurt me but as I am on a low income,\n I can’t afford the price all the time . He informed me I have a gum infection which I didn’t know .\nThe told the nhs dentist I had an abscess on the roof of my mouth for a few weeks and a decaying tooth she couldn’t see the abscess even though it was quite big and she say my decay was discolouring I’m wondering if she needs glasses ?\nI’m ment to go back to get my false tooth but my gut is tells no me there is something not right ,also how long should you wait after having 3 injections? As she started straight away I had no advice regarding after care at all.\nI have a few painful conditions osteoarthritis and fibromyalgia so I am used to pain on a daily basis but this was a horrific experience Emma68: Emma68 said:\n\n\n\n\t\t\tHello I’m looking for help I’m with a nhs dentist, I’ve never been scared before of a Dentist,\n but I am now terrified 2 weeks ago my tooth snapped after having a large filling\nSo I had to have half a tooth removed it took an hour and she couldn’t get the root out the pain  in my front tooth is still bad it’s been badly bruised as she was leaning into it ,I had to pay £95 to a private dentist who took 5 seconds to remove the root he didn’t hurt me but as I am on a low income,\n I can’t afford the price all the time . He informed me I have a gum infection which I didn’t know .\nThe told the nhs dentist I had an abscess on the roof of my mouth for a few weeks and a decaying tooth she couldn’t see the abscess even though it was quite big and she say my decay was discolouring I’m wondering if she needs glasses ?\nI’m ment to go back to get my false tooth but my gut is tells no me there is something not right ,also how long should you wait after having 3 injections? As she started straight away I had no advice regarding after care at all.\nI have a few painful conditions osteoarthritis and fibromyalgia so I am used to pain on a daily basis but this was a horrific experience\n\t\t\nClick to expand... Emma68: Anyone at all ? Have advice please honestdoc: I'm from the US and I may have some ideas on the NHS in UK?  Since the pay for dentists in the NHS are expectedly low, it only attracts the inexperienced.  As the new dentist gains experience, he or she would venture to private care for more lucrative opportunities.  You may inquire which dentists may have more experience with your needs or try teaching institutions where there are overseeing dental faculty (instructors).  Hope you connect with a dentist you trust. Emma68: She passed in 2016 I’ve found another dentist Busybee: I don't think it's easy (or possible) to become a fully qualified dentist in the UK without having NHS experience.   But there are just as many poor dentists in the private sector.   Many of the more capable dentists have left NHS contracts to go private because the contract is very restrictive and bureaucratic.    As it stands it's not an ideal healthcare model.   I'm glad you got your tooth sorted and you didn't pay much for private treatment.   It's generally pot luck whether you get a good dentist.  Best to go by personal recommendation (ie. not online reviews). Emma68: honestdoc said:\n\n\n\n\t\t\tI'm from the US and I may have some ideas on the NHS in UK?  Since the pay for dentists in the NHS are expectedly low, it only attracts the inexperienced.  As the new dentist gains experience, he or she would venture to private care for more lucrative opportunities.  You may inquire which dentists may have more experience with your needs or try teaching institutions where there are overseeing dental faculty (instructors).  Hope you connect with a dentist you trust.\n\t\t\nClick to expand...\n\nThank you for your advice Emma68: Busybee said:\n\n\n\n\t\t\tI don't think it's easy (or possible) to become a fully qualified dentist in the UK without having NHS experience.   But there are just as many poor dentists in the private sector.   Many of the more capable dentists have left NHS contracts to go private because the contract is very restrictive and bureaucratic.    As it stands it's not an ideal healthcare model.   I'm glad you got your tooth sorted and you didn't pay much for private treatment.   It's generally pot luck whether you get a good dentist.  Best to go by personal recommendation (ie. not online reviews).\n\t\t\nClick to expand...\n\nThank you for the advice I’ve had a few dentists over the years due to them changing to private this was by far the most traumatic as I had a panic attack during the procedure which I don’t suffer from normally"
  },
  {
    "id": 1321,
    "title": "Filling Question!",
    "dialogue": "jennifertang: Hi all! This may be a little embarrassing, but I needed to ask.\n\nI was wondering, how long after getting fillings (composite) do I have to wait to have oral sex?\n\nThanks in advance MattKW: Any time."
  },
  {
    "id": 1322,
    "title": "Sublingual bump",
    "dialogue": "Sincerelyconcerned: Hi there,\n\nHoping someone can help me figure out what this bump is on the floor of my mouth? Is it just a duct or something I should be concerned about. I’m not sure if it’s always been there, but I only noticed it recently. I’ve been waiting to see if it changes or goes away and so far it’s remained the same. It’s also only on one side, no pain, just feels foreign when I run my tongue over it. \n\nThanks in advance! honestdoc: It appears to be a saliva gland duct.  If it is bigger on one side, have your dentist check x-rays for possible stone formation. Sincerelyconcerned: honestdoc said:\n\n\n\n\t\t\tIt appears to be a saliva gland duct.  If it is bigger on one side, have your dentist check x-rays for possible stone formation.\n\t\t\nClick to expand...\n\nThank you so much for your response! I will go get it x-rayed. If it’s a stone will it need to be removed? honestdoc: Chances are it may be inflammed which could resolve on its own or with topical Triamcinolone in dental paste (corticosteroid).  If it is a stone (buy a lottery ticket) then have an oral surgeon evaluate for removal...depending on how close it is to a nerve or blood vessel."
  },
  {
    "id": 1323,
    "title": "Tooth Pain, Cavities, X-rays - Need Advice Please",
    "dialogue": "EmBee: Hello!  (Please see x-rays below, in the next message)\n\nRecap - I have been having pain in my teeth, particularly my second to last tooth on my lower right. Also have some pain in my top teeth, close to the gums, on the same right side. I have had pain in my teeth for a few months now. Dentist thinks it's all from grinding my teeth. I have been wearing a mouth guard at night for months (since the pain started) but the pain is still there, particularly on the bottom tooth (second to the last, on the right). The pain sometimes wakes me up at night. It is not excruciating pain, but it is quite painful and it is there in the background 90% of the time. Hurts spontaneously. Hurts a lot after I eat.  I should probably mention that I also had pain in my head before, i.e. when this all started a few months ago... but once I started wearing my mouth guard the pain in my head reduced significantly. Now it's mostly just the tooth/mouth pain that I'm dealing with. The tooth pain also radiates to my ear, sometimes also to my temple. And it sometimes wakes me up at night.\n\nI saw another dentist today and took a set of full mouth x-rays. He said he could see nothing that would be causing all this pain other than grinding. Says I have a couple of \"tiny cavities\" on top of the lower teeth (last and second to the last), but he said even if I get those cavities filled, I will still experience this pain, since those small cavities are not big enough to be causing this kind of pain. He thinks I should just keep wearing the mouth guard and swish around with fluoride rinse a couple of times a day to help the teeth settle down.\n\nI am not sure if I should fill the small cavities on the troublesome tooth (and the one right next to it) now or not. If my mouth is in this much pain supposedly just from grinding, I am wondering if I should just wait for everything to hopefully settle down before doing anything else? So, I am leaning towards not filling the cavities yet since I don't want my teeth to go through more trauma and become an even bigger issue. On the other hand, the pain is very concerning, very distracting... and I am concerned that perhaps what looks like small cavities might be something much bigger that's just not showing up on the x-ray? When I take ibuprofen, the pain subsides... but I am concerned about taking ibuprofen almost daily for such a long time.\n\nWhat else can I do? I had considered a CBCT scan to look for hidden infections, but decided against it after getting advice here, and I opted for regular x-rays of my entire mouth instead.\n\nCould all this horrible pain really just be from grinding, or could there be more to it than this? Is there any other way to rule anything more serious out? If you have any advice for me, I would really appreciate it!\n\nPlease see x-rays attached in the next message.\n\nThank you very much!! EmBee:  honestdoc: Don't fill the small cavities.  They haven't penetrated through the enamel and can be reversed.  I'm going to agree with the 2 dentists that the pain may be related to your grinding and or clenching.  When your jaws are at rest, the teeth should be about 1/4 inch or 1/2 cm apart.  According to experts, your teeth only touch about 20 minutes each day including all meals and function.  Do you have a custom bite guard?  I recommend hard on outside and soft on inside.  It will force your jaws to be at rest (no more headaches).  You might have to wear it more often during the day.  \n\nDo you have unresolved stress.  If so, you may continue to have grinding/clenching pain.  Try to manage the stress as best as possible. EmBee: honestdoc said:\n\n\n\n\t\t\tDon't fill the small cavities.  They haven't penetrated through the enamel and can be reversed.  I'm going to agree with the 2 dentists that the pain may be related to your grinding and or clenching.  When your jaws are at rest, the teeth should be about 1/4 inch or 1/2 cm apart.  According to experts, your teeth only touch about 20 minutes each day including all meals and function.  Do you have a custom bite guard?  I recommend hard on outside and soft on inside.  It will force your jaws to be at rest (no more headaches).  You might have to wear it more often during the day. \n\nDo you have unresolved stress.  If so, you may continue to have grinding/clenching pain.  Try to manage the stress as best as possible.\n\t\t\nClick to expand...\n\n\nThank you so much honestdoc. Yes, I have a custom bite guard. Right now I only wear it at night. So maybe for now I should wear it all day as well? Or is there any disadvantage to wearing the mouth guard all day if I am able? I honestly can't really tell when I am clenching or grinding. I will try to worry/stress less. I really hope everything is resolved soon.  PS Did you look at my x-rays as well? No cavities/infections on there as far as you can tell? Would the cavities show up on the x-rays if they had penetrated through the enamel? Thank you so very much once again. Really appreciate it! honestdoc: EmBee said:\n\n\n\n\t\t\tThank you so much honestdoc. Yes, I have a custom bite guard. Right now I only wear it at night. So maybe for now I should wear it all day as well? Or is there any disadvantage to wearing the mouth guard all day if I am able? I honestly can't really tell when I am clenching or grinding. I will try to worry/stress less. I really hope everything is resolved soon.  PS Did you look at my x-rays as well? No cavities/infections on there as far as you can tell? Would the cavities show up on the x-rays if they had penetrated through the enamel? Thank you so very much once again. Really appreciate it!\n\t\t\nClick to expand...\n\nThe disadvantage to wearing the bite guard during the day is that it is hard to communicate like in meetings, etc.  If you don't need to speak to others, by all means, wear it.  Your x-rays look good.  I see tiny cavities barely there and they can be reminineralized (healed or not get bigger).  I have 3 cavities that barely penetrated through enamel and have been watching them for 25 years!  I also grind and clench and experience random pain as well.  It took about 5 years for my pain to fully subside along with other changes in stress mgt. EmBee: honestdoc said:\n\n\n\n\t\t\tThe disadvantage to wearing the bite guard during the day is that it is hard to communicate like in meetings, etc.  If you don't need to speak to others, by all means, wear it.  Your x-rays look good.  I see tiny cavities barely there and they can be reminineralized (healed or not get bigger).  I have 3 cavities that barely penetrated through enamel and have been watching them for 25 years!  I also grind and clench and experience random pain as well.  It took about 5 years for my pain to fully subside along with other changes in stress mgt.\n\t\t\nClick to expand...\n\n\nOh wow. Thank you so much. This is so encouraging. Yes I work alone a lot of the time so I can afford to wear it throughout the day. I will definitely try that! Yay to remineralization/healing/not getting bigger. I am all for that and I will try my best to make that happen by taking care of my teeth better and eating xylitol. \n\nI am so glad to hear your pain fully subsided, and that those 3 small cavities have remained under control. Very happy for you! Will hope for the best for myself as well. Thank you so much once again for the advice and encouragement, much appreciated! EmBee: Forgot to mention I also have on and off pain on the bottom left tooth, I think second to the last tooth as well, which is right next to the tooth I had the large filling on ages ago. The pain comes and goes, has done that for years I think. But it's nowhere near as painful as the right side of my mouth. Thanks"
  },
  {
    "id": 1324,
    "title": "High school student wants to know what a day in your life looks like",
    "dialogue": "PeterCharles: Hello\n\nI’m a high school student and also an aspiring Dentist. I’ve been tasked by my school to find out more about my future career and this is why I'm here.\n\nI’d really appreciate if you could take a few minutes to tell me what your average day as a Dentist looks like. I will be using this information to give a presentation in front of my class on careers day. \n\nThank you in advance! PeterCharles: *Becky the admin has given me permission to ask this question*"
  },
  {
    "id": 1325,
    "title": "Gum shield problem",
    "dialogue": "Connorsafc: Can you wear a gum shield if you have a bridge at front of mouth, could it loosen my bridge?"
  },
  {
    "id": 1326,
    "title": "CBCT vs Panoramic Xray for Detecting Hidden Infection? Caries?",
    "dialogue": "EmBee: Which is more effective at detecting hidden tooth infections - CBCT or Panoramic Xrays?\n\nWill either one of them also be able to detect cavities inside teeth?\n\nThank you! MattKW: Neither. The resolution of ordinary dental Xrays is 10-20x better than CBCT or OPG. I  have seen government dental clinics use OPGs for cost-cutting purposes when looking for decay, and it is such a stupid waste of radiation and resources. And CBCTs won't give you better resolution, but significantly more radiation."
  },
  {
    "id": 1327,
    "title": "Fillings",
    "dialogue": "Manda: Hi, I recently had 2 fillings at the front of my mouth, with a dentist I had not been to before. While my teeth are by no means perfect, I felt that the colour of the new fillings looked greyish yellow on them. Also, they were not polished smooth at the time, and feel rough against my tongue. They have stained very quickly. \nShould I complain? Busybee: Yes you should because a dentist can choose to make them a lighter colour.   Modern composite should not stain so easily.    As a patient you put your faith in your dentist to make any work they do in your mouth look as natural as possible.  There are different types of composite and different dentists are more or less skilled at using the material.  Functionality doesn't always mean the aesthetics are pleasing unless the dentist has thought both through carefully and also has skills in more than just functionality. The roughness should wear off over time.  . MattKW: Many modern composites are very translucent, which can give a greyer look if you have normally dense teeth. Whilst you can buy composites in differing opacities (e.g. dentine, enamel, incisal), I always buy the opaque dentine shades because they work for more people. And I keep some extremely opaque liquid composites (flowables) for particularly difficult teeth. Go back and ask the dentist politely to see if he thinks he can redo better; and you need to have them polished because they won't smooth themselves off."
  },
  {
    "id": 1328,
    "title": "Do I have a cavity? I’m really worried",
    "dialogue": "WorriedIncisor: hi,\n\nI have loads of grooves in my teeth and on my back tooth there is like a black dot and a black line on the tooth, is this just a stain or a cavity? I appreciate any help, thank you\n\nHere is an image of the area \nhttps://m.imgur.com/NvA9hmm xiaomantou: yes,a cavity will be soonly.you need to ask the dentist the scall the black line and use the composite resin material to fill it .making a complete crowns. MattKW: Looks like stain to me. Just get it checked next time, but I rarely even try and remove the stain because it doesn't make it \"better\" when there's no decay underway."
  },
  {
    "id": 1329,
    "title": "Mouth Guard Question",
    "dialogue": "vooxxy: Hi all just a quick question I grind my teeth at night it seems years ago a dentist said I did but didnt recommend anything to me. Now I have been having sleep issues does night time teeth grinding cause sleep disturbance. My Jaw and head can be sore at times and my jaw pops and clicks when I eat. Would a mouth guard be good for me? Has anyone here had sleep troubles that were resolved with a mouth guard for the teeth grinding? I dont have sleep apnea been tested.\n\nI had a molar tooth removed a few months back. Busybee: You should definitely try a nightguard.  I've used one for years and I am 100% convinced that my teeth would never have been in such good shape otherwise.   Try a soft one at first but make sure it's custom made and not too high."
  },
  {
    "id": 1330,
    "title": "Worse after seeing dentist",
    "dialogue": "Hubert: So my dentist extracted two teeth on the right side of my face and removed a tooth abscess and did a root canal on another tooth. The instructions were to use gauzes on the teeth and switch them every 30 minutes up to four hours. The instructions said that if the bleeding continues, then please contact dentist. Well it kept bleeding and I was unable to contact the dentist because it was 8 pm at night and no one was available. It was disgusting . . . I was tasting blood all night and could not sleep at all. There was also three times the amount of pain in the area where there was a tooth abscess, and my entire face looks like a balloon. The instructions tell me to rinse with the mouth rinse several times a day, but at the same time tells me to avoid rinsing anything because it will stop the healing process. What kind of instructions are these? WORSE dentist ever, and I came there to get rid of the pain of the tooth abscess and this guy removes 3 more tooth that I had absolutely no problem with, and now I am in more pain then ever. Hubert: btw, I also have to pay for services that I was completely unaware of when I have no money at all to afford it. All I had was enough to cover the tooth abscess, Are all dentists this evil?"
  },
  {
    "id": 1331,
    "title": "Got crown, now need root canal",
    "dialogue": "jeliac: Hello.... I just recently had a crown put on one of my back molars. It has been sensitive ever since. I haven't been able to eat on the right side of my mouth ever since the crown was put in. Now my dentist says I need a root canal. Is this a sign of a bad dentist? Shouldn't they have seen that I needed the root canal before giving me a crown? Called to see if I'm gonna be charged for another crown after the root canal is done, and they told me it's not certain until the procedure's done. So I may get charged twice for this crown! If they would have seen I needed a root canal before the crown, they could have done it in proper order. Now I may pay for two crowns on the same tooth! This just doesn't seem right to me. Am I wrong here? Do I have a right to argue not to pay for another crown? christine7706: jeliac said:\n\n\n\n\t\t\tHello.... I just recently had a crown put on one of my back molars. It has been sensitive ever since. I haven't been able to eat on the right side of my mouth ever since the crown was put in. Now my dentist says I need a root canal. Is this a sign of a bad dentist? Shouldn't they have seen that I needed the root canal before giving me a crown? Called to see if I'm gonna be charged for another crown after the root canal is done, and they told me it's not certain until the procedure's done. So I may get charged twice for this crown! If they would have seen I needed a root canal before the crown, they could have done it in proper order. Now I may pay for two crowns on the same tooth! This just doesn't seem right to me. Am I wrong here? Do I have a right to argue not to pay for another crown?\n\t\t\nClick to expand...\n\n\nI'm in the exact position you are. I went back to my dentist a week after the crown and he put some type of sealer on it and said that I had a sensitive tooth. After two more weeks of pain he tells me that I need probably a root canal. I'm taking up to 10 Advil a day just to knock down the pain, but am still in constant pain. Not very happy with my dentist. Oceansightdental: This happens more often than you would imagine. Technically, the dentist should cover warranty on his or her crown for at least one year. This means that you should be entitled to a free new crown if the work was recently done. As far as predicting whether or not a root canal was needed in advance, that is difficult to judge. Some teeth don't show any pain symptoms until a crown is placed on them. It could have been that the dentist shaved too much of the tooth, but there's no way of proving it one way or another. Hope this helps clarify your situation and best of luck on the root canal! MattKW: Oceansightdental said:\n\n\n\n\t\t\tThis happens more often than you would imagine. Technically, the dentist should cover warranty on his or her crown for at least one year. This means that you should be entitled to a free new crown if the work was recently done. As far as predicting whether or not a root canal was needed in advance, that is difficult to judge. Some teeth don't show any pain symptoms until a crown is placed on them. It could have been that the dentist shaved too much of the tooth, but there's no way of proving it one way or another. Hope this helps clarify your situation and best of luck on the root canal!\n\t\t\nClick to expand...\n\nThis original post is from 2011."
  },
  {
    "id": 1332,
    "title": "Crack felt with fingernail.",
    "dialogue": "MarkEdwards: I have a couple of vertical lines that are in both upper molars. I don’t have any pain even when I eat, but the craze line, or crack, is big enough that I can feel it with my fingernail. I am concerned that they are there. It’s making me worried to damage them more. Just because I can feel them with my fingernail does that mean they are cracks, or can craze lines also be felt like this. Should I worry? Busybee: See a dentist for reassurance if you are worried but it's pretty normal to have a few stable cracks in your teeth.    The time to worry is when you get an electric shock pain when you eat. MarkEdwards: Busybee said:\n\n\n\n\t\t\tSee a dentist for reassurance if you are worried but it's pretty normal to have a few stable cracks in your teeth.    The time to worry is when you get an electric shock pain when you eat.\n\t\t\nClick to expand...\n\nIt is aching slightly, but then again, all my teeth seem to be, feels as if my jaw is tight somehow, and I haven’t been feeling too well for a few days, it’s all very strange. I’ve made an appointment for Monday, but have to admit, I’m a little worried about what they are going to say! Merry Xmas hey! Busybee: Sounds like you're clenching your jaw from worry.   That can make your teeth crack eventually if you do it for a very long period of time, although you're most likely to crack a tooth from chomping on food that should not be chewed.   For example I cracked a back tooth by crunching hard sweets.   You might want to talk to your dentist about a nightguard and try to relax your jaw during the day.  Keep it unclenched. MarkEdwards: Busybee said:\n\n\n\n\t\t\tSounds like you're clenching your jaw from worry.   That can make your teeth crack eventually if you do it for a very long period of time, although you're most likely to crack a tooth from chomping on food that should not be chewed.   For example I cracked a back tooth by crunching hard sweets.   You might want to talk to your dentist about a nightguard and try to relax your jaw during the day.  Keep it unclenched.\n\t\t\nClick to expand...\n\nThat is exactly what I think I’m doing.\nVile photo alert. (My teeth really don’t look this yellow, I’m blaming the camera!) but if you look at the tooth in the middle, there is a crack, at the bad, and it looks like a tiny piece has already broken off. I’m so scared of doing anymore damage. Busybee: Everyone chips teeth a bit over time.   If you are worried get a night guard custom made by your dentist.   Most damage from grinding is done at night when we are not conscious of doing it. MarkEdwards: Busybee said:\n\n\n\n\t\t\tEveryone chips teeth a bit over time.   If you are worried get a night guard custom made by your dentist.   Most damage from grinding is done at night when we are not conscious of doing it.\n\t\t\nClick to expand...\n\nI have bought one of them mould at home ones, and wore it last night, which felt a little odd, but it fit really well.\nI’m just extremely confused about why bits are hurting, andwhat is causing it, even though none of it is really painful.\nI’m eating really carefully, as I’m too worried about breaking more off. Seem to of got it in my head that teeth just break off all the time now.\nI don’t know if these annoying niggles will go, or if I’ve damaged the teeth to a point where they will need attention. I can’t imagine a scenario where the pain goes on it’s own. Busybee: It's best to have a custom guard made by a dentist.    Many dentists think this should be a hard guard, but I think a soft one is best if you are just wearing teeth.  I say this because I once cracked a tooth with a hard guard (which resulted in an onlay).  It's also really difficult for dentists to make a hard guard comfortable.   \n\nI'm not a dentist and you need to be seen by one to check but from what you say it's possible you chipped one tooth and your bite is trying to settle so that may be why you have some aches and pains.   \n\n I'd strongly suggest you see a dentist to make you a comfortable guard and put your mind at rest.   It's really unlikely your teeth are damaged.  It's easy to get anxious when something goes wrong with your teeth because it can make everything feel wrong.  But it can help to see a professional to put your mind at rest.    \n\nPlease let us know how you get on."
  },
  {
    "id": 1333,
    "title": "What does this mean?",
    "dialogue": "LydiaM: After a long absence from the dentist I finally went six months ago, had x rays, the cleaning procedure and had a back tooth extracted. That was me done. I went for my check up yesterday and there's something I'm curious about. The dentist was using some instrument on the base of my teeth and he kept saying 'zero' to the nurse who was recording the information. I'd never had this done before, the only thing I can think of is he was checking for pockets, but I find it difficult to believe I have no pockets even though he said my gums had improved a lot since my last visit. Is there any other test they do that would require him to shout out zero many times. I really wish I'd have asked him but, quite frankly, I couldn't get out the door quick enough. If anyone could help with this I'd be very grateful. Thank you. honestdoc: Zero could mean many things...I believe majority to be good.  It could mean zero bleeding, attachment loss (recession), etc.  If the dentist was probing your gums, you would hear numbers like \"3, 2,\" sometimes \"4\" meaning slight inflammation, \"5\" or deeper means gum disease and attachment loss.  Probing would never indicate zero pocket as you mentioned. LydiaM: LydiaM said:\n\n\n\n\t\t\tAfter a long absence from the dentist I finally went six months ago, had x rays, the cleaning procedure and had a back tooth extracted. That was me done. I went for my check up yesterday and there's something I'm curious about. The dentist was using some instrument on the base of my teeth and he kept saying 'zero' to the nurse who was recording the information. I'd never had this done before, the only thing I can think of is he was checking for pockets, but I find it difficult to believe I have no pockets even though he said my gums had improved a lot since my last visit. Is there any other test they do that would require him to shout out zero many times. I really wish I'd have asked him but, quite frankly, I couldn't get out the door quick enough. If anyone could help with this I'd be very grateful. Thank you.\n\t\t\nClick to expand...\n\n\n\n\nhonestdoc said:\n\n\n\n\t\t\tZero could mean many things...I believe majority to be good.  It could mean zero bleeding, attachment loss (recession), etc.  If the dentist was probing your gums, you would hear numbers like \"3, 2,\" sometimes \"4\" meaning slight inflammation, \"5\" or deeper means gum disease and attachment loss.  Probing would never indicate zero pocket as you mentioned.\n\t\t\nClick to expand...\n\nThank you for spending the ti\n\n\nhonestdoc said:\n\n\n\n\t\t\tZero could mean many things...I believe majority to be good.  It could mean zero bleeding, attachment loss (recession), etc.  If the dentist was probing your gums, you would hear numbers like \"3, 2,\" sometimes \"4\" meaning slight inflammation, \"5\" or deeper means gum disease and attachment loss.  Probing would never indicate zero pocket as you mentioned.\n\t\t\nClick to expand...\n\nThank you honestdoc - much appreciated."
  },
  {
    "id": 1334,
    "title": "Crack require attention?",
    "dialogue": "MarkEdwards: Hi everyone.\n\nI have taken a photo of a molar that I have cracked and am worried about. It looks like a tiny bit has broken off the upper molar, and the crack comes up from that.\nDo you think this requires a trip to the dentist? I am extremely worried about damaging it further. Especially with Christmas coming up as it will be food, drink, food, for 2 weeks. honestdoc: It is hard to see the full scope of the damage with that image.  Do you have pain, swelling, temperature & or biting sensitivity?  If none, then get seen after the Holidays.  In the meantime, try using Over the Counter bite/night guard to protect your teeth.  I'm suspecting you may be grinding/clenching. MarkEdwards: honestdoc said:\n\n\n\n\t\t\tIt is hard to see the full scope of the damage with that image.  Do you have pain, swelling, temperature & or biting sensitivity?  If none, then get seen after the Holidays.  In the meantime, try using Over the Counter bite/night guard to protect your teeth.  I'm suspecting you may be grinding/clenching.\n\t\t\nClick to expand...\n\nHi, thanks for coming back to me, I do appreciate it.\n\nI know, it’s an impossible task getting a decent picture, haha, but there’s not a lot more to show anyway. Can you see the actual chip I mean? It’s purely just taken the tiniest bit off the point, and then there is a crack line running down to about half way down the tooth? It’s on the bottom left corner of the centre tooth in the picture?\n\nI got some sensitivity before, but that was after I had just noticed it, and was probably poking around and putting my tongue over it a lot. I obsess over my health a little too much! No swelling, no major pain, I’m a little worried about eating anything testing, but I just had a pasta dish and there was no problems. I had fillings in both the lower molars in this position a couple of months ago, and have been cautious ever since. It’s been suggested to me that could of amplified any grinding/clenching? I have just been and bought a mouthguard to try."
  },
  {
    "id": 1335,
    "title": "Any chance of saving this tooth?",
    "dialogue": "LifeIsHard: My dentist says it has to come out but I'd like a second opinion. Thing is dentists seem to have been saying similar things about this tooth for years and yet it's still going with no pain at all. Any chance of filling it and it holding on?\n\nIf I have to go for an extraction, do you think I should go to a specialist or would my regular dentist be about as skilled? I think my regular dentist is a good one and I've experienced some bad dentists in the past. Will this be an easy extraction or difficult? I've never had any impacted teeth.\n\nAlso what is the time frame I should try and get it done in? When it was stated maybe I should get rid of it before or it might be a harder extraction in the end, I didn't think much of it... I thought who cares if the process is a little longer or more complicated compared to losing a tooth. I never realized I'd be taking on the risk of damaging the nerve, paresthesia, and other horrible complications that might be long-term. LifeIsHard: Another thing is that if I go in as a non-return patient, I am a random person in a big city to the oral surgeon, not someone familiar and local. It seems like since I'm a continual \"returning customer\" my current dentist would have more incentive to make sure it's done right. So from all of these things, it makes sense to me that my current dentist might be more careful, but if that's more than offset by the extra experience of an oral surgeon maybe I am better off with the latter? Cost may also be a factor, I don't know if an oral surgeon would be more expensive or not. Busybee: complex extractions are best done by an expert but get a second opinion if you have no symptoms. KVMCruces: I agree with Busybee, there are plenty of specialists that offer free consultations so if I were you I'd get a second opinion. joss: You never said why it has to be extracted.\n\nIf there's no pain, what is the problem? MattKW: It's a wisdom tooth with a huge cavity. To fix it, at the very least you'd need an RCT and a crown. It's not worth it, but it's your choice. I would refuse to do it if you asked me as I don't think I would be judged well by the licensing Board if something went wrong. I give patients options based on sensible dentistry and they pick, not the other way around.\nOnce you were numbed, that would be out in <1min. Of course, you can wait for it to break and give pain at an inconvenient time - like Xmas is coming up! LifeIsHard: joss said:\n\n\n\n\t\t\tYou never said why it has to be extracted.\n\nIf there's no pain, what is the problem?\n\t\t\nClick to expand...\n\n\njoss, you have bumped a very old thread. I had this tooth out months ago!\n\nAs MattKW said I could wait for it to break and give pain at an inconvenient time. Another thing is that the longer you leave it, the worse the extraction is likely to be as the tooth can go down very close to the nerve.\n\nWhen getting it out, the oral surgeon asked me what tooth was bothering me and he seemed surprised when I said none were and there was no pain at all. I'm a real advocate of \"if it's not broken don't fix it\", in particular with medicine due to some experiences I've had in the past. I prefer to take a natural route - even though the natural route may end up bad sometimes the medical route may end up worse and there's a philosophical element to it as well - how do animals deal with it in the wild and why they seem to rarely or never get such maladies is a major question. However I think I can safely say that this time it was warranted and worth it, not much point leaving it in.\n\n\n\nMattKW said:\n\n\n\n\t\t\tIt's a wisdom tooth with a huge cavity. To fix it, at the very least you'd need an RCT and a crown. It's not worth it, but it's your choice. I would refuse to do it if you asked me as I don't think I would be judged well by the licensing Board if something went wrong. I give patients options based on sensible dentistry and they pick, not the other way around.\nOnce you were numbed, that would be out in <1min. Of course, you can wait for it to break and give pain at an inconvenient time - like Xmas is coming up!\n\t\t\nClick to expand...\n\n\nYou were right, it came out in maybe 20 seconds. I was waiting for him to just get started and start pulling proper and he told me it was out! I think part of what gave me such anxiety was I had a really bad experience with the other tooth that I had out... I vividly remember the dentist going back and forth for what seemed like an eternity. This led me to be really scared about getting this one out, and also fears of nerve damage, paralysis, drooling as you can read about online, but it went fine.\n\nI guess Life is Fine at least regarding the dentist for now!"
  },
  {
    "id": 1336,
    "title": "Small hole in tooth",
    "dialogue": "MadPutin: Hello,\nI noticed a very small, but noticeable pothole in my front tooth a few months back. I wanted to pay a visit to the dentist but I'm currently in the middle of a transition in my dental insurance, so I thought I'd poke around online until I can visit the dentist. You can notice in the picture its a tiny hole that's like a small pothole. After I eat or drink coffee, it can become slightly stained but after I brush my teeth most of the stains go away. What can I expect from the dentist? Anything I can do at home? Thanks! honestdoc: Your dentist may need to prep the \"hole\" and bond some resin filling similar to your orthodontic bracket supports. MadPutin: I believe I had that done initially. It seemed like a plastic-type feel cover. Unfortunately it chipped off a few hours later, maybe because the hole isn't deep enough for it to stick. Would there be another method, or should I perhaps visit a different dentist this time? honestdoc: MadPutin said:\n\n\n\n\t\t\tI believe I had that done initially. It seemed like a plastic-type feel cover. Unfortunately it chipped off a few hours later, maybe because the hole isn't deep enough for it to stick. Would there be another method, or should I perhaps visit a different dentist this time?\n\t\t\nClick to expand...\n\nGo back to the same dentist and have it redone.  He/she should not have to charge you for the same work."
  },
  {
    "id": 1337,
    "title": "Crown and post loosens with fracture.",
    "dialogue": "David Ujcic: Hope someone can offer some advice regarding my dental crown and post fitted into root canal.\nIt’s come loose yet again and I’ve been told the tooth is fractured below and I need an implant. SEE ATTACHED PIC\nI’d like to avoid an implant and persevere with the crown and post.\n\nHow did it become fractured? I do not know for sure except to say it may have been fractured from the very start due to the whack in my mouth.20 years ago.\n\nI’ve been warned of bacteria entering where the fracture is and it causing problems, but if the fracture happened 20 years ago over that period bacteria has not caused a problem yet so am ignoring the “be afraid of bacteria so you better get an implant” argument.  Even so, the fracture is well below the gum line and it has not been explained to me how bacteria can be an issue other than the argument just , well, simply sounding right.  After all, can’t bacteria enter down into where implants are installed anyway?\n\nDentists have cleaned out the canal before re-cementing on previous repairs. I guess this makes the canal that little bit worse-of-a-fit each time this happens.  The last two times the crown and post have loosened after 8 and 4 months. Previously it lasted many years before coming loose.  Even with the fracture , if the canal is the right fit and the right glue is used it should stay stuck.  One dentist I asked couldn’t tell me how the fracture relates to the post coming out.\n\nSo, what to do? A dentist simply cleaning out the canal and re-cementing will most likely result in a loose crown again. Unless they use a different type of glue?  Or,\n\nI can recommend other techniques.  Perhaps use a filler down the canal and re-drill a nice fitting hole to refit the post . Or drill out a slightly bigger hole and remake a new post for the crown that fits better.\nCan anyone recommend another method to make the crown and post stay in? PIC ATTACHED. David Ujcic: OP here again. Nobody around. Let you know I've made appointment to stick crown with Glass Ionomer cement this time to see how long she lasts. Hoping to get a couple of years out of it. joss: Well? Did it work? David Swenser: Yes. Many clinics in pattaya. Thailand didnt have glass ionomer. Finally the bangkok-pattaya hospital dentistry department had it. Again the dentist wanted to do implant as the best option. About 2-3,000 us dollars for implant. \nI was heading back to oz shortly so she got me to sign a waiver and went ahead with a permanent glass ionomer glue. She showed me the glue so I was confident. She wasn't confident it would last more than months. 1 and a half years later it is still super strong and feeling good too. Cost to glue wit xray 50 us dollars.\nI'm very happy and recommend glass ionomer glueing of crowns and for fillings or other repair.\nI've bought my own glue from eBay but haven't needed it yet. \nKind regards and thanks for your interest. joss: I've not heard of this glue, but good to know. I wonder if they use it in the states.\nA fractured tooth can cause problems [ I had one] seems bacteria can seep into fracture [ I rinsed constantly with peroxide] cause pain, and cannot be fixed [ so I was told] I like your suggestion of filling the canal [ maybe with this type glue?] Drilling a larger one might compromise the tooth, unless it's a large molar. At any rate, dentists here also like to push implants, and yes, they average 3k. Is it me, or has the cost of dental work sky-rocketed? \nWhat made you think the type of glue you used on your tooth would work? Do you deal with this in other applications?\nSo your saying implant in your country is just as expensive? I would have thought cheaper for some reason.\n\nregards David Swenser: I haven't got a quote in Australia.  I can only imagine close to 6000 bucks US\nThailand has them starting from around 1400 US\nI just was using reasoning to try and understand and understood that the common dentist cement worked on reliance of the stickiness of two close objects like how two glass panes close together will stick together, so i knew that a glue was needed that worked differently. Google threw up all the types and I felt glass ionomer fitted the bill best. They have fluoride protection built in too. \nI was amazed that 5 smaller dentists in Thailand hadn't heard of it or couldn't help.\nId ike to try and glue Random objects with it and see how it compares to other glues.\n\nMaybe one day I will need an implant due to decay or infection. Or maybe I'll get away with it for the next 40 years."
  },
  {
    "id": 1338,
    "title": "No teeth",
    "dialogue": "Nancysworld: Hello I am a 61 years old woman that 3 years ago got all my teeth removed due to gum disease...I feel like when I look in the mirror I have aged many years...I am on a fixed budget and don’t know what to do..I do have dentures but they are ill-fitted the bottoms come off all the time because my gums are shrinking and soon there will be nothing there to hold denture in....I have a lot of swallowing problems and have had quite a few endoscopies...my neck is all wrinkled sighs...and my lines around my mouth are so pronounced.. Is there anything I can do without it having to cost me thousands of dollars...it took a lot for to type this...but I am soo desperate...any advice would be greatly appreciated.....Thank you very much....Nancy from mass honestdoc: When you lose teeth & subsequent bone, you lose Vertical Dimension of Occlusion where you can close further down than when you had teeth.  That presents with more folds on your face looking like wrinkles.  I'm not sure if you had your present dentures made before your teeth were extracted (Immediate Dentures) and delivered at the time of teeth extraction so you would have teeth to chew on.  If so, they don't fit as accurate due to the changes in you bone and consider new set of dentures.  If costs are prohibitive, consider a temporary measure of relining them."
  },
  {
    "id": 1339,
    "title": "Calculus",
    "dialogue": "WorriedIncisor: I have braces and on the brackets there is quite a bit of calculus, I clean my teeth 3 times a day as instructed and there is no calculus on my teeth just on the brackets, will this mean I’ll have cavities when my braces are removed, does calculus on brackets matter?\n\nThanks"
  },
  {
    "id": 1340,
    "title": "Do gum stem cells exist? what is a gum lift? and question about gum graphting",
    "dialogue": "pearly whites: Hi again I don't know if I am in the right sub section in the forum so if I am in the wrong area please move me to the right section.\ndo gum stem cells exist for 100% regeneration of my gums and if so can it cure the gum problem I have located in this thread, just scroll down to the pictures please, you don't have to read it all >>> https://www.dentistry-forums.com/th...his-and-how-do-i-cure-this.23818/#post-119177 what is a gum lift and what does it do for the human mouth? can gum graphing or a specific type of gum graphing cure this problem I have with my gums? pearly whites: Hi, I am bumping this thread as it has been a while and I never received a answer, please answer the questions, you don't have to go to that link in the OP, its not relevant anymore as My dentist said my gums are normal and very healthy. pearly whites: BUMP pearly whites: BUMP"
  },
  {
    "id": 1341,
    "title": "What to conserve in this case?",
    "dialogue": "Escanor: What should to be done for upper molars? MattKW: Might be able to save upper right 1st molar if no pulp exposure; all others are write-offs.Sad. Escanor: Agreed! Thanks. honestdoc: Hopefully work on reducing your cavities.  In addition to Upper first molars, I see more cavities on UR & LL.  Please consider not drinking sugary and or acidic beverages like sweetened coffee, sodas, energy drinks, sucking on citrus, anything that bathes around your teeth.  I see this condition too often with my patient base. Escanor: "
  },
  {
    "id": 1342,
    "title": "Endo problem",
    "dialogue": "Kim Osborne:  MattKW: Makes you wonder where they thought the blood was coming from. honestdoc: The dentist that did that work may be on drugs.  One dentist tried to do RCT on a pontic of a bridge.  Unfortunately in the US, many dentists on addicted to narcotics/illicit substances. honestdoc: \"A little Gutta Percha ain't gonna hurt ya.\""
  },
  {
    "id": 1343,
    "title": "Do you think these are just canker sores?",
    "dialogue": "meepmeep206: They have been hurting for 2 days now.. I don't know what it is. I have bad anxiety and over analyze everything. Help? MattKW: Yep. Best stuff is a corticosteroid ointment in a waterproof base, Kenalog in Orabase. Hold out your cheek, dry off the ulcer, and using your pinky apply a small amount of ointment to cover the ulcer. Don't rub it in or it will flake away. Canker sores (apthous ulcers) are not infectious and are thought to be some type of immunological problem. Most of us outgrow them."
  },
  {
    "id": 1344,
    "title": "Possible Tooth Decay",
    "dialogue": "sammyseagull: Hello.\n\nI have recently noticed a small grey black mark covering the side of a promoler in between 2 premoler teeth, it appears to be on the side of the teeth knearest to the gum line and up the side. Other than that the tooth that it is on seems to be ok and looks white and normal and my gums look normal. I dont seem to be getting any pain from it while i eat or drink anything that is hot or cold. I'm a little worried that it might get worse I understand that you will most likely advise me to go and see a dentist but i have a phobia of dentists and just knowing that i might need to see a dentist gives me severe anxiety.\n\nThank You. MattKW: Well, you have to see a dentist, but they can't hold you down in the chair and subject you to treatment. Take a friend or mother along for a check-up with X-rays. If there's stuff to be done, ask if they have nitrous oxide to help you relax. Come back another time to do the simplest problem (upper premolars are simple) and gradually work your way up."
  },
  {
    "id": 1345,
    "title": "Clicking teeth?",
    "dialogue": "MooChi: Hi all, I'm not sure if I'm posting in the right place but hopefully someone can put my mind at ease! Im overly anxious lately at the best of times.\n\nMy front teeth seem to love slightly or I can hear/feel a slight click, occasionally when I brush my teeth but mainly when eating or drinking. It doesn't hurt at all and it's actually been happening on occasion for years. But lately I don't know if it's happening more, and if that matters or if I'm just noticing more.\n\nI was at the dentist only 2 weeks ago and she never noticed or said anything. She also prescribed me a high fluoride toothpaste which since using has already reduced sensitivity in my teeth. My gums are not red or swollen and there's no bleeding when I brush at all anymore. I floss twice a day and use mouthwash.\n\nShould I be panicking or am i just in my own head too much. And is there anything else I could do to stop it? honestdoc: I had a similar situation where  my upper left molars were slightly shifting up & clicking when I chew.  I attributed that to my clenching tendencies and it was corrected using a custom bite guard. MooChi: I don't clench my teeth though, unless I do it in my sleep. \nPerhaps I will have to ask at my next appointment but it's not till February SocialGirl: I have seen a dentist recently about something similar. For some reason my front tooth was hurting and making a nose whenever I was speaking. it turned out it was the fact that my front tooth was actually tiny bit longer / taller than my other teeth. LOL"
  },
  {
    "id": 1346,
    "title": "Im in the UK and I think I’ve been overcharged, just looking for advice?",
    "dialogue": "Deserana12: So six weeks ago yesterday I went to the dentist with agonising tooth ache in a broken lower left wisdom tooth. They were very cold toward me and told me there was nothing they could do and told me they’d send a referral to he hospital for extraction as it was quite a difficult one. They sent me on my way with zero advice, antibiotics or painkillers other than “if you don’t hear from the hospital in six weeks, let us know”.\n\nI was due to be charged the regular check up price but the woman said because of the referral it was actually £59.10. As you can imagine I was fuming that I turned up in agony and was given nothing for the pain and told to wait six weeks and expected to pay close to £60 for the privellige. But I paid it anyway because I was there and I couldn’t exactly run.\n\nAnyhow I’ve paid the money but now it’s crossed the six week mark. I have no intention of going back to such a bad dentist and I don’t wanna be told to wait another six weeks. I’d rather just get my money back and go to a better dentist. They’re closed today but I just wondered if anyone here thinks I have a shot at getting the refund? Wendy8: Deserana12 said:\n\n\n\n\t\t\tSo six weeks ago yesterday I went to the dentist with agonising tooth ache in a broken lower left wisdom tooth. They were very cold toward me and told me there was nothing they could do and told me they’d send a referral to he hospital for extraction as it was quite a difficult one. They sent me on my way with zero advice, antibiotics or painkillers other than “if you don’t hear from the hospital in six weeks, let us know”.\n\nI was due to be charged the regular check up price but the woman said because of the referral it was actually £59.10. As you can imagine I was fuming that I turned up in agony and was given nothing for the pain and told to wait six weeks and expected to pay close to £60 for the privellige. But I paid it anyway because I was there and I couldn’t exactly run.\n\nAnyhow I’ve paid the money but now it’s crossed the six week mark. I have no intention of going back to such a bad dentist and I don’t wanna be told to wait another six weeks. I’d rather just get my money back and go to a better dentist. They’re closed today but I just wondered if anyone here thinks I have a shot at getting the refund?\n\t\t\nClick to expand...\n\nSorry about your troubles with your tooth etc. and unhelpful reception. I would try and get a refund based on facts you have outlined.  You could approach Which Consumer in the UK magazine with a bid to get your money back. They handle all kinds of consumer complaints or point you in the right direction. honestdoc: Unfortunately in the US, troubles with dentists are much worse.  Here they charge you over $150 just to refer you.  Try to find dentists your friends and family trust."
  },
  {
    "id": 1347,
    "title": ": family dentist",
    "dialogue": "Elijah Marshall: provides the very best dental services in Canton, GA with excellent dental services include teeth cleaning, color filling, whitening, sealants, crowns, bridges, veneers, implants, dentures, etc. It is very for everyone."
  },
  {
    "id": 1348,
    "title": "Day4 post extraction - dry socket question",
    "dialogue": "madeinutopia: Hi!\n\nI had a mandibular molar extracted on Monday (i'm around 90hrs post op i think) and I had the socket cleaned and a dressing applied on Wednesday. I've had no pain or inflamation so far.\n\nAm I safe from getting dry socket at this point? I haven't smoked in 4 days and I'd really love a cig but i don't want to risk getting a dry socket after reading too many horror stories online. I've been pretty good with doing saline rinses, eating soft foods and not chewing on the side of the extraction, no smoking and mostly drinking water (had a cup of coffee today but that's it). I've attached a photo of what my extraction site looks like right now. I'd really appreciate it if someone could take a look and tell me if the socket looks normal and whether or not I'm safe to smoke . Thanks! MattKW: Your dentist appears to have packed it with Alvogyl, which is a medicated dressing for dry sockets. Interesting that it's still there, and that he would use it prophylactically, but whatever... If you've gotten past Day 4 without significant pain, then you're past the danger period for dry sockets. madeinutopia: MattKW said:\n\n\n\n\t\t\tYour dentist appears to have packed it with Alvogyl, which is a medicated dressing for dry sockets. Interesting that it's still there, and that he would use it prophylactically, but whatever... If you've gotten past Day 4 without significant pain, then you're past the danger period for dry sockets.\n\t\t\nClick to expand...\n\n\n\nThanks for your reply! What a relief to know I'm past the danger. I've had almost no pain whatsoever since Monday, whatever inflamation there was went away in the first few hours post op. \n\nI was very careful with what and how I was eating, not to dislodge the dressing. Maybe that's why it's still there? Do you think I should call in and have the dressing topped up or does it not matter at this point? MattKW: The dressing will gradually be pushed out."
  },
  {
    "id": 1349,
    "title": "Toothache nearly a week after filling",
    "dialogue": "Dkimberley: Hello, \n\nSo, my tooth cracked off and left a whole in the back of my tooth and I couldn’t get into the dentist until the 5th December. I was worried about an infection coming up so I had an emergency appointment to get a temporary filling with another dentist in my area. (7th November)\n\nThe dentist said that I had bad decay and he cleaned it all out before doing the temporary filling. \n\nI had no pain before this temporary filling. However, now I do suffer from a little bit of a pain. It’s not unbearable, and I struggle to drink a cold drink but I can drink hot drinks. \n\nThe odd thing is, the pain sometimes is in a different tooth, I’ve read online that this is called referred pain but I don’t know too much about this. The pain is somewhat of a dull ache, with the occasional sensitivity. I’ve changed over to sensydone toothpaste which I’m hoping will help. The pain usually occurs when I first wake up and after I’ve eaten. \n\nIs it something that I should be worried about or should I wait until the 5th December? MattKW: Unfortunately you don't have a lot of choice. It could be the damaged tooth (most likely), or it could be another tooth. Either way, a toothache is a sign of moderate to severe decay, so prepare your thoughts for either extraction or RCT as most likely choices. Dkimberley: MattKW said:\n\n\n\n\t\t\tUnfortunately you don't have a lot of choice. It could be the damaged tooth (most likely), or it could be another tooth. Either way, a toothache is a sign of moderate to severe decay, so prepare your thoughts for either extraction or RCT as most likely choices.\n\t\t\nClick to expand...\n\n\nThe pain comes and goes and usually if I’m not thinking about it, it’s hardly there. Should I wait until the 5th December or try and get seen sooner? Dkimberley: MattKW said:\n\n\n\n\t\t\tUnfortunately you don't have a lot of choice. It could be the damaged tooth (most likely), or it could be another tooth. Either way, a toothache is a sign of moderate to severe decay, so prepare your thoughts for either extraction or RCT as most likely choices.\n\t\t\nClick to expand...\n\n\nI’m terrified about getting an extraction because it will be extremely noticeable as it’s next to the front teeth. Is there stuff that they can do once the tooth has been extracted? And if so, how long will I have to wait after having the tooth extracted to have another one placed? MattKW: Hard to say. At least you have a temporary filling there now, which should keep the risk of pain down. Ah, I see you posted earlier. \nIn your case, if the tooth is a loss, they may offer to take out the nerve as an emergency measure (not a full RCT) to relieve you of pain while you get an \" immediate\" single tooth denture made up. Before you get too far into dentures, you really need to have the rest of your teeth properly checked out to make sure that there aren't other baddies in there. Dkimberley: MattKW said:\n\n\n\n\t\t\tHard to say. At least you have a temporary filling there now, which should keep the risk of pain down. Ah, I see you posted earlier.\nIn your case, if the tooth is a loss, they may offer to take out the nerve as an emergency measure (not a full RCT) to relieve you of pain while you get an \" immediate\" single tooth denture made up. Before you get too far into dentures, you really need to have the rest of your teeth properly checked out to make sure that there aren't other baddies in there.\n\t\t\nClick to expand...\n\n\nI can’t get into the dentist until the 5th December, I’ve tried so hard to get an appointment but they won’t give me one. I guess it’s just another few weeks of me being terrified and waiting it out. Dkimberley: MattKW said:\n\n\n\n\t\t\tHard to say. At least you have a temporary filling there now, which should keep the risk of pain down. Ah, I see you posted earlier.\nIn your case, if the tooth is a loss, they may offer to take out the nerve as an emergency measure (not a full RCT) to relieve you of pain while you get an \" immediate\" single tooth denture made up. Before you get too far into dentures, you really need to have the rest of your teeth properly checked out to make sure that there aren't other baddies in there.\n\t\t\nClick to expand...\n\n\nUpdate: I ended up getting a dentist appointment and he’s told me that the tooth is dead and that I’m going to have a RCT done which is in three days and then a crown which I’m happy with. However, it seems my dental issues just don’t stop. My filling has suddenly turned a brownish colour out of no where - literally in the space of a few hours. I’m ready for just to be extracted at this point. \n\nDo you know what could have caused my filling to go this colour? I used toothpaste prescribed by the doctor, brush my teeth twice a day and try to stay away from sugar. It’s literslly come on out of no where. \n\nI’ve heard that iron tablets can cause this, and I did start taking three types of iron tablets yesterday but I doubt that’s caused this? \n\nAlso heard it could be to do with the type of filling used or a leakage but I don’t know what type of filling was used."
  },
  {
    "id": 1350,
    "title": "my teeth are not straight?",
    "dialogue": "Bella999222: hi im 19 im not happy with the way my teeth look they dont look straight and i did not get braces when i was told i needed them a few years what can i do to make my teeth straight?"
  },
  {
    "id": 1351,
    "title": "How many times can you cancel a dentist appointment",
    "dialogue": "Bella999222: How many times can you cancel a dentist appointment before they can take you off the register? Does the the same thing apply to hygienist appointments? MattKW: Are you referring to the UK NHS? Bella999222: MattKW said:\n\n\n\n\t\t\tAre you referring to the UK NHS?\n\t\t\nClick to expand...\n\nYes I'm referring to UK NHS MattKW: From the NHS website: \"Be aware that being repeatedly late for your treatment sessions or failure to attend appointments may result in the early termination of the course of treatment.\" Now, that's not the same as cancelling with sufficient warning. Personally (in Australian private practice), if you break 2 appts without notice and poor excuse (\"I slept in\"), I might refuse further treatment. If you give a minimum of 24 hours notice of cancellation I'll let it go a few times, but with a warning of a fee or threat of refusal of treatment. Every case is different, and if I think people are mucking me about, then I'll refuse further treatment. I have staff to pay, rent to pay, utilities to pay, .... whether patients turn up or not. And it's downright rude. Would you cancel an appointment with a medical specialist if you'd been waiting 6 months, or with a bank manager if you needed a home loan?"
  },
  {
    "id": 1352,
    "title": "Please help! Wisdom teeth question and weird hole??",
    "dialogue": "Siopao: Hello, I recently have had my first wisdom teeth grow inx. There’s a painful piece of gum growing on the side and I was wondering if I should go seek a dentist or if it’ll just go away. There’s also this strange circular cut or hole on the far right on the inside of my upper lip? It’s also painful and I’ve been telling my parents but they don’t seem to care because I want to make sure my teeth are okay. Here’s pictures of them, sorry my teeth are yellow . Sorry I had to take the photos myself so I hope it’s noticeable. I’m new here too, so I hope I can get any help! Thank you! MattKW: Pic 1 is an apthous ulcer (or canker sore). Most people get them at some time in their life. They are not infectious, but are thought to be a minor immmunological aberration.They go away in 7-10 days. If you want relief from the pain, and to make them heal faster, ask your pharmacist for \"Kenlog in Orabase\" ointment.\nPic 2 appears to show a wisdom tooth. A wider pic to show more teeth in front would be helpful. Wisdom teeth don't always fit fully in the mouth, and you may be left with a tag of gum over the back. Simply keep it clean, or have it cut off."
  },
  {
    "id": 1353,
    "title": "Going to see a dentist every 3 months?",
    "dialogue": "Bella999222: Why do some people have to see the dentist every 3 months instead of 6 months? honestdoc: Some people have severe gum disease where the gums have severe inflammation damaging the supporting bone.  Their gums have deep pockets (deeper than 5 mm) that the toothbrush, floss, and waterpik device cannot reach leaving bacteria and contamination.  In the US, many dental insurers may not cover 3 month visits so the patient may opt out in favor of 6 month recalls.  Teeth loss from gum disease is a problem with some cases going through the US legal system (law suit).  Once the gums become more stable with pockets of 4 mm and below, 6 month recalls may be fine. Bella999222: honestdoc said:\n\n\n\n\t\t\tSome people have severe gum disease where the gums have severe inflammation damaging the supporting bone.  Their gums have deep pockets (deeper than 5 mm) that the toothbrush, floss, and waterpik device cannot reach leaving bacteria and contamination.  In the US, many dental insurers may not cover 3 month visits so the patient may opt out in favor of 6 month recalls.  Teeth loss from gum disease is a problem with some cases going through the US legal system (law suit).  Once the gums become more stable with pockets of 4 mm and below, 6 month recalls may be fine.\n\t\t\nClick to expand...\n\nThanks can you sometimes have to go back in 3 mouths even if you don't have gum disease just wondering honestdoc: That would be your dentist's call. Busybee: If you have such poor communication with your dentist that you have not been told why you need so many visits, then you should consider changing practice.    Your dentist should explain everything about your treatment and give you a treatment plan.    If you don't have this communication then the relationship will not work."
  },
  {
    "id": 1354,
    "title": "Problem bridge",
    "dialogue": "4katfishart: I have an 8 year old bridge on the lower right jaw, back 3 teeth, back tooth has a root canal.  It's felt tender for a few months, but xrays show no problem.  For last 2 weeks, my floss suddenly slips halfway under the front tooth/post, and also under the side of that tooth (cheek side) and up about 1/8\" there.  Things aren't smelling too good, and even after 5 minutes of flossing, rinsing, and more flossing, it still produces a bad taste.  My dentist checked it with a new xray and his pick tool, says it seems fine to him.  Any suggestions?  I hate to doubt him, but this is unpleasant. honestdoc: Tell your dentist about the discomfort as well as the foul smell & taste.  Have your dentist perio probe to find any gum attachment loss.  X-rays are only 2 dimensional and may not pick up all details.  I'm suspecting a possible root fracture on the back molar. 4katfishart: Okay - I do need to make that call  Thank you for your advice. MattKW: Lower bridges supported by a 2nd molar are troublesome due to curvature and forces applied. I would never do one where the 2nd molar is RCTd because quite often the 2nd molar will fracture and/or the crown will come loose. Nowadays, an implant is a much better choice for lost lower 1st molars.\nI'd cut through that bridge at the back of the premolar, remove the crown and pontic from 2nd molar, and pray. You might still be able to save 2nd molar but do not replace with a new bridge. Keep it as a single crown. 4katfishart: MattKW said:\n\n\n\n\t\t\tLower bridges supported by a 2nd molar are troublesome due to curvature and forces applied. I would never do one where the 2nd molar is RCTd because quite often the 2nd molar will fracture and/or the crown will come loose. Nowadays, an implant is a much better choice for lost lower 1st molars.\nI'd cut through that bridge at the back of the premolar, remove the crown and pontic from 2nd molar, and pray. You might still be able to save 2nd molar but do not replace with a new bridge. Keep it as a single crown.\n\t\t\nClick to expand...\n\n\n\n\nMattKW said:\n\n\n\n\t\t\tLower bridges supported by a 2nd molar are troublesome due to curvature and forces applied. I would never do one where the 2nd molar is RCTd because quite often the 2nd molar will fracture and/or the crown will come loose. Nowadays, an implant is a much better choice for lost lower 1st molars.\nI'd cut through that bridge at the back of the premolar, remove the crown and pontic from 2nd molar, and pray. You might still be able to save 2nd molar but do not replace with a new bridge. Keep it as a single crown.\n\t\t\nClick to expand...\n\n\nThank you - I plan to take these suggestions to my dentist for discussion before making any decisions."
  },
  {
    "id": 1355,
    "title": "I'm a dental student and I need help!",
    "dialogue": "safa: Hello everyone! I'm having a hard time trying to figure which model of a high speed contra do I purchase. I'm not sure if l should buy something fancy like w&h or if I should get something relatively cheap and durable like coxo because I'm still a student. Between w&h, sirona and coxo, which is the best? and what are the pros and cons of each one? if there are any other suggestions you can help me with I'd like to hear them. Thank you! honestdoc: What dental school are you attending?  Usually in the US, the schools have a contract/agreement with the supplier/manufacturer to offer deep discounts to students. safa: honestdoc said:\n\n\n\n\t\t\tWhat dental school are you attending?  Usually in the US, the schools have a contract/agreement with the supplier/manufacturer to offer deep discounts to students.\n\t\t\nClick to expand...\n\n \nI'm at the British university of Egypt, and if they could they'd get every penny out of you and take it lol. Their last concern is the student's well being, if it was even on their list of concerns. That's why I just want to know if I should get something cheap because I'm still a student or if I should get something expensive like sirona. I've asked some of my colleagues, some of them will buy the cheap ones, others will buy the expensive ones and some will buy both, which made me get even more confused. I'm not confident in my skills at all and I have anxiety, so if I buy something expensive and my skills are still as bad I might lose confidence even more, but if I buy something cheap, it won't affect me as much. what should I do? honestdoc: Do they have some selection in Egypt?  I don't have an answer on cheap vs expensive...try middle cost?  Best wishes on your studies! DrPhilHellmuth: Where are you from, Safa?"
  },
  {
    "id": 1356,
    "title": "Cracked tooth",
    "dialogue": "WorriedIncisor: ive noticed a new crack on my tooth after my teeth were scaled today at the dentist, I’m not sure if it’s a crack or a craze line, it doesn’t hurt, isn’t sensitive, how would I know if this is a craze line?\n\nThanks Busybee: It is a craze line.  They are extremely common and it's nothing to worry about.  Having your teeth cleaned will most likely reveal all sorts of imperfections.   Don't worry about them.  They are stable and you can't undo them. \n\nBut a crack is not painless, it's often not visible, you will know about it usually when you bite down on something hot and it feels like an electric shock has hit the tooth.    The best way to protect against real cracks is to not abuse your teeth with food or substances that should not be chewed.  For example avoid chewing boiled sweets, be careful of popcorn kernels that have not popped, do not use your teeth as a tool for holding pens and other objects, you have hands for that.  Check fish for any bones. \n\nWhen you do chew do it mindfully and don't just chomp down on food that may contain hard chunks.    If you think you are a grinder get your dentist to make you a nightguard.  You can control your jaw in the day but at night we all need help.\n\nI cracked a tooth crunching on a mint.  Thankfully it was repaired without the need for root treatment or extraction.   \n\nWell done on getting your teeth cleaned, but try to relax about the craze line because worrying can make you grind! DrPhilHellmuth: I totally agree with Busybee!"
  },
  {
    "id": 1357,
    "title": "It's hard to know what to do",
    "dialogue": "Whatteeth: I have an unusually bad dental situation. Nearly all of my teeth need to be extracted; nearly half are broken at the gum line.\n\nMy preference is to want to get implants for all of them, not to go to dentures.\n\nThis is where it gets hard with the questions.\n\nIn theory, I have some minimal insurance that would cover extractions, but in practice it has almost no providers. For example, one of the few providers accepting it is booked until into 2019. And bone grafts aren't covered anyway.\n\nSo that makes it likely to just pay for everything. Calling local oral surgeons, the prices seem to range from about $220-$900 per tooth, plus about $750-$900 for a bone graft. One has an estimate of $900-$2000 for both per tooth.\n\nSome want $100-$200 for a consultation even to say their prices.\n\nSaying 15 teeth, that alone is perhaps $20,000 for extractions and bone grafts. Then the implants seem to be about $5,000 each from a quality provider - maybe $3,000 if you 'shop around' for value - another $50k-$75k.\n\nIt's hard to know where to find value, how to find quality, even what questions to ask. You find there are a lot of things about quality you don't even know to ask.\n\nAnd then there's the international option. I don't know if providers in this forum have a bias against that as a competitor, but of course there are legitimate risks and tradeoffs and benefits with the option.\n\nBut try to find the better options on that - it's easy to find many options, but not to feel you have found the 'good ones'. The resources mainly seem to be paid referral sites, and the providers' own websites.\n\nWhich makes sense - who has actually gone to hundreds of offices to compare them around the world? That'd cost a lot and I know of no independent service reviewer who does that.\n\nWhich leaves little but 'word of mouth' type info like someone saying 'I went there and here's my experience'.\n\nIt's a lot to look at something like a $100k expense for this. I could be pretty sure of good quality with a local provider for that $100k figure. But if I could find as good or better internationally for less than half and save $50,000 that's attractive.\n\nCurrently, I spent yesterday in some pain from the root/sinus area on the left with 4 teeth broken at the gumlines (I basically have the two front teeth left for biting upper/lower). Last night aleve/tylenol made the pain go away.\n\nAnd even if I spend a lot to do this, there's how long they'll last. I hear 10 years, I head 30 years... I wouldn't want to have to re-purchase this in 10 or 15 years.\n\nAnd then there's the question whether I should consider other options I've barely heard about in some cases - not only dentures, but things like bridges so multiple teeth use one implant.\n\nDon't really know the tradeoffs there in cost/quality/how long it lasts/etc.\n\nClearly I've spent years putting off getting this done as more teeth have broken off. Just thought I'd share the experience of looking for the right option and listen to comments with suggestions.\n\nOne other option is looking for places in the US that are good and more affordable - I remember a 'dental school' in North Carolina that did a great job on something if I could find them again, if they do this work (probably not).\n\nAnd then I see these 'low-cost implant' services advertising but don't feel comfortable with the quality yet from them unfortunately. And anyone who can be asked tends to have their own interests to protect. MattKW: If you haven't been able to maintain your natural teeth, then I would worry about giving you implants. You need to be absolutely on top of your diet and hygiene before embarking on implants. Apart from the obvious cost, it's like getting a nice car - the maintenance is higher. So, if you smoke, have a sugary diet, and don't maintain excellent hygiene, then you'll be wasting your time and money.\nI like all my implant patients to go to a periodontist for the purpose of getting good hygiene, assessing their risks, and for the implant surgery (they handle gums well).\nAs for overseas (tourism dentistry), the problem is that you don't know what you'll be getting. there are plenty of implant systems in the world, and if you want your implants to last you need to have big-brand types. Would you buy a Lada while visiting Russia? I've seen some patients come back from overseas with systems that I can't find parts for. asdf1234: I have several implants.  I have all of my teeth crowned except for 6 on the bottom which have veneers.\n\nAs far as price I started out as a patient at a dental college.  Implants ran me $500 each there. I also learned a lot about teeth which helped me make much more informed decisions in the future as I have needed work done.\n\nAs far as prices I recently had two extractions and three implants with bone grafting placed all in one surgery. This was at a private dentist. It cost me 3500$ total for everything without crowns, and I will have to buy my abuntments later for 100$ each.  I found a discount dental plan online and pay less than 450$ for pfm crowns, but there is a small selection of dentists who take this plan.\n\nI too did not want dentures, but I did have to wear a partial for a while. What you are wanting to do is very possible.  However you should know it is tough.  Half of my face is swollen up after extractions, grafts, and implants 2 days ago.  Yesterday was very painful, even with pain meds I could not sleep. Whatteeth: Thanks for the reply. What dental school did you find? I wonder how good an option finding one of those it.\n\nThe main local one is the State University and they aren't really cheaper than private... asdf1234: Accurate prices over the phone are hard to get.  My implants were 1,000$ each at the graduate college if you just came in and wanted that.  However once I got assigned to a student and the implant was approved as part of my whole mouth restoration treatment plan the price dropped to 500 plus the price of a crown signed off as necessary, etc.\n\nIf you want to go the private dentist route, which is what I do now.  You will need to Google discount dental plans, and study the various plans.  Then check the area where they have dentists who accept the plans.  Some plans are less for root canals, but higher for crowns. You can have multiple plans.  Then call the dentist to make certain they will take the plan, and honor the prices.  I have found nobody to take these plans for implants.  But extractions, crowns, veneers, bridges have been no problem.  These prices were often the same as the college.  Implants being the exception.\n\nI used affordable dentures and implants for implants.  I actually drove a great distance to go to more than one location.  I did read bad reviews about them, but it was people complaining about their dentures not fitting and so forth.  I did have to go in there knowing exactly what I wanted them to do.  I had to be a little pushy, and ask if I could get the crowns elsewhere. Whatteeth: It's worrisome to consider splitting up work all over. It'd be nice to find one place somewhere in the world to do all of it with good quality and value. asdf1234: Indeed it would be nice, but when you are talking about major restorative work it depends how determined you are. \n\nMost go with pulling all teeth and dentures, as implants, veneers, crowns, root canals are out of reach financially.  For those who can afford them they are not willing to go through the trauma and pain involved. DrPhilHellmuth: That sounds really bad! I am sorry to hear that :-("
  },
  {
    "id": 1358,
    "title": "Abcess curiousity questions",
    "dialogue": "MetalCountry: Earlier this year I had a cavity in my upper tooth in which th e dentist said was abcessed. First question is I suppose is should he have filled it? Because he never done a root canal or antibiotics just filled it.\n\nBecause, the past almost 5 months I got misdiagnosed  as what we thought was a sinus infection till my 3rd ER visit and said I had 3 abcessed teeth. After 6 rounds of antibiotics I was able to make a dental appointment When I explained she basically said he set me up as a volcanoe effect the vaping wasnt the main cause but he filled it and it broke down. \n\nI do smoke but been vaping which she said really wasnt the problem it will just keep coming to a head and rupture until she does the root canal since the bone has gone around the entire tooth. Is vaping really a issue?\n\nNow silly third question, my boyfriend is flying in. I have antibiotics but sexually speaking and educational ignorance to this I will admit. Can I still perform oral and kiss him without worry? I know like any infection I am at risk, but for him is it okay? I have tried looking but not much luck. Busybee: If your dentist found an abscess then he should have referred you to a specialist for a root treatment.   Are the other infected teeth next to it or in other parts of your mouth?\n\nYou cannot transmit a dental infection to a partner.  It's not contagious.\n\nHow is your oral hygiene?  I've not heard that vaping affects your teeth. MattKW: Vaping nicotine products is still being studied, but early indications are that it is still a risk factor for gum disease. Cigarettes have more chemicals than nicotine alone. MetalCountry: Busybee said:\n\n\n\n\t\t\tIf your dentist found an abscess then he should have referred you to a specialist for a root treatment.   Are the other infected teeth next to it or in other parts of your mouth?\n\nYou cannot transmit a dental infection to a partner.  It's not contagious.\n\nHow is your oral hygiene?  I've not heard that vaping affects your teeth.\n\t\t\nClick to expand...\n\n\n\nHygiene wise I brush regularly, floss, and use mouthwash. This was unexpected as the tooth he filled went numb. No pain at first then it was my upper face like a sinus infection and even the er doctor said so they wouldn't do a CT with as much pain as I was in. Then days later my main front tooth went numb then the canine was in pain. \n\nThe new dentist she tested and done multiple xrays. I was scared being frontal I would have to have it pulled but she don't want that she said root canal. however have to call because it seems odd the next appointment for it is January and being my other teeth are impacted I don't see her wanting to wait so long and the fact I can use antibiotics it heals up then about a week or later it comes to a head and ruptures in my gums and leaks. So I have been now using sea salt regularly. MetalCountry: MattKW said:\n\n\n\n\t\t\tVaping nicotine products is still being studied, but early indications are that it is still a risk factor for gum disease. Cigarettes have more chemicals than nicotine alone.\n\t\t\nClick to expand...\n\n\nI am just trying to quit smoking, tried cold Turkey and had horrible withdrawals. Then tried the vape, but that's when this happened and the one er doctor was rude saying it was a  negative effect when vaping why the abscess keeps coming back. Tried patches but only seem to help first few hours. But the dentist Said that it was inevitable as until she does the root canal this will happen and antibiotics are like a bandaid."
  },
  {
    "id": 1359,
    "title": "What is a \"Cephalometric Protractor\"?",
    "dialogue": "DrT: Dear members of this forum:\n\nFor a translation of an article i need to understand what a \"Cephalometric Protractor\" is an how it is used.\nAs far as i understand, it is used for analyzing angles/distances on images.\nIs there any other was it is used in clinical routine (e.g. within the mouth of patients)?\nThis question might seem strange but I'm not a dentist.\n\nThank you very much for your help! MattKW: Used for measuring the angles between certain points of a lateral cephalogram when developing an orthodontic analysis. It's used on a tracing of the radiograph. It is not used inside the mouth. DrT: Thank you very much for the quick reply!"
  },
  {
    "id": 1360,
    "title": "Infection?",
    "dialogue": "asdf1234: Hello...\n\nMale mid 40's Extensive dental work.  (Several Implants, crowns, one bridge)\n\nI had an implant placed in my lower left molar tooth 30 about 3-4 years ago.  Last year the implant got infected(I forget the terminology here) and it had to be removed.  This was very painful. \n\nSeveral months later I elected to have a 3 unit cantilever bridge placed on tooth 28-29 which also covered missing tooth 30.  All is great until last week.  The tooth slowly started to feel uncomfortable, then it was very sensitive to hot and cold, then it started hurting BADLY!  Yesterday I went to a dentist.(not the one who placed the bridge)  The dentist took x-rays, and saw no signs of infection.  Since I have not been flossing under tooth 29 I was educated about superfloss, and told my gums were severely inflamed.  They bled badly when floss was run through.\n\nThe pain has since gotten better, but I cannot have anything touch 28, 29, or 30, or else I will scream in pain.  I tried some salt water, and that HURT!  I cannot put any pressure on any part of the bridge or it HURTS!\n\nThe way this has been hurting, throbbing, and cycles of severe pain I am thinking infection or abcess as I have been through this many times.  \n\nI am contemplating a root canal for 28, and 29 with my bridge intact.  I thought about implants, but I simply don't have enough bone for an implant in 30, and what is the point of having implants placed for 2 teeth to end up with another cantilever bridge.\n\nI dunno really.  Thoughts?  I need to make a decision soon. MattKW: Cantilever bridge from 28 and 29 to make up for missing 30 is asking for trouble. Cut off 30 pontic, and hope that 28 and 29 recover. You can only replace the 30 with an implant, or not at all. honestdoc: I agree with Dr. MattKw.  If you can't have implant #30 due to past failure, consider partial denture or nothing.  Partial dentures on lower arch may feel awkward and difficult to get used to. asdf1234: Thanks for the Reply.  I was mistaken about the numbers it is 19, 20, and 21, but your reply still stands valid.  The pain has dropped significantly down to still hurting but I am sure to only mess with liquids at room temp.\n\nI have been looking through my old previous xrays.  \n\nI did go back to the dentist today, and my options are steering me in one direction.  Maybe some advice here would help some.  I will upload some xrays if I can.\n\n1.) I can have root canals done on 20, and 21 through my bridge.  If there is anything going on under the bridge I could end up getting extractions.\n\n2.) I can have the bridge removed in sections hopefully not damaging the teeth below, and then look at root canal treatment.\n\n3.) I am not an expert but it looks to me like my failed implant on tooth 19 has healed up nicely.  I don't see significant bone loss, but again I am not an expert maybe someone here can have a looksie. \n\nThis pic is from 2017 right before the implant was removed for I think this is the right term( peri-implantitis ) asdf1234: Here is my xrays from last week.\nThe half moon circle thing on 21 is something with their camera I seen it on all my xrays. MattKW: The semicircle to the bottom left is some artifact of the Xray process and means nothing. \n\nI am a little concerned about the dip below the crown (yellow arrow). \n\nI would be pulp testing 20 and 21.  \n\nThen, cut off that false tooth. A cantilever bridge like that is going to cause damage to the supporting 20 and 21.\nIf that doesn't relieve the pain, remove the crowns on 20 and 21 and place temporary crowns.\nIf that doesn't reveal anything or relieve your pain, then maybe RCTs and single crowns. But I doubt if it's both teeth causing your problems. asdf1234: The dentist I seen today who took xrays Friday mentioned the same spot as you.  \n\nWhat relieves the pain significantly is to push down on the last tooth number 19, and hold.  Although I don't feel the bridge move at all when I do this.\n\nLooking at the picture more.  I wonder if the bridge has moved recently, and tooth a piece of number 20 with it.\n\nI do appreciate the reply.  I am happy to have some time not in agonizing pain to make a decision.\n\nI am going to see an implant specialist tomorrow for xray and consultation.  They only charge 1$ for the initial. \nIf I can have two extractions and three implants placed in one sitting I may just do that. They said very possible since the molar is already extracted/healed.  They quoted me between $3,000 - $3,500 for the 3 implants, and healing abutments if I get my crowns somewhere else.  $7,500 for 3 implants with crowns. MattKW: So, you've already had 1 implant fail, and you are taking a big chance by taking out 2 salvageable teeth and placing more implants? Natural teeth are the best \" implants\" you'll ever get. \nAlso, there's no need to replace 3 teeth with 3 implants when 2 implants with a bridge may do the job with less risk. I don't know where you are, but 3 implants and 3 crowns for $7500 is ridiculously cheap. honestdoc: I agree again with Dr. MattKW.  I'm concerned there may be miscommunication and expectations may not be aligned.  Getting the cantilever bridge especially with a molar pontic was a big mistake.\n\n#20 has possible external root resorption on the root tip and #21 has bifurcated root canals at mid root that will be a challenge to instrument (clean & shape) if needed. asdf1234: I appreciate the replies very much.  It is really great to get different opinions from real dentists.\n\nI visited the implant specialist today.  They told me 20, and 21 are no problem.  Implants are fine there. \n\n19 however is risky because of the amount of bone.  A short implant can be placed, but bone grafting and a longer implant would be ideal.  I am ok with taking the risk using the short implant.\n\nI am going Friday too see my regular dentist to have a bridge made up top for 12-14.  I assume it will be better to have it made before having anything done to the bottom teeth? asdf1234: 20 and 21 came out rather easily..."
  },
  {
    "id": 1361,
    "title": "AVOID DR ABEL MORIERA, HARLEY STREET SMILE CLINIC AND HITACHI CAPITAL!",
    "dialogue": "Mselli: Avoid DR MORIERA, HARLEY STREET SMILE CLINIC, Hitachi Capital! Me and my mum have been trapped for one year plus in a finance contract (10k veneers) by this cabal, who have been gas lighting my mum over a cancelled contract they terminated! \n\nHarley Street Smile Clinic and resigned Dr Abel Moriera breached and terminated the contract during the dental work! Dr Abel Moriera was resigned and in the process of rectifying the dental work - I had new x-rays - and 2 new confirmed appointments at Harley Street Smile Clinic for the final fits and new veneers and Dr Abel Moreira and Harley Street Smile Clinic decided to terminate the contract! Hitachi paid Harley Street Smile Clinic contrary to the contract conditions - i.e BEFORE the goods were supplied fit for purpose OR COMPLETED! \n\nHarley Street Smile Clinic and Dr Moriera have been using the Hitachi Capital money as leverage to avoid any liability upon themselves at the expense of our statutory rights, my health and my mum's!\n\nThey have prevented me from being able to finance the completion of the dental treatment at a new clinic! \n\nHarley Street Smile Clinic, Dr Moriera are acting against the consumer rights act and mis- representation act- FCA etc! Under the consumer rights act you must return the money within 14 days when a supplier terminates a contract! Legally you must unconditionally return the money when you terminate a contract! \n\nThe stress of the gas lighting, slander, credit defamation, harassment, entrapment and their lies caused my mum to become extremely ill and she suffered a sudden cardiac arrest! My mum is trapped in the contract! She will now have to live the rest of her life with pacemaker! The stress has been insane! And they still continue to gaslight me and my mum! and sent letters DEMANDING MONEY FOR THE TERMINATED CONTRACT ! \n\nHitachi continue to demand payment for a contract Harley Street Smile Clinic and DR Abel Moriera terminated on the 5th September 2017. Harley Street Smile Clinic and Dr Abel Moriera still won't give the money back! For a contract they cancelled and breached! Harley Street Smile Clinic, Dr Abel Moreira and Hitachi Capital have prevented me from being able to finance the completion of the dental treatment at a new clinic.\n\nOur whole lives have been turned upside down by this cabal! Harley Street Smile Clinic and Dr Moriera continue to use Hitachi’s money to abuse us! Harley Street Smile Clinic terminated the contract and will not return the money! We are trapped!\n\nAt one stage, Dr Abel Moriera resigned and Harley Street Smile Clinic attempted to pass the contracted work to another clinic \"across the road\" \"no 139\" ! 10k contract/ treatment, a resigned Dr and no clinic! Horrifying! I was totally distressed! Harley Street Dental Clinic refused. The contract was with Harley Street Smile Clinic and No permission was granted by me! NO CONSULTATION! and potential breach of Data Protection.\n\nHarley Street Smile Clinic took 5 thousand plus and Dr Abel Moriera had 4.5 k plus of 10 k Hitachi contract - They are all sitting on Hitachi's money - Hitachi Capital paid Harley Street Smile Clinic before the goods were received fit for purpose! Before the treatment was completed! \n\nAdditionally harley street smile clinic deny patients 5 year guarantee - watch Holly Boon getting her oversized, crooked, bulky hssc veneers replaced in turkey! \n\nWe are currently in communications Hiitachi CEO Robert Gordon - who refuses to look at “factual evidence” - acts in conflict of interest - using only the broker and the clinic- constantly changing the goal posts so you can never achieved and honourable or fair settlement!\n\nHarley Street Smile Clinic and Dr Moriera still will not give back the money to Hitachi and Hitachi won't request it back! despite the CEO ACCEPTING THE DR TERMINATED THE TREATMENT AND CONTRACT ( IN LETTERS) \n\nNO CONTRACT WOULD HAVE BEEN SIGNED FOR A RESIGNED COSMETIC DENTIST!\n\nBe warned! That you will be given no consumer rights and you will have to spend the rest of you life fighting for justice! Busybee: Out of interest, why did you stop treatment with them? Mselli: I didn't stop treatment with them. Dr Moriera terminated the treatment before it was completed! and told me it was in my best interest to seek treatment at a new practice with a new Dr! He then refused to return the Money! My mouth is a mess!\n\nDr Moriera was in the middle of fixing the his dental work (spanning into the 4th month for 10 veneers) - I had new x -rays - veneer impressions - the new veneers were being fabricated for the 2 confirmed appointments - for the new temporaries and final fits! \n\nDuring this time Dr Moriera no longer worked at Harley Street Smile Clinic and they no longer wanted him on their premises - Harley Street Smile Clinic and Dr Morierra were having a personal dispute ( I have ridiculous emails)  - they then attempted to pass me to his new work place - who rightly refused!  I was not consulted on this! I was treated like a fool! I was on his last day at work that he was leaving! NO CONTRACT WOULD EVER HAVE BEEN SIGNED FOR A RESIGNED COSMETIC DENTIST! \n\nHarley Street Smile Clinic are equally as bad as the \"goods\" are under 5 year guarantee - they have just abandoned me! and did nothing - Hitachi Contract is with Harley Street Clinic! Harley Street Smile Clinic and Dr Moriera refuses to return the money to Hitachi! \n\nLong story short there was 4 month long breakdown of trust! \n\nThis is an ongoing situation 1 year on! Busybee: Were you given a treatment plan with the practice logo & company name on the paper?   Did your finance agreement mention the practice name?   Because from what you say they should be completing your treatment as he was working as part of that business."
  },
  {
    "id": 1362,
    "title": "Scared - gum cancer?",
    "dialogue": "Toothypegz: I have had bleeding with brushing and flossing on all teeth and pain on my gum near my tooth for a long time (pretty much off and on since I had my child 3 years ago.\n\nIt has gotten worse so I took a photo and it doesn’t look good.\n\nI am not good with dentists but I am concerned it may be cancerous. Can anyone let me know if issues that may look like this but are not cancer? I’m only in my mid 30s and don’t smoke or drink... Busybee: You probably have gum disease.  You need to see a hygienist and then a periodontist and probably need regular perio appointments every few months to maintain your gum health.    Otherwise your teeth could become loose over time. honestdoc: It looks like herpetic gingivostomatitis.  Have your dentist or doctor prescribe you some oral acyclovir.  Get a dental checkup and proper cleanings to minimize/manage possible gum disease.  The only way to diagnose periodontitis is to check the xrays for bone loss/damage and to probe for attachment loss."
  },
  {
    "id": 1363,
    "title": "Sensodyne Toothpaste",
    "dialogue": "Busybee: I thought I'd post about this in case others have had similar problems.   I have been using Sensodyne products for several years now with no problems.   However, recently I started developing a burning tongue and soreness inside my lips.  I had an ulcer, then another, which is really unusual for me.   I was really puzzled as to what was causing it as I hadn't changed my diet.     I then realised that it was getting worse every time I brushed my teeth.  The paste was really burning.   I stopped using it and resumed using the \"daily care\" version.  It got a lot better but now that version is also causing my mouth to burn.   The ulcers have gone since I stopped using the Rapid Relief but there is something wrong here. \n\nI looked online and apparently the manufacturer changed the formula earlier this year.   Many others have complained of the same symptoms on social media.   I was wondering whether anyone else has had any problems and whether dentists were aware of this issue.   After all it's a top brand that most health professionals recommend to patients.   Does anyone know which ingredient could trigger such a strong reaction?  I'd like to avoid it in other brands. MattKW: No idea. Perhaps you'll have to experiment with different brands and formulations. Look for a \"Plain Toothpaste\"; there's one called that here in Aust. that I give to dry mouth patients because it has no SLS; maybe there's something similar in UK.. Or even give up on toothpaste altogether for a while, just use a plain brush. My Dad used to make me brush with salt, but I couldn't do that nowadays! Busybee: Thanks MattKW, I was thinking of brushing with sonicare and water this morning, but tried the colgate total again and had none of the painful burning symptoms.   I've never thought of brushing without paste prior to this, we are so used to using it that it seems very strange to go without.\n\nSince I stopped using the Sensodyne \"Rapid Relief\" a couple of days ago everything seems to have healed.   I was looking at an old tube that I bought in a pound store a few months ago and they have completely changed the formula.  There is something called \"PEG-8\" that is a new major ingredient so perhaps that is causing the problem.   \n\nWe don't have plain toothpaste in the UK but it's a real eye opener to look into some of the ingredients in paste.  Some child pastes even contain non-biodegradable micrcobeads to make it look pretty on the brush... honestdoc: We have a large naturopathic presence in the Pacific NW.  Stores like Whole foods and local organic markets sell all-natural products.  A well-known brand is called Tom's of Maine which is owned by Colgate.  I'm not sure if the UK have markets like this.  Downside is these products are 3 times more costly."
  },
  {
    "id": 1364,
    "title": "anything to be worried about?",
    "dialogue": "cakeyes9: anything to be worried about? any recommendations for treatment? honestdoc: Looks like you had trauma to the tooth.  If you are continuing to traumatize it like a tic (chewing on nails, etc) it may get worse.  If you are grinding and occluding (biting) on that tooth more, may need to adjust it so it won't torque the tooth too much.\n\nTreatment options are to do nothing which is cheaper, less painful and traumatic, and the defect is not very noticeable.  Gum graft may be an option which is expensive and can be very painful and traumatic.  However, it benefits by reinforcing stronger keratinized tissue."
  },
  {
    "id": 1365,
    "title": "Biting inside of cheek",
    "dialogue": "John Roberts: Started biting the inside of my left cheek towards the back a couple of months ago.  My bite has felt off for a while but I have not been doing this.  I guess I need to go to the dentist\n  What all could cause this?  I have got enough trouble without this. honestdoc: You may be grinding/clenching.  I do it too and so does a lot of my patients.  Some do it more severe with more damage/trauma. John Roberts: I had a sleep study done to see if I grind my teeth and I didn't that night.  I know for sure I don't grind or clench my teeth during the daytime.  The way they are, I couldn't do that. I do feel like my bite is off and it constantly changes.  I have been told I don't have TMJ.  Have had CT scans done on joints.  Have had trouble with my teeth since a dental appointment for cleaning  and flouride  contentment two years ago.\nThank you for the comment and if you have any suggestions I am listening.  Thanks Busybee: I remember you John.  How have you been and how is the pain recently?    Have any of your symptoms abated?  Chewing cheeks is not unusual.  It's not worth having treatment because they might adjust your teeth and cause bigger problems. John Roberts: Hey Busybee. Haven't been on here in a while. I would say my symptoms are the same.  Been going to a neurologist who diagnosed me with trigeminal  nerulgia. I am on anticonvulsant medication.  I don't think I have tn, maybe atypical nerulgia.  The medication for bot is about the same.  What I am on has done  no good.  Teeth still hurt all the time and bite feels off and seems like it constantly changes.  It feels like it is more on the right side. I was asking about the cheek biting.  This just started a while back.  Very annoying and painful.  I may talk to the dentist about it and see what he says.  Anyway, good to talk with you. Busybee: John I'm sorry you are still in pain and discomfort.   It really is not easy to fix something like this and I know how distressing it is.   Anticonvulsants are pretty strong so if they are not helping at all speak to the neuro about getting off them. John Roberts: I am waiting for the doctor to call.  He is a out of town doctor. I am going to tell him the medicine isn't working and see what he offers.  He called just a while ago.  I have to go in next Tuesday.  All my teeth hurt but what is really bothering me is tooth or teeth 4 & 5  on the top and 28& 29 on the bottom.  They feel like they are high.  One minute it feel like the top is bothering me then the bottom is bothering me.  It switches back and forth.  It feels like the right side is where my teeth settle.  Right now sitting here it feels like my bottom teeth are high.  I am thing about going in and letting the dentist take a small amour off these teeth and see if it helps.  It has felt like this for a while now.  \nYou are right about the anticonvulsants.  If they aren't doing any good I need to get off them. This has been going on almost two years now.  Thanks for the advice"
  },
  {
    "id": 1366,
    "title": "Several allergies...",
    "dialogue": "Babyboo: My Mum is allergic to Lidocaine meaning she has to be given alternative anaesthesia. However, she is also allergic to many other things, including cobalt, chromium and a severe nickel reaction. Her dentist has not changed the tools he works with so she reacts every visit.\n\nI just wanted to know if there are alternative tools a dentist can use that are free from these metals?\n\nThanks MattKW: It is almost impossible to be allergic to lidocaine. Usually it's other ingredients in the solution that cause the allergy. And many people say they're allergic when really they've had an adverse reaction. Mum should be tested by an hospital immunologist - lidocaine is widely used in dentistry and medicine. She should also get testing for the metal responses by a immunologist. Your Mum should have an Epipen at the ready.\nI just had my 2nd case in 35 years of an allergy to lidocaine with adrenaline solution - blood pressure drop, wheezing, and urticaria. After testing, it was found NOT to be an allergy to lidocaine, but probably sodium metabisulfite (couldn't be tested directly). So now the patient knows she can have plain solutions of lidocaine, prilocaine, and mepivacaine - all easily available in dentistry and medicine."
  },
  {
    "id": 1367,
    "title": "Do you prescribe opioids and if so what guidelines do you yourself follow in administering them?",
    "dialogue": "ngheibid: I'm in dental school and need to complete an assignment by interviewing a dentist. \n\nAnyone interesting in answering 5 questions about their personal practice?\n\nIt would be greatly appreciated!\n\n\n1. How do you manage acute pain?\n\n2. Do you prescribe opioids and if so what guidelines do you yourself follow in administering them? Dosing, numbers prescribed and recall interval are all possible follow up issues.\n\n3. Do you screen for substance abuse? If so, how? Do you use any screening tools (written or verbally; CAGE-AID)?\n\n4. What do you say and how do you say it in learning about any possible abuse? Verbal and nonverbal communication included.\n\n5. If a patient has a perceived or overtly shared drug abuse problem then how do you manage this situation? Advise? Assisting? Referral? honestdoc: 1.  I would diagnose the patient if it is tooth related or something else.  If it is tooth related, I would treat it appropriately such as restoration, root canal, or extraction.  If I can't determine the source of pain, I refer the patient to his/her medical doctor for evaluation of possible sinus pain or other conditions such as Trigeminal Neuralgia.  Dr. Jeffrey Okeson from University of Kentucky has great information on non-dental pain in the oral area.\n\n2.  I do prescribe opioids.  If it is an intial visit, I review the medical history and interview the patient.  I will usually take care of the acute problem on the same day.  I will prescribe opioids after treatment or if I can't complete the procedure.  I will not prescribe if the patient refuses treatment.  Dosing is usually 5.0 to 7.5 mg Hydrocodone, 5.0 mg Oxycodone, 30 mg Codeine.\n\n3.  I only screen suspected abusers.  We have a state opioid database.\n\n4.  Ask patients about their history of pain medication/street drug use.  It can be difficult to determine validity.\n\n5. Discuss drug rehab and NSAIDs use. ngheibid: You are truly my savior right now! Thank you SO much for taking the time to thoroughly answer that, I really appreciate it!"
  },
  {
    "id": 1368,
    "title": "tooth extraction what to expect?",
    "dialogue": "kaitlin4599: ok so in a few weeks i am having all of my teeth pulled out, so that next january when my jaw has healed i can have dentures put in. the surgeon said he would put me to sleep so im not awake during the surgery. he also said he would file down my jaw bone so its level allowing the jaw to heal better then he would stitch it up the jaw or im guessing the sockets so i dont bleed to death\n\nmy question is what should i expect in terms of recovery will the surgeon use dissolving stitches or will i have to go back to get the removed\n\nim not nervous im just happy to be getting the work done years of dental neglect have caused me to be in this situation\n\nso share your experiences tell me what i need to expect after the surgery  after all my teeth are pulled out\n\n\nedit also i will most likely have to eat soft foods for a long time what should i expect MattKW: I prefer dissolving sutures, and most surgeons I know do also. Usually slowe to dissolve however, and the surgeon will have you back for followup to see how you're healing about the time they're loosening. That can be a bit annoying, and he might remove them anyway.\nPain-wise, he will prob give/suggest painkillers and icepacks for you. Get some combination ibuprofen/acetominophen (Nuromol/Maxigesic), and start taking as soon as possible after treatment.\nYou will be eating soft foods for quite a while, so stock up. It's not going to be easy, but lots of people have done it before and survived. It will all up take about 3 months for the gums and bone to fully heal. kaitlin4599: MattKW said:\n\n\n\n\t\t\tI prefer dissolving sutures, and most surgeons I know do also. Usually slowe to dissolve however, and the surgeon will have you back for followup to see how you're healing about the time they're loosening. That can be a bit annoying, and he might remove them anyway.\nPain-wise, he will prob give/suggest painkillers and icepacks for you. Get some combination ibuprofen/acetominophen (Nuromol/Maxigesic), and start taking as soon as possible after treatment.\nYou will be eating soft foods for quite a while, so stock up. It's not going to be easy, but lots of people have done it before and survived. It will all up take about 3 months for the gums and bone to fully heal.\n\t\t\nClick to expand...\n\n\nwhere can i find a list of soft foods i can eat im a picky eater and also am dealing with food /stomach issues so need to watch what foods i eat asdf1234: Soft Foods...\n\nEnsure or Boost if it's really sore.\n\nPeanut Butter possibly with some white bread.  Boiled Eggs.  Jello.  Things like Angel Food Cake or similar consistency. kaitlin4599: asdf1234 said:\n\n\n\n\t\t\tSoft Foods...\n\nEnsure or Boost if it's really sore.\n\nPeanut Butter possibly with some white bread.  Boiled Eggs.  Jello.  Things like Angel Food Cake or similar consistency.\n\t\t\nClick to expand...\n\n\nim a tad nervous tho since im having all my teeth pulled out as for soft foods not really uneasy as i already have my list figured out asdf1234: Well yha I understand.  I almost went that route.\n\nInstead I went to a dental college, and pursued weekly visits with an assigned student which was massively time consuming but well worth it now looking back.\n\nI paid $500.00 per implant.  Plus around $400 per crown for the tooth that sits on top of the implant."
  },
  {
    "id": 1369,
    "title": "Teeth Whitening at Home",
    "dialogue": "Lyle MacLeod: Does anyone know of any method for whitening your teeth at home? I'd like to try some of these out before I get them professionally whitened just in case I find them white enough afterwards. \n\nI've heard of eating strawberries and oil pulling but are there anymore I could try? Cheers Busybee: I had a yoga teacher who cleaned her teeth by pulling coconut oil.  She had really white teeth.  I have no idea of the risks or benefits.    Seemed a lot of fuss though and you have to keep doing it. Lyle MacLeod: I guess it is but could be worth it.\n\nI've heard you need to do it everyday for 2 weeks and then twice per week afterwards. Busybee: I think she did it every day instead of brushing in the conventional way. Lyle MacLeod: Aw I never realised you could do it this way. I guess it could be more convenient. Uptown101: Try brushing with baking soda, baking soda has natural whitening properties, which is why it's a popular ingredient in commercial toothpaste. KVMCruces: Be careful about using baking soda, it can cause damage to your enamel. You should research what a safe amount to use is and for how long.\n\nThe best way to whiten your teeth without causing any damage is using coconut oil and mixing it with activated charcoal. I have my son do this since he doesn't really need professional whitening (hes 13).\n\nIf you're looking to get really pearly whites, then try Crest 3D whitening strips. I used them myself and my teeth were 3-4 shades lighter within a month. Be careful with these as well, my teeth were sensitive after using them (when used daily). Sensitivity wore off after a day or two. Try not to use them daily, should help with that problem. Lyle MacLeod: Cheers guys, I'll do some research into baking soda and I'll also check out those Crest 3D whitening strips. I'm not too bothered about getting really white teeth, just a few shades whiter than they are now - probs best to try the baking soda first. Burstoralcare: You should try to use toothpaste that have active ingrediant like Sodium Fluoride. I have found few toothpastes like Colgate, Burst, Meswak that have sodium fluoride in it."
  },
  {
    "id": 1370,
    "title": "Told to try new mouth guard in toilet and then go home",
    "dialogue": "Sam23: Hi,\n\nMy gut is telling me they did wrong but I need to confirm.\n\nI've had bruxism for the past few years and I've just had a mouth guard for my front two teeth made for me. I've never had  to go to the dentist for anything like this before.\n\nI was late and the receptionist gave me the guard and said I can try it on in the toilets.  I was shocked and she noticed and said it's normal to try it on there and then go home.  I told her this doesn't seem right.  I walked to the toilet and opened the door and just shut it again.  Came back to the receptionist and she asked how the fit was.  I said it seems fine.\n\nShe could obviously tell I wasn't happy and I was putting the guard in its box and taking my coat to go home.  She then walked away and came back a few minutes later to say the dentist will see me.\n\nThe dentist made me try it on, asked how it felt.  I didn't expect it to be so thick and high and she explained it was because it only covered the front four teeth.  She then made a big deal about how my back teeth may move when wearing this gaurd after a prolonged period of time.\n\nIs this normal to try the guard in the toilets?  Surely it can't be because it is so unhygienic.\n\nThanks in advance,\n\nSam Busybee: Not it's not normal to try a guard on in the toilets.  You try it on in the dentist's chair.  \n\nThe type of guard you describe isn't good to wear long term because some have found it can lead to an open bite on your back teeth.  You should only use it for a few weeks to see if it brings relief.  More as a diagnostic tool. MattKW: It's odd to try it on in the toilet - what would it prove? You still have to get the dentist to place and adjust it.\nBusybee's sort of correct - these are only designed to be short term use because the back teeth can overerupt (overgrow), and then you develop an openbite with your front teeth. For long term use, you need a full arch coverage splint (Michigan design)."
  },
  {
    "id": 1371,
    "title": "Pediatric oral health project on Aneityum Island, Southern Vanuatu....",
    "dialogue": "Techo NZ: Just sharing a video of an oral health project we have been working on for the island of Aneityum in Southern Vanuatu.\n\nWe are a volunteer team from New Zealand that have been going there for the last few years.\n\nAbout 200 children attend the local school and pediatric oral health is being exasperated by the introduction of sugar and sweets from tourists and visitors.  I have personally seen a sailboat arrive and send their kids ashore to give out BAGS of lollipops !\n\nA year ago we provided 10 electric tooth brushes and every child has their own electric brush head. The brushes are kept in the Helt Centa (Health Centre) and charged by a small amount of solar power.\n\nAt 20 seconds in you can see an old guitar case that has been converted for storing 200 individual brush heads. All the positions are numbered and the brush heads are individually numbered for each child. We provide new heads every 3-4 months.\n\nThe community has totally engaged with the project and we have increased this to 20 electric tooth brushes so each school day the children walk in groups of 20 from the school to the Helt Centa and solar-electric brush their teeth. Techo NZ:  MattKW: Fantastic job! Hope it delivers great dividends. honestdoc: Techo NZ, thank you for your services! Techo NZ: It cost about $1,200 for the hardware and freight to get it there which works out at $6 per child.\n\nOngoing costs are $600 a year for 2 large tubes of toothpaste per week, and another $600 per year for replacement heads every 4 months (thanks Ebay !), which works out at $6 per child per year (12c per child per week) . That’s a pretty good bang for ya oral health buck Techo NZ: Sitting around the fire at night (swatting misquitoes) we blue-sky think about expanding it for everyone on the island, population 1,200.\n\nWe envisage a cyclone proof cupboard off the back of the Helt Centa with 20 or 30 solar powered electric toothbrushes and 1,200 brush heads with stainless benches and water taps and sinks.\n\nThe Helt Centa is central to the village so anyone at anytime can go and clean their teeth with their own brush head, and then we think we could duplicate this project in thousands of other remote villages around the world. Exciting stuff. Techo NZ: 6 of us leaving tomorrow, 2 days, 3 planes and a boat to get there. 200+kg of equipment and supplies, our personal clothing and toiletries is limited to our 7kg carry and to last us 2 weeks !\n\nWe have lots of projects going on:\nWe have begun advocating for cleft palettes with several successful operations already done.\nWe have 200 new toothbrush heads and more toothpaste and even after just 12 months of the 'Sola Leckie Pikinini Klin Tut Project \" (Solar Electric Child Clean Tooth Project) we look forward to the data showing some oral health improvement.\nAnd with our new portable mini X-Ray we can do high quality digital developing.\n\nAnother exciting project is underway to build a (cyclone proof) solar powered dental clinic on Aneityum Island ! so we can train the locals in oral health care and for visiting dentists to provide a higher level of care.\n\nWe are also designing and building portable solar powered dental carts, with electric hand pieces for high-slow and a triple syringe and scaler. and a total weight of only 10kg per system complete with a mini air compressor ! Designed to be light and easy to carry and to run on small solar systems.\n\nWe are super pleased to not just do 2 weeks of RoP and drill and fill but to build a legacy of a dental clinic and empower the island with a lifetime brushing program. Once we perfect this project we want to see it grow into the Pacific, or for that matter anywhere.\nNot bad for a bunch of kiwi volunteers ha ha.\nOur motto in Bislama is \"Sua, tricki bae hemi no impossibol \"  ('\"Sure is tricky but this thing is not always impossible \")\nHere;' a link to our page. https://afriendofkokorosa.org/ a few videos of different projects.\n\nIf you like what we do there's even a donate button ;-) you're welcxome to sponsor next years toothpaste   'Tangkiu Tumas ' (thank you too much"
  },
  {
    "id": 1372,
    "title": "Which comes first?",
    "dialogue": "CookieMatt: This is ridiculous to admit but I haven’t been the the dentist in about 10 years. I know I need some work done though. I’m 35 and I can actually feel my wisdom teeth starting to come in as well. Unfortunately, I’m pretty uncomfortable at the dentist. I would love to be asleep or sedated. I’m also interested in veneers.\n\nMy questions:\n\nWhat do I do first? Do I ask for a consultation with a regular dentist? Do I go to a oral surgeon? Any help would be appreciated.\n\n*I have insurance. honestdoc: I would start with a complete checkup with full mouth x-rays and a pano. Please fill out a thorough health/medical history...I had patients not tell me they are on blood thinners, had heart attacks, diabetes, stroke, etc...I always ask to make sure.  Your blood pressure needs to be controlled and provide a complete list of all medications.  \n\nHave a solid conversation with your dentist of sedation options...there are risks.  After 10 years, hopefully you don't have severe gum and bone disease.  If so, you may need deep cleanings, possible gum surgeries, and recalls.   I would do the veneers after all the fillings and restorative needs are completed.  If you grind and clench, the veneers may have a high risk for failure...consider a custom bite guard.  Depending on the amount of work, the costs may exceed your insurance."
  },
  {
    "id": 1373,
    "title": "Black wisdom tooth. Can I die?",
    "dialogue": "Hartwell94521: i have a black wisdom tooth in the back of my mouth. I have embeen to the dentist and he had done fillings on my wisdom teeth, because they don’t hurt.\nCan I die from the black wisdom tooth being left untreated? honestdoc: Usually the \"black\" after the dentist placed the filling is just staining (external, rarely internal).  Similar to other teeth, if cavity or infection is left untreated, you could get swelling which can be dangerous."
  },
  {
    "id": 1374,
    "title": "Is this procedure within the scope of practice for a dentist? (Dentist corrects patient's tongue)",
    "dialogue": "popopotato: Hi,\n\nI came across this story and wanted to know your thoughts:\n\nhttps://www.techtimes.com/articles/...ist-discovers-and-corrects-his-tongue-tie.htm\n\nThanks! MattKW: Yes. Very surprised that a paediatrician or speech pathologist didn't check for this in the first instance."
  },
  {
    "id": 1375,
    "title": "Pain management/the rx craze... Please read and consider if you are a dentist!",
    "dialogue": "Synaptrix777: I found this site and read through posts on a patient who was refused a rx after an extraction, and went through the whole process of registering just to respond/add my experience to this - I think it's important to have a patient's experience/feedback on here!\n\nI had a lower rear molar extracted 2 days ago, and have had 2 other extractions over the years. My first automatically included a prescription for I believe vicodan. From leaving the dentist's to going to the pharmacy, some of the novicaine began to wear off. Painful. By the time I was in the sitting area of the pharmacy, waiting for it to be filled, I was experiencing the most debilitating, agonizing pain - more pain than i have ever felt. When the pills started to kick in, it was an immediate relief, and a manageable pain from there on out. The second extraction was done at a different place, at a dentistry school. I was told that pain treatment consisted of taking the staggered ibproufen/advil mix, and that this offered the same level of pain relief, and \"was the same thing.\" I dutifully followed these directions, and within an hour or so started to experience the same horrible pain as before. I hesitate to even use the word pain, because I don't think this really conveys the level of extreme, debilitating agony that I am talking about. I tried to tough it out, wait for the regime I was given to set in.. and could not stand it. I drove (!) in a desperate move to the previous dentist I had seen. He helped me, and I don't know if there was anything wrong with doing so or any risk involved but I cannot appropriately convey my gratitude to him for that. Having for any amount of time, this kind of pain, even in going to and waiting for the prescription (going through this in public, no less!), is  a horrific thing to experience. \nThis time, I approached it proactively, and explained to my dentist the experiences I've had, and made absolute clear that I could not and would not go through this again. The result was (very nicely) another explanation that the staggered ibproufen offered the same pain relief, that it was actually \"the same thing\", that opiates just take your mind off of the pain, and so on. The receptionist chipped in later that in her opinion, people are prescribed these things too much, and again the oral surgeon repeated the whole mantra. All this, and I had a prescription written and the extraction done. Again, as I waited in line at the pharmacy, the numbness was wearing off, and in the 45 minutes it took to get that bottle in my hands, the same agonizing pain had started to come one and only got worse. I have been taking one every 5 hours or so, not getting much sleep, and have had to go to work and manage a store since. It is not in any way nice to have to work while spaced out and sleep deprived, but I would not be able to stand or afford the alternative. I would go to the ER if placed in that position. I would find someone to buy \"street drugs\" from to not experience that. Isn't it a little crazy I would not hesitate to engage in illegal activities to alleviate this? How could I even be brought to think of that as an option, when the care I need is so easily possible to be provided to me? (I work hard! Pay a huge portion of my income, with that hard earned money, jump through the hoops I need to, deal with the on and off pain in my teeth, and live with a constant fear that I will never be able to catch up with the dental issues I face. I deal with more than enough, on my own end of my dental woes!)\n\nSo, I understand the epidemic rise of prescription drug abuse going on right now. I understand doctors having a responsiblity to be careful, to avoid being a supplier, to avoiding possible charges, etc. However, this seems to be leading to an unacceptable imbalance. I have for the first time ever experienced what I would label presumed guilt instead of presumed innocence (guilty of seeking drugs vs. genuine need for care), experienced mistrust, suspicion, and implication. It is natural that I feel demeaned by this, it is in fact the right feeling in my situation. My stance now MUST be proactive to ensure I receive the care I need, and ironically, this stance also labels me as having potentially \"drug-seeking\" behaviors. In researching this, it is apparent that something must be done. I have no idea how, as a practice, network of practices, or even nation of practices, this can be addressed and resolved, but it must.\n\nI do know people experience pain differently. There aren't absolutes, only probabilities that what was effective for one is effective for another in a lot of these issues. There is science, studies and data (opiate vs. ibproufen in this case) that we can make decisions based on, but one's experience of pain is fact for them, and cannot be swept aside. The one point that came to my mind when talking to my current dentist, is that I suppose the prescription simply \"taking my mind off of the pain\" must in fact be a crucial part of pain management, for me. I can't understand that and it does not seem logical or believable that the prescription I got doesn't have a clearly identified, scientifically proven, higher, stronger dosage of pain alleviating properties. If this is absolutely true (I can't fathom it, at all), then there is an entire conversation that is being missed in the whole pain management debate, theory, what have you - isn't there?\n\nThank you to anyone who actually read all of this (sorry it's so long!), and for any responses/suggestions/knowledge that might glean some light on this whole topic... I would really appreciate any information to help me understand or resolve this. Mona Lisa: I read the whole thing. \n\nI too, am having the same issues with my cervical spine and they have prescribed me only muscle relaxers 3xs a day which does not kill the pain and knocks me out. \n\nI have oral surgery in 2 days. In my whole life I have had close to your first experience. Extraction, and then given approx. 10 Tylenol 3 with codeine and done! Now, I am very concerned about my upcoming surgery. I totally see your point and think ppl are freaking out over this opiate addiction. I have never been an addict, but my bf was....all prescriptive! Dentists coming to my home delivering his drugs in a small brown paper bag or calling past 7 PM. He threatened to sue my dentist and told him, \"You cannot tell me how much pain I am in by law. I will pick up another prescription or you'll be talking to my lawyer. He was already on Methadone, Valium and Neurontin. The dentist gave him a second script for opiates. No lie. I heard his pain management doctor was under federal investigation. Now, everyone is suffering because of these addicts. \n\nAn extraction cannot be handled with naproxen. Ask for Torodal next time, imho better than anti inflammatory. Stick with your first dentist!\n\nBetter luck next time! MattKW: Synaptrix, yes this is a difficult area of medicine/dentistry. The low dose codeine/acetaminophen drugs here in Australia have recently been taken to \"behind the counter\" because of the dependence and toxicity problems. I can still prescribe heavier doses, but the patient needs a prescription. The accepted wisdom for mild to moderate pain is not the staggered acetaminophen/ibuprofen regimen you mention, but a combination acetaminophen/ibuprofen (e.g. \"Nuramol\" taken for 1st 24 hrs. An additional option to consider if you have so much pain after an extraction is to ask for a longer lasting local anaesthetic, e.g. bupivacaine or ropivacaine. I routinely give that to all my surgical extraction patients, plus the Nuromal. Good luck. And Toradol can have some serious side-effects. Mona Lisa: MattKW said:\n\n\n\n\t\t\tSynaptrix, yes this is a difficult area of medicine/dentistry. The low dose codeine/acetaminophen drugs here in Australia have recently been taken to \"behind the counter\" because of the dependence and toxicity problems. I can still prescribe heavier doses, but the patient needs a prescription. The accepted wisdom for mild to moderate pain is not the staggered acetaminophen/ibuprofen regimen you mention, but a combination acetaminophen/ibuprofen (e.g. \"Nuramol\" taken for 1st 24 hrs. An additional option to consider if you have so much pain after an extraction is to ask for a longer lasting local anaesthetic, e.g. bupivacaine or ropivacaine. I routinely give that to all my surgical extraction patients, plus the Nuromal. Good luck. And Toradol can have some serious side-effects.\n\t\t\nClick to expand...\n\nExcellent information. My surgery is scheduled for tomorrow and I do not want to go. I have to go. Yes, I suppose too much of the tooth is decayed and broken. I will mention the anesthetic and Nuramol. The last IM of Toradol left my muscles burning so bad I cried for hours.\n\nI will update tomorrow! MattKW: Mona Lisa said:\n\n\n\n\t\t\tExcellent information. My surgery is scheduled for tomorrow and I do not want to go. I have to go. Yes, I suppose too much of the tooth is decayed and broken. I will mention the anesthetic and Nuramol. The last IM of Toradol left my muscles burning so bad I cried for hours.\n\nI will update tomorrow!\n\t\t\nClick to expand...\n\nGood luck. Just be aware that not too many general dentists carry long-lasting LA; it's mostly used by oral surgeons. Mona Lisa: MattKW said:\n\n\n\n\t\t\tGood luck. Just be aware that not too many general dentists carry long-lasting LA; it's mostly used by oral surgeons.\n\t\t\nClick to expand...\n\nHello!\n\nMy update is that the oral surgeon and staff proved to be excellent. No pain med, only IB Profen 900 mg and 2 bottles of chlrohexidine. They did not have Nuramol. They did give me a longer lasting LA. Tonight very sore but tolerable. FYI: Pharmacist said he had a wisdom tooth pulled and only prescribed IB Profen. MattKW: Mona Lisa said:\n\n\n\n\t\t\tHello!\n\nMy update is that the oral surgeon and staff proved to be excellent. No pain med, only IB Profen 900 mg and 2 bottles of chlrohexidine. They did not have Nuramol. They did give me a longer lasting LA. Tonight very sore but tolerable. FYI: Pharmacist said he had a wisdom tooth pulled and only prescribed IB Profen.\n\t\t\nClick to expand...\n\nGlad to hear. sekagirl: I was buchered out by dentist denied any pain med I was informed to take motirn which I AM ALLERGIC TO!! (was informed to take Benadryl along with motrin) well ended up in er so after that nightmare I am too reluctant to accept any sort of health care sad how health care has evolved !!!!"
  },
  {
    "id": 1376,
    "title": "Bite issues",
    "dialogue": "Guitarzan1: Hi everyone!\n\nI had all my fillings changed out about 7-8 years ago (around 8). Had invisalign shortly after and finished that about 6 years ago. Ever since the fillings, then invisalign I've had issues with grinding. Never had issues before. It's causing some gum issues and general soreness from grinding. \n\nMy theory is that my bite is off. After I did the fillings I remember we had to do a lot of work to try and make my bite \"right\" since so much work was done. The thing that made me uneasy was that the dentist relied quite a bit on me saying if it felt right or not. She'd shave down some areas etc, asks if that felt good. If not she'd keep going. She did use this paper to check on her side but again, I had to just bite on it, and I wasn't sure if I was biting \"properly\". Meaning, I could alter my bite and it would show up differently on the paper. I sound a bit loony tunes I know, but I've been dealing so long...A few times I'd say it felt good then realize after a couple days it didn't. Went back multiple times until eventually it felt good enough I guess? I thought that the dentist would/should be able to do this without relying on my opinion of if it felt right or not. It seemed like no matter what she did it didn't feel perfect. The intense grinding started shortly after. Dentist just said my bite felt weird because I was so used to the old bit and had to adjust to the new bite.\n\nNow all these years later I still grind and have some gum issues due to it. My bite still doesn't feel flush or whatever. I sort of feel it hitting on one side then the other side feels elevated. Dentist said it looks fine to her but she can try again if I'm not happy. I'm just at a point where I'm not even sure what right is anymore! I just wish it could be done objectively by her without me saying it feels good or not. I've had it so long I'm not certain what is right / wrong, or a correct bite or bite that is off.\n\nAnyone have any advice or words of wisdom? I've been suffering with this grinding for a long time now and would like my bite fixed but I'm not sure how to go about it? Maybe just a 2nd opinion? Is the bite being \"right\" almost completely dependent  upon my opinion if it feels right or not? honestdoc: When you bite together, does it feel off?  If it feels off, do you shift your teeth until it feels right?  Do you have frequent headaches, sore jaws, pain, pain upon opening?  When your dentist is adjusting your bite, does she recline you back or keep you upright (you bite differently laying back)?\n\nHopefully your dentist can re-establish you bite as best as possible and afterwards, you could try a custom bite guard.  If you don't notice improvement, consider visiting a TMJ specialist."
  },
  {
    "id": 1377,
    "title": "What should I do about my teeth",
    "dialogue": "user400: Hi \n\nI’m 17 and have an overbite as you can maybe tell by my photos. I have also attached a photo of the smile I would like to have. \n\n\nI have braces, but if I’m quite honest I don’t think they’ll sort my overbite fully and I really want a nice wide smile like the one I have shown with the other image. If I got jaw surgery, could they push my jaw back to the correct position and then widen the jaw to create a wider smile? Is there a quick way to file down the two front teeth and make them straight? Would they have to pull them out and put them back in again? \n\nThanks Busybee: Your own teeth look nice and stronger than the ones in the picture that you say are a perfect smile.  The picture shows a woman's teeth that have clearly been tampered with to make them look round at the ends & bleached or photo-shopped.    The two central incisors look very worn and as she ages they will wear down more and she won't have much biting surface on her incisors.   She also won't have much lip support.  But whether that affects her appearance will depend on the rest of the features and her bone structure.    She looks as though she has veneers at the side.  Her teeth have been built out to make that wider look. \n\nIt is not simply a case of changing your teeth to look like someone else's.   You have nice healthy teeth and a great smile.   The least invasive method to achieve more width is to have some composite veneers as they don't have to remove any tooth for that.    Don't whatever you do go for porcelain veneers as they have all sorts of potential problems and can fall off or break.   Not all dentists are good at composite veneers.   There's an art to it.  Some try to sell porcelain veneers as they make money from it and it's easy because someone else does the art work.  \n\n  Once you have cosmetic work you may still be unsatisfied and that will cause a vicious cycle.    Everyone has different bone structure and no dental surgeon should move your jaw for such a reason.   You haven't finished growing yet and your jaw will widen as you reach maturity.  Give it a chance to do that. user400: Busybee said:\n\n\n\n\t\t\tYour own teeth look nice and stronger than the ones in the picture that you say are a perfect smile.  The picture shows a woman's teeth that have clearly been tampered with to make them look round at the ends & bleached or photo-shopped.    The two central incisors look very worn and as she ages they will wear down more and she won't have much biting surface on her incisors.   She also won't have much lip support.  But whether that affects her appearance will depend on the rest of the features and her bone structure.    She looks as though she has veneers at the side.  Her teeth have been built out to make that wider look.\n\nIt is not simply a case of changing your teeth to look like someone else's.   You have nice healthy teeth and a great smile.   The least invasive method to achieve more width is to have some composite veneers as they don't have to remove any tooth for that.    Don't whatever you do go for porcelain veneers as they have all sorts of potential problems and can fall off or break.   Not all dentists are good at composite veneers.   There's an art to it.  Some try to sell porcelain veneers as they make money from it and it's easy because someone else does the art work. \n\n  Once you have cosmetic work you may still be unsatisfied and that will cause a vicious cycle.    Everyone has different bone structure and no dental surgeon should move your jaw for such a reason.   You haven't finished growing yet and your jaw will widen as you reach maturity.  Give it a chance to do that.\n\t\t\nClick to expand...\n\n\nHi, thanks for your reply. \n\nI have looked into veneers, obviously you can’t really give me an accurate answer but do you think my smile would look like / look similar the one I got of google images if I got veneers? They are pretty expensive but I suppose it gives me a nice smile without going through surgery! Busybee: They may give you a wider smile but it wouldn't look like the one in the picture.  Your teeth & bone structure are completely different and having teeth just like the photo would make you look awful.    If you decide to go ahead with veneers don't go for porcelain (go for composite) and don't touch your front teeth.    You cannot replace the dental material they remove to place porcelain veneers.   You won't understand how bad that feels like until it happens.   The composite ones don't need any tooth material to be removed.   But any cosmetic dental work is going to alter the enamel even composite.    Anything you have done can ruin your teeth."
  },
  {
    "id": 1378,
    "title": "What should I do about my teeth",
    "dialogue": "user400: View attachment 2014 View attachment 2015 View attachment 2016 View attachment 2017 Hi \n\nI’m 17 and have an overbite as you can maybe tell by my photos. I have also attached a photo of the smile I would like to have. \n\n\nI have braces, but if I’m quite honest I don’t think they’ll sort my overbite fully and I really want a nice wide smile like the one I have shown with the other image. If I got jaw surgery, could they push my jaw back to the correct position and then widen the jaw to create a wider smile? Is there a quick way to file down the two front teeth and make them straight? Would they have to pull them out and put them back in again? \n\nThanks"
  },
  {
    "id": 1379,
    "title": "Public dental care system for Americans?",
    "dialogue": "jc1199: I believe there should be a publicly funded and organized dental care system in the US. The same way we have a publicly operated Police, Fire, and military service. A way better use of tax payer money than giant tax cuts for the rich, corporate welfare, nuclear weapons, pointless wars, fighter jets, and massive bank bailouts. MattKW: Please write to your Congressman. One of the biggest stumbling blocks for publicly funded dentistry (or medicine) is that someone (i.e. the taxpayer) has to pay for it. And then the government has to regulate the whole shebang so there's an even balance. Dentists want more money for less work, and governments want more work for less money. So, it's never got up and going here in Australia. But if Busybee is up and about, she'll be able to talk from the British experience with the NHS. honestdoc: All the tax cuts you mentioned benefit the interests of those who have the resources to put the politicians into office.  Like Dr. MattKW mentioned, funding will always be a problem at the federal level.  The US has many states that are \"Red\" for Republican or \"Blue\" for Democratic control.  I live and work in a strong Blue state with many community dental clinics and gov't assistance...granted my taxes are way more than in the Red states.\n\nUnfortunately the US is more divided than ever and I don't want to debate on who is more wrong...tax cuts for the rich or care for the lazy. jc1199: We dropped 3 or 4 TRILLION on unnecessary wars, 1.4 trillion on ONE fighter jet program (F-35), A trillion (at least) on nuclear weapons, 220 million a pop on F-22 fighter jets(no one knows the end), 3 billion a pop on new Virginia class submarines (no one knows the end), and the list goes on and on and on. But we \"can't afford\" wasteful stuff like education and basic health care. How is it that small countries like Cuba, Ireland, and Iceland can afford these wasteful things like healthcare and education but the richest country in the world just can't seem to do it? honestdoc: Do you know who benefits from all that spending?  The defense contractors that supply and build the weapons.  They basically funded the elections to their favor...always has, always will.  Big oil companies restrict renewable and sustainable energy sources from going mainstream...always has... and you know.  I'm sorry but I'm numb to all the BS of US politics and wastefulness.  I don't have any answers. MattKW: jc1199 said:\n\n\n\n\t\t\tWe dropped 3 or 4 TRILLION on unnecessary wars, 1.4 trillion on ONE fighter jet program (F-35), A trillion (at least) on nuclear weapons, 220 million a pop on F-22 fighter jets(no one knows the end), 3 billion a pop on new Virginia class submarines (no one knows the end), and the list goes on and on and on. But we \"can't afford\" wasteful stuff like education and basic health care. How is it that small countries like Cuba, Ireland, and Iceland can afford these wasteful things like healthcare and education but the richest country in the world just can't seem to do it?\n\t\t\nClick to expand...\n\n\nCuba used to be heavily subsidised by the old USSR, and there's suggestion of manipulation of statistics to meet government expectations, and facilities are outdated and in disrepair; Ireland suffered an economic setback 2009-2013, and their health system has struggled with results starting to fall, the concept of a truly universal hea;lthcare plan was abandoned in 2015 due to projected costs; Iceland has only a population of 385,000 people, and gets nearly all it's energy needs from geothermal, which in turn makes their manufacturing economy low-cost. So, there's no any particular country that stands out if they were all compared on an equal footing. the USA is a particularly complicated and large economy that makes a universal scheme really unlikey."
  },
  {
    "id": 1380,
    "title": "4 months of debilitating pain and it was just an undiscovered cavity",
    "dialogue": "KapokLeGrand: This story is frankly unbelievable but I lived through it. I began experiencing severe dental pain in early May. I visited a local dentist who took x-rays and informed me that I had peridontal disease and my 11 remaining molars had to be extracted. Thinking this was a bit extreme, I was visiting my GP in a week anyway so I asked him about that. He examined me and said that it was likely sinusitis pressing on the top roots so sent me for a CT scan and referred me to an otolaryngologist. The specialist found no signs of sinusitis so he referred me to an oral surgeon. This specialist examined me said there was no need for extractions and prescribed Lyrica. Note that by now I'm in my third month of excruciating, debilitating pain. I went back to my GP asking his opinion on \"just take Lyrica\" and he referred me to another oral surgeon. This one said that 37 and 46 had to be extracted and booked it for November! I visited another dentist who took photos with an oral camera and found that 47 had a huge and very visible cavity in it. Note that this is after 4 months of specialists poking around my skull and this is the first time anyone mentioned this. He referred me to a third oral surgeon who agreed and extracted 37, 46 and 47. The IV sedation had barely worn off when I realized I HAD NO MORE PAIN (other than what would be expected by the extractions), It's been a week since and the 4 month pain adventure is over. All it was was a single cavity!\n\nHow can it be that all of these experts missed a huge and very obvious cavity as the source of the pain? I went through 4 months of Hades and spent several thousand dollars for what should have been a single quick fix and am absolutely flabbergasted! honestdoc: What location are you in?  Any licensed dentist would be able to diagnose the cavity. KapokLeGrand: I'm in British Columbia, Canada. And these are the original x-rays taken four months ago. These were seen by all of the professionals I listed. And no one mentioned anything about this until last week. As I said, it's hard to believe! honestdoc: I'm very surprised that your dentist and various oral surgeons did not detect that lesion on the x-ray when you pointed out that area has severe pain.  Medical physicians would not know how to interpret dental x-rays. KapokLeGrand: What is even worse is that the original dentist right after informing me that all my molars needed extraction called in the hygienist and had her do a full cleaning. Exactly why you would want to clean teeth that were going to come out is beyond me. The cavity in 47 was so large and clearly visible you could easily place a dental tool in it and move it around... and of course still no one ever mentioned anything about that tooth specifically. Nothing but a money grab with no concern whatsoever for the patient condition. Unfortunately in this province there is no Dental organization to complain to, so I have zero recourse. I am totally disgusted. honestdoc: I still don't understand.  Something is missing.  Canadian dentists are very capable like in the US.  Did the original dentist wanted to take the problem teeth out? KapokLeGrand: Yes, generally I have had very good luck with dentists in Canada but I guess my luck ran out with these folks. As I stated in the original post, the first dentist took those xrays and wanted to remove all 11 remaining molars. That's when I started seeking second opinions which turned into the 4 month nightmare. The very first time anyone mentioned anything about that huge comma-shaped cavity in 47 was about 10 days ago. It's crazy."
  },
  {
    "id": 1381,
    "title": "Need old style Night Guard to prevent biting down at night.",
    "dialogue": "tomtom32720: In the 80's I had a night guard made that kept me from biting down at night. It worked great. Eventually my mouth changed and it no longer fit. It was a hard pick plastic of types with silver metal clips. The hard pink plastic part traced the roof of my mouth and did not cover the teeth nor go in between the teeth.. The metal clips went around the teeth. I have tried to find someone that can make this again for me, but cannot. They told me to try what is available today. and that is this soft plastic ones. My dentist had me buy the ones that are over the counter. I did and have had a  reaction to the chemicals in these type. Please help me find the old type. Busybee: You should be able to have a hard plastic guard made by the dentist.   They do cover the teeth with plastic.  Or consider going to an orthodontist with this request as they may be more sympathetic to your needs, as they will tend to commission all types of appliances from their suppliers. tomtom32720: Busybee said:\n\n\n\n\t\t\tYou should be able to have a hard plastic guard made by the dentist.   They do cover the teeth with plastic.  Or consider going to an orthodontist with this request as they may be more sympathetic to your needs, as they will tend to commission all types of appliances from their suppliers.\n\t\t\nClick to expand...\n\nThank you MattKW: tomtom32720 said:\n\n\n\n\t\t\tThank you\n\t\t\nClick to expand...\n\nI prefer Talon night guards - no clasps, fit very well, and comfortable. Much better than older style I was taught as a student.You cannot buy an OTC night guard that will fit as well as you need."
  },
  {
    "id": 1382,
    "title": "Pain .. cavity?",
    "dialogue": "yankeefan2: hello, my tooth is killing me off and on it’s like a dull ache that comes and goes. Sometimes lasts all day long and sometimes comes on randomly. This is an X-ray from about a year ago. I was told all looks ok except for an impacted wisdom tooth on this same side (not pictured) Looking for a second opinion. Does it look like I have a cavity ? Please help I’m desperate for some answers. Thank you so much honestdoc: I don't see a cavity in the x-ray.  Have you been experiencing stress lately?  You many be grinding or clenching.  Another possibility is your wisdom tooth may be causing pain. MattKW: yankeefan2 said:\n\n\n\n\t\t\thello, my tooth is killing me off and on it’s like a dull ache that comes and goes. Sometimes lasts all day long and sometimes comes on randomly. This is an X-ray from about a year ago. I was told all looks ok except for an impacted wisdom tooth on this same side (not pictured) Looking for a second opinion. Does it look like I have a cavity ? Please help I’m desperate for some answers. Thank you so much\n\t\t\nClick to expand...\n\nNothing special n that X-ray. I would routinely take a bitewing X-ray (upper and lower teeth together) when tracking down pain. Pain can be referred to top to bottom, and front to back. Do you have a bitewing for top and bottom teeth, and do you have an OPG for the wisdom teeth? yankeefan2: It actually feels like the pain radiates from my front incisor all the way to the back molar area, so it’s driving me crazy trying to determine which tooth is causing this. Attached are some more X-rays. I would be so grateful if you can take a quick look. Appreciate it so much honestdoc: I don't suspect the Lower Right wisdom tooth is causing you pain.  I don't see anything of concern on the LR.  LL however may have recurrent decay on the back 2 molars.  I see a black layer under the 2 fillings. The black layer could also be pooling of bonding resin and or micro-gap between the tooth and the fillings.\n\nI'm suspecting you may be grinding or clenching either at night or when you are not aware. MattKW: Sorry, can't see anything that would give you that degree of pain on RHS. Have you considered a pain clinic?"
  },
  {
    "id": 1383,
    "title": "Craze Lines",
    "dialogue": "WorriedIncisor: im pretty young and I have craze lines on my teeth I have around 2 - 3 on my 2 front teeth , I can only see these when I shine a torch on to my teeth, are they normal? Should I consider any treatment and should I be worried, thanks. honestdoc: I have them myself on everyone of my teeth.  No one will see them but you when you \"shine a torch\" on to your teeth.  If a dentist shines a magnified intra oral camera on those teeth and says you need crowns on every teeth, that dentist is hungry and wants only your money. MattKW: Here's a photo of one of my patients I use as an example of prominent craze lines. No treatment is required, unless he doesn't like the appearance."
  },
  {
    "id": 1384,
    "title": "Enamel erosion?",
    "dialogue": "WorriedIncisor: i have braces and on the upper part of my front tooth there is like a really small matte dot and I am wondering if this could be enamel erosion or could it be glue from the braces, it’s only noticeable when the tooth is dry, the dot doesn’t shine it’s like a little matte dot. The rest of the tooth is shiny and no wear on the edges of the tooth, any help would be highly appreciated MattKW: Most likely bit of leftover glue. Next time you see your dentist or orthodontist, just ask them to buff it for you. WorriedIncisor: MattKW said:\n\n\n\n\t\t\tMost likely bit of leftover glue. Next time you see your dentist or orthodontist, just ask them to buff it for you.\n\t\t\nClick to expand...\n\n\nThanks for this, really appreciate your help"
  },
  {
    "id": 1385,
    "title": "Possible recurrent decay on #3 ..OB ?",
    "dialogue": "Kim Osborne:  MattKW: Sorry, what do you mean by \"OB\"? Kim Osborne: MattKW said:\n\n\n\n\t\t\tSorry, what do you mean by \"OB\"?\n\t\t\nClick to expand...\n\nEach tooth has 5 tooth surfaces. Depending on whether the tooth is in the front or back, the surfaces are as follows: mesial, distal, lingual, facial or buccal, and incisal or occlusal. MattKW: Kim Osborne said:\n\n\n\n\t\t\tEach tooth has 5 tooth surfaces. Depending on whether the tooth is in the front or back, the surfaces are as follows: mesial, distal, lingual, facial or buccal, and incisal or occlusal.\n\t\t\nClick to expand...\n\nAnd you mean the 2nd molar? Then I'd say, probably not, based on X-ray alone."
  },
  {
    "id": 1386,
    "title": "Dental cyst found in 3D x-ray",
    "dialogue": "ladyjumbles: Recently I have been to root canal specialist to do root canals for my two upper back molar tooth.\nBut during an 3D x-ray he found out a hole like in the lower left last molar tooth gums and that tooth area.\nSuspected is an cyst, he ask me to look for another expert to confirm whether is a cyst or not.\nHow many types of cyst are there by the way? How bio scope is done to see the cyst is cancerous or not?\nDo the expert in that area need to take a sample of my cells from that suspected area to examine what kind of cyst?\nWhat kind of x-ray needed for checking again whether is a hole shown up in x-ray? Thanks. \nHope my question will be reply soon as October 2nd I will need to visit the expert at National Dental Centre in Singapore.\nMeanwhile I feel lost and scare. honestdoc: Can you provide images?  The only way to diagnose is to biopsy it (remove it and look under a microscope).  Chances are in your favor."
  },
  {
    "id": 1387,
    "title": "What is the name of the gelfoam dentists use after extraction? I need the name.",
    "dialogue": "Suezque: What is the name of the gelfoam used after extraction? I need the name of it. Kim Osborne: Gelfoam  Sponge is absorbable gelatin dental sponge)  a medical device indicated in oral and dental surgery as an aid in providing hemostasis. Gelfoam is the brand name.\nhttps://goo.gl/images/CWTahz MattKW: It's \"Gelfoam\" made by Roeko . Other materials may be used, but it's one of the most common."
  },
  {
    "id": 1388,
    "title": "Is this really dry socket???? Or nerve damage",
    "dialogue": "Roclybooty: Hi I had a molar extracted last Wednesday by Friday it was still sore which is what my dentist told me it would be by Saturday I was in agony  ended up in casualty on Sunday due to pain had  to wait till Monday to get a dental apointment \nDentist said it was dry socket cleaned and filled it with gauze so that was yesterday \nToday I'm still feeling the same pain but to a lesser degree and I told the dentist yesterday it was more in the 2 teeth to the left of the extraction site and the extraction site felt ok is this still a dry socket problem or is it possible that the nerves in the other teeth have been affected the extracted tooth was difficult to get out and took about 20 minutes to extract ???? Any help gratefully received honestdoc: Most likely the extraction was traumatic because the molar has multiple roots and dense bone.  Unfortunately with any traumatic surgery, you may experience unpleasant post-op pain.  It is important that you are not developing infection which can have swelling and or fever.  If you have nerve damage, you will feel numbness or tingly sensation. MattKW: The nerves to your teeth get confused at the processing end in your brain, so the pain seems to be coming from elsewhere to the original source. Roclybooty: MattKW said:\n\n\n\n\t\t\tThe nerves to your teeth get confused at the processing end in your brain, so the pain seems to be coming from elsewhere to the original source.\n\t\t\nClick to expand...\n\nOk thank you so how long should I leave it before going back as my gums from injections are still really tender and jaw really hurts at the hinge end ?? MattKW: Roclybooty said:\n\n\n\n\t\t\tOk thank you so how long should I leave it before going back as my gums from injections are still really tender and jaw really hurts at the hinge end ??\n\t\t\nClick to expand...\n\nYou'll have bruising that can take up to 2 weeks to feel really back to normal after a tough extraction."
  },
  {
    "id": 1389,
    "title": "Advice or experience on portable flouride water testing",
    "dialogue": "Techo NZ: Hi, We are a volunteer dental team from New Zealand that go to some of the most remote islands in Vanuatu. We recently brought back some water samples and they lab tested at 3.5ppm\n\nWe are leaving in a month to go back and would like to take our own fluoride tester so we can test numerous water sources and advise the villagers which is the best supply for drinking and cooking.\n\nThere are a wide range of meters available but we are all public health employees and are self-funding so hoping someone can give us advice so we can make the best cost/benefit purchase.\n\nHere’s a few examples of meters available from $50 to $1,000.\n\nhttps://hannainst.com/hi729-fluoride-lr.html\n\nhttps://hannainst.com/fluoride-portable-meter-hi98402.html\n\nhttps://www.ebay.com/itm/Apera-WS10...429979?hash=item3f99739adb:g:kr0AAOSwLlJa0MmQ\n\nCheers MattKW: I never knew that such portable units existed. All I can say is that I use a Hanna instrument for testing the mineral content of my water going into the autoclave, and it's always been excellent. Therefore, which Hanna to buy? Well the cheaper one seems to fit the bill and with less expensive consumables. I don't think I'd trust the Chinese device without the ability to \"test\" it against a Hanna. Techo NZ: Thanks, likewise I never knew such things existed and have never had any need to know, but we got the lab results yesterday and we are leaving in a few weeks so I’m on a vertical learning curve.\n\nOne of the team is adding data to the National Oral Health Survey for Vanuatu so we feel this information could be of value. \n\nSome other feedback has been the need for using distilled water as a zero calibration, and the chances of getting distilled water is zero, unless we steam a billy.  Apparently accurate fluoride results are potentially ambient and sample temperature dependent, and calibration is needed at various points ??   I don’t know how much of this is correct, just mentioning it. MattKW: I haven't read fully into the Hanna instrument, but with the one we use, it comes with sachets of a calibrating liquid. Maybe you should talk to Hanna about your requirements in the field? Who knows, they might even be willing to donate for a worthy cause? Techo NZ: Which Hanna instrument do you use ? the links I provided had a $50 Hanna and a $500 Hanna.\n\nAre you testing for anything specific or just total dissolved salts (TDS) ? \n\nI assume you only use demineralised or distilled water in your autoclave and you are testing to give confidence that your demineralising filters or your distiller are working ok ? MattKW: Techo NZ said:\n\n\n\n\t\t\tWhich Hanna instrument do you use ? the links I provided had a $50 Hanna and a $500 Hanna.\n\nAre you testing for anything specific or just total dissolved salts (TDS) ?\n\nI assume you only use demineralised or distilled water in your autoclave and you are testing to give confidence that your demineralising filters or your distiller are working ok ?\n\t\t\nClick to expand...\n\nI went out to find it, and see we are now using an HM Digital Meter (TDS-4). No-one tells me nuffin'! HM digital don't have a fluoride tester in their range that I could see.\nYes, have a triple osmosis unit and we test for TDS once a month'usually needs changing once a year.. We used to have a resin-exchange filter for same reason, and would fill up 25L containers. That was tested at every refill, and we'd usually have to change that type of filter every 6 months. Techo NZ: Thanks, modern TDS meters are very good and a dime a dozen, we buy them for like $5 each, if a customer has an alert on their autoclave such as 'water quality unacceptable' I don't even send a technician to investigate, mostly it is just an early warning alert and they can keep using the autoclave until resolved, unless the reading is too high in which case modern autoclaves lock out until sorted.\n\nI just send them a TDS meter and with advice over the phone they can usually sort it themselves, the courier costs more than the meter and I don't even care if the meter never comes back.\n\nAccurately measuring fluoride levels seems to be another kettle of fish.... vertical learning.\n\nAs a tech and not a dentist  (techs earn more $$ ha ha !) is an inter-generational reading of 3.5ppm for ground water something to be worried about ? With only a few weeks to go I'm pondering how much effort to put into researching the best meter and if it is the best use of our limited funds. MattKW: I've found a couple of articles  (EPA USA, NSW Health) for you that advise a naturally occurring source of 4ppm is the maximum. I've highlighted the relevant sections and numbered the pages on the opening page. So it seems like 3.5 is acceptable. Techo NZ: The EPA link had a maximum of 4.0ppm and the NSW had a maximum of 1.5ppm, quite a variation. MattKW: Techo NZ said:\n\n\n\n\t\t\tThe EPA link had a maximum of 4.0ppm and the NSW had a maximum of 1.5ppm, quite a variation.\n\nOne of the team dentists messaged that the EPA link at 4.0 was 'Fake News' .?\n\t\t\nClick to expand...\n\nSorry, \"fake news\"? I think they misunderstand what these reports mean. In Australia, there are very low levels of naturally occurring fluoride in the water supply, so it has to be supplemented UP to a max of 1.5. In the USA, some areas have well over this, and the aim is to bring DOWN the level to a maximum of 4ppm. At the bottom of page 12 of the NSW Health article, it talks briefly about high levels of fluoride found elsewhere in the world without skeletal fluorosis, although I'd infer that dental fluorosis is common. Techo NZ: Thanks, I've removed the fake news comment, over here we use it as light hearted humor rather than any offense.\n\nAll good and very interesting, even to learn of skeletal and dental fluorosis. I'll leave fluoride to the dental team and won't look too much for some portable testing equipment at this point, not enough time and we'll likely be back in 4-6 months.... For now I'll stick to wires n sparks.  Appreciate your help. Cheers MattKW: Have a good trip."
  },
  {
    "id": 1390,
    "title": "CDT/Denturist",
    "dialogue": "jones193: Asking for a friend...a friend of mine is looking to specialise in being a denturist / clinical dental technician. There are courses offered in the UK which allow for qualified dental technicians to study this, which is great. However, they are looking to understand the thoughts of this role in the community to help make a decision if it's worth going for. Does anyone know much about it? Do any dentists rate it or have / would consider the role in their practice? From what I've heard it does sound like a good additional career path and supportive of dentists (i.e. allowing dentists to have their patients treated by someone with enhanced knowledge of dentures and means the dentist can focus on bringing other patients into the practice whilst the denturist/CDT handles their denture patients?) but it does sound quite new so wondering what others think? I've also not seen the role advertised much in terms of recruitment?\nThank you!\nS."
  },
  {
    "id": 1391,
    "title": "Is this normal healing?",
    "dialogue": "Kp28: I had a traumatic extraction 4 days ago. It’s still feeling a bit battered and bruised. Should I be removing this sloughy yellow material or is that supposed to be there. I did wipe some away last night and gently rinsed with corsydol but it seems to of come back. I’m not sure what the white blob it. Any advice please? MattKW: If you have no significant pain, then you are past the risk date for a dry socket (usually 3-4 days post-op). What you are looking at is scabby tissue. You don't get dry scabs in a wet mouth. Leave it alone."
  },
  {
    "id": 1392,
    "title": "Swelling behind front teeth",
    "dialogue": "Noelle: The gums behind my front teeth got irritated while I was eating watermelon. The crunchy melon was rubbing against my gums. I had been eating watermelon for quite a few days as a detox. I finally stopped and started blending but by that time a lump had developed, somewhat large and about the width of two teeth. I have been doing oil pulling and rinsing with salt water for about 5 days. It does seem to be a tiny bit smaller today. Just wondering what it is and when it will go away. honestdoc: It may be difficult but try to provide an image. Noelle: Thanks for your response. It is a bit difficult to get an image but the good news is that the swelling has gone down. It's still a little swollen but the (sea salt) water rinse 3x a day and coconut oil pulling seems to be slow but effective. honestdoc: Usually the gums will heal after the debris or source of contamination is removed."
  },
  {
    "id": 1393,
    "title": "I know  a RDA in ca that",
    "dialogue": "james meadows: i know a RDA that tookshots from work and used them on her bf at home she had the numbing meds and 2 shots I just want to know if she can get her license took from her for that and is the practice can get sued MattKW: By shots, I assume you mean local anesthetic? What did she use them for? jamesmeadows3: MattKW said:\n\n\n\n\t\t\tBy shots, I assume you mean local anesthetic? What did she use them for?\n\t\t\nClick to expand...\n\nyes I had a tooth ache a few times and she would steal the anesthetic and the shots and use it on me at home"
  },
  {
    "id": 1394,
    "title": "Enamel wearing away on teeth",
    "dialogue": "thisisme: Hi everyone, hope you are all well.\n\nI've noticed that my top front teeth on the back side have a serious amount of enamel worn away from them. This looks like something that has been deteriorating over several years but I have only just noticed.\n\nI'm 34 years of age. In reasonably good health. I generally stay away from soft drinks and food which is bad for my health although I don't eat perfectly. I do eat sugar, chocolate and some things which are considered bad for your health.\n\nI brush my teeth twice daily. I've had sensitive teeth ever since the age of about 10 years old. My parents took me to various dentists around that age in an attempt to try and diagnose the aching in my teeth. One dentist told me that I had sensitive teeth. It seemed to be correct. Every time I ate and eat fruit, drink anything mildly acidic I get tooth ache. After consuming these kind of products I have to immediately rinse my mouth with water and sometimes brush my teeth, otherwise I will suffer 2 weeks of pain in my teeth when eating other types of usually harmless food.\n\nSo I've been careful with my teeth every since I was logical enough to do so. Probably around the age of 10 as mentioned above.\n\nI went to a dentist at the age of about 28. He told me that I had the best teeth he had ever seen for someone my age. However, he expressed concern. He said I appear to be brushing my teeth too hard and possibly grinding my teeth during my sleep. He gave me a guard to sleep with to prevent damage from grinding but I found it too hard to sleep with so couldn't use it.\n\nI recently purchased an electric toothbrush with a pressure censor to prevent myself from brushing too hard. It is at this time I have noticed the enamel wear on the back of my front top teeth.\n\nThat is generally my oral history. What can I do to fix this problem and what kind of treatment should I take? Ideally, I'd like to stay away from anything too invasive etc. I would prefer to take a natural approach wherever possible. \n\nI would like to stay away from Veneers and Crowns, specifically for my front teeth to avoid problems during old age.\n\nI've been reading about processes to restore enamel. I've seen various products. Do they work? My research suggests that scientists are close to creating a process for the regeneration of enamel, however, we currently do not have it.\n\nSo what treatments do you professionally recommend?\n\nAny help is greatly appreciated.\n\nRegards\nMartin MattKW: Those products only help to restrengthen weakened enamel, but do not replace enamel that has been lost. There is no real hope for regeneration of enamel in our lifetime; come back in another life! If a dentist says you have good enamel, and you minimise acidic foods and drinks, then all will be fine. thisisme: Thanks for the reply. But is there any kind of treatment to increase the life of the front teeth? Once the enamel has worn off what could the life expectancy of the teeth be? MattKW: thisisme said:\n\n\n\n\t\t\tThanks for the reply. But is there any kind of treatment to increase the life of the front teeth? Once the enamel has worn off what could the life expectancy of the teeth be?\n\t\t\nClick to expand...\n\nIt's like a damaged car. If you look after it, it will go a very long time."
  },
  {
    "id": 1395,
    "title": "Dental treatment for a 3 year old boy?",
    "dialogue": "modestas: I just want to know is it an often case when such a young child would need a dental treatment? honestdoc: It depends on the parents and their level of motivation and effort to brush and floss their child.  My brother's 2 young daughters have to be put to sleep in a hospital setting to restore their full mouths.  My 3 children have no cavities.\n\nIt is a good idea to bring your child in for a get acquainted visit and to establish good home care. MattKW: modestas said:\n\n\n\n\t\t\tI just want to know is it an often case when such a young child would need a dental treatment?\n\t\t\nClick to expand...\n\nUnfortunately it is quite common. The most common reasons for that age are sweet drinks and lollies. Sometimes it's the parents, sometimes it's other family members who might take care of the child, e.g. grandparents, uncles, aunties. Plain water and unflavoured milk is all your child should be drinking. I am surprised how many parents say, \"But he won't drink water!\". Well, there will be some temper tantrums while they get used to the change, but only the parent buys these products."
  },
  {
    "id": 1396,
    "title": "Would an x-ray detect a piece of meat stuck in between a tooth and the gum?",
    "dialogue": "Kaos2018: Would an x-ray show a piece of meat stuck in between a tooth and the gum? honestdoc: X-rays only detect metals like fillings and minerals like bone and teeth.  It does not detect meat or soft tissue like gums.  It is very helpful to detect anatomical features and varying densities like cavities in teeth or tumors in bone."
  },
  {
    "id": 1397,
    "title": "Dry socket?",
    "dialogue": "Enations: This is what my socket looks like on day 2 (46 hours to be exact) after having tooth #19 on my lower left side extracted. I'm not in excruciating pain but I'm noticing that the pain is no better than it was yesterday and I'm starting to get sensitivity when air hits it. Should I see my dentist or is this normal? Enations: The pain has increased since I last posted...I am currently 7 months pregnant. Tylenol no longer helps and the swelling is increasing.  What can I take that is safe and will help the swelling? I'm becoming more and more miserable..."
  },
  {
    "id": 1398,
    "title": "Unresolved dental pain",
    "dialogue": "allkidd: For the last 8 years I periodically get extreme teeth pain starting in my front upper or lower teeth. At first, the pain occurred infrequently and went away after taking Ibuprofen. The last few years the pain is more frequent and severe. Typically, this only occurs after I ride my mountain bike, and thus breath through my mouth, when the weather is cool. Oddly, the pain doesn't start until about a half hour after I'm out of the cool and have been in a warmer environment. The pain never occurs when I exercise in the warm summer. \n\nMany times I've been to my dentist about this issue and she says my teeth are in great shape and has no idea as to the cause. For this same problem, I've been to a periodontist, endodontist,  neurologist and ear nose and throat doctor.  They all say nothing is wrong. \n\nDesperate to try anything, I paid my dentist to make a couple mouthpieces, one for sleeping and the other for when I exercise. I've worn these for about a year without any difference in outcomes. Also, without any noticeable difference, I regularly use sensitive toothpaste and fluoride mouthwash. \n\nRecently, in researching my situation, I ran across an article on the movement of fluid within the dentinal tubules. The described symptoms are similar to what I'm experiencing. The problem is that this articles solution is different types of sensitive toothpaste which I've already tried without success. \n\nAt this point I don't know what else to try. I do have and appointment with a TMJ dentist in about a month but I don't seem to have many of the same symptoms of jaw issues. \n\nAny help/suggestions would be greatly appreciated! honestdoc: Hopefully the ear nose & throat specialist eliminated the sinuses as a source for pain.  Do you have pain bending forward and walking up & downstairs? \n\nHave you worn your mouthpiece when you mountain bike?  Do you notice similar pain?\n\nDo you whiten your teeth?  Many times after whitening, it makes the teeth more sensitive.   I'm sorry but based on the information given, I'm only able to guess. allkidd: honestdoc, Yes, ENT said sinuses in good shape and not cause of problem. No pain when I bend over. \n\nI do wear mouthpiece when ride but hasn't seemed to make a difference. \n\nNever have whitened my teeth. honestdoc: There is an Orofacial Pain Center at the University of Kentucky Lexington that specializes in unknown dental pain.  The director is Dr. Jeffrey Okeson.  I have his textbooks and attended his numerous lectures.  I'm not sure if it is worth your visit. allkidd: Thanks for the suggestion. I've already spend a lot of money and would definitely consider going to him. I've got an appointment scheduled with a new dentist and an appointment with a TMJ dentist. If neither of these seem to have a solution then I will look into the Kentucky dentist clinic. lolzita: allkidd said:\n\n\n\n\t\t\tAt this point I don't know what else to try. I do have and appointment with a TMJ dentist in about a month but I don't seem to have many of the same symptoms of jaw issues.\n\nAny help/suggestions would be greatly appreciated!\n\t\t\nClick to expand...\n\n\nIf you are really open to any suggestion, then check out Sarno's works. This sounds 100% TMS\n\nThis is what dentists call \"atypical odontalgia\", if the pain is conditioned, then it's caused by the brain. If it wasn't you would be in pain ALL the time, believe me\n\nRule out anything physical causes first, but it seems like you've already done this."
  },
  {
    "id": 1399,
    "title": "Problem with pressure/numbness in front teeth....help ?",
    "dialogue": "SC1991: A few months ago i noticed a pressure in my front teeth top and bottom, it felt like my teeth were being forced together/back and when i pressed my tongue against them or flossed it would alleviate the pressure for a moment but it would return. This feeling went away after a few days so i thought nothing of it and put it down to a sinus problem as i was having sinus trouble at the time and had read online that it could cause pressure in the teeth and so i didn't mention it at my last dental appointment. This same feeling has now come back again and its driving me mad. The teeth feel under constant pressure and i have to press my tongue against them for relief if i do not do this then the teeth start to feel numb. I would not consider this to be a pain as such however one of the top front teeth has begun to hurt when biting down.\n\nI have recently come back to the dentist after not going for around 7-8 years due to anxiety. The dentist did not pick up on anything in my front teeth during my last exam (not 100% sure if they were seen in an x-ray i know i had an x-ray taken either side but i'm not sure whether that would pick up the front teeth or not) i do need a couple of fillings in the back teeth and a 40 minute session with the hygienist. Im going to try a schedule in another appointment asap even though i'm due back in 1 week to start with the fillings i need. \n\nAnother strange symptom is that the teeth usually feel fine after i wake up and the problem does not come up until later in the day. Which makes me wonder if i'm worrying about it to much and subconsciously pushing my tongue against my teeth and then feeling pressure after i have agitated them and they feel like they're pushing back.\n\nAny help as to what this could be would be great as would like a heads up before going to the dentist due to my anxiety about the whole thing. The dentist did not say things were too bad considering how long i went without going and i'm really trying to make positive changes to my oral health. Im brushing minimum twice a day, flossing more and have cut out fizzy drinks and foods with lots of sugar out of my diet. Just hoping its not too late as i can afford implants nor do i think i could cope with the procedure and don't want to have to wear a denture as i'm not very old.\n\nThanks lolzita: Hey everyone,\n\nI've been experiencing the exact same thing for the past 5-7 years. I need to floss immediately after eating or the pressure becomes intense and builds up then last for a days/weeks. If I floss usually the pressure will disappear within minutes.\n\nI always convinced myself that this was due to crowding caused by my wisdom teeth. About 2 months ago the pressure was so intense i decided to remove all 4 wisdom teeth about 1 month ago. However, the pressure has not subsided at all.\n\nI am desperately looking for answers on what do to. I am now considering orthodontics to uncrowd the teeth.\n\nAny advice or anything would be helpful.\n\nThanks John Roberts: I  have the same symptoms as you two but it is all my teeth but the front four top are the worst.  Been going on since 11/18/2016.  It is about to drive me crazy.  I have been to all different kind of dentist and doctors and no one can tell me what is wrong.  I went to the last dentist last week and he says he can't see anything wrong with the front four top.  One of them has a slight crack ( which it has for a long time ).  The other three have crowns and two of them have root canals.  I am not sensitive to hot and cold, just pressure and tapping or scratching like.  They are like this 24 hours a day with no relief.  I had a sleep study done to see if I grind my teeth at night  (  which i didn't ) to see if that had anything to do with it.  One dentist made me a night guard which I can't wear because it is so tight.  I did get me as over the counter guard and wear it at night.\nI do feel like my bite has changed for some reason and have told every person I have been to and they say my teeth look like they fit ok.  At night with or without the night guard is my best time.  Even though my teeth are like they are they don't bother me but as soon as I get up and I start swallowing and they come together I am in pain.  \nI did go to a neurologist and he said it was dental but I don't know one way or the other.  I had bad problems with my right eye hurting and some headaches a little while back.  Also had some pain in my right nostril area.  The doctor said it was some type of neuralgia.  I thought this might have something to do with my teeth hurting.  If anyone has any suggestions I would appreciate it.  I don't know what to do. Busybee: I would suggest consciously relaxing your jaw during the day so that when you are not eating the teeth do not touch.   You can re-programme the habits you have when you swallow etc.  It's just you are used to letting them meet.  Try to do this for about two to three days.   It may be that when you have any stress in the day you are clenching without realising.  At night the jaw is relaxed.  It's not a good idea to have dental work to try to fix this because there is such a risk that things can be made worse and the damage can be irreversible.  It's ideal to try to change habits and use relaxation techniques, maybe keep a diary of what happens just before the pain starts.   I've been told by a dental physio that the best way to immediately relax the bite is to touch the roof of your mouth with the tip of your tongue. John Roberts: Thanks a lot for commenting Busybee.  I appreciate it very much.  I probably did clench some before all this started like if I was straining on something.  But I am pretty sure since all this started I don't put my teeth together hard because it kill me when they come together with any pressure at all. Idid have a sleep study done to see if I am grinding my teeth and I don't according to the study which I didn't think I did anyway.\nI am like you and I do not want to have anything done that I can't undo.  I have already had some of my teeth ground on but I needed relief.  It is just puzzling that ALL my teeth are like this, my bite and speech has seemed to change.  Most of the dentist say it isn't a tooth structure problem so there has to be something causing my teeth to hurt like this.  I just don't' know who to go to.  \nWhat's odd is when I went to the dentist last year for the cleaning I also had a fluoride treatment done.  First one I ever had and I shouldn't have had that one.   (  I am 71)   I just think it is a heck of a coincidence that I started having all this trouble after that.  All the dentist say it doesn't have anything to do with it. I have got to keep trying to find out what's wrong.  I think I have already had a nervous breakdown over it.  It's terrible. Busybee: Wow you're 71 and you have all your teeth - that's pretty good going.\n\nIf your teeth don't hurt in the night but only after a few hours in the day then it has to be something you do consciously.  It would be very strange if the fluoride treatment caused the problem. It could be down to the nerve in your jaw, although you don't mention pain elsewhere or ringing in your ears.    Has your dentist not suggested wearing a guard during the day for a while to see if that provides relief?  It's really more of a diagnostic tool to see if your bite is the problem.    You haven't had an accident or anything that may have affected your neck or jaw recently?  Does your jaw click? John Roberts: Yeah, I have been wearing  over the counter at night.  I have some trouble with the front top teeth at night bothering me.  If I take the night guard out and they come together they hurt.  They hurt basically all the time.  I have worn a night guard off and on since all this started but it HASN'T helped my teeth any.  No accidents and my jaw doesn't pop.  A few of the dentist say I don't have a tmj problem.  Sorry I am missing two teeth.\nI am still convinced it has something to do with the fluoride treatment.  I can up on a site that people had taken fluoroquinolone antibiotics and have the same symptoms I have.  It messes up the nerves inside the tooth, the tooth calcified and start breaking off and they end up having all them pulled.  The dentist can't see anything wrong with the teeth.  All my trouble within 3 or 4 weeks after the fluoride treat me.  I have no idea if it was done right. Any more suggestions would be appreciated. lolzita: I think I finally found where all this is coming from. I have bruxism due to the shape of my jaw (upper jaw narrower than lower), and my molars have been somewhat ground down. My bite is therefore focusing on the front teeth only which puts a huge amount of pressure on them which they should never receive.\n\nSince discovering this, I've been mostly eating soft foods with my molars and basically never using my front teeth anymore. And after a few days the pressure and numbness is much less painful! I'm using coton balls in my upper jaw as a cheek retractors for the past week and this prevents my lips from knocking my front teeth (Just talking and have the lips smack against my front teeth would start the pressure again). I also have been using Oral Anesthetic Paste and rubbing in on my upper gum and it helps a lot too. Sucking on ice cubes also helps a lot in my case\n\nI'm sure after a while the pain will completely disappear by being careful. The key in my opinion is to NEVER use the front teeth for the pain to disappear. (no more apples, sandwiches, burgers or anything like that)\n\nHope this makes sense and helps other people. Robert Bailey: SC1991 said:\n\n\n\n\t\t\tA few months ago i noticed a pressure in my front teeth top and bottom, it felt like my teeth were being forced together/back and when i pressed my tongue against them or flossed it would alleviate the pressure for a moment but it would return. This feeling went away after a few days so i thought nothing of it and put it down to a sinus problem as i was having sinus trouble at the time and had read online that it could cause pressure in the teeth and so i didn't mention it at my last dental appointment. This same feeling has now come back again and its driving me mad. The teeth feel under constant pressure and i have to press my tongue against them for relief if i do not do this then the teeth start to feel numb. I would not consider this to be a pain as such however one of the top front teeth has begun to hurt when biting down.\n\nI have recently come back to the dentist after not going for around 7-8 years due to anxiety. The dentist did not pick up on anything in my front teeth during my last exam (not 100% sure if they were seen in an x-ray i know i had an x-ray taken either side but i'm not sure whether that would pick up the front teeth or not) i do need a couple of fillings in the back teeth and a 40 minute session with the hygienist. Im going to try a schedule in another appointment asap even though i'm due back in 1 week to start with the fillings i need.\n\nAnother strange symptom is that the teeth usually feel fine after i wake up and the problem does not come up until later in the day. Which makes me wonder if i'm worrying about it to much and subconsciously pushing my tongue against my teeth and then feeling pressure after i have agitated them and they feel like they're pushing back.\n\nAny help as to what this could be would be great as would like a heads up before going to the dentist due to my anxiety about the whole thing. The dentist did not say things were too bad considering how long i went without going and i'm really trying to make positive changes to my oral health. Im brushing minimum twice a day, flossing more and have cut out fizzy drinks and foods with lots of sugar out of my diet. Just hoping its not too late as i can afford implants nor do i think i could cope with the procedure and don't want to have to wear a denture as i'm not very old.\n\nThanks\n\t\t\nClick to expand...\n\nHi have you resolved your issue with pressure?  I have the exact same symptoms. It is going on a year now.  My teeth feel much better in the mornings. I cannot keep my tongue from rubbing my teeth SC1991: Robert Bailey said:\n\n\n\n\t\t\tHi have you resolved your issue with pressure?  I have the exact same symptoms. It is going on a year now.  My teeth feel much better in the mornings. I cannot keep my tongue from rubbing my teeth\n\t\t\nClick to expand...\n\nIt has somewhat subsided I still get it occasionally but not every day as bad as I used to. Only thing I have done differently is have a clean and polish by the dentist and cut down on a lot of sugar...not sure if either of those has been the reason for improvement or it’s just gone on it’s own accord.... Robert Bailey: SC1991 said:\n\n\n\n\t\t\tIt has somewhat subsided I still get it occasionally but not every day as bad as I used to. Only thing I have done differently is have a clean and polish by the dentist and cut down on a lot of sugar...not sure if either of those has been the reason for improvement or it’s just gone on it’s own accord....\n\t\t\nClick to expand...\n\nThanks for the update.  This is driving me n\n\n\nSC1991 said:\n\n\n\n\t\t\tIt has somewhat subsided I still get it occasionally but not every day as bad as I used to. Only thing I have done differently is have a clean and polish by the dentist and cut down on a lot of sugar...not sure if either of those has been the reason for improvement or it’s just gone on it’s own accord....\n\t\t\nClick to expand...\n\nThanks for the quick response. This is driving me crazy Sue66: Hi, so glad i found this forum. Thought i was going mad! My front teeth have a tight feeling and some pressure. Went to the doctor as i thought it may be a sinus issue although i have no pain. He looked baffled and said go to the dentist. So, i went to the dentist, had an x ray and he said my teeth are absolutely fine and he looked baffled too! My gums seem ok, no bleeding or soreness but this feeling is getting me down now. Its been like this for around 6 weeks. I havent had a cold so cant put it down to that. I floss and use interdental brushes but the feeling is still there. Any advice would be great Robert Bailey: Sue66 said:\n\n\n\n\t\t\tHi, so glad i found this forum. Thought i was going mad! My front teeth have a tight feeling and some pressure. Went to the doctor as i thought it may be a sinus issue although i have no pain. He looked baffled and said go to the dentist. So, i went to the dentist, had an x ray and he said my teeth are absolutely fine and he looked baffled too! My gums seem ok, no bleeding or soreness but this feeling is getting me down now. Its been like this for around 6 weeks. I havent had a cold so cant put it down to that. I floss and use interdental brushes but the feeling is still there. Any advice would be great\n\t\t\nClick to expand...\n\nDo you find yourself pushing your teeth with your tongue?  My teeth seek the best first thing in the morning.  I am going to an orthodontist on Monday. I will let you know what he says Robert Bailey: Robert Bailey said:\n\n\n\n\t\t\tDo you find yourself pushing your teeth with your tongue?  My teeth seek the best first thing in the morning.  I am going to an orthodontist on Monday. I will let you know what he says\n\t\t\nClick to expand...\n\nI have had this issue since last summer. I believe my nerve is damaged but I have not confirmed this Y2K_o__o: I am having this issues since May this year. I also have clenching problem. Molar are worn such that I am having overbite problem, and lower teeth was pressuring the top front teeth.\n\nSince the dentist ground a bit, pain level went down. However, the pressure feeling never go away and I can't eat with my front teeth.\n\nI have a feeling the nerve under the tooth are screwed up because of clenching...\n\nNormally what will be the recovery time? Y2K_o__o: John Roberts said:\n\n\n\n\t\t\tThanks a lot for commenting Busybee.  I appreciate it very much.  I probably did clench some before all this started like if I was straining on something.  But I am pretty sure since all this started I don't put my teeth together hard because it kill me when they come together with any pressure at all. Idid have a sleep study done to see if I am grinding my teeth and I don't according to the study which I didn't think I did anyway.\nI am like you and I do not want to have anything done that I can't undo.  I have already had some of my teeth ground on but I needed relief.  It is just puzzling that ALL my teeth are like this, my bite and speech has seemed to change.  Most of the dentist say it isn't a tooth structure problem so there has to be something causing my teeth to hurt like this.  I just don't' know who to go to. \nWhat's odd is when I went to the dentist last year for the cleaning I also had a fluoride treatment done.  First one I ever had and I shouldn't have had that one.   (  I am 71)   I just think it is a heck of a coincidence that I started having all this trouble after that.  All the dentist say it doesn't have anything to do with it. I have got to keep trying to find out what's wrong.  I think I have already had a nervous breakdown over it.  It's terrible.\n\t\t\nClick to expand...\n\n\nI am having the exact same problem! my speech changed as I feel my front teeth were out of position.\n\nEspecially when I sound the \"s\" or the \"th\" sound.....\n\nDentist believe it's the periodontal ligament issues, but it's been like this for 4 weeks so I decided to schedule an apopintment with an endodontist and see what's going on with the nerve or the pulp? Sue66: Robert Bailey said:\n\n\n\n\t\t\tDo you find yourself pushing your teeth with your tongue?  My teeth seek the best first thing in the morning.  I am going to an orthodontist on Monday. I will let you know what he says\n\t\t\nClick to expand...\n\nYes I do that. Maybe stress?\nI have a nasal spray from the doctor. She seems to think it could be a sinus issue and it has helped a lot. I have to keep up with regular sprays throughout the day otherwise the weird feeling comes back. I’m wondering if it’s chronic sinusitis. Robert Bailey: SC1991 said:\n\n\n\n\t\t\tA few months ago i noticed a pressure in my front teeth top and bottom, it felt like my teeth were being forced together/back and when i pressed my tongue against them or flossed it would alleviate the pressure for a moment but it would return. This feeling went away after a few days so i thought nothing of it and put it down to a sinus problem as i was having sinus trouble at the time and had read online that it could cause pressure in the teeth and so i didn't mention it at my last dental appointment. This same feeling has now come back again and its driving me mad. The teeth feel under constant pressure and i have to press my tongue against them for relief if i do not do this then the teeth start to feel numb. I would not consider this to be a pain as such however one of the top front teeth has begun to hurt when biting down.\n\nI have recently come back to the dentist after not going for around 7-8 years due to anxiety. The dentist did not pick up on anything in my front teeth during my last exam (not 100% sure if they were seen in an x-ray i know i had an x-ray taken either side but i'm not sure whether that would pick up the front teeth or not) i do need a couple of fillings in the back teeth and a 40 minute session with the hygienist. Im going to try a schedule in another appointment asap even though i'm due back in 1 week to start with the fillings i need.\n\nAnother strange symptom is that the teeth usually feel fine after i wake up and the problem does not come up until later in the day. Which makes me wonder if i'm worrying about it to much and subconsciously pushing my tongue against my teeth and then feeling pressure after i have agitated them and they feel like they're pushing back.\n\nAny help as to what this could be would be great as would like a heads up before going to the dentist due to my anxiety about the whole thing. The dentist did not say things were too bad considering how long i went without going and i'm really trying to make positive changes to my oral health. Im brushing minimum twice a day, flossing more and have cut out fizzy drinks and foods with lots of sugar out of my diet. Just hoping its not too late as i can afford implants nor do i think i could cope with the procedure and don't want to have to wear a denture as i'm not very old.\n\nThanks\n\t\t\nClick to expand...\n\nI have had this same issue for over a year now. It started because I clenched my teeth. I find myself constantly pushing my top teeth with my tongue and it is very uncomfortable to bite with my front teeth. I believe this is a nerve issue and I am very surprised dentist have no clue about this issue.  I no longer clinch my teeth. That took weeks of constant effort to change the habit. John Roberts: I have since been diagnosed with a form of trigeminal nerulgia.  Neurologist says that is why my teeth are hurting me.  Numbness and stinging in the front top four mainly and tightness in the bottom front 6 or 7 teeth.  Says that is why my bite feels like it is changing due to different teeth hurting.  The dentist says there is absolutely nothing wrong with my teeth so I am going with this diagnosis.  He has me on a anticouvultant medicine and scheduled for a MRI of my head and spine.  I feel better that at least I know what's wrong.  I went a year and a half with no answers.  I think I actually feel a little better. Y2K_o__o: John Roberts said:\n\n\n\n\t\t\tI have since been diagnosed with a form of trigeminal nerulgia.  Neurologist says that is why my teeth are hurting me.  Numbness and stinging in the front top four mainly and tightness in the bottom front 6 or 7 teeth.  Says that is why my bite feels like it is changing due to different teeth hurting.  The dentist says there is absolutely nothing wrong with my teeth so I am going with this diagnosis.  He has me on a anticouvultant medicine and scheduled for a MRI of my head and spine.  I feel better that at least I know what's wrong.  I went a year and a half with no answers.  I think I actually feel a little better.\n\t\t\nClick to expand...\n\n\nMy dentist diagnoised that I overbited due to clenching (Yes , this is a malocculsion problem). He ground a little bottom front teeth down and they contact alot less that relief alot of pain.\n\nI also learnt how to relax my jaw all the time as they were pretty tense up when I stress at work. Discomfort went down, but still didn't go away at all. I also found it feels alot better in the morning. However, the pain comes back during the half of the day... It never go away.\n\nNow I change my diet to include yogurt, grape tomatoes and centrum, and I hope everyone will relief \"some\" internal pain."
  },
  {
    "id": 1400,
    "title": "Tooth has a crack",
    "dialogue": "WorriedIncisor: The front of my lower incisor has a small area which looks cracked but there isn’t any crack running from the top or bottom of the tooth it’s just like a small line, also when I shine a torch there next to this crack there is like another line which lights up bright, I’m scared I may have enamel damage ? Anyone know what this could be thanks MattKW: Lots of teeth develop hairline superficial fractures in the enamel layer as we get older. They're nothing to worry about. WorriedIncisor: MattKW said:\n\n\n\n\t\t\tLots of teeth develop hairline superficial fractures in the enamel layer as we get older. They're nothing to worry about.\n\t\t\nClick to expand...\n\nEven in an 18 year old? Thanks MattKW: Any age.  More obvious as you get older. Enamel is crystal-like."
  },
  {
    "id": 1401,
    "title": "I have a bad tooth..",
    "dialogue": "W1991: Hello,\n\n2 months ago i had really bad pain on my left side first molar and also could feel a hard lump under it and if i pressed on the tooth it hurt. I took pain killers for 3-4 days and the pain went and i ignored it for 2 more weeks before going to see to dentist.\n\nHe done an x-ray and there was indeed an infection and was told i would need root canal or an extraction. The tooth in question has gave me trouble before and 7 years ago it had quite a big filling done to it as it was really decayed. \n\nYou can't see the lump you can only feel it, its hard but doesn't move.\n\nDone 2 course's of antibiotics ( amoxicillin & Metronidazole ) but the lump is still there but the swelling went down slightly and was told to come back in 2 weeks.\n\nMy questions are can i still have root canal done if the lump doesn't go?\nIf i do have to have an extraction could the second molar move into its place to let the wisdom tooth behind it come through? \nCould it be more serous than just an abscess? \n\nThanks! MattKW: You shouldn't be going through courses of antibiotics and hoping the lump will go away. You should either get it extracted or start the RCT ASAP. An analogy: if you had a splinter in your skin that was causing infection, do you take antibiotics or deal with the splinter? Don't delay any longer - if this dentist wants the swelling to go down, then go somewhere else.\nIf you take out this molar, the wisdom tooth may move forward, but it will tilt over and be fairly useless. They often have to be extracted anyway. W1991: Could i not use braces to stop it from tilting? what do you suggest?  RCT? he did say extraction is last resort as you should always try to save the tooth if you can\n\nI really don't want to have an implant or bridges... id rather leave the gap if i could do so without problems. honestdoc: After tooth extraction, the back teeth (2nd molar and wisdom tooth if space is available) tends to shift forward (towards the midline) and the opposing teeth tends to erupt up.  As Dr. MattKw mentioned, the back molar will tilt forward because of the crown shifts more than roots. \n\nYou don't have to have an implant or bridge. Many times (not always) the teeth shifting will stabilize the opposing teeth and the bite will also stabilize. W1991: Thank you both for your replies. Do you think I should try the root canal first even if it could fail? I’m from the UK and it will cost me around £400.  All my other teeth are fine no fillings yet! honestdoc: I would go to a root canal specialist (endodontist) who uses a dental microscope. This tooth is very complicated and has very high failure rates.  Very common canal most dentist miss is the 2nd Mesial Buccal."
  },
  {
    "id": 1402,
    "title": "Tooth implant really necessary?",
    "dialogue": "Cristina Montenegro: Hi all,\n\nFirst of all thanks to anyone that can provide me with some help.\n\nI got my right lower second molar removed in April. My original plan was to put a tooth implant after the healing of the wound, but now I realized that I can bite properly in that side of the mouth and the gap cannot be seen, unless I open my mouth a lot, so as far as I know, the loss of the tooth is not causing me any problem. My questions is, what are the consequences of not putting an implant and leave the gap as it is? Could this cause any harm to other teeth? I don’t want that this can cause the loss of more teeth in the future, but I also don’t want to implant a piece of metal in my mouth unless is really necessary.\n\nThanks for your help! honestdoc: Unless you are in Class 2 molar Angle's malocclusion, the upper 2nd molar is left unopposed if it is present.  The unopposed molar will continue to erupt down until opposed (gums?)  This takes years to happen.  If you don't have the upper 2nd molar, you don't need an implant at that location.\n\nIn my opinion, it is harder to place an implant further in the future due to further flattening of the bone.  An option is to wait until the hyper-erupting molar causes a problem and extract it. Where I practice, not everyone can afford an implant so this option seems to be the most followed."
  },
  {
    "id": 1403,
    "title": "Painless mouth ulcer",
    "dialogue": "soqrates: hello doctors I have painless mouth ulcer and really worrying me as I never had a painless one before I read on google they said sign or early oral cancer and its getting me worried  can u plz tell me if there is painless mouth ulcer?  sometime hurts a little but not as most ulcer I used to have Busybee: How long has it been there? soqrates: Busybee said:\n\n\n\n\t\t\tHow long has it been there?\n\t\t\nClick to expand...\n\nits been there 4 days \n\nbefore this ulcer showed up I had pain in the same area  then this ulcer showed up then it become painless it does not hurt when I eat or drink only hurts but not that pain a little bit hurts  if I touch it with my finger and scrap it it does not bleed its soft not hard Busybee: I wouldn't worry about it, don't look at it and don't touch it for two weeks, definitely don't touch it with your finger.  You could infect it that way.   In two weeks check if it's still there.  Chances are it won't be. soqrates: Busybee said:\n\n\n\n\t\t\tI wouldn't worry about it, don't look at it and don't touch it for two weeks, definitely don't touch it with your finger.  You could infect it that way.   In two weeks check if it's still there.  Chances are it won't be.\n\t\t\nClick to expand...\n\n\n\nthank u so much for ur replies to me \nbut I went to the pharmacy and he told me to use oral medic   he put something at the ulcer  and hurt like hell almost cry from the pain then it become like this Busybee: Just make sure you get plenty of natural vit C.  Avoid smoking and alcohol if you partake.  Get plenty of sleep.  It should heal.  Just takes time.  Don't worry any more. soqrates: soqrates said:\n\n\n\n\t\t\tthank u so much for ur replies to me\nbut I went to the pharmacy and he told me to use oral medic   he put something at the ulcer  and hurt like hell almost cry from the pain then it become like this\n\t\t\nClick to expand...\n\n\nHello doctor this ulcer has become better\nAnd almost gone the wgite stuff had got but the red  patch still\nFor the last week it didn't bother me and no pain but now it give me a little pain\nCould this be cancer or the ulcer just coming back Busybee: You've probably irritated it with some food or something else while it's healing. soqrates: So it does not looks  dangerous ? Right like a cancer or so .. Busybee: Why do you think it's cancer? soqrates: Busybee said:\n\n\n\n\t\t\tWhy do you think it's cancer?\n\t\t\nClick to expand...\n\neach time i search google it keep says cancer and other stuff it got me worried and i have phobia of these stuff and cuz  the ulcer didnt go yet \n\nbut the white stuff become better in it this a good sign from the old picture i showed u Busybee: Well it looks a great deal better than when you first posted.   Cancer doesn't tend to get better. honestdoc: It is called apthous ulceration and it is an autoimmune lesion.  It usually clears up in ~7 to 10 days.  If it is too painful and affecting your functioning, have your dentist prescribe you a topical oral steroid like Triamcinolone in dental paste."
  },
  {
    "id": 1404,
    "title": "Hello, I've noticed this after one night and it lasts about a week now. It's on both sides",
    "dialogue": "Patrick89: Hello, I've noticed this after one night and it lasts about a week now. First, it was more swollen than now in the photo. Its painless. but im still worried what could it be? It's on both side of my mouth MattKW: It's the flap of skin covering Stensen's Duct where saliva comes into your mouth from the parotid gland. Sometimes they get a bit inflamed, esp if you chew it. Leave it alone."
  },
  {
    "id": 1405,
    "title": "A swallowed temporary bridge",
    "dialogue": "hiker: Has anyone an experience like this one? On the 17th of this month I swallowed my bridge and have'nt passed it. I'm thinking of having an xray to determine it's location. Any thoughts? MattKW: How do you know you haven't passed it? Have you been sieving (seriously)?\nA temp bridge should pass through without any difficulty. You'd probably have a damned hard time trying to see it on an X-ray anyway; most temp crown materials are radiolucent, so they won't show up."
  },
  {
    "id": 1406,
    "title": "A toothbrush with a camera and an AI software for detecting dental problems.",
    "dialogue": "giorgich: I'm not sure it's the right place to ask this question, sorry if not. Will be useful for you as a user and for dentists such toothbrush? A toothbrush with a camera and an AI software for detecting dental problems. During brushing of teeth, this toothbrush takes a photo of your teeth and send to  AI software. In case of detected dental problems, the software will send information to you and your dentist. MattKW: It would be of very, very limited use. I don't just look at teeth to evaluate possible decay, I also need X-rays, a sharp probe, and adjustable lighting conditions. And then the dentist isn't going to want to look at these photos for free when you should really be having a proper examination. And that's just before you start considering the cost-effectiveness of such a system. Here's a way that one of the dental manufacturers addressed this issue. I have one of these, and haven't used it in years, but the concept is much more refined than a simple camera. giorgich: MattKW said:\n\n\n\n\t\t\tIt would be of very, very limited use. I don't just look at teeth to evaluate possible decay, I also need X-rays, a sharp probe, and adjustable lighting conditions. And then the dentist isn't going to want to look at these photos for free when you should really be having a proper examination. And that's just before you start considering the cost-effectiveness of such a system. Here's a way that one of the dental manufacturers addressed this issue. I have one of these, and haven't used it in years, but the concept is much more refined than a simple camera.\n\t\t\nClick to expand...\n\n\nProbably you are right. It would be very limited use. But when there are the customers that pay 150 USD or more for a just fashionable electronic toothbrush on Kickstarter and Indiegogo in advance, and these toothbrushes collect more than 10 mln USD totally on pre-order, maybe this toothbrush also will find his customers. And dentist will not look at these photos for detecting problems, AI software detects all problems, the dentist just says to customers we must make a visit to curve your teeth."
  },
  {
    "id": 1407,
    "title": "private treatment",
    "dialogue": "anjli: hello I need some advice i have not been to dentist for while as i had toothache register with NHS dentist paid him consultation fee, he said that the tooth needs to come out I asked him can it not be saved? he said as I had pacemaker and loop recorder and he did not have correc equipment Ishould go to private dentist further he did not mention that i had to have other treatments as well. I went to private dentist during the consultation he gave me a big list of the treatments I needed. i have booked with him to treat the problem tooth. shall I go to NHS dentist and ask him why he did not mention about other treatments or go to other dentist and pay other  consultation fee? can I do some treatments through NHS?\nthank you\nAnjli MattKW: I don't understand his concern with your pacemaker. In the past, we had scalers with magnetic piles that were of concern, but most dentists nowadays use piezo-electric which have no risks. Another thing is electrosurgical units, but they're not commonly used anyway - I don't have one. As for anaesthetic, most dentists carry at least one brand with no adrenaline (epinephrine in USA). Finally, pacemakers are being made better all the time, and becoming more resistant to electromagnetic interference. Here's a nice article that sums it up. I'd go back to the NHS dentist and discuss it with him. If you're still unsure or unhappy, talk to your cardiologist."
  },
  {
    "id": 1408,
    "title": "Dysfunctional occlusion",
    "dialogue": "John Roberts: Has anyone heard or have this?  I have been having trouble with most all my teeth for over a year and a half.  Been to many doctors and dentist.  Dentist Can't tell me anything.  Went to two neurologist.  First one said it's dental.  The second one said i have trigeminal nerulgia.  I have more symptoms of dysfunctional occlusion than anything.\nTooth or teeth sensitivity that comes  and goes and may change location.  A feeling of no knowing where to bring your teeth together are two of my main symptoms.  Also one or two of my teeth may feel high then it will change.  I have the most trouble with three of my front teeth.  All three have crowns and two of them have root canals.  Any one have any information onthis. MattKW: Not enough information to go on. I'd appreciate a few Xrays, including an OPG and separate periapicals of front teeth. If those front teeth have had RCTs and crowns, then it's likely there's something wrong there. John Roberts: I have had several stays  done.  I will see if I can get a copy.  One of the dentist I went to did xray just the of the front four  teeth with a regular type ray. I will see if I can get a copy.  He said they looked good but I don't have much faith in him.  He is very old school.  No up to date equipment.  I will see what I can get.  A couple of them did the opg.  Thank you for answering"
  },
  {
    "id": 1409,
    "title": "high sensitivity of teeth after chlorine exposure, need advice",
    "dialogue": "modestas: Hi,\nit has been around 12 weeks since I started swimming in a pool... during those 12 weeks I experienced fragility of teeth, some type of a ''tension'' in a mouth that doesnt feel like a tooth ache, but rather like a gum problems or a dull pain.. also recently my teeth have become really sensitive.\nAfter browsing the web I found info, that swimming pool water usually contains high chlorine concentration and is very likely to cause sensitivity and tooth decay.\nI do not feel any tooth ache at the moment.. but my main concern is how to get rid off these symptoms and sensitivity? And besides quitting swimming what else can be done at this point in order to avoid any other teeth related problems caused by my recent exposure to chlorine?\nThank you for  info. MattKW: The chlorine level in pools isn't going to upset your teeth unless you're in a poorly maintained pool for long times over lengthy periods.So, it's possible. It's not the chlorine itself that's the problem, it's the acidic compounds it forms and should be counterbalanced by other chemicals to achieve a neutral H of 7-7.4.\nGet a sample of the water and have it tested at a pool shop. I'd be interested to hear the results. If it's a public pool, then bring it to their attention.\nFor the sensitivity, get some desensitising toothpaste."
  },
  {
    "id": 1410,
    "title": "Really odd question",
    "dialogue": "aaronh819: I have a really odd question. I’ve dealing with an unknown illness for over a year now the worst being absolutely debilitating eye pain all the time and terrible visual disturbances 24/7. This all set in so quickly. Specially the pain. I’ve had mri’s ct’s been to multiple eye specialists neurologists neuro opthalmologists and more. Thank the Lord they’ve never found anything wrong in my brain. I’ve also had a headache one my left side that’s always there not that bad but always present. There’s so much going on with my vision no one would want to read it all and the eye pain is just beyond explainable at times. My question is when I was in my early twenties I had my top wisdom teeth come in and break off and never had them removed. I went to the dentist the other day and it had ruined the molar in front of them also. I’m going to have them removed as soon as possible but had anyone ever heard of teeth causing such a problem as this? Even my dentist couldn’t answer this for me he didn’t know. Only God knows I am so desperate for relief I would give every single thing in a heart beat just for my life back to be healed.  I’m sorry for such an odd question my doctor is wanting to send me to John Hopkins and I live all the way in KY. I have no idea if a dental problem could cause such a thing maybe someone will know. Thank you so much and God bless AJK64: Have they tested you for temporal arteritis? I've been having pain in my left head for 10 months now and have had ongoing dental treatment on the upper left side too. When I first reported my head pain I was tested for temporal arteritis but was given the all clear for it. I'm hoping that my head pain will go once a failed root canalled tooth I have is removed. honestdoc: There is a Dr. Jeffrey Okeson director of Orafacial pain in Univ of KY in Lexington.  He specializes in pain other dental providers cannot figure out."
  },
  {
    "id": 1411,
    "title": "Dull pain",
    "dialogue": "yankeefan2: Hello and thank you for reading. The circled tooth has a dull pain on and off but mostly on .. sometimes it radiates to the other teeth pictured and I can’t tell which one it’s coming from. Any thoughts? Thanks in advance MattKW: Not a particularly useful X-ray because it's not taken at right angles to the tooth. That said, it looks OK. If it had a previous filling I'd be more doubtful. Your dentist should check it with a cold test, a percussion test, and a transillumination (look for cracks). X-rays are often my last diagnostic tool."
  },
  {
    "id": 1412,
    "title": "Help!",
    "dialogue": "magsmax: I have red lumps all over my gums and now my teeth have moved considerably, leaving my with a large gap between the front ones (one is loose now).  They bleed when I brush them and are very painful.  I am very frightened of the dentist but realise that I have to do something very quick before they fall out!  If I have to have them all removed and have dentures do they put you to sleep to do this as I don't think I could handle being awake and also do they fit the dentures at the same time. MattKW: Well, you've have to at least go for an examination to find out what your problems are, and what options are available. No-one can force into accepting treatment."
  },
  {
    "id": 1413,
    "title": "Stem cells used for regrowing missing teeth?",
    "dialogue": "Zaia: I don't know if I'm posting this in the right place but I have been reading about the possibility of using stem cells to regrow teeth. Could this eventually replace dental implants? Could it be done if a tooth has been missing for years? How far into the future is this? At this point, it seems too good to be true.. honestdoc: There was a discussion that they are developing embryonic stem cells from the rat's bladder to form a tooth bud.  Unfortunately not much else was discussed. MattKW: One of the problems are that teeth grow in a very unusual manner compared to other tissue. I've heard of some amorphous blobs being generated, but they'll be growing livers, hearts, etc well before they manage teeth. And there has to be a big cost benefit for the company which is more likely with liver, heart, etc...  So my career is not over just yet."
  },
  {
    "id": 1414,
    "title": "Worried about odd lump on gum",
    "dialogue": "Mr_m_cox: Hi all, \n\nMy first post here so hi to all the regulars!\n\nA few days ago, while eating, I felt an odd bit of flesh I my mouth. Upon inspection I was a small round lump on my lower gum right on the site of a year's old extraction and next to a tooth that has had lots of reconstruction.\n\nI gave it a prod and a poke and found that, with a little tear it came off! It was a small sack of skin with a fatty/fleshy inside. What was left was a small round patch of red which bled lightly for a few mins and then stopped.\n\nThere as no pain at any point and no other issues to note. \n\nAnyone have any ideas what it could be and if I should be worried? My first, and probably over the top reaction, was cancer so now I am super stressed but can find nothing like it online.\n\nAny input would be amazing and yes, I will get to a dentist, but any reassurance in the meantime would certainly help me sleep.\n\nThanks all. honestdoc: It is hard to guess without images.  My best guess is possible bone \"spur\" we call sequestrum which is a dead piece of bone the body is trying to exfoliate.  It is very rare (~3% according to the average of numerous sources) to get cancer in the mouth from just noticing a bump.  The only way to diagnose cancer is to take a sample and look at it under a microscope (biopsy). Mr_m_cox: honestdoc said:\n\n\n\n\t\t\tIt is hard to guess without images.  My best guess is possible bone \"spur\" we call sequestrum which is a dead piece of bone the body is trying to exfoliate.  It is very rare (~3% according to the average of numerous sources) to get cancer in the mouth from just noticing a bump.  The only way to diagnose cancer is to take a sample and look at it under a microscope (biopsy).\n\t\t\nClick to expand...\n\n\nThanks so much for your reply\n\nWould the condition you speak of where the body is pushing out a bone or tooth fragment caause the small sack of skin I describe? It is soft, no hard bone to speak of but it sounds very possible its that as behind where it was is hard tooth or bone\n\nHaving checked again there is no sign of it but I guess if it is that it will return as the bone is still pushing, correct?\n\nDo I need to treat if we assume it is that or will my body work its magic? honestdoc: Usually the mouth heals very quickly and any pieces of dead bone will exfoliate naturally or if deep internally, become resorbed.  Keep up with all your dental visits to minimize concerning surprises."
  },
  {
    "id": 1415,
    "title": "Root planing/scaling in one visit?  Same day as bridge work?",
    "dialogue": "thelilyfield: So I posted a question about a faulty bridge, and went and got a second opinion.  The second dentist was looking at my previous bill and said he saw a ton of red flags and I'm curious if he's right.\n\nDuring my very first visit to the initial dentist:\n1. I was charged for root planing/scaling, for all four quadrants, on the same day.  Second dentist says my bone is too healthy for that procedure.  Is root planing not possible for some patients?\n\n2. Is it possible to do root planing/scaling on the same day that I had a bridge put in?  \n\n3. How long does root planing/scaling take?  I was at the dentist for about 4 hours total on that day.  According to my bill I had pics and xrays taken, a cleaning done, laser treatment, antibact something done, a partial tooth extracted, a bone graft done, two teeth prepped to support the bridge, and a temporary bridge placed.  The only section of my mouth that I remember being numbed was the bridge section.  My gums were sore the next couple days, but not sure if laser can do that also.  \n\nDoes that sound like reasonable work or suspicious?  I also called insurance to ask questions and they were never billed for the work I had done, which definitely sounds suspicious.  Just trying to get answers and feedback before I submit a claim.  Thanks. honestdoc: I'm sorry but it appears like your first dentist was production hungry and he or she is over-treating you. There are many reasons why the first dentist has all that time to produce \"work\" on you for your first visit.  That dentist may have scared away many patients."
  },
  {
    "id": 1416,
    "title": "Overcharged to re-cement crown after root canal?",
    "dialogue": "Caslontooth: My back molar crown came loose during a cleaning.  It was determined I needed a root canal. Afterwards the existing crown was reattached. There was a little build-up needed so the crown would sit correctly. I was shocked to have been charged $595 for this. Convince me not to choose another dentist. MattKW: I'm surprised that managed to retro-fit the old crown after the RCT. The fact that the crown came loose in the first place, and then they determined that you needed an RCT suggests that there was a significant amount of decay and tooth destruction underneath. In most cases you have to make a whole new crown, so maybe it was more a case of \"should've quoted more clearly\" rather than a rip-off. Caslontooth: Not sure why the crown came loose in the first place, I have a strong bite tho. Also the Endodontist  might have changed the top of the tooth while doing some drilling for the root canal.  Anyways, it took my regular dentist about an hour to build up the surface a little and cement it on. I'm glad she did what was necessary for a long lasting re-cementing of the crown (took ex-ray before final cementing to make sure).  Cement and some build up material and ex-ray and one hours work simply doesn't equate to just under $600.00 in my book. I'm not saying rip-off, I'm saying this dentist has priced me out of continuing with her as my primary dentist after 4 years.  I'll bet my bottom dollar I could have had the same care for at least $200 less. MattKW: It's unfortunate you feel this way. I think $600 to attempt and achieve something of this degree of difficulty is reasonable, when most dentists (myself included) might well have advised whole new crown at a higher cost. Caslontooth: MattKW said:\n\n\n\n\t\t\tIt's unfortunate you feel this way. I think $600 to attempt and achieve something of this degree of difficulty is reasonable, when most dentists (myself included) might well have advised whole new crown at a higher cost.\n\t\t\nClick to expand...\n\n\n I should have had the endodonist temp glue the crown on, then made an appointment for the next day or two to come in where I could then ask about the cost. She fit me in spur of the moment.  However, it was she who told me to have the endodonist give her 30 minutes head start and I could come right over, which I did. I wasn't in any particular rush to have the crown cemented on.  I was almost made to feel that it was no big deal to have the crown cemented back on, which is why weeks before she just needed 30 minute prior notice.  I agree with you that the chances of the crown fitting back on perfectly isn't a given. Nor is it a given that it was merely the cement that gave up in the first place. It could have gotten mobility because of decay, like you said.\n\nAnyways, maybe I'll stay with her as my dentist, now that you replied.  I have to say, it was a real shock cost wise. Also, there's no telling how long her minor tooth build up job will last. She didn't prep me about how the crown might not fit back on perfectly. She made it seem like it was no big deal.  $600 is a big deal.\n\nEdit:  When getting my teeth cleaned the hygentist alerted the Dr. of \"mobility\"  of the crown. She (the dentist) was able to pop it off rather easily.  After reading your reply, I suddenly see that mobility of a crown is not a good thing. No, it's not just the cement giving up. I knew that  afterwards  by reasonable thinking.  Then again, what's best for the patient,  the patient doesn't always want to hear, cost wise.  One last thing in hindsight, I still should have let the endodontist temp cement the crown on. That way I wouldn't be crashing her busy day, which she just happen to be having, lol.  She made it seem I had a good chance of re-using the crown tho, when having my teeth cleaned.  I wish she wasn't so rushed that day. I bet you I could have asked for a lesser price.  She took a few ex-rays before the final cement. Very thorough."
  },
  {
    "id": 1417,
    "title": "Crown Question",
    "dialogue": "fandabby: Hi\n\nMy dentist discovered I had a craze line on lower molar towards end of last year (had a fractured tooth opposite side same tooth discovered eventually earlier that year - long story resulted in infection wouldn't clear, root canal attempt wouldn't clear and then it cracked through another attempt when clearing the canals, so tooth extracted, resulted in a lot of bone loss).  Now with that history I asked if this tooth could be crowned now due to previous experience, was told no wait and see craze lines are common.\n\n8 weeks later back to dentist with that tooth tender and earache and insisted on xray - confirmed early stages of infection. I pushed for a crown to protect tooth.\nAntibiotics cleared infection then was booked in for crown. 1st visit no infection present so tooth was prepared, filed down and shaped, visible crack across tooth so was told this was the best option.  Took impression and said I could go and rebook for 2 weeks.  I asked was I not getting a temporary cover to protect tooth and was told no, it's in a better position now as the tooth sits lower than other teeth so won't get knocked it'll be fine. Was told to be careful and eat soft food nothing too hot or cold on opposite side.\n\nHad crown fitted 2 weeks later.  Had to polish off upper teeth to accommodate the bite.  This in itself has left upper teeth feeling weird and sometimes achey.\n\nAnyway have had trouble on and off with crowned tooth being sore and one point loose.  Went back several times to check the crown and was told it can take up to 6 months to settle.  When it became lose went to an emergency clinic as couldn't see my dentist and xray showed nothing.  It settled and became solid again.  Waves of ok no pain no problems to not ok during this period\n\nHad a mouth guard made 3 weeks after crown to protect from clenching.\n\nAt 6 month point I had a lump appear side of gum of crowned tooth. Went back and dentist said likely the mouth guard rubbing doesn't see it looking like infection. (prior to all of this my teeth were in perfect shape, no fillings, cavities, decay etc.  It was a bout of high levels of stress and grinding teeth which caused the cracks in teeth).  Guard checked and said yeap there is the rubbing and cut it to shape.  I asked for xray and had one but dentist felt it unnecessary. Xray showed advanced infection.  Two rounds of Antiobiotics did not clear, told root canal won't work so extracted tooth.\n\nQuestion, I was infection free before crown prep, the procedure for crown, should a temp cap/cover be fitted as standard to protect tooth, especially knowing my history with other tooth and there was a visible crack across the tooth when he wore it down?  I did question couple times at the time are you sure and dentist convinced me I would be fine.  Not being a dentist and unfamiliar with procedures accepted what i was being told.\nIs it likely that the bacteria got in whilst exposed for those 2 weeks and caused this infection which has now results in this loss?\n\nNot particularly happy as thought crown would prevent infections and further damage.\n\nBased in UK.\n\nThanks MattKW: \" 8 weeks later back to dentist with that tooth tender and earache and insisted on xray - confirmed early stages of infection. I pushed for a crown to protect tooth. Antibiotics cleared infection then was booked in for crown.\"\nIf you had infection at that stage, then that's when the RCT should've been done (or an extraction). It doesn't make sense to take antibiotics to settle the infection (they didn't clear it), then progress to crown. The fact that you could go without a temp crown but no pain shows that the tooth was probably dead and infected already. fandabby: Thanks for reply\n\nAntibiotics for 5 days following extraction and going back because still badly infected.\n\nI feel this could have all been avoided if the tooth was crowned when I asked last year. MattKW: Maybe, maybe not. A crown preparation can cause nerve death in 5-10% of cases anyway. On one patient, I had all 3 teeth die after crown preparations, and I was being as conservative as possible. That could also have happened to you. The dentist is also to be judged by their peers, not by the patients. So if he had done a crown for a tooth that didn't show a clear need, he could be criticised by the dental authorities for any adverse consequences. I would probably not have done a crown for you either. You are unlucky, and sometimes s*** happens to both patient and dentist."
  },
  {
    "id": 1418,
    "title": "2 year old in pain! Please help!",
    "dialogue": "Jody32: My daughter’s 2 year molars have erupted around a month ago but for the past 2 days she has had a fever and been in a lot of pain with her bottom right second molar. I have taken a picture and any advice would be gratefully received. Due to her age, she won’t let anybody look in her mouth but me. Thank you in advance. MattKW: Is it just there on the one side? The rest of her gums also look inflamed, and the corner of her mouth looks nasty. Possible primary herpetic gingivostomatitis starting up."
  },
  {
    "id": 1419,
    "title": "False Teeth",
    "dialogue": "raymondo1971: I have not been to the dentist in over 20 years and over the last 10 my teeth have been slowly falling out, the teeth themselves have not been to bad but now i'm down to 4 and its starting to get me down. Does anyone have some advice or know what my options are?"
  },
  {
    "id": 1420,
    "title": "Anything wrong with my crown? [X-RAYS included]",
    "dialogue": "jdee333: Hi, I got a rct and crown a few months ago on #29 and I'm nervous about the crown. There's no pain right now but I was concerned about how the crown looked kind of jagged on the xray, and I regret not bringing it up with the dentist. The shape of the crown is also way too smooth and round, not ridged like a natural tooth. Do you all see any potential issues?\n\nImage album of xrays (all of the same tooth): https://imgur.com/a/FOEFKSB MattKW: It appears that the dentist has placed the crown only 1/2 way down each side, so it finishes on a filling on the left side (as you look at the X-ray), and just beyond the contact point on right side. Usually we'd want to take it down all the way to the gum margin, but sometimes you have to compromise. So it could be better, but it's not terrible. The most important thing is that it's cleansable, and that you can easily floss both sides without tearing the floss. Should be OK from the limited images you show here."
  },
  {
    "id": 1421,
    "title": "Teeth and fears about dentist",
    "dialogue": "Elizabetha: hi I’m new here. So glad I stumbled upon it\nI need to make a decision and need help and advice to best decide as I don’t know who to trust\nWell here is it\nI have four quite argue amalgam fillings in my molar teeth . Been there for many years\nI’m 57\nDon’t remember having them\nSo could have been like 45 years ago\nAnyway I have a frien in Holland who has hers replace with white composite to get rid of the mercury as she’s a Holistic person\nHer husband did hers for free\nBut here’s the thing\nI have got a crack in my upper filling which at times I feel great sensitivity in\nWhen food gets in it\nSo my dentist has told me the best option is s crown\nI don’t know if that is the best way to go\nAs I’ve read that sometimes they cause more trouble to the filled tooth?\nSo my first question is \nIs I easier to drill out and simply refill tooth with a safer substance? And if so , will it hurt and is it toxic to do so?\nAnd is it as hard wearing as amalgam?\nSecond question is . Is it easier to get a crown?\nSave the filling already in there?\n\nIf he fills it it won’t need s crown will it?\nHow big a job is it\nAnd are they different ways it can be  crowned or just the one?\nAlso  he said it’s 400 for porcelains n crown\nAnd free for cobalt chromium\nBut I’m not bothered about appearance as it’s not seen\nBut I’m worried about what they use\nAnd if it will cause me problems later in\nOr make things worse\n\nHe also told me he could if I want have all my amalgams out and newer stuff put in\nAlthough I tend to believe that if it isn’t broke then we shouldn’t fix it\nI wonder if it’s worth it\nCan anyone help please\nAs I have been pondering for too long now\nThankyou\nI have anxiety bad too\nThankyou\n\nThis is a picture of just the filing with the crack in that he suggested caping MattKW: You would benefit from a crown on that tooth. The filling might have to be replaced first for a sound foundation. Personally, I'd do a pinned amalgam. Composite offers no advantage, except it's easier for the dentist.\nAmalgam is not toxic. Holistic dentists are unscientific, and they make a nice living out of scaring people.\n\nCrowns come in many different materials. You could do nearly anything. Never heard of chrome cobalt crowns, but I suppose it's possible. I would suggest either ceramic (eMax) or a high precious metal (yellow or white gold). High precious will cost you $, but very nice material.\nWhy would you take out fillings that have been working so well and replace them with composite? I agree, \"if it ain't broke, don't fix it\". I have a few amalgams that have been in place for 40years; composites aren't that durable. honestdoc: I favor the glassionomer core filling.  It bonds naturally to tooth structure and doesn't stress like amalgam.  Too often I seen amalgams intact while the tooth is fractured off.  Amalgam fillings can last a lifetime if it is kept small.  I also like zirconia crowns.  They are very durable since they are \"fake diamonds.\"  High precious metal crowns have more accurate margins against the tooth.  If costs are a concern, consider less precious (less amount of gold) metal crowns. mandymoore: Do not have your amalgam fillings replaced. As far as I understand it, removing them releases the unhealthy toxins. Amalgam fillings last forever. The white ones do not. Every time your tooth needs a new filling or you're told it needs one, the dentist will drill a bigger hole. Now you're guaranteed, and so is your dentist by the way, that you need more dental work later on and eventually a crown. Once you have a crown, your gum line above the crown will recede, your jaw bone will lose mass in some years (depending on your age) and now you need an implant. I have crowns but they were placed by the rare perfectionist (it took him an hour per crown when placing) in Holland in the days when making money was not the main goal of dentistry in a non-US country. I have had the crowns for 30 years. Two US dentists wanted to either pull them out or replace them. The first one uttered that suggestion 20 years ago. She also told me that all my filling were cracked and needed replacement and wasn't it nice that my insurance would cover most of the cost? I didn't trust her and consulted a dentist in Holland who said it was \"bogus\" in a nice way. After all he was talking about a colleague. In general you really only want the necessary dental work done. Because dental work on a tooth creates more dental work later on, leading to a most often ill placed crown which leads to receding gum lines in about 5 to 10 years depending on your age, loss of jaw bone above the crown because which dentist is going to take the time to properly set the crown? And now you need a costly implant ...People in third world countries often seem to have perfect teeth. I think our poor diets aka processed foods have a lot to do with getting cavities. IMHO the amalgam fillings last a life time, why sign up for bigger holes and more dental work that wasn't needed to begin with? If it ain't broke don't fix it."
  },
  {
    "id": 1422,
    "title": "First Time Going To Dentist",
    "dialogue": "Jatay1985: Hello. Im 32 years old and cant tell you the last time I've been to a dentist. Long story short, i could have taken better care of my teeth. I have tartar build up on my lower front teeth as well as behind it. I brush my teeth twice a day, use mouthwash twice a day, floss once a day and i don't experience any bleeding. Im afraid i may have recession from calculus build up, that has since fallen off. Im afraid of gum disease, even though i dont believe my gums are red. Im terrified of my appointment on Wednesday, as i don't know what to expect. I can see a few white areas under a few of my lower teeth. Can anybody help calm my anxiety? I received feedback from iCliniq in which they said that once my teeth are cleaned up, my gums will look better. Although they saw some recession, they believe my gums look rather healthy. Im just still so concerned. Please dont judge me when you see the pictures honestdoc: Your gums do look inflammed.  With your first exam, the dental team will take x-rays to determine the health of your teeth and bone.  The hygienist with perio probe your gums to check for attachment health.  The dentist will fully evaluate your oral conditions.  You may discuss sedation options if it is appropriate for you.  Follow the hygienist's recommendations for home care and visit intervals."
  },
  {
    "id": 1423,
    "title": "My canines hurt whenever food touches them",
    "dialogue": "TheWaterDude: Whenever I eat a lot of chips(like lays) or candy, my canine teeth hurt whenever they're touched by food. If I try to eat anything and it touches a canine tooth there is a sharp kind of stinging pain but whenever nothing is touching them they feel normal. Any ideas? Thanks honestdoc: It is hard to determine other than guessing without a full evaluation.  How long are your canine teeth sensitive? TheWaterDude: Usually about 3-4 days if I don't provoke it too much honestdoc: Have your dentist check it out for anything serious.  It could be nothing, possible cavity, possible gum disease or trauma,  possible enamel/dentin damage or trauma, possible root exposure or trauma, possible filling sensitivity or damage/recurrent cavity, or possible grinding/clenching."
  },
  {
    "id": 1424,
    "title": "Smelly Wisdom Tooth",
    "dialogue": "arsenal95: Hello All,\n\nI have been having problems with my bottom left wisdom tooth for quite a while, mainly an absolute vile smell coming from it.\n\nI have been to my densit about 3 times over the last year and he just says there is nothing wrong, I just need to floss it. So I went to another dentist who done some x-rays but again they said there is nothing wrong, just food getting caught underneath the gum and I just need to clean more. Is there anything else someone can recommend please in how to get rid of the smell? I have tried hot salty water, mouthwash etc but the smell remains. Straight after cleaning if I put my tongue around it I can taste it.\n\nThanks in advance. Busybee: They may be able to adjust it to stop food getting caught in there.    Do you use an electric brush? arsenal95: Not anymore, I used to but when I would brush over the wisdom tooth, I would get an extremely tangy taste. Now I just use a normal one and brush over it lightly. Techo NZ: I'm just an old electrician.. BUT... I once had the same problem... the answer is to floss, floss, floss.. but I hated using string floss, so now I use Floss Picks\n\nhttps://www.amazon.com/Plackers-Micro-Dental-Floss-Picks/dp/B00YWI60R8\n\nOr even better Piksters:\nhttps://www.piksters.com/page/piksters There are different size Piksters for different teeth gaps. Both items are in most supermarkets.\n\nBecause they are so easy to use and the results have been so good I have developed an Obsessive Compulsive Disorder to floss. I use an electric tooth brush twice a day but I also slip a couple of flossers in my pocket and floss whilst driving or whenever, the family are super grossed at finding the odd used floss pick on my car floor !. I fear the day someone snaps a video of me flossing at the traffic lights and puts it on their Facebook.\n\nHere's a gross experiment, floss the troublesome teeth with a Pikster, then smell the Pikster !\n\nDip the Pikster in mint toothpaste for a super mint clean.  Every so often I dip the Pikster in high flouride toothpaste (5000 ppm) and give them a real decent floss.\n\nYou could also dip it in tea-tree oil as a homeopathic anit-bacterial, avoid getting it on your tounge, I doubt it will do anything but it has a strong aroma so maybe have a glass of water ready to rinse.\n\nI probably spend $150 a year on Floss Picks or Piksters...  a mere $3 a week and the long term benefits have been significant... Ohh Ohh... this has reminded me... I gotta go buy some more ! MattKW: arsenal95 said:\n\n\n\n\t\t\tHello All,\n\nI have been having problems with my bottom left wisdom tooth for quite a while, mainly an absolute vile smell coming from it.\n\nI have been to my densit about 3 times over the last year and he just says there is nothing wrong, I just need to floss it. So I went to another dentist who done some x-rays but again they said there is nothing wrong, just food getting caught underneath the gum and I just need to clean more. Is there anything else someone can recommend please in how to get rid of the smell? I have tried hot salty water, mouthwash etc but the smell remains. Straight after cleaning if I put my tongue around it I can taste it.\n\nThanks in advance.\n\t\t\nClick to expand...\n\nThere's not many wisdom teeth that are easy to clean. hence, many have to be extracted. I might have 1 in 5000 patients who actually have useful wisdom teeth. Post up an Xray if you can, but I don't know why people are so sentimental about these teeth."
  },
  {
    "id": 1425,
    "title": "Best portable/handheld X Ray for field work",
    "dialogue": "Techo NZ: Hi, \n\njust wondering if anyone has had experience with any portable or handheld X-Ray devices, similar to the RayMe Wireless\n\nhttps://www.jagasdental.com/product/rayme-wireless-and-portable-x-ray-machine/\n\nOr the 'upgraded'; Biotech portable X-Ray\n\nhttps://www.adae.store/products/korean-made-portable-x-ray-machine\n\nThis is for volunteer field work in the remote Islands of Vanuatu so it is being purchased via donated funds so anything to help us make the right decision is very much appreciated.\nCheers Techo NZ: Oh, I just heard our budget is US $1,000 which really limits our choices. I know the Nomad Pro 2 at $6k is very good but out of budget. \nThere are a lot of Internet listings for items like MyRay, MaxRay etc which fit the budget, and I know cheap and good in the same sentence is an oxymoron, hence why I'd appreciate any feedback if you have used anything. honestdoc: Sorry, I have no experience with your inquiries.  I want to thank you for your time and efforts with volunteering. Techo NZ: Well thank you, we are a team of 6 from New Zealand who make 2 or sometimes 3 trips a year to the most remote Islands. Most work for the NZ public health service and give up their annual leave time and largely pay their own way, airfares, food, travel costs.\n\nThe last trip was to the island of Loh, one of the most northern and ‘forgotten Islands’ of the Torres group with the only dirt landing strip. From Vila it is 3 hours low and slow flying in a very noisy 1968 Britten Islander, the pilot said if oil was leaking from the engine that was good, it meant there was still some oil left, but to let him know if the oil stopped leaking as that meant there was no more oil \n\nThey have never received oral health care before so when word gets out the dental team have arrived people walk for hours. Lots of RoP, extractions and infection issues to deal with. Techo NZ: Just prior to our first arrival there had been a fatal case of Ludwigs Angina.....\n\nTragically it was a Nivan health worker, the one they relied on the most for their well being. Due to their remoteness and inability for diagnosis or evacuation for treatment the prolonged suffering and trauma continues to haunt the island. Techo NZ: Here is a link to the web site for our volunteer group,\n\nwe are non religious, non political, non governmental, just a small bunch for kiwis who have a great time going to these remote and wonderful places. Being small and self funding we go where we like, when we like and do what is best without beholding to anyone. Nonetheless I must give a shout out to Rotary who help support us on some of the most remote trips.\n\nPersonally I'm the electrician and a friend of the dental team, I go along to try and get some sort of power going from either the local solar or busted generators to power the dental equipment, then I'm the DA... Fuji 9 anyone ??\n\nWe take 2 suitcase dental sets, 2 dentists work side by side with a a patient each but due to power restrictions you can only use 1 set at any one moment, so they have to tag-team trying to use one triple syringe on one set, then pause whilst the other drills on the other set, then pause whilst one suctions (max 20 seconds before it overloads), then pause whilst one uses slow speed... then pause again as everything overloads, wait for it to reset and go again, 2 weeks 300 interventions... the power sux but if ya don't laugh you'd cry \n\nThe 2nd video under the Torres Island Oral Health Project link shows a STOL plane that gets us to some of the bigger islands, it's bigger than the 8 seater Britten Islander going to Torres, interestingly after we landed in the STOL the bent fuel cap fell off, the pilot is trying to put it back on ha ha\n\nhttps://afriendofkokorosa.org/ Techo NZ: In regards to needing a portable X-Ray, we installed a 1980's wall mounted X-Ray and for 3 years it worked well, it must've taken 1,000+ exposures but due to power surges it died 4 days into a 2 week trip, Trying to treat 300+ people with no X-ray is hard. So we are looking to get a portable jobby to take between the islands. Next trip is August (in 6 weeks), we probably need to sort something within the next 2 weeks so any experience or recommendations appreciated. Cheers Techo NZ: We settled on a RayMe portable X-Ray from Korea, it was US $1,200 or NZ $1,800 , it's $800 over budget, but oh well we'll find the money somewhere. \nOrdered it on Friday, it was on the doorstep the next Thursday, wow 6 days from China to NZ, that's amazing. The team leaves for Loh Island in 2 weeks.\n\nhttps://www.adae.store/products/korean-made-portable-x-ray-machine\n\nI had a query to the supplier on the import duty, their reply was  \" don't worry dear, we make custom value look like low price, so now you can defraud tax \"\nIt goes in our Volunteer accounts at full price so we do end up paying the tax due but I laughed at \" look like low price... to defraud tax \" Techo NZ: The good news....\nThe X-Ray works very well, attached are some images. I used a 20mm fuse as a tester, it has a coil of wire inside the fuse to give depth, an interesting aspect is the coil at the very top of the fuse which is under a metal end cap. Slightly different time settings give slightly different depth and clarity Techo NZ: Here are some 'test dummy'  X-Rays... They may not be perfect as they were just tests and may need a bit of fine tuning, but good enough for a first result.\n\nPatient dental diagnoses are welcome... Techo NZ: The not so good news...\nOn arrival the internal battery was flat (which is to be expected) but the supplied battery charger was dead... zero, ziltch, nada, nothing... so the battery could not be charged.\nThe X-Ray has an internal Lithium Polymer battery, which requires constant voltage, constant current charging.  The sort of battery that if you charge it with the wrong charger then they die or explode, so it needed the exact charger to match the exact internal battery.\n\nThe team were leaving in 2 weeks and the Chinese supplier wanted the faulty charger back before supplying a replacement.\n\nFurther the original charger was marked to indicate the charging plug was wired as centre negative, (99% of chargers are centre positive, but 1 in 100 are centre negative), but with the charger not working there was no way to prove or disprove this . So after a few days sourcing a new local charger and connecting it as centre negative then both the new charger and the X-ray emitted smoke... Feck.. the X-Ray battery was really centre positive, the label on the supplied charger was clearly wrong.\n\nLong story short.. pull the x-ray apart, fix it, put it together.. new charger, we got it going... but could've done without the hassle. Techo NZ: And for a dental team update... they were due to leave in a few days but a volcanic eruption has closed the airspace to Loh Island. The pilot felt he could detour around the ash cloud but would then have to wait 3 weeks on Loh for fuel to come by boat to make the return journey.\nThe team are now re-routing to Aneityum ,the southern most island of Vanuatu. The first leg of the journey to Aneityum is via Tanna Island which is (or was) on the ATR-72-500 that crashed at Port Vila last week, smoke in the cockpit, emergency landing and hit 2 planes on landing, nil injuries, but the plane is out of action, so maybe that is now a new problem.\n\nThe smashed Britten Islander in the background is the one we flew to Loh in December last year.1968 - 2018 R.I.P\n\nhttps://www.radionz.co.nz/internati...ne-makes-emergency-landing-at-vanuatu-airport\n\nIf any of you have been on a P&O cruise that stopped at Mystery Island, it is the villagers of Aneityum who boat across to operate the tours.\n\nAnother trip to Aneityum is planned for October, I'll be there.. ask the locals to bring you ashore"
  },
  {
    "id": 1426,
    "title": "Tooth extraction",
    "dialogue": "Zaia: How difficult is it to have an extraction? I'm very anxious about it because I might be getting one soon and it's making me nervous. The tooth is a molar. Busybee: It depends on the tooth, but I don't think it's difficult having an extraction.  As long as you are numbed up enough.  Maybe difficult for the dentist depending on where a tooth is and surrounding tissues/nerves.\n\n  Why do you think you need an extraction?"
  },
  {
    "id": 1427,
    "title": "Chewing Pain",
    "dialogue": "ruler1: Both my upper second premolars have been missing since birth.\n\nI was wearing Invisalign to keep the gaps open for future implants, as well as rubber bands connecting my upper first molars to my lower canines to correct an underbite, but the retainers haven't been fitting snugly.\n\nRecently, I've been having chewing pain in my upper jaw on the right side, and when I checked in the mirror, I noticed that my first molar was leaning inward toward my first premolar, resulting in a mild slant that decreased the gap size. I stopped wearing my rubber bands because I worried that they were the cause for the lean (since they were pulling on the tooth, but the tooth wasn't well connected with the rest of my teeth since the Invisalign didn't fit well). I was wondering if this was the reason for my chewing pain and whether it's a cause of concern. (Personally I'm thinking chewing is putting pressure on the teeth to lean even more and potentially unsocket)\n\nI haven't been able to visit my dentist or orthodontist because I've been dealing with anxiety and auditory hallucinations. \n\nThanks in advance for any input. Busybee: You will need to go to the orthodontist, trying to fix it yourself isn't an option because your bite sounds complex.   Are you in your teens?\n\nAuditory hallucinations must be very frightening.  You should be on medication.  Have you seen a doctor about this?"
  },
  {
    "id": 1428,
    "title": "X-ray machine and too many x rays",
    "dialogue": "tprudden: I just moved and have transferred to a new dentist. On my first visit they told me they would require x rays, fine. they started the X rays and after a few I asked, how many are you going to do? the technician said 18!! I was a little taken aback and thought, wow, that's seems like a lot of X rays. After she was finished with the 18 x-rays I started looking at the equipment. The x-rays were the modern, digital type that display on a monitor immediately upon taking them but, the actual machine that provides the beam of radiation looked a little dated. While the tech was out of the room, I glanced over at the machine and looked at the name plate: it said General Electric model 47-137200G2, and was dated 1978. I thought, 1978! that's 40 years old.\n\nmy mind started wandering and I couldn't get the thought out of my mind, 40 years, surely X-ray equipment has greatly improved in the last 40 years? Also, I'm thinking, the dose of radiation from that machine, vs what is produced in a more modern version, surely is has to be greater or more scattered or something. I don't know, maybe these older machines are updated or something to fall in line with current standards? Or, maybe the standards are the same?\n\nIs this a cause for concern or is this very common and not an issue? I'm not one to get too overly concerned about this kind of stuff but, lets just say I'm no stranger to dental X-rays, I've had my share of cavities and other dental work over the years. I'm in my early 50's.\n\nThanks in advance for any input? Techo NZ: I test and validate dental X-Rays including OPG’s. Contrary to popular thinking dental X-Rays are incredibly safe, 4 dental X Rays is the equivalent to the radiation you receive after 2 hours of flying. A pilot, or flight crew who clock up 1,000 hours of flying time per year (a mere 20 hours a week) receives as much radiation as 2,000 dental X-Rays per year, or 5.5 x rays per day 365 days a year. Do you see many pilots with 6 toes or wearing lead aprons when flying ?\n\nThere is absolutely no epidemiological evidence the X-Rays are unsafe,  zilch, zero, nada, none, nothing. Were it not for the the Linear No Threshold Hypothesis (LNT) all x-rays, whether dental, medical or surgical would be deemed incredibly safe. The only thing that deems X-Rays ‘unsafe’ is the LNT hypothesis, noting that a hypothesis is an idea which is suggested as a possible explanation for a particular situation or condition, but which has not yet been proved to be correct.\n\nhttps://en.wikipedia.org/wiki/Linear_no-threshold_model\n\nI have read the UN report on Chernobyl, only 40 people died as a direct result of radioactive exposure, almost all of them were the chopper crews who flew into radiation clouds dumping concrete on the sarcophagus. Everything else that happened at Chernobyl was a media frenzy and political scam. Never mind that the other 2 reactors that were only 100m from the exploded reactor, remained in service, fully staffed for 25 years after the event. Far more people died as a result of iodised salt poisoning.\n\nIn regards to an old X-Ray versus the newer digital X-Rays… The only thing that now makes X-Rays digital is the reading and processing of the X-Ray (once it has been taken). The technical aspects of the actual X-Ray generator (the piece they stick by your head) is as old as the hills, even new improved X-Ray heads are as much about marketing hype then actual performance.\n\nWe are required to validate X-rays and then apply a test label stating it complies, although rules vary from country to country. So if your X-ray has a valid test label then it should be fine, and even if it doesn’t, and even if it were giving 10 times the radiation dose, then unless the dentist wears 6 finger gloves, then personally I wouldn’t worry, you’ll get more radiation from 5 hours flying then from 18 X-Rays. Techo NZ: And to clarify… if you were to receive 2-10 times the required dose, then the X-Ray film (in your mouth) is also receiving 2-10 times the dose and it would be vastly over exposed and completely unreadable.\n\nSo any dental X-Ray film that is readable has by reverse logic simply received the require exposure dose, no more, no less."
  },
  {
    "id": 1429,
    "title": "Possible extraction?",
    "dialogue": "Zaia: I went to my dentist today because the side of my face is swollen.. He wasn't able to do an x-ray for obvious reasons but when he looked at my tooth, he said it needs to be extracted. I asked him if he was sure and he said yes. Should I take his word for it if he didn't do an x-ray? I have an appointment in two weeks and he will look at it then once the swelling goes down and we will proceed from there. honestdoc: Have your dentist take an x-ray when your swelling goes down and discuss treatment options.  Your dentist will never extract teeth without a x-ray. Zaia: Ok thanks! I have another question. I know I'm jumping ahead here bit would it be possible to get braces or invisalign to bridge the gap left by the tooth if it needs to be extracted? It's a back molar. Behind it, I have another molar and a wisdom tooth honestdoc: It is really hard to close a molar gap and even harder if you are older than 25 years due to the density and hardness of your bone.  With that being said, I've encountered numerous cases when children lose their 6 year first molars to cavities, etc., and their 12 year 2nd molars erupt in their place. Zaia: So it only works in children? I am 26 years old"
  },
  {
    "id": 1430,
    "title": "Post dry socket",
    "dialogue": "sammi17091: Those who have experienced dry socket : is it normal to bleed once you have flushed the hole? I just had my dressing removed, and I used the syringe to clean it after eating and had a bit of blood afterwards. The bleeding had stopped, but I want to make sure that it’s still healing properly I’m taking a trip to Alaska for 4 days so my doctor wouldn’t put new dressing in which is quite the bummer honestdoc: Bleeding is good.  It will form a clot and eventually close the extraction site.  It is best not to disturb the clot as developing epithelial tissue will form over the clot and heal the area."
  },
  {
    "id": 1431,
    "title": "Teeth filling",
    "dialogue": "Jossy: I have completed teeth filling process for a decayed teeth 3 weeks backs. There's no indication or sensitivity for the teeth. But there is some pain when there is hard bite. Composite fillings are used. What may be reasons. honestdoc: It's hard to answer without x-rays and photos.  Do you have pain during normal biting?  Hopefully the new filling is not hitting before the other teeth.  Perhaps your filling is large and you may need a crown.  Another possibility is for your dentist to check the teeth's pulp vitality if you had a large cavity and subsequent filling.\n\nBest case scenario is the pain is only an isolated event if you never had pain before. Jossy: honestdoc said:\n\n\n\n\t\t\tIt's hard to answer without x-rays and photos.  Do you have pain during normal biting?  Hopefully the new filling is not hitting before the other teeth.  Perhaps your filling is large and you may need a crown.  Another possibility is for your dentist to check the teeth's pulp vitality if you had a large cavity and subsequent filling.\n\nBest case scenario is the pain is only an isolated event if you never had pain before.\n\t\t\nClick to expand...\n\nThank you. \nI there is any need of consulting a doctor for this issue honestdoc: If the pain is getting worse or you are having swelling then you need to see your dentist. Busybee: I must say that on reading this I thought the original post was by a dentist."
  },
  {
    "id": 1432,
    "title": "Is this normal?",
    "dialogue": "Tobyrae: I had a bunch of teeth removed 6 days ago, these are from last night. Ive had teeth removed before and dont remember them looking like this. honestdoc: The last 2 pictures have a black hole that I'm not sure about.  If the black hole is in the back of the upper arch, it could possibly be a sinus perforation, not so much in the upper anterior.  As long as you are not in severe pain and or swelling, watch for the black hole to disappear or you can go back to close it up."
  },
  {
    "id": 1433,
    "title": "Are you a dentist: please weigh in on your diagnosis, patient has pain in bottom tooth",
    "dialogue": "jacobsdental:  MattKW: Not enough detail in your request. And the radiograph is far too pixellated to assess the RCTs.\nWhat do you mean by \" pain\"? Consider this sheet that I give to my assistant dentists.\n\nEating pressure?\nHot or cold?\nPercussive pain?\nTaking analgesics; if so, to what effect?\nPain to ear, or to temple?\nJust going from what I can see, there's been a deep composite on the premolar. That'd be my first guess. honestdoc: I agree with Dr. MattKW with the premolar as well as its margin gaps.   Also from the image quality, it appears that restorations of the 2 posterior molars have open margin gaps or large pooling of radiolucent cement/bonding agent."
  },
  {
    "id": 1434,
    "title": "Inflammation and bleeding between two teeth",
    "dialogue": "HangryPancake: Okay so a few days ago I noticed that the gum between two bottom teeth (not the front ones, ones off to the side a bit) have become inflamed. If I brush normally on the area it starts bleeding; once it completely just gushed but it always stops after a few seconds of rinsing with water. I've heard of periodontal pockets, but aren't those typically referring the gum on the teeth? Like directly attached to them? Do I have something stuck between my teeth? Early gingivitis? Do I need to tell my dentist ASAP or will it go away if I don't irritate it further? I've heard from another forum that brushing normally and making it bleed also means that the built up bacteria is being released, is this true or should I avoid brushing harshly on the area? WHAT DO I DO SORTA FREAKING OUT. HangryPancake: I forgot to mention that I currently am wearing molar rings, and I feel like my bite has slightly changed because of them? I don't know if this changes anything, just mentioning it. Very soon, probably next week, I'm scheduled to get my braces on (I'm 15). If I have to treat this, will I have to wait to get braces? Will there be a lot of extra charges? I really hope I can sort this out before I go to the dentist, please help! honestdoc: Most likely you may be experiencing hormone fluctuations which can present in the gums as mild to moderate inflammation.  The only way to rule out gum disease is by your dentist.  The molar ortho bands do irritate the gums and shift your bite a bit.  Make sure you followup with your orthodontist.\n\nI would clean the area with gentle and thorough brushing and flossing.  Make sure it is not gum disease and if so, get proper dental cleaning and home hygiene. HangryPancake: Thank you! Guess I'll have to break it to my dentist lol. Gonna be a little upset hehe. HangryPancake: It has returned to normal now! Thank you for the advice, and I'll make sure to inform my dentist of the issue. Thank you again!"
  },
  {
    "id": 1435,
    "title": "Can someone please tell me what is this?",
    "dialogue": "FulhamCF: This part of gum is constantly bleeding... honestdoc: This is possibly primary herpetic gingivostomatitis.  Is this your first experience/outbreak?  About 75% people has this virus.  Usually it will subside within 7-10 days.  You may consider having your doctor/dentist prescribe you some Acyclovir. FulhamCF: Yes, it is my first experience with that. What should I do at home? Is propolis good for healing? honestdoc: It is best not to irritate it with any agents.  No real home remedies, just keep it undisturbed.  Have your dentist/doctor prescribe you some Acyclovir. FulhamCF: Thank you."
  },
  {
    "id": 1436,
    "title": "Biting inside of jaws",
    "dialogue": "John Roberts: Anyone have trouble biting their jaws especially at night.  Doesn't really bother me in the daytime.  At night especially when I lay on my side I bite my left jaw the worst..  Sometime I wear a night guard to keep from doing it.  I am 71.  Maybe gravity has taken over and my jaws sink when lay on my side.  Anyone have anything like this. Lawrenceblemelle: John Roberts said:\n\n\n\n\t\t\tAnyone have trouble biting their jaws especially at night.  Doesn't really bother me in the daytime.  At night especially when I lay on my side I bite my left jaw the worst..  Sometime I wear a night guard to keep from doing it.  I am 71.  Maybe gravity has taken over and my jaws sink when lay on my side.  Anyone have anything like this.\n\t\t\nClick to expand...\n\nI think like you said maybe it's because you are old. John Roberts: Thanks for that.  You will be old one day also."
  },
  {
    "id": 1437,
    "title": "Why Am I not able to smile like others?",
    "dialogue": "Exo E.F.: Is there a way to fix this??! This is my best attempt at trying to smile, unfortunately. HangryPancake: How long has it been like this? honestdoc: You may have an underbite.  Have your dentist/orthodontist evaluate for possible braces."
  },
  {
    "id": 1438,
    "title": "Touching upper and lower teeth",
    "dialogue": "Srihari Sudeendran: I am not comfortable with my upper teeth and lower teeth. Its making me look like a dork most of the time. I am not able to speak properly. There is a product I saw in amazon that says it stops grinding of teeth by adjusting alignment. \n\nBelow is the link, please check and let me know if its worth a try:\n\nhttps://www.amazon.in/Indove-Appliance-Orthodontic-Alignment-Grinding/dp/B07DNXKSYF MattKW: It won't work for you. These are a waste of time and money. It'd be like buying a pair of shoes that don't fit, and then hoping your feet would change over time. Srihari Sudeendran: Ok. Thanks for the reply.\n\n I am planning to reduce the size of the teeth which is touching. Does it work? Would it make me look odd? \n\nI feel like i am always in a bad mood because of the teeth touching and not occluding. Hope some solution is out there which can help me. \n\nAny insight on this procedure would be helpful."
  },
  {
    "id": 1439,
    "title": "Purchasing Curing Light Online",
    "dialogue": "trojandentist: Has anyone purchased dental curing light/lamp on ebay or amazon for a cheaper price? I am wondering if there's any suggestions or useful tips on this matter. Thanks!"
  },
  {
    "id": 1440,
    "title": "Dental Abscess Crowned Tooth",
    "dialogue": "UkSunMoon: Hi,\n\nI have a crown on my upper Molar right hand side. I had root canal on it. I now have found out I have a abscess in there too. I have a lump in my jaw line. When I discovered the lump my dentist still wanted to crown it. It has now been just under 1 year with this lump. I have no pain. My dentist said it wasn't an Abscess but now she saying it is. I have had no antibiotics. She said my only options are have a specialist try and do the root canal treatment again which will cost around £600 or have it extracted. I don't want to loose the tooth but im not sure the re-root canal is 100% fix. I have never had an extraction before so don't know what to expect if I do go down that route. Surely eating without a Molar is going to be an issue? not to mention the actual procedure itself. I do have a dental fear so I am scared, I just don't know what to do as an extraction I guess is the worse possible outcome. Can I just leave it? im not in pain, the only reason I know I have an abscess is because of the lump I can feel with my finger. I can chew as normal. MattKW: You should go to the endodontist and at least get their assessment of the situation. It's just the cost of a consultation with Xray. Let them guide you to the better choice. If you extract a molar, it will be an annoyance and regrettable. Sometimes they can't be saved."
  },
  {
    "id": 1441,
    "title": "Replaced old filled ngs",
    "dialogue": "Sierra: i recently relocated and had to find a new dentist. After asking around and looking at reviews I settled on one. I had a rectreatment of a root canal done by an Endodontist and I needed the permanent filling done. When I went to the new dentist they did a new patient exam. They said I had 5 cavities. So I had this dentist fill the filling and went to get another opinion. Went to new dentist and again same thing. So I had him fill the fillings. I regret it now bc I am in pain. He said 2 of the fillings are possible root canals bc they were deep cavities and close to nerve. He did a pulp cap in one of them. The filling next to the crown/ retreated root canal feels like it’s lifitng up and down when I eat. He checked it said it’s solid but could be infected underneath. Going back to Endodonist that did re treatment rc. Also the cavity that was filled on right side is now painful.\nHe said these were all old fillings. White fillings that had decay underneath them. I’m requesting my dental records from previous dentist that I went to in Jan to see if any notes were in there\nI do grind my teeth. I just want to know if anyone has experienced this. I feel this dentist did un necessary work. I wasn’t in pain before MattKW: Really hard to say without Xrays from old and new dentist. Composites are more likely to leak than amalgams."
  },
  {
    "id": 1442,
    "title": "I need 1 back tooth pulled it's killing me",
    "dialogue": "Pleasepullonetooth: Hi, I hope I'm in the right place for this subject matter. I have an upper back tooth that 3 dentists have refused to pull because I am taking keflex and by the time i get to the appointment the infection is gone. It usually flares up at night I go to urgent care get keflex make the appointment and they refuse to pull. When it's not flaring up they refuse to pull. When it flares up i brush and swish with alcohol that helps. The tooth itself shows no signs of decay only an old filling which may leak- or what ever. I figured out the problem but still no help. I had 2 extractions on the left back upper 1 wisdom extraction and the tooth next to it (damaged painful) well the 3rd tooth from the back has a triangular space between it and the tooth in front of it. Food literally gets shoved up into my gum line around that entire tooth and I feel it but i can't get the particles out sometimes even with flossing or those floss bristles. My gum is sore all the time. I dread eating anything but soft food (yuck) the other day I used the metal tip of the bristly little floss tool to dig under my gum AGAIN as usual and got 3 chunks of.. God knows what -it felt and looked like little pieces of cartilage but i dont eat cartilage so it must be something else.i felt the pressure gone! But id rather have this back tooth gone than deal with this pocket or gum issue another second. It starts to burn at night. If i jump up and brush with alcohol I catch it- sometimes. If the putrification of food particles in the gumline ensues my whole gumline, jaw, cheek head even eyeball burn and i run to urgent care get keflex and 5 hours later the pain subsides. Its such a hassle. I don't have insurance (I did and they only pay 15% of the common procedures that I need oh but they pay 85% of shit I never need so I cancelled). All I want is this back tooth OUT. So what if the tooth is good it's a problem. It's painful. It's expensive to remedy I dont want to go through any of it all I want is to never ever have to worry about the problem ever again and no one will pull it bc the tooth itself is not decayed. What do I have to do get my dremmel and dig my filling out then go back to the dentist with an ice pack on my face? I don't really WANT a power tool in my mouth but I've had it with the problem. The one dentist said awe all you need is a deep cleaning. ..  noooooo.. a deep cleaning will make the tooth clean ..hurray! But it will not stop food from getting lodged in my gumline DAMNIT can I just wiggle the tooth till its ready just like old times ? Its in there. or do I have to damage the tooth. I really cant believe this. 2 years of agony and infection. I cant take the pain till i get to the appointment once the burning starts i take keflex immediately it is excrucuating and I can't get an instant dentist appt the morning I call. So when my appt rolls around theres no sign of problem and the constant xrays amd exams are getting expensive HEY! Maybe that's The point huh? The pain and flare up is always at night. Sorry if you dont believe me that this tooth needs to come out. herein lies the problem. Tooth not worth it. Any advice from a NOT greedy dentist would be helpful thanks. MattKW: Rather than being greedy dentists, maybe they're more worried that if they remove the tooth as requested and yet the pain continues? On the one hand you have a burning pain which is resolved by alcohol (sounds like tooth nerve problem), or when you get Keflex (an infection of gum OR tooth), and yet dentists can't find reason for your pain. Perhaps it's a different pain altogether? A single dose of antibiotics that cures your problem sounds odd.  I have a patient with a neuralgia who is under care of a pain specialist, but just keeps coming back to check on the tooth. He really just hopes that it'll be the cause and taking it out will cure his problem, but we all know it'll not work, and just change the nature of his pain. He's OK again in a couple of days. Sierra: How long were you on keflex for for infected tooth"
  },
  {
    "id": 1443,
    "title": "Wisdom tooth gum smells bad but does my breathe?",
    "dialogue": "Chandlerchad: i have one more wisdom tooth that needs to be pulled (others have) and has been half way up for months. When I touch the gum around the tooth and smell my finger, it smells bad. That being said, no other spots on my gums smell bad nor does my wrist after doing the wrist-dry-smell test.\n\nI diligently brush twice a day, rinse with listerine about 6 times a day and shoot a syringe full of listerine into the gum.\n\nDo you think that the smell of my gum makes my breathe smell bad? I am very self conscious. My tongue doesn’t smell bad but that gum constantly does!\n\nThank you, this was my first ever post on a forum btw"
  },
  {
    "id": 1444,
    "title": "Any help appreciated",
    "dialogue": "Myself2018: Hi ,\n\nI had a crown put on years back , at the side of my 2 front teeth (upper) , when I went to a dentist a few months back they did a xray and said I had an infection under it , (this was a temporary dentist as I had moved and was on the waiting list) , I'm still one the waiting list since may 2016 ! , I lost my job due to I'll health so I'm not working so I cannot afford private treatment , \n\n2 months ago I had really bad toothache and ended up in AnE as my face ballooned , they gave me 2 sets of antibiotics , it helped the swelling go down but it still left me with a lump right on top of my gums and its at the side of my nose , \nMy crown had fallen out and I had to resort to buying dentist cement to try and put it back myself ,\n\nI'd been having nose bleeds , dizziness , eyesight problems , I made an emergency appointment ,\nThis was yesterday , they did a xray and the 2 of them fell silent for what seemed ages , \nI'll cut this short by saying what they told me ,\n\n\"You have a serious infection and antibiotics won't work as they haven't so far , you need on going work ASAP\" \n\nI said \"I'm on a waiting list\" \n\nAnd they said \"this is serious its already started spreading , it will affect your right eye and your bones in your face could actually crumble , if I were you I'd ring around every dentist possible\" \n\nSo today after another night of my face going bright red boiling and my feet freezing , could hardly breathe (frightening as I'm asthmatic) bad stomach , pressure by my heart , I rang dentists and no room , I rang NHS who said to ring the health board , I've even emailed my local MP , because I've been unwell for months and the dizziness and confusment is getting worse , \n\nI didn't think the dizziness could have been associated with this lump I've got , I've had to put up with it for months so it obviously spreading , and I'm scared as I can't find a dentist , \n\nHow will I know when it becomes fatal ? What else can I do , I'm 41 years old and my life has been on hold for the last few years because of my teeth , \n\nAny help I'd greatly appreciate or if someone had something similar \nThanks in advance honestdoc: I'm sorry for your serious condition.  I can picture what you are going through.  They had put a crown near your front teeth.  On x-ray, the dentist found an infection under the root tip.  The reason for this is the past dentist had to shave your teeth down to place the crown.  The drilling causes trauma to the nerve (root canal).  Over time, the traumatized nerve starts to die and became a source of infection.  Your 2 options are to get a root canal or to pull the tooth.\n\nThe root canal is the only treatment to save the tooth and is costly.  With the tooth so infected, the root canal has to be done thoroughly and in multiple visits because all the micro anatomical areas are contaminated.  I would only trust a specialist or a very experienced general dentist because most dentists usually do not have the adequate skills or knowledge to fully treat a case like this.  However, the costs can be very high.\n\nThe other option is to pull the tooth.  This is the most predictable option.  The downside is you will be missing the tooth on the esthetic zone.  You can have a temporary \"flipper\" which is a acrylic appliance with a tooth to cover the missing area and consider implant in the future.  I would stay away from a bridge because like a crown, the dentist needs shave down the abutments to fit the bridge in and you may repeat the experience in the future. Myself2018: Thank you for your reply I'm touched you took time out of your life , \n\nI asked the dentist yesterday if they pulled my tooth would it help the infection and they didn't give me a direct answer and made it out as if it wouldn't help , \n\nWould pulling my tooth help me with the infection , at the moment I'm laying down trying to bring my temperature down , I feel sick and dizzy ?\n\nThank you honestdoc: Yes, pulling the tooth will remove the source of infection.  Possible difficulties are that if you are swollen, it may be hard to anesthetize.  You may also become resistant to the antibiotics if you were taking it too frequently.  I would have it pulled ASAP. Myself2018: I'm not swollen there where the tooth is its right at the top of my gums , \n\nWhat would they do with the lump that's there ? Because 3 sets of antibiotics haven't done anything will they drain it ? honestdoc: A possibility for the bump is the body is trying to drain it which is a good thing.  Do you notice any pus or foul drainage coming out of it?  You may be developing antibiotic resistance.  I'm from the US but I'm suspecting most of the UK NHS dentists are newly graduated and may not have experience.  Once they acquire that experience, they move on to more lucrative opportunities.  Just try your best and get that tooth pulled. Myself2018: No its solid lump no pus or anything its been there for now 3 months , after my face went swollen (unrecognizable) the hospital gave me antibiotics and the swelling all over my face went down but I was left with this lump I have now ,\n\nI'll defiantly will get my tooth pulled asap \nThank you ever so much for helping me , I feel much more at ease after your advice , I've been so worried , I hope the universe brings you good things \n\nThanks again Busybee: I really do not understand why A&E did not refer you for emergency dental treatment in a hospital.   This is something you should have treated as part of A&E services.  Which part of the UK are you in? Myself2018: Really ? , I'm in wales ,\nI've had to ring NHS again just now to beg for a emergency appointment for tomorrow , because the health board booked me one for Friday , and I'm feeling so unwell I don't think I can handle another few nights laying in bed feeling dizzy and sick and in pain till early hours , \n\nThe woman who booked me the appointment for Friday was not very nice to me , she seems annoyed that I wasn't happy with the dentist I'd seen telling me the bones in my face could crumble and I need treatment ASAP but couldnt give me any advice I'm so thankful for the info on here as now I'm able to tell the next dentist \"take my tooth out\" Busybee: I'm relieved that you have an appointment.   There are definitely emergency dental units in hospitals.  Just looked at Cardiff and Vale and they have a dental helpline.  They also have a note on their site to say you can have free supervised treatment by dental students.   I guess if you're in a more remote part of the country then access to services will be far more challenging. \n\nPlease let us know how you get on.  Even after they remove the tooth it will take a while for such a serious infection to subside.  I am really concerned that the temporary dentist didn't do more.  After all it must have been a pretty bad infection at that stage. honestdoc: I am fascinated with how UK dental system works.  Please don't mind me, I love learning from you guys. AJK64: The nhs is in a really bad mess with regards dental treatment. I have had problems with a root canal after a badly botched nhs procedure and have had to take a loan and put myself in debt in an attempt to get it fixed privately. It's such a shame as about 20 years ago nhs dentistry was very highly regarded.\n\nI really hope you get it fixed fast myself2018. It's scary to feel out of control and that no one can help. Myself2018: You are right about the NHS , I also had botched up treatment , when I would have my check up I'd say that a certain tooth was sensitive and I'd always end up booking an appointment after ending up with toothache and there solution was ....take the tooth out , I wasn't given an xray , and my dentist who i saw would change every few months , so there was clearly something going on at that dental practice , \n\n\nWell here's an update , Thursday night I was in AnE hospital at 1am , I felt pressure on my heart , dizzy , high temperature , thirst , \n\nIt was over an hour before a doctor seen me and then had to answer stupid things like \"have u banged your chest , or had any falls\" ?? , the most ridiculous questions , \n\nI had a blood test , he did my blood pressure and he mumbled it was low , ( something I've never had if anything its usually high) ,\n\nI had a ECG done (didn't tell me anything) , said I had to wait for a doctor , after 4 And half hours (it was daylight outside) and seeing this elderly lady who had been left in the waiting room in a wheelchair and was falling asleep , I felt so sorry for her , the doctor said to her \"I'll be back for you in half hour\" ,\n\nAn hour and half later she was still there , I was so disgusted I walked out and went home , my partner told reception and they said I could ring my GP for results ,\n\nFriday \nWent to the dentist , she gave me anesthetic to numb it , and then pulled it out and sent me on my way , I asked her should I have any antibiotics and she said \"No the source where the infection was coming from has been taken out now so you should be fine\" ,\n\nI pray and pray that she is right , and I will start to feel normal again , and not have nights where I feel like I'm dying , \n\nI'll be so happy \n\nThanks everyone for your input it has helped me a lot Myself2018: And I rang my doctors and they said no results yet , why am I not surprised ! I was at the hospital on wednesday night (early hours Thursday morning ) Busybee: Were the symptoms that led you to A&E related to your dental infection?   I am sure that if your EEG was abnormal they would have told you.  From what you say you may have been dehydrated.  It has been pretty hot lately.  Are you drinking enough water? They should really have put you on a drip.\n\nI'm pretty surprised that your GP would get any results from A&E.   That doesn't usually happen unless you are admitted. AJK64: Hopefully now your problem tooth has been removed your immune system will take care of any residing infecton. Sending you lots of positive thoughts. Please keep us all updated. AJK64: Any updates on how you are doing now ? Myself2018: Hi , All \n\nI was happy I seen a doctor that explained things to me and was more thorough than any doctor I'd seen before , I've been to the doctors for years (more so in the last year) about my stomach being swollen and I felt was pressing on something , a few months ago I went for a lump in my breast and the doctor said \"its very small and its just an infection \" and sent me on my way without even a prescription ! ,\n\nWhat I thought was weird was he said he couldn't access the hospital blood test and xray results ? , he said that he would need a number to access the pathology lab ? So he disregarded all the things I'd had done , \n\nHe has sent me for a blood test to see if I have helicobacter pylori , he said it could be that , that is making me feel pressure by my liver and heart , he said \"your very tender by your liver and gall bladder\" and if the test result is negative he said they would book me in for a magic eye , \n\nI did say to him \"but the hospital took a few blood samples for testing and that might have been one of them I was tested for\" but he disregarded it ,\n\nHe said my blood pressure was normal and my lungs were clear , he also put me on this medication that is a drink I have to drink twice a day to help me go to the toilet , it hasn't done anything yet ,\n\nI'm still having waves where I start feeling dizzy and get hot , really quickly , but the dizziness subsides but me getting hot stays and I haven't felt the pressure by my heart (touch wood) , every time I get hot (even my skin reacts as if I've been sunbathing , it goes red ) I also feel my heart beating , it feels like its hammering my chest , \n\nBut that could well be because I'm stressing and worrying that I'll start feeling really Ill and won't be able to sleep ,\n\nI feel I'm getting better because I'm realising now that I am a tooth missing by my front teeth and being unable to afford a implant etc , it makes me feel so sad , because the dentist I'm on the waiting list for will be months again waiting , \n\nI have only 10 teeth on top of my mouth and 9 on the bottom (chewing food is a nightmare because I don't have any back teeth) , \nWhen my teeth started playing up years ago and the dentist said \"stop drinking coca cola because your teeth are suffering\" I gave up drinking 4 Litres a day , \n\nI brushed them 3 times a day and used mouthwash , gave up smoking , I just had the unfortunate dentists for years where I didn't even get an xray , its such a shame because if I'd spoken up years ago instead of trusting what they said , I might still have had full set of teeth , \nAll I've EVER wanted is a nice smile , my teeth weren't perfectly straight I had 2 teeth that needed pulling further front , and would smile behind my hand , \nBut that would have been fixable now I have nothing to work with  , even dentures cost a lot of money ,\n\n\nThank you all for your input it helped me so much x"
  },
  {
    "id": 1445,
    "title": "Dental Costs",
    "dialogue": "Boobie: I am having no pain but was told by one dentist that I have an overbite.  I am 58 yrs. old and have been seeing another dentist every 6 months.  The new dentist also wants to do 4 implants after reviewing extensive x-rays.  This is a chain practice with a large staff and a lot of fancy equipment.  Even with the insurance these implants would cost $10,000 (this is not covered well by insurance) and correction for the overbite would be $5000.\n\nThey say I have other problems too and are proposing $35,000 worth of work over the next few years.  If this is work I really need, I am tempted just to get dentures.\n\nI know none of you have specific details of my case but has any one run into this and do you think they are just trying to rip me off? John Roberts: I think I would get a second or third opinion.  Go to another dentist and don't say anything about what the first on said.  This is what I think.  Dental work is crazy high.  I am 71.  I have insurance on everything except my teeth.  I do believe some of the dentist are RIP off artist. honestdoc: Unfortunately most to all dental chains place pressure to the dentists to produce.  Find a well established practice for an evaluation.  Another option is to go to a teaching facility."
  },
  {
    "id": 1446,
    "title": "A crown conundrum",
    "dialogue": "Cassandane: I had a very large filling on my upper molar (tooth #3) done 3.5 years ago. I would feel a jolt or electric feeling whenever I ate something hard beef jerky, etc. The feeling only occured at a specific cusp. The dentists I saw all said the filling was so big & a crown MAY fix it. Some of them said it may have a tiny fracture. \n\nI got a temporary crown put on a few weeks ago. Last week I went to get the permanent one placed but I told them that I still feel a small jolt feeling lasting like 1 second when i eat hard foods on that tooth. They examined the tooth said the bite was high. They adjusted it & told me to wait another week & see how the tooth reacts. My appointment for the permanent crown got pushed back for next week \n\nThe adjustment was 6 days ago, I still notice the jolt is still there but less than it was b4 the temp. crown. When I bite down on the inner cusp thats where I feel the sensation - not felt anywhere else. Also, If I press my thumb against the tooth I can feel the jolt.  Its not painful. There is no sensitivity to cold or heat & no pain at night. On a scale of 1-10 its a 1(very very minor). The sensation comes on for 1 sec then disappears as I continue to chew.\n\nQuestions: \n1. Do you think putting on a permanent crown will solve this jolty/electric feeling? Or maybe permanent crown with temporary cement? My crown is ready for placement a brand new porcelain one ready for me. But will it really solve this feeling once it is put on?\n\n2. Dont you think doing a root canal for such a small sensation is too extreme? Why kill a viable nerve for a small jolty feeling that is insignificant? A root canal was mentioned in the beginning as an option if the temporary crown or permanent crown dont work. They probably would do the root canal before placing the permanent one though. But to me a root canal is too radical for the small insignificant sensation I feel. What do you think? MattKW: 1. Permanent crown should hopefully settle it. One of the problems with temp crowns is that they can flex, and they have a temp cement which can leak, so can still have sensations. It's good that at least your symptoms have settled. The idea of a permanent crown with a temp cement has 2 problems: (i) you're still using a soft cement that can leak a bit, (ii) a good fitting permanent crown with even a temp cement can be a bugger to get off, and you risk damaging the perm crown.\n2. You can usually still do an RCT through a crown if it becomes necessary later, and still keep the crown in place. It is a bit of a pain, but doable.I agree that for the minor discomfort you're having right now, an RCT is overkill. Just ask the dentist if he'll be able to get through the crown later - some crown materials (Zirc) are almost impossible to cut through. Cassandane: Its been a month since the temporary crown has been placed. This past week I went to get the permanent crown placed and they asked me how the tooth is feeling skn\n\nThere is still a very minute feeling in the tooth. Its a 1 out of 10. The tooth is 98-99% good. Its just that 1% sensation i am feeling. The dentist said its up to me to decide what I want to do. He is fine with putting the permanent crown OR doing a root canal. He was also baffled and didnt know why the sensation is still there.\n\nHe said the sensation may be very minor now but it could become worse if the crown is put on and in 3 months, 6 months, 1 year the tooth may need a root canal. I just dont understand if this sensation is from the nerve or from something else. It literally lasts for 1 second and goes away as I continue to chew whatever hard food I am eating. I can chew other foods normally. The analogy I can give is when you put the key in the ignition of an old car. The car rumbles for a second and sounds like its turning on and off but after that second passes the car turns on normally and you can drive it off.\n\nAgain, the sensation is only felt on the inner cusp of the tooth and I can also feel it when I insert the floss and remove the floss. Im attaching a photo showing a red dot on the location of where I feel the sensation. If I chew on that specific point thats where I feel it. \n\nSo is a root canal even warranted for this? I told the dentist I want to wait another month to see if the sensation goes away. The temporary crown is still intact. He said when he sees me in a month I have to have made my decision about either doing a root canal or placing the permanent crown. Is this really a nerve issue? Busybee: I am having the same problem Cassandane.  One dentist wanted to send me for a root treatment, the other wants me to wait a couple of months as he can see no sign of nerve failure on the x rays.    I am convinced that it's down to either the preparation or the temp crown letting in some food debris or bacteria.  The thing is that it was hurting last week but has now settled.   In the mornings it feels fine after wearing a night guard.  The dentist adjusted it down slightly the other day and for a couple of days it was painful but today I have no symptoms at all.  Flossing in a more thorough way seems to have helped.  I'm totally confused as to whether to cancel the endo and wait another two months or not.    Can a poor preparation or leaky temp crown cause this? Cassandane: My problem of this \"minor sensation\" existed long before my temporary crown was placed. Which leads me to believe that the temporary crown has nothing to do with this....\n\nMy sensation emerged after a dentist did a filling on my tooth due to a cavity. The filling was pretty large and some dentists may attribute this sensation to that filling. My sensation is not even classified as \"pain\" its more of an annoyance.\n\nCan anyone tell us if this sensation is coming from the nerve or from something else? If its truly the nerve then my tooth should be going through excruciating pain since its been 3.5 years since my feeling arose. MY SENSATION HAS DIMINISHED OVER THESE 3 YEARS. At first it was a 4 out of 10 pain level, now its like a 1. I swear to God this does not feel like nerve pain at all. But who I am to judge. I aint no dentist to know....\n\nMy sensation is so minute. Its just a tiny jolt when eating hard foods. The jolt lasts 1 second and I can continue eating that specific food. Does this warrant a root canal? I have no idea.... maybe I need to get a second opinion from an endo. to see whether he thinks this is a nerve issue or a totally unrelated issue maybe arising from the crown buildup. Maybe my filling in that tooth was too big... Maybe in a month things will settle... too many maybes. If anyone can provide feedback about whether this small sensation is nerve related, it would be great to hear!"
  },
  {
    "id": 1447,
    "title": "Impress admission counselor",
    "dialogue": "angelnguyen: Hi everyone! I just received my MCAT's score and it's not high enough. Do you know how to impress admission counselor with an effective personal statement? honestdoc: MCAT is for medical school application.  Are you applying for Dental School?  Both fields are highly competitive and just an effective personal statement may not be enough as you are competing with thousands of other highly qualified applicants.\n\nTry to score above average to the schools you are applying.  Make sure your grades such as total GPA and science GPA are above average.  Schools like leadership and related work experiences as well as communication skills.  Be genuine ...they can see through \"fabricated personal statements.\""
  },
  {
    "id": 1448,
    "title": "Suddenly gotten edge to edge bite a few days ago.",
    "dialogue": "HarryJW: I was having problems with my right rabbit tooth as i thought it was coming loose and too make sure it was fine at that moment i would often gently put my top front teeth and bottom front teeth together like and edge to edge bite to see and i would do this alot through out the day and a after a couple of days my tooth got better but then noticed that when i spoke and ate my front teeth hit each other then i realised that i had edge to edge bite when i just relaxed my mouth which i never had, to make my teeth touch like that in the past i would have to move my jaw out but now it is just like it all the time. Would love some help as i can't get into a dentist until august. honestdoc: Usually people do not have an edge to edge bite.  A slight overbite would be ideal.  The top teeth moves the cheek and lips out of the way while the lower teeth moves the tongue away when functioning.  An edge to edge bite runs a very high risk of chipping teeth especially up front.  Unless you dislocate the TMJ joint, your teeth should bite into its normal position. HarryJW: Hello, no when in it's normal position my front top teeth sit on my bottom front teeth and when i eat or talk they something hit each other, this only recently happened and never used to be like it.\n\nAlso its really uncomfortable or me when my mouth is doing anything even when its relaxed. Strange that i never had this before until a few days a go Busybee: Have your wisdom teeth come through yet? HarryJW: No they haven't Busybee: Do you mind me asking how old you are? HarryJW: 18 Busybee: Your wisdom teeth may be coming through and causing changes to your bite.   You'd need to post an x ray here if you would like the dentists to try to analyse a cause.  But at your age things can move about for that reason.    If your bite is uncomfortable you should see a dentist to see whether they suggest removing the wisdom teeth or whether there is any other cause.   It could be why your tooth felt loose. HarryJW: Oh right well thankyou, only problem is i cant see a dentist until august. Busybee: when did you last have x rays? HarryJW: I never have, not at dentist or doctors. Busybee: Ok in that case maybe post some photographs of your teeth coming together showing the problem. HarryJW: of my front teeth? (edge to edge bite) Busybee: Yes of your bite at few different angles HarryJW: ok give me some minutes. HarryJW:  HarryJW: I hope this is ok, the right tooth (in the pic) slightly goes over but not enough and my left is on top. \n\nIf you need more angles then please say Busybee: The dentists here may need side views. HarryJW:  HarryJW: i hope this is ok"
  },
  {
    "id": 1449,
    "title": "My dentist wants to remove most of my teeth as they have 'poor prognosis'",
    "dialogue": "alethea: Hello, I am not happy.  My own dentist is off having a baby for the last year.  I have not had a check up for a year but I had been at the dental hospital about one of my teeth and had to go back to have work finished.  This caused problems with the dentist and eventually they discovered the dental hospital had looked at the wrong tooth and decided they would need to take that tooth out.  A very heavily filled tooth had the filling fall out around Christmas and I have several times been back as the temp filling which was put in has fallen out.  It was supposed to be suitable for a crown then.  Then another filling fell out.  I had some pain in a lower tooth which I thought was an absess and as I was due for an operation in a few days which would have meant I could not visit the dentist I went to get it checked - no absess was found.  I did mention to her that I had pain round all my teeth but I have had that for 30 years. The dentist got a denture for the tooth she was going to take out but could not get it out because she could not get me pain free.  She then decided she wanted a full teeth xray - she did say that she did not want me to have one denture and then to have to keep going back for more.  I saw her today and she wants to take out at least half my teeth.  When I asked why she said because they have 'poor prognosis' nothing more.  I am wondering if she is taking them out because I have been going back and forth but that is mainly because she keeps putting in temp fillings which keep coming out rather than getting the work done.  I don't know what to do/  Any ideas?  I am 68 years old. honestdoc: Please provide a panoramic x-ray.  Try to find a dentist you trust and stick with him or her.  Tell the dentist you want the least traumatic, most predictable and practical options. alethea: I don't have the xray.  It is at the dentists.  I am in the UK. My dentist sent it to someone she knows who she described as 'an expert on Conservation'."
  },
  {
    "id": 1450,
    "title": "Damaged enamel=decay?",
    "dialogue": "karl222: I have white spots on my front teeth signalling weakened enamel, no doubt from poor brushing habits as a child. Considering I brush, floss, mouthwash twice a day, is it likely that the worn enamel will still lead to decay in the future? \n\nThanks in advance. honestdoc: It is difficult to predict.  Dentists consider risk factors.  There is a triad of major risk factors for teeth health.  First is home care.  Your friendly hygienist can help you with good home care.  Second is diet.  I find that sugary and acidic beverages can really damage your teeth because it bathes all surfaces.  The longer the beverage gets in contact, the more damage.  Third factor is adequate Fluoride whether in the toothpaste, topical application in the dental clinic, or systemic in the water source.  Other factors can include inadequate saliva flow from medications and or radiation treatments.  Worn enamel may not protect as well as intact enamel so you need to take more effort in reducing your risks.  The areas in teeth that tend to get cavities are in between teeth, occlusal (biting surfaces) and along the gum line.  The natural cleaning ability of the tongue and cheek as well as adequate saliva flow usually protects most of the teeth's other surfaces. karl222: Thanks very much for the reply.\n\nI'm fairly well-covered regarding those risk factors. Little sugary food, little alcohol, I use fluoridated toothpaste and I don't suppose there's anything wrong with my saliva. \n\nOne more question if you don't mind: is whitening treatment a poor idea under my circumstances? honestdoc: Whitening will not alter the strength of enamel.  It may make your teeth and gums more sensitive.  It won't whiten any restorations and may make them not match up.  Whitening is only temporary and your teeth will slowly go back to its original color."
  },
  {
    "id": 1451,
    "title": "Severe pain post filling, advice please?!",
    "dialogue": "SarahVictoria1988: Hi, \n\nI am desperately seeking some advice! I am not a fan of visits to the dentist but had some toothache so eventually bit the bullet (ba-dum-tish) and made an appointment with a dentist based on a recommendation by my mum. \n\nI went for the intial consultation, had an x-ray and a poke around, and was booked in for the following week for a filling. \n\nWhen I went back for the filling it was gone closing time by the time I actually went through. He gave me a mirror so I could see what was happening, that I tried not to use because I didn’t want to know what was going on! He told me the filling was quite deep, and tried to show me the nerve (no thank you!), and it was really close to the next tooth so some discomfort and sensitivity should be expected for a few days. He filled it in and was out of the room, leaving me with the nurse, before I could even sit up. When the injection wore off that night I felt awful, like I’d been punched in the face, but felt a little better the next day. \n\nJust over a week later I still couldn’t expose the tooth to hot or cold, or chew on that side of my mouth. The pain was constant but not debilitating, but enough to need pain killers once or twice a day. So I called the dentist and they saw me that afternoon. Another x Ray later and she tells me the tooth should come out!! This was totally unexpected and quite a shock. She did say I could try a root canal but “these don’t always work” and can “cost up to £750”! This was a different dentist than the first one I saw as he was off, but she came across as very defensive of him and kept telling me he hadn’t done anything wrong, even though I’d never suggested he had. \n\nSorry for droning on, finally to the point - what do I do? The tooth is close to the front on the bottom I really don’t want to lose it. I’m in ALOT more pain than I was before I went to the dentist so now I am wondering, has something gone wrong and they don’t want to own up to it? Or is this normal and I’m just being an idiot? \n\nIs root canal a better option than extraction? Or is it a costly endeavour that could lead to extraction anyway? Or should I be getting a second opinion? And should the filling of been put straight onto a nerve in the first place?! \n\nThank you! honestdoc: Saving the teeth with root canals and crowns can be expensive.  You alternative is to extract the tooth.  Some teeth especially the Upper first molars tend to fail with root canals due to its complex anatomy.  It is best to talk with the same dentist who you feel most comfortable with and go over your options.  Many dentists will refer complex root canals to specialists but the costs may be astronomically high."
  },
  {
    "id": 1452,
    "title": "Gingivitis",
    "dialogue": "Drehim: I have been struggling with gingivitis for a few years now. I try to go the dentist every 3 months for cleanings to stay on top of it but it doesn't always happen. I went about a week ago for a cleaning and a few days later I have noticed that I am experiencing a burning/tingling sensation in gums/tongue. I usually don't pay too close attention to what my gums look like and I want to know what healthy gums look like. Is this a picture of healthy gums? Is the white towards the bottom where the roots of your teeth would be normal? honestdoc: According to the image, the gums may have some isolated inflammation and redness.  The white areas are normal for they cover normal bony projections.  A more accurate image is to take Bitewing x-rays to capture the internal bone levels.  With periodontitis, the bone gets irreversibly damaged and recede.  As long as bone level is solid, get a thorough dental cleaning and keep up the recommended homecare and dental visit intervals.  If there are bone damage and bone loss, you will need to have deep cleaning, more frequent maintenance and followups, and possible gum surgery,"
  },
  {
    "id": 1453,
    "title": "Flossing question, what type of floss did they use?",
    "dialogue": "itroo: Hello,\n\nMy mother went to see the dental hygienist for the first time in a very long time, not going due to severe anxiety and poor teeth health. \n\nMy mother said when she did the flossing the hygienist did not use a little brush or normal soft floss or arch but used what she described as a firm piece of plastic to floss.\n\nDoes anyone have any idea what this firm piece of plastic to floss was or method, as my mother was ok with this rather than normal floss which she fears she will damage her gums more.\n\nI've searched online but not knowing more details I am unable to figure out what this was and hopefully someone may have an idea so I can help my mothers anxiety re dentistry/oral health care.\n\nthanks for your time AJK64: It could be interdental picks. I have started using them myself after my dentist introduced me to them earlier this year. I didn't want to break any rules by posting to where you can buy them, but they are very easy to find here in the UK...most supermarkets stock them now."
  },
  {
    "id": 1454,
    "title": "cavities",
    "dialogue": "monicaregister: i had a dental sealant placed on a bottom molar that never had cavities in the first place.  i love to eat many sweet things like cooked bananas with natural honey in the morning for breakfast.  i wait at least one hour or more before drinking water.  after that i would drink soy milk which would be fairly sweet because i added sugar.  after that i would wait at least another  hour before drinking more water.  i didnt use listerine anticavity mouthrinse but assuming i had even with this kind of eating habits, would it have prevented the cavity that formed adjacent to the dental sealant?  i brush only twice a day, morning and night.  would it have prevented the cavity like it claims to do so or not?  can a dentist please tell me.  thank you. AJK64: Why do you wait an hour before drinking water after eating sweet food? monicaregister: AJK64 said:\n\n\n\n\t\t\tWhy do you wait an hour before drinking water after eating sweet food?\n\t\t\nClick to expand...\n\nbecause i have gastritis.  thats why. Busybee: It's impossible to tell what caused your cavity.  But you can always rinse your mouth with water instead of drinking it.   Maybe use a straw with sweet drinks or avoid them.\n\nIf you have gastritis it's also possible that you may have had acid coming up into the mouth at some point.   That sort of thing can really damage enamel.  If you have thrown up because of gastritis that's pretty bad for teeth too as it will include some acid.  Is the gastritis chronic and were you tested for H pylori?\n\nAre you sufficiently hydrated before you eat?     Saliva is really important to preventing cavities and maybe your mouth is too dry if you have to wait to drink."
  },
  {
    "id": 1455,
    "title": "Diagnosed with trigeminal nerulgia",
    "dialogue": "John Roberts: I have posted on here quite a few times since 11/18/16.  I have been having trouble with all my teeth hurting.  I guess the top and lower front the worst though.  I have been to countless dentist, several general practitioner doctors, ent, oral surgeon, and a few more I can't think of.  None of the dentist had any idea what was wrong or if they did they didn't say.  One of the dentist did want to do tens type therapy and a 6,500 orthic type device but didn't really say what was wrong.  The rest of them gave me no clue.  I finally went to a neurologist.  He said it was in my nerves and diagnosed me with trigeminal neuralgia.  I don't  necessarily think I have the symptoms some people have but I am sure it is some type of neuralgia. He is having a MRI on my head and spine.  I have been having a lot of neck, teeth, eyes and some facial pain but my teeth bother me the most.  He has me on a anticonvultant type medicine.  He said the dentist couldn't do me any good.  I am just glad I didn't start having root canals, fillings replaced and such.  He basically said I am subconsciously changed my bite because the pain in my teeth moves around and it does.  I would just say that if anyone is having trouble with all their teeth and the dentist can tell you anything you may want to see a neurologist.   All my trouble started after a cleaning and fluoride treatment at the dentist. MattKW: Sometimes it's the other way around. Patients have gone to GPs, hospitals, neurologists, and it turns out to be dental. I hope you are finally getting better. Busybee: The trigeminal nerve does feed into most areas of the jaw, sinus and TM joint and eye socket so if you have a problem with it you can be sure to feel pain in similar areas to dental pain.     Even if they work out what's causing it doesn't mean it's easy to treat.   But they can at least help you with pain management. John Roberts: Matt.  If it is or was dental you would think one of the dentist I have been to would be able to figure it out.  I think I have been to one of every kind and none of them told me anything.  The last one said he couldn't see anything wrong on the xrays.  He said it could be some type of nerve problem which the way I feel I agree.  I don't know.\nBusybee.  I know it isn't easy to treat and I think I had a problem with it in my eye and forehead a few years ago.  One of the doctors then said I had some type of neuralgia and tried to treat it with no luck on the medicine he tired.  I got off all medicine and it eventually got better on its own.  I have heard there is no cure for it.  I know they have gamma knife surgery but I am hoping they can control the pain with medication.  I know I am trying to doctor myself but I think it may be in my neck where the trigemianl nerve starts because I am having trouble top and bottom.  Just a guess.  Maybe the MRI will tell something. I do feel better hopefully knowing what it is instead of the doctors saying they don't know.  Very frustrating.  I will post along.  Thanks for the comments. Busybee: John, I've had problems with my neck and shoulder and I suspect that it's down to that area for me too.   But what I have found is that when my bite was really off the neck and shoulder hurt too and my posture felt off too.    I'm sure it's curable but with so many variables it's impossible to pinpoint what exactly causes the pain.   One thing leads to another and then your body compensates and somehow ends up pressing on the nerve.  I know you are going to look at neuro forums but please do let us know how you get on with the neurologist. MattKW: John Roberts said:\n\n\n\n\t\t\tMatt.  If it is or was dental you would think one of the dentist I have been to would be able to figure it out.  I think I have been to one of every kind and none of them told me anything.  The last one said he couldn't see anything wrong on the xrays.  He said it could be some type of nerve problem which the way I feel I agree. .... Very frustrating.  I will post along.  Thanks for the comments.\n\t\t\nClick to expand...\n\nUnfortunately, the longer that you have the cause of any pain undiagnosed, the more it will start to refer to other places, and the worse you become. Dentally, I had a patient 3 weeks ago where he'd been seen by another dentist, then had the run-around including neuropathic drugs and heads scans at the hospital before I found a cracked tooth which had never been filled; very, very rare. Even then, I wanted to be absolutely sure before I extracted, so gave him a long-lasting LA, then he returned in relief, so I took out the nerve as an emergency measure, and when that continued the relief, I took out the tooth. You have to be very careful to avoid aggressive treatment as this will often cause pain of its own, and \"muddy the waters\" for subsequent investigations. Sometimes a nerve block can help isolate the cause to a general area. John Roberts: Thanks Busybee and Matt.  I am going for the MRI n the 28th.  I will post on the results.\nI agree totally about being diagnosed and I have been trying.  The dentist tell me they can't see anything.  If they did miss a cracked tooth would it make most all of my teeth top and bottom hurt.  I have a jaw tooth that only had a partial root canal done it and at one time it was bothering me the most but it was contacting the top tooth.  I did not have the root canal done and it bothers me no more than the rest of my teeth, maybe less.  For now I am going with the Neuralgia diagnosis.\nBusybee.  I have definately had more trouble with my neck than usual and I know my posture isn't good.  Head to far forward and I know it pulls on my neck.  Hope the mri shows something."
  },
  {
    "id": 1456,
    "title": "Small Natural Crowns?",
    "dialogue": "jdocop: Is there, or was there ever, any condition that might arise, or have arisen from the natural crowns being too small?\nI was told by Army Dentists, way back in 1968, that the natural crowns of many of my teeth were too small. Therefore, over a four month period, I submitted to having thirteen teeth drilled to increase the size of the crowns, and then fillings. Does this make any sense? The only documentation they put into my military records was \"Car\" with each visit during the time that the fillings were done. MattKW: No idea, sorry."
  },
  {
    "id": 1457,
    "title": "2 Hygentists inject novocaine to same patient, is this legal?",
    "dialogue": "MajinSea: In the state of Washington, dental hygienists can administer Novocaine injections.  One came in and injected Novocaine. A while later, I needed more and a totally different person cam in and injected more. Is this legal? Who keeps tract of the amounts? I am becoming very concerned about the lack of oversight  because I am sensitive to these anesthetics. My ultimate feeling is find a dentist who administers his/her own anesthetic? Busybee: Hygienists also have to qualify before they work on patients and  I'm sure they have been trained to administer Novocaine if that's the protocol in your state.    But if you don't feel safe with a particular dental practice then you should go elsewhere.   At the end of the day if you don't want it then you should not give consent. MattKW: MajinSea said:\n\n\n\n\t\t\tIn the state of Washington, dental hygienists can administer Novocaine injections.  One came in and injected Novocaine. A while later, I needed more and a totally different person cam in and injected more. Is this legal? Who keeps tract of the amounts? I am becoming very concerned about the lack of oversight  because I am sensitive to these anesthetics. My ultimate feeling is find a dentist who administers his/her own anesthetic?\n\t\t\nClick to expand...\n\nThey should be keeping track in their records. That said, it would take a lot of LA to overdose. In the US LA cartridges contain 1.8mL, so the Maximum Recommended Dose (MRD) would be about 13 cartridges. The MRD is half the toxic dose, but there are records of people having even more."
  },
  {
    "id": 1458,
    "title": "Apico Pain then extraction pain  since 2004",
    "dialogue": "Creeseh: Hello\n\nI will try to be short and to the point.  Dentist did a root canal (2004) on left upper #16.  It stayed infected with pain for a year using off and on antibiotics. I had fistula the last 4 months even with taking two antibiotics.\n\nI then get an apico from a surgeon.  He reopened it two times in two years because infection would come and go.  Finally he opted to pull the #16 and all was ok for  a year.  I did have pain still there though up in the gum area.  After a year it started all over with swelling and pain.  Then it would leave and come back months later.  I felt nauseated alot with face and ear pain.  \n\nSame surgeon decided to go back in again.  He said the bone was mushy and soft.  Debrided and scraped infection out and stitched me back up along gum line.  I had to go back several times throughout the years with recurring issues.  Currently he says there is nothing he can do since he cant see anything on cone beam scans.  I have seen ENT, family MD, neurologist and list goes on.  I had #15 pulled because of pain there when they said it needed root canal.  \n\nCurrently upper gum #16 swells up then goes down.  When it decides to swell like the picture I am adding I get nausea and sick.  Joints hurt a over like I have the flu or something..\n\nThey see this and scratch their heads.  I need help!!!!!  In pain and going numb sometimes.  Any suggestions!!!???   Please! Busybee: Perhaps you should see an implant specialist or periodontist. MattKW: Go to another surgeon. Any surgeon that attempts an apico on a #16 is very strange. Where are you in the world? Creeseh: Hello MattKW,\n\nI live in Nashville, Tennessee.  I checked the numbering on the teeth to be sure and identified it is #15 & 16 area.  My GP is setting me up with a Surgeon at Vanderbilt University Medical Center.\n\nMy Neurologist is on board also after assuring me the swelling is not a nerve condition.  I had a sledding accident in 08 which caused me to get fused at c3 and c4 but this condition had already begun.  At the most irritated hours my gum will extend longer than my teeth with a white area at the tip.  As in the photo, it sometimes takes the form of a cone and is very painful.  Thank you! Creeseh: Thanks Busybee!  I will take that into consideration."
  },
  {
    "id": 1459,
    "title": "Need help asap",
    "dialogue": "Help: Hello my boyfriend has very soft teeth that are weak and rotting he probably needs about 5 teeth pulled the pain is getting so severe we both dont sleep I take him to the er when things get really bad but the guy there tried to give him a dental block and totally just numbed the roof of his mouth ans sprayed the liquid in the suringe around his mouth when he left I noticed my boyfriend's mouth was way more swalloen then before and the pain he said wasmt improving they pushed us out the er and gave us some ibuprofen when we told him he had been on probably 3000 mg today and its not helping. The block didnt help his insurance isn't covering it at all the oral surgeon he needs I'm stuck I have no help no one helps me my boyfriends infection is immune to antibiotics and I need help help Busybee: Surely there is a dental charity where you are who will pull his teeth and give him some antibiotics for the infection?  Are you in the US?"
  },
  {
    "id": 1460,
    "title": "toddler frenum",
    "dialogue": "vbarrigar: My two year old grandson has a gap in his front teeth from his frenum, which I know is common. My daughter had it as well. But my grandson also has the same type of connective frenum on each side of his upper teeth, between his canine and first molar. Is this common?  He has his first pediatric dental appointment scheduled for a bit later this summer,  but I wondered if we should be concerned. honestdoc: I believe it is normal.  Check his bite.  There should be a slight overbite across all his upper teeth against the lower.  This is designed so that as one bites, the top teeth moves the cheek and lips out of the way and the lower teeth moves the tongue away.  This also creates natural alignment.  As long as there are enough room, the top teeth will be aligned by the cheek and lips while the tongue pushes the lower teeth to proper position."
  },
  {
    "id": 1461,
    "title": "Still in pain 3 months after filling",
    "dialogue": "Fazzio349: I went to get a cavity filled about 3 months ago. It was pretty deep, almost to the nerve. It was extremely sensitive for awhile. For the most part, the sensitivity has gone away but when I bite down on something hard like let's say a pretzel, it really hurts. It even hurts when I floss in between the tooth. I never felt any pain or sensitivity until the cavity was filled. I went back to the dentist who then grinded it down a little bit too fix the bite. It did absolutely nothing. She mentioned it could be awhile before everything feels normal but this doesn't feel right. Do I just need to wait it out or is something else wrong here? honestdoc: You mentioned the cavity was close to the nerve.  That means the nerve is traumatized after the filling.  The nerve will either get better or not.  How you will know is if the pain is getting worse.  That means the nerve is damaged.  Another way to know how the tooth is doing is the cold sensitivity.  Healthy nerve will feel cold and the sensation will go away.  Damaged nerve will make it unbearable and can wake you up at night.  A dying nerve will not feel cold and many times will not feel pain.  You may feel better and have no pain.  However, you may have swelling and that means the dying or dead nerve became infected.\n\nI would monitor the pain and if it gets worse or too intense, go back to the dentist and discuss a possible root canal treatment. MattKW: Three months is more than long enough. If you have X-rays available, pls post up here. Some options to consider:\n\nA very deep filling and the nerve is not going to recover. It happens, even if you weren't in pain before the filling. Consider an RCT.\n\nThe tooth has been filled with a composite, and the bond is not secure. Leakage can occur, allowing bacteria to infiltrate. Consider having the filling redone, either in composite, or preferably in amalgam (doesn't leak). Talk to the dentist."
  },
  {
    "id": 1462,
    "title": "Is the enamel regrow possible?",
    "dialogue": "Ken: I have search the article for the enamel regrow/regeneration. I found that there are some reseacher develops enamel regrow. Is it work and provide this service in the future? \n\n\nhttps://www.linkedin.com/pulse/usc-dental-school-develops-gel-prototype-regrows-enamel-sheryl-nelson MattKW: Not possible in real life, and probably never will be, given the way that teeth develop. Ken: But I found there lots of method to regrow the teeth. Becky: Ken said:\n\n\n\n\t\t\tBut I found there lots of method to regrow the teeth.\n\t\t\nClick to expand...\n\n\nDo you have any sources? Ken: Becky said:\n\n\n\n\t\t\tDo you have any sources?\n\t\t\nClick to expand...\n\nHere are my findings of the teeth regrow/enamel regenerate. Of course, it is still developing. \nhttps://edgylabs.com/no-more-fake-teeth-dentists-regrow-teeth-labs\nhttps://epatientfinder.com/human-trials-regrowing-teeth-expected-start-2019/\nhttp://www.iflscience.com/health-and-medicine/scientists-use-lasers-regrow-teeth-stem-cells/\nhttp://pop.inquirer.net/2017/10/tideglusib-alzheimers-drug-can-regrow-teeth/\nhttps://www.thetalkingdemocrat.com/2018/04/researchers-have-found-a-way-to-regrow-tooth-enamel/ MattKW: The first 4 references are only talking about regrowing the 2nd layer of teeth, the dentine. The last reference is about rebuilding the more important layer of enamel, but even there they are only talking about enamel that has been slightly softened. Neither of these approaches is anywhere near building up the complexity of a tooth. I have read about some experiments where they grow enamel and dentine together from stem cells, but it tends to be blobs, and nothing that remotely resembles real teeth. They're light years away yet with growing teeth. They'll have better success with soft tissue organs like liver, pancreas, heart, etc. than teeth. Ken: MattKW said:\n\n\n\n\t\t\tThe first 4 references are only talking about regrowing the 2nd layer of teeth, the dentine. The last reference is about rebuilding the more important layer of enamel, but even there they are only talking about enamel that has been slightly softened. Neither of these approaches is anywhere near building up the complexity of a tooth. I have read about some experiments where they grow enamel and dentine together from stem cells, but it tends to be blobs, and nothing that remotely resembles real teeth. They're light years away yet with growing teeth. They'll have better success with soft tissue organs like liver, pancreas, heart, etc. than teeth.\n\t\t\nClick to expand...\n\nThen I would like to ask the 2nd layer of teeth can be regrowed? \nI think most of people don't like to use veneer, filling, crowns...etc instead of regrowing teeth. MattKW: No, you just simply regrow any useful part of teeth based on these studies, except in a laboratory. honestdoc: As Dr. MattKW mentioned, you cannot regrow any useful part of teeth.  Researchers are developing teeth buds from the embryonic cells of the bladder in rats but have yet to advance to predictable and practical applications.\n\nRestorative wise, there are a new generation of bioactive materials such as Activa that are very promising.  Previous generation materials are biocompatible.  Bioactive materials are such that it thrives in the body and cells such as cementum can regrow over it as oppose to biocompatible which means the body just tolerates it."
  },
  {
    "id": 1463,
    "title": "Inner lip concern",
    "dialogue": "aqz: Hi,\n\nIm just a little concerned about my inner lip and worried about slightly white areas do these look something i should be concerned about? \n\nThanks Busybee: It looks just like mine.  But I would love you to go to see a hygienist for a scale and polish. MattKW: Not a clear photo. looks fine to me. aqz: @Busybee  so it looks fine? I know i need to go have a clean Busybee: Well mine is fine and yours looks similar.   But if you go for a clean I am sure they can reassure you. honestdoc: Most likely they are minor mucous glands.  According to various texts, there are 800-1000 of those located all over the mouth. honestdoc: The reason you need a cleaning is that you have calcified plaque accumulation (tarter) which needs to be ultrasonically or hand scaled clean.  If neglected, you can have gum disease and permanent bone damage around those teeth."
  },
  {
    "id": 1464,
    "title": "Recurring white circular spreading lesion",
    "dialogue": "AntEdwards: Can anyone help me in narrowing down what this could be while I try to find an oral surgeon that can take my insurance. Many thanks! Starts a small dot and spreads out. MattKW: Any pain? Does it blister? How long do they last (days)? AntEdwards: MattKW said:\n\n\n\n\t\t\tAny pain? Does it blister? How long do they last (days)?\n\t\t\nClick to expand...\n\nNo pain and the borders are raised but not fluid filled. Each lesion after spreading out the mucous lining repairs in 3-5 days. AntEdwards: I had a biopsy done yesterday and should have some results in 2 weeks but weirdly they went away with the area swelled up. There’s still similarly looking ones on the underside of my tongue Raj Kumar Bhushan: AntEdwards said:\n\n\n\nView attachment 1663View attachment 1664  Can anyone help me in narrowing down what this could be while I try to find an oral surgeon that can take my insurance. Many thanks! Starts a small dot and spreads out.\n\t\t\nClick to expand...\n\n    Oral cancer symptons- Red & white patches inside mouth-to-mouth lips, cheek, tongue, palate etc. Non healing patches. Numbness in areas. Persisting soarness. Dramatic weight loss. Radiating pain, once lesion (patches) grows. Lumps will grow. Unexplained bleeding from lumps. Neck, ear pain. Soarness. Difficulty in swallow. Lymph node enlarment. Etc.\n     * But you have not these symptoms. Also chronic use of alcohol, tobacco, smoking causes this or by HPV. So don't worry. An oral cancer red/white patches or lesion never healed by self.\n      This is a case of APTHOUS ULCER or CANKER SOARES causes by infection, vit-B complex deficiency, folic acid deiciency, zinc deficiency, useuof more junk foods, STRESS, use of more acidic food (soda), constipation, faulty nutrition deficient diet, irregular sleep, HPV infection,use of methotrexate, immune deficiency etc.\n     Also get your blood sugar test done. Due to sudden increase in blood sugar (not diabetes- it is a normal thing) it causes ulcer and lesion like this. Which subsides within few days.\n     Meet any physician to know about SYPHILIS.\n    * Suggestion- check your diet. Eat less carbohydrate food. Take more raw food veggie, fruits. Drink 3-4 liter water daily. Take Vit - B complex caps with folic acid & zinc. Use antiseptic gargle (1 spoon in a glass of water)- keep in mouth for 2-3 min/ twice a day. In case of infection, dentist would give you antibiotics. Meet a genuine dentist. Steroid gel will be prescribed to apply in ulcer.\n      Do exercise and try to come out of Stress.\n     Chance is you don't get cancer alert. MattKW: AntEdwards said:\n\n\n\n\t\t\tI had a biopsy done yesterday and should have some results in 2 weeks but weirdly they went away with the area swelled up. There’s still similarly looking ones on the underside of my tongue\n\t\t\nClick to expand...\n\nI really don't know. The lack of pain means it's not a canker sore (apthous ulcer), as these are always painful, and sores that large would be really terrible. I wonder if you have sort of epithelial defect. I'd be interested to hear what the biopsy results suggest. Good luck. AntEdwards: Still waiting for biopsy results but I ust to add. This is the underside of my tongue if that could help any further. honestdoc: I suspect it may be an autoimmune response.  Since you mentioned that it would go away in about 3-5 days.  When did it start?  Did you use a new toothpaste, mouth rinse, herbal supplements, cinnamon products, medications, food coloring, etc.?  It looks like a canker sore like Dr. MattKW mentioned but it is very painful.  A medication that would help is a corticosteroid in dental paste like Triamcinolone which will mildly suppress the immune system around the lesion.\n\nUnder the tongue looks normal.  That condition is called migratory glossitis or geographic tongue.  If it is a tumor or cancer, the lesion would not go away in 3-5 days."
  },
  {
    "id": 1465,
    "title": "Broken Wisdom Tooth",
    "dialogue": "Mjcuetis: I have an upper right broken wisdom tooth. When it first broke there was no pain at all and I'm not sure when it actually broke I just found it by running my tongue over my teeth. Its been over a month now and all of a sudden I have a lot of pain in that whole upper side of my mouth. Since being an adult (40 yrs old) I have never had dental work besides cleanings. My question is can I have the tooth pulled by a regular dentist? I don't have insurance and can not afford to go to a surgeon. I'm also already very anxious to have it done. honestdoc: Usually the upper wisdom teeth are less traumatic to remove compared to the lower ones.  That is because the bone around it is less dense/bulky.  Factors that can make it more difficult is if lower tooth is contacting it which can harden the bone, and if the tooth has a divergent root anatomy.  Factors that can make it more risky is if you have any medical conditions such as severe heart disease, very high blood pressure, taking blood thinning medications, and close proximity to sinus.  Most likely you are not but if someone were to take bisphosphonate injections, severe bone damage can occur after teeth extraction."
  },
  {
    "id": 1466,
    "title": "Blood clot",
    "dialogue": "Johnnyrocket: Are these white parts teeth or is it my gums forming?  I think the blood clot is dissolving Johnnyrocket: See honestdoc: It is hard to see to make an accurate diagnosis/assessment.  Are you having a lot of pain and or swelling?  You may need possible followup to make sure all the tooth and root fragments were removed.  Smoking and uncontrolled diabetes may slow the healing as well as other medical conditions."
  },
  {
    "id": 1467,
    "title": "difference between young adult gums and older adult gums? NO BS!",
    "dialogue": "pearly whites: Hi, I would like to know the difference between young adult gums and older adult gums, NO BS! what are the facts about this? are they different when your a young adult and change when they get older even if you kept your gums very healthy? OR once your a full grown adult in 20s then do your gums stay the same for the rest of your life as long as you keep them healthy?\nwhen I was a young adult in my early twenties I swear my upper gums and my lower jaw gums were thicker and more fuller or at least felt that way. My dentist said my gums are normal and are supposed to look like that so I am not that concerned anymore about that gum issue I had posted in the forums previously. honestdoc: In general, when you are young, you have better blood circulation vital to gum healing and health.  As you get older, you may develop medical conditions such as diabetes which will negatively affect your gums. Also, people have a tendency to brush too hard and damage the gums and teeth.  Your lifestyle and mental tendencies may cause you to grind your teeth which could traumatize your gums.\n\nWith neglect or infrequent dental visits, one can accumulate tarter build up which can hurt the gums.  Due to genetics, medical conditions, lifestyle, and home care can affect gums as you age."
  },
  {
    "id": 1468,
    "title": "root canal necessary or not",
    "dialogue": "merinl: I had an infection in my gums of front teeth and after taking antibiotics it disappeared.again after three weeks infection came..dentist recommended root canal..i want to ask whether root canal is the only solution for this honestdoc: 2 possibilities...most likely you will need a root canal.  Did you have large cavity or filling on that tooth?  Did you have a history of trauma or fall?  Did you have a history of braces?  The other may be gum disease.  \n\nA dentist will need to see an x-ray of the tooth to determine the root canal anatomy, bone level, and sound tooth structure.  Depending on the predictability of success, a dentist will tell you options such as root canal, root canal and crown or tooth extraction.\n\nA rare possibility is viral like herpes which does not respond to antibiotics or canker sore which is the body's autoimmune response.  Other more rare possibilities are lesions resulting from medications, tumors or cysts."
  },
  {
    "id": 1469,
    "title": "Implants",
    "dialogue": "Boobie: My new dentist recommended that I have 4 dental implants inserted plus extensive other work.   He asked me also if I grind my teeth. I think he was remarking on this because of the wear and tear he saw on my teeth.  I have been asked the same question many years ago when I was in my early 30's.  I am now 58 years old.  I have read that teeth grinders are not good candidates for implants.  Any one have any thoughts.  (I may have posted this already.  I am new to the site and am still figuring it out.) MattKW: There's a lot to consider, and you haven't given me much info to work with. An OPG X-ray would be a good start. At 58, some wear and tear is to be expected, but whether it is of concern or not depends on how many teeth you have remaining, and how bad is the damage. If you partner doesn't complain of you grinding your teeth at night, then you're prob not a grinder. For true grinders, most crowns (including implant-supported crowns) can be at risk of fracturing. The best crowns for grinders are probably a gold alloy. Implants do not work the same as real teeth. Real teeth have a periodontal ligament - when you squeeze hard, you can feel your teeth will \"give\" a little. Implants have no \"give\", and the crowns are constructed to touch only at maximum pressure (if mixed with real teeth)."
  },
  {
    "id": 1470,
    "title": "Tooth Nerve - Root Canal Question, £700 cost? Help Please?",
    "dialogue": "Steven-uk: Hi Everyone,\n\nThanks for accepting me onto the forum.\n\nI went to my dentist today (UK) as I had a pain in one of my bottom back teeth that I knew already had a deep filling (grew up in the 70's..),\n\nThe dentist said the nerve has probably died, and took an Xray to confirm.\n\nShe stated that one side of the nerve was hardly visible, and that on one half (same half) of the tooth there is an absess under the tooth (the side where the nerve is hardly visible), she shown me this on the Xray and there was a shadow under one part of the tooth, which she said was the absess.\n\nDentist said she would drill into the filling and remove that section of the nerve, which she attempted.\n\nWhen she finished she said she could only remove one section of nerve out of the three that are there (she said she could not find/see the rest of the nerves), and that I would have to see a specialist to get to rest of the nerve removed at a cost of around £700 - with a 70% success rate of the nerves being found and removed.\n\nThen she said, if successful, a root canal would then be needed, and then a crown - or the alternative is have the tooth extracted, which obviously I would like to avoid.\n\nDoes all this sound about right to you educated folks?\n\nDentist said that most people just have the tooth removed because of financial reasons.\n\nI can afford the payment (luckily), but I just wanted to make sure this sounds reasonable, and the treatment sounds about right? I cannot understand why she does not do a root canal immediately and remove the whole lot?\n\nThank you in advance. MattKW: Sounds OK. The endodontic specialist will give you a more detailed assessment of risks, but a good endo has success rates 90%+. It is nearly always important to crown these teeth afterwards, as they are quite weak. the endodontist will confirm this too. If it's a last molar, i prefer gold crowns so as to preserve as much natural tooth as possible. 2nd last molars can be crowned in something more aesthetic if you wish - discuss this with your dentist. Steven-uk: Thank you, Matt, that helps a lot."
  },
  {
    "id": 1471,
    "title": "Which toothbrush to choose?",
    "dialogue": "Athethos: So recently I stumbled upon the Oral B Pro 2000 and Philips Sonicare Easy Clean and I've been wondering, which one should I choose? Anybody here used one of these? KVMCruces: Athethos said:\n\n\n\n\t\t\tSo recently I stumbled upon the Oral B Pro 2000 and Philips Sonicare Easy Clean and I've been wondering, which one should I choose? Anybody here used one of these?\n\t\t\nClick to expand...\n\n\n\nI've used Oral B's toothbrush and it wasn't bad, I did however feel like it wasn't getting between my teeth so I traded it for a Rotadent ProCare brush. \n\nEither one should work fine for you though. You wont really know which one you like better or works best for you until you try it. Busybee: I prefer Sonicare. Athethos: Thanks for the feedback, I think I'm leaning more towards Sonicare, never used a sonic toothbrush before (they're quite pricey, if you want a decent one), but I guess this one's a pretty solid choice to start with. Arthur Fitzherbert: I myself have got the vitality precision clean electric toothbrush, for the price i'd say it was well worth it Busybee: You don't have to buy the most expensive model as some have unnecessary features.    I tried others but my teeth and gums are healthier with sonicare.    You do need to replace them every two or three years.  The motor on all electric brushes starts to be less effective after a while. lomo12: Is it better to use a toothbrush with soft bristles or hard bristles? I prefer the harder kind because I feel like it does a better job of cleaning but always wondered if it's bad for your gums or not. Busybee: The electric brushes don't tend to have hard bristles because even with the softer ones your can over brush your teeth.   For manual brushes I go for medium.  You don't need to scrub to do a good job and scrubbing can damage enamel. Uptown101: Hello Athethos,\n\nIn order to select tootbrush here are the Tips,\n1. Any toothbrush you choose should have soft bristles because Hard bristles may cause your  gum tissue to pull back from teeth which can expose the tooth root and lead to increased sensitivity to heat, cold or certain foods and drinks.\n2. Select a toothbrush head size that can easily fit into your mouth and can brush one to two teeth at a time (the general size is 1\" long and ½\" wide).\n3.Powered toothbrushes don’t clean teeth any better than regular toothbrushes. However, if a powered toothbrush motivates you to clean your teeth more often and for the required length of time, it is worth the investment.\n4.Powered toothbrushes are better choices than manual toothbrushes for anyone who needs assistance brushing teeth, including people with arthritis (or any condition that may limit mobility), anyone wearing braces or people with misaligned or uneven teeth surfaces that make a thorough cleaning more challenging.\n5.Replace your toothbrush as soon as the bristles begin to look worn or frayed (usually every three months). A worn toothbrush does not do a good job of cleaning your teeth. Remember always to replace your toothbrush after an illness.\nIf you’re still undecided about which toothbrush to use, consult your dentist for advice. MattKW: Sonic toothbrushes aren't as good as rotary brushes in a technical sense. However, if it makes you brush your teeth regularly, then there's probably no difference; it's all about thoroughly brushing 2x daily. The Rotadent are great - my wife has used them for 20 years, but unfortunately i have to import from USA. The more expensive electric toothbrushes prob aren't worth the extra cost over standard models. Busybee: MattKW said:\n\n\n\n\t\t\tSonic toothbrushes aren't as good as rotary brushes in a technical sense. However, if it makes you brush your teeth regularly, then there's probably no difference; it's all about thoroughly brushing 2x daily. The Rotadent are great - my wife has used them for 20 years, but unfortunately i have to import from USA. The more expensive electric toothbrushes prob aren't worth the extra cost over standard models.\n\t\t\nClick to expand...\n\nI find sonicare is great for the gums and also for getting to hard to reach areas such as the outside of wisdom teeth, but they don't work as well at getting rid of all plaque between teeth.  The rotary are limited because of shape and action.  The one I had was great at getting rid of plaque, but not so great on gum margins.    Sometimes I think a good brush with a decent old fashioned toothbrush is helpful as a backup."
  },
  {
    "id": 1472,
    "title": "Need help",
    "dialogue": "wallacethundercloud: Can my teeth be straightened. I am contemplating pulling out the bottom one that sticks out and the crooked one on top beside my big tooth Busybee: I am not a dentist but if you pull those out your front teeth will be asymmetrical.  This could affect both  your smile and your face shape as it would mean moving the canines on one side to a position they are not naturally in. MattKW: A wrong idea, and you wouldn't find a dentist to do it for you. Unless you use braces, your teeth would tilt over, and you'd end up looking terrible. Sorry."
  },
  {
    "id": 1473,
    "title": "Take Out Top And Bottom Wisdom Tooth?",
    "dialogue": "CrescentTooth: I took out my lower right Wisdom tooth and just wanted to know if I should take out the top one right above it? Is it a necessity? Has anyone just taken out one Wisdom tooth but not the other and do you have any issues with it? MattKW: It's not an absolute necessity if it is doing no harm. However, it is now a redundant tooth that doesn't have anything to chew against, and is just going to be a pain to keep clean. Most people have serious problems with lower wisdoms, and after a sometimes unpleasant extraction, get scared off the top wisdoms. Really, top wisdoms can be so easy to extract it's almost embarrassing for me. CrescentTooth: MattKW said:\n\n\n\n\t\t\tIt's not an absolute necessity if it is doing no harm. However, it is now a redundant tooth that doesn't have anything to chew against, and is just going to be a pain to keep clean. Most people have serious problems with lower wisdoms, and after a sometimes unpleasant extraction, get scared off the top wisdoms. Really, top wisdoms can be so easy to extract it's almost embarrassing for me.\n\t\t\nClick to expand...\n\n\nThanks for your reply doctor. The top Wisdoms may are easier to take out but which is more dangerous? The top are near your sinuses. I read a lot of complaints about the sinuses getting affected also with their removal. Does the bottom Wisdom tooth have any issues? MattKW: CrescentTooth said:\n\n\n\n\t\t\tThanks for your reply doctor. The top Wisdoms may are easier to take out but which is more dangerous? The top are near your sinuses. I read a lot of complaints about the sinuses getting affected also with their removal. Does the bottom Wisdom tooth have any issues?\n\t\t\nClick to expand...\n\nIn rare cases the extraction of upper wisdoms may cause fracture of the surrounding bone (tuberosity), and exposure of the sinus lining. But to tear through the sinus lining into the sinus is extremely unlucky. Lower wisdoms have the problem of being surrounded by more thicker bone, and they are often at odd angle, so surgical bone removal may be required."
  },
  {
    "id": 1474,
    "title": "Toothache",
    "dialogue": "WorriedIncisor: i had a toothache for about ten minutes yesterday but now it has gone, not ache whatsoever now, do you think there may be a problem with my teeth or would the toothache have lasted for longer than 10 minutes if there was a problem? Busybee: What were you doing just before it started to ache?  Had you bitten into anything sweet or anything hard?  When was the last time you went for a check up? WorriedIncisor: I was actually asleep, I didn’t eat anything hard, I have been to the dentist recently, thanks for your reply Busybee: It might be worth getting a nightguard because you may be grinding in your sleep.  You can damage your teeth when you sleep without realising."
  },
  {
    "id": 1475,
    "title": "Front top and bottom teeth becoming transparent",
    "dialogue": "JFranco: Hello guys.\n\nI am posting this over a problem that I've recently discovered, 2 of my front and bottom teeth have become translucent. I'm not sure if they've always been like this but i've only just noticed. I'm 20 and I live in the UK but i'm on holiday in Florida for 5 weeks.\n\nI recently purchased some new tooth whitening mouth wash which I thought was amazing, you could see the results after using it, it was brilliant. After looking online I found this may be the cause of why they've gone so clear. I may also add my tooth paste is whitening too! (although it feels like it makes no difference)\n\nI have now stopped using the mouth wash until I can get a definitive answer\nAre my teeth damaged for life? is there anything I can do to help them. I've looked online but have got mixed opinions on the problem\n\nThanks all, greatly appreciated CrescentTooth: Wow. This is an old thread. You still deserve an answer though. Some of my teeth also look translucent. The tooth whitening can be an issue if it's extra caustic but what I've discovered is that it was caused by acid reflux in my case. Sometimes you don't even know you have it. Go to your General Practitioner and find out if you have Acid Reflux. I've seen some dentists have a remineralization program for the teeth but I'm not sure how well it works and it's probably very expensive. The only way surefire way is to get veneers, that's what I'm about to do"
  },
  {
    "id": 1476,
    "title": "Bit down on a fork really hard",
    "dialogue": "Juilkca: Hey guys,\nIm new here. Yesterday, while eating dinner. I bit down really hard on a fork while eating pasta. My fork was on its side when I bit down and although there is no chip, I believe I bit down so that it \"lodged\" between my two center bottom teeth. I thought it was knocked back so i panicked and I tried (idiotically) to push it forward. I couldn't. The teeth did move somewhat forward so there is some looseness. Later I realized that that little bit of forward movement of the affected teeth didn't allow for the normal overbite and realized that the teeth probably was not knocked back. But it's a bit loose now, sensitive and painful if I chew on it, and there is a sensation that it was dislodged a little bit out. I went to the dentist here in DR, but they are closed because of a national holiday. Do you think it would be too late if I went to see the doctor tomorrow? The major thing I'm concerned is that I will lose my teeth. Busybee: The most important thing is that the teeth are still in the jaw.    it should be ok to see the doc tomorrow. Juilkca: Busybee said:\n\n\n\n\t\t\tThe most important thing is that the teeth are still in the jaw.    it should be ok to see the doc tomorrow.\n\t\t\nClick to expand...\n\nThank you for your reply. It gives me some assurance! Busybee: Teeth have been known to even survive being knocked out and put back into the socket.   Good luck at the dentist and let us know how it goes."
  },
  {
    "id": 1477,
    "title": "Feeling hot & cold in my teeth, can you please help me for this..",
    "dialogue": "LaurenMill: I am feeling hot & cold in my teeth, is there any decay in my tooth or any thing else, please suggest..... MattKW: A myriad of possible reasons, too many to give here. Go to dentist and get X-rays and an examination. LaurenMill: MattKW said:\n\n\n\n\t\t\tA myriad of possible reasons, too many to give here. Go to dentist and get X-rays and an examination.\n\t\t\nClick to expand...\n\nThanks....."
  },
  {
    "id": 1478,
    "title": "Redness in throat please help",
    "dialogue": "Devasish: Please look at my throat, is this okay"
  },
  {
    "id": 1479,
    "title": "My expensive crown turned grey: my dentist \"doesn't know why\"",
    "dialogue": "starlight999: I have a dead tooth at the front (root canal years ago) that had gone brown so last November I forked out nearly £500 to have a crown put on it to improve its appearance. \n\nFor a week or two the crown looked great but it soon started to turn grey, which even the dentist who did the work admits. She is young and despite doing all the implants and crowns at my surgery, says she \"doesn't know why\" and \"it's never happened before\". \n\nThe dentist offered to replace it back then (November/December 2016) but warned that it may weaken the tooth further, which weighed heavily on me. It doesn't look totally horrendous - better than the brown tooth it replaced but given what I paid it is not satisfactory and looks as if it has a grey tinge which is slightly darker than my natural teeth.\n\nNow I need a bridge replaced (also at the front of my mouth) but don't want this dentist to do it. I don't want to pay at least £1k only for the same to happen again.\n\nSo I want to know if anyone can recommend a good, experienced dentist who would do a good job and who would know what's gone wrong with my crown? I'm in south east London but don't mind travelling within the London area for someone good. \n\nThanks! Lily: wow I am so sorry. I would love to hear the answer too.  Did you find someone?  Please let me know if you do and good luck to you. Raj Kumar Bhushan: starlight999 said:\n\n\n\n\t\t\tI have a dead tooth at the front (root canal years ago) that had gone brown so last November I forked out nearly £500 to have a crown put on it to improve its appearance.\n\nFor a week or two the crown looked great but it soon started to turn grey, which even the dentist who did the work admits. She is young and despite doing all the implants and crowns at my surgery, says she \"doesn't know why\" and \"it's never happened before\".\n\nThe dentist offered to replace it back then (November/December 2016) but warned that it may weaken the tooth further, which weighed heavily on me. It doesn't look totally horrendous - better than the brown tooth it replaced but given what I paid it is not satisfactory and looks as if it has a grey tinge which is slightly darker than my natural teeth.\n\nNow I need a bridge replaced (also at the front of my mouth) but don't want this dentist to do it. I don't want to pay at least £1k only for the same to happen again.\n\nSo I want to know if anyone can recommend a good, experienced dentist who would do a good job and who would know what's gone wrong with my crown? I'm in south east London but don't mind travelling within the London area for someone good.\n\nThanks!\n\t\t\nClick to expand...\n\nI wonder. If this is ceramic crown, it cantc be discoloured at any cost unless purposely done, even while drinking soda, alcohol, strong tea, chocolates etc. Anyway crown may comes in Resin category too.\n  Types- metallic, resin, ceramic, metal ceramic.\n     Resin crown may loose texture and colour. It can be discoloured with time by rigorous use of strong tea/coffee, chocolates use, alcohol strong, hard brushing, more conscious about that crown to keep it clean and hard brush, not maintain oral hygiene, lots of soda drink use, pulp tissue damage/reinfection of treated tooth (RCT) etc.\n       Hence RCT fail may be a cause too. \n  1. If crown is darken due to resin made or low quality ceramic used (thin layer) then it can be replaced. No need of RCT.\n  2. If dentist insist on re RCT, it means that was a failure. Though you don't feel starting symptoms.\n     I suggest, change dentist (where do you live? I may search for another Endodontist/ experienced dentist).\n     * This time take ' Dental Insurance' policy. Ask your agent. Busybee: As the post was almost 9 months ago, hopefully Starlight has resolved the problem. Raj Kumar Bhushan: Busybee said:\n\n\n\n\t\t\tAs the post was almost 9 months ago, hopefully Starlight has resolved the problem.\n\t\t\nClick to expand...\n\n Hopefully. But this may be useful for them who wants to know this case. Busybee: Perhaps it would if it answered the actual question asked.    But in general digging up old threads is considered bad form on forums."
  },
  {
    "id": 1480,
    "title": "Post root canal first stage.",
    "dialogue": "Chrisnellies: My question is on symptoms arising from a root canal first stage on a top molar. \n\nI needed to get a root canal done on my top molar due to irreversible pulpitis about 2 weeks ago.This was giving me serious discomfort with biting pressures, extreme pain to hot cold etc.. once the first stage of the root canal (remove pulp and nerves) was complete, a temp filling was placed and all feeling/pain/discomfort was gone.. great... and i am to return to get them filled next week. \nA few days ago i got a sharp pain while chewing on something followed by a twinge/pain everytime i tried to eat something and i felt like my tounge could go in a hole that was in my tooth.. turns out i managed to crack/chip the temp filling a little which was giving the pain. The tooth was re cleaned, canals checked and a temp filling was redone to last me a week until my stage 2 appointment, however now i feel a light discomfort to hot/cold drinks mostly.. how can this be if i have no nerves in my tooth to identify that? What could the issue be so as i can discuss every possibility at my next app. MattKW: Yes, the symptoms of hot/cold suggest there may be another tooth with problems. Maybe you've developed a small crack. Your dentist will prob do sensitivity tests, look at adjacent heavily filled teeth, etc . Chrisnellies: Thanks for the reply.. the dentist did do various checks that day.. tapping the top row with a metal instrument, prodding, etc of the tooth in question as his worry was the tooth had split. He did say it was still a good tooth and that didnt seem to be the issue. I dont think a small crack is the issue because once i hurt my tooth.. it was 48 hours before i got the tooth checked and in that time i didnt experience hot/cold sensitivity.. its only been there after he replaced the chipped temp filling... like its just magically appeared. I Dont understand how it just all of a sudden appears. MattKW: Wait and see. Raj Kumar Bhushan: Chrisnellies said:\n\n\n\n\t\t\tMy question is on symptoms arising from a root canal first stage on a top molar.\n\nI needed to get a root canal done on my top molar due to irreversible pulpitis about 2 weeks ago.This was giving me serious discomfort with biting pressures, extreme pain to hot cold etc.. once the first stage of the root canal (remove pulp and nerves) was complete, a temp filling was placed and all feeling/pain/discomfort was gone.. great... and i am to return to get them filled next week.\nA few days ago i got a sharp pain while chewing on something followed by a twinge/pain everytime i tried to eat something and i felt like my tounge could go in a hole that was in my tooth.. turns out i managed to crack/chip the temp filling a little which was giving the pain. The tooth was re cleaned, canals checked and a temp filling was redone to last me a week until my stage 2 appointment, however now i feel a light discomfort to hot/cold drinks mostly.. how can this be if i have no nerves in my tooth to identify that? What could the issue be so as i can discuss every possibility at my next app.\n\t\t\nClick to expand...\n\n Can you show me post RCT x-rays?\n   Tooth is non vital and pulp tissue is removed, fine. But adjacent area and jaw line is active. Physical pressure or and fracture may cause problem.\n      Perhaps Root Apex perforation is done during canal preparation. So I need to check.\n     Canal preparation and filling (inert material) is important part of RCT.\n    * If the same tooth is causing problem then flap surgery and Apicoectomy (reverse RCT) will be done. RootandFive: Just curious, should the root canal filling material be able to be seen through the apex of the root? I have an extracted tooth where that's the case and I'm curious if that would be considered an over fill."
  },
  {
    "id": 1481,
    "title": "Invisalign transfer",
    "dialogue": "John Steele: I'm searching for a new dentist to treat my Invisalign, and my current dentist said that he would transfer the case. will the new dentist charge me?"
  },
  {
    "id": 1482,
    "title": "Bruised gum?",
    "dialogue": "aqz: I have cut my gum area few days ago and it did bleed however i have noticed it looks a lil purple is this normal? \n\nThanks Uptown101: Hello,\n\nNormally, we can injure our gums just like any other part of your body. Example are Falling on your face, eating something with sharp edges, and even brushing or flossing your teeth too hard can bruise your gums. Bruises on the gums are usually dark red or purple, but they can also be dark brown or black. You may also have some minor bleeding and pain in addition to the bruise. Bruises usually heal on their own without medical treatment."
  },
  {
    "id": 1483,
    "title": "Seriously sensitive teeth",
    "dialogue": "Bobby354: So one day I just had really sensitive teeth (for the record I did have sensitive teeth before but not to such a extent)\nThe pain was so bad that I couldn't drink cold - Room temp water and eating on that side oh god...\n\nMy dentist said that I should use sensitive tooth paste but it that fails then I have to get a root canal\nIs that any other dentists that could shine a second opinion for me?\n\nThanks Bobby` Busybee: I'm not a dentist but heavy contacts and grinding can cause sensitivity and it would be a pity to do a root canal if that's a cause.   Are you often clenching the jaw?   How long have you had the intense pain? MattKW: If you've had sensitive teeth for some time, I find the most likely cause is too many acidic drinks: soft drinks, fruit juices. If that describes you, then you have to cut those back if you want to let the sensitive toothpaste work effectively. If it's just one tooth, then could be decay, a failed filling, an abrasion defect, a crack, etc. Do you have X-rays to show me?"
  },
  {
    "id": 1484,
    "title": "Issues after composite fillings",
    "dialogue": "jkb2108: So to make a long story short, I haven't gone to the dentist in about 7 years, due to my fear of all the injections I have to get to become numb, and I finally went about 2 weeks ago. Had 4 small gum line cavities (molars 19, 29, 30, 31- I hope those are the right numbers!) my dentist said they went a tiny bit under the gum during the fillings. Honestly most of my appointment was spent getting my teeth actually numb, once he was drilling he was only on each individual tooth for less than a minute-about a minute. I expected to be sore considering I got them all filled on the same day, could still feel part of the procedure, and the amount of injections I had to have in my lower jaw. All of this work was done a little over a week ago, haven't had any sensitivity to heat and very minimal sensitivity to cold (I've had composite fillings before and the cold feels pretty normal for my teeth). I've had a couple bite pressure zings on 2 of my teeth, but that stopped after day 3 or 4. My main concern is that three nights ago I woke up early in the morning to throbbing pain, I couldn't pin point a tooth, but it was coming from my right side. I stood up, and within 45 seconds the entire pain was gone, and I experienced the same throbbing last night, but again not a specific tooth. I also have a soreness on my right side (where I had 3 fillings) and it tends to feel aggravated when I eat anything hard. But again to clarify, it's not painful, just almost feels like I flossed my gums too hard or how your teeth feel right after you get braces. Are my teeth just trying to recover from being drilled, or do I have a more serious problem here? I definitely don't have a bite problem, due to the fact my fillings are on my gum line, and it would be pretty noticeable, and I've had a high bite on previous fillings so I know what it feels like. \n\nI almost feel like I'm almost making my teeth feel worse then they are, like I could possibly be clenching my jaw in my sleep and making myself believe there is truly a problem. I've been reading a lot about reversible and irreversible pulpitis, does it sound like I have the symptoms of either? \n\nI'm waiting until the end of the week to go back to my dentist, so any suggestions on what might be going on would be greatly appreciated! movemen: If the pain goes away after you stood up then most likely its not dental related. Sounds like sinus to me. DR. Stephen: If it's not a high bite, then mostly would be a sinus related.\n\nDr. Stephen\nDesigner Smiles Dentistry (www.DesignerSmilesDentistryTX.com) MikelHorizon: If I were you consult a physician for a better answer of your health condition. Raj Kumar Bhushan: jkb2108 said:\n\n\n\n\t\t\tSo to make a long story short, I haven't gone to the dentist in about 7 years, due to my fear of all the injections I have to get to become numb, and I finally went about 2 weeks ago. Had 4 small gum line cavities (molars 19, 29, 30, 31- I hope those are the right numbers!) my dentist said they went a tiny bit under the gum during the fillings. Honestly most of my appointment was spent getting my teeth actually numb, once he was drilling he was only on each individual tooth for less than a minute-about a minute. I expected to be sore considering I got them all filled on the same day, could still feel part of the procedure, and the amount of injections I had to have in my lower jaw. All of this work was done a little over a week ago, haven't had any sensitivity to heat and very minimal sensitivity to cold (I've had composite fillings before and the cold feels pretty normal for my teeth). I've had a couple bite pressure zings on 2 of my teeth, but that stopped after day 3 or 4. My main concern is that three nights ago I woke up early in the morning to throbbing pain, I couldn't pin point a tooth, but it was coming from my right side. I stood up, and within 45 seconds the entire pain was gone, and I experienced the same throbbing last night, but again not a specific tooth. I also have a soreness on my right side (where I had 3 fillings) and it tends to feel aggravated when I eat anything hard. But again to clarify, it's not painful, just almost feels like I flossed my gums too hard or how your teeth feel right after you get braces. Are my teeth just trying to recover from being drilled, or do I have a more serious problem here? I definitely don't have a bite problem, due to the fact my fillings are on my gum line, and it would be pretty noticeable, and I've had a high bite on previous fillings so I know what it feels like.\n\nI almost feel like I'm almost making my teeth feel worse then they are, like I could possibly be clenching my jaw in my sleep and making myself believe there is truly a problem. I've been reading a lot about reversible and irreversible pulpitis, does it sound like I have the symptoms of either?\n\nI'm waiting until the end of the week to go back to my dentist, so any suggestions on what might be going on would be greatly appreciated!\n\t\t\nClick to expand...\n\n     Dude you are suffering from Acute Apical Periodontitis. Your x-rays need to be studied properly. Individual &  lateral x-rays need to be checked. If it is then RCT is a choice. If dentist make precise pulp access opening with telescope or dental loupe, then no problem. You may get only post & core with composite restoration. Unless ceramic crown is better. Now your periodontal scaling and obviously ''Root planning\" may be required. Don't worry, just check an expert dentist nearby.\n     Pulpitis is inflammation of pulp tissues. This may be the reason. But as you say while applying bite force then pain aggravates. It is AAP.  Need to see x-rays, if apical root has any lesion unless pulp infection. Periodontal problem is related in this case. Get x-rays,,, lateral & individual of teeth region. Nothing to do with sinus. MattKW: Oh Lordy, where do some of these people come from?\n\nSinus pain is possibly indicated if pain occurs when standing up, not if pain subsides. \n\nNor will it be a perio problem. \n\nWe're jumping way out into space with suggestion of AAP and needing X-rays.\nGiven that you haven't been treated for 7 years, and pain occured after several small fillings, then most likely simply the fillings. You can try some sensitivity toothpaste while you wait for dentist appointment. If necessary, perhaps a filling or two may be leaking and require replacement. I'm assuming you've had composite (white) fillings, and the seal on these tends to be poor if they have to go under the gum. Maybe you should ask if they need to be replaced with amalgam. Busybee: Hopefully this problem was resolved over the last four years! Raj Kumar Bhushan: MattKW said:\n\n\n\n\t\t\tOh Lordy, where do some of these people come from?\n\nSinus pain is possibly indicated if pain occurs when standing up, not if pain subsides. \n\nNor will it be a perio problem. \n\nWe're jumping way out into space with suggestion of AAP and needing X-rays.\nGiven that you haven't been treated for 7 years, and pain occured after several small fillings, then most likely simply the fillings. You can try some sensitivity toothpaste while you wait for dentist appointment. If necessary, perhaps a filling or two may be leaking and require replacement. I'm assuming you've had composite (white) fillings, and the seal on these tends to be poor if they have to go under the gum. Maybe you should ask if they need to be replaced with amalgam.\n\t\t\nClick to expand...\n\n      Ego is not good in profession.\n    This fellow 's c/c- getting zing on two tooth while biting on opposite jaw.\n    I wonder, how you say about sinus pain and how you relate with it. Can you tell me book name or any journal publication?\n      What is your provisional diagnosis? You cut out option of x-rays, which is very important in dentistry and orthopaedics cases (likewise for others).\n     Is this due to ' sinusitis'? Have this guy mentioned any other significant symptoms for sinusitis. No.\n      (Trigeminal neuralgia pain is also radiating and subsides after sometime. Due to cold wind blowing it aggravates and subside. So we relate?).\n          * Restoration is  NOT done properly. Periodontal check up is must. (By the way Sinus opening & treatment comes under 'Periodontics'. Hope you know this!!).\n    What type of dentist you are!! Which tooth no. is 19, 29??\n    (I made assumption, this fellow is telling about upper R & L quadrant. I excused his saying and focussed on c/c. But you , what is saying )...better DON'T dictate or criticize any one. This is NOT your forum or website. If want, you give your own advice to 'patient only', NOT others. Thanks. Busybee: Raj, you've posted on a thread that is four years old.  Why? Raj Kumar Bhushan: Busybee said:\n\n\n\n\t\t\tRaj, you've posted on a thread that is four years old.  Why?\n\t\t\nClick to expand...\n\n    I am new in this forum, just joined. So I am replying it for others benefit (if it is). Also I like it. Thanks. MattKW: Busybee said:\n\n\n\n\t\t\tRaj, you've posted on a thread that is four years old.  Why?\n\t\t\nClick to expand...\n\nHa! I didn't notice the date either."
  },
  {
    "id": 1485,
    "title": "Medication",
    "dialogue": "Lauraine Waller: I have been prescribed MST and Oramorph as pain relief for spinal stenosis\n Will I still be able to have dentistry work done that involves numbing the gum. MattKW: Yes, no interactions."
  },
  {
    "id": 1486,
    "title": "Small cavity is into the nerve.",
    "dialogue": "Arealperson: I've developed a small cavity on the side of a tooth at the gum-line.\nIt's not deep at all, but is already touching on the/a nerve.\n\nQuestion:\n\nCan the dentist possibly repair a small cavity if it is accessing the nerve ? Or is a root canal normaly the only option available?\n\nThanks, MattKW: It is probably not directly touching the nerve, or you'd be in serious pain. But if you've exposed the dentine layer of the tooth by decay or over-zealous brushing, then there are tiny tubules that allow your deeply-placed nerve to \"sense\" pain. Try a desensitising toothpaste, and arrange a check-up."
  },
  {
    "id": 1487,
    "title": "Red spot above tooth help! (included pic)",
    "dialogue": "AH91: Good morning!\n\nThis morning I noticed a red spot above my tooth, it appeared over night or possibly through out the morning of my getting ready. It is not painful, just very red and noticeable. I had not eaten anything before I noticed it this morning and I also did get sick this morning as a result of a bad migraine (not sure if its related). please help, should i go to the dentist? give it a few days? or is this something that is normal, should not worry?\n\nTIA!! I have attached a picture. Uptown101: Hello,\n\nIt could be a gum infection or a bruise on the gum due to too much force exerted when brushing. What you should do is go to the dentist for a cleaning, exam and x-rays. AH91: Uptown101 said:\n\n\n\n\t\t\tHello,\n\nIt could be a gum infection or a bruise on the gum due to too much force exerted when brushing. What you should do is go to the dentist for a cleaning, exam and x-rays.\n\t\t\nClick to expand...\n\nThank you!"
  },
  {
    "id": 1488,
    "title": "Yellow teeth",
    "dialogue": "Babs82: Hi\nDue to an illness I have no enamel left on my bottom front teeth and they look very yellow. What can I use to make them more white as I have an event to go to and am very self conscious about my teeth.\nThanks Uptown101: Hello Babs82,\n\nTo get rid of  your yellow teeth,  get them properly cleaned by visiting your dental hygienist every six months for a scale and polish unless your dentist recommends otherwise. Getting your yellow teeth scaled can remove any tartar build-up and then polishing the surfaces of your teeth with special instruments. You might be surprised at how much brighter your teeth appear after this."
  },
  {
    "id": 1489,
    "title": "Teeth sensetive to cold",
    "dialogue": "User17: Everything was fine, until yesterday the right part of my bottom teeth started hurting when I drank something cold or ate ice cream, and this is really annoying.\nSomeone knows what can I do for my teeth to stop hurting or what can be the reason it started?\nThanks for your help. Busybee: There are all sorts of reasons.  Could be that you are grinding, could be erosion from fizzy drinks or from acid attacks, could be under-brushing or over-brushing.   If you want to try to mitigate this then don't brush too hard, get a night guard so you don't grind when you sleep, relax your jaw in the day (don't clench), avoid fizzy drinks or acidic food/drinks, floss, use a sensitive toothpaste, go to regular hygiene appointments.   Sometimes you just inherit this from parents.   If you look after your teeth and avoid triggers for a while it should settle.   Maybe your hygienist can show  you some brushing techniques. Uptown101: Hello,\n\nIf eating ice cream and drinking cold drinks make your teeth hurt, you are probably suffering from cold-sensitive teeth. Cold-sensitive teeth are not uncommon, but it’s important to understand the difference between cold-sensitive teeth and tooth decay or gum disease. Cold-sensitive teeth occur when the nerves within the tooth are exposed due to receding gums or worn tooth enamel. To avoid Cold-sensitive teeth try to avoid biting into very cold foods—for example, lick your ice cream instead of biting into it. Also use a toothbrush with soft bristles and soft dental floss. A soft-bristled brush can help reduce the gum irritation that may make teeth sensitive. For your sensitive teeth you can use the Crest Pro-Health Sensitive Shield toothpaste it's designed to reduce the cold sensitivity in teeth by  covering up exposed dentinal tubules thereby preventing a cold stimulus from causing the fluid in the tubules to flow."
  },
  {
    "id": 1490,
    "title": "What is this behind my tooth??",
    "dialogue": "Mgaul1: Can someone please help me find out what the heck this is behind my upper front tooth? It feels almost like a somewhat sharp (not that sharp) bone/tooth piece, light brown color. No pain in gums or the piece when I mess with it.  \n\nI’ve tried to pull on it, but didn’t budge. I did have a root canal on this tooth maybe 7 years ago after a large portion of my front tooth was knocked out, but it wasn’t an extraction, so I don’t think it’s a shard? It feel like bone material that’s exposed. \n\nI noticed it a few weeks ago when my tongue pressed on it, now it’s driving me insane! It definitely feels foreign, who knows how longs it’s been there though. Any help is truly appreciated as I won’t be able to visit my dentist for a while. Busybee: Have you been to the dentist? That is probably the best place to start. MattKW: Doesn't look like bone. Looks like tooth fragment but how or why I can't tell. Just keep it clean and get to dentist when you can. I doubt if it's going to cause more than mild irritation until then."
  },
  {
    "id": 1491,
    "title": "White area on gums",
    "dialogue": "E Weaver: my son is 4 and his dentist recently noticed a flat, white area above his front tooth. They didn’t see anything in an X-ray and seemed very concerned but then told me to just watch it. Now I’m nervous. Any idea what it is? There is no pain and I have no idea how long it’s been there. Craig D: The photo isn't perfectly clear but most likely this is the adult tooth beginning to become noticeable under the soft tissues.  The xray would help. MattKW: No definite idea. It's not his adult tooth forming under the gum. It looks like some of the outer layer of skin may have been lightly damaged and is sloughing off. I'd wait a couple of weeks. Also watch to see if he has any habits like rubbing the area with his fingernail, pencil,..."
  },
  {
    "id": 1492,
    "title": "Dry socket helppppp",
    "dialogue": "James Evans: So i had a tooth pulled on the monday on the tuesday had dry socket paste put in and again cleaned and repacked on the friday i still got a terrible throb and a bubble that looks like a blood blister covered in white stuff as shown in pic below"
  },
  {
    "id": 1493,
    "title": "Look at this, is this okay",
    "dialogue": "Devasish: Please look at my tongue, this hurts, can you tell me what is this? MattKW: Looks normal to me. Maybe you could mark the part of the photo that concerns you. Devasish: Hie, \nThank you so much for taking out your time and looking into it. \nAs you said I have encircled my concern. Please have a look again.. Busybee: That looks sore.  What's your diet & lifestyle like? Devasish: Busybee said:\n\n\n\n\t\t\tThat looks sore.  What's your diet & lifestyle like?\n\t\t\nClick to expand...\n\n\nIs it harmful?  I used to smoke 2-3 cigarettes per day but not smoking since 1 week, Mostly I eat veg and I am low on WBC. MattKW: Still looks normal. Hard to be exactly sure from limitations of the photo. Compare it to the other side of your mouth. If still unsure, see a dentist. Devasish: MattKW said:\n\n\n\n\t\t\tStill looks normal. Hard to be exactly sure from limitations of the photo. Compare it to the other side of your mouth. If still unsure, see a dentist.\n\t\t\nClick to expand...\n\nThank you sir"
  },
  {
    "id": 1494,
    "title": "Strange tooth problem",
    "dialogue": "paul cody: Not sure what exactly im asking here or who im asking but here goes maybe someone can point me in the right direction,,it started off with a standard toothache which ive had a few times before in other teeth with no problems,,,tooth filled and say no more about it,,,,anyways this filling was done with a medicated filling on one of my upper left molders just to be sure it didn't need removing,,,so 3 weeks later the filling held up so that was removed and a permanent one put in place,,,,\n\nSo while i was in the chair we agreed to do a filling on the tooth next which was another molder and also while i was in the chair i had a noticeable cavity on my tooth up the front to the left of my front teeth,,sure why not i was numbed up and they might as well,,\n\nBut this is the problem my front area has not being the same since i was fine going in and bad coming out,,,it is really hard for me to explain this,,but ill try,,,the tooth that was filled up front felt weak like when i press my teeth together there was no strength in that particular tooth,,if i move my mouth into different positions like if i went to smile it would feel like a lump or something hard in my gums or face,,,if i stroke my tongue across the tooth i get a weird sensation feeling like my gums are raw just for a second,,,, if i floss around the area especially around that front tooth its like something balloons and pressure is applied to the tooth which feels like my front tooth beside the one filled as if it wants to fall out very uncomfortable,,,and very worrying,,im on pins and needles there is a small niggle pain but more so always got to do with pressure,,,it is really getting to me,,,\n\nI have gone back to my dentist who has took xrays and has advised me everything looks well,,,now i left this bit out,,,my original dentist was wall to wall busy and because i was in so much pain with my molder that time i didn't see a problem going to another local dentist,,,,so after returning to my original dentist to get everything checked the only thing she can suspect is nerve damage she had prior cleaned up the work of the previous dentist because i don,t think she was to happy with the work,,\n\nAnyway so here i am off now to see a specialist,,,,,,now just to mention not sure if any use but over 20 years ago i got rooth can done on my 2 front teeth due to a accident but never had any trouble with them up until my visit,,,,sorry folks but maybe theres a genius out there that can point me in the right direction,,,,"
  },
  {
    "id": 1495,
    "title": "How to pick a dental clinic",
    "dialogue": "Samantha Green: Hi there! So I’m looking for a clinic where I can get a dental implant. I’ve never done this before, so can you help me find a good clinic? And how can I tell if a clinic is unreliable or fake and must be avoided? Thanks! KVMCruces: Hi Samantha,\n\nIf I were you I'd look for a periodontist or oral surgeon (both may be fully qualified to do your dental implants) in or near your area. It also depends on your situation and what you need - for example if you have something like extensive gum disease then a periodontist may be the best fit for you.\nMake sure you research the clinic, not all reviews are accurate (theres always a bad apple or two) but be sure you read through them as well. Also try to find out what you can about the doctors qualifications, results and previous patient cases. And lastly, if you're able to afford the costs always do at least 2 consultations.\n\nBest of luck!"
  },
  {
    "id": 1496,
    "title": "Wisdom Teeth",
    "dialogue": "Jake Grcic: Hello all. So I’ve made an appointment to get my wisdom teeth removed in a little less than a month. I only have my two lower wisdom teeth so those are the ones I’m getting removed. I’m starting to experience awkwardness and some pain when chewing on the left side of my jaw (lower mandible). I’ve recently switched to predominately chewing on my right side now as to avoid this awkwardness / pain. I can only imagine that this is due to my wisdom teeth starting to come in? Should I be seeking to get them removed ASAP due to this happening or am I okay to wait until my physical appointment to get them out? I’m a 22 yo male. Any commentary would be useful. Busybee: Less than a month is hardly any time to wait so unless you are feeling sick with a fever or if you're in agony you may as well keep the appointment  you have.   Try to just modify your diet to softer foods in the meantime.   Speak to your dentist about pain management."
  },
  {
    "id": 1497,
    "title": "A painless lump near my wisdom tooth",
    "dialogue": "Newbie91: Hi , I have a painless small lump near my wisdom tooth which is at an angle. What do you make of the picture ? Should I show to a dentist? I’m scared of dentists. MattKW: Looks like your upper wisdom tooth has come through, and maybe you're traumatising the cheek. Get an OPG, have dentist assess all wisdoms, and consider extractions."
  },
  {
    "id": 1498,
    "title": "My son's teeth are chipping",
    "dialogue": "Chez: Hi please can anyone help my son is 7 his back baby teeth are like this I'm so worried. I have 3 children who have enamel hypoplasia also. My son s front teeth are also very yellow. Busybee: I'm not an expert on this but have you had your children tested for nutritional absorption issues/amino acid deficiency / pernicious anaemia etc?    It's possible that there's something blocking normal processing of vit D and calcium.   Can happen with gluten/lactose intolerance among others. Chez: Thank you for replying. I've not had my children tested no as I'm not sure how I go about it but I will look in to that thank you. I had antibiotics in my 4 pregnancies unfortunately though. Busybee: Go to a nutritionist.   They can advise you on tests.  It should not be too expensive.  Worth ruling it out, but it if they do find there is a defect they can remedy it with different approaches while the child is still developing. MattKW: The teeth don't look particularly chipped to me; it is not unusual for baby teeth to wear down a bit over time, but your photo is too indistinct. Hypoplasia in baby teeth is extremely rare, and the Mum would have had to have serious medical issues during pregnancy to affect baby teeth (and not affect rest of child in some way). It is certainly not a nutritional issue, and you would be wasting your money by going to a nutritionist or undergoing unnecessary medical tests; plus causing yourself stress. As for yellow front teeth - baby teeth are always whiter than adult teeth, so he may just be \"normal\". Have you been to a dentist? Chez: Thank you for your reply. I have seen a dentist but my daughter has a lot of dental issues and I felt the dentist fobbed me off ( absolutely thought he was lovely) and I told the receptionist this at the dentist's as I aaked to see if more could be done I went an appointment as arranged he shouted at me and refused to see myself and my children again ( although I wouldn't go back) but I am trying get in a new dentist Chez: This is my son's teeth yesterday his front tooth on the right has been repaired a boy threw a brick at his tooth. Chez: This is a photo of my sons teeth In January.\n\nI will also attach photos of my other childrens teeth.\n\nPhotos don't show the extent of my daughters teeth unfortunately.\n\nSo first photo is my sons teeth again - first 2 pictures (trying show the yellowness)\n\nthe next 2 photos are my daughters teeth. She has fillings in her back teeth. Shes had her front teeth covered in whitener (they were badly orange) and most of her teeth have brown patches off most of her teeth.\n\n\nLast picture;\nI have 3 daughters\nOne has brown patches on most of her teeth and decay (not proud of this just being honest)\nMy second daughter she has white patches on her teeth like pictured best I can she has pits in her teeth and also her teeth are chipping exactly like my sons in top photo\nlastly my youngest her 2 front teeth has like a pit/dent in her front tooth and also the bottom of her teeth they both come in like this.\n\nI know my children should not have these issues\nI use fluoride toothpaste\nI cut the sugar\nI brush twice a day\nmy eldest 3 have an electric toothbrush\n\nI am genuinely at a loss and I know have failed my children. And I am trying to be honest as possible with my childrens issues.\n\nWith my son I had terrible morning sickness\nAnd with all 4 of my children I had antibiotics but I had no other issues in any pregnancies.\n\nI am absolutely devastated  I just want to sort their dental issues so badly.\n\nThank you Chez: Sorry to post again. I am based in UK and I also asked if my daughter could have her teeth capped (with  decay) its just spreading so bad I am genuinely at a loss at where I am going wrong  I know it doesn't look like that but I am honestly trying my best. Busybee: I'm not a dentist but your son's adult teeth look pretty healthy and normal.   Yellow isn't always a bad thing in adult teeth.   \n\nDon't blame yourself.  Have you asked about having their teeth sealed?   I don't think they do this any more as a matter of course on the NHS these days but a dentist can still do it and could avoid cavities in adult teeth.  It could be genetic factors but try to avoid acidic \"healthy\" drinks and acidic fruit too.   It's not just sugar than harms enamel.   A friend who was a dentist once told me that the worst thing to eat for decay is raisins.    Some people think that's  a healthy snack.   I've read that brushing teeth right after eating isn't good for the enamel either.  Apparently the enamel is more soft just after eating, particularly after eating anything than generates an acid attack.  Best to rinse with water and wait 20 mins to brush.    Avoid carbonated drinks even if they have no sugar.    I'm sure you know all this already. MattKW: Chez said:\n\n\n\n\t\t\tSorry to post again. I am based in UK and I also asked if my daughter could have her teeth capped (with  decay) its just spreading so bad I am genuinely at a loss at where I am going wrong  I know it doesn't look like that but I am honestly trying my best.\n\t\t\nClick to expand...\n\nTooth11: Relatively normal colouration, maybe hint of hypoplasia in top left incisor, but of no concern. If you think the \"chips\" are the bumps on the teeth, then no, these are called mamelons and are a normal part of tooth growth. Mamelons normally wear down as we get older - you probably don't have them anymore. Tooth55 is same photo.\nTooth66 shows some minor decay around margins of front teeth, and a bit more decay around upper left 1st molar. usually no need to treat these as they are unlikely to get worse. Just make sure back molars are in good condition - you need Xrays. The dark upper front left tooth is probably from a bump as a toddler; no need for treatment unless pain or swelling, and it will not have caused damage to underlying adult tooth.Tooth montage ddd really hard to see clearly.\nIn general, damage to front baby teeth is treated conservatively. If you look after them, they will not worsen, and I would not suggest \"capping\" front teeth just for the appearance.Baby molars must be examined carefully for decay and treated promptly, sometimes with stainless steel caps. Just keep up regular visits to dentist. Chez: My daughter who gas enamel hypoplasia has woke up with her tooth like this \nPhoto does not show how bad it is MattKW: Chez said:\n\n\n\n\t\t\tMy daughter who gas enamel hypoplasia has woke up with her tooth like this\nPhoto does not show how bad it is\n\t\t\nClick to expand...\n\nChipped baby incisor, most likely from hitting something (not necessarily in last 24 hrs). No need for treatment."
  },
  {
    "id": 1499,
    "title": "is it too late to reverse this decay?",
    "dialogue": "chip: My dentist has been aware of it since 2016. Just recently he says now is the time to get a filling. Is it too late to try reverse it based on the pictures? I'm not sure how worse it has gotten since 2016 or how long it has been like this before 2016 (hadn't visited a dentist for a good number of years). It doesn't look that bad to me and would like to avoid a filling if possible.\n\nMany thanks\n\n  \n\nEdit: Sorry mods I just realized I posted in the wrong forum! MattKW: The first molar might have decay, but there's nothing quite like a direct look from above (if you can get your phone in there!). An X-ray might confirm/deny it, but is not always 100% sure if it's only a small hole. If it's a hole, then you have to get a filling or it will worsen. chip: Hello MattKW,\n\nThanks for the reply. Apologies, I should have been clearer in my post. It is the second molar on my right side I am concerned about. The biting surface has gone slightly grey.\n\nThere does appear to be a couple of holes on the first molar I had not noticed before. I will get it checked out. chip: Just checked a tooth map and realised we were talking about the same tooth. Oops MattKW: chip said:\n\n\n\n\t\t\tJust checked a tooth map and realised we were talking about the same tooth. Oops \n\nClick to expand...\n\nThank goodness! I get confused some days too."
  },
  {
    "id": 1500,
    "title": "Is this possible?!",
    "dialogue": "armystrong: I was watching my two year old step daughter last week when she got hurt. I put her in a kitchen chair and set a bowl of Cheerios in front of her. She got mad because she didn't want Cheerios and went to push them away, but pushed on the table instead. She pushed herself back, tipping the chair and hit the back of her head when she landed. She lost one tooth on impact and two more at the dentist. He said it is impossible, but I watched it happen. Can anyone else PLEASE verify that this can happen?!"
  },
  {
    "id": 1501,
    "title": "Help",
    "dialogue": "Babygmommy: It's been almost 48 hours since the dentist went back in my mouth to create a new clot one week after extraction. He packed it with foam stuff and now it's coming out.. and my stitches we very loose. I don't want another dry socket and I'm refusing to go back to him due to horrible experiences.. any suggestions.. Help me.. I'm terrified. MattKW: If you don't have the signs/symptoms of  dry socket anymore, then it probably doesn't matter."
  },
  {
    "id": 1502,
    "title": "Holy moly",
    "dialogue": "Toothless In Seattle: About a week ago I began feeling an oddity in my gums right above the second to last tooth that I obsessively, sometimes agressively continoucont rubbed the tip of my tongue over it, back, & fourth repeatedly throughout each day. I then periodically encountered the taste of blood accompanied by pain, & sensitivity. One night, plauged by insomina as a result of my devient tounges new found obsession of agressively rubbing against this unfamiliar abrasion, I decided to uncover a glimpse of this  illusive oral infiltrated that appeared a week ago. I decided the best way to achieve this was a full on photoshoot with the primary focus being the area in question. Long story short, or rather short story lengthened with useless attempts at humor, I have attached a couple of those images bearing the identity of the, for me, unkowun culprit that has now taken time away from my very important life as an unemployed Comcast Xfinity condeseour. I do possess decent oral hygienics. Any info helps! Thank you from Seattle. Busybee: Make an appointment with a periodontist."
  },
  {
    "id": 1503,
    "title": "wisdom tooth removal",
    "dialogue": "Jane: Hello, I had buried wisdom tooth removed under general anaesthetic two months ago large cut with seven stitches all has healed but face still swollen and mobile ball shaped swelling at back of mouth which is sore and slowly getting bigger is this normal what is it and is there anything i can do to make it shrink or go would appreciate any help or advice MattKW: Go back to the dentist/surgeon to investigate. You've waited long enough, and there shouldn't be anything there by now. Jane: Thankyou for your reply will go to dentist was just giving it some time to hopefully go on its own and have no idea what it is did not want to waste dentists time if it was normal and nothing to worry about"
  },
  {
    "id": 1504,
    "title": "Veneers With One Crooked Tooth? Canines Keep Impacting Each Other?",
    "dialogue": "Aryn: I've been wanting veneers on my top front 6 teeth for a long time now... I've dealt with repetitive strange decaying issues with all my teeth since birth (not necessarily cavities, I usually don't have any black in/on my teeth, but strange holes keep forming no matter how good my dental care is), and have had multiple appointments to reshape my teeth. Problem is, my upper front teeth on the right (mainly the canine tooth) are constantly hitting my lower teeth (also mainly my canine on the bottom as well, so both canine teeth on the right keep hitting each other), and the bonding resin keeps breaking off. My upper canine teeth are two completely different lengths and it looks ridiculous and it's made me even more self-conscious, because my lower canine on the right is slightly crooked and almost sideways (the only crooked teeth out of all my teeth), it grew in that way, and instead of my upper and lower canine teeth fitting side by side like most people, the tips hit each other.\nAny lengthening attempts have failed because I can't close my mouth properly once the upper canine is lengthened to match the left one, and like I said, the resin ends up just breaking off because of the constant impact.\n\nWould it be possible to get a veneer on that upper canine with this issue? Or do I need to get the lower canine straightened out? How would a dentist straighten one tooth out? I really don't want a full set of braces for a single tooth.\\\n\n(I drew a quick sketch, lol, to sort of show you what I mean with the right side hitting each other right on the points, and the left side fitting side by side, snug and perfect.) MattKW: A photo of both sides and front on with teeth closed would be better than a sketch."
  },
  {
    "id": 1505,
    "title": "First mollar didnt grow, but its in my jaw..",
    "dialogue": "Bardhi: Ok so my first mollar i thought that it didint grow because somehow i didnt have it in my jaw after my milk teeth fell. But when i did the x ray so i could se my 8 tooths if they were growing good, i saw that i have a molar but it never went up. So what should i do, should i take it of and with braces and bring my other to replace him(dont take out my8 tooth) or should i take my 8 tooth out and with braces through my gingiva bring my premolar up? MattKW: That's a premolar that hasn't erupted. It won't come up with braces; you're too old now. I'd actually leave it and have it x-rayed regularly to make sure there's no decay developing. If you take it out, it's going to leave a gaping hole in your bone, and possibly then the molars will tip over even more. I'd have the wisdom teeth removed soon. Bardhi: I am 22 years, my local dentist said we can bring the other premolar and mollars to fill up the gap. Genraly do i a have f up teath do i need braces ? Also i have and over bite of 3mm! MattKW: Bardhi said:\n\n\n\n\t\t\tI am 22 years, my local dentist said we can bring the other premolar and mollars to fill up the gap. Genraly do i a have f up teath do i need braces ? Also i have and over bite of 3mm!\n\t\t\nClick to expand...\n\nGo see an orthodontist. Your chances of sorting this out (including the overbite) to end up with an ideal arrangement of teeth are vanishingly small."
  },
  {
    "id": 1506,
    "title": "White suacy stuff spewing out of gum",
    "dialogue": "Luqmaan: When I had my tooth removed, The dentist never stitched it up properly, after two hours the stiches came out, my nose felt blocked, I put my finger on my nose and blew and white saucy stuff came out of my gum, Then went back to the dentsist the following day, the dentist then had to call another more professional dentist to come ad inspect, they never did tell what it was although they seemed shock to see this and all they did was stich it up correctly, I would like to know what that white sauce was and was it a bad sign or what?"
  },
  {
    "id": 1507,
    "title": "Worried ! Swallowed some amalgam filling debris while dental restoration",
    "dialogue": "Waynelim: I had a crack tooth and the dentist recommended composite filling, somehow or rather she was getting impatient with me because i had a blocked nose and a gag reflex as the nurse did not did a good job with the suction , when drilling water sprayed went to my throat and gagged me as the nurse did not place the suction to my mouth and i had to rinsed my mouth a few times .this is the first time i experience this after previous fillings was not that bad . \nthen  she applied some gel to my teeth and it was very salty and i had to rinse my mouth . she was getting impatient .\n she recommended me amalgam instead of composite claiming that it amalgam as it is more lasting for molars and also faster for her to fill my teeth,I then agreed during the process she put me on the teeth clamp and started putting the amalgam filling , some of the small bits went out of the filling and landed around my gums and tongue was very uncomfortable ,  and I requested the Dentist to let me rinse  she did not allowed it as she said it will soften the filling and she can only allow me to rinse after the teeth clamp is taken off.she could have used the vacuum or suction to remove the debris instead she asking me to swallow my saliva instead the assistant was nowhere in sight  . i was getting worried as i cant speak due to the clamp in my mouth and I had a gag reflex and I had to swallow my salive in spite of the tiny metal debris in my mouth and I believed i swallowed tiny bits of the metal filling. Is it the normal that she could not allow me to rinse before the clamp is taken out and is it dangerous to swallow some of this metal mercury fillings? I am disappointed that she did not take any preventive safety measures. After rinsing I told her that and she told me it’s fine and I didn’t swallowed any? Busybee: That sounds like an awful experience.  Firstly the dentist should not have been getting impatient with you, secondly you should not have been left with no suction. I'm sure she is right about the moisture but she should put processes in place that keep you safe, comfortable and in control.   \n\nI'm sure nature will take its course and that it's more dangerous to inhale the dust when amalgam fillings are being removed than to swallow bits of debris.  It's lucky though that you did not breathe them in because that could cause a serious problem.  \n\nYou should make a complaint. Waynelim: Busybee said:\n\n\n\n\t\t\tThat sounds like an awful experience.  Firstly the dentist should not have been getting impatient with you, secondly you should not have been left with no suction. I'm sure she is right about the moisture but she should put processes in place that keep you safe, comfortable and in control.  \n\nI'm sure nature will take its course and that it's more dangerous to inhale the dust when amalgam fillings are being removed than to swallow bits of debris.  It's lucky though that you did not breathe them in because that could cause a serious problem. \n\nYou should make a complaint.\n\t\t\nClick to expand...\n\nThanks bee for replying. I did breath through my mouth and swallowed some , however it was not a amalgam removal it was a amalgam restoration and placement. First time doing an amalgam Busybee: Hi Way, I realise that. If you ever have it removed make sure they use a dental dam which is a rubber sheet that stops any debris going to your mouth.     \n\nAnyway I hope the tooth feels ok and that you're not in pain. Waynelim: Busybee said:\n\n\n\n\t\t\tHi Way, I realise that. If you ever have it removed make sure they use a dental dam which is a rubber sheet that stops any debris going to your mouth.    \n\nAnyway I hope the tooth feels ok and that you're not in pain.\n\t\t\nClick to expand...\n\nHi bee,\nMy purpose of this post is to find out if it is dangerous for me during this restoration process as the fillings drop during carving. I have googled and find out that removal is dangerous but how about my case of restoration. Dentist claim it is not dangerous because no vapor involved even if bits go into my lungs and stomach MattKW: If you swallowed the amalgam (or amalgam dust), it'll come out the other end, no big deal. The only time to worry about swallowed filling material is if the patient doesn't naturally swallow - then you have to check if it's gone down the lungs. Extremely rare. Waynelim: MattKW said:\n\n\n\n\t\t\tIf you swallowed the amalgam (or amalgam dust), it'll come out the other end, no big deal. The only time to worry about swallowed filling material is if the patient doesn't naturally swallow - then you have to check if it's gone down the lungs. Extremely rare.\n\t\t\nClick to expand...\n\nHi Matt,\nThanks for your reply. I had a gag reflex at the point of time when the Dentist was carving the mold on the TOP 3rd molar . Can feel debris dropping on my gums and tongue . I need to swallow the saliva that was accumulating at the back of the throat and waited till she removed the tooth clamp and I rinsed my mouth after will all the filling out in the sink. During the time of the process I was swallowing my saliva to reduced the uncomfortable feeling and breathe through my mouth a few times. When I called the Dentist today the boss of the clinic claimed it is normal while filling up amalgam and the did not use the suction in fear of getting their tubes stuck with amalgam and dental dam might not be essential at this treatment . What preventive measures should Dentist use for this procedure to prevent injesting bits Is that true? .they also claimed not possible to swallow as gums and tongue are wet so it stuck to the gums and tongue .  Lol what an answer they provided. Should I go for a mercury test? MattKW: No, amalgam is an inorganic mercury compound that is not absorbed by the body. It's the inorganic compounds (e.g. ethylmercury, methylmercury) most commonly found in fish that cause mercury levels in your body. But you'd have to eat a lot of heavily contaminated fish. And the signs of acute mercury poisoning are not the vague crap you find on Google. Look up Minimata on Wiki if you really want to get scared. Waynelim: MattKW said:\n\n\n\n\t\t\tNo, amalgam is an inorganic mercury compound that is not absorbed by the body. It's the inorganic compounds (e.g. ethylmercury, methylmercury) most commonly found in fish that cause mercury levels in your body. But you'd have to eat a lot of heavily contaminated fish. And the signs of acute mercury poisoning are not the vague crap you find on Google. Look up Minimata on Wiki if you really want to get scared.\n\t\t\nClick to expand...\n\nThanks again buddy for enlightening. I Guess I can sleep better tonight Waynelim: MattKW said:\n\n\n\n\t\t\tNo, amalgam is an inorganic mercury compound that is not absorbed by the body. It's the inorganic compounds (e.g. ethylmercury, methylmercury) most commonly found in fish that cause mercury levels in your body. But you'd have to eat a lot of heavily contaminated fish. And the signs of acute mercury poisoning are not the vague crap you find on Google. Look up Minimata on Wiki if you really want to get scared.\n\t\t\nClick to expand...\n\nInjesting is not that dangerous, the dust if entered my lungs I will feel\nChoked however it didn’t . But if enter my lungs as bits not vapor is it still hazardous? Busybee: If it had entered your lungs you'd have been choking at the time.   There is no vapour when you are putting in an amalgam filling.   The danger is meant to be when you are removing it.   So if you ever need to have it replaced make sure they use a dental dam. MattKW: Just to correct: I meant organic mercury compounds are the nasty ones, not the inorganic. A typo."
  },
  {
    "id": 1508,
    "title": "Gum problems",
    "dialogue": "Montana Honeycutt: Can anyone tell me if my gums are ok for the second day after getting 13 teeth pulled Montana Honeycutt: Can anyone help please cause it is really hurting and i dont know if it is suppost too this bad"
  },
  {
    "id": 1509,
    "title": "Dextrose and Healthy Teeth",
    "dialogue": "blowcake: I've been wondering about sugar intake in combination with brushing/rinsing teeth but don't know much about these topics myself, so here my question:\n\nFor nutritional purposes (I'm a powerlifter) I add about 40g of dextrose to my protein shakes so I can comfortably hit the carbohydrates & calories I need each day. However, I'm a bit concerned about my teeth.\n\nRight now my oral hygiene looks like this:\n\nIn the morning I brush my teeth, then have breakfast and drink a protein/dextrose shake. To my understanding, brushing my teeth before breakfast removes all (or most) bacteria that would otherwise immediately start metabolizing the sugars in my mouth. I rinse my mouth with water after breakfast, but don't brush my teeth again.\nThroughout the day I try to drink a lot. To my understanding, bacterial growth (and thus tooth decay) is minimal in this during the day, because of the higher flow of saliva - at least compared to the low production of saliva during sleep.\nIn the evening, right after dinner, I drink a second shake. About an hour after that I floss & brush my teeth before I go to bed.\n\n\nWhat is your opinion on dextrose intake and tooth decay and what would you change in regards to that about my oral hygiene?\nThanks in advance! lomo12: Hey I don't know about dextrose specifically (disclaimer: I'm not a dentist) but if you're worried about bacteria causing tooth decay you can try oil pulling with something like coconut oil after your evening shake perhaps. Basically you just swish it in your mouth like mouthwash. There have been studies that shows it helps reduce the amount of cavity causing bacteria in your mouth so maybe look into it. MattKW: OK, it's good you brush after the morning and evening shakes. You have to clear your mouth of the bacteria and sugars (including dextrose) . You don't mention what you specifically drink during the day; keep it to plain water, and stay away from any sugary drinks unless you're prepared to brush after each drink!"
  },
  {
    "id": 1510,
    "title": "please help",
    "dialogue": "Curtis1011: Thanks for taking the time to read my post. Ive had a long few months and honestly dont know what else to do. My dentist told me my upper left back two molars had deep cavities, so I paid a lot of money out of pocket to have the filled. One by one the filling \"didnt take\" and I was in constant pain. I ended up getting them both extracted. Its been two full months now since I had it done and I still have constant pain there. I have numbness in my cheek and my nose on and off too. The gums hurt almost non stop and are super sensitive. It is definetely not dry socket as both healed up quickly. I switched dentists and she x rayed it and said theres no infection and it shouldnt be hurting. I rinse with salt water all the time and take excellent care of my mouth. I also flush my sinuses often as I get a lot of sinus pressure and always have. Is this just a matter of waiting for a few more months so the gums can heal or what do I do? I cannot put into words how annoying this is to constantly be in pain and have numbness. Any advice is more than appreciated, thank you in advance! Busybee: That must be so distressing.\n\nPerhaps you should try stopping the salt water for a few days.     The gums do best with just saliva and a healthy diet.   How is your bite since the extractions?   Are the teeth underneath touching the gums?    Some of what you describe can be caused by a dysfunctional bite. Curtis1011: Busybee said:\n\n\n\n\t\t\tThat must be so distressing.\n\nPerhaps you should try stopping the salt water for a few days.     The gums do best with just saliva and a healthy diet.   How is your bite since the extractions?   Are the teeth underneath touching the gums?    Some of what you describe can be caused by a dysfunctional bite.\n\t\t\nClick to expand...\n\nYou might be onto something there because they adjusted my bite before and I had 3-4 days of relief and then it kind of went back...I also notices that I keep getting calcium buildups on my bottom teeth and when that happens my whole mouth hurts, im going tonight for a scaling, first one on 4 plus years so maybe that will help I dont know Busybee: Jaw muscles have a memory of where your bite should be, so if you suddenly have changes it can create all sorts of compensatory muscle contraction.  That can cause pain and numbness as well as all sorts of uncomfortable sensations.  \n\nThink about getting a custom made night guard to wear so you don't grind in your sleep.   If you find yourself clenching, try to relax the jaw.   i'm just suggesting this because you need to rule it out as the cause.   If as you say you had relief from adjustments then it could be down to the sudden change.    But having adjustments doesn't really fix it because it's very hit and miss and the teeth start to try to meet in different places that set it all off again.   \n\nDo you floss every day?  If you had such large cavities it may be worth scheduling hygienist appointments every three months.   Get a good electric brush. Curtis1011: Busybee said:\n\n\n\n\t\t\tJaw muscles have a memory of where your bite should be, so if you suddenly have changes it can create all sorts of compensatory muscle contraction.  That can cause pain and numbness as well as all sorts of uncomfortable sensations. \n\nThink about getting a custom made night guard to wear so you don't grind in your sleep.   If you find yourself clenching, try to relax the jaw.   i'm just suggesting this because you need to rule it out as the cause.   If as you say you had relief from adjustments then it could be down to the sudden change.    But having adjustments doesn't really fix it because it's very hit and miss and the teeth start to try to meet in different places that set it all off again.  \n\nDo you floss every day?  If you had such large cavities it may be worth scheduling hygienist appointments every three months.   Get a good electric brush.\n\t\t\nClick to expand...\n\nThank you for your response. If its possibly due to the sudden changes like you suggest, which is very possible, how long do you think it will take for everything to \"settle down\" and are there any actions I could take to speed up the healing process? I floss everyday now and I salt water rinse as well as use coconut oil to help promote a healthy mouth, just getting really tired of all the numbess and tingling in my jaw as well as the often burning pain in my cheek. I read online it can take up to 6 months for everything to sort out? Busybee: There's no timescale because it depends on your body and brain.   You just have to try different things and see if they help, try to relax the jaw, massage the jaw.     \n\nThe other alternative is that the nerves were damaged when the teeth were pulled but you'd have to put an x ray up for the dentists to comment.   Again that usually settles in a few months (but occasionally it's long term).  But the fact that your gums are sore and your nose is numb makes it sound more like a bite issue where you can end up in strange sensations all over your face, even your neck, shoulders back, tingling in your hands sometimes.   I'm hoping one of the dentists will be along to give you an expert opinion. Curtis1011: Curtis1011 said:\n\n\n\n\t\t\tThank you for your response. If its possibly due to the sudden changes like you suggest, which is very possible, how long do you think it will take for everything to \"settle down\" and are there any actions I could take to speed up the healing process? I floss everyday now and I salt water rinse as well as use coconut oil to help promote a healthy mouth, just getting really tired of all the numbess and tingling in my jaw as well as the often burning pain in my cheek. I read online it can take up to 6 months for everything to sort out?\n\t\t\nClick to expand...\n\n I also would like to note that I definetely grind in my sleep so I bought a mouth gurds\n\n\nBusybee said:\n\n\n\n\t\t\tThere's no timescale because it depends on your body and brain.   You just have to try different things and see if they help, try to relax the jaw, massage the jaw.    \n\nThe other alternative is that the nerves were damaged when the teeth were pulled but you'd have to put an x ray up for the dentists to comment.   Again that usually settles in a few months (but occasionally it's long term).  But the fact that your gums are sore and your nose is numb makes it sound more like a bite issue where you can end up in strange sensations all over your face, even your neck, shoulders back, tingling in your hands sometimes.   I'm hoping one of the dentists will be along to give you an expert opinion.\n\t\t\nClick to expand...\n\nThanks so much for answering. I went in last night for a cleaning and they confirmed no abscessed teeth no cavities that will cause me problems etc. The dentist seems to think its a combination of my sinuses putting pressure on the area that is healing as well as it takes a while to heal. She said can take up to 6 months to settle down. Im kind of worried there might be an infection or something, tough to not worry when this keeps happening, just want the pain to subside so I can stop thinking about it 24/7 Busybee: What you describe doesn't sound normal.  I am sure your dentist doesn't know what's happening.    Two months after an extraction is a long time to still be healing.   Do you have any x rays you could post of what was there before the extraction?\n\nHow is wearing a night guard working out?  Ideally you should have one that is custom made by a dentist.    Have you tried relaxing the jaw?   It's pretty complicated to resolve such issues but worth trying different approaches and keeping a diary of when you have the most pain and what you were doing just before.    That might help identify triggers. Curtis1011: Busybee said:\n\n\n\n\t\t\tWhat you describe doesn't sound normal.  I am sure your dentist doesn't know what's happening.    Two months after an extraction is a long time to still be healing.   Do you have any x rays you could post of what was there before the extraction?\n\nHow is wearing a night guard working out?  Ideally you should have one that is custom made by a dentist.    Have you tried relaxing the jaw?   It's pretty complicated to resolve such issues but worth trying different approaches and keeping a diary of when you have the most pain and what you were doing just before.    That might help identify triggers.\n\t\t\nClick to expand...\n\n I feel like I should quickly summarize the entire story so you have all of the pieces. Basically when I was 15-21 I wore braces and got them off, teeth were fine, then I did not take as good of care of them for many years. I never had so much as a toothache until I was 27 last year and randomly I started having almost unbearable pain. I went in to see a dentist and they told me my bottom right second from the back molar was abscessed and the back molar had a big cavity. They root canelled the tooth and fixed the cavity beside it (over 1600 out of pocket) and the pain never went away so 2 months later I got the tooth extracted. The pain STILL never went away so they said that I needed a root canal on the tooth in which I had a cavity filled, which I declined and said just pull it leaving me without the back two molars on the bottom right. Then I started having pain upper left literally the exact same situation with my back two molars (youd think I would learn my lesson) and a couple of thousand dollars later both those teeth are now out. As it stands now Im missing the bottom right back two molars and the top left back two molars, have 3 small and i mean small cavities and no other bad teeth. I decided to switch dentists went in for my new exam and a cleaning this week and they seemed a lot more thorough than the old dentist. She said originally the area should have healed by now but then she kind of changed it and said since I had two extractions it might take a whole longer. When I reach into my mouth and touch the top left gums they are not swollen but they definetely are sensitive to touch. I got those breath right strips to help breath better at night as well as got a mouthguard but nothing seems to help. No matter what I do on and off all day my left cheek and nose and even eyebrow area go numb and will sting really badly at times. Im pretty frustrated I think Ive spent just over 4k out of pocket in 8 months and havent gone any extended period of time without pain. My benefits kick in Nov 1st but I dont know what needs to be done since I dont know whats causing the pain. I could probably get my x rays will see what I can do. Thanks for all of the help I cant tell you how much I appreciate it Busybee: It does sound like the work you've done would knock your bite out of kilter.  So it's likely to be a combination of things.  Now I haven't had a molar extracted since I was a child, but I do recall for years the site was tickly when touched with the tongue or anything like floss etc.  Not painful but then someone else may have had pain where I had ticklyness.  Even know those areas although the gaps closed, the gum feels different. \n\n I think the nerves retain a memory of the tooth when it's gone, maybe like ghost limbs etc.   Obviously you still have nerves and blood vessels going to that area and they used to feed a live tooth so it's likely that there will be some residual sensation.    I'm sure there's a term for that feeling.  A bit like if you've ever cut yourself in some accident when you were a kid and it was deep enough to go to the nerve.  When you feel that scar it can feel weird for years.   Not like the skin around it.  It's healed but it's not the same.  So it's likely to be a combination of this and the bite, but it's possible there is nerve damage.\n\nHopefully it will all settle in time.\n\n It's one of those areas of medicine that has many \"experts\" but no solutions.\n\nBy the way I had sinus problems years ago and I know those breathe right strips are a life saver.   Thankfully my problem was temporary and it only lasted so long because I was overdoing the nasal drops (otrivine).  I saw an ENT specialist and he gave me some different nose drops that cleared it all up in two days!  But it is really awful to have to go through sinus issues.  Getting a good night's sleep is such a challenge.  I can't imagine what you're going through with both that and dental pain.   Don't worry, this won't last forever.   It just feels that way for now, but you're out of balance. \n\nMaybe worth seeing an ENT specialist to check whether there is some damage to the sinus area.   It's all connected so whoever thought dentistry and ENT should be separated by an invisible wall should be discredited. Curtis1011: Busybee said:\n\n\n\n\t\t\tIt does sound like the work you've done would knock your bite out of kilter.  So it's likely to be a combination of things.  Now I haven't had a molar extracted since I was a child, but I do recall for years the site was tickly when touched with the tongue or anything like floss etc.  Not painful but then someone else may have had pain where I had ticklyness.  Even know those areas although the gaps closed, the gum feels different.\n\n I think the nerves retain a memory of the tooth when it's gone, maybe like ghost limbs etc.   Obviously you still have nerves and blood vessels going to that area and they used to feed a live tooth so it's likely that there will be some residual sensation.    I'm sure there's a term for that feeling.  A bit like if you've ever cut yourself in some accident when you were a kid and it was deep enough to go to the nerve.  When you feel that scar it can feel weird for years.   Not like the skin around it.  It's healed but it's not the same.  So it's likely to be a combination of this and the bite, but it's possible there is nerve damage.\n\nHopefully it will all settle in time.\n\n It's one of those areas of medicine that has many \"experts\" but no solutions.\n\nBy the way I had sinus problems years ago and I know those breathe right strips are a life saver.   Thankfully my problem was temporary and it only lasted so long because I was overdoing the nasal drops (otrivine).  I saw an ENT specialist and he gave me some different nose drops that cleared it all up in two days!  But it is really awful to have to go through sinus issues.  Getting a good night's sleep is such a challenge.  I can't imagine what you're going through with both that and dental pain.   Don't worry, this won't last forever.   It just feels that way for now, but you're out of balance.\n\nMaybe worth seeing an ENT specialist to check whether there is some damage to the sinus area.   It's all connected so whoever thought dentistry and ENT should be separated by an invisible wall should be discredited.\n\t\t\nClick to expand...\n\nThanks for the response I appreciate it. After seeing your post I kind of got thinking about the sinuses and I went to a doctor yesterday who said I have a pretty bad sinus infection on the side that has been hurting. He said its normal for that to cause tooth pain. I guess my ear was quite inflammed and I should have known as my nose and eye on that side only had been painful and leaking alot. I still think maybe 20-30 percent of the pain is from the gums healing after the extractions, Im a really slow healer apparently, but the doc put me on a special steroid nose spray and some antibiotics I had never heard of. I also had been using a nasal decongestant that he said to stop using as apparently they can do more harm than good when you over use them. Im hoping within a few days the meds kick in and things just improve. Im back in the dentist to get 2 small cavities filled at the end of the month but Im really hoping by then alot of the pressure subsides. Thanks sooooo much again for the help. It was your advice of seeing an ENT specialist that really got me thinking this might be sinus related. I still think I should see one and not just a GP doctor as I am prone to sinus issues, especially since my dad gets them a lot  and I have a deviated septum (broke my nose dirtbiking when I was 15). Thanks so much again, heres to hoping these meds help! Busybee: I'm glad I could help.  I do think it's worth seeing an ENT specialist.  One visit cured me.  What you've said about the nasal spray sounds so familiar.   Using that just makes the problem chronic.  They should put a warning on the bottles!  \n\nPlease let us know how you get on."
  },
  {
    "id": 1511,
    "title": "Tooth cutting into my Tongue problem",
    "dialogue": "Duncan Birrell: I have strange problem, I have a tooth or wisdom tooth pushing through but 15mm below my last rear bottom tooth . It is so low is rubbing my tongue - which is my my tooth very sore, eating is difficult and my speech is slurred due the pain in my tongue, feels like which you grit or piece pepper under your tongue. I am not sure what is happening or how it can be cured."
  },
  {
    "id": 1512,
    "title": "Wisdom tooth",
    "dialogue": "Bella Martinez: I had my wisdom tooth pulled out about 2 wks. ago and was wondering if there should still be a small hole. I don't have any pain but I still have the hole... How long is it gonna take to completely close up or is it gonna stay like that.? MattKW: 2 weeks for initial healing of outer layer of skin, minimum of 3 months for hole to fill up with bone. It might be annoying, but it won't do any harm from here on. You don't have to do anything special - it'll keep healing from here on."
  },
  {
    "id": 1513,
    "title": "Went to dentist yesterday",
    "dialogue": "Amarie: I went to the dentist yesterday and had some teeth pulled. After the anestetic wore off i noticed this lump near the injection site does anyone know what it is?"
  },
  {
    "id": 1514,
    "title": "NHS Charges",
    "dialogue": "Jayjay75: Good afternoon all...i wonder if anyone can help??, I have just been to a dentist (NHS registered) and he has advised me I need 6x teeth extractions, and that he will only remove 2 at a time.(3x Visits)\n\nDoes that mean I have to pay three lots of band \"B\" (£59.60 (or does it all come under 1 course of treatment))\n\nThanks for your help\n\nJJ Busybee: You should request a treatment plan Jayjay with a quote for the cost.  You should have received one as a matter of course.  I believe it should come under one course but it's years since I used NHS dentists."
  },
  {
    "id": 1515,
    "title": "Should root be left in gum?",
    "dialogue": "waterweaver: I had a root canal on an upper tooth, lateral incisor, ten years ago with no issues until it loosened six months ago due to my own fault of biting something very tough.  It fell out two weeks ago. Dentist took xray and said everything looks good, no tooth parts remaining except the upper part of the root. He strongly urges removal of the root and I am reluctant. I do not want any sort of replacement. It seems to be healing on its own so why not just leave it alone? Busybee: Surely it's a magnet for infection.  How will you clean it? MattKW: Hard to say without X-ray to look at. Since it already had RCT, can sometimes leave small bits behind and in the absence of bacteria, it will heal over. If needs to be removed, sometimes it can be very difficult to remove from vertical approach, and quite destructive, so if it has to come out, maybe raise a flap and take it out from buccal approach. waterweaver: Matt,\n\nWhat determines if it needs to be removed? My dentist says the xray shows no indication of pieces of tooth. MattKW: waterweaver said:\n\n\n\n\t\t\tMatt,\n\nWhat determines if it needs to be removed? My dentist says the xray shows no indication of pieces of tooth.\n\t\t\nClick to expand...\n\nIn your first post you said the upper part of the \"root\"was still there. Now there's no indication of pieces of \"tooth\"? Then what does he want to extract? waterweaver: There are not multiple pieces of broken bone. The xray shows a single, very thin, solid line up in the gum.  Since the root canal was ten years ago I am  concerned it is weak and could break apart during removal making it more difficult. It seems like just leaving it as is is less risky than getting it removed. And if it gets infected, I get it removed then."
  },
  {
    "id": 1516,
    "title": "Partial Dentures: procedures??",
    "dialogue": "Fiona: I’ve recently had my two bottom front teeth extracted and am about to get a second impression for the permanent partial dentures. \n\nOnly the bottom teeth had an impression. I thought the upper teeth would be required to have an impression too.\n\nMy biggest concern, however, is that I wanted chrome cobalt dentures. Now the dentist is telling me that because my teeth aren’t aligned in a straight row, the chrome cobalt denture can’t be fitted around the teeth exactly. Is this true?\n\nI’ll lose space behind my teeth which will inevitably affect my speech. Would I be better off considering acrylic dentures?\n\nThanks. Uptown101: Hello Fiona!\n\nIf you like to take my advise, I think you should consider second impression from another dentist. But if you have unaligned teeth you should consider using acrylic dentures."
  },
  {
    "id": 1517,
    "title": "Gums Contracting/removing",
    "dialogue": "yasirmuneeb786: "
  },
  {
    "id": 1518,
    "title": "Technical Question",
    "dialogue": "CMO: I am just a layperson, but have been reading the dental literature published over the past 100 years - which is certainly voluminous.  It has raised a question in my mind.  Is there a risk-benefit analysis that needs to take place with respect to dental cleaning?  Specifically, my question is related to subgingival calculus and the removal thereof. This has a hardness that is comparable to cementum.  When it is removed, some cementum is also invariably removed.  If the thin cementum layer is completely removed, this exposes the dentinal tubules, allowing bacteria to enter the tubules more readily.  The literature seems to be unclear as to whether this can lead to pulpitis - but this is my concern.  Stated succinctly, can the removal of subgingival calculus actually increase the probability of pulpitis and the need for a root canal or tooth loss?\n\nI am hoping that the answer is no, but I cannot seem to see this addressed directly. MattKW: Answered succinctly, no. CMO: Hi Matt,\n\nAppreciate the reply.  Can you provide your reasoning/thought process? Much appreciated."
  },
  {
    "id": 1519,
    "title": "Broken tooth: extract or root canal and crown?",
    "dialogue": "Mona Lisa: I broke off half of my tooth on the bottom, not a molar. I now have only 6 1\\2 teeth on the bottom. I have no dental insurance. Went to a dentist today and he says it needs to be extracted. Said the roots look wound tightly on the bone though so I will need a very good oral surgeon. He said I broke off too much of the tooth. He mentioned me getting an implant, then suggested a lower partial. I cannot eat with a partial upper or lower and the costs are $975 each. In Cambodia I got excellent partials for $40. I cannot imagine what an implant would cost in the states. One implant in Cambodia was $200 total. \n\nI thought I had enough tooth left for a root canal and crown. Should I get another opinion?\n\nMona Lisa MattKW: If it's not a molar, then half a tooth will prob be insufficient to crown. Whilst a partial denture in Cambodia prob won't be too harmful, they tend to give shitty implants that fail, and then you lose twice over."
  },
  {
    "id": 1520,
    "title": "Slight irritation in mouth",
    "dialogue": "Minh: Hey guys, I have this slight irritation on the inside of my mouth on the side. I was wondering what this thing is because it’s annoying. I’m not sure if it’s from my braces or my stitches from my wisdom teeth. Please help me identify this problem."
  },
  {
    "id": 1521,
    "title": "Keeping teeth protected while eating...",
    "dialogue": "healthyteeth: Can teeth be protected while eating and drinking anything besides water? For example mouth guards, dentures and invisalign braces all fit on and around your teeth or gums what if something like this could stay on over or around your teeth while eating and drinking totally protecting teeth from cavities and decay. A teeth protector. Imagine being able to eat all the candy you want and not even worry about a cavity. Has this been thought of before? Could such a thing be invented by dentists??? I was really curious and wanted to ask a dentist! Tell me all there is to know about this. Has it been considered? Would it ever work? MattKW: Nah, just drink through a straw up your nose."
  },
  {
    "id": 1522,
    "title": "gum problem,posibly inflamation, what is causing this? and how do i cure this?",
    "dialogue": "pearly whites: Hi, if I am not in the right section to ask this question in this forum then please move me to the right section as I am not sure where to post. I had previously made a post here about chlorhexidine, I went to the dentist over 2 months ago and they stopped my periodontist/gingivitis or prevented it from developing as I had a deep cleaning and the dentist said I my teeth and gums were really great or in excellent condition, plus my gums and teeth felt better HOWEVER it never fixed my gum issue that I have been concerned about for a while now and thought seeing the dentist would cure this issue I am having with my gums but the deep cleaning did nothing to fix my gum problem. The top half of my top gums are red/darkred and look swollen or thinner/have thinned out while the bottom half of my top gums are normal or excellent with the color being pink/healthy. I am having the same issue with my bottom jaw gums, the bottom half of my bottom jaw gums are red/darkred and look swollen or thinner/have thinned out while my bottom top half of my jaw gums being normal or in excellent condition/pink healthy. I want to cure this gum problem and have my entire top gums 100% pink/healthy(no red gums or swollen) as well as my entire bottom gums being 100% pink/healthy(no red gums or swollen) plus having all my gums be thicker. I could of sworn many years ago my gums were not like this and were 100% pink and thicker. people or fam have told me that my red swollen gums are do to age and my mom also has this problem. the red gums could be inflammation or a mix of inflammation and age, I really have no clue and I eat very healthy and eat mostly non gmo foods/drinks, brush me teeth twice a day, floss once before bed, I don't drink or smoke at all, no bad drugs, no candy, no fast food, no starches, no cane sugar, no high fructose corn syrup, no pizza or junk food either. WHAT is causing my gum issue? and how do I cure this gum problem all the way and NEVER have this gum issue again? can doing what this man is talking about cure my gum problem?>>> Busybee: If your mother has the same problem it's likely to be inherited.  It sounds like you're doing all the right things by going to the dentist for regular cleans and eating healthy.  If your dentist is happy with your gums why are you worried? pearly whites: @Busy bee, because of the problem I mentioned above about both my bottom and top gums being half healthy/pink while the other half's of my gums are red/swollen and thinner. The man in the youtube video I posted had the same problem and claimed what he did cured the gum problem I mentioned above so I want to know if I could do what he did if its lagit or have another option to fix my gum problem. my mom has it as well as me  however I think its possible the reason why we have that gum problem is not do to inheritance and I base that on the mans video I posted since he was able to cure that problem. I don't care if my dentist is happy with my gums, its not his teeth/gums, its my body and I own it so I can do with it what I want. I do have pictures of this gum problem so I can post them here if you like so you can better understand what I am talking about however its kind of a pain in the but to do that witch is why I did not post them at all. Busybee: My view is that anything that says it's 100% guaranteed on the internet is likely to be a tad suspect.   But if your dentist is happy with your gums then that is a good sign.  Maybe you could post a photo of your gums for the dentists here? pearly whites: Busybee said:\n\n\n\n\t\t\tMy view is that anything that says it's 100% guaranteed on the internet is likely to be a tad suspect.   But if your dentist is happy with your gums then that is a good sign.  Maybe you could post a photo of your gums for the dentists here?\n\t\t\nClick to expand...\n\n\nwell I have tried a ebook that I bought online that was 100% guaranteed to work and it did for me so I think there is a possibility this man in the video is not bluffing when he says it worked for him. I know 99% of the stuff out there on the subject or for example: exercise is false or a fraud and because of that the stuff that works is difficult to find and so people will not bother to search for what works as they think its all bs so I can see how you would think its just another scam. Here is pics of the gum problem I was talking about Busybee: By all means wait for the dentists' opinions, but I think this looks like it's the colour of your gums,   As in some people have different levels of skin pigmentation.  For example I've just checked my own mouth (and I must say I've never bothered to look at this area) and yes it's darker colour at the bottom in my mouth too.  Perhaps it's something to do with a higher concentration of blood vessels.   I actually find it really hard to see that high up because I really had to pull my lip up.  Yes mine are thin too.  You are IMO focusing on something that isn't a problem but perfectly normal.   But I do hope some of the dentists here reassure you. Busybee: By the way I don't think it's a good idea to go poking about in that area.   Best not to touch the inside of your mouth with your fingers and leave it to the dentist to examine.  I'm saying this because my mouth feels funny now I've been touching an area I never go near with the tooth brush!  It feels like I've hit my funny bone on my elbow."
  },
  {
    "id": 1523,
    "title": "Please Help, Have I Been Scammed?",
    "dialogue": "pleasehelpme: LANAP treatment\n\nHas anyone had it? Eric2005: pleasehelpme said:\n\n\n\nLANAP treatment\n\nHas anyone had it?\n\t\t\nClick to expand...\n\nI want to know too, specifically if LANAP will actually make gums GROW."
  },
  {
    "id": 1524,
    "title": "Itemize cost of crown procedure",
    "dialogue": "John Anthony: Hi all, newbie here.  I'm a 71 year old guy with several broken teeth.  I've had a marginally successful small business for 30 years with no dental insurance, so there wasn't much I could do as my old fillings broke apart.  I've been semi retired since 2014, on Medicare with HMO Delta Care USA.\n\nI recently had Delta send me the Schedule of Benefits for my plan.  It's pretty good, actually.  I have a few $K to blow on my teeth so I went in for a consultation with a local dentist that accepts my plan.\n\nHe worked up a 5 phase plan with 9 crowns, two lateral veneers, a removable partial, and a couple resin based comps.  His fee totals $29,600, my cost would be $8735.\n\nHe wants to do porcelain to high noble metal on all the crowns, procedure D2750.  His fee for that is $1646, my cost on each is $295, plus $150 \"lab fee\", plus $150 \"zirconia material fee\".  I put them in quotes because I think these are B.S. fees.\n\nSeveral teeth he has $150 \"core buildup including pins fee\".  The procedure is D2950, which is covered by my plan.  Either his assistant made an honest mistake, or they didn't think I would look it up.\n\nIn total, these 25 charges add up to $3750.  Removing those would get me below $5k.  Don't know if he will move on that.\n\nIt turns out that one of my customers has had a dental lab in New Jersey for 44 years.  He says he makes crowns, etc for high end dentists in Manhattan.  He would like to do me a favor and make emax crowns, the veneers, and a fixed bridge for me for like $3k total.  He says all he needs is the full impression after tooth prep.\n\nHe says ask the dentist if he will settle for what the insurance pays, total of $20,856, and let me pay him out of pocket to make everything for me.  He says the dentist won't like it, but he'll be losing close to $21k if I walk.  He says if this dentist doesn't go for it, I should be able to find someone in SoCal that will do it. \n\nI checked with Delta and they said sounds like a good deal, but he's not in the network, and can't go to a lab out of state.\n\nI would appreciate any advice.  Thanks very much. Busybee: Perhaps you don't need quite so much work?  Is there another dentist you can see that also covers your insurance plan? John Anthony: Busybee said:\n\n\n\n\t\t\tPerhaps you don't need quite so much work?  Is there another dentist you can see that also covers your insurance plan?\n\t\t\nClick to expand... Busybee: Hi did you mean to reply? John Anthony: Oh no, I need all  that work.  Several teeth are broken down to the nub, with just one side remaining, plus one of my front teeth is descending due to bone loss and will have to come out.\n\nTooth #15 needs a root canal but I'm putting that off for now, at least until the antibiotics wear off.  It's also broken off on three sides.  My wife says just get it pulled.  The root canal is covered but the endodontist says there will be about $450 in extra charges, so saving that tooth will cost $1150 with the crown.  I asked the dentist to pull it but he wanted me to visit the specialist first.  I told him I only have $5K to spend and this tooth alone will eat up 20% of that, he looked at me like \"so?\"\n\nHow much time does it take the dentist to prep a tooth for a crown?  Just trying to figure out how much of his $1646 fee is labor vs what he budgets for the crown.  My cost for porcelain to high noble is $295.  I know the $150 lab and $150 zirconia material charges are bogus.\n\nMy friend said he uses 89% gold plus 11% palladium.  Or platinum, can't remember which.  He said \"high noble\" metal can mean as little as 10% gold.  So the dentist's actual cost can vary a lot.\n\nThis dentist is 5 minutes away, just around the corner.  They did give me a referral to another dentist in the network that may be lower cost, but I want to try bargaining with this one first.  I know he's good.  Just a crook. Busybee: Preparation time depends on complexity.  It's usually about an hour to an hour and a half with the temp.   As well as his time, the crown material, lab costs etc,  his fee will include a portion of his overheads for rent, equipment, utilities, staff etc.    I'm not sure if it's still the case but zirconia used to have to be cut in a special way.   But I don't think it makes it more expensive at least not in the UK.  \n\nI think if you know the dentist is good and so conveniently five minutes away if anything goes wrong, then I'd value that above cost of work.\n\nDentists have close working relations & communication with their technicians so your dentist may not want to use someone else or just rely on them to guess what's required for your particular issues.  They will have agreed tariffs and all sorts of arrangements in place with the one they use more often.   Don't forget that your customer is out to make money too.    If you insist the dentist uses that lab and something goes wrong because of the technician's work, then where would that leave you?   You could fall out with both the dentist and your customer.   Seems more than a bit risky because the dentist tells the technician what is required and sends it back if it's not good enough. How will you do that with a customer?  I'd steer clear of that but obviously up to you. John Anthony: Busybee said:\n\n\n\n\t\t\tPreparation time depends on complexity.  It's usually about an hour to an hour and a half with the temp.   As well as his time, the crown material, lab costs etc,  his fee will include a portion of his overheads for rent, equipment, utilities, staff etc.    I'm not sure if it's still the case but zirconia used to have to be cut in a special way.   But I don't think it makes it more expensive at least not in the UK.\n\t\t\nClick to expand...\n\n\nThanks for your reply.  That's quite a while in the chair, and I understand he needs to get paid for his skill and it must cover his operating expenses.\n\nMy customer and I were thinking no temp crowns, just prep the teeth.  I could live on beans and rice for a week or so while he makes the crowns.  He says all he needs is a full mouth impression.  And he said, \"tell him not to skimp on the material\".  He said he can't understand why some dentists send him \"just barely there\" impressions, like the material is precious, when it's just a few dollars.\n\nHe says the $150 fee for \"zirconia material\" is nonsense.  You have either a porcelain to metal crown, or you have a zirconia crown.  You don't add zirconia material to a PFM crown.\n\nHe says the $150 lab fee is just padding the bill.  The technician's fee to make the crown is the fee.  The technician doesn't add a separate lab fee.\n\nYes, my guy is not giving it away.  He's charging me the same as he would charge a dentist, about $3k for emax, vs porcelain to high noble.\n\nI think the dentist is very good but I object to being gouged.  If I had the money I wouldn't even look at the bill, but I can't afford what he wants. Busybee: No temp crowns sounds crazy.    Your customer doesn't know how a dentist runs a business and you don't know how much he charges the dentist.  There's no way to tell whether he's telling you the truth.  This is a really unwise course you are thinking of taking.   All I can see is risks for you and avoidance of liability by those you would be paying.   I don't know what kind of laws you have governing this in the US but either they are not sufficiently robust to protect the patient, or your customer is breaking them.  I'd steer clear of the customer.   This is unethical.\n\nAsk the customer what kind of contract he is proposing to write to cover liability etc.   What will he do if the crowns don't fit etc. John Anthony: Busybee said:\n\n\n\n\t\t\tNo temp crowns sounds crazy.    Your customer doesn't know how a dentist runs a business and you don't know how much he charges the dentist.  There's no way to tell whether he's telling you the truth.  This is a really unwise course you are thinking of taking.   All I can see is risks for you and avoidance of liability by those you would be paying.   I don't know what kind of laws you have governing this in the US but either they are not sufficiently robust to protect the patient, or your customer is breaking them.  I'd steer clear of the customer.   This is unethical.\n\nAsk the customer what kind of contract he is proposing to write to cover liability etc.   What will he do if the crowns don't fit etc.\n\t\t\nClick to expand...\n\n\n\n\nDuring my initial consultation, I told the dentist I was considering getting the work done in Mexico.  My Mother lives in Yuma, AZ half the year, and said lots of snow-birds go across the border to get their dental work done in Mexico for one third the cost.  He said don't do that, I'll come up with a plan.  I told him I didn't have much to spend.\n\nA couple of days later his receptionist gave me the proposed plan, of which my end is nearly $9K.  My initial thought was, not bad but still double my budget.\n\nI looked at my schedule of benefits and saw there were a couple crown types that were no cost to me, so I asked if we could use one of those types instead of porcelain fuzed to high noble metal.  He said our lab doesn't do those.\n\nThen I remembered that twenty years ago, one of my customers told me he had a dental lab and made crowns.  I called him to ask about the different types of crowns.  Then I asked if he would look over my paperwork.  I emailed him my x rays, photos, the proposed treatment plan, and my schedule of insurance benefits.\n\nRight away he asked what are all these lab fees?  And what are these charges for zirconia material?  You either have PFM or zirconia, but not both.  So right away we knew the dentist is padding the bill by $3750.  He started brain storming, and said I can do all your work for less than that.  Just have the dentist prep your teeth, send me the impressions, and I'll send  you the finished crowns.  I've never met him, he lives in New Jersey and I've never seen his work.  I just know what he's told me.  But I know a lot more now about my dentist, and I don't like it.\n\nSo that's where we are.  Just talking about it.  I haven't been back to the dentist to go over the charges with him yet.  The last time I was there, I asked him to pull #15.  He refused, saying I want you to see a specialist.  We can save that tooth.  It was at that point I told him I have $5K to spend, and saving this tooth would eat up 20% of my budget.  And he gave me the wide-eyed \"so?\" expression, shaking his head.\n\nMost root canals are fully covered in my plan, but after consultation, the specialist said there would be $400 in uncovered charges, so I got out of the chair and left.  I'll go back to my dentist when the antibiotics wear off and it starts hurting again, and have it pulled. Busybee: John, I have porcelain fused to zirconium crowns.  So they definitely make them.     Maybe your customer doesn't do them just like your dentist's lab doesn't do other crowns.  \n\n If you don't trust your dentist go to another dentist, but don't try to make deals directly with a lab to try to cut the price.  You will end up regretting it.  You have no idea of the quality of his work and it appears you haven't discussed any form of contract. \n\n It is always better to save a tooth than pull it.  $400 is not a big excess to try to save a tooth.  A tooth that is saved by a good specialist and left in situ is priceless.   But I'm sure you can find a dentist who will pull it for you.  \n\nGo back to your dentist and ask if there is any way to reduce the cost without affecting the outcome.   Bear in mind though that a good dentist is worth the money."
  },
  {
    "id": 1525,
    "title": "Dental abscess treatment",
    "dialogue": "ED physician: I am an ED physician and have had several patients come with simple dental abscesses and no other complications. When I try to refer them to their dentist, they have told me that their dentists refuse to see them until the infection is gone. Now I have no problem draining the abscess and prescribing antibiotics, but I am not a dentist. I don’t do teeth extractions. Is there something that I don’t understand? Do dentists no longer drain gingival abscesses?  I want to make sure that I am providing that right instructions to my patients. Thank you. Busybee: Perhaps you are cheaper than an endodontist?"
  },
  {
    "id": 1526,
    "title": "New Member - Question on Extended Prophy",
    "dialogue": "CMO: Greetings all,\n\nThis is my first post. I will try to be brief with my question. I avoided visiting a dentist for 15-20 years due to an auditory problem.  I finally decided to see a dentist last year because of a brief episode of gum pain.  He did a full series of x-rays and (to his surprise) found no bone loss. (I brush 2X/day and floss.) In any case, he signed me up for a \"prophylactic cleaning\" to be done in two appointments (half of mouth each time). I was told this \"is not a root planing.\"\n\nTwo weeks ago, I went through the first appointment.  It want OK, but there was a lot of tartar removal needed (some supragingival and some subgingival).  I asked the hygienist to use only manual tools. My question is this; in addition to some extra sensitivity to cold food/beverages, I have noticed that there is sort-of a dull background pain that comes and goes (and moves around) on the side that was cleaned.  is this normal? Could this be related to the sensitivity to cold?  It is present even when I am doing nothing. Busybee: Well done on finally making it to the dentist. \n\nIt's normal to have some sensitivity after a clean and if you had a lot of tartar then over the years the gum may have receded a bit & the enamel eroded which can cause sensitivity after cleaning.   Use a sensitive toothpaste or they can put some fluoride paste on it at the surgery.  It can take a few weeks for sensitivity to go.  You may need a small filling somewhere but the dentist will wait and watch the area before diving in as it usually goes away.   Just mention it at the next appointment."
  },
  {
    "id": 1527,
    "title": "Permanent Bridge, Temporary Cement, and Oral Implants question",
    "dialogue": "Will Geisler: I have a permanent bridge permanent cemented over my lower front teeth. Since the placement, the bridge is uncomfortable, irritating my gums, and causing a lisp. I am having the bridge completely redone next week (by the same doctor) to eliminate some of the bulk from the labial side for the purpose of improving the comfort and fit. \n\nIn July, I am considering an beginning the process to have an oral implant placed (with the two adjacent teeth crowned) in that area as an alternative to having the bridge. The hope is the implant will be more comfortable, and that I will have an easier time keep the area clean First, a bone graft will be needed (5-6 month recovery), then the implant screw placement (2-3 month recovery, then the tooth placement and two adjacent crowns placement. \n\nThe oral surgeon is recommending that when I have the bridge replaced I should use temporary cement instead of permanent cement. This is so the oral surgeon can take it off for the bone graft and take it off again for the implant screw. I am concerned that the temporary cement may cause the bridge to fall out during the 8 months or so it will be in use. Your thoughts? Busybee: They can do pretty strong temp cement.  It just means they have to wrestle a bit to remove it.  If the fit of the bridge is good it should not fall off.  If it does fall off then they need to look at the fit.  Obviously you have to be more careful if it's temporary cement but you should still be able to eat most things.   The alternative is that they do a temp bridge.  That can also fall off but they can put on much stronger cement as they won't be worried about drilling it off if necessary to remove it later. MattKW: Since you've already had a bridge done, I don't see there is any advantage by doing an implant. An implant will be harder to keep clean, and more likely to fail compared to the bridge. If the bridge was too thick labially, then the crowns would normally be about the same thickness, so see how you dentist goes with the new bridge. When he tries it in for fit, don't let him cement it if it's still too thick - he can always cut some back and have it reglazed. Even the temporary bridge he gives you between appointments should be close to the correct thickness and feel good. Photos of your current bridge from the front and above would be helpful to see."
  },
  {
    "id": 1528,
    "title": "Need help with my Medical History Form",
    "dialogue": "PVP: Dear dentists,\nI need your help!\nI have to complete my medical history and examination form in order to participate in an academic exchange program. But I'm Russian, I live in Russia, and my doctor is Russian too. So it is difficult for us to write in english some points.\nThere is a question in the form: \"Does ...(me)... now have or have they ever had .... tooth or gum disease (periodontal disease)?\". And there is a space provided to explain, if yes. Well, I had pulpitis of one tooth (left upeer 2nd molar, the pulp has been removed), and a dental caries of another one (right upper 1st molar, restored). Do I have to inicate this, and if yes, how? What should my doctor write on the paper?\nThank you for your answers!"
  },
  {
    "id": 1529,
    "title": "Complex canal root fixed by surgery?",
    "dialogue": "benberi545: Everything started 2 years ago, where my tooth had a big black hole until it started hurting very badly to a point where I can't close my mouth.\n\nI received a treatment right a way, they opened the tooth and started cleaning a bit so it will not be painful.\n\nSince the pain has gone, I stopped the treatments, till the pain came back again.\nNow repeat this 4 times, until I realized that I really have to have a serious go on that tooth and fix it.\n\nI paid $2000 for root canal and a crown before even starting to work on it.\n\nThe dentist took 2 months or so on the canal root there, and finally closed the roots and put down the crown.\n\n2 months later, I feel a bad pain on the tooth and 2 teeth next to it, and the side of my jaw started to blow.\nThe dentist gave me Augmentin 875 and it killed the pain and the blowing.\n\nThe situation of my tooth that that moment was this (my special drawing from what I remember):\n\n\n\n\n\n\n\nAfter I finished the antibiotics, I came back and he took a look at the x-ray, and said that renewing the canal root mostly wont fix the issue, we can extract it and finish with it but we really need to help the tooth.\n\nHe said okey, we will do a small surgery and cut down a small piece of your root and clean the infection.\n\nSo after the surgery (idk what he did but it hurts):\n\n\n\n\n\n\nSomething like this, he drilled my jaw I think to clean the infection, and cut a small piece of my right side root.\n\nNow I have side effects like blowing on my jaw and a bit of pain.\n\nJust asking, is this treatment real? Like something that really happens and can help? have u heard of it? MattKW: You seem to have had an apicocectomy. These can work OK if done by a very experienced dentist or an endodontist, but would not be my first choice of treatment as they bring in greater risks of failure. A copy of your before/after xrays would be helpful. I'd suggest you go to an endodontist for at least a consultation and opinion."
  },
  {
    "id": 1530,
    "title": "Root Canal Problems",
    "dialogue": "Noodle24: In the last week or two i've started to get a dull toothache in a tooth that's had a RCT many years ago that's remained constant. After seeing my dentist he undertook an X ray of the tooth (Bottom Left furthest Molar) and saw a small black shadow which he said could be infection or inflammation. He recommended the tooth would need removing in future but insisted that it wasn't a problem right now. The filling on the top of this tooth did chip a few months ago when the tooth next to it was removed.It has since been repaired.\n\nThis is where i get concerned. I am due to go abroad to Italy for a week in just 10 days time. I shall be going with a lot of friends and family to celebrate my 30th. I explained this to my dentist who said that unfortunately it was just a case of leaving the tooth and hoping it didn't get too painful, no antibiotics prescribed. I'm very anxious about this problem getting worse over the next 2 weeks.\n\nMy questions are:\n\n\nShould i just go on holiday and hope the infection doesn't get too bad (if it is that) or should i push for antibiotics?\nCould the small black spot at the bottom of my root be anything other than infection? Busybee: Noodle you're only going for a week and the worst case scenario you can see a dentist as an emergency while you are in italy.  I was in Italy with someone who had a problem with a tooth a couple of years ago and even though we were in a remote location she was taken to see a dentist in town and they did really help her.  Try not to worry, there are good dentists there too.  Make sure you have insurance.  Take ibuprofen with you just in case.\n\n  But it could be that the dental work you had is a bit too high and it's making the tooth more tender or \"bruised\".   Could be your bite after having an extraction has shifted too much pressure there.   There could be other factors. \n\nA dentist saying it \"could be infection\" doesn't meant it's an infection.  See another dentist for an opinion.   There's no point taking antibiotics if there is no definite infection, in fact it's a risk to take meds for no reason.  I've had experience twice of being told I have an infection which turns out to be nothing.  Always worth it to see more than one dentist about that.  If your dentist was sure then you'd have been prescribed meds.  It's not always that obvious in the early stages.  See another dentist for an opinion before you go just to put your mind at rest.    A second opinion doesn't cost much. Noodle24: Thanks Busybee, \n\nI guess i just let anxiety get the better of me. I spent the best part of £1k trying to save the tooth next to this one which ultimately got a bad infection and came out. Just wanted to mitigate the chances of this happening again over the next few weeks as much as possible."
  },
  {
    "id": 1531,
    "title": "I think my dentist took the wrong tooth",
    "dialogue": "Marwane: So i got my braces 3 years ago, and as my dentist took some teeth out, i noticed that my right part of my jaw is not the same as the left one, there's a missing tooth."
  },
  {
    "id": 1532,
    "title": "Is flap surgery the best option right now?",
    "dialogue": "tia123456789: Hi everyone! \n\nI went to the dentist and they found a few pockets that are 6mm in depth and one area showing slight bone  loss. The gum specialist kept saying my teeth are not that  bad. Same with the dentist. But at the same time he says I should just skip the deep cleaning including planing and scaling, and go straight to flap surgery. I feel like the information is contradicting, my gums are \"not bad\" but then I have to go for the most invasive procedure? Is it unusual for someone to skip deep cleaning with planing and scaling and go straight to flap surgery?\n\nThe gum specialist says that the reason he wants to do the flap surgery is because deep cleaning is not effective enough. He says it could miss a spot of tartar and then the bacteria could grow underneath without me knowing ie: the outer gums will look great but then inside could have bacterial growth. It will be a false indicator of my gum health. Have any of you people with 6mm pockets have just have deep cleaning (scaling and planning) and found this is good enough? Ie: what is the long term effectiveness of just this deep cleaning (5 years)? Do you find that the majority of the patients who do a deep cleaning end up having to do flap surgery in the end? \n\nThank you Tia tia123456789: Hello anyone? jill turner: Hi,\n\nI was wondering the outcome of your gum pocket situation. \n\nI'm having the same problem.\n\nDid you end up having the flap surgery?\n\nThanks for any help, Uptown101: The flap procedure is necessary when severe gum disease (periodontitis) has damaged the bones that support your teeth. Healthy pockets  typically  measures  1-3 millimeters and it  may require some type of periodontal disease treatment.  Pocket depths that are deeper than  6 mm are usually an indication of more advanced gum disease.  You may need surgery for severe gum disease (periodontitis)  and it was called Flap Surgery.  \n\nA flap procedure cleans the roots of a tooth and repairs bone damage caused by a gum disease. The doctor will pull back a section of your gums to clean the roots of your teeth and repair damaged bone. Typically it takes only a few days to recover from a flap procedure. Be sure to follow the home care instructions that your dentist or oral surgeon gives you. jill turner: Uptown101 said:\n\n\n\n\t\t\tThe flap procedure is necessary when severe gum disease (periodontitis) has damaged the bones that support your teeth. Healthy pockets  typically  measures  1-3 millimeters and it  may require some type of periodontal disease treatment.  Pocket depths that are deeper than  6 mm are usually an indication of more advanced gum disease.  You may need surgery for severe gum disease (periodontitis)  and it was called Flap Surgery. \n\nA flap procedure cleans the roots of a tooth and repairs bone damage caused by a gum disease. The doctor will pull back a section of your gums to clean the roots of your teeth and repair damaged bone. Typically it takes only a few days to recover from a flap procedure. Be sure to follow the home care instructions that your dentist or oral surgeon gives you.\n\t\t\nClick to expand... jill turner: Thanks for responding to my post.\n\nI'm guessing you went ahead with the flap surgery because the deep cleaning was not enough?\n\nHow was the recovery from the surgery.\n\nThanks"
  },
  {
    "id": 1533,
    "title": "10 missing teeth and need advice about implants",
    "dialogue": "Teethcv: Hello all I have 10 missing teeth on my top jaw and I have a custom made denture at the moment and what winding do I need an implant for every teeth I have missing ir is there some way I can have a couple of implants or something like that please give me advice as im being told I need one for every teeth and there must be a cheaper way please advice niceone: The problem with implants is that they can still get infected, if you are not careful.\nAvoid implants if you can. Busybee: They don't usually do one implant per missing tooth.  They do a few implants and attach a bridge between them.   But I doubt it's cheap.   There are always risks with any dental work but if you go to a good dentist they should do their best to minimise these. You obviously have to look after hygiene when you have such work.   The main thing is don't go for cheap and attractive special offers as you may end up paying double fixing mistakes.    Do your research on a good specialist. Athethos: Yup, what Busybee said, implants are pricey, but there are ways to fill multiple empty sockets without having to install the implants one at the time. Afterwards, it's a matter of using a special toothpaste for this kind of fillings. Admittedly, there's nothing to be scared of, if you can afford it."
  },
  {
    "id": 1534,
    "title": "Unknown Pain - Advice Please",
    "dialogue": "Stephen80: Hi All,\n\nMy first post, and to explain everything that's going on will probably take a while, so please bear with me.  I will start from the beginning and try to be as succinct as I can.\n\nI visited the dentist in mid-February as I was having a shooting pain in what I thought was my lower back right molar (no.7 I've been told it's called).  The NHS dentist I saw advised that I had a crack in my tooth which didn't surprise me as I've been told that I grind my teeth (and whilst I'm pretty good at wearing my tooth guard, I didn't wear it always).  As this was NHS, I had to wait for an appointment - one was booked for the end of March.\n\nOn the 5th March I noticed that my pain was getting worse, to the point where I couldn't eat on my right hand side.  I made an emergency appointment on the 7th March, at which point the pain was unbearable... coming in waves of pain.  The NHS dentist did my filling and it was then I found out that the crack was actually in my no.6 not where I thought the paid was coming from (she also commented that she wouldn't charge me as much as first quoted as the filling didn't need to be that deep - this becomes relevant later).  She then took an X-ray as she seemed surprised by the level of pain I was in.  From this, she identified that my bottom right wisdom tooth is situated horizontally and is impacted in my no.7 underneath the gum and is rotting it.  Due to nerve placement she told me I'd need to get a surgeon to remove the wisdom tooth.\n\nThankfully I have BUPA through my work and whilst they don't cover dental issues, the do cover operations, and so instead of waiting I managed to get an appointment on the 9th March to see a surgeon... a good job too as the pain was unbearable, I couldn't eat properly and couldn't drink any hot drinks.  I met the surgeon and he said he needed to take a Cone Beam X-ray to see what was going on, but this would have to be in the hospital on Monday 12th March.\n\nAfter a horrendous weekend, I had the Cone Beam and was lucky enough to see the surgeon afterwards (he made a special visit as he knew how much pain I was in - cannot say enough about this guy).  He said he didn't feel the wisdom teeth needed to be removed and thought they were a red herring, he did however notice what he thought was decay in my no.6, which is were I had the filling by the NHS dentist.  It was at this time that I also found that sipping cold water got rid of the pain for a minute before it came back in waves - each sip would sooth it but the pain would go on for over an hour on each attack, so I was drinking a lot.  My surgeon told me that due to these symptoms he felt I had irreversible pulpitis.\n\nI managed to get another appointment at my dentist on 13th March, however, I had lost faith in my NHS dentist so I decided to see the private dentist.  I should note that about an hour before my appointment I was getting another attack of the pain in the form of waves, and where water had soothed the pain before, this time it caused it to become more excruciating, and the pain had moved from the lower jaw to the cheekbone.  It hurt so bad that I was screaming in agony.\n\nBy the time I got to my dentist, I was in tears due to the pain (and stress of the past week).  He examined me, took more X-rays and told me that the NHS dentist hadn't gone deep enough on my filling and there was decay underneath.  He undertook what he called a deep filling on my no.6 and told me I would be sore for a couple of weeks.  He then charged me for the privilege (I was in too much pain to argue, even though if this had been done the first time correctly then perhaps I wouldn't have gone through this level of pain).  He also commented that he felt my wisdom tooth was causing a problem and that I would need my no.7 removed, due to the level of decay and impaction from the wisdom tooth - I argued against this following what the surgeon had said, and we decided to see if the filling resolved the problem.\n\nAnyway, here I am today and I'm still experiencing discomfort.  Don't get me wrong, the waves of pain have gone, however, I still have an aching pain in my right cheekbone and I have tenderness underneath my lower right teeth.  I still can't eat anything that isn't soft, as I get a jabbing pain when I chew, although it's not all the time.  For example, I had chicken last night that was relatively soft, and I got a jabbing pain on a couple of bites, but on other bites it was just uncomfortable, not painful.  I also get the occasional heartbeat in my no.6 tooth, which I read on forums was the tooth dying, as such, I decided to go back to my dentist today.\n\nHe initially told me that he felt all of my issues were now the wisdom tooth and he should pull it.  I was reluctant, as the pain is in no.6 and if I end up having no.7 removed and it doesn't solve the pain, then I might end up losing no.6 as well.  He then examined me by feeling around my gums and checking my teeth and told me everything seemed fine, and he thought the pain was just my mouth still recovering from the trauma of the deep filling.\n\nSo, I have no idea where to go from here.  I could leave this a bit longer to see if the pain subsides or should I pay another dentist for a second opinion?  My issue is, I have to put so much trust in what I'm told and if I get something done irreversible (such as a tooth removed) and it doesn't solve the problem then I'm not only out of pocket, but also without a tooth (or teeth potentially!).\n\nSorry for the overlong post - I would be grateful for any advice? Busybee: You seem to be getting lots of conflicting information.   But I do find that when you have two dentists you can end up with three opinions.  \n\nYou should request all the dental records from your nhs practice (before and after x rays and the notes).  You are entitled to this information by law if you make a request.  They are allowed to make a small admin charge if they wish.    You should then find a good dentist (or two) and get them to examine you and look at your current situation.   Then ask for a second opinion on all the work you've had done vs the x rays and notes.    You are not in the same pain as before, so make sure you don't rush into any work without getting some different viewpoints.   \n\nAt least you haven't yet had to have any teeth extracted and your last dentist has managed to reduce your pain and has tried to help you.    You are no longer screaming in agony.   It's possible that the filling he did needs to be adjusted down slightly as your bite may be too high.   This should be free of charge.   If your wisdom tooth is horizontally impacted then that doesn't sound too healthy for the root of the tooth next door.   \n\nWhat you should do is complain about the NHS dentist who it appears gave you a filling in your 7 which you didn't need.  You will need your records to do so.   Your symptomatic tooth was also made worse.      You will need the opinion of another dentist.  a report can cost up to £50 but may be less.  \n\nBy the way I'm not sure what is no. 7 and no. 6 but diagrams show this to be an upper right incisor and canine.  You were talking about lower back right molars.  These are 30 and 31 on diagrams. Stephen80: Busybee said:\n\n\n\n\t\t\tWhat you should do is complain about the NHS dentist who it appears gave you a filling in your 7 which you didn't need.  You will need your records to do so.   Your symptomatic tooth was also made worse.      You will need the opinion of another dentist.  a report can cost up to £50 but may be less.\n\t\t\nClick to expand...\n\n\nThanks for the advice... just to clarify, the crack was actually in my no.6 (as my dentist calls it) and this is where the NHS dentist placed the small filling... she then said my issue was my wisdom tooth.  The surgeon then told me this wasn't the case and when I went to see the private dentist he gave me a deeper filling in my no.6 saying that the NHS dentist (who works for him) hadn't gone deep enough and there was decay underneath... so if she had caught it in time then I might not have gone through a week or unbearable pain.  I was charged £73 on my first visit and £109 on my second visit... so, the most I could probably claim back is £73 and it might not be worth it if I have to spend money for reports etc.\n\n\n\nBusybee said:\n\n\n\n\t\t\tBy the way I'm not sure what is no. 7 and no. 6 but diagrams show this to be an upper right incisor and canine.  You were talking about lower back right molars.  These are 30 and 31 on diagrams.\n\t\t\nClick to expand...\n\n\nNot sure if this is just the way it is in the UK, but both the dentist and surgeon referred to my bottom right molars as no.6 and no.7 (i.e. the two back teeth) and my impacted wisdom tooth in my back right as my no.8? Busybee: I think they count from the middle outwards (starting with the central incisor).   In terms of the complaint you should make it so that the NHS are aware of the problem.   You may be in a position to claim compensation for your distress and pain.  That would be in excess of the cost of the work.  \n\nso the private dentist you saw was at the same practice?  I'd get a second opinion from another dentist.  It's worth the money to have your teeth checked by someone who knows what they are doing.  You could end up spending far more in the future if there is an underlying problem that hasn't been addressed. Stephen80: Busybee said:\n\n\n\n\t\t\tso the private dentist you saw was at the same practice?  I'd get a second opinion from another dentist.  It's worth the money to have your teeth checked by someone who knows what they are doing.  You could end up spending far more in the future if there is an underlying problem that hasn't been addressed.\n\t\t\nClick to expand...\n\n\nI agree with you, and I've been looking at other practices to go to, but I have no idea if they would be any good.  I've found a practice that looks nice and will cost me £20 a month, however, I've lost all faith now and I'm worried I could go there and find they have less experience than the dentists at my current practice Busybee: It is worth looking at both NHS choices and the General Dental Council website for a specialist in your area.   NHS choices have reviews of NHS Dentists.    I'd recommend you google a \"minimally invasive\" dentist because their focus is on conservative dentistry, preservation of tooth structure and a more careful approach.  They might for example take the view that \"watchful waiting\" is a good approach to your impacted wisdom tooth, where they observe over time whether it's likely to cause a serious problem, etc. MattKW: Long and detailed post, wish you had an OPG to show. The way I interpret what you have said and what the dentists have said comes down to:\n1. Wisdom tooth (8) prob not decayed, but impacted against 7.\n2. This often causes decay in back edge of 7. You may have decay there.\n3. You seem to have had deep decay in 6. Depsite treatment, this may not have resolved.\nTooth pain can appear to be coming from nearly any tooth on the same side: front/back/top/bottom. It doesn't cross the midline of your face. Sometimes it can be difficult to locate the exact source of pain if there are a few choices - your perosnal indication is only one of the factors. The dentist also has to look at Xrays, test teeth with tapping, test teeth with cold, listen to your history of the development of the pain and the type of pain, and then make a decision. If you're unlucky, there will be more than one tooth involved.\nI'd get the records (politely) including copies of Xrays, and get a second opinion. If you drop the records off to the new dentist a few days before your appointment, it'll give him/her a chance to review before you come in. Stephen80: Thank you both for your replies.  I'm actually on the way to being sorted now, as I found a local dentist in my area that had 30 positive Google ratings, and upon reading his page, he sounded very experienced so I thought I'd give him a go and booked in for an emergency appointment yesterday.\n\nI took copies of my x-rays that were taken weeks ago (sorry I haven't posted them in on here, I don't have them digitally) and I showed them to my new dentist and he said he new exactly what the problem was as he could see my nerve was all inflamed.  I explained my symptoms of the throbbing/heartbeat in the tooth, wobbly feeling, pain to bite on and the tenderness in the gum.  I also explained my previous symptoms and how the waves of pain had gone, and he agreed that believed my surgeon had made the correct call with the irreversible pulpitis.  I was advised that the reason the waves of pain had stopped was because the tooth had probably died.\n\nLong story short, he drilled out my mouth (there was a disgusting smell in the office which I presume was related to my dead pulp?) and he applied a sedative dressing (which again is what my surgeon had recommended a couple of weeks ago).  I have a root canal planned for next Thursday.  He also confirmed at the end of the appointment that my tooth was in fact dead and I had an abscess forming (which is presumably why my bite was becoming more painful) \n\nWhilst I still feel a little tender and I still feel a slight pain when I bite something that isn't very soft, I do actually feel so much better than I have done in weeks now.  However, I'm very angry at both the NHS dentist and the Private dentist (her boss) that I went to see, as they had so many opportunities to capture this and if they had acted early enough, I probably wouldn't have lost my tooth.  In addition, I paid them over £180 for this poor service and now I've had to pay £105 for yesterday's treatment, with the Root Canal being estimated at about £350 next week.  So, all in all, it's going to cost me over £600 in total to have what I deem an unpleasent procedure (not that I've ever had a root canal before) when if my initial dentist had spotted the issue in the first place I wouldn't have had to go through any of this pain and suffering and at a fraction of the price. \n\nI just hope the root canal goes okay as some of the horror stories I've read whilst I've been researching this really make worry about this procedure - I feel I've found a good dentist so hopefully it'll be okay.\n\nAnyway, once again, thanks to you both for taking the time to come back to me. Busybee: I hope it works out with the new dentist.  Good news that you are feeling better.  Keep us posted on progress. Stephen80: Thank you - I will update after the procedure. Stephen80: So, I've just got back from root canal procedure - that's not an experience I want again.  Don't get me wrong the new dentist I've found seemed to be very good, but having my jaw open for so long was not fun and the injection was really painful (he had to do it twice because of the shape of my jaw!)\n\nAt the end, my dentist took another x-ray and he pointed out that some of the filling has gone through the bottom of where my root was - he showed me on the x-ray and there seemed to be a lump next to the root.  He told me that this is inert and won't be a problem - is this correct?  I know I should probably just trust what he's said, but after the experiences I've had recently with my previous dentists, I'm now very paranoid.\n\nI also asked if I'd needed a crown (as I've read you normally do) and he's confirmed I will, but he says not to worry about it at the moment and to see how the root canal goes.  I hope this isn't because he's expecting problems... in fairness he did say this before he had undertaken the procedure, so I'm sure it was precautionary as opposed to concern that something went wrong afterwards.\n\nAnyway, hopefully everything will be okay.  Thanks to the Busybee and Matt for replying on this post - it's nice to have people with experience help. Busybee: Stephen was this a specialist endodontist?   I'm not sure of different methods, but I did think that you don't leave a tooth uncrowned after the nerve dies.   I thought you crowned it to strengthen and protect it.  I know that gutta perca sometimes can go a little outside the root but thought your body absorbs that over time.  It was the rubber filler than went past the root right? MattKW: So some of the GP has gone through the root tip - the body doesn't reabsorb it, but if all is clean, then often the body tolerates it OK. This might be why he wants to wait a little while before crowning, to see if it gives you any issues. The sooner the crown, the less likelihood of fracture; some teeth will fracture before the RCT is finished! Some endodontists put orthodontic bands around the teeth to prevent fractures until crown can be made. Personally, I sometimes shorten the tips of the tooth straight after my RCT preps, or do a temporary crown preparation, and wait a few weeks before commencing crown. It's understandable that patients sometimes can't do crowns straight away because of time or money constraints. Stephen80: Hi both,\n\nThanks again for the responses.  Today feels pretty good on the tooth, I had a pasta ready-meal at lunch and I only occasionally felt some pain as I chewed the parts the microwave had made hard... I presume this wasn't from the tooth as the nerve has been removed, and I'm guessing that it's just part of the natural healing process (although please tell me if I shouldn't be getting any pain).  I should add, my dentist pointed out that there was an abscess prior to him undertaking the root canal, again, I presume he would have removed this during the procedure?  I also have a sore throat and blocked, slightly painful, ear on the right side of my face... again, I presume this is normal at the moment?\n\nAs for the filling, as you've both correctly highlighted, this is GP as I remember my dentist telling me that's what it was (I just can't spell it which is why I'm calling it a filling) \n\nI've arranged a new patients visit with this new dentist on the 3rd May, which is the first appointment I could get due to my work commitments and his availability, and whilst we're going to discuss the crown then, I'm guessing I'll need a new appointment to take a mould and then another visit to fit it, as such, I'm probably going to be without a crown for at least two months.  Whilst my dentist did advise I'd need one, he didn't express any urgency with it... do you think a couple of months is too long as I'm really not sure how I can get this sorted any quicker? Busybee: Hi Stephen, you should really do your best to avoid chewing on the tooth for now.    If you had an abcess and are now having symptoms such as a fever or lymph node pain or swelling under your jaw then you should go back and say you need antibiotics.   Obviously you should only take antibiotics when you need them but a dental infection doesn't always go away without some help from medication.   \n\nYou could take some ibuprofen to see if that helps.  You might also want to try to have some extra vitamin C as that can promote healing.  It's just something I do if I have anything like this and I've found it helps.   \n\nThe abscess won't be removed by the dentist, rather it should heal on it's own once the nerve of the tooth is removed.    When I've had root treatment the Endo always emptied the canal and then sent me away with a temp dressing before filling with gutta perca and sealing a few days later.  This he said was to let any residual infection find its way out.  He also stuck something in there that smelt like disinfectant (drain cleaner!) and I immediately would have relief from symptoms.  \n\nI did look up the shooting past the root tip with filler online just out of curiosity and I have some old x rays of my own rcts.   The article I read said that shooting past the root can cause aches and sensitivity and that the filler should end a fraction short of the tip (which is not always easy to see.    So that might be why the dentist wants to wait and see how you get on.   I think May is a long time to wait for a crown.   If you have a problem you may have to go back sooner.    It's a shame you didn't go to an endodontist for treatment.  They deal with all sorts of complex cases & invest in the most high tech equipment.  Although all dentists are trained in this, they don't always do it every day like an endo.    Some dentists won't do any root treatment and will automatically refer to a specialist. Stephen80: Hi Busybee,\n\nThanks for the response.  Perhaps I've made things sound worse than they are - my dentist did say I have an abscess but my tooth doesn't hurt anymore.  My sore throat has now gone and whilst my ears still feel a little blocked, this is nothing new for me and they have certainly eased since the treatment.  If I was a betting man, I would guess that given I had my jaw open for an hour, this is what's causing my ear blockage.  I do grind my teeth and my ears have always felt blocked to a degree, it's just they were painful initially after the root canal (although only when I tried to equalise them) but as I say, this seems to be getting easier.\n\nThe weird thing at the moment is a strange feeling I have just below my lip on the right hand side.  It's really hard to explain as it's not painful.  It almost feels like there is something stuck in there or that it's slightly numb, but its only occasional and so it could just be psychosomatic.\n\nMy big fear at the moment is the overfill of GP - I've also read some horror stories on-line.  That being said, I would have thought if it was a problem then I would still be feeling pain?\n\nI know I should have seen an Endo, but I couldn't find an experienced one near where I live.  Also, at the point of my initial visit, I wasn't even sure I would need a root canal, I was purely after a second opinion as my previous dentist had told me that I just had to wait until the deep filling had settled down.  Whilst I didn't think he was correct, my fear with visiting an Endo was my assumption they would say I needed a root canal even if I didn't, as it's all money for them.  Given my past experience, I've become very wary and cynical of dentists now (MattKW excluded from this sweeping statement of course, as he's done nothing but try to help, much like you).\n\nMy current plan is to just see what happens.  I am eating on both sides now, as my dentist advised I would be fine to eat normally even without a crown, so perhaps it still has a good structure on the outer shell?  Of course, he did recommend that I have a crown eventually, so I'll discuss this with him when I next see him, but perhaps the crown is just precautionary - I have read that not all root canal teeth need crowns?  Obviously, if my symptoms change or if I start to experience pain then I'll go back sooner.\n\nThe above aside, if either you, Matt or anyone else has any other suggestions, or think my wait-it-out strategy is flawed, then please let me know.\n\nThanks again for your continued help. Busybee: Hi Stephen I'm so glad you are not in pain.\n\nIt tends to be a dentist who refers you to an endo.     Some do so as a matter of course, others are more likely to do so in more complex cases.\n\nLeaving a tooth uncrowned can sometimes create long term problems as infection can get back in, or the tooth can crack because the enamel can go more brittle as it's like a dry bone with no marrow.   A crown seals and strengthens.  You should be careful what you eat on that tooth while it's uncrowned.  RCT failure or a crack in the root is more costly long term than a crown now.  But take your dentist's advice as he knows what the load is on that tooth.\n\nIn terms of the numbness in your lip that should pass.  Could be just down to the local anaesthetic."
  },
  {
    "id": 1535,
    "title": "Is this healing ?",
    "dialogue": "aqz: Ive had this non painful redness on roof of mouth for nearly 3 weeks dentist and docs say it looks like injury. However this is a pic of it in the morning and looks like new skin forms but when i eat and drink it becomes red again and the white bits dissapear. I am really worried and anxious at the moment. Does this look like oral cancer? Robin Pandey: I am not a dentist and honestly I think it's nothing.. If there is no emergency and you are not in pain then I would ask you to wait for 2-3 weeks and then consult the doctor if the area hasn't healed.. Uptown101: Yeah you don't have to panic as long as you're not in pain, Just wait for a couple of days or weeks, if it's still there maybe you should consult your dentist. aqz: Thank you all for your kind words. But i am trying not check it as much now but its still back of my mind. It is still there. I am a mouth breather and always wake up with dry mouth i dont know if that had something to do with it? aqz: I am a smoker which i know dont help in healing Busybee: Well it's thought saliva promotes healing but you can't control how you sleep.   Of course smoking clogs up your blood stream with poisons your body doesn't need and stops your mouth getting as much oxygen and good things which keep everything in there healthy.   It's a bit like sucking on a car exhaust pipe and hoping to feel good.  \n\nBut it's looking a lot better than a week ago.  How does it feel? aqz: @Busybee  really? You think it looks better? Looks the same to me and there is no pain as such just a lil uncomfortable at times. I dont know i will just have to see how it goes i guess. Busybee: It definitely looks much better than when you first posted.  It will heal in time but you should stop smoking, not just for the sake of your mouth but your overall health.    I used to get mouth ulcers when I smoked, but never since I gave up.   It's just bad for everything and especially your wallet. aqz: @Busybee\n\nThank you for your kind words and advice. I just need to stop obsessing over it and enjoy life.x aqz: @Busybee hi this is the latest pic i took just now is it improving? stanly: aqz said:\n\n\n\n\t\t\tI am a smoker which i know dont help in healing\n\t\t\nClick to expand...\n\ni think you may go to good dental doctor Busybee: aqz said:\n\n\n\n@Busybee hi this is the latest pic i took just now is it improving?\n\t\t\nClick to expand...\n\nIt's looking so much better than before.  How does it feel? aqz: There is no pain @Busybee aqz: stanly said:\n\n\n\n\t\t\ti think you may go to good dental doctor\n\t\t\nClick to expand...\n\nI have already seen dentist but not really looking concerned? Busybee: Try to not check it for a week and I reckon when you look next Saturday it will have disappeared."
  },
  {
    "id": 1536,
    "title": "Dentist overcharge?",
    "dialogue": "Devin M.: I went to the dentist and they charged me 5700$ for a deep cleaning and to get 2 teeth pulled. I don't know much about cost but I believe they are wayyyy overcharging me for the work done. Is this true and if it is what can I do to get it lowered. Small claims? Busybee: What country are you in? Either you added a zero, or you live in a remote outpost where the dentist has to fly in by chartered plane or you live in a country where the currency is very weak. Devin M.: In the U.S. I'm in Michigan living in a big city. And yea $5,700. Idk if I should take them to small claims if it's worth it. Busybee: It's pretty ridiculous, but you should always ask for a quote before you agree to treatment.  In the UK the practice is meant to give you a treatment plan and be clear on charges, but patients don't always bother to push for this when they are in pain and distress. It's really up to the profession to police bad practice because it taints all dentists if one is a rip off merchant. Busybee: by the way you can't really take them to small claims if these rates are advertised on a website or in their practice.  They will say you should have asked how much it would cost.  So you may be able to make some claim but they would have a strong counter argument that you didn't ask for the cost. Devin M.: Ok thanks, i made sure to ask about what the total cost would be and some of the charges were not in the paperwork that I signed and agreed on. I keep getting random bills of additional fees so I think I'll call a lawyer to see what they have to say Busybee: Have you asked them why they keep sending you bills?   I don't know what the law is on such matters over there, but in the UK there are various consumer laws that stop this sort of thing happening.  You pay at the end of treatment, usually with a deposit part way through if treatment is in two or more stages.  You don't keep getting bills once treatment has finished."
  },
  {
    "id": 1537,
    "title": "unsure if cavities or my tooth shape",
    "dialogue": "gustav ljungberg: So i noticed i have 3 small medium deep holes on the same tooth on both sides, they dont hurt or anything and they are not dark or any such signs up decay but im not sure if its how my teeth are supposed to look or if its small decays, ( i have a planned dentist time, but its stressing me out and i would like a piece of mind) KVMCruces: Not able to tell you anything based off of what you said.\nIf you're able to, you should post a picture. gustav ljungberg: KVMCruces said:\n\n\n\n\t\t\tNot able to tell you anything based off of what you said.\nIf you're able to, you should post a picture.\n\t\t\nClick to expand...\n\ni tried, the camera wont focus no matter what i do"
  },
  {
    "id": 1538,
    "title": "Pregnant dentist",
    "dialogue": "Alpesh: Hi All,\n\nI'm an engineer and my wife is a dentist and we are planning to open our own dentistry which will be operated by my wife. However, we will also be planning a baby in near future. Since it is NOT safe for pregnant woman to get exposed to x-ray(and other things that I might not know in dentistry), my questions are.\n\n1) Which are the things that a pregnant dentist should be careful about while operating during pregnancy? which she would NOT normally(when she is NOT pregnant) be careful about. Ex: taking x-rays\n\n2) What are the workaround? to all the answers for question 1). Assuming that my wife would like to continue operation until she is in her 8th OR 9th month of pregnancy.\n\n3) Are there any gadgets available that would be good(and specific) to have for a pregnant dentist.\n\nI would really appreciate your answers, to help us make informed decision that will affect our future generation. niceone: I know it's not easy, but to be 100% sure, she needs to take a break from her job."
  },
  {
    "id": 1539,
    "title": "Started using corsodyl",
    "dialogue": "Roger: hi\nHave aome quite stubborn plaque on back of my teeth so started using Corsodyl toothpaste about 10 days ago. I’ve got used to the taste but not sure if i should stop as I have some pain around the plaque areas, seems to be physicaly removing the plaque as seems to be a bit peeling off. Is this normal or ahould i stop using and head back to the dentist? Busybee: You should head back to the dentist and have a hygiene appointment.  That will get rid of the plaque.  A good electric toothbrush will help to keep it off.  Use a toothpaste the dentist recommends for sensitive teeth."
  },
  {
    "id": 1540,
    "title": "Mark on my front tooth. Advise please",
    "dialogue": "Corin1991: I grind my teeth in my sleep and am due to pick up a mouth guard next week. However I have woken up on a lot of pain with my front tooth and have this mark on the bottom? Is it possible to bruise a tooth? Is it something I need to see a dentist about before Tuesday at an emergency/on call? The mark wasn’t there last night and the tooth was very tender this morning when brushing. Is had got less painful as the day has gone on. Please see picture it is the bottom of the right front tooth Busybee: Yes you can bruise a tooth and I've done it numerous times with a front tooth that's crowned & root filled.  It can be very sore for a few days but then it's like it never happened.  I don't know what colour it would be if live, but I'm sure there's nothing that can't wait until you see the dentist on tuesday.   I'm sure that the worst that can happen is they may need to crown it.  \n\nIt's really great that you are getting a mouth guard, it should give you great relief.  Make sure you wear it every single night - you don't want to lose your teeth when it's so easy to prevent!"
  },
  {
    "id": 1541,
    "title": "Bite and new crowns",
    "dialogue": "John Roberts: I have posted on here many times in the last year or so about my problems with my teeth.  I am still having the most trouble with the front top four 7,8,9,10 and the bottom teeth below them.  Most all the others bother me but not like the fronts.  I have been to numerous dentist and doctors with no real answers.  \nI have told everyone of them my speech and bite has changed.  I don't know why.  I think that is what is happening g to my front top teeth.  I believe the lower teeth are pushing against them and keeping them hurting.  Number 7 ( which hurts the worse) and 8 and 9 have very old crowns.  Number 7 and 8 both have root canals also.  My question is if I have these three crowns replaced can the dentist make them so they don't touch the bottom when I close my mouth.   Or I guess you could say adjust the bite which I don't know why is off to start with.  Just wondering about the crowns."
  },
  {
    "id": 1542,
    "title": "Fighting the inevitable",
    "dialogue": "Dental Impatient: I've had tons of dental work. I have numerous huge fillings, an atrocious bite (it surprises every dentist I've seen), five root canals, five crowns. My teeth don't look good, they generally don't feel good. For the past three years I've been getting opinions on how to correct it, all of which cost 10-15k.\n\nA cosmetic dentist wanted to crown all my back teeth (16) with emax. This wouldn't even address my open bite. My current dentist wants to build up the front first so my teeth can guide properly, and then work on the back. \n\nI recently had a filling break and become a root canal, which got me thinking about the 8-10 other similar fillings I have, all of which might have the same thing happen. \n\nThis teeth twist me up and pre-occupy my thoughts and are costing me a small fortune, and they don't even look good. I'll probably spend between 10-20k to get the bite corrected (if that works), and then after that I'll be constantly replacing crowns for the rest of my life. Is there a legitimate case for me thinking about just having them all just yanked (at the very least in the back) and getting some sort of implant anchored denture? John Roberts: Do your teeth hurt?  Do you think your bite hurts them?"
  },
  {
    "id": 1543,
    "title": "Canine problem",
    "dialogue": "Godbotz: Hey since i was 13 years old i got my right canin fixed to get in its place by removing a tooth idk where, i am no dental expert,\nbut i didn't get my left canine fixed for some reasons and now the years passed by and i'm feeling insecure about it there's any way i can get it fixed ? should i get braces ? how much braces coast for this exact same issue so i can start saving money, i'm 18 years old now if that helps (i am not an english speaker so excuse my bad anglish)\nthank you Busybee: The easiest thing to do would probably be some minor cosmetic work to bring out the incisor maybe with some composite, but they'd probably want to shave bits off your teeth to make them more even.  If you have veneers that means more tooth material would need to be removed so you risk compromising the health of the tooth.  The other alternative is orthodontics which is expensive, carries its own risks (see root resorption) and means you have to wear retainers every night the rest of your days.   The fourth option is \"do nothing\".  Your teeth look cute the way they are.  This is you and unless they are uncomfortable or your jaw hurts I'd leave them as is.  Too many people want to change things that give their appearance character.   Once dentists start fiddling with your teeth to make them look nice you end up with other issues.  It's ok when you're a child and it's all still growing, but once you're an adult it's not so simple.  Plus anything you have done now could be upset by the eruption of your wisdom teeth. MattKW: It's too deep for composite buildup without making a nasty plaque trap that could lead to decay between your teeth, plus the way you bite would probably be an interference. Orthodontically would be best way, and you could ask about simply fixing this one area of concern rather than full upper and lower braces. And wisdom teeth have no effect on front teeth - common myth, not supported by studies. Busybee: Wisdom teeth closed my gaps from three extractions.   Had I not had those spaces they would either have impacted or I'd have crooked teeth.   I remember being able to stick my tongue in a gap as a teen.   The trouble with studies is that every jaw is different, everyone has different dentition and there are just too many variables.    But I reckon that in the UK any dentist not trying to sell invisilgn would try to persuade a patient to have veneers/crowns for this problem.  I would say leave it be  - there is nothing as strong as a normal, healthy natural tooth. MattKW: No, your anecdotal evidence contradicts the studies. In your early teens, the canine teeth drop into place and the common midline diastema automatically closes. Plus, all teeth have a tendency to move forward during life - it's the mechanics of the jaw. A case arose a few years ago where the OS in question removed the wisdom teeth for a patient to \"stop crowding at the front\". Only problem was that the patient suffered nerve damage, and since the dentist couldn't justify the extractions for his purported reason, he lost the subsequent lawsuit. Crowns or veneers (or Invisalign) will not fix this problem, and you have no experience with these issues. Zuri Barniv: MattKW said:\n\n\n\n\t\t\tNo, your anecdotal evidence contradicts the studies. In your early teens, the canine teeth drop into place and the common midline diastema automatically closes. Plus, all teeth have a tendency to move forward during life - it's the mechanics of the jaw. A case arose a few years ago where the OS in question removed the wisdom teeth for a patient to \"stop crowding at the front\". Only problem was that the patient suffered nerve damage, and since the dentist couldn't justify the extractions for his purported reason, he lost the subsequent lawsuit. Crowns or veneers (or Invisalign) will not fix this problem, and you have no experience with these issues.\n\t\t\nClick to expand...\n\nI see we finally have someone on here who makes sense and speaks the truth. MattKW: Thanks, Zuri. We might have our minor differences about impacted molars, but at least we're trying to offer reasoned and rational answers on this forum. \nI'm dropping out for a while, have to go mow the lawn! Zuri Barniv: I've been on here for a few years now, you would be the first one....sadly. Busybee: As I said, I think the OP shouldn't do anything, this sort of imperfection adds character to the face and looks natural and there's no replacing natural tooth material.  Maybe I'm wrong about wisdom teeth affecting front teeth, but in my case a canine rotated after wisdom teeth erupted.   It's interesting about the court case, but scientific studies are just observations that have not yet been contradicted with different observations.    Dental studies of this type must be pretty cumbersome to execute and require a long term commitment.   Do you have a reference to the study in the court case? Godbotz: Hi guys i just got notified people actualy responded to my thread and you guys making me freak out i didn't know my case is that bad omg.... MattKW: You might think that Godbotz doesn't need to do anything, but he is feeling insecure and wants suggestions. When you get lots of scientific studies supporting the same conclusions, you have a consensus that develop into guidelines. It takes more than a single case to overthrow the weight of the other studies. And there are lots of ways studies can be conducted, some are better than others, and carry more weight, e.g. prospective Vs retrospective. Who cares how long these things take or how cumbersome they are? If we only relied on what \"we\" thought was right, I'd still think the Earth was flat. I can't remember any details of the court case, nor find it on Google - just keep getting malpractice lawyers toting for business. MattKW: Welcome back. In essence, take my advice from 10:34am posting. Best wishes."
  },
  {
    "id": 1544,
    "title": "Need Definitions Please",
    "dialogue": "Tony: Hi,\nI have a question about my insurance and in hopes of someone clearing up some terms for me to understand. My insurance provider like many others say they do not cover implants, yet no one at my provider can tell me what the following statements mean that I found under my Fee Schedule's codes:\n\n\"autogenous connective tissue graft procedure, per first tooth, implant or endentulous tooth position in graft\"\n\n and another that states:\n\n\"autogenous connective tissue graft procedure - each additional contiguous tooth, implant or edentulous tooth\"\n\nOf course just wishing, hoping here, but thought I should ask. Thanks for any help. MattKW: Autogenous (your own); connective tissue (supporting skin); graft (well, graft); per first tooth... (for first tooth or implant, or missing tooth). The second phrase is almost the same, but contiguous means for next-door teeth, implant, or missing tooth position. They usually pay a higher amount for the first graft, then a lower amount (a step-down) for a graft that is bigger and goes to adjacent spaces. Autogenous just means they've taken it from somewhere else in your body."
  },
  {
    "id": 1545,
    "title": "Flossing",
    "dialogue": "firstone: I was wondering if those pics that floss your teeth can be as good as the straight floss. I try to really get each side of the tooth with them.\n\nThanks"
  },
  {
    "id": 1546,
    "title": "Sore on hard palate",
    "dialogue": "aqz: Hi all just abit stressed with this sore on mouth, i have been picking and prodding since i saw it over s week ago. I am so stressed out that it serious becouse i went to dentist and he gave difflam which i sprayed for over a week now the pain is gone but this redness is still there. I went today and saw another dentist and she just says it looks like i scrapped it etc. But to wait for a few more weeks and if still there then will refer me to hospital. This has sent my mind and anxiety to another level. I am just so down, i just got back from gp and she said it looks like nothing serious and dont seem concerned. What should i do? And has anyone else been in a similar situation. Any advice will be much appreciated. Thanks Busybee: I had something like this about ten years ago.  I burned the area with some hot tomato soup.  In my case it became infected when I went swimming and I was in a lot of pain because it was right over a salivary gland opening.  I ended up with an infection that needed antibiotics.   Yours isn't over a salivary gland as they are more towards the back.  You should stop picking and prodding it and it should heal naturally.   I always take extra vit C if I have anything like this in the mouth, which thankfully I haven't for a long time.   If you smoke, don't for a few days.  If it gets worse, which from what you say isn't happening, then you'd need antibiotics but it sounds as though it's healing because it's stopped hurting you.   btw don't take this the wrong way, I'm not a dentist but you really should go for a hygiene appointment. aqz: @Busybee  thank you so much for your reply really appreciate it. To be honest i thought redness would go by now but my anxiety is just all over the place i keep checking it and taking pics with phone. Dentist did say if not gone in few weeks will refer me to hosp for further tests this is what is causing me severe anxiety i suffer with health anxiety. Its ok i know i need to have a clean up as i do smoke i know i shouldnt just want to feel normal again. Thanks for your advice. ☺ Busybee: Hi aqz you should relax and let it heal.  It just looks like an injury and maybe try to eat soft foods for a few days that aren't too acidic.   But if you care about your health you really should stop smoking, it's so bad for your oral health and will make you more prone to ulcers which will take longer to heal.  It also affects your gums.  Believe me I gave up many years ago and the difference is astonishing. aqz: @Busybee thank you so much for your kind and reassuring words, i hope it is just a thing that will heal. As i dont feel pain or discomfort that is what concerns me and its been there nearly two weeks. I will add i do eat alot of crunchy and spicy things. So thought maybe that has something to do with it. But who knows how long its been there as i only noticed when i started looking with my torch and camera. Health anxiety is just a vicious cycle! aqz: @Busybee would be so greatful if a dentist or oral surgeon can have a look and give their opinion. ☺ aqz: @drmins please could you kindly look and give your opinion.\n\nMany thanks"
  },
  {
    "id": 1547,
    "title": "Rough tooth after filling (opposite)",
    "dialogue": "Dozza89: I just had a filling done on a lower tooth and I am noticing something strange. \nThe OPPOSITE tooth directly above (not the tooth where the filling went in) seems rough. \n\nAlmost feels like it had some filling stuck on it but is that possible?. I'm pretty sure it didn't feel like this before the filling. John Roberts: Go back to the dentist and ask him about it.  Could be what you said.  Could be he touched the tooth with the drill.  If your not satisfied go back."
  },
  {
    "id": 1548,
    "title": "Dental Procedures and Practices Concerning Extractions.",
    "dialogue": "Arealperson: Hi,\nI've spent time trying to form these questions so I could get a response. So, thanks in advance. I've also tried to keep it on point or it would be a book.\n\nOverview:\nThis extraction was on #31 (#30 and #32 were previously pulled years ago). I’ve never had any issues with any extractions. This is concerning a complex extraction by my new career Dentist (25+ years) (a non OS) on the first visit. 98% of the tooth was removed. The top of the tooth snapped off at the very start of the extraction process with the Dentist continuing. The process took 45 mins. This extraction was a needed maintenance extraction, there was no pain in the tooth, there was no infection. And, no explanation was given by the dentist as to why the extraction was performed the way it was. \n\nScenario:\nMy #31 complex molar extraction.\n\nAfter the 45min. extraction, I was given stitches over the gum area of #30 and told to be careful not to spit the blood clot out. This was a joke as the entire socket had been cut out in a “V” shape and there was no socket or area to produce a blood clot (Much tissue was removed on top and sides from 30 - 32). Only the exposed white bone over a three tooth area. Also, all the gums over this 3 tooth area had been pretty much stripped off and removed via suction. The dentist had created a “V” shaped Jack O'Lantern cut (the correct term is unknown) in order to remove the molar.\n\nAfter about 3 months, the healing seemed to stop. And every sense (its been about 6 months now) I’ve have very little feeling (some feeling remains) in that lower quadrant of my mouth. It’s sensitive in that area also, and I have pain, kinda like a toothache also. Tissue has finally covered the area(s) but it feels like a goose egg in my mouth (Like only part of the novocaine wore off). Also the Sublingual Space of my cheek/mouth was opened and remained open for a long time.\n\nI’ve had a hard time getting answers on my questions. If you feel the questions are to vague or whatever, please just answer them on their own level of abstraction, the best you can, and provide your assumptions.\n\nQuestions: (Some may seem redundant, but please, try to answer if in anyway you can.)\n\n1) Is the V” shaped Jack O'Lantern cut (correct term unknown), a type of valid or approved method, procedure or technique that is taught in dental school ? If yes, can you explain ?\n\n2) Is the “V” cut accepted as a practice for Dentist in extracting a molar but is not specificity taught as a method, procedure or technique (or other). Please explain if you can ?\n\n3) What is the criteria (if any) for determining when a patient should be sent to an OS (Oral Surgeon) ? This question asked within the scope of the scenario.\n\n4) On the actual extraction itself (removal of the tooth). Can a dentist (non OS) generally choose/do whatever they want, OR, are they required to use specific approved procedures.?  Example, just cut the tooth out, you should try to be careful, maybe use this procedure if you can (or want to), but the way you choose to remove it, is up to you as a dentist.\n\n5) Is there a specific method, procedure or technique to perform Sectioning during a complex extraction ? If yes, what is it ?\n\nI’ve been suffering, and it’s really been hard to get answers.\nSo if you can, please have pity on me and try to answer and/or help, because, I’m suffering and need some answers.\n\nThank You for your help,\nArealperson MattKW: 1. Hard to say what you're trying to describe. It is not unusual to \"raise a flap\" with \"relieving incisions\" into sulcus for a surgical extraction.\n2. Again, not sure what you had done, just guessing.\n3. No specific criteria; some general dentists are just more experienced than others and will do all themselves. Others refer at first sign of trouble. Others get into trouble (maybe unexpected), and then refer to OS to complete treatment.\n4.Different methods can be used. Some methods might be judged better than others, but some techniques are preferred by dentist due to experience. There are some basic surgical do's and don't's in flap design to ensure minimal damage.\n5. Again, \"different strokes, different folks\". The end result is the main aim, as long as basic principles are applied, and no unreasonable treatment is undertaken.\nIf you're not sure about degree of healing, go back to dentist and ask questions, and perhaps ask for referral to OS for higher opinion. Arealperson: Ok, I'll clarify...\n------------------------\nClarifying Questions 1 & 2\n\nFor Halloween many people choose to use a classic Sawtooth cut for the mouth of the pumpkin.\nI'm uploading two images bellow. On the jaw cross section I've colored it red so you can see it.\nThe cut is deep and flush with the bottom of my mouth.\n\nIf you used this pattern around the whole mouth it would be a classic Jack O'Lantern pattern\nThats what I meant in my question. \n-----------------------\nQuestion 3 \n\"some general dentists are just more experienced than others and will do all themselves\"\nSo your saying that a general dentist can legally preform any or most, or some surgical procedures.. as in.. \"will do all themselves\"  ?\n\nThey will do a surgery they feel they can ? That seems illegal to me. Is it ? Am I correct ? Or did I missunderstand.\n-----------------------\n\nI may be misunderstanding, so in the U.S, As long as a general dentist feels the can do an oral surgery\nthey may legally do it ?\n---------------------------------------------------------\n\nThanks for your answers, MattKW: I'm not from the US, hence I'm not a Halloween follower and the sawtooth didn't make sense to me. \n1. and 2. It's still not possible to understand quite what you're talking about, as you don't have a post-op pic. That said, it is not always possible to close a flap up completely after an extraction - it would be ideal, because this would be healing by \"primary intention\", but quite a lot of dentistry healing is by \"secondary intention\". \n3. I don't know quite the situation in US, but it's prob similar to here in Australia. There is no single point at which a dentist needs to refer to an OS; all dentists are qualified to do oral surgery. When I worked in a country area, I did more oral surgery. Now that I in a city, I have access to an OS down the street, I choose to give him most of my difficult cases. Why should I try and do everything as a general dentist when he's doing OS all day, every day, and has a better setup? It's similar to Root Canal Therapy - all dentists are trained, some are better than others, some prefer and actively do more than others, and some refer all cases to specialists."
  },
  {
    "id": 1549,
    "title": "Dental Recruiting",
    "dialogue": "JackiePeters: Hi everyone,\n\nI'm new to this site. I'd like to staff an associate dentist, and I'm curious as to anyone's experience with using recruiters. Did you overpay? Was it worth it? Was posting to job boards effective on its own?\n\nI don't want to spend too much money on a recruiter if I don't need to.\n\nThank you all."
  },
  {
    "id": 1550,
    "title": "Patient reminder software",
    "dialogue": "theh2h: Hello,\n\nI am building an online tool for dentists to send SMS reminders for their patients. The main idea here is that It will be very simple and straightforward to set up, without taking much time from the doctors/employees.\n\nI got the idea from a couple of friends (Dentists but still beginners) who were mentioning that the tools they used were a bit complicated/expensive and that they could use a simple tool with the sole purpose of sending SMSs to patients. \n\nJust thought I'd jump on the forum and ask your opinion on it, whether you think it is a good idea and If you would use it ? Any other advice is appreciated, thank you. Mike Buff: Honestly I don't think it's useful. I'd choose some kind of software to run my stuff on a daily basis and to keep all of patients info in it"
  },
  {
    "id": 1551,
    "title": "Teeth clenching and splitting teeth",
    "dialogue": "Crackedtoothguy: Hello Everyone,\n\nFirst time poster from Toronto and I'm at a loss trying to solve my problem that I hope someone can help.\n\nI clench my teeth at night and have been wearing a night guard (lower) for 10+ years. I wear it 98% of the time but occasionally over the decade I forgot it once for a trip and have fallen asleep on the couch watching tv without it on. On these occasions I crack a tooth that becomes unrepairable. I have 3 molar implants on the bottom and a upper that I just lost in December 2017. I feel another upper is cracked too but not all the way through yet. The one I lost in Dec 2017 the Dentist said when extracting she found it to be really brittle and was breaking of in pieces on her.\n\nI've been trying to re-mineralize my teeth using MI paste but not sure if this is wishful thinking that it will help.\n\nI'm thinking about a upper mouth guard as well like a Farrari or NTi-tss guard.\n\nAny suggestions how to make my teeth stronger or to armour it even more?\n\nThank you, I'm afraid I'm going to be in dentures eventually :-(\nBrian Busybee: Hi Brian, have you ever had chemotherapy? Crackedtoothguy: Hi Busybee\n\nNo I haven't, but I know acid reflux was a issue years ago for me and I regret using teeth whitening trays years ago too as both I'm sure weakens the enamel... Busybee: Did you go to the dentist to have tooth whitening or were these trays you bought on the internet? Crackedtoothguy: I did the Zoom teeth whitening followed by trays and liquid both from the dentist. Busybee: Reflux can really mess your tooth structure up.  I have two friends who have been affected.  One has had implants the other has been told that his back teeth are on their last legs.   I'm surprised you haven't had gold onlays or something to strengthen the structure.  I'm a grinder and wear a guard but I managed to crack one tooth with a guard!  How unfair is that.  The crack wasn't too bad and now it's under an onlay.   I also have reflux but it's totally under control now and I don't think it ever reached my back teeth although I could feel acid in my throat when it was really bad.    I've had all sorts of adjustments to try to fix my bite and at the moment I am not clenching because of the work.   But I wouldn't recommend bite adjustments because I've had such a terrible time with it all.   I think all you can really do is to have a healthy diet, look after your gums (do you see a perio?) and floss and always have a guard with you.\n\nBy the way some dentists recommend botox to relax the jaw muscles but I've read that can affect the bone mass in the jaw causing it to shrink.   I think mindfully relaxing your jaw all day so you get used to not clenching and also having some dental physio with acupressure massaging or even maybe some ultrasound helps.  I've had some of the massaging and it really helped when I was clenching a lot. Crackedtoothguy: I'm finding that my 3 Dentists I've had over the years haven't given me the support to resolve the issue but ways to fill in the holes to make them money. I just found out about inlays and overlays recently through my research and may use it for the remaining lower molar with a cavity in it to strengthen it. I never heard of dental physio with acupuncture until you mentioned it, thanks Busybee: Well dentists don't usually like to put onlays onto healthy teeth  There is always a risk of root failure or bite problems.   It's also possible there is a reason why they don't want to suggest this to you.  Perhaps the tooth structure isn't strong enough to support an onlay?    It's an invasive treatment and it would be unusual to put one in before there's a crack.   You need to discuss this with your dentist.  At least your last dentist realises you have brittle teeth so she may be more sympathetic to trying different options.  \n\nComplementary therapies such as acupuncture/acupressure can help your overall health as well as making the jaw more relaxed.  I'd say with a problem like this it's really important to keep as healthy as possible and make sure you do all you can to keep the connective tissues supplied with blood and nutrients.   I found yoga really helpful.  I know it's theoretically nothing to do with the jaw but it re-balances the whole body and works on the neck and jaw too.   Really gets the circulation boosted.   \n\nI had a friend who had a similar problem to you.  She was youngish (in her thirties) and had lost more than one tooth due to cracking.  She said it was genetic as her dad had the same problem."
  },
  {
    "id": 1552,
    "title": "Bitewing X-ray for amalgam check",
    "dialogue": "Ellessa: Is it necessary to remove a platinum and porcelain crown to check for amalgam ? \nThank you."
  },
  {
    "id": 1553,
    "title": "Pain with warm/hot liquids",
    "dialogue": "momoftwo: Hi. I'm here to see if anyone's had a similar experience to what I'm going through right now. I do trust my dentist completely (he's awesome!) and I don't really want to go elsewhere for a second opinion, so maybe someone can share some insight here.\n\nAbout 3 weeks ago I started having a sharp (not excruciating or anything) pain on the top left side of my mouth when drinking warm/hot liquids. The pain doesn't linger too long and it doesn't hurt with cold liquids. (I do have sensitive teeth and the cold does hurt at times, but this new pain is different – in a different spot and deeper). I've been to my dentist twice since then and he's checked everything thoroughly – xrays, etc. and nothing shows up. He says my teeth are fine and nothing can really be done until there are more symptoms. And I get that, I would not want to do anything that's unnecessary, but I worry for two reasons...aren't we always told prevention is the key and to not let things get worse? And, I'm going on holidays in two weeks and I don't even know what I would do if things got worse while I was travelling...\n\nMy dentist did tell me he could phone in a prescription for antibiotics if my gums became swollen. Are there any other symptoms I should be looking for? My gums around the area where the pain is coming from have been kind of red since this started but he didn't seem to concerned about that. And I've been googling tooth/gum abscess and I have don't have a build up of pus that they talk about and my symptoms aren't that severe.\n\nIt doesn't hurt to bite/chew or to brush or floss – only warm/hot liquids trigger the pain. And I'm sure this is not the pain of sensitive teeth – I've been dealing with that forever (I've been using Sensodyne for years) and know what that feels like. And, the dentist put some desensitizer on the area when I was in and it didn't help at all..\n\nI'm at a loss – any advice or help anyone could give would be greatly appreciated! Busybee: I've had this type of thing twice and in both cases it was a cracked tooth.  One was then fixed with a new filling another with a gold onlay.   Every dentist has a different approach but based on my experiences I personally wouldn't leave any tooth I have with heat sensitivity untreated. momoftwo: Busybee said:\n\n\n\n\t\t\tI've had this type of thing twice and in both cases it was a cracked tooth.  One was then fixed with a new filling another with a gold onlay.   Every dentist has a different approach but based on my experiences I personally wouldn't leave any tooth I have with heat sensitivity untreated.\n\t\t\nClick to expand...\n\nThank you for your reply!  How did you know it was a cracked tooth - did it show up on an Xray?  I've been to the dentist twice and he can't find anything wrong... Busybee: When the dentist pressed on the tooth at a certain angle there was residual pain.  The crack was letting the heat get nearer to the nerve than it would normally be.  When it's a crack the pain lingers a little after pressure is applied. momoftwo: Busybee said:\n\n\n\n\t\t\tWhen the dentist pressed on the tooth at a certain angle there was residual pain.  The crack was letting the heat get nearer to the nerve than it would normally be.  When it's a crack the pain lingers a little after pressure is applied.\n\t\t\nClick to expand...\n\nThanks, I have no pain at all when pressure is applied.  Guess I'll just wait and see for a few days..."
  },
  {
    "id": 1554,
    "title": "Is it really necessary to extract this tooth?",
    "dialogue": "Cristina Montenegro: Hello,\n\nI went yesterday to the dentist having a pain-free small bump in the gum near a tooth with a root canal done around 10 years ago (the bump comes and goes, today for example is gone). He took an x-ray (attached) and it seems I’m losing the tooth and there is an infection. The dentist told me that there is nothing he can do and the tooth needs to be extracted before the infection is spread to the adjacent teeth. Before I get my tooth pulled out I would like to ask for a second opinion. Do I really need to extract the tooth? Is it risky if I leave it untreated? Since I don’t have any pain nor discomfort it really annoys me thinking about losing a tooth. Any advice would be much appreciated!\n\n\nThank you very much in advance for your help!\n\n\nKind regards,\n\n\nCristina MattKW: Sorry, that's probably a goner. It's pain free because the abscess has managed to drain out through the gum. But one day you'll probably develop a facial swelling that won't be fun to extract, plus it's destroying the bone around the roots which diminishes your chances of later implant. The only way of possibly saving it is to see an endodontist for possible retreatment. Get a referral for a consultation. Cristina Montenegro: Thanks a lot for taking the time to reply to my message, really appreciated! In case a retreatment can be done, do you think it would be worth it? Or would you recommend an extraction? Because the tooth is in such a bad condition, I'm afraid I do a retreatment and maybe at some point the tooth needs to be extracted anyway, and loose a lot of money (retreatment plus a future implant). Thanks for your help!"
  },
  {
    "id": 1555,
    "title": "Front tooth stains",
    "dialogue": "Cadmaro: I'm having a problem with stains showing up on my front teeth every day. They disappear after a single brushing but are back by the next morning. My dentist says I have great oral hygiene and that I shouldn't  worry if they go away after brushing but I would like to know what I can do to prevent this. I have included a before and after picture from this morning. Some days the stains are worse than this and some better. Cadmaro: Here is a second, better, picture of the stains this morning. I uploaded the wrong one. MattKW: Looks like old discoloured composite fillings to me. Have you ever chipped those teeth?. Sometimes the dentist can simply repolish the fillings. Cadmaro: Yes the bottom edge of both of those teeth were chipped. They were repaired in December of 2017. The center of them has never been altered. Busybee: There must be something wrong with the material they used.  I have composite fillings but they do not stain like yours.  I had some years ago which did stain, but you couldn't brush it out.  But dentists have told me the more modern composites stain less and are stronger.  Do you drink coffee or red wine?   Because I drink both and my composites don't do this.  It's like yours are porous or something.  It's strange that when you clean them they are really white. Cadmaro: No red wine and very rarely drink coffee. Porosity was something I wondered about. Some days the stains come back in less than 12hrs but I can literally wipe them away with my T-shirt or a napkin and some elbow grease. Busybee: and it's just these two teeth that are affected? Cadmaro: Yes just these two teeth. Busybee: Is the dentist you are seeing the same dentist who fixed the chip with the composite? Cadmaro: No he is not. My insurance changed on Jan 1st and he was not on the list of approved people. Busybee: You should go back to the guy who fixed the chip and demand an explanation."
  },
  {
    "id": 1556,
    "title": "Too many x-rays on single tooth?",
    "dialogue": "yellowcouch: I’m probably being paranoid by asking this but i was having pain on my upper left molar tooth #14 which a old crown from about 15 years ago. My dentist took 2 X-rays and told me that they would have to remove the crown and repair the decay and take impressions for another crown.    When she started to fill the cavity she realized that the decay was to deep and to close to the nerve and the tooth would require a root canal. I then got in later the same day to the Endodontis. He took the same 2 X-rays my Dentist took and the an additional\n2 more , 1 during the procedure and 1 after. Does taking 6 x-rays on one tooth pose any risk as far as radiation goes? MattKW: Nope. In dental school, most new patients would have a full mouth series of about 16 Xrays as a general screening process. And we are always exposed to background radiation - a dental Xray is equivalent to about 8 hours of background radiation."
  },
  {
    "id": 1557,
    "title": "Dry socket dressing",
    "dialogue": "Jayne: Hi. I had 2 teeth removed on Friday 1 of which was a lower wisdom. This 1 did not clot. I had bleeding for approx 14 hrs. Yesterday I called and then saw emergency dentist. She washed out the hole and dressed it. I have very mild pain today but im worried about the dressing coming out. Should it fall out and will it be ok if it does. Many thanks KVMCruces: The packing is usually removed, the socket rinsed & the packing then replaced every 24-48 hours over the course of several days (usually anywhere from 3-7 depending on your comfort needs). Jayne: KVMCruces said:\n\n\n\n\t\t\tThe packing is usually removed, the socket rinsed & the packing then replaced every 24-48 hours over the course of several days (usually anywhere from 3-7 depending on your comfort needs).\n\t\t\nClick to expand...\n\nI dont think minevis being removed and changed. Im worried if all will be ok if it falls out MattKW: It doesn't matter really if it falls out, as long as you don't develop severe pain that isn't helped by painkillers. Then you would need a fresh sedative dressing."
  },
  {
    "id": 1558,
    "title": "Decayed front teeth",
    "dialogue": "Bendo: Hi everyone,\nJust coming here for some advice and support and too see what kind of options are available.\n\nI have some pretty bad teeth but not able to see a dentist till the 27th. They are quite decayed and in bad condition due to no fault of my own.\n\nI was wondering if my front teeth would need to be pulled or are fixable.\n\nThe image is quite graphical so i would not view if you have a weak stomach or find it distressing.\n\nObvisouly feel free to share your opinions but I do have feelings \n\nThanks guys!\nhttp://tinypic.com/view.php?pic=ivbhig&s=9#.Wnvpb9A7bqA KVMCruces: Wish you would have gone to a dentist before they got in this condition. Would have saved yourself a lot of money and time.\n\nPic isn't too clear. But from what I can see they are not \"fixable\" with bonding and it appears youre missing some teeth as well. You will definitely need some restorations whether it be crowns/bridges or implants. Uptown101: By looking your photo I guess you will be needing a veneers or implants for that because you also have missing teeth. KVMCruces: Can't do veneers with missing teeth. Maybe for the bottom teeth but most definitely not the top. MattKW: Sorry, any amount of treatment will probably not save these top teeth for long. Once you get circumferential decay like that, get ready to lose them."
  },
  {
    "id": 1559,
    "title": "Numb front tooth",
    "dialogue": "Caitlin: i work at a Doggie daycare and as I bent down to get this dog on leash she head butted me in the face and nailed me in the teeth. Now almost all of them have stopped being numb except front right one wondering if it was just hit harder than the others? Should I just wait it out see if it goes away or should I be worried? Thanks for any help on this matter. KVMCruces: The dog headbutting you in the mouth could have caused some damage, but I wouldn't worry too much. \nIf the pain/sensitivity doesn't go away in a day or so, then I would definitely go see your local dentist. Caitlin: It’s not numb anymore but it’s stil pretty sore when I chew things or try to bite on something. MattKW: Wait a week, then if still present go to dentist to test for pulp vitality. Even if this is negative, wait another 4 weeks to be sure. Sometimes the pulp will die, and you'll need an RCT, but there is usually no rush. Give it a bit of time."
  },
  {
    "id": 1560,
    "title": "Child with silver crown",
    "dialogue": "Krissy Oliver: Hello, I am new here. I just have a question. My child recently had a silver crown put on, and it has a number on it. Is that normal? KVMCruces: Hi Krissy,\n\nI'm a dental lab technician and my husband is a retired dentist. Since I make crowns, I'll say I've never put a number on a crown but then again I've never made a crown for a child. My husband also doesn't seem to think this is the \"norm\".\n\nPerhaps your dentist is utilizing a lab overseas? May be a good question to ask them. There really is no reason for a number to be on a crown unless its a tattooed crown. Krissy Oliver: KVMCruces said:\n\n\n\n\t\t\tHi Krissy,\n\nI'm a dental lab technician and my husband is a retired dentist. Since I make crowns, I'll say I've never put a number on a crown but then again I've never made a crown for a child. My husband also doesn't seem to think this is the \"norm\".\n\nPerhaps your dentist is utilizing a lab overseas? May be a good question to ask them. There really is no reason for a number to be on a crown unless its a tattooed crown.\n\t\t\nClick to expand...\n\n\n\n\nKVMCruces said:\n\n\n\n\t\t\tHi Krissy,\n\nI'm a dental lab technician and my husband is a retired dentist. Since I make crowns, I'll say I've never put a number on a crown but then again I've never made a crown for a child. My husband also doesn't seem to think this is the \"norm\".\n\nPerhaps your dentist is utilizing a lab overseas? May be a good question to ask them. There really is no reason for a number to be on a crown unless its a tattooed crown.\n\t\t\nClick to expand...\n\n Thank you for your response! I really appreciate it. I have never seen one either so it defiantly suprised me. I figured out it was the crown size.  I did also speak with office and the tech there said it should come off after around a week or so. I sure hope so, it is on the side facing out. Thank you again for taking the time to respond! MattKW: It'll be a prefabricated stainless steel crown, not made in a lab. Very often used for baby (primary) teeth with large cavities, and placed in a single appointment. More dentists should use them as they have a very good success rate compared to a filling, but takes a bit of getting used to the technique. For girls I call them \"glitter\" or \"princess\" teeth; for boys they're \"robot\" teeth.  The number on the outside is to help the dentist know which tooth it usually fits. I usually just polish it off before cementing it. Once, my assistant dropped the whole tray on the ground and had to re-sort them - thank goodness for numbering."
  },
  {
    "id": 1561,
    "title": "Instrument name/usage",
    "dialogue": "Dds: Hi fellow dentists/ dental students! If anyone can help me out in figuring out name and usage of this instrument will be highly appreciated! DrToothache: The quality of the image is making it hard to tell, however it looks like a Peeso Reamer. MattKW: Not Peesos, as they would have a much longer blade. More like Gates-Gliddens. Sometimes used for enlarging root canal orifices, or to start off a post prep through existing gutta percha. Come in sizes 1-4 with marking along shaft."
  },
  {
    "id": 1562,
    "title": "Swollen lip after local anaesthetic",
    "dialogue": "EmilysMum: Hi. Daughter had extraction with local anaesthetic yesterday .(back tooth)\n3 hours later her lip ballooned twice size.\nOut of hours said maybe allergic and was given antihistamines \nToday swollen much more dentist looked and said keep on with antihistamines until friday \n.Daughter very uncomfortable .dribbling and very worried .\nIs this normal ???? KVMCruces: Hi EmilysMum,\n\nTo be honest... usually when this happens everyone is quick to say \"its an allergic reaction\". While in some cases this may be true however, in other situations that isn't the case.\n\nAbout 90% of the time the swollen lip occurs from biting while numb. Patients (kids especially) may not be aware that they're doing this. \n\n1. In general, allergic reactions do not produce a localized ulcerated area away from the injection of the alleged allergen. The appearance of this is simply not consistent with an allergic reaction.\n2. The injection site is nearly always located far away from the traumatized area – in some cases nearly two inches. If it were an allergy, why then is the injection site totally normal?\n3. Lack of systemic sympotoms; even less severe allergic reactions will produce other symptoms such as dry mouth, hives, and other findings. None of these are typically present in lip biting. MattKW: EmilysMum said:\n\n\n\n\t\t\tHi. Daughter had extraction with local anaesthetic yesterday .(back tooth)\n3 hours later her lip ballooned twice size.\nOut of hours said maybe allergic and was given antihistamines\nToday swollen much more dentist looked and said keep on with antihistamines until friday\n.Daughter very uncomfortable .dribbling and very worried .\nIs this normal ????\n\t\t\nClick to expand...\n\nQuite common for kids, and sometimes adults to bite cheeks and lips post-op. Always happens within area of numbness, e.g. lip, cheek, or tongue. And that also means usually only one side of the mouth. I always warn parents about this possibility and make notes that I've warned them. Here's a picture of a kid from a few weeks ago.  Give her simple analgesics like acetaminophen, and soft food; it's mostly bruising. LA allergies are extremely rare nowadays, I've only had 1 confirmed (in 1983)."
  },
  {
    "id": 1563,
    "title": "Difference between pus and swollen area from novocaine needle",
    "dialogue": "terrifiedpatient: I had a root canal. The tooth feels stronger and has less pain but feels a buildup right on area where needle \nwent in above same tooth. It feels like pus but it may be connective tissue or needle swelling. The tooth has not been brushed \nin 8 years because it is a stub under a veneer. Busybee: Give it a couple of days and if it's still a problem go back because maybe you need antibiotics.  I don't understand why you didn't brush the tooth for 8 years?  If tricky then a hygienist would know how to clean it.  I'm saying this because once you have a root treatment you do have to take good care of the gums etc.  You may need a crown long term to protect the tooth."
  },
  {
    "id": 1564,
    "title": "Question about Colgate putting mineral oil in its new mouthwash",
    "dialogue": "brancron: Colgate has this new mouthwash containing mineral oil and sunflower seed oil. The green liquid that floats to the top of the bottle is the oil. The active ingredient in the mouthwash is water-soluble cetylpyridinium chloride, which is present in an equal amount in Colgate's regular (oil free) mouthwash. \n\nI tried this stuff and it is gross. Even when you shake it up well, a mouthfull of the stuff coats the lining of your mouth with a thin film of oil. \n\nI contacted Colgate's customer service to ask what the purpose of the oil is. Here is their response:\n\n>The oil is comprised of mineral oil, flavor, sunflower oil and beta carotene. A hydrophobic material, such as mineral oil, is needed to form visible bits upon expectorating. As oil is not easily dispersed by common mouthwash surfactants to form a stable single phase product, the product was instead formulated to be delivered as a two phase, oil over water product.\n\nMy question to /r/dentistry is this: is there any possible dental or hygienic reason you can think of for why they've added oil to this mouthwash? Doing so just for appearance seems incredibly bizarre, especially considering how gross it is. From what I can tell, a lot of people agree that it is an unpleasant product to use. \n\nOne possible lead: the online ingredient list for the product indicates that both the mineral and sunflower seed oils are there to \"solubilize other ingredients in the finished product.\" Is it possible that the active ingredient is also soluble in oil, so that there's a benefit to the oil's propensity to linger and keep the ingredient from washing away? Page three of this data sheet states that cetylpyridinium chloride is \"more soluble in oil\" (more than in water?) but I good be reading that wrong and don't see such information listed anywhere else. \n\nAny thoughts or guidance would be greatly appreciated. Thanks! brancron: I finally got a followup response from Colgate. This is what they've said:\n\n\"The formula contains a water phase containing CPC and oil phase with the flavor (aroma) and other oils. Immediately after completely mixing the 2 phases, rinsing with the resulting emulsion gives the formation of particles (“bits”) that are seen in the sink upon expectoration. The resulting emulsion also gives a different mouth feel. The emulsion is necessary for lifting debris and bacteria form the mouth.\""
  },
  {
    "id": 1565,
    "title": "Older teeth, new practice, research?; invitation for co-creative thoughts;",
    "dialogue": "io anno: Being entirely 'lay', I try and explore a naief and open outlook in my special situation:\n\nAt 72, through special circumstances many of my teeth have been broken off; and I am left with the roots, which are partly healthy and partly caries infected. \nI wonder at the possibility of a biological approach, when leaving, desinfecting, and improving these roots as anchors for new tooth structures; CUSTOM shape new teeth on these treated roots. \nRather then pulling everything out, leaving the bone to withdraw! And fit 2 protheses with their artificial plastic look. And their problems of feel and fit. Then this may also leave the periodontal ligament, which keeps the flexibility and subtle movement of the teeth. Trying to keep a natural feel in the mouth.\n\nIs this perhaps a direction towards a new solution: \nOpen up the root canals, and desinfect and mineralise all of the dentine. \nThen design and custom 3D print every tooth in the appropriate shape and colour, and fix (screw?!) or bond it onto its prepared base. \n\nplease prof or lay, kindly feel free and welcome to share any therapeutic, technical or practical thought or comment... I look forward to them, \n\nbest regards\nIo, Netherlands io anno: please, I'd really appreciate any effort to a reply; it really does helps my lay thinking;\n\nthe first step seems to me to desinfect the roots and periodontal ligaments; it ozone perhaps a good way?"
  },
  {
    "id": 1566,
    "title": "Broken tooth",
    "dialogue": "torimckie: okay so i basically woke up one morning felt something hard though maybe was food still in my mouth turns out was a TINY part of my tooth the front teeth at the back of one its like chipped of or broken on both sides of the one tooth should i be extremely worried ? i dont have insurance right now so cant rush to dentist \n\t\n\n\t\n\t\n\t\t\n\t\t\n\n\t\t\n\t\t\t\n\t\t\n\t\t\n\t\n\n\n\t\n\n\n\n\n[/URL][/IMG] you can see it in the picture its the triangle looking shaped tooth on the bottom Busybee: Probably not but you should get a night guard to stop you doing more damage when you sleep.  It's a worthwhile investment and doesn't cost much. KVMCruces: By looking at your neighboring teeth, that's definitely not a broken tooth. Its tartar.\nCan feel hard like a piece of your tooth fell off but if you crush the \"piece\" you'll find that it should crumble.\nCan easily be fixed by brushing the back of your teeth and flossing.\nYou can get a local dentist to remove the tartar for you. Uptown101: You just have to brush and floss your teeth."
  },
  {
    "id": 1567,
    "title": "Please help me !",
    "dialogue": "Akudawa: Hello,\nI recently done a tongue tie surgery ( 1 week and 2 days now) and when I looked in the mirror to check, i saw that I have this.\nPlease help me I don't wanna skip school to see my dentist. KVMCruces: Missing school to see your dentist is going to save your mouth from any further damage/pain.\nDon't allow the problem to worsen, fix it while you can. Uptown101: You can search for home remedies for that problem but I must suggest you really need to see your dentist."
  },
  {
    "id": 1568,
    "title": "Help",
    "dialogue": "wallacethundercloud: Can these be fixed? And what would be done if I got braces put on KVMCruces: Definitely can be fixed.\nSpeak to your local orthodontist about the process.\nYou can always go to Youtube and search the process for getting braces. Theres plenty of educational videos online. Lyle MacLeod: My brother had worse teeth than that before he got his braces (he had pretty big spaces between teeth) and his are fine now. You'll be fine Uptown101: Of course it can be fixed, just consult an orthodontist for the best process."
  },
  {
    "id": 1569,
    "title": "I had a dentist appointment and I'm disappointed right now...",
    "dialogue": "Sky_Nova_20: I had a dentist appointment. I went there for a check-up and made x-rays and teeth cleaning. However, the dentist mentioned that I had 9 cavities and I had to do root canal treatment for all of them and my family and I were shocked with the news. Most of my teeth don't even look like they have cavities and I'm really disappointed. I heard that root canal treatment is a very difficult and painful process for a lot of people, but others claim that it isn't as bad they thought, but I think it would be a hard process. So, I don't know how to deal with this anymore. I couldn't even pay attention to everything on the x-rays, since I was very upset. I wish I had the x-rays with me right now, but I actually don't have them. Busybee: you can ask the practice for your x rays and get a second opinion from a different dentist.   Do any of your teeth hurt? Sky_Nova_20: Busybee said:\n\n\n\n\t\t\tyou can ask the practice for your x rays and get a second opinion from a different dentist.   Do any of your teeth hurt?\n\t\t\nClick to expand...\n\n\nSorry for late reply, but they don't hurt me at all. I don't feel anythinf. My mom and sister just told me that I had to root canal treatment for one tooth only, but I'm not sure about the other teeth. Busybee: Well twice I was told I needed root treatment when I didn't.  The last time was ten years ago.  Nothing happened and other dentists said it's all fine.  So forgive me if I don't trust such a diagnosis but I always say seek another opinion.  It's a big step and it's permanent. John Roberts: Good advice Busybee.  Second opinion in order. Uptown101: I agree, you should consult another dentist for a second opinion because it's not that easy to undergo a root canal treatment."
  },
  {
    "id": 1570,
    "title": "What could be causing the rapid sensitization of my teeth?",
    "dialogue": "FalloutFan: Over the last 1 or 2 years my teeth have been getting increasingly more sensitive to breathing in and cold things. Whenever I breathe in, the front of most of my teeth experiences noticeable pain, and occasionally the pain is jarring and comes from inside the tooth (but this only happens for a few teeth).\n\nsome general info: my top teeth crowd inwards and I need braces, I brush twice a day and floss about once a week. Busybee: Do you use sensitive toothpaste?  \n\nI had problems with sensitivity when I had a bite problem.   If you have too much pressure on teeth it can make them sensitive.  Try to relax your jaw in the day and get a nightguard to wear at night. FalloutFan: Yeah I've been using Sensodyne for the past 3 or 4 years. I do have alignment problems as my top 8 or so teeth point inwards. But can that really cause the fronts of my teeth to be sensitive? Busybee: Well I found it surprising that a bite adjustment made my teeth more sensitive.  The dentist said that if teeth are knocked about it tends to create sensitivity. Lyle MacLeod: You could try brushing once more per day and flossing more often. Whenever I feel some sensitivity, it usually goes away when I brush. However I feel your situation is a little more severe. John Roberts: Hey Busbee.  We have talked before and you had some advice.  I was wondering about you said you bite was off.  How did it get off?  And were all your teeth hurting and not just one or two.  I am still fighting all my teeth hurting.  I am getting to where it is hard for me to eat anything real solid.  It hurts all my teeth when I eat and I know I am not chewing stuff up like I should.  I just cannot get an answer.  I asked the last dentist I went to a few weeks ago if the could tell me 95% sure there is nothing wrong with my teeth.  He just says he can't see anything.  I do feel my bite is exactly right but I haven't had any thing to change it.  If you will remember all my trouble started after a cleaning and fluoride treatment.  I just can't believe my bite could be off so much that all my teeth hurt but I don't know.  I am wondering if it could be neuralgia.  I don't think I have trigeminal neuralgia or I would even be worse than I am.  Maybe so other type but I am just having a hard time excepting that.  I have been to 10 or so dentist.  You would think one of them could figure it out if it is dental.  I am at a point I don't know what to do.  I do know it is really effecting my health in general.  I have a new general practitioner and he put me on a antidepressant and I am having bad side effects from it to go along with the teeth.  He diagnosed me with burning mouth syndrome.  I may have had it three years ago but not now.  Just wondering if all you teeth hurt. Busybee: Hi John.  I've had a lot of problems with my bite since a botched bite adjustment.   Then others trying to fix it just made things worse and many of the teeth would hurt.   I wouldn't say all my teeth hurt, it was mainly the molars.  The teeth were more sensitive because there was too much pressure on some of them.   They tended to hurt more when chewing.  \n\nBut if you have had a bad reaction to something like cleaning solution then over time the pain should reduce.  It could take a few months to a couple of years.  The body reacts in different ways in different people.   Perhaps they should give you a guard to wear when you eat to see whether it makes a difference (I mean in terms of avoiding any food touching the teeth in case that's making things worse).   Did you say you wear a night guard when you sleep? John Roberts: I have had two  mouth guards made.  One for the top which I could never wear because in my opinion it was made badly.  I did one of the boil and bite ones which I can wear and one of the dentist made one for my lower teeth.  My teeth hurt to bad to wear the ones the dentist made.  I use the one I made ( which the dentist was impressd) at time when my teeth are really bothering me bad.  I wore my guard every night for a month to see if I could tell any difference and I couldn't.  I have told all 9 dentist I have been to that my bite doesn't feel right and it seems like it changes.  I have been checked by mire than one with the articulating paper.  It looks like if my bite was off that bad they could tell and say something.  I still wonder about the fluroide treatment also.  Was the fluroide bad, did they use the wrong kind for someone that had crowns, did the girl leave it in my mouth too long.  I don't know but all my trouble started after that.  Keep in touch.  Oh, did you finally get your bite right? Busybee: Well what happens is they give you a mouth guard to see whether your bite feels good with the guard.  If it doesn't then either the guard is badly made (happens a lot) or it's nothing to do with the bite.   If you feel comfortable with the guard then it's totally bite-related.  \n\nIf it was your bite every single tooth wouldn't be hurting.  You'd have a few that were symptom free.  But it might feel as though they were all hurting.   So from what you've said it may not be your bite, but you have to find another bite guard that's well made and adjusted to your mouth to know for sure.   Could you just remind me how long ago this happened?  \n\nI haven't got my bite quite right.   Once they mess with the bite it's impossible to get it right.   I'm still waiting for a crown to be made (a crown that I didn't need but was suggested to stabilise the bite).    My problem is that work I've had done tends to wear down and then I feel uncomfortable again.   Only takes a tiny bit of wear to shift it.  But when I wake up I feel ok and sleep ok because of the mouth guard.    However, I am in far less pain than two years ago when things were really bad after a botch job.   I have just the odd twinge in a couple of teeth.   The wrong guard can make your teeth hurt all day.   The wrong dentist can ruin your teeth for life.  Unfortunately they don't come with a label! John Roberts: Well when I put the mouth guard in I guess it does feel better because my teeth aren't touching so I guess I don't know how to answer that one.  When i think about every single tooth hurting my very back jaw teeth are not as bad as the rest but they don't touch like the rest. I am sure the bite of these teeth is not right. I had a crown come off of #2 back several months ago and if feels better with it off.  I have 600.00 in two dentist mouth guards and for sure can't wear one of them and the other is extremely tight.  It is for my bottom teeth.  I have worked on the boil and bit myself to where it slips on and off my teeth with little effort and it is not extremely tight.  I can sleep with it at night and it does not come off.  \nI forgot all this has been going on since November 2016.\nI actually put a small ball of dental wax in tooth # 14 and tooth # 4 to keep them slightly apart when I put my teeth together.  Helps me go to sleep.  I did wear my mouth guard for a month straight at night to see if I could tell a difference and I don't think I could.  Maybe I need to start wearing it again at night and as much as I can in the day and just see if I can tell any difference.\nI went to a dentist in a different town that has  T Scan or Tech Scan technology. She talked to me and I told her my bite, and speech weren't' right and I pronounced some words different.  I don't know if you are familiar with this technology or you know anyone who has ever had it done.  I guess if your bite is off a little it would work but I am afraid it won't work and then all my teeth will be adjusted on and like you said you can't put it back and I don't have thousands of dollars to have crowns put on everything.\nI have learned that just a hair makes a difference.  I told the last dentist it almost feel like my bottom jaw is forward or something. Feels like my bottom front teeth put pressure on my top fronts.  It doesn't seem like I can put my teeth together good and make a good swallow. also. I even thought maybe during the cleaning I help my mouth open too wide and to long and caused some problems with my bite.  I have had face ct scan, scan on my tmj joints, brain scan and sleep study done.  The sleep study said I have mild sleep apena but I don't grind my teeth which I didn't think I did.  \nAs far as the neuralgia thing goes.  I have been having some eye pain again but not bad.  I have developed tinnitus along the way also.  I'll keep you posted.  Thanks Busybee Busybee: You should go back to the dentist who made the mouth guard and tell them it does not fit and ask them to remake it.  You need a properly made guard if you are to get anywhere in working out how much of this is bite related.   They should make you a guard that's comfortable.\n\n It sounds like your bite is off but that makes no sense because you didn't have it adjusted.  It would seem that you have some TMJ but then you didn't say the x rays indicated any problems with the jaw joint (I have a clicky jaw on one side and that shows up on CT scans).    I have tinnitus in one ear (next to the clicky joint) and it comes and goes.  I only have it at night but I see it as an indicator of a problem with the bite.    It's possible that when they were working on your teeth the joint or muscle supporting it could have been damaged from having it open so long.  But I'm surprised that hasn't shown on CT.   The only thing I can think of is that maybe you had a large build up of calculus on your teeth and the clean removed that.   Does that sound possible? John Roberts: Up until all this started I went to the dentist for a cleaning every six months.  Been doing it for years.  The hygienist didn't say anything about my teeth.  It didn't seem like it took her long to do the cleaning.  So I don't know.  Like I said that was my first fluoride ever.\nI think the second guard was probably made right.  The first on was a hard guard and it didn't fit.  It was like it was for someone else.  The second one I had made a month ago was for the bottom teeth and it was a softer material.  It fits my teeth but they are so sensitive  ( if that is the word for it) than when I put it on it just squeezes my teeth and I can't stand it.  I would say it does fit though.  I am going to start wearing my little guard more.  I can stand it because it is loose enough.  Don't know if that's good or not but I don't see where it could alter or move my teeth.\nThe CT Scan of my face and TMJ joints were done at the VA Hospital.  I assume they have someone reading them that knows what they are doing.  At least I hope some.  I don't have any pain or clicking or anything like that in the joints.  My ENT and Gp and a couple of the dentist said I don't have TMJ but I don't know about that either.  I figure if my jaw moved a hair it would throw my bite off.\nAfter all this started and I went to a different dentist and I already had teeth contacting hard and he did adjust on them.  Something had caused this but I don't know what.  I realize after the fact I shouldn't have had any grinding done.  It looks like the dentist would have thought about it a little.  I told him I never had this problem before.  \nCould I ask you about your opinion of the T scan or Tech scan for oclussion adjustment.  I have watched several videos on youtube about it.  It seems like a wonderful thing and maybe could be of benefit.  I went to the dentist on Lafayette La. that has it.  No one here where I live does.  I was suppose to go back and she was going to do the adjustment.  I don't know how many times you have to go back.  Then she wanted to make a new mouth guard.  I got scared of it and didn't go back but now I am wondering.  The adjustment was 750.00 and the mouth guard was 750.00.  I didn't ask her what kind it was.  I don't have insurance but right now if it  would help I would be glad to pay that.\nI just read what I wrote and let me say that my bite was off before any kind of adjustment was done.  Let me know what you think of the T Scan thing.  Thanks    John Busybee: Hi John, I watched a T scan video on you tube.  My opinion of this is that it's totally reliant on the data that has been fed into it by humans.  So it will be based on the same pre-set notions of what constitutes a perfect bite (the text book bite).  In my opinion, and I'm not a dental professional but I do have a fair bit of experience of what can go wrong, the text book bite is a myth.  Every individual is going to be comfortable with a different bite because we are all different.  Some people are very happy with what a textbook defines as  dysfunctional bite.  They are not only happy but have no dental issues, decay or pain.   The brain is programmed to expect teeth to be in certain positions and once you start to adjust them the memory of that programming leads to long-term dissatisfaction whenever the jaws come into contact.  So the muscles contract more to try to find it and this leads to different bite problems and added stress.   So in my humble opinion dentists should not be adjusting down the bite unless there are exceptional circumstances.  \n\nYou cannot replace what nature has created.  Once you start having crowns and other restorations you can start to build in a bite problem for the future, particularly when you have a large amount of work in one session.   If you then start to grind down the bite there's more pressure in areas that may be weaker than necessary to sustain it.  A dentist cannot feel the areas of weakness but your mouth can.   Trying to then go back and build up again can lead to cracked teeth as restorations are never the same as the original cusps.   Changing one thing in a bite affects numerous other areas.  There are too many variables involved to make this a regular option for a dental professional.  It can affect the TMJ and muscles, but also the neck, shoulders and back.   How can a dentist predict what it affects?   It takes an exceptional individual to understand the bite and make successful changes.  \n\nFrom what you've said your problem is sensitivity following the fluoride treatment.  This may have led to you changing your muscle action to avoid the sensitive teeth so it may now feel like you have a bite problem, but what you might be doing is changing all the behaviour of the jaw to avoid pain.  So you have maybe formed new habits that have affected your alignment.   Then you had a bite adjustment and we don't know how much that has contributed to your subsequent problems.\n\nYou can have a bite guard that is soft inside and hard outside.  The hard outside bit is a good idea for diagnosis.   Bear in mind that it's extremely difficult to adjust a hard guard so that someone with sensitive teeth is comfortable.  Some dentists are gifted in intuitively adjusting, others are not.  Listening to the patient is important for successful adjustments. John Roberts: Well I am at a point that I don't know what to do.  Like I said one of the doctors said it was all a continuation of some type of Nerulgia I had two or so years ago.  I doubt it be could be.  I am still leaning on my bite or teeth alignment isn't right.  I am afriad to have more adjustments made for fear of making it worse than it is.  As much as I have read on this mess you would think I would know.  Is there a dentist that specializes in oclussion.  I didn't know who to go to when this started and I did go to a orthodontist.  I had one jaw tooth that was hurting the worst.  He did say something about roller coaster teeth and sent me to a endodontist to have the tooth looked at.  \nI don't know about the fluroide thing.  You could have a good point.  All my trouble did start after that.   I don't know if any dentist around here could diagnose that.  I have told everyone of them about the fluroide treatment.  \nI had thought about having the t scan done but you have a lot of good points on it.  I have no doubt in some situations it could help IF the dentist knows what they are doing.  That's another thing with the t scan.  Wonder how they learn to use it.  Oh well, That's enough for now.  Thanks for reading this and the suggestions. Emedee: Hi FalloutFan,\n\nThe cause of the issue you are having may be most probably caused by receding gums. It may also be casued by other things such as worn tooth enamel. Try to avoid drinking soft drinks and grinding your teeth, do use fluoride toothpaste.\n\ni recommend you visit below website and read the articles carefully:\nhttps://crest.com/en-us/oral-health...ity/teeth-sensitive-cold-causes-home-remedies\n\ncheers,\nEmedee John Roberts: Thanks Emedee.  I know my gums have receded some with age.  All this started basically overnight.  I would think if it was gum recession it would have taken a while.  I did go to a periodontist when this first started and he said my gums looked fine so I kind of ruled that out.  Two of the dentist recommended a sleep study.  I had one and I have mild sleep apnea and during the study I didn't grind my teeth. I am pretty sure I don't anyway.  I have a soft mouth guard I have had for several months.  I sleep with it at night sometime.  I think if I grind my teeth I would have chewed it up by now and it looks like it did when I started using it.   I don't really  have the symptoms of a teeth grinder.  I am kind of just the opposite. My teeth don't hurt any worse in the morning,  I don't have jaw pain or headaches.  Sometime my eyes will hurt in the morning.   I have had two night guards made by dentist and they both are terrible.  I use a over the counter guard some just to keep my teeth apart when they are really bothering me like today.  I do feel like my bite is not right but not sure what to do but I don't know if that is why my teeth are killing me.  Like I had said in a earlier post that they are not sensitive to hot or cold.  They are sensitive to the touch or tap or scratch them with your finger nail.  That kind of hurt.  Thanks for the suggestions.  I am listening you can be sure. Emedee: My tooth also hurted on tap. It turned out that it was a gum around a tooth that caused the pain as a matter of fact. Try cleaning the areas that hurt with a dental floss, I think that should help. For me it helped in 2 days. Then after some time I was too lazy to clean them and the pain in the tooth appeared again. I didn't recognize that it was a pain from gums and I went to a dentist and got scammed for 1435 sek = around 143 eur for two holes that he created himself and told me I had a loss of a filling. So try it out and see the effects. You can feel the dental flosss after use if it has an unpleasant scent if it does then you probably got it. \n\nCheers Uptown101: Brushing too hard or using a hard-bristled toothbrush. This can wear down enamel, causing dentin to become exposed, or encourage gum recession."
  },
  {
    "id": 1571,
    "title": "Opinions on over the counter night guards",
    "dialogue": "John Roberts: Just wondering about opinions on boil and bite guards vs guards the dentist makes.  I have both kinds.  First one was a boil and bite.  Then the dentist made one.  It was hard and killed my already hurting teeth.  Couldn't adjust it to fit.  Went back to the boil and bite.  Another dentist said I could try a soft one on my lower teeth.  It is a little better but still fits too tight for my liking.  Back to my boil and bite I trimmed to fit.  It stays on my teeth but I can slip it off with my tongue.  I really can't see where it would hurt my teeth anymore than the dental guard.  I really can't see the difference of me biting into the tray with goop in it at the dentist or biting into the boil and bite at home.  Seems like both ways should conform to your teeth.  \nI wear it sometime because I have pain in most all my teeth.  Use it to keep them apart."
  },
  {
    "id": 1572,
    "title": "Why is it so difficult to recruit dentists",
    "dialogue": "Mogamat ebrahim: Tried the normal route but can’t seem to find where the graduates are going"
  },
  {
    "id": 1573,
    "title": "My unusual bite marks on hawley retainers",
    "dialogue": "Zoobear: Nothing wrong with me but just thought it would be interesting to share, excuse the bacteria forming on my retainers I don't wear them anymore so they've just been left to collect dust. My orthodontists were shocked after I took my hawley retainers out after a few weeks they gave it to me, there were very deep bite marks on the bite plane and they had never seen anything like it, a lot of other Royal London hospital employees came to see it themselves and were in awe. They had to scrap that one and gave me a new one with a substantially bigger bulge at the place where I rest my teeth and a different form of acrylic to compensate for the strong bite( the one in the pic), but few weeks later same thing happened lol. (Where you see the slight indents was where the rounded extra bulge was) Maybe it is a common occurrence and it's just my dentists that haven't seen it before, I find it pretty cool though and why could it be that my jaw is so strong? I used to grind a lot when I was around 11 or 12 and had a lot of rough scraping on my hard palate."
  },
  {
    "id": 1574,
    "title": "Gaps not closing and Black Triangles after braces",
    "dialogue": "BraceFace: Hello, I have braces and the only thing which is left to fix is the gap which was left by an extraction, I have had braces for a year and 6 months now and it’s still not closed, what could be causing this not to close and will it definetly close or will I have to live with this gap? my orpho said that it will close when I asked them so I am really hoping it does. Also if the gap does close do you think there will be a black triangle?\n\n \n\n\nTo anyone who could give me some answers I would be extremely great full, thanks! BraceFace: Also I put my tongue in between the gap a lot could this be causing it not to close?\n\nThanks Lyle MacLeod: I had gaps bigger than that just before I got my braces in (I got an extraction too) and they closed up just fine. So provided you don't have any problems (which I'd imagine you don't considering what the ortho said), just give it time and you'll be fine.\n\nI guess some peoples teeth move quicker than others."
  },
  {
    "id": 1575,
    "title": "Broken Cap - Severe (but short lived) pain",
    "dialogue": "Oucheeeeee: Hi,\n\nIs there anything I can pack round what I assume is a broken cap to stop severe (but short lived) sensitivity?  Cap was fitted in 1985 so has lasted pretty well, but broke a couple of weeks ago.  I Assume the post went with it as the part left in gum is small and wide (the very opposite of a post).\n\nAll was fine for a couple of days and then I started getting debilitating stabs of pain (what I assume is nerve pain) but stops after around ONE second.  Problem is.....it's getting more common and is now happening a few times per hour instead of a few times per day. Can drink hot tea and then Ice cream with no adverse effects.  Seems to be the sugar in the tea that sets it off.\n\nCan't get signed with an NHS dentist (I worked contract so moved around country/Europe and never in one place long enough to sign with dental practice) and simply can't afford the quoted £600 to root canal or remove whats left of the post.  It's front upper middle (one of two front teeth).  I tried to super-glue it - which survived the first contact with food (after 24 hrs) but fell out when cleaning.\n\nI'm now thinking of Blue-tac to try and stop the sensitivity until I can get either an emergency appointment (when this happened to different tooth - I was in Scotland - Their emergency service removed post for £12) or signed up with a dentist I can afford (or I can get a day return ticket to Scotland ).\n\nI'm nearing 60 years old so past caring what I LOOK like so would be happy with anything that would stop the pain (IE.  Don't need tooth replacing)\n\nThanks in advance for any advice\n\nOucheeeeee"
  },
  {
    "id": 1576,
    "title": "Throbbing toothache in molar with filling?",
    "dialogue": "Kalli: Hi everyone! \nSo almost 4 years ago, I had a bunch of dental work done. (Extraction, multiple fillings, etc.) If I remember correctly, the dentist had said on one of my molars the decay was very deep, and that I might need a root canal however he chose to try to put a filling instead to see if it would work. I've never had anyone problems with it for the last 4 years. But now I have a throbbing toothache that will come and go on this tooth. I can't even push my tongue against the tooth without feeling the discomfort, it's very sensitive. I can't even chew on that side. \nI'm just wondering why now after all these years it's giving me problems? Will I most likely need a root canal? Busybee: It could be cracked or bruised from poor alignment.  Maybe you should see if you can have the filling replaced again.   How long has it been hurting?"
  },
  {
    "id": 1577,
    "title": "Car Accident and Toothache",
    "dialogue": "JJ_8613: Hi all.\n\nI was in a car accident on 12/12/17.  Basically there were 3 cars involved in the accident.  A car hit another car and the second car spun into my car.  It pushed my car a full car length back.  My car was hit in the front.  My injuries include whiplash causing neck and back pain and headaches.  I did not hit my head in the crash.\n\nOn 1/18/18 my upper right tooth, #4, started hurting.  It has root canal symptoms including sensitivity to hot and cold which lasts longer than a minute, constant toothache, throbbing toothache, pain with biting and chewing.\n\nNow it's been a couple of days and two other teeth have started hurting.  So far it's just toothache and light sensitivity with liquids.  One is an upper left tooth and the other is a lower left tooth.\n\nI'm wondering if any of these teeth problems can be related to the car accident?\n\n Is it possible for symptoms to start a month or longer after something like that?\n\nI'm wondering if I clenched my teeth or somehow bit together and the teeth hit each other on impact.  I was stunned and shaken up for a couple of hours afterwards and had adrenaline running through me.  Even the neck and back pain I didn't feel right on impact.\n\nI'm scheduled to have a root canal treatment on #4 with an endodontist on 2/8/18.  Really wondering if these 3 teeth are related to the car accident.\n\nAny advice and support would be much appreciated.  I'm really lost here.\n\nJJ"
  },
  {
    "id": 1578,
    "title": "Tooth caries",
    "dialogue": "mustafa95: Hi everyone\nI am dentistry student, and I am curious about question.\nWhich one is more harmful for teeth\nAcidic food(citric acid) or sugary food(carbohydrates) (lactic acid) Dr Thomas Joseph: Citric acid and lactic acid both are capable of demineralization of teeth.\nBut the ratio is highest for lactic acid."
  },
  {
    "id": 1579,
    "title": "Hair like lines",
    "dialogue": "Martin M: Hi weird question. Cant seem to find anywhere online.\n\nOn my bottom two front teeth i have thess black lines l, it looms like hair. Does anyone know what this is. You cannot see it completely on the pictures. Pleqse help."
  },
  {
    "id": 1580,
    "title": "Crown discomfort",
    "dialogue": "Lizzooo: i had crown done a couple years ago that I had to have adjusted/filed down multiple times which resulted in no discomfort afterwards.  I have been doing Invisalign for about 13 weeks now and changing trays each week without problems.  Recently I went to pull out my tray and had pain and discomfort in my crown when taking the tray off.  It is not sensitive to cold or hot but just when pressure is put on it.  Kindof like a bruise it isn’t painful until touched and then the “pain” is more of an ache.  I am wondering if I should contact my orthodontist or my regular dentist regarding this? Busybee: yes you should because your tray may need adjusting.  You could end up cracking the tooth if it's too high inside.  I cracked a molar with a hard night guard and this sounds like a similar pain.  Easy for them to adjust it slightly.  I'd check with the ortho.  They have caused the pain."
  },
  {
    "id": 1581,
    "title": "Bad experience, bad crown fell off, what’s the etiquette?",
    "dialogue": "Kait: Here it is in list form:\n1) it’s the molar directly above #19 (that’s 22 or 24??)\n2) had a root canal ~20yrs ago, filling (apparently) should have been replaced ages ago, miraculously it was perfectly fine at my last cleaning in Nov...but the new dentist said though not required it might be a good idea get a crown. I decided to do some adulting (first mistake, lol) and pay the $ to get a proper crown.\n3) major cold temp sensitivity during 3wks of temp crown.\n4) zirconia crown placement immediately felt not right. I “complained” within 1-2wks, they looked, assured it was fine.\n5) the problem was it felt as if it had too much curvature, and the base of my tooth slightly showed, which concerned me.\n5a) by curvature I mean literally half the food I ate would get stuck in between the back-most molar and crown. I’ve used an entire roll of floss and bottle of mouthwash in the last 1mo alone to battle this (my teeth are kinda important to me)\n6) I am pretty much fed up, and completely bummed that I’ve forever ruined my mouth, I’ve never seen so much food coming out of one tooth crease. And no matter how much I brush it and use mouthwash multiple times a day, I feel an awful taste (could be the epoxy? Prob bacteria, sadly). It feels unacceptable.\n7) tonight, low and behold, my crown fell off while chewing...cooked rice.\n8) there is zero pain or sensitivity (except maybe a faint dull feeling far below the surface....maybe it’s in my head - no pun intended). \n9) terrified to go back to the same dentist...I think they did a not so great job, and I don’t want to loose my tooth...but going somewhere new is not only expensive but also unknown.\n10) tangent info, part of why I went ahead and had the procedure for the top molar is because part of the filling of my #19 fell out (cracked when I was young) so somehow thought to just fix/update both with zirconia and call it a day. Unfortunately, temps were very ill fitting, in my opinion; lots of pain @19, “required” root canal by separate dentist 1mo later (was delay in crown placement for various reasons). Crown on 19 is too big (my opinion) gum at cheek interface bulges slightly more than opposite side of mouth, not painful there but, tooth is overall still tender 2mo later, esp when flossing (no blood), and has some feeling when pressing down on it.\n11) after 45m-1hr of trying to fix bite we settled at “almost there” during final visit (beg of Dec).\n12) to top it all off my the back molar now has two small brown spots where the crown ‘touched’. It was perfect before.\n13) my insurance changed in Jan 1st. Not sure how I feel about that\n\nQuestions: Is it common for a perm crown to come off within 2mo? \n\nHow do you recommend that I approach the dentist? I don’t want to hurt their feelings but I basically spent $1400 to botch my teeth (so it feels). I think they knew it to some extent because of the look on their face when all finished and with a concerned face said “you need to take very good care of these”. I don’t think they did it on purpose, but I’m not convinced they can fix it properly.\n\nWhat is the etiquette here?\n\nThanks,\nKait Busybee: There is something seriously wrong with a crown that falls off.   Find a better dentist, get some legal advice."
  },
  {
    "id": 1582,
    "title": "Dentistry tools of the trade",
    "dialogue": "MicahV: Hi, question for the dentists here - what are your favorite tools of the trade?  I make art based off of old patent drawings and am looking to add some dental tool designs to my collection.\n\nI have a couple of things lined up: dentist chair, dental mirror and a dental clamp (and I already have a toothbrush design as well).  But other than that I'm having a hard time figuring out which tools have the most value (or historical interest) to those of you in the industry.\n\nCan anyone recommend any other dental tools or accessories besides what I've listed above?  Thanks in advance!"
  },
  {
    "id": 1583,
    "title": "Ocd dental student",
    "dialogue": "Gabriella: Hello I’m hoping a dentist can help me.  My son his in his second year of dental school and recently was diagnosed with ocd. He is on therapy and had to take off a year. His biggest fear is getting poked with a needle and blood. He is upset because feels like his dream of becoming a dentist might not happen. Any suggestions.  Thank you so much"
  },
  {
    "id": 1584,
    "title": "Nightguard without molding?",
    "dialogue": "vassock: My dentist recommended I try a store-bought nightguard for my nighttime grinding. I bought one of the ones you can boil and mold. I was wondering if it's OK to use without molding. Can it cause any damage that way? What about a mouthguard that isn't ideally molded? Busybee: You should have a custom made night guard.  I don't understand why your dentist recommended a shop bought one.   The wrong type/shape guard can cause more problems than it fixes."
  },
  {
    "id": 1585,
    "title": "Is that my wisdom tooth?",
    "dialogue": "Vness322: My gum in the back has been swollen and uncomfortable for a few days and now a hard little yellow spot showed up. There's a flap of skin kinda. I thought it was a pus filled little whitehead so I tried to puncture it but it wouldnt go away. My mom (im 15) told me it was my wisdom tooth, but it seems really yellow and it even has a black spot. My teeth are not bright white (as you can see x) ) and I don't have the most perfect hygene, but it would be weird for my new tooth to come out yellow and with a cavity.\n\nOn the picture it's hard to spot but it's the little black dot behind the last tooth (it's in the bottom) Busybee: There is no reason why a tooth coming up should not be more yellow than teeth already in your mouth.   I had canine teeth which came through aged 12 and were a slightly more yellowish colour than my other teeth.   They say it means the teeth are stronger, but I'm not sure whether that's true."
  },
  {
    "id": 1586,
    "title": "Jaw Pain After Fillings",
    "dialogue": "teeth9876: Three weeks ago, I went into my dentist for a routine scheduled cleaning, where they found I needed 3 cavity fillings. So, the next day, I went back and had them filled all in one day (it only took about 2 hours). All of the fillings were done on my back molars, both sides, and one was really deep and getting close to the nerve.\n\nI went home, and as the numbing wore off I took an ibuprofen to relieve the pain. Ever since then, I have had pain radiating in my jaw. It is the worst at night, usually waking me up in the middle of the night, making me take more ibuprofen. The pain killers work. I have to take one around 2:30PM in the afternoon, and one in the middle of the night around 2:00AM. The pain is in my jaw, not my teeth. It almost feels like the jaw muscle itself. Sometimes it even comes with an ear ache. I have no sensitivity to hot or cold, and it does not hurt when I chew, bite, or open and close my mouth wide. It is a very dull ache that becomes more active at night. When I wake up in the morning, it doesn't hurt at all.\n\nAfter two weeks, I called my dentist explaining the pain I have been feeling, and went in for a check in my bite. They did take some off my bite; however, it did not relieve the pain. They thought I might need a root canal in the tooth with the deep filling, and said to wait a week and give us a call if it gets worse. That night, it was bad! The pain in my jaw was excruciating! So in the morning I called them, and scheduled a root canal for the next day.\n\nThe next night before the root canal, I didn't have any pain. I didn't even have to take pain killers, but I went in for the root canal anyway just to talk to them. After explaining everything again, we did some tests and x-rays. The x-rays came back positive, nothing was wrong. The cold and hot test was normal, meaning no sensitivity. My bite was fine, they had already corrected it. They canceled the root canal, since there were no obvious signs of needing one.\n\nTheir diagnosis was that I have jaw pain from having my mouth open from the fillings. They said call back in a week if the pain is still hurting, and we will prescribe an night guard. \n\nI still have pain, especially at night. What is the cause of it? I have heard of TMD, but that hurts when you bite. Please help me. Thank you!"
  },
  {
    "id": 1587,
    "title": "Should I have this treatment?",
    "dialogue": "bdpoop: I am booked in to have root canal work and a new crown on one of my upper front teeth.  The crown and the tooth it was on broke off a couple of years ago and there was just enough tooth left exposed for my Dentist (Who is very good by the way) to put in three tiny posts to refit the crown.\n\n\nHowever, since this was done about a year ago the upper part of my gum has felt tender to the touch.  Like a bruise when you press it.  Not painful at all but you can feel a slight pain when you press it.  My dentist x-rayed it and thinks there is slight dark area that’s probably an infection and he has suggested removing the crown and doing some root canal work to cure the infection then putting a single post in and fitting a new crown. (least I Think this is what he said).\n\n\nI am concerned though that it could be last chance saloon with this tooth and that something might go wrong and he may not be able to fit the post and crown.  Is there any other way this could be treated as the crown is fine and I do not want to lose my front tooth or be forced down the implant route?  Could I just leave it?  He has basically said it’s up to me but I am not really sure what the risks are.  Could it just go away or at best just remain as it is?  Will the infection if it is an infection get worse?  It’s been like that for a year and whilst it’s not got better it’s not got worse either.  If it was to get worse could I not have the procedure done then or would it then be too late?\n\n\nAny advice really appreciated. Busybee: I'm surprised that the dentist did not do a root canal when fitting posts.  But then I'm not a dentist.   If you have a soreness where the root is then that is an indication of an infection.  Get a second opinion but generally a tooth will feel weird if infected, the area around the gum will feel sore but you won't be able to tell quite where the pain is coming from.   There is often a blister on the gum by the root, but that's not always the case.  Sometimes the tooth just feels alien as it dies.   It doesn't go away once there is a root infection.   But you should see an endodontist to have a root canal done. bdpoop: Thanks. Its not even sore really.  Just as you say feels a bit odd like pressing a bruise if you press hard on the top of the gum.  As said my concern is if something goes wrong and the dentist is unable to fit a new post and crown.  I would rather leave it as it is but need to know what the risks are. bdpoop: That appears to be a map of Belgrade.  Thanks but Im not sure how that is helpful Dusan Cirkovic: I made mistake..sorry... cheers"
  },
  {
    "id": 1588,
    "title": "Growth behind teeth",
    "dialogue": "Pats12: Hi - I have two boney growths, feels like teeth coming through in the exact same spot on both sides of the top of my mouth.   They are both behind the teeth that are right next to my two top teeth.     I am not sure how long they have been there.  One side is larger than the other.   I have a call in to the dentist.     They are sharp but not sharp enough where it would cut my tounge.  \n\nOn a side note I did have two permanent teeth removed in that area when I was about 16 (44 now) and then braces put on.   \n\nShould I be freaking out?    AmI going to lose some teeth.  Afraid to go to dentist.   Its been about 3 years since I last saw a dentist. \n\nThanks"
  },
  {
    "id": 1589,
    "title": "Do I have gum recession and or bone loss",
    "dialogue": "BraceFace: Hello everyone, around 2 years ago I have my lower left 1 incisor extracted as it had recession and I then had braces fitted to close the gap, the gap is still closing very slowly and I am worried that I now have gum recession or bone loss on my lower right 1 incisor, here are pictures Busybee: What does your orthodontist say?  Have you seen a periodontist?   How are you caring for your teeth?  Are you regularly seeing a hygienist?    How is your diet?  Your teeth are a very nice shape.  Please look after them. BraceFace: Busybee said:\n\n\n\n\t\t\tWhat does your orthodontist say?  Have you seen a periodontist?   How are you caring for your teeth?  Are you regularly seeing a hygienist?    How is your diet?  Your teeth are a very nice shape.  Please look after them.\n\t\t\nClick to expand...\n\nHiya, thanks for reply, I brush my teeth 4 times a day and floss once a day, my orthodontist said I have great oral hygiene and the gap will close, my dentist told me I have healthy teeth and gums and at my last appointment they checked my teeth with this stick thing I think is used to check bone level and they never had any concerns, my teeth look yellow in the pictures but they are in fact white , just worried that I may be starting to get recession on that tooth. Busybee: Maybe you are brushing too hard into the gum?    Your teeth are a nice colour. BraceFace: Busybee said:\n\n\n\n\t\t\tMaybe you are brushing too hard into the gum?    Your teeth are a nice colour.\n\t\t\nClick to expand...\n\nHi yeh, that may be it, does it look like my gums are receding to you or do they look normal and once the gap is closed do you think the gum will build up in that gap between the tooth? Thanks"
  },
  {
    "id": 1590,
    "title": "3 month ordeal replacing 4 crowns on my front teeth has lead to an abscess",
    "dialogue": "Pam Thomas: I apologize, this is a lengthy thread but I'm hoping for some insight.\n\nI started my journey 3 months ago to replace my 4 porcelain crowns on my front teeth that were over 10 years old.  The crowns had become cracked over time and I had an accident over the summer colliding with my dog where I felt certain I probably broke my nose, although I didn't go to the hospital.  The crowns began to bother me a bit after this accident so I bit the bullet and started the process to replace them. \n\nI spent over 3 hours in the dental chair the first visit and the temporary they made for me seemed very tight and uncomfortable.  I left the dentist thinking once the swelling went down a bit the temporary would be fine.  This wasn't the case.  I ended up back at the dentist the next morning in excruciating pain.  I had to get Novocain shots again and the technician made some adjustments to the temporary.  The fit seemed better but still uncomfortable.  I couldn't tread dental floss through it without pain so my gums remained puffy.  I figured I could make it two weeks until my permanent crowns were made.  As it turned, out the lab lost my case and it took a month to get my permanent crowns back. \n\nFinally, I was able to go to the appointment to have my permanent crowns seated.  The lab had not done a good job of making them and the dentist wanted them perfect, so we did another impression and sent them back.  They went ahead and temporarily cemented the bad permanent set in.  They seemed much more comfortable than the temporary.  I actually got out of pain and was feeling good when I went in for my second shot at the permanent seat.  The technician had a really hard time getting these crowns out.  It was very uncomfortable.  Again, the dentist was not happen with the way they looked but, I thought they looked better than the second set so we temporarily cemented these in, then more impressions and more waiting. \n\nOne of the two front teeth was much longer then the other and I had some pain when I bit down but I thought it was due to my bite being off slightly.  I had a lot of travel for work and pleasure so I just sucked it up.\n\nLast week, I flew to Dallas and on the way home I began to have a strange feeling that my upper lip was swelling and something just felt wrong.  By the time I woke up Saturday morning, I had an abscess.  My upper lip and left side of my face were very swollen.  I've been on antibiotics for three days and I still have some swelling.  I'm seeing my dentist today.\n\nFinally, my question, the dentist said my real teeth were not cracked, only the crowns.  We've done a lot of X-rays and no one said the roots looked compromised.  Is there anyway the dentist could have known three months ago that this might happen and had me see an Endodontist first to avoid the abscess? \n\nI really like my dentist but this makes me question their treatment.  I've spent a lot of money and now I'm not sure what this abscess means for my dental health.  Will it require surgery to drain or just a root canal, could I loose this tooth and have to get an implant. Robert Tucker: As I understand it, abscesses are not all the result of decaying pulp in the pulp chamber and roots. They can be more superficial and are well known to dentists as a possibility when crowns are fitted. You should find out the nature of the abscess to determine what treatment you may need. Pam Thomas: Thanks for your reply.  As it turns out, I will have to have 2 root canals on my two front teeth.  Obviously, this is not what I had hoped, but I'm happy that I won't have to worry about the health of these two teeth for a good long while after I get this taken care.  I think, before I agree to anymore crowns, I'll request a consultation with an Endodontist just to make sure the teeth I'm crowning are not dead.  The good news, these crowns I'm wearing now are temporarily cemented in and I have a brand new set waiting for me once the root canals heal. Busybee: I would go to an endodontist to have the root treatment done as you want any treatment on your front teeth to be perfect.   If you change crowns there is always a risk of root failure because of the trauma and because it exposes the underlying tooth to bacteria.  But I think it's your accident that caused these roots to die.   You don't see root failure on x ray until a few weeks after it starts. John Roberts: I too any having teeth problems with the front four top being the worst.  Three of the top four have  crowns and two of them root canals and they hurt worse than any of the others.  I guess my comment us why us a technician doing any adjustments on a crown.  Sometimes I think technicians do stuff they aren't suppose to.  All comes down to money.  Hope you get your problem fixed soon."
  },
  {
    "id": 1591,
    "title": "Dental hygienist question",
    "dialogue": "John Roberts: If any dental hygenist read this I was wondering.  Have you ever cleaned someones teeth and afterwards they had jaw problems.  I had a cleaning in November of last year and I have had problems since with all my teeth mainly the front upper and lower teeth.  I have told all the dentist I have been to that my teeth feel out of align.  I have had to have some of them ground on because there hitting the other teeth too hard.  I am wondering if my jaw is slightly out of alignment.  My speech had changed some also.  I was having no trouble before the cleaning.  Any suggestions."
  },
  {
    "id": 1592,
    "title": "Yellow, small, not straight and week teeth",
    "dialogue": "Braj Chhetri: My all teeth are yellow, small, not straight and week, can you someone suggest me the best treatment for my teeth? Jagdeep Sibia: I would recommend seeing the dentist for your treatment options. You sound like a candidate for orthodontics and later cosmetic dentistry. But cannot comment on what exactly is needed until you see the dentist and get a comprehensive examination. Braj Chhetri: Jagdeep Sibia said:\n\n\n\n\t\t\torthodontics\n\t\t\nClick to expand...\n\nDo you have any idea what is the cost in USA for orthodontics"
  },
  {
    "id": 1593,
    "title": "Do I need a new dentist?",
    "dialogue": "Victoria27: I recently had terrible pain in a lower back tooth. When I went to see my new NHS dentist (I've just moved) she said there was infection and decay and I needed a root canal filling. She did the initial part of removing the nerve and cleaning the tooth out and packing it. She then made me an appointment to come back in a month's time to complete the root canal. I've had a couple of root canals in the past and after this first step was completed the pain was always gone. However this time the pain only grew worse and I went back a couple of days later in agony. She redid the tooth, cleaning it out again and sent me off with antibiotics. Well this was repeated several times over the next 3 weeks, her cleaning out the tooth only for the pain to keep returning a couple of days later. After having the tooth redone about 4 times (I lost count) I finally asked her to remove it which she did as I was so sick of the pain. When the tooth came out it was full of infection at the bottom which was what was obviously causing me the pain. Now I was wondering if this was normal for a dentist to miss so much infection in a tooth when they'd been deep into it several times and taken two x rays? Or is common that infection can be hard to find in a root? I need to go back for further treatment at the end of the month and am nervous in case this happens again. The surgery has overall good reviews online and it's very hard to find a good NHS dentist in my area so am reluctant to change but if this isn't normal then will make the effort. Thanks for any advice you can give! Busybee: Firstly I am very sorry you lost your tooth.  No it's not normal and you should always go to an endodontist for root canal therapy.  Once the dentist could see that the root canal wasn't working out, she should have referred you to a specialist.    Please find another dentist.   I always go private because I have not had good experiences with NHS dentistry.   It can cost you more than you save, particularly as you have lost something priceless. Victoria27: Thanks for taking the time to comment Busybee. Unfortunately my financial situation is pretty dire and there's no way I can afford private dentistry. I called 3 private dentists and got quotes of £800 from all of them. I would never be able to pay this back, especially as I will be needing further treatment soon. I guess this is why poor people have bad teeth! I have had two root canals before with a regular NHS dentist which were both absolutely fine which is why I was so surprised that there were so many issues this time and was wondering if it was a problem with the dentist herself. Thanks again for your help."
  },
  {
    "id": 1594,
    "title": "Baby teeth in adult problems",
    "dialogue": "Ladcathal: Hello everyone,\n\nThis is my first post. I am a 33 year old man and i still have the majority of my baby teeth. It is so embarrassing that i barely smile, and im at the end of my tether. My teeth are tiny and ive lost two of them so i also have gaps. I need help. I havent been near a dentist in probably ten years because of embarrassment. Their general consensus was 'Once they fall out we could put dentures in, but it'll cost well over £10,000' With advice like that its hardly surprising i never went back, although i know i should for dental hygiene reasons. I tried Instasmile to see if i could get veneers to help me smile but even they said my teeth are too small and too many missing for veneers to cling to. \n\nCan anyone in the business or anyone in general help me? Or offer advice on what i can do?\n\n\nMany thanks"
  },
  {
    "id": 1595,
    "title": "Distressed & Anxious - Permanent Biting Pain After White Filling",
    "dialogue": "Evelyn Willis: Hi everyone,\n\nAbout 2 months ago I had an amalgam filling replaced with a white composite filling as it was slightly chipped.\n\nThe filling is in one of my top molars. The dentist said it is small and I had X-rays taken at the same time and everything looked good.\n\nWhen the injection wore off I felt a sharp, momentary “zing” like pain when I bit down on food. I went back to the dentist and he checked my bite, said it looked fine and that the tooth was probably just settling.\n\nThe pain continued and I went back to the dentist - he replaced it with a sedative dressing and told me to come back in a month to have the white filling re-done.\n\nI tried to leave the tooth alone and not “test” it too often. By the end of the month the pain had faded but was still there slightly.\n\nMy dentist redid the white filling and now I’m back to square one with the sharp pain on biting.\n\nThere is no sensitivity to hot or cold, the dentist didn’t see any cracks etc and told me to persevere as it is a small filling.\n\nAnyone have a similar experience? Any idea what this could be or anything I could do to help the pain to go away? I’m a worrier and it’s making me anxious.\n\nThanks,\nEvelyn"
  },
  {
    "id": 1596,
    "title": "Bone spur after extraction of molar",
    "dialogue": "Alexis280: I have a sharp bone spur in my gum, after having a molar extracted a few months ago. My dentist tells me he needs to cut open the gum and shave down the bone spur. My question is this: should this corrective procedure be included as part of the original charge, or should it be a new charge?"
  },
  {
    "id": 1597,
    "title": "Teeth problems :( Dentist cant find anything wrong",
    "dialogue": "bloodyteeth: Hi guys, i have recently had a amalgam filling done a month ago, afterwards it was fine but 3 days later i started getting a terrible pain everytime i chew, mainly hard foods like crisps etc. Went to the dentist on the 11th jan this month and he couldent find anything wrong, adjusted the bite down, flossed around it, even applied flouride,  but the pain is still there and its agony everytime i wanna chew on that side. I have had a look at other forums and advice online and most people say it might be a crack and to have it out but how am i sure 100% its a crack and that i should have it out? The pain is really hard to localise between the recently filled one and the one next to it (also has an amalgam filling which was placed around 3 years ago), i have even tried watching myself eating in the mirror when the pain comes but its really hard to tell which tooth out of the two the pain is coming from...\nAnyone got any advice or ideas what it could be? The pain is ONLY there when i chew \nThanks Busybee: If there is a crack that is serious then you would have a pain like an electric shock when you bite down on it when eating hot food.    It's a very distinctive pain that feels like it fills the whole tooth with the heat of the food.   If you can feel the cold in the tooth then the root is alive.  Minor cracks are present in many of our teeth without us realising and tend to settle into a balance.  It can take a filling a while to settle and you might find that in two or three months it no longer hurts.   Avoid hard foods on that side in the meantime."
  },
  {
    "id": 1598,
    "title": "Gum disease help needed",
    "dialogue": "44dan44: Hi all this is my first post on this forum i was looking for a bit of advice, about a 1 and 1/2 weeks ago i went to hygenist she gave my teeth a clean and said that i had gum disease so since then i have been using a teepee, flossing and brushing twice a day for all three things but since yesterday a few of my teeth have started to have a dull pain in them is this normal? also how long does it take to get rid of gum disease? I gave up smoking 3 months ago and started vaping on 3ml of nicotine which im gonna cut out and vape zero nicotine liquid didnt know if that helps answer question.\nThanks in advance Jagdeep Sibia: Removing smoking and nicotine will definately help with gum disease, it does take about 2 weeks before you can start to see changes. Continue doing your homecare regime and be patient."
  },
  {
    "id": 1599,
    "title": "What is this what on my tooth?",
    "dialogue": "Thomas conway: I am worried about this red circle/spot on my tooth. I am feeling pain from this tooth and my gums??? Jagdeep Sibia: Need to see a dentist asap!"
  },
  {
    "id": 1600,
    "title": "TMJ Disorder or Dental Abscess?",
    "dialogue": "Kaitlyn: Hi there,\n\nI've been dealing with agonizing pain for a few weeks now. It comes on gradually and just radiates through the entire left side of my mouth/jaw. \n\nI had a dental appointment where I had some cavities filled on the left side. The dentist needed me to open my mouth suuuuper wide, and I have a very small mouth. While she had my mouth open, my jaw started to cramp up a little bit. I also noticed that the fillings made my teeth sit differently. I've woken up a few times during the night with my jaw clenched. The pain also seems to move into my ear at times. My teeth themselves don't hurt (I think??), but my gums seem to hurt on the left side (top and bottom.)\n\nShe did let me know that one of the teeth she filled could need a root canal, but I haven't noticed a lot of pain (besides a little sensitivity here and there) coming from it. Another tooth has a temporary filling while I wait for a crown, and it's a little sensitive as well, but I don't think there's any pain coming from it.\n\nIt's just so hard to tell where the pain is actually coming from once it really gets going. The place where my TMJ connects is tender and feels different than the other side. I can tell that the left side of my face swells just a little bit when the pain starts. \n\nI haven't had any fever and my lymph nodes don't feel swollen. That's why I'm thinking the pain has to do with my jaw. But can my jaw really cause this much pain?? It's terrible if I try to bear it. I've been taking ibuprofen every 6-8 hours to keep the pain at bay. Ice packs seem to help, too.\n\nI have a dentist appointment this week, but I just wanted to see if anyone had any tips? Busybee: If it's an abcess you can usually feel it by touching the root at the front above the gum line.  The root is usually tender or feels different from the other teeth when touched.  Is the pain worse on waking or later in the day?  Try to relax your jaw during the day. Kaitlyn: Pain is definitely more prominent in the morning. The dentist gave me a steroid pack to take, and it has seemed to help a little, but there’s still pain. Has somewhat moved into my neck and shoulder now. Sometimes my neck will stiffen and feel like muscles are having a spasm. Today, I notice there is a tooth in the back that is sensitive when pushed on. It hasn’t been giving me any problems. Gums around it aren’t red, there’s no blisters or bumps around it, no real “toothache” ... I have no idea. Busybee: You might be bruising the tooth when you sleep.  Do you wear a nightguard?   \n\nWhy are you still waiting for a crown to be fitted?  You won't really know exactly where your bite is at until you have the work completed.   Is the crown to be fitted next to the tooth that is sore when pushed on?  Or is it that the tooth to be crowned?\n\nIt does seem that the work you had done has changed your bite.  The worst thing to do is for the dentist to start changing the other side.   I'd suggest you get them to make you a nightguard to take pressure off when you sleep (if you're waking in pain that means you're grinding at night).  Try to relax your jaw in the day.   Get  a second opinion.   It may be that you just need an adjustment or for the crown that's being made to be designed so that it stabilises the left side.\n\nI do sometimes wonder whether dentists have a problem with certain sides of the mouth because they often work from the right side and they will be either left or right handed.    Some dentists are just better at doing fillings and making sure the bite is aligned well than others.  They certainly used to train them better to do this.   Maybe it's just that composite is a lot harder to work with than amalgam but I didn't have any problems myself with amalgam fillings.   I'm assuming your fillings are composite.  A nasty material for back teeth I think but it's the only one that is used by most dentists these days."
  },
  {
    "id": 1601,
    "title": "Question about chlorhexidine for my gums",
    "dialogue": "pearly whites: Hi, does chlorhexidine restore or fix gingivitis if used properly, yes or no? OR is it just a sales gimic like listerine? It does say on the bottle I have that it has a antiseptic like in versions of listerine and because of that I am weary, also because by using chlorhexidine without knowing the truth about what it does to my gums or the body, I do not want to risk damaging my teeth/losing my teeth and major gum receedence to where I loose my gums all the way by using this. I think I already have gingivitis or something similar and my gums have wore down on some of my teeth. Uptown101: Chlorhexidine is known to treat gingivitis, just use it well. Be reminded that this will may stain your dentures, teeth, tongue or tooth restorations. pearly whites: Ok so let me get this straight. are you saying that it does cure/fix gingervites 100% completely after using it just once or a certain amount of times?  If not then what does it do? or what do you mean by \"TREAT\" it. Are you a dentist? Jagdeep Sibia: Chlorhexidine is an antibacterial rinse and therefore it does treat gingivitis in conjunction with brushing and flossing. Be reminded to use chlorhexidine only for 2 weeks at a time as it is linked to cause staining of teeth. pearly whites: Ok so does Chlorohexidine cure gingivitis 100% YES? or NO? that's all I need to know about that. either a yes or a no, it's simple."
  },
  {
    "id": 1602,
    "title": "Want to replace my 10+ years Amalgam filling",
    "dialogue": "depaul: Hello Sirs, \nI'm 30 y.o. had amalgam fillings on my 6 molars when I was younger (maybe 20).\nNow the filling are still there. I'd like to replace those fillings for aesthetics considerations and also to extend my teeth lifetime.\n\nMay I consider ceramic inlays instead of amalgam or composite? can I fill my teeth with veneer? I want the best possibility regardless of the cost.\n\nThanks. Busybee: They would normally replace with composite.  But changing so many fillings could affect your bite.   Amalgam fillings are extremely long lasting if done well. depaul: Thanks my friend.\nAs far as I know dentistry has evolved drastically in the last decade.\nDo you know that veneer/porcelain/ceramic is as much as strong as amalgam, and much much stronger that composite?\n\nDo you know that teeth crown are made of veneer? and usually last more than a decade? Busybee: You can't replace a filling with a veneer.  A veneer is like an eggshell bonded to the front of a tooth to make it look pretty.  It can be very strong when bonded by a good dentist but it is never strong like a natural cusp.    I think you must mean a porcelain onlay?  But a decade isn't a long time compared to amalgam.  Most people have/had amalgam all their lives if made well.    I'm sure there is a big industry in ceramics and restorative materials.  But at the end of the day it's all down to the skill of the dentist, the quality of the impressions taken, the skill and understanding of the technician.  Your bite, your self-care and genetics all play a major factor too.    The biggest issue can be changing the bite with replacing so much dental work.   It can totally mess up the equilibrium in your mouth.    There are risks to the health of the tooth.  You can end up with root failure when you over-treat teeth. John Roberts: I am having difficulty with my bite and all my teeth killing me especially when I eat or swallow.  Every time you swallow your teeth touch and mine hurt every time.  I have been to 9 or so different dentist and have had no help yet.  I guess what I am saying is I wouldn't do ANYTHING that could change my bite unless absolutely necessary. Jagdeep Sibia: I wouldn't recommend changing your silver fillings unless the fillings are falling apart and need to be replaced. I believe in the saying \"don't fix it if it ain't broken\"."
  },
  {
    "id": 1603,
    "title": "Should I get braces",
    "dialogue": "Loxy: Ok so I think my teeth are really bad, I want to get braces but my mom keeps telling me how it will ruin my face shape and how my teeth will go back after a couple of months. Now is this true and what if I dont like how my teeth look after, do I actually need braces? KVMCruces: Your teeth will not \"go back\" after a few months if you get braces. Getting braces will definitely help with your overbite though. If you just want braces for cosmetic reasons you could always look into getting porcelain veneers. Get a consultation with your dentist and they can discuss it in more detail with you and will probably have other options as well. drmins: Yes. You badly need orthodontic treatment.\nBraces in a case like this will not only help enhance your smile, but also help achieve a better facial profile. I would strongly recommend you not to delay your treatment. Jagdeep Sibia: From your pictures I can notice that you have a deepbite and crowding. You definately should get an orthodontic consultation and consider getting braces. It will improve your facial profile and you will be required to wear retainers after the orthodontic treatment in completed, therefore your teeth will not move back."
  },
  {
    "id": 1604,
    "title": "Did this dentist perform a wrongful stain removal?",
    "dialogue": "Drivethru222: I really don't know what to do. I went to a local privately owned dentist. I told this man I am on disablity, and he proceeded to call me a \"rich man\" and do work in my mouth I did not authorize. One of teeth had a stain on it, and he used the drill handle and some kind of round extension in it to basically saw the stain off my tooth. Now, my tooth is very course, and is starting to hurt. Since he did not ASK ME to do the work, it really has me thinking. Is this even a real stain removal process, or do I have to take action?"
  },
  {
    "id": 1605,
    "title": "Dental implant, metal showing through porcelain on crown",
    "dialogue": "Chomp: Hi. My first post on here. Thanks in advance to anyone who can provide an answer.\n\nI've have had a dental implant (premolar) done over a few months, finishing today with the fitting of the crown,\n\nIn grinding down the crown to get the bite right, my dentist has exposed the metal under the porcelain on the biting surface of the crown. He mentioned it while I was in the chair and said that it won't show. But it does show, it looks like a old metal filling, not what I expected from an expensive implant (this dentist is not by any means cheap and markets himself on quality)\n\nMy query though is this, does the exposed metal present a potential health issue to me or a structural integrity issue to the crown itself?  I intend to ask him to put this right but don't know if it can be effectively repaired or if it will require a completely new crown. I have a follow up appointment in two weeks and will bring it up then.\n\nThanks again, in advance. Dipsey: It's a mess he needs to give you a new crown. Structure is compromised and will harbor infection. KVMCruces: I'm a little late to this but that's definitely a big problem! You should NOT have a PFM crown that has metal exposed from your dentist adjusting the occlusion. He needs to send the crown back to the dental lab and have it remade. Not only can the crown now harbor infection but its also seriously harmful to your surrounding natural teeth.\n\nAlso PFM restorations are old news. Dental technology and materials are advancing and there are PLENTY of full ceramic restorations available that will look better aesthetically and won't leave an ugly dark rim from the metal. Chomp: Thanks for replies. The problem was resolved when the crown came off and I swallowed it. New one made free of charge and all good now.\n\nThanks again. KVMCruces: Glad to hear you got it resolved. I hope the old crown that was swallowed has also passed haha. Chomp: I confess, I didn’t go looking for it KVMCruces: I don't blame you! I'm sure the crappy restoration has found its new home in the sewer where it belongs. Busybee: Chomp said:\n\n\n\n\t\t\tThanks for replies. The problem was resolved when the crown came off and I swallowed it. New one made free of charge and all good now.\n\nThanks again.\n\t\t\nClick to expand...\n\n I'm glad you have it fixed for free, but you should get damages from the dentist for causing something potentially dangerous.  You could have ended up choking from it."
  },
  {
    "id": 1606,
    "title": "Worried About Translucency On Front Teeth",
    "dialogue": "IIPolaroidII: Hi,\n\nI'm gonna make this simple. My family has horrible teeth and I inherited their bad genes. Recently Ive noticed translucency in my front teeth. I know thats normal but ive noticed its all along the edges of my teeth including the sides. I'm scared thst it will completely ruin the look of the teeth and decay will take my front teeth. Im using Sensodyne Pronamel now but I'm scared its already too late.\n\nIs translucency along the sides of teeth normal, or just the bottom edge.\n Honestly its ruined my whole XMAS since I saw it. John Roberts: Well I'm 71 and mine are like that at the top.  I have crowns on three of the four front top teeth.  I have a deep bite and it has worn them down.  I don't think they are like that on the sides though.  I would talk to a dentist if you can go d a good one and ask about it.  I am sure something could be done. KVMCruces: Translucency on the bottom (edges) of your teeth are normal. As for the translucency on the sides of your teeth, I can't be too sure.. You should get an opinion from your dentist. If you don't have a regular dentist that you see, there are many dentists that offer free consultations and you could bring that up to them then."
  },
  {
    "id": 1607,
    "title": "Pls need add use on tooth",
    "dialogue": "Josh_h77: Hi first of all I want to state that I am so scared of any dental procedure I’m 23 and i am truly petrified of anything dental related .... last Monday I was eating and a small piece of my 1st molar on my left side is gone .. thier is no pain or sensitivity but I’m so scared they will have to do something drastic .. I go in wensday to see what they can do but can someone pls tell me what they will do to ease my mind and if the procedure will be easy ? Uptown101: How did your visit went? KVMCruces: With a \"small piece\" or \"chip\" they may be able to just do a fill or even an inlay/onlay which both are pretty easy procedures. I wouldn't worry too much."
  },
  {
    "id": 1608,
    "title": "Help with overbite.",
    "dialogue": "SM1997: Is this what is called \"Overbite\"?\n\n\n Jaws brought forward by me so that the top and bottom incisors touch each other.\n\n \nResting jaws and mouth.\n\n\nHello everyone, I'm new to this forum and this is my first post. I recently realised I'm affected by the condition called overbite as when my mouthing is resting, my top incisors overlap the bottom ones (photo included). When I bring the jaw forward with my jaw muscles, the top and bottom incisors touch each other but all the of other teeth don't and this movement also creates a massive gap between the top and bottom molars. Do you think I'm right to think I'm affected by the condition called overbite or there is something else wrong with my mouth/teeth? KVMCruces: Looks like a basic overbite, nothing too serious. I would still check with an orthodontist."
  },
  {
    "id": 1609,
    "title": "Swollen Gum, anybody know what this is?",
    "dialogue": "Jamie Preston: Hello everyone, my name is Jamie. I'm new to this forum and joined today after noticing an increasing amount of swelling on my inner gum between a molar and the roof of my mouth.\n\nI'd be so happy if anyone could shed some light on what i'm experiencing and whether or not i can solve this at home or if i should visit the doc.\n\nI've uploaded some pictures below as you can see, neither are particularly pretty but any help is greatly appreciated. Dr.med.dent HZ: probably is exostosis, better see a professional oral surgeon. Jamie Preston: Dr.med.dent HZ said:\n\n\n\n\t\t\tprobably is exostosis, better see a professional oral surgeon.\n\t\t\nClick to expand...\n\n\nThankyou Doc, I'll do just that!\nI will update this thread after I've consulted an Oral surgeon.\nThanks again for the speedy reply. Dr.med.dent HZ: no problem, hope all the best for you. With palpation and x-ray will be much helpful for diagnosis. How long does it take place? BTW, your oral hygiene is not optimal. Jamie Preston: Dr.med.dent HZ said:\n\n\n\n\t\t\tno problem, hope all the best for you. With palpation and x-ray will be much helpful for diagnosis. How long does it take place? BTW, your oral hygiene is not optimal.\n\t\t\nClick to expand...\n\n\nBeen this way for three days now, swelling seems to have reduced slightly after waking up this morning.\n\nI neglected my oral hygiene while I was a teen however I now brush twice daily once when I get up and again before bed. I am worried about losing more of my teeth from neglect however I am trying harder than ever to keep on top of them. Besides brushing twice daily, is there anything else you would suggest I could do to improve my oral hygiene? I would like to keep the teeth I have left. Dr.med.dent HZ: best would be go to dental hygienist. Reduce sugar containing food and snacks, no carbonic acid drinks, brush teeth immediately after food, dental floss is a good thing.\nIf it happened only several days, it could not be exostosis, because it means the over growth of bone, it can not take place in 3 days. Better with a Panorama x ray or CBCT to diagnose. Does it really hurt when press with fingers? And what is the texture of the swollen? Soft, hard_? or Cavity? without Palpation and x ray is difficult. Jamie Preston: Dr.med.dent HZ said:\n\n\n\n\t\t\tbest would be go to dental hygienist. Reduce sugar containing food and snacks, no carbonic acid drinks, brush teeth immediately after food, dental floss is a good thing.\nIf it happened only several days, it could not be exostosis, because it means the over growth of bone, it can not take place in 3 days. Better with a Panorama x ray or CBCT to diagnose. Does it really hurt when press with fingers? And what is the texture of the swollen? Soft, hard_? or Cavity? without Palpation and x ray is difficult.\n\t\t\nClick to expand...\n\n\nI have alot of sugar with coffee ill cut that out and the fizzy drinks too. I'll remember to brush immediately after food as often as I can and pickup some floss.\n\nThere is no pain whatsoever. It is soft to touch with no cavities.\n\nThankyou again for your advice. Dr.med.dent HZ: "
  },
  {
    "id": 1610,
    "title": "Metlic feel to inside of one tooth.",
    "dialogue": "everway9: Hi everyone. \n\nSometimes when I place my tongue on one of my teeth I get a metalic sensation. Exactly the same as if I put a coin in my mouth. It's a rare occurrence, maybe once a week or so.\n\nIt's happened throughout my life randomly on different teeth and I've always wondered what causes this sensation. I don't have a metalic taste in my mouth just the sensation of metal when my tongue comes into contact with a tooth.\n\nCan anyone explain why this happens?\n\nMany thanks in advance. Uptown101: Other than tooth sensitivity, galvanism can cause a metallic or salty taste in the mouth, increase salivary secretion, and burning or tingling sensation of the tongue."
  },
  {
    "id": 1611,
    "title": "Pain in 1 canal during RCT - Thoughts from the pros?",
    "dialogue": "microscopes: During a root canal on #18, I experienced sharp pain during drilling/filing in 1 of the canals.\n\nThe other 2 canals were pain free / numb.\n\nThe pain was very SHARP, after the file was removed, a dull pain was left in my jaw for several minutes.\n\nThe dentist stopped several times to numb me more and more and more.\n\nI took 7 days of antibiotics before the treatment as well.\n\nWhat do you think caused this? Thoughts? microscopes: Update #1 - Part of the reason I ask is a curiosity of why the pain existed. The other reason I ask is that there is still some sensitivity in that tooth, 4 months after the treatment.\n\nChewing causes no pain. Pushing causes some pressure, but no pain. But TAPPING on part of the tooth causes some sensitivity."
  },
  {
    "id": 1612,
    "title": "Infection below root of tooth not cure fastly",
    "dialogue": "Mukesh Alai: Please guide to solve cure infection mukesh alai 9405311386"
  },
  {
    "id": 1613,
    "title": "Probe pain",
    "dialogue": "rose: DENTIST CAUSED ME PAIN WITH A PROBE UNDER THE GUIN TO LOOK FOR A N ABCESS WHEN WILLTHIS PAIN GO AWAY"
  },
  {
    "id": 1614,
    "title": "Can someone review these pics and provide your opinion.",
    "dialogue": "Joeyk4: I’m going to the dentist this week with severe pain when ice cold drinks hit this spot and on and off pain as well.  \nThe tooth second to last is a crown.  Do you think this is part of the crown that cracked to the last tooth having a cavity (or worse). MaverickDMD: pulp is dying on crowned tooth - irreversible pulpitis likely.  If bite is ok, likely an RCT is needed."
  },
  {
    "id": 1615,
    "title": "Surgery!?",
    "dialogue": "Mauchow: A few weeks back one of my fillings popped out. It was a fairly large filling that covered nearly half my tooth as I lost it a good 10+ years ago from chewing on a skittle.\n\nLong story short, I am new to the area and haven't found a dentist and chose a place that was convenient for me location and time wise.\n\nI get in and she tells me that I can no longer do a filling (apparently too worn down or something along that line) and that a cap/crown is my only option. I unfortunately get suckered into it and just go ahead and let them prepare me for the work... fast forward to the middle of my appointment, she had noticed my front tooth had a root canal a long time ago and suggested I cap the tooth as well as it is pretty discolored now from being dead..\n\nI say nah thank you, I've lived with it for 20 years I'll be fine. Not taking no for an answer she all of a sudden says to me, throw that cap out the window, you need surgery immediately. She says I have an infection and need it drained asap. Baffled at the turn of events i say I have no pain and will get a second opinion. She walks away and comes back w a suggestion for a second opinion.\n\nSo now I find myself wondering if I got royally effed out of a few hundred bucks(probably could have gotten a filling) but I had already waited a few weeks to get this done as it was so I just felt like hurrying up the matter.\n\nAnyone able to look at this xray and tell if it's absolutely filled with fluids and infected and requires surgery ASAP as this \"dr\" indicates? MaverickDMD: Canals are undefiled with visible gaps in root filling material.  Retreatment RCT is best for each tooth."
  },
  {
    "id": 1616,
    "title": "Dark pink outline on gums",
    "dialogue": "Taryn: I have a darker pink outline of my teeth on my gums they stand out as the rest of my gums are light pink it is on both sides of my top teeth.\nThey do not hurt or bleed when I brush. Is it normal or is there something wrong? Thankyou Zuri Barniv: Look up gingivitis. MaverickDMD: And further look up HIV gingivitis."
  },
  {
    "id": 1617,
    "title": "Is this normal??",
    "dialogue": "Conan Macka: Hi I had my second last molar extracted from the top of the left side of my mouth about three days ago. There is and never has been any pain since the extraction and no more blood has appeared however below I have attached a picture of what it looks like today, is this normal? Again there is no pain whatsoever I am just not sure how a healing or infecting extraction site is supposed to look.  \nCan anyone help?  \nThanks! MaverickDMD: Conan Macka said:\n\n\n\n\t\t\tHi I had my second last molar extracted from the top of the left side of my mouth about three days ago. There is and never has been any pain since the extraction and no more blood has appeared however below I have attached a picture of what it looks like today, is this normal? Again there is no pain whatsoever I am just not sure how a healing or infecting extraction site is supposed to look. \nCan anyone help? \nThanks!\n\t\t\nClick to expand...\n\nThat's generally what a recent healing extraction site looks like.  History is what indicates a problem and your history suggests none."
  },
  {
    "id": 1618,
    "title": "Bite issues, anxiety, no solutions seem practical",
    "dialogue": "Dental Impatient: This is a long story. I didn't go to a dentist for a while (from 18 to 25) and I ended up with a lot of large cavities. I'm 35 now. I went to a dentist who did all the filling work (19 teeth) at once, and ever since I've had bite issues. Over the years I would go back to him complaining of tooth pain, and he would do a bite adjustment and I'd be fine for a while. Over time, I feel like this made my bite worse. There are other factors that have led to bite issues, like nail biting and general anxiety. I'm more vigilant about care now, and have less general issues like fillings being needs, mostly I'm fighting the damage that was already done. Over the years my situation has gotten worse. I have three crowns on the upper and a lot of large fillings. I had a lower tooth, that had had two root canals, three crowns, over past 10 years and was finally pulled two months ago. \n\nAfter I needed my third root canal, I left that dentist and tried new options. The next place I went to proposed a grand plan to replace my bite. He wanted to crown all of my back teeth (16 at the time, 15 now) at once, giving me a new bite. Total for that would be around 13000 dollars, which is reasonable for what it is, but obviously I wanted some second opinions. This place boasted the CEREC machine and same day crowns, etc. He even claimed he could crown all the teeth in one session. This is neither here nor there, but I found him to be cocky and off putting, his billing department was very pushy, and he often delegated to dental assistants things I feel that he should have been doing. Anyway, needless to say I left and sought another option. \n\nThe place I'm at currently, his plan sounds more reasonable, but I'm still wary about it. I want to get an implant (for tooth 19 which was recently pulled). He made me a retainer to wear in the meantime. He feels that my bite issues are complicated, and is proposing a 4000 dollar plan to adjust all my back teeth in one session to better alleviate my bite, but this would be \"stage 1\". He says that the last guy's plan to raise and crown all the back teeth was terrible, because my front teeth don't touch each other. \"Stage 2\" would be around 6000 dollars (and not at all covered by insurance since it's semi-healthy front teeth) and would involve some sort of crowning/veneering on the front teeth to allow them to touch and guide for the bite. On top of all this, I need to get the implant sooner than later to avoid bone loss. He doesn't want to do a crown for 19 with my current bite though.\n\nThe tidal force of my bite is extreme. Multiple dentists have been shocked by it. I've bitten off crowns, I've bitten through the porcelain on the one that was on 19. I broke part of an empress crown almost immediately. I certainly believe I could loosen an implant.\n\nI'm at a loss for what to do. This guy certainly seems like he knows more what he's talking about, but my fear is I'll go in and have 12000 dollars worth of work, and in the process there will be new complications and new work needed, and it's going to just continue to cause anxiety and dental pain until I eventually lose all my teeth anyway.\n\nIs this new guy on the level? Are there any options for me that don't involve tons of work and tons of money? Busybee: HI Dental impatient.  You have my sympathies.  I too have a bite problem that's been extremely difficult to fix.  I too have always had a hard bite.  I haven't damaged any back teeth myself but dentists have damaged them.    I'd say from my own experience that your current dentist is right about the first guy.   Sticking all those crowns in same day would have caused no end of trauma.   Plus all that crown work could lead to more root canals and lost teeth.   I'm not a fan of adjustments because it's extremely difficult to replicate the natural bite that you grew into.  It's really the dentist who did the fillings that's at fault for ruining yours.    I don't know the state of your front teeth, but crowning natural teeth that are healthy would weaken them.  Veneers to help bite sounds odd to me.    He should try to build them up with composite temporarily to see how your bite tolerates the change.   He sounds sensible because although I don't have an implant I've read that you cannot put too much load on one.    But in terms of the bite adjustment I'd ask him if you can have it done very very slowly, maybe one or two teeth at a time and to stop if it's not helping.   The retainer is a good idea.    Do you grind at night or get ringing in your ears?  Do you have a clicky jaw? Dental Impatient: I grind a lot. I do grind when I sleep. I do not believe that I have TMJ. I'm still getting adjusted to the retainer. The main reason he wants to hit the front teeth it because they don't touch each other, and they don't \"guide\" the bite well. I think the veneers were more a \"while we're here let's make them look better\" suggestion. If bite adjustments could be done peace-meal I would have done it via insurance over the years, but the only answer I ever get from dentists is that it has to be done all at once. Busybee: Veneers are not a great suggestion if you have a bite problem.   They weaken the tooth."
  },
  {
    "id": 1619,
    "title": "Cant get my bite right after filling PLEASE HELP im going insane",
    "dialogue": "Megalo: Got a filling in top tooth 13 that went between 13 and 12.  Came back due to off bite and pain. They filed 13 AND 12 (had an old filling it didnt need to be filed). Went mult. times to fix the off bite. My front canines on the side of the filling were banging together. They filed so low it didnt show on contact paper but the doc okayed the work and offered to file my canines.\n\nFurious, I Got a 2nd opinion who said the two teeth werent touching & re did the fillings.  One in between filling was now two.  Filled them so high i spent mult. trips to get it fixed. They didnt want to adjust much and werent very helpful so I had my old ortho look at it. He filed a high spot.\n\nTried showing my retainer.  Its like an invisilign and with every detail. I know it cant be the exact same again but get you can at least compare After the high fillings it would pop off but not the too low ones.\n\nBite worse than ever and hurting I called the original office back and demanded the head guy fix it not the one who okayed the bad work. He filed one spot and said i may need to come back. It felt great for a day and then went back to hurting and off.  I called back but he was on vacay for a MONTH.  The only head guy there was the one who okayed the bad work.\n\nFrustrated, I went back to my ortho because i didnt trust anyone else.  He did another tiny filing but it felt like a drastic difference.  Hes said see an actual dentist. It felt more normal but i now hurt more.\n\nIm now at almost two months of adjustments.  Mouth hurting to the point of insanity and mentally drained.  But my bite HAS to be fixed. Its all i think about all day.\n\nWent back to the original dentist that day the one okaying bad work. I couldnt wait and couldnt keep leaving work.  Had them take xrays to check nerve damage but all was good. No adjustments done he said it looked good.  Prescribed 800mg ibuprofen. Suggested wearing my retainer and taking the medicine for 3 days. I was in so much pain my jaws quivered.\n\n My mouth has calmed 2 days later. I definately needed to get medicine in me and my jaw a rest.  But bite is still off and im about to go insane. Its not the same when i smile.  Different teeth are still hitting.  The back of thirteen used to touch and now feels like it doesn't after the ortho. And now im hitting my far back tooth when i shut my mouth.  Im so worried its too low again but hoping fronts just too high or that they can add composite and shape. My head throbs off and on. Scared to get 3rd opinion and they file too low and have to get it filled a 3rd time.  Scared to go back to the original dentist.  Retainer fits but now.   The side ive had work on feels lower than the good side like all my teeth are on an angle almost or just a sunken feeling...does that mean it too low again?!?!? Or maybe i gkt used to the fillings being too high?   So how would my mouth feel on teeth 13 and 12 and what teeth should touch if it was high vs if it was low? Should i see someone else? Its friday night i cant make it to Monday like this. I may go to a saturday dentist but its one of those dentist chains called dental excellence. I dont want to make things worse but im desperate. And cant keep leaving work to go to a normal dentist during the week.  Im a single mom taking care of a one year old and im exhausted and cant just go to the dentist whenever i wan.\n Please help me get out of this nightmare im close to having a meltdown. Busybee: Dear Megalo.  I am really sorry you are going through this.  I've been through a similar problem myself and all I can say is that once a dental professional has adjusted your bite in this way it is nigh on impossible to fix.   If you carry on you will diagnosed with a \"sensitive bite\" even though you never had a problem with it until you went to the dentist!  I'm afraid dentists are happy to create the problem, but there is no easy solution.    One thing you must stop is having more adjustments to file your teeth down.  If they file down actual tooth there is no way to really replace them as nature created them.  I'd suggest you go to a dentist who can make you a hard dental splint to wear at night.  This will give you some relief when you sleep and should relax your jaw muscles over that time.   If properly made, it should work better than the retainer.  You should maybe try to wear it in the day.  You only have so much natural tooth, don't let anyone take any enamel down.   Try to relax your jaw muscles by not letting the teeth touch when you close your mouth.   Get a bite analysis done with study models that examine which teeth are hitting too much.  Unfortunately there is no quick fix.  You have to try to relax the jaw and manage the anxiety while you get treated.  It's extremely frustrating that dentists can create such problems but having any dental work is always a risk.  Your bite is important on so many levels and changing it can not only cause frustration and pain, but can affect digestion, and general health.  You need to accept that this will take time to fix and that you need to see someone who is a specialist."
  },
  {
    "id": 1620,
    "title": "Molar with Big Composite Filling",
    "dialogue": "dan_russ: Hi There!\n\nJust wondering if anyone can help. Just seeking independent random advice \n\nI've got a molar with a large composite filling... done roughly 2 years ago. Now when it was done, my dentist warned me it was very close to the nerve.... I've previously managed to crack an older filling and snap off one of those pointed parts of the molar, and as a result this was done. That tooth since has been very annoying. It was painful for weeks after the procedure and never could take a lot of bite pressure again. It did settle down though. I just didn't chew hard with that part of the mouth since. Well, I am now seemingly going through the same process again.\n\nAbout 5 days ago I woke up at night with massive jaw ache. I couldn't figure out what it even was at first, so here is how it went:\n\nDay 1. Had massive lower jaw ache and couldn't figure out what it was all day. Tried chewing hard on the teeth on the affected side, but didn't figure out which tooth it was. Just sat with a hot water bottle and aspirin tablets all day.\nDay 2. The jaw ache subsided and the pain was now concentrated on that lower molar. Couldn't even meet the lower/upper jaw together without major pain. Constant dull ache, sharp pain... all kinds... with or without stimuli... I thought it was infected. I didn't have the time to get to my dentist to get antibiotics, so just started eating massive amounts of garlic to see if it worked. Started taking aspirin + codeine tablets for the pain.\nDay 3. Still lots of pain with no stimuli, but less.\nDay 4. Got slightly better, but still random pain flaring up.\nDay 5 (Today). I stopped the pain killers and only have pain after leaving a lot of cold water in the mouth or if I try to chew on it hard. If I don't do anything or chew hard, there is no pain.\n\nIt's pretty much of a repeat of what I've been through when the procedure was done years ago.\n\nI am wondering what to do with this? I am in Sydney / Aus, where complex dental procedures are extremely expensive.... Would leaving it be for another week to see if settles down completely be a good idea... should I get some antibiotics? Is there a proper way to test if it's even alive... I read about reversible/irreversible pulpits and not sure where I fit, as  I have been through this cycle before and it got better last time.  Or should I get it pulled, and save up for a replacement tooth? I am not too keen on root canals, some family members have had bad experiences where the dead tooth just disintegrates later and causes more problems.\n\nBest Regards,\nDan calcium48: I can feel your pain.\nimplants can be very expensive as well.\nNothing will be as good as your original teeth Dipsey: A root canal is a last resort for pain management. Sounds like you are getting close to needing one. Either you pull it or root canal depends if you have the money to plug the gap. Root canals not all bad can be trouble free for decades but yes it's like a dead tree stump left behind. Busybee: It can take quite a while for some fillings or crowns to settle down.   I once had pain for about three months with an onlay but now it's fine.  It's best not to worry too much and just wait a few weeks,  If the root dies there is often a pain  or soreness when you press the outside root.  I once had a cracked tooth that one dentist wanted to root fill (it was extremely painful when I ate hot food).  But I went for a second opinion and another dentist fixed it with filling.  It was sensitive for a while but fine for ten years now.  The dentist that filled it said that if you feel cold (like cold water on a cotton bud) then the nerve is still alive.  If it fails you won't see it for a couple of months, but hopefully yours will settle.  Go easy on the grinding.  You can also try to very very gently bite down on a cotton bud to see if it's tender.  If you get a really sharp pain that's a sign it's not in good shape.  Thing is that if the nerves are close they don't have to remove the whole filling.  Leaving part in situ can help save the tooth from trauma.  It's not ideal practice apparently but better than needing root treatment.  You should get a second opinion.   Perhaps it's just needs a slight adjusment and some sensitive toothpaste."
  },
  {
    "id": 1621,
    "title": "Dental nightmare, pain, now 3 dentists refusing to treat me",
    "dialogue": "Tone-Analyst: About a year ago I checked in at the dentist with swollen glands and pain around my 2nd molar. I have a wisdom tooth buried deep in there so dentist figured it must be the issue (X-ray showed nothing, no abcess). That took a few months to heal. Then the pain remained the same so I returned. The filling on the 1st molar looked a bit crusty so he replaced it. Still same. Now I'm 100% certain the pain comes from the 2nd molar. Dentist tells me the pain is probably psychological, that there is nothing there. Refuses to extract or perform a root canal. I saw another dentist, a parodontist, an endodontist. They tell me there is nothing a refuse to do anything. Do I have to go to a 3rd world country to have that 2nd molar pulled? Busybee: Hi Tone Analyst.  It could be a bite problem that's causing the pain.  But if you extract or have unnecessary work done on the tooth your bite could get worse and you could end up with pain elsewhere too  So I understand and sympathise with how you feel, but with teeth things can only get worse once you start removing them or even after having work done.   Have you tried a night guard to see if taking pressure off the tooth reduces the pain?   I wouldn't recommend you have any adjustments until you have the pain diagnosed.  I would definitely advise not having any type of equilibriation as this can destroy your bite.   But you should try a bite guard first.  The other thing it could be is that you have ghost pain from the wisdom tooth you had removed.  A nerve could have been damaged by that tooth.  I do not believe dental pain is ever psychological.  There is a condition but it is extremely rare.   Dentists tend to use this diagnosis when they don't know what's happening.    It's the gland issue that makes me wonder about the bite because I've had similar pain because of bite (was also told the psychological story) but it was eased by a very slow and cautious approach."
  },
  {
    "id": 1622,
    "title": "Dentist recommendations in NYC",
    "dialogue": "Davecnyc: Hello, \n\nI'm not sure if this is the correct forum to post this, and if it isn't, I apologise in advance. \n\nI created this account specifically in order to post this thread. I'm looking for a dentist recommendation in NYC. Prefferably lower manhattan or Northern Bk/South Queens, but I would be willing to travel. \n\nMy insurance plan is Health First through Medicaid. I've had a significant amount of bad luck with dentists here in NYC and it seems to only be getting worse. I think I need a lot of work done and am looking for someone who has had good luck with a decent dental office as to give me a recommendation.\n\nFor the record, I was recently at an office in Lower Manhattan called Metropolotan Dental associates and highly do not recommend their services. I've also worked with NYU dental and they seem to do very solid work, but I'd like other options. I have a tooth that recently broke and need to get it fixed asap as I basically have a hole in my tooth..\n\nIf anyone has any recommendations, I would greatly appreciate them.\n\nThank you"
  },
  {
    "id": 1623,
    "title": "Skin flap on inside of my gum",
    "dialogue": "DavidSmith199158: Hi I have a skin flap on my back left. Third mollar. It is just below the tooth. It is extremely painful and us irritated every time I eat. I have had my second left molar removed over a tear ago \nI'm deep brushing with an electric tooth brush to make sure it's clean and using corsidill mouthwash as well.\n\nAny suggestions what caused it and what I can do\n\nThank you DavidVoxMullen: I have the EXACT same issue. Same placement as well. (Maybe it's just a \"Dave\" thing). I wish someone would give an answer."
  },
  {
    "id": 1624,
    "title": "Is a flouride-based toothpaste good for me? (Details Inside)",
    "dialogue": "Torbin12: So.  In a way to not downplay it any, I have nearly a lifetime of horrible dental hygiene practices.  Before maybe the last year or so, I only rarely brushed, almost never flossed, and only usually used listerene occasionally and I avoid dentist visits with an ardent passion like my survival somehow depended on it.   My teeth have, obviously, been decaying quite a bit, but even when the decaying started, that still wasn't enough to convince me to change my ways.  Around a year, maybe a year and a half ago, my gums where my teeth met  would start bleeding if I did nearly anything, from spitting, to biting into soft bread, even talking in certain ways could make my gums start bleeding.  At that time, thats when I realized, I REALLY needed to salvage what little bit I could.  I started brushing regularly a couple times a week, which I had to do because brushing would, also, cause my gums to bleed.  Over the last year, I have managed to build up to being able to brush at least twice a day, with little to no gum bleeding under almost any normal conditions at all.   Until now, my brushing is always done solely with clean, fresh water, because I don't know the answer to the titular question.  With teeth that at a relatively (I think) moderately high level of decay, would toothpaste and specifically a flouride-based toothpaste, be....\"good\" for my teeth, or with a moderately high level of decay, would it do even more damage?     As a veteran, I have started planning to visit a Dental Clinic of some sort and face the music, to find out what my future options are for.\n\nThank you for any time spent on this topic."
  },
  {
    "id": 1625,
    "title": "Fibers from gauze remain in extraction site a week after extraction??",
    "dialogue": "Leo: Hello, posting for the first time here as I am a little worried and don't currently have the money for another visit to the dentist.\nJust over a week ago I had a tooth extracted (1st molar on the top left of my mouth) After about 35 minutes with the gauze that the dentist had given me (he told me to keep it in for about half an hour) I felt I needed another to help form the blood clot. The local chemist gave me cotton pads and told me to roll one up and it should be fine.\nSo a week passes and I have been rinsing with salt water and haven't once touched the extraction site with my tongue as i've been extremely worried about knocking the clot and getting a dry socket. yesterday i touched the site with my tongue and it felt rough and I had assumed it was a scab until I swilled my mouth out and a ball of browny red fell out into the sink. This ball was made up of little fibers from the cotton pad and touching the site with my tongue I can still feel more of these fibers but are'nt able to nudge them loose. I've carefully pulled as muh out as I could with tweasers but some still remains.\nMy question is will my body push it out or will my gum heal over with the fibers inside?\nShould I still be worried about a dry socket after a week?\nAlso could there be any side effects to having this sat in my gum for a whole week? \nI can't find anyone who's had a similar situation online really so I appreciate anyone who takes their time to read my post and offer advise. Thanks"
  },
  {
    "id": 1626,
    "title": "Adrenaline and Nitrous Oxide",
    "dialogue": "recalcitrant: I had a molar that needed a crown and no matter how much Novocaine I was given, the dentist couldn't get me numb. PAIN!\n So i was sent to a center that specialized in Sedation and opted for a stronger 'Caine' and Nitrous Oxide.\nPAIN AGAIN!\nAs the procedure was ending, I suddenly felt the gas kicking in...when the procedure was all was over. I was told that the adrenaline I crank out was fighting the effect of the gas and when I was relaxed at the end it allowed the sedation to work.\n\nWell , it is inevitable that I have another crown on the other side in the near future and I am scared stiff!\nIs there any magic bullet I can take which would allow me to relax so the nitrous oxide can be effective for the hour?\nIt would be a shame to have to be knocked out for 1 crown."
  },
  {
    "id": 1627,
    "title": "Left wall of mouth has an ulcer like bump.",
    "dialogue": "Daniel En Jun Ang: Hi guys, a week ago, I realised that I have an ulcer like bump on the left wall of my mouth. I am very worried that it is a cancer because I searched online and it looks almost the same but different. Can any dentist tell me what it is? Thanks so much."
  },
  {
    "id": 1628,
    "title": "Tooth Cramps - Is this a dental issue or  sleep paralysis?",
    "dialogue": "gid: Hi, I've been experiencing several nights where my teeth seems to cramps like, it cramps until I hear I \"tick\" sounds then another pair of teeth again goes vibrating or experiencing cramps until it \"tick\" again. It felt like my teeth and trying to break on it's own while moving against each other. It usually happens when I'm from a super tired day and gone to sleep.\n\nIs this a dental issue or just sleep paralysis, I really felt like it's really real since my whole teeth felt the numbness after the \"tick\"ing sound. I don't have a dentist yet and I'm not sure what is this. I'm trying to find at least some idea from the internet but got nothing about having severe cramps on teeth.\n\nthanks"
  },
  {
    "id": 1629,
    "title": "On the right path towards Dentistry",
    "dialogue": "KikiWildHeart: Hello again everyone! \nSo as I mentioned in my introduction I'm very familiar with the dental field. I don't want to be an RDA forever and so I have a plan to become a dentist one day. The thing is I'm not sure exactly which route I want to go and I'm hoping I can get some feedback from fellow dentists who can shed some light. See, I'm thinking of becoming a telecommuting dentist because I want to do the following:\n1) Travel. I don't want to just stick to one office, location, etc. \n2) Have a flexible schedule. I don't want to work weekends and I want to be able to fix up my own schedule.\n3) Be my own boss. I want to just go in, do my work, and leave. I don't want to take orders from any other dentist or help clean rooms, etc.\n4) Not deal with the stress of owning a dental practice NOR dealing with the stress of working for a company/corporate office. \nI'm not sure exactly what the pros & cons are for a telecommuting dentist; obviously I'm only guessing what I believe might be things to think about. There might be something I'm missing. I want to be allowed the freedom that I may not get working at an office or corporate. I work for a corporate office right now (before that I worked at a private office) so I have an idea of what I do and don't want. I want to travel, afford a truck (my dream car lol), be able to treat myself (and my family) to vacations sometimes, not live paycheck to paycheck, and just live a comfortable life. Again, I'm not sure if what I'm imagining is realistic for a dentist, but that is why I'm here...to get the information I need. Thank you for taking the time to read my thread!"
  },
  {
    "id": 1630,
    "title": "Post Root Canal Swelling and Bruising",
    "dialogue": "Thomas Johnson: Thank you for your time and response.\n\nI had a root canal performed on my right incisor on Wednesday morning. Since then I have been on an antibiotic.\n\nThursday morning I woke up with swelling of the face. My right eye was partially closed(15% closed) and the swelling covered my entire right cheek. I returned to the dentist that morning and the temporary blockage of the canal was removed from the tooth. Blood and pus came out. This alleviated some pain, but not the swelling. The canal was left open to drain.\n\nI just woke up Friday morning, and the swelling has not subsided. It feels more like a liquid ball in my cheek than inflammation. The swelling on the side of the bridge of my nose and beside my eye has stayed the same. There is now discoloration under my eye. Directly above the operative incisor, the soft tissues have hardened.\n\nI was expecting swelling, but this seems extreme.\n\nThank you for your help."
  },
  {
    "id": 1631,
    "title": "Has my filling gone wrong?",
    "dialogue": "KateLouise: Hi all\n\nI hope someone can help me, I had my first filling this morning, it was a composite. When I looked at it later in the day I see quite a lot of black in it. Is that normal or is there something wrong with the filling?\n\nThanks in advance☺"
  },
  {
    "id": 1632,
    "title": "$40,000 + worth of dental work needed",
    "dialogue": "Much needed help: I am in desperate need of major dental work. I have dental insurance which doesn't even chip away at that bill.  I am not eligible for loans in that amount. I also work full-time and have been with the same company for 7 years.  I have been diagnosed with depression and anxiety and this situation has played a big role in contributing to it.  It has severely affected personal relationships. I have had numerous procedures done in Mexico, but the work has been very disappointing,  including having to have work redone. I have also asked to have all my teeth pulled, since many of them have already been removed,  but due to my age,  33, all dentists have denied that request.  Crowns, extractions, posts, implants are just to name a few things that i need.  Almost all of my teeth on my lower left side have been removed, as well as a good amount of my upper left,  and lower right. I honestly don't know what to do and am my wits end. Ive looked up schools,  free clinics,  none of which can cover what I need done.  Any suggestions or help would be greatly and desperately appreciated."
  },
  {
    "id": 1633,
    "title": "Tooth sensitivity",
    "dialogue": "Anna_Anna: I had two small fillings on upper middle tooth (probably called upper 9, not sure) 4 months ago. The tooth didn't bother me at all before the treatment. After the treatment it really hurt first day, then got better. But the next day I realised that the filling on the right (where it connects with other large middle tooth that has no fillings) is too high so it was giving me a lot of discomfort, even jaw pain. It took me 3 visits to the dentist over the course of 1 month to make it low enough that there is no teeth contact on the filling but even since the treatment I have a really bad sensitivity on the right side of that tooth (border with number upper 8) on pressure and when I floss. It doesn't seem to be getting better. I went back to the dentist and had an x-ray done. He has no idea why it hurts. X-ray is attached. Looking on x-ray and the description does anyone know why it aches and what I should do? Thanks"
  },
  {
    "id": 1634,
    "title": "Are they too far gone?",
    "dialogue": "Grrob: I'll be honest, I've never taken care of my teeth, and now it looks like I'm paying for it. Is it too late to care now? Is there anything I can do myself or is this something only a dentist can fix? Can a dentist even fix it? Any advice would be greatly appreciated. Robert Tucker: Cavities around the neck of a tooth can often/generally be repaired with GICs, the best of those being the light-cured resin-reinforced ones. DentistRetirado: Grrob said:\n\n\n\n\t\t\tI'll be honest, I've never taken care of my teeth, and now it looks like I'm paying for it. Is it too late to care now? Is there anything I can do myself or is this something only a dentist can fix? Can a dentist even fix it? Any advice would be greatly appreciated.\n\t\t\nClick to expand...\n\nGo get your teeth cleaned, first- to have a better view of the oral cavity.  Have an assessment of the condition of your teeth.  Don’t be scared to ask questions.  You need help from a dental professional, as soon as possible.  I hope you don’t delay because delays could make the treatment more complicated. Tone-Analyst: If you google \"rotten teeth\" you will see people 100000x worse than you. I think these are totally worth putting maintenance into. You will thank yourself later! David C: It is never too late. I was in a worse position than you and I am so glad I made the decision to sort my teeth out. Like most people I dreaded going to the dentist, but the modern practices are so more cheerful and friendly now."
  },
  {
    "id": 1635,
    "title": "Extra Fluoride Toothpaste",
    "dialogue": "David C: My dentist gave me a prescription for 3 tubes of Colgate 5000 ppm toothpaste. Can anyone recommend any other brands? These tubes are about £11.99 which seems a bit steep."
  },
  {
    "id": 1636,
    "title": "How to decide full or partial dentures?",
    "dialogue": "Cora: I need some help on how to decide what treatment plan to go for my bedridden 88 year old mother. My mother lives in an assisted living home.  Two and one half years ago my mother had to have some surgery which left her unable to walk and  bedridden. Because she cannot go to the bathroom by herself her oral healthcare habits have not been good. I have explained to her about the need to have good oral hygiene and tried to get the caregivers to brush her teeth every day but since I am not with her everyday I'm not sure it gets done. She also suffers from dementia but still communicates adequately. My mother is also a Denti-cal patient.  I've tried to get her to see several dentists since she became bedridden but few take Denti-cal and even fewer can accommodate her in a wheel chair. My mother must be lifted out her wheel chair with a Hoyer lift and into a dentist chair. I finally found a dentist with large enough exam rooms to accommodate her wheelchair and lift.   \n\nThe exam revealed that she had moderately bad periodontal disease and needs several extractions because of decayed teeth.\nShe has already had several extractions and if the decayed teeth are removed she would only have a few teeth in the front, both top and bottom. The dentist has suggested that she either have partials or full dentures. The dentist seems to think she has enough good teeth left for the partial to attach to if that is what we decide to do. My mother and I have talked and I gave her what I think are the pros and cons of either treatment plan.\n\nI am torn about what to do, partial or full dentures. This is what I am thinking:  I think that a partial would preserve some of her teeth and would be more secure than full dentures, but she would have to improve her oral hygiene habits so that she doesn't lose any more teeth. I just don't think she will improve her oral hygiene and all of the dental work would be wasted. I don't know how good a full denture would perform (how well can they fit a full denture these days) and how comfortable would they be. The full denture would be easier to care for and I think she could eliminate the periodontal disease. \n\nAny advise would be welcomed!"
  },
  {
    "id": 1637,
    "title": "Plaque Attracting to New Crown (Same Day)",
    "dialogue": "Jay54321: Hi, I had a 'same day crown' and a 'same day inlay' fitted. After having them both fitted, plaque attracts to these teeth incredibly quickly and I get intermittent tooth pain in both teeth. Each morning I wake with plaque magnetized to these teeth and they need a professional cleaning every couple of weeks, compared to every few months with the other teeth. I have to brush them so much that it is making the near by teeth sensitive, as the bristles brush them partly too. And I now have some decay on the teeth next to them. I also have abdominal adhesions that seem to slow digestion, especially overnight, resulting in GERD. Other teeth are basically fine. \n\nWhy is plaque just attracted to the inlay and crowned teeth? Is this normal?\n\nCould the inlay and crowned teeth be infected? Could my body be rejecting the inlay/crown? Something else... If I changed them for Titanium or Zirconia implants or for a bridge (there are fillings on both sides of the teeth) would I still have the same problem? Tone-Analyst: I got a crown installed a few months ago and plaque doesn't build up at all on it. Even if other teeth are dirty that tooth is totally plaque free. Dentist said it was zircon. You may check with your dentist what your crown is made with and google info about that material."
  },
  {
    "id": 1638,
    "title": "Can a cavity cause lymph node pain and headache? (Or only an abcess does this?)",
    "dialogue": "Tone-Analyst: I have these symptoms and and the x-ray shows nothing. Just wondering if these are symptoms of a cavity or only of an abcess. Thank!"
  },
  {
    "id": 1639,
    "title": "Visiting other dentists--appropriate or not?",
    "dialogue": "Jash: Last week, I had some painful work done on a lower molar. The dentist could not get it numb and tried drilling through the gum into the root tip with a needle drill to deliver anesthesia to the root. This was very painful and he stopped before finishing. Right now, I am extremely sore and tender from this procedure.\n\nToday, I started to worry about the degree of discomfort I have been in. I thought I might have an abscess or something!  I tried to get an appointment with my dentist, but he was closed this afternoon. I was able to get in with another dentist I have used for x-rays my dentist couldn't do. It turned out that the only visible problem was a sore left over from the needle drill. \n\n The new dentist I went to seemed to think that I should either switch to her or stick with my regular dentist. She tried to ask me several times what I \"planned to do\". \n\nIs it inappropriate to go to another dentist for a second opinion, because it is convenient or because your own dentist is not immediately available?  I figured, she is getting paid, so what is the big deal? Alternately, should it be offensive to my regular dentist that I did not wait to see him or call his emergency number? jas: Its absolutely ok to get a second opinion. I guess it all comes down to who you have more confidence in."
  },
  {
    "id": 1640,
    "title": "Bruxism Research",
    "dialogue": "Frank Dillon: Hello all fellow dentists! \n\nI am reaching out to try and gather preliminary research on Bruxism diagnosis and treatment and hoping you would all be so kind as to take my very brief survey:\n\nhttps://survey.qualtrics.com/jfe/form/SV_dbBVWcxUcS0oI9T\n\n\nIf you have any questions relating to the research or Bruxism in general, please let me know!\n\nFrank Dillon BDS\nDublin, Ireland"
  },
  {
    "id": 1641,
    "title": "Alternative to gum tissue graft?",
    "dialogue": "Erosion: I've got a severe gum recession with one of my lower teeth that my hygienist thinks is due to having had braces about 10 years ago.  She says I only have about 2mm of gum until I would then need a gum tissue graft to prevent infection and tooth loss.  She described it to me and it doesn't sound very good: http://www.webmd.com/oral-health/guide/gum-tissue-graft-surgery#1\n\nIsn't there some kind of material that could be applied to the base of the tooth to keep it covered.  Maybe some kind of adhesive?  It's hard to believe that fillings can be put in teeth, but they don't have anything that can simply cover over the exposed root of a tooth without removing skin from the roof of my mouth!  That would probably be felt for quite some time, and I'm sure my tongue would feel it for the rest of my life whenever it touches the roof of my mouth, reminding me that a piece of skin was removed.\n\nBTW, I posted a picture of the tooth in question in another thread awhile back.  Here's a link to that thread if you want to see the picture: https://www.dentistry-forums.com/threads/is-this-much-erosion-of-gum-normal.21860/ Erosion: Hello?  I thought my question was an easy one! \nAnyone with any ideas? Erosion: James Gordan said:\n\n\n\n\t\t\tIf you live in California I would recommend you check out  Dr. John Chao, he does a unique procedure called pinhole gum rejuvenation (look it up on YouTube) which is the only alternative to gum grafting (as far as I know). Your case seems pretty extreme so IDK if it works in all cases but what you should do is email him, send him your pictures and see what he says. If you do live close by or can travel their then I think it would be better to go see him in person.\n\nHope This Helps \n\nClick to expand...\n\n\nSorry, but I don't live in California.  I'm in Wisconsin. \nI looked up the video on youtube and was surprised to find that the skin graft method was more complicated and cringe-worthy than I thought it was.  The pinhole method made me cringe as well, although maybe not quite as much.  I can see how you would think it wouldn't work in my case.  It looks like there would have to be more gum in that area than I have.\n\nAre you a dentist?  Do you know why some kind of a coating couldn't be applied to the exposed root area to prevent it from being exposed?  I'm thinking that such a coating could be a replacement for the gum there.  So far, I haven't heard that anywhere as an alternative. Erosion: James Gordan said:\n\n\n\n\t\t\tNo, i'm not a dentist. I was told back in 2012 (when I had adult braces) that I might need to get gum grafting done since my orthodontist was not sure how the end result would be but everything worked itself out and it turns out I didn't need it. I was doing research (like yourself ) to find alternatives and that's when I came across Dr.Chao.\n\nIf I do remember correctly, Dr.Chao does teach and certify dentist across the globe on how to do this procedure, you can contact his office and ask if there is anyone certified in  Wisconsin and they'll provide you with a list of dentist.\n\nAs far as applying a coating, I've personally never heard of this but maybe a dentist can chime in and clarify.\n\t\t\nClick to expand...\n\n\nIt sounds like you and I are in the same boat!  I had adult braces as well, and my hygienist says that those were most likely the reason for the gum recession I have.  She looked back in her records which go back 3 years, and she said that the gum level for that tooth is at the same place now as it was 3 years ago, which is at 6mm.  She said that if it goes down just another 2mm, it would lead to exposure of an area that would cause infection and then tooth loss of my lower teeth.  That made me nervous.\n\nThe fact that you said you had adult braces too and have suffered the same result and that everything worked itself out gives me hope.  I got braces when I was 34, had them removed at age 36, and now I'm 45.  It would seem that the recession is the result of having braces rather than a lack of gum care on my part.  But now the gum line for that tooth is so much lower down than for the surrounding teeth that it makes it harder to brush at the base of that tooth where plaque builds up.  At my last checkup, it was shown to me  that I wasn't doing a  good enough job of brushing there.  So now I'm trying harder, but I have to be careful to not brush it too much lest I wear it down myself. Erosion: James Gordan said:\n\n\n\n\t\t\tThere were a few things that I was doing at the time my orthodontist notified me about my gums receding to prevent it from getting worse and inevitably stopping it completely . I  was oil pulling, (this is questionable on if this works or not) because there is no scientific evidence proving that it does. Oil pulling has been used in India for thousands of years and some people swear by it. It's believed to help remove toxins from your gums as well as helping gum recession (subtly). \n\nThe second thing I was using was essential oxygen mouth wash: https://essentialoxygen.com/, I still use it today and it's the only mouth wash I'll probably ever use because it uses H202 which is hydrogen peroxide and it doesn't contain any unhealthy ingredients such as \"saccharin\"(causes battler cancer in animals)  which is found in products like Listerine . You will rarely find mouthwashes in stores that use H202, Why? I don't know. The hydrogen peroxide that's being used in their formula is food grade hydrogen peroxide (3% if i'm not mistaken) and if you don't know about the power of food grade hydrogen peroxide you should do a bit of research, It does a great job at killing bad bacteria and I honestly believe this is what stopped my gum recession from getting worse. The lady who created this mouth wash did so because of this very reason, due to her having gum recession as well as bleeding while flossing (this use to happen to me but not anymore), visit the website and you can read her story below. I was seeing a periodontist at the time I had my braces (recommend to me by my orthodontist) he was telling me that I had periodontal pockets due to the gum recession, (I no longer have these anymore).\n\nThe third thing I was using (which I plan on buying another one) is a waterpik https://www.waterpik.com/oral-health/, it goes down deep in your gums using water and helps remove any bad bacteria, food, etc... that dental floss cannot reach. According to clinical studies it's 51% more effective than dental floss. I purchased mines at Walgreens, (I don't know if you have one near you).\n\nThe forth thing is I only brush my teeth using Dr.Tung's Ionic Tooth brush (far better than any spin brush if you ask me), it reverses the polarity of the teeth (temporarily) causing plaque to easily be removed. Most people don't know about these ionic tooth brushes but they are very effective, here is a study published about it: https://www.ncbi.nlm.nih.gov/pubmed/11830911. Over over 30 million have been sold in Japan, Europe and the USA.\n\nLast but not least I use Dr.Tung's \"Stainless Steal Tongue Scraper\" (plastic tongue scrapers tend to retain bacteria)\n\nThose were the only three things I was (and still am) using and thus far my receding has stopped, no more pockets and it's been 5 years now.\n\nHope this helps.\n\n\nNOTE: I have no affiliation with any of the recommended products, these are simply products that I use.\n\t\t\nClick to expand...\n\n\nI used to use something very similar to the Waterpik.  It was the same thing but made by a different company.  I used that when I had braces and it was great for getting loose food from under the braces.  It eventually wore out.  Maybe it's time for another one.\n\nI was using hydrogen peroxide as a rinse for awhile, but my hygienist told me that I shouldn't do that because it harms the teeth.  I have to wonder about that.  Some articles found online seem to indicate that it may be true: http://www.greenmedinfo.com/blog/hydrogen-peroxide-mouthwash-harmful-teeth\n\nI do have those periodontal pockets you mentioned.  It would be nice to get those taken care of. svor1988: Do you have any lip piercings?\n\nIs this genetic predisposition? Do any of your ancestors have this?\n\nAcute necrotizing ulcerative gingivitis? Trench mouth?\n\nIs the tooth dead? Gums will recede from dead teeth, implants, and root-canal treated teeth.\n\nYes hydrogen peroxide can be very acidic depending on the concentration, look at its pH.\n\nDentin has a critical pH of 6.7.\n\nCementum also has a critical pH of 6.7.\nNatural enamel (Hydroxylapatite) has a critical pH of 5.5.\nFluoride treated enamel (Fluorapatite) has a critical pH of 4.5.\nLactic acid has a pH of 3.51.\n\nLactic acid is largely what causes cavities, due to the fermentation of sugar and starch by naturaly occuring bacteria after 4-5 hours.\n\nYour cementum is exposed so stay away from anything acidic, and clean your teeth/mouth within 1-4 hours of eating. Stay away from candy/soda.\n\nRecent breakthroughs in the engineering oral mucosa have been made. Commercialization is on the way:\nhttps://en.wikipedia.org/wiki/Oral_mucosa_tissue_engineering\n\nStrange your gums have receded so far. Very strange. Are you taking any drugs? Look up their side effects. e.g. warfarin causes issues with bone and cartilage synthesis.\n\nGotu Kola may help with tissue regeneration: https://examine.com/supplements/centella-asiatica/\n\nMake sure you are consuming enough vitamins/nutrients as well to ensure your body is able to heal.\n\nAnd my last quip is something I'm considering on doing to myself to restore extensive tissue loss on my palate due to dentist negligence. Through mechanisms (I forget names), local tissue damage causes the delivery of stem cells from nearby bone into the blood stream for repair of the damaged tissue. I suspect damaging the tissue, through a pin prick at multiple points to cause bleeding and adhesion of the resultant scar tissue, then covering that area with beeswax overnight to encourage scar tissue formation will result in tissue restoration. Done repetitively over time I suspect you could encourage the restoration of the original structure, or at least something largely similar to it. All of this theoretical... svor1988: Erosion said:\n\n\n\n\t\t\tIsn't there some kind of material that could be applied to the base of the tooth to keep it covered.  Maybe some kind of adhesive?  It's hard to believe that fillings can be put in teeth, but they don't have anything that can simply cover over the exposed root of a tooth without removing skin from the roof of my mouth!\n\t\t\nClick to expand...\n\nBeeswax. Dry the surface first before application, and make sure it is clean. Sugar/starch will be metabolized into lactic acid within 4-5 hours, and lactic acid causes cavities, so make sure the area is clean before applying the beeswax. Dry it with a hair dryer for example. And don't leave the beeswax on there longer than 8 hours or so to give the area a chance to remineralize and everything from your saliva when you sleep. Tissue growth is greatest during rest as well, so ensure beeswax is not there as you sleep to enhance the possibility of that tissue growing back. During the day this would protect your cementum from acidic foods/drinks you consume during the day like coffee or OJ. Beeswax does have a long history in dentistry... pharmacies often sell it, as do other outfits such as honey/candle stores or farmers markets. Don't use paraffin wax even if food-grade, the viscosity and consistency is inappropriate for this purpose. Beeswax is just like putty, it gets less viscous with warmth. AFAIK you are fine reusing the beeswax for some time it is antiseptic and never goes bad.\n\nYes... 'pinhole gum rejuvenation' as James Gordon mentioned seems like a foolish technique which would make the gum loss worse. A youtube commenter said the same thing. I've experienced multiple sliding \"grafts\" from my cheek down over a sinus perforation... they don't last long due to blood circulation issues, and they can only do so many grafts as that tissue largely does not grow back (at most 3 grafts).\n\nAnd that last procedure I mentioned regarding inducing bleeding and beeswax... don't do that because you know... no evidence/studies on innocent Disney animals or anything. I shouldn't have mentioned it but I can't edit it now. I think it's brilliant though... I hope it works for my palette damage. But ya, don't do it. Oogie boogie.\n\nI think you're very wise to cringe at the grafting procedure which takes tissue from the roof of your mouth (your hard palette). I lost tissue up there (the palette damage I just mentioned) due to infection from dental negligence and it causes unbearable pain at times. I need to carry water with me at all times to keep it irrigated as needed. Let me tell you, food/drink, air freshener, or certain chemicals at ppm levels touch there and it hurts like HE**.\n\nThat wikipedia link does detail graft transplants (from one part of the body to another), but what I was specifically referring to was the cell culture techniques (where they take your skin cells and somehow make oral tissue with it, I forget the details it's been a year or two). Looks like there is other stuff going on in that page... you asked for alternatives to gum tissue grafts and I answered as best as I could.\n\nAnd eat your fruits and veggies! HaleyBB2002: To erosion, I am in WI also and have the same thing.  Gums receding and my front bottom tooth like yours is exposed way down.  I have been running around trying to find a fix and what is causing this with no real good answers.  Suggested gum grafts but it keeps happening and I am afraid it wouldn’t take.  I never had braces and don’t over brush.  If you know what of a good dentist that has helped you I would be interested. Erosion: svor1988 said:\n\n\n\n\t\t\tBeeswax. Dry the surface first before application, and make sure it is clean. Sugar/starch will be metabolized into lactic acid within 4-5 hours, and lactic acid causes cavities, so make sure the area is clean before applying the beeswax. Dry it with a hair dryer for example. And don't leave the beeswax on there longer than 8 hours or so to give the area a chance to remineralize and everything from your saliva when you sleep. Tissue growth is greatest during rest as well, so ensure beeswax is not there as you sleep to enhance the possibility of that tissue growing back. During the day this would protect your cementum from acidic foods/drinks you consume during the day like coffee or OJ. Beeswax does have a long history in dentistry... pharmacies often sell it, as do other outfits such as honey/candle stores or farmers markets. Don't use paraffin wax even if food-grade, the viscosity and consistency is inappropriate for this purpose. Beeswax is just like putty, it gets less viscous with warmth. AFAIK you are fine reusing the beeswax for some time it is antiseptic and never goes bad.\n\nYes... 'pinhole gum rejuvenation' as James Gordon mentioned seems like a foolish technique which would make the gum loss worse. A youtube commenter said the same thing. I've experienced multiple sliding \"grafts\" from my cheek down over a sinus perforation... they don't last long due to blood circulation issues, and they can only do so many grafts as that tissue largely does not grow back (at most 3 grafts).\n\nAnd that last procedure I mentioned regarding inducing bleeding and beeswax... don't do that because you know... no evidence/studies on innocent Disney animals or anything. I shouldn't have mentioned it but I can't edit it now. I think it's brilliant though... I hope it works for my palette damage. But ya, don't do it. Oogie boogie.\n\nI think you're very wise to cringe at the grafting procedure which takes tissue from the roof of your mouth (your hard palette). I lost tissue up there (the palette damage I just mentioned) due to infection from dental negligence and it causes unbearable pain at times. I need to carry water with me at all times to keep it irrigated as needed. Let me tell you, food/drink, air freshener, or certain chemicals at ppm levels touch there and it hurts like HE**.\n\nThat wikipedia link does detail graft transplants (from one part of the body to another), but what I was specifically referring to was the cell culture techniques (where they take your skin cells and somehow make oral tissue with it, I forget the details it's been a year or two). Looks like there is other stuff going on in that page... you asked for alternatives to gum tissue grafts and I answered as best as I could.\n\nAnd eat your fruits and veggies!\n\t\t\nClick to expand...\n\n\nSorry about not getting back to you earlier.  I haven't been watching this thread for quite awhile.\n\nThank you for all the information you presented me with.  It's certainly worth a look.  To answer your questions about the cause, I don't smoke, drink or do drugs.  I don't know if any of my ancestors have had this problem or not.  But my hygienist says it's from having braces, which I did when I was 36.  I'm 46 now.  I haven't had any further recession than I have had in the past 3 years, but recently the area where that tooth meets the gum started hurting whenever I applied pressure--either with my lip or my finger.  I asked my dentist about it and he said that sensitivity in an area like that with excessive recession is not uncommon and that it might go away on its own, which it did.  So far, so good. Erosion: HaleyBB2002 said:\n\n\n\n\t\t\tTo erosion, I am in WI also and have the same thing.  Gums receding and my front bottom tooth like yours is exposed way down.  I have been running around trying to find a fix and what is causing this with no real good answers.  Suggested gum grafts but it keeps happening and I am afraid it wouldn’t take.  I never had braces and don’t over brush.  If you know what of a good dentist that has helped you I would be interested.\n\t\t\nClick to expand...\n\n\nI'm sorry, but I still haven't had any treatment for it so I wouldn't be able to refer you a good dentist for what you have.  Have you been experiencing any discomfort from your condition? HaleyBB2002: Yes, gums are sensitive and some of my lower teeth have been shifting as well.  I really don’t know why I have the recession as well as gums thinning.  No periodontal disease. Erosion: HaleyBB2002 said:\n\n\n\n\t\t\tYes, gums are sensitive and some of my lower teeth have been shifting as well.  I really don’t know why I have the recession as well as gums thinning.  No periodontal disease.\n\t\t\nClick to expand...\n\n\nHave you been to a dentist and gotten suggestions?  I think a dentist is about the only person who could give you  a very educated guess as to what is causing your condition.  I know gums can thin out over time, but I suspect you're not very old.  Not too many \"Haleys\" that are very old, and the \"2002\" in your username I suspect is your year of birth, making you only 15.  The condition you describe seems very unusual for someone that young.  But regardless of your age, I'd say that the advice of a dentist is called for here. HaleyBB2002: I am going back to dentist in a few weeks.  I have been to Perios, dentist, and ortho suggesting gum grafts, braces, to do nothing.  So it is hard to know what to do.  I am in late 40’s so I know age is a factor but my teeth/gums were fine up until a year ago. Erosion: HaleyBB2002 said:\n\n\n\n\t\t\tI am going back to dentist in a few weeks.  I have been to Perios, dentist, and ortho suggesting gum grafts, braces, to do nothing.  So it is hard to know what to do.  I am in late 40’s so I know age is a factor but my teeth/gums were fine up until a year ago.\n\t\t\nClick to expand...\n\n\nI'm in my late 40s as well, so it's possible that age is a factor.  Also, being a woman seems to be a factor too, according to an article I found that says in part: \"Hormonal changes. Fluctuations in female hormone levels during a woman's lifetime, such as in puberty, pregnancy, and menopause, can make gums more sensitive and more vulnerable to gum recession.\"\nhttps://www.webmd.com/oral-health/guide/receding_gums_causes-treatments#1 HaleyBB2002: Thanks for following up.  I suppose age and hormones are a factor.  I am looking into a holistic dentist and going to try that.  Started using Closys toothpaste and mouthwash to see if that helps also."
  },
  {
    "id": 1642,
    "title": "Breastfeeding (only) mum concerned about abscess on implant",
    "dialogue": "Katie777: Hi there, \nI am a new mum with a 7 weeks old child that I only breastfeed. For several reasons, I absolutely refuse to give formula to my baby. I am currently very worried as I gave an abscess on the gum where an implant is. I will of course book an emergency appointment with my dentist but in the meantime I would like to get a few answers and would like to be reassured.\nHere are my questions:\n-will I be able to carry on breatsfeeding my baby? My concern is about antibiotics. I suppose that If the implant has to be replaced in order to sort out the abscess, I might have to take antibiotics and in this case they would be transferred to the breast milk.\n- what are the various procedures to treat abscesses on an implant?\n- what can be done to treat the problem without taking antibiotics (that is what I wish). I really want to stress the fact the importance of breastfeeding my baby only."
  },
  {
    "id": 1643,
    "title": "A part of my Tooth got off",
    "dialogue": "Programmer: A part of my tooth got off. I knew this when I had my tongue of my teeths and noticed that it has a scratchy itchy surface. When I took a pic of it I got frustrated. I have no pain whatsoever when I eat. It is not affecting me at any reason (at these times). Robert Tucker: You should get it looked as as soon as possible. The sooner you do, the less work for your dentist. If it starts hurting/aching at all you should get some clove oil on it (or failing that salt) and get to a dentist as an emergency as soon as you possibly can (otherwise you'll risk needing a root canal treatment or an extraction)."
  },
  {
    "id": 1644,
    "title": "Can anyone recommend a time clock software?",
    "dialogue": "M.J.: I'm not sure if this is the right place to post this question. I need a recommendation for a good and inexpensive time clock software for our clinic staff. Thanks!"
  },
  {
    "id": 1645,
    "title": "Cheek issues",
    "dialogue": "Birdie152: I'm very concerned...\n\nI noticed this last Saturday...it doesn't hurt\nWhat could it be?"
  },
  {
    "id": 1646,
    "title": "What is this spot in my tooth?",
    "dialogue": "Rabbit87: I was eating some hard candy and I felt a pain. I think my tooth may have chipped or something. I noticed this weird white circle in my tooth. Can you see it in the picture? Beside my finger.  Please tell me what this is."
  },
  {
    "id": 1647,
    "title": "Tongue clicks",
    "dialogue": "Caz ann: I have just read about this problem on your forum. I too have this problem. After suffering a snoring husband for over 23 years he has now lost weight and doesn't snore half  so bad, he also has sleep apnea , which doctors do not seem to be bothered about, this also disturbed my sleep as it worries me that he can sleep without breathing for more than a minute. My tongue clicks seem to have started about 6 months ago and it's driving him crazy. Any ideas for curing this would be so helpful."
  },
  {
    "id": 1648,
    "title": "bleeding at one spot",
    "dialogue": "luke128889: I had a scale and clean a couple of months back. Everything seemed to be ok. I was recommended to improve my flossing. I’ve been brushing twice a day and flossing  more thoroughly since then. All my teeth are fine , except for one spot between the teeth 4th top right that bleeds every time I floss it, I try to do it very gently and it still bleeds. Now I’ve noticed it can bleed for no reason, even after not eating anything and I have a metallic taste in my mouth from time to time. There isn’t really any pain, or much swelling from what I can see. Im a bit concerned if it’s something serious?\nAny advice would be great"
  },
  {
    "id": 1649,
    "title": "Gingivitis",
    "dialogue": "Maggie Long: I have always taken really good care of my teeth. For years, I have flossed once a day with inderdental brushes in addition to using a top of the range electric toothbrush twice a day and mouthwash twice a day, and seeing the hygeinist for a clean every 6 months.\n\nThe hygenist has never commented on my gums before, so I assume they have been fine, but last month when I went for a routine clean she told me that I have gingivitis. I had noticed a little bleeding but thought nothing of it. She told me that I should use interdental picks insead of the interdental brushes and that would clear it up.\n\nThe picks are definitely working better - at least, I think they must be because my gums have been bleeding A LOT since I started using them (which I do twice a day). The hygienist told me that they would stop bleeding within 10 days, but it is now a month later and despite bleeding less they have not stopped bleeding.\n\nI went to the dentist yesterday and he told me to use corsodyl mouthwash for two weeks and then come in for a clean (I don’t have any vsible plaque, but apparently there is a little under my gums).\n\nI feel really scared because if I have gum disease despite such good oral hygiene, I don’t know what more I can do to stop it progressing into peridontonitis.\n\nWhat could be going on here?"
  },
  {
    "id": 1650,
    "title": "Considering Dental Hygiene career",
    "dialogue": "kekebelle: Hello!\nI'm a junior at a university in Michigan and a nearby community college offers a Dental Hygiene program that I'm very interested in. It would take 3 years, so it'd be like starting college all over for me, so I'm pretty apprehensive about it. I was hoping some people who are experienced in the field could help answer some questions for me. I've read online that a lot of people in the career have to work 2 part time jobs...is this true? If so, do these people eventually find themselves being able to work full-time at one dentist office? Has anyone experienced moving out of state and getting their licensing in a different state? Overall is there a good job market for it? Any comments good or bad that might sway me one way?\nThank you so much if anyone can answer any of these!!"
  },
  {
    "id": 1651,
    "title": "Dangerous to wait for wisdom tooth removal? / Is it essential?",
    "dialogue": "mikes425: I am 59,  wisdom teeth never have been removed or a problem. Upon cleaning this\nweek, hygienist discovered pus discharging from lower right rear wisdom tooth and brought\nin Dentist - xray performed and looked ok but Dentist identifed it as infection said he didn't like this\npus emanating from the tooth area and advised removal of the wisdom tooth saying it could lead to\nworse infection.   There's zero pain, and only since this visit do I notice a definite foul breath odor\nand obviously something 'not right' there.  This is a general dentist and he's good but I don't know\nabout entrusting him to do the extraction... I decided to make an appt. with an oral surgeon who a\nfamily member recommends. That appointment would be a month from now. \nMy Dentist could do something a couple of weeks  sooner.  Could this infection become 'systemic'\nin the meantime.. Should I be \"doing\" anything about this or is there anything i can or should do in the meantime, to treat the problem?  Is there a case for NOT removing the wisdom tooth in question and the infection possibly\nbeing able to clear up without removal?   \n\nAlso I work as a voice actor, so speaking is my livelihood and I worry about whatever complications might evolve from an extraction.  I know of a performer whose tooth extraction led to Dystonia (permanent nerve damage) and was left unable to speak normally again.   No doubt a horrible exception  but just looking for any general/specific advice on any of this... Can this extraction change anything as far as articulation/speaking?  \n\nI am mainly worried about whether this should be done ASAP or is it ok to go with an infection like this for a month before (possible) removal of the tooth.\n\nThanks for reading all of this. I tend to be a hypochondriac so apologies if I sound a little over the top about this.\n\nMike calcium48: good idea to remove the wisdom tooth.\nRisk as you say is that nerve damage can occur.\n\nbest to go with surgeon who (hopefully) does this on a regular basis.\n\nare you on antibiotics?\n\nhas the hygienist caused the issue? mikes425: calcium48 said:\n\n\n\n\t\t\tgood idea to remove the wisdom tooth.\nRisk as you say is that nerve damage can occur.\n\nbest to go with surgeon who (hopefully) does this on a regular basis.\n\nare you on antibiotics?\n\nhas the hygienist caused the issue?\n\t\t\nClick to expand...\n\n\nThis was never a problem, known or noticeable to me - literally until this cleaning. \nIn fact I wondered, could a hygienist have somehow irritated it and created the infection\nin a single cleaning session?  She asked me if I was tasting anything metallic or noticing\nanything peculiar about this tooth about midway into this cleaning session... saying everytime\nshe probed the area she there was pus discharging, indicating an infection...\n\nI said it was known that it could 'someday' be an issue but Dentist had never seen any\npressing need to do anything about it as presumably there was no infection...   I'd never\nnoticed it being a problem.. Until after I left...and was tasting/sensing the odor of what she\ndescribed... and have since...(2 days ago now).\n\nAfter the cleaning she said I was just within 5 years due for a new panoramic x ray. She\ndid that, said it looked very good.  Then Dentist came in about the wisdom tooth and said\nit should come out - as infection could spread.   I wasn't put on any antibiotics... I called\nback and they said as long as it's \"draining\" the body is 'kind of taking care of itself' and\nthat antibiotics in this state wouldn't really do anything...but if/when any pain erupted it\nwould indicate possible usefulness of antibiotic.  Meantime I've scheduled removal of\nthe tooth but still wonder if this could simply clear up and not require removal? \n\nSurgeon I chose is very experienced with wisdom tooth extraction...  Is it possible the\ninfection could in fact go away in a matter of 3-4 weeks??  Is there anything I can do\nto try to eliminate it naturally?  THANKS!!!"
  },
  {
    "id": 1652,
    "title": "Caries in contact to the bone?",
    "dialogue": "Jan: Hi!\n\nI am a Periodontist, writing a paper on different methods for the restoration of deeply decayed or fractured teeth.\n\nMy problem is the following: As a believe, caries is under normal circumstances not found in direct contact to the alveolar bone, but ist shielded from the latter by at least a zone of connective tissue attachment (concept of the biologic width). In theory, if a caries closes to the bone, the bone will resorb and expose more cementum with perpendicular fibres connecting into the gingival tissue.\n\nI am struggeling however, to find a reference (paper or book) to this phenomenon.\n\nDoes anybody know an article, book chapter or anything I can quote on this one (or am I all wrong and craies next to bone is commenly found after all?)\n\nThanks!"
  },
  {
    "id": 1653,
    "title": "Tooth pain at night.",
    "dialogue": "Jax2: Hi all ...\n\nI am wondering if I am the only one this happens to, or if there is some weird connection between time of day and pain in your teeth. \n\nLet me start by mentioning, I have very bad teeth. They are very brittle and tend to break easily, so I have dealt with many, many tooth infections, and severe pain, for most of my adult life. It's misery.\n\nOver the years, I have had a very, very strange phenomena I cannot explain. With a few exceptions, between waking, and around 10 pm at night, my teeth do not hurt, or at least, hurt very little compared with later. After 10, usually between 10 pm and 4 am, when I have an infection, or an exposed nerve ...etc, the pain is excruciating. \n\nI understand that lying down causes fluids to build up in the roots of your teeth, which can lead to severe pain if you have an exposed root, but that is not the issue here. It does not matter if I am lying down, standing up, doing jumping jacks, or working nights. As soon as 10 pm rolls around, my affected teeth hurt terribly. Lying down simply exacerbates that pain 10 fold. \n\nCan anyone point out a possible cause for teeth to only hurt at night / early mornings, yet not during the rest of the day? Uptown101: Another cause for late night toothaches can be due to grinding your teeth when stressed throughout the day and is due to blood flow when you lie down."
  },
  {
    "id": 1654,
    "title": "Dentist fear - need help!",
    "dialogue": "NoWayNovelli: Hey there,\n\nI've had a pretty bad phobia of dentists/doctors for years now with an extreme phobia of needles.\nI have a hole of some sort in one of my back teeth, and about a year or two ago the dentist didn't say I needed to do anything but brush - needless to say now it's gotten bigger and it starting to be really sensitive and sometimes hurt.\nI want to fix it but I'm not mentally prepared to get treatment that needs local anaesthetic/injectable.\nIf anyone can tell from these photos anything, does it look like I need anything major done?\n\nI'm so stressed about it, thank you in advance... Zuri Barniv: That's a big hole. If you don't treat it, bad things will probably happen. Have you considered oral sedatives like Halcion, Ativan or one of those for treatment? I prescribe those for fearful patients and they work wonders."
  },
  {
    "id": 1655,
    "title": "Does it look like My 2nd molar needs extraction? (xray pics) - I had an impacted wisdom",
    "dialogue": "murkr: Hello everyone, I'm glad we have great resources nowadays like this message board!\n\nI just left the dentist thinking I would need to get my 2nd molar extracted but this dentist said I need a root canal and crown. What is your opinion? Should i get the root canal + crown or extracted? \n\nX-ray pics:\nhttps://i.imgur.com/yLg4R7y.jpg\nhttps://i.imgur.com/ObcUylv.jpg\n\nHistory:\n\nI had an impacted wisdom tooth that grew completely sideways. I waited too long for extraction and it ended up damaging the 2nd molar. sorry no xrays of that. I opted for a filling and that's what you see in the xray. \nDentist #1:\nTwo years ago when I had this wisdom tooth extracted that dentists said I would need to get my 2nd molar extracted due to the damage.\n\nDentist #2:\ntoday this dentist said root canal + crown. He said I had bone loss due to food getting in between my gums. I kinda feel that's incorrect. I believe the impacted wisdom tooth caused that bone loss. That was exactly where the wisdom tooth was.\n\nMy conclusion:\nIt doesn't hurt. But I get bad breath from this tooth, im sure of it. \n1. the bad breath is because there is still tooth decay under that filling (my conclusion)\n2. the bad breath is from the bone loss and gap between the tooth and gum allowing food to get in. (#2nd dentist conclusion)\n\nWhere do you think the bad breath is coming from conclusion 1 or 2?"
  },
  {
    "id": 1656,
    "title": "Underbite correction without surgery in the UK",
    "dialogue": "Bhatoa: Hi, does anyone know of any Dental Clinics in the UK which offer underbite correction without surgery. I've done a lot of on-line research and can only find Clinics in the USA offering underbite correction using a non-invasive and non-surgical method.  Alternatively Clinics in Europe might be a good 2nd option. I really like this Carriers approach -"
  },
  {
    "id": 1657,
    "title": "Dentist Ripoff?  Please Advise",
    "dialogue": "Jerry Thomas: Hi folks ,   I would appreciate any guidance.  I recently moved from another state and found a new dentist.  He told me that he needs to replace one of my crowns because there was a small gap on the side bottom of the existing crown.  He mentioned food particles can get inside and cause decay to the tooth.  Now the tooth had a root canal done years ago.  He cannot X-ray through the crown so he doesn't know if there is decay or not.   \nIt will cost about $2000 since my delta dental insurance does not cover crowns.  My friend recently visited the same dentist a few days ago and he mentioned the she would need 4 crowns replaced for the same reason.   We are both in our mid 60s and wonder if this is a good idea to have the crowns replaced or just take the chance.   Any advice would be appreciated.   \nThanks so much\nJerry Dasha: Jerry- schedule with another dentist in your area. Most insurances will cover a free exam and it's worth asking around a few other offices to see other opinions. There's a possibility he could be correct, but it does seem a little unusual he said the same thing to a friend of yours. Dipsey: If there is no pain and not unsightly you can have any decayed  margins resealed with flowable composite then it should last for many more years. Sometimes if it \"ain't broke leave it alone\"  is well justified. John Roberts: Is it true they can't xray through the crowns?  Didn't know about this.  Good to know about the resealing thing.  I have two or three that probably need that.  I am with Dasha and think I would get a second opinion.  I an going to get a 7th opinion next week.  I have a  problem with basically all my teeth and I can't get any answers.  I am 71.  I just can't understand with all the equipment and know how I can't find out anything.  I have been suffering with this since last November.  I went in for a cleaning and had a fluoride treatment and my teeth have been killing me since and my bite and speech have been effected.  I have trouble eating anything that is not soft.  Lost 15 pounds I didn't want to.  I am going to a dentist out of town and hope they can help.  Get a second opinion and see what they suggest."
  },
  {
    "id": 1658,
    "title": "Loss of taste after fillings",
    "dialogue": "Jackjack 990: Okay so about three days ago I went to get four filling on my left side, two on top two on bottom. After I was done I couldn't feel my face taste anything, I had gotten fillings on my right five days ago so I didn't think anything of it because I felt like the same. But it has been two days and I can't taste anything on the left side of my tongue, I can move it and feel sensations on it but I can't taste anything. \nWhile they were putting the two shots in my gums the one at the bottom felt more painful than any of the others I had. Does it have something to do with that? Should I go back to the dentist? What should I do? Dipsey: Sounds like a nerve got hit with the injections. It should recover but can take weeks or sometimes months. More common with wisdom teeth extractions."
  },
  {
    "id": 1659,
    "title": "Teeth wobbling and major fear of what's going to happen",
    "dialogue": "Kim Moore: Hi. I have always suffered from gum disease and no matter what I've tried it's never fully gone. I am very nervous of the dentist the last time having a panic attack there so I am putting off going. When I went last it was about 8 months ago as all my bottom teeth were aching they recommended I had a deep clean which I then did the same day, since then my teeth have been terrible. My back tooth has weakened and completely broken and now it's sharp and extremely wobbly but I am terrified to have it removed that part of my gum is very red and swollen. The main problem is my front four teeth at the bottom since the clean one has moved to go almost sideways and is pushing one of the middle teeth backwards I looked in the mirror yesterday and as I pushed them they are wobbling and constancy throbbing and my gums hurt although they aren't red. Am I going to loose my teeth will the wobbling get worse or will it fix itself? I haven't been sleeping and I have nightmares every night that I've lost my teeth I have been an awful state this week. Thanks in advance, Kim Dasha: Kim, you're best option is to go to your dentist. There is nothing home remedies can do. This sounds like a case of periodontal disease and it should be something you should be keeping regular maintenance on. It's unlikely the cleaning is what caused the severity of these problems. Sorry to hear you are suffering, just remember your dental office is only looking out for you. Dipsey: Ask to have your lower fronts bonded in a bridge to keep them fixed in place using ribbond and composite. It's a cheap quick procedure and can last for many years sometimes to stop those wobbly teeth falling out."
  },
  {
    "id": 1660,
    "title": "Are my teeth too far decayed to be saved?",
    "dialogue": "CocoKennedy: Hi. I have four molars that my dentist said need extracting. I was born with no enamel on my teeth so a few of them are quite decayed. The others are in perfect condition, however. It's just the back four. I am incredibly embarrassed about them and want them gone, but have been putting the procedure off for years and putting up with the pain as I'm extremely anxious about having them removed. I know that I wouldn't be so anxious about having them filled or having a crown, as it's the blood and open wounds that I am most afraid of. Do you think any other dentist would try to repair them. My top right tooth, which is decayed down to the gum and has an abscess. will definitely need extracting as it is far gone, but the others are mostly still white and don't look all too bad :/ The top left has been cracked away about half way to the gum line and has a large cavity in half of the tooth, my bottom left has a large cavity in the right of it, but it's not causing any pain and most of the tooth is still there. Then I just have a normal cavity on the bottom right which could be filled but my dentist wants to extract it to even everything out. The X-rays of the roots look normal except for the top right, which as I stated, would need removing. I would post an image but I don't know how. Please be nice, I'm extremely self conscious of my teeth and this is the first time I'm sharing this with anyone except my dentist Chomp: Hi. I'm not a dentist and have not had anything like the trouble you describe. I have been very lucky with my teeth generally but started to have problems with one premolar two or three years ago. I put up with multiple infections, the pain was horrible, more than once, late at night, I was seriously considering pulling the bloody thing about myself with pliers, it was that bad. unable to sleep. Went though some periods of not being able to eat solid food. The tooth appeared fine so the dentist advised against extraction, hoping it would settle down. It didn't and eventually a crack appeared right across the top, it tuned out it had started to crack from the root upwards and took over a year to present on the surface. X-rays didn't show it.\n\nThe extraction was pretty easy. I didn't actually realise the tooth was out. It came out split in two though which might have helped. Yes there was blood, but not huge amounts and the hole plugged up in a day or two and healed completely within a fortnight. A little pain but certainly manageable. The implant process was more tiresome than painful.  The actual process of placing the implant in my jaw took an hour or so. It was a bit uncomfortable but not traumatic, little pain after and again, manageable with paracetamol.\n\nI had the crown installed yesterday. There is a small cosmetic issue with it (described in a post I made last night) but notwithstanding that I am pleased that I had the implant done.\n\nI suspect that the corresponding tooth on the other side of my mouth is going to go the same way and if it does I won't hesitate to have it extracted and implanted at a much earlier stage than the first one.\n\nDon't let fear stop you from ending the pain and misery of bad teeth.\n\nThere's a Facebook chat group, \"Dental Implant Discussions\". It's a closed group, you have to ask to join, so it's not publicly visible. Lots of good info and advice there.  Best of luck. CocoKennedy: Thank you very much. I honestly don't think anything is going to get my in that chair though, I'll probably pass out before even entering the dentist office :/ Dipsey: Unfortunately no matter how bad your teeth are now they just get worse without help. Go have a chat to a dentist and he will explain what can be done and the possible procedures then give you time to think things over. Please do it as infections can be dire! Most pain of dentist is in the mind not in the chair."
  },
  {
    "id": 1661,
    "title": "[Photo Attatched] Dry Socket or Infection?",
    "dialogue": "SVNDR: Hi,\n\nI had 2 upper teeth extracted 3 days ago. I checked my mouth this morning to see how the healing process was going, instead I found this (photo attatched).\n\nFull details. Around the age of 14 one of my baby teeth became loose, over time the tooth never fell out. A year or so later a permanent tooth started breaking through the roof of my mouth just to the side of the baby tooth that never came out. Over time the baby tooth started to decay and chip away. I am now 22 and finally had both teeth removed.\n\nAs you can see in the photo there is a lot of whiteness where I had both teeth removed. To the center of the edge of one of them, there seems to be a small hole that goes deep into the gum.\n\nI am not experiencing too much pain, no more then I expected anyway. I will be contacting my dentist tomorrow as today is a weekend.\n\nAny insight until then would be great.\n\nThanks. Dipsey: It's healing so if not much pain leave it alone."
  },
  {
    "id": 1662,
    "title": "For Practice Owners / Office Managers - Insurance Economics",
    "dialogue": "ByThe Numbers: Esteemed peers,\n\nI am writing to you for some advice on how to deal with low-paying insurances.  I have an economics/business background and I am evaluating a practice that accepts the full spectrum of dental insurances.  From what I see, the majority of the practice's patient body is comprised of those with low-paying insurances.  Obviously, to cover operating costs, a high patient count is needed when fee schedules are low.  \n\nRight now, I'm scratching my head on how this practice can actually make money.  By the numbers, rising lab fees and aggressively low contractual fees with certain insurances means that most major work yields very little profit.  When you subtract out material, utilities, and staff costs, it seems like the work is not worth the liability of completing major treatments.\n\nI've researched and heard of the following things other practices have implemented to survive this economic squeeze such as the following:\n\n- Use less costly materials (which can sadly affect treatment quality)\n- Negotiate lower lab fees\n- Charge an additional co-pay or material upgrade fee (some insurances do not like this)\n- Invest in marketing and attract more private insurance patients that have more palatable fee schedules\n- Negotiate fee schedules directly with insurance companies\n\nI would love to hear of any war stories that you have had with regard to low-paying insurances and how you work with them, if you have utilized any of the tactics above, or if you found success in a different way.\n\nThanks in advance,\nBTN calcium48: how much does it cost per hour to run a typical dental practice, just to break even?\n\nAnd what is the average cost per hour of an average dental practice? ByThe Numbers: calcium48 said:\n\n\n\n\t\t\thow much does it cost per hour to run a typical dental practice, just to break even?\n\nAnd what is the average cost per hour of an average dental practice?\n\t\t\nClick to expand...\n\n\nI wish I had a better answer for you, but there are so many variables that can affect a general hourly cost. \n\nHere are a few that can change depending on the day:\n\n-how many associates, dental assistants, receptionists, hygienists a practice has working on a given day and what their wages are\n-the types of procedures being completed in a day and the required material costs (i.e. composite material, etch, bonding, lab fees for crowns/bridges/dentures)\n-the type of insurance of patients for the schedule if the associate is being paid by commission (if the patient is seeing low-pay insurances, then the cost is lower)\n\nHere are a few variables where the costs tend to stay around the same on a monthly basis:\n\n-Utilities (electricity, water, internet, dental software, phone)\n-Insurance (malpractice, office insurance, disability, maintenance fees, .etc)\n\nUnfortunately, this list is not comprehensive, but it should give you an idea of why it is difficult to predict an hourly cost to run an office.  All of these costly variables end up making it hard for practices to survive when contractual fee schedules are low. \n\n...Which leads me back to my original reason for posting, which is, how have practices dealt with this when they do not have the luxury of plentiful high-paying insurance patients.  In order to break even, or to even see a little bit of the green pastures, it seems that practices have to play the numbers game and see a higher patient count.  Practices may have to also make some difficult decisions on which materials to use in order to make ends meet. calcium48: I realize that there will be many variables, that's why I said the  average cost\n\nwhat is the average cost per hour of an average dental practice? ByThe Numbers: I'm sorry if I gave off the impression that I have data on hundreds of practices to extrapolate a legitimate answer.  Let me preface my response with the disclosure that I am not an expert and can only respond based off of what I've observed in my own experiences.\n\nThat being said, if I were to estimate, it would be around the following:\n\n~$2000 - Daily cost\n~$225 - Hourly cost (9 hour day)\n\nThis was compiled based off of the following working assumptions:\n\n- Staff wages (2 assistants, 1 receptionist, 1 lab technician, 1 office manager, 1 associate)\n- Lab costs and treatment materials\n- Utilities, maintenance/common charges, rent\n\nIf the above working assumptions qualify as what you deem an average practice, then you have your answer. calcium48: thanks.\nI know it's difficult to give an answer to this due to the number of variables involved.\n\nPerhaps other dentists can say what their real-life hourly rates are. ByThe Numbers: Sure - Calcium48.  I think your questions are worth exploring.  I am also curious to know about operating costs for other practices.  Perhaps you can open up a new thread to address your other financial questions practices face as it somewhat obscures the crux of the original post.  If you do, I'll be sure to follow and contribute where I can. ScreaminRay: ByThe Numbers said:\n\n\n\n\t\t\tEsteemed peers,\n\nI am writing to you for some advice on how to deal with low-paying insurances.  I have an economics/business background and I am evaluating a practice that accepts the full spectrum of dental insurances.  From what I see, the majority of the practice's patient body is comprised of those with low-paying insurances.  Obviously, to cover operating costs, a high patient count is needed when fee schedules are low. \n\nRight now, I'm scratching my head on how this practice can actually make money.  By the numbers, rising lab fees and aggressively low contractual fees with certain insurances means that most major work yields very little profit.  When you subtract out material, utilities, and staff costs, it seems like the work is not worth the liability of completing major treatments.\n\nI've researched and heard of the following things other practices have implemented to survive this economic squeeze such as the following:\n\n- Use less costly materials (which can sadly affect treatment quality)\n- Negotiate lower lab fees\n- Charge an additional co-pay or material upgrade fee (some insurances do not like this)\n- Invest in marketing and attract more private insurance patients that have more palatable fee schedules\n- Negotiate fee schedules directly with insurance companies\n\nI would love to hear of any war stories that you have had with regard to low-paying insurances and how you work with them, if you have utilized any of the tactics above, or if you found success in a different way.\n\nThanks in advance,\nBTN\n\t\t\nClick to expand...\n\nI used to work with one office that offered their patients an additional insurance for $75.00 a year for that they were virtually guaranteed that all would be covered. Patients were happy to pay because the were tired of picking up 60-75% of the bill after paying for inurance already. ByThe Numbers: ScreaminRay said:\n\n\n\n\t\t\tI used to work with one office that offered their patients an additional insurance for $75.00 a year for that they were virtually guaranteed that all would be covered. Patients were happy to pay because the were tired of picking up 60-75% of the bill after paying for inurance already.\n\t\t\nClick to expand...\n\n\nScreaminRay - Thank you for responding with a creative way to supplement low fees.  I will definitely bring this up as an idea to other owners that I speak to."
  },
  {
    "id": 1663,
    "title": "Insurance filing question",
    "dialogue": "Digital Dentistry SP: I've recently started offering Invisalign and the insurance paperwork is a bit confusing.  If any dentists have experience with this I'd appreciate any input.\n\nDo I need to submit a new claim each time Invisalign trays are given to a patient?\n\nThanks."
  },
  {
    "id": 1664,
    "title": "Why did my pain totally vanish ?",
    "dialogue": "JayBee: Four days ago my gold crowned molar(#19) and my last tooth (#18) were heat and cold sensitive, pressure sensitive and throbbing with pain. I couldn’t tell if it was a problem with both teeth or just one.  Regardless, I had to avoid that side of my mouth totally (no food, no hot or cold beverage).  The crown is over 15 years old so I though decay had made it’s way through the tooth and the back tooth is mostly filling.  I didn’t know whether either was repairable and can’t afford to have them both pulled, losing the ability to chew on that side (and don’t have insurance to help out with implants).  Another tooth (#14 is my last tooth on top and part of a bridge) was also hurting and cold sensitive.  I seemed to have pain coming from all 3 teeth.  Then 3 days into this pain I could pinpoint the pain and it now seemed to be coming exclusively from #19.  The next morning (Sunday) I had no pain or sensitivity in any of the above mentioned teeth.  Like nothing had ever happened.  My only treatment was applying Oregano oil between the teeth and on gums daily.  Oregano has excellent antiseptic and antimicrobial  qualities,  Has anybody experienced this pain remission after 4 days and what could have caused pain?  Many thanks, Jeff."
  },
  {
    "id": 1665,
    "title": "Oral Surgery Refund?",
    "dialogue": "Josh C: Hello everyone,\n\nI had an emergency wisdom tooth extraction back in June. At the oral surgeon's office, I was told my estimated after insurance cost would be around $1,500, which I paid on that day. \n\nFast forward to recent weeks, when I checked my Aetna account, it appears I should be paying only $650. So I think I've over paid. Of course I have received no refunds from the oral surgeon yet. \n\nMy question is, how should I proceed with this from now on? Should I get something like an official document from Aetna showing I'm only responsible for 650, not 1500? I'm afraid the oral surgeon will be hard to work with. I'm clueless since I have never dealt with this kind of thing before.\n\nThank you!! calcium48: ask your oral surgeon, see what he says first."
  },
  {
    "id": 1666,
    "title": "Tooth pain after crown",
    "dialogue": "Angie: Last week I had first of two appointments for a crown on #13 tooth. (That's the number I heard, top left side second from last molar)No root canal was done but since the temporary crown was placed I've had nothing but pain. My bite feels ok and all my teeth seem to be touching as they should. Today is day 7 and I'm in unbearable pain. My jaw is throbbing and it seems like the whole left side of my face hurts. No fever or swelling though. Is this normal? I plan on calling my dentist as soon as they open tomorrow. Any suggestions? I'm rotating between Advil and Tylenol."
  },
  {
    "id": 1667,
    "title": "3D Digital Implants",
    "dialogue": "Harry9000: What are the Pro's and Con's?"
  },
  {
    "id": 1668,
    "title": "Horseshoe shaped dentures",
    "dialogue": "Claudia: Are horseshoe shaped dentures appropriate for a patient who has a large bone structure in the roof of the mouth?"
  },
  {
    "id": 1669,
    "title": "7 year old kid suck thumb and cause face bone change",
    "dialogue": "emmahui03: She stopped it now , but her face still down't look right, especially the bone around mouth, they are pointing forward and the chin backward, similar to this pic,\n Or maybe this is overbite?\n\n\nAny solution? Does she need a headgear to pull the tooth/bone back?"
  },
  {
    "id": 1670,
    "title": "Damaged gums",
    "dialogue": "Shaka: Hi my name is Shaka and I am looking for some hope here, 2 of my gums were damaged when i was a child and lately they have been giving me alot of trouble coming into my later years, I just recently visited a dentist and i got my teeth cleaned and since then the 2 damaged gums were starting to heal, but this only lasted for a few days and right now they are red and very sore and they itch like crazy, So what I went back to the dentist after a month and he wrote me a prescription for antibiotics I am hoping that its still possible that they can heal because according to the dentist i visited my gums are very soft, so i'm wondering if it is still possible for them to heal properly or will i have to live with this problem forever?"
  },
  {
    "id": 1671,
    "title": "Bottom molars removed",
    "dialogue": "Eamonn: Basically on my bottom jaw I had the molar that's beside the wisdom tooth removed on both the right and the left, there is a gap between my other molars and the wisdom teeth and was considering getting an implant and crown put in or am I overreacting?"
  },
  {
    "id": 1672,
    "title": "Deep Cleaning Does It Hurt and What to Expect?",
    "dialogue": "napy87: How can I put this, yesturday I went to the dentist for a basic appointment, X-Ray, cleaning, find out if my teeth are in good shape or bad shape etc.\n\nIt has been years since my last visit to the doctor, and I went to this one office that only accepted Medi-Cal insurance, so it covered the basic check up. Anyway during the appointment, they did the X-Rays using this round device they stuck in my mouth and I bit down on it.\n\nWhen I did X-Rays years ago I remember biting down on a smaller square shaped thing it was much easier, maybe this dentist office used old school stuff?\n\nThen the X-Rays did not come through, they did but not so clear due to their old school laptop not connecting to the device so well until it did connect. All and all they said my teeth were in good shape according to the X-Rays.\n\nNext up was the teeth cleaning with the paste which they did. Then I was told I needed a deep cleaning done and should get it done right away. The cost would be $200.00\n\nAll in all this dentist place I did not like at all. And now I am afraid to get a deep cleaning done whether it'd be this same location or a new location. How much do deep cleaning's run, I've heard cheap ranging from $50-90 to $100-150 down to $200 and up. \n\nI also really do not want to throw up during the deep cleaning IF I do decide to do it. I know they can numb you up, but I've heard that DOES NOT work, and you can still feel pain and even the shot going into the gums etc.\n\nNot sure what to do here. Just really nervous about it all."
  },
  {
    "id": 1673,
    "title": "Preforated sinus from a tooth extracted several years ago",
    "dialogue": "Robinbird: Hello,\nI had a upper molar pulled several years ago with no problems, at least I didn't think there was a problem at the time.  A few days ago I had an abscess where the tooth would of been if it hadn't been pulled. I went to my dentist asap as I was going out of town for the Labor day weekend and was afraid I would be in intense pain from this thing in my mouth. He took x-rays and saw nothing that would indicate a problem so we decided to lance it. After lancing it a ton of pus came out of it and he found a hole in my sinus from the tooth that was pulled several years ago. GROSS.....\nSo I have been on a ton of medicines to clear out my sinus, and will go back for a follow up and possible surgery to repair the hole in my sinus. Apparently the only thing that is separating my mouth from my sinus is a layer of gum that will become infected with sinus fluids. \nWho should be financially responsible for this surgery since it's is a result of a hole in my sinus from a tooth extraction and I was not notified of the problem?"
  },
  {
    "id": 1674,
    "title": "Disgusting pain",
    "dialogue": "Tinker: Hey everyone advice is needed  the gum area under my bottom hurts it's like a dull stabbing ache and now it's spreading to my ear I can't get a appointment till 2 days time. I have no idea what it is. But I suffer from terrible anxiety and it says tooth pain can kill\nYou now I'm really scared calcium48: didn't realize there were gums under the bottom.\nMight help if you re-wrote the question"
  },
  {
    "id": 1675,
    "title": "Have problem decide to go to dental field.",
    "dialogue": "nightleep: I'm interest in dental field due to my parent influence of wanting me to and my undecided career path. Now is my senior year of high school. My worry is that I'm not good or too interest in the biology field. But I'm good at chemistry and physic since it involve mathematics.  Is dental field a good choice if I don't do well nor really interest in biology? calcium48: don't do it if you are not interested\nchoose the career that you would enjoy working in........forget what your parents say\nwhat do YOU want to do? nightleep: calcium48 said:\n\n\n\n\t\t\tdon't do it if you are not interested\nchoose the career that you would enjoy working in........forget what your parents say\nwhat do YOU want to do?\n\t\t\nClick to expand...\n\n\nI know everyone ask what i want to do. The problem is I don't know yet. I mean I'm interest in Dentistry but not the biology class because I don't really understand nor too interest in it. calcium48: in that case try and leave your options open until you do decide what you want to do."
  },
  {
    "id": 1676,
    "title": "Didn't completely finish amoxicillan after root canal?",
    "dialogue": "Stacy: Hi so I have done half of my root canal procedure, I have yet to go back in to put the crown on top. My dentist told me I had an infection. So, after doing the first half of the root canal, they prescribed me amoxicillan to take 3 times a day for 10 days. I was pretty consistent with it (the hours would change sometimes, but I managed to do 3 times a day spread out as far as I could). However, I just realized I never completely finished them. I had 2 tablets left. Will this be a problem? I'm really nervous. \n\nIt must have been 5 days since I last took it. I dont know if this was a good idea, but once I realized, I just took a tablet right now and I am about to go to sleep. Please help and let me know what I should do. calcium48: thats all you can do now.\nJust tell your dentist what happened and see what he says."
  },
  {
    "id": 1677,
    "title": "Dentist recommended braces, I'm no dentist but is this a good idea?",
    "dialogue": "Mapper112: Greetings,\n\nFor the past few months my lower jaw has been completely slanted to the side when I close my jaw. I have no over/underbite but when closing my mouth my two big central teeth on the upper jaw join the 2 left incisors. Basically my whole jaw is to one side.\n\nNow, I don't know much about teeth but surely this has to do with the joint at the base of the ear. My dentist has told me that I need braces but instinct is telling me that it might make it worse...\n\nI'm worried"
  },
  {
    "id": 1678,
    "title": "Resorption frequency increase noted",
    "dialogue": "Naomi Phillips: My dentist and hygienist told me today that they are seeing more resorption cases than ever before.  Looked on the ADA website for information with no luck.  Are there any current studies being conducted to help explain this increase?"
  },
  {
    "id": 1679,
    "title": "Over the counter night guard",
    "dialogue": "John Roberts: Can someone recommend a over the counter night guard that is good.  I have been having trouble with my teeth hurting and the dentist can see anything wrong with my teeth. Said I could be grinding my teeth. I had a night guard made at the dentist office but it fits so tight it makes my teeth hurt even more.  This has been several months ago.  I thought if I could find one that I can wear at night I would try it and see if it helps.  I don't think I grind my teeth but I can't get any answers on why they hurt.  The front four top are the worst."
  },
  {
    "id": 1680,
    "title": "Tonsilitis or what?",
    "dialogue": "cas: I am 16 years old in Jamaica. I had difficulty swallowing and chewing since the week started. On Wednesday I looked at my mouth in the mirror the were white stuff on each sides towards the back of my throat and my gums are badly swollen. yesterday I went to the doctor and he told me i have a really bad case of tonsillitis and gave me antibiotics. Today when I woke up there was a stinging pain in the right corner of my mouth. When I tried to brush my teeth the pain was worst and i could barley brush. I looked in the mirror afterwards and saw that the same white stuff on my tonsils on my gum (on the bottom row on the outer section easily exposed with movement of the lower lip) and on the hard palate. In the same right corner I have wisdom tooth coming up and the area is swollen like a balloon. The same thing is on the left side but it doesn't hurt as much. Now I can't close my teeth together (I have to put my tongue between them if i want to close my mouth), I can't eat or drink (haven't done so since Monday), I have been feeding on water because that was the only thing that could give me a relief from the pain and now the right corner stings even when I drink the water, when I talk it hurts and now I am worried because school is starting soon and I have interviews and other stuff which require talking and most of my family makes it harder for me by forcing me to talk. I do not know what is wrong with me because this the first time this has ever happened and I do not what to do."
  },
  {
    "id": 1681,
    "title": "Root canal pain",
    "dialogue": "Curl78: hi I had a root canal done about 18 months ago and about 3 month ago started having pain come and go especially with hot drinks,or if I tapped on the tooth well it got bad so I went to my dentist who did an X-ray and couldn't find anything so she's sent me to an endodontist next week this was a few weeks ago as I couldn't get in,well the last few weeks the pains totally gone So now I'm unsure whether still to still get it checked out?also wandering what they'll do?ive never been to an endodontist and if my dentist couldn't find anything how will they? Thanks so much for any replys!! NELLIE L.CHEN: You could take an appointment if you still have the pain or else you could take an appointment for a check-up."
  },
  {
    "id": 1682,
    "title": "Daughter Scared to Death",
    "dialogue": "KansasCan: My 7 year old daughter recently had 3 extractions for overcrowding. Her adult teeth are coming in faster than she can lose her baby teeth. She needs 6 teeth out total, so she has 3 more to go. Our dentist recommended one side of the face at a time. The experience was horrendous for her. She tried so hard to be brave, but the pain from the needles was awful. Then she vomited in the waiting room and was put on vitals for an hour while her temperature spiked then dropped. We went back to get the other 3 out, but even with the gas, she was too anxious for them to proceed. Now we have to go to an oral surgeon so she can be put out. This will be her 5th appointment in the last two months - having first seeing the dentist, then referral to an ortho to confirm the teeth needed to be extracted, back to the dentist for the extractions, back again to try the other extractions, and now going to a surgeon for a consultation. My daughter cries hearing \"teeth\" or \"dentist.\" How do I not traumatize her and get the teeth out?"
  },
  {
    "id": 1683,
    "title": "Harsh chemical taste after brushing",
    "dialogue": "M. Anderson: Sometimes after brushing I get a harsh chemical taste in my mouth and then a burning throat. My dentist has looked at all my silver fillings and none of them has fallen out. What is this horrible taste and is it dangerous?"
  },
  {
    "id": 1684,
    "title": "Best action for teeth - post braces *pics attached*",
    "dialogue": "Dean Fowler: Hi all I hope you are all well!\n\nI had braces for 4 years and unfortunately broke my retainer a couple of years ago and now I feel my teeth look a bit buck toothed.\nI am considering having the front 2 shaved down, and the gap in the middle filled in and then whitening them\nI am curious if anyone has any dental advice as to what I should get done to my teeth to make them look the best they can        preferably without any orthodontics again\nAny advice would be amazing!\nThanks and have a lovely day! Valerie: Hey I recently finished my braces treatment and I can notice a tooth gap appearing just like yours ?\n\nIs it normal or did you always have that tooth gap Valerie: Oh and im not sure if shaving ur front two teeth is going to be advised as when I requested something similar I was told it would also shave away your enamel or something , you would be actually digging away the inner of your teeth .\n- Just what I hear not a professional Digital Dentistry SP: Have you looked into Invisalign see-through braces.  They can help you."
  },
  {
    "id": 1685,
    "title": "Broken and lose molar",
    "dialogue": "Jonny Benson: Hi all.\n\nFirstly i'd like to shamelessly admit i don't do dentists!! My teeth are a mess as i haven't been for over ten years. I'm honestly scared stiff of dentists and needles etc etc.\n\nAnyway i have a molar which has been broken for over a year with no pain, but now its finally loose.\n\nI know most of you will probably think grow up and visit the dentist, but i wanna know what happens if it comes out on its own? Blood, pain, etc. Can i manage without it?\n\nThanks in advance. calcium48: If It's  loose, then you most likely will have bone loss.\nwhats your age? Jonny Benson: calcium48 said:\n\n\n\n\t\t\tIf It's  loose, then you most likely will have bone loss.\nwhats your age?\n\t\t\nClick to expand...\n\n\nBone loss????? What the hell?\nI'm 42 calcium48: Jonny Benson said:\n\n\n\n\t\t\tBone loss????? What the hell?\nI'm 42 \n\nClick to expand...\n\nIf its loose then the under lying bone structure has probably been lost due to gum disease. Tooth has no support.\nWhy else would it be loose? calcium48: an xray would be needed to see if there is bone loss in that area.\nThis can happen if the oral hygiene is not good.\nIt may come as a shock to you, but gum disease is mostly painless.\nDon't shoot the messenger....only trying to help Jonny Benson: calcium48 said:\n\n\n\n\t\t\tan xray would be needed to see if there is bone loss in that area.\nThis can happen if the oral hygiene is not good.\nIt may come as a shock to you, but gum disease is mostly painless.\nDon't shoot the messenger....only trying to help\n\t\t\nClick to expand...\n\n\nNo no i appreciate the help, thanks.\n\nThat tooth has got a filling, but has been broke in half for over a year i think.\n\nSo do you think it will come out on its own, or will i eventually have to grow up and visit the dentist. The latter by the way has probably got a 90% chance of not happening because of my phobia john Cameron: Get to the dentist. I know you have never had an infection before, but that doesn't mean you won't (or don't as the case may be). Also, you want to get the lower one checked so that it doesn't become a bigger problem. A lot of people have a fear of the dentist. There are things that can be done to help you get through your appointment. Your dentist can prescribe you a pill to help you relax (you will need a driver), or Nitrous is another option. Don't let this go. Dental infections can be very dangerous if left unattended. Good luck, and please let me know how it goes. Jonny Benson: john Cameron said:\n\n\n\n\t\t\tGet to the dentist. I know you have never had an infection before, but that doesn't mean you won't (or don't as the case may be). Also, you want to get the lower one checked so that it doesn't become a bigger problem. A lot of people have a fear of the dentist. There are things that can be done to help you get through your appointment. Your dentist can prescribe you a pill to help you relax (you will need a driver), or Nitrous is another option. Don't let this go. Dental infections can be very dangerous if left unattended. Good luck, and please let me know how it goes.\n\t\t\nClick to expand...\n\n\nThank you. I know i should but this phobia is a massive problem for me. I had to have blood taken about 7 years ago and was sick and nearly passed out just from that. The whole idea of the dentist gets me going just thinking about it. The build up before, getting there, going through the door, waiting, the smell, the noise, etc etc etc etc.\n\nWriting this has made me realize my phobia is bigger than i thought calcium48: having not had a phobia, it's difficult for any of us to know what you are going through. Jonny Benson: calcium48 said:\n\n\n\n\t\t\thaving not had a phobia, it's difficult for any of us to know what you are going through.\n\t\t\nClick to expand...\n\n\nI guess so \n\nThanks for the advice though. Jonny Benson: Now i'm even more scared and in pain.\n\nThe remaining quarter of a tooth i've had for months has now snapped off along with some of the filling.\n\nBut i still can't bring myself to go calcium48: you'll have to choose the lesser of the evils........ Digital Dentistry SP: Johnny Benson, you really need to go to a dentist.  Many dentists like me offer sedation dentistry for anxious/nervous patients such as yourself.  You sound like you have a serious phobia and sedation dentistry can help you.  Just search for something like \"sedation dentistry\" or \"sedation dentist\" in your area.\n\nYou're doing yourself more harm by not going to a dentist.  Whatever you got to do, make a visit to a dentist.  Good luck."
  },
  {
    "id": 1686,
    "title": "Just gonna do it.... EMBARRASSING",
    "dialogue": "Rarecargo: Making this as short as possible... \nAugust 10th I had 2 extractions on my left side. One upper one lower molar... \nAfter I had very little pain and swelling. Getting the infection out has made me feel better than I have in months. \nNight 8 my husband and I were intimate and I ended up performing oral sex. Honestly not even thinking about it....  I woke up with very mild swelling yesterday morning. \nCompletely embarrassed of calling my dentist. Should I just \"bite the bullet\" and call?"
  },
  {
    "id": 1687,
    "title": "Antique Dental Equipment",
    "dialogue": "Mik Parsons: Following his death, my father-in-law, a prominent dentist in Oxfordshire,has left several antique items of antique dental equipment which would be ideally suited for a museum-style display, possibly within a Dental Practice.  Items include a foot-pedal powered electric drill,  an early transformer-supplied electric drill, various drill parts, heavy brass dental moulds and a heavy mould-press. I'd like to bring these to the attention of the Dentistry community in case there might be an interested buyer. Can anyone advise a good place to advertise beyond this forum which I have just discovered as my first point of call. Photographs available on request to (e-mail address removed)"
  },
  {
    "id": 1688,
    "title": "gum soreness..help...",
    "dialogue": "Dr.KBC: Hello. I am general dentist working in philly. I have this patient who had a soreness on the max. arch where intaglio surface of max. RPD meets (upper left front areas). The patient said that it has been going on for about 2 months and he never had used denture during this period (to be exact, he could not due to soreness.) He is very sensitive like jumping when I try to touch it. X-ray does not show any abnormality (no tooth piece left). Clinically, just a little bit of redness around that area. (no intraoral swelling at all). Pt asked me if this could be a sign of oral cancer. What would you do and tell pt in this case? What could be the reason for this soreness in this situation?"
  },
  {
    "id": 1689,
    "title": "Diet",
    "dialogue": "hetrazom: Wondering if anyone has any current dietary recommendations re oral hygiene. I continue to develop plaque and have tooth decay issues even though my diet and health is generally good. I rarely see doctors but I seem to be going to the dentist alot. I stay away from bakeries (refined flour, sugar), eat whole foods, organic, plant based diet, some dairy, eggs and little meat. Please no Weston Price stuff. Ive read his book. Im well versed in the W. Price Foundation literature and although his recommendations have some merit re teeth (I do bone broth), research since his time basically says what I just quoted here (\"whole foods, mostly organic, plant based diet, some dairy, eggs and little meat\"). I recently discovered amla with a research paper on its benefits. That was great. Anything along those lines would be helpful."
  },
  {
    "id": 1690,
    "title": "Teeth Small and Thin ?",
    "dialogue": "Ale: First upload are my teeth, I have always had an issue with them. I feel like it's hard for me to smile because my teeth are so little. I don't want to show so gums when I smile so i learned how to smile a certain way. My teeth seem to go either inward or just straight down. When I look at other people's teeth it's like they aim outward more than mine do. Also my teeth seem a little thinner at the bottom. \n\n\n\n \nThe second upload is teeth that I would kill to have ):\n\n\nIs there anything I can do to achieve these teeth? I've taken up on teeth whitening, use my retainer every night like I'm supposed to, and wonder if I could cut/push gums up to show more teeth if that's even possible. About the outward teeth thing I don't have any idea. I don't really want veneers because that just seems a little scary to go and do suddenly."
  },
  {
    "id": 1691,
    "title": "Aches and Pains",
    "dialogue": "Jemma: Hi\nI am experiencing horrible pain and a general ache on the left side of my mouth.\n\n\nIt hurts at quite random times, but is starting to hurt more when I am eating a hot meal\n\n\nIt feels uncomfortable to close my mouth/ teeth together\n\n\nOne of my teeth appears black towards the bottom of it, I hadn't noticed this until today\nI saw my dentist 5 days ago and she couldn't see any issues. Had an x-ray but heard nothing back from it. The pain is getting worse and I go on my honeymoon in 10 days! Can anyone give their advice?"
  },
  {
    "id": 1692,
    "title": "Sensation and pain of a filled tooth",
    "dialogue": "Simondsilva: Hi,\nI had filled a tooth almost 9 years back. Now I am getting some kind of sensation and some pain. I consulted a doctor, and they say that an RC is required. Find the xray attached here. I just want a second opinion before going for the RC. Please guide."
  },
  {
    "id": 1693,
    "title": "Please help: Shadow above incisor (please see X-ray attached)",
    "dialogue": "saffy: My dentist took an X-ray as I have a small clear bump/bubble that comes and goes above my upper incisor. The X-ray showed a slight shadow above the tooth so was sent for full mouth X-ray. I now have to wait over 35weeks before I can be seen back in the hospital to go over the results. However I have the X-ray and would like a dentist on here to give their opinion if there is anything sinister going on in the X-ray?? Kind regards."
  },
  {
    "id": 1694,
    "title": "Wisdom tooth issue= A very worried lady",
    "dialogue": "Anon1996: Hello everyone.\n\nSo i began to notice my wisdom tooth coming through about 4 days ago. Started with alight discomfort, and minor swelling. \nThere is a flap of gum covering the area which is roughly a 4/10 on the pain scale. I've covered it with teething gel, and been doing hot salty water spits. \nIt's now day 4 and it hasn't got worse, not better. I've taken a look in my mouth this morning as realised the flap of gum at the bottom has turned white and I can slightly lift it up. \nDoes this sound like normal wisdom teeth coming through? Gosh I really hope So!\n\nAny suggestions would be greatly appreciated!!"
  },
  {
    "id": 1695,
    "title": "Feels like food stuck between teeth for 2 1/2 months but isn't plus more issues!",
    "dialogue": "Suzlq: I had my teeth cleaned aggressively by a sub hygienist, with no problems previously. Afterwards, (possibly) a week or so later I started noticing a sensation of food being stuck between my teeth, especially my lower front teeth, most likely due to my tongue resting there. There was and has not been any food stuck between my teeth! However the sensation is really throughout my mouth and teeth. In the meantime my tongue and mouth cavity has been suffering sensitivities as well. It has basically been a 24/7 issue for the past 2 1/2 months. I have been back to the dentist twice plus a periodontist referral of his. They both said my teeth and gums look great and I have no problems there. The last time my dentist took a couple of x-rays to compare before the cleaning and a couple months after the cleaning but he did not note any differences. \n\nI have chewed gum, sucked on regular and dry mouth lozenges, used Biotene, an oral rinse (Peridex) for a few days and Benzocaine for a few days. Nothing has solved the problems. I started a new daily medicine for  headaches, I believe, after the symptoms started. I thought possibly it could have contributed to \"dry mouth\" and my issues. I recently discontinued the med and am now on a new med that doesn't have the potential side effect of dry mouth. My dentist is stumped and told me he hopes it is better by the next time I get my next cleaning in November. Any ideas on why the sensation of the food between teeth and now the sensitivities within my mouth cavity including my tongue and roof of mouth? I'm not sure what to do next except give time to be on my new med and hope it was all a reaction some how to my new med. Any more visits to a professional are going to be out of pocket now."
  },
  {
    "id": 1696,
    "title": "Foul smell",
    "dialogue": "Nathan666363: A couple months ago I started feeling severe pain in one of my teeth. That tooth happened to be very cracked and in bad shape. It oozed what I assumed was pus frequently until it just stopped. I feel nothing in the tooth. Since then the tooth has shattered and I've picked out most of the shards from my gums. But when I place my tongue over that spot I still get a foul taste in my mouth. I've rubbed tooth picks over the spot and the smell is unbelievably terrible. No matter how often I brush the smell does not come out. Does anyone know what may have happened? Also is there anyway I can kill the source of the smell? calcium48: you need to see a dentist urgently........\ndon't mess about asking questions on the web Nathan666363: Why urgently? It's been like this for a year, what am I going to die? ScreaminRay: Foul Smell is usually caused from bacteria period. you need to get this taken care of as it can only get worse calcium48: Nathan666363 said:\n\n\n\n\t\t\tWhy urgently? It's been like this for a year, what am I going to die?\n\t\t\nClick to expand...\n\nIts a possibility, if an infection isn't controlled.\nWhy won't you see a dentist?"
  },
  {
    "id": 1697,
    "title": "Panoramic X-rays Requirements",
    "dialogue": "ebno: Are there any state or federal laws in the U.S. requiring dentists to take panoramic X-rays? On my last dentist visit, they insisted it was required by law even though I was there to get a single tooth repaired."
  },
  {
    "id": 1698,
    "title": "Infection Control - Are instruments truly sterile?",
    "dialogue": "Juan Di Varo: How do we know for sure that the biggest threat to patient health in dentistry is being handled effectively? How do we know that all instruments are sterilised effectively?"
  },
  {
    "id": 1699,
    "title": "Help - what is this/how do I get rid of it? (Picture inside)",
    "dialogue": "NETGEAR: I've got a black line between my gums and my teeth, and it seems to be spreading? \nhttp://imgur.com/a/sA0ZU"
  },
  {
    "id": 1700,
    "title": "HELP!! what's causing this?!?!?!",
    "dialogue": "Heraldo13: Folks I've just noticed this issue recently and would love to know if ive anything to worry about.\n\nI've attached an image....I basically have grooves/dents in the tips of my front teeth...both top and bottom.\n\nAlso a bit of chipping to these teeth I have noticed.  Anyone had any experience with this sort of thing? calcium48: are you grinding your teeth?"
  },
  {
    "id": 1701,
    "title": "Dental Crown Over root canal treated tooth is wobbly grade 1-",
    "dialogue": "shikha: I was having mangoes (with seed) 2-3 days back and suddenly I felt a sensation on my front tooth which had undergone root canal with procelain crown 3 years back. I felt the crown coming down but on close examination it started shaking. I went to the doctor for an xray... the xray was normal but he was not sure on the tooth beneath the crown. he is suspecting a fracture but is not sure. He has asked me to wait and watch for the crown to fall off on its own. If he tries to take the crown out ..it may actually fracture the tooth. The tooth is  not that wobbly and it has been close to 6 days now. Please advise...i don't want to get an implant if it is avoidable..there is no bleeding or pain. David Ujcic: I'm in the same boat as you. I'm about to add my question post.  \nWhat I'd like to do is avoid implant at all costs.\nI'm ok with ignoring fracture.  Bacteria, decay, all of that talk is of no concern to me. I'll take the risk.\nMy main concern is making the crown stay stuck and I'm in  the process of finding out the options.\nGood luck and maybe look for my post for more info. David Ujcic: After researching glues, come to understand that the most likely glue used has been zinc phosphate glue which relies on good matching between surfaces.\nI am going to ask the dentist to source a good chemical bonding glue (Glass ionomer) rather than mechanical bonding. shikha: Well what if it is not that wobbly but sometimes you have pain for 5 minutes or so every 2-3 hours. It is manageable and can be ignored if your are busy with work. I am really nt sure to go for an implant as it is one of my front tooth. How long can we go on like this...."
  },
  {
    "id": 1702,
    "title": "Half of my premolar broke! Help",
    "dialogue": "Lucy: Hi I'm 18 and not been to the dentist in a while, my first premolar broke a month a go and I've been putting off going but with it being near the front of my mouth I don't want it to be so noticeable that I'm missing half a tooth, could this be filled?? Or what would be the procedure. Help!"
  },
  {
    "id": 1703,
    "title": "Avulsed front teeth",
    "dialogue": "Cassie: I was recently involved in a domestic assault and had my 7 and 8 tooth completely knocked out. They were placed back in by the emergency room within an hour. I saw the dentist the next day who advised she couldn't do anything until it healed. Fast forward to three months later. My teeth have moved out of place but haven't turned grey/yellow. I previously had braces for 3 years but was told that would not be an option this time. Would it really cause more damage to move them back to the original place? My front tooth has significantly dropped down and has caused bite problems. She also stated she didn't believe I would need root canals on those two teeth at the moment. Do I have any type of options to at least help my bite or make them look straighter? Photos do not do justice. Nothing has been done at all besides an x-ray check up for healing."
  },
  {
    "id": 1704,
    "title": "Which practice management system is best?",
    "dialogue": "Digital Dentistry SP: Hello.  My office is currently using Eagle Soft.  It has some strengths and weaknesses for my practice and I'm considering switching to possibly Open Dental.  \n\nDoes anyone have recommendations of something that is better than Eagle Soft?  If so what do you like about it?  Thanks for the help."
  },
  {
    "id": 1705,
    "title": "Ongoing Dry Socket Problems",
    "dialogue": "sewho: hello,\n\nHad a bottom molar extracted 4 weeks ago and developed dry socket. Returned to the dentist after 1 week to have the socket scraped and new blood clot (ouch!) as well as packed with alvogyl. Then after another week the alvogyl paste came out and it became inflamed and painful so went back to the dentist. I wouldn't agree to any scraping on the 2nd visit, but she washed it with saline (not painful) and put a small amount of alvogyl and packed it loosely. I think today that packing has come out because it's inflamed again and starting to hurt.\n\nAnyone know how long this will go on? Should I return to the dentist for more alyoglyl? It does stop it hurting when the paste is in there, but does it delay the healing? Would I be better off taking iboprofun anti-inflammatory pills for a while and seeing if it fixes itself up faster? \n\nIt seems like it will never heal. Why is it taking so long? Help!! Sofianhleihil: Hello Sewho,\nSorry to hear about your situation...\nI'm a dentistry student at the moment but I have some experience with this procedure.\n\nYou need to know first which is the cause for the clot being constantly disloged, you should avoid rinsing too much as this can lead to complications (with the clot), another reason could be that a foreign body (a piece of the tooth was left behind, though I doubt that this is the cause, if the surgeon scraped the surface again, he/she should have notices if something was left behind), It can also cause an inflamation at that spot.\n\nAs far as I know you might need antibiotics to treat the dry socket and hopefuly start the healing process.. you could ask the surgeon to place an antibiotic paste into the socket, and ask for his opinion on starting an antibiotic treatment.\n\nHope this helps.\nGet healthy soon! sewho: Just finished my 2nd lot of antibiotics this morning. They did seem to help so maybe that was the problem. Have taken some iboprofun last night which settled it down a bit. Have to wait and see how it goes today I guess."
  },
  {
    "id": 1706,
    "title": "Wisdom tooth extraction site problem",
    "dialogue": "Tazmine: I had my lower wisdom teeth removed on the 30th June. I had a stitch in my right lower tooth which has come out a few days ago, since the stitch has come out i have noticed a small red lump inside the socket which covers most of the extraction site?? The lump doesn't appear to be painful and I'm continuing to do salt rinses. Sofianhleihil: Hello Tazmine, there is no need to worry, what you see in the extraction site is the blood clot that is supposed to form in order for bone to later fill the extraction site.\nTry to avoid probing the clot with your tongue (or finger, or anything really) and avoid rinsing, if you disloge the clot, it will lead to complications.\nHope you find this information helpful! Tazmine: Sofianhleihil said:\n\n\n\n\t\t\tHello Tazmine, there is no need to worry, what you see in the extraction site is the blood clot that is supposed to form in order for bone to later fill the extraction site.\nTry to avoid probing the clot with your tongue (or finger, or anything really) and avoid rinsing, if you disloge the clot, it will lead to complications.\nHope you find this information helpful!\n\t\t\nClick to expand...\n\n\n\nHello thank you for your response. Would it still clot this long after surgery as it's been around 14 days since my surgery now? Sofianhleihil: It is normal for it to take about 2-3 weeks to close and \"engulf\" the clot, you will only see the new gingiva formed above, the clot will exist underneath the new tissue. The clot will (slowly) turn into bone, that will offer structural resistance in that area.\n\nHealing time differs from patient to patient, it depends on the extent of the trauma to the bone and surrounding tissues.\n\nDid the sweeling start to go away? Tazmine: I was taking Cocodamol for a few days last week but since the stitches have come out there is no pain or swelling anywhere in my mouth. Is this normal healing for the tooth extraction then with the bump in the socket? Thank you!! Sofianhleihil: According to your description (the clot in the socket and no pain) it is perfectly normal and a part of good healing, especially that you don't feel any pain. Tazmine: Sofianhleihil said:\n\n\n\n\t\t\tAccording to your description (the clot in the socket and no pain) it is perfectly normal and a part of good healing, especially that you don't feel any pain.\n\t\t\nClick to expand...\n\n\nPerfect thank you  so nothing to worry about? Sofianhleihil: Not at all, if there's no more pain, just go and enjoy your day Tazmine: Thank you for your help. Have a nice day too"
  },
  {
    "id": 1707,
    "title": "For Dentists:  I Messed Up Big Time. Need Advice",
    "dialogue": "dentaldummy: So it was my first year out of dental school.... I worked in this crazy factory of a medicaid practice.  My bosses basically bullied me on a regular basis (dentists that work alongside in the same office) to go faster and produce more.  They even went so far as to tell the assistants they weren't allowed to give me 330s, and that I had to use a 557 for everything (no matter how small, even for pedo).  The assistants were also tasked with timing me and reporting if I took too much time.  Anyways, 10 months into this...It's 5 o'clock and I still have a patient waiting...I feel I messed up because I was rushing constantly....anyways....\n\nWe had done a pulp crown on A on this 6 year old and he did fine-ish, but his patience was out and we still had to extract an exfoliating Q.  Well he kinda freaks out when he sees the forceps and all I can think is \"just get that tooth out quick\" So I grip the tooth and in one flick of my wrist I rotated R straight out like butter.  Immediately I feel like dying, it's the wrong freaking tooth.  I'm not normally the one in charge of emergencies so I'm panicking and my memory and fight/flight response fail me miserably and all I can think is \"dont wash the PDL, replace quickly, stint, and follow-up\".  So I do this and think ok maybe it'll be ok maybe it'll be ok.  So my boss has arrived by this time (you can imagine the shit storm I got after that) and he informs me that was the wrong protocal for primary teeth, but we will go with it.  I immediately go and tell the parents personally what I have done and request they come back in 3 weeks.  \n\nWe never hear from them again.  Fast forward 3 months, I  recently received a complaint the mother has filed with the board.  I'm not surprised, I totally deserve whatever is coming for me.  However,  this has seriously been ruining my daily life.  Waiting for the discipline action and unknowing what to expect has been total torture.    I think about this every day, all the time.  Not just out of fear for myself and my future, but also with the guilt for what I did to that little boy.  I am just beside myself with guilt. I am not a negligent dentist!!    I take my time and truly treat every single treatment on every single patient like I would want someone to treat my child or my mother or my sibling....I freaking care more than any other dentist I know (no offense...I dont know you  ) hence why I was constantly in trouble for taking too long lol I'm extremely paranoid about making a mistake and boom...I make this huge one in one split second.....I am so disappointed in myself.  I don't know how I allowed that to happen....I feel like such a failure and a terrible dentist and like I should have gone into a different career field.  How did I let this happen?!?!\n\nBottom line questions:\n\nDoes anyone have any similar experience or peronsally know of someone that has messed up on this epic of levels?\nWhat's the process with the board at this point? How long until I finally know my fate?\nShould I get a lawyer? What are the chances this will go to court? (I have tail insurance coverage)\nI have since left that miserable place and have found a wonderful job.  When do I need to inform them of this investigation and action? After I'm \"convicted and sentenced\" or now that I know about the complaint? Can I get fired over this? I am so mortified and embarrassed to admit it to anyone, much less my fairly new employer that has been nothing but wonderful to me for the last 2 months. calcium48: really sorry to hear that.\nMistakes happen, that's just the way it is. The kid didn't help. I wouldn't go back to work at that place any way.\n\nPersonally, I think you will make a great dentist. Hope this incident doesn't do too much harm to your career.\n\nHope it works out for you calcium48: all depends on how far the mother will push it."
  },
  {
    "id": 1708,
    "title": "Dentists(my experience in the UK)",
    "dialogue": "tyreon: Hi All. First,thanks for this open forum and the ability given to become informed,ask questions,and post comments.\n\nFirst, a brief introduction to myself through my (limited?)experience with dental practioners here(in the UK)\n\nI've been with two dental practitioners here for over 25 years. Just a comment! Is it me or 'just some health practioners' who seem to have a problem with being asked questions? I worked as a health practitioner and always welcomed questions...by patients or staff/students. Not so some practitioners who seem to be surprised,affronted or become very defensive then hostile when I just seek a bit of clarification. Wotswiththecageypassive-aggressive response. Is it just some of the practitioners(medical and dental)I meet,or just a GB phenomena? I'm wondering whether its just a GB deference preferment response expected problem: during schooling/training the practitioner is taught 'they know best' and the patient should 'know their place'.\nI just seem to have upset my dentist. I asked a couple of questions over trying to save a tooth(that had begun to ache)and now I sense a particular distance and suspicion having developed in the relationship. Further,(after an explanation?),I now have to wait over a month to have a diseased tooth removed. I mean...I didn't wish to offend(if I have offended...by asking a few questions),I thought it was okay to seek how/why my tooth was like it is/had to come out/can't it be saved\nI mean,wotswith some guys. Why the hostility? Or can it be me? Maybe I'm asking. This isn't what should be happening!!!"
  },
  {
    "id": 1709,
    "title": "HELP me......... Do I need to worry oral cancer!",
    "dialogue": "Adam: Hi \n\nHELP ME PLEASE\n\nWent to the dentist today, she noticed a white patch around 3mm on my gum under my bottom front teeth see photo.\n\nTo me I have three other white patches which are below each bottom front teeth I thought it was tooth or bone under my gums. To the touch the white patch is hard like bone. But the circle she refers to is really white\n\nI remember about 4 months ago catching an ulcer a couple of times with my tooth brush and this is when I think it originated. I remember because it hurt\n\nShe has asked me to come back in three weeks to check and if its still there refer me to hospital. Last thing she said was she was referring me as it could lead to mouth cancer!!!!!!\n\nShould I get a second opinion or should I be asked to be refereed straight away. Don't smoke at all or drink excessively \n\nPlease help me Adam: And I forgot to add it does not hurt or cause any symptoms"
  },
  {
    "id": 1710,
    "title": "Need advice",
    "dialogue": "AaronD123: Hi guys, had a small crack / whole in my tooth which my dentist just said it's nothing but for a few weeks I've noticed it forming into a different colour, any help or advice on what I could do?"
  },
  {
    "id": 1711,
    "title": "Filling",
    "dialogue": "Mary thomas: My dentist said I have a tiny chip in my filling.  She tried to show it to me but for the life of me, I couldn't even see it.  It's gonna cost about $100 to have it filled in amalgam. Do I really need to spend this money on the tiniest chip?  I would rather wait and see it it gets bigger, then pay to have it done.  Any advice would be appreciated. calcium48: which tooth is it?\nA photo would help."
  },
  {
    "id": 1712,
    "title": "Bonded Tooth Fell off in Less Than a Week",
    "dialogue": "Stan: My daughter (12 years old) last Friday while riding her bike fell on her face and badly chipped her front two teeth.  I took her to the dentist the next day (Saturday).  So far there is no nerve damage. Great. My daughter has been super paranoid about eating since she does not want to knock out the bonded portion.  Since Saturday she refused to eat anything but soup. Today I convinced her to eat a very soft grill cheese sandwich for lunch and what do you know, one of the bonded pieces came right off. So three days after having her teeth bonded she already needs to go back for rebonding. \n\nI understand that they would need to be replaced but after 3 days? Is this typical? Should I send her to someone else? Is this dentist error?"
  },
  {
    "id": 1713,
    "title": "Permanent tooth won't come in",
    "dialogue": "Vanessa: Hey! I'm 17 and got my baby premolar extracted 2 years ago, I did an xray to see if the adult tooth was there and it was. However, 2 years later, it has only erupted a tiny bit. The x-ray showed that my adult tooth was diagonal. I'm wondering if this should be of any concern to me. I also wouldn't want the tooth to come in and then the rest of my top row has little space. What's your take on this and what action should I take?"
  },
  {
    "id": 1714,
    "title": "Is this a cavity?",
    "dialogue": "ChrisFe: Hi. Can a dentist offer their opinion, please? Does this look like a cavity? It feels like a small hole. I can try for a better pic if needed? Thanks in advance. calcium48: do you get any pain?"
  },
  {
    "id": 1715,
    "title": "Help identifying discoloration",
    "dialogue": "Mallorie Collins: Hi all,\n\nDoes anyone have an idea of what this discoloration may be from? It just these two teeth on the outside only... maybe a bit in between. Let me know pleaaaaase"
  },
  {
    "id": 1716,
    "title": "Please help, gum issue.",
    "dialogue": "Tab123: After about 3-4 days of slight discomfort in my gums and being sick (sinus and sore throat issues) I have noticed today that my gums are severally swollen and appears slightly whiter in color.  it is on both sides near the backs on the bottom roles and seem the top may be swollen but not as badly as well. I was unable to see any local dentists today due to 4th of July weekend ans they are all closed but I did go to a walk in clinic and I asked the doctor for antibiotics but in case and I started them today. Any ideas on what I could be dealing with?"
  },
  {
    "id": 1717,
    "title": "2 molars removed as a child now have sensitivity starting",
    "dialogue": "Joy-Marie: Hi there, when I was in about grade 5 I had to of my molars removed, one on each side. I have forever had a space on each side. Now at age 48 I have begun to have sensitivity on the tooth of one side next to the space. Not the last molar and I never had wisdom teeth grow in. My dentist suggested implants but I was wondering other than a bridge that will be harmful to my existing teeth that are in perfect condition, is there another way to help with the sensitivity? I will begin to use a toothpaste for sensitive teeth but I am worried about long term, will the gum line keep shrinking if the space doesn't get filled?"
  },
  {
    "id": 1718,
    "title": "CNC machine + 3d scanner system for dental technicians",
    "dialogue": "Bogdan: Hello. I am a dental technician and I am thinking to use a CNC machine and 3D scanner system in order to build shapes for tooths . is anyone here that use something like this or know more about this because I really need some help to choose the machines. this is what i found for CNC machine http://www.ebay.com/itm/182145572756   and these could be the scanners https://m.alibaba.com/product/19151...tml?spm=a2706.7843667/b.1998817009.154.fZOoWo\n or https://m.alibaba.com/product/60420....html?spm=a2706.7843667.1998817009.130.XVX5Id  .   If anyone here would like to help me with more information please let me know I would greatly appreciate."
  },
  {
    "id": 1719,
    "title": "RPD jaw relation",
    "dialogue": "Evelin: Hello\nI have a patient that needs a RPD, kennedys class 1 (bilateral edentulous areas). Its an older man that has the upper posterior teeth missing. The patien has the maxillary arch narrow and in comparicion to this the mandibular jaw is wider so on the left side the patient has a quiet good occlusion BUT on the right side the mandibular teeth are app 1/2 cm laterally so there are a very slight contact between the teeth but no occlusion. I got told to not change the bite. But im now wondering if this is correct to just leave it like this. I already received the trying with the wax rims, sent it back to the lab. \n-should i leave it howit is¿ \nSo the patient wont have a good bite on the right side...\n(The bone of the maxilla is much narriwer than the mandoble)\nThank you!"
  },
  {
    "id": 1720,
    "title": "Did my dentist do unnecessary work?",
    "dialogue": "Oranges: Hi, I'm new to the forum - apologies for the length.\n\nI have just started seeing a new dentist due to a move. He did x-rays and told me that I needed to re-do one of my fillings (I felt no pain), have a new filling, replace a filling that came out (I agree) and have another filling in a spot where the filling kept coming out (my old dentist told me to leave it and keep it clean).  I was not feeling any pain in any of the teeth and felt sick that I needed so much work.  I now find it odd that there were no actual cavities, just decay thathas prompted the work.  Also odd was his rush to do everything.\n\nI went back to see him to get the the work started - I thought he'd start with the broken filling.  He replaced this with a temporary filling and said he wanted to keep an eye on the nerve to see if it would eventually need a root canal (I don't understand this).  The same appointment, he replaced the filling on my other tooth and made the new filling in the third tooth (both were deep).  I now feel extensive sensitivity and wonder if he is was just doing unnecessary work for profit?\n\n-Does decay need a filling? Could he have just kept an eye on this - and were there any other options?\n-Do old but otherwise fine fillings need to be replaced?\n-Why do a temporary filling - doesn't it risk breaking down and prompting root canal?\nI'm getting copies of my x-rays soon - there is just something in my gut telling me he doesn't have my best interests at heart.  I've had a few dentists in my life and this is the first time I have ever felt this way.\nCan anyone advise?\n\nMany thanks in advance."
  },
  {
    "id": 1721,
    "title": "Small Red Hole",
    "dialogue": "John DIAZ: Hey so i always like checking my teeth a lot and i noticed a small red hole my dentist always tells me cavities are black. I tried brushing it off think its something i ate. I'm really scared of fillings because of the needle."
  },
  {
    "id": 1722,
    "title": "Human teeth are no longer fit for purpose ??",
    "dialogue": "Vonsworld: Hello\n\nIt occurred to me that human teeth are no longer fit for purpose and evolution has failed to keep up ?\n\nWhat other part of the human body do you need to have examined and repaired by a specialist every year otherwise it will certainly decay and break ?\n\nPresumably if someone didn't brush their teeth or visit a dentist at all then we can assume by the age of 40 all their teeth would fall out. This was fine in the stone age when we were all living in mud huts and there were no dentists, since by the age of 40 we would probably all of died of other causes anyway. \n\nPerhaps by now, since we are living so much longer, evolution should have adapted our teeth to be much stronger and longer lasting. Imagine if we had teeth like a Rabbit that constantly keep growing and just need to be filed down once a year. If a tooth should break, then no problem it just grows back again!\n\nOf course this is just food for thought, I have no immediate practical answers to this problem"
  },
  {
    "id": 1723,
    "title": "Smoking stains",
    "dialogue": "Harrison Beasley E: I've stopped tobacco for a while now. The brown stains in my teeth are disturbing and making me concerned about it. Its not decreasing or fading even though I've quit tobacco.Is there any efficient treatment to remove smoking stains. My friend told me about cosmetic teeth whitening procedure.Is it permanent? Does anyone here have any experience on it ?"
  },
  {
    "id": 1724,
    "title": "How implants do I need and how much that would cost ?",
    "dialogue": "bushwalkerx: I am 64 year old male. I have no teeth left on my upper jaw. If I want dental implants how many dental implants I need to have inserted? Do  I need 16 implants ? How much that would cost in N.Y ? VanderLugtMulder: Would need a lot more information to answer this question capably. Here is a brief article with information on getting dental implants that offers some basic information you may find helpful: http://www.colgate.com/en/us/oc/ora...stry/implants/article/placing-dental-implants"
  },
  {
    "id": 1725,
    "title": "Teeth grinding and mouth guard",
    "dialogue": "jerzeygirl70: I have a mouth guard made from my dentist office for Bruxism. I hate wearing it not because it's uncomfortable exactly because it was formed to fit my teeth. However it suctions to me teeth and I'm worried it will make my teeth become soft or loose or decay. The part that sits in the roof of my mouth was ground back by my dentist because that part annoys me and I have to take it out within an hour or so but that part still bothers me. I've read that the mouth guard can cause tooth decay and that's a real fear for me. Is there a way to prevent this? Also, I think it would be so much easier for me to wear if the mouth guard was a two or three cap type that pops on over my top or bottom back teeth. Is there such a thing in existence that the dentist can also custom make? I believe that piece that sits in the roof of my mouth is just too annoying. I have to make a dental appt because I haven't been wearing my guard because of all the references I've made above so now I have ground my filling out of one of my bottom teeth. Any factual help would be greatly appreciated. Fesenko Nikas: The problem of Bruxism is, first of all, problems with your nerves or circulation of the blood. So, you are to visit a doctor neurologist, to be prescribed medicine for improving the blood supply to the brain and some sedatives. After a course of these medicines, you have to feel the relief of the symptoms of Bruxism."
  },
  {
    "id": 1726,
    "title": "Two Small Cavities Became Two Root Canals",
    "dialogue": "Dental Patient Number 1: During my bi-annual exam the dentist didn't even notice my cavities until I asked about a small sharp place between 18 and 19 that tended to collect food.  He said he could fill them \"they were small\" and \"not an emergency\" so I got an appointment several weeks later.  No pain in the teeth whatsoever, just the chip or sharp spot that snagged food.  \n\nI get the cavities filled.  On the way out of the door, the dentist says, \"that back one, if you have any problems with it, you'll need to see an endodontist, it was deep\".  I was very sore after the two fillings and within 2-3 days realized there was a problem.  Pain getting worse and worse to the point it was constant and had a deep hurt that was so bad I couldn't tell exactly where it was coming from.  I made an appointment with an endodontist to likely get a root canal.  \n\nThe specialist test both 19 and 20 and did xrays and he pointed out that on 19, the previous dentist had drilled really close to the pulp which was likely cause of my pain.  But, he had a twist, he said, \"it could also be 20, it is close to the pulp, too\".  So, essentially, I needed two root canals.  I was in so much pain that I said, \"fine, do it\".  \n\nI am speculating that my normal dentist drilled too deeply into these cavities and ended up making me need root canals.  If they had been deep cavities and described as such on xrays prior, maybe I wouldn't think this.  But, i had no pain before the first dental visit as he filled the cavities.  But, shortly after - less than a week later, I'm sitting in the chair getting two root canals.  This has wiped out my dental benefits for the year and has me over $1000 out of pocket.  Oh, and now I assume I will need two crowns, too.  With no dental benefits left for this year - how much is this likely to cost me?\n\nI like my dentist - nice guy.  But, I think he is at fault here by overzealous drilling.  I don't want to see a malpractice attorney and go that route.  More of a rhetorical question than anything else... But what is the likelihood of him realizing he may have created this situation and offer to \"make it right?\"\n\nFor you dentists, I realize you cant see the xrays and are limited in what you can say.  But how often does overzealous drilling happen and lead to root canals that might not have been necessary?\n\nThanks in advance."
  },
  {
    "id": 1727,
    "title": "I have a question about a broken tooth.",
    "dialogue": "Mikechips: I have a broken tooth no pain so far. I was wondering how bad this is. Also what is the orangeish colored stuff inside. I currently have no insurance so not much I can do. Mikechips: Anyone have answers please. Mikechips: Bump Zuri Barniv: The orange color is deep decay (a big cavity). The one in front of it has the same problem (near the gumline). Mark3000: I am not a dentist but I suggest that do not wait to have pain on this tooth. If the decay reaches the nerve, a costly root canal might be needed or a tooth extraction (if you do not want a tooth there). Buy a short term dental insurance that you can pay monthly and it can cover what you want without waiting period and do the treatments. Otherwise, you might end up with a tooth extraction or a costly root canal and crown. Dusan Cirkovic: Mikechips said:\n\n\n\n\t\t\tI have a broken tooth no pain so far. I was wondering how bad this is. Also what is the orangeish colored stuff inside. I currently have no insurance so not much I can do.View attachment 918\n\nClick to expand...\n\nMaybe but just maybe it can be solved just with removing decay and place filling, but be aware that RCT may be needed.\n\nBecause it's important to SMILE. Dan Dan: Mark3000 said:\n\n\n\n\t\t\tI am not a dentist but I suggest that do not wait to have pain on this tooth. If the decay reaches the nerve, a costly root canal might be needed or a tooth extraction (if you do not want a tooth there). Buy a short term dental insurance that you can pay monthly and it can cover what you want without waiting period and do the treatments. Otherwise, you might end up with a tooth extraction or a costly root canal and crown.\n\t\t\nClick to expand...\n\nWhy is it considered a crime to just pay the dentist his fee?  Why is it that patients think that  an arguing 3rd party insurance has to get involved, disrupting the advice and progress of the professional trained to restore teeth.  I can already tell this person wants free dentistry, and certainly won't take care of any dental treatment based on the amount of decay I see."
  },
  {
    "id": 1728,
    "title": "Dentists claiming I need a procedure. Looking for advice from other dentists.",
    "dialogue": "rubmail96: Unedited: https://ibb.co/cn1f0v\nEdited: https://ibb.co/giLJna\n\nI visited my dentist last week simply for a check up because I have not been to the dentist in some time. I don't have any particular pain in my teeth that is worrying other than the slight soreness in some teeth that I get very rarely and only lasts for a short time.\n\nOn inspecting my teeth, he said they look healthy and then he took two bitewing x-rays which I took pictures of with my phone, which is not perfect image quality but is an accurate representation of the x-ray. I have uploaded the left x-ray both unedited and the edited version to help explain what he said below.\n\nThe right side he claims is fine.\n\nOn the left bitewing x-ray, he says \"something is about to cause a lot of pain\". I have uploaded the image of the left bitewing x-ray. He says that the tooth circled in red on the image is abnormal and claims that the disease process has gone through the enamel of the tooth where there is a dark spot (red arrow) and to defend/compensate against this process, more dentine has been deposited on the top right section of the image of that tooth (within red triangle) and that is why it is a different density and why you can't see part of the pulp on that side.\n\nHe also says that I should not leave the decision as to whether to get a filling or not for any longer than a month otherwise it will proceed and get worse and claims that if I leave it for 3 months, it's likely I'll need a root canal procedure done on the tooth. I was taken back by this because I have absolutely no pain in that tooth and it is not causing me trouble. \n\nThis dentist is very recently graduated and was scaring me so I asked my mum, who happens to have been a dentist for 20 years before she retired. She says that there is nothing particularly concerning about that tooth and a filling is unnecessary. She assures me that the caries process in my teeth are \"arrested\" and says that if the tooth was in as bad a condition as he claims, I would be in severe pain.\n\nSo now I am stuck between the opinion of two dentists, one of whom is young and inexperienced. If he turns out to be right, it will progress and I may need a root canal procedure done. If she turns out to be right, I will have had an unnecessary filling which I obviously don't want.\n\nI thought some dentists could give me their advice as to what is going on and what the best course of action would be. calcium48: gum disease is painless."
  },
  {
    "id": 1729,
    "title": "Can I take 10mg Percocet before the intrapulpal anaesthesia for a Root Canal Surgery?",
    "dialogue": "Jesus: I want to take a 10mg Percocet because I have a fear or surgeries and this tooth has been sensitive for 5 months and has been in pain for 5 months. I'm scared I will feel pain during surgery. I had pain while putting on my CROWN in februrary and now that crown led to a root canal. Its in EXCRUCIATING PAIN and my TONGUE can cause pain to my tooth just by touching it, THUS I want to take percocet before surgery. Is it okay? I'm terrified of this procedure to come."
  },
  {
    "id": 1730,
    "title": "4 year old losing tooth through front of guns",
    "dialogue": "Alena: Hi there. \nI'm hoping someone can help. Not sure if I should go in and get this taken care of or let it fall out on its own. My 4 year old son ran into someone about 6 weeks ago and knocked his two lower front teeth loose. They bled and got jiggly, but my son never really played with them. I noticed a couple days ago that his permanent teeth were coming in behind them, but my son won't play with the jiggly teeth. When I looked closer, I noticed that his baby tooth is coming out the front of his gums. Should I be concerned? I have attached a picture so you can see."
  },
  {
    "id": 1731,
    "title": "TMJ/TMD or tooth ache",
    "dialogue": "kaitlin: ok so last night i started to notice some slight pain in lower left jaw. the jaw on the lower left side of my mouth,now on that side of my mouth i have all of my upper teeth on the left side, but on the lower left side i only have 2 molars, and then my front choppy teeth that sit in front of my 2 remaining molars.now below are details on the pain im just anxious nervous and freaking out over this pain\n\nnow sometimes it feels like the pain comes/originates from the back part of my lower left jaw where there is no teeth and sometimes it feels like the pain comes/originates from the last molar left on the side.\n\ni do have a poping and or a clicking noise when i chew food not sure if its popping or clicking but i can deff hear it when i eat and chew\n\nthe pain comes and goes. when the pain does come it doesnt last more then a few seconds to maybe a min or 2, then the pain goes away.\n\nmy mouth does not look or feel swollen nor does it look or feel infected. the pain i feel isnt your normal tooth ache pain the comes and lasts for hours on end this pain is spontaneous. also hot weather seems to start the pain but like i said before the pain only last a very very short while if that.\n\ni dont brush my teeth as well as i should but im trying my best. also as far as i can tell pressure applied to the tooth as well as biting down on the tooth while eating doesnt seem to cause the pain as far as i can tell\n\nlastly i cant call my dentist till Monday and the likelihood of them being able to get me in the day or even the week that i call them isnt hopeful\n\n\ndo you guys think i have TMD/TMJ or do you think i have a toothache?\n\nlast time i saw the dentist back in febuary all they said was i needed a deep cleaning they said nothing about cavities altho they did wanna pull 2 teen just because they said it would be easier to clean\n\nsorry for the long post any ideas whats causing this random sporadic pain?\n\nedit paion is only localized to the one area/side/part of my mouth once in a blue moon i will feel the pain shift to the same area on the right side of my lower jaw but that is rare\n\nseems rather odd for a tooth ache to produce pain in an area of my jaw that has no teeth in it which leads me to suspect TMJ edit forgot to add i feel no pain when i open my jaw/mouth altho sometimes if i apply pressure to eht area og my mouth at the back of my jawe i feel slight pain but theres no tteth there"
  },
  {
    "id": 1732,
    "title": "How durable are porcelain dentures?",
    "dialogue": "bradleyheathhays: I'm helping my mother decide between porcelain and acrylic for her first set of dentures and we're concerned with how durable porcelain dentures are.\n\nOther than when dropped, how often do the teeth tend to come out during normal use with porcelain dentures?\n\nThanks"
  },
  {
    "id": 1733,
    "title": "chipped my back tooth",
    "dialogue": "kostas: So i was eating popcorn and i ate a hard one and a tiny tiny bit of my back tooth got chipped but its not visible i just can sense it with my tongue cause its like a rough surfae but its not visible nor hurting i tried to eat dinner drink cold water and nothing happened everything was ok should i worry too much? Dusan Cirkovic: it's minor problem. Probobly you have big filling there, or maybe RCT was done there, and part of tooth crown chipped under the pressure. Try fix it by the end of tje month.\n\nAll the best, Kostas. kostas: So its not an emergency right? nothing to worry about right now? Dusan Cirkovic: it is not that urgent, it can wait a bit kostas: One last question my friend i took a photo of my tooth and want your opinion as you see its not like my tooth has broke or something its like i can feel with my tongue that the tooth a part of it is missing as you can see the gap is really big is that normal ? or am i just paranoid? also i had canal root teatment on that tooth maybe thats why? is it supposed to be like that? other people tend to have smaller gaps but i tried eating everything and nonothing can go through. i even tried ice cream and everything was ok. in the middle is it normal? it seems its like a passage to the tooths nerves or something is it safe or am i crazy? btw sorry for my dirty mouth \nPhoto http://imgur.com/a/CHYfo kostas: One last question my friend i took a photo of my tooth and want your opinion as you see its not like my tooth has broke or something its like i can feel with my tongue that the tooth a part of it is missing as you can see the gap is really big is that normal ? or am i just paranoid? also i had canal root teatment on that tooth maybe thats why? is it supposed to be like that? other people tend to have smaller gaps but i tried eating everything and nonothing can go through. i even tried ice cream and everything was ok. in the middle is it normal? it seems its like a passage to the tooths nerves or something is it safe or am i crazy? btw sorry for my dirty mouth Dusan Cirkovic: kostas said:\n\n\n\n\t\t\tOne last question my friend i took a photo of my tooth and want your opinion as you see its not like my tooth has broke or something its like i can feel with my tongue that the tooth a part of it is missing as you can see the gap is really big is that normal ? or am i just paranoid? also i had canal root teatment on that tooth maybe thats why? is it supposed to be like that? other people tend to have smaller gaps but i tried eating everything and nonothing can go through. i even tried ice cream and everything was ok. in the middle is it normal? it seems its like a passage to the tooths nerves or something is it safe or am i crazy? btw sorry for my dirty mouth\n\t\t\nClick to expand...\n\nSlow down.. It's good for you to replace that filling and that's all, nothing else. That gap isn't going to make you serious problems, but do it because tooth walls are exposed to fracture. That is the reason why you need new filling.\n\nAll the best. kostas: Nice finally im calm now i though my whole tooth was destroyed thank god thank you kind Sir ill propably make an appointment to my dentist in a week or 2 max even if its not that serious kostas: Fixed it dentist got me a filling for this tooth and it was fixed Dusan Cirkovic: That's great. I told you so. kostas: Thank you my friend but the new filling is feeling a bit weird sometimes maybe its just cause its new? maybe needs some time to settle. Greetings from Greece My Friend Dusan Cirkovic: that's ok, greetings from Serbia"
  },
  {
    "id": 1734,
    "title": "Pls assist to view my dental xray to verify advice from my dentist",
    "dialogue": "Jameschia26: Hi i have went to see a dentist recently due to some pain and according to her, my lower left jaw 3rd tooth from the last is beyond repair and need to be extracted with a dental implant and crown. \n\nAs its quite a costly procedure i would like to verify if any dentists here have the same opinion.\n\nHave attached my xray scans here. drmins: Hello Jameschia26...\nAs per the x-ray image shown here, the lower left first molar need not be necessarily removed. You can preserve the teeth by doing a root canal treatment and a crown. Sometimes,you may need a post and core restoration prior to crowning.\n\nKeep smiling.\nRegards,\ndrmins Jameschia26: Many thanks for the reply calcium48: nhs dentist?\nyour age?"
  },
  {
    "id": 1735,
    "title": "can you share about your dental students life ?",
    "dialogue": "Nissa: hi im still new to this dentistry and stuff . and i think it quit toiugh to manage my time . can you guys tell me what you guys do during your weekdays ? share a liitle bit about your daily lives . im a year 1 student and already started our project with dumies in simulation lab .and now im working to finish my complete denture for protho session . tell me yours okay ?"
  },
  {
    "id": 1736,
    "title": "Abscess going away by itself is it normal?",
    "dialogue": "Elliot: I had an abscess going up the side of my tooth I went to my dentist who prescribe me a week Supply of amoxicillin it did not go away she gave me another week of amoxicillin it still didn't go away she wanted me to go to an oral surgeon to have my tooth pulled but I didn't it never hurt and was never in pain so I left it alone it has been two months and it has started to go away I have no answers but it's this normal? calcium48: which tooth?\nnhs dentist? calcium48: age? Elliot: calcium48 said:\n\n\n\n\t\t\twhich tooth?\nnhs dentist?\n\t\t\nClick to expand...\n\nThank you for your reply, it is tooth 31 and I am 51 years old . As I am in New York my dentist is not part of the NHS it has never hurt and get better day by day. I guess I should make another visit to the dentist. Matt Richardson: Elliot said:\n\n\n\n\t\t\tThank you for your reply, it is tooth 31 and I am 51 years old . As I am in New York my dentist is not part of the NHS it has never hurt and get better day by day. I guess I should make another visit to the dentist.\n\t\t\nClick to expand...\n\nI had a tooth absess recently due to a cracked root. The abscess never hurt. Periodically the absess would get \"better\" with less inflamed gum to normal looking. My dentist told me that was normal process as there are periods when the body's immune system (or your antibiotics) will overcome the infection -but it will always return if the infection is due to a cracked root. If this is your situation, then ultimately the tooth will need to come out (as happened with me). If the infection is not due to a cracked root, then I understand it might be treated successfully with antibiotics or a re-doing if a root canal.  Note, A cracked root will not show up on an xray (as I understand it)."
  },
  {
    "id": 1737,
    "title": "Question on dental tool",
    "dialogue": "Matt Richardson: Hello group!\n\nI'm currently in the market for a new dentist.  My last dentist used a large flexible plastic cup inside my mouth to separate the tooth he was working on from the rest of my mouth.  This thing hurt tremendously and gave me a jaw ache for days afterwards.  I want to ask any potential new dentist if he or she uses these things before I \"sign up\" for treatment. \n\nProblem is, I don't know what they are called.  Can anyone give me the name for these things so I can ask about them when inquiring about services?\n\nThank you!"
  },
  {
    "id": 1738,
    "title": "Likelihood of a need for a root canal on a porcelain vs a PFM made Bridge",
    "dialogue": "Joe-dental: Is bacteria, leading to an infection of a pontic, more likely to accumulate under a bridge made of porcelain or one made of PFM?\nI was informed that because a bridge made from porcelain is built by a computer, from a 3D model, it is free of errors in its fit, unlike a PFM bridge, which is made by hand and therefore would not be a perfect fit, and therefore would be more likely to lead to infection and a need for a root canal. Dusan Cirkovic: many things you have covered with this statment but you must be aware that fitting the bridge is one thing and maintain adequate oral health is other. Duration of bridges depends on multiple factors. but I would say that adequate tooth preparation, good restoration either PFM od full ceramics and good oral hygiene are prerogatives for longevity of that bridge. Joe-dental: Would the cement resin used to attach the bridge to the pontics more likely to deteriorate and lead to an entrance of bacteria in a porcelain or a PFM bridge, or neither, as the cement does not deteriorate? Dusan Cirkovic: we use the same cement during the process...so that one is not so importatnt, but the good oral hygiene is most crucial"
  },
  {
    "id": 1739,
    "title": "Wondering What This Could Be",
    "dialogue": "Ryan4321: Hi,\nI have pain on my left side of my mouth near my middle molars on the gums and I was wondering if it could be my wisdom teeth or what this could be.I read that wisdom teeth come in at the very back of you're mouth after the last molar and its not at that spot so that made me think it wasn't it but wanted someone else's opinion. So pretty much for a while now I've gotten a lot of canker sores in my mouth and they hurt for a while and last a good amount of time sometimes like 1-4 weeks generally. But right now I have what I'm not sure is a canker sore or signs of a wisdom teeth or what but its pretty much what looks like a maybe 1cm cut on my gum near my middle molar that is white and hurts very badly whenever I get foods in or near it. I was originally thinking this could be caused by me chewing on things down in that general area for example a plastic lid and it slipping and cutting me because I seem to do that a lot and it just got infected or something and turned into a canker but I'm unsure of what this is or if it's anything to worry about. It's been here for approximately 5-7 days now so if it is a canker my general luck it will still be here a while but generally my cankers are more rounds not a straight line cut sort of thing. \n\nThanks for any replies in advance. calcium48: you age?"
  },
  {
    "id": 1740,
    "title": "Severe pain nine days after root canal",
    "dialogue": "Carol: I had a root canal on my upper left cainine nine days ago. The root canal took two hours and four vials of novicaine. They said my tooth was the longest theyd seen at 28 mm vs the normal 22-25mm\n  The day after i had very little pain mostly tissue pain. That night i layed down and woke to severe pain in my upper left quadrant. It shot into my ear and eye and nose and made it impossible to do anything but hold my face and rock back and forth. I went to the dentist five days after the root canal and the dentist said it was normal pain and that they had to drill right up against my sinus cavity and thats the pain i feel. Ive had root canals none of this feels normal. They said i had an infection from a filling that was done too deep. I had no tooth pain before the procedure. The pain reminds me of trigeminal neuralgia. I had it for a year a long time ago in the opposite side. I dont know how to get the dentist to listen. I dont want him to through more percocet at me. I want him to fix whats hurting. How do i make him hear me? calcium48: nhs?"
  },
  {
    "id": 1741,
    "title": "I hit my tooth",
    "dialogue": "Jack Rose: I was trying to move a chair and it hit the wall and then the chair hit my tooth really hard. My tooth doesn't hurt when I leave it a lone but when i try to push it in to wiggle it, it starts to hurt. Pushing it up and out doesn't hurt. Just pushing it in hurts. I also noticed I have a bad taste in my mouth after the incident. Is something wrong?"
  },
  {
    "id": 1742,
    "title": "Referred pain or sinus issue after filling ???",
    "dialogue": "Ruby: Hello\n\nI had two upper back cavities filled the day before yesterday. I;ve had no problems with the filled teeth since but am experiencing some mild/moderate pain in my front teeth (that were not filled and do not need attention)  I'm experiencing some sinus pain and pressure so could it be a sinus issue? It was about 24hrs after the fillings i started experience this sinus pain and what i assume is referred dental pain\n\nI have TMJ so my opening is slightly limited also. I took an OTC sinus product last night so should i continue with this? I have a further dental appointment Monday (4 days time) so will have it checked then but just wondering in the mean time what to do or would an antibiotic be beneficial?\n\nThanks"
  },
  {
    "id": 1743,
    "title": "Chunk of gum missing after deep cleaning",
    "dialogue": "jonsubs: My wife had a deep cleaning procedure performed yesterday. Today the pain in a particular point was not subsiding, so she took a closer look and realized that the gum looked mangled. See the picture.\n\nI don't know what to make of this. Is this a common thing at deep cleanings? How should we proceed?\n\nThank you for your help Zuri Barniv: This looks like a possible infection in the area and it could be caused by many different things. Your wife should go back to the dental office and have them look at it.\nDr. Barniv jonsubs: Thank you for your opinions. \n\nWe did get an appointment and the doctor suggested this was the result of an ulcer, and no infection. I'm having a hard time understanding how this works as from my untrained perspective it looks like a piece of gum is missing. Regardless, the doctor says the tissue would recover/grow back on its own without treatment."
  },
  {
    "id": 1744,
    "title": "How to treat decaying tooth in a 10year old boy",
    "dialogue": "MILO AUGUSTE Jr.: Hello all,\n\nMy 10 year old has a decaying tooth which has recently begun to chip and partially fall out. At this point,  part of it is still left over. This is still a baby tooth, and it is loose. Should I wait for the rest of the tooth to fall out, and treat it good oral hygiene to kill any bacterial infection in the meantime or have the tooth extracted.\n\nThanks."
  },
  {
    "id": 1745,
    "title": "Chrome Cobalt Partial Denture",
    "dialogue": "David_t: Hi all,\n\nI'm looking for some advice. I just had a chrome partial denture fitted and I'm giving it a try out. The denture fills gaps on either side of my upper teeth, just behind my canines and has a thin metal bar across the roof of my mouth.\n\nWhen I put it in it seems to be quite comfortable, however the metal bar does not sit against the roof of my mouth meaning that the denture is wholly supported by the clips on my upper molars. There seems to be a 1 mm (at most) gap. I was expecting more support from the bar against my palette. Does anyone have any experience with this type of denture who could tell me if this is the way they are meant to fit.\n\nRegards \n\nDavid"
  },
  {
    "id": 1746,
    "title": "Root canal",
    "dialogue": "Lauren miller: I had a deep filling done 2 weeks past Monday. From there I developed problems so ended up needing to have root canal treatment. Had it performed last Saturday then ended up at the out of ours on the Sunday as the pain was really bad. They prescribed me antibiotics amoxicillin 7 day course 500 mg 1 3x a day. However didn't notice much improvement at all. Went back to the dentist the Tuesday and he reopened the tooth and recleaned it which was excruciating. Even with a lot of anaesthetic I could still feel horrible pain. He says it was quite infected still. Ended up back at the dentist the next day which was the Wednesday as was still in agony. The dentist I saw done the exact same thing and mentioned it was getting better. Then on the Thursday I was back and they changed my antibiotics to co amoxiclav 500/125mg 1 3 x a day for 7 days. It is now day 4 on the antibiotics and the tooth is sore again. It felt better yesterday and was managing with less pain relief but today it's quite sore again. Not anywhere near as severe as it was but still sore. Suppose my question is does any one know what this could be and what's my next best course of action? Stressing majorly as I'm afraid of the dentist as it is \nMany thanks calcium48: would help if you mentioned which tooth it is.\nDid the dentist have a microscope to do the root canal?\nWas it done on the NHS?\nHow much was the root canal cost?"
  },
  {
    "id": 1747,
    "title": "Urgent diagnosis and help required!",
    "dialogue": "Helpme123321: There is a severe pain in my upper right hand side right at the back. It's not the tooth it's the gum. I've had it for over a week now. It is so sore i cant touch or brush it. It almost feels like its bruised. I went to an emergency dentist yesterday but she doesn't know what it is as the gum.isnt red or inflamed. What could this possibly be and how do I fix it? I'm in agony! calcium48: might be worth trying a different dentist or GP"
  },
  {
    "id": 1748,
    "title": "Upper lateral incisor - grew behind front tooth - extracted! Need advice",
    "dialogue": "Leanne: My lateral incisor grew on the roof of my mouth (just behind my foot tooth) luckily my canine tooth went into the place where the incisor is meant to be. I had the incisor extracted almost a week ago and have since been back to the dentist 4 days ago because I was getting a lot of pain, my dentist cleaned the area, put something inside there like brown paste and like cotton wool, he said there is no sign of infection. Since then the pain is actually worse, it's affecting my front tooth and the canine, I can't bite any food on there, and the whole area is sore and can't eat properly. I just wanted to know if this was normal? I don't want to bother the dentist again if it is, also when he packed it does that packing need to come out because I'm worried that it's stuck up there and my gum is going to heal over it?\n\nThank you I would really appreciate the advice"
  },
  {
    "id": 1749,
    "title": "Have my X-Ray, How bad are they ?",
    "dialogue": "Xiuying: Went to a oral surgeon instead of a dentist first and had my x-rays taken. I wanted my impacted wisdom teeth out cause they of the pain. Was told that my Molar has to come out as well  because of the impacted wisdom tooth. So I'll be getting 3 teeth pulled for sure(2 wisdom, 1 molar). I've never read one of these before, but was wondering how bad in shape my teeth are and what is up with the bright white spots on it and the black parts(i'm assuming cavities) ?"
  },
  {
    "id": 1750,
    "title": "Waterpik for impacted wisdom tooth - pos/neg",
    "dialogue": "Alice Wynne: I hope this isn't too much of a stupid question but I have been suffering from impacted lower wisdom teeth for around 2-3 years now. Atleast one of them gets infected every six months and I am in terrible pain. They have been X-Rayed every 6 months but the roots are very close to the nerve so dentist is reluctant to pull them out.\n\nThere isn't too much of a gum flap left over the top of either of them now but there is a definite space behind the wisdom tooth under gum that I can't clean with a manual / electric toothbrush and I can't floss behind it! - This will be the cause of the infection no doubt when food gets trapped down there....\n\nI am considering purchasing a Waterpik cordless plus specifically for my wisdom teeth (not necessarily for general flossing), in the hope that I can jet it all around the wisdom teeth and miraculously any trapped food will be flushed out - I am concerned however that I will be doing more damage than good by food being pushed further down the back or it actually having little or no effect as the waterpik won't be strong enough to budge anything!!\n\nAny advice much appreciated!! As you can see I am focusing on keeping the wisdom teeth very clean to avoid any further infections. Xiuying: From what I was just told about when I had my wisdom teeth looked at, The longer they are in, the worse the issues will become and if you are unlucky like myself. The wisdom tooth that is impacted, will cause damage to the teeth near it and have to be pulled :/.\n\nI would suggest going to see a oral surgeon about it. They are \"specialized\" in situations like that. Where your dentist might be reluctant to pull it. Most oral surgeons have the experience and are more than likely to pull it."
  },
  {
    "id": 1751,
    "title": "Dental Practice Business",
    "dialogue": "John Green: Hi Everyone,\n\nI try to understand what requirements there are from a legal point of view in order to open a Dental Practice in England?\nFrom my understanding, I don t need to be a Dentist, if I have Dentists to operate the patience?\n\nRegards,"
  },
  {
    "id": 1752,
    "title": "X-Ray help!",
    "dialogue": "NadineZe: can you please tell me what structures and findings  and structures or errors are available in these pictures."
  },
  {
    "id": 1753,
    "title": "Tens therapy for tmj",
    "dialogue": "John Roberts: Has anyone had this.  I have posted on here several times about my teeth hurting.  I have been to several different dentist.  Went to a periodontist yesterday.  He checked my gums and said they look great.  He said I was grind my teeth and sent me to a tmj specialist.  He checked me over  and although I don't have all the symptoms of tmj  ( the sore jaw, clicking etc) he thinks my problem is teeth alignment.  Seems my lower jaw had moved forward and I have teeth hitting.  Different ones at different times.  He wants me to do the tens therapy and he thinks that will help.  Has anyone else had this done and did it help.  It is supposed to relax muscle and other things.  The therapy itself is 2,500.00 and then I may need a night guard which is 6,000.00.  This is with insurance which I don't have.  They didn't say what it would be without insurance.  The way he explained the therapy sounded reasonable but I don't know.  Anyone have any suggestions.  I am missing one tooth on top, have 5 crowns, one cracked tooth and one that could stand to be filled.  I am a 70 year old male.  I said I would never have any teeth pulled but financial wise I may have to.  I just don't know about the therapy treatment and I know I can't afford a night quard at that price.  Any help. Zuri Barniv: Newer research suggests that clenching and grinding at night is associated with obstructive sleep apnea. Consider doing a take-home test for OSA because proper treatment may alleviate some of your symptoms.\nDr. Barniv John Roberts: Thanks for answering.  I had a type of neuralgia a couple of years ago.  I went to the doctor I went to back then and he thinks it's back.  The dentist I have been to said they just can't see anything wrong.  Thanks so much for the reply.  I may check in to the home OSA test."
  },
  {
    "id": 1754,
    "title": "oral irrigators for teeth/mouth",
    "dialogue": "calcium48: Hello\n\nAre we allowed to ask questions about oral irrigators on here?\n\n\nThanks calcium48: Well i asked a question about oral irrigators on another website (can I name the site on here?) and the idiots deleted the account and the post.\nSo just wanted to check first, before asking the question. Becky: Yes it's fine to ask about oral irrigators here calcium48: Thanks Becky\n\nHas anyone had a dentist recommend getting an oral irrigator? (Please state which country you are in.)\n\nAnd what was the reason for getting one?\n\nThanks"
  },
  {
    "id": 1755,
    "title": "Pre-Dentistry & Dental School",
    "dialogue": "Yasmine_Zazi: requirements before applying to Dental Schools?"
  },
  {
    "id": 1756,
    "title": "Dentist numbing injection question",
    "dialogue": "blackrosepetals91: Hi\n\nIm not sure if this is the right or the best place to ask this but I uave a question im really carrots about.\n\nI just had my first filling today si had a standard gum numbing injection. When I asked my dentist if it was working (ad I wasnt sure what to expext) she mentioned \"it had changed colour\"  but I have no idea what changed colour or to what colour.\n\nDoes anyone know what she may have been referring to? Googling this hasnt helped.\n\nMany thanks!"
  },
  {
    "id": 1757,
    "title": "Second Opinion Needed",
    "dialogue": "Camila F: I went to the dentist and she said she was concerned with this xray/filling. Does anyone see anything weird with any of the fillings? I have no discomfort or pain. Would you do anything? Zuri Barniv: The lower right filling has some suspicious features that would cause me to want to replace it. Camila F: Zuri Barniv said:\n\n\n\n\t\t\tThe lower right filling has some suspicious features that would cause me to want to replace it.\n\t\t\nClick to expand...\n\n \nWould you think there is a need for a root canal or does a simple replacement of the filling suffice? Zuri Barniv: I would be very surprised if you needed a root canal. I think there is a small cavity near where the teeth touch but the dark area under the filling is just part of the old filling where the dentist used some material that is radiolucent. The new dentist probably thinks that represents deep decay. I am very doubtful that it is."
  },
  {
    "id": 1758,
    "title": "Dissolvable dressing for dry socket",
    "dialogue": "Anissa Brightwell: Hi , I've recently had my lower wisdom tooth removed and developed dry socket . I am going to Mexico sat and only had the dressing put in tues . I asked questions but got no real answers so I'm quite apprehensive . So could someone please tell me \n1) can I brush normally now or just other teeth ? \n2) should it heal over the top of the dressing or underneath and if I see a hole again should I be worried or is this what's meant to happen ?\n3) It will be 4 days after the dressing that I fly can I start to eat soft foods by then ? \n\nCurrently on liquids only .\nI am taking ibrupofen to reduce jaw swelling not for pain ( although it might be painful had I not taken the tablets ) . The gross taste has  reduced loads since having it cleaned .. Is this a good sign or could it come back ?"
  },
  {
    "id": 1759,
    "title": "Metallic Taste in Mouth",
    "dialogue": "bugsy: Hello Everyone,\n\nAbout 8 years ago i had a root canal and crown which was made of gold. Last week i had a metal cap put on the tooth directly above to prepare it for a proper silver cap. Since then everytime i eat the food tastes of what can only be described as metal. It only happened when i ate food so i wasnt sure what was happening. Now ive discovered the problem. When i close my mouth and those 2 teeth touch thats when i get a metal taste. I put my tongue on the side of the silver cap and the metal taste gets so intense i have to pull my tongue away. The problem is if the silver crown is going to be made of the same material i am going to get the same problem. Any help/opinions/experiences would be greatly appreciated."
  },
  {
    "id": 1760,
    "title": "Anyone Know What This Is? Is it a Canker Sore Or Something Worse?",
    "dialogue": "SoCalSteve: What's weird is the appearance and location. It's a white mark with kind of a jagged edge at the top, and is underneath the tongue, like down towards underside of mouth, not on the tongue  or lips itself. It's extremely painful to eat or move my tongue around. I'm not sure if it's a canker sore based on the locations and appearance. \n\nBeen using Orajel Gel to numb it past two days, but it doesn't do anything, just wears off and is still painful. Been like this for 4 days, and have never had a history of something of canker sores or cold sores.\n\nCould it be Candidiasis? Grace Meyer: Ouch! That's one nasty sore! I've had this kind of sore two years ago. I don't think it's candidiasis. You can try asking the pharmacist on what to apply. I remember two years ago buying an orange liquid that was recommended by the pharmacist. The liquid stings very bad as soon as it made contact with the sore. I applied it using cotton buds and let it stay for about 20 seconds. It has a cauterization effect to the sore that immediately closes the sore. Just one application and the sore healed almost immediately. But I tell you the liquid stings very very bad but you have to endure the pain for 20secs. It' worth it! SoCalSteve: Grace Meyer said:\n\n\n\n\t\t\tOuch! That's one nasty sore! I've had this kind of sore two years ago. I don't think it's candidiasis. You can try asking the pharmacist on what to apply. I remember two years ago buying an orange liquid that was recommended by the pharmacist. The liquid stings very bad as soon as it made contact with the sore. I applied it using cotton buds and let it stay for about 20 seconds. It has a cauterization effect to the sore that immediately closes the sore. Just one application and the sore healed almost immediately. But I tell you the liquid stings very very bad but you have to endure the pain for 20secs. It' worth it!\n\t\t\nClick to expand...\n\n\nWhat was your's? Was it just a canker sore? Or you never figured it out?\n\nI've been using OraJel, it stings like hell when I apply it, but only lasts for about 5 minutes, doesnt stay numb or cover it at all, waste of money. I'll try to find the stuff your talking about."
  },
  {
    "id": 1761,
    "title": "Did my hygienist just perform deep cleaning?",
    "dialogue": "Mayan: I just came back from a regular check-in & cleaning at a new dentist. The hygienist took some \"regular check-in x-rays\" then took out a diagram that showed a regular gum & an infected gum. She scared me by saying \"this is what happens if you don't floss.\" I asked how these conditions are treated, and she said by \"deep cleaning.\" An alarm went off in my head because my previous dentist whom I've trusted 100% and had for years had warned me specifically to not get a \"deep cleaning.\" He said it was the new thing in California and a lot of dentist just want to do it, and I don't need one. (I can no longer see this dentist because I have moved). The new hygienist proceeded to measure my gum. The numbers she called out were mostly 2's and some 3's (millimeters, I assume). She said that that my gum was mostly fine. \n\nSo I assumed she'll just do a regular cleaning. However, before she started, she said, \"raise your hand if it hurts and I'll stop.\" Regular cleaning in the past have never been painful for me. When she started, it actually hurt, and it felt like she was seriously scraping my teeth and poking my gum. It didn't feel like just regular cleaning. I'm pretty tolerant of pain, but I did raise my hand once or twice. \n\nDoes this sound like deep cleaning? Is it possible for a hygienist to do this without getting my consent? Or am I just over-reacting and she was just not a very good hygienist? \n\n(for reference, I am in my 20s, no cavities, healthy). Grace Meyer: Do you floss? She's not scaring you, just educating you on the importance of it. If you don't floss everyday, and/or it had been a while since you have had a cleaning, you may have had more tartar build-up and inflammation than normal. This alone would require the hygienist to work harder than usual to clean your teeth, therefore be more uncomfortable to you. \n\nIf she was reading off 2-3mm measurements, she likely only did a regular cleaning. Floss everyday and see your dentists twice per year and it probably won't hurt so bad at future visits."
  },
  {
    "id": 1762,
    "title": "Need dentist asap",
    "dialogue": "Orange24: So I got temp crowns on 8+9. On tooth number 9, when I press on the root of the tooth, I feel pressure. By the root, I meant the tip of the tooth. The one where you gotta pull up your gums to see. \nI've had this problem since a couple days ago. \n\n\nWhen I press on that spot, I feel pressure. It's not really bothering me. It doesn't hurt or anything. I'm taking Ibuyprofin just incase of an abscess, but I see no abscess forming. \n\nWhat do you guys think the source of the pressure is from?\n\nMaybe it's from the teeth not touching? The dentist made my temp crowns a little bit wrong,so now, tooth number 9 doesn't touch any bottom teeth. I can place a paper on tooth 9, bite down, then the paper is all clean."
  },
  {
    "id": 1763,
    "title": "Crown Pain - What Are My Options ?",
    "dialogue": "Fonsini: On the advice of friends I resisted having a crown for many years but finally a lower molar that had cracked progressively and which had been filled to the point of being about 40% amalgam cracked again and my dentist said \"well it's time\" so a crown was fitted about a month ago.\n\nI went from a tooth that had zero pain to a tooth that is literally agony when I chew on it, every meal is painful and followed by about 2 hours of throbbing before the tooth calms down again.  The dentist has made one adjustment when the permanent crown fell off, and it may still be a little \"high\" but if so not by much, at least not to the point where I would see some grinding down make a night and day type difference with the pain.\n\nI didn't have a root canal, and none was recommended, but now I am looking at my options because I can't go on like this.  The thought of a root canal fills me with dread, and the only other options I can think of are having another crown fitted, switching to a different material like gold, or just having it pulled.\n\nAny advice appreciated, toothache is one of the worst types of pain."
  },
  {
    "id": 1764,
    "title": "Crown hurts when tapped",
    "dialogue": "Betty: I had the crown put on my two front teeth Ten to 12 years ago. Now when I tap one of them hard, it hurts.  I have a cold and a sinus condition, and head cold.  Could these  conditions contribute to why my crown hurts when I tap it. Thanks Mrs L: Betty said:\n\n\n\n\t\t\tI had the crown put on my two front teeth Ten to 12 years ago. Now when I tap one of them hard, it hurts.  I have a cold and a sinus condition, and head cold.  Could these  conditions contribute to why my crown hurts when I tap it. Thanks\n\t\t\nClick to expand...\n\nI had this problem some years ago. I'd developed an abscess under the crown & my dentist had to drill through it to do root canal work. If they did root canal on your tooth before the crown was fitted, then ignore me"
  },
  {
    "id": 1765,
    "title": "Pain on One of the Bridged Teeth",
    "dialogue": "Zman: Hi all,\n\nI'm new to the forum. Hopefully, someone can give a possible issue to my wife tooth and let us know whether our dentist advice makes sense.\n\nIn the last few days, my wife is feeling pain on of the bridged teeth. She've had the bridge for 15 years. She thinks that the bridge crown on the tooth is coming loose. It makes sense as a bridge is basically 2 crowned teeth next to empty space.\n\nSo, she made an appointment to a new primary care dentist. The dentist believes that it is not her bridge but the tooth's nerve due to the shifting (??). She then refers her to an Endodontist. She claims that the endodontist will perform a root canal on the tooth through the crown (i.e. bridge). My wife asked the dentist if she is having an infection on the tooth, but the dentist said 'no'.\n\nThere are so many questions in our mind:\n\nWhy would she need a root canal on a non-infected tooth.\nIsn't odd to perform a root canal where a dentist would drill through a crown (i.e. the bridge)?\nWould the procedure damage the bridge?\nHow would the endodontist seal the bridge to prevent future infections?\nPlease let me know if this is the new procedure to take care a crowned tooth.\n\nThanks!"
  },
  {
    "id": 1766,
    "title": "My adult teeth grew above and in front of my baby teeth",
    "dialogue": "Salubrius: Greetings!\n\nI have been extensively searching online for information on my lifelong dental problem and what happened that was the first sign that something was not right. I have not been very successful, so I thought that it might be of interest to dentists and if one has an idea how my continual problem can be helped then that's a bonus!\n\nAs a child I had two sets of upper teeth. I know what you are thinking, but my adult teeth did not grow behind my baby teeth as is relatively common, they grew out the front of my gums. It was not just one or two such as the canines, it was all my front upper teeth. The first I noticed something felt strange  was indeed above the canines, but then as the teeth broke through there the same was happening above my two front teeth. It was a very rapid process and none of the baby teeth were even vaguely loose. The dentist decided that at least eight baby teeth would have to be removed. I can't remember exactly how many she ended up removing, it was in the days of gas and air knocking you out on the dentist's chair, but I do remember my teeth the day of the appointment, I quite liked my scary two rows of teeth! \n\nThen of course there was the horrible braces plate thing. I don't remember how my teeth looked straight after the removal of the baby teeth, but my parents say I had a gap between my front two teeth the size of a tooth. The strange thing is, their memories aren't great, but they seem to think that gap was always there inbetween my baby teeth. I always smiled with my mouth closed, so old pictures don't help. Which in itself leads me to think maybe they are right, why would I never smile showing my teeth unless there had always been something that didn't look right? \n\nAnyway, my adult teeth ended up being very strange. My front two teeth were the worst. The angles of them were such that when I bit into an apple, they made the shape \\/. Not quite those angles, but not far off. The rest were nowhere near normal either.\n\nEvery time I brushed my teeth my gums would bleed from inbetween my teeth. This is where we get to the lifelong problem. When I say the gum inbetween my teeth, I mean literally. My teeth are squashed so tightly to each other, I have never been able to floss. They really press on each other. However, at the very top where they meet the gums, there is a small gap between them. That's where my gums always bled when brushing. \n\nThese gaps between them at the gums, combined with overlapping due to their angles and the tightness to each other, have led to constant tooth decay. My teeth don't get normal cavities. They decay from the sides. One tooth that has been removed revealed something very interesting. The side of the tooth next to it had no enamel and you could see where the other tooth had been inside it. So the tooth next to it had decayed from the gap at the gum between it and it's neighbour, but lower down it was so tightly squashed into the same neighbouring tooth, that it was inside it. \n\nI spent so much of my life with toothache and abscess, until two years ago I was having one tooth pulled a year. The nhs dentists would only pull a tooth once it was deemed beyond saving. Although they never said how my other teeth could actually be saved. So once a year a dentist would deem the worst tooth could be removed. It felt like my teeth were deliberately queueing up to make sure one of them was always causing me pain! \n\nAfter many years of this, I was finally able to afford to see a private dentist. I was hoping that as she was not nhs, she would do as I asked and take the lot out. She wouldn't, however she did agree to take several out that were decaying anyway and I got a partial plate, which I love. First time in my life I've ever smiled showing my teeth.\n\nSince then I've only had one more tooth extracted, which for 2 years is amazing for me. But I know that it's only temporary, the rest will all decay the same way sooner or later. I can tell which will be next to be removed.\n\nSo, there it is. My story and my problem. Dentists refuse to remove healthy teeth, regardless of the pain they are going to cause me when they inevitably crumble on the side due to either the gap at the gumline or lower down the side due to the pressure of it's neighbouring tooth."
  },
  {
    "id": 1767,
    "title": "Most all teeth still hurting",
    "dialogue": "John Roberts: I have posted on here several times about my teeth hurting and I can't get an answer as to why.  I have said that I wasn't having any trouble with my teeth until I went in for a cleaning in November of last year.  I had a cleaning and a fluoride treatment and my teeth have killed me since.  I can run my fingernail across them and it kills me.  The four dentist, one gp and one ent said that a fluoride treatment wouldn't have anything to do with  that.\nI found a forum on the net of different dentist, doctors and just people that take questions.  I emailed one of the doctors and told him about my problems and the fluoride treatment.  He did say he has never had a patient that had these kind of problems but said it could be possible.  He said \" It is not a common result for fluoride, but fluoride can cause irritations in some patients.If you sustained multiple irritations of your teeth, the gums tissue surrounding the teeth and the ligaments holding the tooh the the bone, and alteration of your bite is possible.  I have not personally had a patient who sustained these results , but it is possible.  That is the only possible cause I can think of.\"    I forgot to say that my bite has changed also.   Teeth hitting that never hit before.\nI have read that when you have a fluoride treatment it does penetrate your gums.  I also read there are two types of fluoride.  One for someone whose has crowns, receding gums and one for someone that has normal teeth.  I have no idea if my treatment was done with the right fluoride, the right amount of fluoride, and the right amount of time the fluoride was in my mouth.  This was the first one I ever had done.  I am 70 and I do have crowns and my gums are receded some.  I still say the treatment has did something to my gums and teeth.  I will say this, if I was older and have receded gums, crowns I would look seriously at having a fluoride treatment."
  },
  {
    "id": 1768,
    "title": "Forensic dentistry identification help please",
    "dialogue": "needinghelp: I am a private investigator trying to find a missing person.  Interestingly, I’ve had a lead but am stumped in as far as facial recognition.  I was wondering, if you could study the attached image and tell me if the screen capture from a video is possibly the same person as shown cropped in the right based on their top front teeth?  Assume the images on the left are taken some years prior to the images on the right.  Also, in the left images the guy is opening his mouth wide whereas the right column is a regular smile. Sorry if this is an unusual or improper question.  But I if you can help, I can assure you it is for a very good cause. Many thanks for any assistance you can provide. Miriam martinez: Lateral and bicuspids don't really match, but the image is very low quality."
  },
  {
    "id": 1769,
    "title": "Paying extra for crown preparation.",
    "dialogue": "Roy: I recently had an old crown break off leaving the stump and post in place. In preparation for a new crown my NHS dentist attempted to remove the post but was unsuccessful and referred me to another practice who had more specialist equipment. This was done yesterday but being a private practice I had to pay £140 to have the post xrayed and removed.\n\nCrowns are included under Band 3 course of treatment (£244.30) but is it right that I had to pay an additional £140 to have the old post removed – is this preparation not covered by the NHS treatment for crowns?  \n\nThanks\nRoy"
  },
  {
    "id": 1770,
    "title": "Deep clean and regular cleaning",
    "dialogue": "Stephanieforce: I was told that I could not have a regular cleaning because I needed a deep clean and it was against the LAW for them to do it. YES that's what they said.. WT was my reaction. Well I went on a few sites and found the real reason was an infection and what not. But after I received my deep cleaning I was told by the lady who did my deep clean to see me back in a few weeks to do the polishing. She rearranged my plan so I would get the polishing first then my last two fillings and then we would discuss the partial. But then when I went up to schedule my polishing I was told I HAD to wait 6 weeks to get that done. But my hygienist just said something different. After I got home I called back and they told me it was because of my insurance that I had to wait 4 weeks. So I called my insurance and they told me that I DONT have to wait that you cant just bill for polishing and it had to be a cleaning which included the polishing. She then informed me my plan is for one cleaning in 6 months and that the deep clean is not included in that. My question is how long should I wait to get the polishing done, my teeth feel horrible.  I have gotten a lot of different stories from this office and am thinking of switching..."
  },
  {
    "id": 1771,
    "title": "One more time",
    "dialogue": "John Roberts: Posted before saying basically all my teeth are sensitive and hurt when I eat but they aren't really sensitive to hot or cold.  Been having this problem since November of last year after a dentist visit for a cleaning and a fluoride treatment.  No dental work was done.  I  was not having trouble with my teeth before the dentist visit.  \nWhen I close my mouth and my teeth touch it really hurts.  I also started having problems with teeth hitting hard.  Had some of them ground on to get some relief.  I know they say don't have them ground on but I had to have something done.  The dentist says he can't see anything wrong with my teeth.  # 30 needs to have the root canal redone but the rest of my teeth look  ok.  He has taken xrays.  I think the one that hurts the worst has a crown and root canal and he says it looks good.  It seems like my bite off or something and my mouth posture just doesn't feel right.  I am wondering if maybe the last dentist visit I held my jaw wrong or something and gotten my bite off is why my teeth started hitting. \nAnybody got any idea why my teeth could hurt if there is nothing wrong with them.  I think I am going to to go a neurologist and see if he can tell me anything.  I have to a ent and my regular doctor with no answers at all.  Any suggestions.   Thanks"
  },
  {
    "id": 1772,
    "title": "Dentures vs. Precision attachments",
    "dialogue": "Srini: Hello All,\n\nI am a 67 year old, M and I have lost most of my teeth. I have recently consulted with a prosthodontist and he has offered 2 options for getting replacements\n1) Full upper and lower dentures\n2) Full upper and precision attachments and bridge based lower to save my remaining 5 teeth.\n\nI would like to know opinions on which option to go as option 2 needs root canals etc and costs twice the money. I have included an image of my xray to know whether there is any advantage in saving the tooth(given bone density etc) \n\nLooking forward to your thoughts. Thank you so much"
  },
  {
    "id": 1773,
    "title": "Should I do root canal soon? or I can wait for a year...",
    "dialogue": "Potential: Hi everyone,\n\nI went to the dentist today. He took xRay photo and the photo is attached (the small tooth has cavity). He said the cavity is very close to the nerve so he needs to do root canal! I asked him for the fees and he said it will cost $2000. I am student and I do not afford this money! I tried to buy insurance and all of them have 6 to 12 months waiting period and they only cover 50% of major problems such as root canal. So buying dental insurance is useless for me!\n\nI do not know what to do. Do you think I can wait for 12 months or it will start hurting soon! I attached the photo! svor1988: $2000 is pricey for a root canal, I think around $600-1200 is more reasonable. Call/email more dentists/endodontists and get quotes. Make sure you get quotes for both the root canal surgery & crown. Ask if they give cash discounts, senior discounts, or what have you. I don't care for insurance personally.\n\nPerhaps a root canal isn't necessary yet... I don't know. Get more opinions when showing them that xray... email them if they have a website.\n\nSteer clear of acidic/sugary foods/drinks meanwhile, and brush/rinse after eating. Leslie Trail: You REALLY want to get it done sooner than later.  The long you wait the more of that tooth you will loose.  Defiantly shop around for better pricing or see if you have a dental school in you area."
  },
  {
    "id": 1774,
    "title": "Pain during dental treatment.",
    "dialogue": "Leslie Trail: I have always had trouble at the dentist office.  The air suction tube makes my all my teeth throb with pain.  If my teeth dry off they do the same thing.  Water can not be spayed onto my teeth either.  Here is the really bad thing,  I don't ever get completely numb.  I do get them cleaned regularly and I have minimal receding gums, no real issues to cause all my problems plus I was like this as a kid as well.  The only way I get a filling or root canal now is with valium or equivalent.  I really should replace some of my old fillings but I am getting stressed out just thinking about it."
  },
  {
    "id": 1775,
    "title": "Very sensitive teeth",
    "dialogue": "Brian Bonney: Hello all, \n\nI think something is wrong with me. I don't whiten my teeth, use whitening tooth paste, or anything that would make my teeth sensitive. However, every time I eat or drink anything even slightly cold I have horrible sensitivity and it is very uncomfortable.\n\nDoes anyone know why this is the case?\n\nThank you in advance. Leslie Trail: Mine have always been that way.  However I was just reading that if your gums are receding that can cause tenderness and cold/hot sensitivity"
  },
  {
    "id": 1776,
    "title": "Upper tooth very sensitive",
    "dialogue": "aindriu80: Hi,\n\nI am starting to notice that my upper teeth are very sensitive.  If I apply my finger nail to an upper tooth along the gum line I cannot apply much pressure without the feeling that I am touching a raw nerve.  My tooth feels very sensitive after the electric toothbrush or coffee. \n\nIs there anything I can get done at the dentist to remove the sensitive feeling ? Its very close to the gum line and is not like a filling? aindriu80: i think it was the metal brace I had all those years ago.  it used to tighten against my upper teeth a lot and I think it broke the sides of one of them.  when i touch it now its a raw nerve. Brian Bonney: This same thing happens to me. I have also been told it may be exposed nerves."
  },
  {
    "id": 1777,
    "title": "ruined teeth",
    "dialogue": "RANDOM22: I ruined my teeth I'm only 17 I never took care of my teeth and now I don't know what to do Brian Bonney: How did you do this?"
  },
  {
    "id": 1778,
    "title": "Dental Crowns",
    "dialogue": "Orange24: So they redid my crowns, and I can see that my tooth stubs got smaller.\n\nI clearly remember that they were not that small when I first crowned the tooth.\n\nIs the dentist trying to set me up for a root canal, because it sure looks like it.\n\nhttp://i1043.photobucket.com/albums/b439/TheMast95926111/tooth_zpsh0hdap0e.png\n\nTooth to the left was a perfectly healthy tooth, now look at it?\n\nhttp://i1043.photobucket.com/albums/b439/TheMast95926111/IMG_2094_zpsf1z0orvl.jpg\n\nLook at the tooth to the right? Is there even enough for the crown cement to stick too? Ugh, just looking at this image makes me want to cry."
  },
  {
    "id": 1779,
    "title": "Gum Bump",
    "dialogue": "ollie1178: Hi All, I had my wisdom teeth out around 4 years ago. Shortly after I noticed a bump...looks like gum tissue but harder...at the extraction site but right up against my last molar. It doesn't hurt when you touch it or brush it, but it does occasionally become irritated. I've had cleanings and such since and no one has ever commented on it. It's becoming more of irritating as I can't stop touching it. Could this just be the way my gums and jawbone healed or do you think it's something more? That side did have some complications during the removal (oral surgeon said he had to shave more bone than anticipated). I do have a dentist appointment on Monday and will ask then. Just looking for suggestions."
  },
  {
    "id": 1780,
    "title": "Do decayed teeth smell bad?",
    "dialogue": "Ant: Yesterday I received my first filling.  The dentist said that it was much deeper than he expected from the X-ray--close to the nerve.  During the procedure, I noticed a bad-breath sort of smell.  It was much stronger than normal bad breath.  I don't think I have ever had particularly bad breath, but today (after the procedure), I noticed that I don't have even a whiff of bad breath.\n\nSo I'm wondering if decayed teeth smell bad.  I'd be very interested to know."
  },
  {
    "id": 1781,
    "title": "Narrative",
    "dialogue": "MirandaMary: Hello can someone help with a narrative for Bone Graft & membrane for insurance?"
  },
  {
    "id": 1782,
    "title": "Overseas with failing root canal...little worried",
    "dialogue": "bostonguy2212: I'm in Ireland for my honeymoon (having a blast!) but a little concerned about a gum abscess related to a failing root canal that doesn't seem to be reacting to 500mg of amoxicillin 4 times a day...\n\nI was diagnosed with a failing root canal by my endodontist last Tuesday, 3/7. This was after seeing my regular dentist a week earlier who put me on a 7 day prescription of amoxicillin that seemed to help with the inflammation and immense pain. It came roaring back before my endodontist appointment (with no pain but more swelling this time). Considering the proximity to my wedding day on that Saturday, 3/11 and subsequent trip to Ireland on Sunday (and with the area too inflamed for immediate action) the endodontist put me on a giant prescription of amoxicillin and scheduled me for a root canal re-treatment 2 weeks from today on March 28th (when I'm back in Boston).\n\nLuckily, I'm in very little pain with this round of the infection. However, the pimple-like sore above my top right molar has only gotten bigger since beginning the latest antibiotic regimen. And this is with swirling hot salt water around my mouth 3 times a day and taking lots of ibuprofen. Of course I've been reading horror stories online about infections fatally spreading to other parts of the body and I'm quite concerned at this point. \n\nI'm worried that putting this surgery off for so long could end up being really dangerous--and even more-so since the antibiotics don't seem to be helping. I'm 27 years old and in pretty good health, which means a spreading infection should be pretty rare? Am I over-thinking this or should I be rushing to the nearest clinic in Ireland to do something about it? Thanks in advance!!! svor1988: > However, the pimple-like sore above my top right molar has only gotten bigger since beginning the latest antibiotic regimen.\n\nI have no idea why dental professionals choose so often to treat said issues with oral antibiotics instead of directly injecting antibiotics to the *local* infection. Said oral antibiotics may do permanent damage to your digestive system's flora, which aside from helping digest a wide variety of foods it does things like synthesize a large fraction of your body's serotonin and b12... Anyways, I'm digressing sorry.\n\nOral antibiotics are only able to go where capillary flow allows. Should the entire pulp of the tooth be so infected that capillary flow does not exist within, antibiotics wouldn't get in either. Or possibly the infection is either immune (e.g. viral) or just inhibited somewhat by said antibiotics.\n\nKeep doing the salt water as needed. Don't OD on ibuprofen... shouldn't take it longer than a week due to the risk of stomach ulcers IIRC. A large dose of niacin (vitamin B3) has an anti-inflammatory effect without said side effect. Though I'm not sure if you need either... I had a blister on the outer side of my molar (on the gum) for 6+ years that filled with pus. It would drain into my mouth if I pressed on it. It never spread. Eventually an extraction was done (an the molar was deformed), and that infection was scraped off of the bone.\n\n\n> Of course I've been reading horror stories online about infections fatally spreading to other parts of the body and I'm quite concerned at this point. \n\nYes infection can spread to other parts of the body. In my case, thanks to a dental titanium implant, it swelled up my pallet, uvula and inner cheek first. After that, my outer check, face, upper face, and even swelled my left eye shut and put immense pressure on my eye from below. I lost a lot of tissue to necrosis in my palate and by the implant due to that. Thankfully the infection was brought under control at that point. Be aware of the symptoms of a blood infection, as that can kill within days.\n\n\n> Am I over-thinking this\n\nFrom your description I'd say so. Try to enjoy your honeymoon with your spouse! Sounds like you're in good hands with your endodontist."
  },
  {
    "id": 1783,
    "title": "Strange Crown Experience",
    "dialogue": "TheOsprey: I had a crown installed/placed a while back by my dentist and I noticed that it was very sensitive near the base.\n\nWhenever I floss it is excruciating.\n\nOn a subsequent visit the woman who cleans my teeth was shocked to find what she said was all the enamel had been removed.\n\nShe then confronted the dentist and said, \"It's like a big filling.\"\n\nThe person who molded it also remarked that \"all your enamel was removed.\"\n\nOn earlier visits when I mentioned to the dentist that a chipped tooth was causing me pain he nonchalantly dismissed it.\n\nWhen I mentioned it again he said rather exasperatingly, \"We'll have to do another crown.\"\n\nI get the sneaking suspicion that he doesn't like what my insurance pays for crowns.\n\nI have Delta Dental of Washington.\n\nI live in Texas but my employer is based in Washington.\n\nCould my dentist have intentionally done this to be painful?\n\nWas it cheaper for him to do a crown like this?\n\nAt the moment he's still my dentist and actually very highly rated but I don't think I want him back in my mouth.\n\nIs this malpractice? svor1988: Try contacting your insurance company for help navigating your concerns, they should have a customer service line.\n\nAn a distantly related experience, as a patient when a mold of my mouth were done, they had a comedy showing on the TV. I'd been there dozens of times and only that time the TV was on. Guess what, they had to redo the mold 4x because I kept laughing. Cha-chang! Insurance company wouldn't know any better.\n\n\n> At the moment he's still my dentist and actually very highly rated\n\nRatings online (other than yelp) are garbage. Businesses remove negative reviews from google. I've seen sex offender, fraudulent, and other medical professionals with criminal history all with 4.8+ ratings that pop up on a google search (e.g. healthgrades.com ratings)... seems like BS to me.\n\n\n> but I don't think I want him back in my mouth.\n\nFollow your gut feeling... your ancestors survived well enough with it... best of luck to you.\n\n\n> Is this malpractice?\n\nI don't know. Consider consulting with a 2nd dentist for $25, and voicing your concerns with the placing dentist's secretary. If you really did observe wrong doing, then file a complaint with your state's medical board, leave an non-libelous review on yelp, and move on to someone else. A court case may very time consuming and difficult.\n\nNow, lets try to make the best of your present situation:\nBy saying the enamel was removed, makes me believe a large area of dentin is visible below the crown and above the gumline, right? Try sampling toothpaste products for sensitive teeth- ones without SLS for example. Steer clear of mouthwashes until you learn which ones have a pH above 5.5 (the critical pH of cementum and dentin). Don't keep the mouthwash in your mouth longer than the directions say to.​"
  },
  {
    "id": 1784,
    "title": "Solar powered dentistry :-)",
    "dialogue": "Techo NZ: Hello, I’m a dental electronics/electrical technician and I am work with some dentists and therapists who do overseas charity work in the South Pacific islands, I occasionnaly go with them to take care of any technical issues.\n\nI have already put together a couple of portable air driven dental carts with a compressor and high, slow speeds and scalers, but some of the places we go to are very (very !) remote and the only available power is either solar or a petrol generator, neither of which are particularly good solutions.\n\nI am looking for suggestions on using electric handpieces within the following criteria.\n\nModerate cost as I do this as an individual donation so I buy, assemble and donate all the equipment to the charity, so I can’t afford the latest lightest equipment.\n\nSomething that is very easy to use, most of the volunteer dentists or therapists will not have used electric before so it needs to be something they can get to grips with very quickly. Most of the dental work is RoP and drilling and filling so nothing too involved.\n\nI have had a good look around eBay but as far as electric goes I can’t tell the difference between a horse or a donkey, and I haven’t yet found a local dentist that uses electric stuff.\n\nI can take care of all the technical issues including making everything portable and compatible with what limited solar power is available, but I’d really appreciate some general advice and recommendations. Many thanks.."
  },
  {
    "id": 1785,
    "title": "Infected tooth, what can I do to make it numbable for sedation?",
    "dialogue": "LJ2: Okay, so I'm pretty sure my tooth is still infected. There's no obvious way to tell, going dentist tomorrow anyway. Tooth next to it is now really sensitive. Bad tooth itself gets a dull ache very rarely. Tooth is rather dead though. Had a lasting fever for 2 weeks now.\n\nSo far antibiotics are not clearing it, not fully anyway. It seems to somewhat go and then come back again. I'm waiting for a referral to go through to get it removed on sedation because when my dentist initially tried to remove the tooth, she couldn't get it properly numb. Was that possibly because it was infected back then too? The tooth is badly decayed, it was broken prior to her attempt but she messed it up a bit more and left it with a dressing where it got more visibly infected later.\n\nIs this even able to be numbed on sedation? If not, will sedation be enough for me to not really care about it? What can I ask my dentist to do to help with it till then and/or help it be numbable? There's no abscess that I can see to be drained, can it be cleaned out anyway?"
  },
  {
    "id": 1786,
    "title": "10 day Fever possibly from tooth infection or from Metronidazole?",
    "dialogue": "LJ2: Hi there,\n\n\nI've got a 2nd lower molar that's due to come out (Waiting for a referral.) My dentist tried to extract it but couldn't get it properly numb, and I was left with a bit of a messed up tooth where she had attempted it. She put a dressing on it and referred me. Tooth was broken prior to her attempt.\n\nAbout a 2-3 weeks later it started bothering me and I decided it had gotten infected. They perscribed me 5 days of Amoxicillin and send me on my way. Shortly after finishing that course I could tell the infection hadn't clearled and went back, they then perscribed 5 days of Metronidazole instead and sent me off again.\n\nAbout 2 days into the course of the Metronidazole I caught a cold, and then a day later, started to come down with a fever. I figured that fever was caused by the Metronidazole at first since it was on the list of side effects and so was dizziness. I also had a skin rash at the end (not itchy or lumpy, only visable when I was too hot) as well as feeling sick, and loss of appetite, tooth infection felt like it had gone down (very small lump on the gum that is hard to make out if it's even a lump, not bulging or anything, only slightly, was just more pale than the rest of the gum)\n\nNow, about 10 days after I first got that fever, I still have it. I know this isn't normal. Does anyone have any ideas? Could the Metronidazole have caused a fever that lasts this long? If it was my tooth, could I come down with a fever while on the antibiotics? I'm waiting for a doctor's appointment right now, but I'm wondering if it's better that I go back to my dentist again, although I'm expecting them to just throw antibiotics at me again. Can I ask them to clean the tooth out that's pending extraction? \n\nRight now I feel like I'd rather wait on the doctor and be sure the fever isn't some reaction to the Metronidazole rather than end up with the dentist perscribing it to me again.\n\n\nReally hope someone can give some advice or point me in the right direction here."
  },
  {
    "id": 1787,
    "title": "Decayed wisdom tooth fell out. Further vigilance or action needed?",
    "dialogue": "Jennifer L: Hello!  A lower wisdom tooth had become severely decayed and started breaking into pieces several months ago. (I've been out of work, uninsured, and broke, so unable to see a dentist.)  Had occasional pain and perhaps some mild swelling along the way, but nothing intense or long lasting. \n\nStayed very vigilant about keeping it clean and the hollow/open portion cleaned out with a toothpick.  Tonight, the remaining 3/4 portion of the tooth (above the gumline) fell out. It looks like a baby molar, with no root. I *thought* wisdom teeth had roots, but I just can't see or feel anything left in the big open socket.  It's a little tender, so I don't want to poke TOO hard, though, so maybe there is something solid still in there.  I don't know!  (I'm 43, and no dentist has ever mentioned anything unusual about my wisdom teeth or roots, btw.)\n\nOkay, so questions are:\n1. Can I assume there *is* a root still in there?  Or could it have fully decayed or perhaps have never existed, etc.\n2. Big open socket. How do I care for it?  With the tooth, I brushed, flossed, and picked it regularly. The socket feels too tender for that (right now at least.)\n3. What complications might I need to be watchful for now?\n4. If I need a professional to look/act... would the first step be a general dentist or an oral surgeon?  I've never had a tooth removed, so I just honestly don't know how that works.\n\nThank you so much for any insight!!!\n\nRE: image.  This is the 3/4 portion that fell out tonight.  The other 1/4 had fallen apart into shards at various points in time over the past couple of months. svor1988: > but I just can't see or feel anything left in the big open socket.\n\nYou can buy a dental mirror online for <$5 to inspect your teeth with & look for decay on any of your teeth. The cheap ones likely don't have an anti-fogging coating, so you have to run it under hot water for a while to prevent it from fogging up. They are wonderful for self-care.\n\n> Can I assume there *is* a root still in there? Or could it have fully decayed or perhaps have never existed, etc.\n\nFrom my understanding, as with baby teeth the root is re-adsorbed into the body.\n\n>  Big open socket. How do I care for it? With the tooth, I brushed, flossed, and picked it regularly. The socket feels too tender for that (right now at least.)\n\nSame as a wisdom tooth extraction- salt water rinses.\n\nI've seen another person speak of with infections caused by a leftover root fragment which the dentist neglected to remove... keep using salt water after meals. Don't suck on straws or anything. You want any heavy blood in that socket to stay there to maximize bone-regrowth.\n\nA very rare complication from tooth extraction is a blood infection... so if you get blood infection symptoms take care of that immediately as a blood infection can kill within a few days. Since it fell out on its own and there doesn't appear to be a pre-existing infection this shouldn't be a worry."
  },
  {
    "id": 1788,
    "title": "I think I have gum disease, am I right?",
    "dialogue": "Asgarthe: Here is a pic.  I'm especially concerned about the canine on the left.  I haven't been to the dentist in about 7 months and I can't go for a couple weeks.  How bad is it?  Thanks for the help."
  },
  {
    "id": 1789,
    "title": "I had a big problem with my dentist",
    "dialogue": "allhours: Late January of this year (last month), I was informed by the dentist that I had a cavity. I went two weeks later (after my cleaning) to have the filling fixed filling was near my gum-line. The dentist never x-rayed the cavity. After the novicane wore off, the filling was in pain. I figured, well, the cavity has to \"set\" or heal, so I figured in time it would settle down. 10 days later, it got worse. I called the dentist and over the phone, the dental assistant said, the never is dying, you are going to need a root -canal. I was pretty upset over this, and went to an endodontist to confirm this. He did a full mouth xray with some huge machine I stood in, and some standard xrays. Yep, you need a root canal said the endodontist. The endodontist gave me an appointment for a root canal and 1500 mg/day for 7 days of antibiotics and Vicaden pain killers. I also made a 1300.00 appontment for my root canal to be done later this month, (March).\n\nI called the dentist again and said, \"listen, when you did my cavity, you said all I had was a cavity, you said nothing of any possibility of a root canal, furthermore, why didn't you xray the tooth?\" I explained how mad I was over this situation, so he told me to come in. When I came in, I sat in the chair beside the dentist chair and told him, I feel you are responsible for this situation and I feel because you didn't tell me anything other than, \"You have a cavity\", didn't do any communicating, I feel you should absorb the cost. The dentist went off on me like a maniac, saying \"I don't want you in my office anymore, I am discharging you as a patient\"\nI said, Listen, I am the one who has been in dreadful pain for the past three weeks, I am the one who has to deal with the expense, I am the one who was told NOTHING after your work. His defense for not doing the xray was first, \"your insurance doesn't cover it, then when I said, I would have PAID for it, he replied, I didn't feel an xray was in order or necessary.\"\n\nWhen I glanced at the xray from the Endodonist, it looked as if he drilled right to the pulp area. I personally feel he acted negligently.  Any comments? I feel I should be able to sue him. Around 20 year ago, when I needed a root canal on another tooth, the dentist I used at that time, was talking about it in full detail before he even worked on the tooth in question. Any input would be helpful here. John Roberts: Sorry about your pain and trouble.  If you don't have dentist  insurance like me it puts you in a bind.  You probably need to ask around about dentist in your area and go get a second opinion.  Sounds like to me he knows he screwed up and want to get rid of you.  Hope you get everything fixed. svor1988: I'm sorry I don't know enough in that area to comment on that. I do understand that dentists can visually see as they drill when they had hit dentin, and when they see/hit pulp. I'm curious why a topical antibiotic would not be applied if they had hit pulp. An interesting side note is that recently researchers at the King's College London had found that the Alzheimer's drug Tideglusib causes dentin to be recreated in bulk (previously only a thin layer of dentin would be recreated naturally). It doesn't restore enamel, but it is a super neat discovery, and I hope it reaches dental practices everywhere soon. Read a news article about it. An excerpt:\n\"Professor Paul Sharpe, lead author of the study, of the Dental Institute, from King’s College London, said: 'The simplicity of our approach makes it ideal as a clinical dental product for the natural treatment of large cavities, by providing both pulp protection and restoring dentine.' \"​\nMakes me think about policemen & accountability regarding body-cams, but along the lines of a mix between google-glasses and dental loupes. That way their high-dollar work is able to be appraised by other experts & the patient. Nice business idea if you can lobby your government to make products like that mandatory while you sell those products to dental practitioners at the same time.\n\nJohn Roberts I remember you had problems like I do with dry mouth (in my case caused by dental work, medication, & CT scan radiation). I did find a new way to increase salivation- read the examine.com article on trimethylglycine as it pertains to treating 'dry mouth' and 'salivation'. trimethylglycine powder is cheap and it is a natural part of the body's one-carbon metabolism. I'm going to find a reliable source and see if it works for me."
  },
  {
    "id": 1790,
    "title": "Extraction of Baby Molar Teeth",
    "dialogue": "fengkuoyu: My 5 year old nephew recently had a check up on his teeth and was told that he has cavities on 8 of his baby teeth.  The worst ones are on 3 of his molar teeth.  We were told that the cavities in those teeth are so big that the teeth may break into pieces if they get filled and so we were given the option to have them extracted... and to fill the rest of the cavities on other teeth.  The dentist then recommended putting spacers where the molars are extracted.  Our worries are the following.  My nephew has never complained of having any toothache, why are his cavities that bad and big but he's not feeling any pain?  Do you think the cavities are really that big if there is no pain?  My nephew is sooooo young.  I think he won't have permanent molars until he gets to around 10 years old?  What are the long and short term consequences if the baby molars get extracted that early?  I am worried that if he doesn't do a good job on brushing his teeth, then the teeth next to the spacers will get cavities too.  We saw a general dentist when we went for the check up and an x-ray is yet to be taken, but the dentist could already see big cavities just by inspection.  (However we as parents and family members only saw 1mm diameter holes on the surface of his teeth).  Is extraction of 3 baby molar teeth (one in each quadrant) with spacers put in a bit too extreme for a 5 year old child?  The spacers must be awfully uncomfortable.  Shall we consider root canal treatment with crowns instead on the molars for the betterment of his oral health?  Should we see a paedodontist instead?  What do you think is the best option for a 5 year old child if what the dentist said are all true after the x-rays have been taken?  We are all worried and unsure of what we should decide.  Please help!\""
  },
  {
    "id": 1791,
    "title": "Teeth hurt as day goes on",
    "dialogue": "John Roberts: I have made several posts the last few months about my teeth hurting.  Been to three different dentist.  This is what I have. When I am laying in bed in the morning I can put my teeth together and I would say on a pain scale it is about a 1 or 2 as they all contact.  I can feel a little discomfort in my lower front teeth a little but not too bad.  My jaw teeth on both sides feel fairly well.  The problem I a having is that as the day goes on I start getting pain in both sides of my lower jaw teeth on both sides when they come together.  By the end of the day a can't put my teeth together for the pain in these jaw teeth.  Sometime the tops will bother me but it has been the lowers mostly.  \nAll my teeth have become extremely sensitive to the touch.  Even my good teeth that there is nothing wrong with( 12 I think).  The dentist has no answers as to what is wrong with my teeth.  I don't think I grind my teeth but since I can't get any answers I am having a night guard made to see if that may help.  I just can't figure out why my jaw teeth will feel pretty good then start hurting.  Does anyone have any ideas.\n\n\n                                                       I have since learned that when a baffling or painful experience comes,\n                                                       the crucial thing is not always to find the right answers,\n                                                       but to ask the right questions......\n                                                      Often it is simply the right question at the right time\n                                                      that propels us on into the journey of awakening.\n\nThis is what I am hoping on my teeth.  Just to ask the right question to the right person."
  },
  {
    "id": 1792,
    "title": "Wisdom tooth!",
    "dialogue": "Georgiah358: Hello, I went to the dentist yesterday had two fillings! On my bottom right back teeth, currently have a wisdom trying to come up but hasn't cut my skin yet, could see this on the x-ray, for about 2 months I have had a bad taste when I run my tongue over that bit of gum... this to me says infection but my dentist does not seem worried? Should I be? Maybe switch dentist or and get another opinion? Please help me   Surely them\nBeing professionals shouldn't send me away knowing something needs doing! allhours: I had my wisdom teeth removed by an oral surgeon almost 20 years ago. IT IS PAINFUL, no doubt about it. I had several shots of novacane and was awake to hear the dreadful cruches and each time pain would creep up as the assistant and surgeon went deeper, they'd hit me with more novacne, total of like 5 to 7 shots on each tooth they took out. I'm not trying to scare you, this was 20 years ago, I had only state medicaid insurance and they would only remove one tooth at a time. Thank god I had a really cool and experienced Jamaican oral surgeon who was able to talk me through the procedure. \"You're doing fine!\" CRUNCH, CRUNCH! She was a tough cookie and broke that tooth right out from my jaw! \nAgain, I'm not trying to scare you, I guess what I'm trying to say is, get it taken out ASAP, it is doing you no good!  Oh, the pain for the next 7-10 days was only remedied by Tylenol with Codine #3. If I am scaring you, I am sorry, it was just the experience I went through, and I am glad I did it because Lord knows, those wisdom teeth were NOTHING BUT TROUBLE!"
  },
  {
    "id": 1793,
    "title": "Roof of mouth injections",
    "dialogue": "jaws99: Is it possible to get relatively pain-free injections in the roof of the mouth? (known as 'palatal' injections.)\nI've received two over the last six months from a new dentist, and on a pain scale out of ten I'd rate them\nat 9.5, whereas ones on the outside of the gum I'd rate about 2 or 3.  I had one for an extraction and another\nfor an implant, and will probably get another in a few months when the gum is reopened to complete the\nimplant.  Googling them I've found that some dentists use various techniques, including ice, to alleviate\nthe pain, and can't help thinking that my dentist is doing me a great disservice by not using one of these\ntechniques!  Any opinions please?"
  },
  {
    "id": 1794,
    "title": "Glands & Infection",
    "dialogue": "Mygirl: Hi I feel so sick with the taste in my mouth, I have full dentures and have had problems with thrush for the last 5years, finally cleared it and now I have what looks like mucus or pus in salivary glands, then next to tonsils and back of throat, feels sore at one side at the lower back of jaw, back of my throat seems to pull to one side, and can feel a sore throat starting & headaches.\nAlso lost a lot of hair and weight.\nAlways feel hot, veins on head have started bulging and look scary.\nI have recently had 2 courses of antibiotics for a skin infection.\nI have felt unwell for over a year and not being able to pinpoint anything,\nAnyone know what's going on please?\nIs this dental or doctor app as dentist are easier to get than my doctors.\nThank you svor1988: Use salt water rinses and gargling. An iodine based oral rinse or other type of antiseptic oral rinse is something to look into too if the salt water isn't effective, but you should really work with a professional doctor about this infection if you're not confident in your immune system... your uvula is swollen.\n\nNo mention here how long this infection has lasted. You were not clear about whether you used oral antibiotics or topical antibiotics for your skin infection.\n\nConsider looking into telemedicine services for quicker service and lower cost than in person visits. Mygirl: Thank you for your reply, it started 13 mts ago and went away but been on/off I have shown the doctor but I have also shown them one side of my stomach bulges out and a photo of like a thin piece of string in urine and she said they will clear with antibiotics, I had some cream I think fucidin and it only cleared my skin a little so I have had 3 lots of flucoxacillin 500mg in a year and still have this is my mouth and skin infection never fully cleared but was a lot better, almost gone, and back now and flaking dead skin off like a dust. Think I need new doctors but going to try my dentist this week as he is good."
  },
  {
    "id": 1795,
    "title": "Anyone have teeth pain for trigeminal neuralgia",
    "dialogue": "John Roberts: Anyone suffering teeth pain from trigeminal neuralgia with their teeth. I am suffering from all my teeth hurting, (being sensitive to pressure like when eating or putting my teeth together) not really to hot or cold.  All my teeth hurt including the ones with crowns and root canals.  My dentist doesn't have a clue.  I had right eye pain and tongue burning in the past and the doctor I was going to diagnosed it as some type of neuralgia. I was on medication for a while that I couldn't tell did any good.  I got off it and eventually got better. I don't guess this problem I am having with my teeth could have anything to do with that.  \nThe only thing the dentist could come up with is I may be grinding my teeth and keeping them irritated.  All this started 11/18/2016 after a dentist appointment for a cleaning and fluoride treatment.  I was fine before that.  As far as I know I have never ground my teeth.\nI was just wondering if anyone had had any problems with their teeth from a type of neuralgia?   Thanks"
  },
  {
    "id": 1796,
    "title": "Dental Pricing Strategies & Dilemma",
    "dialogue": "crumbling toofs: I am old, 65, I KNOW I have future, potential dental problems, but RIGHT NOW, I want to get a TOOTH EXTRACTION of the tooth causing the pain (rear left molar). The tooth has NOT been able to be NUMBED SUFFICIENTLY in the past, so root canals have been incomplete. The DDS at a popular chain (Gentle Dental) I saw today for an eval, did not offer the option of extraction, but instead recommended work, by another ENDODONTIST, on that tooth AND 2 other adjacents (root canals, crowns)= even with insurance VERY EXPENSIVE (my cost $4000+). I KNOW that DDS's SAY they want to be \"conservative\", and not extract, so they try to preserve what's there. But, I am in pain NOW, and I don't feel that my concern (THE IMMEDIATE PAIN), was addressed. I also feel that dentists run BUSINESSES, and like everyone else, try to maximize profits. WE EVEN DISAGREED SHARPLY ON WHICH TOOTH IS CAUSING THE PAIN !!!  On the other hand, there is a small office in a nearby town, whose DDS is \"proud of his anesthesia techniques\", and charges $189 for a \"complex\" extraction. I've NEVER regretted losing teeth, or having them pulled.  Help ?  Advice ? Thank you very much. John Roberts: Sorry about your problem.  I am 70 and have problems with all my teeth hurting.  Been having problems since 11/18/16.  I have several posts on here under John Roberts talking about it.  I have been to a DDS, a Orthodontist and he sent me to a Endodonist.  Went to him yesterday.  One of my molars # 30 has a crown and a root canal.  The crown has been on there a long time and the root canal was done in 08.  The back tooth next to it was supposed to have a root canal but I don't think it did.  Anyway the Endodonist wants to redo the root canal because he says it is causing me pain when it and the top tooth contact.  I also have pain with other teeth touching but this is the worst. After he did his xrays the tooth only has half a root canal to start with which really pisses me off and I think it is messed up. The dentist didn't do but one canal so the Endodonist called it a half a root canal.  I also found out from the xray that there wasn't a root canal did on the #31 tooth which I was charged for.  He has retired.  I went back to his office and told them about it.  I hope to get my money back for that.\nDon't have insurance and it will cost  me 1,300.00 out of pocket to get the root canal redone.  I don't know what is going to happen with the rest of my teeth.  They are hurting and they can't tell me why.  I am thinking about having it pulled.  I have read and read about not having teeth pulled.  I am like you on the conservative part but they are not paying for it and in my opinion they charge way too much anyway.  I know dentist wont agree but that's just my opinion.  If you want it removed I would fine somebody you feel good about and do what you want to.  JMO svor1988: crumbling toofs said:\n\n\n\n\t\t\twith insurance VERY EXPENSIVE (my cost $4000+).\n\t\t\nClick to expand...\n\nYes that is ludicrous from my understanding... you should be facing $300-600 with insurance for root canal treatment on a molar. Treat this just like searching for a mechanic with a reasonable rate.\n\nBe aware that medical professionals do treat each other with referral incentives.\n\nCall a bunch of endodontists in your area and get quotes for your #30 molar. See both what your cash rate would be with discount they may offer for cash, and also what rate for using your insurance... svor1988: Also I'd encourage you to use the ancient practice of haggling... you'll find prices everywhere are really quite arbitrary."
  },
  {
    "id": 1797,
    "title": "Just been told I need a filling",
    "dialogue": "JLByrne: I'm 17 and in the UK, I have never had a filling before, dentist took x-rays and there was a slightly darker circle on my last tooth on the bottom left. He said it's decay, wondering if there is anything i can do to reverse the decay or will I just have to get the filling. If I do just have to get the filling should I go for the silver one or a composite filling?(silver free, composite £100). \nThanks in advance. Kathryn132: If it's at the back just get the amalgam if it's less expensive.  Don't worry about the filling you won't feel anything- I've had lots over the years svor1988: Search and read about \"dentist philosophy decay\" and \"Minimal intervention dentistry\". Ask any prospective dentist what their philosophy is, either a \"wait and see\" (to see if your personal oral care will result in remineralization) or preventative. From my reading and understanding if the decay had reached the dentin then it is best to treat as the caries spreads much quicker at that point, but if the caries is only in the enamel then it may be best to see if remineralization will resolve the issue.\n\nSaliva remineralizes the teeth. So would things high in calcium & phosphate (e.g. bovine milk with any % fat but vitamin D fortified is better). Stay away from acidic things like many mouthwashes, coffee, and OJ. Brush your teeth with fluoride product in the morning to ensure fluoride is available during day to counter any acidic damage. Brush & rinse within 4 hours of eating to remove sugar/carbs.\n\nIf you're familiar with the pH scale (I think this is mandatory in U.S. high school science at least), look up what the acidity of drinks & lactic acid are, as well as the critical pH of your enamel/dentin/cementum and how fluoride lowers that critical pH."
  },
  {
    "id": 1798,
    "title": "Help please - toothache",
    "dialogue": "Kathryn132: 2 years ago I had pain in my upper right jaw,  couldn't pinpoint the tooth.  My dentist found a cracked tooth, I had a root canal followed by a crown 6 months later and all was OK.  \n2 months ago exactly the same thing happened to my lower right jaw and I needed a root canal on another cracked tooth.\nA couple of days ago I started feeling the same kind of pain in my upper left jaw! I only have 2 molars there, one a wisdom tooth.  Both are filled,  the furthest forward one heavily. It feels more like the wisdom tooth that hurts though.\nWhat could be causing this? I'm embarrassed to go back to my dentist but I know I'll have to.  Can anyone help?"
  },
  {
    "id": 1799,
    "title": "New composite filling",
    "dialogue": "Christopher Southam: Hello new here I've just had a new filling and I can't seem to stop rubbing my tongue on it and I'm scared that I'll break it."
  },
  {
    "id": 1800,
    "title": "Chipped/Broken Tooth HELP !!",
    "dialogue": "jamie hackett: Hey I was eating a healthy choc/nutt bar when I felt somthing rock hard in my mouth. So I looked and it was a piece of tooth broke off and seen in pic. I also have had bad pain in the bottom 4th to the left tooth when ever i chew it seems to throb and hurt if you press on the gum when it connects to tooth it is very painfull. I also keep getting ucler on my left gum. Any ideas whats caused this or my options getting it repaired Thank you. I had this feeling a while ago now Alia Mariam: Hi Jamie,\nI too have faced similar problems. I had a prolonged ulcer on my gums, i ignored it for a couple of weeks. When the pain became unbearable I consulted a dentist, and he prescribed few antibiotics and did deep cleaning and scaling of my teeth. The dentist advised me not to keep ulcers untreated as they could lead to Gingivitis and more such serious diseases, which could lead to infection of gum line and tooth loss."
  },
  {
    "id": 1801,
    "title": "General Healing Advice Please!",
    "dialogue": "Gray Wilson: Hey guys I'm very new, and had a few questions regarding a recent extraction I had about 30 hours ago. \n\nI attached a file below, I have some white dots and white chips in my extraction site. I'm not necessarily in pain. Little uncomfortable. I did sadly have a cigarette after my 24 hour mark (I know I know). \n\n\nIs this looking normal? Or should I be concerned. Again I'm sorry if wrong place to post just don't know what I'm doing here ha \n\nThanks guys!"
  },
  {
    "id": 1802,
    "title": "Infected Tooth",
    "dialogue": "megthelunatic: Hello, this is my first time using this website. I've been searching around for answers, but decided it's best to ask for my own situation.\nI'm almost 17 years old, and I've been having some trouble lately.\nAbout three weeks ago, I went to the dentist for wisdom teeth pain on my right side. They did x-rays, and said I needed to get all 4 out. They made me an appointment for July, but I called and got put on the cancellation list to see if I could get in earlier. So they were able to get me in a week after that.\nIt's been two weeks and one day since I had my surgery to remove them. Last Wednesday, one week ago today, I started having some pain in my top right teeth because they were shifting (I was unable to wear my retainer due to the blood clots)\nThursday night I only slept 30 minutes due to pain, I was sobbing and screaming from pain. Friday, I went to my dentist and they x-rayed my tooth and told me I had an abscessed tooth, and I'd need a root canal (scheduled for March)  because It's a front tooth. I got antibiotics and ibuprofen for pain. On Saturday, I was almost unable to eat from pain. Saturday night, I felt a huge burst of pain, and my mom told me I started clawing at my face, screaming. This was hands down the worst pain I've ever felt (Over appendicitis). My mom called my dentist and they said the \"pop\" was the infection breaking up.\nSince then, the pain has been down to a minimal, but my teeth have been really sensitive. If my top and bottom teeth hit, it starts hurting, and the sensitivity is unbearable.\nI also got a sore throat and a few small white blisters on my right tonsil (the same side of my infected tooth)\nI guess I'm just trying to ask if this is normal to be so sensitive? (The teeth around it are sensitive too)\nIs there anything I can do for pain? And could my sore throat be related? (I thought since I'm already on antibiotics, they should clear up my throat too?)\n\nThank you for taking the time to read/help me out. -Meg svor1988: Salt water works wonders. Gargle with warm salt water 1-2x a day or as needed for pain. Antibiotics only works on a subset of bacterial infections, it never works for viral infections. Further, antibiotics don't penetrate certain areas well. Use salt water.\n\nComplete your antibiotics prescription, do not skip doses or stop early.\n\nSorry your wisdom teeth were taken out. Hopefully it really was medically necessary on all four of them...\n\nConsider going to an endodontist for the root canal- higher rate of success and it's always good to get a second quote (expect ~$25 for the consultation)."
  },
  {
    "id": 1803,
    "title": "Bridge / Abscess dilemma",
    "dialogue": "Tesla: Hi. \n\nI had a bridge [upper 12,13,14 I think] fixed about 5 months ago abroad, due to a missing tooth [13]. About 2 or so months later I had terrible pain on the side where my bridge is. The pain lasted a few days and the dentist gave me antibiotics. The pain went away, I finished my antibiotics but I got an abscess on my gum which produces puss when I push it [sometimes blood]. The dentist said it is not a fistula but a sinus infection and that the pain would come back even if it doesn’t hurt now. 12 is infected.\n\nIn total he gave me 3 options;\n\nOption 1- He said the following; he recommends root canal treatment to save the tooth. Replace bridge in the future or cut bridge and replace in future. But, RCT won’t be straightforward due to the bridge blocking the view and can’t guarantee it will be successful. With the abscess present, RCT is less likely to be successful.\n\nOption 2- extract tooth with abscess and denture to be fitted immediately, cutting the bridge.\n\nOption 3- like 2 but cut the denture, remove the two teeth [12, 13] so there is less burden 14\n\n\nI will ask you some questions which might sound very dumb, so bear with me…!\n\n-I’m guessing that the X-ray showed the infection hence his recommendation for RCT?\n\n-Is it  true that the abscess/infection will not go away? I am in no pain.\n\n-why can’t he take the bridge off and then do RCT so he has no obstructions…and then put the bridge back?\n\n-the dentist mentioned an endodontist for this type of RC through a bridge, but I am an NHS patient and I doubt treatment by endodontists are on the NHS\n\n-I would prefer to avoid extraction for many reasons. Dentures sound silly as I am 33. I looked at implants online and think mini dental implants are a safer option?\n\n- I am aware that the infection might not be resolved with RCT, so if I extracted, have I sorted the infection out completely?  I understand you can still get an infection even after an implant!\n\nSorry for all the questions but I am very confused and just need some advice please! Thanks a lot.\n\nLastly….Before I make my decision, I am having 2 fillings on my other side and deep gum cleaning as my gums are inflamed.\n\nI can upload a photo of the abscess if it helps? svor1988: Tesla said:\n\n\n\n\t\t\tHi.\n\nThe dentist said it is not a fistula but a sinus infection and that the pain would come back even if it doesn’t hurt now. 12 is infected.\n\n-Is it  true that the abscess/infection will not go away? I am in no pain.\n\t\t\nClick to expand...\n\n\nRead about the maxillary sinus. Look at how the teeth roots can sometimes perforate that sinus. Since the dentist said it is a sinus infection I expect the xray will show 12 perforating the maxillary sinus. In my experience you don't need antibiotics to treat that infection... irrigating the sinus with salt water 1-2x daily will do. Search for \"saline sinus rinse wikihow\" for instructions; all you need is salt, tap water, and a cup/bowl, you don't need to buy anything. Read all about your sinus anatomy so you know how to tilt your head around in order to irrigate the maxillary sinus (e.g. Google Image search for \"maxillary sinus teeth\" and \"maxillary sinus ostia\"). Don't use too much salt, it can sting. If it stings rinse with just water (no salt) after doing the salt water. You should feel it when the salt water hits the infected area!\n\nAntibiotics won't treat viral infections. Antibiotics never sufficiently cleared out that area for me either... only saline sinus rinses worked.\n\nI'm not sure why your dentist said the infection would never go away. Perhaps he knows something you didn't state here.\n\nOh now that I think about it... if 12 became infected in the pulp, that would have probably caused the sinus floor to drop so the root(s) are visibly sticking up into the sinus. I think salt water should treat the infection fine. Not sure if your tooth will ever recover though as it had lost its blood supply.\n\nOn that note, oral antibiotics wouldn't be able to get into the tooth if the blood vessels no longer get into the tooth... as antibiotics only spread where capillary flow allows. Your remaining pulp should still be infected after oral antibiotic treatment if what I'm thinking is correct (an xray would help). A nasal antibiotic spray/rinse on the other hand... that would be able to get into the tooth... but salt water will do just fine if not better.\n\n\n\nTesla said:\n\n\n\n\t\t\t-the dentist mentioned an endodontist for this type of RC through a bridge, but I am an NHS patient and I doubt treatment by endodontists are on the NHS\n\t\t\nClick to expand...\n\n\nEndodontists have more schooling and have a larger skill set than general practitioners.\n\nFrom https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3872851/\n\"A comparison of tooth survival rates after endodontic treatment by endodontic specialists vs. general practitioners, in a [36 month long] multi-center study consisting of 350 teeth that met the inclusion criteria, showed a difference of only 98.1% vs. 89.7% (Alley et al., 2004).\"​\n\n\nTesla said:\n\n\n\n\t\t\t-I would prefer to avoid extraction for many reasons. Dentures sound silly as I am 33. I looked at implants online and think mini dental implants are a safer option?\n\n- I am aware that the infection might not be resolved with RCT, so if I extracted, have I sorted the infection out completely?  I understand you can still get an infection even after an implant!\n\t\t\nClick to expand...\n\nYep. In the above link it will talk a lot about that (\"peri-implantitis\" is their word for implant infection). 20 year success rate for implants was 75.8%. Getting an implant at age 18 was among the worst decisions in my life. If you can afford it, go with the endodontist is my best guess... your medical professionals would best know what to do.\n\nThough I suppose the saline sinus rinse may help the issue? Did your dentist not mention saline sinus rinses to treat the sinus infection?\n\nI have more thoughts but I shouldn't speculate."
  },
  {
    "id": 1804,
    "title": "Dental Crown",
    "dialogue": "Orange24: So I had both my front tooth crowned. 1 tooth was was chipped half way about 8 years ago so It shifted outward. My dentist wanted to crown both front teeth to make it look straight after the crowning process. I feel like I made a big mistake crowning the second tooth. \n\nAs a dentist, what would you do?\n\nSorry for the crown threads. I just worry too much"
  },
  {
    "id": 1805,
    "title": "Possible Abscess",
    "dialogue": "Karen Lingg: I have a few teeth that recently broken in my upper and bottom left side of mouth. I have been experiencing pain on and off with cold and eating. I have noticed some swelling to the left side and my lymph nodes are swollen on that side. I went to urgent care and was prescribed Clindamycin. I do not have a dental appointment for another week. I am worried that it could get worse in the next week. Any advice?"
  },
  {
    "id": 1806,
    "title": "DUI",
    "dialogue": "Toothgrinder: What are the consequences for getting a DUI as a practicing dentist in GA?  Will it impact my license to practice?  Ability to bill for my work?"
  },
  {
    "id": 1807,
    "title": "Teeth still sensitive, sore to the touch",
    "dialogue": "John Roberts: I made a few post last month about my teeth.  Just a quick note.  I am a 70 year old male.  I have two teeth missing besides my wisdom teeth.  I believe they would be #3 ( top right) and # 19 lower left. I have 5 crowns.  #7,8,9,2 and 30.  I had a cleaning and fluoride treatment on November 18th 2015.  I was having some discomfort with # 10 tooth but no trouble with any other teeth.  Since then I have had trouble with teeth hitting so most are really sensitive  and hurt when they touch together.  Right now the front four 7,8,9 10 hurt most of the time.  It really hurts when the front top teeth come in contact with-the bottom fronts like when I swallow.  I changed dentist after the  November appointment.  My original dentist had retired and I didn't care for the one who took his place.  I went to a different dentist told him my teeth were sensitive, sore and some where hitting after the November 18th appointment.  At that time the left rear bottom #18 tooth was hitting the top and the fronts and bottoms hitting.  He did some grinding on the left side then the right side started hitting.  Went back to him three times,  he ground on my teeth and they are still hitting and sensitive\nI did a lot of reading and decided to go to a orthodontist and see if he could help.  Went to him Monday and he thinks I am grinding my teeth.  Put me on some anitinflamatory medicine and I am suppose to call him back Monday and let him know if it helped.  I just can't. see how this could start overnight.  I don't have any of the symptoms of teeth grinding.  The jaw pain, headaches, all that stuff.  I have never had a grinding problem that I know of.  If I did I wonder if it could start all of a sudden?  As far as my bite goes it seems like the hitting part will move around also.  When I wake up in the morning and am laying in bed I can put my teeth together and I can feel a little discomfort wit the front teeth but the jaw teeth feel ok but ans the day goes on it seems like they start hitting worse.  Does anybody have any ideas on what could be wrong. svor1988: Teeth grinding is a common side effect of drugs, like antidepressant and ADHD drugs. Saliva production loss (dry mouth) is also a common side effect of drugs, and is very bad for your teeth.\n\nGet an inexpensive mouth-guard from a pharmacy and wear that at night for a couple weeks and see if that helps.\n\nStay away from having your teeth ground down... your enamel is very valuable and unrivaled by current man-made products.\n\nCould be phosphorus deficiency. As you age you may be less able to absorb vitamins/minerals and may need to counter that with supplementation.\n\nAlso, since you say #7,8,9,2 and 30 have crowns, and #7,8,9 10 is where most of the pain is, it is probable that one of those crowns has reached the end of its life, probably #8 or #9. They don't last forever, about 10 years on average. Does your breath smell bad (indicates decay)? Do you have a bad taste? Are they abnormally sensitive to heat or cold? Is is possible there is decay under the crown... try looking at the crevices between your teeth to spot any decay. Dental mirrors are inexpensive as well... John Roberts: I really do appreciate you taking the time to answer my post.  I have thought about the teeth grinding.  Like I said I am 70 years old.  I have been to the dentist every six months for a check up probably for the last 20 years.  In the last 20 I have had some dental work done.  My old dentist never mentioned anything about me grinding my teeth.  If I did it looks like he would have said something.  I just wouldn't think teeth grinding would start overnight but I might be wrong.  I did buy one of the over the counter night guards that you heat and form but I was afraid it might realign my jaw or something. \nGot ahead of myself.  I did the noninflammatory medicine.  No help.\nI totally agree with you on the grinding down of my teeth.  I don't want to do that.\nI don't know either about the   phosphorus deficiency either.  I am going to the va before too long.  I may ask them to check that.\nI did ask my wife about my breath.  She said my breath did change for a few days but then back to normal after all this started.  It seems like I have always had a bad taste in my mouth off and on.  I use Walgreens brand of Biotene and I would say I have dry mouth but have had for a long time.  \nMy teeth aren't really sensitive to heat or cold I would say.  If I get ice cream in the left back top of my mouth it bothers me but no where else and I drink hot chocolate and eat hot food without bother.  \nI have been to one dentist three times and the orthodontist once and they didn't say anything about a cavity. But all my teeth, not just one or two are like sore and sensitive. \nAs far as my teeth contacting or hitting (that is what's really hurting) I am beginning to wonder if I may have a jaw problem.  I told the dentist and orthodontist sometime it feels like I miss bite or something.  I read about TMJ and I really don't have any symptoms of that except I have trouble chewing and that's because my teeth are sore.  Other than that I don't think I have any symptoms of that.  I can tell my mouth posture has changed but it may be because I am try to keep my teeth from touching when I swallow.\nAt night is my most comfortable time.  Before I get up I can close my teeth together and the front lower bottom and top contact but I can't really feel either side jaw teeth contacting hard but after I get and going I can feel them starting to come together more and more until it really hurts.\nIt is just so strange that I was not having any problems with my teeth, except the one ( #7) before I went to the dentist that day.  I don't see where the fluoride treatment could have done anything to my teeth to make them hit but I a still not convinced that it didn't have something to do with all my teeth being sore and sensitive.\nSomeone did answer my post and they mentioned the cementum part of or around the tooth.  They say it contains fluoride itself and they say fluoride can penetrate the gums while you are getting a fluoride treatment especially with the trays.  I don't guess it it possible it affected this part of the tooth.  I am just reaching here but something is definitely wrong for all my teeth to hurt  and all of them to hurt after this treatment.  Just saying.  Once again I really appreciate you advice and will be glad for more.  Thanks svor1988: John Roberts said:\n\n\n\n\t\t\tI really do appreciate you taking the time to answer my post.  I have thought about the teeth grinding.  Like I said I am 70 years old.  I have been to the dentist every six months for a check up probably for the last 20 years.  In the last 20 I have had some dental work done.  My old dentist never mentioned anything about me grinding my teeth.  If I did it looks like he would have said something.  I just wouldn't think teeth grinding would start overnight but I might be wrong.\n\t\t\nClick to expand...\n\nIf you have a partner you sleep next to at night, they'd be able to hear grinding at night. It can sound a bit like scratching your nails on a chalkboard back and forth all night.\n\n\n\nJohn Roberts said:\n\n\n\n\t\t\tI don't know either about the   phosphorus deficiency either.  I am going to the va before too long.  I may ask them to check that.\n\t\t\nClick to expand...\n\nAs you age your body may become less able to absorb certain vitamins/minerals. That is one reason why mega dosed tablets exist for certain nutrients.\n\n\n\nJohn Roberts said:\n\n\n\n\t\t\tI use Walgreens brand of Biotene and I would say I have dry mouth but have had for a long time.\n\t\t\nClick to expand...\n\nBiotene is a great product, I've used it. It can't emulate everything saliva does, for example acids are rapidly neutralized by buffers in natural saliva while consuming food. While it has phosphate and calcium in it, I suspect Biotene isn't the greatest for remineralization as it has an acidic pH, and I see claims that remineralization occurs only in slightly alkaline pH. But yes, it is one of the best products I can see on the market right now.\n\nTry to treat the dry mouth if you can. The issue can be to salivary stones, or even injuries- have you ever had deep cuts on your cheek which injured the paratoid gland or paratoid duct? Inspect the paratoid duct opening on the inside of both your cheeks. With your fingers inspect the base of your mouth under the tongue for any salivary stones down there.\n\n\n\nJohn Roberts said:\n\n\n\n\t\t\tI have been to one dentist three times and the orthodontist once and they didn't say anything about a cavity. But all my teeth, not just one or two are like sore and sensitive.\n\t\t\nClick to expand...\n\n Yes makes me suspect a nutritional deficiency. Dairy products are a good way to get calcium and phosphorus/phosphate. If you choose supplementation do 400mg magnesium, ~400mg calcium, ~400mg phosphorus. magnesium can be obtained from epsom salt. Calcium from tums. phosphorus from monosodium phosphate for example. When supplementing, just doing one and not the others may leech the others from your body & bones which is not what you want. If you get these from just normal diet I don't think you need to worry about that.\n\nMy above guess about the source of the pain in all your teeth could be wrong. You did say all the pain started after the fluoride treatment didn't you? If so hopefully the pain will go away with time. Listerine with fluoride in it is quite acidic (pH ~3.5-4.3) so maybe the treatment you had was similarly acidic.\n\nOh, could be the dry mouth too. Dry mouth is really bad for teeth.\n\n\n\nJohn Roberts said:\n\n\n\n\t\t\tAs far as my teeth contacting or hitting (that is what's really hurting) I am beginning to wonder if I may have a jaw problem.  I told the dentist and orthodontist sometime it feels like I miss bite or something.  I read about TMJ and I really don't have any symptoms of that except I have trouble chewing and that's because my teeth are sore.  Other than that I don't think I have any symptoms of that.  I can tell my mouth posture has changed but it may be because I am try to keep my teeth from touching when I swallow.\nAt night is my most comfortable time.  Before I get up I can close my teeth together and the front lower bottom and top contact but I can't really feel either side jaw teeth contacting hard but after I get and going I can feel them starting to come together more and more until it really hurts.\n\t\t\nClick to expand...\n\nI don't know, hopefully your medical professionals can figure things out. John Roberts: Yes, like I said I was not having trouble with all this before I went for the cleaning and fluoride treatment.  I went to the orthodontist office today and gave them some notes as to what has been happening the last week since I too the medication ( Flurbiprofen 100 mg three times a day)  I told them nothing has changed.  They gave the notes to the doctor and he wants me to go to a Endodonist and let them check the nerves in my teeth and teeth  grinding or whatever they do.  I do think the dentist  I went to should have tried to figure out what is wrong before he started grinding but that is probably my fault.  I hope he didn't grind too much of my natural teeth.  I was and am looking for relief and I didn't realize grinding on my teeth could be so bad. I guess I'll see what the endodonist can tell me.  I'll keep you posted if I find out anything or think of anything else to add to the post.  Thanks"
  },
  {
    "id": 1808,
    "title": "Problems after occlusal adjustment",
    "dialogue": "Jamis028: About 3 years ago, the dentist I was working for decided to do a complete occlusal adjustment on me to \"make my bite better\". I was completely asymptomatic at this time. I did not realize there was any risk with this procedure and let her do it. She adjusted almost all my teeth and took down at least 1mm of enamel on some of my molars. I noticed right away the next day that my front teeth ached and I felt like I had a lisp. I couldn't talk right at all and I couldn't find a comfortable place to bite. Her solution was to keep grinding my teeth. Eventually I stopped seeing her and suffered for a few years with the pain. My front teeth constantly ache. They hit when I talk and I am developing black triangle between my front teeth. I have tried to get several opinions and I eventually went through ortho again but it made things much worse. I am feeling very hopeless and want this nightmare to end. Does anyone have any experience with this or advice? John Roberts: Did you ever get the problem solved.  I am having trouble like yours."
  },
  {
    "id": 1809,
    "title": "How do I access images of my teeth x-rays on a dvd the dentist gave me to take to a prosthodontist?",
    "dialogue": "Gary Goldstein: I saw a dentist, Dr. H, last week because a porcelain crown installed by a former dentist, who installed 20 crowns in 2007, broke off with my tooth attached. (I asked for veneers, the former dentist called them veneers and the bill says veneers but they cover my entire tooth and I now understand that to be a crown).\nDr. H's assistant (?) took a few photos with a camera and then took me into another room, asked me to stand still and a machine with 2 compartments, opposite each other, circled my head a few times.\nDr. H then examined my teeth, said my gums looked good but the broken tooth was a result of the crown/veneer leaking and that others appeared to be leaking because the bonding was failing. He said that he did not have the skills to undo the damage done by the former dentist because I also had an overbite and referred me to what appears to be a top prosthodontist. He also told me that he was sorry this happened to me. I have seen 5 dentists over the years and he is the only one who has told me what \nThey gave me a referral sheet and a DVD with \"3D\" written on it, the rushed me out, no charge for anything. I protested and said I would like to pay for the consultation and the camera/machine(radiograph?), so as not to feel obligated in case I had questions but they practically pushed me out the door. Of course I was anxious to know what was on the DVD and the Prosthodontist did not have an opening for 3 weeks. I went to Best Buy and asked what I need to download the digitals onto my MacAir and the Geek attempted to download the images on a PC but it is password protected. \nI called the office the next day and asked the receptionist if I could pay for them to print the images. She said that everyone was with patients and she would get back to me. They have never called.\nDo I have any rights to see these images since they refused payment? I assume I was exposed to some radiation and that should count for something. I feel frightened that there is bone deterioration or worse.\nThe incident inspired me to rummage through old boxes and find photos of my teeth before the work, when I had NO overbite (I do have a serious overbite now and my back teeth do not touch). I found some pictures and cried because my teeth were so nice. I never had teeth problems other than a few cavities in my back molars. I was so sad after my mother died that I thought a smile makeover would help me to start smiling again.\nDoes anyone know how I can access the images on the DVD? I could arrange an appointment with another dentist, assuming they have similar software, but Dr. H's office has the password. \nAny suggestions, please. I already have an infected partial tooth and would like to know if my bones are disintegrating. I have horrible sinus problems and tinnitus and wonder if those have been caused by the bad dental work. The former dentist ground my healthy teeth into tiny nubs and I was told by two dentists that I consulted later that they would have to cut my gums to be able to bond a new crown that kept falling off.\nI am sorry this is so long. I am confused and scared with nowhere to turn. svor1988: Libraries often assist with such digital issues like that, consider trying there. There isn't anything I can do without access to that data. It is possible the BestBuy technician didn't know how to open the files and got the password prompt mistakenly, I have seen this before due to Windows guessing the filetype wrong. Knowing the full filenames and filetypes would be helpful. There are many free software tools capable of reading medical imagery.\n\nThat machine you described was probably a panoramic x ray machine; the DVD should contain a panoramic x-ray.\n\nLook up the lifespan of crowns, 10 years on average; longer if well maintained and installed by a skilled, honourable practitioner.\n\n20 crowns in one year seems *very* unusual.\n\nYes sinus problems can be caused by teeth. I had many sinus infections due to a dead tooth & implant, a saline sinus rinse resolved the sinus issues in my case (look up \"saline sinus rinse wikihow\" for instructions).\n\nIf you still have a copy of your invoice saying veneers on it, it is possible he submitted claims for crowns to your insurance company. Please contact your insurance company and compare what they have record and what you have on record.\n\nI had a past dentist who did not submit certain claims to the insurance company in order to reduce the paper trail as he chose not to pay income taxes on those payments- he was caught due to a diligent patient who noticed the discrepancies.\n\nIn your case perhaps he billed you for 20 veneers and the insurance company for 20 crowns? Your insurance company should have a customer service line, please speak to them in detail about this issue. Gary Goldstein: svor1988 said:\n\n\n\n\t\t\tLibraries often assist with such digital issues like that, consider trying there. There isn't anything I can do without access to that data. It is possible the BestBuy technician didn't know how to open the files and got the password prompt mistakenly, I have seen this before due to Windows guessing the filetype wrong. Knowing the full filenames and filetypes would be helpful. There are many free software tools capable of reading medical imagery.\n\nThat machine you described was probably a panoramic x ray machine; the DVD should contain a panoramic x-ray.\n\nLook up the lifespan of crowns, 10 years on average; longer if well maintained and installed by a skilled, honourable practitioner.\n\n20 crowns in one year seems *very* unusual.\n\nYes sinus problems can be caused by teeth. I had many sinus infections due to a dead tooth & implant, a saline sinus rinse resolved the sinus issues in my case (look up \"saline sinus rinse wikihow\" for instructions).\n\nIf you still have a copy of your invoice saying veneers on it, it is possible he submitted claims for crowns to your insurance company. Please contact your insurance company and compare what they have record and what you have on record.\n\nI had a past dentist who did not submit certain claims to the insurance company in order to reduce the paper trail as he chose not to pay income taxes on those payments- he was caught due to a diligent patient who noticed the discrepancies.\n\nIn your case perhaps he billed you for 20 veneers and the insurance company for 20 crowns? Your insurance company should have a customer service line, please speak to them in detail about this issue.\n\t\t\nClick to expand... Gary Goldstein: Thank you very much for your information. And for just reading my post. I do not feel so desperate now.\n\nI thought that doctors needed our consent for radiation exposure?\n\nI do not have dental insurance. I did not need it because I had not had a cavity in 20 years before this cosmetic procedure. Also my procedure was only cosmetic and insurance will not pay for that.\n\nYou are right about crowns, some of which fail at only 5 years, I read.  Of course I thought I had veneers and they have a longer lifespan. No one told me to watch for leakage. I guess I thought they would all eventually crack and fall off the still healthy nub, since that is what two others did. A dentist told me in 2011 that they would have to be covered or they would rot and I would lose the teeth. I said \"What teeth? I don't have any teeth. My teeth were drilled away! I have nubs, not teeth!\" Truth and humor but I was the only one to laugh.\nNevertheless they are still there without enamel or cavities. The cavity was inside the veneer/crown that broke.\nI have not had a second of pain so there was no way to know. Two recently consulted dentists have told me that I do not have any periodontal disease. If I do not have bacteria and plaque in my gums why would I think it might be inside my bonded crowns? Maybe this is what \"oil pulling\" is for?\nActually I am lucky that one broke before the others since some might still be okay. Although I have considered that no teeth/nubs might be the best way to resolve everything forever, my knees get weak when I hear the word \"extraction\".\n\nI was really stupid to do this. I honestly thought he was pasting those thin veneers on my teeth. They were being advertised in the magazines. Da Vinci veneers. He said he had someone better than DaVinci. Then the day came that he said he had to take a little enamel off.  When he handed me the mirror I nearly fainted. I will never forget that day. I wanted to scream. I wish I had now.\n\nI know an African medical doctor in his 40s who has beautiful teeth and has never had a cavity. He also avoids dentists preferring to take care of his teeth himself. Why not study people such as that and find out what they are doing right?\nI have an appointment with a prosthodontist other than the one I was referred to and I think will be more open to non-standard approaches. I think but who knows. I have read about new developments in correcting overbite, not braces, but contraptions that fit in your mouth. But my teeth have to be fixed first, I think. He has the equipment to view the images and I will ask for prints or I will use my iPhone and photograph them. That should work, do you think? If he protests I will know we are not a good fit. I described the machine to his receptionist and she said it was the panoramic or whatever. I do know that it exposes one to radiation they say is not dangerous. I guess we will find out in the future.\n\nSo I still have hope that I can return to something reminiscent of the my original teeth/mouth and face. We'll see. \nThis is an edit to say that the receptionist just called and they have a cancellation for Wednesday! Otherwise it would be 2 weeks. I had told her my story when I called so maybe that helped. So things are looking up!"
  },
  {
    "id": 1810,
    "title": "IS MY DENTIST INTERESTED IN ME??",
    "dialogue": "Deydey: I would like to know from a dentist point of view if I was right to feel the way I felt or if this is how it's supposed to go in the dentist office, here it is;\n\nBriefly describing overall, he was really nice, extremely nice to the point where when he would describe my teeth ex: \"have you notice the space you have over there? \" I would say yes. And he would add \"but it's nothing bad, we all have our imperfections like me look I also have a space there *\" he would tell me that he finds my profile beautiful ( not randomly, we were talking about it but still) and he had a huge smile from the beginning till the end of my appointment, giggling.\n\nalso at some point my face was against his body, really touching it (touching his lower belly or hopefully dick ) the right side of my face was against him while he was just doing a cleaning..\n\nAnd more but that's the most important I guess, at the end of my appointment when the assistant is supposed to walk me back to the front he stepped in between us and said that HE will walk me back, while walking me back I had that strong gut feeling that he was gonna ask me for my number, skip forward after some talking he ended up writing his cell phone number telling me to call him if I have questions while \"blinking\" at me.. OHH and also when he left after handing me that paper, before entering the room he was about to enter he turned his head to take a last look at me, he literally turned 180° and looked straight at me, for I don't know what? He came out 2 more times and did it again the 2 times, WHY DO YOU GUYS THINK HE TURNED BEFORE LEAVING TO LOOK AT ME? I just went for a normal check up, no surgery or anything, WAS HE INTERESTED IN ME? For the record, I'm really into him.\n\nAlso, he wrote his private cell phone number under his name on a reference, the reference was for me to see an orthodontist.. The reference tho was FOR ME not for the orthodontist. The orthodontist did confirm to me that I don't need to bring any reference since he doesnt need it and it's for the client (me)."
  },
  {
    "id": 1811,
    "title": "Intermittent pain, 2 dentists can't identify cause",
    "dialogue": "Paul Maguire: Hello everyone,\nAbout 6 months ago I started to get like an 'electric shock' feeling round my left top teeth.\nI had two fillings to cover the dentine where the teeth had chipped.\nThe discomfort change to more like intermittent pain it not there all the time????\nI got referred to a root canal specialist.  He tooth 2 fillings out of one tooth on top left 3 from the back.  He repaired a crack in the tooth and replace the two fillings.\nIntermittent pain/discomfort continued.\nI went back to my regular dentist to say i think it is the back left wisdom tooth because again it is painful 'sometimes' and when I close my mouth and the wisdom tooth is touched by the lower teeth it feels painful.  Again I repeat it is not all the time.\nI have had physic for my knee and my physic has massaged my neck and done acupuncture twice now and suggested I keep my head up and chin in.\nHe also questioned my pillows.  I sleep on my side and I think my head is held well.\nI do however feel my teeth discomfort/pain when I am in bed not moving.\n\nHas any body help or experienced/seen these symptoms before\n\nthank you in advance\n\nPaul Maguire\nSolihull\nUK Paul Maguire: Hello everyone\n\nI thought it may be helpful to update anybody who may have similar symptoms.\n\nI think I had a trapped nerve in the neck/head area.\n\nI have been having physio for my knee and the Physio did some neck massage.\n\nI had a few sessions  with a personal trainer who was also an Osteopath who did his masters in the neck.\n\nHe thought it may be Trigeminal Neuralgia because there is  nerve that runs 3 ways (I think) near to the lower jaw and teeth.\n\nI get the sensation/pain when I am driving and when I'm lying in bed.\n\nThe symptoms are random and difficult to re-create.\n\nHe said I should de-stress as much as possible.  So I have cut out drinking at home and endeavoured to be more relaxed at work.\n\nI have changed from 2 pillows to 1 pillow to keep my head perpendicular to the shoulders when lying in bed and fairly straight when lying on my back.\n\nFor the last 2 days the symptoms have gone.  \n\nI still get some minor sensations in my teeth when eating some things.\neg.  today a banana that was cold after sitting in the van all day.\n\nSo my thoughts are that people should maybe look to possible trapped nerves. \n\nI don't think my issue was teeth related.\n\nkind Regards\n\nPaul Maguire svor1988: From https://www.tulsadentalcare.com/white-fillings-reduce-risk-of-galvanic-shock/\n\"Galvanic shock, a term used in dentistry for over 100 years, refers to an electric charge in your mouth between two fillings. This uncomfortable charge occurs when two metal amalgam fillings of dissimilar metal composition come together or are placed too close together. When this happens, they complete an electrochemical circuit through the soft tissue and nerves inside of your tooth. Afflicted teeth can feel painful or sensitive.\n\nOccurrences of galvanic shock are extremely rare. Dentists train extensively in the placement of dental fillings in order to prevent this uncomfortable condition. Once upon a time, your best bet was to stick with the same dentist to ensure similar composition in every amalgam filling you received. Thanks to new technologies, dentists can now check the composition of older fillings in order to create new fillings that will not cause problems.\"​With composite fillings you should not experience this issue.\n\nIt is possible you may feel tiny electrical shocks through other chemically/mechanically induced means.\n\nMake sure you are getting enough magnesium/calcium/phosphorous and eating fruits and veggies in your diet. Paul Maguire: Thank you Svor1988 it is very kind of you to have commented.\n\nI will certainly look at the magnesium/calcium/phosphorous intake.\n\nI have brushing my teeth with Duraphat 2800 and had some massage and 'needling' on the muscles and nerves in my neck and right jaw.  I have also had some massage inside the mouth at the back between the upper and lower row of teeth.\n\nI thought it was going really well until I went for my 6 monthly check up and the hygienist cleaned my teeth.  I was back to square one in terms of pain and discomfort when eating because all the protection from the Duraphat was scrubbed away.  \n\nI get discomfort while eating for a while then it dies down (say after approx 30sec).. I am also getting some discomfort in the middle of the night from the nerves and strangely when I shower. This makes me think it is posture related - or to do with the position of the jaw/neck.   So I think I have sensitive nerves which are near the surface of the tooth (top right 3 from the back) and a tooth issue which allows for the said nerve to triggered/made uncomfortable/painful.\n\nI am continuing with the massage and using the Duraphat, using one pillow to sleep and keeping my head up and my jaw back.  I will look at supplements based on your advice.\n\nThe dentists advice is if the discomfort has gone down from 8.5/10 down to between 1 & 2.  Result keep doing what you are doing.\n\nthanks again\n\nYours\n\nPaul Maguire svor1988: Yes, sorry I don't really see clear issues I can help you with other than to encourage you have adequate nutrition so your body can do what it does best, and keep working with your existing doctors.\n\nIf you decide on magnesium/calcium/phosphorous supplements (instead of just making sure you're getting enough from normal food), make sure not to just do one supplement (match them in a 1:1 weight ratio):\n\nIf you take just magnesium, then it pulls calcium out of the body/bones (L. S. PALMER et al., 1928).\nIf you do just calcium, it pulls magnesium out of your body/bones.\nI've found most all magnesium supplementation ad-revenue websites fail to mention this critical issue... which probably causes a lot of people some harm.\n\nWebmd has dosage information for magnesium, 400mg/day for me."
  },
  {
    "id": 1812,
    "title": "Why ask personal questions on Patient History Form?",
    "dialogue": "Dialtone: My daughter needs braces. OK...So I take her to the referred to Orthodontist. They wanted to know where I and my wife worked. I wrote the answer and the lady made a comment that since my wife was a professional, they'd give us a 10% professional discount. Ummmm, WHAT?\n\nThe estimate was about $6,000.00 I was shocked. I have a feeling they jacked up the price before the \"professional discount\" and still wanted more that was a fair price.\n\nWe're going to a second place and danged if the form for them, doesn't ask the same questions about where we work and what are our positions. That just sounds like they will price people based on what they think is our income.\n\nWhat's really going on here? Does anyone really understand this new line of personal questioning?\n\nI'm ready to tell them my wife is a stay at home mom who has mobility challenges. John Roberts: Shoot, I'd try that.  I've come to the conclusion I don't think I trust any of them.  I went to a orthodontist the other day and I didn't get a good feeling about him.  My teeth are hitting together and hurt.  He gave me some medicine to try and basically said it that didn't work it would cost me lots of money.  Don't know if I am going back or not.  They didn't ask me what my wife did though. Dialtone: Thanks for replying and I understand frustration at some medical \"professionals.\" I quit one after he told me that I didn't have any pain in a tooth.Sadly, that was after he said, \"Ooops,\" while trying to grind down a tooth for a crown. Seems he went too far down and exposed the nerve. His solution was to suggest it'd be just fine after the crown was set. Nope, it wasn't, so he said he wouldn't charge to do a root canal through the top of the crown. I did see where he didn't bill ME, but tried to bill the insurance company. Shortly after that is when he told me I didn't have any pain in a tooth which was causing pain. svor1988: Yes, never answer any questions about where you work. For obvious reasons as you had mentioned. You're approaching this the right way.\n\nDoes she really need braces? Out of cosmetic \"need\" or genuine medical need? Be aware if teeth are moved too far too fast or even back and forth with repititon, it may kill the tooth- this is what happened to one of my molars.\n\nBe aware if this is for cosmetics, she'd need to wear a retainer for life or the teeth will just move back to their natural positions. Skipping the retainer for a while would make it so it wouldn't fit anymore. Permanent retainers behind the front teeth exist as well but I've had trouble with mine causing a stress fracture & cavity on my canine (due to a hard to clean crevice created). Wasn't worth the pain & expenses by a long shot- my teeth were in good shape in the first place, and I lost a good molar and soon to be canine I expect.\n\nGet an invoice at time of service so you can dispute any claims then and there. There is a lot of upselling in this industry just as there is with professional car mechanics... Also verify the invoice matches your insurance company's record. One of my past denstists didn't submit certain claims to the insurance company in order to remove a paper trail so they could get away with not paying taxes on those payments/income.\n\nThere are many trustworthy dentists, but there are also many unethical ones driven by greed. The trustworthy & honourable professionals would be wise to report misconduct they see done by other practitioners instead of protecting them...\n\nTrust your gut instincts. Dialtone: Great Advice! Thanks for replying. Our current long term dentist referred us to an orthodontist a few years ago. They said her thumb sucking pulled her pallet out a bit and it should be looked at. I did take her, but when they said she had pretty teeth, I discounted the \"need\" to get them. The subject was dropped and forgotten about. However, the last three visits to the dentist for cleanings, they ask about her going to see an Orthodontist. So, I thought maybe something really needed attention.\n\nSince I didn't care for the prior referral office, I got suggestions for some others. I did like how they took pictures and showed the trouble areas, Mainly, on the left side , her teeth were very lined up one to one. On the right side, they were staggered. The left side could cause uneven pressures on the jaw and lead to pain and other issues if not corrected.\n\nThe other was her front teeth having a gap and not having the upper front overlapping the bottom teeth. Well, it seems reasonable to get some adjustments from what he pointed out. Just not a +6,000.00 dollar adjustment.\n\nI moved to Ohio with my wife and we found a local dentist, whom seemed nice. She was really into up-selling like you mentioned. Took lots of pictures of my teeth and pointed at all the \"decay\" and said they needed to replace the amalgam fillings, ASAP. I was quite shocked by that and just stopped going. My wife, had quite the opposite experience. Her teeth had poor care during her life in another country. The dentist treated her really well and didn't try to do extra services to her like she had done with me.\n\nOne thing she did do though, was to give my wife Whitening treatments to take home. For Free. Her teeth had not been pearly white, due to medications commonly used years ago. We weren't billed, nor was our insurance. I never quite understood why all that happened with that dentist. It's 12 years later and my 40 some odd year old amalgam fillings seem to be just fine."
  },
  {
    "id": 1813,
    "title": "Mouth problems",
    "dialogue": "Freddie: Hello all,\n                 I have a problem with biting my tongue, cheeks & lips & as you can imagine, it's very painful & is making me afraid to eat.\n        My dentist says I have small teeth as I must have ground them down in my sleep.\n       Would there be anything I can get done about it ? Cheers,\nFreddie. svor1988: You are grinding teeth at night? This is a common drug side effect, e.g. from antidepressants or ADHD drugs.\n\nWear an inexpensive mouth guard, found over the counter at pharmacies.\n\nI only experience biting myself when I'm not careful... or when I have inflammation in that tissue that makes it bigger and thus in the way of my teeth. Chew slowly and carefully. Freddie: Svor1988, \n                   Thanks for your reply sir - I don't take any drugs in any way shape, or form. I'm 68 shortly & I have probabley ground my teeth down over that lenghty period of time - due to stress or something. I do have a mouthguard (£70 here in the UK )  but don't use it as it feels wiered ! As my teeth are small, I would like to  have them built up, but I'm not sure if that is possible both on a medical & maybe a financial basis, as  I don't get free dental care. I do have sharp edges on my teeth & around \"unfilled\" cavities\n  These cavities have been filled before, but the fillings keep falling out. The question still remains - why do I keep damaging myself this way in the first place ?"
  },
  {
    "id": 1814,
    "title": "painful only when brushing, is it normal?",
    "dialogue": "kenny siu: I am 34 and recently a wisdom tooth starts to grow at the upper jaw, and I feel VERY painful when I brush near the wisdom tooth, is it normal that I'll feel very painful when brushing the growing wisdom tooth?? svor1988: Yes wisdom teeth pain when they come in can be very painful. You'll feel pain for many weeks. svor1988: Oh, rinse your mouth with salt water twice a day, or as needed for pain."
  },
  {
    "id": 1815,
    "title": "Is it possible my dentist didn't refill my cavity enough resulting in my pain?",
    "dialogue": "juntjoo: Maybe 9 months ago an old filling fell out while flossing so I went to a local dentist to have it refilled and afterwards and ever since the top of my tooth is sensitive. I can eat but have to do so carefully and often there is slight pain. When I went back to have it checked out all they were concerned with was the possibility that they filled it too high but I'm wondering now if the problem was they didn't fill it enough as I can tell it's lower than before the original fell out. I didn't mention it to them because they were so concerned that it was too high but now I'm regretting not mentioning it. juntjoo: Hello out there. Any dentists or dental students have any ideas for me? Tone-Analyst: I'm not a professional but here's my opinion. If your filling was so far gone/broken as to just flake off while flossing, cavity may have formed behind and they may have had to drill a bit closer to the nerve to put a new filling and that may cause you tooth to be more sensitive. However, pain ongoing after 9 months is not a good sign. It's possible the nerve had been affected and a root canal treatment may be necessary. \n\nAbout having filled too high or too low. The only concern is filling too high because it creates a high point of contact and prevents the other teeth from closing together properly, as well as putting a lot of pressure on that high spot. Less filling is not really a concern, as long as the tooth is well covered. juntjoo: Tone-Analyst said:\n\n\n\n\t\t\tI'm not a professional but here's my opinion. If your filling was so far gone/broken as to just flake off while flossing, cavity may have formed behind and they may have had to drill a bit closer to the nerve to put a new filling and that may cause you tooth to be more sensitive. However, pain ongoing after 9 months is not a good sign. It's possible the nerve had been affected and a root canal treatment may be necessary.\n\nAbout having filled too high or too low. The only concern is filling too high because it creates a high point of contact and prevents the other teeth from closing together properly, as well as putting a lot of pressure on that high spot. Less filling is not really a concern, as long as the tooth is well covered.\n\t\t\nClick to expand...\n\n\nThanks. I suppose that's possible be drilled a bit too much, or as much was needed and the nerve just couldn't take it. Fortunately it's not time for a root canal as it's not that bad. It's just a spot or two right on the top where it's definitely more shallow than before. My dentist said, recently after another visit that, totally doubting my hypothesis that whatever (tiny)amount that he under filled it, it wouldn't matter which doesn't make sense to me as that is suggesting no protection is needed over the nerve because as I see it, obviously that is the point of the filling, so the question is how much exactly is needed which I didn't quite articulate and let him basically poop on my idea then left. But I find it totally plausible that he didn't fill it to the amount that is needed to not feel pain. I mean, there is, must be, a definite line/level that must be reached to sufficiently protect the tooth right? And he didn't address exactly what that line would be and I suspect he just can't say exactly which leaves open the possibility he didn't reach it, but as with most experts they have an ego that is connected to their titles. But I'm going a bit off here. He could be right or not but he just seemed to be opining like myself. All I know was one day it was fine, filling dropped out, couple days later it was refilled slightly lower and now slight pain I have to be mindful of. So yeah, could be that the nerve didn't like the last unavoidable job, or the dentist didn't do it totally right.  Oh well I guess. He offered to add more and maybe I should have take him up on the offer but 1 if he's right that adding more would probably make it worse, just more work = more tooth trauma, and I don't want want anyone doing that kinda work on me without confidence in the work. But luckily it's not going to require a root canal any time soon at least. So all in all I'm lucky I can eat comfortably for the most part. svor1988: Could have been cured incompletely. Dental composites are cured with UV light. The composite will not cure with time, by design it will only cure with UV light. There are differences between curing tools, in penetration, in the collimated beam of light, and curing time: https://www.dentalaegis.com/id/2012/03/principles-of-light-curing\n\nThe dental composite could have been cured incompletely, causing pain. Consider for example, a pocket of liquid composite encased beneath the cured crystalline composite, the composite in this liquid phase may experience thermal expansion and contraction, causing pressure related stress and thus pain in your tooth.\n\nThere are significant difference between practitioner skill. In my experience with one dentist, all were perfect, no pain, no failures even 10+ years later. With another, all painful, 2 fell out, not smooth... and he carved out way more enamel than necessary in their placement in my opinion. He said that was so it'd stay... what a farce...\n\nGo back to your dentist, and have him cure the filling for two more cycles of the tool at two separate angles. You've already paid for the filling, and it was his error that led to the non-completion of the filling cure, so this will be of no cost to you. If he refuses to do this as included in the original payment, then take this issue up with your insurance company and they may recover payment for the entire service as you don't have the finished product. juntjoo: svor1988 said:\n\n\n\n\t\t\tCould have been cured incompletely. Dental composites are cured with UV light. The composite will not cure with time, by design it will only cure with UV light. There are differences between curing tools, in penetration, in the collimated beam of light, and curing time: https://www.dentalaegis.com/id/2012/03/principles-of-light-curing\n\nThe dental composite could have been cured incompletely, causing pain. Consider for example, a pocket of liquid composite encased beneath the cured crystalline composite, the composite in this liquid phase may experience thermal expansion and contraction, causing pressure related stress and thus pain in your tooth.\n\nThere are significant difference between practitioner skill. In my experience with one dentist, all were perfect, no pain, no failures even 10+ years later. With another, all painful, 2 fell out, not smooth... and he carved out way more enamel than necessary in their placement in my opinion. He said that was so it'd stay... what a farce...\n\nGo back to your dentist, and have him cure the filling for two more cycles of the tool at two separate angles. You've already paid for the filling, and it was his error that led to the non-completion of the filling cure, so this will be of no cost to you. If he refuses to do this as included in the original payment, then take this issue up with your insurance company and they may recover payment for the entire service as you don't have the finished product.\n\t\t\nClick to expand...\n\n\n\nThanks. I will have to take care of this with another dentist. After that last visit when I turned down his offer to fill it some more I called back a couple days later to take him up on that offer if it didn't expire, especially as he seemed so concerned, at least that is what his fake face expressed, and apparently not only did that offer expire, our relationship did lol. His receptionist basically broke up with me over the phone telling me he would no longer take me as a patient. Not that I expected him to tell me this at that last visit but the fakeness of his whole act telling me he could tell I wasn't happy, duh, what did he expect? Felt condescending the way he said that now that I think back about it. He was probably thinking condescendingly towards me. 'awe, you're feelings are hurt' what an unprofessional douchebag. I wasn't rude in any way, simply I was using my brain and expressing myself honestly and politely and apparently HE was the one who's feelings were so badly hurt. He just proved my point that you ought not take some \"expert's\" word on anything. He's no more an expert than your typical auto mechanic. Maybe I've had bad experiences with them but you'd expect a bit more expertise from someone working on your body, your health. As an expert one should know it's possible they've messed up, and regardless, a patient should be encouraged to second guess an expert's imperfect knowledge. Anyway... I've left an informative review on Google for others considering him. svor1988: juntjoo said:\n\n\n\n\t\t\tHe just proved my point that you ought not take some \"expert's\" word on anything. He's no more an expert than your typical auto mechanic. Maybe I've had bad experiences with them but you'd expect a bit more expertise from someone working on your body, your health. As an expert one should know it's possible they've messed up, and regardless, a patient should be encouraged to second guess an expert's imperfect knowledge. Anyway... I've left an informative review on Google for others considering him.\n\t\t\nClick to expand...\n\nAgreed. I blame subpar dental schools for the saturation of unethical dentists. Just a hunch... in my state news articles talk about how there are too many medical schools churning out too many medical professionals and how the population can't support them all.\n\nDriven by greed, some dentists do not put your best interests above all else in their services to you. They may omit information would would help you make the best decision for you. Make sure your friends and family do not make the same mistake. Never return to that dentist, and leave a review on Yelp and say \"I do not feel my best interests were put above all else.\" Other people should know exactly what that means.\n\nI would strongly advise against elaborating with any other details in a public review as you may mistakenly make a statement that could be untrue and thus defamatory (and public untrue statements can be bad for you). Writing a review on Google is no good as they can hide any negative reviews from the public... Yelp does not allow the suppression of negative reviews while Google does.\n\nThere is a lot of upselling in this industry just as there is with professional car mechanics... I agree, it is a good analogy. Also verify the invoice matches your insurance company's record. One of my past denstists didn't submit certain claims paid with cash to the insurance company in order to remove a paper trail so they could get away with not paying taxes on those payments/income.\n\nThere are many trustworthy dentists, but there are also many unethical ones driven by greed. The trustworthy & honourable professionals would be wise to report misconduct they see done by other practitioners instead of protecting them...\n\nYes I'd consider calling your insurance company and file a complaint if he is unwilling to fix the issue with the filling, and get a refund that way. You may also file a complaint with your state medical board if you are in the U.S."
  },
  {
    "id": 1816,
    "title": "Ongoing Pain - Don't know what to do",
    "dialogue": "Jade Whyley: Hi all,\n\nI have not posted like this before, but I am in a desperate situation.\nI have a root Canal, that I believe also has a pin, and is crowned. This is at the top on the right hand side. This was done in 2012, and has never cause much aggro, apart from when I am particularly tired and stressed, it would be painful. In the  last 6 weeks I have had constant pain all in this area, as well as all round the air. It is not sensitive and I can eat fine, it is just sharp and incredibly painful.\n\nI first off went to the Dr as I thought it could be sinus infection, as I had had a cold recently but she advised me to go the dentist. The dentist done an X ray and said there was some inflammation from the sinus coming down so gave me antibiotics. The tooth pain got a bit better, but the ear had not, so they sent me back to Drs. He said there is definite tenderness around my ear and Jaw, so thinks it could be TMJ and thinks I have been exhausted so to rest over Xmas and he believes it will go on it's own.\n\nLast night the pain around where my root canal tooth is, was unbearable pain i was in tears most of the night. I simply do not know what to do.\n\nIt is very weird as last Xmas I had nearly exactly the same thing, and I went to emergency dentist due to tooth pain in the same place. They said I would probably need the tooth extracted. I was pretty devastated by this, but weirdly the pain went off, and for almost a year, so I am wondering whether this will happen again.\n\nI am very worried. Should I visit a different dentist for a second opinion, should I wait it out and see if it gets better?\n\nAny help would be much appreciated.\n\nThanks in advance.\nJade svor1988: It would be helpful to know which tooth this is.\n\nFor example the top molars lie under the maxillary sinus. Research 'Maxillary sinusitis root canal' if this is the case. The issue here is that you have a root canal treated tooth (a dead tooth) perforating the sinus. Bone tends to subside from not-living teeth. And treating a tooth with a root canal does not always clear out all source of infection in that tooth due to a network of ingestible tissue (by pathogens) in those roots.\n\nTreatment would be a saline sinus rinse, multiple times daily as needed for pain, and then for a few days after for good measure. You don't need a doctor or a fancy product. Just salt, water, and a shallow bowl/cup: http://www.wikihow.com/Flush-Sinuses\n\nIn my case, the clean infection free environment caused by saline sinus rinses eventually allowed the bone to grow up over the perforating object (in my case an implant). The floor of the sinus does rise and lower. It was indeed years unbearable pain during the repeating chronic infections with which many doctors did not know how to help me... they all happily took my money though... I had to figure this out on my own. Through this perforation oral flora goes up, and sinus flora comes down, and they overwhelm the bodies defenses and infect the bone there, spreading.\n\nBut your situation may indeed not be a perforation of the maxillary sinus of dental cause. It would be helpful to know which tooth it is and see an xray, though I suspect I have identified the issue based on your description."
  },
  {
    "id": 1817,
    "title": "Teeth hurt a month after a fluoride treatment at denise",
    "dialogue": "John Roberts: I am a 70 year old male.  I have three crowns (old) crowns in the front.  The two front teeth and the one to the left. My top right back also crowned.  My next to back right on the bottom is also crowned and a root canal.  I had started having a little trouble with the tooth to the right of my front tooth feeling a little discomfort.  I went in to the dentist 11/18/16 for a cleaning and to have them check this.  My old dentist had retired which I hated.  The new dentist blurted out I needed to have this tooth crowned and the tooth next to it filled.  She didn't give me much of a explanation.  Anyway after my cleaning the girl asked me if I wanted a fluoride treatment and unfortunately I said yes.  I have never had one before.  Since that day I have suffered with most all my teeth hurting and so sensitive I can't hardly touch them.  It was not like this before I had the fluoride  treatment.  My front teeth touch when I swallow and close my mouth and it hurts the top and bottom teeth.  I was not having any trouble like this before the treatment.  Can anybody please shed any light on this.  I have read on the net trying to find anything on this till I'm tired.  I do have receded gums.  I did have the trey type fluoride treatment and I read that it is possible it could penetrate you gums during the treatment.  Could this have done something to the nerves my teeth.  One of my teeth in the front has had a root canal and it is hurting just like the rest..  Any suggestions or information would be appreciated.  Oh.   I have brushed with Sensodine for years. John Roberts: Anybody? svor1988: Fluoride is toxic to tissue and organs... It is great for enamel on teeth though. Rinse and never ingest, it is toxic. I suppose there could be something else in their fluoride treatment product... phone them and ask them to identify the product so you can research the ingredients or see if any others experienced what you did with that product.\n\nAs an example of bad dental products, for a period of time there was a toxic chemical used in root canal fillings which caused pain and other baddies. It was identified and outlawed, and I saw a case where a dentist in the U.S. had used a product containing it- likely imported.\n\nCould also be an issue with exposed cementum. It is possible said fluoride treatment should only be placed on enamel, and never cementum- I do not know."
  },
  {
    "id": 1818,
    "title": "Tooth Extraction",
    "dialogue": "Jonathan Phelan: I have a tooth at the top that needs removing. My teeth are overcrowded anyway and I asked my dentist .... If I have a tooth removed will the others close the gap ? He said they wouldn't is he right ? Elkie Lumagui: I think it is wrong. There is another option of braces that can fill empty space between the teeth. You should take 2nd opinion from a professional dentist who have great knowledge about this. Braces can definitely help your loose teeth and give you a fantastic smile! Jonathan Phelan: Elkie Lumagui said:\n\n\n\n\t\t\tI think it is wrong. There is another option of braces that can fill empty space between the teeth. You should take 2nd opinion from a professional dentist who have great knowledge about this. Braces can definitely help your loose teeth and give you a fantastic smile!\n\t\t\nClick to expand...\n\nI was asked if I fancied braces, but I said I didn't fancy a metal mouth also I've heard braces can cause more trouble as the teeth they are fixed to are hard to clean and removable braces are only for minor defects.\nThe dentist I used to see thought that having a tooth removed would help my overcrowded teeth problem, but he has now retired and I am seeing someone else. \nWould the gap close if I had a tooth removed ? svor1988: Read about 'tooth drift'. Your molars drift/push forward naturally and close gaps back there. With premolars, incisors and canines I don't know if they have a consistent and predictable drift tendency other than staying put. I think I read that premolars may drift backwards pushing against the molars.\n\nI find often people are not willing to wear a retainer at night for the rest of their lives after they had braces in childhood, so their teeth revert back to how they were. Yes braces can cause complications, like a molar loss in my case due to too much movement.\n\nYou said your teeth adjacent are crowded? Then yes, removal will likely result in that gap being mostly closed (possibly not completely). I'm not sure of your situation but you could always just leave the tooth there... I've had a baby premolar I chew on with hardly any root left that has been there for 15 years. The root dissolved as preparation to be replaced by an adult tooth, but no adult tooth formed due to genetics. It is great, I love that tooth."
  },
  {
    "id": 1819,
    "title": "Parotid gland pain still ongoing 2 months after tooth fixed?",
    "dialogue": "Tone-Analyst: For 2 years I had pain in my lower right 1st molar. My dentist said it was probably just sensitivity and such.. The filling looked good from the outside and the X-ray showed it was far from the nerve, and that there was no abscess. Now 2 months ago that pain got worse, the right side of my thyroid gland started hurting, my parotid and sub-mandibular glands were swollen and hurting. The muscles in my neck became really sore, I could barely turn my head. I could also feel other glands swollen, and the pain started creeping into my brain from behind my neck. I told the dentist to drill anyways, I'll pay for it..  Surprise!!! There was a huge cavity under, some chunks of the tooth broke off so much it was impacted. He told me the cavity had made it's way right next to the nerve now and if I still had any pain a root canal would be necessary.\n\nNow 2 months later, all the symptoms are only 3/4 gone. I still have pain in my parotid gland, sub-mandibular. I still have inflammation in my right side rear neck creeping into my right brain lobe. I went back to the dentist and, again he says there is no abcess, and that because I have feeling inside the tooth, that the nerve is ok. I really have to twist his arm to believe me and convince him to take action, even if I was proven right the first time!!!! It's really frustrating..\n\nIs it normal that my glands not be healed yet after 2 months? I relaly feel there is still infection in there and I am tempted to tell him to just rip that tooth out.. svor1988: Yes, a root canal treated tooth is a dead tooth. Is is possible he missed a bit of the root, or there is still infection surrounding. Happened with me, the issue was not removed until the root canal treated tooth was removed. Don't replace the tooth with an implant due to that infection and close nerve- the infection would likely lead to a premature implant failure.\n\nConsider first taking a prescription oral antibiotic treatment for your surrounding inflammation to ensure your paratoid and submandibular glands do not take damage and atrophy. Then after that consider removal of that tooth. Follow your gut instincts! Sounds like you have naturally good with that."
  },
  {
    "id": 1820,
    "title": "white coating on tongue",
    "dialogue": "mikegmike: I've developed a white coating on my tongue, even if i use a tongue scraper its impossible to get all of it off, and it comes back within a couple of hours\n\ni've been to the doctors and they didn't know what caused it/ couldn't recommend any treatments.\n\nIs there a dental solution?\n\nthanks Freddie: mikegmike said:\n\n\n\n\t\t\tI've developed a white coating on my tongue, even if i use a tongue scraper its impossible to get all of it off, and it comes back within a couple of hours\n\ni've been to the doctors and they didn't know what caused it/ couldn't recommend any treatments.\n\nIs there a dental solution?\n\nthanks\n\t\t\nClick to expand...\n\nA white coating is usually thrush ! svor1988: Salt water rinse many times daily. It is fungal in nature. Some candida strains are particularly virulent... careful who you kiss!"
  },
  {
    "id": 1821,
    "title": "Conflicting Dentist Diagnosis - on the cusp of drama!",
    "dialogue": "momjeans: Mom of 3 teens, faithfully take them to dentist for regular cleanings, exams, X-rays, fluoride treatments, sealants, all been through ortho and 2 have had successful wisdom teeth removal.\n\nBeen with same pediatric dentist past 9 years.\n\nOne had turned 18, moved her to family dentist (used my me, my husband and older son - age 20). She had been to dentist in June, told she had one possible cavity that needed watched. Took her to new \"adult\" dentist, she's 18. They said she now has 8 cavities. Told it was because she had gone away to college, they see it happen a lot, etc. etc. Her dental hygiene may be not as perfect as when at home, but she is a dancer and model and takes care of her health, body etc. Does not drink but and occasional soda, no juice, mainly water.\n\nI just went along with it and she has had part of them fixed, and will do the others in a few weeks.\n\nFast forward to my youngest (just turned 16). She went in for regular 6 mo cleaning, exam and fluoride treatment. No cavities, nothing they are watching and only recommendation was time to check about wisdom teeth removal (again, she's 16). Also a health nut - hates soda and juice and milk, only drinks water. Also dancer, so very careful about what she eats, keeps teeth cleaned, both girls could probably floss better...\n\nSo one day after her appt, her permanent retainer wire she has on her top teeth broke loose on one end. I'm sure they messed it up, it's been fine since she's had it. Well - they were closed early that day and not open the next, it was hanging from her teeth so I took her to our family dentist. They were able to squeeze her in. They fixed it, but had a concern because they said they could see a visible cavity on one of the teeth behind it.\n\nSo, I made an appointment with them for a full exam. \nOn X-rays, and IN her mouth they showed me what they found - 12 cavities. some are \"kissing\" cavities, in between teeth. \n\nSo - older daughter, I explained it away to myself, it had been 6 months, she was away at college, etc.\nBut My other daughter had just had a full exam and cleaning less than two weeks before.\n\nOlder daughter had some pain. Younger daughter none.\nOne cavity on younger daughter, he said it could have been missed by her or Mom, but not a doctor or X-ray. She showed it to me, the cavity is large enough, it's almost crown worthy.\n\nI'm horrified, and either suspicious, foolish or both.\n\nI'm tempted to figure out how to get a 3rd opinion, neutral, which I don't even know if it's possible.\n\nI have not told the pediatric dentist what the family dentist has found yet. About to in about 30 min. from now.\n\nHas anyone ever had conflicting dental diagnosis like these?\nAny advice is WELCOME - I am in shock. svor1988: Can you see any of the decay with your eyes visibly? It could be superficial, or just staining...\n\nYes, you can get a 3rd opinion and quote. I would, with that much work.\n\nDentin has a critical pH of 6.7.\nCementum also has a critical pH of 6.7.\nNatural enamel (Hydroxylapatite) has a critical pH of 5.5.\nFluoride treated enamel (Fluorapatite) has a critical pH of 4.5.\nLactic acid has a pH of 3.51.\nLactic acid is largely what causes cavities, due to the fermentation of sugar and starch by naturaly occuring bacteria after 4-5 hours.\nMinerals in saliva remineralize the teeth, and reverses demineralization of the teeth caused by lactic acid.\n\nLook into your daughter's diet changes. Perhaps she is using acidic things? Eating lemons strait? Using hydrogen peroxide as a mouthwash or tooth whitener?\n\nWhen they fix any cavities, make them cure the each cavity with 2 UV cycles... I've had a dentist assistant take the tool away halfway through one cycle... the filling fell out a few hours later and he tried billing me twice to fix his office's mistake... and I strongly believe that mistake was intentional... I could see the dental assistant felt guilty as she left the room without a word.\n\nYou mentioned wisdom teeth... Wisdom teeth removal is rarely medically necessary. Gives a nice insurance payment of a few hundred for each of them though. This practice is pretty pervasive in the industry and you can read online about the reasons... I suggest you have your daughters keep the teeth, they'll be handy to replace other teeth lost later in life. Any resultant eruption problems they may cite may be countered by wearing an inexpensive mouth-guard nightly. If they cite impact issues it's likely sheer impact which will cause temporary pain during the eruption- look at the xray yourself and make a judgement. If the wisdom tooth is literally horizontal, literally beneath the adjacent tooth such that eruption would erupt the other tooth, or severely deformed those would be good medically necessary reasons for removal. Feel free to read about this issue elsewhere online."
  },
  {
    "id": 1822,
    "title": "What is this sore on roof of my mouth?",
    "dialogue": "Becca0176: had it for a good few days now. Not registered at a dentist as we only moved to the area this January. Started off feeling like a blister then filled up as the photos show. Quite painful. I have just eaten and popped it, some pus and blood came out and now feels flatter but still stuff in it. Hurts to press with tongue. Not really had any toothache it's just the bump that aches/hurts. It's on my hard palate . Any advice would be great. I have some antibacterial mouth wash... svor1988: Interesting. Try each of the following twice daily independently or in sequence to see what works and what doesn't:\n\nhydrogen peroxide (H2O2)\nSodium bicarbonate (baking soda)\nSalt water\nYour antibiotic mouthwash won't do a thing if the cause is viral... and can cause side effects due to resetting the oral flora with a result such as heavy oral thrush possibly. Try the above things first.... antibiotic should always be last resort...\n\nIf those don't work, seek professional help if it is within your means... not many professionals frequent here. If you want a true diagnosis then a professional isn't going to give it for free on here.\n\nHerpetic stomatitis?\n\nOn a separate note, I don't know that the structural brown spots are on the left of your second photo."
  },
  {
    "id": 1823,
    "title": "Implant??? Please help",
    "dialogue": "mstrlucky74: so had my tooth extracted today? Bottom left, last one although he said it wasn't my wisdom tooth. Said I can't get a bridge an would need an implant which, after my insurance, would cost me $4,500 out of pocket. Really can't afford that. Any other options that wouldn't be detrimental to my oral health? Being told I really can't go without a tooth there. Thanks a lot!! svor1988: Getting an implant at age 18 was one of the worst decisions of my life.\n\nFurther, they are not lifelong. They have a lifespan of 25 years on average, and you should avoid chewing using them as they aren't as able as your natural teeth are to handle the forces involved. If you have molars behind the gap, they'll push forward to close the gap. If that movement or existing gap causes a tooth to erupt, wear an inexpensive mouth-guard from a pharmacy at night to fix that eruption. You should treat the eruption promptly as the exposed cementum is quite vulnerable to acid.\n\nBridges don't last long either, in terms of your lifespan, and they take away valuable enamel which is currently unrivaled by manmade materials.\n\nOnce the implant fails, you may be unable to get a replacement implant there anyway due to bone loss. They may attempt to do a bone graft to get sufficient bone there, but that can fail too.\n\n\"Being told I really can't go without a tooth there\" HA! Some of these professionals can be affected by greed just like professional car mechanics. Others are honourable and trustworthy, and always put your best interests first (while asking for reasonable compensation for their services).\n\nKnow where to spot upselling and trust your gut instincts."
  },
  {
    "id": 1824,
    "title": "Dental trama",
    "dialogue": "Linda Voight: i went on a cruise in December and I fell into one of the gutters on the ship. I face planted on a steal window ledge. I knocked out one tooth completely, one tooth was pushed up into the bone and another tooth was knocked back into the roof of my mouth. The three teeth that were damaged is my front teeth and all crowns. I was on a ship and out to sea so I had to wait 2 days to get back into port.  Then the 3rd day drive home 5 hours away. On the 4th day I was able to get into the dentist who couldn't do anything because of the trauma. The following day I went to a oral surgeon who reset the teeth back in the sockets and put a brace or cast on the teeth to keep them in place. I had two root canals and I am now waiting for them to heal. I'm sure I haven't worded everything right but it's been over a month and I'm so scared. Please give me your opinion on what to do next. svor1988: Make sure you have adequate nutrition so your body can heal. Avoid any pressure on those teeth and eat soft foods. Consider magnesium, calcium, and phosphate supplementation.\n\nSome pharmaceuticals can reduce characteristics of your body's healing mechanisms, such as warfarin which interferes with the formation of bone and cartilage. In my opinion warfarin has led to a lot of hip replacements via this mechanism...\n\nAlso avoid flouride products during this time when the flouride can get deep into your tissues... it is toxic to certain orgains, and may inhibit the tissue healing process. It is great for your teeth, so resume fluoride product usage after your tissues had healed up."
  },
  {
    "id": 1825,
    "title": "One crooked front tooth...what do you think?",
    "dialogue": "John Lungo: There's a pic attached.\n\nI don't know why, but I'm just getting annoyed by this tooth at the age of 28. It has never bothered me until now.\n\nBut now it's REALLY bothering me. So many people have straight teeth. Not sure why my parents didn't get me braces, probably because it was only one tooth but man.... it's the front.\n\nSometimes when I smile it looks like I'm missing that tooth. I just feel like people think it's gross.\n\nPlease give honest opinions.\n\nWhat do you think?\n\nThanks. svor1988: Looks fine to me. I've always regretted braces. 4 years of pain just for slight cosmetic adjustments and it killed one of my molars due to moving it back and forth a large distance unnaturally. \n\nAlso... they often don't advertise during the sell that you have to wear a retainer every night for the rest of your life or your teeth will move back to how they were before the braces. Uncomfortable to say the least. They never told me this until the day they finally took off the braces... My sister said screw that and never wore it.\n\nI'd only advise braces if medically necessary- cosmetics are not medically necessary."
  },
  {
    "id": 1826,
    "title": "Bonding vs Crowns/big mistake",
    "dialogue": "Orange24: So I chipped half of my tooth when I was little... I was like 8.\n\nI am 18, and a dentist suggested me Dental crowns for it. I asked for bonding, but he said it was too big of a lose to do bonding. Is he right?\n\nSo my dentist did crowns and I just feel so guilty. Like I think I could've done bonding, bonding, then crowns at the end of my life. \nBut me being stupid, went with crowns and it is now too late. My parents are jabbing at me for it because it's expensive and that bonding is better since I am 18. After reading countless articles, I feel like I made the stupidest mistake in life, which is choosing crowns over bonding and then going to a dentist that my parents recommended. \nIdk... i feel like this dentist ripped me off. He shaved both my tooth down... which they did not need. Only 1 needed to be fixed. again, I said nothing. I am just so heartbroken. I don't think I can get over it... svor1988: I'm really sorry. I was similarly taken advantage of right after I turned 18 and was able to make such decisions on my own... Whenever they want high dollar work done, you should go to 1-2 other dentists and get quotes from them, calling first for a rough quote before setting up an inspection. This will cost a little, but it will either reassure you that this is either (1) indeed the right course of action or, (2) not appropriate.\n\nI don't know the details of your situation, or how much of your tooth was chipped off.\n\nThe truth is that the human tooth is a remarkable structure which is unrivaled by anything currently man-made. Driven by greed, some dentists do not put your best interests above all else in their services to you. They may omit information would would help you make the best decision for you. Make sure your friends and family do not make the same mistake. Never return to that dentist, and leave a review on Yelp and say \"I do not feel my best interests were put above all else.\" Other people should know exactly what that means.\n\nI would strongly advise against elaborating with any other details in a public review as you are young and may make a statement that could be untrue and thus defamatory (and public untrue statements can be bad for you). Writing a review on Google is no good as they can hide any negative reviews from the public... Yelp does not allow the suppression of negative reviews.\n\nThough first, I would call this dentist, and let him know your feelings and give him a chance to defend himself.\n\nSince I'm here and thinking about it, a parallel exists in the financial world. There exists professionals with titles of 'financial advisor' and 'fiduciary'. The fiduciary is expected to manage the assets for the benefit of the other person rather than for his or her own profit, and cannot benefit personally from their management of assets. While a financial advisor is not held to the same high legal standard, and can use your money in sub-optimal ways to make them money while you make less than you could have. I'm curious if medical professionals are held to a similar high legal standard in the U.S.A... svor1988: Oh, I see your other posts and imagery now: https://www.dentistry-forums.com/threads/crowns-or-bonding.22560/\n\nI'm sorry you didn't get any help on here then.\n\nIf the dentin was exposed then I'd advise some sort of treatment. If no dentin was exposed I'd personally not gotten any treatment and just take good care of it (with fluoride products and all):\n\nDentin has a critical pH of 6.7.\nNatural enamel (Hydroxylapatite) has a critical pH of 5.5.\nFluoride treated enamel (Fluorapatite) has a critical pH of 4.5.\nLactic acid has a pH of 3.51.\nSugar & starch in saliva is digested in the mouth by naturally occurring bacteria, and lactic acid is a byproduct of that metabolism found in 4-5 hours.\nLactic acid is primarily what causes cavities.\nDentin is very vulnerable to acids, and its purpose is structural integrity of the tooth. So if the dentin was exposed, it would be in your best interest to have it treated somehow.\n\nSurvival of posterior crowns is lower than for those on anterior teeth (e.g., 84.4% vs. 94.5% for Empress and 90.4% vs. 94.5% for InCeram) (Pjertursson et al., 2007): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3170166/\n\nPosterior teeth are the molars & premolars, anterior teeth are your incisors & canines.\n\nTemporary tooth eruption isn't that expensive of an issue in my opinion... it should be treated as cementum has pH of 6.0 to 6.7 (cementum is exposed due to the eruption). Can be treated by wearing a mouth guard at night. Though uncomfortable, they are inexpensive and can be found at grocery stores in the pharmacy area. svor1988: Ohhhhh I just noticed another issue looking at your xray, that molar being erupted due to 2 factors:\n\nLack of opposition.\nThe adjacent wisdom tooth impacting it.\n\nI believe the mouth-guard treatment will best fix this issue. Your wisdom tooth on the bottom should push forward eventually to fill that space... but your erupted tooth needs to be pushed back into place first by the mouth guard. It is possible that the wisdom tooth will not sheer correctly against the adjacent molar, but I don't expect that outcome if you use the mouth-guard every night. The cheapest option would be to do mouth-guard treatment first by yourself, and if this does not work then seek professional assistance.\n\nThis is what my intuition tells me. Many dentists will try to convince you to take out your wisdom teeth even if medically unnecessary because of the high insurance payout for each of them. My advice is to keep them, as they may come in useful later in life as you loose other teeth- molars will naturally push forward to fill any gaps.\n\nSo... now that I think about it, the crown is far better than having dentin exposed. But you're right, bonding may have been a better long term solution in your best interests. A crown could have always been made later if the bonding treatments repeatedly failed."
  },
  {
    "id": 1827,
    "title": "Diet",
    "dialogue": "Kev: I brush twice a day and floss but still cant get my teeth clean properly i still end up with soft white stuff on my teeth. So im assuming its my diet.  I eat cornflakes for breakfast and before bed, eat about 5 slices of bread a day, snack on yoghurts and fruit and the odd biscuit. I also only drink tea about 6 cups a day. If anyone could give me some advice if they see the problem with my eating.  Thanks drillfillbill: In my opinion,  you are having a healthy diet and doing everything in maintaining a good dental health. It could be that your brushing technique is not proper and maybe you should start flossing before brushing so that area between two teeth is thoroughly cleaned. This is exactly the area where the white film or tartar tends to accumulate.\nTry checking out some videos on youtube on brushing technique.\ncheers svor1988: Sugar or starch in saliva becomes lactic acid in 4-5 hours due to naturally occuring bacteria in the saliva:\nhttps://books.google.com/books?id=LswhAQAAMAAJ&pg=PA278#v=onepage&q=sugar or starch&f=false\n\nLactic acid is what produces cavities in your teeth.\n\nFood stuck on your teeth for a short period of time less than 4 hours is not a problem. The most important times to brush your teeth is before bed, and after eating refined, sticky sugary foods. Avoid sticky sugary foods wherever possible (such as sweedish fish candies).\n\nOccasionally brushing your teeth or rinsing with flouride based products will promote the change of natural Hydroxylapatite in the enamel to Fluorapatite; Fluorapatite has a critical pH of 4.5 making it more resistant to acid than the natural Hydroxylapatite which has a critical pH of 5.5. Lactic acid has a pH of 3.51. You may remember learning about bases and acids from high school... so I'm sure you can understand this."
  },
  {
    "id": 1828,
    "title": "Help please",
    "dialogue": "Maddi: Hello. I was just wondering if there were anyways to get rid of this? At home preferably. svor1988: Get rid of what exactly?"
  },
  {
    "id": 1829,
    "title": "Crowns or Bonding",
    "dialogue": "Orange24: Sorry for another thread but this is bothering me. I already got it crowned. I just want to get a second opinion(by dentist) on my chipped tooth.\n\nWould you choose crowns or bonding for this front tooth damage? Since the chipped tooth was not aligned correctly, would you crown the tooth next too it or leave it?\n\nSorry again... I just want to know because it's also going to affect my future when I will get it crowned 2 or 3 more times. \n\nI think you can zoom in to see a better and the extent of the damage"
  },
  {
    "id": 1830,
    "title": "Help-Dentist made a hole in my gum!",
    "dialogue": "KLH27: I went to the hygienist on Friday, when I was there I felt her dig her descaling machine (sorry don't know the correct name for it!) in between my teeth (it hurt!). When I got home I have discovered that she has made a hole in the gum between the top of my teeth (I think it's called the interdental papilla?). I've uploaded a photo (not very flattering!). I'm really upset as I can see the hole when I smile & am annoyed that this damage has been caused :-(. Please can anyone tell me if the gum is likely to regrow & cover the hole? It feels weird & slightly painful at the moment and I'm worried that food & stuff is now going to keep getting stuck in it & could cause me problems?! Please give me some advice? KateRDH: More than likely, there was calculus under your gums or in between your teeth that she had to remove. Tissue trauma can sometimes happen when the calculus is removed. As long as you brush 2x daily, floss 1x daily, it should heal on its own. If the area is not taken care of, the gingiva can't always heal. Hope this helps! KLH27: Thank you so much for the advice & info, I feel much happier now!"
  },
  {
    "id": 1831,
    "title": "Dentists-What New Tech or Technique Has Best Benefited Your Practice?",
    "dialogue": "czar101: With all the new advances in technology and the streamlining of dental techniques I would like to know what has really impressed you and benefited your patients the most? Gentledental: Cerec"
  },
  {
    "id": 1832,
    "title": "Crown advice?",
    "dialogue": "Kordell Noonan: My dentist advises I get two crowns with a bridge, I am wondering if temporary fillings can serve as a fix?  Crowns are very expensive and I can't afford them.  Is this a viable option I can present to my dentist? Sharon Bateman: Do you mean to get fillings instead? A lot of times crowns are required because there isn't enough tooth structure to hold the filling. It is worth asking your dentist, because they can see it and decide what can and cannot be done."
  },
  {
    "id": 1833,
    "title": "PLEASE I REALLY NEED SOME HELP",
    "dialogue": "Yeng: I have been going to the Dentist lately because of some cleaning and scaling. My husband's insurance will pay it but it turns out that, we will pay some more of almost $2,000. I can feel and see that I don't have any plaques or a very dirty tooth. I think I just need some filling and cleaning since I don't have a tooth to be removed. So this is it. Can somebody tell me if the Dentist just appropriately cost us? And Please Can somebody explain it to me? Before we will go to the Dentist and confront him.\nThis is what we receive in the billing.\n\nRESIN COMPOSITE- 2S POSTERIOR  ----- $294\nRESIN COMPOSITE- 2S POSTERIOR  ----- $294\nRESIN COMPOSITE- 2S POSTERIOR  ----- $294\nRESIN COMPOSITE- 1S POSTERIOR  ----- $294\nPERIO SCALE & ROOT PLN-4+ PER QUAD ----- $288\nPERIO SCALE & ROOT PLN-4+ PER QUAD ----- $288\n\nIs the cost is per tooth?please, somebody help me\nthank you in advance to those who will help to explain this to me. You will be my Angel. Belinda: It looks like you have had 4 fillings done at a cost of $294 per tooth.\nThe cost should have been explained to you by the dentist.\nAlso, you have had scaling and root planing carried out. This is done when there are gum problems more serious than simple cleaning.\nYou have had this done in two quarters of your mouth at a cost of $288 per quarter (also called a quadrant or quad).\nThe need for this treatment, and the cost, should have been explained to you by the dentist before any treatment was started and a written treatment plan and cost estimate given to you. Yeng: Thank you so much for your reply. I am very worried about this. The Dentist did not explain it to me. I know it's my fault because I did not ask. This is very heavy on my part. Did the Dentist just give the price of each tooth correct?or he overpriced it? Thank you. Yeng: Belinda said:\n\n\n\n\t\t\tIt looks like you have had 4 fillings done at a cost of $294 per tooth.\nThe cost should have been explained to you by the dentist.\nAlso, you have had scaling and root planing carried out. This is done when there are gum problems more serious than simple cleaning.\nYou have had this done in two quarters of your mouth at a cost of $288 per quarter (also called a quadrant or quad).\nThe need for this treatment, and the cost, should have been explained to you by the dentist before any treatment was started and a written treatment plan and cost estimate given to you.\n\t\t\nClick to expand...\n\n\nThank you so much for your explanation. I don't have any serious problem in my gum. I even did not experience toothache. I don't have cavities at all or any missing tooth or a tooth that should be removed. The Dentist said that all I need is a cleaning. And I am surprise with the bills I received. Is the cost of the cleaning and filling accurate? or He just overpriced. Thanks Belinda: Costs vary a lot from one dentist to another.\nYou should have been given a treatment plan and a quote."
  },
  {
    "id": 1834,
    "title": "Paddi Lund",
    "dialogue": "Tom Fox: Hello all.  Having read 'Building A Happiness Centred Business', I am interested to hear if anyone has invested in his systems and your opinions of them.  Please can you help?  Thank you, Tom"
  },
  {
    "id": 1835,
    "title": "Pain pressing on tooth with no sign of patolhology",
    "dialogue": "Pedroamadeu: I have a strange symptom in my right upper premolar.\nI have a sharp pain only when I tap on or press the surface of the tooth with my fingernal in a specific spot 2-3mm below the gingival margin next to the canine. I have a filling placed in this tooth 3 months ago, but in the opposite side of tooth.\nNo sensivity to vertical percussion, no biting pain, and X-ray is all right with no sign of infection or decay. \nMy dentist don't know the cause of the pain, but he want's to do a root canal. \nAnyone knows what may be wrong?"
  },
  {
    "id": 1836,
    "title": "intra-lock system",
    "dialogue": "shahrokh shahabi: hello every body, would u please help me with choosing intra-lock implant system and its ranking Yvette Broaddus: Infra-lock systems its very high quality implants brand , just Make sure to choose the right dentist , in my personal case I have had problems finding another dentist that works with this system in my area. I live in Chicago Illinois and there is not too Many dentist working with it."
  },
  {
    "id": 1837,
    "title": "Digital Intraoral Scanners?",
    "dialogue": "wposs: Why did you get one or choose not to get one?\n\nWhy did you get a particular model over another model?\n\nLooking for any firsthand knowledge!"
  },
  {
    "id": 1838,
    "title": "Dentist Question",
    "dialogue": "Orange24: SO I went to the dentist and checked everything out. Turn's out my insurance company covered most of the dental procedures, but I felt like my dentist is trying to take advantage of my insurance company. \n\nSo I lost a tooth due to cavities. Whole tooth is gone, the only remaining is small outlines of the tooth. \nDentist told me to get a crown on the one above that. \n\nWhat he explained to me that teeth stop growing when your top teeth meet the bottom. What my problem was since the bottom tooth was gone, the one tooth above that one kept on growing and growing. I really don't feel to do that but I don't feel a difference. \n\nIs the dentist telling the truth? \n\nThis was my second dentist. The 1st one didn't even notice it. TheAmalgamator: teeth will over erupt if the opposing tooth is gone. It is a gradual process and therefore not noticeable. Having a crown would prevent further over eruption of the opposing tooth and also makes you broken tooth functional again. sounds like good advice to me. Hope this helps EricFoster: Orange24 said:\n\n\n\n\t\t\tSO I went to the dentist and checked everything out. Turn's out my insurance company covered most of the dental procedures, but I felt like my dentist is trying to take advantage of my insurance company.\n\nSo I lost a tooth due to cavities. Whole tooth is gone, the only remaining is small outlines of the tooth.\nDentist told me to get a crown on the one above that.\n\nWhat he explained to me that teeth stop growing when your top teeth meet the bottom. What my problem was since the bottom tooth was gone, the one tooth above that one kept on growing and growing. I really don't feel to do that but I don't feel a difference.\n\nIs the dentist telling the truth?\n\nThis was my second dentist. The 1st one didn't even notice it.\n\t\t\nClick to expand...\n\nHe is telling the truth gentleman. You need a crown indeed. Your 1st dentist didn't notice it because for the first time it is actually not noticeable that much. Eventually, it becomes noticeable."
  },
  {
    "id": 1839,
    "title": "Crown/root canal problems",
    "dialogue": "mstrlucky74: OK need some advice. Cracked my tooth about 2 months ago. Went to a dentist who said I need a crown. While he was doing the crown he said a piece of the instrument fell in my tooth but it should be fine. Well a month later I've been in extreme pain the last few days. Went to another dentist today as I honestly did not get a good vibe from the dentist that did the crown. They did xrays and the tech that did the xray seemed a bit shocked, as well as another person, at what they saw. I asked if they saw something wrong and they said they think so but they would let the doctor talk to me. Well the doctor confirmed that there was piece of the instrument in my tooth and it was not plugging up/sealing a \"hole\"( and oh by the way he did do a root canal) and this was causing drainage and thus an infection. She did say, without me asking anything, \"in the doctors defense\" it was a wicked angle root canal. I did not ask any questions regarding if the doctor did anything wrong but I did get the gut feeling she was not revealing her true feelings. She said the tooth needs to be extracted and I need an implant. I'm going Monday to see the oral surgeon to get the tooth extracted.\n\nI'm inquiring here because after the doc left the xray tech and another office person seemed to imply the previous doctor was a bit at fault. The one woman said he should have sent me somewhere to have the piece of instrument removed(which I believe she said was zinc...not sure how she would now). It DEFINTELTY seemed by her reactions that what was done was not right.\n\nI'd like to know if anyone can offer advice/input as to whether this doctor was at fault when he did my root canal(which I didn't even know) and because now I'm going to have to pay thousands of dollars and if this was caused by his irresponsibility than I should not have to shell out all this money. I believe in always doing the right thing and I'm not looking to get reimbursed from him if he did the right thing, I completely ok with that but if he should of done something that could have prevented this that's a different story.\n\nThank you very much."
  },
  {
    "id": 1840,
    "title": "why they make me fool",
    "dialogue": "pradeep: Actually i went to the dental hospital 3 month before for putting up my front tooth crown because many year ago i have lose my only half front tooth in an accident but after xray they told me ur tooth need a rtc then we will put crown after my consent they done my rtc and Attached post core with my front tooth i have sufficient tooth structure then why they detrition my half remain tooth and make post core without my consent this is a dental hospital and research center r they making fool patients for training our dental student. Tone-Analyst: I'm not a professional but I think it is normal that they will remove a good part of the natural crown before installing the artificial crown. I have to admit I had a little bit of trouble understanding your question.. pradeep: Sir actually i was only loses my half front tooth in an accident 8 year ago. i have been using tooth cap affix along with my original half broken tooth till now but the cap was repeatedly falls apart. so i am decided to give some permanent treatment to my tooth that is by 3 month before i went to the hospital to find some good quality crown there they take my xray and suggested me rct for my broken tooth after rct why they Truncate fully my original half broken tooth and using some another post core metal if I had remained tooth structure then why they do like that? I think they fool me to trained our students (dental hospital and research centre)"
  },
  {
    "id": 1841,
    "title": "Teeth hitting",
    "dialogue": "John Roberts: Who is the best doctor to adjust my teeth so my bite is right?  I don't think my regular dentist can do it.  I have been to him twice and I am still having trouble.  I think he is doing too much at a time.  Thanks John Roberts: I forgot to say he has been doing some grinding to adjust them.  He uses the paper between the teeth method. Thanks John Roberts: Going to a different one Monday.  Thanks for the suggestion."
  },
  {
    "id": 1842,
    "title": "Mild/moderate pain after temp crown?",
    "dialogue": "Tbjockfl: The corner of my bottom middle molar on the right side broke off a few weeks ago. The tooth has not hurt, there have been no issues. The dentist was able to push/prod the tooth & no pain whatsoever before he worked on it.\n\nWent to the dentist today, and he felt the sensitivity again. Said it wouldn't need a root canal.\n\nNumbed me up, shaved it down pretty good,placed the temporary crown.\n\nHe said I could have mild to moderate pain afterwards since the nerves were still intact & told me it would be ok to take the vicodin he had prescribed me last week for a tooth extraction (last week he also gave me antibiotics, which I took religiously as prescribed). \n\nI forgot to ask him, but how long should I expect on average to feel discomfort?\n\nIs it normal for the crown to hurt if I accidently bite down on it since it is new & the tooth is still healing from being shaved down? It has only been a few hrs since the procedure.\n\nNo gum pain, and I took half of a vicodin & have just a slight throbbing. I accidently bit down on it (not hard) & had a very sharp pain from doing so :/\n\nI don't know if it matters, but they were having a hard time getting the impression done; I apparently wasn't biting correctly so they had to try 2 times before getting a successful imprint.\n\nObviously, following a very soft diet (especially since I'm still 6 days post-op from a bottom wisdom tooth extraction on the left side). Tone-Analyst: Not a professional here but,.. shaving off your natural crown was a massive trauma to your tooth. There is no sensitivity in enamel but the dentin part of the tooth has tubules and nerve endings. (Not the actual nerve, called pulp) Shaving off your natural crown must have carved into the dentin and may be sensitive for some time. I would give it 2-3 weeks for sure."
  },
  {
    "id": 1843,
    "title": "Swallowing without teeth touching",
    "dialogue": "John Roberts: Does it hurt to swallow without your teeth touching. I am having trouble with my bite. Went to the dentist last week with the back left and left front teeth touching when I swallow.  The front upper and lower also hurt when they touch together but at that time it was the two I described.  The dentist did some grinding and when I left the back left felt pretty good but when I got home I found out the left front was still hurting and day before yesterday the back right lower tooth seemed to be hitting a little when I swallow.\nI went back today and told him what I had.  He did some more grinding on the right back and it feels ok.  Did some grinding on the left front upper and lower.  The upper is a crown.  It felt fairly well in the office.  I get home and dang if the left rear and the same left front tooth feel like they hit when I let my teeth get together to swallow.  \nI can purposely swallow without putting my teeth together and it doesn't hurt any of my teeth because they aren't touching.  What I am wondering is, does it hurt anything.  It seems like my bite is changing from day to day.  I am sitting at the computer writing this and if I move my lower jaw to the right a little they don't come together.   Anyway does anyone know if it hurts to swallow this way.  I will probably go back to the dentist again (3rd) time to see what he says or should I go to a different type doctor.  Don't know.  PS   What I am doing is putting my tongue against the roof of my mouth just above my front teeth then swallowing without my lower and upper teeth touching."
  },
  {
    "id": 1844,
    "title": "has anyone just ignored a grey tooth?",
    "dialogue": "farmplantsandseeds: My tooth has turned grey and I am unable to chew on it, I know what they say will happen if I leave it - but has anyone actually just ignored it - did it heal ever? farmplantsandseeds: Actually, I think it might just have turned grey because of all the summer stone fruit I am eating atm (?). It is giving me pain though. -I believe the dentist botched it up, as I went to the dentist 2 months ago, about a filling that had lifted up, but when I saw him (Dr Norman Sadik) he said it was fine, but the filling on the other side needed to be replaced, then he went ahead and in the process he and his assistant caused a lot of pain (the assistant put the cold air thingy on my upper metal filling, whilst the dentist drilled down into the roots – extreme pain on both upper and lower even though I had 3 injections) I believe it was deliberate and I have an appointment with a lawyer next week.\n\nDentist like that ought to be banned from practising. I also had another dentist get a pick and simply start scraping up my gums for no reason, I asked him what he was doing and he stopped, but it was like he was in a stupefied zombie state. (Buin, Gunnedah, NSW)"
  },
  {
    "id": 1845,
    "title": "wisdom tooth",
    "dialogue": "amylouise: I had a lower back wisdom tooth removed on Monday. Two questions I want to ask is it normal for my jaw to ache for a few days after and today some grey stuff came out of extraction area it didn't smell nice and now I have a hole is that normal. Its the first time I had a wisdom tooth removed. Please help. TheAmalgamator: sounds normal. wisdom teeth extractions can be difficult, some pain for the first few days is expected and the socket takes 2-3 weeks to heal completely. the grey stuff is likely to be granulations tissue (healing tissue) and not puss. It helps to take anti inflammatory painkillers for the first 2-3 days, rinse with salty mouth wash (1 tsp of salt dissolved in a glass of warm water) after every meal and keep the mouth clean generally. hope this helps"
  },
  {
    "id": 1846,
    "title": "Im so afraid, i swallowed HF from etching",
    "dialogue": "hamadoto: hi guys, so i went to this dentist, he didnt warn me that he will put hf in my mouth, and i panicked when i felt something liquied entering my mouth so i swallowed it by wrong, when i asked him what did i swallow, he said its hydroflouric acid, i didnt know what it was until i went home and searched for it, now im too afraid and dont know what to do.. please help me TheAmalgamator: it shouldn't cause you any harm as a very small amount used during the treatment. I wouldn't worry about it."
  },
  {
    "id": 1847,
    "title": "OPG without the need of a referral",
    "dialogue": "Mark Wyndham-Jones: Hi,\n\nCan anyone help as I am looking for a dentist who can offer an OPG (Private) without the need for a referral from my NHS dentist.\n\nStory goes:\nI booked an appointment with my dentist to acquire a referral to the local dental academy for an OPG (as my dentist does not have the equipment)\nMy dentist refused to offer me a referral on the grounds that he was concerned about the level of radiation an OPG would immit.\n\nI have phoned around a few private dentists but none will offer an OPG without a referral.\n\nI am now at a loss as to what to do, as the refusal to offer a referral prevents me from further treatment.\n\nMy reason for an OPG is because I have recently had a denture (Replacing a three piece bridge) top front of mouth, but I am having problems adapting to it (Possible more emotionally the anything else) and am happy to go with a two piece implant bridge or three separate implants (Private naturally as not available on the NHS)\n\nMy dentist does not offer implants, but has an associate who does.\n\nI feel that I am being held to ransom and that my dentist is being somewhat unethical in their refusal to offer a referral.\nI believe the refusal to offer a referral could quite easily affect  the health & condition of my teeth & bone in future years, so why would any dentist be happy with this.\n\nMy question is, does anyone out there know of a dentist or hospital who can offer an OPG without the need of a referral (UK South East/West and or London area)\n\nI want the OPG so I can pass it around a few dentists to get approx implant costs as I do not have a mass of money and need to find the best option out there.\nIt's not all about cost, but when you have very little money it is something that must be considered.\n\nAny help and advice gratefully received.\n\nMark TheAmalgamator: OPGs can't be taken without a referral and your dentist can't refer you without good justification. that would be unethical. Implant dentists prefer to take mtheir own xrays and in most case they needCT Scans for treatment planning so I would say find a good implant dentist (ideally based on recommendation) and let them do their own assessment and don't worry about taking the OPG done elsewhere. Hope this helps"
  },
  {
    "id": 1848,
    "title": "Problem With Gums (Terrified!)",
    "dialogue": "Sam Thames: Hey there and thank you for checking out my enquiry!\n\nI am absolutly terrified because this is to do with a front tooth and one of my biggest nightmares is losing a front tooth!\nSo basically in 2012 I had two molars extracted due to dental abscesses! I didn't want it to happen and its scarred my confidence deeply. I'm not even sure that extraction was the best method, I mean I had root canals before hand on both teeth but extraction was something I really didn't want.\n\nAnyway now I have two small lumps on the inside of my gums; not visible from the outisde, I can only feel them. One of them is above an extracted tooth and a small pimple was formed where the missing tooth was suppose to be. The other, is way up above a FRONT TOOTH! Its close to the nose and it doesn't have any pain, neither of them do. Are these abscesses? I really, really hope not. I have had the worst experiences with abscess and especially losing two teeth because of it. I'm absolutly terrifed and I can't get to the dentist until after the 9th (pay day). I can't lose my front tooth, I can't lose any teeth, I'm so scared and its givng me the worst anxitey I've ever had. The front tooth has a filling on it that was done many years ago. There is no pain in my teeth at all, my front tooth feels a little odd but I'm not sure if thats where I've been playing with my tooth and gums above it out of anxiety.\n\nPlease give me insight and help me calm down. I really, really can't lose my front tooth, it will affect my entire life from career to love life. Like I said I've has the worst luck with teeth and it's killing me. Please help me!\nThank you so much for listening and a massive thank you in advance <3 TheAmalgamator: the pimple high above the front tooth could be a sign of chronic infection in the tooth. Treatment options are to leave it (but there is a risk of acute infection/ pain and swelling)/ root canal treatment to remove the infected nerve/ extraction of the tooth. root canal treatment would be the best option to save the tooth. \nthe lump above the extracted tooth socket could be a piece of bone. generally nothing to worry about unless its very painful and in that case it can be smoothed out under local injection.\nHope this helps"
  },
  {
    "id": 1849,
    "title": "Worried gums",
    "dialogue": "Livmore: Im 21 years old and I suddenly notice after brushing my teeth daily, the tip of my gums between my teeth would slightly tear its been a week now and Im starting to get worried or is it just me hallucinating?"
  },
  {
    "id": 1850,
    "title": "Does anybody have any experience about Apicoectomy Surgery ?",
    "dialogue": "candr: I watched this video on youtube : \n\n\n\n\nIt must be very diffucult procedure! I am really scared about this.\n\nThere are some informations on internet that this surgery casuses lots of pain?\nis this really true?\nBest Regards zeezee22: I had apicectomy 5 weeks ago done by an oral surgeon.  The surgeon was very skilled and he was also a qualified medical doctor as well as a specialist oral surgeon.  The procedure was done under local anaesthetic and during the procedure there was no pain at all.  Following the procedure it is is important to follow instructions and keep your mouth very clean so healing can complete.  The next 2-3 days after surgery there will be swelling as your body heals, but this goes away and all swelling had gone down by day 6 and healing continued with me.  The surgery is totally painless under local anaesthetic and the surgeon took about 45 minutes to complete the surgery. I would say, get someone to go with you, as you will not feel like driving afterwards and you need to rest after surgery.  However, if you need to have the procedure done, then do not feel worried, it is no more traumatic than having a filling.  The only thing I will say is that I had dissolvable stitches, but they did not dissolve and I had to go back and have them removed.   Again this did not hurt at all.  So the only thing I would say is get a good surgeon to do the work, one who is very experienced and the procedure itself will not be a problem."
  },
  {
    "id": 1851,
    "title": "Red spot on gums",
    "dialogue": "Harry: Hi, I am 16 a week or so ago I felt this bump on the back of my tooth. I didn't think that much if it. Today I felt it again so I decided to try to take a picture of it.\nIt feels quite big but it seems to be quite small? And it is red i can't get a good picture but this is it.\nIt doesn't hurt at all. \nI am really worried it is a tomour jameslehman694: Toothbrush irritation, from improper brushing, causes receding gums, worn enamel, red spots and tooth sensitivity. I think this is not a tomour. You have not to worry."
  },
  {
    "id": 1852,
    "title": "Tiny \"pit\" in tooth",
    "dialogue": "Yeroc: Hello,\n\nWithin the past couple year I switched to a new dentist due to moving. Prior to coming to the dentist I'm currently at I hadn't had a cavity in years. Within the past two years with my new/current dentist I've been told twice now that I have a very very small pit that is considered a cavity in my back molars. The first time I was nieve and got it filled.  This second time happened today. I couldn't believe it with my oral hygiene habits and feeling no pain I was shocked.  What I want to know is if I'm getting scammed by a dentist that's drill happy. I've done some research online and this seems to be a debate topic in the dental community whether to drill early or not. From research I've read that these micro pits \"cavities\" are better off not filled and could take many years to develop into an actual full on cavity. Or they may never get any worse or even completely heal. Other side of the argument obviously says you need to fill a cavity is a cavity.  I wanted an actual opinion from someone with a background in the field on their opinion. Background info I'm in my 20s and brush twice a day and floss everyday sometimes multiple times a day. Any replies are appreciated!"
  },
  {
    "id": 1853,
    "title": "Dentist Help, chipped tooth",
    "dialogue": "Orange24: I chipped my tooth when I was 8-9. I am now 19 and want to fix it. Can someone please give me an estimate on how much it would cost to fix the tooth? I chipped about 50-60% of my tooth. Can you also give me what the dentist would do??? Would they use Veneers or maybe even crowns? \nI am not in pain, and I eat normally jameslehman694: I think you should go with the crowns treatment and it cost you around $500-$2,000 per tooth. The crowns treatment requires a shot in the gums of lidocaine or another local anesthetic. After the procedure is over and the anesthesia has worn off, the patient may feel some sensitivity with the temporary crown or some soreness in the gums around the tooth. The pain is very minimal though and shouldn't last long."
  },
  {
    "id": 1854,
    "title": "Seeking a 2nd opinion from a professional dentist",
    "dialogue": "Chen: Hi to all dentists,\n\nA few days back when I was eating, I felt something came out from my mouth and to my surprise, a part of my tooth at the back was chipped. I went to a nearby dental clinic to have it check on the condition and was advised by the dentist to have a tooth extraction. I was kind of shocked as I thought chipped tooth is quite common and normally can be fixed by filling.\n\nThe reason I was told is because that the root of my chipped tooth is quite bad and there is decay around it. I'm not sure how true is it as I do not know how to see from the x-ray report. I have attached the x-ray report of my teeth, appreciate if someone can help advise whether a tooth extraction is really necessary for my condition.\n\nThanks.\n\n\n\n\n\n\nMr Chen"
  },
  {
    "id": 1855,
    "title": "Help! Woke up with pain, how bad is it?",
    "dialogue": "Glhjr84: I haven't been fortunate enough to acquire dental insurance for the last 20 years... I'm assuming I need these removed. What does something like this run?"
  },
  {
    "id": 1856,
    "title": "Need Advise from a Dentist - Re: a dead teeth; filling fall out once; can it be refill?",
    "dialogue": "Xin: Hi,\n\nI can't say my mind is relatively cool with this but here goes;\n\nI have a teeth top-right end of my jaw, which the teeth is dead. Filling is done once on it, and it came off just yesterday afternoon. The filling attached last for about 6 months.\n\nIs it possible to do feeling again? the hole is quite big. I never extract a teeth out, so i have full set a teeth.\n\nIs it a need to do root canal treatment and crowning? What is the risk of doing and after doing this? How high the the risk of infection and/or causing jaw bone losses?\n\nWhat will be the best approach for this? Is extraction and replant with the ceramic - Crown treatment the best; based on the current technology?\nI am worry about my jaw becoming weird.\n\nAny advise given is highly appreciated. As a student; this is unfortunate for me\n\nThank you .. in advance."
  },
  {
    "id": 1857,
    "title": "Dentist without a licence over expanded my arch, is there an appliance to move teeth in",
    "dialogue": "J h: i always thought I had a narrow upper jaw now I know I am a class 3 malocclusion. In 2011 I saw a dentist who fitted an Alf appliance to expand my upper jaw, he did this with so much force I was constantly bleeding from my mouth and every one of my teeth was pushed out of position. I later found out he did not have a denta licence and was imprisioned. I had this appliance in everyday for over a year and I regret it everyday. I have had braces in twice but all it has done is straightened my teeth. My lower jaw falls back. I have had 2 jaw surgerys for the class 3 but because the surgeon goes by the teeth and the fallen back jaw both have been a disaster. All I see on the Internet are appliances to expand the upper jaw or move teeth in any direction apart from inwards, is there an appliance that does the opposite and brings teeth inwards?\n\nPlease find attached photos,\n\nI hope somebody can help\n\nRegards\nJ"
  },
  {
    "id": 1858,
    "title": "Loose Insanity?",
    "dialogue": "Allen: So a week before thanksgiving my lower left canine was loose, as natural I freak out and stop eating with said tooth. I expected it to get better, but it got worse. Forward about two weeks and half and now most of my front teeth feel slightly loose, along with a very few rare back ones. No explanation I make a dental appointment.\n\nHad a regular clean up, no cavities and no irregularities on my x-rays. Very slight gingivitis in some areas, but all in all good gums/teeth. I asked him about them and he attempted to move them for me. He said, he does feel very slight looseness but not clue why. The cleaner lady said she felt no movement at all. I did tell them I have bruxism, as I clench my teeth when mad or at night. Lately I've been trying my best not to, even ordered night guards.\n\nI'm stressing out about these teeth, there's apparently no reason for looseness. I've had no trauma (no one jacked me in the face) and no extreme gum disease. My gums are not receded, my pulp seems fine. I even brush twice a day with a toothpaste that has fluoride in it (Sensodyne Repair). I also floss and even use mouthwash once a day. I have plenty of vitamin C in my diet. I don't drink soda.\n\nAge: 20\n\nTL;DR\n\nSlightly Loose Teeth\nNo Trauma\nNo Peridontis\nNo Cavities\nNo Abscesses\nNo Known Diseases\nDon't Smoke\nDon't Drink\nDon't Do Drugs\nDon't Drink Soda\nStrict Cleaning\n\n\n\nSomeone Help Me Before Insanity Gets Me. I Don't Want To Lose My Teeth At Twenty!!"
  },
  {
    "id": 1859,
    "title": "Waiting for root canal, pain control and risks",
    "dialogue": "BAT: A quick overview:  During 2015, I was pregnant.  My teeth were fine before with only few cavities here and there which I always had fixed.  Due to severe acid reflux, vomiting, and out of control pregnancy hormones, I suffered significant tooth decay during the pregnancy.  I now have multiple cavities in every tooth except my front teeth.  In the beginning of 2016 after giving birth, I went to a new dentist (due to insurance reasons) and had the cavities on the upper left side of my mouth filled and one crown put in.  This exhausted all of my dental insurance benefits for the year.  I was told I needed a root canal on my upper left back molar.  I opted to have this tooth extracted instead to save money, since I was already burdened with the enormous out-of-pocket cost of my recent childbirth. \n\nImmediately after the extraction of the upper left back molar and the extensive fillings that were done in the remaining tooth next to it, I began to experience sensitivity and pain in this particular tooth, which is now my only remaining back left molar.  This tooth had cracked and the filling broke while the dentist was working on it, so he had to redo the filling.  I also ended up with a very large bone spur protruding out of my gum and into my cheek at the extraction site.  The extraction hole had to be reopened and the large fragment of bone was cut out through it.  The extraction healed, but over the next several months, the pain in the remaining upper left back molar increased until it became unbearable.  I went to a different dentist, who confirmed my suspicion that the first dentist did not do a very good job and the fillings he did do will eventually need to be replaced.  I have actually had one of these fillings fall right out of a different tooth since then, and quite a bit of pain in these teeth, so Dentist #2 is right.  \n\nI am left with a mouthful of unfilled cavities, a few poorly filled cavities that need to be redone, unbearable agony in my remaining upper left back molar, and no more dental insurance benefits left for 2016.  Dentist #2 was very understanding and has been trying to help me hold over until 2017, when I will have insurance benefits again.  He did a procedure (a partial pulpectomy, I think) where he drilled into the tooth, cut out some of the dying pulp to give the dying nerve and pulp more room to swell to help with the pain, flushed it, pumped in antibiotics, and closed it back up.  This only cost me $50.  After he did this, the pain went from a 10 to a 2.  After a few more months, though, the pain crept back up and a horrible smell began to emit from this tooth.  I went back to the dentist and he repeated the procedure, which diminished the pain and eliminated the smell.  He said if it continues, he won't be able to keep repeating the procedure and I will need to do the root canal.  The point of all this is to save the tooth, since it's my only remaining molar on the upper left side, so I can hopefully be able to chew on that side again someday.\n\nNow, it is almost December.  I have one month left before my dental benefits renew at the start of 2017.  Overnight, the pain in my tooth went from a 2 back to a 10 and beyond.  It is worse than it was the first and second time, and almost unlivable.  I do have credit cards and I know about Care Credit, but my credit cards are already run up and it's Christmastime on top of that.  I have waited and suffered all year trying to make it to 2017, and it would be a shame to have made it this far only to give in and pay the full cost of the root canal myself, when if I can just hold on one more month, I will be able to pay only $1,000 with insurance.  \n\nLacking dental and medical knowledge, I am trying to decide what I can do to mitigate the pain and risk of waiting another month for the root canal.  I have been taking 400mg of Tylenol about 3-4 times per day.  Ibuprofen doesn't seem to help.  I had an unrelated blood test (for hypothyroidism) and my liver markers came back very elevated, probably due to the Tylenol.  I am also still breastfeeding the baby who refuses to wean, so I have to take that into consideration as well.  Is it safe for me to take this much Tylenol for a full month plus, and by doing so, am I putting my liver/kidneys/stomach/thyroid at risk?  Breastfeeding is probably a bad idea, too, I assume.  Are there any ideas I can try other than pain medicine to deal with the pain?  I just need to survive one month and then I can finally get the root canal.  Thank you."
  },
  {
    "id": 1860,
    "title": "Don't know what to do anymore",
    "dialogue": "Alvaro Reyes: My dad has been is pain since Tuesday of this week and has gone to the dentist twice and the ER twice as well. The X-rays done at the dentist do not show anything and he also had an MRI and face scan done and was told the problem is dental but the dentist can't find anything. He is taking medicine they gave him but the pain always comes back. At this point we don't know what else to do any suggestions?"
  },
  {
    "id": 1861,
    "title": "Routine",
    "dialogue": "Author123: Hello, \n\nI was hoping someone could please help me. I am writing a book and I want the protagonist to be a Dentist. Said protagonist will be stuck in her ways with a love for routine. \nI was wondering if someone could please tell me what the first thing a Dentist does when they see a patient? Is there a list you mentally check off when you first look at a patients teeth? Which teeth do you start with, what do you look for?\nOr could someone please direct me to a website where I can read up on this. I know it's not my profession and I want to know as much as I can so I don't make any unnecessary inaccuracies. \nAt moments of extreme pressure or stress I want the protagonist to refer to this checklist in her mind, like a way of calming herself and going back to basics. \nI know this is a bizarre request but I would really appreciate any help I can get! \n\nThanks in advance."
  },
  {
    "id": 1862,
    "title": "Do I have a cavity on my molar?",
    "dialogue": "zibbykaya: I have this white spot on my molar and can't identify the cause of it. Any help is much appreciated."
  },
  {
    "id": 1863,
    "title": "What is this on Xray?",
    "dialogue": "Elex: Patient female 50yr, teeth ( uder the bridge) were extracted several years ago."
  },
  {
    "id": 1864,
    "title": "Dental Hygiene?",
    "dialogue": "kr236rk: Hello,\n\nMy NHS dentist recommended me to attend a dental hygienist to have my teeth scaled. I thanked the dentist but mentioned that my previous dentist had always scaled my teeth as a matter of course - treatment after a check-up, normally lasting between 30 seconds to several minutes, never longer. My dentist said they could scale if I wanted them to, but the hygienist was \"better at it than I am\".\n\nI find this slightly confusing, that a trained dentist is less proficient at dental hygiene than someone who is not a trained dentist?\n\nIt is now 2 years since I have had my teeth scaled & I am beginning to lose patience with the situation. I take great care of my teeth and find that my dental care is actively being undermined by my dentist.\n\nIf I want cosmetic dental work undertaken I will opt for that. At the moment all I want is a set of jaws in good condition and maintained by a qualified dentist. Is this unreasonable please?\n\nMany thanks,\n\nKR"
  },
  {
    "id": 1865,
    "title": "New Implant or leave it.",
    "dialogue": "Gez0011: A few years ago I had several implants which were necessary at the back of my mouth so that I could actually eat and chew proper food. I have never regretted having them and recently had them X rayed and the whole process has been a complete success.  I recently had to have a natural tooth removed from the side of my mouth.\n I can still eat OK and I  don't really miss it but I thought aestheically it might be nice to close the gap but also because I thought it might be important from a dental point of view to have a continuation teeth as I dont want to lose my neighbouring natural teeth in the future.\nThe dentist said that I had lost some bone but he might be able to get away with putting any extra bone  in. Now I don't like the sound of a dentist saying he can get away with this or that. To me the cost is of secondary consideration, I just want the treatment to be right. I have never really trusted dentists as all my problems have come through unnecessary work. Fortunately I do have the cash to spend but I would really like this to be the final time I ever have to visit one of these people.\nWhat I need to know is the likelihood in ten or twenty years time if I look after my teeth will my existing neighbouring natural tooth by the gap be relatively safe and stable ?\nAllowing for advances in dental science will I be able to have a bone graft  if necessary in 10 years time if I lose bone and possibly want to have an implant in 10 years time?\n I am in my sixties and got a happy relationship with my wife and she doesn't mind me having a tooth missing and I am  not looking to go out on the pull, so the aesthetics doesn't bother me. The only thing that concerns me is will I be able to have an implant at a later date if I change my mind?\nIf dentists themselves had to go through the implant process and face these dilemma's in their personal lives, they might have a less cavalier approach, I have been through it before and should only be done if really necessary but\nI am beating myself up about this and really would appreciate some advice. Shahin Safarian: If you are comfortable without the teeth then I would say you can leave this idea for now to have a new implant. Gez0011: One person replied but then unposted, I don't know why, it seemed sensible advice. Anyway I am not going ahead as the rest of my mouth is healthy according to dentist. Becky: Gez0011 said:\n\n\n\n\t\t\tOne person replied but then unposted, I don't know why, it seemed sensible advice. Anyway I am not going ahead as the rest of my mouth is healthy according to dentist.\n\t\t\nClick to expand...\n\n\nThe post was made by a spammer, and when they were banned all their posts were automatically removed. I have reinstated the post for you - apologies for any inconvenience svor1988: Gez0011 said:\n\n\n\n\t\t\tI have never really trusted dentists as all my problems have come through unnecessary work.\n\t\t\nClick to expand...\n\nWise approach, same here, though I had trusted all professionals initially.\n\nTeeth naturally move. Your molars should push forward to close the gap. My implant-placing doctor didn't tell me that till after the implant had been placed... I chose the implant over having a gap there the way he worded it... Had I known the molars would fill the gap I would have never gotten that implant. I lost a perfectly good molar due to complications associated with his implant as well. Andrea Giraldo: My suggestion is to just have a new implants. because nowadays new ones are very flexible & convenient than the older one. Fesenko Nikas: Of course, it would be better to have a new implant, since the nature of teeth is to remove all the gaps, so your teeth will move, and it can cause problems in future Fernando Saavedra: That's Goes For Me Too I Was About To Go To The Dentist To Check My Wisdom Too I Just Got Bad Teeth Like Untreated Cavities,Chipped Tooth And Erosion Due To The Lack Of Oral Hygiene My Dad Is Going To So Freaked Out I Am An Autistic Adult Who Lives With My Dad"
  },
  {
    "id": 1866,
    "title": "Bad Teeth",
    "dialogue": "Fernando Saavedra: Hello My Name Is Fernando Saavedra I Am An Autistic 25 Year Old Male Who Lives With My Dad I Am About To Tell You That I About To Check Out My Wisdom Tooth If The Dentists Found Out I Had Bad Teeth Due To Lack Of Oral Hygiene And Tell My Dad About It My Dad Is About To Freak Out,Hitting Me And Ground Me Because I Did Not Take Care Of My Teeth Properly Because I Am A Terrible Person I Had A Chipped Tooth And Cavities That Are Untreated And Erosion Because I Didn't Brush My Teeth Properly My Dad Is Not Going To Like It\n\nWish Me Luck"
  },
  {
    "id": 1867,
    "title": "Dentist won't close my gap?",
    "dialogue": "Sadpanda88: Hi. So basically it's kind of a long story but over the years of unfortunaltely having bulimia I've ruined and done a ton of damage to me teeth, especially on top.\n\nMy dentist told me I need a lot of work don't a couple visits ago so I kept going, then last time he goes off about how I'm not giving him \"much to work with\" and also \"there's not much I can do.\"\n\nI have a gap between my front teeth and it is so aweful I can't even look at myself in the mirror. I've asked him if I could get bonding to close it or at least make it smaller and he basically said \"no\" or \"I can't because of your bite\" something like that. To be honest I think he's full of BS. \n\nSo basically my question is, can my gap actually be closed with bonding or is he telling the truth? I don't wanna be stuck with this for life. Should I maybe find a new dentist? Or maybe I really am just completely hopeless.\n\nThanks."
  },
  {
    "id": 1868,
    "title": "What are the top things patients look for in their dentists?",
    "dialogue": "Dr. Peterson Huang: Hello,\n\nI am putting together some literature for my patients, and for prospective patients, and am interested in learning some of the more common issues that draw patients to a particular dentist, and which things might keep a person away from a particular practice.\n\nWhat do you think? Thanks in advance..\n\nDr. Huang. snaggletooth: As an older person, I've noticed that doctors nowadays, have neither the time nor the interest to really listen to their patients, What used to be considered a good bedside manner has gone the way of the Dodo. Doctors have too many patients to have the patience it requires to adequately attend to their needs. paula ggibson: I would like to understand why the cost of Dentistry is so expensive in the U.S. I simply cannot afford to have any work done. svor1988: I have tons of dentists in my area. One said the dentist market here was over-saturated.\n\nFor me having the cash cost of procedures listed on their web site is a big plus. Being low cost is most important to me. Reviews are important.\n\nBeing upfront about what they bill for and how much before they provide whatever service. Once he asked me if I had any questions. I asked about pain in my palate due to another dentist's dental implant- he charged me $30 for his response talking about stem cell healing he learned about at a convention... I never should have paid that. I never went back though. Good riddance. Dr. Peterson Huang: Thank you for the questions! I really appreciate the feedback. As I mentioned before, I am always looking to better my practice, and questions like these are a help to that effect.\n\nIn response to:\nsnaggletooth - I agree that medical professionals are busy and getting busier, and this reflects in time spent with patients, and in some cases, the quality of those interactions can go down. Whether this is due to changes with regard to insurance (as is stated in articles and forums elsewhere, offline) I am not sure. What I do know is that I strive to keep this concern in mind when attending to my clients. Asking questions, and listening to answers, is a first step, and this extends outwards from the dentist/ doctor, to everyone that the client interacts with while in my office.\n\n\npaula ggibson - This is a question with a complex answer, and I appreciate you asking it. The cost of dental procedures does seem to vary, and is expensive, relative to other countries. I do not claim to be an expert in the area of relative dental costs; however, the many individual units in the chain of dental care - from salaries, to rent for offices, to insurance, and specialized machinery (for example, machines t omake custom milled crowns, in-house)- do add up and are expensive. That said, costs do vary, and I always recommend that prior to a procedure, interview different dental practices and ask questions. Be sure to ask about insurance and any financing options that they may provide. I hope that this helps!\n\n\nsvor1988 - Thank you for your response. I agree that reviews are important.\nAlthough I see points both for and against listing costs on a website - not having such costs listed can encourage someone to call in and have their questions answered while making options for them easier to create- I agree wholeheartedly about being up front about costs prior to a procedure being done. Transparency with regard to how much the total will be, and how much would be covered by that particular insurance, is good for everyone involved. I hope you found another dental office more to your liking.\n\nThank you again, everyone, for your replies. And please keep more coming.\n\nDr. Huang,\nhttps://novapremierdental.com/"
  },
  {
    "id": 1869,
    "title": "Reaction",
    "dialogue": "danimous: Hi,\n\nI had a funny reaction possibly to the gas (laughing) that they give and I was wondering if anyone has had a similar experience. \n\nI had 2 fillings done today and I had the laughing gas. I have had the gas a couple other times and it was great. I felt very relaxed and kind of tingly. Today however, I never got that tingly feeling. I actually felt a pretty anxious, my heart was beating fast, and after the appointment, I noticed my head was a little sweaty. I noticed a couple things that were different from my previous experiences. \n1. I had a new dentist and assistant that I hadn't seen before.\n2. They administered it differently. This time they I had one of the partner dentists and they only turned the gas on when he was in the room. So it started about the time he gave the numbing shot which didn't help much. \n3. They asked me a couple times, if I could feel the gas (I think they could tell I was anxious) and I said no so they said they were going to turn it up. At the end they said it was as high as they were allowed to go. \n4. The appointment took 1.5 hours. The assistant even commented on how the dentist was very thorough.\n5. They did stop during each filling to give me an extra numbing shot because it was still painful.\n\nWhen I went to stand up after they were done, I almost fell over and the assistant caught my arm and told me to sit down and gave me some more oxygen. It wasn't really a bad experience, just a little embarrassing and I was wondering if I maybe had to much gas? Maybe a bad batch? Something else?"
  },
  {
    "id": 1870,
    "title": "7 Year old constant abscess",
    "dialogue": "Micheal: Hi All\ni need some help here please\ni have a 7 year old daughter that keeps on getting abscess - especially on her maulers - she has received antibiotics treatment for this but to much antibiotics is also not good for you\nshe has already lost 2 of her maulers and there is an abscess again and i am taking her to the dentist again this after noon\nwe brush her teeth morning and evening with \"Thursday plantation tee tree oil\" tooth paste as well as tooth paste with fluoride\nwe have a mouth wash which she uses to rinse her mouth with and some times we use a salt solution as well to rinse her teeth\nwe also floss her teeth frequently\nquestions\nwhat else can I do?\nwould she out grow it?\nwhat would happen when she gets her grown up teeth - are the chances good of getting it again?\nhas any one else on the forum experienced the same issues and what did you do?\nthen in extreme cases could this be a form of lupus? \nthx Mike"
  },
  {
    "id": 1871,
    "title": "dentists pointing out decay that really isn't",
    "dialogue": "december: Husband took 7 year old son to the dentist who diagnosed him with a couple of cavities.  Dentist showed my husband where these cavities were, on the tops of two of his molars, and my husband said he could see what the dentist was talking about, but then when he tried to show me, neither one of us could find them.  I decided to take him for a second opinion.  As soon as dentist #2 found out who dentist #1 was, she acted like I was doing something wrong bringing him in for a second opinion and kept raving about how dentist #1 was the best dentist in the area.  She checked my son's mouth, looked confused, looked at the X rays dentist #1 had done, still was confused, so she did her own X rays and then diagnosed with my son with an additional bunch of cavities on top of the ones that dentist #1 had found.  Once she saw the X rays then she could point out where the cavities were to me, which were areas that were just slightly a different shade of white.  I was so skeptical about the whole thing because how bad of cavities could they be if they could only be seen once you know what to look for on an X ray?  Not to mention just her whole attitude of how dare you question dentist #1 made me feel like she had some other agenda than giving an honest 2nd opinion.\n\nSo I was paralyzed with indecision for a few months trying to decide what to do when I learned about silver diamine fluoride and decided surely this was the solution!  So I asked dentist #1 about using it and he said it would be unlikely to work because my son's cavities were all in between his teeth.  What??  He had never said anything about the cavities being in between the teeth before, so I decided this dentist could not be trusted, if he was changing the story now.  I took all my kids to dentist #3 and didn't mention anything about a second opinion, just acted like it was a regular check up.  Dentist #3 diagnosed my son with multiple cavities in between his teeth.  Said that his teeth looked perfect just looking inside his mouth, but that there was decay in between the teeth that couldn't be seen except on an X Ray.  So it corroborates exactly with what Dentist #1 put in my son's dental chart but not at all with what we were verbally told. \n\nSo my question is why did I have two dentists physically pointing out decay to us when none of the decay can visually be seen?  Why didn't they just say what Dentist #3 did, that the decay was all between the teeth? december: My second question would be is it common to have no tooth pain, but need a pulpotomy?  That is what dentist #3 is recommending.  She seems trustworthy and I really don't want to go get a fourth opinion because that's getting really excessive, but it is nagging at me that my son has absolutely no pain or any other issues with his teeth, yet supposedly the pulp is affected? How does that work? svor1988: Dental professionals in my area seemed to have each others back as well. My best interests were always beneath theirs and these professionals kept me in the dark about my best interests.\n\nThough it does sound like the 2 independent dentists found something. I'm no dentist, hopefully somebody else answers here.\n\nThe cavity had reached the pulp? If not, try a different diet. Make sure he's really brushing (soft bristles) and rinsing hard too... not just spitting out the toothpaste whole (like I did when I was young because I hated the taste, I'd just pretend when mother was around).\n\nI take it this is a permanent tooth? Seems odd that there is a cavity this soon.\n\nI'm skeptical of silver diamine fluoride. Yes silver has an antibacterial effect, and fluoride makes a nice chemically inert barrier (e.g. teflon)- but I'm concerned about unknown chemistry, ingestion/adsorbtion, and unknown interactions with the body (including possible immune reactions which can affect one person but not the next).\n\nI've had luck with bacterial treatments for reversing and removing superficial decay: http://bmcoralhealth.biomedcentral.com/articles/10.1186/1472-6831-10-18 Way better than a dentist drill permanently removing the affected enamel... svor1988: *fluorine makes a nice chemically inert barrier\n\nFluorine was the appropriate word to use there, not fluoride. Plaza Dental Group: As far as your question is concerned, in my opinion sometimes a dentist can tell you have a cavity just by looking in your mouth. There are many ways that a dentist can detect a cavity. Your dentist may question your overall oral health, and will examine your teeth for any soft spots or sensitivity while using dental instruments. X-rays are also helpful in determining the seriousness of a cavity. The dentist looks at your tooth to see if there are any weaknesses, usually a brown spot or some other sort of abnormality. If your dentist uses magnification, that is VERY helpful in differentiating between decay and stains. You can help prevent cavities by regularly visiting the dentist, brushing twice a day with fluoride toothpaste and cleaning daily between your teeth with dental floss."
  },
  {
    "id": 1872,
    "title": "Is it wise to get a night guard from online? Will insurance pay for teeth damage from grinding?",
    "dialogue": "facebook101: I lost my night guard. I am thinking my roommates cats got to it .\n\nI grind my teeth pretty badly so I need a replacement one.\n\nI am away at college so I can not go to my normal dentist.\n\nThe dentist I called at my college said that night guards start at $330 and can not give me the exact cost until I come in for a $96 appointment. I called my insurance and they said that night guards are not covered.\n\nI would just go to the drug store and get one of the ones you boil but I was also using my night guard as a retainer so I am guessing the boil ones will not retain my teeth. (Am I wrong about this?)\n\nSo my two questions are,\n\n\nWould getting one from an online lab work be fine? And if so, what lab do you recommend? And what thickness would you recommend?\nI have worn my teeth down from the grinding. Is there anything my insurance might pay for in regards to getting this fixed? (They are very short now, to the point that you cannot see them when I am talking). \nTHANK YOU FOR ALL YOUR HELP."
  },
  {
    "id": 1873,
    "title": "New Teeth/dentures for 69 year old",
    "dialogue": "janeharper: My mother has only 2-3 teeth in the back of her mouth. I am preparing to help pay for new teeth for her in Jan 2017. Would she get dentures? She is 69 years old and has borderline type 2 diabetes. If I find a good dentist I'm also trying to sign her up for a good dental plan/insurance in Oklahoma. I don't know if you need new teeth at that age, are they dentures or, something else. Fesenko Nikas: Seek for the competent doctor, as not every dentist knows, for example, that pain sensitivity is increased among people with diabetes, they will quickly become fatigued, and they have reduced immunity. And the choice of the type of dental care and the materials require special knowledge.\n\n\nProsthodontists often make mistakes, choosing the design of dentures for the patient with diabetes. They underestimate (or overestimate) gum health in diabetics. Each patient is recommended to remember that it is necessary to postpone the orthopedic treatment of the disease if the blood sugar level is heightened until the compensation or, particularly, it is wrong to refuse in treatment. In such cases, treatment should be limited to the manufacture of dental prostheses that meet the requirements for proper redistribution of the load.\n\n\nDentists for teeth prosthetics use structural materials. Most of them are different metal alloys. But the presence of metal alloys in the mouth is a source of trace elements to the body. In addition, metal compounds in the oral cavity, affect the quality and quantity of saliva, and its enzyme activity, and can provoke allergic reactions. In this regard, patients with diabetes cannot be provided with dentures and crowns made of cobalt-chromium and nickel-chromium alloys which are widely used in prosthetics. Only gold-platinum alloy can be used for crowns and bridges (but it's very expensive!), and dentures must have titanium base. It prevents mouth the fungus genus Candida, multiplication of staphylococci."
  },
  {
    "id": 1874,
    "title": "Dental implant advice",
    "dialogue": "Tanman: 18 year old male tooth extracted on feb 2016 looking for advice based on ct scans and report provided below. Also can some one explain what the report is saying. svor1988: It is a cone beam ct scan. All they're doing is measuring the bone to select an appropriate sized titanium screw for your planned implant. If the screw is too wide the bone would fail, if the screw is too long it would go into your nose, if the screw is too small you could face failure due to the use of the tooth. You will loose some bone after the placement as well, hopefully not too much. Around my implants the bone is now concave.\n\nThe cone-beam ct scan is a sign of competency to me. Mine used x-rays. They make sure they won't hit a nerve or anything either. Some people have had permanent numbness in their mouth due to implant placement hitting a nerve (or even being close).\n\nYou're 18 years old? I got suckered into an implant right after I turned 18 as well. One of the worst mistakes of my life. If you're serious, wait till you're 4 years older and through college is my advice. Also, do a google search for the life expectancy of dental implants- you should see 30 years tops. It is not life-long.\n\nEven if all goes well with the implant, with the bone loss, there may not be enough bone to replace the implant when it eventually fails.\n\nI lost a perfectly good molar due to this implant. And my implant turned out not safe to chew on due to faulty placement. It is cosmetic. That is all it is.\n\nIn sales pitches I've seen it said that titanium is inert. I've seen research online saying some people (<4%) do have allergic reactions, and should get a titanium allergy test done prior to such a permanent and invasive placement.\n\nSpend that money on pizza instead. And wait till dental science improves.\n\nKudos to you for doing some research online first. And make sure you get another opinion!\n\nP.S. A few year down your road if your wisdom teeth are coming in strait, you don't need them removed. They can come in handy decades later as replacement molars (your molars naturally scoot forward to fill gaps). Your dentist may still pressure you to remove them to get whatever your parent's insurance company pays for that service. Tanman: If you lose bone cant you do a bone graft to build it stronger. I cant imagine another 4 years with a dental flipper, the most annoying thing iv ever experienced. And if you wait dont u just keep losing more bone in the area svor1988: Tanman said:\n\n\n\n\t\t\tIf you lose bone cant you do a bone graft to build it stronger.\n\t\t\nClick to expand...\n\nIf you want to pay for that possibility. I no longer want to be treated like a human Frankenstein personally.\n\nThis chap did just what you asked about twice, look how he turned out: https://www.dentistry-forums.com/threads/implants-bone-grafts.22112/\n\nAfter my experience with implants, I only advocate for life saving surgical work. Cosmetic surgical work I strongly advise against.\n\nAsk your doctor if he can sew it back to the underlying tissue. If so disconnected for too long it will likely die due to lack of blood.\n\n\n\nTanman said:\n\n\n\n\t\t\tAnd if you wait dont u just keep losing more bone in the area\n\t\t\nClick to expand...\n\nHmmmm I don't have any literature observations here to give a good answer. The space my socket is now didn't fill up with bone, adjacent to it is a cliff of bone. Seems in better shape there then the bone next to my implants. My impression is that somehow the titanium implant causes bone loss. Good research project I guess, but I need to go run an errand now. Plaza Dental Group: You will need to have the tooth extracted or pulled, and then have a dental implant surgically placed. In my practice, I will take a 3-D image of your mouth. The image will show the intricate details of your bone structure, teeth, and gums. I plan the implant placement using guided implant surgery technology that ensures the most comfortable and natural fit."
  },
  {
    "id": 1875,
    "title": "Weird Flap on Gum",
    "dialogue": "Hurtmouth23: I have a weird flap on my gum on my upper jaw, right behind where my wisdom tooth was extracted. It's on the part where it angle upward. It's been hurting for 6 days. It strated off feeling like a blister, now I can feel a flap. Does anyone know what this could be? It only hurts when something rubs on it. Teeth do not hurt around it. Please help"
  },
  {
    "id": 1876,
    "title": "Urgent Dental Advise FULL EXTRACTION - Pano X-Ray Attached",
    "dialogue": "Sarah N: Hi,\n\nPlease see Pano X-Ray taken a few days ago attached.  I recently went to a dentist that advised that the best long term option for me was to do a full extraction of my upper teeth and do a procedure known as all-on-six.  The dentist also said there were other options which included multiple root canals with crowns put on each along with a 3 crown bridge supported by 2 implants.  My main concern is it worth saving and investing in my teeth or doing the full upper extraction with all-on-six.  I am 29 years old.\n\nPlease help ASAP!  Thanks!!!!!\n\nSarah AlinaM: Sarah N said:\n\n\n\n\t\t\tHi,\n\nPlease see Pano X-Ray taken a few days ago attached.  I recently went to a dentist that advised that the best long term option for me was to do a full extraction of my upper teeth and do a procedure known as all-on-six.  The dentist also said there were other options which included multiple root canals with crowns put on each along with a 3 crown bridge supported by 2 implants.  My main concern is it worth saving and investing in my teeth or doing the full upper extraction with all-on-six.  I am 29 years old.\n\nPlease help ASAP!  Thanks!!!!!\n\nSarahView attachment 747\n\nClick to expand..."
  },
  {
    "id": 1877,
    "title": "Insurance??",
    "dialogue": "michie: I recently went to my dentist due to a tooth needing to be extracted.  I had no insurance at the time.  I have since obtained insurance, so I went back to my dentist office so I can get the procedure done, but the office manager insisted that because the diagnosis was done before I had insurance, I need to pay the non insurance price and I wouldn't be able to use my insurance.   Is she correct in charging me the non insurance price?"
  },
  {
    "id": 1878,
    "title": "Flowable Dental composite over a tiny cavity?",
    "dialogue": "mydent: I was wondering if I was to put some flowable Dental composite over a tiny little cavity I have, would this in turn prevent the cavity from getting bigger?  \n\nCavity is very tiny, not worth drill and filling yet but I sure don't want it to get bigger either. Dentgr: NO! \nDONT! mydent: Dentgr said:\n\n\n\n\t\t\tNO!\nDONT!\n\t\t\nClick to expand...\n\n\nAnyone can say this, care to explain why?  Or are you just a troll Dentgr: Cavity will keep growing unless totally cleaned and filled.\nDental composite needs to be bonded on tooth structure. That's not an easy task anyway....so....\nNO!\nDONT!"
  },
  {
    "id": 1879,
    "title": "Implant too close to adjacent root of natural teeth (Pic)",
    "dialogue": "reikoweller: Hi\n\nAbout 3 month ago, Oral surgeon place implant posts on 12 and 14 ( 3way bridge ).  I thought it went very well,  no pain what  so ever. HOWEVER, Today I was looking at a post surgery X ray picture and realized post on #12 is so close to my $11 natural tooth. This makes me so nervous.  Is this normal or can it cause problem to #11 in the future? Plus can my dentist place crowns in the proper location if the post is so close to another tooth?\n\nI paid extra $500 to make a surgical guide prior to the surgery,,,, I thought the guide prevent such a issue.\n\nShould I ask the oral surgeon to replace it?? Dentgr: You can't judge the proximity of an implant to a tooth  by an X-ray.\nIt CAN be deceiving.\nJust talk to your surgeon about your concerns. reikoweller: Thank you so much I will talk to him."
  },
  {
    "id": 1880,
    "title": "Tooth Fell off with root",
    "dialogue": "Denis Manje: Hi,\n\nMy 3 year old upper front tooth including the root fell off while eating.  This is per the nanny's story. I later looked at the gums and any physical damage but could not see any.\nShould i be worried? Why would a tooth fall off just like that  in such a young child?\n\nDenis Denis Manje: Hallo...."
  },
  {
    "id": 1881,
    "title": "Flowable Dental composite over mercury filling?",
    "dialogue": "mydent: Hi guys I was wondering if it would be ok to take some flowable dental composite and paint it over my mercury type amalgam?\n\nI'd be doing this for safety reasons only. They say these filling leak some mercury, theory is that you would have way less leakage if you had a thin coat of composite over it.  Seems to me this is pretty easy to do and a great idea as well.\n\nThoughts?"
  },
  {
    "id": 1882,
    "title": "Bottom Teeth Wearing in to Top Teeth",
    "dialogue": "Jack The Gap: My son who is 21 has indents in his top teeth where his bottom teeth rub.  \n\nI am encouraging him to see a dentist but wondered if anyone has had a similar problem and what your experience is.\n\nI have attached a photo of his top teeth (which are not as yellow as they look)"
  },
  {
    "id": 1883,
    "title": "Laughing Gas Not Affecting Me",
    "dialogue": "HIGH NOOT: So I remember 1 time when I went to the dentist to get a tooth out (the tooth's roots weren't dissolving), and when the put the watermelon flavored laughing gas on, for some reason literally nothing happened, I wasn't feeling any different or loopy I was just acting normal, and after that day I was wondering if it was something to do with the laughing gas they used or maybe something else, does anyone know why I wasn't affected? Nikolai Fesenko: Laughing gas does not make you laugh literally. This nitrous oxide just makes you more relaxed, so you would not be nervous while you are in the dentist's chair."
  },
  {
    "id": 1884,
    "title": "NHS Dentists Have Ruined My Teeth",
    "dialogue": "Nuluvius: I'm currently suffering with both of my upper right premolars which are badly broken and literally rotting in my mouth thanks to the handy work of two NHS dental practices, which in the space of a year have between themselves managed to completely ruine my teeth.\n\nI originally went to the first dental practice following the fillings dropping out of both teeth. The treatment plan devised at the time was for both teeth to be root cancelled and then crowned (band two NHS). The root canal was completed and temporary fillings placed. However I was promptly deregistered after having to cancel an appointment on short notice due to sick children. I then had to wait over four months to see another dentist by which time the temporary fillings that the first dentist put in had degraded and fallen out leaving me with exposed root cavities which became infected.\n\nThe second dentist that I saw informed me that the first dentist was simply trying to make money off of me and that I only needed both teeth to have the root canals repeated and then filled (band one NHS). I’d agreed to this course of treatment on the principle that this dentist seemed honest and reputable. However the fillings continued to fall out over the course of the next few months, they must have refilled the teeth around five times per tooth, each time more and more of the original tooth was destroyed until my second premolar had completely shattered and sheared right off at the gum line. Following this my first premolar became reinfected yet again i.e. the second root canal had failed and I had an acute infection around the apex of one of the roots. The dentist treated this with medicated dressings which also continued to fall out.\n\nI'd simply had enough of this and decided to go to a third dentist which I had to wait another month to see. This one was highly recommended by family, friends and colleagues. However upon arriving I was made to wait one hour and twenty minutes for the appointment. When finally meeting the dentist he was rude, arrogant and patronising. Upon concluding a very heavy handed examination he thrust a pamphlet at me detailing private fees and proceed to try to coerce me into paying them.\n\nThe gist of his 'advice' was that I'd waste my time with the NHS treatment as they would choose substandard materials and techniques which would ultimately fail. He tried to hard sell me on either private root canal therapy followed by private crowns or 'for a better foundation' as he put it, private implants; all carried out within their group practice/s of course! Needless to say that I walked out and refused to pay the £35 XRay fee and the £20 'checkup' fee they tried to demand...\n\nAt this point I am sitting here despairing, as mentioned previously, literally with a mouthful of broken and rotting teeth. Moreover I have no clear plan on what to do next. It occurs to me that NHS dentists are either not capable of undertaking the work or they simply don't want to due to the potential cost based on risk of failures.\n\nI cannot afford to pay thousands for the treatment yet equally so I cannot afford to loose the teeth due to them being a highly visible part of my smile line.\n\nSo far I have raised all of this to the GDC and the NHS. The GDC didn't want to know unless the NHS escalated a case up to them and the NHS have a very slow turnaround time apparently; and time is most definitely not a factor that is on my side with this kind of problem.\n\nUnfortunately there are no dental universities in my region or in the immediate vicinity of it and moreover they traditionally have a long turnaround time and compounding eligibility criteria.\n\nI am wondering if there is anything that I am missing/not aware of that I can be proactively doing right now? What advice can you offer me? Should I simply find a fourth dentist to pull the teeth and then try to manage the physiological and professional implications before sepsis occurs...\n\nI honestly find it incredible that in this day and age and especially in the west that one can be left in such a state... Nikolai Fesenko: I would recommend not to give up the search for a good dentist. Look for your local forums, read reviews concerning doctors, and then choose whom to go to an appointment. If you really liked the doctor, ask the contacts, so next time you do not have such a problem!\n\nGood luck"
  },
  {
    "id": 1885,
    "title": "Best painkiller combo",
    "dialogue": "everway9: Hi everyone. I hope your all doing good today \n\nI'm just wondering which of the following will be best for toothache either on their own or in a combination?\n\nParacetamol 500mg\nIbuprofen 400mg\nNaproxen 500mg\nCodeine Phosphate 30mg\nNefopam (Acupan) 30mg\nMorphine Sulfate 25mg (OxyNorm) \nGabapentin 100mg\n\nMany thanks in advance. everway9: Thanks for all the replies \n\nIn the hope of helping others..... I took 1 x Naproxen and that worked better than any of the others taken in the past.\n\nHowever always check the patient information leaflet before taking anything you have never had before and always check for interactions with any other medications you take. tuneful: Do you need a prescription for Naproxen? everway9: No thank you. I'm curious what your reasons are for asking? tuneful: everway9 said:\n\n\n\n\t\t\tNo thank you. I'm curious what your reasons are for asking? \n\nClick to expand...\n\nI ask because last year I was getting headaches 24/7, they lasted 6 months and I was prescribed Naproxen, they were the only pain killer that helped. Thankfully I have not had a headache since last December and I have some naproxen left over.\n\nI had a tooth removed the week before last and needed the roots drilling out, I have been using 1 or 2 Naproxen a day and it helps. I wondered if I need more will I need a prescription, so good to know I wont. everway9: I'm pretty sure Naproxen is available in many different brand names OTC in the UK without the need for a prescription. \n\nNaproxen is the only NSAID that helped with the last type of oral pain I had. I have an ongoing condition which requires opiate based medications and that did nothing for my oral pain. But the Naproxen did. \n\nIt's a good thing that there are so many different types of pain management available. However finding the right one for the type of pain is sometimes a bit of a problem. \n\nUnfortunately I have paid the price for not looking after my teeth and have had most of them removed. I wish I found Naproxen earlier than I did. And wish I looked after my teeth better than I did too! \n\nI am glad your headaches and oral pain has subsided.\n\nBest wishes. tuneful: everway9 said:\n\n\n\n\t\t\tI'm pretty sure Naproxen is available in many different brand names OTC in the UK without the need for a prescription.\n\nNaproxen is the only NSAID that helped with the last type of oral pain I had. I have an ongoing condition which requires opiate based medications and that did nothing for my oral pain. But the Naproxen did. \n\nIt's a good thing that there are so many different types of pain management available. However finding the right one for the type of pain is sometimes a bit of a problem. \n\nUnfortunately I have paid the price for not looking after my teeth and have had most of them removed. I wish I found Naproxen earlier than I did. And wish I looked after my teeth better than I did too! \n\nI am glad your headaches and oral pain has subsided.\n\nBest wishes.\n\t\t\nClick to expand...\n\n\nI wish I had known that last year as I was paying over £7 each time I needed a new box of naproxen and the staff in the Drs surgery were so miserable and unhelpful too.\n\nI found naproxen took a while to kick in but when it did it lasted a good few hours and eased the pain. Thankfully the pain has subsided from the tooth extraction now.\n\nLike you I wish I knew then what I know now and I had looked after my teeth better, actually I was over brushing and brushing incorrectly which receded my gums and they do not grow back.\n\nThis site does not seem to get  much participation, do you know of another UK site for dentistry? You can PM me if you prefer.\n\nAll the best with you pain management. Nikolai Fesenko: everway9 said:\n\n\n\n\t\t\tParacetamol 500mg\nIbuprofen 400mg\n\t\t\nClick to expand...\n\nThese painkillers are quite good for a toothache but do not combine them! You can take one pill, and the next one can be taken only in four hours, in order not to get the overdosage. Nikolai Fesenko: But of course, consult your dentist concerning a toothache everway9: Hello Nikolai Fesenko and thanks for your input. \n\nDid you mean that combining Naproxen and Ibuprofen is not a safe combination? If you did, then yes that is correct.\n\nOtherwise, and if you were not aware, I'd like to draw to your attention that you can safely combine Paracetamol and Ibuprofen. There is no reason to suggest that the combination can cause problems if used properly and responsibly if you are otherwise healthy.\n\nhttp://www.nhs.uk/chq/Pages/857.aspx?CategoryID=73\n\nBut also remember that the re-dose interval for Ibuprofen is different to that of paracetamol. You can have a maximum of 1000mg of paracetamol every 4 hours and no more than 4000mg in 24 hours. And with Ibuprofen a maximum of 400mg every 6 hours and no more that 1200mg in 24 hours. \n\nIbuprofen 400mg Patient info: \nhttp://www.mhra.gov.uk/home/groups/spcpil/documents/spcpil/con1454050023657.pdf\n\nParacetamol 500mg Patient info: \nhttp://www.mhra.gov.uk/home/groups/par/documents/websiteresources/con125973.pdf\n\nHowever if you have current or past liver or kidney problems it is advisable to consult with your GP before taking either paracetamol or ibuprofen together or separately.\n\nAnd as always with any medication, always read the label and check with your doctor before using if you are at all unsure in any way.\n\nAnd if its concerning toothache you should also check with your dentist as you already mentioned.\n\n\n\nP.S. I'm sorry if you already know that. I'm posting this for others who dont. everway9: Also before combining any medication be sure to ask your GP about any interactions new medication may have with your existing medication.\n\nOf course you should check with your doctor first but if that's not possible drugs.com have a brilliant interactions checker here: https://www.drugs.com/drug_interactions.html Nikolai Fesenko: Yes, you are right. \nIf you had taken one or another medicine and it doesn't help, you can take another one. For example, you took Paracetamol 500mg, but the pain didn't go away, you can take Ibuprofen 400 mg. But the next dose is to be taken no less than in 4-6 hours.\n\neverway9, great that you left such a full answer concerning these painkillers everway9: Thank you Nikolai."
  },
  {
    "id": 1886,
    "title": "My nerves are seriously damaged",
    "dialogue": "ankur bansal: Hi\nsome years ago i got a severe toothache. the toothache was so strong but the diseased teeth was not noticeable in X -RAY . Most dentists were unable to do anything as there was nothing in x ray . But the pain was really severe .IT continue to do so for around 1.5 year .After that i managed to get my teeth removed against the dentist wish who wanted to do root canal . The pain stopped at that area but i think continuous inflammation has damaged my nerves . Now it feels sensation like burning pin and needles plus irregular mouth movements . my jaw becomes tight some time . \n\nReally i am hopeless and want to cry sometimes\nPlease help me \nthanks ankur bansal: HI\ncan anybody please reply ?\nI am feeling really sad svor1988: Did you have any other root-canals done in the area? Or any other dental work? Jimmy: ankur bansal said:\n\n\n\n\t\t\tHi\nsome years ago i got a severe toothache. the toothache was so strong but the diseased teeth was not noticeable in X -RAY . Most dentists were unable to do anything as there was nothing in x ray . But the pain was really severe .IT continue to do so for around 1.5 year .After that i managed to get my teeth removed against the dentist wish who wanted to do root canal . The pain stopped at that area but i think continuous inflammation has damaged my nerves . Now it feels sensation like burning pin and needles plus irregular mouth movements . my jaw becomes tight some time .\n\nReally i am hopeless and want to cry sometimes\nPlease help me\nthanks\n\t\t\nClick to expand...\n\nHello,\nDon't feel sad my dear. I hope every thing is going to be okay\nHow many teeth you have extracted ? \nCan you explain more about your pain in details.\nis it continuous or it resolves and generates after a while ?\nGenerates with stimulation or not ( i mean during sleeping on the painful side or during hot/cold beverages )\nits intensity increases during What ? or during rest ?"
  },
  {
    "id": 1887,
    "title": "Oral Fixation vs. Teeth Grinding",
    "dialogue": "Chris in NEPA: Hello all!   Looking for some advice here...\n\nI was at the dentist this week and was told after examination by the hygienist that it appears I grind my teeth at night.  However, I am a mouth breather and upon reflection, I realized I have an oral fixation with chewing on pens at work during the day.  Could chewing on pens produce the same sort of results that would mimic grinding my teeth?\n\nI tried a mouth guard but it will not stay in and makes it very hard to fall asleep.\n\nAny advice would be appreciated.\n\nThanks!\nChris in NEPA svor1988: Grinding teeth is a common medication side effect. Taking any anti-anxiety or anti-depressant medication? If so, look up their side effects, and if it is the drug then change the treatment, or do no drugs at all.\n\nNo I don't think chewing on pens would produce the same result. One friend lost a lot of teeth due to night grinding and not routinely wearing his mouth guard. I don't think the momentary benefit of said drugs are worth your teeth. Nikolai Fesenko: I had the same problem, I took a course of a sedative drug, a vascular drug, and then I stopped to grind my teeth at night. Consult your neurologist, very often it is a nervous problem"
  },
  {
    "id": 1888,
    "title": "Dentist unable to reach my back tooth for filling",
    "dialogue": "DentalFill: Hello Everyone\n\nWent to the dentist and truly disappointed to know my back tooth could not be filled because it was not reacheable even after when they pulled my wisdom tooth out.\n\nThe tooth is the second molar from the back on my bottom left side jaw (wisdom tooth pulled out so no tooth in my way)\n\nCan an experienced dentist perform a filling on a tooth at the back they cannot see is the question? Plaza Dental Group: As a specialist, I would like to tell you it does happen, but more often with general dentist.  Don't fear. Most oral surgeons are skilled in dealing with this situation. Perhaps an X-ray might help in giving us a better idea however; I'd request you to stick to ANY ONE dentist for the treatment. If you have a broken tooth, see your dentist as soon as possible. Your dentist can figure out if the break was caused by a cavity, and if the tooth's nerve is in danger. A damaged nerve usually will require root canal treatment. A root canal treatment is not supported as the tooth is usually not accessible by the operator, and the anatomy of the root is highly unpredictable, which makes it difficult to give a predictable result after root canal treatment. In the following cases I would highly recommend extraction, a tooth with no functioning opposing, i.e. the opposing tooth is missing or you don't need it for eating. Also if the all your other teeth are sound you could extract it and take good care of more important ones."
  },
  {
    "id": 1889,
    "title": "Messed Up Teeth",
    "dialogue": "Morgin: So I am a 20 y/o male undergoing my orthodontic treatment as of now. However, I realised that my dentist (do note not a orthodontist) has not made any major improvements to the overall aesthetics of my teeth. I am not sure if i'm being paranoid or do I have an issue to be worried about. My concerns are as follows:\n\n(a) my central incisor has been rotated about 10 degrees ever since January and nothing has been done to fix that. My dentist placed a wire with a metal band (instead of a normal rubber band) to fasten it to the wire. However, nothing has significantly changed. Do I need to be worried or is there something that I can advice her to do about it?\n\n(b) I was naturally born without a lateral incisor as seen in the attached photos. However, my current dentist proposed closing the original gaps that I have (which is my current state) and to insert in a resin-bonded bridge to the adjacent teeth. However, I have my own reservations about that (i.e. natural discolourations and the possibility of the teeth looking fake or too small). Even an implant is definitey off the list because the space is too small, and I have insufficient dental bone at that specific area. I actually went to seek a second opinion and the dentist there told me that my best method for moving forward is to seek a orthodontist, which would most likely suggest to me extracting 2 pre-molars on the upper and possibly none or 1 on the bottom, and use braces to close the gaps without the need to have a bridge/implant. I am currently extremely confused and lost as to what to do and I hope I could get some help here.\n\nThanks. PlacidWay-US: In your case I really suggest you seek for a second opinion and on an orthodontist. Based on what you said your teeth is really messed up and that Gap is really noticeable. You should look for qualified orthodontist, some general dentist can refer you to an orthodontist but now ask more details. You should know and ask what will be the outcome of the procedure they will be doing and what are risks. Good luck to you."
  },
  {
    "id": 1890,
    "title": "Low Filling Question",
    "dialogue": "Gary: I have not had a tooth filled for over 13 years until yesterday when I had two teeth filled.  In the past the dentist always filled up the inside cavity of the tooth until the top of the cavity was almost flush with the surrounding tooth.  Yesterday the dentist filled the two teeth but I noticed he left a a sizable valley on top of the filling.  Is this something new?  Does it have something to do with putting pressure on the sounding tooth?  Was the dentist correct in doing this?  Will food get stuck in the valley of the tooth?  Thank you for your help. Plaza Dental Group: As  specialized in this filed, I would say that you should go to the dentist for checking  the vitality status of the nerve - sometimes when you have a large cavity or filling, the tooth (nerve) may die over time and you will have a lot of discomfort when you chew - if this is the case, you need a root canal. If you are hitting the filling incorrectly, it will prolong the sensitivity. Also, your nerve may have been affected by the depth of the restoration. Finally, sometimes when a filling is very deep, it irritates the nerve of the tooth and if this does not go away over 2 weeks to a month it is probably time for a root canal.  Next step is to go back to your dentist ASAP.  Good Luck."
  },
  {
    "id": 1891,
    "title": "Broken tooth and loose filling after root canal!",
    "dialogue": "Anonymous1992: Hi all, had a root canal done on a molar around 4 months ago, unfortunately yesterday my molar broke at the back whilst eating and part of my large filling has come loose. Problem is I go on holiday tomorrow for a week! What's the best thing to do? Can't get into the emergency dentist! By the way in no pain at all! Rabbit: That one is not good because the tooth may spoil fast especially when biting hard substances. You may end up with extraction if not repaired immediately, so the best option is to see the most available Dentist to fix that. It only takes short time and you will get the best advice after examination to assess the extent of damage- so go on and visit the Dentist next door soonest. Plaza Dental Group: As a specialist, I would like to tell you that Dental mishaps and emergencies happen every day and obviously it is important to contact your dentist immediately if you have sudden severe pain, a swollen face, swollen gums, a loose tooth, or tender gums—as these are signs of an infection or an acute abscess.  If you just broke off a significant portion of your tooth and if the tooth has a large filling, there’s a good chance the filling is secure. If the tooth fragment has broken off completely, the initial pain will often fade and you can continue your meal remembering to avoid cold, sweets and extreme heat. If the tooth breaks and your dangling cusp is being held in by your gum, go to the restroom with your ice water. Place a piece of ice against the gum where the tooth is loose for 30 seconds, being careful not to put the ice directly on the tooth. Your gum will be numb enough that you will be able to gently and painlessly remove the loose broken piece of tooth dangling by a thread (like a baby tooth that’s ready to go). If your gum bleeds a bit, bite on a tissue or paper towel for a few minutes and the bleeding should stop."
  },
  {
    "id": 1892,
    "title": "HELP: Using tea tree oil to solve dental problems??",
    "dialogue": "Concerned dental patient: Hi!\n\nI am a 30-year old guy, who has always had excellent dental hygiene (I floss and brush three times a day, and visit my dentist frequently). \n\nDuring the past few years, I have unfortunately developed gum recession. I did some research, and came across using tea tree oil. I bought it, and put a few drops in my toothpaste, and brushed with it. However, the oil itself smells of mosquito repellent spray, and my entire mouth has the same scent. I don't like it at all.\n\n2 questions...\n1. Is it worth continuing using it? Will tea tree oil regrow my gums? If so, is it better to put it on my gums using a q-tip?\n2. I am hesitant to say but what caused my gum recession was increased pressure from my dentist to use an electric brush. I used a manual brush for 28 years, and never had gum recession. Is it true that electric brushes can cause recession? Shahin Safarian: You should continue using tea tree oil as it is a herbal remedy that help in treating dental problems. Also you should brush two times a day and stop using electric brush instead of that brush manually. Concerned dental patient: Thanks! How should I use tea tree oil on my teeth? \nIs there any difference between using the electric vs. manual (as long as my technique is correct)?"
  },
  {
    "id": 1893,
    "title": "Help with my 9 year old's teeth",
    "dialogue": "Rita Doshi: My son had 2 mesiodens that were extracted by an oral surgeon last year. We found the mesiodens when his front permanent teeth wouldn't come. The dentist extracted the 4 baby teeth and after a couple of months looked closely and found mesiodens. It's been a year since his mesiodens were removed. Out of the 4 teeth, the first on his left side has erupted although I feel it's not out all the way. I see 2 in the gum. I can even see the white color thru the gums but it's been like that since last 6 months. They won't erupt. The dentist cannot find the 4th tooth. The dentist also said that the root hasn't been formed for the 2 teeth that are visible in his gums. Any advice ? Plaza Dental Group: Sorry to hear about your son's tooth. I suggest you consult an experienced pediatric dentist immediately. Pulling teeth isn’t going to help to prevent white spots at all! You need to get a second opinion ASAP. Look for an excellent cosmetic dentist to help you. As he is only 10 years old, he will have many developmental changes related to his growth, including facial and dental changes, for 10+ years. Once his growth pattern stabilizes, he will be ready for a more permanent fix like a dental implant. But until then, expect multiple dental visits to keep up with his growth and maintain his dental health. Rita Doshi: Plaza Dental Group said:\n\n\n\n\t\t\tSorry to hear about your son's tooth. I suggest you consult an experienced pediatric dentist immediately. Pulling teeth isn’t going to help to prevent white spots at all! You need to get a second opinion ASAP. Look for an excellent cosmetic dentist to help you. As he is only 10 years old, he will have many developmental changes related to his growth, including facial and dental changes, for 10+ years. Once his growth pattern stabilizes, he will be ready for a more permanent fix like a dental implant. But until then, expect multiple dental visits to keep up with his growth and maintain his dental health.\n\t\t\nClick to expand...\n\nThank you for your reply. I had posted this about 2 years ago. But since the topic has been revived, I would like to post an update. After his mesiodens were removed, 3 of his front teeth came in naturally. Fourth one still didn't. We worked with an orthodentist and an oral surgeon. He first got expanders put in for 6 months. The tooth still didn't errupt, so the oral surgeon exposed the tooth by pulling the gum above and then the orthodentist put a chain and brace to pull it down. He now has all 4 of is front teeth."
  },
  {
    "id": 1894,
    "title": "What is this that was loose between my teeth?",
    "dialogue": "Gemsi110: Yesterday I felt something between two teeth - ones a crown the other is a healthy tooth. I flossed and the below came out as one (now two bits from proding). I have no pain or sensitivity. I can't  see any chips or holes. What would you do or think it is? To top it I'm an anxious dental patient."
  },
  {
    "id": 1895,
    "title": "X-ray interpretation please",
    "dialogue": "Mark X: Patient is female, age 10.\n\nThanks. Zuri Barniv: You can't just ask for an interpretation, this is not a radiology study club. Do you have a specific question?"
  },
  {
    "id": 1896,
    "title": "Cavity at Gum line?  Help",
    "dialogue": "Adria: Hi there. I think I have two cavities...maybe? ...at my gum line. Two mollars on right bottom have dark area at gum. The gum looks a little notched out aswell and slightly swollen. The funny thing is,\n\t\t\n\t\t\n\t\n\n\n\t\n\n there isn't alot of pain just some sensitity. Any ideas what this could be? I'm a little concerned. Thanks"
  },
  {
    "id": 1897,
    "title": "My molar tooth has a hole or something",
    "dialogue": "Rabbit: I have a very sensitive molar on the right side of my jaws. it is sensitive to cold, hot liquids and sometimes to touch. I have tried to use toothpastes recommended by my dentist for sensitive teeth but it's getting worse. I think it may be wearing off slowly or has a microscopic crack/hole.\nWhat is the most appropriate remedy for such a tooth- extraction, root canal, filling? I think I should go for an xray or something. Somebody there has an answer to this- shoot before it grows taller than its brothers! Plaza Dental Group: As per your description can be a possibility of the decay reaching pulp/ nerve endings thereby giving rise to sharp pain at times. In such cases any contact with hot/cold food/beverages also gives rise to sharp pain. A tooth which hurts when exposed to cold for a longer period of time(say more than 15 seconds) or hot, is a classical symptom of pulp involvement. Your best course of action will be to seek a dentist’s advice as soon as possible who can decide the treatment plan after taking an x-ray of the involved tooth. Avoid eating, hot, spicy and hard food. Don’t brush hard or chew hard foods from that area.Keep that area as clean as possible. Try using special toothpastes instead of normal tooth pastes called sensitivity toothpaste. Use it daily with warm water (don’t use hot water) to brush your teeth. These tooth pastes contain special components which block the dentinal tubules (on teeth) that cause pain and provide relief.I hope this helps!"
  },
  {
    "id": 1898,
    "title": "Pain After Broken Tooth Filled",
    "dialogue": "pjbren: Hi Everyone,\n\nThere's a bit of history to this question: I had pain in a lower molar when chewing on certain foods for about 2 years. The pain became progressively worse, and I saw 2 dentists in attempt to find the cause. They guessed it could be a small crack in the tooth, but were unable to replicate the pain by doing various tests. The pain started to get quite a bit worse about 2 months ago. I saw an endodontist who was able to replicate the pain and determine which tooth had the crack (tooth #30). He recommended seeing my dentist and having either a full crown on onlay put on the tooth to hopefully fix the pain issue without need for a root canal. I made an appointment with my dentist, but just a few days before my appointment, my tooth broke while I was eating.  Pretty amazing timing considering I'd had the crack for about 2 years! It wasn't a huge break, basically a part of a cusp fractured off. I saw the dentist the next day, and she said she could try to restore the broken area with a filling. We made an appointment for the next week.\n\nWhile the tooth was broken, it was less sensitive to chew on, but if I touched inside the broken area, even with my tongue in the right spot, there was a very sensitive pain. The dentist had taken an x-ray and saw no decay or inflammation, but the fractured off area looked like it was pretty close to the pulp.\n\nAfter having the (composite) filling placed last week, I am very discouraged to find that I again have regular pain when chewing food with that tooth, enough so to cause me to only chew on the other side of my mouth. It's not as severe of a sharp pain as before the cracked piece broke off, but it actually happens more easily (less force needs to be applied to cause the pain). The dentist said that the tooth would likely be sensitive for a month or more, but this seems like more than post-operative sensitivity. It's not actually sensitive to cold or hot at all, only the pressure. Even just pressing lightly on the filling area with my finger causes pain.\n\nI guess my question is: what seems the most likely cause of this continued (but different) pain? Is there another hairline crack extending through part of the tooth (maybe a continuation of the crack that caused the cusp fracture, or a separate crack)? Is the composite filling pressing on a sensitive, thin layer of dentin above the nerve and transmitting pain when pressure is applied? Maybe the filling wasn't well placed?\n\nIt's seeming like a full crown is probably going to be needed to get this tooth to stop hurting during chewing. I was actually glad when the cusp broke off because I figured that was a good way for the crack to reveal itself, and that maybe a filling would be enough, but it seems like there is still a problem.\n\nThank you in advance for any input, similar experiences, or advice!"
  },
  {
    "id": 1899,
    "title": "Need some advice about a throbbing tooth",
    "dialogue": "rookie: Hello all, \nThree weeks ago, I was on antibiotics for such blinding throbbing pain in my head and tooth which was a suspected abscess (I have a deep filling in that tooth). The dentist said that it isn't dying just infected because of me having no sensitivity. I took them and felt so much better the pain went away completely. \n\nNow it's just been throbbing a little for the past couple of days just randomly and I have a little bit of pain on it (like electric shocks and normal toothache pain). It's very mild and I barely even notice it and it doesn't hurt when i bite on it or chew my food on it (although I do get the sensation that it's moving around). \n\nNow, here's the real problem I'm moving on the 3rd September and I cannot get an appointment before I move. Do I wait and call my new dentist or book an emergency appointment? I have no reason to book one as I'm not in severe pain it's just an annoyance and it worries me a bit how I'm not going to be able to get treatment in time. I'm not sure why this had to happen right now, but I guess life is a bit like that sometimes."
  },
  {
    "id": 1900,
    "title": "Last composite technics",
    "dialogue": "ZAmil517: Hi gusy\n\n\nCan anyone give me the latest composite filling technics pls ???\n\n\nThx"
  },
  {
    "id": 1901,
    "title": "Dental treatment in Europe",
    "dialogue": "tvc15: Hi, I am looking for more information about traveling into Europe from the UK for dental treatment.\n\nThe treatment in question will be crowns. In the UK this would cost too much so does anyone have any advice, tips or info on where to look to become better informed? Thank you. tvc15: Any ideas?"
  },
  {
    "id": 1902,
    "title": "How to keep a baby tooth/tooth replacement for minor",
    "dialogue": "Speuce: Hi! \n\nA while ago, when I was 12 or so, I had an adult tooth grow behind the baby tooth, my dentist referred me to some orthodontist and over the course of 8 months they looked into it, after numpurpus xrays, they thought that the tooth must be a supernumerary tooth, so it was extracted. The root for the tooth was huge.\n\nLater on we found out that they mightve extracted the adult tooth, and evenfurther it started to wiggle a bit.\n\nIve been very careful with it, and three years later I still have it, but recently, after a ball to the face, it seems to have gotten a bit looser, so I'm back at thinking about this nightmare. \n\nUnfortunately, this left-for-dead baby tooth is a lateral incisor (#7), and being a highschool student, Im not excactly looking for the nickname 'toothless wonder' \n\nI'm just wondering what options I have as far as trying to keep the tooth, and if It does fall out, what options I'd have to replace the gap\n\nAt this point, from multiple dentists/orthodontists Id have to get some type of thing that connects to the two teeth beside it to hold up a fake tooth until im old enough to get an implant. \n\nIs there anything else I can do? Ive really ran out of trust for both dentists and orthodontists, Im hoping I can get some advice from one somewhere else in the world.."
  },
  {
    "id": 1903,
    "title": "Advice from a dentist",
    "dialogue": "Gareth: Hello I've recently visited a dentist for a root canal after I had came out (hour and half later) in pain I was shocked to see that he had drilled through my gold filling to hopefully remove the root ? This was very painful even with an injection. My question is should he have done this? In that way? Surely the filling should of been removed to get to root? Thanks. Gareth: "
  },
  {
    "id": 1904,
    "title": "Root Canal, was it necsessary?",
    "dialogue": "Jethro: Back in April 2016 my dentist did a root canal to number LL1 (one of my lower front teeth), even though there was nothing wrong with it. The reason for the root canal was to alleviate many years of intermittent and very mild radial pain in LL3 that sometimes travelled along and towards the back of my lower jaw. The rooted tooth LL1 is sited three teeth away from the one one causing the trouble, which is LL3 and the dentist had a hunch that it was LL1 causing the ache because it was the only one nearby with a very small filling. However the root was not successful and is now causing far more constant pain than the tooth my dentist was trying to cure. Because I am an NHS patient I have been waiting a very long time just for an appointment to see a dentist in the Birmingham Dental Hospital.\nDue to its distant location from the troublesome tooth, is it likely that the rooted tooth was the cause of mild intermittent ache, or was the root unnecsessary."
  },
  {
    "id": 1905,
    "title": "6 upper teeth on right side .i can not feel them at all????",
    "dialogue": "TRINA: I have six upper teeth starting from the front to the back ,have no feeling at all. Feels just like i had shots to numb them.  But have not been to the dentistry in over a year. what causes this? I do get a headache after a few hours waking up in the morning. I also feel tired. My teeth on the right upper side also seen heavy. I don't see anything when i look at my gums or teeth. Can anyone help.?  ty Zuri Barniv: There could be many reasons for this ranging from benign issues like sinusitis to more serious conditions. This cannot be diagnosed over a forum. I will say your symptoms are highly unusual and I would recommend you see an oral surgeon as soon as possible.\nDr. Barniv"
  },
  {
    "id": 1906,
    "title": "Wisdom teeth and nerves",
    "dialogue": "Kendyl: So I've had a nightmare of a day today. I visited western dental this morning for an appointment that I waited 3 weeks for, just for them to tell me I cannot be seen and I would have to be referred to a specialist. From what the lady (whatever her title is I don't know, but she certainly is a hag) told me, the oral surgeon was not comfortable working on those teeth (17,32) because they are too close to the nerve. I am not a dentist and I don't know much about these things, but I would love for a seemingly more reliable source to explain what this means. They did not explain anything to me other than I'd have to be seen elsewhere after waiting 2 hours this morning and the past 3 weeks. I did call their corporate office to complain about my treatment. Not only that but the never prescribed anything for my pain or infection but that's irrelevant. Needless to say I'll be going elsewhere from now on. Attached is a copy of my x-ray that I managed to obtain. Zuri Barniv: There is a nerve that runs under these wisdom teeth that goes to your lip and chin (look up \"inferior alveolar nerve\") to find out more. Your teeth are very close to this nerve which makes injury to it especially risky when taking them out. \nHope that helps,\nDr. Barniv\nFYI - you may also have an infection to a root canal that was done on the lower right #29 that you may want to look into as well."
  },
  {
    "id": 1907,
    "title": "Help!",
    "dialogue": "Deborah Murphy: Hi I am new here. I belong to a dental clinic as I lack dental insurance. It is associated with our local hospital. Every filling I have only lasts 4 to 6 months.  I am so depressed. I deal with many autoimmune illnesses. At first I wanted to believe this was associated with one of them that causes dry mouth. I treat that Faithfully and if that were the case the other fillings that are 15 years old and done when I did have insurance are perfectly fine. I somehow feel they may use a lower grade material? With everything else I cannot bear to lose my teeth. I have a dislocated jaw which makes the work challenging as it is let alone going back over and over and over again. I'm thinking of calling the Americans Dental Association to maybe get some ideas from them but if anyone here has some sort of clue for me that would be greatly appreciated. I live alone on disability grateful for everything but I just do not have a lot of money for dental work. Thank you again"
  },
  {
    "id": 1908,
    "title": "Should I remove my upper wisdom teeth?",
    "dialogue": "Abram Tai: Should I remove my upper wisdom teeth?\nTwo days ago I removed my bottom left wisdom tooth due to infection. I didn't remove my bottom right one because I don't have insurance yet. I'm going to remove the right bottom one within 3 months, when I get insurance.\n\nHowever, the staff in the dental clinic told me I don't have to remove my upper teeth, just the right bottom one. I'm not sure if it's true? Because I don't wanna go through this three times..\n\nMy X ray picture : http://imgur.com/vZTwXKn\n\nThanks !"
  },
  {
    "id": 1909,
    "title": "Need advice on crowns on front two teeth",
    "dialogue": "lori726: I have very large filling on my front two teeth and I am getting crowns placed on them. My dentist has suggested getting four crowns instead of just the two because he feels it will look better cosmetically. The teeth on each side on the from teeth will be crowned as well. These teeth also have fillings but not noticeable ones. I would like the most natural looking smaile. I don't want the two front teeth to stick and and look fake. However, I feel a little stressed about doing all four. I was just thinking I would do the two with the large fillings. I would like advice on whether I would get better results doing all four or if I do just the two front teeth with the large fillings is it possible to get a natural look. Thanks"
  },
  {
    "id": 1910,
    "title": "How to correctly read a panorama X-ray image",
    "dialogue": "saquiwej: Hello,\nI am looking to some knowledgeable people who can read this x-ray image and explain certain details to me. I can't really figure out how my dentist can decide on the basis of this photo, that a tooth has to be extracted.\nThank you in advance for your time."
  },
  {
    "id": 1911,
    "title": "Orthodontist said roots are straight BUT",
    "dialogue": "RichardJim: ...my teeth still doesn't look straight. Will composite filling help make my teeth look straight? \n\nI've had braces for about 19 months now. My orthodontist said in the beginning of the process that it could take up to 18 months... I'm at the elastic rubber band stage to help straighten my midline.\n\nAnd why are my bottom teeth small? Is there anythkng I can do to them to make them look normal?"
  },
  {
    "id": 1912,
    "title": "Dental Question (Pls advise)",
    "dialogue": "Albert12345: Quick question and would appreciate your input...\n\nMy dentist gave me treatment plan of a RCT for 2 and Implants for 30 and 31. At the moment 29 and 30 (30 is infected - the crown/rct failed) have a crown (bridge). Tooth 31 was extracted 3 years ago and I never went back for the implant. He says I need an implant on 31 otherwise 2 will fall off over time since there is no tooth to support it.\n\nHe also said an alternative is if I dont want an implant at 31, then to extract 2 because there is no real point of a RCT since the tooth will eventually fall out. Therefore the only implant would be on 30.\n\nMy question is as follows: \n\n1- Should I extract or RCT 2 if I am not doing an implant on 31?\n2- What if I extracted 2 and 30 to avoid any implants?\n\nThank you."
  },
  {
    "id": 1913,
    "title": "Alternatives to Flossing",
    "dialogue": "thetoothsayer: What do you think is the best alternative to using traditional dental floss?\n\nWater flossing? thetoothsayer: I answered my own question and wrote this article \n\nhttp://thetoothsayer.com/waterpik-vs-flossing/"
  },
  {
    "id": 1914,
    "title": "Which sort of a person fits to be a dental nurse? Would love to see answers from the dental field",
    "dialogue": "alpacka: Im clearly clueless and have nobody to ask about this. Im in my early 30s and have already a education in computer science but I feel that I want to do more in a practical field,, I would love to be in meds because I love science so I have been thinking about being a dental nurse (dentist is too long education for me and too hard also). I am a person that changing my mind alot, I get  easily bored and constantly want to do things, waiting is something thats hard for me. Rolling my thumbs is something that makes my feel really anxious on work so thats impossible, I rather be unemployed then bored. \n\n\nI would LOVE to know what type of person fits as a dental nurse and what type of person that doesnt´? Im very close to say yes to the education but would love to hear first of all some thought about this.\n\nIm a bit Adhd/aspergers person, what I mean is that I need alot of stimulation for my brain even if Im calm on the outside. I can focus really good when Im interested in something and put all my time on it but also get frustrated when Im bored. Nobody see my inner frustration but I can feel it and thats almost the only reason why I quit jobs (frustration and boredom)\n\nI can see blood without feeling bad, I have no problem with disgusting things like pukes or other things other think is too much but I cant handle skin diseases (rare conditions when the skin falling off, thats the worse) and I suffer from trypophobia. I can look at pictures of  trypophobia (many of these are just fakes) but real once I think I could never handle, my brain get too overwhelmed and I feel dizzy. Sarafbt: Hi. \nI'm a practice manager and for me a dental nurse has to have the following qualities along side the education:\nEnthusiasm, compassionate, kind, great listening skills, accuracy, fast working, sincerity, hard working, flexible towards working hours, can do attitude, ability to work with everyone, and a positive outlook on life. Nursing is a challenging (and sometimes thankless) job. The patients need to trust you, and will often ask you about treatment plans after the dentist has finished (patents see you as more human than the dentist!) The dentist rely on you to be quick and accurate when in surgery and you have to be organised and able to plan ahead. You'll have to be able to handle all different personalities,  from difficult and terrified patients to colleagues that are focused and driven to the down right rude people. You liase between dentists and reception - so being part diplomat helps too! Its a challenging position in the practice but a great nurse is worth her weight in gold!"
  },
  {
    "id": 1915,
    "title": "Advice 3 year old extraction",
    "dialogue": "Andresc: hello everyone,\n\nOur nightmare started a year ago. We went to the dentist they found cavities in two of her upper molars..\nThe pediatric dentist told us they would like to do a pulpotomy and put crowns on both, this happen in January.\nFast foward to May, my daughter started to complain about toothache (complain as irritable, cranky) so we decided to take her back to the dentist they told us they didn't see signs of infection, but to make sure they wanted to prescribe Amox.\n\nWe did that for a week. The pain was still present since she was still bitting down, and cranky at times. The dentist was hesitant and she said to wait it out see whay happens, happens two days later my daughters gum around one of the molars was completely swollen, you could barely see the crown at this point. I called them, they said there was nothing else they could do we took her to the Emergency room and well they had to papoose her and giver her a sedative, the tooth was infected and so they extracted it.\n\nIt has been almost 3 weeks since this happen, but for some odd reason my daughter keeps bitting down like it hurts her, there has been times she says it hurts..\nWe took her back to the dentist they said her gum was healing, nothing to worry about, they also said she had no cavities..\n\nBut im worried about the fact the gets cranky at times, and keeps bitting down like something is painful in there.\n\nI guess my question is: is this normal? Is the recovery painful? What else could it be?\nI'm sorry for how long this post is, thank you for reading. Zuri Barniv: You need to go back to (probably a different) pediatric dentist to have a look. But after an extraction it can take about 2 weeks before the gums heal, so since it has been 3 weeks, you need to have it looked at. You also can't take out the baby molars and then do nothing, because nearby teeth will tip into that new space and prevent the adult tooth from coming out. You need something called \"space maintainers\", so again, you need to go find another pediatric dentist to help you. Andresc: Zuri Barniv said:\n\n\n\n\t\t\tYou need to go back to (probably a different) pediatric dentist to have a look. But after an extraction it can take about 2 weeks before the gums heal, so since it has been 3 weeks, you need to have it looked at. You also can't take out the baby molars and then do nothing, because nearby teeth will tip into that new space and prevent the adult tooth from coming out. You need something called \"space maintainers\", so again, you need to go find another pediatric dentist to help you.\n\t\t\nClick to expand...\n\nHello, thanks for your input. \n\nWhen we took her they told us, everything was fine i asked them if there was anything else to be done as far as the extraction site and they never mentioned a spacer, so yes I'm going to look into another dentist.\nAlso she says it hurts, today again i took a look and the hole seems smaller but still open, is that normal? \n\nThank You Plaza Dental Group: Your daughter is much too young to have these problems. It sounds like she and her parents would benefit from being instructed by the dentist on how to care for her teeth. Eating habits and food choices may also be involved. Pain is not a reliable indicator of anything. The best method for dealing with controversial recommendations is to simply get a 2nd or 3rd opinions from other dentists. She needs to see a pediatric dentist for treatment. It may be worthwhile to investigate the possibility of using a dental sealant on her remaining healthy teeth."
  },
  {
    "id": 1916,
    "title": "Crown/Root canal question",
    "dialogue": "aroundteeth: Hello,\n\nI've been having pain/swelling on a tooth the past few days that has a crown. This also happened about 5 months ago but after I saw the dentist (who recommended a root canal) the pain subsided so I put it off. I had the crown put on about a year and half ago. I don't remember the reason but apparently I had a cavity and too much of the tooth was gone to fill. My question is, should the dentist have done the root canal back then before he did the crown? The reason I ask is because now I'm going to have to get rid of a perfectly new crown (well, it wasn't perfect, I still had pain sometimes when eating hard foods) and now have to buy a new one. Thoughts? \n\nThanks Dr David Lee: Hi aroundteeth,\n\nSorry to hear about your situation. Let me see if I can shine some light on it based on the information that you gave me.\n\nWhen there is a large cavity, we have to remove the cavity before proceeding with restoring the tooth with either a filling or a crown (for bigger cavities). At the time of removing the cavity, we may not see the pulp (nerve) of the tooth exposed, which is a good sign. However, it is possible for a root canal to be necessary in the future, since the cavity was NEAR the nerve. This could happen at any time, and is unpredictable.\n\nIf the cavity is close to the nerve, you could preemptively do a root canal, but most people would opt to not do this and take their chances. \n\nMost of the time, a root canal can be performed through the crown, and the access hole can be filled with a filling. Therefore, a new crown is often not necessary.\n\nHope that helps and answers your question!"
  },
  {
    "id": 1917,
    "title": "Do people with a chipped/filled tooth have to eat very, very carefully?",
    "dialogue": "ForMe: Two months ago, I chipped my front incissor tooth.  Obviously visible.  The dentist smoothed it, but I felt self-conscious about smiling or talking to others.  It looked bad.  After three weeks, I went back to the dentist and asked that it be filled.\n\nThe dentist warned me that a resin filling would break off if I chewed on it or bit food with it (because the filling would be thin).  Also, it's considered a cosmetic procedure so my dental insurance wouldn't cover it.  Several hundred dollars paid upfront.  If it breaks again, then I would have to pay all over to have it re-filled.  I signed that disclosure and then the dentist filled the chipped tooth.  Tooth looks good now, and I'm confidently smiling and laughing again.\n\nExcept, now I can't eat in front of anyone.  Because I can't use my front incissor teeth,  I have to cut up my food into bite-sized pieces to place under the molars by the cheek.  No more am I able to eat foods by hand - like pizza, burritos, apples, bagels, sandwiches, etc.  I have to place pieces of food in my cheek area with a fork.   And when I'm chewing, I look like an olden-day baseball player with a cheek full of chewing tobacco. Big effort to eat, and embarrassing to have others see it.  I look weird eating a slice of thin crust pizza with a fork & knife!\n\nDo others who have chipped & filled their incissor teeth eat very, very carefully? Dr David Lee: Hi ForMe,\n\nComposite/resin fillings are commonly done for small fractures or the front incisors. While it is possible for resin fillings to chip or break, they have the potential to last a long time.\n\nIf the chip is very small, they tend to be less durable. Foods that have bones (such as chicken wings/ribs) are most likely to break any fillings on your incisors since you are putting alot of force on those teeth.\n\nIf the filling is chipped or fractured, you can have it replaced. ForMe: Thank you for your reply.  Yes: if the filling breaks by me chewing with it, the filling can be replaced.  Except its not covered under my dental insurance and the cost is several hundred dollars.  That would be one expensive slice of pizza if it breaks the filling!\n\nJust wondering if most people with small chips try to avoid chewing on that filled tooth (less durable).   Eating this way takes a lot of effort, isn't very pleasant, and it looks awkward to others.\n\nOr, do most people just chew with the filled tooth and risk prematurely breaking the filling? Dr David Lee: I am not sure which insurance company you are with, but resin fillings on anterior teeth are usually covered in my experience. Did your dentist try to claim the filling through your insurance?\n\nIt is very difficult to avoid chewing on that tooth specifically. The best thing is to avoid chewing the foods I mentioned in my last reply that are more likely to break the tooth. ForMe: Dr David Lee said:\n\n\n\n\t\t\tI am not sure which insurance company you are with, but resin fillings on anterior teeth are usually covered in my experience. Did your dentist try to claim the filling through your insurance?\n\nIt is very difficult to avoid chewing on that tooth specifically. The best thing is to avoid chewing the foods I mentioned in my last reply that are more likely to break the tooth.\n\t\t\nClick to expand...\n\n\nThe dentist office checked with my dental insurance.  They wanted an xray to prove the filling was medically necessary to have the filling covered.  Otherwise, my dental insurance considers it a cosmetic procedure.\n\nIn the meantime, I will avoid eating food with the filled tooth and look for a new dental insurance plan for the next open enrollment. Dr David Lee: ForMe said:\n\n\n\n\t\t\tThe dentist office checked with my dental insurance.  They wanted an xray to prove the filling was medically necessary to have the filling covered.  Otherwise, my dental insurance considers it a cosmetic procedure.\n\nIn the meantime, I will avoid eating food with the filled tooth and look for a new dental insurance plan for the next open enrollment.  btw, I see you\n\t\t\nClick to expand...\n\n\nThat is unfortunate that they will not cover that type of filling.\n\nGlad that I could help!"
  },
  {
    "id": 1918,
    "title": "Is this much erosion of gum normal?",
    "dialogue": "Erosion: I have a single tooth that has more gum erosion than any of the others.  I emailed my hygienist who is 30 miles away and told her about it just 2 weeks after my 6 month appointment.  The reason I'm so concerned about it is because she had pointed out that the tooth with the most gum erosion had a pocket of 6mm, and it the 6th tooth from the left on the bottom. But look at the 3rd tooth visible from the left and you can see it's much worse.  Almost as much root is visible as there is tooth!\n\nAnyway, she responded that she'd have to know exactly which tooth it was, so I replied by sending the picture of it so she could see.  I got no reply, so I sent it again and got no reply.  My next appointment is 5 months away and I don't want to wait that long to get an answer.\n\nSo what do you all think?  Should I be concerned?  It just seems strange that the 3rd tooth has more erosion than the 6th, and yet I was told the 6th one is the worst.  Could this much erosion of the gum have happened just 2 weeks since my appointment? Plaza Dental Group: By viewing your snap, I would advice that Overzealous brushing can cause damage to teeth and gums.Note that the gums have receded and the roots, which are now showing, are also being abraded. You don't have to worry about that, but they can be indicative of periodontal disease. If this is the case, there are many treatment options such as simple cleanings or scaling and root planning.  Make sure you are brushing not scrubbing. Erosion: Plaza Dental Group said:\n\n\n\n\t\t\tBy viewing your snap, I would advice that Overzealous brushing can cause damage to teeth and gums.Note that the gums have receded and the roots, which are now showing, are also being abraded. You don't have to worry about that, but they can be indicative of periodontal disease. If this is the case, there are many treatment options such as simple cleanings or scaling and root planning.  Make sure you are brushing not scrubbing.\n\t\t\nClick to expand...\n\n\nThank you for responding to my post!\nI used to have periodontal disease in the past, but my hygienist has been telling me lately that I've been doing a good job for the last few years.  She's noted gum recession but thought it was normal with age, and also because of the fact that I had braces from when I was 34 until I was 36.  I'm 45 now and still use retainers.  I also have decalcification of teeth along the gum line and plenty of fillings.  I didn't realize that the roots are being abraded.  My hygienist hasn't said anything about that.  But that corner tooth seems to have the most gum recession and she didn't mention that at all, and now it has me concerned.  Do you have any idea why that one would especially have so much more recession?"
  },
  {
    "id": 1919,
    "title": "Cap splints to prevent dental caries!?",
    "dialogue": "Sid: can we use cap splints as a way to prevent dental caries in healthy pedodontic patients? will there be any complications if they wear it while eating?"
  },
  {
    "id": 1920,
    "title": "Unexplainable pain!",
    "dialogue": "Brian Wasserman: Hi, I'm going to try to keep this short. I had a baby tooth removed and braces put on at roughly the same time. Shortly after my premolar next to the extraction site abcessed. I received a root canal and my dentist says he sees no more sign of infection but I'm still in pain. The pain can be described as sharp and intermittent, located in the jaw around the root and shooting into my ear. Please tell me what's going on. Brian Wasserman: I should say the second image is several months after the root canal was done. Plaza Dental Group: As a dentist, I recommend only after the properly diagnosis of the patient. Try not to get upset with your dentist. The reason you may be still experiencing pain is due to \"dry socket\". This is very painful and does last for a bit of time. Next time you see your doctors ask about any antibiotics, there may be more involved in your case. If you are now experiencing pain on the other side, seeing and oral Surgeon may be a good idea. You should apply an ice pack on the skin over the extraction site 20 minutes on and then 20 minutes off for the first 6-8 hours. Eating soft foods. Once you feel like you can chew those without any pain, then it’s probably alright to move on to harder foods. If you feel pain, that’s a sign that you need to back off and let your tissue heal some more. Your dentist/oral surgeon can give you more information about any special precautions you need to take depending on how your surgery went. I hope that helps. Good luck."
  },
  {
    "id": 1921,
    "title": "Tooth Extraction, post care",
    "dialogue": "AdamK1989: Hello\n\nI am new to this site and  am looking for some support and reassurance before I slowly go mad with worry!\n\nI had a tooth extraction last Thursday so I am not on day 6 post extraction. While most the gum has healed, I am still getting some slight pain, (also some spurts of intense pain which last about 20 minutes) that happens about twice a day. \nAlso the gum is still quite sore, \n\nI was not given antibiotics, but I fear I have an infection. I am NOT in unbearable pain nor have I had any fever or bleeding, but I'm still worrying as the site looks like it has yellow in it!? Is this normal? Also just below the site, I have a little indent that has some yellowish colour in it (could be an ulcer?) \n\nAlso when I have touched the site with my tongue, I get a very strange taste in my mouth, \n\nI have attached a picture to help with my description,\n\n\nAny advice or support would be greatly appreciated!!\n\nThank you in advance\n\nAdam"
  },
  {
    "id": 1922,
    "title": "Had a cold and been sick for the past weeks..",
    "dialogue": "kathy jo: i had a cold or virus in my lungs and head cold pretty for the past 2 weeks and had antiboditc but not even close to be `100 % better.... i better but not completely still having to clear my nose and throat...and i am suppose to have 5 teeth pulled in about 3 days... on friday.. today is tuesday... should i go ahead and keep the appointment or change it to when i should be more well... i am also diabetic type 2 so everything takes longer to heal...?"
  },
  {
    "id": 1923,
    "title": "should this filling be replaced?",
    "dialogue": "patanjali: Though I'll be seeing my regular dentist in a few weeks for a routine checkup, any input received here will help me to get the most out of that meeting.\n\nI have a white filling on #24, done by my previous dentist. The tooth had chipped on the back side, though the filling may also be visible from the top.\n\nIt may be relevant that a fair proportion of fillings done by the previous dentist had failed early on, though this was not the case with the filling on #24, which has been there 2 - 3 years.\n\nAnyway, I have started to feel sensations in the tooth--not always, but much of the time. This has been going on for at least a month. Nothing painful so far, but I wonder if perhaps the filling should be replaced.\n\nFound a good article which indicates how hard it can be to tell when fillings need to be replaced: http://www.dentistrytoday.com/diagnosis/979. I could be missing something, but don't notice any obvious discoloration in the tooth or cracks in the enamel (two criteria mentioned in the article).\n\nI imagine my current dentist will take x-rays and look carefully at the tooth.\nBut I wonder:\n\n1. In the absence of x-ray evidence or visible signs, would it make sense to replace the filling now just based on the sensations I feel?\n2. Is there much risk of damage to the tooth if the filling is replaced?\n3. If I do nothing now, and the sensations turn into pain, then what would my options be at that time?\n4. Any other thoughts?\n\nThanks very much for any input!"
  },
  {
    "id": 1924,
    "title": "Nerve pain",
    "dialogue": "Montgomery28: I am having a lot of trouble with an upper crown that was recently taken out and cleaned and put back in and also have a temporary brace to correct my jaw going sideways - I have hyperflexibility. I am getting increasing amounts of nerve pain near this crown and despite meticulous cleaning routine - I am now getting neuralgia and ear ache as a result and cannot eat anything too hot or cold. My dentist is wonderful but cannot see anything wrong with the root or the nerve but I am at my wit's end with the pain. Would this be a case for another specialist dentist or a hospital or ENT situation? I have taken the brace out for a week just incase it is the pressure on the nerve but has made no difference. Advice please? I am in the UK by the way and so NHS is an option. Suraj Patel: Hi Montgomery28,\n\nMay you please answer the following questions;\n\nWhat is your age? Which tooth is it that has the crown? How long have you been experiencing pain in that area? Is it a constant throbbing pain or does it come by sharp and intermittently?\n\nThank you"
  },
  {
    "id": 1925,
    "title": "What was this instrument called?",
    "dialogue": "Blank_276: There's no specific reason for this post, but I am curious. When I was a kid (early 2000s), the dentist I went to used two different kinds of local anesthesia for cavity fillings: a syringe (which I assume was Novocaine), and this... thing. He called it a \"pop gun\", probably to try to make it sound cute. It looked kind of like a dental drill without a bit and had two little holes at the head. Rather than inject something in the back of your mouth, it made a click followed by a very sharp sting. Not sure if it's just me, but whatever it was seemed to render the Novocaine useless, so I felt everything.\n\nThe reason for my curiosity is that no dentist I've gone to after him ever used this contraption for cavity fillings, just nitrous oxide and Novocaine. Come to think of it, he used this lengthy cavity filling technique that I never encountered at any other dentist. Anyway... Does anyone here know of this instrument, and maybe why it isn't used anymore? Zuri Barniv: Have no idea, but it may be a \"Ligmaject\". Look it up and see. I use one all the time and it should not sting or hurt. Also, no one uses Novocaine, that's just from the movies. 99% of dentists primarily use Lidocaine."
  },
  {
    "id": 1926,
    "title": "Introduction",
    "dialogue": "Micheljames: Hello Everyone,\n                           I am new here in this forum. Zuri Barniv: welcome"
  },
  {
    "id": 1927,
    "title": "Can not tolerate upper denture",
    "dialogue": "Willow: I lost my teeth due to years of certain medications. I've struggled for years, spent thousands of dollars and lost them in the end. I'm not only just sick about it. I can not tolerate this chunk of plastic in my mouth. It's so thick and ill fitting. Are there any alternatives? I've heard of \"horseshoe\" dentures or also called \"4 on 4\". The cost my dentist quoted me was outrageous.I could never afford something like that.  I'm looking for a new dentist as he doesn't seem to take my opinion into account. The teeth in this denture look nothing like my teeth had before and I had always been told I had a nice smile. I not only can not stand the way it looks, I just can not tolerate the way it feels. I have a hard time with speech also. I am so miserable, any advice would be appreciated. Thank you. Zuri Barniv: Consider getting two implants placed which the denture can attach to and perhaps some of the plastic in the palate area can be removed. Around California, a service like that is still very expensive but much MUCH less than the \"all on 4\" option you mention"
  },
  {
    "id": 1928,
    "title": "Has anybody considered dental outreach clinics in Kenya?",
    "dialogue": "Lysander: Hi, and sorry for hijacking your forum. \n\nI am a general practice nurse who for the past 5 years have been taking part in healthcare outreach clinics in rural Kenya. These are for 2 weeks and generally occur in November.\nWe have been working with local Kenyan staff for the past 3 years and last year we were lucky enough to take along a UK dentist too. The two of them worked really hard, in an area of malnutrition and where dental hygiene is taught but toothbrushes are scarce. They managed about 150 extractions in 6 days, mostly for severe caries and abscesses.\nOur UK dentist is unable to join us this year, and she will be sadly missed by us nurses and the community.\nWould anybody consider joining us? \nWe travel with Camps International, the trip costs approximately £690 with flights, visas and vaccinations on top.\nHere is a video explaining what we do.\nIf anybody would like further details please contact me directly."
  },
  {
    "id": 1929,
    "title": "Need to spit in the morning",
    "dialogue": "whatever61: Hello all, \n\nI have a problem for a long time already.\n\nEvery morning my mouth is full of saliva that I need to spit. If I don't spit it just feels disgusting in my mouth. Swallowing it is also disgusting.\nBefore that I used to have bleeding gums for a long time (and now I still have a bit of inflamed gums). It used to be even worse, because I had a lot of blood in the saliva in the morning. Now my gums don't bleed but still in the morning I need to spit, otherwise I can't continue sleeping.\n\nWhen I start spitting it's mostly white, but a bit reddish (perhaps a little bit of blood that makes it disgusting?)\n\nBut now when I brush teeth my gums don't bleed anymore. When I floss also not. Dentists clean my teeth every half a year and I try to keep a good hygiene.  Two dentists said that my gums are a bit inflamed but they are OK and there's no actual problem. That it's normal.\n\nMy question is: is that a common thing to have a disgusting saliva in the morning? or maybe I am just used to have a disgusting saliva so it's automatically disgusting for me? \n\nYes, I can drink a juice or something in the morning. But that's not solving the issue.. \n\nAny advice?\n\nThanks whatever61: Anyone?"
  },
  {
    "id": 1930,
    "title": "Strange problem with severe pain.",
    "dialogue": "zogthegreat: Hi everyone!\n\nI have had a strange dental problem with teeth numbers 5, 6, and 18 for about the last 5 years. These teeth are causing severe and at time blinding pain with changes in air pressure. All teeth have had root canals that were delayed for a varity of reasons and when the root canals were performed, the roots were necrotic/half dried out. The pain in teeth 5 and 6 were initially diagnosed as trigeminal neuralgia, however I have none of the symptoms of trigeminal, other than the pain being in the general area of the trigeminal nerve. This pain, (5 and 6) would spread in a line, #5 going up my face, through the eye socket and into the scalp. #6 would go from the tooth along my cheek and into the back of my head. I finally convinced my dentist to extract #6 and that line of pain stopped after the extraction. #18 doesn't bother me that badly, it seems to just go down into my jawbone and not spread out.\n\nI have seen several dentist as well as a neurologist who have not been able to figure out what is going on.\n\nDoes anyone have any suggestions to what I should look at next? I really would like to avoid having #5 pulled, but the pain is getting to be too much. Plaza Dental Group: I would suggest that you find an oral surgeon since you have pain and swelling.  It’s important for you to have a complete oral examination to determine the cause. Other causes of a toothache can include the following: Infection, Gum disease, Grinding teeth (bruxism), Tooth trauma, an abnormal bite. TMJ/TMD (Temporomandibular Joint Disorder), sinus or ear infections, and tension in the facial muscles can cause discomfort that resembles a toothache, but often these health problems are accompanied by a headache. Find a good dental clinic and get proper treatment for your toothache. Hope this answer will help you. Good luck."
  },
  {
    "id": 1931,
    "title": "Advice on RDH programs",
    "dialogue": "cm232: Hi, I am not sure if I am posting in the correct area but I have a question that I believe is best to ask dentists.  I am interested in becoming a dental hygienist and am curious as to what dentists opinion are towards Carrington College graduates.  Has any RDH graduates from Carrington college worked in your office and if so what is/was your opinion of their competency? Also if you have not previously employed a Carrington College graduate is there any stigma preventing you from doing so?  I hope to get some honest replies as I am interested in attending this school and wanted first hand opinion of the quality this program provides.\n\nThankyou"
  },
  {
    "id": 1932,
    "title": "Broken front tooth ?",
    "dialogue": "ConcernPatient: My english are quiet bad , so please bear with me . I think the my front upper tooth are a bit broken on the front , is it something to be concern about ? I couldn't find anything about it online .\n\nThe tooth are perfectly fine except for the front part where it has break off a bit .\nI think it look somewhat like the pic below , except not with the same severity and is not chirped .\n\n\n\n\n\n\n\nthanks you for checking this thread out PlacidWay-US: Hi @ConcernPatient if you will ask me I think you need to have a dental crown -  Crowns are custom fitted over a tooth that has been broken. Usually made of porcelain or acrylic, they can be fused to metal and slipped and glued over broken or damaged teeth. You need to see your dentist but probably crowns will be needed to repair that tooth or veneers will also do. Good luck to you! mikebs: I agree with @PlacidWay-US fullmouthdentalimplants: First you go to your dental specialist as quickly. Otherwise, your tooth could be damaged further or become infected, possibly causing you to end up losing the tooth. \n\nIn your teeth little bit of polish severed, the repair should for the most part be possible just in one office visit. A seriously harmed or broken tooth may require a more protracted and expensive methodology. \n\nyour dental specialist may repair the harm with a filling. On the off chance that the repair is to a front tooth or can be seen when you grin, your dental specialist will probably utilize a strategy called holding, which uses a tooth-colored composite resin. Elizabeth Darden: Hi, i am \nElizabeth Darden\n\nI think your first step is go ahead your personal dentist and tell him your front upper tooth are a bit broken on the front. Because it create bad impression on your face. So i recommended a suggestion, you consult your personal dentist."
  },
  {
    "id": 1933,
    "title": "Fear of clindamycin",
    "dialogue": "Lynn: Found out last week that I need to have a molar extracted and an implant done.  I'm fine with the implant as I've already had a couple of those.  The problem is that the dentist wants to put me on clindamyacin since there is an area showing on the X-rays that she suspects has some infection.  She tested the tooth and it has no sensitivity to hot or cold so she said the tooth is dead.  I haven't had any pain since last week just a vague \"off\" feeling in my upper jaw.  I absolutely hate antibiotics!  I'm allergic to penicillin and everything else just throws my body into chaos.  I had a doctor give me  cipro one time and it gave me hallucinations.  So I'm staring at this bottle of clindamyacin trying to get the courage to take it.  I don't see the implant dentist until next Tuesday and can't call him since he's out of town until then.  Any help on getting through this?  Thanks."
  },
  {
    "id": 1934,
    "title": "Weave development, Feedback needed!",
    "dialogue": "AustinAHatch: Hi, everyone! \n\nI'm pretty new here, but I'm beyond excited to be a a part of this community! \n\nWe have been working on some really great projects over at Weave to help make your day-to-day a lot easier. \n\nWe are currently developing a free mobile app and making some changes to our old system. I need some opinions and I would really love to give anyone who might be interested a quick look at it and get some feedback about what we can do to make it better and see if anything can be added or changed to better suit your needs. \n\nfeel free to contact me in the comments or send me a personal message if you would like to help out. Any feedback is appreciated. \n\nthanks a million! \n\n-Austin"
  },
  {
    "id": 1935,
    "title": "30 year old cavity in front teeth",
    "dialogue": "Paulette: I have a 30 year old cavity between my front teeth.  It is miraculously not visible from the front.  You can only see it if you use a mirror and look behind my teeth.  I have had dentists up and down the East Coast of America try to get me to agree to having it filled.  I have always said no, since I was 15 years old.  Keep in mind, the cavity is still not visible when I smile and hasn't grown hardly at all. Why?  I don't understand that?\n\nRecently, I found a fabulous dentist and he also insists that a filling is the right thing to do.  The problem is that I really trust his work, and I have an appointment set for this 30 year cavity.  I am having panic attacks about it, and I would like for someone to clearly outline specific answers to help me keep focused on what is the correct thing to do.  Please and thank you!\n\nWhat are the risks if I have it filled?\nWhat are the risks if I don't have it filled?"
  },
  {
    "id": 1936,
    "title": "Identify: Absess/Ulcer in Roof of Mouth",
    "dialogue": "arupton: Please help me identify this...feels like when you chomp down on a chip with the roof of your mouth, constantly. My bottom teeth line up with it as well, so it's always being aggravated. Any ideas of what it may be and how to treat?"
  },
  {
    "id": 1937,
    "title": "missed Incisors",
    "dialogue": "Ahmed Hanafy: My daughter have 5 Years and 2 month she didn't have the incisors teeth till now\nI make a panorama for her teeth\nPlease till me from her panorama if the will have the incisors with her permanent teeth or not ?\nand if not what can i do for her ???\nthanks"
  },
  {
    "id": 1938,
    "title": "Please help me with my teeth.",
    "dialogue": "Glen: I've been having these ugly teeth for many years now. Any home solutions for this? If I'll go to the dentist, what will I say? And how much will it cost to repair these? As you can see my three front teeth has white build ups. The white build up on the two main front teeth is on the outside since I can feel it when I touch or feel it with my tongue. Unlike on the other one, which is on the right side, it seems to be on the inside. Please help me guys, this is so embarrassing. I dont even wanna go to the dentist because I don't know what to say."
  },
  {
    "id": 1939,
    "title": "How much will it cost approx to fix a front chipped tooth, oh, and can any dentist do the work ?",
    "dialogue": "RightBoy91: I am 24, I think my front tooth got chipped about 12 years ago after I was hit by a car.\n\nIt has only recently begun to bother me much more. \n\n\nI just wondered, how much will it cost approximately to repair a chipped front tooth ( only a small chip ) oh, and can I seek out any dentist to do the work or must ti be the dentist with whom I am registered with ? \n\nthank you PlacidWay-US: Hi @RightBoy91, if the dentist in your locality can do the job then go for it But if not there is no issue having it done with other dentist. Also since your problem is chipped tooth you may need dental bonding, it is a cosmetic dentistry procedure. But first your dentist will examine your teeth in order to choose the correct type of composite resin color that most closely matches to the color of your existing teeth.  In most cases, the dental bonding procedure may take anywhere between 30 and 60 minutes per tooth. To give you an idea dental bonding helps restore strength, fill cavities, and repair cracks, chips or gaps found in the teeth. About the cost depending on geographic location, average dental bonding costs roughly between $100 and $400 per tooth, though in most locations, the average ranges between $300 and $600 per tooth. In locations such as India, dentists in Delhi, Mumbai, and Goa may charge between $20 and $50 per tooth. Hope this helps good luck to you."
  },
  {
    "id": 1940,
    "title": "Can I seek out any dentist to work on my teeth or only the dentist with whom I am registered with ?",
    "dialogue": "RightBoy91: If I wanted dental work on my teeth can I see out any dentist that I like or must I consult only the dentist with whom I am registered with ?\n\nMany Thanks PlacidWay-US: @RightBoy91 I don't think there is a need for you to stick on an single dentist sometimes it is good to have a second opinion. There are some Dentist which provide their service at a very high price but failed to give your desired result. I am saying this in general since there are really cases like this. There are also some cases which you are registered to your local dentist but they don't have the capability to do some dental works so your other option will be to look for another one. This is true especially to medical travels who go abroad for some dental works which they can't have in their own country."
  },
  {
    "id": 1941,
    "title": "Can someone please help me? I'm terrified",
    "dialogue": "Erinlynn: For the last 8 months my boyfriend has been battling tooth pain. Well more like agony. It took several months of seeing dentists, oral surgeons, a tmjd specialist, and going to a medical center in Boston to get a very unhelpful answer. What was explained to him was that there was a combination of causes that lead to this pain. He had braces as a kid which they said caused him not to be able to brush right, he grinds his teeth in his sleep and he just has overall sensitivity. We weren't really happy with that answer but we took it and ran with it because it was the only thing we had to work with and this was really starting to ruin his life. By the point that we got this answer he had already had to drop out of school because he couldn't handle the stress, pain, and waking up early when he could barely sleep. Once this answer came about he got a mouth guard to sleep with that he always used. They gave him a low grade long term pain medication to be on. He was using special tooth paste and taking perfect care of his teeth, He was doing fluoride treatments and baking soda mouth rises to help. He cut everything bad for your teeth from his diet. well what ever was left of his diet.. He was always using straws, drinking mostly water, watching the Ph balance of his mouth. His teeth look perfect. They are white and straight and they say even his xrays look pretty good. He was doing everything in his power to get ride of this terrible god forsaken agony. NOTHING WORKS! Absolutely nothing works, And no one is doing a damn thing! By this point my boyfriend has decided he wants nothing to do with his teeth or life, He wants them all taken out and he wants to get dentures. He's 23... Now i know (mostly because its all i have been hearing at the other end of the phone) that he is so young for dentures. And i keep getting this \"we want to save the teeth\" crap. I'm so sick of this answer absolutely no one is listening to the problem. For the last 8 months my boyfriend has been drowning in hell. He has been in terrible or terrified that the pain will start up again. Currently half of his diet is pain medication. He eats maybe once a day twice if he isn't in too much pain. As i said he dropped out of school and is in the process of losing his job with all the sick days he has taken to either see someone or because he is in too much pain to function. He has let all of his friends, hobbies,wants,and family slip away from him. I am watching the light slow die in his eyes. The way he talks, the way he looks, he is just miserable. And now he is miserable to the point where he has lost hope, He doesn't want to do anything anymore. Life is point less to him, he no longer cares about anything and I am so terrified about what will happen if i cant find something. He has been so withdrawn and sad and i cant bare it anymore. I can no longer watch the love of my life slip away while he is still physically present. I'm so sick of calling the people who tell me they want to save the teeth I desperately need to find someone who will save the man. We live in Rhode Island but I am willing to travel to wherever whenever to get this done. If insurance wont cover him getting dentures someplace will pay out of pocket. We have family that can help, we will take out loans, ill work 8 jobs if i need to. I am just in desperate need of help. I have no idea what to do anymore. I just need a place willing to extract healthy looking teeth to give my man his life back. He in no way shape or form cares about his teeth or keeping them. While i know other people get upset about getting them he doesn't care, He is one of the most confident people i know. He just wants to live life again. Please someone, anyone please help us. I want him to live, we are both terrified of whats to come. This so stressful and aggravating. No one seems to care to help. I will go anywhere to get him out of pain. If anyone has ideas or actual know of someone please let me know. You will be giving a young man his life back. PlacidWay-US: Hi @Erinlynn i can feel you. It is really hard for a guy to have a very bad teeth and as you stated it really affects your boyfriends life. Guys are number one self concious in terms of how they look. About his case you may seek a second opinion, there should be an initial assesment if there is a need to take out all his teeth and have dentures. Maybe there are other dental treatment available so don't fall into dentures alone. You also stated traveling abroad for a paricular treatment, Just to give you an idea it is not easy to look for a good dentist and dental centers abroad. You need to do more deep research and background checking. The best option for you to look into is either Mexico or Costa Rica there are also good dental clinics in Asia but you really need to do more research. Good luck!"
  },
  {
    "id": 1942,
    "title": "leaving dentistry",
    "dialogue": "hak: Hello everyone.\nhi from the U.K.\nim a gdp in England. have been in dentistry for almost 10 years now and im 35 yrs old now , but frankly speaking, ive had enough and now just want out!!!!!!!\nThere is nothing nice left in it for me. everything about it irritates me now, im depressed agitated and irritable all the time. and I don't think its worth my well being anymore.\nso I want to leave dentistry. atleast the clinical side of it, but unsure how to do it or where to start in a new career or is there a pathway I could take to start teaching in a dental university and what degrees to take then.\nAs you Could realise, there is this stigma associated with dentist who LEAVE dentistry so I cant find a lot of sympathy or help from the dentists I work with. so thought ill ask a wider audience if they could help. Zack Keihani: Hi , \nI was in your shoes about 12 years ago back in U.K. I decided to leave dentistry as well because I was doing the same procedures again and again. In 2002 , I took a year off and lived in different places in USA but became bored very soon . I then returned to my country of birth , Iran and started a brand new practice www.mytehrandentist.com and good things started to happen for me. Because of my background in U.K. and Denmark and my 12 years of clinical expertise I soon became the trusted dentist for all the European embassies and oil companies operating in Tehran and became a real success in matter of 2-3 years. I no longer had to do root canals , fillings etc as I hired other specialist dentist to do those for me. The last 8-10 years I have been doing only cosmetic dentistry and Implants and I love it. \nIn short , there are very very few positions for a general dentist other than dentistry . Try to take 6 months off and new ideas will come to you. I am now 52 years old and love my work. I hope this helps !"
  },
  {
    "id": 1943,
    "title": "any treatment to save tooth pulp (nerve)?",
    "dialogue": "poka: Recently a large infection was found on my tooth and was informed that the tooth pulp might need to be removed if the infection reaches there. Currently I live in Japan and it seems there is a treatment that dentist applies antibiotics paste on an infected area, which possibly removes the infection and the dentin can be grown back. (This treatment was first developed in Japan and is known as 3Mix, which is to use a mixed paste of three antibiotics. However, nowadays the combination of antibiotics can be different by dentists and the dentist I saw is using metronidazole only because he thinks this alone gives sufficient effectiveness.)\n\nUnfortunately my tooth infection seems really big so I feel no choice of removing tooth pulp sooner or later but at moment thought of giving this antibiotics thing a try in order to delay the removal if possible. I just wondered if this kind of treatment is popular in other countries and is there any other treatment to save tooth pulp? Thanks! Anna Wiliams: Thanks for sharing this information. I think this mixture used by Most countries now all depends on level of infection. As in your case i went to bad and ended in removal. Hope other may get to notice early and stop it early stage. poka: Hi Anna, \nThank you for your comment. It seems this antibiotics thing is effective and being used for mainly children here. \n\nHope to hear more people's comments. Thank you! Enrique: As far as I know root canal procedure as done to save the infected too right?? poka: Thanks for comments. I will close this post now. \n\nI am not sure about the root canal procedure. I prefer to get stuffs done as little as possible.\n\nAfterall, I got my teeth applied with 3-Mix. The teeth was infected deeply as nearly reaching nerve. I may need to extract this teeth if I become feel pain in future. I wonder why I did not feel pain at all for this big infection.. having less artificial stuffs on mouth is better for health and well-being I think."
  },
  {
    "id": 1944,
    "title": "Tooth Resorption questions",
    "dialogue": "Tonia39: My son (17) had braces for a couple of years and has had them off now for nearly three years. He still uses his invisalign type retainers at night. \n\nThe ortho (a wonderful man) spent lots of time worrying about these lower molars and one upper molar that just would not erupt fully. He sent us to a oral surgeon (also a great guy) who manipulated both of those teeth and the one on the top to push/twist them toward full eruption. Not sure what the procedure is called, but it sounds worse than it is. The one on the top turned out great, and one on the bottom also successful. The other on the bottom just refused to cooperate.\n\nFlash forward, both the lower molars in question have been diagnosed with \"root resorption.\" Regular dentist sent us to an endo who concurred that they were beyond saving and would eventually need to come out. Good grief. We do not have the money to pay for implants, even with insurance. The teeth are asymptomatic at this time. No pain, functioning properly, brushed and flossed three times a day. \n\nEndo says just watch them and it could be years for them to become truly problematic. Dentist wants to pull NOW. \n\nWhat happens if we just don't do anything at all? Will the body simply \"eat\" the tooth? \n\nWill these teeth just be like wisdom teeth back there, no roots but not really causing trouble? \n\nIf we have them pulled, I cannot afford to replace them. Can his retainers hold everything in place to keep things from shifting after these teeth are removed?\n\nI'm embarrassed to admit to our dentist that we don't have the money to pay for all this stuff, but, even with the excellent dental insurance we have, it will only cover 60% of the cost. Plus, we have an annual limit of $2500 per person. Even with that truly decent coverage, we are looking at thousands of dollars at a point in our lives when we've got to save every dime toward college!\n\nAny thoughts are appreciated."
  },
  {
    "id": 1945,
    "title": "Years of Torment",
    "dialogue": "Mohammed Hajab: For years I've been tormented by horrible pain in the upper left side of my mouth. It all began when I had an abscessed molar that made my gums at that region swell. I went to a dentist and he drained the puss using a syringe. After sometime I went and got it surgically extracted. After that and for years now, I have been suffering from pain in that area but can't identify its source and all the dentists that I've visited can't find anything wrong. The pain is in the upper left side, I can't describe it that well but it feels like pressure, migraine or some kind of infection. When the pain sets in, it won’t go away except by taking a good pain killer. Even trying to sleep it off wouldn’t work. An important thing to mention: Recently, when I probed the gums between 2 molars with a toothpick, and blood came out I would feel relieved from that pain in about 5 minutes from doing that. This no longer works though CharlesH: Greetings,\n\nI sympathize with your left upper molar pain.  I deal with this as well and can't give you an answer why but wanted to say hoping you find the problem.  I will like you wait for a knowledgeable doctor to answer.   No fun taking pain meds all the time to work everyday.\n\n                                                                 Charles"
  },
  {
    "id": 1946,
    "title": "Sensitivity Gradually Getting Worse",
    "dialogue": "Romonator: Lower Left Molar (#19) had old Metal Filling that cracked six months ago. Dentist told me that it may need Root Canal, but he was going to first try replacing the filling, which he did successfully. Then two months ago I started feeling cold sensitivity to that same tooth. Concerned that the filling was failing, I went back, but x-rays and exam showed no problem. Sensitivity to cold continued, with only an occasional soreness, so I returned. Again x-rays / exam showed nothing. Was referred to Endodontist, who concluded that Root Canal wasn't necessary yet but may happen eventually. Last few weeks, sensitivity has gotten worse, but no pain. Get a slight discomfort drinking cold, and a twinge occasionally just taking deep breath. There is no pain, but just a feeling of pressure that is pretty constant. I also have sensitivity on the tooth directly above #19, but some also on the other side of my mouth as welI. It seems my whole mouth just feels different. Sometimes It feels like there is some sticky substance on all of my molars! I have had grinding issues in the past and I wonder if all this can be caused by a return of that. Or maybe they are getting overly sensitive as I age (52 yrs old.) I have just started using sensitive toothpaste. My Dad and older brother lost all their teeth prematurely due to poor care and I am very careful. I am not averse to any procedure but want to be sure that any procedure is indeed necessary and will fix the problem. Do these symptoms sound familiar to anyone? Thanks in advance!"
  },
  {
    "id": 1947,
    "title": "dentures over impacted wisdom teeth?",
    "dialogue": "collieman: I am 66 years old and now have to get dentures as most of my teeth are now gone.  My current dentist is going to extract my remaining teeth except for the two impacted wisdom teeth.  Can dentures be put over those impacted wisdom teeth without problems?  That doesn't sound right to me.  The wisdom teeth are not totally impacted.  He says they don't have to come out.  Don't know what to do."
  },
  {
    "id": 1948,
    "title": "How many cavities do you see???",
    "dialogue": "cindy: i went to the dentist 3 months ago and he told me i had 2 cavities. i regret going because the teeth he filled were previously filled 3 years ago with resin filling and he filled them with mercury. The teeth never hurt me and its all my fault i let him drill them. this is the only x ray i got from them...how many cavities do you SEE??"
  },
  {
    "id": 1949,
    "title": "Need help. In constant torture (tinnitus, numbness, muscle tension)",
    "dialogue": "JoshW: I am suffering. Horribly.\n\nTwo years ago I had horrible tooth pain. I went to a dentist and he said I needed a root canal on my right bottom molar. I did the root canal, pain remained, no change. I went to another dentist. He said I needed my wisdom teeth removed. I removed both on the right side only, pain stopped.\n\nAfter that I started getting chest pains, I'm only now realizing that's when it started. I went to multiple cardiologists and doctors. They said it was anxiety.\n\nFast forward to 2 months ago. The crown on my root canal cracked and broke. I went back to the dentist who put it on, he replaced it with another.\n\nImmediately after he replaced it, I felt pain and tightness on the tooth. Like a clamp had been applied to it. My bite felt...off. I told them that but was ignored.\n\nFast forward 2 weeks later. Intense pain developed in my tooth along with HORRIBLE ringing in my head. It's like both ears but doesn't feel like it's coming from my ears, like it's just in my head and I'm hearing it with my ears. Also, my face goes numb, espescially my chin and tongue. My hands go numb. My feet go numb. I get shooting sensations like electrical shocks through my body. Horrible shoulder pain, back pain, neck pain, chest pain more severe.\n\nI went back to the dentist. He said he had to file down the crown because my bite was off. He did this and pain remained for about 4 days then improved a lot (only the pain in the tooth itself improved).\n\nFast forward to today (6 weeks since intense pain). Pain is still in that tooth if I bite down on it but not nearly as severe. If I grab the tooth and move it around the ringing in my head goes CRAZY. I'm still having all of these horrible symptoms. I feel like I'm dying. The ringing in my head is so loud and so high pitched it's...I don't even have a word to describe the horror.\n\nI've been to neurologist, ent, vascular doctor, cardiologist, chiropractor (chiropractor said my back was so messed up he couldn't adjust it), Massage therapist (massage therapist told me he'd never seen muscles so messed up and was scared to even give me a massage), acupuncturist, even was admitted to the hospital where they ran a bunch of tests for two days and could not find anything wrong.\n\nMy dentist claims it's not my tooth but it hurts still???? I don't know what to do has anyone ever heard of this? JoshW: I went to another dentist today. He said he has no clue why that tooth hurts and it shouldn't be hurting. He did a test on it though and said it's obvious that tooth has pain and no other one does. He said I should just get it pulled because it doesn't make any sense. Guess I'm going to try that."
  },
  {
    "id": 1950,
    "title": "Can dental work cause an inner ear issue/imbalance?",
    "dialogue": "luckyman316: Bare with me, as this is sort of a longer story but I'm looking for opinions. Last July, I had cracked my tooth around a filling I had done (non-metal). I ended up going to my dentist, who cut the tooth down (tooth #31) and fitted me for a gold crown. Gold crown was fitted tight next to tooth #30, not as loose my teeth would normally be. Sometime after this, about 3 days, I developed some weird symptom where I keep feeling like I had some sort of head cloudiness or my eyes would feel like they would roll in the back of my head. I also, somehow, became unbalanced and also became afraid of heights all of the sudden (I never used to be by the way)\n\nSame dentist later discovered that tooth #30, which also had a filling in it, developed deep decay under the filling. He had sent me for a root canal and then eventually put he post in there and put a gold crown on it. Both crowns are next to each other and the way he shaped them, he put them so tight and almost next to each other because he did not want to see any more food get trapped in there under the crown, causing more decay. Also also developed tinnitus around this time too (I think it was right before the root canal though, I can't recall)\n\nFast forward almost 8 months later, I went to a new dentist who immediately noticed I was unbalanced after checking my teeth and ears. He suggested a few things. He said that the bite on the crown with the root canal was off. He also suggested the crowns were too tight together, giving me issues with nerves on tooth #31. He then suggested that the work that was done, was causing the imbalance in my head especially since I had wisdom teeth removed many years ago (I had no issues after this). He presented me with a few options to fix this and wanted me to go with the cheapest, as he didn't want me to spend money.\n\nHas anyone heard of issues like this? What would be the reccommended fix? I've been to neurologist, they found nothing. I've been to ENT, they told me it was symptoms of Meniere's, regular MDs just told me I was having panic attacks, etc. Curious if dental work can be involved here... JoshW: Did you ever find an answer? I have a similar issue."
  },
  {
    "id": 1951,
    "title": "Abscessed Tooth?",
    "dialogue": "KarloEDM106: hi I'm new to this I'm 23 and I'm waiting for a date for extraction and had abscess since June 2015 but never had pain from it I'm so scared it will spread and kill me, please help"
  },
  {
    "id": 1952,
    "title": "Meth and Teeth Removal",
    "dialogue": "Jonathan Boyd: I just found out that my ex wife had to have all her teeth removed \"because of headaches.\" Quick web searches tell me that teeth removal for headaches are typically restricted to wisdom teeth, and that total removal of all teeth can be because of meth use. I saw her 4 months ago and she had all her teeth; they were nasty looking, but she had them. She's got custody of my daughter, so I'm fearing the worst. What reasons might someone have for having all their teeth removed? jerry seinfeld:  jerry seinfeld: This is meth mouth"
  },
  {
    "id": 1953,
    "title": "Is a temporary filling toxic or more toxic than a permanent filling of the teeth?",
    "dialogue": "R-ap: Is a temporary filling toxic or more toxic than a permanent filling of the teeth?"
  },
  {
    "id": 1954,
    "title": "How best to Start Journey from Isolation, Depression to Treatment?",
    "dialogue": "Boop-A-Loop: Hello folks,\n\nYou seem like good people and so I wonder if you could help me.  I have a relative, \"Sarah\", who I don't see very often, and I think needs some urgent dental care.\n\nSarah is about thirty, super shy and has had periods of depression and social anxiety since her teens. Unfortunately, Sarah's teeth are getting pretty bad.  She used to have a lovely smile (and I believe she had braces in her late teens) but now they are stained, crumpled and I think crowded to the left side of her mouth.\n\nEven her nose-bone (septum?) seems to have tilted off center. Or that may be unconnected, I don't know.\n\nEssentially, she is lovely person who has gone through some battles, is pretty isolated and doesn't live in an environment that is gonna knock her out of her comfort zone. How do I help her? I rarely get to see her but I will soon and wish to go with some tools to help as best I can. \n\nWe're in the UK, and probably be using the NHS, for what it's worth. But advice or guidance, specific or general, on how to proceed from here would be greatly appreciated.\n\nRegards Elizabeth, bcjch: There is another dental forum that caters to people who have never gone to a dentist, mostly because of terrible anxieties and phobias but other things too. I'm not sure I can post an active link here - so the URL is 'dentalfearcentral dot org'.\n\nHaving visited there a few times, I can say that most people talk about themselves, but there was a question not too long ago about an autistic child's special dental needs and some ways to keep her comfortable enough to endure treatment. I think someone there would be very likely to field your question.\n\nThere are dentists and patients alike there, so you might get both perspectives. The site is UK-based, so people know the NHS - but it has international membership (including plenty of Americans like me).\n\nThe people there also offer dental recommendations, so you may be able to get more info about a particular dentist with some skill at handling phobic or anxious patients."
  },
  {
    "id": 1955,
    "title": "Dental Cost",
    "dialogue": "ben king: I went to the dentist back in October and was told I would need 2 dentures but would have to wait for the 2nd one as I would need to get used to the first one.  I went back today and have been told I would have to pay for the 2nd denture due to the time lapse.  Is this correct or can I insist that as I was told I needed 2 denture they actually form 1 treatment PlacidWay-US: Hi @benking How much they are charging? and where you have it done? In the United States, most denture procedures range from $300-$8,000. In the case of those who require implants for an entire arch or the full mouth, costs may reach $15,000 or more. In Costa Rica, dentures may cost $150-$400 and in Thailand, around $400-$900.  Costs for a full upper or lower arch ranges between $500 and $2500. I think that quote could help you decide on the pricing."
  },
  {
    "id": 1956,
    "title": "Gingival damage from Violation of Biological Width",
    "dialogue": "Kelly1008: I had an onlay done on a tooth recommended by a dentist, which was not in pain. After getting the Onlay I had intense pain for two weeks until I saw the dentist again who said I needed a root canal after all. After getting the rootcanal and getting the permanent crown on, I told the dentist that the crown felt tight. She tried to adjust it many times and I kept saying it felt tight. She seemed frustrated and said it is fine and I just needed to get used to it. \n         So I left and since then have felt pain when putting pressure on the tooth. I thought maybe it needed to settle so I waited a few months and went back to the dentist 6 months later. She said I need to see the person who did the root canal. So I went to the endodontist and she said she didn't know why I was feeling pain, as it doesn't show infection on root canal. She said she would discuss with dentist and get back to me. It wasn't until 3 weeks later the dentist got back to me. They said I should see a periodontist. So I went to another dentist to get a second opinion. This dentist said form the x-rays it looked like a violation of biological width problem and I needed a crown lengthening. He talked with the endodontist and they agreed that I should have the crown taken off to make sure. Sure enough as soon as she took off the crown my whole tooth cavity filled with blood, she showed me a picture, as the crown was pushing into the gums. She put a temporary crown on, with space from gum, to see if swelling would go down.\n         It has been four weeks with the temporary crown. When I went back she said it is still swollen and she noticed gingival damage that may take more than 3 months to heal. I've decided to just get the tooth extracted, as I can't afford a crown lengthening and I don't want to do this treatment. I want to ask for a refund for the tooth, but I don't know who I should ask. Does anyone know is this considered a malpractice, as it seems it is the dentist's fault for preparing my tooth too short for the crown to fit? Also who would be the one to blame, the endodontist who did the root canal or the dentist who fit the crown? I'm not sure who is the one that lowered my tooth beyond biological width. This tooth has caused me so much trouble and pain, I feel it would only be right to give a refund if it was the dentist's fault. Any advice would be greatly appreciated!"
  },
  {
    "id": 1957,
    "title": "Patient-Doctor advice and my future dental work",
    "dialogue": "Horatio: Hi, I am 36 years old. I was born with a condition in which around 40% of my teeth didn’t come with adulthood replacements. Since 12 I have had orthodontic work done and by 23 I got an extensive (and expensive) work done involving crowns and bridges (by my current Doctor), for which several teeth were pulled out (I argued I wanted all of them saved but because of spacing he advised against). He said, because of my age, that would be the best solution then, leaving future developments in the field possible for me. At the time, I was happy with my smile. Since then, in average, every 3 years there has been a failure of a unit that has to be redone (at my expense). Last year I had enough of this and insisted in a new stage of my life to start replacing failed bridges with implants and crowns. My first one was a 4-unit bridge being replaced with 2 implants but he left the old retainer crowns. Now, an adjoining bridge failed, one that was sharing one of those eroded retainers. I was happy to proceed with an implant but unfortunately the bone has been lost over that specific bridge (remember I had teeth pulled out); he wants to do a Zirconia bridge.\n\nBy now you might understand how I feel and when is this going to end. I take good care of my teeth and diet. I am left with this complex dental condition (his creation), which is becoming a financial load on me. I feel as well he has neglected aesthetics in his work regarding whitening and color matching but that is another story; I am not 100% happy with my smile now. \n\nI wish I could have work done which guarantee me 25 years of mostly peace of mind and a happy smile…I am just looking for external thoughts on my case, thanks for your time."
  },
  {
    "id": 1958,
    "title": "Implants advice urgently needed",
    "dialogue": "Trishgoddard: Hello everyone,\n\nI'm new here and my name is Trish. \nI really need some urgent advice. I have fibromyalgia and mild MS, and over the years due to the strong medication (morphine) Four of my front teeth have completly Rot away, so I've had to have them removed. \nI did get a late made, but due to my illness I really couldn't wear it as it irritated my palette. \nMy question is, could I get implants on the NHS (I do pay for the dentist) as I can't seem to find anyone that would do it on the NHS??? \n\nMany thanks \nTrish xx Belinda: First, medication will not make you teeth rot away.\nSecond, in theory, implants might be available on the NHS, but in practice dentists are unwilling to do this treatment as they are paid too little to make it economical. Also very few are qualified to do this type of complex work. You may be able to ask your dentist to refer you to a dental hospital (NHS) but be prepared to wait two or three years for an appointent.\nBe very careful who you choose to place implants for you. Much of this work is done badly....and it's VERY difficult to reverse the process. Best save up and pay some one who is highly recommended to treat you. Trishgoddard: Hi and thanks, but you are wrong..\n\nThere are many prescription drugs that cos lots of teeth decay.\nOne particular is Gabapentin which I take 3000mg per day and because it makes my mouth very dry, it slowly destroys the gum, then the teeth crumble.\n\n\nBut yes I'll look for a good dentist to see if he does implants on NHS\n\nSome of the known drugs to cause crumbling teeth:\nOVAZA OMEGA-3\nHYDROCO/APAP\nADDERALL XR\nBENICAR (Olmesartan)\nMETFORMIN\nCELEBREX\nCYCLOBENZAPR (FLEXORIAL)\nPRILOSEC OTC\nVITAMIN D3\nTIZANIDINE (ZANAFLEX)\nSERTRALINE (ZOLOFT)\nCYMBALTA\nLIPITOR\nBACLOFEN\nALLEGRA\nANDROGEL\nCARVEDILOL (COREG)\nGABAPENTIN (NEURONTIN)\n\nTrish xx Belinda: Trishgoddard said:\n\n\n\n\t\t\tHi and thanks, but you are wrong..\n\nThere are many prescription drugs that cos lots of teeth decay.\nOne particular is Gabapentin which I take 3000mg per day and because it makes my mouth very dry, it slowly destroys the gum, then the teeth crumble.\n\n\nBut yes I'll look for a good dentist to see if he does implants on NHS\n\nSome of the known drugs to cause crumbling teeth:\nOVAZA OMEGA-3\nHYDROCO/APAP\nADDERALL XR\nBENICAR (Olmesartan)\nMETFORMIN\nCELEBREX\nCYCLOBENZAPR (FLEXORIAL)\nPRILOSEC OTC\nVITAMIN D3\nTIZANIDINE (ZANAFLEX)\nSERTRALINE (ZOLOFT)\nCYMBALTA\nLIPITOR\nBACLOFEN\nALLEGRA\nANDROGEL\nCARVEDILOL (COREG)\nGABAPENTIN (NEURONTIN)\n\nTrish xx\n\t\t\nClick to expand...\n\nTrish\nDrugs can make your mouth dry and that can make your teeth more susceptible to decay.\nHowever, really good oral hygiene will prevent that.\n\nAs for finding a good dentist  doing implants on the NHS - good luck.\nHe will either be a cowboy or close to bankruptcy. Belinda: Belinda said:\n\n\n\n\t\t\tTrish\nDrugs can make your mouth dry and that can make your teeth more susceptible to decay.\nHowever, really good oral hygiene will prevent that.\n\nAs for finding a good dentist  doing implants on the NHS - good luck.\nHe will either be a cowboy or close to bankruptcy.\n\t\t\nClick to expand...\n\nBy the way, with poor oral hygiene, with or without a dry mouth, dental implants will also fail."
  },
  {
    "id": 1959,
    "title": "Gum problems. Attatched picture",
    "dialogue": "Morgan: For the last week I have been dealing with discomfort on my lower gums. I have been gargling with salt water, but that only seems to make it hurt worse. It's like a raw, cut feeling on the gums. Any ideas of what is going on OR how to solve the problem? Thanks in advance!!!"
  },
  {
    "id": 1960,
    "title": "hydrofluoric acid (porcelain etch)",
    "dialogue": "pali: Using porcelain etch (9,6 HF acid), i have burned patients gingiva around the tooth. Acid exposure time was about 4min. After 1-2 hours gingiva around tooth became white (about 2mm)...Looks quite bad. Can I expect that area healing? Maybe someone had similar situation?? Help..."
  },
  {
    "id": 1961,
    "title": "Can this cavity (lesion) be remineralized (pic)?",
    "dialogue": "Gadsie: Unfortunately, I think I discovered a cavity on my front tooth (best place for a cavity..). When I dry the tooth and shine light on it, the white spot isn't glossy like the rest of the tooth. I read that in early stages, lesions can remineralize under the right conditions (high pH and calcium/phosphorus). Right now I'm eating only twice a day with no snacking in between. I only eat meat, low starch veggies, eggs and milk/cheese. So my only carbohydrates are coming from milk. Would it be possible to remineralize or is it too late?"
  },
  {
    "id": 1962,
    "title": "Lower wisdom tooth extraction fear",
    "dialogue": "Midwinter: Hey there,\nI want to start by telling that I have a huge dental phobia  Keeping that in mind, it seems that time has come to extract my lower left wisdom tooth because of the decay it has.\n\nI had both upper ones out last year, both where fully erupted and came out in under 2 minutes with no pain and complications \n\nMy lower one is also fully erupted with 2 straight roots judging from the x-ray, but reading all the horror stories on the internet that lower ones are much much harder than upper ones I am feeling really terrified.\n\nWhat is the chance my lower wizzy can be yanked out as any normal tooth without any surgical procedures?\n\nI am attaching a x-ray picture for better visual evaluation \n\nThanks\nMidwinter LADentalclinic: The fact that your tooth is fully erupted should help.  You must keep in mind that it's impossible to predict how an extraction will turn out.  Each tooth and each extraction is different.  It looks like you have good bone support around the tooth and the roots are spread apart, so it may take more than two minutes to get it out, but hopefully not much more than that.  Good luck. Enrique: The key to coping with dental fear is to discuss your fears with your dentist. Once your dentist knows what your fears are, he or she will be better able to work with you to determine the best ways to make you less anxious and more comfortable. If your dentist doesn't take your fear seriously, find another dentist."
  },
  {
    "id": 1963,
    "title": "Have really bad teeth and",
    "dialogue": "atumsuden: I was told by my wife and a few others I should get dentures but I've heard from a lot of people they are horrible to have, I've been looking at overdentures which seem a lot better, My teeth are extremely bad I went to a dentist 3-4 years ago and he quoted me around 13k-15k to fix my teeth completely, I have diabetes and used to have acid reflux, and I think that is what really wrecked my teeth... Im curious about the overdentures and how much I could expect to have to pay, I know dental insurance is pretty bad everywhere and your not usually likely to save that much with having it, I have not so great credit but I been trying to build on it for the past 2 years or so but my teeth hurt really bad and I know its making it harder for me to control my diabetes as well... Does anyone recommend overdentures and have any idea around how much they would cost or if there might be a cheaper alternative without going down the normal denture road....."
  },
  {
    "id": 1964,
    "title": "Permanent damage? (Images included)",
    "dialogue": "Jerbur96: I have had a habit for over 10 years of scratching my gums I have recently scrarhed the gum on one tooth completely away and on another it is very red painful and receding is the damage I done permanent? And any advice on why I do it and can't quit?"
  },
  {
    "id": 1965,
    "title": "Dental Phobia",
    "dialogue": "JJ_8613: Hi everyone.\n\nI'm struggling right now with Dental Phobia.  I've had this since I was a young child and now as an adult, it's gotten to the point where I can't manage it anymore.\n\nFor years I've been forcing myself to go to the dentist to get my regular check ups and cleanings.  Now I'm at the point where even a simple cleaning appointment or check up makes me extremely anxious and fearful.\n\nI've had a lot of problems with my teeth over the years and it's only getting worse.  I've had more cavities filled than I can count.  I've had 4 root canals in my life and one of them was only a few weeks ago.  Also dealing with adult braces which are almost ready to come off after 3 1/2 years.\n\nMy anxiety and phobia is way out of control now.  Just getting a toothache or thinking about going to the dentist disrupts my life.  I'm loosing sleep, having nightmares and I've started having flashbacks about past dental visits.\n\nI finally made the decision to start seeing a sedation dentist who uses nitrous oxide.  I was up front with them when I made the appointment on the phone and told them about my anxiety and phobia and the severity.  This new patient appointment is in about a week and a half and I'm already nervous about it.\n\nI know I need to have some restorative work done on my teeth soon, as I now have 3 teeth that have had root canals that need to get crowns.  The catch is I have to wait until I get my braces off to get the crowns.  I'm getting increasing nervous about the procedure as I know nothing about it and I'm starting to worry about the amount of time that has passed since getting the root canals.  Two of the teeth had the work done about a year and a half ago.\n\nSo, I'm just really trying to find a way to deal with all of this.  I really hope the nitrous oxide helps me, because if it doesn't I don't know what I'll do.  I'm planning to get some therapy for my phobia at some point, but can't currently due to financial issues.\n\nThis has all just gotten out of hand.  The last time I went to the dentist I nearly cried.\n\nDental appointments are also difficult for me due to TMJ problems/pain and that I'm hard to numb for dental work.  This has led to a fear of needles/injections.\n\nAny advice or comments would be great.  I just really need help coping with this.\n\nThanks.\n\nJJ Zuri Barniv: I find that oral sedatives help my fearful patients. The medicine is basically a glorified sleeping pill like Halcion (Triazolam), Valium or Ativan and it really calms the nerves much more effectively than laughing gas. The disadvantage is you cannot be pregnant when taking it, someone has to drive you to and from the appointment and you will be groggy most of the day. There are other risks the dentist can discuss with you. Overall, it may be worth trying. Enhance Dentist: Tell all your concerns to the dentist. I believe he/she will understand what your worries and fears about. But if you are afraid of surgery, some doctor recommends their patient to have anesthesia that puts you to sleep. Just be open, nothing to be feared of. JJ_8613: Hi again.\n\nThank you both for your replies.\n\nI did tell my dentist about my dental phobia and anxiety at my first appointment.  I actually wrote a letter ahead of time detailing my concerns and past traumas and so forth.  We went over it all together and he said that he understood and that there would be no problem accommodating me.\n\nHe actually offered me Valium to try, but I did turn him down because I don't want to have an escort home and I need to be able to go to work after appointments.\n\nHe was very understanding and he and his staff are working with me on my issues.\n\nThe only thing I've ever felt I need to be out for is extractions.  I don't know why, but for some reason those really scare me.\n\nThanks again.\n\nJJ Jordan: JJ_8613 said:\n\n\n\n\t\t\tHi again.\n\nThank you both for your replies.\n\nI did tell my dentist about my dental phobia and anxiety at my first appointment.  I actually wrote a letter ahead of time detailing my concerns and past traumas and so forth.  We went over it all together and he said that he understood and that there would be no problem accommodating me.\n\nHe actually offered me Valium to try, but I did turn him down because I don't want to have an escort home and I need to be able to go to work after appointments.\n\nHe was very understanding and he and his staff are working with me on my issues.\n\nThe only thing I've ever felt I need to be out for is extractions.  I don't know why, but for some reason those really scare me.\n\nThanks again.\n\nJJ\n\t\t\nClick to expand...\n\nI had similar problems growing up. Like another member suggested. Going to your Dentist was your best option and it looks like it worked out for the best. Hopefully you and your Dentist can work towards getting you more comfortable. JJ_8613: Hi.\n\nThank you for your reply.\n\nI'm sorry you've dealt with this also.\n\nI actually have seen this dentist 3 times now.  One was an emergency appointment.  I have an appointment today for a deep cleaning.  I'm leaving in about 30 minutes for it. I'm a nervous wreck though.  I still haven't gotten my phobia and anxiety under control.  I'm nervous, anxious and fearful.  I've never had this kind of work done before and since my teeth and gums are really sensitive I'm afraid to have something like this done.\n\nThis dentist and his staff are really good with me though.  They're very patient and they go at my pace.\n\nThey're even having an assistant go in with me, at my request, because I know her the best out of all the staff so far.  She really puts me at ease.  At least as much as I can be at the dentist.\n\nI'll update you all when I get back.\n\nThanks.\n\nJJ JJ_8613: Hi all.\n\nI'm feeling relieved right now. Just got back from my dentist's appointment for my deep cleaning. I'm having a little gum tenderness and soreness, but this is normal and to be expected.\n\nThe hygienist showed me before and after pictures after we'd finished. I can't believe it. My teeth went from yellow to a shiny white. They look like they're brand new again. My gums went from a puffy red to a healthy pink. This was all just from one appointment.\n\nI had the nitrous oxide even though I paid out of pocket. That stuff works miracles. I went from an anxious, nervous, fearful mess to completely relaxed. Honestly it feels like you've had too much to drink, but my anxiety was gone in just a few minutes. The hygienist told me that the procedure actually took 2 1/2 hours instead of two like we though it'd be. I couldn't believe it though, because it only felt like 15 - 20 minutes. I guess the nitrous makes you lose sense of time temporarily and they said that's how it is for some people.\n\nI'm just so glad I went. That appointment prevented me from getting periodontal disease, which is irreversible and causes lots of problems.\n\nThank you all for your support.\n\nJJ Enrique: Dental techniques have improved so much over the last few years that modern dental treatment can now be completely painless. Despite this, most people still feel a little nervous at the thought of going to the dentist. If you have not been to see a dentist for some time, you will probably find that things have improved a lot since your last visit. The general attitude is likely to be more relaxed, the dental techniques and safety procedures will be much better, and the equipment will be more up to date. If you fear going to the dentist it will not affect your oral health but also your overall health and also will leave a bad impression on your family as they will also fear to go to dentist. Therefore it is very much important to find a good dental clinic which not helps to overcome your dental phobia but also provides complete dental care to your family as well. JJ_8613: Hi everyone.\n\nI see it's been awhile since I've been on here.  I have some updates.\n\nAs for the dental side, all is well right now.  No problems currently with my teeth or gums.  My new insurance through work kicks in on March 20, 2016.  I'm planning to schedule a dental appointment in early April.\n\nI had a bit of a rough start because this is a new dental office.  I've never been there before and never even met the doctor.  I re-scheduled one appointment already, due to work.  I missed another appointment just due to my own fear and anxiety.  So, I'm not calling them yet until I know for sure that I can and will go.\n\nThe good thing about the new job is that I will have some week days off and work some weekends.  That will definitely help my anxiety, as I won't feel rushed during my dental appointments and have to rush back to work after.\n\nSo, right now I'm feeling nervous.  My first appointment with the new office will be a new patient exam and x-rays.  Then I'll have to schedule a cleaning.  Then the real work begins.  I still have 4 molars with root canal treatments that need crowns.  I also will have to ask the new doctor about my other issues, like the external root resorption in 3 teeth and whatever else he may find.  I'll have to find out if I’m still in early periodontal disease or if it's gotten better or worse.\n\nSo many unknowns really make me nervous.\n\nThe good thing is that with my new job, I'm a federal employee, so the benefits I signed up for will really help with the cost.  I have a high amount with my dental insurance, so they will cover half of all major work (including crowns) and the annual maximum allowed is high.\n\nSo many things I've been waiting to do, but I was waiting on this new job and insurance.\n\nI also have to get my glasses prescription renewed.  I'm near sighted, so I can see near, but not far without glasses.  My current pair is two or more years old, and I can tell the prescription is getting fuzzy now.  Time for a new pair.\n\n\nOh, also I really researched my insurances before I chose them.  My new dentist who I want to start seeing, Dr. C., is on the insurance approved list and if I ever have to have root canal work done or re-done my endodonist, Dr. G., is also on the insurance approved list.  That was one of my big worries was that I wouldn't be able to continue seeing them both.\n\nI think that's all for the update.  It's really just dental anxiety and fear starting to build up again.\n\nI hope you are all doing well.\n\nThanks for reading.\n\nJJ"
  },
  {
    "id": 1966,
    "title": "unrelating gum symptoms",
    "dialogue": "ihaveworriedquestions: My gums around my lower incisors are loose inbetween the teeth and the gums move when i floss. A few weeks ago i had a swelling off to the side of it but had no looseness. What is happrning, i need help. DanyRoden: what is your age? Gives more details about it so anyone can help you. \nIf you feel it will pull itself then concern dentist immediately. Enrique: Gums that are pink and firm are indicators of a healthy body. However, if you notice that your gums are changing colours, there may be various reasons behind it. While gum discolouration to an extent is a normal occurrence, it can also be a sign of an underlying disease. Gingivitis is the most common reason for having bright red gums. It can cause red, swollen and bleeding gums and needs proper dental treatment. Ignoring it can lead to a severe form of gum disease called periodontitis which can destroy the tissue and bone supporting your teeth. Additionally, if you notice white oryellow sores in your mouth along with bright red gums, then it may be due to a viral infection. Reem Khaled: Is there's any bleeding when you brush your teeth or while flossing ?\nif so from when did you start noticing that ?\n\n\nmost probably this would be a cause of gingivitas \" inflammation in your gum \" ... you have to visit a doctor to get you the proper treatment plan for this  but for the swelling ; you can irrigate you mouth at the morning and at night by a solution of a water and salt to decrease this inflammation which will reduce the swelling In shaa Allah Enrique: I absolutely agree with you Reem, it is really important to maintain a good oral care routine and follow a healthy diet to avoid dental problems like decay."
  },
  {
    "id": 1967,
    "title": "3 Year Old, Intruded Milk Tooth",
    "dialogue": "MimiLouise88: Hi,\n\nI really hope someone can help me! I am asking about my three year old son. \n\nAbout a year ago one of his front teeth (milk tooth) appeared to be shortening, I realised it was moving up into the gum. It slowly (over months) moved up until there was only a tiny amount showing. People constantly asked if he had lost a tooth. As far as I am aware he experienced no trauma to his mouth that might have caused this. The only way would be if it was caused by a minor bump that he didn't even tell me about! \n\nI took him to the dentist twice, he could not understand why it had happened if there was no mouth injury, he didn't X-ray or investigate further, just said what he could see of the tooth looked healthy so just to leave it.\n\nTowards the end of last year the tooth began to move down again on its own. By January it was almost level with the other front tooth. I was relieved and thought that was the end of it. However the tooth appears now to have started moving up again. It also appears slightly discoloured, yellow. \n\nI'm sorry this is such a long message but I'm so worried and the dentist doesn't see any issue with it! They don't want to X-ray because of his age. Please can anyone offer any advice?! \n\nHope to hear from someone soon \n\nMarie Zuri Barniv: I have never in my career heard of a tooth going into, out of, then into the jaw again. The most likely explanation is that the gums are growing up (getting swollen) which gives the illusion of the tooth sinking in. You need to investigate why that may be happening instead. Enrique: Please take your child to the dentist immediately. It is very important to start maintaining your child's oral health since the time he/she is born. Mothers of new born babies often believe that because the baby is missing teeth, their mouth does not require any cleaning. This is an unhealthy practice that is dangerous to your baby’s health. A mouth has bacteria irrespective of the person’s age. It is important to clean the mouth of babies right from birth. Use a damp and soft piece of cloth to clean the gums of your baby. With your finger, try and clean the tongue. MimiLouise88: Thank you for your responses, he has an appointment tomorrow so hopefully they will have some answers. If the gum is swelling would that make only one tooth look like it was moving up? \n\nEnrique he is 3 and has a full set off teeth which I brush twice daily and have since he was a baby. he has visited the dentist since age 2.5 so I don't believe it is related to bacteria or poor hygiene but thank you for responding to my post Enrique: Ohh Ok..anyways m glad you appreciated my comment. Thanks!! and take care of your little one."
  },
  {
    "id": 1968,
    "title": "Swollen Gums",
    "dialogue": "Lea: about 2 years ago I had some quite bad tooth decay but my dentist said a root canal wasn't required and filled it. In the past month or so I think the filling has come out and last night my gums in that area of my mouth have swelled. I have a dentist appointment booked in for just over a month away but I'm not sure if I should change it to urgent and try and get it sooner? I've had no pain with this tooth at all and the decay seems to only be down the edge of it but the swelling has really concerned me DanyRoden: Hey Lea, if your gums are swollen till now, use a warm water with sea salt then rinse it thoroughly twice in a day. Enrique: Your gums are very important to your oral health. The gums are made up of firm, pink tissue that covers your jawbones. This tissue is thick, fibrous, and full of blood vessels. If your gums become swollen, they may protrude, or bulge out. Swelling in your gums usually begins where the gum meets the tooth. Your gums may become so swollen, however, that they begin to hide parts of your teeth. Swollen gums appear red instead of their normal pink.Swollen gums, also called gingival swelling, often become irritated, sensitive, and/or painful. You may also notice that your gums bleed more easily when brushing or flossing your teeth."
  },
  {
    "id": 1969,
    "title": "Major Dental Help Needed",
    "dialogue": "drummer25: I have prior extractions done but still need the other 24 extracted and dentures put in. I live in Ohio and i would love to he able to smile again if anybody can help. Jaxon Juicy: Yup I can tell you the way of solution"
  },
  {
    "id": 1970,
    "title": "Temp Employees: Good, Bad or Ugly?",
    "dialogue": "TempRDH: Hello,\nThis post is directed to any Doctors that have used or uses temp employees. \nHow often do you use a temp (assistant, hygienist, front office)? \nWhat have been your methods for finding a temp (agency, word of mouth, Craigslist)? \nWhat are some of your biggest challenges with your current method(s)? \nIf using a temp agency- what are the extra costs to the practice? \nAny other comments or frustrations with finding temporary staffing?\nI really appreciate any feedback \nThanks~"
  },
  {
    "id": 1971,
    "title": "Smell coming from gum of front crown",
    "dialogue": "1keith1: Hi everyone back in 2010 most of my front tooth got knocked out during a soccer game, so i got a crown put on in its place. In the last while (maybe a year or so) ive been having bad breath and i couldnt realise why this was, until about a month or so when i rubbed my gum with my finger above my crown and got an awful smell from my finger (smelling like infection or even feeces) my tooth/crown isnt painful whatsoever so im just not sure what the problem could be. Any help or advise would be greatly appreciated, \nHere is a picture of the back of the crown, im not sure if this is what the back of a crown is meant to look like or not but i hope this picture might help diagnose my problem..\nThank you very much in advance\nKeith\n\nHere is a photo of the back of the crown to try help diagnose the problem zaheen: Probably i think you got a traumatic injury on your front teeth & there is a infection inside the tooth which is causing the problem.Take an xray so that you can know the situation inside the tooth.If there is a infection ypu will need Root canal treatment followed by crown placement. Great Lakes Dental: Hi 1keith1, \n\nDo you recall if your front tooth was root canaled before the new crown was placed back in 2010? If you lost a major portion of your tooth, then most likely a root canal would've been performed. In any event, what you've described is most certainly an infection that will require either a retreat, antibiotics or both. The reason you've haven't been experiencing pain is because 1) it sounds as though the infection is draining (which both relieves pressure by way of the infection draining into your mouth causing bad breath/taste) and 2) likely your tooth has been root canaled. \n\nLeaving your infection untreated for any longer, may result in even more damage to your oral structure (such as accelerated bone loss). I recommend you seek treatment at your very earliest opportunity.\n\nRegards, \n\nDr. Jennifer Thomm\nCosmetic Dentist\nSarnia, Ontario Canada"
  },
  {
    "id": 1972,
    "title": "blood on my dental floss.",
    "dialogue": "morbe77: I brush 3 times a day, and floss once a day. Ive been noticing that my dental floss in one pocket will have blood on the dental floss, not really bleed but just have blood on the string. And sometimes I will hit it again and then no blood on the floss. Then last tight I noticed a very faint red streak when I spit into the sink. Just an almost trace amount of blood. Less than 1/4 of a droplet of what apeared to be blood.  Again my teeth dont usually bleed. Is this a problem I read that its not a problem unless my gums actively bleed even after brushing and flossing.  And then I read that your gums should not bleed at all? DanyRoden: Well, I am not a dentist so can't tell anything, but give you some tips. Use a soft toothbrush and be sure to floss beyond the gum line to remove more plaque. Rinse with salt water or hydrogen peroxide to keep that area clean. You should notice it till one week if your gums blood regularly then concern a dentist. \nTake care Dear. zaheen: Probably you are not doing the floss the way it has to be used and may be due to that you are getting injury in your gums,so please use it the way it has to be used Great Lakes Dental: Hi morbe77, \n\nThe problem you've described is not abnormal and on it's own, shouldn't be much of a concern. When it comes to your gums, what you need to be watching for is signs of Periodontal Disease. Symptoms may include: red, swollen and tender gums, persistent bad breath, and/or teeth that appear to be getting longer. Profuse bleeding during or after you brush or floss would also be a warning sign. Small traces of blood, without the presence of any other symptoms, shouldn't be a concern. \n\nHope this helps. \n\nDr. Jennifer Thomm\nCosmetic Dentist\nSarnia, Ontario Canada"
  },
  {
    "id": 1973,
    "title": "IS THIS CANCER",
    "dialogue": "james1234: When I got my last cleaning my dentist noticed this white mass. It is hard and raised and rough. He told me it was nothing to worry about but I just feel like it looks like something that should be biopsied.any inputs would be very appreciated thanks. james1234: Also I have never used any tobacco products."
  },
  {
    "id": 1974,
    "title": "In desperate need of advice... lengthy but please read entirely it all is important",
    "dialogue": "Destiny Joy: A little background, I have never had a cavity a day in my life, not even as a kid. In fact the only thing I've ever gotten done at the dentist from youth till now, age 32, is a cleaning and routine stuff. Nothing out of the ordinary. Flash forward a lot of years, age 31. I don't remember the time from when I had my last dental visit between teenager to now. Anyways, I went to the dentist on October 27, 2015 to be exact. I was having tooth pain. I thought I had my first cavity. But it just ended up being plaque under my gums from not going to the dentist in all those years. A cleaning fixed that right up. I had no more problems with my teeth. They did x-rays found a chipped tooth number 11 from me biting down on my tongue ring. I was supposed to went back the following week to let them fix it, but I was scared. \n\nI've been having headaches and ear aches since September 2015. But I just brushed it off as a sinus headache. Because I did have sinus stuff going on too. I think things got worse in December 2015. The pain was an 8, still they told me it was my sinuses. January the pain was up to a 10+ so, I went to the emergency room. they did a ct scan found nothing gave me a morphine shot which didnt help told me to follow up with a neurologist and a ear nose throat specialist. I saw the ear nose throat specialist first january 29, i thought she was going to run tests but she looks in my ear with the same tool as everyone else has been using said nothing was wrong with my ear. My ear pain felt like my eardrum was busting open that's how bad it was. She asked me if i had my wisdom teeth i told her yes. She said open up my mouth, she said you're biting your gums so that means it's your wisdom teeth.\n\n\nOkay now, I went to the dentist February 1, 2016. My words to them was I need to get my wisdom teeth checked, not pulled. They did an x-ray of my wisdom teeth, because apparently I moved and it didnt show all my teeth. Put in mind I haven't seen the dentist yet, the lady that has been dealing with me came and asked me if they can pull my teeth that day someone cancelled, I told them I would have to be put to sleep for that. I have no tolerance for pain, and i am somewhat scared of needles. The dentist finally comes in, he not once looked in my mouth. I kept asking him are you sure i need my teeth pulled, he said yes. I was like I just went to the dentist less than 6 months ago, i couldn't remember when i went and this is a different dentist from Oct they couldn't see me till the 5th and i had to know then, and they didnt say anything about my wisdom teeth then. To make a long story short he said it was infected (can they get infected in less than 3 months?), and that they can cause headache and earache. Oh I left out a key factor, I was NOT feeling any pain in my mouth at all. Shoot my mouth felt good. So, despite my hesitation, I gave in and let them pull them. I only had the lower, my upper ones haven't came in. So, they did the iv thing and gave me something in a needle i think. i drifted off. I wasn't awake for the numbing thank God, but i came to as they was pulling tooth number one, i was scared and i felt something so they numbed it more, he pulled at the tooth it came out without a problem, from google i'm assuming that tooth wasn't impacted. from the xray it didn't look like it would be hard to get. But tooth number two, it was impacted. And I was fully aware of everything he was doing, just not alert enough to say stop. He kept pulling yanking and yanking and pulling but that tooth didnt want to budge, when that didn't work he started using something else i dont know what it was, so he would alternate between the yanking and pulling and that other tool. It did finally come out, he didn't fully stitch this tooth said it was too close to my other teeth for him to do it, so it was left open. something didnt feel right. All the information that I know i got from google, but even then it only tells you so much. I wish my story ended there. Week one: The pain kept getting worse instead of better. I called that office everyday to make sure what i was feeling was normal. On one occasion they said it was normal, one occasion they said its not dry socket or you would've developed it wednesday, (i called them that day too), another day i had teeth sensitivity. They say brush more. Every occasion, they told me i didn't need to come in. Well, Saturday i ran out of pain pills had to go to the er, they put me on an antibiotic, gave me tylenol 3 told me to follow up with the dentist. Week two: I was still in pain monday morning so i called the dentist, they told me i shouldnt still be in pain come in. it ended up being dry socket, what they told me i didn't have in week one. he just kept saying it was a very difficult extraction. put some type of paste or something and put a gauze there. i was fine.started healing nicely. still had a little pain but I was taking Motrin, so I was good. Sometime during that week I started finding it painful for me to talk, eat, cough, (i ended up getting a really nasty cold). Something was literally poking my tongue. I thought it was the stitches I was feeling i felt it on both sides of my tongue. Week three: The poking was very unbearable so i went to the dentist again thursday Feb 18. They told me it was bones that was sticking me, not stitches (is this normal after an extraction, according to google its normal when you have surgery or trauma during extraction?) he said he'd file it down and i'll start back healing. He only did one side, the side with the difficult extraction, said he didnt see anything on the other side. as soon as the numbing wore off, i felt the poking again. By this time i was fed up with this particular dentist. I called around and practically begged another dentist to see me. Nobody wanted to touch what someone else did. I finally convinced the dentist I went to in October to see me. He said they didnt do a good job of filing done the bone. so, he sawed into my gums both sides, the side they didnt do took more time. he said the healing will be set back a couple of days but it should get better now. NO, that's still not the end. I saw him Friday, Sunday my mouth was feeling weird, i couldn't drink normally, i had to use a straw or it bothered my gums. I still have to use a straw. Monday i started feeling the bone again on the difficult extraction side. And sometime later in the week i started feeling the bone on the other side. And it's painful again. About three maybe four days ago i started feeling sensitivity all over my teeth. And my mouth is really sore and it has a little swelling. I have not been able to live without Motrin since Ive had my teeth pulled. Ive gone all day without taking it, but by the end of the day i'm crying in pain. Its so bad that the Motrin has started eating at my stomach and causing me stomach complications. So, i have to come off. Today I took the tylenol 3 that i got from the er visit that i never took. I am literally terrified of going back to the dentist. What should i do? Has anyone else had this experience?"
  },
  {
    "id": 1975,
    "title": "needs answer quick",
    "dialogue": "denise04: In a hour  I'm going to a regular dentist she's removing 2 crowns and the teeth under them one is a eye tooth my question is they said she's going to pull them as regular teeth how long does this take I'm very nervous"
  },
  {
    "id": 1976,
    "title": "Crowns and tooth structure",
    "dialogue": "sas35: Hi, I have four crowns on my four front teeth. I'm just wondering in a few years time when they come out and there's no more tooth structure left for the missing teeth to fit new crowns on, what could I do to replace them?\n\nI don't want four front missing teeth in the future. Thanks. zaheen: You can opt out for implants"
  },
  {
    "id": 1977,
    "title": "Cracked tooth - temp crown not helped",
    "dialogue": "Bob22: I've got a cracked molar and the dentist suggested a crown. He's now put on the temp crown but the symptoms still persist...in fact i think he made it worse. If i eat any food on this temp crown (nothing hard) is still hurts. Should i wait until the permanent crown or is that not normal and the procedure has failed? Zuri Barniv: Sometimes teeth hurt more after they are prepared for a crown and it can take months before they calm down. Sometimes when there is a crack in a tooth, you need to do an additional procedure (a root canal). If a root canal and crown is done and the tooth still hurts, there may be nothing more to do but remove it, unfortunately. You might wait 2-3 more weeks with the temporary and see if it starts to calm down before proceeding.\nDr. Barniv"
  },
  {
    "id": 1978,
    "title": "Fillings keep falling out",
    "dialogue": "Macron: I repeatedly need to have fillings replaced due to recession and grinding ( I'm told). I wear an NTI device every night. Is this normal? I didn't ask my dentist when this filling was last put in... I can check.\nMy question is: is it normal for fillings near the gum line to fall out due to grinding or clenching?"
  },
  {
    "id": 1979,
    "title": "Who is responsible in finding a Surgeon?",
    "dialogue": "Omar Badillo: Hello and good = day/afternoon or evening\n\nMight be on the wrong Forum section, Sorry\n\nQuestion is \nIs my dentist provider responsible for finding a Oral Surgeon (for Overbite surgery) or is that something that I'm responsible for considering that i have no idea how to even start to looking. Because when i asked the receptionist and manager they said that they didn't know.\n\nThanks in advance for any help."
  },
  {
    "id": 1980,
    "title": "What are the risks of putting under a 3 year old for dentistry",
    "dialogue": "Nikjksdfj: Our 3 year old has to get a few fillings and one tooth pulled. Apparently the only way to do that with this age group is to put them under. I know that we really do not have an option as the dental work needs to be done but we are have been postponing the procedure because we are horrified. The thought of our 3 year old made unconscious is unbearable. Does anyone know what the percentual risk is of healthy children not waking up from an anasthetic. I just don’t know how to bring myself to do this and all the while his teeth keep decaying more. Thank you for your input. DanyRoden: I think filling is not a good idea at this age, as your child has baby tooth right now, so wait until at least age 5. Anaesthetic or any other method is not a good idea. Good Luck Dear. secure: Hi, Nikjksdfj. Really felt sad for your little one. Making your kid Anaesthetic is a doubtful thing. Because we don’t know how the child will react to that kind of drugs. My child had undergone an oral sedation at sierra dental, Calgary. But he is 7 years old. And the sedation was given by consumption of a pill. I don’t know whether this method is applicable to your kid. Before starting a treatment make sure that you have consulted the right doctor."
  },
  {
    "id": 1981,
    "title": "Gray tooth white border near gumline",
    "dialogue": "superbadsmile: I attached a picture of my tooth, it's the right canine. Originally both of my canines were growing sideways and I had an incomplete set of upper teeth. After going to the orthodontist, he turned me into a project and made room for the teeth and after a couple surgeries I got them both down. One looks perfectly fine and the other is a grayish color and it's always had this white 1-2 mm line right where it meets the gum line, I went to the dentist specifically for this because I find myself constantly hiding it from people. immediately he was just trying to rush me out of the chair and said some bull that  sometimes they come down discolored if they spend too much time before surfacing and gave me absolutely no reason for the white line either, he told me the solution was to just brush it. The heck??????? I've been brushing it for years without a change. The guy was definitely rushing me, he interrupted me every second and had a thick Indian accent. He only cared about the cavities I had which he could make some legitimate money on I guess ... Sooooo ... What do I do? I did some research and I'm assuming it's not a dead tooth, it doesn't hurt and I'd assume that dentist would love some root canal money if it was, and I don't see how it could be stained either because it grew in that way ... Also what is this white border,it's on the physical tooth not the gums, dental instruments don't scrape it off, brushing has done nothing to help and it's so unnaturally white that it pops from the rest of my teeth making it stand out and making my teeth look less white ... Please help, sorry the picture doesn't do it justice, just imagine it's significantly grayer\n\t\t\n\t\t\n\t\n\n\n\t\n\n \n\n and the white line is super bright Dentgr: You should go and check the vitality of the tooth.during the orthodontic treatment there's a possibility of pulp necrosis . If this is the case you'll need rct .\nWhite spots are there and on the surface of other teeth as well. You notice it more because of the higher contrast.\nIt seems to me that you may need a filling there because it looks cavitiated but really can't tell for sure through a photo.\nHope it helps."
  },
  {
    "id": 1982,
    "title": "tongue concern",
    "dialogue": "danno: I have a lump in my mouth near the back of my teeth. My gp said its not cancerous and that I likely bit my cheek. I do have a vague recollection of doing that. My problem at the moment is my tongue. My gp inspected it, commented how I had a white pattern on the front of my tongue which is new. I have geographical tongue or did...It changes. ..plus I have gum disease and crohns disease. My crohns has affected my lips in the past not the inside of my mouth. He said I should gargle 4 times a day with cordosyl because of my bad oral hygiene. It might help my lump and tongue and gums. I left feeling more reassured but 10 minutes later it dawned on me I forgot to tell him about a lump I found on the base of my tongue. It's not really a lump it's like the size of a crumb, very hard to see and it's the colour of the rest of my tongue and it's not sore or painful. Imagine if you had a little chip in your tongue. It's more like that than a 'lump'. It's funny because I saw two pharmacists, one said it was a spot and nothing to worry about. The other said it was a nodule that isn't serious ....at the moment\nI also have a white patch near it. Not sure if that's leukoplakia. Not sure what to do now. I'm going to see if the mouth wash helps and then see a gp on Monday.  In regards to a dentist how long will it take to see one if I make an appointment. As I'm worried I want it to be soon as possible."
  },
  {
    "id": 1983,
    "title": "My dental bill seems way excessive. Have I been billed correctly?",
    "dialogue": "impatient patient: I have a temporary acrylic bridge on teeth 7, 8  and 9. The middle part (8) broke. I came to this out-of-network dentist lured by a promise of a free 20-minute consultation.\n\nThe dentist spent all the consultation time trying to upsell me into a massive \"crown lengthening\"  for cosmetic reasons on at least 6 teeth. I repeatedly said I am not interested, and he said: \"OK, it's your choice if you want to look like this\". No other dentist had ever suggested anything like that, and I honestly can't see where he is coming from.\n\nHe did not answer any of my other questions on the grounds of not having the time.\n\nHe did very quickly cement the broken part of the bridge, gluing it to 7 and 9. I wish he added antiseptic or something, because I fear infection.\n\nHere is the bill\n\n\n\n\n\nSo, he attempted to bill $122 for palliative treatment which was declined by insurance. What palliative treatment? I was in no pain and did not ask for an urgent treatment.\n\nHe also billed me for two \"recement crown\", $82 each. There were no crowns, just a bridge which he cemented to adjacent teeth with two dabs of cement.\n\nThe whole thing took him maybe 10 minutes.\n\nIs this a fair bill?  Please help me with this, 'cause I am harassed by his front desk several times a day. Zuri Barniv: Why don't you contact the insurance company, tell them what happened and let them help you sort it out. impatient patient: Tried it. They ignored it.They offered me to fill in a Quality of Service Complaint Form, and short of that, they say they are not qualified.\n\nIs $286 a more or less appropriate amount for a quick temporary cementing job? Is it just me? Am I being unreasonable? Zuri Barniv: Well, the short answer is, yes, $286 is probably pretty reasonable to get you in, evaluate your problem, offer treatment options then reattach a broken piece of the temporary. But that is NOT what the dentist charged. He charged you for recementing two crowns and your portion is $118.40, the dentist got another $45.60 from Delta Dental. Delta Dental is not allowing the \"palliative treatment\" charge (see item 1 in the notes), so neither you nor Delta pay for that part. The dentist has to write off $122.\n\nIt sounds like the chemistry with this dentist was not good so you need to find someone new. But to pay $118.40 for what you got is pretty fair in my book.\nDr. Barniv impatient patient: Thank you for your response Dr. Barniv! Maybe I'll just pay the guy tomorrow and forget about it.\n\nStill confused though: after a free 20 min consultation (which was useless to me, because his email is broken, so he could not receive my xrays), he spent 5 minutes cementing. I can maybe believe 5 minutes of his time is worth $164, but why did he also attempt to charge the insurance company $122 for palliative treatment? What palliative treatment could have been provided in these 5 minutes, given that I was not in pain? Does not it come across to you as an attempt to overcharge the insurance company? Yes, I know, it was declined, so no big deal, but just how trustworthy is the doc? Or is this common? \n\nI mean, if he spent 20 minutes..\n\nFor comparison, in my city, $160 buys me a comprehensive perio evaluation with a periodontist (as per Delta). Why would 5 minutes with a non-specialist cost more than a comprehensive eval by a specialist? Zuri Barniv: impatient patient said:\n\n\n\n\t\t\tWhy would 5 minutes with a non-specialist cost more than a comprehensive eval by a specialist?\n\t\t\nClick to expand...\n\nBecause actual treatment costs more than a consultation/exam. Think about it: if the fix he did fell off the next day, you would be right back in his office and he would most likely redo it for free on his own time using materials that do cost money. So part of what you are paying for is a little warranty that is not there when only an exam occurs. Yes, he billed it incorrectly, he was just trying to recover whatever money from the insurance he could for the time he spent. It is a game and it happens a lot. Most likely, a billing person made that decision and that person was probably not very experienced as Delta never pays for more than x-rays when palliative treatment is billed. So I would not focus so much on the actual line items and more on what is fair compensation for the service you received.  Hope that helps.\nDr. Barniv impatient patient: It does help. Thank you. I'll pay him tomorrow.\n\nI was also annoyed with the way his office wanted to have my credit card on file, so that they can automatically bill me for the balance after insurance, without sending me the bill first. I refused, because that's a little unusual, is not it? Then the front desk called me the same day the insurance payment came back, and kept calling me once or twice a day every day since. No grace period at all. Threatening to pass it to collections \"next Tuesday\".\n\nThat aggressive accounting, coupled with aggressive upselling, is what had raised the red flags with me. Is this unusual? Zuri Barniv: That is not typical. Just pay him and move on...I wonder if you could have read some Yelp reviews before going and seen this coming? impatient patient: Yelp reviews were just fine. 5 reviews, average 4 stars, the one-star review complaining about long wait. Some of the 5-stars seem kind of cheesy, I don't know..  two additional reviews collapsed. Not much information..\n\nI'll do just like you said. impatient patient: Correction, FOUR reviews out of 9 collapsed by Yelp. That's unusual is not it? Zuri Barniv: What is a \"collapsed\" review? impatient patient: \"4 other reviews that are not currently recommended\""
  },
  {
    "id": 1984,
    "title": "Is it a cavity?",
    "dialogue": "essea: I noticed this brown dot on my molar this morning. I have Invisalign and wear rubber bands so I constantly see my teeth and this was not there last night. At first I just thought it was food because it looks like it's sitting on top of the tooth, but it won't go away. It doesn't hurt and doesn't feel any different. Is it a cavity? And should I go to the dentist right away? My scheduled cleaning is in March so I don't know if I should wait it out or not.. Thanks! DanyRoden: Yes, It may be a cavity but I think you have to wait at least one week and notice it every day. If you feel any pain or other problem, then go to a dentist or you can ask them when your routine checkup schedule. Zuri Barniv: I think that's a piece of food stuck in a crevice in your tooth. Poke it with a toothpick and you'll probably wiggle it out. I would be extremely, extremely surprised if that turned out to be a cavity. Dentgr: +1 to doctor Barniv\nSeems like a piece of almond maybe?"
  },
  {
    "id": 1985,
    "title": "HELP! Is my impant broken????",
    "dialogue": "Kimberly 929: I am getting different answers from different dentists. Is the Implant itself broken? I know the screw broke that was holding my temp crown on and that is still stuck up there. Do I need the Impant replaced?? \n\n A Biocare 3.5x10 was used. \n\nThank you!!!\nKim Zuri Barniv: In these images, the implant itself looks broken, that is in addition to the broken screw. It looks like the temp got hit very hard?? This caused the screw holding the temporary crown to break but it also broke the thin and fragile titanium rim of the implant body. This is a rare occurrence. I would have to see it in person, but it may be possible to still use that implant after the fractured screw is removed. Otherwise, you would have to remove the implant and start over....unfortunately.\nDr. Barniv DanyRoden: This is not very common but it does happen. Implant screws do sometimes break. It could be due to a defective screw or some other reason. You have to replace implant as soon as possible. Good Luck..!"
  },
  {
    "id": 1986,
    "title": "Darkening tooth",
    "dialogue": "Nancyhlpn: My bottom front teeth are very crowded with some overlap. One has just recently started turning gray. Does it sound like it might need to be pulled? DanyRoden: You have to try tooth cleaning or other options. Take your dentist advice. Then think about pull it out."
  },
  {
    "id": 1987,
    "title": "Infected tooth but no cavity visible!",
    "dialogue": "b11_: If a tooth is infected but no cavity is visible, how did the bacteria get in the tooth? Dr.Sus: It's not only cavity thru which bacteria enters or forms.. It can be due to pockets and periodontal reasons. A tooth can get infected through that.. DanyRoden: Dr. sus, Thank you very much for this helpful advice."
  },
  {
    "id": 1988,
    "title": "Foreign matter after extraction",
    "dialogue": "Bellensloan: Approximately 12 yrs ago, I underwent gastric bypass and as a result of malabsorption as well as neglecting to take my vitamins as instructed, my teeth are crumbling. After multiple extractions on top, I decided to go with dentures on the upper right after a front tooth broke off at the gum, I have had the upper plate for about 2 weeks now,, the only problem is there appears to be something that I can only explain the texture like a fish scale, and it is right under the surface of my gums above the upper incisors and I concluded it was still attached to what I am assuming is bone after digging and pulling at it with tweezers only to have it tear where the tweezers were gripping it. The pain in both of these areas is making the dentures almost unbearable to wear. I would LOVE to know what this is as well as when it will finally detach and come out!! I've had fragments make their way  through later, but this protrudes almost like there is another tooth up there, but at 43 years old \"highly unlikely\""
  },
  {
    "id": 1989,
    "title": "If the top of a tooth is open",
    "dialogue": "b11_: If the top of a tooth becomes open, should I rinse the tooth with medical alcohol then put a TEMPORARY filling on top? DanyRoden: You should take advice from a dentist."
  },
  {
    "id": 1990,
    "title": "Will I lose tooth?",
    "dialogue": "Poppy: How quickly does a tooth go from a number two to a number seven?"
  },
  {
    "id": 1991,
    "title": "root canal and cracked tooth",
    "dialogue": "jason loughran: Had root canal and dentist says can't save tooth as it's cracked.she filed it down to gum and said have it out or implant. Is there any way of saving what's left and glue a crown on? Can't afford a inplant. Sherryl Roberts: jason loughran said:\n\n\n\n\t\t\tHad root canal and dentist says can't save tooth as it's cracked.she filed it down to gum and said have it out or implant. Is there any way of saving what's left and glue a crown on? Can't afford a inplant.\n\t\t\nClick to expand...\n\n\nI have a similar question.  I had a root canal/crown done on tooth #18 three years ago.  About 3 months ago I started to experience pain that has since gone away.  But there is an infection that has presented itself on the outside of my gum.  I have absolutely no pain but I was concerned about the infection so I went to see my dentist.  He took an x ray and found a fracture between the roots on the molar.  He says the tooth needs to be extracted. He is also recommending an implant.  It's $60 to extract the tooth and with my insurance coverage the implant is over $4,000.00!\n\nMy question is this:  Do I have to have the tooth pulled now?  I'm not in any pain and if the antibiotic takes care of the infection can I wait?  I'd like to keep the tooth for as long as I can because I cannot afford the implant. kelly123: Sherryl Roberts said:\n\n\n\n\t\t\tI have a similar question.  I had a root canal/crown done on tooth #18 three years ago.  About 3 months ago I started to experience pain that has since gone away.  But there is an infection that has presented itself on the outside of my gum.  I have absolutely no pain but I was concerned about the infection so I went to see my dentist.  He took an x ray and found a fracture between the roots on the molar.  He says the tooth needs to be extracted. He is also recommending an implant.  It's $60 to extract the tooth and with my insurance coverage the implant is over $4,000.00!\n\nMy question is this:  Do I have to have the tooth pulled now?  I'm not in any pain and if the antibiotic takes care of the infection can I wait?  I'd like to keep the tooth for as long as I can because I cannot afford the implant.\n\t\t\nClick to expand...\n\n\n\nI had the SAME problem.  A molar that already had a RC on fractured at the root. I bit on a piece of candy and HEARD the fracture. Apparently, that tooth had 4 roots.It was holding a bridge. I let it go for 3 years and it was ine. I finally had it extracted at the insistence of my dentist and got an implant bridge to the tune o 8K. If I had to do it over, I would have continued to wait for it to become a problem. Zuri Barniv: Waiting till you perceive a problem can result in a very bad long-term outcome. If nothing else, you may be living with a chronic, albeit low grade, infection for years. That alone can trigger countless medical conditions or aggravate existing ones. Your body does not deal well with chronic infections. Secondly, by the time you \"feel the need\" to do something, a lot of destruction around your gums and bone will have taken place. This means it will be more expensive, difficult or impossible to do an implant later on. You are better off taking out the affected tooth and doing an implant when you can afford it than to let it ride until it becomes unbearable. There is no way currently in dentistry to even temporarily fix a tooth which has a fractured root.\nDr. Barniv firegal: My friend was recently in the same boat. Dentist cracked her tooth during a root canal and told her that her only options were an extraction or implant (I think the quote was for ~$8,000!). She couldn't afford a US implant so she had to get a dentist in Mexico to do it and luckily found a good one. Let me know if you need a recommendation. Ontowlynat1966: Consult a better dentist. I would recommend a family dentistry, Bloor West Dentistry in Toronto"
  },
  {
    "id": 1992,
    "title": "Enamel Defect?",
    "dialogue": "Diana: Hello my name is Diana I have a 15 month old daughter. I am wondering if any of you can help me figure out what my daughter may have. Her teeth erupted fine but last month they started to get chalky and pretty much eroded. She lost the enamel on her top 4 teeth and has some signs on her molars. Could it be Hypominirealization?  And an acidic environment that caused them to chip off the enamel so rapidly? We werent doing so good on her diet and brushing before. I have had one dentist tell me its decay while two other told me its some sort of enamel defect. \n\nThis is a photo of her teeth\n\nAny help is appreciated! \n\n-Diana Smith\nSent from my iPhone"
  },
  {
    "id": 1993,
    "title": "can a professional please help me? 17years old",
    "dialogue": "nobody23: I have very unstraight teeth. I always wanted braces as a kid, my parents were really neglectful. I'm pretty sure they didn't have insurance then, but I know that by this point, we definitely do not. \nAnyways, as a result never being to a dentist in my life, and poor hygiene for much of my younger years (parents never made me brush or realize the importance of it), I have gum recession in a lot of places of my mouth. Namely where my teeth go behind my other teeth, which honestly was bound to happen since they were so far back behind the rest anyways and I still don't know how to keep them from yellowing because they are really hard to reach and kind of blocked.\nI need a lot of work done on my mouth basically, it would cost at least a few thousand without insurance, and that is the gum grafting surgery I looked into alone and not whatever else I will need which of course, I will need more. The problem is I am going to have to be the one paying for it, and I don't have insurance on myself yet. What insurance options would an 18 year old have that would be good coverage for me? As soon as I turn 18, I plan to begin my dental restoration journey. \n\nAny help would be appreciated.\n\nMy second question is, is there a certain way I should approach this? I'm kind of scared of going to a dentist before a periodontist and  I'm completely on my own here. Not sure what to do and I really don't want to be berated for something I really couldn't help and I've heard bad stories before. I'm a really shy and anxious person and if anything keeps me from getting the help, it would be that.\n\nNow that I have grown up enough to realize what I need to do and why and because I'm almost an adult and able to help myself, I am ready to take the steps to get it all done."
  },
  {
    "id": 1994,
    "title": "Scaling done without irrigation?!",
    "dialogue": "Vanessa Chung: Today I went to a dentist for scaling. During the procedure I feel heat, no pain yet I did not stop the dentist. I was wondering if there should be more water involved during the process. I suspect she did not , or adjusted to little water flow. However until now I did not experience signs of irreversible pulpitis. The entire procedure lasted about 10mins because there's not much calculus. How long should I monitor to make sure my teeth are completely safe from pulp injury?"
  },
  {
    "id": 1995,
    "title": "Patient Relations",
    "dialogue": "jpwhite76: You tell them what they need to do while they're sitting in front of you and you send them a recall in 24 weeks but do you do anything else?\n\nWhat do you do to keep your patients engaged and practicing good oral hygiene between visits?\n\nWe're all trying to generate new business but do we go the extra mile to retain the business we have?"
  },
  {
    "id": 1996,
    "title": "After implant on lower molar, upper molar hurt from chewing again",
    "dialogue": "ppzhao: I just had a dental implant completed, it's the lower left molar. From the extraction, I've been missing that tooth for almost a year now, and have been chewing solely on the other side of mouth. Now that I just got my lower left molar back, I tried chewing on it and it hurts the upper tooth that it's chewing against - almost like a sore tooth, doesn't hurt by itself, but hurts when you put pressure on it such as chewing.  It also isn't sensitive to temperature such as cold soda or hot soup.\n\nAlso, the teeth next the upper molar aren't sore at all when I put pressure against them, even though I haven't chewed with them either.  I Googled it and saw that I may have a cracked tooth, but I think it's unlikely.  It was just fine when I stopped chewing with it due to the extraction of the lower molar, and I haven't used it for almost a year because there's no teeth for it to chew against.\n\nIs it normal? Is the upper tooth just \"spoiled\" from not being chewed with for a year? Will it no longer hurt to chew with it after a week or so of chewing? Or is this something not normal, and I should go back to the dentist?  I've been baring the pain and slowly chewing soft things like speghetti with it."
  },
  {
    "id": 1997,
    "title": "Different Question to the Norm",
    "dialogue": "teacoffeesugar: Will keep the question brief : Is it possible for amalgam teeth fillings to intercept micro/radio waves ?\n\nI have a form of tinnitus, I kind of accept it but like any tinnitus suffer will tell you they will go to Mars and back seeking answers for a solution to their tinnitus and some do find it - I'm still seeking.\n\nBrief then - a number of weeks ago, I placed my iPhone 5s (with wifi antenna near the camera on the back and the radio antenna just below halfway down on the phone) against my ear to snap it for an ear problem in the canal - following this a number of noises occurred - some the most god awful noises.\n\nWhat is puzzling about the noises is at times they can speed up - and so they are my two questions:\n\nCan an amalgam teeth filling really pick up the waves if the antenna was placed directly next to the cheek (when the front of the phone is placed like what normal people do, in the phone there is a divider in the middle of the phone so the antenna normally doesn't interfere with the user).\n\nIf it was the amalgam filling picking up the waves (its the same noises mostly), when blood flows (which I assume is happening), could this interfere with the teeth and make them respond faster hence noises speeded up?).\n\nI am not pinning my hopes on the teeth filling being the answer to the noises but you have to hope and it is so perplexing the way the noises do go faster - as far as aware with others with Tinnitus they have not experience this.\n\nOf course, it could be a blood matter, faulty arteries or at the very least hopeful, permanent noises - what makes me think something about the filling however is a galvanic reaction that occurred about four weeks ago - I placed tin foil across my fillings and pressed down - aware that normally this elicits some pain but unaware that I was creating a battery in my mouth - of course it elicited the so pain but it also created a noise in my (I assume ear canal/auditory circuit) and a spasm. And this is the reason why I think the filling plays a part. The noise still exists.\n\nI dont drink. I don't take drugs. I am apart from the above occurrences of sound mind."
  },
  {
    "id": 1998,
    "title": "Dry socket",
    "dialogue": "Eugen: Ok soo I had a decaying tooth and it started wobbling so i applied little to no pressure on it and it fell off but I looked and there seems to be no hole its flat. Now the reason why I made this thread is because I am a smoker and I read alot about dry sockets but I waited 24 hours the place where the tooth fell of was bleeding for 1 min then it stopped can I smoke or is it still dangerous??"
  },
  {
    "id": 1999,
    "title": "Was the root canal really necessary?",
    "dialogue": "Tragedy18: A few days ago I started having a tooth ache. It was a constant ache over the two days but it wasn't sensitive to hot or cold drinks, in fact, in a sense it caused relief. Went to the dentist and my doctor said they will do an X-ray. She wasn't certain based on the X-ray but said based on my symptoms I needed a root canal. I'm midway through the process, the nerves were too painful to work on even after numbing it so my doctor applied medication to kill the nerve and we rescheduled. \n\nI can't help but feel amiss. After the first appointment, she gave antibiotic and painkillers but after two days I didn't need the painkillers anymore. I asked my doctor at my next appointment, that the pain was gone and was it still necessary, she said she had drilled too deep or something and we have to finish. Maybe the pulp was removed. I really don't know and a little confused.\n\nI'd like to know if this was absolutely necessary and were there other options? I remember the first visit, she said she would drill and check. After drilling, she said it seems very deep and I probably needed the root canal. \n\nCouldn't I have just taken the antibiotic and have the pain go away? She doesn't mention if the pulp or nerve is infected, is it not possible to see that when drilling? I'm sorry but this whole process is rather confusing and rather painful experience. I wanted some peace of mind, if it was avoidable or was it necessary. \n\nThank you for reading, sorry if it was a bit too long. Zuri Barniv: An x-ray would be the only way anyone here could tell you if it was necessary or not. But assuming it was, once the dentist entered the canals of your teeth where the nerves are, then that cannot be remedied with antibiotics or anything else. Once a root canal is started, it needs to be finished or there would be long-term consequences.\nDr. Barniv Tragedy18: Zuri Barniv said:\n\n\n\n\t\t\tAn x-ray would be the only way anyone here could tell you if it was necessary or not. But assuming it was, once the dentist entered the canals of your teeth where the nerves are, then that cannot be remedied with antibiotics or anything else. Once a root canal is started, it needs to be finished or there would be long-term consequences.\nDr. Barniv\n\t\t\nClick to expand...\n\nThank you for replying. How could she do it without being certain, it seems like a root canal will have some long term consequences. She did two X-rays and couldn't tell if there was anything. There was a black spot that appeared but she said that could be due to the ash from the X-ray. What are other options she could have presented if she was uncertain? I didn't feel like I had any choice but to agree to a root canal but it always felt like \"probably\" have to do it rather than a \"have to\" from her explanations.\n\nEDIT: I also read online that when you need a root canal, the antibiotics buys me a few weeks before it gets bad. I with the pain roughly 9 days ago, our next appointment is in 2 weeks. She's applied medication to kill the nerve because it was still very painful after numbing it 3 times. Isn't almost 4 weeks of leaving it incomplete, dangerous? Zuri Barniv: Sometimes dentists make a diagnosis on the totality of the evidence and different dentists will differ on what evidence is required to justify a root canal. If she was uncertain, she could have waited to see how your symptoms played out, but you would then suffer in pain all that time. So it's not always cut and dry. \n\nYes, leaving a root canal unfinished could lead to an infection. Tragedy18: Zuri Barniv said:\n\n\n\n\t\t\tSometimes dentists make a diagnosis on the totality of the evidence and different dentists will differ on what evidence is required to justify a root canal. If she was uncertain, she could have waited to see how your symptoms played out, but you would then suffer in pain all that time. So it's not always cut and dry.\n\nYes, leaving a root canal unfinished could lead to an infection.\n\t\t\nClick to expand...\n\nIf she let it play out, would that be just giving me antibiotics and painkillers? If the pain stopped, what would that mean? This is my first time going to this dentist as well which is why I'm a little concern but the scaling and the filling work she did on me barely hurt compared to my last dentist so that's good. Neelsmith: By some tests like xrays etc, you can get clear scene to root canal is necessary or not."
  },
  {
    "id": 2000,
    "title": "Abscess",
    "dialogue": "Jenksy13: Hi there,\nI have an abscess in my last baby tooth which I still have at the age of 20 because there was no adult tooth underneath it. My dentist says I have to have it taken out, but what happens if the tooth falls out before as it is slightly wobbly now? Also I have a massive hole in it at the moment as the filling that was in it has fallen out, will it make it really bad and painfully if i get food in it?\nThank you"
  },
  {
    "id": 2001,
    "title": "Two different dentists telling me different stories/lies...  need advice",
    "dialogue": "Shane999: Hello there.  I'm hoping some of you have some advice for my situation.\n\nI'm going to try and keep this as brief as I can.  Basically I went to two different dentists in the last month and have gotten different stories from them about a few things.  Let's start with \"Dentist 1\"\n\nMy experience with Dentist 1:\nI went in for an exam because I want to have some cavities filled.  Within a few minutes of looking at my teeth she tells me a \"Deep Cleaning\" is absolutely necessary before we do anything else.  She tells me my fillings will be covered by my insurance but tells me the deep cleaning IS NOT covered.  I ask about the price of a deep cleaning, expecting to hear something reasonable, but instead she tells me it would be over $500!  After discussing this with her for some time, and telling her I'd need time to save up that kind of money to pay up front, I get her to \"admit\" that we can go ahead with the fillings without a deep cleaning.  She tells me, however, that if I come back for the deep cleaning AFTER I have the fillings done, any newly discovered cavities or issues would NOT be covered by my insurance so I'd have to pay out of pocket.  To me, this sounds like a scare tactic to make me frantically figure out a way to produce $500+ for the deep cleaning, which is what she's much more interested in (profit wise) than whatever my insurance would pay her for the fillings.  Also, I know for a fact my insurance DOES cover a deep cleaning as long as I haven't already had one in the last few years, which I haven't.  She blatantly lied about this to me, so I refused to even consider her for any of the work I need.  A friend of mine had a deep cleaning done there, and has the same exact coverage I have, and it was covered... so I know for a fact this dentist is aware my plan covers the deep cleaning.  (but I \"look\" like I have more money than my friend does, appearance/clothing wise)\n\n\nMy experience with Dentist 2:\nHe looks at my teeth and tells me I need the deep cleaning, but tells me my insurance WILL cover it.  (which I already know, but I'm glad he was honest about that unlike the previous dentist)  He warns me, however, that after a deep cleaning I might have some teeth that are permanently \"loose\" after they are done scraping away whatever materials have been building up between the teeth and gums.  I tell him I'd prefer to just go ahead with the fillings for now, and get those out of the way without a deep cleaning.  He then tells me he refuses to just do the fillings because \"they will all fall out right away\" if I don't have a deep cleaning first.  Even though the first dentist, who unfortunately was trying to scam me out of money, admitted that fillings COULD be done before the deep cleaning.\n\nSo, as you can see, I have gotten to very different stories.  One dentist wants to scare me into paying her cash for a deep cleaning, but is OK with me getting the fillings first as long as I tell her I'm going to come back for the deep cleaning and pay cash.  The second dentist admits right away that the deep cleaning is covered, but tells me I might have loose teeth forever afterwards, so when I say I'd like to skip the deep cleaning he tells me he won't do it because the fillings would all fall out.\n\nThoughts?  Advice?  Which dentist is the bigger liar/scammer here?  What do I need to do in order to have some simple fillings put in WITHOUT the risk of a deep cleaning causing me damage I wouldn't have had anyway?"
  },
  {
    "id": 2002,
    "title": "Mouthwashes",
    "dialogue": "Colin D: Do any of them actually do anything or are they just flavoured water?  They all make claims to reduce plaque, whiten teeth, make gums healthier, but then I read any that contain alcohol damage the teeth. I wouldn't rely on these alone,\nI would still brush at least twice daily and floss, but are there any that would give added benefit? American De: Heard that oil pulling is on the lates trends and is even better than mouth-wash and prevents cavities. Yet to do this but seriously has anyone done this? JJ_8613: I don't know for sure, but my dentist told me that for some people certain mouth washes are too harsh.  I've been told to avoid Listerine personally, but I feel it cleans the mouth really well.\n\nJJ Colin D: I heard that about Listerine too. It always seemed to do a good job though. I think I will stick to brushing & flossing. Dental Care ABC: You may use water flosser and it is easy to apply for your teeth. Great Lakes Dental: Colin D said:\n\n\n\n\t\t\tDo any of them actually do anything or are they just flavoured water?  They all make claims to reduce plaque, whiten teeth, make gums healthier, but then I read any that contain alcohol damage the teeth. I wouldn't rely on these alone,\nI would still brush at least twice daily and floss, but are there any that would give added benefit?\n\t\t\nClick to expand...\n\n\nHi Colin, \n\nYou're correct to maintain brushing/flossing twice/day, however certain types of Mouthwash can be of assistance as well, depending on the condition of your own oral health. For example, if you're diagnosed with gingivitis.\n\nSo let's take a closer look...Most mouthwashes contain four common ingredients: Water, Alcohol, Flavour & Colour. Looking beyond those common ingredients you can group mouthwashes into 4 general categories:\n- Antimicrobial (reduces bacteria)\n- Fluoride (helps slow & prevent tooth decay)\n- Astringent Salts (masks bad breath)\n- Odor Neutralizers (chemically inactivates odour causing bacteria)\n\nAs mentioned above, people that suffer from gingivitis may benefit from an Antimicrobial and/or Fluoride mouthwash. If on the other hand, you don't suffer from any specific oral health issues, perhaps an Alcohol-Free Fluoride mouthwash can be a good alternative to slow and/or prevent tooth decay. \n\nIf your simply looking to treat bad breath, I would recommend instead using a sugar-free chewing gum, preferably sweetened with Xylitol.  \n\nHope this helps. \n\nDr. Jennifer Thomm\nCosmetic Dentist\nGreat Lakes Dental\nSarnia, Ontario Canada Bill Goodwin: I've heard that there's a cult following that's grown up around the original orange Listerine, it's fabled as a cure all for many different - and not all to do with teeth - ailments.\n\nI've done a bit of Googling but I can't find whether its value lies in it being  and antimocrobial etc. mouthwash.\n\nI know that it feels as though it would take paint off a car though.\n\nHas anyone an answer to what it offers and has anyone else heard of its mythical qualities?"
  },
  {
    "id": 2003,
    "title": "\"If it hurts, we will either pull it or do a root canal.\" ???",
    "dialogue": "Pearce Yaussy: So apparently, if a tooth hurts, it needs a root canal. Period. According to this dentist. I get there, all they know is that I have a tooth that \"hurts\", I had given no other details at that point, and they give me a \"permission to do a root canal\" sheet to sign. I was surprised and said \"What? Root canal?\" They said, \"Yeah, don't worry about it. It's just like getting a filling.\" Me being the wimp that I am I signed the sheet and let him do the root canal. After all, he's the doctor, right?\n\nSo before he even looked inside my mouth he told me again, \"If you don't want to lose the tooth I have to do a root canal.\" I said OK. THEN he finally looked at it and did x-rays. \"Yeah, it looks like that cavity there is PROBABLY down to the nerve\"\n(It wasn't hurting at all at that point, and I couldn't see what he was talking about on the x-ray... Also, PROBABLY??? Yeah, let's do a root canal because you PROBABLY need one... lol)\n\nAnyway, after the fact, I was concerned and called my old dentist (family friend) and told him about it, and he said that was ridiculous and it could have just been filled and been fine, and it most likely didn't need a root canal. Really??? So now I have another dead tooth in my mouth that will harbor even more harmful bacteria and god knows what, and just because this guy apparently wanted to make some money off of me.\n\n...My grandmother has been using this guy for 35 years now, I can see why 3/4 of her teeth are missing. She has apparently has had \"a bunch\" of root canals...\n\nAny thoughts? Could this be considered malpractice? What can I do about it? lol I'll never tell that guy a tooth hurts again unless it really REALLY hurts... bcjch: This guy is the exception, not the rule, I think ... but I wouldn't put hustling a patient past a dentist. As for malpractice, you'd have to prove that, which would be difficult - it would be his word against yours as far as the diagnosis is concerned, and he's still the expert\n\nIncompetence is another story - my sister-in-law once had the same tooth filled 3 or 4 times by the same dentist because it kept hurting. This same dentist did a number of fillings on me, and none lasted 2 years. Usually, the free market will eventually weed these guys out, but it takes a while - the typical patient has very little basis on which to judge a dentist.\n\nThe best thing you could do about it is post a negative online review of the practice somewhere online. Mention your grandmother, as well as the differing second opinion you got. But be careful - there is a difference between saying \"I have some doubts\" and outright libel. Pearce Yaussy: As for malpractice, you'd have to prove that, which would be difficult - it would be his word against yours as far as the diagnosis is concerned, and he's still the expert\n\t\t\nClick to expand...\n\n\nWell, as far as proving it, I can obtain copies of my x-ray before the root canal was done, and have some other dentists say that it didn't need a root canal (because it didn't). A root canal is for saving an infected/abscessed tooth that can't otherwise be saved, not to fix a tooth that \"hurts\"... Jeez.\n\n\n\n\n\t\t\tUsually, the free market will eventually weed these guys out, but it takes a while\n\t\t\nClick to expand...\n\n\nMore than 35+ years though? I think not. The problem is that 95% of people are dumb enough to fall for it. Sad but true.\n\nDental malpractice:\n\n\n\n\n\t\t\tYour dentist -- and every dentist that practices for that matter -- is charged with a legal duty to comply with the standard of care in treating patients. The standard of care is the level at which an ordinary, prudent dentist -- in good standing, and of same or similar educational background and geographic location -- would administer care under same or similar circumstances. This is simply the legal way of saying that your dentist has a duty to provide care at the same level a similarly educated dentist practicing in your area would provide. If you live in Detroit, MI, your dentist is not held to the same standard of care as a dentist in Alaska or Ohio.\n\t\t\nClick to expand..."
  },
  {
    "id": 2004,
    "title": "Should alcohol be diluted?",
    "dialogue": "b11_: Have a tooth with a hole in its top. I am planning to put a few drops of 100% alcohol inside to kill bacteria. Should the alcohol be diluted? If so, what should the percentage be? Zuri Barniv: Alcohol will not kill the bacteria inside the cavity as it will never reach the depths of the cavity itself. It might only kill bacteria on the top-most portion which will not only be ineffective long-term, but you may also injure yourself. Danny84: b11_ said:\n\n\n\n\t\t\tHave a tooth with a hole in its top. I am planning to put a few drops of 100% alcohol inside to kill bacteria. Should the alcohol be diluted? If so, what should the percentage be?\n\t\t\nClick to expand...\n\nIf you have a cavity the best solution is goto your Dentist. I've had a cavity for quite a few months and got by without doing nothing, I did try over the counter Dental filler which worked but it's no good long term. It eventually caught up with me which I knew it would do and I went to the Dentist a week ago and now it has been cleaned and filled. b11_: How did the dentist CLEAN the inside of the tooth?"
  },
  {
    "id": 2005,
    "title": "Can the age of a crown be judged by appearance?",
    "dialogue": "bcjch: Hi all,\n\nI don't know how to interpret an experience a couple of months ago at the dentist and the things that have happened since. I'm hoping some of you have some insight.\n\nI went to another dentist not too long ago for a second opinion about work I still need. In the process, he was examining 2 crowns I had obtained about 4 months before and was somewhat preoccupied with them - like he foresaw problems. One red flag to him was pain in one tooth when he tapped it with a tool, but I had had the crown ground down to get a better fit earlier that week.\n\nIt surprised him when I told him they were new.\n\nSince then, the tooth that needed the crown ground down has hurt every once in a while. Because of that, I'm now wondering if all this put together means the dentist who placed the crown in the first place didn't get something right.\n\nAm I assuming too much? Or is this sequence of events not a surprise, because just looking at a crown doesn't reveal much about it?"
  },
  {
    "id": 2006,
    "title": "Distal and Mesial resin filling question",
    "dialogue": "2th: I have some fillings on the distal and mesial surfaces of a handfull of teeth. The most recent fillings were done in a manner that left a noticeable lip or bump were the filling meets the tooth.  I can not feel any such \"lips\" on my previous fillings.  Is this a normal method for these fillings or do I need to have them ground down smooth. I hate to question my dentists technique or whatever, so any help here would be great. Thanks Great Lakes Dental: Hi 2th, \n\nThe situation you've described has become more common with the proliferation of white (tooth-coloured) fillings. In yesteryear's, when most Dentists still used amalgam (silver) fillings, imperfections (bumps, edges, lips etc) could be easily spotted. Since today's filling materials blend naturally into your teeth, it's more difficult to spot these imperfections. Patients won't notice during the initial filling appointment since they still have freezing in. Later, when the freezing wears off, you notice it either with your tongue or your bite feels off. I always tell patients to be aware that this can occur and to simply call us back (if necessary) and request an adjustment or smooth. \n\nTherefore, to answer your question. It's entirely common and yes, you should call your office and request a smooth....You'll be in & out in 5 minutes. \n\nRegards, \n\nDr. Jennifer Thomm\nCosmetic Dentist\nGreat Lakes Dental\nSarnia, Ontario Canada"
  },
  {
    "id": 2007,
    "title": "Need help for 2 weeks",
    "dialogue": "jjomaski: Hi guys , first post . On dec 14 i am having all my tops removed due to bone loss . One of my 2 front teeth is a 14 yr old failing implant . The other front tooth is very loose and i am searching for a way to keep it for 2 weeks . I work with the public and it cannot fall out . I called the dentist about a drop of super glue and and of course he said no . I dont think there is an answer other than being careful but im hoping for a miracle . Thanks in advance"
  },
  {
    "id": 2008,
    "title": "cusp to fossa relation",
    "dialogue": "mac hau: hey, im a dental student and that im confused with cusp to fossa relation.\n1) what is cusp to fossa relation?\n2) does cusp to  fossa relation have a definition?\n3) my teacher told me to set the denture teeth in cusp to fossa relation in my removable partial denture, can cusp to fossa be applied on denture?\n4) if applied on denture, what the pros of it?"
  },
  {
    "id": 2009,
    "title": "Question after scaling and root planning",
    "dialogue": "Ryan2240x: I had scaling and root planning done on November 4th and I am wondering if my gums should be changing afterwards? I think I am noticing more recession on some of my teeth on the left side of my mouth. I am so worried about losing my teeth, and the dentists are aware of my fear. They even went on to tell me that I'm \"not that periodontally involved\" but I had the procedure done. Would it make sense for my gums on one side to start receding even more? It looks like the right side is healing and maybe the left side is going to start to change shape next? Please help me understand what is going on. Here is a before and after pic.\n\nThe one with the tartar buildup is the before pic.\n\nWhy does it look like the \"longer tooth\" on the left side has more recession all of a sudden? I don't know how long it has been like that. It does look like the left side is starting to \"flatten out\""
  },
  {
    "id": 2010,
    "title": "Really Bad Help - Need suggestions",
    "dialogue": "Bad Teeth: Good Day!\n\nI am recently unemployed and have not had insurance for some time. I have dealt with many issues and my income has suffered greatly over the last few years. I am in need of  dental repair. It is effecting my ability to be social and employability in my profession ( sales) because I cant smile. It is that bad.\n\nThrough recent research and medical exam; I have had medical/ physical conditions which effected other conditions such as schizophrenia, dementia which produces nutrient deficiencies that greatly effected my teeth condition.\n\nAre there any programs or assistance I can apply for? Or perhaps, dental schools that need patients to practice on?\n\nAny guidance would be much appreciated. I live in Florida."
  },
  {
    "id": 2011,
    "title": "What constitutes an \"uncooperative\" patient?",
    "dialogue": "bcjch: Hi all,\n\nI'm curious what actions dentists and hygienists consider \"uncooperative\". I've been characterized that way by some.\n\nIf the only good patient is one that lies still in the chair with a blank stare during a procedure, then I guess I'm a bad one. I could find ways to get through things like cleanings, at least up until now ... but my mouth is in chronic bad shape, and I often yowl when getting poked the wrong way. I tend to gag on the inserts used to take x-rays. When anesthetized for a procedure, I'm fine - but I never relax in a dentist's office and don't think I ever will.\n\nNo doubt I'm a difficult patient. The providers I've asked all say that they've had worse, but then again, they may have to say that out of diplomacy, no matter what the truth is.\n\nAt the moment, I also wonder if being considered \"uncooperative\" means it's time to look for a new dentist.\n\nSo for you providers out there - well, anyone, really, but providers in particular - just what does \"uncooperative\" mean? And is it a hint I should find another dentist? Danny84: Hi, I think many Dentists should be prepared for patients like yourself, I don't find it a horrible experience but I do suffer with anxiety so I do worry about going to the Dentist but once I'm there I just let them do their thing really. Have you thought of getting general anaesthesia? You would feel alot calmer and more cooperative with the Dentist. A good Dentist will always talk to you and reassure you, they usually explain if you have any pain put your hand up and I will stop right away. If your Dentist is not like this then if it was me I would change Dentists right away but I would look into the general anaesthesia which may work for you. I hope you find the right Dentist and I'm sure they will answer your question for you. bcjch: General anesthesia is not a realistic possibility for me. The dentist I'm at charges $1000 for IV sedation and only has the qualified guy come there once a month. Because I take prescription meds for other things, I'm told oral sedation is out because of possible interactions. N2O is, too, for the same reason - and a past incident. (Not entirely sure it was the cause, that dentist could have been better - but my doctor told me that kind of interaction is possible.)\n\nFor the last cleaning, I had them numb me by injection, as they would for a filling or something. The hygienist was noticeably happy - said I was sooooooooooooooooooooo much more cooperative. I can't tell if that means they only want to deal with more sheeplike patients. If I'm the cause of the worst days of their life, maybe that's the case. Danny84: I'm always shocked at how much prices are so high in the USA, I'm assuming your from the USA anyway? I live in the UK and the prices are nowhere near that unless you go private of course. If I want a filling or root canal treatment it will cost me £51 which comes with general anaesthesia if wanted. All Dentists will want their patients cooperative, they are working in an area where sudden movement could cause harm to yourself. When I had my filling a week ago the worst part for me was just getting the needle into the gum which turned out ok in the end and once it was numb I just lay there for them to do their work.\n\nIf your really uncomfortable with Dentists I would suggest to have a good chat with him/her and let them know how you feel after all you are paying them for treatment. There are Dentists on this forum, maybe they will get around to answering your question and give you their views as I am not a Dentist but I wish you well. bcjch: Yes, I'm in the USA. Apparently we're the only place in the world where Conan the Hygienist prowls dentists' offices ..."
  },
  {
    "id": 2012,
    "title": "Tooth pain after skydiving",
    "dialogue": "Ak1: I went for a skyding on 30th October. After 2-3 hours of skydiving my teeths started paining.  I took painkiller to calm down the pain but after skydiving my teeths are sensitive to cold water and pain is coming back during night. I read about this online but couldn't find any solution.  I also read its related to barotrauma.  Should I go and see my physician or my dentist or pain will go away on its own.  Please help. Ak1: Pain was gone after 3 days.  I took 1 ibuprofen when pain starts.\nI also checked with one of my friend who is a doctor. He also told me to take ibuprofen for the pain and pain will go in few days by himself.\n\nI hope this reply will help others."
  },
  {
    "id": 2013,
    "title": "Shooting pain after filling",
    "dialogue": "Danny84: Hi I'm new here and just wanted some advice really.\n\nI was having toothache for awhile and plucked up the courage of getting it seen to, I had a feeling it was a cavity anyway. The Dentist took x ray and said you have a cavity like you suspected but it is a deep one and close to the nerve. He talked me through what he would do and said i'll put a filling in there but it is deep and if I have any trouble you can ring us. So I had the filling on Monday morning and thought that might be the end of it but I'm getting this shooting pain, like a jolt when I touch the tooth or catch it in my mouth and it's an unpleasant feeling I'm guessing this is the nerve inside but I would of thought it would have settled down by now.\n\nHow long do I give it to give them a ring do you think? My own opinion is I think I need root treatment and I wondered why they couldn't have done this in the first place instead of filling a deep cavity, is there a reason they don't go down that option? It would save alot of hassle and time in the long run if they just took the root out then fill it. Has anyone had this problem?\n\nThanks\nDanny Great Lakes Dental: Hi Danny, \n\nFrom the story you've recounted, it sounds as though your Dentist has recommended & performed the correct treatment. Where appropriate, a Filling is a better initial option then a Root Canal. \n\nA Filling allows much of your natural, living tooth to remain - less the decayed portion that is removed & filled by your dentist. \n\nA Root Canal (as it sounds, involves removing the blood vessels, nerves & pulp tissue) which leaves your tooth feeling pain-free, but its' now no longer living. As a consequence your dead tooth will require a Crown to protect it's remaining, brittle structure.\n\nSince your Dentist recommended and performed a filling, that indicates that he/she believes that he/she can save your tooth.....You should be happy and thankful since the treatment your Dentist has recommended is both: better for your wallet and your long-term oral health. \n\nNow in terms of your discomfort, think about this way. Imagine having someone drill a hole through your femur bone, fill it with a foreign material and send you on your way. In those circumstances, would expect the pain to be gone in 48 hours? Certainly not! As your Dentist explained, your root canal was deep (and therefore close to the nerve), that means that every time your tooth comes into contact, the material is putting pressure on your nerve (causing a sharp pain). The pain that you're experiencing will subside, but it could take days, weeks or in some cases months. \n\nIf you notice an infection (swelling, bleeding, puss, bad taste or foul odour occurring inside your mouth), at that point go back and have him/her take another look. \n\nI have several short videos on my website that may help you better visualize what's happening: http://greatlakesdental.ca/dental-videos/#dentistry\n\nHope this help. \n\nDr. Jennifer Thomm\nCosmetic Dentist\nGreat Lakes Dental\nSarnia, Ontario Canada Danny84: Thanks for replying to my message it's much appreciated.\n\nI've had a filling before and i've never had any pain when the numbness wore off which made me think it might be something different, I was expecting the pain to go away quite quickly. I will give it more time and see if it eases up over the next week or two.\n\nI'm going to check out your website on that information, thanks again for explaining it.\n\nDanny Great Lakes Dental: Hi Danny, I thought I'd follow-up and see if you were still experiencing pain or sensitivity on your tooth? Danny84: Great Lakes Dental said:\n\n\n\n\t\t\tHi Danny, I thought I'd follow-up and see if you were still experiencing pain or sensitivity on your tooth?\n\t\t\nClick to expand...\n\nHi, yes it has improved quite alot since the last time I posted here, I'm no longer getting that shooting pain feeling so it seems to have settled down. I do still get a strange feeling when eating on that side almost like biting on foil or metal, I was doing some research on the internet and thought it might be galvanic shock which seemed like my symptoms but it's not causing me pain anything like it was a week ago. I think I just need to give it abit more time and see how it goes, thanks for posting."
  },
  {
    "id": 2014,
    "title": "Cost of dental work",
    "dialogue": "KennyLL: My youngest daughter, 20, has a toothache. She lives about an hour from home in SFalls, SD. Turns out she needs a root canal $1365, 2 crowns $2800, and 2 small cavities filed $580. Are these costs what dentists are charging now, or is she being gouged by this particular dentist ? She had X-rays, a cleaning, and consultation today-$400. Any views would be appreciated Over9000: I am curious as well. I have done some Google research and that seems somewhat consistent but I'd like a sure answer too. Do you guys have insurance? KennyLL: No. We don't have dental insurance now. The way our medical insurance is shaping up  to be this next, I'm betting dental insurance will be ungodly high priced also. I did ask a friend who works as a dentists version of a nurse practitioner about costs today. She told me that the prices we got are in the ballpark. Ouch! Over9000: I hate the whole ballpark thing. Dental prices need to be regulated soon like most markets. Well, good luck. We'll both need it, haha... KennyLL: Over9000 said:\n\n\n\n\t\t\tI hate the whole ballpark thing. Dental prices need to be regulated soon like most markets. Well, good luck. We'll both need it, haha...\n\t\t\nClick to expand...\n\nCharging like they do. No wonder these guys can go to Africa and shoot lions! Over9000: KennyLL said:\n\n\n\n\t\t\tCharging like they do. No wonder these guys can go to Africa and shoot lions!\n\t\t\nClick to expand...\n\n\nLol! So sad but true. Hope the lions get them. KennyLL: I did some checking on dental insurance. Not really any bargains that I found anyway. An average coverage for a family of three is a premium of $125-150/mo., $100 deductible , and $1000 max payout. With that said after paying out around $1500 a yr in premiums, any major dental work is still going to cost a substantial amount of out of pocket money. Normally all we ever have is your everyday dental visits for a cleaning a couple times a year. Better off just paying without any insurance . Over9000: KennyLL said:\n\n\n\n\t\t\tI did some checking on dental insurance. Not really any bargains that I found anyway. An average coverage for a family of three is a premium of $125-150/mo., $100 deductible , and $1000 max payout. With that said after paying out around $1500 a yr in premiums, any major dental work is still going to cost a substantial amount of out of pocket money. Normally all we ever have is your everyday dental visits for a cleaning a couple times a year. Better off just paying without any insurance .\n\t\t\nClick to expand...\n\n\nInteresting. I wonder if it's a similar situation for an individual, if one is just better off paying without insurance if it's just one big job you're interested in.\n\nActually, I'm pretty ignorant regarding how insurance works at all, anyway. What exactly is a \"deductible\", \"premium\" and \"max payout?\" And can you get help right away after just paying the monthly fee? Are there some kind of barriers to entry like credit rating? Man, being an adult sucks, haha.\n\nIt does seem that for a family you'd probably be better off without it though if usually you just need cleanings, I think. KennyLL: Insurance can be very confusing. Probably because the more confusing they can make it, the less they have to pay out.\n  A deductible is an amount that you have to pay(excluding your monthly premium) before the insurance pays anything. Premium is your monthly bill or amount that you ( or your employer) pay to the insurance company. Max payout is the most the insurance will pay.\n   Give an example:  say you need some major dental work done  ( like my 20 yr old) costing $5000. You pay the first $100(deductible) leaving a $4900 balance. Insurance picks up the next $1000 leaving you with the remaining balance of $3900. \n   I think a lot of these plans are designed for an employers to pay part of the premium and the employee to pay part. The plans that I've looked at so far don't make ant math sense at all. Also many of these dental plans have  6 -12 month waiting period before they would make a max payout. Over9000: KennyLL said:\n\n\n\n\t\t\tInsurance can be very confusing. Probably because the more confusing they can make it, the less they have to pay out.\n  A deductible is an amount that you have to pay(excluding your monthly premium) before the insurance pays anything. Premium is your monthly bill or amount that you ( or your employer) pay to the insurance company. Max payout is the most the insurance will pay.\n   Give an example:  say you need some major dental work done  ( like my 20 yr old) costing $5000. You pay the first $100(deductible) leaving a $4900 balance. Insurance picks up the next $1000 leaving you with the remaining balance of $3900.\n   I think a lot of these plans are designed for an employers to pay part of the premium and the employee to pay part. The plans that I've looked at so far don't make ant math sense at all. Also many of these dental plans have  6 -12 month waiting period before they would make a max payout.\n\t\t\nClick to expand...\n\n\nAh, I see. You explained it quite well, now I think I understand. A 6-12 month wait period is ridiculous though, lol. Danny84: KennyLL said:\n\n\n\n\t\t\tMy youngest daughter, 20, has a toothache. She lives about an hour from home in SFalls, SD. Turns out she needs a root canal $1365, 2 crowns $2800, and 2 small cavities filed $580. Are these costs what dentists are charging now, or is she being gouged by this particular dentist ? She had X-rays, a cleaning, and consultation today-$400. Any views would be appreciated\n\t\t\nClick to expand...\n\nThat sounds like alot of money, I live in the UK and we are lucky to have something called the NHS (national health service) which pays towards treatment or free of charge if you are not employed. I had a filling done and it cost me £51 on the NHS the same price for root treatment as well. I hope you find something cheaper, it's getting ridiculous charging those prices."
  },
  {
    "id": 2015,
    "title": "I have periodontal disease and I am very worried.",
    "dialogue": "Ryan2240x: I have been diagnosed with Periodontal disease and I am very worried that I am going to lose my teeth soon. I have two pockets in the back that are 6's and then some 4's, 5's, 3's, and 2's.\n\n\nI am scheduled to come in this Wednesday for a full scaling/root planning and they are also going to use a laser (which they told me was optional, I opted in for it, because apparently it gets more bacteria).\n\nThey have been trying to convince me that I won't lose my teeth and I just need to have this done and then my routine cleanings every 3 to 4 months. I do have some minor bone loss as well, but I don't remember how many.\n\nI have asked them if I should just do surgery instead and they said it wouldn't be necessary.\n\nAre they lying to me about their success rate? Can I keep my teeth? What is my prognosis? Over9000: They probably know what they're talking about, I imagine. Just do everything they say, but also get a second opinion just to be on the safe side.\n\nI never heard of the laser thing though. How much is all this?"
  },
  {
    "id": 2016,
    "title": "Help!! Son's new molar issue!!",
    "dialogue": "Smyle4mee: Hello, my son's I believe primary permanent molar just erupted through the gum. There's either the root from the prior tooth still connected or a defect. I just called and left a message for his dentist. Gonna get him in on Friday after school. He states it doesn't hurt at all. He did have a crown on the tooth that just fell out last week. This tooth just erupted through about 3 days ago. He was laughing and I noticed it and had him let me exam it. I touched it with my finger to see if it's connected or actually the tooth. I'm unsure. Any info links are welcomed! I would really like to know the name of the issue."
  },
  {
    "id": 2017,
    "title": "My 72 year old father needs new teeth. Where do we start?",
    "dialogue": "somejerk: He hasn't been to a dentist in forever. He's got like 2 or 3 real teeth left, all rotted. He's using the same wonky dentures he has been using forever, he's even fixed them up with GLUE multiple times. Money is an issue, so we're looking for a way to get him a new set of teeth as cheap as possible. We're not well off in the least. We live on the East Coast in the U.S.\n\nWhat do we do?\n\nThanks in advance for any and all help. KennyLL: Being 72 yrs old, your father should be egilible for Medicare. Maybe that would cover the dental work he needs? I don't know for sure but it's worth checking out."
  },
  {
    "id": 2018,
    "title": "What is wrong with me? Please help",
    "dialogue": "Ryan2240x: Ok, I know this is bad, but I haven't been to the dentist for some time and for a while now I have had some yellow stuff on the two bottom teeth in the front. I floss and brush everyday and I just recently started oil pulling. I was diagnosed with the beginning stages of periodontal disease a few years ago and I did have a deep cleaning/scaling done. I stopped going after that. Please don't lecture me, I know I shouldn't have stopped but I did continue to brush religiously and floss. I have an appointment booked for 11/13 with a new dentist ( I don't think mine was that honest) and I want to start taking even better care of myself. I have literally been obsessing over my teeth lately. Even started reading \"Cure tooth decay\" and taking cod liver oil everyday. I think the yellow stuff literally just started spreading to other teeth over the last few days since I have been obsessing. I also think there is some pus or something in between my teeth, but I cannot tell. I have no pain at the moment other than a few weeks ago I did have some in my jaw, so I bought a night guard and it went away. My gums are not inflamed as far as I can tell.  Do my teeth look doomed? Should I try and get the appointment booked for sooner? Does it look like this discoloration can be fixed? Why is this coating spreading along to the two teeth next to the ones in the front there? Dentgr: That's tartar build up. Nothing to panic about. Just go to your scheduled appointment Ryan2240x: Ok, so to follow up here I got into the dentist sooner and they told me about my periodontal disease. They kept reading off the #'s and I believe they even said some were as deep as 5 and 6 mm. I am so scared right now. They told me that I wouldn't lose my teeth today or tomorrow, but could start having problems in 5 years or so. I told them that I wanted to treat it NOW and I am booked to come in this coming Wednesday for scaling root planning, and I believe laser therapy, but it still isn't surgery they said. I still don't understand what exactly the laser would do. Afterwards, I will do my routine check ups every 3 months. Is there any hope for me? Can they even get into the pockets that are 5 and 6 mm? They said that it's good to catch this now and take action, otherwise I would need surgery down the road. Should I just get the surgery now? Are they lying to me and will I eventually need other treatments like surgery, or implants?"
  },
  {
    "id": 2019,
    "title": "HELP!",
    "dialogue": "april: I had 4 baby teeth still in on the top (both canines and the teeth behind those) and those 4 adult teeth grown in fully above. I am 22 years old. Friday of last week I had those 4 baby teeth pulled, and now my 4 adult teeth up top hurt so badly! I was told they wouldn't move. Is that statement wrong? I can't possibly think of another reason why they are hurting so badly. Maybe they are \"erupting\". Can anyone give me a quick explanation of Eruption of the tooth aswell?"
  },
  {
    "id": 2020,
    "title": "Filling Issues",
    "dialogue": "BlueWarrior: I went to a horrible dentist who performed a filling on my upper front molar. the filling was filled with a white composite filling.\n\nHere are my issues:\n\n1.) The filling is very dry. When I wake up in the morning I feel the filling with my tounge and its very dry. \n\n2.) I have pain in my gums between the tooth that was filled and the tooth in front of it. I went to another dentist and she cleaned the area out with floss and the pain went away for a few days but it came back. I notice when I eat stong things like Spearmint/Peppermint gum or Beef Jerkey, it irritates the area if it the flavor makes it way in that area. The \"pocket\" or space between the two teeth stings and gets irritated.\n\n3.) The dentist lady said she could redo the filling if need be but I don't see how that would take the pain away in that area! Please explain sir!\n\nI would like to thank you all for reading this rather lengthy message and I hope you have a great day and can get back to me! Peace!!"
  },
  {
    "id": 2021,
    "title": "pus coming out of my gums..",
    "dialogue": "Pcmaker: so, pus has been coming out of my gums.. and it's one of the teeth holding up my bridge on the front. I went to the dentist, he vacuumed it out, and he gave me 2 prescriptions. Penicillin and chlorhexidine oral rinse. I've been using these as prescribed. I started using them last Tuesday. It's Saturday now and there's still pus coming out. I'm supposed to take penicillin for 7 days.  How long does it take for penicillin to work? JJ_8613: Hi.\n\nI'm not sure how long it takes to start working, but it's very important that you take all of the pills.  Don't stop until they are all gone or the problem might return later.\n\nJJ BlueWarrior: I would use some strong listerine. It kills all types of bacteria!"
  },
  {
    "id": 2022,
    "title": "Concern about wisdom tooth. Urgent, Please Advise",
    "dialogue": "Dylan: I've been experiencing swelling and pain in the back corner of my mouth (left side), near my last molar. Initially, I suspected I had bit the side of my cheek, yet the pain has not subsided after nearly a week and upon closer examination, I see that a wisdom tooth is coming in on that side. After doing a quick google search, I fear that I may have a partially \"impacted tooth\". \n\nI've attached a few photos below, please lend any wisdom (no pun intended) you may have. Thanks!!!!!!!\n\n\nThe first image is of the right side of my mouth, where I'm having no issue, & the wisdom tooth is still below the gum. The following two are of the left side where I am experiencing pain and swelling. Zuri Barniv: You have what's called \"operculitis\" or \"pericoronitis\" which is when the top tooth bites on a sensitive fold of gum laying over the lower wisdom tooth. Sometimes, removing the top wisdom tooth is what solves the problem, but usually removing both top and bottom is the best choice. Otherwise, antiseptic rinses and antibiotics may clear it up. But even if it clears up, the problem may come back throughout your life until you remove the source of the problem."
  },
  {
    "id": 2023,
    "title": "Dentures",
    "dialogue": "June: Due to an over zealous school dentist who I believe was paid extra the more fillings he did I have now had to have full dentures upper and lower like many of my friends who were also treated by this NHS dentist in 1950. The NHS dentures I have I find impossible to eat with due to the smooth plastic palate and no defined teeth on the inner sides. I have seen details of dentures with full dimensional teeth and natural palate contouring I have tried to ask about these but my dentist speaks little English so does not understand me. Has anyone tried these type of dentures also what would be the cost as I feel they would not be available on the NHS."
  },
  {
    "id": 2024,
    "title": "Lots of Pain ARGH!",
    "dialogue": "thermionicvalver: Hello I am new here and would maybe like to ask some questions to see if I or the Dr were out of line. Or maybe both. \n\nA little background details. I am 34, I went to the same dentist until I was in my mid twenties. I moved away for about 7 years and didn't really have any issues with my teeth but had a couple random cleanings, I would say 3 in that 7 year period. My parents and I have always done what the dentist recommended and I have always had regular cleaning since I was a child. I also take pretty good care of my teeth, I brush well and rinse, I try to floss daily but it's more like a few times a week. \n\nWhen I was in Las Vegas last October I had a filling break out of my tooth from eating something. I new I was moving back to the East coast within a week so I would just wait to see a dentist. Well I wasn't even home a week when the tooth became infected and so I went to see my childhood dentist, whom didn't see me. No big deal the new dentist was very nice and told my my tooth was infected and that I needed a root canal. He gave me a referral, antibiotics, and some pain medication. I went to see the oral surgeon and he gave me a very large number for an estimate, $1500 without the crown. My insurance doesn't cover the procedure but I was told that I should try and save the tooth and not extract it. It's a molar, R3 and I use it to chew a lot. I told them that I would need to save up that sort of money and they didn't offer to do any payment plans. I work but barely make enough to keep up with bills, I just can't seem to save enough money. I don't want this to turn into a financial lecture, I don't grossly spend money on things I shouldn't, I am conservative. So almost a year goes by without another flair up, until two nights ago. I usually avoid chewing on that side of my mouth but I messed up. I am mainly a vegetarian, I eat a lot of fresh fruit and vegetables, along with beans and rice etc....BUT I treated myself to some chicken thighs that I bbq on the grill and they came out so good that I just couldn't help myself chewing and bam, instant excruciating pain. I mean I have had a pneumothorax and pancreatitis in the past two years, not to mention a herniated disk crushing my sciatic nerve,  and this pain was right up there or worse. I mean throbbing and screaming sharp pains non stop for two nights. It's really not even the tooth it's my jaw above the tooth and my face, I can't really open my mouth. I can't sleep, it's horrible. This morning I call the doctors office and they say they had a cancellation for 8am and they can see me. I was happy they could see me so soon. I honestly had the intention of going in there to tell them to just pull the thing out. In my early twenties I had similar infections for a wisdom tooth that they eventually extracted. The assistant took an x-ray and the doctor said that I have a real bad cavity and that I needed a root canal a year ago. I said I know but I haven't been able to come up with the money and that I am thinking of just pulling it. She told me that she wouldn't do it and referred me to an oral surgeon down the street. They told me to just walk down there and they would call  and send over the x-ray. I figured this was strange that they would refer me to a surgeon for an extraction but I don't really care who does it as long as it gets done. So I go down to the oral surgeons office where they tell me they are swamped and the doctor has two surgeries booked today (Friday). They set me up an appointment for Monday. I asked what am I to do until then, I mean it is really bothering me and I am thinking of just ripping it out myself it's that bad. They told me not to do that. Anyway I went back to talk to my dentist and I was met with hostility. This is actually the daughter of my original dentist, she practiced under him for years and now has bought the business. Basically I went in and told the girls at the front desk that I was under the impression that this tooth could get pulled today and that they actually set me up for next week. I don't no if what I have is considered an emergency but it sure feels that way to me, I can't eat and I am in extreme amounts of pain. I asked if nobody can see me can I get some antibiotics and something for the pain. The doctor came out and pretty much went up one side of me down the other. I was told that I had a cavity 11 years ago that never got treated because of me. I had to correct her and say no I had a filling there but it fell out last year. She then said that since I failed to get a root canal within a year it's my fault I am in the situation I am in and that she didn't want to help me. I was confused. She continued to tell me that I don't come in for enough cleanings and that I only call for emergencies. Ah hello I wasn't living around here for 7 years and I have only called in two emergencies in the past year. Sorry but deciding to spend around $3k to fix an important tooth or having it pulled isn't a light decision. If I had expendable cash I would just try the root canal and hope it works. At this point I just want it out and they same to not be able to help me with that, well I have to suffer a few days until then. She ended up giving me tylenol 3 and amoxicillin. I continued to get lectured by the girls in the front desk that I can't expect to have the world jump for me in an emergency because I failed to take care of my own teeth. Her and the doctor both said \"you only come here for emergencies\" several times. I then asked who do I call for a dental emergency? I am so confused. Isn't the dentist there for that exact purpose? I am willing to have to wait for the procedure but at the very least have some bedside manner and make me comfortable. I am in a lot more pain than I was a year earlier. I get, let me know that I should have taken care of this sooner, and yes I get it I need more cleanings but I feel I shouldn't be treated differently. I felt so tired and out of it from the pain that my mother took me so I didn't have to drive. She couldn't believe how they talked to me. She hasn't been going to them for the past 15 years so I guess that tells me something. I am switching dentists. \n\nI really just can't believe how I was treated, I feel like they didn't want to help me and that she somehow took it personal that I haven't been in several years. I feel I shouldn't have to explain that I moved away and recently moved back, it's none of their business. I think they just want to do cleanings and general practice and have moved away from the nitty gritty part of dentistry. Maybe for liability purposes I don't know. If that's the case I don't care just point me in the right direction. It's just strange that a dentist won't pull a tooth. I remember when I had the wisdom tooth extracted, it took like 15 minutes, I pulled out a couple hundred dollars and we were both happy with the transaction. But getting someone to help me out while I am in severe pain is like pulling teeth  \n\nThanks for reading I would like some professionals and patients opinions on the matter. Va2nd: i sympathize with you, i am no dentist but i've been treated in similar ways and, eventually had to go to the er to get antibiotics. I would reccomend you find another dentist personally. Hope things improve for you."
  },
  {
    "id": 2025,
    "title": "Can bacteria damage the heart?",
    "dialogue": "b11_: Can bacteria damage the heart?"
  },
  {
    "id": 2026,
    "title": "discount Dental Insurance - best bang for buck?",
    "dialogue": "donna: What is the best cheapest dental insurance? The kind where you pay under $10a month and  they're dentist agrees to take a lower fee. I hint been  to a dentist in 4 years  and need a couple of fillings, but can't afford  $300bucks apiece, plus the xrays, cleaning, etch. JJ_8613: Hi.\n\nThis is just my experience, but I don't like to use discount plans or discount dentists.  The work doesn't seem to be as high a quality to me.\n\nJJ"
  },
  {
    "id": 2027,
    "title": "Water Flossers",
    "dialogue": "Colin D: Has anyone used one and if yes, is it better than conventional flossing? JJ_8613: Hi.\n\nI haven't used one myself, but when I had braces on, my hygenist said that'd it'd help to keep the teeth and gums cleaner.\n\nJJ"
  },
  {
    "id": 2028,
    "title": "Hygienist appointments and Dentist charges",
    "dialogue": "Daniel P. Richardson: Is it standard procedure for dentists to charge say $65 to look at your teeth after they have been cleaned by his hygienist?\n\nIt never used to be that way-- but it may have become standard practice-- that is what I have been led to believe.\n\nDan JJ_8613: Hi.\n\nThis sounds like a basic consultation fee to me.  Any time a dentist looks at a tooth, especially if it's causing problems, there's often a charge like this.\n\nJJ"
  },
  {
    "id": 2029,
    "title": "Please help me figure out what to do.",
    "dialogue": "seanincali: I just got back from a second general dentist (I have medi-cal or denti-cal which has very limited access to dental care) I've seen in two days. \n\nThe first one from yesterday, told me that I needed two root canals, and that I have 3 options. 1. do nothing. 2. Root canals, but pay it out my own pocket because the denti-cal doesn't cover it. 3. Extract it. \n\nI told him I can't afford it and i'll do nothing about it. Then he asked me if I wanted my teeth cleaned, and I said yes. So he proceeded clean the teeth and as he was cleaning, he dug out a hole in the tooth on the left.\n\n\n\n\n\n\nThat's the before the cleaning picture.\n\nThis is after. \n\n\n\n\n\n\nSee the gap in the after picture? That wasn't there before. \n\nNow I didn't realize he was going to do it, and I got upset, because now I have a hole in my tooth that needs the root canal. \n\nSo I asked for xrays before and after to file a complaint and called the denti-cal office to which they suggested that I talk to the doctor to see if he will make it right. \n\nBut I realized today there was another clinic in town that takes denti-cal so I went in to get a consultation, and found out they DO take medi-cal as payment. \n\nAfter I explained to him all the troubles I had with the other dentist at a different clinic yesterday, he explained that cleaning drills cannot penetrate the enamel to do that much digging. \n\nAnd then after examination and another xray, he told me the nerves in the tooth that needs the root canal is too thin for him to do the procedure himself. And that I needed to see an endodontist.\n\nHere's picture of the tooth, but it barely show the nerves.\n\n\n\n\n\n\nIs there a truth in what he's saying about the nerves being too thin? I just don't trust him on the issue. This is an issue for me because the first dentist I saw told me I needed root canals that he was going to do it, and he was a general dentist. \n\nNow the second dentist, after I complained to him about the first, now decides that even though he's the only option I have to get the root canal done, is saying he's not capable of doing it. (He works at a clinic that takes medi-cal as payment for root canals) \n\nAnd I asked him what happens if I just get the hole filled, and he told me that will cause pain. \n\nSo I made a third appt tomorrow to see if the third dentist will be able to do a root canal on it. \n\nAre these people telling the truth? And if so how should I approach the third? \n\n\nThank you for any insights"
  },
  {
    "id": 2030,
    "title": "Huge fear, appointment booked, help.",
    "dialogue": "Scared: Hi, I found these forums whilst looking for something to help me feel a little less anxious, as a child I was always scared of going to the dentist, my parents never really addressed these fears and would instead drag me to my 6 monthly appointment. When I was younger I didn't really understand good oral hygiene\nrequirements and was scared to even brush my teeth, massive phobia of anything in my mouth even the toothbrush ect. Since being a teenager 14 onwards I have maintained good oral hygeine, flossing and burnishing 3 times a day, I last saw the dentist  8  years ago when I was 18 and had no problems, since moving out of my parents house and not being forced to go the fear has grown and grown, my partner has convinced me to book an appointment with a dentist who is a friend of his family and it safe to say I am petrified, can anyone offer and support or advise? I'm so scared of walking into the waiting room, into the room, sitting on the chair, lying back and opening my mouth, all these things are a 10/10 fear level not to mention if I need anything doing. I have no pain and not have I ever had pain in teeth or gums ect but it petrified I may need wisdom to be removed, I'm 25 and two of them are only half out. I'm also concerned about the small chips at the bottom of the front teeth, does this mean I have weak teeth? Will something need doing. I've attached a picture of my smile, do they look drastically bad to you? Scared: Any tips on calming down before visit would be great too. Sick of the sleepless nights because of the panic. dentistgirl: I don't see why you should worry before seeing the dentist. It doesn't seem you need an extraction or so  just relax, and think that if you wait too long to see the dentist it will be worse in the future. My only tip is don't think too much about it... Zuri Barniv: Fear of the dentist is very common. Sometimes it is comforting to know you are not alone and dentists are very used to it. You need to make sure your next experience is a very good one and consider finding a dentist who has a special interest in working with especially fearful people. These dentist can make you an appointment to just come in and sit in the reception area or tour the office without doing anything at all. The next appointment is for you to come and sit in the chair and read a magazine for 10 minutes and leave without doing anything. It may take several more appointments before he/she can just look in your mouth. It takes a special kind of dentist to do something like that, but building trust with such a dentist could change you life. At the very least, I would call a prospective dentist to talk to him on the phone and discuss how you are feeling. If he brushes you off or doesn't have time to even chat on the phone, there is a small chance he will be much more patient when you come in.\n\nThere are also medications to help reduce your anxiety which can be very helpful. I wish I could tell you your teeth are fine, but without x-rays and a much better look at the inside of your mouth, the only thing that can be said is that they look fine from a distance.\nHope that helps."
  },
  {
    "id": 2031,
    "title": "Tooth problem",
    "dialogue": "Dolly Maheshwari: This is my x ray Dr says have to extract the tooth as the caries has involved the root my question is is there a way to solve this problem because i dont want to remove this tooth  the dr says RCT will not help as it is very deep Zuri Barniv: There is a procedure called a \"hemisection\" (you can look it up) but I don't recommend doing it and I'm afraid your dentist's advice is something I concur with. Dolly Maheshwari: Thank you very much for your quick and concerned advice"
  },
  {
    "id": 2032,
    "title": "Question that may seem strange.....",
    "dialogue": "Mom2015: Like many I have a major phobia of dentists that started when I was very young.   To try to avoid braces they pulled a few teeth.  According to my mother, a few without novican as I was afraid of the shot.  Well I ended up with braces anyways.  \n\nBut I had my 4 wisdom teeth out as a teen. LOL my parents failed to remember to plan this early in our summer holiday so I ended up flying for 3 days long haul international within a week of having them out.  We lived as expats in SE Asia.   \n\nFast forward, many years.... Okay wisdom teeth out in the mid-late 80's.  I can't remember if it was 2000 or 2003 but when I was pregnant with one of my last two kids my very back molar needed attention.  I had morning sickness 24/7 so the very idea of going through a root canal made me gag at the thought.  I dont think it could have been done safely so I opted to pull it instead.  Life went on....\n\nNow this past weekend I had terrible pain on my lower right side.  Out of my mind type pain when a root is exposed kind of pain.  \n\nBecause of pancreatic cancer and surgery and my body had gone through extreme trauma recovering.  (Highly recommend mayo clinic, Rochester mn). That has left my dealing with chronic pain, fibromyalgia.  I have dealt with this two other times.  I thought I needed to call the dentist Monday morning.  Why does this always happen on a weekend.  But come Monday it was like it never happened.  So because I went from severe surgical pain to chronic pain only one pain medication worked for me so I have been on it about 5 years.  No I don't abuse, take less if I can (half dose) and then go up to full dose as needed.  Sometimes I can do that, other times not.  But I have read where others with fibro have this phantom dental pain that has no cause behind it. \n\nSo that is what got me through the severe pain.  But then it also clicked in, that where it was hurting was that very back molar that was pulled.\n\nBut get this, now its either 14 or 11 years later and I feel something there.  I can feel a sharp point at the top and behind it looks like something dark and oval.  But its flush with the gums.   It woke me up in the wee hours of the morning this morning.  And using pretty much just Tylenol and orajel I felt something new.  From the side of my gums, the side facing my cheek is now another sharp pointy thing.  \n\nI have read where fragments left behind can surface months later.  Sometimes years or never.  But this has been 11 to 14 years.  Just hurts and really strange since I had my wisdom teeth out years ago and that back molar pulled such a long time ago.  \n\nIt still hurts, but not as bad as it did this weekend. \n\nI really hate to go into the dentist if its not needed. \n\nAny thoughts about what these sharp pointy things may be that are coming out the top and side of my gums.  Where the tooth was extracted?"
  },
  {
    "id": 2033,
    "title": "bumps in my mouth",
    "dialogue": "rhb83: They are on both sides of my mouth in the same place, I noticed them where my impacted wistom teeth were, I have my wistom teeth taken out last Friday and the oral surgical guy said that I bit my cheek, I said maybe my teeth were poking it. Should I be worried? Zuri Barniv: These are called \"parotid ducts\", it is where spit comes out of your cheeks. It has nothing to do with biting your cheeks, they are just normal on everyone."
  },
  {
    "id": 2034,
    "title": "Loose Permanent Tooth",
    "dialogue": "JJ_8613: Hi all.\n\nI'm really worried right now. It's been over a week since I got the braces removed from my top teeth.\n\nOne tooth in particular, my upper left front tooth, #8, has been really sensitive for about 4 months now. I always assumed it was related to the braces. Even when I still had the braces on the tooth felt odd, a little loose even. I thought it was just related to my teeth being adjusted.\n\nWell, now the tooth is still sensitive and it's hurting. Last Thursday night I started to notice it feeling loose. I can't even touch the tooth gently without it hurting.  I can't eat properly.  I can't bite into anything.\n\nI'm really scared and I'm not sure what's wrong. I called my dentist's office last Friday and they said to call my Orthodontist first.  I don't know why.  My dentist's office said they could get me in on Tuesday if I need to. The Orthodontist's office is closed on Fridays, so I left a voice mail.  The tooth has felt really loose all weekend and it's worrying me a lot.  I'm still wearing my retainer, but I'm afraid it's making the tooth get looser.\n\nI don't know what to do. Should I try and wait this out or will it get worse over the weekend?  I don't feel like I have much of a choice here.\n\nThanks.\n\nJJ"
  },
  {
    "id": 2035,
    "title": "2-year-old knocked his front tooth up. What does it mean?",
    "dialogue": "Chiquaqua: Our 2-year-old son fell and his left front tooth was missing, or so we thought Further inspection showed however that he pushed his tooth up all the way to the gum line.\n\nOne other implication is that both his front teeth had cavities. So if one of his front teeth is pushed up, how can that cavity be treated? We are terrified at the thought of putting him under for surgery because we know there is a small percentage of children the does not wake up from the anesthesia.\n\nIf anyone could please chime in on what that possibly means and what the implications are to his current and adult teeth development we would very much appreciated. We did go and see a dentist but it is always good to get some other people's opinions and experiences. Perhaps there are any links to articles on the subject available?\n\nThank you very much"
  },
  {
    "id": 2036,
    "title": "teeth making",
    "dialogue": "Shiva: Hello everyone, I'm not a dentist and I have some questions, I will be so grateful to receive your responses:\n\n1- Could you please give me a summary about the process of tooth making at the age of 6?\n\n2- Is it possible that this process repeats at any age? Have you ever seen that somebody could have new teeth at any age?\n\n3- Is it true that we may have new teeth after 100 years?"
  },
  {
    "id": 2037,
    "title": "Peroxide vs. alcohol",
    "dialogue": "b11_: What are the advantages and disadvantages of Peroxide vs. alcohol?"
  },
  {
    "id": 2038,
    "title": "What difficulties do dentists encounter when scheduling appointments?",
    "dialogue": "Eugene: When I went for a dentist check up in NYC, they checked me, put some teeth on the to-watch list and scheduled next check up exactly 6 months after the current date. Is it common practice and does it lead to any problems, for instance does it happen that too many people who require a lot of drilling work happen to be scheduled in a row. Do dentists have any other scheduling-related issues (perhaps problems with inventory, etc). I am curious to learn about it to see if I can perhaps develop some tools to help address such problems; I could try to even out the schedule for instance or predict inventory needs."
  },
  {
    "id": 2039,
    "title": "Name of thinnest needle",
    "dialogue": "b11_: What is the name of the thinnest injection needle?"
  },
  {
    "id": 2040,
    "title": "eye teeth",
    "dialogue": "denise04: I saw dentist yesterday and I need to have eye teeth removed I'm very nervous I read there harder to remove bleed more and can break your jaw bones  need advice"
  },
  {
    "id": 2041,
    "title": "Name of Dental Tool",
    "dialogue": "b11_: What is the name of a dental tool that helps dentists fill a tooth. It is an adjustable form that is put in the mouth, then positioned in the mouth, then adjusted, then the tooth is filled with amalgam or resin. b11_: Most if not all dentists have this tool. Dr Sapna Sharma: Retainer. Of two types No.1 & 8. b11_: After the dentist positioned the tool in the mouth, adjustment was made by turning a wheel I think. The tool acts as a form so the damaged tooth can be reconstructed by adding resin or amalgam. Zuri Barniv: Tofflemire"
  },
  {
    "id": 2042,
    "title": "Dentist refuses to write prescription",
    "dialogue": "b11_: The dentist told me I need six root canals. I know that bacteria can kill a human being so I asked for an antibiotic prescription but the dentist refused to write one. What should I do? Dr Sapna Sharma: Does the dentist refused or said its not needed? It depends on the condition of tooth and chances of bacteraemia.\nYou should ask for proper explanation about the requirement of antibiotics from your dentist."
  },
  {
    "id": 2043,
    "title": "Traumatic day at the dentist.  Need advice",
    "dialogue": "bpotter: I have a had a bridge for three years, it spans two teeth and is connected to three teeth.  Something didn't feel right so off to the dentist with me.  The most rear (last tooth) was broken under the crown.  The bridge had to be removed and the tooth pulled.  Dentist said all my other teeth and crowns looked good, but I probably didn't take good care of the one that broke as it was so far back in my mouth.\n\nI never had tooth pain, and the x-ray looked like a clean break.  I don't remember biting down on anything as I baby this bridge. It cost me 4K.  How can this happen?  When I arrived home I see that it looks like she left the root and I wonder how much problem that will be? It's on my gum line.\n\nI also had a bad tooth, farthest molar back, bottom left.  I talked about it with her.  Told her I had been on antibiotics for an unrelated cause and it cleared up the abscess I had in that tooth, but that I couldn't chew on it etc. without pain.  I was very clear about identifying this tooth saying I didn't have a matching tooth above it so I thought I could afford to lose it.  She took x-rays and said she would pull it.\n\nSo I was numb both sides of my mouth and my tongue was completely numb.\n\nWhen I got home to change the dressing, I see she pulled the tooth next to my bad tooth, one I wouldn't have wanted to lose at all.  It would have been worth a root canal, crown, whatever was needed.\n\nI call and talked with her telling her she pulled the wrong tooth!  She told me it had a large cavity so she pulled it, to be assured it was pretty bad.  She also said if the one originally bothering me was still a problem to come back in two weeks after I heal and she will pull it also.\n\nSo, I effectively lost three teeth on my bottom right with the bridge loss, no teeth left to anchor to to create a new bridge. Now I have also lost a molar on the left and I'm sure the bad one will still have to be removed.  The one on the left looks like she left some root there also.\n\nMy problem is, she didn't say \"I am not going to pull the tooth you said was the problem, but instead pull one you didn't know there was a problem with\" She didn't talk it over with me at all or give me any options.  It was such a shock when I saw it in the mirror.  Now I won't have any molars on either side and guess I am looking at dentures as I can't afford implants.\n\nAre the root pieces she left going to be an issue?  And I suspect it was a mistake that she pulled the wrong tooth on my left side and won't admit it.\n\nI figure I'll get a copy of my x-rays and a second opinion, even though I can't afford that...I have no dental insurance.  And I will still have to have the bad tooth pulled.\n\nNothing I do will replace my lost teeth but what recourse do I have?  What can I do...so very frustrated!!!\n\nAny advice would help.  I am in pain and at a total loss as to what to do. Thank you!"
  },
  {
    "id": 2044,
    "title": "13 days post op implant and bone graft",
    "dialogue": "Ngates1974: In January, I cracked my crown on a tooth I had a root canal on 10 years ago. I went to the dentist where a new crown was placed. Prior to the new crown being placed I had absolutely no issues with this tooth. Shortly, after the crown was placed the tooth began feel strange when I would chew on it, like it was high or swollen. I went back to the dentist several times where he assured me that the crown was placed perfectly and I should be having no issues. In May, I made another appointment because it still did not feel right. This time I was told that I had a cavity in the tooth in front of it. That was fixed. Mind you, while all this was going on after my crown was placed it was drilled down too much and there was a gap in between the new crown and the tooth in front of it. I constantly had food getting stuck in between these two teeth. I did make another appointment and the dentist added composite to the tooth in front of the new crown so there was no longer a gap. In June, I went back again, this time the dentist tells me there is an infection below the tooth under the root. He sends me home with Clindamycin which never cleared it up. I finally made an appointment with an emergency dental doctor on a Saturday and he informed me that the tooth needed to be removed, he then said however make an appointment with an endo and make sure it cant be saved. I made an appointment with an endo and he said that the tooth was fractured and needed to be removed. I then made an appointment with my general dentist to have the tooth extracted after the endos suggestion. The dentist had a terrible time removing it, he stated that the tooth had a hook on it and was deeply attached to the bone. It took this man 25 minutes of drilling and pulling and using all kinds of tools to get the broken pieces of root out. He then placed the implant and bone graft right after the tooth extraction, with the infection still in the bone. He stated it would be fine and the infection should go away on its own. A couple days after it didnt feel right, I went to my dentist and he prescribed me penicillin VK 500mg PO QID. I finished the antibiotics and i still had this very strange hard lump on the left side of my bone next to the implant. I made another appointment and he stated I really dont know what that is, the bone graft looks good, theres no infection around the implant, however theres some strange darkening color in the bone on the xray that he couldnt rule out was infection or nerves. He prescribed me clindaymin once again 300mg po QID X 7 days. On Friday the area still felt odd, I am not having a lot of pain, it is more like strange sensation in my jaw bone and occasional throbbing inside the hole where the implant is. I am terrified of osteomyelitis or an infection in the bone that is not osteomyelitis that just never cleared up. I went to the ER Friday evening and the ER doctor told me that if I had osteomyelitis Im pretty sure I would know it by now. He suggested I continue taking my clindamycin and go back for more xrays to compare a now and before. I am concerned mainly about the hard lump on outter L side of my lower jaw adjacent to where the implant was placed and the minimal swelling around the tooth in front where the implant was placed. Occasionally I will get this sharp pain inside the hole where the implant is, some minor throbbing in the area and itching on my jaw area. Any idea what is going on here? Or am I over reacting to symptoms of the area healing?"
  },
  {
    "id": 2045,
    "title": "Should I be worried?",
    "dialogue": "Bemidjikid: Picture is attached. Been dealing with it for several weeks. I brush,floss and use a tongue scraper twice a day and also use mouth wash. In the morning sometimes my whole tongue has the yellowish color.. Zuri Barniv: It is not possible to diagnose anything over a forum and using a picture, so nothing will substitute a clinical exam by a dentist or doctor. Saying that, I cannot see anything in the picture that looks out of the ordinary to me. If you have no symptoms at all, then most white or yellowish coatings on the back of the tongue are nothing more than dead bacteria or some fungus which accumulates there, something which is harmless."
  },
  {
    "id": 2046,
    "title": "Dentures,full set,pulling all old teeth",
    "dialogue": "caffeinated22222: Hello,\n\nI have just relocated from the U.K to S.Korea and do not have health insurance in this country.\nAs I am 57 years young,I have a four tooth denture already.\nBefore I left the U.K,I wanted my dentist to pull all my teeth and give me a set of full dentures and he told me,I still had some life in my teeth.\nMy question,is,I like the idea of a very low maintenance mouth,so as its mine,why would it horrify anyone,why advise me against this action?\nThe truth is,I was spending sooo much time with him,more than with my wife,it appeared,obviously,if I did have the full dentures,our relationship would be terminated.\n\nOne would need a general anaesthetic?right and have the whole lot pulled the same day and then wait for the gums to heal a bit and shrink,then take a mould?yes? Zuri Barniv: I wish it were so easy. Full dentures, especially if not expertly fabricated and adjusted can give you a lifetime of misery, eating nothing but mush and remembering fondly the days you still had teeth. Dentures are terrible and should only be made if it is a last resort. If those dentures were held in with implants, that is a different story. But I don't think that is the route you are fantasizing about. caffeinated22222: Dentures held in with implants sounds good to me skipaheartbeat: Coming from someone with implants, they are far from low maintenance although I'm eternally grateful for them as I had a congenital hypodontia and hated my dentures. They were , as the dentist above described also far from low maintenance and very painful. Caused bad breath also as the acrylic nature of them made for unpleasant smells after eating or with a dry mouth.  And I can vouch for the utter misery of ill fitting dentures, not forgetting they require replaced or repaired when broken  (not uncommon btw). Also for a younger person like me I also hated the stigma. It's not an easy route!! caffeinated22222: Hi,\nthanks for your reply.\nWhat is young..roughly\nDo you now have implants or dentures?.\nI have one lower front denture currently with four teeth and it fits like a glove and I really like it and appreciate it.\nI am presuming all the succes stories,would not be here ,as those people have no need to come back to the forum.\nARE THERE ANY POSITIVE STORIES OUT THERE OF PEOPLE HAPPY WITH THEIR FULL DENTURES?\nOtherwise one could presume a conflict of interest,coming from a dentists mouth {excuse the pun} Zuri Barniv: Before I started my own practice, I worked in a retirement home so I have seen THOUSANDS of patients with dentures. You will be hard pressed to find someone with more perspective on dentures than me, so let me lay it out for you: They are terrible overall, but full lower dentures must have been invented by the devil himself, because they almost never feel or function well. When dentures are held in with implants, the story changes, but implants are expensive. A denture held in with implants in the USA can run anywhere from $5,000 to $60,000 depending on a variety of factors. My advice, based on admittedly very little info about your case, is to consider a full upper denture but hold on to every lower tooth like it was made of diamonds. Stay out of a full lower denture at all costs unless you are 100% sure you will have it held in with implants. Of course there are success stories, but they are much more common when people have a combination full upper denture and PARTIAL lower denture. skipaheartbeat: Totally agree with above re lower denture. I spent a lot of my youth trying to get away without it but as a teen I just suffered the pain. But I never ever could eat with it in and as a result had one very embarrassing moment in a restaurant where I had hid it descretely in a tissue only to have the waitress whip it away with my finished dinner. This, along with other reasons, all led me to the point of starting the process of implants. It's been a long process but totally worth it. However the reason I am on this forum is that one of my crowns fell out yesterday and as it's a weekend I can't get hold of my dentist,  I am concerned my gum will close over the implant socket, by the time I get to see my dentist to refit the screw in crown. So my point is nothing is maintenance free! \n\nP's I am 41 years young.. But I started the process of implants at 25. skipaheartbeat: P's I have a combination... Maryland bridges on lower two teeth that were only two of lower jaw that developed. These were  put in when I was 20 years old (amazingly have lasted that long!!) However I had a denture for entire rest of my lower jaw until I got implants. I now have 4 implants that retain lower dentures. My upper jaw is a little more complex but almost the same. I have 4 of my own teeth that have not fully developed so are veneered and 5 implants retaining a combination of dentures and crowns. caffeinated22222: O.K,\nI understand more clearly now,I will retain my lower teeth like diamonds\nMuch appreciated"
  },
  {
    "id": 2047,
    "title": "implant crown came off...what to do?",
    "dialogue": "skipaheartbeat: Hi. I have several implants fitted due to congenital hypodontia. These range from 10 years to 2 years old. The crown from a 10 year old implant has just unscrewed it's self from a back molar. The implant itself feels fine. Also the crown and screw both look undamaged. However I'm concerned with it being the weekend and being unable to get my dentist, that the gum will close up over the implant entry at gum level.  Can anyone advise or reassure this is ok for a few days? Thanks in advance. Zuri Barniv: If the gums heal over the implant for a few days it is totally not a big deal. Worst case scenario you would need to be numbed a little and it would be re-exposed so the crown can be put back on. My experience has been that if you put the crown back on, you really need to thoroughly recheck the bite. Usually a loose screw indicates excessive loads on the crown in relation to other teeth. Also, it would be STRONGLY advised NOT to reuse the same screw when putting it back on. Most screws from 10 yrs ago were made from gold or a gold alloy. When they get screwed in the first time, the screw deforms and it is permanently changed. If you reuse it, the likelihood of it loosening again are higher. Hope that helps. skipaheartbeat: Much much appreciated it's been worrying me! I can totally cope with the gum being reopened if required. It was recently changed (the crown and screw) so I'm fairly sure it is a new type of screw. I have bruxism on top of all the other issues so my bite is an issue. I have a splint to help with this. My gut feeling is the screw wasn't adequately torqued on last appointment as my dentist had to leave for a lecture and left it in the hands of his senior house officer. (It's a UK dental hospital ). Many thanks again Zuri Barniv: Don't know what a senior house officer is, but you've been dealing with this long enough to know what's what. Newer screws are usually made of titanium and can be rescrewed a couple of times. Still, insist they double check your bite when they do it. The most important thing to check is that when you grind your teeth from side-to-side there is absolutely zero contact on the implant crown with any other teeth. Hits from the side tend to loosen screws. Implants are most robust when receiving vertical pressures only. skipaheartbeat: Brill thank you. My dentist is usually really good at checking my bite...He even sent me for hypnosis to try to counteract the bruxism. He's a great dentist and I am very lucky to have this treatment on our national health service (no cost to me). Senior house officer is just one level below consultant. Usually graduated approximately 5 to 6 years.  I'm almost positive he said it was a titanium screw."
  },
  {
    "id": 2048,
    "title": "How could the dentist miss it?",
    "dialogue": "WisdomTooth: I am at lost on what to think about this dentist, or even if I should tell him why I am not going back.\nHere are the facts:\nI have been going to him for the last 5 years. He was recommended by my previous dentist when we moved to this city 5 years ago.  I do have a lot of tartar so I go 3 times a year for cleaning, even though my insurance covers only 2 cleanings.\nI had a cracked tooth and I kept asking him to fix it and he said it was not necessary. He only fixed when the tooth finally broke. I needed a crown and I thought he was too rough removing the temporary crown he put on it. He hammered my jaw like there was no tomorrow and only when I was about to panic  he decided to numb me to remove it. This was all in April.\nAfter my classes finished I looked for another dentist to perform my regular cleaning and I complained my wisdom tooth (upper right) was aching and I was getting food stuck there and it was hard to clean. I thought I was going to have it removed.\nThe new dentist took X-rays and told me I have several cavities and that the problem was not my wisdom tooth but the molar next to it. She showed me the X-ray with a big stain and said:\n- \" you have a HUGE cavity inside this tooth and you will probably need a crown and there is a chance you will loose this tooth\".\nThe thing is, she could not work on it because she was going on vacation and the next available appointment would be in a month and a half from now. I was in pain and I had a trip scheduled two days after so, I cancelled the trip (I lost a plane ticket) and I looked for another dentist that could see me right away.\nI will need a root canal and a crown on this molar but I will not loose it. This dentist told me that even if the previous dentist had missed it on the X-rays, it was possible to see it in the cleaning and regular check-ups.\nI am now on antibiotics, pain killer and I have an appointment to see an endodontist on Monday. This was a huge cavity.\nThe two other dentists I saw told me that this cavity has been there for a while (at least 4 years). It did not develop it in a year or so, and remember, I was there in April for my last visit!\nI brush my teeth after every meal; I floss once a day and I go to the dentist 3 times a year.\nThe list of adjectives keep growing about this previous dentist : irresponsible, negligent, unethical, lazy, dishonest, disrespectful...\nThis is not the only cavity I have now but because of this poor job (poor was written because I what I really wanted to) I missed a trip, a lot the money for the airline ticket and I will have to pay for a job that could have had an easier fix.\nWhy? Why would he do this? Is it money? Is it because he gets more money treating a root canal and a crown than just a mere cavity? I am at a lost at what to think about this nonprofessional dentist... JJ_8613: Hi.\n\nI'm sorry you went through all this.  I agree with you that this dentist sounds negligent.  It's up to you, but it may be worth reporting him.  If nothing else maybe you could get compensated.\n\nAlso, I just want to mention that this site has a lot of information and members who can give you more information than I can.  If you want to check out this link http://www.dentalfearcentral.org/forum/ .\n\nGood luck and keep us posted.\n\nJJ"
  },
  {
    "id": 2049,
    "title": "Gums",
    "dialogue": "Makeme70: My gum next to where my last back teeth is feels really hard. I'm not sure if this is normal or means my wisdom teeth may be under the gum. JJ_8613: Hi.\n\nHow old are you?  It could be your wisdom teeth coming in depending on your age.  Are you having any pain?\n\nJJ"
  },
  {
    "id": 2050,
    "title": "External Root Resorption",
    "dialogue": "JJ_8613: Hi.\n\nI'm currently nearing the end of adult orthodontics treatment. I will be getting the braces off any time now. My dentist recently told me, during a regular exam, that I have 3 teeth showing signs of external root resorption.\n\nThe office has current x-rays and if that's helpful I will request and post them.\n\nI'm concerned because my dentist tells me that we're going to watch the teeth and wait for now. I think that one of the teeth has become sensitive now, but I've ignored it, thinking the braces were causing it. Now I'm not sure. I've never had this condition before so I'm not familiar with the progression and symptoms.\n\nMy doctor tells me that my orthodontist has been very aggressive and to fast with moving my teeth and that's why I now have the external root resorption.\n\nI've done some research online, because I was not clear about the condition from my doctor's explanation. From what I understand my only treatment options are root canal treatments on the teeth or extractions.\n\nNeither of those sound like good options to me right now. I've been traumatized by the same endodontist during my last 2 root canal treatments. One of those was just this past March and it would be very difficult for me to go through another root canal treatment even with a new doctor.\n\nI'm just wondering is it safe for me to watch and wait as my doctor has suggested or is the condition going to worsen?\n\nOne tooth is sensitive and hurting now and it's hard to tell with the braces on, but it feels a little loose to me. Apparently the resorption on all 3 teeth is already severe.\n\nAny advice would be great.\n\nThank you.\n\nJJ Zuri Barniv: Hi JJ, as you know by now, I answered this for you on my blog:\nHERE JJ_8613: Hi Dr. Barniv.\n\nYes I saw your blog post.  Thanks for the explanation.  I'm just concerned about my teeth.  It feels like I can't do anything about this.  I guess what's done is done.  I wish my orthodontist had been more careful.\n\nThe painful tooth is the one I'm most concerned about.  It's the upper left front tooth.\n\nI guess I'll let my dentist monitor these teeth and see what happens.\n\nJJ"
  },
  {
    "id": 2051,
    "title": "What is wrong with my tooth",
    "dialogue": "MarkZA: Hello\n\nLast week Tuesday I had excruciating pain with my lower back right molar tooth. It felt as if the nerve was exposed and every time anything I ate brushed against it I would get this sharp pain rushing through my mouth. So I went to the dentist and he did a cavity filling. \n\nUnfortunately what has happened since in terms of pain is far worse than the initial problem that I went to the dentist for. Once the local anesthetics had worn off the real pain started. From all my searching on the internet what I have guessed is what happened was that the block injection the dentist gave me missed it mark and as a result there was muscle damage. The whole side of my face was swollen and cramped although the tooth itself was fine. I was taking pain killers every 30 minutes, along with muscle relaxants and anti-inflammatory. I could not sleep for the first 3 nights after the filling as lying down made the pain even worse\n\nOn Saturday, 4 days after the filling, this pain eventually started to ease off, its not totally gone but it is manageable and I am not on pain killers any more. Unfortunately a new problem has begun whereby every time I bite down on the tooth with the filling I get a sharp pain in my mouth, similar to the initial pain I had that I went to the dentist for\n\nSome more research has led me to believe that this is now either \n\n\nA high filling which puts pressure on this tooth when I bite. Although I am not sure this is the problem because even just pushing on the tooth with my finger hurts. Also once I have pressed once on the tooth the pain subsides and I can push on it again and there is no pain. But leave the tooth for a while and push/bite on it again and the pain is back\nI have a cracked tooth. What is strange is that this pain has only now begun 4 days after the initial filling\nI have a loose filling\nI have an abscess\nI have an appointment with the dentist again tomorrow but am really worried that he is going to hurt me again or make this worse. I don't want to go through the same pain I have just been through this last couple of days\n\nAny advice, thoughts, experiences or information appreciated\n\nThanks Dr.Vishwanath: Hi there. I can really understand your situation right now. The signs and symptoms what you are showing right now is of Acute or chronic apical periodontitis or severe pulpitis. What it means is that your dental caries or the tooth decay has already reached the inner layer of the tooth where the nerve of the tooth is present. So the recommended procedure will most likely involve a root canal treatment. This treatment should relieve you of your pain immediately. You will also need to be under antibiotic prophylaxis for 3-5 days depending on your dentist. Hope you recover soon.. Take Care..Bye MarkZA: Hi.\n\nSo I went back to the dentist who now removed the original filling and put in a temporary filling which has sedative in it to see if the nerve would relax and told me to come back in 3 months to see if I would need a root canal. While the general pain is now much better and I am taking less pain killers I still cannot bite or chew on the tooth as it hurts very much\n\nSo on the advice of my mother I went to see her dentist today who used a really sophisticated machine to take an x-ray of my mouth (it even played classical music while doing this). He then showed me the X-Ray on the PC and discussed it with me\n\nAccording to him what the other dentist yesterday had done was the start of an emergency root canal as he says he can see that there has been drilling into the root canal. Although the other dentist yesterday didn't mention anything about doing a root canal. Also if you do a root canal should the tooth not be sensitive anymore, I guess I will need a complete root canal for that as the tooth is still very sore when I bite on it or try to chew on it. I have been avoiding any chewing on that side of my mouth now\n\nThe dentist I saw today said that from what he sees on the x-ray I will definitely need a route canal and waiting 3 months for the root to settle down makes no sense as the root canal has already been exposed. He recommends I wait a couple of days to see if the pain subsides and then we do a root canal in the next week or two as opposed to 3 months so that I don't develop and abscess and loose the tooth by waiting to long\n\nI am really annoyed with the original dentist as I think he made things worse and still charged me for everything he did. He didn't even take an x-ray to see what might be wrong with the tooth\n\nAll I know now is I cannot chew on this tooth or but on it and I cant live with this pain. Dr.Vishwanath: Even I agree with the second dentist. Waiting for 3 months is absolutely foolish and if in the Xray it is showing that your root canals have exposed then it is better to continue with the root canal treatment and finish it without waiting. The temporary cement which has been filled in your tooth is a kind of anti inflammatory and anti microbial. It will not treat the cause. It only relieves the symptoms. I your case I feel the second dentist is right and you should follow his/her treatment plan..\n\nRegards. MarkZA: So I need to play a bit of devils advocate here\n\nSince the first dentist has removed the original filling and put in the temporary filling which was done on Tuesday the tooth has started to feel a whole lot better. There is no pain in general and I can even chew on the tooth softly. Yes if I bite hard there is still pain I think, I havent really tried that as as much as possible I am trying to avoid using the tooth\n\nNow I am wondering if the original dentist might not have been right in saying to wait 3 months and see if the tooth heals itself, lay down new layers o dentine I think it is. I know the original dentist didnt start a root canal so maybe its not necessary?"
  },
  {
    "id": 2052,
    "title": "Dry Socket? When will it heal.",
    "dialogue": "Am4nd4: Hi all! Im 16 years old and i'm very confused as to what's happening as I ask my dentist many questions and she never directly answers them so i am beginning to not feel confident in her practice. It started on Monday I had 2 upper pre-molars pulled for my orthodontic treatment. The left side took about an hour for her to pull out and was very difficult and the right took about 10 minutes. After this she poked and prodded both holes a lot to make them bleed because I wasn't bleeding enough. I then went home and followed all the after-care instructions. I did not drink through a straw, did not rinse around my mouth, did not spit, did not touch either extraction sites with my tongue or finger. I am not on a contraceptive pill and not on my menstrual cycle. I also do not smoke. Once the local aniseptic wore off I was in a lot of pain so I did not eat for 2 days and I only drunk water. Finally on day 3 the pain was excruciating on the right side but pain killers did assist in pain relief. I went back to the dentist and she didn't even ask me where the pain was or how bad it was. Instead she just looked straight in the mouth and said \"I think it's a dry socket\" she told me that half of it was healed and the other half was a dry socket? She cleaned out the hole and filled it with some sort of medicated fabric? The pain did not instantly go away but instead lingered for a while until I took pain killers which helped a lot. I felt no pain at all until around 9 o'clock at night when I was about to go to sleep. I then a woke in terrible pain around 3:30am so I took some pain killers and tried to get back to sleep. This morning I looked at the extraction site and saw that whitish coloured stuff is growing over the medicated fabric?  Is that normal? I'm worried as the dentist told me to go back three days later (Saturday) to have the dressing replaced? Also it is normal for all this to happen? Also is the pain supposed to persist or lessen? I asked her this but she pretty much answered my questions with more questions and I'm just very confused. Also I get my braces on in 4 weeks time and I have to get more moulds & xrays of my teeth in 3 weeks, will the dry socket be healed by then? Please help? Zuri Barniv: Usually the medicated fabric is replaced every day or two to prevent the kind of pain you are having. With or without the fabric, a dry socket heals on its own in about 10 days after the extraction. Hang in there."
  },
  {
    "id": 2053,
    "title": "White Debris After Sterilization",
    "dialogue": "Dr_J: I am having an issue with a white debris on my loose instruments following sterilization. I feel it may be from the bonding material we use. We scrub, soak, ultrasonic and dry everything before sterilizing. Does anyone else have this problem, or did and how did you fix it? TIA"
  },
  {
    "id": 2054,
    "title": "Worried about a Cavity",
    "dialogue": "Arkazle: Hi all, I am currently 19 years old and haven't had any serious work done on my teeth (no fillings etc). Recently I have been worried about the dark marks on my back tooth could anyone help me find out if it is a stain or something a bit worse? I have uploaded a picture if you want to take a look, I would really appreciate it.\n\nThanks so much. Zuri Barniv: No one can tell you without an x-ray and proper clinical exam, but from the picture it appears to be mostly stain with maybe a very small cavity starting there - something that would take many years to develop into a more serious problem."
  },
  {
    "id": 2055,
    "title": "NSK Turbine head size",
    "dialogue": "Bhav: Hi,\n\nI'm about to purchase a NSK Turbine and it gives an option of a standard head or miniature head. What is the difference between them both?\n\nSurely, would it be better to buy the miniature head for increased visibility etc.?\n\nThanks in advance\n\nBhav"
  },
  {
    "id": 2056,
    "title": "Loose crown on eye tooth",
    "dialogue": "billygo2: The crown on my eye tooth is very loose and wobbly. My dentist is on vacation for a week. I thought of using Dentemp, but I cannot pull the crown off...What should I do in the meantime?"
  },
  {
    "id": 2057,
    "title": "help broken tooth no pain",
    "dialogue": "marie2486: Last year one of my back teeth broke and part of it came out. I never had any pain and strangely it has been better since it broke. It is/was the only tooth I've had a filling in, since having the filling as a child I could feel slight pain in the tooth if I ate something hard on that side. Only when I ate on that side as if it was putting too much presure on filling never hurt after so just ate on other side. From part of the tooth coming out I've been able to eat on that side, had check up at dentist didn't need anything done.\n\nNow 2 days back I was eating and felt something hard in my mouth took it out and it was a bit more of the tooth that was broken. The next 2 times I cleaned my teeth part of the filling came out. I think it's all out now not 100% sure tho no more is coming out. I'm due check up at dentist which I'm dreading. Up to now I've still had no pain at all but guessing the only thing that can be done is take it out if it starts hurting as I don't think another filling would stay in. As long as it doesn't start hurting I'd rather it be left. Would dentist usually leave broken teeth if they are not causing pain?"
  },
  {
    "id": 2058,
    "title": "Reusing Plackers Floss?",
    "dialogue": "Jackson1081: Hi, I've only recently started using Plackers Floss picks and am wondering how many times I can reuse each individual pick? I have been reusing them 3 times each before tossing them. I also rinse them in Polident each night. Thanks for any replies in advance."
  },
  {
    "id": 2059,
    "title": "Do deep fillings ever work",
    "dialogue": "Makeme70: Will they always need a root canal Zuri Barniv: No, not all deep fillings end in a root canal."
  },
  {
    "id": 2060,
    "title": "Please Help --- Dentists keep telling me different things :(",
    "dialogue": "SnowWhite: Ok, first I'm terrified of the dentist. As a child I was sent to the dentist every year or so for cleanings; never had a cavity, never had anything wrong with my teeth from hygiene. I had a few deformed teeth as a young age however (altho parent's didn't want to get fixed) at the age of 13 my lower left tooth came in (the one before the first molar tooth) and I hadn't lost that babytooth yet, and it came between the baby tooth and the first molar tooth. It cracked them so badly neither of them where saveable. I now have a gap in that space and anytime a dentist see's me (I have medicaid) I'm very much stigmatized for not taking care of my teeth first thing that gets said is \"so, I see you have some teeth missing\", and then 4 years ago, one tried to tell me I had 4 cavities that needed to be filled (I went to 2 other dentists whom said that was false...?) It made me have a lot of anxiety about dentists... \n\nFast forward to the age of 21, first time I've been back to the dentist since (you can guess why -- wisdom tooth bothering) She looked over everything in my mouth took exrays (both the little slot ones and the full one) and told me I needed my right lower wisdom tooth out asap... She said I had no cavities but one, and that one being a babytooth that never had an adult tooth under? She refused to answer me when I asked her if I could save the tooth.....\n\nI went to 2 other dentists to seek out opinions whom said the right lower 2nd wisdom tooth is ruined and that even a root canal most likely wouldn't be able to fix it. One claimed I had 3 cavities and that they are unable to see them on xray's but \"they are there\".\n\nHere is a copy of the xray http://tinypic.com/view.php?pic=k71qd&s=8#.VbGCpvlrk3E\n^ I don't have the current Xrays, but apparently, it's coming in more and touching the nerve more..\n\nI also have hemophilia so I'm worried about the actual extraction... \n\nMy questions are..\n\n1) Is there a way to fix the lower left (shows right on image) issue?\n2) Would there be a way to save my upper right (shows left on this image 4 over..?) baby tooth that doesn't have an adult tooth that will come in? I've had a few tell me no, I had one tell me yeah, they can fill it...\n3) I don't have upper wisdom teeth either is that normal?\n4) Do my xrays look terrible? I feel like they look ugly/ and dentist will judge them.\n5) I feel like my teeth are more brittle lately, I have been going through chemo and lots of steroids - could this damage my teeth?\n6) Do all cavities show up on Xrays? Are the one dentists lying to me?\n\nSome of my illnesses include hemophilia, lupus, and cancer. Due to the infections that it's causing I've been unable to do chemo to manage my illnesses and have had to go up on  predisone which has been messing with my platelets. Ugh..\n\nI need some advise ans I'm so confused with all this... Franklin Keck: It is sad I guess you must stay positive despite all these things, May be you weigh other options? Few months back I got Dental Implants in Mexico, with the help of Placidway, a medical tourism company. I was referred by this company to Sani Dental Group in Los Algodones which is a modern and highly specialized medical center. I did not have so much difficulties in undergoing the treatment since the staff were so kind to us and made my wife comfortable."
  },
  {
    "id": 2061,
    "title": "9 year son - cavity in baby molar - Dr. want to do a crown",
    "dialogue": "Bivilot2: Hello....my nine year old son has a bad cavity in a baby molar that is too bad to simply apply a filling.  It has started damaging his neighboring tooth.  Our dentist has suggested a crown.  Is this the best way to handle this?  Should the tooth not simply be removed?  Any advice will be appreciated.  Thank you very much! Dr Allie Smith: At 9 years old, depending on where his permanent teeth are, it is usually best to try and save the baby tooth since the baby teeth are what guide the permanent teeth into the correct position. Usually pedo crowns are recommended with a pulpotomy (when the nerve of the tooth is partially removed due to decay) or if the filling covers 4 or more surfaces. Honestly, I have seen cases that at 9 years old the permanent teeth are far enough along that no treatment of the baby teeth is necessary as long as the parent is aware that the tooth may abscess in the 6months it takes to come out. I have also seen boys that don't lose their baby molars until 12 or 13 in which case you would definitely want to take care of the tooth. If the tooth behind it is a permanent molar, then definitely address that immediately."
  },
  {
    "id": 2062,
    "title": "Loose wisdom tooth",
    "dialogue": "David Beckley: I have developed a loose wisdom tooth, this is occurred around an unusual set of events. It started becoming sore several days before I was to have a hip replacement. The tooth was a distant second in my mind and I figured I will just have to wait till I recovered to deal with it. I had the surgery as scheduled of course I had antibiotics, the past couple of days the tooth has starting to bother me again only this time it is very loose, not much pain but I am on low dose prescription pain medication. The tooth can be easily moved with the slightest touch and I noticed a sizeable hole immediately inferior to the tooth. I have no dental insurance nor any money. Any help would be appreciated!"
  },
  {
    "id": 2063,
    "title": "Teeth crooked and pushed back after putting force on them",
    "dialogue": "Amaa: Hello. A little bit back, I was resting my teeth on my hand, and 2 of my lower teeth got pushed back a bit and one edge of one of my teeth overlapped the other. Before they were straight. What can be done about this? Thanks."
  },
  {
    "id": 2064,
    "title": "Maryland Bridge",
    "dialogue": "Juke Box Joe: I have a question about a Maryland bridge.\nI lost a front tooth and i'm interested in replacing it with a Maryland bridge. My question is the tooth adjacent to the one that's missing has a crown. Can the wing of the Maryland bridge be attached to this crown ? or no it can't and if it can't please explain why not.\n\nThank you...Joe Zuri Barniv: The wing can rest on the crown but it cannot be bonded/glued to it. It simply rests on it much like you would rest your elbow on a table. This is not very good. My experience has been that Maryland bridges tend to fall off more often than is worth the trouble. Ideally you would do an implant for the missing tooth and the next best option is a 3-unit bridge holding the teeth adjacent to the space (even if that means replacing the crown that is already there). Doing a Maryland bridge is asking for long-term hassles. Juke Box Joe: Thank you for the info Dr Barniv...\n\nJoe Bill A: Perhaps my situatioñ was unusual, but I had a Maryland bridge that lasted for over 30 years. I now have a partial denture to fill in the gap. I was missing two top front teeth, and the bridge was anchored by the dentist grinding down two teeth, one on each side of the gap, and then cementing the bridge in place. Zuri Barniv: Bill, of course there are cases where it works, and works well. I do not know your specific situation. All I can tell you is that Maryland bridges have a higher than average failure rate when compared to conventional bridges or other solutions. Juke Box Joe: Bill A said:\n\n\n\n\t\t\tPerhaps my situatioñ was unusual, but I had a Maryland bridge that lasted for over 30 years. I now have a partial denture to fill in the gap. I was missing two top front teeth, and the bridge was anchored by the dentist grinding down two teeth, one on each side of the gap, and then cementing the bridge in place.\n\t\t\nClick to expand...\n\nThanks Bill..."
  },
  {
    "id": 2065,
    "title": "Molar pushing out, causing problems for over a year, 5 dentist visits, please help",
    "dialogue": "pilotg2: Hi, I have an ongoing problematic 2nd lower molar for over a year now.  I’ve had this since a very deep filling close to the nerve.  Quick history, deep filling done, tooth incredibly painful and sensitive afterwards, a week later replaced with temporary filling, almost complete relief, though tooth still a little sensitive.  Few months later permanent filing with a lining done.  Tooth ok, though a little sensitive. Gum often bleeds when flossing, can feel rough edge with floss.\n\nFast forward to 3 months ago.  Tooth feels high and coming into my bite. Go to have it adjusted.  Unfortunately dentist did not know how to adjust teeth and ended up adjusting all my teeth on that side before I stopped the dentist.  Saw another dentist at the same practice immediately afterwards who made the adjustment in a couple minutes.  Tested tooth was still alive.  Trouble was now half my teeth didn’t touch on that side until I tilted my jaw a few millimetres.  I was told my teeth would move and fill the gap and not to worry. I’ve had jaw pain and neck ache since this but just when I thought and felt my teeth and jaw were coming back into line, my 2nd molar is sticking out again.\n\nThis is where I would really love a dentist’s opinions on what I should do.  Been to another two dentists re this molar pushing out.  One just under 2 months ago who suggested RCT as there are very little black spots around the root of the tip.  He did say not enough to warrant a RCT so wait and see.  Went to another dentist last week, no further black spots or bone damage.  He suggested to see if the tooth is alive he drills a core into the tooth, replace the filling and put a temporary crown on with no anaesthetic.  The latter does not sound like great troubleshooting to me?  I don’t think it’s worth disturbing the top half of the tooth unnecessarily.\n\nCurrent state of the tooth - no pain biting down on it (never has been).  Gum at the front of the tooth bleeds heavily when flossing and floss seems to travel far down the tooth.  Started rinsing with salt and bi carb 2 days ago which seems to be firming up the gum and less bleeding.\n\nThe gum hasn’t be right for a long time.  Could it be as simply as the gum infection causing the tooth to push up.  The tooth comes up high.  As it’s at the back of my mouth it touches first and I can’t touch my other teeth on that side.\n\nGoodness sorry this has got so long, I’m just at my wits end as to what to do.  I don’t want to pull the tooth."
  },
  {
    "id": 2066,
    "title": "Daughters top teeth!!",
    "dialogue": "Mouesey: Hi\n\nWhen my daughter was 12 month old she fell onto tiled floor damaging her 4 top teeth and lip. She had her lip fixed through surgery along with removing her 4 top teeth. My daughter is now 7years 4 months and there is no sign of theres 4 teeth making an apperance. Im just worried as shes starting to notice her friends in school all have their top teeth and she hasnt and has started to become self conscious.\n\nAny advice??? Zuri Barniv: You need one simple x-ray of the front teeth area which will tell you everything you need to know."
  },
  {
    "id": 2067,
    "title": "Hello,    Im new here trying to get a answer.",
    "dialogue": "eli: I have never had good luck with my teeth and now in my older age (41) im having other problems like uncontrolled blood sugar. I do believe a lot of problems are linked to your teeth in one way or another. Anyway i had my #2 pulled and come to find out i had a extra root. So maybe I have a extra root on my #15 tooth. Had a root canal on it a couple years ago and i am just now getting my crown started and when he started i could feel it so he numbed it.  Its been a few days since and I had it done and i had to take advill to sleep last night. I told him about my #2 tooth and he looked at my exrays and didnt seem concerned. So does anyone think their is a 4th root causing a little infection and should i push for more exrays before i get my crown put on. My dentist is pretty old and cheep 590 for my crown. drmins: pls upload a pic of your x-ray image. eli: i will try and get them to email me my xray"
  },
  {
    "id": 2068,
    "title": "5 yr old",
    "dialogue": "Satsh: I might be over worrying but i was looking closely at my 5 teeth.  It looks like there might be a very fait white spot on the bottom of her front tooth.  Help drmins: I recommend using a fluoridated tooth paste and brushing twice daily with it. Hope it will get okay just with this.And consult your dentist if the lesion becomes a little browinish or blackish.\n\nRgds \ndr.mins Dental Supplies: You look great .. I'm really glad that you are looking after your teeth at this early stage \n\nI hardly can see the white spot in the pictures. Even if you have it .. it might be very limited and I would not worry about it.\n\nThe best person who can help you with that is your dentist .. as he will examine your teeth in details\n\nThere are several reasons for the white spots .. the most common one  is something called the DENTAL FLUOROSIS\n\nDENTAL FLUOROSIS, is very common in your age. It is a defect of tooth enamel (the outer layer of your tooth) caused by too much fluoride intake during the early age.\n\nFluoride can be found in drinking water, toothpaste, fluoride tablets prescribed by your dentist, dental treatment and food.\n\nFluoride is very useful for your teeth but not too much of it\n\nBe careful .. some of the children at your age swallow some toothpaste during brushing so be careful about that .. and use toothpaste which is suitable for your age and most importantly tell your dentist about it.\n\nHere is a link (video) about Fluoride and why it is useful .. I hope it is helpful \n\nhttps://storify.com/SusanKing1/the-superhero-of-cavity-fighting\n\n\nOther causes for white spots are trauma, loss of mineral in the teeth (hypoplasia), braces and poor care of teeth\n\nI'm sure that your parents help you to write this and I'm sure that they will help you to read and understand my answer as well \n\nBest of luck .. again it is minimal in your case so I would not worry about it"
  },
  {
    "id": 2069,
    "title": "Dental Abscess",
    "dialogue": "Keisha: Hi everyone.\n\nI have a very swollen face due to what I think is a dental abscess. \n\nI have had a lump (not visable lump but I can feel it) in between my cheek and lower jaw line for a while which usually goes away with nurofen.   This weekend my face has swelled up on one side and even though it doesn't hurt it is very uncomfortable.  I am taking antibiotics which were prescribed yesterday by a doctor and I am seeing a dentist this afternoon.\n\nThe lump/swelling is right next to a tooth which is probably going to be pulled out (it is either coming out or a root canal) and the reason it hasn't already is I saw a dentist earlier this year but they couldn't do anything as I was pregnant.\n\nI am really scared about what the dentist will say this afternoon. Hoping they can drain the abscess so that the swelling goes away but what if they don't.  \n\nAnyone else gone through this?  What was the outcome?\n\nThank you all so much in advance drmins: Hope you had your dental consultation. It appears to be a dental abscess and can be drained off along with a dose of antibiotics. But ensure that you should either do a root canal treatment for it (if at all possible),or get it 'extracted and replaced'.\n\nthanking you\ndr.mins"
  },
  {
    "id": 2070,
    "title": "my dentist is charging me an extra $360 for lab fee over the price of crown",
    "dialogue": "dick: He says that is what the lab charges him.  I think he is lying and just inflating to make more $.  Is he crooked or am I being paranoid.  How can dentists get away with this Zuri Barniv: Only very high-end labs would charge that much to make a dentist a crown. And that would be the total bill for the whole crown, not a surcharge on top of another fee. Many dentists charge an extra fee to make a \"white crown\" or one with no metal or some other \"upgrade\". It is commonly done when a patient has an HMO type insurance that pays the dentist a reduced fee for a basic metal crown and the dentist looks for ways to increase the fee with \"upgrades\". Not sure that is what is going on, but that's my guess."
  },
  {
    "id": 2071,
    "title": "Brushing after breakfast",
    "dialogue": "Fabsyd: Hi. Just wondering what is so bad about brushing after breakfast? Is it the act of brushing or is it the chemicals in the toothpaste that react to the acid that could be in the did eaten? Zuri Barniv: When you eat anything acidic (tomatoes, most fruits/citrus, etc) it etches the enamel surface which makes it vulnerable to mechanical abrasion. It is usually best to rinse after meals with plain water and wait about 15 minutes before brushing to allow the acidity to diminish. It is not necessarily bad to brush after breakfast, but you asked about possible harm from it.\nDr. Barniv"
  },
  {
    "id": 2072,
    "title": "Alcohol-containing bond",
    "dialogue": "Ksenia: Please, could you tell me the positive and negative features of Alcohol-containing bonds ( Single bond for example). I need it for my research.\nThank you in advance"
  },
  {
    "id": 2073,
    "title": "bells palsy/wisdom teeth ??",
    "dialogue": "blaze: I'm 20 years old . I was diagnosed with bells palsy a week ago today. All four of my wisdom teeth are coming in so when my symtoms if bp started last Monday I thought it was just that bottom right wisdom tooth bothering me. Started with a headache on my right side an earache an some swelling. Tuesday my face was a little numb I was still thinkin wisdom tooth so I scheduled me a dentist appt. Wednesday I ended up leaving work an going to the er because my face a lmost seemed as if I'dhad a stroke . Dr in the er said it was bells palsy an prescibed me steroids an antivral. I went to dentist who said it was a possibility bp was from my wisdom tooth being so close to the nerve she sunt me to the oral surgeon that same day. He said he didn't believe my  wisdomtooth had anything to do with the bp. He suggested a dr appt an possibly neurologist.  he also said I did need all four cut out but he wanted to wait til the bp was gone.. I followed up with a local dr who said to just take it easy an rest. I just wonder if it is my wisdom tooth an ig I went ahead an got them cut out would it go away? Or make it worse? Or do nothing but cause more pain? Yes the pain ... it feels like I wss beat in the side of my head an fave with a shovel .. my face is swoll .. I can now close my eye without tape at night I'm getting some feeling back my eye is still droopy but I's it suppose to hurt like this? An are the bends of my knees and elbows suppose to be sore an hurting? Should I go back to the dr?  Any advice would be appreciated."
  },
  {
    "id": 2074,
    "title": "Help with dental hygiene",
    "dialogue": "Twag: Hi. I'm currently in high school and way back in 3-4th grade I would never brush my teeth and they have been SUPER yellow and rotting ever since. I don't know why I never took action earlier but I really want to change this and make my gums/teeth healthy because at the moment they are terribly rotting and my gums are almost receded. When I brush my teeth daily it seems like it does nothing to improve it. And yes, I go to the dentist every 6 months and every time I go it is always so embarrassing because my teeth are so yellow and gums are rotting... Someone please give advice on how I could actually see improvement when my gums and teeth are this screwed up. \n(Not sure if posted in right section. Sorry if it is.) Dentgr: You should ask your dentist to show you the right way in person. jonny_r: First you should heal tooth decay, gum inflammation (if you have). When you teeth become healthy, you can think about the cosmetic improvement, such as whitening, for instance. Nimita: I am assuming that you see your dentist for teeth cleaning and that's a very good thing because it involves the removal of dental plaque from teeth to help prevent tooth decay, gingivitis, and gum disease. And i think you should get teeth whitening treatment done too from your dentist and check for some articles that have amazing tips to keep one's teeth white with the help of home remedies. Pam Tiko: I had a similar problem with my gums. I had gingivitis bad, I started using a mouth rinse product called SmilePro from Dr. Rudy and in a couple of weeks I noticed a big difference in my teeth and gums. Getting your mouth healthy again takes time. It's really important to take care of yourself. So many diseases start from poor oral care and a lot of them are preventable."
  },
  {
    "id": 2075,
    "title": "Plan of action",
    "dialogue": "Paul514: Hi,\n\nI'm a 44yr old male. I've always brushed but seem to have bad teeth. I've got several cracked and one missing tooth. My two upper front teeth were broken when I fell off my bike when I was 15 so I have crowns there now which have been in for 15years. My teeth are hardly what they call white although sometimes they look better than others which is strange but they never look particularly good. I remember when the dentist showed me the crown before he put it in, it was, well, yellowish. He said 'it matches what you've got!' and he was right.\n\nNever a particularly confident person I now feel my dental issues are affecting me. I really want to do something about it. The thing is, how do you go about it? The missing tooth is the most important, it's the fourth from the front on the upper jaw and very clearly visible when I smile and it looks awful. Now, it clearly needs a crown. However I need something done about the coloration of all my visible teeth whether that be veneers or another treatment. To me it seems there would be no point having a crown that matches my current color if I intend to do something about the others. What happens in these cases? do they just put a whiter crown on then do the rest?\n\nWe moved about six months ago, i haven't looked out a new dentist yet, I hate going because I feel embarrassed even though that's probably stupid because that person is a dentist and they've probably seen much worse than I present with.\n\nIn people's experience what happens when you need so much? Can you have it over a period of a few years as and when you can afford it or is it best to get a loan, get it all done as quickly as is reasonable for the work to bed down? Would love to hear other peoples experience to get some confidence that a way forward can be found. Any advice on seeking out the best dentists for long term cosmetic work would also be valuable.\n\nAppreciate your advice.\n\nP.S. I'm in Nashua, New Hampshire Bill A: My teeth also needed a lot of work. It took over 3 1/2 years for all the work to be completed. It took so long partially because of financial reasons, and also because I had the work done at a dental school, which takes longer to complete the work but offers lower fees. \nI initially also had an embarassment problem, going to the dentist, but I had a bridge break off which left me with a gap of FOUR missing front teeth, which was even more of an embarassment! \nAlso is it possible for you to get company paid dental insurance to help offset the costs? If not, you might look into purchasing an individual dental policy as it can under some circumstances help to lower your costs. Paul514: Hi Bill,\n\nMany thanks for taking the time to reply. We do have insurance through my wife's work, she's not been in the job long so the insurance has just kicked in. It does have dental but you're limited for the year and also don't think they would pay for too much cosmetic work. How much do you think you saved by going to a dental school? How did they work out a plan of action? \n\nIt's funny, it feels like being vain but it's not a case of wanting 'Hollywood' teeth I just want to feel normal. People make judgements and poor teeth indicate an individual who is neglectful of their dental health when that might not be the case. \nSome of it is luck of the draw. My wife has great teeth, doesn't do anything different to me yet I'm the one who has a chip here from a pretzel and a crack there from a hard piece of toast!\n\nDo you feel you are at journeys end with the work you had? Do you feel much better for it?\n\nMany Thanks\n\nPaul 514 Bill A: Concerning the option of utilizing the services of a dental school, they usually accept new patients in the fall. They will do a screening exam and then assign you to a dental student who will then draw up a treatment plan and provide you with an estimate of the total cost. Having dental students do the work can be substantially cheaper, BUT there is a caveat to be considered. Dental students can perform work like fillings, taking impressions for and installing crowns, and preparing teeth and making the impressions for dentures. But if you need more serious work, like root canals and crown lengthenings as I did, that work needs to be done by graduate dental residents at the school at a higher price. So if you do investigate having a dental school do the work, be sure you get an estimate for any additional work (root canals & crown lengthenings) that would need to be performed by other dentists than the dental student who was assigned to prepare and execute your treatment plan.  \nThere is also the time factor to be considered is having work done by an educational institution. Each visit will probably last three hours! The dental student doesn't work on your teeth constantly for the entire time period. The student will perform a step in the treatment and then wait for a faculty member to become available to check that the work that they did was done correctly. The they will proceed to the next step. A very time consuming process.\nBut all in all I'm certainly glad that I got the work done. I talk better, I look better, and I eat more easily now that all the work has been completed than I did in the fall of 2011, before I started getting the dental work done."
  },
  {
    "id": 2076,
    "title": "older models of Philips' electric toothbrush is better?",
    "dialogue": "kenny siu: My dentist recommends going for a Philips' electric toothbrush since it's the best so I have skipped Oral B\n\nI guess Diamond clean is the newest model of Sonicare but on Amazon there are plenty of negative comments and complaints about this new model. Many of them comment that their diamond clean brushes have failed in less than a year while their older models of Sonicare works pretty well for a decade or two. It is not just one or two such comments but there are just a lot of such negative feedback\n\n\nAnyone know if it's true? Should I go for an older version of Sonicare? Which one lasts longer?\nI don't want to replace a new electric brush in less than a year or two! It's not a mobile phone\n\nThank you"
  },
  {
    "id": 2077,
    "title": "Teeth Reconstruction",
    "dialogue": "Nimita: Taking my mother to a dentist is a great task. She was not very happy with her dentures as she complaint the to be not comfortable and since then she cursed going and seeing a dentist. However when i was searching for a good dentist that would change my mother's perception by giving an extraordinary treatment. I came across this video and without giving any second thought i called to schedule an appointment. Today my mom is so happy that she got dental implants, India done from them at the age of 63. Of course it was not easy to convince her but eventually we got her treatment done."
  },
  {
    "id": 2078,
    "title": "Does Wisdom Tooth Extraction Reduce Crowding?",
    "dialogue": "cjstorm: I am 17 years old. About 8 months ago, my front teeth on the bottom row began to crowd (so bad that one of them is completely crooked), My wisdom tooth has yet to break through the gumline, but considering the large amount of pain I felt a few weeks ago, I would say that it's probably coming soon. Considering that I don't have any other orthodontal problems with my teeth besides the 4 teeth that are crowded, and considering my age, braces wouldn't be an ideal option for me. But I was just wondering that when the wisdom tooth comes in, and if my dentist removes it, will the crowding that I have start to space out a little bit, or will it remain exactly the same? Zuri Barniv: No, removing wisdom teeth has no effect on crowding. You can read about this topic on my blog:\nhttp://straightupdoc.com/?p=141\n\nDr. Barniv"
  },
  {
    "id": 2079,
    "title": "Whitening teeth with crowns",
    "dialogue": "ameliecelie12: I am so satisfied with my pearly white teeth, but I'm afraid this effect won't last forever. I'm thinking of whitening them if they change color. Has anyone done it on teeth with dental crowns?\n\nThanks! Bill A: I have used a gel containing hydrogen peroxide to whiten my teeth that don't have crowns on them. But this whitening treatment won't affect the color of my enamel crowns. ameliecelie12: Thanks for the insight, Bill."
  },
  {
    "id": 2080,
    "title": "When a cavity turns into a crown.",
    "dialogue": "coldteeth: Need some opinions please.\n\nI take very good care of my teeth and actually due to past problems (about 10 years ago when I needed a lot of dental work) I go to the dentist every 4 months.\n\nThe last time I went, the doctor was talking to her assistant and said - \"oh yeh, this is ready to go\". I asked what was ready to go and if I needed to come back for a filling and she said no, but probably next time.\n\nSo next time arrives and it's gone - but instead of just a filling, I need a crown (this is another battle that I am having since doc wants to give me the crown with the silver showing and I want an all porcelain crown - she said it would be more expensive and may crack but it can be easily seen when I talk and I don't want to look 80 yet).\n\nI was very upset and I asked why we didn't do something 4 months ago. Or even make another appointment in 2 months to see how far it had gone. She said it wasn't ready.\n\nThis is not a doctor that does work just for the money. So I don't think that's the reason but I do want to get other doctor's opinion to see if maybe this doc is just not doing her job properly.\n\nCan you please advise? Cygre: I'm afraid I can't give any insight on what she means by \"it wasn't ready\". I don't get it either. I would think a dentist would explain what they mean when they say something vague like that.\n\nThere is an in-between for your choice of crowns, though. Ask your dentist about porcelain-bonded crowns. They're not as strong as full metal crowns but they have an outward appearance of a porcelain one. They're essentially metal crowns with porcelain cover. I'd think it would cost more than a full metal one, but at least it has some strength (since your dentist seems concerned about strength of the crown)."
  },
  {
    "id": 2081,
    "title": "First Aid Courses",
    "dialogue": "Michael Francis: Dear All,\n\nI have recently purchased my own practice and was enquiring which first aid providers you would recommend for the compulsory medical emergencies training? skem01: Yeah it's compulsory kit for practice Vinay Shah: If you are referring to the first aid GDC requirements we use Health Council UK. The trainers delivered a professional course and there was a doctor teaching at the course too which helped for answering questions. Would definitely recommend them.\nTheir link if you require is http://www.healthcouncil.co.uk/basic-life-support-for-dentists.html Michael Francis: Thanks for the information Vinay. I have now booked a course with them for next month"
  },
  {
    "id": 2082,
    "title": "dentures  why so expensive",
    "dialogue": "lillian napoli: i went to the dentist today ..and i am so disappointed 7000 dollars plus for 10 extractions and dentures where can someone go for dentistry with out taking out a small loan  not really that small like buying a car Nimita: You are paying for a prolonged treatment however the cost of materials used aren't that huge. Hence i think it is this expensive. Bill A: I had a lot of work done at a dental school, which charges reduced fees in order to attract patients for dental students to gain experience working on. Also the school may suggest a better alternative in terms of treatment to just yanking out your teeth and replacing them with dentures."
  },
  {
    "id": 2083,
    "title": "Toddler's black teeth",
    "dialogue": "Joanne: Hello\n\nI am urgently needing some advice regarding my son. He will be three in September. His front four teeth are discolored and black under neath, and the black seems to be spreading. Please I need advice on what to do??? Zuri Barniv: I am guessing you give your son multivitamins with iron or just iron supplements? That is usually what causes this and the stains are easily removed. Nimita: Even my son had it and i was told that it is nothing but cavities. So rather than making things worse for him it's better to take him to a dentist."
  },
  {
    "id": 2084,
    "title": "Has anyone had feeling of pressure in tooth and swollen gum feeling after dental work?",
    "dialogue": "tlcha: Has anyone had a squeezing tooth feeling after having dental work that does not go away? Also feels like gum is swollen\neven though I don't think it is. I can feel the swollen feeling around gum in upper tooth that was worked on and teeth next to it plus the lower gum on same side where I had wisdom tooth extracted and lower tooth next to it.\nI had 2 wisdom teeth removed on upper and lower left side a year ago.\nThe lower tooth had a cyst and was right sitting on a nerve.They only took half of the tooth and cyst, I was doing well with no problems until 6 weeks later I went to my dentist to get fillings on upper and lower left side 2nd molars. The day I had the filling on upper tooth I went home in terrible pain. Turns out the upper one had to get root canal. Heres the thing. When the tooth hurt badly after the filling it not only had extreme pain it mostly had terrible pressure in it which made the lower left side jaw hurt as well. Then after the root canal the crazy part is. The pressure never left. Plus I can feel the pressure in the lower left jaw too. Its worse in the upper left 2nd molar that was filled and rt canal-ed. It has completely changed me. I am distracted by it everyday. Its very uncomfortable. I want my life back. I want to feel normal again. It feels like my gum is swollen on that side and or a ton of pressure like somebody pushing on tooth and lower jaw. Oral surgeon says he doesn't know, but kinda blames it on clenching. I wore a night guard doesn't help. I take magnesium which helps with clenching tremendously. All the dental work I had to go through without a break in a years time caused this clenching which now is very much improved. My jaw feels off and not line properly but they put that tape between teeth and say its fine. I don't know what to do or who to go to anymore. Will I be like this forever ? I thought because dentist see so many patients, that there had to be somebody they worked on with my symptoms. I really figured by now with seeing the oral surgeon, endodontist and dentist that one of them would have an answer. Does anyone else have these symptoms? or has any of you dentist out there encounter this with your patients. I am searching for answers. Bryce Barfuss: I have felt this before, however I have just ignored it until it went away. May not be the best solutions, probably isn't, but reaching out to your doctor would be my best guess. Nimita: You have to look for the guidance of a dental expert, ideally a periodontist or oral specialist, who does this sort of work, and have him or her take a X-ray, either a CT scan or Panorex. The picture ought to be of your teeth as well as your jawbone. This will allow you to preclude any sort of disease, cyst, or issue at the extraction site that could account for the repeating swelling. It's conceivable that there's an issue with the tooth nearby the extraction attachment. The tooth may have a cavity or need a root canal treatment, which would makes it feel just as its influencing the attachment socket. Teeth are near one another, and regularly neither the patient nor the dental practitioner can tell precisely which tooth is creating an issue."
  },
  {
    "id": 2085,
    "title": "Extreme Tooth pain after root canal",
    "dialogue": "Stephanny De la flor: Hi, \n\nI want to start off my saying I've had a lot of things done to my teeth in the past 6-8 months. \nI got the three wisdom teeth removed, I didn't get the Upper Left one removed because the molar before that one had really bad cavities so my dentist said it was better if we extracted that one instead of the wisdom tooth so we did that. After a few weeks, almost two months, I was still feeling horrible pain the wisdom tooth not removed, I went to the dentist and said I needed to get 4 root canals on different teeth, this tooth was one of them. Long story short, I went to another dentist because the previous one just wanted to collect money from me. This new dentist removed the wisdom tooth and said I only needed one root canal on number 19 ( I think) which is the upper left tooth and the other ones were going to be OK with just fillings so we did that, he did the fillings which worked pretty good. He then said to come back a few weeks later to do the root canal, I agreed, I went around to get the nerves out but after two weeks I was still feeling a lot of pain so I went back and did the \"cleaning\" part again, the second time they cleaned it they also put the temporary crown. I was still felling a lot of pain after weeks so I went back, the dentist told me my gums were really irritated and that I needed to floss and brush my teeth more often. Well here I am, almost three months later, and I still feel pain, it is so bad that I can't even drink room temperature water on the left side because it hurts A LOT, even my Left upper tooth were he did the filling hurts. I can't drink, eat, chew or do anything on that side and it's really bothering me. I don't know what to do. Any suggestions? Nimita: At the point when a tooth pains after root trench, Several elements may be included . In the event that temperature affectability or agony exists, its either another tooth alongside the tooth being referred to, or a frill or primary nerve still leaves in the tooth and the root trench should be withdrawn. On the off chance that temperature does not bring about any throbbing torment then a crack in the tooth, and an in sick fitting crown could cause it."
  },
  {
    "id": 2086,
    "title": "What do you see in these X-rays?",
    "dialogue": "sweet-tooth: Dear dentists/dental students/all who can interpret dental radiographs,\n\nI'd be interested to know what you make of my X-rays, and see how your  thoughts compare with what my dentist says. Think of this as my getting a second (and third, fourth, etc.) opinion. \n\nThis first set of X-rays was taken in 2009. (Click to enlarge)\n    \n\nThis second set was taken May 2015 (just a month ago)."
  },
  {
    "id": 2087,
    "title": "HOW DOES THE UNINSURED KNOW IF DENTAL FEE IS REASONABLE?",
    "dialogue": "GND: Does anyone know how are fees for service are determined by dental practitioners? Is there a website with average fees by procedure/region one can go see if the fee i have been quoted is in the ballpark?\n\nFor example, in South Florida, how do you know that the cost of a molar extraction followed by an implant and cap being charged by a Periodontist is reasonable short of seeing several practitioners (very time consuming, not to mention, each wants to charge for their own CT scans before giving an estimate). And what if you don't have the luxury of time and have to make a decision right away? Seems unfair that insurance companies have all this information and thus the upper hand to negotiate fees, but the uninsured consumer is taken advantage of.\n\nThank you for your thoughts/recommendations on how obtain the pricing information I need to make a decision, and also tips on how to negotiate fees. Bill A: You mention that you live in South Florida. You might wish to check out this dental school to see how much they would charge for the work. It is also possible that they can restore the molar, rather than extracting it.\nI also did not have dental insurance, and had a lot of work done at a dental school in Baltimore.\nSee http://dental.nova.edu"
  },
  {
    "id": 2088,
    "title": "Partial dentures",
    "dialogue": "Tombstone: Over nearly 80 years or so I have been to countless numbers of dentists both NHS and private and with one exception they have all given me very good service. However one thing has stood out like a sore thumb and that is the highly variable and generally poor quality of partial dentures, both acrylic and chrome and both NHS and private..  For reasons that are beyond me dental technicians seem to find it difficult to design and produce clasps which are sturdy and capable of lasting for any length of time. In my case, with lower front partials, the clasps usually break in less than 3 months particularly the puny looking pieces of stainless wire which is used for many clasps and the chrome partials have not lasted much longer. Is this normal? Dentgr: A lucky guess is that the teeth that have the clasps on are not parallel so they (clasps) are too stressed during insertion and removal. AnnMarie: I was encouraged to have a partial upper against my better judgment as I wanted my last 7 remaining teeth pulled. My teeth are low enamel and fracture, spent to many years battling tooth problems and wanted a full denture once and for all. My temporary partial broke tonight after 2 months right across were the clasps attach from the eye teeth. They can't get me in to repair it for six days. My swelling went down and it put stress on the front bite. I'm toothless for a while I guess and a busy day awaits me tomorrow. I feel your pain. I'm 54 and am hoping by the time I'm 80 I'll be done with the tooth dilemma. Nimita: I guess that is the reason why they ask to go for dental implants rather than going for dentures. I had met with an accident and lost 3 front teeth and from dental implant India i got my treatment done. Surely it was painful but then with proper follow ups and medicines it gets better. Bill A: You might try having the work done by students at a dental school. Here are several shots of the metal frame of the partial denture that they had  made for me. I have had the finished denture  since December and am quite satisfied with its fit and sturdiness. AnnMarie: Bill A said:\n\n\n\n\t\t\tYou might try having the work done by students at a dental school. Here are several shots of the metal frame of the partial denture that they had  made for me. I have had the finished denture  since December and am quite satisfied with its fit and sturdiness.View attachment 400 View attachment 401 View attachment 402\n\nClick to expand...\n\nWOW. That seems a bit to much metal for me and also I'm allergic to metal. I'm content with dentures. It was just my temporary that broke. It's the metal that's keeping me from getting implants. I'm a very pain sensitive person to handle all that drilling.. AnnMarie: Bill A said:\n\n\n\n\t\t\tYou might try having the work done by students at a dental school. Here are several shots of the metal frame of the partial denture that they had  made for me. I have had the finished denture  since December and am quite satisfied with its fit and sturdiness.View attachment 400 View attachment 401 View attachment 402\n\nClick to expand...\n\nDo you attach post-caps on the front or is that the teeth? What about the middle molars? I will admit, can't see it breaking. Bill A: AnnMarie said:\n\n\n\n\t\t\tDo you attach post-caps on the front or is that the teeth? What about the middle molars? I will admit, can't see it breaking.\n\t\t\nClick to expand...\n\nHere are some shots of the finished denture. I hope that it is as indestructable as it looks."
  },
  {
    "id": 2089,
    "title": "After allergic reaction dentist refused to tell me what anesthesia he used",
    "dialogue": "planetary: Three years ago I had a wisdom tooth removed and had such a severe allergic reaction that my entire body was covered in circular red marks, my face was so swollen it looked like I'd been hit by Mike Tyson, and I had a full body itch so bad I couldn't sleep for a week. I was hospitalized three times that week, and the last time I thought I was going to die. They eventually put me on hardcore \"steroid\" type drugs to get the allergic reaction under control, and it took weeks to taper off the drugs. I dont have words for how miserable the whole experience was, and it took a LONG time for my body to recover fully.\n\nDuring treatment my doctors contacted the dentist and asked him which anesthetic he used, but they didn't get an answer. When I was finally well enough to call the dentist myself a few weeks later, the only response that I got was a voicemail from him saying the reaction could not have been triggered by the anesthetic but was probably completely unrelated to the dental work, or it was a reaction to the preservative in the anesthetic.\n\nI never got a straight answer, and I haven't been to a dentist since because frankly I'm terrified. Now I've been dealing with a hollow, broken tooth that constantly throbs, and I'm worried there's an exposed nerve because the pain is absolutely brutal. I called to confirm a walk-in emergency dental office is open today, but I can't go through with it because, as horrendous as this tooth pain is, that allergic reaction was worse than anything I've ever experienced.\n\nI'm livid that I never got a straight answer from my previous dentist regarding the anesthetic he used. Is there some law that requires him to tell me exactly what he used, or any recourse at all? I'm in serious pain but I can't go through with dental work knowing what could happen to me if I do. Any advice would be appreciated. realdentist: It would really be helpful to you if he tells u what brand he used so you avoid it next time. You can't keep carrying a painful tooth about. Awww so sorry. I really feel for you PhillyDentalArts: You should absolutely follow up with this and get legal aid if required as this is a serious concern. Nimita: Feel really sorry of the things you are going through. Why not take a legal action against the dentist? This is really serious. Knock at his door and ask for answers. jonny_r: You definitely need a legal consultation to get things clear. This issue must be specified in law. You should have been informed about medicine you'd been treated with."
  },
  {
    "id": 2090,
    "title": "Issues with Teeth Help!",
    "dialogue": "ponygals: Lately the back of my teeth the wisdom teeth have been hurting because I think they are coming in. I also looked inside my mouth and noticed a white dot in the back of my mouth as well. Here's some photos what do you think?\n\nTOP\n\n\n\n\n\n\nBOTTOM\n\n\n\n\n\n\nWHITE DOT Zuri Barniv: That is probably a tonsil stone.\nhttp://en.wikipedia.org/wiki/Tonsillolith ponygals: Should I be worried? Will it go away? Now I am nervous. Zuri Barniv: I would encourage you to read up on it first to confirm that is what you have. Usually they do not cause any problems. ponygals: It does sound like what you linked but maybe it's a blister or something? ponygals: How do the rest of my teeth look? Do they look bad? Zuri Barniv: I'm not sure I could give you much in the way of useful information about your teeth based on the pictures you took. You would need to have sharply focused, well-lit and close-up pictures for me to be more helpful. X-rays would be the best, of course. ponygals: Yeah I can't go to the dentist no insurance. oldglory: I agree with Dr. Barniv jonny_r: Completely agree with Dr. Barniv, it's a tonsil stone, you don't have to worry much. And this phenomenon has nothing to do with teeth."
  },
  {
    "id": 2091,
    "title": "Piece of filling stuck under gum",
    "dialogue": "Jess2456: Hi, I had my wisdom teeth pulled out a long time ago. About 7 years ago. Recently I had to get a root canal and discovered in the x Ray there was a piece of amalgam filling where my wisdom tooth use to be. Could it be when the oral surgeon pulled out my wisdom tooth got a piece of filling stick under my gum and sowed up my gum and that is how it healed? If so I have gone to numerous oral surgeons to get this removed as I'm scared of the health risks this may cause, yet none seem to care to have it removed. Please help? What can I do? Dentgr: There's no need to have it removed."
  },
  {
    "id": 2092,
    "title": "Impacted wisdom teeth issues.",
    "dialogue": "Jack doe: My dentist told me that my wisdom teeth on my upper jaw are impacted. He told me that they are the source of my sinus issues and headaches and also told me that they should never be removed stating that when removed my issues would intensify. I would like a second opinion? Zuri Barniv: Without a 3D cone beam x-ray of your jaw, it would be very hard for your dentist to say something like that and it's impossible for anyone here to give you advice without it as well. Nimita: Impacted wisdom teeth are wisdom teeth which do not fully erupt into the mouth because of blockage from other teeth. If the wisdom teeth do not have an open connection to the mouth, pain can develop with the onset of inflammation or infection or damage to the adjacent teeth."
  },
  {
    "id": 2093,
    "title": "Dentist unable to keep me numb enough to do dental work.",
    "dialogue": "bethybug138: OMG! PLEASE tell me I am not the only one!  I went to the dentist yesterday to start putting on a crown. They have to \"prep\" the 1st day and finish the 2nd visit. In order to prep you have to have your tooth drilled on....through the enamel I guess. Anyway, after 5 injections... and a little drilling... he was unable to keep me numb enough to finish. He said he had reached the max amount of injections and that more would damage my liver. So they put a coating on my tooth and made an appt for 2 weeks from now. I am not able to have epinephrine in the injections even though I know it lasts longer. He said he would research to see if he could use Marcaine (I think) if it came without epinephrine. Also they told me that some days you could get numb easier than other days..... WHAT???? Injections DO wear off on me fast but I went in there thinking I could get through this and now I am anxious as heck!  They told me it would not hurt his feelings if I went somewhere else where they either sedate or do something besides injections. I have made an appt with a dentist I don't know now... but because they will take my insurance and will give me gas. Sorry...this is my first post and I tried searching but did not find this exact problem. I would love to see info from experts and non-experts that have maybe been through this. I asked if they got any other people like me and they said not usually...  they were nice but I could tell they did not know what to do with me. I am very compliant... not a nervous person...but THIS is freaking me OUT! Zuri Barniv: Many people think they are \"allergic\" to the epinephrine in anesthetics because it makes their heart race. If you were allergic to epinephrine, you would long be dead because your body secretes it all day long. Giving anesthetics without epinephrine can cause many numbing problems like yours. Injecting anesthetics very slowly can usually alleviate the problem you might have. There are also other methods of administering anesthetics you will need to look up like \"intraosseous\" and \"periodontal ligament\" injections. These usually do the trick for patients that can't get numb. Incidentally, it takes a lot more than 5 shots to damage your liver.\nDr. Barniv bethybug138: Zuri Barniv said:\n\n\n\n\t\t\tMany people think they are \"allergic\" to the epinephrine in anesthetics because it makes their heart race. If you were allergic to epinephrine, you would long be dead because your body secretes it all day long. Giving anesthetics without epinephrine can cause many numbing problems like yours. Injecting anesthetics very slowly can usually alleviate the problem you might have. There are also other methods of administering anesthetics you will need to look up like \"intraosseous\" and \"periodontal ligament\" injections. These usually do the trick for patients that can't get numb. Incidentally, it takes a lot more than 5 shots to damage your liver.\nDr. Barniv\n\t\t\nClick to expand...\n\n\nThank you for your answer Dr. Barniv. I went to another dentist who gave me gas and injections but still was unable to numb me enough in one area. She is making a crown with a band because of that. That was a lower back tooth and she said it was harder to numb plus I must have a (forget the word she used) but basically a weird nerve in that tooth. I am interested in other ways to numb and I will be asking her about that. Thank you so much for the information!"
  },
  {
    "id": 2094,
    "title": "Best Dental Software",
    "dialogue": "AdamR: Could anyone recommend a good dental software system suitable for Macs? \n\nWe currently use MacPractice DDS but find it too complex and clunky. \n\nThanks"
  },
  {
    "id": 2095,
    "title": "crown",
    "dialogue": "jennie: Hi just wondering if anyone has a problem having a tooth extracted with a crown still on are they harder to remove because theres not a lot of tooth remaining thanks"
  },
  {
    "id": 2096,
    "title": "gap between incisors",
    "dialogue": "bullet_pollution: hey guys... first post...\nI have noticed a while ago that there is a gap at the top of my front incisors where the teeth start to curve into the root that i can blow through with pressure from my toungue. is this normal???\nIn the picture you can't see the gap but i have circled where it is"
  },
  {
    "id": 2097,
    "title": "Do you offer online booking?",
    "dialogue": "Joshwake: Do you offer an online booking calendar? If so, how much do you pay? I am talking about a calendar you can input open times for walk-in/emergencies that a patient just clicks on and books the time, more than just having the patient pick a day/time and hope that it fits your schedule.\n\nI want to have one when I am out of school, but the cheapest I have found is $100/mo. so I have been trying to make my own. If anyone wants to help me beta test please let me know. I will take all the help I can get.\n\nJosh"
  },
  {
    "id": 2098,
    "title": "Unerupted teeth",
    "dialogue": "Smudge: My 13 year old had his front top baby tooth removed a couple of years ago (I think he was around 11) as the second tooth had not erupted.  Two years down the line and the tooth still hasn't appeared so I think he is going to have a chain attached and the tooth pulled down.  It has moved a little but not much.  However, at his most recent consultation, the dentist commented that he has the teeth of an 8 year old - lots of remaining baby teeth still in the back of his mouth (I'm not sure how many but a surprising amount, judging by the dentist's reaction).  He was x-rayed and the second teeth are all there - they just don't seem to be pushing the baby teeth out.  My question is - should I be worried?  The front tooth is being dealt with, if all goes according to plan, it will be pulled into place.  But what about the back teeth?  Is it still within the \"normal\" range for second teeth to be coming through this slowly?  He is a high achiever at school but quite small for his age - is growth related to tooth development?  Thanks for any advice!"
  },
  {
    "id": 2099,
    "title": "Problem with extraction, please help, any advice?",
    "dialogue": "OxyMade: I'm 16, and as a very young child I got abused by my dentist and.. long story short I'm very hesitant with dental work. I The issue happened at around 6 or 7.. and I refused to go to a dentist.. April 2014 I finally got tired of all the tooth pain and decided to go and get everything fixed. I got a fantastic dentist and I have no problems letting him do anything. he's done a lot of deep fillings and a root canal. I don't care about it.. it doesn't make me nervous, I have no problem with getting injected with lidocaine because I'm so used to it. However when I first went in April 2014 my dentist and I made a sheet of everything that needed to be fixed and both of my second molars needed to be extracted. #18 is worse than the other one.\nIn fall 2015 I went to an oral surgeon to get them both extracted and the lidocaine alone wasn't enough for me when he attempted to pull them it felt like no lidocaine was there. I was told I could be knocked out.(I'm now realizing that it doesn't mean totally knocked out.. apparently it only makes you groggy and you don't remember anything) so I go back to the same oral surgeon and he puts the IV in me and that's all I remember until waking up and being sat up and he was done. I didn't know much that was going on when I \"awoke\", but the first thing I did was feel only #31(left side second molar) was out and I said why did you only take one out and he told me that he had to stop because I started flipping out and grabbed his arm while he was doing it and kicked one of the assistants and put her on workmen's comp. I was very confused because I didn't remember any of this. After recovery of the extraction I attempted to setup another appointment to extract #18 and he told me because of what happened he couldn't put me out because he could get sued so I tried again with just lidocaine and I couldn't do it. The oral surgeon then verbally abused me because I was having a hard time with the tooth and he was rushing on the last time he attempted to extract it and he was getting frustrated so I tried a new oral surgeon to see if they could put an IV in me, but that oral surgeon told the next one the situation so it didn't matter what oral surgeon I went to they could only use local. This next oral surgeon was very nice and so very patient with me I was so surprised, yet again I couldn't do it.. he said he couldn't inject anymore lidocaine into me yet as soon as he pulled on the tooth just the slightest it was just the absolute worst pain it felt like there was no lidocaine injected at all. A week after he tried last time I was in constant pain, they prescribed me tylenol 3.. after another week I stopped taking it and it was a horrible pain so I was always taking it and always having them prescribe it to me whenever it ran out. This was in December or January 2014/2015. A few weeks ago in April 2015 I just had a few more fillings done and while there my dentist asked me if he could take out the decay out of #18 to make it not hurt all the time and possibly easier to extract and I was very numb and not feeling any of the fillings.. usually I would say no in fear that I would feel pain, but I said go ahead. As he went I felt nothing. He also, took a lot of the tooth down because the sharp edges were cutting my tongue and cheek and when I left it didn't touch my cheek or my tongue so I was happy. A couple days after this appointment I realized what he did by taking all the decay out was make the tooth completely hollow exposing the nerve. Since then food gets in there every single time I eat something food gets stuck and I use a small pick with bristles as the end to get it out, I always stab my nerve. It's always a very bad constant ache. The tylenol 3 I mentioned earlier wasn't doing enough so they prescribed me vicodin and whenever I don't take it it just hurts constantly.. on friday I ran low and my dentist was on vacation so I had to wait until today Monday to get more and then he told me that he's prescribed me so much that he can't prescribe anymore.. now I have to just sit through constant pain and am trying to get the tooth extracted but, what should I do? I can't be given IV and it's so much pain getting it pulled with just lidocaine, never mind how hesitant i am to even try with just lidocaine because I already know it's going to hurt?\nAny advice will be appreciated."
  },
  {
    "id": 2100,
    "title": "Early Cavity Detection : Treat or Watch? - Need Your Professional Opinion",
    "dialogue": "TomH: Hey Everyone,\n\nI need to make figure out a solution to an issue I am having and hope you can help me. I am having an issue with my #2/3 molars went to my dentist but wanted to reach out to you for your expertise as well. I am having food getting stuck, discomfort, and bleeding occasionally. I use GUM Go-Betweens Proxabrush Cleaners to get to area because floss doesn't do the trick. I attached a picture of my xray (I know the quality isn't the best but please do your best). In you opinion what would your treatment recommendation be? Any advise will be greatly appreciated.\n\nThank you,\nTom Dentgr: There's some decay on distal of 3 and a failing filling on mesial of 2.you should treat both. Cheers!"
  },
  {
    "id": 2101,
    "title": "Seeking advice regarding boyfriend’s dental hygiene",
    "dialogue": "Serena: I would appreciate some feedback on how to deal with an issue I am having with my boyfriend regarding his dental hygiene. Sorry in advance for the lengthy post, but I think a little background is necessary. Basically, he does not take good care of his teeth. He only brushes once or twice a week, never flosses, the only thing he does consistently is scrape his teeth with a toothpick after every meal. His teeth are in decent shape but a little on the yellow side. His reasoning behind it is that many of the common dental practices are actually bad for teeth – for example he thinks brushing wears away the enamel, and he won’t whiten his teeth because he says teeth aren’t naturally supposed to be white and artificial whiteners damage teeth. Plus, he says, back in the day before modern dentistry, people got by fine without all the “gimmicks” we adhere to today. He is also very hesitant to see a dentist because apparently when he was younger, he didn’t go to the dentist until he was about 10 years old (his family was poor and did not have consistent health insurance for the first few years of his life), and he said that when he went to the dentist for the first time, the dentist told him that his teeth were in great shape, no cavities etc. The dentist did recommend brushing more frequently, which he started to do. 6 months later, when he went in for another cleaning, he suddenly had 5 cavities. He says this has been a trend throughout his life – the more he brushes and goes in for cleanings, the more cavities he has. He thinks he will be fine because he maintains a fairly healthy diet and does not eat a lot of sugary or acidic food, which he says is more important in determining dental health.\n\nI’ve discussed this with him and he is pretty stubborn about it. He agreed to go to the dentist in the near future and even finally bought dental insurance through his job the other day, but said he will only go for a consultation and if the dentist says his teeth look fine, he will not let them clean his teeth, and he will continue his current practices (though he agreed that he should probably start flossing). In my opinion, he is being immature by relying on his own anecdotal theory as opposed to the advice that is overwhelmingly accepted by the vast majority of experts/people. The only thing I kind of understand is his reluctance to whiten his teeth – as much as the superficial part of me would like him to have whiter teeth, I have stopped pressing that issue because I’d rather focus on actual dental health as opposed to vanity. But with respect to the brushing/cleaning issue, it’s hard for me to intelligently argue with him because I’m no expert, everything I “know” about teeth was told to me by dentists, toothpaste companies, etc., which my boyfriend claims is  biased information because dentists and toothpaste companies have an inherent interest in promoting these things for their own benefit. I’ve shown him websites saying what can happen if you don’t brush, but he’s not convinced, he blames it on the fact that people eat too much sugar nowadays.\n\nI’m wondering if anyone who is more knowledgeable than myself can provide feedback on his claims. Is his reasoning at all credible? For example, is there any evidence that in times before modern dentistry, people’s teeth were still generally healthy? Are white teeth actually less healthy than yellowish teeth? Does regular brushing actually wear down enamel? Can you suggest anything I can say or show to him, preferably something that is grounded in actual evidence as opposed to general statements made by some dentistry association website? Particularly, if anyone has a link to a study or research paper on this topic, that would be helpful. Thanks in advance! drmins: Serena said:\n\n\n\n\t\t\tIn my opinion, he is being immature by relying on his own anecdotal theory as opposed to the advice that is overwhelmingly accepted by the vast majority of experts/people.\n\t\t\nClick to expand...\n\n\nYeah. You have found out the real answer.\n\nKeep smiling...a whiter smile.Good luck.\nDr.mins Chris_Fisher: Brushing your teeth regularly does not create cavities. When in doubt, go to the more reliable source. Good luck!"
  },
  {
    "id": 2102,
    "title": "is dental x-ray safe??",
    "dialogue": "kenny siu: i don't know if it's x-ray or CT but I have visited two different clinics in 25 days and both of them required me to take a x-ray for full mouth. The second one didn't accept my x-ray soft-copy on USB because he is worried of USB virus and required a new x-ray.\n\nI think I was so silly to take two x-ray for full mouth in 25 days. And I am worried about the possible harmful effects of x-ray. Especially because I didn't sleep very well the night before the second time I take the x-ray.\nAnd I have just learned that x-ray is accumulated in our body over the years\n\nAm I over-worried for something that doesn't exist?\n\nOr do I make sense to worry?\n\n\nAdded note: I 'd like to know if what I was taking is a dental X-ray or dental CT ?? I know CT has higher risk than X-ray. The doctor said it was X-ray but the machine rotates around my head during the process. Chris_Fisher: Radiation is real. X-rays have come a long way where the dose of radiation is really small. Even so, every 6 months is usually how often you should get an x-ray, if you must."
  },
  {
    "id": 2103,
    "title": "mouth guard? is cheaper one oK?",
    "dialogue": "kenny siu: hi I have problems grinding teeth during sleep and I 'd like to have a mouth guard to protect myself from it\nIf I buy the one that is standard and economic outside, instead of going to a dentist , it costs around USD 40- 60 . if i look for one from dentist, it is measure-to-made and cost 3 to 5 times more. I'd like to know if a standard mouth guard works already fine or if it's quite important to have a measure-to-made mouth guard done by dentists??\n\nThank you. drmins: A custom made bruxism guard will be a better choice as it gives a better fit and comfort.\n\nKeep smiling\nDr.mins kenny siu: drmins said:\n\n\n\n\t\t\tA custom made bruxism guard will be a better choice as it gives a better fit and comfort.\n\nKeep smiling\nDr.mins\n\t\t\nClick to expand...\n\n\nwhat questions do I have to ask about my dentist when it comes to a custom made bruxism guard?\n\n- material?\n- anything else?\n\nThe bad news is that the price about a custom made bruxism could vary up to USD 200 difference again here (my cities has totally no control of the dentistry industry)\n\nI don't know if they are fairly the same thing or not...\n\nthank you again God bless you doctor Miroslav Stanic: Grindig teeth during sleep can be an indication of sleet apnea. Ask your physition to evaluate before geting bruxisam guard. In USA medical insurance covers for sleep apnea treatment. Yoir dentist cam be of help"
  },
  {
    "id": 2104,
    "title": "You want to see the application process",
    "dialogue": "prucokic: You want to see the application process or maybe just want to have of catfight the committee description box and you can fall Striction BP sport to that part of the video are you can just watch the whole thigh guys today I'm going to be Shanghai video programming Has hay i’m I think this is my most requested Videocon always going on about to have abode pica get says hey it's funny day description for stock video they'll probably be a lot of background noise because I have to have the Striction BP window open for ventilation and London just sounds like pat on crime scene Saturday sorry there's not much you can do about that also I'm not going very well to go in behaviors say I point to anybody on it because this poll of a few hours of my time I fully expect to have apply but nice are like about to cry it's okay it’s just my hate you click on an as but not much."
  },
  {
    "id": 2105,
    "title": "9 Yr old front tooth broken",
    "dialogue": "Eva: My 9 year old broke her top front permanent tooth, central incisor.  We found the tooth and the dentist managed to adhere the original back on.  About 75% of the tooth fell off.   It has fallen out twice now in 10 months.  She's very careful how she eats, never using her front teeth.  There's just not a lot to work with to maintain the strength.  She's too young for crowns or veneers.  Are there any alternatives at this age?  Thank you! Said: You could ask the dentist to cement the broken part again and if it fell again shortly you could ask for a white filling or composite .the other question have the tooth nerve been exposed due to the trauma? drmins: Eva said:\n\n\n\n\t\t\tAbout 75% of the tooth fell off.\n\t\t\nClick to expand...\n\n\nAs you have stated that about 75% of the tooth is saparated,it is involving the pulp tissues or nerves.Guess that endodontic treatment was perfomed before re-cementing the fragments.However,it is prone for fracture again.\n\nComposite buildups will be a better option for the time being. After few years,permanent crowns can be given.\nPls upload a pic and x-ray image to confirm,if any post and core is needed.\n\nKeep smiling\ndr.mins AestheticDentistry: Eva said:\n\n\n\n\t\t\tMy 9 year old broke her top front permanent tooth, central incisor.  We found the tooth and the dentist managed to adhere the original back on.  About 75% of the tooth fell off.   It has fallen out twice now in 10 months.  She's very careful how she eats, never using her front teeth.  There's just not a lot to work with to maintain the strength.  She's too young for crowns or veneers.  Are there any alternatives at this age?  Thank you!\n\t\t\nClick to expand...\n\n\nUnfortunately, there aren't many options available for chipped teeth. Your dentist most likely used a composite resin to adhere the chipped tooth to where it was removed. \n\nCrowns and veneers are the first and most effective choice for pediatric chipped teeth. If you are worried about the procedure, I would speak to a pediatric dentist you can trust. There are a variety of sedation methods that aren't as risky as full anasthesia."
  },
  {
    "id": 2106,
    "title": "cure for a loose tooth",
    "dialogue": "Lesley Tracy: Cure For a Loose Tooth\nWhen I had my wisdom tooth pulled, I asked my dentist about the hole that the tooth came out of.  He told me not to worry because the cavity would fill with blood.  He told me that unless I smoked, causing a vacuum, or did something other to cause the blood to leak out, then the blood would harden up and eventually ossify.\nI have the habit of biting the soft ends off of bones when I eat chicken.  About a year and a half ago, I bit the end of a leg bone and it hurt.  A year later – I bit a thigh bone end.  Same spot in my mouth.  Same pain.\nI grabbed that tooth and found it to be a little loose.\nX-rays ensued. Antibiotics thereafter.\nMy dentist told me that if it doesn’t harden up and take hold, we’re going to remove the tooth\nI have flossed. Brushed and not chewed anything hard on that side of my mouth, but it is a year later and I can still wiggle that tooth.\n“…take the tooth,” says my dentist. I say, “Bah!!”  Should we not drill a hole in the vein to allow blood to seep, and then pool in the gap surrounding the root?  Give it – say – four to six weeks of not eating on that side, and of course being very careful during cleaning, and that pool of blood will likewise ossify and secure the tooth.\nI don’t want to tell my dentist this and then he gets the credit by sharing it with the ADA.  I am therefore posting this on a public website with a verifiable date.  I am publishing this to the world\nI am Lesley Tracy. drmins: Lesley Tracy said:\n\n\n\n\t\t\tI don’t want to tell my dentist this and then he gets the credit by sharing it with the ADA. I am therefore posting this on a public website with a verifiable date. I am publishing this to the world\n\t\t\nClick to expand...\n\n\n\n\nAn innocent joke? Come on dear, get your teeth treated. If you can post the x-ray image,we can talk more about it.\n\nKeep smiling\ndr.mins"
  },
  {
    "id": 2107,
    "title": "looking for advice",
    "dialogue": "nichole: I have been having dental issues since my first pregnancy about 9 years ago. I have had 2 other pregnancies and each one I had horrible sickness. It has affected my teeth horribly to the point of losing one and most of another. I have no insurance I went to the dentist a few years back where he did a root canal but when I couldn't afford to pay the balance for the crown right away the tooth broke and is now gone. I have horrible head aches that I can feel throb in the other tooth that is broken and probably in need of a root canal. \n\nIm not sure if anyone has any knowledge of a clinic who can do payment plans. I'm in the north new jersey area. \n\nI can't smile or be in pictures with my kids without feeling horrible. I hate talking to people and the pain is getting to be too much. I can't eat on one side if my mouth and the other that I do use to eat gets painful where there's no longer a tooth and the gum will get cut and inflammed often\n\nIf anyone can help me find a clinic willing to take payments I would be forever grateful\n\nThank you"
  },
  {
    "id": 2108,
    "title": "please help look at my teeth and make a rough estimation",
    "dialogue": "kenny siu: hi, I am sorry I　know it might be the best way to consult a doctor but I have already visited three dentists\n\nA periodontist said that I have gum inflammation and require deep cleaning./rooting scaling..\nA dentist said that I don't really need deep cleaning /rooting scaling..\n\nPlease help make an estimation if you are a dentist / periodontist. Thank you so much!\n\nI ll try to upload more pictures if this is not enough or clear. Please let me know. Thanks\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nFull mouth Xray drmins: You can go for a scaling or deep scaling. Regular oral hygiene there after,with periodic check ups will keep it healthy.\nRoot scaling is not necessary at this stage.\n\nStop worrying. Keep smiling.\ndr.mins kenny siu: drmins said:\n\n\n\n\t\t\tYou can go for a scaling or deep scaling. Regular oral hygiene there after,with periodic check ups will keep it healthy.\nRoot scaling is not necessary at this stage.\n\nStop worrying. Keep smiling.\ndr.mins\n\t\t\nClick to expand...\n\n\n\nHi Doctor, All I have known so far is ---> Deep cleaning\n\nBut now it looks there are three things from your words -- 1. Scaling 2. Deep scaling and 3. Root scaling.\n\nCan you please briefly explain their difference for me? Thank you so much"
  },
  {
    "id": 2109,
    "title": "Severe Pain",
    "dialogue": "lilly_harwood: So here's my problem 5 weeks ago a started all of a sudden having really bad tooth ache. I hadn't been for my check up in 3 years which I know was wrong but I ended up having to go to the emergency dentist. He said I had a cavity on my back left molar, no xray was done. He said he was putting in a temporary filling which was huge and lumpy I couldn't  chew properly for days even on the other side of my mouth but he said to see my regular dentist. Relieved I went to see my normal dentist a week later he said it wasn't a temporary filling but a permanent one and that it had ground down enough now to not cause problems all the rest of my teeth were perfect. 2 weeks later the most excruciating pain I have ever felt on the same tooth was back yet again and I had to see an emergency dentist again, this time I had an xray and I had a severe tooth infection I was given antibiotics which haven't touched the pain even with pain killers this dentist said I need a root canal or to have it extracted. ( I'm having an extraction I can't stand the pain any longer and I now have a fear of dentists as I am nearly 100% sure the original dentist filled in infection.) So what should I do about it should I complain or what? I don't know what to do I'm going on holiday in a few days and I need to have the tooth out but if I can't get my dentist to do it in time I'm scared to go back to the emergency dentist I'm considering trying to pull it out myself rather than let that butcher near my teeth again. drmins: Dear friend, it would be good if you can upload that x-ray image.From the history given above,it appears  that you had a deep caries that was causing the pain initially. If you had taken an x-ray at that time,it would have been evident and you would have been given a caries excavation and pulp capping OR a root canal treatment.Instead,you went for a filling and now, the underlying caries would have spread still further and reached the pulp,that caused this intense pain.It is not that the dentist filled the infection in to your tooth. \n\nI would suggest you not  to get it extracted,but get it treated with root canal.Please upload the pic of your x-ray image and i can comment further on it.\n\nThanking you\ndr.mins"
  },
  {
    "id": 2110,
    "title": "Embarrassed",
    "dialogue": "Janine: Hello, \n\nIt's been a very long time since I have been to the dentist. I had an extremely bad experience as a child. I won't bore anyone with the details.  Anyway, I know I need to go to the dentist but I am far too embarrassed as I know my teeth aren't in a good way. I do everything I can now, but I think it's a case of a little too late.  I need a dentist out there that isn't going to judge me or lecture me, as I know I should have taken better care of my teeth. \nThe problem I'm facing however is I don't have hundreds of pounds £ to spend on work being done. Any advice would be helpful. Any dentists out there would be even better."
  },
  {
    "id": 2111,
    "title": "Problems with one of my teeth?",
    "dialogue": "duckman06: i have been having pain in one of my top teeth that noone can find a problem with.  \n\nOne of my tooth upper teeth 2nd from\nThe back has been causing me\nSome pain for over 2 years.  I have been to 2 dental doctors in whch X-rays, tapping test etc.  no one can find the problem so I am in need of help.  \n\nThe pain comes and goes on a daily bases and sometimes doesn't hurt at all for weeks but returns.  It is a slight dull ache that can come on sudley and last for a few seconds.  Xrays show nothing along with other tests.  \n\nI am at my wits end and need help\nCause I no I am not crazy. Any ideas, advice etc. is welcomed.  Thanks drmins: Pls upload the x rays. duckman06: I don't Have the xrays.  While I have them my doctor never gave me them."
  },
  {
    "id": 2112,
    "title": "Dental Spacer Question",
    "dialogue": "jhanvr: About 13 years ago I had a pulpectomy done on a second molar due to an abscess causing severe pain, but I never followed up due to lack of money and insurance, and in that time the tooth broke down to the gumline and the gums grew over most of the exposed tooth.\n\nAt this moment, I have no plans of getting an implanted tooth or a bridge. However, I was wondering if there is any medical reason why I should have it extracted and get a spacer implanted versus using what structure still exists as a \"natural\" spacer?\n\nAny other options of what's possible with such a case are also appreciated. Thanks!"
  },
  {
    "id": 2113,
    "title": "Linea alba",
    "dialogue": "pino43: Diagnosis related question:\nCan anyone spot signs or evidence for \"linea alba\" in picture below?\n\nIt are my own teeth drmins: Linea alba in dentistry refers to a horizontal streak on the inner mucosal surface of the cheek, at the level of occlusal plane.\n\nIt is a common finding and mostly associated with  frictional irritation or sucking trauma by the teeth and doesn't require any treatment.\n\ndr.mins pino43: Hello, thanks for your reply with information. My primary question is if there is any sign of this in the pictures I provided."
  },
  {
    "id": 2114,
    "title": "Swallowed Crown and Post",
    "dialogue": "Sue Boniwell: Hi I am new to this forum so please forgive any mistakes!   The middle of last week, I discovered that one of my front crowns felt very loose and wobbly.  I phoned the dentist and was told that the dentist I see was on holiday, but the emergency dentist would be able to see me the next day if I phoned at 8.30 a.m.  I did this but the receptionist said that the emergency dentist would not take be able to do anything and I could see my own dentist next week (this week) if I phoned on Monday 8.30am   I did this and was told that my dentist would not see me unless the crown had come out.  So I left it.  By Wednesday it was very wobbly and I was concerned it would not last the holiday period, but was again told it would still be useless to see the dentist, if I still had the crown in the tooth.   I tried to argue with her but got nowhere.  Today the crown came out when I was eating bread & jam for breakfast and I swallowed it!  Now I have to ring on Tues and will need a new crown, which will probably cost a lot more than it would have if I had seen someone before.  Not to mention the uncomfortable mouth and the horrible look of the gap in my front teeth.  Also, this crown has always felt too big for the space and I have always been aware of it, which the dentist ignored, although the first crown had to go back as he couldn't fit it as it was too big.  I'm fed up. drmins: Sue Boniwell said:\n\n\n\n\t\t\tand was told that my dentist would not see me unless the crown had come out.\n\t\t\nClick to expand...\n\n\nUnfortunate.You can inform your dentist about this sort of response received  from the office reception.As there is no alternative,other than making a new crown, go for it and bring back your smile.\n\ndr.mins"
  },
  {
    "id": 2115,
    "title": "Dull ache around where wisdom tooth was removed",
    "dialogue": "CDoG: Hi, I had my lower wisdom tooth extracted about a year 1/2 ago. It was a very simple extraction. I did have an infection around the tooth though. The last week or so, I've been getting a dull ache occasionally around the same area. It seems to be getting worse. I was able to get Penicillin and have taken it the last 6 days. Doesn't seem to be clearing anything up. It doesn't feel like it has anything to do with any of my other back teeth. I don't have any sensitivity to cold/heat or sweets. I'll admit, I really, really don't like going to dentists! I had an amazing one the last 5 or so years but he has now retired. Any ideas? drmins: The pain you complain of, needs better examination to conclude. There are chances of it being a radiating pain,due to another or adjacent carious tooth.\n\nDo not take antibiotics without proper diagnosis. CDoG: I appreciate the reply. I realize it isn't wise taking the antibiotics, but I just hate going to the dentist that much. The two adjacent teeth have both had fillings done within the last 4 years. I don't have any other symptoms; senitivy, etc. CDoG: Could it be something like a bone fragment from the wisdom tooth extraction? drmins: Pls get a radiograph taken,for those two filled teeth.Chances are that,there may be a secondary caries developed beneath any of those fillings. Also,check for any caries in the upper tooth on the same side.\n\nLess likely to be due to any bone fragment resulted from previous extraction,as it was almost 4 year ago.\nGet a radiographic image. CDoG: Ok thank you. Will look into having it looked at. \n\nThe extraction was about a year and half ago... the two adjacent fillings were 4 years ago. drmins: Same comments. Pls upload your x-ray image when you get it."
  },
  {
    "id": 2116,
    "title": "Do I really need a root canal?",
    "dialogue": "Sam Krupp: I was told I need 4 root canals.\n\nI already have my wisdom teeth extracted and 4 other teeth extracted, so the teeth numbering (#1-32) is not the normal pattern.   I only have 24 teeth.    So as you look at these x-ray numbers, the numbering is off.\n\nFirst one is the very back top right molar tooth.  Tooth #2:\n\n\n\n\n\n\n\n\n\nNext one is tooth #4.... my biscuspid top right side in mouth..........   In this picture, it is the rightmost..........\n\n\n\n\n\n\n\nThen the other biscuspid........   top left side of mouth.............  tooth #13...................\n\n\n\n\n\n\n\nand finally bottom right side of mouth, rear most molar, tooth #31............\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nThere you have it.    I was told I need root canals on all 4 of these teeth.    Root canal, post/core, and porcelain crown.\n\n\nI don't doubt any dentist, just curious what any dentist here might think.\n\nThank you very much in advance! drmins: Yes. You are in need of root canal treatments on all these teeth and may need a post and core restoration for the top right bicuspid.\n\nThe only different opinion i can have is about back-top-right-molar tooth,for which you can,less-likely, attempt to excavate the caries and try a pulp capping restoration.(Needs a clearer radio-graph and clinical examination to decide about it)\n\nKeep smiling\nDr.mins"
  },
  {
    "id": 2117,
    "title": "Filled tooth is really painfut",
    "dialogue": "Knka: I got a silver filling in a tooth in the lower back of my mouth about a year and a half ago in Thailand. I didn't have any issues with it until recently. A few months ago I did notice a small cavity on the same tooth next to the filling. But the past few days the pain is bad, but for some reason if I hold my finger on top of the filling the pain disappears, also brushing seems to help for a short while.\nThe old hole under the filling was pretty big and deep (dark).\n\nDo note I am petrified of the word root canal and I'd rather pull the tooth myself with working equipment drmins: Sorry to say that the chances of it needing a root canal therapy are high. It appears that the caries have reached the pulp.Get an x-ray to get the final conclusion on it.\n\nAnd as mentioned in your post, RCT or root canals are not at all a painful treatment. There are many a way to reduce the pain, or to avoid it.\n\nKeep smiling\ndr.mins"
  },
  {
    "id": 2118,
    "title": "brush teeth before or after breakfast??",
    "dialogue": "kenny siu: I remember some people saying that it is better to brush teeth before breakfast than after breakfast, I remember they claimed that since after a night of sleep, bacteria has built up a lot. If you have breakfast before brushing, then it could increase amount of bacteria or activate/encourage the bacteria very much to damage your teeth/gum in shorter time , but if you brush before breakfast, the bacteria is cleaned out and there is not enough bacteria inside the mouth\n\nI always think it is better brushing teeth AFTER breakfast, but it looks like we are educated to brush teeth before the breakfast, what is the fact?? brucedixon01: Me, I always brush my teeth \"before\" taking breakfast  as per my family dentist says that brushing before breakfast removes the bacterial plaque from our teeth and it also means that brushing your teeth before breakfast, you have removed the terrible tasting bacteria from your mouth enabling you to taste your food better. kenny siu: brucedixon01 said:\n\n\n\n\t\t\tMe, I always brush my teeth \"before\" taking breakfast  as per my family dentist says that brushing before breakfast removes the bacterial plaque from our teeth and it also means that brushing your teeth before breakfast, you have removed the terrible tasting bacteria from your mouth enabling you to taste your food better.\n\t\t\nClick to expand...\n\n\nThank you so much for explanation"
  },
  {
    "id": 2119,
    "title": "Oral B Dental Review Of Their Products",
    "dialogue": "John Charles: I thought I would review Oral B dental care products as I am told by my dentist that this is the best product to use. The only thing I don’t like about Oral B is that I find there toothbrushes quite small. Is it important to have a large toothbrush ?\n\nI think the mouthwashes are excellent and I always use their floss.\n\nWhat do other people think of Oral B products."
  },
  {
    "id": 2120,
    "title": "Family of 4 can't afford dental insurance and we are in need of being seen!",
    "dialogue": "Kristin: Hello! I have a family of 4 which includes myself, my husband our 18 yr old daughter and our 4 year old son. We are both disabled & my husband gets VA benefits as a disabled vet. Still, we cannot afford the monthly payment & even if we could afford the monthly payment, we wouldn't be able to pay for work to be done. Myself & my husband are both having some major dental problems that are very painful. Our 4 yr old has never even been to a dentist & our daughter needs work done as well. Is there anything out there to help a family like ours? I am just looking for some suggestions. Thanks so much for taking the time to read! drmins: Hi Kristin,\nI suggest you to get the most necessary treatments done now and get a pain free life,and do the not so urgent corrections done once you are financially stable.\n\nRegarding the kids,early intervention is the biggest tool to avoid heavier corrections in future. So give it a little priority.\nWhat are the problems for which you seek dental treatments?"
  },
  {
    "id": 2121,
    "title": "Philip sonicare Diamondclean?",
    "dialogue": "kenny siu: hi\n\nIn terms of the views of dentistry, \n\n1. is there any difference between a normal cheap brush and an electric brush? would an electric brush work much better?\n2. I've heard about something like 'sonic' brush recently, it looks like they are different from generic electric brush, in what way are they better?\n3. what is usually the main difference between a high-end electric/sonic brush and a low/middle-end electric/sonic brush??\n\nThank you so much."
  },
  {
    "id": 2122,
    "title": "I Had Braces As A Kid. Do I Need Them Again?",
    "dialogue": "rahulsharma: I had braces in my childhood. Now over a period of time my teeth have grown crooked. I am also facing a lot of bite complications. Will I need to go for braces again?"
  },
  {
    "id": 2123,
    "title": "Receding cavity",
    "dialogue": "CorbinTy: This evening I checked one of my molars that has been in bad shape for several months now.  A good chunk of one side has broken off.  When I first noticed it, the side it had broken off of looked to be a huge cavity.  I have looked at it a handful of times since then.  Tonight I decided to give it another peek.  To my surprise roughly 70% of the area that was black is now tooth colored again.  I wish I had before and after pictures.  What I wanted to know is there any documented cases of this happening?"
  },
  {
    "id": 2124,
    "title": "sore jaw, teeth after digital x- ray with aiming ring",
    "dialogue": "jenny jerome: hello,\nI had digital bitewings taken over a week ago using a sensor and an aiming ring. This was new to me,(previous digitals were taken using a sensor and a x-ray tube). \n  Initially, when sensor was put in my right side, i was not able to balance the sensor and aiming ring(too heavy for me) and it drooped out of my mouth. It was placed back in , and I bite down hard to maintain the sensor and aiming ring,X-rays taken! about two days later, and ever since my teeth hurt when i bite down, or when i chew and my jaw is sore! Also, i have severe painful spasms (thrombing) during the day sporatically, and at night when trying to sleep. AS i am writing this , when i close my mouth and i gingerly bite , iam in pain!I have used ice , heat on my right jaw. I am  very sensitive,delicate  why this is happening,?\n\nthe sensor and aiming ring was dexis,standard size, nothing uncomfortable but the weight! do you think a nerve(s) has been touched upon?I hope no damage to teeth(crack, fillings) x- ray showed no damage.WHY Am I hurting? IS this unusual?\n\nTook an otc pain med as suggested by dental office,not much they can do.      many-thanks. drmins: Firstly, why was the x-ray image taken?\nSecondly, a sensor will not cause any damage to your teeth or nerves. But it can possibly cause a little trauma to the soft tissue of your mouth,if not properly placed.This might have led to the formation of an ulcer or sore that causes the pain.This will heal in a week or few days.\n\nYou can try saline gargle several times a day (provided you are not hypertensive) or try gargle with an ayurvedic prescription as follows:\nTry thinning down yogurt by adding water and salt proportionately. You can hold this in mouth for some time and then ingest it.( Adding a little cut green chilly and coriander leaves make it a soothing cold drink in the summer )\n\nThanking you\ndr.mins"
  },
  {
    "id": 2125,
    "title": "Should I get Permanent Dentures?",
    "dialogue": "barrelroll: I'm 28 years old and have moderately bad teeth. I havn't seen a dentist in years but I'm sure i have a dozen cavities, need several root canals, and have a few broken teeth. Also my teeth are slightly discolored and not very straight. At this point I'm realizing I need so much dental work that I'm contemplating having them all removed and getting permanent dentures. I just feel like getting permanent dentures and having a nice smile and never having to worry about getting root canals and fillings is a better option than getting braces, several root canals, a dozen fillings, gum work, etc, etc, etc. \n\nAlso my dad has periodontal disease which I hear is hereditary. I'd hate to spend a ridiculous amount of money on dental work only to lose my teeth to periodontal disease later on. So that really weighs in on my desire to get permanent dentures as well. drmins: You are really mistaken about the differences of having a removable complete denture and having your natural teeth preserved.\nRemovable dentures can never give the exact comfort of your natural of fixed tooth.And also,can to a bit,decrease your confidence.Bone resorption and limitations in oral hygiene maintenance are other factors to be considered when planning a multiple extraction and removable partial denture.\n\nAnd as you worry, though hereditary factor can contribute to periodontitis, proper oral hygiene and preventive measures can help you prevent it aggreviating.\n\nSo i strongly recommend you to reconsider your decision of \"removing your teeth in anticipation of a possible periodontitis in future' and have a conservative approach instead.\n\nThanking you\ndr.mins"
  },
  {
    "id": 2126,
    "title": "Which toothpaste recommended for tooth whitening ?",
    "dialogue": "alex deen: I have been smoking science 5 years.  As a result my tooth color change to brown. There have any medicine should I use to whitening my tooth. I brush teeth 2 a day. kenny siu: A very professional periodontist told me that toothpaste with whitening feature might advance periodontal disease a little bit"
  },
  {
    "id": 2127,
    "title": "Loose tooth from snatching help!",
    "dialogue": "dickie2k15: Hello people,\n\n\nI was wondering if you could help. I was eating and my top tooth snatched across my bottom tooth which caused my bottom tooth to be minor loose, now I can feel it keep clicking as my lip keeps pushing it back and my tongue keeps pushing it forward by force of habit. I had braces 7 years ago, so having this happen is really bugging me, and the old retainers are too old and different to fit on.\n\nI'm worried I'm going to lose it, what can be done?\n\nThanks!\n\nAdded: If I lose it, I will look stupid because of it being in a noticeable place."
  },
  {
    "id": 2128,
    "title": "can anyone recommend an electric brush model??",
    "dialogue": "kenny siu: Oral B or Philips??  Is there any difference between electric and sonic??"
  },
  {
    "id": 2129,
    "title": "is traditional brush or electric /sonic brush better??",
    "dialogue": "kenny siu: my dentist said electric /sonic brush is better but I see he is selling the brush in his clinic\n\nand some legends state that too frequent rotations might cause harm to the gum\n\nwho is correct"
  },
  {
    "id": 2130,
    "title": "How would you diagnose this?",
    "dialogue": "Ana Mullen: Hi, I am a dentistry student and I ran into this image on a mobile app that I use to follow interesting dental cases, called Figure 1. I struggled to give a diagnosis at the beginning. \n\nWhat do you think it is? \n\n(Source: https://app.figure1.com/image/0/53cd961646814fc4210003d2)"
  },
  {
    "id": 2131,
    "title": "Looking for a great dentist in Las Vegas",
    "dialogue": "Risingsun: Good Afternoon.\n\nI've lost confidence in my current Dentist.  I'm looking for great dentist in Las Vegas.\n\nAny recommendations would be appricated.  I need to have a crown placed on my number 7 tooth.\n\nThanks,"
  },
  {
    "id": 2132,
    "title": "Best way to fix teeth?",
    "dialogue": "dtg93: Hi All,\n\nNew to the forum.\n\nI would like to have straight white teeth! \n\nI would just like the top one to be straight as its crooked, think I banged it when I was younger.\n\nThen I think I would need zoom whitening? To make them all nice and white? I have a bit of stains on a couple of them which dosent come off I have tried all sorts of products. Will Zoom whitening or any whitening get rid of these little stains?\n\nAppreciate any response.\n\nThanks Chris_Fisher: I think that invisalign would probably be the best to help straighten out your teeth since they don't look that bad. drmins: Appreciating your concern about an aesthetic smile.\nOrthodontic correction can give you a straight tooth and then bleaching or zoom can brighten it.\n\nGood luck."
  },
  {
    "id": 2133,
    "title": "Dentist a Doctor... Whats in a name?",
    "dialogue": "4wsboy: Why do dentists call themselves \"Doctors\" when they don't necessarily have a PHD?\n\nI guess they are just tagging along with General Practitioners who also call themselves \"Doctors\" presumably of medicine? when not qualified..Just historical for them I guess...e.g. Witch Doctors.\n\nIt annoys me and lessens the value/kudos of those amongst us who have indeed studied hard and gained a real Doctorate."
  },
  {
    "id": 2134,
    "title": "crowning proceedures",
    "dialogue": "R Kendal: I need some professional advice.\n\nI had a tooth prepped for a crown that was exposed for a few weeks - temp broke.  I took care to chew on the other side and I brushed it daily like the rest of my teeth.  When I saw my dentist again, she wiped my tooth with cotton, fit the gold crown, filled the crown with glue, dried my exposed tooth with her air tool, and stuck the permanent on.  She did not apply any antibacterial on the exposed tooth between my walking in and her gluing on the permanent.\n\nI had a prior tooth rot out underneath a crown where the dentist also skipped that antibacterial step.\n\nNow I am concerned about what may be lurking under my new crown.\n\nAny professional thoughts on this matter would be greatly appreciated!\n\nKendal Dr. E: don't worry, that's not a big deal, it didn't rot out because of no use of antibacterial"
  },
  {
    "id": 2135,
    "title": "Bruised/sprained tooth",
    "dialogue": "UkGirl: I recently went to the Dentist with a Abscess on my first upper molar in which I am receiving root canal treatment. During the procedure of the root canal the dentist put a lot of his weight down on my front tooth due to struggling opening a canal in my molar and one week later my front tooth has begun hurting a lot. My gum seems it's regular self but I'm in a lot of pain, I went back to the Dentist and he has given me antibiotics & painkillers but I'm still in a great deal of pain, does anyone know how long this can last?"
  },
  {
    "id": 2136,
    "title": "x-ray dark patch under vital teeth",
    "dialogue": "cradster: Hi, I've been suffering with a problem that 3 dentists have been unable able to get to the bottom of so I'm reaching out for some advise.  \n\nAbout 18 months ago i thought I had an abscess, 4 of my teeth became very painful and they felt like there was a pressure under them.  I went to the dentist who then performed an x-ray.  The x-ray revealed a dark patch under some of my teeth so naturally my dentist thought I needed root canal.  The trouble is though all my teeth are vital except one that had had root canal treatment 10 years ago.\n\nThe tooth that has had root canal is on the end of the 4 problematic teeth.  I got a second opinion because I didn't think teeth needed root canal if they where vital.  The verdict I got then was that the tooth that had previously had root canal needed re-doing.  I couldn't afford the fees for getting it done privately so I went back to my NHS dentist who was confident she could perform the treatment.\n\nA couple of weeks ago she re-worked the tooth with root canal and from what I can see from the x-ray she's done a really good job.  A fresh x-ray showed that the filling stuff had spread into the lateral canals and she was pleased with how it went.\n\nAbout 5 days later the other 3 teeth starting throbing again and my gum swelled up and became very painful for around 24 hours.  I think the gum may have burst and the swelling went down but I still feel a discomfort under the teeth.  I went back to the dentist and she ruled out the problem being an abscess and is herself seeking advice as to what the problem could be.\n\nThe situation now is I have 3 vital teeth that look to need root canal because the x-ray is showing dark patches at and around the root of 2 of my teeth. \n\nDoes anybody have any idea what the problem could be?"
  },
  {
    "id": 2137,
    "title": "I’m thinking of replacing my missing molar",
    "dialogue": "Marthakio: I’ve a bottom molar was extracted three years before , now my wisdom tooth behind that molar moved front. My dentist ( Pearl Dental ) in Burlington suggested me to open this gap using braces and put an implant in place of missing molar, or else by using braces push the two teeth behind the gap towards the front to fill the gap. I think the second option is far better than the first one and it is more cost effective. What you think? Am I right? Any suggestions? drmins: Go ahead,if your dentist feels that the wisdom teeth can be brought to the space of extracted tooth. Keep smiling."
  },
  {
    "id": 2138,
    "title": "Front upper teeth not aligned...Need advice",
    "dialogue": "kartheen: Hi there, I am kartheen from India, 28.  My upper front teeth was too much outside. I consulted a Dentist, they extracted one tooth from left side and put a clip. Now it is gone inside. However, as it was pulled from right side to left side, one teeth seems larger and another smaller in height.. And when I smile it is not perfect.. Don't know what to do.. if you want I will send the photo... aslo I feel slight pain on the front 2 upper teeth. drmins: Kindly upload  a pic."
  },
  {
    "id": 2139,
    "title": "What can a Registered Dental Assistant expect from a working interview?",
    "dialogue": "MeaganTSmith: Hello,\nI am a RDA which was obtained through work experience so I have never been on an official working interview. I have one scheduled soon and do not know what to expect, how to prepare, or what tips I can use? Please help..."
  },
  {
    "id": 2140,
    "title": "How can parents help prevent tooth decay?",
    "dialogue": "shenu249: Hi..\n\nI am suffering from dental problem, my wisdom teeth is getting so much pain. Doctors are telling to take out the decay teeth else the rest of the teeth would suffer. \n\nSo friends suggest me what to do to prevent further decay of my teeth. I don't want to remove it. Suggest me the best dentist in India to whom I can consult.\n\nThanks Regards\nShenu drmins: If its a decayed wisdom tooth,its recommended to take it out. Good oral hygiene and remineralising toothpastes or mouthwashes can help you prevent further decay.\n\nThe best dentist certification is to be given by the patients, and not a claim by the dentist himself.  Look around. You can surely find one !"
  },
  {
    "id": 2141,
    "title": "permanent tingling/burning sensation in top gums",
    "dialogue": "Joan Palmer: Could someone please help me. For 8 months since a tooth extraction (right 3rd tooth from back) I have had a permanent tingling/burning sensation in my top teeth/gums. This at times causes a painful aching in my cheek bones. After the extraction my top teeth ached and after three weeks settled into pain on the left side, second tooth from the back. Eventually this was extracted. Both teeth had vertical cracks into the root.(Nothing showed on x rays at the dentist) I have had x ray at the dental hospital, blood tests and e.n.t investigations. All clear. I still have this sensation which can be unbearable at times. I was prescribed amitripyline but had no effect. The remaining top teeth (apart from front 6) are all filled. Can anyone please shed any light on this."
  },
  {
    "id": 2142,
    "title": "Just had cavity filled at gum line...",
    "dialogue": "MattM: The dentist had to lift my gum up a bit to do the filling, will the gum come back down to where it should be when it heals? My tooth looks bigger and looks like I have gum recession. Thanks\n\nMatt"
  },
  {
    "id": 2143,
    "title": "In house Lab",
    "dialogue": "Christopher Laurio: This is a question for dentist,\nI currently own a dental laboratory that does extremely good work with patients being at the front of all work. Recently I was considering maybe moving my lab to a new city to place roots for my family long term. I have also considered approaching dentist in the state we are thinking of moving. I am wondering how to approach Dr.'s in the area with opening an in house lab? If anyone can give feed back I would be beyond grateful.\nThank you for you time and input.\nChristopher"
  },
  {
    "id": 2144,
    "title": "The Waterpik Listerine project",
    "dialogue": "20GT: Has there been any studies of combating periodontal disease with a high pressure water pick using Listerine? \n\nI'm not suggesting your average walmart Waterpik. The depth probe doesn't feel good when they're prepping the depth of your pockets and neither should this Waterpik."
  },
  {
    "id": 2145,
    "title": "Where can I purchase crown cement?",
    "dialogue": "martik777: I just had a 6 year old 'temp' crown, that came loose, re-cemented  for a  cost of $220.  The procedure took all of 5 minutes, whereas, the original temp crown prep and fitting took well over an hour for $300. \n\nWhat product would I need and where could I purchase the cement to do this myself?\n\nThanks Dentgr: Even if you find a cement on the market how will you be able to remove the excess from the gums? This may cause periodontal problems. Find a dentist that charges less. martik777: Thanks"
  },
  {
    "id": 2146,
    "title": "Cavity Question",
    "dialogue": "Kayly: Four days ago, I received my first fillings. I went to the dentist because of sensitivity, and because I could see a dark spot on a tooth in the back left side of my mouth. It turned out I had a cavity in between two teeth, and both teeth would need to be filled.\nNow, four days later, I still feel sensitivity back there, and the black dot that I had noticed is still on my tooth, (in the photo to the left of my fillings). I was wondering if the spot is something the dentist missed that I should be concerned about? Or if it is just a discoloration, and my teeth are simply still sensitive from the drilling/filling.\n\nI'll attach a picture: Front and center are my lovely new fillings, but then there is a very small, dark pinpoint on my tooth which is what I'm curious about.\n\nThanks in advance for any feedback!"
  },
  {
    "id": 2147,
    "title": "Biorepair toothpastes",
    "dialogue": "baker: Hello all\nI am just wondering if anyone here is used any of the Biorepair range of toothpastes, in particular Biorepair Total Protection, and Biorepair Repair and Protect.\n\nThey certainly are not the cheapest of pastes, but don't want to waste money if they aren't worth it\nthanks in advance"
  },
  {
    "id": 2148,
    "title": "Wisdom Teeth",
    "dialogue": "Haley: My Wisdom teeth have been growing in for a while now but just recently started causing me lots of pain.  I noticed my gums and inside of my cheeks started to swell and now I am getting white dots on my gums.  I don't now whether or not to be concerned about this or if it is just apart of the process of wisdom teeth coming in.  What are these spots, should I go to the dentist, and what can help?"
  },
  {
    "id": 2149,
    "title": "Should I get invisalign or regular braces?",
    "dialogue": "Marthakio: I just went for a consultation with my dentist ( Sierra Dental ) in Calgary and he  told about invisalign, metal braces and damon braces that would do for the gaps in my front teeth. I don’t want to go for metal braces that I have used eight years before as I have been feeling uncomfortable while using it. I've some small gaps in my front teeth and I  have a plan to get invisalign for making it normal. Does anyone have any experience using it? is it painful?"
  },
  {
    "id": 2150,
    "title": "what is the best way for a new dentist to market their practice.",
    "dialogue": "Tarun Gupta: Hi, I want to know what is the most cost effective  way for new dentists to market their practice to acquire new patients."
  },
  {
    "id": 2151,
    "title": "Is it normal to cut into an adjacent tooth when cutting to fit a crown?",
    "dialogue": "Drane: I had a tooth in which an older filling had gotten a hole, and there was some decay underneath on side with the hole in the filling. So the dentist told me that I could either do a root canal or a crown. I'm assuming that the reason he didn't want to replace the filling is because underneath it was too deep.\n\n     Anyhow, I declined lidocaine, and proceeded to cut the tooth to fit a crown. I felt him cut into the tooth adjacent from the tooth he was fitting with a crown. And now ever since, it feels as though the tooth behind the crowned tooth is extremely sensitive to any cool water that I rinse that passes between the teeth. The dental office had recommended that I use a waterpik rather than flossing with a string, so I bought one, and when I use it to force water between the crowned tooth and the tooth behind it, it's extremely sensitive to a point that anymore than a second or two, and it gets excruciating. Now, warm water doesn't make it sensitive. It's just cool and cold water that it's sensitive too.\n\n     Is this normal, or did the dentist screw up? What would be the way to fix this problem with the sensitivity. \n\n     I talked to the dental office, and they told me that I could do another crown on the back tooth, but I don't really want to destroy that tooth to fit a crown. I don't mind taking out the old crown and fitting a new one after the tooth behind it is fixed.\nThey said that I should come in and talk to the dentist that did my tooth, but the dentist that did my tooth was gone, so I'm supposed to come in and visit them this week to talk about this tooth behind the crowned tooth. Dentgr: Root canal OR a crown? First time to hear. A tooth either needs a root a canal or not.\nAre you sure the pain is due to the tooth next to the crown?\nDon't do another crown.... Get a second opinion asap."
  },
  {
    "id": 2152,
    "title": "Best way to find a dentist in New York City?",
    "dialogue": "Kacey Voight: Hi all, \n\nI wanted to know what your thoughts were on this? I've been looking for a new dentist and it's such a hassle...is there a way to find a highly rated/curated list of dentists in the New York City area? \n\nThanks, \nKacey"
  },
  {
    "id": 2153,
    "title": "Cracked tooth at back of mouth? Opinions...",
    "dialogue": "David Scott: Just noticed a crumbly feeling the past week or so with mild pain, guessing that was the filling coming out, it feels quite sharp on that tooth now were the hole is. Out of curiosity, do you think this is a big job in the dentist? DRAVG: The question is irrelevant. the tooth will not repair itself. the longer you wait the worse it will get implying greater cost in the long term. clinical and radiologic info. is required to determine how big a job it is. natasha: I've got something like that except mine is a little bit worse im not sure what to do about it and im feeling small but sharp toothache pains what can I do to alleviatethe pain and also what do you think that a dentist can do for me will the procedure be big and costly ? I need as much as advice if I can get on this situation DRAVG: For mild pain, your usual pain medication should suffice. From the photo, your tooth looks badly broken down to the point where extraction may be your cheapest option. you need an x-ray and clinical examination before all possible options can be evaluated. Possible options can range from crown lengthening surgery after root canal to extraction followed by a bridge or implant. Dentgr: It seems Like extraction is the only option here"
  },
  {
    "id": 2154,
    "title": "Headaches after root canal",
    "dialogue": "Hulk24: hello,\n  I had a root canal done on my middle molar on lower left side of my mouth. That was done 10 days ago. I am 45 years old male.  About a week before the root canal he gave me antibiotics to kill the infections. I was having pain on my left side of my jaw, but couldnt pin point which tooth it was. So thats when he gave me antibiotics. After few days of taking that, it then pin point which tooth was causing the problem. So then he did root canal on the tooth. He said he seen infection from that tooth. And also he said only could clear 2 out of 3 canals because the 3rd was was seal shut. So after he was finish, I no longer had any tooth pain or jaw pain. But 2 days after the root canal, I started to have tension headaches on left side near or temple area. So i went back to dentist and he check my bite. He did some grinding to smooth my bite out but said was only little off. So i am still having headaches from time i wake up until i go bed. I take 2 over counter pain pills and then the headaches are gone. Thats until the pills wear off and then have to take 2 more. Been like this for past 10 years. Anyone have clue why this is happening ?\nthanks,\nHulk"
  },
  {
    "id": 2155,
    "title": "8 year horror tooth extraction",
    "dialogue": "MetalCutter: I come here asking if you think this is acceptable or downright butchery.\n\nWe took our 8 year old to our trusted dentist. He was getting a tooth extracted and this was his first time with any sort of procedure. In a nutshell it went like this:\n\nGive 2 injections either side of tooth, nice and slow. Our boy didn't flinch, whatever he was feeling.\nFive minutes later give a 3rd injection. Our boy pulled a face but said nothing, he did good.\nA minute or two after the 3rd injection, start pulling the tooth\nImmediately our boy screams out in pain and says it's really hurting\nDentist does NOT stop\nOur boy keeps on screaming and shouting out it's hurting\nOur boy rises up in the seat, back arched, physically trying to escape the restraint of the assistant and dentist, screaming all the time. They restrained him while ripping out his tooth.\nThere was no waiting after the final injection\nThere was no testing of the tooth to confirm the anesthetic had worked properly\nThere was no initial gentle pull on the tooth to test for pain, just immediately go full steam ahead and rip the tooth out with our boy screaming from moment one.\n\nI ASK YOU - IS THAT ACCEPTABLE DENTISTRY ???"
  },
  {
    "id": 2156,
    "title": "Teeth will not stay in place!",
    "dialogue": "Pthegreat: I have a problem with my four front teeth. When I was growing up I had two sesets of baby teeth and two sets of adult teeth on just my two front teeth. By fourth grade I had already gotten the first set removed because the second set was comming in. Over the last 8 years I have had multiple braces and retainers to keep these in place and they all don't work. But the last two weeks I had my uncle (who is a dentist) fuse, or glue them together, and today they just broke when I was driving. I wasn't eating anything hard or tough so I can prevent breaking the glue. I need some suggestions on how to fix this permanently. I believe this is my scar tissue acting like a very stiff spring. Please help me! \n\nThanks, \n\nPthegreat"
  },
  {
    "id": 2157,
    "title": "Help me with my overbite?:(",
    "dialogue": "Matthew: Before I go into detail I need to explain that I haven't very much money, so Invisalign and braces might already be out of the question... As well as surgery. But anyways, I'm a 17 y/o male and from the front I am decently attractive but from the side view I am hideous, and Ive finally figured out why. It is my overbite, that makes my chin recede into my neck. My jawline appears square from the front but any other profile it appears as though I have no especially defined jaw. So to fix this, I've manually pulled my lower jaw forward and even though it's only like 2 centimeters in difference, it makes ALL the difference. When I pull my jaw forward, I am not the least but insecure. But when it's relaxed is when I get really paranoid and self conscious, so I've come here to ask any professionals or amatuers if it is healthy to hold my jaw there, or if it puts too much stress on my jaw muscles? And will my jaw eventually be naturally set there to where I don't have to force it anymore? Please help, very tired of being insecure like some kind of child"
  },
  {
    "id": 2158,
    "title": "Animated dentistry video in waiting room...",
    "dialogue": "Dgriff: Hi\n\nHere's a question for all dentists:\n\nIf you had a 60 second animated video playing in your waiting room about any topic or procedure what would it be about? Crowns? Fillings? Some sort of cosmetic procedure? Maybe a video to allay fears of the patient?\n\nI have to do an animated video that relates to dentists for college and I need to do a video that dentists would be happy to have in their waiting rooms and I need to make sure the video content is on the right procedure / has the right message for a waiting room.\n\nThank you for reading this."
  },
  {
    "id": 2159,
    "title": "Vibration Porcelain Crown",
    "dialogue": "ccw: Hello\n\nRecently I had a crown fitted.\n\nI had to return to the dentist as it was too big and needed filing down. I also raised the point that it vibrates. The dentist didn't offer any help on this matter.\n\nI am a singer and it has become a problem when performing. I even hear it sometimes when talking.\n\nI have a crown on the other side of my mouth and have never experienced this.\n\nIs there something wrong here? Does any one on here have advice / experienced the same thing?\n\nThanks"
  },
  {
    "id": 2160,
    "title": "Temp Crown Filling.",
    "dialogue": "Maverick1991: I had some prep for a crown done (after root canal),tooth was filed to shape and some temp filling was added to the sides of the filed tooth until the full crown is fitted (7 days),a bit of this temp filling has now fallen out.Not sure what to do as my dentist is closed."
  },
  {
    "id": 2161,
    "title": "Root Resorption - Might need dental implant and need advise urgently.",
    "dialogue": "kevin laurie: Hello,\nI have severe root resorption in one of my primary tooth. I really don't want to loose it but over time the dentist suggests it will fall(he thinks i had a dental trauma when i was younger and has been undetected for a very long time).\nI am very much nervous about this.\nI wish there is a way to salvage this but my dentist says its too late. The tooth is still stable though. \n\nWhats worse is that he told me about dental implants and that I might be an ideal candidate for it. I am really worried about inserting an implant. Anyways, if I do insert a dental implant. Would it be possible to remove it 5 years from now(lets say there is better treatment available? or will it be there for good?)\nIs it possible to remove a dental implant safely without damaging any tissues/cells ?\nPlease advise. I have been extremely nervous for a week now and at times get depressed thinking about this. JFranco: Hi Kevin\n\nI am no expert here but I really want to go down the implant route (pun unintended) from what I can gather it's just like a normal tooth except it's stronger and healthier. They place a screw type thing into your gums where your old teeth was and then a tooth is attached to the top of that and looks perfectly normal. i'd imagine having it removed it just like having your tooth removed. \n\ntooth implant is a process that costs hundreds, they make an artificial tooth (3d printed, I believe) of your old tooth and place it on top. if it's on the front I believe it can be free because it can interfere with your life.\nI had my back tooth taken and I wanted it back so enquired about implants but will have to pay too much as it's seen as a cosmetic issue although I know lack of tooth can cause issues with the jawbone\n\nhope this helps!"
  },
  {
    "id": 2162,
    "title": "risk redo root canal?",
    "dialogue": "michaels01: my dentist says my root canal done years ago is not deep enough, should be like 1-2mm before the end of the tooth. The tooth is a front tooth, already has a metal post and crown on it. what's the risk of redo the root canal? how risky is it to redo root canal with a metal post on it??\n\nAlso how do I knnow for sure I need a root canal redone? Sometimes I feel like there is a slight inflamation when i'm sick or when my immune system is weak, but most days I don't feel anything.."
  },
  {
    "id": 2163,
    "title": "quick question",
    "dialogue": "matty.h95: Hi all\n\ni would like to get my teeth whiter but about 1-2 year ago my dentist pushed my teeth together and used something like a fill in stuff to keep them together.\n\n can i whiten my teeth even if my fangs and middle of my middle teeth have the stuff on? Dr. Scott Nakamura: Yes you can whiten your teeth, its just that the fillings will not change color if you do so."
  },
  {
    "id": 2164,
    "title": "Root canal",
    "dialogue": "rebecca rowley: Hi there,    trying to get som info about a root canal i had done 3 years ago. Around 3 months after having this done i started to suffer bad heart palpitations, i then started with joint pains and feeling really tired. it got so bad i ended up leaving my job as i had to keep phoning in sick. Moving on a bit i started having sinus and stomach problems that i have never suffered before. The last 6 months have been hell with 2 infections from this tooth, swollen sore neck and jaw, disgusting or salty taste in mouth, feeling like im coming down with flu, legs like jelly heart beating like mad. Back and forward to doctors and dentist. This tooth was never crowned as i wasnt told i needed to have that done and the back of the tooth fell off. I desperately want this tooth out as i feel its causing all these problems, feel like im dying, but dentist wants to do deep clean and put a crown on. please can you advise, thankyou Dr. Scott Nakamura: At the end of the day, it is your tooth and your decision as to what you want with regard to treatment."
  },
  {
    "id": 2165,
    "title": "Dentists milking it?",
    "dialogue": "Lena Nichols: I have never missed a dentist appointment in 54 years, I learnt that problematic teeth were down to genes. With that knowledge I tried to change course. So why am I here? Despite a large fortune on care and dentists it did not work. There is little hope of keeping them, due to bone loss, I have already lost top back ones and three molars. The latest is a dead lower incisor. I have been given a treatment plan for the one tooth at £350, I argued with my dentist to take out the two teeth alongside as they won't last much longer but has refused, so in 6 months time the dentist will want another £350 & so on. I feel as if I am some sort of cash cow. Is there a dentist in the country that will go along with my wishes?"
  },
  {
    "id": 2166,
    "title": "Mini implant supported dentures and their benefits!",
    "dialogue": "cancundental: If you are unable to enjoy the foods you once loved because you cannot chew them anymore, then the Snap on dentures system can help. Unlike more traditional dentures, they snap securely to your jaw using several mini implant devices with O-rings, so there are no sticky glues or adhesives to worry about, no slipping or movement, and you can go back to eating foods you may not have been able to enjoy for years because you couldn’t chew them, or you worried about your dentures coming loose. If you’re tired of eating soft, mashed-up foods because of your dentures or missing teeth, see how snap on dentures can help you enjoy delicious food again.\n\nInstead of hassling with adhesives and glues, and worrying about mouth sores from dentures that move around on your gums, snap on dentures snap into place and stay put, improving your oral health and giving you peace of mind that they will not move until you’re ready to snap them off. All the procedure is completed in a week.\n\nWith their easy snap-on, snap-off functionality, you can take them out for proper cleaning and maintenance, then pop them back in for a beautiful, confident smile every day.\n\nMillions of Americans wear traditional dentures, and while they have long been the solution of choice for people who have lost teeth due to accidents, trauma, disease, or age, they are no longer the only choice for getting replacement teeth. There are many problems that people experience when they use traditional dentures, which can now be remedied with the use of more advanced techniques.\nSlipping & Denture Movement\nOver time, the bones and tissues in your jaw change. Often as you age, the tissues and bones shrink, and if you had dentures fitted several years ago, you may notice that they begin to slip or move around in your mouth because they are no longer a good fit. This can also cause sores in your mouth from dentures continuously rubbing against your gums.\n\nDifficulty Speaking and Strange Sounds\nAlthough dentures are fitted to your mouth, they are still difficult to get just right when it comes to the size because your mouth is constantly changing. Unfortunately if you have dentures that do not fit quite right, you may find that they move around and make it difficult to speak or form words. They may also rub against your gums, or separate from the roof of your mouth, causing strange clicking, whistling, or smacking sounds.\n\nProblems Chewing\nOne of the most common complaints for people who wear dentures is the inability to eat the foods they once ate on a regular basis. Dentures secured with adhesives sometimes move around, making chewing certain foods impossible, which means those foods will be forever off limits after you get dentures\n\nPoor Adhesion\nDentures are large oral attachments that must be secured to the gums and roof of your mouth with adhesives that react with saliva to form a stronger bond. Certain medications and other conditions, such as dry mouth, can affect the success of the adhesives, causing dentures to detach from your gums. While traditional dentures are one solution to replace permanently lost teeth, they are not the only solution anymore.\n\nSnap on dentures (Implant retained dentures)\n\nSnap On Dentures are designed to be attached to the head of several mini dental implants previously placed in your jawbone. The head of the mini implants and the O-Rings placed at the dentures creates the “Snap” effect when you place them, you take the adapted denture on and off easily. When the new adapted denture is snapped over the mini implants it becomes a steady device, it will not move or wiggle, avoiding any gum soars.\n\nThe head of the Mini Dental Implant is shaped like a ball and the Denture created includes several rubber o-rings or “housings” (another option is to adapt you own denture as well with this housings). The O-ring snaps over the head of the Mini Dental Implant when the denture is “snapped on” (seated over the gums), and holds the denture making it strong and steady enough to even bite an apple, eat corn from the cob, etc.\n\nPlacing the mini dental implants in your jawbone is a minimally invasive procedure, it does not represent a significant discomfort and the healing time is usually fast.\n\nGerman Arzate, DDS, MS\n\nArticle by German Arzate, DDS, MS\nMexico Cosmetic Dentist Lena Nichols: cancundental said:\n\n\n\nIf you are unable to enjoy the foods you once loved because you cannot chew them anymore, then the Snap on dentures system can help. Unlike more traditional dentures, they snap securely to your jaw using several mini implant devices with O-rings, so there are no sticky glues or adhesives to worry about, no slipping or movement, and you can go back to eating foods you may not have been able to enjoy for years because you couldn’t chew them, or you worried about your dentures coming loose. If you’re tired of eating soft, mashed-up foods because of your dentures or missing teeth, see how snap on dentures can help you enjoy delicious food again.\n\nInstead of hassling with adhesives and glues, and worrying about mouth sores from dentures that move around on your gums, snap on dentures snap into place and stay put, improving your oral health and giving you peace of mind that they will not move until you’re ready to snap them off. All the procedure is completed in a week.\n\nWith their easy snap-on, snap-off functionality, you can take them out for proper cleaning and maintenance, then pop them back in for a beautiful, confident smile every day.\n\nMillions of Americans wear traditional dentures, and while they have long been the solution of choice for people who have lost teeth due to accidents, trauma, disease, or age, they are no longer the only choice for getting replacement teeth. There are many problems that people experience when they use traditional dentures, which can now be remedied with the use of more advanced techniques.\nSlipping & Denture Movement\nOver time, the bones and tissues in your jaw change. Often as you age, the tissues and bones shrink, and if you had dentures fitted several years ago, you may notice that they begin to slip or move around in your mouth because they are no longer a good fit. This can also cause sores in your mouth from dentures continuously rubbing against your gums.\n\nDifficulty Speaking and Strange Sounds\nAlthough dentures are fitted to your mouth, they are still difficult to get just right when it comes to the size because your mouth is constantly changing. Unfortunately if you have dentures that do not fit quite right, you may find that they move around and make it difficult to speak or form words. They may also rub against your gums, or separate from the roof of your mouth, causing strange clicking, whistling, or smacking sounds.\n\nProblems Chewing\nOne of the most common complaints for people who wear dentures is the inability to eat the foods they once ate on a regular basis. Dentures secured with adhesives sometimes move around, making chewing certain foods impossible, which means those foods will be forever off limits after you get dentures\n\nPoor Adhesion\nDentures are large oral attachments that must be secured to the gums and roof of your mouth with adhesives that react with saliva to form a stronger bond. Certain medications and other conditions, such as dry mouth, can affect the success of the adhesives, causing dentures to detach from your gums. While traditional dentures are one solution to replace permanently lost teeth, they are not the only solution anymore.\n\nSnap on dentures (Implant retained dentures)\n\nSnap On Dentures are designed to be attached to the head of several mini dental implants previously placed in your jawbone. The head of the mini implants and the O-Rings placed at the dentures creates the “Snap” effect when you place them, you take the adapted denture on and off easily. When the new adapted denture is snapped over the mini implants it becomes a steady device, it will not move or wiggle, avoiding any gum soars.\n\nThe head of the Mini Dental Implant is shaped like a ball and the Denture created includes several rubber o-rings or “housings” (another option is to adapt you own denture as well with this housings). The O-ring snaps over the head of the Mini Dental Implant when the denture is “snapped on” (seated over the gums), and holds the denture making it strong and steady enough to even bite an apple, eat corn from the cob, etc.\n\nPlacing the mini dental implants in your jawbone is a minimally invasive procedure, it does not represent a significant discomfort and the healing time is usually fast.\n\nGerman Arzate, DDS, MS\n\nArticle by German Arzate, DDS, MS\nMexico Cosmetic Dentist\n\nClick to expand...\n\n I have seen this procedure and it is impressive. I have bone loss and I have been told I am not suitable. Is that really the case?"
  },
  {
    "id": 2167,
    "title": "Situational question in search of my possibilities",
    "dialogue": "JJC: To start, I want to start off with my situation and am asking for what I could possibly do if I wish to seek change.\n\nAt a young age, my dentist-at-the-time removed two permanent teeth from the upper jaw in prepparation for braces. I had crooked teeth and a crossbite that was fixed by braces and the rubber bands during the treatment, but, over time, my lower jaw started coming forward and now have an underbite. Along with my underbite, my teeth are offset by almost 3/4 of a tooth (measured assuming my upper teeth are in proper allignment, which appears so.) My lower left-side bicuspid is also leaning into my mouth at about 30 degrees (by eyeing).\n  \n\nIf I forcefully try to force my jaw back, I am able to get one of my teeth get one set of my incisors to touch with no other teeth having contact. I feel as if it impairs my speech because I occassionally slur my words and have to take a breather to restate my sentences because they were incomprehensive. My tongue, at rest, sort of \"tucks\" under the upper teeth since I have an underbite. Besides that, my teeth serve as a giant personal insecurity as I cannot expose my upper teeth in a smile.\n\nAll-in-all, I've tried to grasp what my possibilities are. I came up with two different possibilities in which I will back up with my personal reasoning as I'm not a professional. Do keep in mind that I am a college student (for age reference). Any/all of the following would be done by a professional.\n1. Develop a gap in my teeth where the two permanent teeth were removed and have an implant placed to make my upper jaw bigger.\n2. Remove both lower second bicusids (as one of them are leaning in) and make my lower jaw smaller. However, I feel like this wouldn't exactly fix my speech.\n3. Somehow fixing everything with just another set of braces.\n\nI AM working a part-time along with being a full-time student in hopes that I'll save enough to afford a treatment of some sort. I've accepted that this is how I look and  anything I do will cost a lot of money, but I'd like to know my options. DRAVG: Get an orthodontic assessment. Your remedy can range anywhere from another round of braces to surgery for correction of your reverse overjet."
  },
  {
    "id": 2168,
    "title": "Do I need braces? I want perfect smile.",
    "dialogue": "luke779: I'm 19.Would braces make my first 6-8 teeth(upper teeth only,I think my down teeth are good looking?) COMPLETELY straight and in line? Is it even worth it to wear braces? Or is it maybe better(and much cheaper in my country Croatia) to put composite veeners on these shorter teeth to make my teeth look perfect?\n\nPictures  http://imgur.com/a/w3yLS\n\nANNOTATION: my right front tooth was fractured in half 5-6 years ago on summer vacation,circled red on pictures\n\nThanks!"
  },
  {
    "id": 2169,
    "title": "Time to be difficult...I need help!!",
    "dialogue": "Nona: Hey guys,\n\nI need some advice regarding my beyond-stubborn fiance that I've now convinced to consider dental work. Below I've detailed his situation, and preferrences—any advice you may be able to offer on the topic would be greatly appreciated. I'm not sure how reasonable some of his expectations are, but I thought it would be worth reaching out to the experts. I'm lucky I even got him to agree to get work done! Now I just need to find the right avenue to take.\n\nHe had braces when he was 16-18. He's now about 32. They didn't clean his teeth properly after they took the brackets off. He suspects that the glue may have been corrosive because it stripped his teeth of all of its enamel. Later on he started getting cavities in multiple teeth – starting about 6 years ago. The first one started in the top right side of his front teeth, and then the next one to be affected was the same tooth on the top left side. Recently they've spread to two more on the left side. The majority of the cavities appeared to be focused on his top front teeth as far as we can see, which makes it embarassing for him. I've convinced him to start considering dental work, but he's really stubborn so any information you can offer in regards to treatment options would be incredibly helpful.\n\n\nHe's read about the negative side effects of fluoride, and does't like this as a treatment method. If it's the absolute only option he would still do it, seeing as his cavities are bad now. But he would prefer an alternative treatment if there is one. Any evidence you may be able to provide regarding the effectiveness of fluoride in treating cavities, and pros and cons regarding its use would also be helpful, as well. He REALLY doesn't want to get his teeth pulled. But he absolutely will not have crowns either. He would rather have his teeth pulled and replaced then topped with artificial crowns.\nDoes anyone possibly have any idea what type of dental doctor he would need to see, and what possible options there might be for treating this?\n\n\nAny help would be greatly appreciated.\n\n\n\nThank you for taking the time to read this.\nSincerely,\n\n--NN"
  },
  {
    "id": 2170,
    "title": "feels like swollen gums, pressure , burning in gums",
    "dialogue": "tlcha: I had wisdom teeth surgery 8 months ago. Then fillings in 2nd molars right next to where wisdom teeth were taken. \nI then had a root canal on the one filled tooth. The day my fillings were placed I came home with pressure, swollen gum feeling in upper and lower molars and maybe into back jaw where wisdom teeth were extracted,\n\n I then had a root canal on the upper molar that had been previuosly filled. I still to this day have the swollen , pressure feeling in that tooth and gums upper and lower. When I eat it something hard like a cheerio or similar it makes the gums feel more swollen, Has anyone gone though this??? \n\nThe dental professionals are not giving me any idea as to what it is. I want to feel good again! I dont understand how dentistry can turn a persons life upside down. I have gone regularly to the dentist all my life and never went through this. Now I am scared of dentist. I dont know what professional to go to or if any one can help.\n\n My oral surgeon says it could be from clenching but I cant even get my teeth togther on that side. My jaw seems wacky now from all this. I also wear a soft night guard but that doesn't help at all. drmins: To sum up your complaint, is it that you have pain on the gums and tooth,when your upper root canal treated and lower teeth touch each other?\nIf so,can you upload any x-rays taken after your root canal was done? tlcha: Thanks for posting DR. MIns,\nI cannot send xrays unless I get them from endo. My pressre in the upper root canal tooth and lower 2nd molar and or lower jaw area where the wisdom tooth was recently extratced have pressure or tooth squeezing feeling and burning in gums back there as well only on left side where the wisdom teeth were extrated, fillings , root canal were done. All this trama happened over the past 8 months. I started having all the dental work 6 weeks after the wisdom tooth extraction. I was completely healing and feeling god til I went and started with the fillings and then the upper 2nd molar filling turned into rot canal. I still have this pressure in the area I mentioned to you. It first started after dentist put dental dam on tooth and filled the upper 2nd molar which then turned into root canal. I have it everyday all day long. Open or cloed mouth. Feels best when I chew on food. Takes some of the pressure away. Or if I push on my back jaw area it also helps take pressure away. I don't know what to do for it or what specialist to see. My oral surgeon doesnt know. My denitst doesnt know. I have never gone though this and I go to dentist every 6 months. drmins: Let me not get confused. This is what i understand as your complaint.\n1) You have got a root canal treated upper molar on the left side and its paining now.\n2) You also feel that there is pain on the gums in the lower tooth region,on the same side,i.e left.\n\nAm i correct? Okay. If it is so,kindly get a radiograph (x-ray) image of your root canal treated tooth and upload the same here."
  },
  {
    "id": 2171,
    "title": "dentist's peculiar attitude",
    "dialogue": "gardener: I have been going to the same dentist for close to 15 years now. The dentist has for the most part been friendly, and professional, but recent procedure resulted in unnecessary damage to a tooth. I am wondering whether the dentist's peculiar attitude, which I am certain led to the damage, should have been an indicator to me to have found another dentist before this incident happened.\n\nWhenever I had come in for checkup or procedure and had the dentist look at something new, the dentist was pleasant and willing to take a look at it. However, if I ever had questions post-procedure or during, the dentist would get defensive immediately, the answer to anything was always something I would have done to cause 'it'. -- Also, the dentist would routinely ask a question related to 'did I notice' anything about my teeth that could have been related to the condition of my visit, and on three occasions regardless of what I answered, the dentist would say \"Oh! You 'grind your teeth.' I better note that in your chart.\" The first time it happened I was able to correct the dentist immediately because we were between tasks (rinsing). The dentist got really defensive and insisted I said that I \"grind my teeth.\" Second time, the dentist commented that they were going to note it in the chart, but since they had just put gloves on and had the utensils already in hand, waited until the next task of the procedure, I had to wait until the procedure was over to tell the dentist to strike their note in my chart; that took 3 to 5 minutes to get past their defensiveness and get them to erase it. This time the dentist did it again, but waited until the middle of the procedure to say they were going to note it in the chart. My mouth was full, and thought I would deal with it afterwards. I was having a cap reattached and in the past the dentist would use the drill with some sort of attachment to beat the cap to make minor adjustments, except this time they used some other drill bit and shaved off part of my opposing (good) tooth, because in their mind it was my 'grinding teeth' that caused the cap to come off. As soon as I felt the drill I raised my hand for them to stop, but they ignored me. Their response (which was a defense), 'I didn't go as far as the enamel'... Yeah like that makes it all better.\n\nIs the \"Oh! You grind your teeth.\" and defensive attitude a personal thing?\nor some sort of positioning if they are sued?\nNow that I am going to find a new dentist, should I be watching out for similar attitude?\n\nI would assume yes I should be watching out, but there were two other occasions with this dentist where they just did their craft regardless of my wishes, though minor, both were important to me, which makes me think that it was just them not putting the customer (me) first."
  },
  {
    "id": 2172,
    "title": "Need help from Singapore",
    "dialogue": "Allan Yeow: Hi, please see below picture for my teeth condition. I am a NON smoker.\n\n1. Canine Teeth x 2\n2. Misaligned teeth\n3. Hard to reach areas resulting in tartar easy buildup\n4. 1 dropped tooth but did not grow back\n\nHave been going to the dentist but only for polishing and scaling.\n\nWhat should I do now??\n\nThanks! drmins: Dear Allan,\nYou need to consult your orthodontist first and get your teeth aligned. Rest will follow."
  },
  {
    "id": 2173,
    "title": "Unidentified Oral Lesion",
    "dialogue": "yclar002: Please help identify this lesion. It has been present for a week, does not rub off, not painful..Abcess are present #19 and #21 any ideas on how to treat?"
  },
  {
    "id": 2174,
    "title": "Sensitive to biting a Banana?",
    "dialogue": "TinGrin: For 25 years of regular dentist visits both at home and military my teeth have been great. Zero cavities (hooray!).\n\nThen, boom, I go to a new dentist in my new town and I have 6 cavities. They're deep cavities, caught very early with an infrared camera that can see deep into crevaces in my teeth apparently. Sounded legit, and the dentist was in a big city with a long list of patients and a perfect score on Google.com. So, I asked a few questions...why all these cavities so suddenly? What did I do wrong? etc. She assured me that my dental hygiene was fine and that cavities eventually develop in hard to reach places in your teeth.\n\nSO... she fixed them. Topical numbing agent on my gums, shots of lidocaine to the gums, and she went to town. She also sanded off some old dental cement that was on my lower right canine.\n\nFastforward to the next day. I cannot drink water of ANY temperature. I cannot eat anything cold. Not old does the temperature of the food send me into a 10 second still-frame of pain and sensitivity but the biting down on soft noodles hurts the teeth operated on (\"restored\"). Also, the canine that had the cement on it? Turning black from the inside... a dull darkness (but very distinct). I tell my dentist and I go back in, more Xrays. She says the dark tooth looks fine but may need a root canal in the future. She attributes the sensitivity to my use of whitening toothpaste and my tooth grinding. Which, I know are very likely causes... but it's now been 2.5 months since the \"restoration\" and I still can't eat bananas, pudding, cold sandwhiches, drink any liquids, or basically breathe a breath of cold air without extreme pain!!  2.5 months of wearing a mouth guard and using non-whitening paste.\n\nWhy?? I want to know without a doubt that nothing the dentist did has caused all this mayhem in my usually perfect mouth. Could any of the drugs or the operation itself caused all this? I mean, it all started the next day... I am having trouble believing that coinicidentally my bruxism and whitening toothpaste use decided to have this maddening affect the day after she worked on 6 of my teeth. Please advise!"
  },
  {
    "id": 2175,
    "title": "Dental Bridge/TMD Question",
    "dialogue": "erinb: Hello,\n\nI've had a dental bridge on my lower left side (one adult molar never grew in and then one of abutment teeth cracked) for just over 7 years now. Lately (really for the last year) on and off, I've been having pain that feels like it's coming from under the bridge.\n\nI went to the dentist last week, and they said the bridge looks fine and isn't loose (he even grabbed it with a tool to see if it would come off). The x-rays didn't reveal any issues, but they couldn't see all of the teeth due to the metal inside the bridge. I  really just feel like the pain is coming from the bridge. Is it worth it to ask for the bridge to be removed to see if the abutment teeth are healthy or have decayed under there? \n\nOr does anyone have any other suggestions? It's not a constant pain, but it is nearly every day now. \n\nI've also had jaw, ear, eye, neck, and chest pain on the left side as well, which has led me to wonder about TMJ also. My doctor suggested maybe I had TMJ dysfunction. The dentist said there was no evidence of grinding or clenching, and he wasn't sure about TMJ, but said it was possible. Is it worth going to a TMJ specialist?\n\nAny help would be greatly appreciated. Thanks! DRAVG: how old are you? when last did you visit your physician? erinb: 33, and early in the summer. I've had lots of tests run for other things because of this constant pain, but everything has come back normal. My last visit is when she suggested TMJ. erinb: Anyone?\n\nAny help or ideas would be greatly appreciated. Thanks."
  },
  {
    "id": 2176,
    "title": "Cyst on the roof of my mouth",
    "dialogue": "Jon Heikkinen: Hello, I developed a bump on the roof of my mouth a couple days ago and from what I've seen I'm guessing it is a mucous retention cyst. It is really red and It hurts a lot when I eat. My question is how to treat it and if I can treat it myself, can I pop it with a pin? Or should I leave it alone and hope it goes away by itself? Also is there anyway to maybe numb it so it doesn't hurt so bad when I eat? It is on the top left in the picture."
  },
  {
    "id": 2177,
    "title": "Dental implants",
    "dialogue": "Peter: Hi \n  I need to have all my teeth remove but do not  know what to go with dental implants or dentures I know dental implants for the upper and lower. are a lot more money then the dentures. Can anyone please tell me what are the benefits between the two? or does anyone know of a web site that will tell me ? Thank you for any help or information on this"
  },
  {
    "id": 2178,
    "title": "See through teeth",
    "dialogue": "helelle: I was wondering if anyone knows what is going on with my front teeth.  Over the last few months I have noticed that my front teeth have become slightly see through which looks like a discoloration and makes me look like I have rotten teeth!  I am in date with my regular dental checkups and last time i saw my dentist he said my teeth were in good condition.  I don't eat sugar, I don't smoke or drink that much alcohol and I am generally healthy.  I use sensodyne toothpaste and a fluoride building mouthwash.  I am stuck and could really do with some advice and another opinion before I get forced to throw an entire months wages down the drain seeing a dentist.  Thank you! Shayla: I have seen people having such kinda teeth, do you drink excessive cold water/drinks etc.? helelle: hmm, I drink a lot of cool water but it is always tap water, never from the fridge or a cooler. I drink a lot of herbal tea though and I tend to have an 'asbestos' mouth (as my mother calls it) so I guess I might drink them hotter than some people do. Shayla: The reason behind this could also be acid erosion. If acidic drinks/juice is consumed in an excessive amount then eventually our natural enamel gets damaged and causes a faded/transparent look on our teeth. Try to avoid that and as far as herbal tea, I don't think that's harmful at all. helelle: That I can understand but I don't drink fizzy drinks or fruit juice because of the sugar.  Any other ideas?  Although saying that, I will do research into other acidic foods and try and reduce as I am very much interested in a wholesome, sugar free, healthy and nutritious diet."
  },
  {
    "id": 2179,
    "title": "Can a NHS dentist just remove me from their list!?",
    "dialogue": "Heisenberg: I've been registered with my NHS dentist for quite some many years.\n\nI saw a consultant at my local hospital who requested I undergo an x-ray to be taken by my dentist in an area where I have also been experiencing quite some pain in my upper jaw.\n\nMy dentist took the x-ray and there appeared to a foreign body present. \n\nI then took this x-ray to a different consultant who initially made a dismissive remark on the foreign body in question then later denied saying anything in this regard. He also took the only copy of the x-ray I had. I raised an NHS complaint and my dentist received copies of correspondence.\n\nI then requested another copy of the x-ray from my dentist who appeared to have dramatically adjusted the contrast before printing it out. I then queried this in very polite terms only to get a letter through the post dismissing me from his care.\n\nI suspect he is just trying to irrationally cover his back and it is more convenient for him to remove me from his patients list.\n\nWhat do I do now? I'm rather aggrieved to say the least.\n\nThanks in advance."
  },
  {
    "id": 2180,
    "title": "My fear of dentists is ruining my teeth",
    "dialogue": "Amanda32: I joined this forum cos I can express my fears with anyone seeing my teeth. I've probably only got half the teeth I should,some have broke,2 were kicked out (horse) and 2 exploded after root canal. I never developed my fear until I was mid 20's. I had root canal done but the following day i could feel pressure building up, and it was like a mini explosion and I lost 2 teeth? That dentist was closed down a few months later? About a year later a tooth broke and exposed the nerve causing horrific pain,I put up with the pain rather than face my fear. My friend found a dentist that dealt with nervous patients,on route to the dentist I was sick,then passed out in the waiting room. When I finally saw the dentist I got a 20 minute slating of the state of my teeth then told i needed 6 teeth extracting. As you can imagine I went into full panic mode and felt so ashamed, embarassed and belittled. I've never seen a dentist since,now its through fear and finances. I have badly receeding gums and 2 of the bottom teeth are loose,I brush twice a day with a gum protection toothpaste and use listerine gum treatment mouthwash, but it's getting me so depressed, My face looks 'drawn in' due to tooth loss but I have completely lost my confidence,I don't really smile and I avoid looking at people. Its now starting to affect my marriage. Is there any training schools where I could be a 'guinea pig' for students doing cosmetic surgery at a greatly reduced rate? seashell: Dear Amanda,\nI'm not a dentist,but I had a really really bad fear from dentists.I would for example get sick whenever I should've gone to dentist and would put up with horrible pain just so I wouldn't have to go to the dental office.I also felt embarassed and felt like the dentist was judging me.But trust me,you just have to forget about all of that,brushing teeth is no longer going to help you.You need to tell yourself 100 times you can do it,if you get sick like that you can find someone to go with you for the first time.Go around random dentists,find the one you like! Also,you have to realise dentist are not going to judge you cause of your teeth,they just want to help you,whenever you feel ashamed of your teeth remember that they have probably seen worse! And there is help,don't lose hope,you just gotta realise the more you postpond the visit to the dentist it's going to get worse. I had a little different situation than yours cause I haven't been to dentist for 7 years,then at the age of 19 realised what mess I have done.Now I am going to dentist every week,and the feeling is amazing! Whenever you do something,you will feel so great because you are finally doing something with it.It's probably going to take some time,you are going to loose some teeth,but there is still small decays which you can prevent from becoming bigger and that way save some of your teeth. I think there are dental offices at colleges where students do surgeries for better prices,at least that's how it goes in my country.Sitting home and worrying isn't going to change anything. I hope I helped you at least a little bit,and I really hope you are going to fix your teeth,and there is always help trust me!"
  },
  {
    "id": 2181,
    "title": "Some advice would be grateful :-)",
    "dialogue": "Martina: Hi all, I am new to this forum and hoping someone can give me a little advice.  I have over crowding with my bottom teeth.  It's never bothered me before now as I am convinced the tooth in question is being pushed more and more forward and it now seems really sensitive with cold air and also a little painful alongside the gum around it bleeding occasionally upon brushing.  I am considering taking a trip to my dentist but I'm worried he will suggest taking it out but this would leave a gap which I don't want.  It's starting to become more noticeable when I talk or smile and making me really self conscious.  Has anyone ever had something similar and what did you do, any advice or suggestion would be most appreciated.  As dentists are really expensive im concerned about how much it would cost me to right this. Please see photo attached\nMartina"
  },
  {
    "id": 2182,
    "title": "Is this an abscess",
    "dialogue": "cricket0148: I am coming here with a question.  I am a 37 year old female who has an EXTREME fear of dentists due to a horrible dental experience when i was under 10 where i was afraid of the drill and the male dental assistant held me down.  i was terrified.  Needless to say, I never went back and saw a different dentist 10 years later only rather than discuss options, drilled cavities in the front of my teeth and naturally fast forward to current, those fillings fell out and due to lack of insurance and finances, never could get them taken care of.  in my teens, i had braces for a short run as the glue and my teeth did not gel together and the glue literally ate  my enamel.  Anyways, at this current time, i know i need dentures.  there is no saving or fixing.  i have about 9 of my natural teeth left due to my own stupidity and not taking care of my teeth due to the EXTREME fear of dentists i have had.  i am actually screaming for dentures at this point so i can smile.  anyways, i woke up with this lump on the inside of my cheek like where the top and bottom teeth meet.  if i feel it with my tongue, which i cant seem to stop, it feels smooth.  if i feel it with my finger on the inside and my thumb on the outside of my cheek, it feels like a little knot, like a little twig could be in there.  I am freaking the hell out at this point.  Is there a chance this could be a dental abscess?  The tooth directly next to that lump obviouslly broke off a while back and has jagged edge.  What is this."
  },
  {
    "id": 2183,
    "title": "Multiple dental work needed but where to start",
    "dialogue": "Curds: Hey everyone,\n\nI hope this is the right section to ask this in.\n\nI'm in need of some costly dental work, but not sure in which order to do them.\n\nI can count on one hand how many times I've been to the dentist in my life and as such I didn't really have a good grasp of what dentists could do to save your teeth. I just assumed you either had bad or good teeth and well to cut a long story short I finally got the courage to go to the dentist and as I suspected I need quite a bit of work\n\nSo far I had three teeth pulled and one root canal. The dentist said that I need to wait a couple of months to get dental implants.\n\nNow I possibly need two more extractions and a filling/crown. The reason why I say possible is because the dentist said she could save the one, but the two in the back needs to come out (which surprised me since they not nearly as bad as the one she said she could save). I don't really have the luxury of getting multiple opinions as I don't live in an English speaking country and to top it off lol I live on island far from the city. I've also heard that the dentists here will try to get you to do as many procedures with them as they can. So yes I'm happy with the two procedures the dentist I go to now has done. I'm just surprised that she said the back teeth needed to come out.\n\nI'm due for a crown and cleaning next week. The dental work I'm confused on are braces and implants. Should I get invisalign before I get the implants/fillings etc or get the teeth healthy and then start with invisalign?\n\nI asked the dentist, but the only thing she said is I need to wait on the implants and we were suppose to talk about invisalign on my next visit, but the problem is since she is so far away I usually just have enough time to do the procedure I set the appointment for.\n\nSorry about the long post, but thought some background info might be useful. movemen: The back teeth are probably the wisdom teeth and it is extraction is recommended. Definitely implants will be last to do. Gotta do braces first if you need it"
  },
  {
    "id": 2184,
    "title": "Wisdom Tooth and Symptoms",
    "dialogue": "Harvey: Hi,\n\nI recently was referred to a consultant by my dentist after an x-ray showed a wisdom tooth coming in sideways.  I think he mentioned that it was almost at a right angle.  I have been experiencing a number of symptoms, which I have a good feeling might be related but my dentist does not.  From the x-ray the wisdom tooth seems to be very close to the root of the adjacent tooth, however I've been told they are not touching and that I should go to see my GP about any symptoms.\n\nI've visited my GP a few times now and had blood work done on a couple occasions with no problems. \n\nSymptoms:-\n\nPersistent pressure and discomfort around the back, right side of my jaw.\nOccasional pressure spreading along from the back to the front, right side of my jaw.\nPersistent pressure and tension around the right side of my face, including my jaw, ear, neck and up the back of my head.\nMore recently, a bad taste in my mouth.\nI'm not in any pain, however these symptoms have had an affect on my life and is contributing to episodes of stress and anxiety (especially when there is pressure spreading to the back of my head).  I'm on a waiting list to see a consultant and I am expecting an appointment within 9 weeks. \n\nI don't have an x-ray to show you but I do have a photo, which shows a white area that might show an emerging wisdom tooth.\n\nIs there any connection between my symptoms and my wisdom tooth?\n\nKind regards,\nHarvey movemen: How old are you"
  },
  {
    "id": 2185,
    "title": "Tmj pain after fillings",
    "dialogue": "Yaz: 7 months ago, i got 3 fillings done on the right side of my lower teeth. I am under the impression that the dentist may have filled the teeth too low as the but feels odd since then.\nI have been getting facial pain in the tmj joints along with my headaches. My symtoms have been getting worse and worse with time\n\nI have gone back to my dentist and seen 2 other dentists, and 3 orthodontists to get opinions on what a solution is to my problem\n\nOriginal dentist: said they cant see a drastic change it but so cant see whats causing the pain\n2nd dentist: could not find a problem either\n\nI then saw 3 orthothodontists:\n1st ortho: said braces will fix my misaligned bite\n2nd: suggested maybe wearing a splint\n3rd: suggested seeing a prosthodontist ( i have not seen one yet)\n\nI then saw another dental specialist who specialises in treating tmj problems among other things. He gave a 2 week course of prednisone to reduce inflamation and valium so i dont clench at night\n\nThey relieved my pain however i still feel my bite feels off n still getting alot of discomfort in my face with facial pain n tired tmj joints along with headaches.\n\nI have had this chronic problem for 7 months and all these dental professional habe been guessing and each suggesting something different\n\nHope someone can help me n maybe suggest what may be wrong.\n\nNote: All professionals have used articulating paper to check my bite which they say is fine but to me still feels off to me and isnt how it was before i got the filling n it is what i think is causing the problems\n\nIf you can help me plz reply movemen: If your perception that the bite is off then maybe you should really push for them to get it adjusted"
  },
  {
    "id": 2186,
    "title": "What causes loads of pressure and Burning sensation in gums(wisdom Teeth)",
    "dialogue": "tlcha: What causes tons of pressure and burning in 2nd molars and where wisdom teeth were extracted 7 months ago. Been going through this for 6 months. I had fillings and root canal done in those 2nd molars right after the surgery. Will this feeling ever go away??? It's consuming me because it is very comfortable and never goes away. Some days less intense then others. When I take ibuprofen or Excedrin it does not go away either it just takes the edge off. Is there any dental professional out there that can tell me if you have ever heard of this??? or anyone else that has gone though this similar situation??? or am I the only one..... I hope somebody answers me. movemen: This might be the case of phantom tooth pain or atypical odontalgia. Look it up."
  },
  {
    "id": 2187,
    "title": "Abscess",
    "dialogue": "LRV: History:\nOnly had four cavities until age 50. Had a very good dentist that would rather save teeth than go the destructive route and do root-canals and implants for every problem. Unfortunately he retired.\nAbout 6 years ago (before I met the abovementioned dentist)  I had an abscess. My previous dentist then wanted to remove 4 teeth! I decided no-way and went for a second opinion. The dentist then did minor surgery on the abscess and it completely resolved with no loss of teeth. All the teeth are in perfect condition till this day and did not pose any problem. He saved 4 teeth that would have been removed (almost criminally)\n\nCurrent Problem:\nI developed a knob high up above a tooth that was worked on 3 months ago by my new dentist. Upon visiting them, they just said root canal and that is the end of the story. No attempts to surgically resolve the abscess and solve it with antibiotics. From the X-rays it does not seem if the tooth is involved at all so I need a second opinion. The tooth feels perfect has no pain and in fact feels better than other teeth which are perfectly normal.\n\nDoes anyone know about a dentist in the Northern Virginia area that will do preventative surgery and not just jump on the ones-size-fits-all root-canal bandwagon.\n\nI would like to at least try to resolve the abscess by draining it and using antibiotics first before extraction etc. movemen: an x-ray is much needed to give advice LRV: I sincerely appreciate your reponse.\nI will scan and attach. DRAVG: having an abscess means that there is some form of infection. From a dental perspective it can be tooth or gum related or both. if it is tooth related then one way to truly get rid of the infection is via root canal therapy. If your abscess is purely gum related (periodontal) then you may not need the root canal. \nthe point is: first identify the source of the infection."
  },
  {
    "id": 2188,
    "title": "son with cavities",
    "dialogue": "cavityprone: Son is 20 has always been cavity prone. All of his cavities have been in between the teeth, and I have been told they are small. All have been filled right away as soon as dx'd. We had always gone to a pediatric dentist and were very discouraged that he kept getting these cavities. In fact, we started to suspect that they were being a little over zealous in their treatment so we switched dentists to the one my husband goes to who is very good. \n\nAt son's first visit to the new dentist, the dentist looked at the x-rays from the pediatric and said they didn't need to be filled yet, so we thought we were right in our suspicions. Yesterday, he went to the new dentist and was told he had 5 cavities (3 watches from the previous x-rays and apparently 2 new ones and needed 2 appointments -- again all between the teeth. \n\nSo, I guess my question what is the typical prognosis for a kid like this. His teeth are not rotting at all, can his teeth last his lifetime? Is a kid like this destined for dentures down the road? My feeling is that typically the people who end up with dentures are not the people who had the treatments (filled cavities) etc and that filling the teeth is fixing the problem. Am I right in this?\n\nHow long do fillings last? How much do they weaken the teeth, and are fillings between the teeth less damaging to the tooth than those that are not between the teeth.\n\nI have (and my husband) have a mouthful of filings and only once every 5 or so years I have to have one replaced. I am 57 and have 1 crown and 1 implant, so I've done ok. My husband is in the same boat and I have to believe that dental procedures are less invasive and better than they were 40years ago and that my son's teeth will last like ours have. \n\nAs the kids were growing up, I was diligent about reminding them to brush, made sure there was floss available, even flossed them for awhile myself. however, I eventually stopped doing that. My younger son just got lazy though and did not want to take care of his teeth. Hopefully now he will be better. DRAVG: Your son needs to floss properly every day.\n\nFlossing is the most undervalued act in Dentistry. It will definitely reduce the formation of cavities BETWEEN his teeth"
  },
  {
    "id": 2189,
    "title": "Do I need braces?",
    "dialogue": "Bob Cook: Hi, I have been wanting to get braces for a while now but I am unsure if I really need it considering the costs and the fact that my insurance won't cover it.\n\nI need some opinions but I am too shy to ask around.\n\nKind Regards. movemen: Sure, i can see that you will be benefit with braces DRAVG: In addition to braces, you will need a full occlusal evaluation as you are wearing away your canines. AestheticDentistry: I would recommend braces, to lessen the little overbite you have. Your teeth will align great, though a full occlusal evaluation is needed because your canines are wearing away and pulling out slightly.\n\nKind regards,\nAesthetic Dentistry of Arrowhead - Dr. Greg Ceyhan DDS"
  },
  {
    "id": 2190,
    "title": "uncomfortable crown and problem with the crown",
    "dialogue": "michaels01: I just had a crown redone, I noticed my crown on my front tooth sits above the gum line from the inside, from the outside it's ok.. so basically from the inside the crown is a bit above the natural tooth structure - I have very few natural tooth left, which sits near the gum line. From the outside I see crown, then gumline.. from the inside it goes crown, natural tooth, then gumline... is this normal?? Should I get this crown redone?\n\nAlso I found I'm very sensitive to this crown when I'm tired or sick, is that normal? If I'm healthy, I don't notice the crown as much, but if I'm sick or tired, I sometimes find the crown very uncomfortable? I will be sensitive to one spot where it's not smooth and also the roughness where it connects to the natural tooth. this only happens to this crown on my front top tooth, I also have a crown on my lower front tooth, I don't notice it much at all. what could be causing this? could I have a nerve near the crown or something that gets irritated?? or the root canal needs to be looked at? I had the root canal done like 20 years ago. It could also be just my tongue find the crown irritating and causing me to constantly noticing it.. does anyone else have same issue? movemen: the crown sits above gum line inside is perfectly normal. If the crown just got redone then the dentist mustve looked to see any infection there before the new crown is placed. I think the crown is still new to your mouth so you noticed everything. Give it some time michaels01: I should add there is one spot in the back of the crown is a bit rough, the dentist says that's where the pocelin wraps around and meets the metal (he says the back of the crown is mostly metal?), is this something he can polish so it's perfectly smooth?\n\nalso where the crown meets the tooth inside is also a bit rough..\n\nI already have this crown for 2 months.. movemen: yes, the dentist can definitely smooth it out but don't expect to feel complete as your natural tooth. michaels01: movemen said:\n\n\n\n\t\t\tyes, the dentist can definitely smooth it out but don't expect to feel complete as your natural tooth.\n\t\t\nClick to expand...\n\n\n\nWould I be better served by a prosthodontist as oppose to a general dentist if I want the highest quality on a crown for a front tooth? movemen: Not necessary because its also depends on the lab. Good labs will pay attention to every little details michaels01: how do i know what lab is good or pick a lab? and how do I even pick a good dentist at a first place? movemen: A good dentist clinically is the one that takes his/her time to meticulously prep and take impression of the tooth and when delivering the crown he would check with xray and every aspects to make sure the crown fit right. Also read reviews about the dentist on google or other directories michaels01: I probably have the worst dentist, I went back today to have him smooth out the rough spot, he tried a few times I still have a bit roughness in the back of the crown. he said I will always feel some roughness where the porcelain joins the metal in the back of the crown.. all the while he was impatient like he already spent too much time on this already..\n\nwould the slight roughness feel smoother over time? I seriously need a new dentist! I wasted my dental coverage on this guy, now if I want to redo the crown I'd have to pay out of pocket.."
  },
  {
    "id": 2191,
    "title": "Discolored wisdom tooth and tooth decay",
    "dialogue": "stonepiano: My question is about my wisdom teeth. For as long as I can remember, they have been slightly discovered. My dentist stated that he is not sure if they are decayed but he is unable to tell from the X-Ray. He wants to drill in to see if they are decayed.\n\nDoes it make sense that an X-Ray will not show decay? \n\nI have no pain and they are not impacted.\n\nThanks, MikelHorizon: Well, if your dentist do some cleaning on your tooth I am sure he/she going to figure out if your tooth is decay. movemen: Sometimes the decay might not show up on xray. Wisdom teeth are bound to have problems if its not decay then its gum disease"
  },
  {
    "id": 2192,
    "title": "Do Dentures Make Sense?",
    "dialogue": "phh711: I am 60 years old and this is my situation. Upper wisdom teeth pulled right and left. Lower right 3rd from back extracted. Lower left, second from back lost a crown that has not been replaced (~2 yrs ago). Upper left front tooth has a crown that is chipped and needs to be replaced, but I always had trouble with it coming off, and it is now on to where I've been told the only way to get it off is to grind it off (tooth has a post). Fell yesterday and chipped half of upper front right tooth off, no nerve exposed, but 45 degree angle chip. Gums are extremely receded.\n\nMy question is this... I have EXTREMELY limited financial resources, dental phobia, and am starting a new career where I deal with the public in a sales capacity. Am I at the point where dentures might make as much sense as anything? I know there are trade offs regarding fit and possible looseness, but never could afford braces when a kid, and the idea of a straight white smile seems like it would offset a great deal of the traditional drawbacks. Dr. Garrett Fiorenza: Dentures are a last and final option as far as dentistry goes. If you decide on dentures it will be for the rest of your life, and they could negatively effect your eating ability. Also, you will have to get the rest of your teeth extracted before the dentures can be made. \n\nThat being said, if you are willing to go through the multiple extractions the dentures will have the ability to straighten and whiten your smile. If you are able financially I would suggest looking into implant supported dentures. With the support of implants the dentures have much greater retention and can help with eating. Hope this helps,\n\nGarrett Fiorenza, DDS\nwww.fiorenzadentalgroup.com\nGreenwood, IN movemen: Dentures are absolutely last option because it can never function as efficient as your natural teeth and less taste with food because of all that acrylic covering your palate"
  },
  {
    "id": 2193,
    "title": "teeth xray - odd thing above wisdom tooth? pic included",
    "dialogue": "wogboy_9000: Hi all, \n\nStarting to finally pay some attention to my teeth, so I'll be frequenting this forum a lot more! \n\nThe dentist said I should have my impacted wisdom teeth removed and sent me off for xrays. I'm not due back at the dentist for a few weeks and in the interim was wondering what the white 'blob' was above my upper wisdom tooth? Any advice would be appreciated! DRAVG: Looks like an odontome (extra tooth-like mass). movemen: sure it does look like extra tooth. just have that remove at the time of the wisdom extraction"
  },
  {
    "id": 2194,
    "title": "Need advice. No insurance",
    "dialogue": "deannafl: I am 48. Part of my tooth fell out. It was filled as a child and is a real mess. Dentist said I can have it taken out or a  root canal and then have the tooth built up and a crown . At my age and considering that the tooth isn't the greastest anyway, what should I do? Help.... movemen: 48 is still very young. If finance isn't a problem then restore it"
  },
  {
    "id": 2195,
    "title": "Cosmetic Dentistry",
    "dialogue": "Gerrycan: Hi There\n\nI am due to undergo a number of procedures, including 3-4 One Step implants and crowns fused to \nporcelain bridges and three extractions.  I have already had a consultation with the dentist and \nfound him to be an agreeable man.  However I wanted to ask the advise of fellow forum members .\nThe dentist in question works in Budapest and I've heard nothing but favorable things about him, albeit\nonly three reviews in total.\n\nKnow I probably cannot name the dentist, his initials are DR. C.Z. (surname rhymes with bolt) Nyugati, Budapest and was recommended by a UK agency (L.Briggs).  If anyone has experience of this dentist I would be extremely grateful if they \nwould contact me.\n\nPeace \n\nGC MikelHorizon: Why don't you have a second opinion and visit other dentist, you will have a clear explanation then."
  },
  {
    "id": 2196,
    "title": "Is Dishonesty Increasing in Dentistry?",
    "dialogue": "Abalone: Hi,\n\n           I'm new to the group. I'm a 50 something guy who has lots of fillings,  2 crowns, and 2 wisdom teeth pulled.\n\n     First of all, let me state that I am not implying any dentist on this board is dishonest !! \n\n\n      But it seems there are a lot of stories of dishonest dentists. My gf left her usual dentist, since he was expensive and she had lost her dental insurance, and went to a dentist who had a discount coupon advertising himself.   This discount dentist informed her she had 5 cavities, and it would cost her $700 to get them filled !!   I told her to go back to her old dentist, and pay for a standard cleaning and exam, without mentioning to him the 5 alleged cavities.   She had the cleaning and exam, and, as you no doubt have guessed, was told she had NO cavities.    \n\n  That's her story.   My story follows:  I was at my usual dentist, whom I trust, for a cleaning and exam.  But my dentist was not there. for some reason, so I was given  some other dentist, a new one to the group, to do my exam.  The tech, looking at the xrays,  was insisting to the new dentist that I had 2 cavities. The new dentist (a young attractive woman) seemed to be bullied by the tech into agreeing I had 2 cavities, and she then started to try to schedule herself to do my fillings !!     I immediately said I would have my regular dentist do any fillings.   Thank god my regular dentist is honest.   He looked at the x-rays and said I only had one cavity, which he filled.    \n\n\nIn closing, not to be totally gloom and doom, let me say that I like my regular dentist, whom I have used for many years, and think he is competent and honest. But he wants to retire, and then I'll be on my own again, and I sure don't want to use the new dentist he hired, after she found the non-cavity. \n\n\nWas the \"5 cavity\" dentist  being dishonest?  Could there have been 5 \"soft spots\" that may have been interpreted a possible future cavities?    Why do we hear so many stories like this? \n\n\nAbalone SEOSmile: Dishonest dentists\n\nI've personally had some bad experiences with a, pardon the pun, crooked dentist in Eugene, OR. I had cavities filled that never actually existed. The best bet is to do research on your dentist first, ask around, see if you can get opinions, honest ones, from current patients. If a dentist isn't willing to offer some referrals or testimonials, that's a red flag to me. These are your teeth and only you know how you feel. Good luck! floridagirl: RE\n\n\n\nAbalone said:\n\n\n\n\t\t\tHi,\n\n           I'm new to the group. I'm a 50 something guy who has lots of fillings,  2 crowns, and 2 wisdom teeth pulled.\n\n     First of all, let me state that I am not implying any dentist on this board is dishonest !! \n\n\n      But it seems there are a lot of stories of dishonest dentists. My gf left her usual dentist, since he was expensive and she had lost her dental insurance, and went to a dentist who had a discount coupon advertising himself.   This discount dentist informed her she had 5 cavities, and it would cost her $700 to get them filled !!   I told her to go back to her old dentist, and pay for a standard cleaning and exam, without mentioning to him the 5 alleged cavities.   She had the cleaning and exam, and, as you no doubt have guessed, was told she had NO cavities.    \n\n  That's her story.   My story follows:  I was at my usual dentist, whom I trust, for a cleaning and exam.  But my dentist was not there. for some reason, so I was given  some other dentist, a new one to the group, to do my exam.  The tech, looking at the xrays,  was insisting to the new dentist that I had 2 cavities. The new dentist (a young attractive woman) seemed to be bullied by the tech into agreeing I had 2 cavities, and she then started to try to schedule herself to do my fillings !!     I immediately said I would have my regular dentist do any fillings.   Thank god my regular dentist is honest.   He looked at the x-rays and said I only had one cavity, which he filled.    \n\n\nIn closing, not to be totally gloom and doom, let me say that I like my regular dentist, whom I have used for many years, and think he is competent and honest. But he wants to retire, and then I'll be on my own again, and I sure don't want to use the new dentist he hired, after she found the non-cavity. \n\n\nWas the \"5 cavity\" dentist  being dishonest?  Could there have been 5 \"soft spots\" that may have been interpreted a possible future cavities?    Why do we hear so many stories like this? \n\n\nAbalone\n\t\t\nClick to expand...\n\n\nIt's sad but the economy has hit people hit hard in a lot of ways. People with their backs against the wall financially are liable to do just about anything to cover their basis. Then you have people who just aren't good people to begin with and dentists are no exception. We come out of school a small fortune in debt and many people simply need someone to bridge their finances. However, this isn't new to dentistry and you just have to wonder if we're simply more aware of it now with the availability of information today.\n\nA lot of dentists are like auto mechanics in that they may lean towards a procedure that is not altogether necessary. One way to know what you're getting into is to look for as many third party reviews as humanly possible. For example, we have over 150 reviews on our website (coral-springs-dental.com). Obviously this wouldn't be altogether possible if we weren't continually providing a high level of service. There's no guarantee that past great service will lead to feature great service but it tends to be the best indicator.\n\nI'm interested in hearing other people's experiences if they care to share. concerneddentalpatinet: I agree with this assessment of dishonesty.  I have had proposed treatment plans extend into the thousands of dollars only to have a second opinion state I had a few minor areas of concern.  It is hard to know who to trust.  I had found the dentist who are more willing to work with you financially tend to be more honest. Ohio Dentistry: Dishonesty & Dentistry\n\nSadly, I see the same thing in not only dentistry, but other professions both healthcare and otherwise.  It's the same way with attorneys (before I started working in the dental field I was a paralegal).  One attorney might say you need to file a simple form while another might recommend a whole other route, with more time and money involved.  \n\nMany times it may be someone trying to make an extra buck by doing unnecessary work, while other times it may be a lack of knowledge or inexperience on the new dentist's part.  Like mentioned above, new dentists can be pushed and pulled to make certain diagnosis by others.  They also may not have the required hands on experience to tell what needs to be treated and what doesn't.  Either way, it's not something you want to encounter when your paying a \"highly trained\" professional.\n\nUnfortunately, I don't think this is anything new.  It doesn't matter if you're talking about present day 2013 or 1993, there's always going to be some dishonesty or lack of knowledged in certain industries.  \n\nI agree with the comments above that 3rd party reviews can be a great tool. Remember, you don't have to settle, there's always room for a 2nd opinion. movemen: Diagnosis in dentistry is subjective, meaning a dentist can treatment plan differently according to his or her training and experience. In the situation above, one of the cavity might be small but and if that dentist was trained to fill it to prevent future problems then he or she will incline to fill it. In my opinion, if the cavity is small i would just watch it."
  },
  {
    "id": 2197,
    "title": "Software Options for Learning Local Fee Schedules?",
    "dialogue": "JJManioke: What services are you all using to learn and compare the local fee schedules?  I'm trying to choose the best one. \n\nI've come across NDAS, Udell Webb, and 2014 UCR Dental Fee Report but would like to know if there are any others and what differentiates them."
  },
  {
    "id": 2198,
    "title": "Any Idea?",
    "dialogue": "Adele72: My original dentist said I would need crowns eventually because I had large fillings in 2 back teeth and they can't be refilled. So, I had a 2 back molars prepped for crowns last year by #1 dentist. Afterward, I experienced pain as if I was hit in the face with a bat. I was sent to an Endodontist.\n#1 Endo said it was stress and to get a night guard from the drug store and take Motrin & Tylenol together. #2 Endo said I needed a root canal in one of the prepped molars. When doing the root canal there was difficulty numbing the tooth and the smell was awful when the temporary crown was removed.  RCT completed. No antibiotics were given. I became very sick and my facial pain didn't let up. I consulted another dentist who sent me to #3 Endo since #2 Endo closed on Friday. # 3 gave me steroids, antibiotics and in a week or so I did not feel as sick, I could drive again, return to work, but the pain was not gone. I was dx. with Trigeminal Neuralgia mainly because no problem could be found with the prepped tooth. Months later I finally found someone to put me to sleep put on my permanent crown. Because it could not be put on under noviciane. I came out of sedation when he was drying the tooth to install the crown. I had sensitivity and was sent back to #2 Endo. I was put on Augmentin for 10 days then after no relief the upper molar ground down an upper tooth to prevent contact. After still having no resolve and having tooth pain and face pain, I was told to see an oral surgeon without a referral. Oral Surgeon #1 didn't want to touch it, Oral Surgeon # 2 gave me Kenalog injections with no resolve. #2 Oral Surgeon wanted another opinion. I called all my previous Endo's I had seen to get all of my records together and #3 Endo said, come in and let us have a look. #3 Endo believed I had a fractured tooth. He sent me to an Oral Surgeon who removed the tooth the next day and found it was split in two under the crown. It took me 9 months to have the tooth issue resolved, 7 dentists, 3 Endodontists, and 3 oral surgeons. I'm sure my bite is nothing like it used to be. Now, the tooth doesn't hurt anymore, but I'm plagued by facial pain. What caused this problem? It has now been 1 year and 3 days I've had facial pain, what could have happened? DR. Stephen: I am sorry to hear that you had a bad experience. Based on the details given above, I could see why your dentist decided to do a crown. If there is any infection, the technology is so improved these days that the dentist could see it in a good digital x ray. If you had pain and in your case explained above, it could be because of infection or because your tooth was broken while prepping for crown. Again both could be easily found out on a good bite wing x ray. I would advice you to go to a general dentist who does root canal and surgical extraction in future. At least there would be one person who is accountable for in that case.\n\nDr. Stephen\nDesigners Smiles Dentistry (www.DesignerSmilesDentistryTX.com)"
  },
  {
    "id": 2199,
    "title": "what are my options?",
    "dialogue": "jays9: I need a root canal done on my tooth, but I don't get insurance for another 4 months. After that, it'll be easy to afford.\n\nHowever, after my last appointment and finding that out, my filling has fallen out from when I was a kid.\n\nI want to get the root canal done, but can't afford it for four months, can they replace the filling until then?\n\nIt's not very painful yet, but I know it'll come.\n\nIs there something I can do to delay the root canal just 4 months? movemen: Hard to say but if its not hurting you then 4 months is ok. Taking care not to fracture the tooth further though"
  },
  {
    "id": 2200,
    "title": "Help me save the other tooth! Photo included",
    "dialogue": "kurtrichards: Hi all, I just extracted the tooth I asked about in the previous thread. But could I ask you one more question? I will attach the X-ray of my another tooth below, and you could tell me what you think. That is, is it possible to save it? My doctor said that it will need to get the crown on top of it. But I can't get to the doctor for 4 months, but she said that it's is okay. If I see the dentist in 4 months, I should be fine. What do you think? I'm asking about the middle tooth. Thanks a lot. I very much appreciate your help. Dr. M helped me a in previous threads, and hope others will give me some ideas along with Dr. M \n\t\t\n\t\t\n\t\n\n\n\t\n\n as well. movemen: In 4 months should be ok but becareful because a root canal treated tooth is prone to fracture or even split. Dont chew on that side too much"
  },
  {
    "id": 2201,
    "title": "Photo included - what could this be? Please help.",
    "dialogue": "Robert Sammin: Hello, I have had a photo of a dark spot on a tooth taken, and I am wondering what it could be... It is uploaded below. I am very concerned and would appreciate any input, especially from a professional. I only discovered this spot yesterday or so. I take care of my teeth well but always seem to be prone to caries. It seems to run on my father's side of the family. The yellowness is due to my having eaten curry prior -- please excuse that. Please ask any questions you may have. Thank you greatly.\n\nP.S. I fully acknowledge that this is in no way a good substitute for a full check-up, but I am worried, and this is the most I can do at the moment. I will, of course, get examined professionally and in person as soon as feasible. johannyjay: I observed the pic posted by you...this is not a major problem it's just a staining in your teeth and it can be clean by a very short treatment. Robert Sammin: johannyjay said:\n\n\n\n\t\t\tI observed the pic posted by you...this is not a major problem it's just a staining in your teeth and it can be clean by a very short treatment.\n\t\t\nClick to expand...\n\nHello. Thanks for the input! Strangely, someone else also replied earlier, but their opinion was that it was a cavity; however, I do not see the comment anymore... Very weird. Dr. M: Nice Gold Restorations. It appears to be stain as Johannyjay said, but to be sure see your dentist for evaluation as it needs to be evaluatedfor hardness and with x-rays.\nDr. M johannyjay: Dr. M said:\n\n\n\n\t\t\tNice Gold Restorations. It appears to be stain as Johannyjay said, but to be sure see your dentist for evaluation as it needs to be evaluatedfor hardness and with x-rays.\nDr. M\nHttp://www.gilbertdentistryaz.com\n\nClick to expand...\n\n\nI think..there is no need of x-ray and all...it's a common stain problem and it can be clean by any local dentistry. johannyjay: Cleaning stain is very simple and easy process..staining occurs due to the fibers and others eatables remaining in the mouth after our dinner or lunch or whenever we eat something..so make habit of brushing your teeth everyday before going to sleep..hope it will help to remove stain from your teeth..and try to opt for a good tooth paste. johannyjay: Recently a patient with same problem was under treatment here in my dental clinic, as I observed his teeth and found that he had staining in his wisdom teeth..he wanted to extract it but I gave him same advice and the stain started to remove from his teeth. movemen: Looks like a metal amalgam filling to me"
  },
  {
    "id": 2202,
    "title": "Is a Maryland dental bridge a good option for me?",
    "dialogue": "Thrushcross: I am congenitally missing two of my upper incisors. I have been told that there is not enough space for a dental implant and the only way to place a dental implant is to get orthodontics. I have been told that the orthodontics will take at least two to three years. Unfortunately, I am not permanently settled anywhere and have been moving around. \n\nI currently wear partials for aesthetic reasons to correct the two spaces. I have been told that the Maryland dental bridge is so far the best option. I also considered the ordinary bridge but I do not want to compromise four of my front teeth.\n\nIs the Maryland bridge a good option? What is the total cost of a Maryland bridge for two missing teeth? What is the lifespan of a Maryland bridge?\n\nThanks. movemen: I seen many maryland bridges failed than succeed. They failed because its hard to bond metal to teeth and teeth do move over time. I wonder if the bridge can be done with all porcelain because it is easy to bond porcelain to teeth but i've never tried that possibly due to weakness of all porcelain construction. The conventional bridge lasts longer but more expensive and requires reducing the two neighboring teeth."
  },
  {
    "id": 2203,
    "title": "SpectraVU ITC software needed",
    "dialogue": "anh2: We just bought this practise and they left two base unit with one intraoral camera but I cannot find disc for this unit. I am hoping someone has a copy of this in their office that they can share with us. The company is closed and none of the dealer want to help us. The light work still and it looks like they have usb and s-video video plugged in. Currently both unit are connect to window 7 and vista business desktop. But I cannot find driver that it would allow CaptureLink to work with our Abeldent  software."
  },
  {
    "id": 2204,
    "title": "Are X-Rays patient property",
    "dialogue": "stonepiano: Legally, can I ask for copies of my X-Rays? Dr. Garrett Fiorenza: Yes you can. The dental office has to provide them if you ask. Most times they can copy them quickly. Hope this helps,\n\nDr. Garrett Fiorenza\nFiorenza Dental Group\nwww.fiorenzadentalgroup.com\nGreenwood, IN movemen: Any xrays taken of a patient is the patient's property"
  },
  {
    "id": 2205,
    "title": "Question for those that own/manage a dental practice. (I am a student, doing a research project)",
    "dialogue": "James Dixon: I am doing a project for a business class at San Jose State University, and I have come up with a few questions that I would love to get some answers to. I am sure that I will have a few more in the next few weeks as well, but these are my first.\nI know some of these answer maybe private, so feel free to email me: (e-mail address removed)\n\nI appreciate any help that you all can give on this. \n\n\nQuestion 1. Why do dental practices accept some insurances and not others. I understand that they are contracted with them, but what incentives does a practice have, to not accept all insurances? \n\nQuestion 2. How would you feel about the idea of a dental insurance company, purchasing your practice, and managing it? \n\n\nQuestion 3.  If an insurance company that you accept, purchased a local practice, would that influence your decision to maintain a relationship with them? In what way? James Dixon: Ttt winet: James Dixon said:\n\n\n\n\t\t\tI am doing a project for a business class at San Jose State University, and I have come up with a few questions that I would love to get some answers to. I am sure that I will have a few more in the next few weeks as well, but these are my first.\nI know some of these answer maybe private, so feel free to email me: (e-mail address removed)\n\nI appreciate any help that you all can give on this.\n\n\nQuestion 1. Why do dental practices accept some insurances and not others. I understand that they are contracted with them, but what incentives does a practice have, to not accept all insurances?\n\nQuestion 2. How would you feel about the idea of a dental insurance company, purchasing your practice, and managing it?\n\n\nQuestion 3.  If an insurance company that you accept, purchased a local practice, would that influence your decision to maintain a relationship with them? In what way?\n\t\t\nClick to expand...\n\n\n\nHi James,\n\n  1  Some insurances have low reimbursement or restrictions certain practices may not find acceptable. This is a very simple answer to a complex subject.\n\n  2 It's not legal in most states for non dentists to own dental practices but if it were never for me James Dixon: winet said:\n\n\n\n\t\t\tHi James,\n\n  1  Some insurances have low reimbursement or restrictions certain practices may not find acceptable. This is a very simple answer to a complex subject.\n\n  2 It's not legal in most states for non dentists to own dental practices but if it were never for me\n\t\t\nClick to expand...\n\n\n\n\nWinet, Thank you for your response, very appreciated.\n\nCan I ask why you wouldn't consider selling your practice to an insurance company? I know there are drawbacks and incentives to it, and just want to know how you weigh each of these. \n\nAlso, Anyone else that can reflect on my posting, I would greatly appreciate it. winet: James Dixon said:\n\n\n\n\t\t\tWinet, Thank you for your response, very appreciated.\n\nCan I ask why you wouldn't consider selling your practice to an insurance company? I know there are drawbacks and incentives to it, and just want to know how you weigh each of these.\n\nAlso, Anyone else that can reflect on my posting, I would greatly appreciate it.\n\t\t\nClick to expand...\n\n\nI guess if I was leaving I would sell my practice to anyone who was interested in buying it including an insurance company provided it is allowed in the state I practiced in. I would never want to work for them or any other corporate dental firm. James Dixon: Winet, \n\nThank you again for your response. \n\nI have a few additional questions, if you find yourself with some extra time. \n\n\nHave you ever worked for a corporate managed detal firm before? If so, did you see any benefits to it? \nWhat are your concerns if this model were to be implemented? Do you think there is anything to benefit from this model?\nDoes it matter what insurance company would like to integrate with your practice? What are the deciding factors when making that decision?\nWould you say that the benefit to starting your own dental practice, outweighs the costs associated with it? I mean this in comparison to just purchasing another dental practice.\nIf an insurance company that you accept, purchased a local practice, would that influence your decision to maintain a relationship with them? In what way winet: James Dixon said:\n\n\n\n\t\t\tWinet,\n\nThank you again for your response.\n\nI have a few additional questions, if you find yourself with some extra time.\n\n\nHave you ever worked for a corporate managed detal firm before? If so, did you see any benefits to it?\nWhat are your concerns if this model were to be implemented? Do you think there is anything to benefit from this model?\nDoes it matter what insurance company would like to integrate with your practice? What are the deciding factors when making that decision?\nWould you say that the benefit to starting your own dental practice, outweighs the costs associated with it? I mean this in comparison to just purchasing another dental practice.\nIf an insurance company that you accept, purchased a local practice, would that influence your decision to maintain a relationship with them? In what way\n\n\nClick to expand...\n\n1 No and no\n2 I would become an employee instead of an owner  no\n3 Again was never interested in working for someone else. Others may feel differently\n4 Usually better to purchase an established practice but many in some situations starting from scratch is possible\n5 More than likely I would quit accepting their patients but would depend on the circumstances"
  },
  {
    "id": 2206,
    "title": "medical and also ethical question",
    "dialogue": "lktknow: I have a medical question, but it is also one of ethics, and when to draw the line as far as the right and wrongness of it all.\nThis is hypothetical, to a degree, however it is something that could very well happen in reality.\nI am going to word it as if it is really happening, and let you decide.\n\nA 65 year old woman goes to the dentist because of dental work done on her, by another dentist, which is now breaking down, and she feels it is time to have all of her remaining teeth removed, and get dentures.\nThe first dentist she sees is just a regular dentist. As he is looking in her mouth, he mentions a couple of white patches, which he says, just in passing, more or less talking out loud to himself, “its not up to me to say what they are, (the white patches) that would be a pathologists job” ……now, the woman hears this, and it gives her pause, to stop and wonder, what he meant by the statement in  passing,, however she does not question him on it.\n In her limited knowledge of the medical profession, she does however know that a pathologists job is to study and test tissues for certain diseases , one of them being cancer. She goes on to think to herself , “Did the dentist possibly see something, that in his mind, needed to be tested for cancer?” and if he did,, why did he not refer her to a doctor who would do such tests.??\nInstead, the said dentist, referred her to a colleague, who would be the one that would make the dentures for the woman. He told the woman, that this dentist would be able to take impressions of what was remaining of her teeth, so he could better build the dentures to fit her mouth.\nThe woman goes to the appointment, with this dentist, telling her he has little to work with, as far as making impressions, and he is going to refer her to an oral surgeon, to have what remaining teeth she has removed, and then she would come back to him, for him to make her dentures, at a cost of $2600, with a follow up visit in 6 months costing $675.\nAt no time, where the white patches brought into question by this dentist. Either he didn’t see them (how is that possible).or he chose to ignore them, (more likely).\n\nThe entire time, the unspoken question of the white patches  are on the woman’s mind..\n\nThe woman goes to her appointment for the oral surgeon, and he agrees to extract the remaining teeth, at a cost of $3400. Again, no mention of the white patches. And yet again, did he choose to ignore them??\nThe woman has her teeth extracted, pays the $3400, has the other dentist make her dentures, pays him the $2600, and within two to three months, discovers she has mouth cancer, and her dentures end up in a garage sale within 5-6 months, because the woman is 6 feet under.…………….where, along this chain of events, should someone have told the woman she should see some sort of medical doctor to find out what the white patches were??? or was it up to her to ask?  Should it have came from the first dentist who saw the white patches as being something that should be looked at?? lktknow: After re-reading my post, and also because I have received no replies, I decided to rephrase the question.\n(I do hope you  know that I, certainly know, that dentures are not sold at garage sales? )\nI suppose the question is, if you think or have an inkling that something such as the \"white patches\" would be ignored in order to generate income? It may be a cynical way of looking at it, but isn't it  \"man's inhumanity to man\"? and not exclusive to any profession."
  },
  {
    "id": 2207,
    "title": "Mouthwash instead of toothpaste",
    "dialogue": "kevsta007: My wife is using mouthwash in the place of toothpaste to brush her teeth.  I am wondering if this matters or should she stop this?\n\nWondering what are people's experiences of such a situation.  I am not really after people's personal opinions but what are general accepted practice/wisdom.  I know all of the advertisements say use mouthwash in addition to brushing teeth with toothpaste.   Since this is a professionals forum, what are the professionals experiences of such a situation? LADentalclinic: Hello,\nToothpaste does contain fluoride, abrasives, and detergents that clean and protect teeth, but as long as your wife is brushing at least twice a day and flossing once a day it doesn't really matter that she's brushing with mouthwash. Baking soda straight out of the box or salt are also used by many people instead of toothpaste when brushing.  I personally prefer baking soda over anything else.  It keeps my teeth smooth and bright white.  One of my colleagues grew up in a very large, and poor family.  They could only afford to use salt when brushing.  He's now in his 70's and has never had a cavity, and still has all of his own teeth. MikelHorizon: I agree, baking soda works a lot in whiting our teeth, also it's not expensive and affordable to everyone. Sabrina: I do that, too. I can't even remember the last time I bout toothpaste. movemen: Also remember to floss."
  },
  {
    "id": 2208,
    "title": "Should I get a second opinion?",
    "dialogue": "Rsh1985: So I just got back from seeing a new dentist and I've been quoted on approximately $12,000 worth of dental work to be done over the next year. My dental insurance isn't great and I am very stressed and overwhelmed. The work includes: a new crown, 4 onlays, a couple of fillings, root scaling/planing, a mouth guard for night time (apparently I grind my teeth), and IV sedation (I have dental anxiety). My last appt with another dentis about 1.5 years ago resulted in the dentist telling me I needed to replace that crown(so I'm not surprised about that part in this current estimate). This new dentist is extremely detailed, thorough-- he breaks his new patient appts into two parts- the first is X-rays and pictures (lots of high tech stuff), then he studies all that stuff, and the next appt a week later is your cleaning and then a 1 hour \"treatment plan\" session (!!!) NOT with him, but with his wife who is basically the office manager.  I called back when I got home to see if they could email me the full 12k invoice/ quote and I was told that they don't do that since there's a lot of \"confusing dental jargon\" that wouldn't make sense to me. Overall I'm just really uncomfortable about all this. I want a healthy mouth but this seems like a bit much to me. Help!!!! :-( :-( Rsh1985: I should also mention that I did go a few years without my regular dental checkups (I blame no insurance, being in college, and just overall anxiety), but since then I've had 2 root canals/crowns, and have had a full examination by a previous dentist about a year and a half ago that did NOT result in all this necessary work.  I was pregnant between May2012-jan2013, would pregnancy cause that many dental issues (hormone changes, etc)??? LADentalclinic: $12,000 sounds like a lot for the treatment that you've described.  It is also unusual that you are not permitted to have a copy of the treatment plan.  A second opinion is always a good idea if you feel uneasy about the first opinion.  It would be helpful though to have the current treatment plan to compare with the one from the new dentist.  Copies of the x-rays would be helpful too so you won't have to pay for them again.  I'm not sure where you live, but in many  areas a dentist is required to release your records to you upon request. Cathy: $12,000 does seem excessive. There is no harm in a second opinion to compare price and treatment plan options. If you need more information on cosmetic and general dental our dental practice has information that can educate you a little more so when you have a consultation you will understand more about dental terminologyand procedures. Ashton Dental MikelHorizon: I guess have a second opinion to another dentist because $12,000.00 is a lot. Oliver Smith: Hi Rsh 12000 does seem like a lot, these fees should not be this extravagant, this office that has quoted you these fees are out of their mind, the lab charges a fraction, and the time spent in the chair does not constitute your dentist to charge so much, i don't know where you reside, but im from NY and i work for a non-for-profit that helps patients find affordable dental care free of charge. We have recently found a dental office that operates in NYC, does not advertise, or market itself, but the dentists are sweethearts and have helped countless patients, they charge 349 for zirconia crowns (metal free, i know because i just had 4 done by them), in addition they will screen you thoroughly the way an exam should be performed and not try to sell, or get you in anything you cant afford. always look for compassionate dentists and not the ones that were used care salesmen in their former lives.\n\nCheers movemen: I would also get a second opinion"
  },
  {
    "id": 2209,
    "title": "The possibility of apllying filling for very destroying tooth in very curved left upper part of teet",
    "dialogue": "allt: Here I provide the hand-made picture of my upper left teeth that are very curvy due to the inborn defect and consecutive operation. The subject is the central tooth on this image with dotted otter line. He was not destroyed yet 3 month ago. But now it is as it is. The yellow part is the filling made yet about 10 years ago whenb I was about 20 years. The green part it is the remains of the tooth itself despite the inward part is very white colour so are propably ready to be destroyed. So my question is about is it possible to make the filling in this situation. The dentist in university after looking at x-ray film of tooth root said that probably it possible to \"modeling\" despite it is very difficult situation with this teeth. I did not undestood what she meant about \"modelling\", how to atatch filling if in void (now) part the tooth is absent fully to the roots. The next tooth is almost with filling very ingrained to thge core of tooth. At picture it is visible that these teeth is something far from dotted line of certain teeth bow. What it is possible to do here. What is possible due to the modern technologies in the world. I have cleft palate repair."
  },
  {
    "id": 2210,
    "title": "I need some help with my wisdom teeth",
    "dialogue": "Messi: I'm 16 years old, I have 2 upper jaw teeth deep inside sometimes give me really hurt, and headache too! usually on the left, sometimes on the right side. it has happened for nearly 2 years. Today it's comes again. But until today i decided to go see the dentist and discovered 4 wisdom teeth after these 2 years! they told me to extract them but I was scare because one of my grandmother's neighborhood dead after extracting 2 teeth 2 years ago. so my choice is to go home and research about these things first. I some advise, please, it is very terrible when it happend  . I have x-ray picture but I will load it up later. Thanks MikelHorizon: Oh don't be sad, are you really sure that the reason your neighborhood died because two of her tooth extracted. I don't think so, I know there she could have medical condition. You just need encouragement to your family, friends and to your lover. Tell your mum to be with you once you decided. drmins: Extraction of the wisdom teeth is a common procedure in dentistry and its strange that you connect the death of your neighbor with it. There may be some other medical condition that sadly led to his death.\n\nVisit your dentist with your mom and he can explain you how and how a tooth is extracted. Be bold. And more over,be  cool. Get it done. \n\nUpload the x-ray pic,to know whether its an impacted teeth or not."
  },
  {
    "id": 2211,
    "title": "X-ray of tooth provided - please help!!!",
    "dialogue": "kurtrichards: Hi all, I have a question regarding my tooth condition, whether it should or should not be extracted. In particular, I will post the picture of my tooth below, and you could tell me what your thoughts are. It is a furcation problem. I was wondering should I have any hope that it will not require to be extracted? Please help!. Some tell me that I should extract the tooth, while others say that I may be able to save the tooth. Your help will be greatly appreciated. Dr. M: Typical root canal tool that was not crowned. I see several problems:\n- root fracture at furcation\n- decay on root surface (very deep)\n- re-infection of rootcanal system due to poor seal, and short fill \nThis tooth is non restorable. Extract\nDr. M kurtrichards: Hi Dr. M, thank you very much for your response. One of the recommendations I was given was to extract one of the roots and try to restore the tooth on the other one. What do you think: is that possible or might have more severe consequences? Right now I feel no pain. Dr. M: I would not recommend that, you going to spend lots of money on something that will fail. Extract and place implant. Much better long term result. kurtrichards: Hi Dr. M, is implant recommended to have at the age of 21? kurtrichards: Hi Dr. M, I just extracted the tooth according to your advice. But could I ask you one more question? I will attach the X-ray of my another tooth below, and you could tell me what you think. That is, is it possible to save it? My doctor said that it will need to get the crown on top of it. But I can't get to the doctor for 4 months, but she said that it's is okay. If I see the dentist in 4 months, I should be fine. What do you think? I'm asking about the middle tooth. Thanks a lot. I very much appreciate your help. drmins: Dear kurtrichards,\nIts good that you extracted the other tooth as Dr.M advised. The option of saving one root and extracting the other was  not a great idea considering the treatment costs and poor prognosis expected.\n\nImplants are not contra-indicated at this age,as you worry.\n\nAnd lastly,your x-ray pic is not clear.I would be good if you post a better pic,especially the root portion.If there are no abnormalties in that,you can do a crown for it.\n\nThank you\nDr.mins"
  },
  {
    "id": 2212,
    "title": "Cosmetic or dentures?",
    "dialogue": "Fcroxy: Hiya, new member here looking for some advice. It's going to be long so bare with me  \n\nI've always had misshapen teeth from a young age, use to regularly go to the dentist as a child and never had a fear of the dentist. About 12 years ago I had a small removable brace fitted (can't remember what it's called) when I was about 13 in preparation for train track braces (I'm 25 now). A few months before I was due to have braces fitted my parents and I moved to France. From then I never visited the dentist, tbh I can't remember why, maybe I rebelled and refused (the move hit me hard and I acted out to punish my parents in a way I suppose)  \n\nI moved back to the UK when I was 18. By that age I felt too 'old' to have braces (silly I know as many people do have them) as all of my friends already had then in their teenage years. Instead I've just let them go to shit (excuse my French) I do brush twice a day but have never bothered flossing etc. I never felt there was any point as they are a terrible shape anyway so why bother. I have a few teeth that have completely broken in half, and they aren't a great white colour either, years of smoking and drinking a lot of coffee.   \n\nThe appearance of my teeth has always bothered me but I refuse to go to the dentist, I don't know why but something stops me making an appointment, I don't know if it's fear of being told how terrible they are, I see them everyday, I don't need a stranger confirming it for me. I don't have fear as such of the pain or procedures, I've had enough painful operations the past few years having dodge knees and learning to walk again etc.   I've always said I won't visit a dentist until I can afford to have something cosmetic done, but in reality with a young baby now I can't afford it, and doubt I would for a long time either. I've been looking at finances to help spread the cost, but my credit rating isn't the great and I doubt very much I would get accepted. The only other thing I can think of would have all my teeth removed and having dentures. It seems extreme but honestly feels like the only option to finally have a smile that I can be proud of. I have always hated my teeth and get really defensive if anyone mentions them. I also get so uncomfortable if people talk about tooth ache, dentists etc and go very quiet and will stop joining in conversation. I don't smile because of them and always look miserable. I hate my photo taken too as I have a stupid fake closed mouth smile so no teeth are showing at all. I can't even have a nice photo taken of me and my daughter because I always look so miserable or stupid fake smile.   \n\nI don't know what I'm looking for really, advice? Personal experiences? Words of wisdom? \n\nP.S sorry if this is posted in the wrong place, wasn't sure where to post, not good at using forums lol Kelly Grimes: It's important that such a young age we are already educated by our parents about the importance of taking care of our teeth - oral health is very important. Even though you don't have money as long as you have those good set of  pearly whites, you are already rich.\n\nI understand your feeling. When I was a child I used to have bad set of teeth because I did love eating sweets. I even hide them under my pillows. Good thing our family had this family dentist that usually checked our teeth twice a year.\n\nGoing back to you. Don't lose hope, I guess that your teeth are not that very bad and there are a lot of ways to still fix those teeth of yours. Also, don't be afraid to pay a visit to the dentist, it's one of the reasons why you are having this regret now. Where do you live? Probably I can help you find the best and affordable dental clinics in your area. Just let me know. I'm willing to help. MikelHorizon: Regarding with dentist issue, I still remember when I was a child that I am so afraid to see a dentist because people tease me that as dentist going to inject it is very painful so I have been believing on that for so long. And when I was in high school that's the time I have courage and it's too late already because the dentist needs to extract my teeth. So in your case, see a dentist before it's to late and you wont end up like me regretting."
  },
  {
    "id": 2213,
    "title": "For Dentures",
    "dialogue": "Kevin Calma: I got 2 space on my lower part of my teeth, and the dentist advise to me to have a denture and i get 1, but is that true that when i have space on my lower part, the upper part of my teeth will lower down if I don't fill it w/ denture teeth LADentalclinic: Yes.  Teeth will continue to erupt out of the bone if they don't have a tooth opposing them.  This does not happen overnight, but it is important to replace missing teeth. Neeta Smith: Absolutely.\nI suggest to replace your missing teeth lavanyadcruz: The best teeth are your own natural teeth. But sometimes, a tooth is badly damaged or lost. If a tooth is lost, it is important to replace it with an artificial tooth as soon as possible. This will prevent the teeth that are left from drifting out of line and possibly causing jaw problems. Teeth that are out of line are harder to clean and are more likely to get periodontal disease (gum disease) and cavities. If one or more of your teeth are missing, your dentist may suggest replacing your missing teeth with a bridge or a denture. If you need to have a tooth (or teeth) replaced, your dentist may do it, or he or she may refer you to a prosthodontist. MikelHorizon: I totally agree with your dentist,  should replace a denture on the tooth extracted. Ellen Lim: In my opinion you should replace your missing teeth asap. It helps to keeps other teeth from changing position. \nGo to your dentist and ask about your problem. Your dentist will solve your problem."
  },
  {
    "id": 2214,
    "title": "Implant vs. denture",
    "dialogue": "chenche: Are there any consequences I should be aware of with not getting an implant?\n\nSome background: I had my second molar removed a couple years back and my dentist told me I was too young to get a an implant at the time. Until recently, I simply left the space unattended and my third molar has shifted into that space slightly (very minor, like 10 degrees). Now I wear a removable denture to fill up that space. \n\nCurrent age: 21\n\nWisdom teeth extracted, brush and floss regularly. alchemistintraining: Well firstly we need to look at which 2nd molar.\n\nIf it is an upper, then we need to look out for the maxillary sinus, and the schneiderian membrane when putting an implant in. \nWith the lower, not too many problems because the cortical bone is a lot thicker than the upper maxilla.  \n\nAnother thing to note, boys 'stop' growing at around 18-21, depending on a lot of factors (nutrition, diet, medications etc.). So if the bone is continuously remodelling, then implants can act differently when compared to a mouth that is stable. (wasn't sure of your gender)\n\nI hope this help, look into anatomy and implants a bit more. This is just my general understanding of things. \n\nSource: dental student. \n\nGL! MikelHorizon: Age 19-20 teenager, especially boys, are not considered for implant therapy. Early placement due to continuing growth can lead to unaesthetic results."
  },
  {
    "id": 2215,
    "title": "How Fast Can A Tooth Decay?",
    "dialogue": "questionasker: In march of this year I had my regular 6 month dental exam; I had my dental x-rays taken. Perfectly good results; I had no decay. Fast forward 3 months later, I was eating and I felt what I thought was a filling come out of a tooth. I went to my dentist to see if he could replace lost filling. He said tooth was badly decayed, and I needed a root canal. He took x-rays of the tooth and referred me to an endodontist. The endodontist did the root canal, and a week later I was back at my dentist to get a post and temporary crown. After the dentist began to drill my tooth for post, he said crown could not be done; the tooth was decayed below gum line, and a crown would break right off. I feel at a loss, I payed almost $1000 for a root canal to find out I have to have the tooth extracted?!? This does not seem right. How fast can a tooth decay? Shouldn't the decay have shown up in the x-rays I had taken in March? I go to the dentist every six months and take good care of my teeth. I apparently will have to get an implant. jerryD: It depends on a number of factors. \n1. How you take care of your gums and teeth?\n2. Your dental health condition\n3. How big the cavity is?\n\nInadequate brushing and flossing increase more chances to get tooth decay. Always follow a good oral hygiene and keep your gums and teeth healthy. Neeta Smith: A person doesn't just develop cavities just overnight. It typically takes months, or possibly even years, for tooth decay to advance to a point where it requires attention.\n\nConditions like bulimia and anorexia (psychological conditions in which individuals induce vomiting), and GERD (Gastro-Esophageal Reflux Disease) can create highly acidic conditions in the mouth causing severe erosive damage to teeth. tlcha: I was told by my sons dentist that it takes a long time for cavities to form to a significant decay. However I am going through a situation as well where I was told I had a small filling and went in 3 months later with my dentist which is different from my sons and now I need root canal. I would think the endodontist would have seen that on the xrays they did when you went for the root canal. Britanica: Try taking vitamin D3 for your teeth. I do not have insurance right now and have about 5 or 6 cavities. The only thing that seems to help the pain is taking D3 for a few days.\n\nAlso, not to bad-rap good dentists out there, but there are shady ones who purposely over look things. Ross Rubino DDS: Many people talk about oil pulling being a natural solution but until studies come and say it's 100% true, stay with traditional healing remedies. \n______________\nRoss Rubino DDS FAGD\nRubino Dentistry\nDentist in Chicago george: When a decay is found under an existing filling, it can progress significantly before patients feel any pain.  Sometimes, the decay can even penetrate into the pulp without casing significant pain.\nThese decays are also difficult to spot on an X-ray, as the filling can mask the decay underneath.\n\nTherefore, the question (in my opinion) is not how fast can a tooth decay but when is the  decay actually discovered. JosephRAdorno: Teeth decay occurs if a sticky acidic picture called plaque increases on your teeth along with begins breakdown the surface of the teeth.Eating food and drink high in carbohydrates, specially snacking often between foods, will raise your possibility of enamel decay.If you can't regularly wash your tooth and thoroughly clean between teeth with floss or perhaps an inter dental wash, you have reached a larger risk of tooth rot.People that smoke and are drinking alcohol regularly have reached an elevated risk of tooth decay. MikelHorizon: Tooth decay usually happen when we eat a lot of sweet and  we luck of dental hygiene. That's why we should brush our teeth twice a day, floss and see a dentist every six months."
  },
  {
    "id": 2216,
    "title": "Tooth Implant UK",
    "dialogue": "JFranco: Hi guys,\n\nI've come to this forum hopefully for a bit of advice, just recently I had to have my tooth removed (first molar) and I'm really not happy about it, I've been reading online how my teeth can drift and how it can affect my jawbone and I'm really just not happy with the huge gap, I haven't noticed a difference with eating as I only just had it removed a few days ago. Every morning I waked up and realize that I've got a tooth missing and it upsets me (that may be a bit sad but it really bothers me having a missing tooth) I'm 21 years old and living in the UK. I'm currently not working and soon to be studying to be a games developer. I understand the costs of an implant is huge but I am willing to get a loan to try and cover these costs. Currently, I'm not assigned to any dentist which makes it hard for me to get advise on how to proceed on getting it done. I'm trying to find a NHS dentist remotely in my area so I can get in ASAP and get it sorted. Could I call dental emergency services to get this treated?\n\nI've got a few questions, is there a max time where I can have the implant done? I assume there's still a gap in my gums where the tooth used to sit so would that heal up overtime making the implant not possible? Also, has anybody had this done and what is your opinion? also, what are the costs & is there any way they will give a student a way to pay back for the treatment overtime.\n\nThanks everybody, any feedback is great."
  },
  {
    "id": 2217,
    "title": "what causes pressure or squeezing feeling in tooth?",
    "dialogue": "tlcha: over the past 5 months, I have had tons of dental work all on my left side of mouth in my molars. I had 2 wisdom teeth taken, one partial taken because it was sitting on a nerve with a cyst. Then I had 2 fillings put in upper and lower 2nd molars. The one upper filling caused terrible pain and pressure. I thought it was from clamp that is used to put composite filling in because dentist had trouble getting it on and when she was done that pressure feeling was still there like I still had that clamp on my tooth but now its in upper and lower molar and jaw area where all this dental work was done. I had a root canal on the upper molar that dentist had filled. That helped cold sensitivity and some pain but not the pressure in upper and lower molars and jaw where all this dental work has been done. I even get a burning sensation in the gum and that side of my tongue that seems to come and go but stronger as the day goes on as I eat on that side. I also recently had a core buildup and temporary crown on tooth. I just want to know why this pressure feeling has not left my mouth yet and why I am having a burning sensation. Will I ever feel normal again? This has caused me a lot of emotional stuff. None of this started till I had that stinking 2nd filling put in my tooth 7 weeks after wisdom teeth surgery. Why didnt my dentist tell me to wait longer to have dental work done after wisdom teeth surgery??? I should have waited. I think the dentist should know this stuff can happen since they deal with teeth all day long."
  },
  {
    "id": 2218,
    "title": "dental lab at my \"building\"!",
    "dialogue": "overtheocean: Hi Dentists, I have signed up here in this forum just to ask this specific question.\n\nI own a building and a \"dental lab\" want to rent an apartment at it but am afraid to accept before i know whether if the dental lab will harm the people in the building in any way?\n\nplease advise me on this before i rent it.\n\nThanks\nAhmed"
  },
  {
    "id": 2219,
    "title": "How do I find a specialist for my problem?",
    "dialogue": "Margaret from Las Vegas: I believe I have a bite problem that is seriously damaging some of my teeth. Several years ago I had a bridge made. I have never felt as though the bridge was biting soundly against the opposing teeth. The dentist who did the work insisted my teeth were closing together just fine. So I lived with the sensation that they were not and did most of my chewing on the opposite side.\n\nNow I discover that a couple of teeth on the opposite side where I do most my chewing are damaged. A large tooth on the bottom that had a root canal and crown long long ago has swollen gum on the cheek side. My current dentist (he's new to me) says this is most likely due to a fracture that cannot be seen with xray. He says the bone has receeded slightly from the root. He recommends pulling this tooth. This is a major chewing tooth I would be sorry to lose. And I am concerned about the prospect of another bridge or an implant.\n\nAnother tooth on that same side, on top toward the front, also has a crown. This tooth is slightly loose, but there is no gum issue or damage otherwise. My dentist says something seems to be damaging the teeth on this side. (Remember, this is opposite the bridge that doesn't feel like it closes.)\n\nMy home care is immaculate. I floss after each meal and use a Sonacare toothbrush. I do not have any issues with my gums or cleanliness of my teeth.\n\n#1.) What kind of specialist should I see to evaluate my bite?\n\n#2.) Should I get a second opinion about pulling the tooth with the swollen gum and the \"fracture\" that cannot be seen with xray?\n\nPlease help!"
  },
  {
    "id": 2220,
    "title": "What causes pressure feeling in tooth after a composite filling for months?",
    "dialogue": "tlcha: I had fillings put in 2 teeth on left side of upper and lower molars. Both of these teeth had composite fillings put in over 2 months ago. As soon as the fillings were placed in the teeth I could feel the pressure feeling. It feels like you are pushing against the tooth or like the tooth is being squeezed. I have since then had the upper molar root canal ed and still have the pressure sensation. Has anyone ever had this happened before during dental treatment. Is there a possible explanation for this? I have had dental work for 45 years with fillings and crowns etc.. I have never went through this before. I am hoping someone else can tell me whether they have had this or if there is an explanation for it ???? Thank you. Dr. M: Have your dentist do a bite adjustment and it should help.\nDr. M"
  },
  {
    "id": 2221,
    "title": "can an inflammed nerve or pulp from new filling be calmed down with new filling and recover?",
    "dialogue": "tlcha: I had new filling done 8 weeks ago. During that time I have dealt with tons of pain then the pain got better after 4 weeks but has had a constant pressure feeling since day one of filling. the endodontist wants to do root canal. She says nerve is inflammed but it is not infected. So can a new filling actually calm the nerve and could it recover? The endodontist says once the nerve is inflammed is usually cant recover. I had a composite filling done on top of amalagam filling. Now i am wondering if I have the old composite filling removed and have an amalgam put in, could that calm the tooth down and recover?\nI am asking because the filling is not near the nerve and it is an average filling but is causing all this havoc. I dont have money for root canal plus I had wisdom teeth surgery 3 months ago and dont want to go through so much stuff. Any dentist out there that can respond to this. DDSSAW: Dear tlcha\n\n\nWhen a tooth has a “cavity” it really means there is bacteria inside the tooth. Once the bacteria get past the enamel part of the tooth the body has no way of naturally getting the bacteria out. The bacteria will keep eating until they eventually reach the nerve of your tooth. Dentists combat this infectious spread by using a small drill to remove the infection and then fill the hole with either composite or amalgam. Any time a Dentist works on a tooth there are risks associated with treatment. The risk is usually low around 1% that treatment can result in a “complication.”\n\n\nTo fully answer your question I will explain a little bit of the anatomy of a tooth. A tooth is composed of three parts, the enamel (hardest substance in the body), the dentin (similar to bone) and the pulp (nerve of the tooth). The pulp is the part that supplies blood and nutrients to the cells inside our teeth. In a normal tooth this nerve helps us detect hot and cold, as well as provide sensory information so that we don't bite down on something hard such as a rock and break our teeth. The nerve is a relatively large space inside the tooth, but the only way blood and nutrients are allowed into a tooth is through a tiny hole at the very end of the tooth called the \"apical foramen.\" In a normal tooth there is a tiny artery and a tiny vein that travel through this tiny hole and supply everything the tooth needs for survival.\n\n\nIf you hurt yourself (such as a cut) your body will release signals to other cells calling for help. These cells will rush to the site and cause inflammation and swelling. This inflammation is a good thing because it normally helps your body repair itself faster. The problem is it has an opposite effect in a tooth.\n\n\nWhen a tooth gets hurt it sends out the same call for help. The problem is that tiny hole we talked about earlier called the “apical foramen.” As the pulp of the tooth becomes inflamed it builds up pressure inside the tooth. This pressure cuts off the blood supply at the tiny hole strangling the tooth. Once the tooth loses blood supply it’s only a matter of time before it dies.\n\n\nWhat happened in your situation?\n\nThe Dentist removed your amalgam filling and replaced it with a composite filling. During this process your pulp became inflamed which cut the blood supply to the tooth. Right now your tooth is in the process of dying and there is nothing that can be done to stop it. You could put amalgam back in, but it would more than likely accelerate this process. Once the tooth dies it will stop hurting, but at any time it could abscess and cause potentially life threatening issues. My recommendation would be to get the root canal and avoid further pain.\n\n\nSorry for the bad news…\n\nDr. Steve Dr. M: Did you see your dentist for bite adjustment? Most common pain after composite restorations are from a high restoration that once adjusted has a great chance to calm down. I have had many recently filled teeth calm down after one or two bite adjustments, but depending on the size of the filling, or presence of cracks a root canal can also be possible, however I would first check the bite and occlusion.\nDr. M"
  },
  {
    "id": 2222,
    "title": "help stitches came out ?",
    "dialogue": "Dave: I had my upper left back tooth extracted Thursday morning.  The dentist did a bone implant and stitched it up.  Friday night the stitches came out.  Since it is the weekend they are closed.  It feels like the sandy bone is staying in place but I am not sure what, if anything, I should do until Monday? Dr. M: If the area is not bleeding and the graft appears to have stayed in, I would just be careful and not eat on that side. If area is bleeding and graft is coming out, place tea bag and gently bite until bleeding stops and see your dentist monday for evaluation."
  },
  {
    "id": 2223,
    "title": "How are you using the web to find new patients?",
    "dialogue": "helpfulhand: What kind of internet marketing tools are you guys using to find perspective patients? Is there anything in particular that's actually generating leads? Let me know."
  },
  {
    "id": 2224,
    "title": "Root canal and crown question",
    "dialogue": "bwspot: I went to dentist for routine checkup. After Xrays I was told that i had a cavity and i need a crown as cavity is too big for the feeling.  My tooth was prepared for the crown.  The space between feeling and nerve after preparation was about 1.5-2mm so doctor put some liquid to see if I will be able to have a crown with no root canal.  After few days I started to have lots of pain and sensitivity to cold.  I went to doctor and told her about it and she performed the root canal without even checking my tooth sensitivity.  She said she is 100% sure that i needed it.  After the root canal I had terrible pain in the gums area every time i would bite on the tooth with the temporary crown.  It lasted for 2 weeks and then I got the real crow, but i was not happy with it as it felt too high. The doctor checked it and told me that i am probably feeling it too high as this is new to me.  I was 100 sure this is not right, but she corrected little and said all fits perfect.  Now when i slide my bottom jaw over top i always feel the crown when i hit it.  On the other side I don’t feel anything when i slide.  What i feel since then is the sensation that my gums are swollen or sore and the feeling does not want to go away.  I suspect the crown is too high and probable when I sleep I press on it a lot and put too much pressure on the gums leading to pain.  I would like to know if:\n- Should i have the root canal done right away or maybe it was worth to wait few more days to see if the pain would go away\n- Why after root canal i had such a terrible pain, is it because it was done incorrectly and too harsh and the damage to the gums was too much\n- should i feel the crown when i slide my bottom jaw over top\n- is my pain caused by high crown LADentalclinic: Without seeing an x-ray I cannot say whether or not I agree that you needed the root canal.  Some soreness after a root canal is experienced by some people, but a root canal is the removal of the nerve, so the pain shouldn't be severe.  It absolutely sounds like your crown is too high.  This will not correct itself.  The crown must be adjusted or the ligament surrounding the tooth will continue to be inflamed and you will continue to feel pain.  I would return to the dentist and have the crown adjusted.  Don't leave until your bite feels even.  Your sense of feel is more accurate than the articulating paper that we use to check the bite.  A bite that is too high will not correct itself.  \nBest of luck to you. bwspot: LADentalclinic said:\n\n\n\n\t\t\tWithout seeing an x-ray I cannot say whether or not I agree that you needed the root canal.  Some soreness after a root canal is experienced by some people, but a root canal is the removal of the nerve, so the pain shouldn't be severe.  It absolutely sounds like your crown is too high.  This will not correct itself.  The crown must be adjusted or the ligament surrounding the tooth will continue to be inflamed and you will continue to feel pain.  I would return to the dentist and have the crown adjusted.  Don't leave until your bite feels even.  Your sense of feel is more accurate than the articulating paper that we use to check the bite.  A bite that is too high will not correct itself. \nBest of luck to you.\n\t\t\nClick to expand...\n\nthx for  your response.  I will try to get xray and I might post it here.  I will go back to doctor but this time a different one and get the crown checked..  The doctor that did that was nice but was insisting that what i feel is not true and there is nothing there that is on the way.  The doctor also trimmed one of the fillings on the opposite site of the crown to when was trying to correct the problem and that is what completely drove me nuts.  Why to touch the old filling?  The new crown is the root cause of the problem not old filling.  Now i can sense that old filling is trimmed and all area around the tooth is sharper due to it and probably soon it will fall apart as it should not be touched at all. LADentalclinic: A second opinion would be a good idea, but your new dentist may or may not want to adjust a new crown that another dentist did.  Some types of crowns can fracture if they are adjusted a lot.  A new dentist may not want to be held responsible if this happens.  I hope you get some relief soon. bwspot: LADentalclinic said:\n\n\n\n\t\t\tA second opinion would be a good idea, but your new dentist may or may not want to adjust a new crown that another dentist did.  Some types of crowns can fracture if they are adjusted a lot.  A new dentist may not want to be held responsible if this happens.  I hope you get some relief soon.\n\t\t\nClick to expand...\n\n \nSo 2 weeks ago i went to my dentist and I rejected the dentist who did the work on me.  I spoke to my original dentist and I asked to adjust the crown.  She adjusted it and it felt much better,  but after two weeks I still feel the gums under the tooth.  It is weird as the root canal was done and now the whole area is more sensitive then before.  I feel like the damage to the nerves where they connect with the gums was so intrusive that it affected that area and now i will be stuck with it forever.  Its not like the pain is super strong,  but it bugs me.  I feel something and it changes with the weather.  Before anything was done i did not have any sensation.  If i grab that tooth with my finger and try to move it I feel some discomfort.  Also,  I am not sure how the crown should be adjusted,  but in my opinion maybe it is just too big.  On the right side where everything is ok,  I feel like that tooth is smaller and no matter how i slide my jaw i cannot hit it.  I got some x rays, but they did not get me one that shows the tooth after it was prepared for the crown.  I am suspecting that although i had sensitivity,  if i would wake 1 week or so the tooth might adjust and i would not need the root canal.  See attached if you can tell anything. LADentalclinic: I've posted a radiograph that shows what a root canal should ideally look like.  The white lines going down the tooth is the fill material.  It should extend down to the tips of the roots.  Yours appears to be short.  That could explain why you're still experiencing sensation on that tooth.  All of the nerve wasn't removed. bwspot: LADentalclinic said:\n\n\n\n\t\t\tI've posted a radiograph that shows what a root canal should ideally look like.  The white lines going down the tooth is the fill material.  It should extend down to the tips of the roots.  Yours appears to be short.  That could explain why you're still experiencing sensation on that tooth.  All of the nerve wasn't removed.\n\t\t\nClick to expand...\n\n\ni do appreciate your reply.  Does it mean that on the attached photos where I marked the fillings at the end in red color they should extend longer?\nAlso, is it possible that they could just tell me to wait some time after they prepared for the crown before going straight to the root canal?\nI think what they did is called the pulp cap.\nOnce I told the doctor that the tooth was sensitive to cold she immediately decided to do the root canal without any further testing.\nI have an appointment tomorrow to check it again.  I will try to get that xray after they did the pulp cap before the root canal.\n\nHow should I handle this situation?\nI feel like i have nothing to say and doctors are frustrated that i ask too many questions?\nCan they just screw (excuse my language) tooth and be no liable at all?\n\nMy original doctor is very nice, but the lady who did the root canal cannot just walk away.\nIt is sad that dentist can just do whatever and then just say that anything can happen cause it is complicated. LADentalclinic: Yes.  The white fill material (gutta percha) should extend all the way to the tips of the roots.  The only way to get it down that far is to file and clean the inside of the tooth all the way down to the root tips removing all of the nerves.  A tooth with a root canal is a dead tooth and should have no feeling if done properly.  The x-ray that I posted shows a textbook example of a successful root canal.  It is not unusual for a tooth with a temporary crown on it to be sensitive to cold because of the fragile material of the crown and the trauma of the crown prep.  Whether or not you really needed a root canal is impossible for me to say, but your root canal fill is definitely short.  That part is obvious.  You might tell them that you got a second opinion and was told that the root canal fill is short which could cause the tooth to become re-infected now or in the future.  If necessary the root canal can be re-treated.  You may consider a consult with an Endodontist (root canal specialist) if the tooth continues to give you problems. I'm sorry you're in this situation.  I hope you get some relief soon. bwspot: LADentalclinic said:\n\n\n\n\t\t\tYes.  The white fill material (gutta percha) should extend all the way to the tips of the roots.  The only way to get it down that far is to file and clean the inside of the tooth all the way down to the root tips removing all of the nerves.  A tooth with a root canal is a dead tooth and should have no feeling if done properly.  The x-ray that I posted shows a textbook example of a successful root canal.  It is not unusual for a tooth with a temporary crown on it to be sensitive to cold because of the fragile material of the crown and the trauma of the crown prep.  Whether or not you really needed a root canal is impossible for me to say, but your root canal fill is definitely short.  That part is obvious.  You might tell them that you got a second opinion and was told that the root canal fill is short which could cause the tooth to become re-infected now or in the future.  If necessary the root canal can be re-treated.  You may consider a consult with an Endodontist (root canal specialist) if the tooth continues to give you problems. I'm sorry you're in this situation.  I hope you get some relief soon.\n\t\t\nClick to expand...\n\n\nThanks again for all your advice.  It helps a lot. I will definitely use  your wording at my visit.\nYou said the tooth with root canal should have no feeling.  Does it mean that mine has some instead of gutta percha?\nAlso,  the sensation I experience is that dull or swollen feeling around the area around the tooth. It is not sharp pain.  It kind of feels like the pain around the wound that heals.\nCan this be a cause of a post trauma after the crown preparation and later root canal or is side effect of the improper root canal treatment?\nOr can this be also due to the crown being still too big and somehow pressing on the gums all the time and therefore not allowing it to heal?\nThere was a lot of pain around the tooth after the crown preparation and later the root canal.\nI vedentis: Yes your advice is also very helpful for me. Now I am very happy after pain relief. bwspot: Sorry for not posting the results of my dentist visit but new problem developed that threw me off.\nSo I went to check my tooth on june 10th and they told me that root canal was done property and it was long enough.\nThey said that bite was also good and that the could not adjust it anymore as it would be wrong. \nDuring the voyage with the dentist and tooth problem I spent some time with some music experiments.(mostly listening to different audio equipment and few times to the tone generator, not super loud)  Same week after the dentist visit on Friday the 13th i started to get ringing in the ear.  It has been on since then.  It freaks me out as I cannot sleep.  I almost forgot about my root canal, but today I started to think that maybe the root canal and ringing are correlated and ringing is not a cause of music listening, but the root canal.  I do still feel uncomfortable with that new crown.  I can feel it and when i touch the tooth and try to move it I feel discomfort and sensation that something under the crown is not OK and gums feel still not healed.  I never felt uncomfortable when i was listening to the music and never got any ringing after it as music was not loud.  The ringing that started happened during the silence just out of nowhere,  I went to MD to check for infection but they did not see anything wrong.  They prescribed some decongestant medicine and told me to go ENT if the ringing does not go away.  I started to read more about ringing and all points to the Tinnitus but I cannot believe that this could happen.  I am 39.  Yesterday I massaged my neck and the jaw (both sides) for 10-15 minutes and later I hung on the inversion table.  I repeated it twice.  I went to bed and just like that ringing in the right ear went away but the one on the side when root canal was done did not stop.  I woke up with ringing in both ears again.  Not sure how the massage could be related or the inversion table. (hanging upside down)  Is it possible that my problems are related to the root canal and massaging or hanging affects something like sinuses or nerves that fixes the problem?  (not every time) Not sure what to do now? If i go to ENT they might diagnose me incorrectly if they don't take the root canal into the consideration.  Please help or point me into the right direction. bwspot: Anyone can give me an advice of possible ringing as side effect of root canal?  I need to decide if I should go first to different dentist to check the root canal work before i go to ENT.\nWhat would you recommend? My doctor told me to go to ENT but because the tooth still does not feel like i am suspecting that maybe it is a root cause of my problems. bwspot: I went to root canal specialist and I was told the root canal was not done property.  I was told the feelings were too thin and too short.  I am haveing it redone today.  I hope it will fix all my problems. bwspot: So i had the root canal redone.  So far i don't feel too much of the difference.  I do start wondering if my root canal was actually done incorrectly or the root canal specialist just wanted to make money on me and redid it.  I am having hard time trusting any dentist I see.  I also went to another dentist and I was told my crown needs to be corrected as there is little empty space between the crown and the tooth.  Here I wonder again is it really the case or they just want my money? Nicolas: I guess you should have avoided crown because it is the reason that causes you pain and definitely requires root canal in which the dead nerve is removed. You will experience pain for some time after going through root canal. I feel the problem is with the high crown and it needs to be readjusted. I think its better to consult another dentist to fix this problem."
  },
  {
    "id": 2225,
    "title": "Jaw would not close after procedure",
    "dialogue": "Jeffrey: Hey all, quick question I was hoping I could get an understanding about. \n\nI had a root canal done, tooth #2. \n\nIt's difficult to describe, but I'm sure most of you have experienced that when you open your mouth as wide as possible, there's a certain point where you have \"clicking feeling\". \n\nWell, I had my mouth opened as wide as possible for a root canal, past that clicking feeling.  For some reason I thought there was something in my mouth holding it open, so I did not relax my jaw for about 30 minutes. \n\nWhen it was time for me to close, I couldn't. My jaw would get to a certain point, still very wide, and would simply stop, sharply, as if I were biting something solid. I was convinced there was something in my mouth. \n\nClearly I panicked. It took a solid 2 minutes of the Dentest massaging my temple area, and the dental assistant talking me down before it finally \"popped\" and I was able to close it.  \n\n\nCan someone tell me what was going on there?\nI googled lock jaw, but only found information on jaws that would not open. \n\n Any ideas on how to prevent this in the future?  \n\nThanks! \nJeff. DDSSAW: Jeffrey\n\nThis is a common situation that arises when a patient opens their mouth for long periods of time. Your lower jaw's joint is called the TMJ or temporomandibular joint. The TMJ is a complex joint that is associated with lots of painful problems in dentistry. Within the joint there is a small \"disk\" that your lower jaw uses to rotate and slide on. When you first begin to open your mouth your lower jaw (mandible) rotates, but as your jaw opens past a certain point your jaw will begin to slide forward down a slope. Your lower jaw uses this \"disk\" like a cushion to slide down this slope. It's similar to a person sliding down a slide on a inner tube. This disk is attached to a small piece of tissue that prevents it from sliding too far down this slope. Every once in a while your mouth will open so wide that lower jaw will slide down the slope further than the disk can travel. \n\nA good way to think about this is you are sliding down a slide on a inner tube that has a rope attached to it. Now once the slack in the rope runs out the tube will stop, but you will keep moving and be thrown from the tube. The only way back to the top of the slide is by walking up the same slope you came down, but now there is a tube in your way. You must get back on top of the tube for the people at the top to pull you back.\n\nWhat happened in your case was that your lower jaw opened further than your \"disk\" could travel. Your lower jaw opened so wide that it fell off the disk and was stuck in front of it. Now this is a scary thing when patients experience it for the first time and they often tense up their muscles. Your Dentist did the right thing by massaging your muscles and getting them to relax so that your lower jaw could \"pop\" back on top of the \"disk\" and resume normal function.\n\nHow to avoid this?\n\nNext time ask your Dentist for a \"Bite Block.\" It's a cushion that you can rest your teeth on while the Dentist works and should prevent this from happening in the future.\n\nHope this helps!\n\nDr. Steve"
  },
  {
    "id": 2226,
    "title": "Mobile Applications for Dentists?",
    "dialogue": "Ivan Zhang: Anyone have experienced a dentist place that has a mobile application of some sort? Either for making appointments, or communicating?\n\nJust curious to see if any Dentists have adopted mobile technology to this degree yet. george: I know some dentists use a mobile app called Dental Anywhere. I haven’t tried it yet, but it features look very promising. They actually have a website : dentalanywhere.com.\n\nIt is very likely that there are more apps available."
  },
  {
    "id": 2227,
    "title": "Help =(",
    "dialogue": "kelvin: Guys,\n\nI need some insight on this.\n\nI was eating some \"Cheezels\" and all of a sudden i bit something hard and then i feel funny. I then proceeded to take this picture of my upper right molar (which was filled) and i saw a straight hairline crack.\n\nIt's at night now and all of my dentist are closed =(\n\nAttached is a picture of the teeth and may be too \"graphic\" to some of you so, be warned. george: Hello Kelvin\n\nLooks like a fracture in the filling and probably a part of it became loose (that’s why you had the “funny” feeling).  The only thing you can do is go see your dentist (which by now you probably did). In the meantime, avoid biting on that tooth.\n\nHowever,  I can see the filling is quite large. I would advice for an inlay or a dental crown, because the tooth needs to be strengthened and this cannot be done with a filling alone.\n\nOf course, it is up to your dentist to determine the best approach"
  },
  {
    "id": 2228,
    "title": "$1 toothpaste: Should I buy it?",
    "dialogue": "thriftybrusher: There are a few brands of cheap toothpaste in dollar stores and bottom shelves of supermarkets, with Aim being the most common.  A full standard 6 oz. tube is $1. Should I buy it?\n\nA recent study by the National Bureau of Economic Research found that nurses and pharmacists bought generic aspirin while average consumers bought Bayer at 6x the price, because nurses and pharmacists knew that generic aspirin worked just as well. So I was wondering if I'm stupidly paying for marketing and pretty packaging when I should just get the dollar brand.\n\nI did some research, and Aim, originally produced by Unilever, is now owned by Church & Dwight, the owners of Arm & Hammer.\n\nHere are the ingredients for Aim's Multi-Benefit Cavity Protection Ultra Mint toothpaste: Active Ingredients: Sodium Fluoride (0.24%). Purpose: Anticavity Toothpaste. Inactive Ingredients: Sorbitol, Water, Hydrated Silica, PEG-8, Sodium Lauryl Sulfate, SD Alcohol 38-B, Flavor, Cellulose Gum, Sodium Saccharin, Blue 1, Yellow 10.\n\nI compared this to Crest and Colgate anti-cavity toothpastes, and it seems about the same. So should I buy it?"
  },
  {
    "id": 2229,
    "title": "white gum advice",
    "dialogue": "galaxy2014: Hi, just after some advice as I cannot physically see a dentist for a few weeks. I have some concerns with my gums. Parts of my gums towards the root of my teeth have turned white. I am not able to brush it off either. My gums have receded before and required some work.\n\nI have attached photos below:"
  },
  {
    "id": 2230,
    "title": "Advice gummy smile after braces",
    "dialogue": "Loopy: My daughter had her braces removed a few weeks ago and though her orthodontist says her overbite is corrected, I feel her front teeth and gums are too prominent. Advice please? gersson: Better go to the same orthodontist for the right solution."
  },
  {
    "id": 2231,
    "title": "Fears and Frustrations for Dentists :)",
    "dialogue": "Michael Charles: Hi, I am doing some research and I was wondering if you could take the time to quickly help me answer these two questions please?\n\n1. What are your 7-10 Biggest fears and frustrations as a Dentist practise?\n2. What are your 7-10 Biggest wants and aspirations as a Dentist practise?\n\nAppreciare your time and help Gemma Newton: Hi, i am doing some research for my dental nurse course and just wondered if anyone could help please and give me your view/opinions on dentistry and dental treatments? Be much appreciated if you could help thankyou."
  },
  {
    "id": 2232,
    "title": "has anyone had wisdom teeth extracted and shortly after needed root canal?",
    "dialogue": "tlcha: I had 2 wisdom teeth that were impacted and one had cyst extracted over 2 months ago. Then i went in to dentist and had what was suppose to be 2 small fillings is now turning into terrible pain and sensitivity and pressure in those composite fillings for a month now. It stinks because now I may need root canals in both those teeth. These teeth are right next too the wisdom teeth that were extracted. I am wondering if anyone out there has gone through this? I am concerned that this is too much. I wanted my body to heal more but I cant stand hurting everyday and taking ibuprofen everyday. My teeth didnt even hurt before I had these fillings. ugh! LADentalclinic: Wisdom teeth extractions wouldn't cause teeth to become infected and need root canals.  If your teeth are hurting that badly your fillings cannot be small.  The deeper the filling the closer it is to the nerve chamber and that's what causes pain and sensitivity.  The other possibility is that you're hitting the fillings too hard.  If your bite is off you would also experience tooth pain.  This is the easiest thing to check and adjust first.  Either way the wisdom teeth extractions would not be the culprit. tlcha: Thank you for responding. I know wisdom teeth are not the culprit. I went back to oral surgeon to check it out. I was told they were small fillings initially. However the one filling on lower 2nd molar the decay was close to nerve. On the upper 2nd molar it was small but then the dentist saw another cavity on same tooth opposite side of it that she did not see on xray. Seemed like she drilled an awlful lot. I cant imagine how that did not show up on xray, yet she drill quit a bit. Then she said to me, you want composite filling, right? I said yes , why? She said because algam is easier for me because of where it is located. Never had a dentist reply like that. She did put the composite filling in there . When I got home I was in excruiating pain from that filling. Never had a dentist make me hurt like that from a filling. I called and the dentist said she thought it was the bands she put around the tooth making me hurt. When she used the band it pinched my lip and I put my hand up so she knew what was going on and fixed my lip. Now I am wondering what that band did to my tooth since I have had constant pressure in both teeth since the fillings. I only mentioned the wisdom teeth to let you know what I been through, trying to sort this all out. The oral surgeon did some tapping on my teeth and the upper one was more sensitive than the lower one. He also adjusted bite for the 2nd time.If it isn't better soon I will go to endodontist. I mentioned these were small fillings because that is what the dentist told me initially. Then she said the lower one was deeper than she realized. I have no clue what happened with the upper one. That was not suppose to be close to nerve and was suppose to be small but that one has hurt as much as the lower one. I think something happened while she was working on that tooth. Going through wisdom teeth surgery is enough recently and now to deal with root canals. Britanica: Try repairing the damage before your get them done. Vitamin D3, cod liver oil, and natural butter (local farmers) would do wonders for your teeth. You don't want to over-load your body with so many things happening at once. Allow it time to heal. For pain, do some oil pulling with coconut or olive oil. This also cleans everything quite well. Do a few peroxide soaks as well. Hold the peroxide in your mouth over the teeth for 5 to 10 minutes."
  },
  {
    "id": 2233,
    "title": "Website for dentists",
    "dialogue": "Meni: Hello\nI'll build a full website (wordpress base), graphic design (brochures), weekly newsletter and social media management for two months (facebook, twitter, google plus) in exchange for dental treatment in NY\n\nIf interested - please contact me at (e-mail address removed)"
  },
  {
    "id": 2234,
    "title": "G.I.C, RMGIC, Composite",
    "dialogue": "alchemistintraining: Hey all!\nI am currently studying Dentistry, but I get confused with the three materials and whether everything needs to be etched, primed and bonded. I hope someone can elaborate it for me."
  },
  {
    "id": 2235,
    "title": "Bonding on front two teeth",
    "dialogue": "Sage: Hi there. Recently I've discovered a slight gap in between my front two teeth from the top till about half way down before the teeth meet again. Would bonding be the best procedure to get rid of it? Will the colour be a lot different and become very visible? It's really bothering me. Plus I am a smoker of 3-4 years jerryD: Bonding is quite affordable treatment to close small gap between teeth. the composite material looks more like natural but it can appear yellow over a period of time. You can follow good oral hygiene to keep it look natural white."
  },
  {
    "id": 2236,
    "title": "Insurance coverage for cleanings",
    "dialogue": "Ina Finn: This is my dilemma. I love my dentist, trust him and want to continue with him for major work. His office doesn't not accept BC BS.  My policy allows two cleanings a year.  Six months ago, the charge was over $300.00.   If he accepted the insurance, the charge is only $25.00. \n\nMy husband wants me to go to his dentist for cleaning who accepts the insurance, but I always thought you stayed in one office for all treatment. \n\nI mentioned this to my dentist's assistant who was very adamant about the entire conversation.  She claims \"not all dentists are alike\", \"he would charge for an appt\" ( which he does anyways) \" there's a reason why we don't accept insurance\". (They don't pay the amount that the dentist charges), etc.  \n\nSo is it a common practice to go one place for cleanings and another for crowns, fillings, etc?\n\nThank you."
  },
  {
    "id": 2237,
    "title": "I think my dentist caused me to need a possible root canal",
    "dialogue": "tlcha: I had 2 fillings placed 7 weeks ago. After the second filling I came home with tons of pressure and sharp pinchy pain. The first filling she did the week before no pain everything seemed normal. Second filling suppose to be a small filling and yet it felt like those clamps they use for composite fillings never came off tooth. Both my teeth then started to hurt after 2nd filling . The dentist says the second molar filling is not close to nerve and cannot understand pain, I have had the tooth filed down twice. I am so discussed because I may need 2 root canals now. I just had wisdom teeth surgery 3 months ago then the crappy fillings.\nAll dental insurance is used for the year and I cannot afford 2 root canals yet I need my teeth. I read on the internet the minute the dentist starts filling tooth there is always potential for root canal. Well I have had tons of fillings crowns root canal on teeth since I was young. I am 49 now. Never experienced pain after coming home from having a filling. I say Bolony to you dentist. Dentist, endodontist etc make a ton of  money and I truthfully cannot afford 2 root canals and really dont want to do that to my body so soon. The dentist should not have me in so much pain after a filling unless something happened when she did it. It took 4 weeks for pain to go away but the reason I am going to endodontist is because I continue to have tons of pressure in the teeth like I did day one of the 2nd filling. I did not have it during the 1st filling for a whole week. crazy. I aslo have sensitivity to cold, however it seems to get better as the days go on except for the constant pressure.I know a good dentist when I have one, Right now I dont think that is the case. I moved to a new place, my old dentist, I never went through this."
  },
  {
    "id": 2238,
    "title": "sore on the roof of my mouth at my two front teeth",
    "dialogue": "baller: Just found this when I woke up. I brush my teeth regularly. Is it just a canker sore?"
  },
  {
    "id": 2239,
    "title": "Could a new composite filling that was not done right cause pressure?",
    "dialogue": "tlcha: Had 2 new fillings about 6 weeks ago. Ever since they were put in had a pressure feeling in both like teeeth are being squeezed. Feels like gums inflamed even though it doesn't look like it. If the new composite fillings were not done right could this cause the pressure or inflammation? jerryD: Yes, that can be a cause of it. I would suggest you to visit your dentist to know the actual condition."
  },
  {
    "id": 2240,
    "title": "Back in the late 60s/early 70s...",
    "dialogue": "St8kout: I had 6 molar root canals and a crown for each one, all done not by a specialist but just a regular dentist. Average price per tooth was around $700 total, for everything. In the +40 years since I've never had a single problem with any of those teeth.\n\nIn the last few years I had a couple more root canals (and crowns), each requiring a trip to an outrageously expensive $pecialist where the staff practically gasped when I pulled out a credit card instead of a dental insurance card. Their reaction was as if I was trying to buy a BMW, or even a house. After a flurry of keyboard clicking, no doubt checking to see if it was fraudulent/stolen/overdrawn/badcredithistory/whatever, followed by signing papers to give them my first born male if payment was somehow not processed, then they let me through to get the root canal. Whew.\n\nI still have occasional pain two years after where the $pecialists did the root canals. The dentist was clueless as to why. Another of the more recent crown hurts if there is lateral pressure put on it. Another clueless dentist said he can't find anything wrong.\n\nLast month I had to have another root canal when I cracked a tooth. At least I found a place open on weekends as I was in extreme pain. Expensive as hell, even though they were moving people through like cattle. Some 30 booths (not kidding!) manned by 3 dentists...excuse me, $pecialists, running from booth to booth as needed. Sort of fast-food type dentistry. The over crowded waiting room was like being at the DMV. Then I had to wait 3 weeks for the crown, which didn't fit right, so I have to wait another 3 weeks. The temporary cap has fallen off twice in the last 3 days. I told them I'll just leave it out.\n\nFrom my perspective, dentistry not only has become way too expensive, but has actually gotten worse. For all their new high tech gadgets, dental care is declining instead of improving. I'm now glad I got those 6 molars done right way back when."
  },
  {
    "id": 2241,
    "title": "Need advice about what type of dentist I should go to.",
    "dialogue": "Chuck: Just joined so I hope this is the correct area to place this subject.\nI will try to keep this simple and short. \n\nI have been feeling very run down for quite some time and for no apparent reason I have had 3 upper teeth simply die so I had them removed in 2 different session (#3, 4, & 14). Three days after the extraction of tooth #3 (the most painful tooth) some long term stomach bloating completely went away (strange I know). None of the 3 teeth showed any signs of decay or cracks on 3 different types of x-rays (Bite wing, Panoramic or Cone Beam) and also no signs of swelling or bleeding around the gums. Certainly the dentist did not want to remove them but I insisted. After each of the 3 extractions the dentist cut the teeth open and indeed all 3 were hollow inside (To his surprise). \nThe strange thing is that it has been 4 months since the last extraction and now the teeth next to the extraction sites are hurting just like the previously removed teeth but they too look normal and my gums look healthy. I still feel run down but I can take a simple antibiotic (such as a 5 day Z-Pak) and I feel very energetic again but it only lasts for about 2 weeks tops. I was tested using a Cavitat machine for a cavitation in the jaw bone and one was found in the lower right jaw bone where I had a wisdom tooth removed 30 years ago. I had that site treated with 12 weeks of ozone injections just to be safe (which is and always was a pain free site to begin with). I am on my 4th general dentist now and each one is more baffled than the last.\n\nMy questions are: \n1) Can there be some type of mysterious bacteria or infection under the gum or in the jaw that is destroying my upper teeth but might be very difficult to detect? (And maybe the reason I feel so run down?)\n\n2) If there is a chance that this could be tested or diagnosed by some type of Specialist/Dentist/Dr, what type of Specialist should I search out? I am thinking maybe they can do a culture and send it into a lab to see if there is indeed a sign of infection or bacteria that can be identified?\n\nThank you in advance, I appreciate any suggestions."
  },
  {
    "id": 2242,
    "title": "Dental question?",
    "dialogue": "sawblade60: Can sodium hypochlorite block the airway if swallowed? I was having a root canal done a few days ago and I ended up swallowing the rinse they use which is the sodium hypochlorite and as soon as I did, it burned my throat and blocked my airway and I couldn't breathe. Is there something else that the dentist can use on me so that this doesn't happen again? LADentalclinic: Sodium Hypochlorite is a mixture of bleach and water.  That's why it burned when you swallowed it.  Most dentists use what's called a rubber dam when doing root canal therapy.  In fact, in some areas it is required that dentists use it.  A rubber dam isolates the tooth or teeth that are being worked on and prevents anything from getting into the mouth.  These can be used for most restorative dental procedures. sawblade60: LADentalclinic said:\n\n\n\n\t\t\tSodium Hypochlorite is a mixture of bleach and water.  That's why it burned when you swallowed it.  Most dentists use what's called a rubber dam when doing root canal therapy.  In fact, in some areas it is required that dentists use it.  A rubber dam isolates the tooth or teeth that are being worked on and prevents anything from getting into the mouth.  These can be used for most restorative dental procedures.[/QUOTE\n\n\nsawblade60 said:\n\n\n\n\t\t\tCan sodium hypochlorite block the airway if swallowed? I was having a root canal done a few days ago and I ended up swallowing the rinse they use which is the sodium hypochlorite and as soon as I did, it burned my throat and blocked my airway and I couldn't breathe. Is there something else that the dentist can use on me so that this doesn't happen again?\n\t\t\nClick to expand...\n\n     Today they used a rubber dam to finish doing the root canal but I did still feel that bleach mixture on the back of my tongue and roof of my mouth and it burned so bad that I had to have them rinse my mouth to stop it from burning. the back of my mouth feels raw tonight. Can that mixture of water and bleach block the air-way when making contact? or is it just that my throat is very sensitive?\n\t\t\nClick to expand... sawblade60: Today they used a rubber dam to finish doing the root canal but I did still feel that bleach mixture on the back of my tongue and roof of my mouth and it burned so bad that I had to have them rinse my mouth to stop it from burning. the back of my mouth feels raw tonight. Can that mixture of water and bleach block the air-way when making contact? or is it just that my throat is very sensitive? LADentalclinic: You are not sensitive.  The warning label on bleach says, \"Danger. Corrosive.  Do not drink or eat directly.  Call a poison control center or doctor immediately for treatment advice.\"  Fortunately during a root canal the bleach is diluted with a large amount of water, but it is unusual that you were still exposed to the solution while wearing a rubber dam.  If you are still experiencing symptoms be sure to seek medical attention. sawblade60: Would a dentist want to stop and find out what just happened if the patient couldn't breathe because he or she swallowed sodium hypochlorite and there throat was burning real bad and the patient is saying over and over \"I Can't breath\"? The dentist I had just wanted to finish doing the root canal and figured I must have swallowed down the wrong pipe. After having this happen to me I told the dentist that I wanted to stop and come back another day to finish the root canal and when I came in that next time, my dentist said to me that she didn't think what I experienced was bad as I made it out to be and that I must have swallowed water and it went down the wrong pipe. Most people that have a fear of going to the dentist have a fear of the drilling and needles and how much pain they are going to be in but I never seen it coming that I would be more fearful of what I might end up swallowing in fear of not being able to breathe. I think that what bothers me the most about what happened to me is that the dentist only cared about getting her work done. I will never go in blind again to have a root canal and I will never have that dentist do one on me again but what's going to be hard to overcome is when I have anything done to my teeth including cleaning regardless of who's doing it is when I feel anything liquid running in my mouth,I'm going to get scared of swallowing. Whatever they call it I had a bad reaction to sodium hypochlorite and you would think that no matter what it is, if it stops you from breathing, stay away from being in contact with it if you plan on wanting to stay alive. LADentalclinic: It sounds like your dentist isn't very considerate.  I'm sorry that you had such a traumatic experience.  Patient comfort should be the number one consideration.  Fortunately sodium hypochlorite is only used during root canals, so you shouldn't encounter it during any other dental procedure. sawblade60: LADentalclinic said:\n\n\n\n\t\t\tIt sounds like your dentist isn't very considerate.  I'm sorry that you had such a traumatic experience.  Patient comfort should be the number one consideration.  Fortunately sodium hypochlorite is only used during root canals, so you shouldn't encounter it during any other dental procedure.\n\t\t\nClick to expand...\n\nThank you for the advice,you are a kind person........... sawblade60: Can a dentist use something other than sodium hypochlorite when doing a root canal? After having my bad experience with sodium hypochlorite I will not come near that stuff again.. When something stops you from being able to breath, it gets your attention real fast and you don't forget it... LADentalclinic: No. After many years in dentistry I would have to say that I've never heard of a root canal being done without sodium hypochlorite.  It is pretty standard.  Your experience was very unusual.  During a normal root canal, the sodium hypochlorite is rinsed into the tooth and suctioned out at the same time.  It should not come in contact with the inside of your mouth or your throat at all. Hopefully you will never need another one, but if you do you might try going to a different dentist. sawblade60: Is it normal to have to sign a consent form by your dentist when having a root canal done? LADentalclinic: Consent forms are routine in dentistry because there are so many lawsuits.  Many offices have their patients sign a general consent form during their first visit that covers all procedures.  It is also customary to sign a consent form before surgical procedures acknowledging any possible complications.  Being asked to sign a consent form before treatment is not in itself a red flag. sawblade60: LADentalclinic said:\n\n\n\n\t\t\tConsent forms are routine in dentistry because there are so many lawsuits.  Many offices have their patients sign a general consent form during their first visit that covers all procedures.  It is also customary to sign a consent form before surgical procedures acknowledging any possible complications.  Being asked to sign a consent form before treatment is not in itself a red flag.\n\t\t\nClick to expand...\n\n\n\n\nLADentalclinic said:\n\n\n\n\t\t\tConsent forms are routine in dentistry because there are so many lawsuits.  Many offices have their patients sign a general consent form during their first visit that covers all procedures.  It is also customary to sign a consent form before surgical procedures acknowledging any possible complications.  Being asked to sign a consent form before treatment is not in itself a red flag.\n\t\t\nClick to expand...\n\nThe reason why I ask is because they have you sign a form every time a root canal is done. Thanks sawblade60: I have a question? When you have teeth worked on from root canals to fillings, Is it normal to have your teeth feel like sandpaper when all is said and done? Does this rough feeling on the teeth go away or should the dentist have polished the surface of each tooth worked on? RcikSoordhar: When your root canal therapy has been completed, Dr. Soordhar will decide on what type of restoration is necessary to protect your tooth. It is rare for endodontic patients to experience complications after routine endodontic treatment. If a problem does occur, however, we are available at all times to respond. To prevent further decay, continue to practice good dental hygiene. sawblade60: RcikSoordhar said:\n\n\n\n\t\t\tWhen your root canal therapy has been completed, Dr. Soordhar will decide on what type of restoration is necessary to protect your tooth. It is rare for endodontic patients to experience complications after routine endodontic treatment. If a problem does occur, however, we are available at all times to respond. To prevent further decay, continue to practice good dental hygiene.\n\t\t\nClick to expand...\n\nThis does not answer my question"
  },
  {
    "id": 2243,
    "title": "Mysterious tooth/facial pain",
    "dialogue": "Jordi: Hello. I need some advice. I am very frustrated. It all started two years ago when I had a root canal done on tooth number 5 because of tooth pain. Since the pain never went away I went back to my endodontist to check if something had been missed. He told me that the root canal job looked o.k. and that he couldn't help me any longer because my pain was a \" phantom pain \".\n\nAfter enduring the pain for over two more years I went to see another endodontist who recommended a retreatment. I had the retreatment done last Wednesday and a temporary crown placed (a week ago) but the pain is worse than ever. I went back to see the dentist who placed the temporary crown, and he realized that my upper palate is quite red. He referred me to an oral surgeon but the oral surgeon just kept telling me how frustrated he felt because he didn't know why I was still hurting. I feel pain on my upper palate near tooth 5, and the pain gets worse by touching that area. It is also painful when I bite with that tooth but only at a specific angle or by tapping on the tooth. Also by drinking liquids.\n\n\nThe oral surgeon said that the tooth could have a small crack but it could not be seen on X rays. He talked about a machine that he has that might be able to detect cracks but there is no guarantee, and it is expensive, so I decided to wait. \n\nThe oral surgeon prescribed Peridex and amoxicillin and the dentist prescribed a narcotic. I bought Advil too. They don't seem to help. My pain radiates up to my right eye through my right cheek.\n\nI am scheduled with the dentist to place the permanent crown in three weeks, which is now being built in the lab, \n\nI don't know what else to do. Will I have to undergo this pain the rest of my life?\n\nAny suggestions would be appreciated. \n\nThank you in advance.\n\nBest regards,\n\nJordi"
  },
  {
    "id": 2244,
    "title": "Will extraction of one molar cause premature aging to face?",
    "dialogue": "Tman: Hello, I have been told that my 2nd upper molar on the left must be removed, due to damage from an impacted wisdom tooth.\nThe wisdom tooth will remain.\n\nIf a dentist could have a look at the attachment I have provided(xray of molar to be removed) and let me know their opinion; Can the molar be saved? My dentist thinks it is unlikely.\n\n\nOn the net, some dental surgeries are claiming that the extraction of one molar will cause premature ageing to your face in later life.\n\n\nMy dentist in the uk assures me that this will not be the case.\nIf anyone could comment on this, I'd appreciate it. Thank you. LADentalclinic: From the x-ray I can see that the decay is definitely into the nerve of your tooth.  When this happens you must have a root canal or an extraction.  It sounds like your dentist doesn't think that he can restore the tooth after the root canal because of how far the decay extends under the tissue.  I've had a lot of questions lately about extractions changing the shape of the face.  That occurs more often with anterior or front teeth.  Having one molar extracted is not going to prematurely age your face. Tman: LADentalclinic said:\n\n\n\n\t\t\tFrom the x-ray I can see that the decay is definitely into the nerve of your tooth.  When this happens you must have a root canal or an extraction.  It sounds like your dentist doesn't think that he can restore the tooth after the root canal because of how far the decay extends under the tissue.  I've had a lot of questions lately about extractions changing the shape of the face.  That occurs more often with anterior or front teeth.  Having one molar extracted is not going to prematurely age your face.\n\t\t\nClick to expand...\n\n\nThanks for the kind reply.  The molar has now been removed.\n\nThe reason why many are asking about changes to the face after an extraction, is because a quick google search will give you detntal implant sites claiming that extraction of ANY tooth(including a molar) will change the face.  They provide some scary pictures, which probably will get more than a few people paying money.\n\nIf they are providing misleading info, then the appropriate dental body should correct them. LADentalclinic: That explains it.  I assume that your face still looks fine ;-)  Best of luck to you."
  },
  {
    "id": 2245,
    "title": "Dental implant products from Israel",
    "dialogue": "Puksicle: First of all, excuse my bad english.\n\nI'm wondering has anyone ever bought implant products from Israel?\n\nI'll looked up on the internet and fount out that those products from Israel are surprisingly cheap.\n\nSo just dying of curiosity, has anyone here ever bought stuffs from Israel?\n\n\nThanks."
  },
  {
    "id": 2246,
    "title": "Tumor developed after wisdom teeth removal",
    "dialogue": "Krystle: I've come to find out that my mom has a tumor in her upper gums. When she had her wisdom teeth pulled she developed this bump. It's not painful and looks like if one side of her gums are largely Inflamed. She's actually had this lump for about 20 years now and she never thought anything of it. Over the years it has grown slightly bigger. She is finally seeing the oral surgeon and waiting on test results. Just wondering of anyone has heard of this or knows what it can be. Oral surgeon says it could be bone build up?  Anyone waiting for test results knows that it can the longest and most stressful time :/ please help"
  },
  {
    "id": 2247,
    "title": "strange tooth problem",
    "dialogue": "chrisloo: i hope someone can help. i have a top tooth that feels like i can suck it out a bit from the gum (if that makes any sense) it is not wobbly, but this morning as i cleaned my teeth the bristle from the toothbrush actually went in the gum inbetween that tooth and another and made it bleed. i tried looking it up and all i could find was something about tooth sulcus. sometimes when i have a drink it feels like it has gone up the gum around the tooth. im sorry its the only way i can describe it\n\n\nanyone have any idea what could be the problem, the tooth has felt weird for a while but its not bled before. LADentalclinic: You may have a periodontal pocket around the tooth.  When was your last dental cleaning?  During a dental exam the hygienist will check for pockets around each tooth.  3 millimeters or less is considered normal. 4 millimeters or more is a cause for concern. If you want the bleeding and discomfort to stop, you should schedule a dental appointment."
  },
  {
    "id": 2248,
    "title": "Please help!",
    "dialogue": "cfrederick11: I am a 28 year old Army veteran.  As a child,  I was never taught how to take care of my teeth or how to Floss. Because of that I have never been consistent with taking care of my teeth. Although I know how bad it sounds now,  their were times where i would go over a month without brushing.  I was also a smoker for more than 15 years and occasionally chewed tobacco.  I've never had any issues with my teeth other than bleeding gums bc i brushed so infrequently. About 6 months ago,  I stopped drinking alcohol and smoking, and I started brushing my teeth every day. As I go longer and longer taking proper care of my teeth now (including thorough Floss and mouthwash), it feels to me that my teeth are Becoming more unhealthy. My gums are still bleeding when I brush, and especially when i floss. This didn't start immediately after I started taking care of them. It has progressed over the past couple of months. What could it be? ? I use sensory need toothpaste now and I also switched to a soft bristle brush...Please keep comments civil. ..I know it wasn't healthy to not take care of my teeth before but I am doing way better now. ..If someone could help me I would greatly appreciate it! !\n\nThanks\nCorey LADentalclinic: Hi Corey,\nWe won't worry about the past.  It's better to focus on the present and the future.  It's great that you're taking good care of your teeth now.  A soft toothbrush is definitely the only kind that you need to use.  Have you gone in for a professional cleaning?  Without seeing you in person, I cannot say whether or not you have gingivitis or gum disease.  A professional cleaning will reach areas that you cannot clean yourself and will help to get your gums back into good shape.  Sometimes the hygienist will also prescribe a rinse that will help with bleeding.  She will also make sure that you are using the proper technique when brushing and flossing so you don't inadvertently cause additional damage. AJay: I would like to share my recent experiences with Dentists, I had not been near a dentist since I was around 16,shocking yes! I put it off for many many months, I was making appointments and never following them through, it was my worst nightmare to be honest, and around 3 months ago I registered with a dentist, I went for a check up, since regularly attending I have changed my whole outlook, and, ever since my first extraction only a week ago, I was more than just terrified, I was ready to throw up!! now, I am a completely changed person, I shall be going in a weeks time for another extraction, and, now I know what its like! the injection was nothing like I thought it would be, I felt absolutely nothing!! thanks to my wonderful dentist, I will never look back"
  },
  {
    "id": 2249,
    "title": "Regenerative Dentistry",
    "dialogue": "David Baldwin: June 16,2014\nThis may be a little off the general path.  I have been reading science journals and internet postings about the subject of Regenerative Dentistry or as some refer to as Tooth Regeneration. We know that researchers and dental scientists are working on and trying to eventually regrow whole new teeth. They are using different techniques.  One of the most common is stem cell development.  There are now materials, in the lab, that when applied to teeth can possibly reverse tooth decay. There are also other processes that can stimulate the growth of tooth materials dental pulp, cementum, and dentin.  Scientist are also working on regenerating tooth enamel the hardest part of the tooth that does not grow. \n\nMy question, Is there any new research that can be found leading to the natural biological repair and replacement of existing dental cavities and their artificial fillings?  Are we any closer to growing (regenerating) parts for teeth and replacing artificial tooth filings with natural biological grown fillings made from real dentin and enamel?  Some say that this technology may be possible within 5 to 10 years and will most likely be developed before whole teeth can be regenerated from scratch.  What is your opinion and reasoning on this subject?\n\nSeveral dentists seem to avoid answering this questions because they either simply do not know or do not want to make predictions.  I would like to know if there is a way of to receive more information in this area if possible. I have tooth fillings and would like, or hoping, to one day have them eventually replaced with natural grown tooth material. vedentis: If biological grown tooth technology is successful. It's great moment."
  },
  {
    "id": 2250,
    "title": "Dentist Market Research Help",
    "dialogue": "Ivan Zhang: Hey Guys,\n\nI am a student and I wanted to get an idea of the life of a dentist as well as their business and what not. I am not sure where I could find dentists who want to help. However, if a dentist wants to talk, I would love to either get your email or even your phone number to call you. Also I am in Louisville, so if a dentist is in this area I would love to treat you out to some food and have a talk with you."
  },
  {
    "id": 2251,
    "title": "Strange Dark Borders (Picture Included)",
    "dialogue": "Bugg: There are strange, dark borders appearing on my teeth near the gums. I have (perhaps, foolishly) ignored them for a while now, assuming they've been there and I just haven't noticed. I feel, however, there are more now than when it first came to my attention. \n\nI use Tom's fluoride-free Antiplaque and Whitening toothpaste with Listerine Naturals antiseptic mouth wash.\n\nThe image is not very clear, but it's the best that I was able to take. I am uploading here as well as providing an external link: http://i.imgur.com/b9W2rwH.png\n\nWould anyone happen to know what might the cause of these \"borders\" or if the effect is reversible?\n\nThanks in advance,\n\nBugg LADentalclinic: When was your last dental cleaning?  From your photograph, I would say that it is stain, decay, or stained tartar buildup.  The reason why I can't say for a certainty is because an actual exam is needed.  An instrument called an explorer is used to determine if it is stain or decay.  The sharp point of the explorer is ran along the dark area.  If it sticks it is decay.  If it doesn't it could be stain. If it scrapes off it is probably tartar.  Either way if you want to take care of it you would need to see a dentist. Bugg: Assuming it's the latter, do you know any viable at-home processes for removing the build-up?\n\nI imagine that, as a reflection of the build-up occurring, it would mean I have not been brushing well enough as well. Is there a toothbrush which has been most recommended to aid in build-up prevention?"
  },
  {
    "id": 2252,
    "title": "A bridge a little too big perhaps",
    "dialogue": "Sean: Hi, I am new here and I am really happy that a forum exists to discuss matters of dentistry. I had a bridge put in about a month ago. I originally went to the dentist wanting to get an implant and discussing the pros and cons with him (and the expense) after that we decided that a bridge would be the best option. \nI did a bit of research on the topic and went originally to a dentist and was quoted 5K for the implant and it was my second opinion dentist that told me about the bridge option - which of course was a lot cheaper. About 4 days after having the bridge and associated crown, the tooth directly under the crown broke. About 1/4 of the top of the tooth broke off. It always felt as if the crown was pushing a little too much on this tooth. I know this could be random but it seems to me that the tooth (#30 bottom right) broke due to the pressure from the crown above (tooth #3 top right). There is a filling in the tooth that broke. The dentist has not got the best bedside manner and I am not sure whether the crown was probably too big or not. Should he repair the bottom tooth for free - how should I ask about this?\nI probably would rather go to another dentist but then there would be more xrays etc.   Any suggestions would be appreciated.\nCheersSean LADentalclinic: After you got the bridge did your bite feel normal or did it feel like you were hitting the bridge before your other teeth?  If your bite was high it could have contributed to the break on your opposing tooth.  It's difficult to say for an absolute certainty without knowing whether there was a preexisting condition on tooth #30. (decay) Sean: Hi, thanks very much for the replies. Yes it does feel as if the bridge hits the opposing tooth before any of the other teeth. There were no concerns raised from the xrays of the tooth #30 beforehand.\nI think I just have to ask the dentist for his opinion and see what happens.\n\nCheers\n\nSean DTS: Usually, you can't generate enough force to brake the tooth. If the tooth was intact, you would get a toothache (most likely). Since the portion of the tooth fractured, you probably had micro-fracture there prior to the bridge insertion. Most likely this cusp would brake anyway, just a matter of time. If your bite felt too high, you could have it adjusted. Not sure you can get tooth repaired for free. Good luck."
  },
  {
    "id": 2253,
    "title": "Mixed advice which has already cost £250",
    "dialogue": "icemancomeths: Hi,\n\nThis is my firs post and I now becoming stressed.\n\nAfter 6 years of none smoking I would like to treat myself to a nice smile. I do restrict my smile because I have a large crown at the front which causes embarrassment, I have had this for 15 years now.\n\nI decided to have a consultation with an Orthodontist who said a brace would provide me with a great smile, but I would need to replace my crown at the end of treatment.\n\nI then had a separate consultation with my dentist (who is also an orthodontist - i think) who said if I have a brace then my front tooth would be damaged by the brace and I may lose it because the crown is on a post. He advised me to replace all my front 4 teeth with crowns. \n\nWho should I take most confidence in? Surely crowning 3 perfectly good teeth is overkill?\n\nAny neutral advice would be great in this stressful situation.\n\nAlso I have had a quote for £3600 for invisilgn brace, is this ok?\n\nAll the best. LADentalclinic: It's very hard to advise you without seeing x-rays.  If you have other teeth that need to be straightened orthodontics would be good.  If you are really uncomfortable with both treatment plans you may choose to get a third opinion from another dentist.  Someone that can examine you in person and see your x-rays would definitely be in a better position to prescribe treatment than someone online.\nBest of Luck DTS: I'd go with orthodontist advise. \nYou do not need 4 front teeth to be crowned if you can correct your smile with braces. After going through the braces you might want to change not pleasant looking crown for aesthetics purposes. Post has nothing to do with orthodontic tooth movement. Price for invisalign is about right. Also, crown could be polished and possibly saved, unless you do not like the way it looks, because it's too old."
  },
  {
    "id": 2254,
    "title": "Advice on bicuspid-PHOTO",
    "dialogue": "JKristina: I am concerned that my dentist may be doing unnecessary work. She told me that I need a lot of work on this tooth and possibly a root canal. I have absolutely no pain and never have. There is also NO visible damage or decay or anything anywhere on this tooth. Any advice would be appreciated!! LADentalclinic: It looks like you have a large area of decay on that tooth (#5) and the tooth behind it (#4)  Pain is not necessarily experienced on all teeth with decay.  Once the decay is removed the dentist will know for sure if you need a root canal or not. shahrokh shahabi: JKristina said:\n\n\n\n\t\t\tI am concerned that my dentist may be doing unnecessary work. She told me that I need a lot of work on this tooth and possibly a root canal. I have absolutely no pain and never have. There is also NO visible damage or decay or anything anywhere on this tooth. Any advice would be appreciated!!\n\t\t\nClick to expand...\n\nfor more precise diognosis in such suspicious cases,a tooth graphy is required which includes the whole image of the tooth,i mean either root and crown.in some cases the existance of cyst with no pain and irritation will be the prove for root canale treatment DTS: I do not see major dkay in your tooth #5. Looks like you have possible start of the cavity on a distal surface that is not enough to even fill at this point. You have start of the cavity ot he tooth #4 mesial and cavity on the distal surface of the same #4 tooth that needs feeling, you also need a crown for the tooth #30 . You might want to consider closing space between #5 and 6 if it bothers you cosmetically. If it's asimptomatic, I'd not touch #4 at this point. Try second opinion.  Good luck."
  },
  {
    "id": 2255,
    "title": "Dental Waxing help!!!",
    "dialogue": "StefDental: I am practicing waxing on a dental cast I made of my own teeth, and i was wondering if I need to apply a die hardener to the dental stone and then put a isolating agent on before I start waxing in order to be able to properly remove the wax, or can i just put the isolating agent onto the dental stone and start waxing??? DTS: usually it's enough to just keep stone models wet. You could apply releasing agent (Vaseline, colacote, soap )"
  },
  {
    "id": 2256,
    "title": "Dental impression teeth",
    "dialogue": "vincent: hi guys\n\nim looking for impression of all teeth in STL format , if its possible .\n\nbtw i want an ordinary and normal one\n\nthx for your help it would help me alot"
  },
  {
    "id": 2257,
    "title": "Blood test for identifying tooth diseases",
    "dialogue": "erlend miller: Hi.\n\nIs there any one who knows if it is possible to identify gum or tooth diseases by regular blood tests?\n\nErlend Dentalasia: For conformation of hypoparathyroidism,blood test is necessary.In hypoparathyroidism,your blood calcium level is low, your blood phosphate level is high and due to this your parathyroid hormone level is low.Thats the reason doctor suggest you blood test."
  },
  {
    "id": 2258,
    "title": "toothacheba year after a root canal",
    "dialogue": "bbird: Hi,\nI need help with a question please. I had a root canal 14 months ago. Two days ago I woke up with severe pain in that same tooth wich seems to be causing the tooth next to it to hurt as well. My gums around the tooth do not appear to be swollen but are red and bleed a little. It is one of my top front teeth it hurts to bite down and chew. And the pain gets worse at night when I lay down and seems to give me a headache as well. I'm taking exta strength Tylenol as i'am allergic to NSAIDs. Which usually Tylenol always helps my headaches and such but in this case is not helping. So my question is should this be hurting a year later after the root canal? I appreciate any answers I could get!!! Thanks!!! LADentalclinic: Root canals have a very high success rate but it is possible for them to fail.  Sometimes they can be re-retreated, but in some instances the tooth must be removed.  No, it's not normal for your tooth to still be hurting after 14 months.  An x-ray would be needed to determine whether or not the tooth has become re-infected."
  },
  {
    "id": 2259,
    "title": "Where do you get all these wonderful toys?",
    "dialogue": "Apple Repair New Orleans: Other than a frequent patient, I actually have nothing to do with dentistry. I happen to be a computer engineer and I am fascinated by all the instrumentation in the dentistry world and I want to get my hands on some.\n\nI often work on motherboards under a microscope on components so small that  even xacto-knife blades are too big. What are some very tiny dentistry tools that I can poke, probe, scrape, drill, ect...?"
  },
  {
    "id": 2260,
    "title": "Abscess Recovery time after extraction",
    "dialogue": "Grant: Hi,\n\nI'm a newby here and after much 'googling' I couldn't find my answer so stumbled across this forum.\n\nHere's my story/question:\n\n6 days ago I had an upper molar extracted due to a nasty abscess that had formed at the root, the tooth was broken & was re-built about 5 years ago but since then an infection had gotten in & got pretty set in there, it could be felt as a pea sized lump in my gum above my tooth.  Anyway, after a lengthly extraction (not pleasant!) the wound seems to be settling down and healing well, however, I have finished the prescribed course of antibiotics (amoxicillin) and the abscess still seems to be there just as big but even more sore from all the poking around.  My dentist said that it would just \"drain away by itself\" but almost a week in it hasn't improved at all & I can feel it still there even more prominent than ever.  I guess my question is, how long does it normally take for an abscess to go away after the offending tooth has been removed? and when should I be going back to my dentist to get him to have another look at it?\n\nApologies for rambling & Thanks for your patience! LADentalclinic: When an abscessed  tooth is extracted as much of the infection should be cleaned out of the socket as possible.  You should have started feeling better by now.  If I were you, i'd go in for a follow up extraction check.  You may need another round of the same antibiotic or a different antibiotic to get rid of the infection completely."
  },
  {
    "id": 2261,
    "title": "Management of lateral incisor with palatal radicular groove",
    "dialogue": "Juan: Hope I typed that title right.\n\nSo I have this groove in both my lateral incisors which basically seems to be a mutation that occurs very rarely in people which causes bacteria to accumulate, which in turn causes other gum problems. The dentist says all he can do is open my gum and basically file the groove so that is not so deep, because he says if he fills the grove with anything, my gum will reject the material and I'll get an inflammation. But according to this case study, the dentist used something called \"glass ionomer cement\" to seal the groove and apparently worked out fine. So I wonder if my dentist is ignoring something. Is this \"glass ionomer cement\" kind of a new thing or is it something every dentist would know about?\n\nI already have my right tooth filed (but not filled) about one year ago, but there is still a not so deep groove, and I've just got a small inflammation (not as bad as it used to be though) and the dentist said he cannot file it anymore otherwise he'd mess up the tooth, so he just cleaned it a bit and I'm taking ibuprofen. So I'm curious about whether there exist any materials that could be used to fill up the groove. LADentalclinic: Hi Juan,\nGlass ionomer cement is not new.  It's been around for many years.  It's hare to advise you without an examination.  My suggestion would be for you to get a second opinion if you are not confident with the first one.  There are a variety of dental materials available.  Each dentist may prefer different materials and techniques, so a second opinion from a dentist that can look in your mouth would definitely be beneficial."
  },
  {
    "id": 2262,
    "title": "random whitening question?",
    "dialogue": "Lee: So, this is a bit all over the place. I have two peg teeth, on either side of my front teeth. My dentist temporarily covered the teeth with dental glue (used with braces and other appliances I think) until I can acquire the means to get them permanently fixed, as I need to undergo a procedure to remove part of my gum before I can actually get the teeth covered. In the meantime, I've been wanting to use whitening strips or any variation of a whitening product to improve my smile, but I'm concerned that the color of the glue (which currently matches my teeth coloration) may not whiten and would then look completely ridiculous. Any help on this? Would the glue become whitened, or should I not bother? Thanks! LADentalclinic: I'm not sure what type of \"glue\" the dentist used, but it will not change color if you use whitening products.  Composite fillings, porcelain veneers, and crowns also will maintain their shade.  Whitening products only change the color of natural teeth.  I hope this helps."
  },
  {
    "id": 2263,
    "title": "where can I find systemic videos about dentisty",
    "dialogue": "haotoby: I want to find those videos ,thanks for your help."
  },
  {
    "id": 2264,
    "title": "Dental Care for Autistic Teen with Violent Tendencies",
    "dialogue": "Jalan: I've got a tough question here, for which I understand there probably is no easy answer.  I have an autistic son, almost 16, who cannot speak, and who sometimes can become violent (such as biting, hitting or pushing).  As regards tooth care, luckily he did not have any serious problem for many years, but it did gradually become more and more difficult even to have a dentist examine him.  We are in Japan, and I don't speak Japanese so well.  \n\nLate last year he developed a serious cavity in at least one tooth, but as it wasn't possible for normal dentists to treat him.  Finally, we were referred to a university hospital dental department, where they can put the patient under general anesthesia for treatment.  We were able to go to dentist, but due to his violent tendencies while examining him, the head dentist finally refused to have undergo anesthesia.  It would have to be done at least a couple of times, because a blood and heart test are required prior to the dental treatment.  They say that with time the pain will die down as the nerve dies.  But the pain seems to be continuing, as definitely influences his daily life and behavior.   Any advice? LADentalclinic: Unfortunately, the pain will not \"die down\" until the source of the problem is treated.  It will more than likely get worse.  I would try to find another dental clinic that can treat him with the aid of sedation.  Best of luck. Jalan: Thank you for your response."
  },
  {
    "id": 2265,
    "title": "How stressful is it to scale patients with sensitive gingiva?",
    "dialogue": "Hygienist inquiry: Hello,\nMy question is how much stress as hygienists do you incur from working on patients with sensitive gums?\nCompared to any other causes of work place stress, how does scaling uncomfortable people rank?\nI appreciate your feedback\nThank you LADentalclinic: It doesn't need to be stressful at all if you use anesthetic.  That's what i would do if the patient couldn't tolerate the scaling."
  },
  {
    "id": 2266,
    "title": "PLEASE HELP!!!Possible failed Root Canal????",
    "dialogue": "Dawn edwards: Possible failed root canal? I had 2 Root canals in 30 and 31(had curved roots)a month a go.I have a big space in between the two of them where food gets caught constantly. I ate a  steak for the first time in a while last night and cleaned out the food in my teeth but my jaw stilll hurts. I have just about had it. I have already been on 2 courses of Z pack and Clindamycin within 2 months of each other.I don't think my body can respond to anymore antibiotics.I also picked at it a lot with a proxy brush and toothpick and poked at gums because I kept missing the space unitl I used a waterpik. Could that be it?I am so scared and can't afford to lose any more time from work because of my teeth. LADentalclinic: Packing food between teeth can cause a lot of tissue irritation and swelling. Can you tell if you're experiencing tooth pain or gum pain?  If you avoid the area and do most of your chewing on the other side, does the pain subside? If the space is the culprit, crowns would solve this issue.  Crowns are normally recommended for teeth that have root canals but you want to make sure that the teeth calm down before you invest in crowns. Dawn edwards: LADentalclinic said:\n\n\n\n\t\t\tPacking food between teeth can cause a lot of tissue irritation and swelling. Can you tell if you're experiencing tooth pain or gum pain?  If you avoid the area and do most of your chewing on the other side, does the pain subside? If the space is the culprit, crowns would solve this issue.  Crowns are normally recommended for teeth that have root canals but you want to make sure that the teeth calm down before you invest in crowns.\n\t\t\nClick to expand...\n\n\n Thank you for answering!!I should have mentioned that these 2 were already crowned before the root canals for the reason of food catching in between them!!Even for 31 which had to be done 2 appointments and I told the dentists I still felt pressure in the jaw and he said it can be normal 6 weeks to 6 months after a root canal. The pain seems to come and go so I am wondering if its psychological? LADentalclinic: A few weeks of sensation might be normal but definitely not six months.  Also, if you've already crowned those teeth and are still packing food between them, one of them should be redone to create a contact point between them.  A reputable practice would correct this issue at no charge because if left untreated it could result in bone and tissue problems in the future.  If your pain continues I would definitely recommend that you have another dentist check the tooth and give you a second opinion so that you can be sure the root canals were done correctly.  Best of luck to you."
  },
  {
    "id": 2267,
    "title": "ROOT CANAL? EXTRACT? IMPLANT?",
    "dialogue": "Ma47: Within the last year i have aquired some pain in my tooth #13. It has chipped and seems to be decaying quickly. Any advice? LADentalclinic: If you lose the tooth an implant is a wonderful way to replace it.  Restored implants function like natural teeth. There is nothing to remove, and you can brush and floss it like a natural tooth."
  },
  {
    "id": 2268,
    "title": "composite",
    "dialogue": "Eva Hagen: Can anyone tell me if there is a big difference between \"microfilled composites\" and \"flowable hybrid composites\"? I thought the only difference btw them is that the hybrid is composed of different fillers and the microfilled only by one type of filler. But is there any other differences?\nThank you"
  },
  {
    "id": 2269,
    "title": "Help!",
    "dialogue": "Eva Hagen: can anyone explain me what the difference between Primer and a liner is? I know it might be a stupid question, but somehow i cant find the answer online..\nI know that the primer is a part of the adhesive(bonding) system which consist of Etchant, Primer and Adhesive. And then I know that a liner is used to protect the pulp before placing some restorative materials(amalgam and composite++), so is liner also a part of the adhesive system or is that just a protecting layer we are placing in the cavity before etching?\nThanks LADentalclinic: The purpose of a liner is to protect the pulp.  It does not help bond the filling to the tooth.  It helps protect the tooth and hopefully prevent the need for root canal therapy. Eva Hagen: Thank you"
  },
  {
    "id": 2270,
    "title": "Gum damage?",
    "dialogue": "gfxrelay: Hi, I hope someone here can give me some advice. Can someone please explain to me the anatomy of gums in general? Now my problem is as follow a while a go i went to the dentist for a deep cleaning. Since then I have noticed that the gum area between my teeth that used to be pink has turned red. For a lack of a better explanation there is the normal pink layer with the area between my teeth almost seeming like the gum has been bruised or whatever pink was on it scraped of. The gums between my teeth are still in tact, it just looks bruised or scraped. Will this correct it self and if so how long before it gets back to normal. I apologize for my long post. I am freaking out here."
  },
  {
    "id": 2271,
    "title": "need thank you gift ideas?",
    "dialogue": "RDAgirl48: I am fixing to graduate from RD A school and am looking for a useful creative Thank you gift idea for my extern office that has been training me?\nThank you"
  },
  {
    "id": 2272,
    "title": "Dental anxiety, sedation, extraction, other health issues",
    "dialogue": "Alexis Bailey: Hello,  I am having a bit of a problem and hope somebody can offer some advice.  First thing I should probably admit is I hate dentists.  I have full blown panic attacks just thinking about going to the dentist.  On Monday, one of my molars started crumbling.  I have some jaw pain near that tooth.  I have state insurance (medicaid) and do have dental coverage.  I know I will require some form of sedation.  I called every dentist in my area covered by insurance and none of them offer any soft of sedation (wont even write a script for one anti-anxiety med ahead of time).  My husband made an appt yesterday with one of those sedation dentistry places with free consultations.  After bawling my eyes out in the exam room, the dentist said I needed either a root canal or extraction but because I takeother medications for non related health issues (muscle relaxer, nerve pain med, narcotic pain medication, and sleep aid), he would not be able to give me the amount of sedation required.  The dentist recommended a see an oral surgeon.  I did some more research and I think I would be okay with a strong anxiety med before hand and some nitrous.  \n\nWell guess what, my insurance doesnt pay for any kind of sedation.  From my research online, it looks like oral sedation is around $400 and nitrous averages $100-200.  I had a thought that maybe I could call my doctor and ask if he would write a script for one anti-anxiety pill (he has done is before any procedures he performs).  Has anybody ever tried asking their doctor for something to easy dental problems?  Would a dentist even treat me if I said I got meds from my doctor since the profit margin on oral sedatives is so high?  Has anybody been in this position, not being able to find a dentist to sedate you due to other meds you take?\n\nThanks for reading and I look forward to any advice. LADentalclinic: I'm not sure why a dentist would refuse to treat you because you received anti-anxiety medication from another doctor.  Dentists don't make money from prescriptions.  Pharmacies and drug companies do.  Checking prices online is not always reliable. Prices can vary greatly from region to region.  You may be able to get a more accurate estimate by calling the clinics that you're considering. You also might want to have a complete exam done first if you haven't already done so.  If you need any other teeth extracted it would be better to have them taken care of at the same time so you only have to pay for sedation once."
  },
  {
    "id": 2273,
    "title": "Odour due to impacted molar",
    "dialogue": "Saf: Hey everyone, I am at my wit's end with this problem!! Jan last year, I noticed a foul odour even after brushing. Eventually I found it was my lower right rearmost molar, with a white discharge that reeked. I thought maybe it will pass but then I got a bit of pain so decided to go to my GP. He said there was no discharge after squeezing my gums but I insisted there was so he gave me antibiotics (didn't do anything, frankly how would it when this technically an external infection, just in that gap?). Anyways a few weeks later I saw another doctor hoping they would notice and refer me but she said the exact same. So I went to the dentist on my own got x-rays and all my molars are impacted. The lower ones are growing forward rather than up. Dentist told me to get a toothbrush called inter-something but not the wire ones, she drew a diagram of a toothbrush with just a few rows of bristles for cleaning rear teeth. It was not in Boots so I made my own. So I am easily able to clean the place. She also told me to use salt. I did multiple times a day for weeks but it seemed it was drying out my gum and causing it to recede which creates even more odour. WHAT DO I DO???!! The only treatment I can do, makes the smell worse. The dentist won't take out my molar because there's no pain. I'm guessing the only option is private but it's £50 just to see the guy - I can't even imagine how much it would cost to actually have the tooth out. \n\nPlease tell me what I can do, people at work are noticing and for a year I am embarrassed to talk closely facing people which is almost unavoidable. I haven't seen the discharge in a long time and the gap is pretty big now so I'm guessing it has gone deeper...just sucks. Thanks very much people!"
  },
  {
    "id": 2274,
    "title": "What's it like to be a dentist?",
    "dialogue": "impatient patient: Hi,\n\nI confess I've been lurking in a dentist-only forum a bit, where, as a consumer, I was not exactly allowed. It was indeed an eye-opener. The common grievances of dentists seem to be\n\n1) patients not caring about their decaying teeth until there is pain (dentists reminding each other not to care more than the patient does and just wait until he/she comes back for extraction/endo)\n\n2) ungrateful (and not always poor) charity patients with a sense of entitlement, often a no-show\n\n3) patients evaluating dentists by wrong criteria (painless, ease of scheduling, less chair time, in-network, etc) as opposed to longevity of the work; most patients apparently have no idea/don't care whether their existing dental work is any good.\n\n4) communication barrier, having to \"dumb oneself down\" in order to be understood by the patients (my words, not theirs!)\n\nI've also heard somewhere (not sure it's true) that of all professions, dentists have the highest suicide rate; apparently, because they have to meet people, day after day, year after year, who don't particularly enjoy seeing them.\n\nFrom my standpoint, my surprises were:\n\n1) intelligence of dentists, the level of complexity and the pace of change in their field (I thought teeth are teeth are teeth, but no.. it's a lifetime learning)\n\n2) the extent and the openness with which dentists are for-profit (I guess that might be because at first they are tied up by having to pay off their student loans and have no choice, and then just get used to making money like crazy?) Sometimes patient is put first, but not always..\n\n3) shocking standard deviation of quality of dental work among dentists and even for a given dentist; huge amount of dental work being what in their scientific parlor is called \"crap\".\n\n4) among themselves, dentists, especially young ones, seem to have no problem admitting to their shortcomings and that others are superior to them in such and such field; something I, as a patient, have never seen a doctor do. Actually makes me respect them more.\n\n5) they often find medical mistakes to be funny (I guess a bit of gallows humor never hurts). On the upper note, they laugh at their own mistakes, too, publicly and with their full name and contact info posted.\n\n6) They don't call each other Dr. This and Dr. That (then why do they want us to?)\n\n7) The learning curve is incredibly steep: dental school does not teach dentists as much as they learn on the job (on their mistakes, i.e. YOU).\n\n8) Dentists are basically different people when among peers. (Like other service-oriented professionals I guess). Not bad people! In many ways way better than I expected. More personable, more intelligent (just look at their signatures at forums!), more authentic, funnier, way more modest and less full of themselves. Way different though.\n\nMore than ever, the dental profession (probably, medical in general) now reminds me of a medieval guild, from which it originates.\n\n=======\n\nI started looking at all that, because I don't know where to even begin finding a good dentist; and now I know why. Patients on Yelp, droogle and such only care about superficial things, not longevity of dental work (they do care about cosmetics, fortunately, as do I, so there is that), so their testimonies are of limited use; can't ask a dentist because of a possible conflict of interest (referrals are a very serious business); also, it appears that a dentist often won't refer to his or her professor, because of the fear that the professor might see their mistakes. In my town where most dentists have graduated from the same local dental school and know each other, this social aspect might be quite significant.\n\nNow that I have this frightening awareness that dentists screw up just as much as we do, which is to say, a lot (I am a programmer), where do I find a dentist who will do a good job?"
  },
  {
    "id": 2275,
    "title": "pulpotomy and caps in kids",
    "dialogue": "larsondvm: Is there every a legitimate reason to do a root canal and a stainless steel cap on a baby molar in a 6 1/2 year old child which will fall out around 12, rather then just filling the cavity? LADentalclinic: Yes.  If the cavity is deep into the tooth and reaches the nerve just doing a filling will cause more harm than good.  Your child could begin to experience pain and swelling.  A root canal on a baby tooth is called a pulpotomy.  It is much simpler, quicker, and less expensive than a root canal on an adult tooth.  During a pulpotomy, the infected nerve and tissue inside of the tooth is removed.  The stainless steel cap protects the restored tooth from breaking.  If the tooth is removed instead, a space maintainer needs to be worn to leave room for the permanent tooth that will grow in later. Josh Willson: I agree with LaDental. May be best."
  },
  {
    "id": 2276,
    "title": "Help! Blisters after crown prep",
    "dialogue": "wendy: Yesterday I had general anesthesia to have some dental work done. One of the things I need was a crown, the dentist started the crown prep while I was out. When I woke up I had a severe sore throat and I could barely swallow. \n\nI called him last night and he wants to see me this afternoon, he's wondering if I may have had a topical  reaction to the impression material. \n\nAlso with the blisters a spot on the roof of my mouth is white and I also have a few little bumps along the inside of my cheek where the crown is. \n\nAbout a year ago I had crowns on the other side, I woke up with the same sore throat pain but not the blisters.\n\nI asked if I was intubated and was not.\n\nI'm not sure why I have this but it's painful! \n\nI also had been coughing up kind of yellow/white phlegm after waking yesterday and also last night. It almost looks like yeast infection. I just had some soup and bread it seems to have taken the white costing along with it!\n\n\nHad this happen before?\n\nThanks LADentalclinic: This is an extremely unusual reaction to dental treatment.  Definitely go in for a follow up appointment. Josh Willson: Vey unusual reaction. Better go and get a follow up like LADentalClinic said."
  },
  {
    "id": 2277,
    "title": "Loan for Private Practice",
    "dialogue": "Hank: Hi guys,\n\nI've had my own practice for a little bit now, but I am planning on expanding.  However, I need some capital to help front part of this expansions.  I have a 600+ credit score, yet 4 banks have rejected me and I am thoroughly frustrated.  Does anyone have any suggestions about where to go for a loan?  Thanks for your help. \n\nBest,\nHank Josh Willson: Have you tried any local credit unions? Just a thought, however may be rejected there too. Hopefully not though."
  },
  {
    "id": 2278,
    "title": "Dentists and lawsuits",
    "dialogue": "Barry Robson: Hello fellow dentists,\n\nI thought you might be interested in this little infographic about dentists and defamation cases. It was put together by a law firm that apparently specializes in defamation, so they should know what they're talking about.Here it is, if your interested: http://defamationlaw.net/infograph/Apparently most disputes are between dentists vs. patients/hygienists/media, and then it's dentists vs. dentists allll the way down. We're a fratricidal lot, it seems like! The odds are 50/50 of winning a defamation case, too, but there are some interesting details about review websites and many cases being about mercury (instead of fluoride) fillings in children's teeth... What about you? Have you been caught up in any lawsuits, defamation or otherwise?\n\nVery curious! Josh Willson: I haven't personally but would be interested to hear from others."
  },
  {
    "id": 2279,
    "title": "radiology of molar",
    "dialogue": "hira ali: hi ... i wana ask if  anyone can tell how to identify a palatal and a buccal root of maxilary molar on a periapical radiograph .... ? suppose u have a periapical of a molar nd u r to tell wch root is the palatal and wch one is buccal how to identify ????"
  },
  {
    "id": 2280,
    "title": "New Video Shows Film's Benefits Over Digital",
    "dialogue": "Travis Griffith: Take a look- what do you think?"
  },
  {
    "id": 2281,
    "title": "Oil Pulling",
    "dialogue": "DMABR: Just wondering what dentists think of oil pulling.  I keep hearing so many good things about it, but I wonder if it's safe for teeth.  My dentist thinks it's a bad idea, but others swear by it.\n\nOn a completely different note, I am a former dental implant patient who is DESPERATELY searching for a replacement piece, as I am having several autoimmune problems, as well as other health problems due the piece that I have currently.  My dentist cannot locate this piece and has been searching for months, so I am trying here on my own.  This is what he wrote on the paper that he gave to me: Nobel Biocare, 18-year-old Steri_oss implant, 3.25 mm diameter External Hex Attachment.  If anyone here can help me, steer me in the right directions, give advice or point out a forum that would reach a wider range of dentists, I would appreciate it more than you can ever know.  Thank you. LADentalclinic: Have you tried contacting Nobel Biocare directly?  You can find contact info on their website.  I have a rep that I use to order their implant parts frequently.  I hope this helps."
  },
  {
    "id": 2282,
    "title": "Need some advice..",
    "dialogue": "ashleigh: Hi,\n\nJust need some advice if anyone can help me.\nI have had/plan on having more conversations with my dentist but I just need some advice in the meantime.\n\nI am 21, until about the age of 16 i'd say I had what you would call normal/nice teeth.\n\nSince then and getting worse, I am in pain all of the time. I almost await the pain because I know it's too good to be true when I ain't in pain for days/weeks at a time. \n\nIt's been a long long time since I got the what you could say all clear from the dentist. I am forever needing work done, I understand some people just inherit from genetics or have bad luck but it's upsetting me so much. I am only 21 and it's affecting my confidence. My teeth are straight and don't look that bad apart from the odd few. \n\nThe odd few, one being my front upper tooth which has undergone several attempts at root treatment... it has discoloured because of this which makes me so self conscious but i know it needed done.\n\nBasically, this past tuesday I got lower left molar removed because several root treatments had been undergone and unsuccessful. This gum now has an infection so I have been in complete agony for weeks now with this tooth.\n\nOnly yesterday, a lower front tooth decides to play up, agony worse than the extraction pain.. I think possibly just travelling pain but I got seen today from a dentist and right enough, an abscess - needs root treated.. another one added to the long list of work to be done.\n\nI plan on having a chat with my dentist about what can be done long term because i can't do this.. it's upsetting, painful and getting too much to face every few weeks.\n\nWhat are my options at my age? I'm missing 5 teeth in total and the majority have had fillings or undergone or to be root treated. \n\nPeople keep telling me get my teeth done, just get them done... what does this even mean?\n\nwhat are my options?\n\nthank you. BilboSwaggins: Sounds like you need to go see a cosmetic dentist for some work. You should definitely take care of that abscess ASAP. If you wait, things will just get worse rather quickly. At this stage you should really get a professional consultation set up to find the best options for you. LADentalclinic: That must be so frustrating. You should definitely have a complete exam done and ask for a treatment plan.  This will outline all of the work that you need and give you a cost estimate.  There are many cosmetic treatments for improving the appearance of your teeth but you want to treat the infections first so you can get out of pain."
  },
  {
    "id": 2283,
    "title": "Advice on avoiding abcesses since no dental insurance",
    "dialogue": "B K: I wanted to ask a dentist an advice question.\n\nMy issue is I have periodontitis that is progressing (sensitive teeth and tooth/jaw pain, receding gumlines, etc) and probably as a result have many cavities. I can't get more than one or two cavities filled since my dental benefit on my insurance is only $500 per year (which gets eaten up every year by my yearly exam/x-rays and one or two fillings which there invariably is, every year).  I got peridontitis to start with since my dental was canceled on my insurance several years ago so plaque built up as I couldn't afford to go for my yearly exam and \"scrape\".\n\nAnyway, my question is: if I have more than a couple cavities the next time I go in, obviously I won't be able to get them filled so how do I avoid abcesses and other complications of that? I would like to get my periodontitis treated, but again, I could never afford it. \n\nAny tips??? LADentalclinic: Unfortunately when cavities aren't filled they continue to get larger and will eventually reach the pulp of the tooth.  Once this happens a root canal is necessary if the tooth is restorable.  Root canals can be expensive so it is much better to fix teeth when the decay is minor, even if you can only afford to fix one tooth at a time.  Treating your periodontal disease is also a very wise decision because it can adversely affect other areas of your body."
  },
  {
    "id": 2284,
    "title": "Parital Removable Denture",
    "dialogue": "Divya: Can I wear a partial removable denture for 2 missing upper front tooth. What type will it be? Will I feel uncomfortable wearing it ? How will it look? LADentalclinic: Yes.  You can wear a partial denture to replace one or more teeth.  Some partials are metal based  while others have a pink resin base that is more flexible.  There are also temporary partials sometimes called flippers which are less expensive.  Implants are another very good way to replace missing teeth."
  },
  {
    "id": 2285,
    "title": "Help, hard painless bump on hard palate",
    "dialogue": "Fergie: On January 9th I discovered a 1 cm x 1/2 cm slightly raised, hard bump on my anterior hard palate. It just so happens that also on that day I started taking two antibiotics to treat a recently diagnosed h pylori infection (2000 mg amoxicillin and 1000 mg biaxin daily). I thought that if it  an infection these meds would take it away. Well it didn't. It's still there. It seems to get a little smaller while I sleep. If I continually push my tongue against it will get a little bigger. I remembered back in the fall brushing my teeth in a hurry and the hard tip of the toothbrush jabbing me in the same about area and then sliding towards the back of my hard palate. It brought tears to my eyes. It was sore for a few days but then I never thought anything of it.  Could this incident have caused this bump to form? I'm so scared. I have  where salivary gland tumors on the hard palate 're 80% of the time cancerous. What could this be? Help! LADentalclinic: Definitely see a dentist to get a diagnosis.  You can have a biopsy to find out what the growth is.  Don't try to diagnose yourself from internet sites because this may only make you more anxious.  Definitely make an appointment with a dentist."
  },
  {
    "id": 2286,
    "title": "Sensitive tooth",
    "dialogue": "Mair Davies: I was eating a seeded bread roll yesterday and a very hard seed hit my back molar causing great pain.  I can't see any crack in the tooth but it is very painful to bite on.  The tooth is filled.  Will this go away in time? It does not ache all this time only when I bite I it. artofsmile: It may due to the decay around the edges of filling.As you get older, fillings can weaken and fracture or leak around the edges. It’s easy for bacteria to accumulate in these tiny crevices, which causes acid build-up and eroding of enamel.Immediately consult a dentist without any further delays. Ohio Dentistry: Ouch, sounds painful.  Are you sure that the seed is not lodged in there? I've had a few patients before have similar problems with things like raspberry and rye bread seeds, they get lodged in between teeth or near the gums and cause swelling and pain.  Even after the seed is removed, there can still be some tenderness and discomfort.  I do suggest seeing a dentist if the pain continues more than a couple days. David Smith: Receding gums can be caused by conditions such as gum disease, which can expose the tooth's dentine and cause sensitivity. Brushing too vigorously can also cause receding gums. danielhermann: Due to accumulation of cavities or tooth decaying the pain may have been there, it is better to get the problem rectified under the observation of a good dentist, So that following pain issue can be resolved well on time, else it may lead to other health issue DentistD: Don't brush too hard or more frequently than your dentist recommends, use softer tooth brush MarkSummers: I suggest you use desensitizing toothpaste. I love Organic Dentifrice toothpaste by Shaklee. The toothpaste is made of eggshells and water. Organic Dentifrice toothpaste is completely natural and won't harm your teeth. It doesn't have the harsh ingredients that many name brand toothpastes do... stevengoldy: I think minor cracks on teeth can not be easily visible itself,\nyou must visit experienced dentist to check it very clearly,\nthen may be if there is any minor crack it can be found and you can get better solution to overcome from it. LADentalclinic: Some tooth fractures can be very difficult to see.  You should visit a dentist who will take an x-ray and do a clinical exam.  You will then be given treatment options that can get you out of pain.  If your tooth is fractured, an inlay, onlay, or crown may be recommended."
  },
  {
    "id": 2287,
    "title": "I went to dentist to get full dentures but partials is what i want now",
    "dialogue": "shade: so i already  had the dentures made but i  researched and thought that partials were what i really want to try  so do i save dentures that are already made  for later? I realize i will pay for what is done already but i really think i want to try the partials first i have a small mouth and I feel like they would fit better for me i only have one front back tooth and one front top tooth and two other top teeth that may possibly be able to root canal or? to save is  that enough teeth left  to work with ? jane singlehurst: I'm not a dentist, I'm a hygienist, however from the information you have  given here IMO you don't have enough teeth left to support partial dentures. Too much pressure on the remaining teeth. I'm hoping a dentist or prosthodontist can help you out here. If your bone level is good enough you might be a candidate for implants if you are able to afford that treatment. Good Luck. stevengoldy: you should visit a cosmetic dentist nearby you.\nand let him analyze your teeth for what exactly the direction for it.\nHe will guide you for the same. LADentalclinic: A cosmetic dentist is not what you need.  A general dentist can advise you based on x-rays and a clinical exam whether or not you have enough bone support around healthy teeth to support a partial.  If not you can get implants, a denture, or an implant supported denture."
  },
  {
    "id": 2288,
    "title": "Two temporary crowns?",
    "dialogue": "Jenl623: Hello, I've scoured the internet on this issue but haven't found any kind of answer.  I had a cracked tooth under a crown that had decayed pretty deeply (dentist missed the \"massive amount of decay\" shown on a one year old x-ray).  They removed my crown, cleaned up the perimeter, set a temporary crown with permanent cement and sent me to a specialist to get a root canal through the temporary crown.  Now I called in to get an appointment to get the permanent crown and was told that I needed to first come in to get a temporary crown and prep the tooth.  I understand needing to prep the tooth - but do I need to now start over and get the temporary cracked off and then another temporary put in place while I wait for the permanent crown?  My dentist is only in the office 2 days and the receptionist didn't seem to have a clue.  Does this sound right????  I am a acutely fearful patient and the whole process has traumatized me.  I don't understand having to go through another temporary crown process. LADentalclinic: If your 1st temporary crown was seated with permanent cement (very unusual) it will have to be cut off which would make a second temporary crown necessary.  Normally temporary crowns are cemented with temporary cement so it can be easily removed."
  },
  {
    "id": 2289,
    "title": "Minor gap at the top of 2 front teeth",
    "dialogue": "Sage: Hi there. I've recently discovered that I have a small gap at the top of my two front teeth. Really minor, but I'm not sure if it was there in earlier years and there was plaque filling it or not. Although the teeth meet the the bottom about half way down. I'm a 21 year old and have been smoking for 3 years. I've heard of the bonding surgery that could fix it although I would love if someone knew of anyone with the same problem that has had a success story. It's really bothering me LADentalclinic: Sage said:\n\n\n\n\t\t\tHi there. I've recently discovered that I have a small gap at the top of my two front teeth. Really minor, but I'm not sure if it was there in earlier years and there was plaque filling it or not. Although the teeth meet the the bottom about half way down. I'm a 21 year old and have been smoking for 3 years. I've heard of the bonding surgery that could fix it although I would love if someone knew of anyone with the same problem that has had a success story. It's really bothering me\n\t\t\nClick to expand...\n\nBonding is an easy way to fix that.  It's not really surgery.  Much simpler than that.  White composite fillings or porcelain veneers or crowns can close the space if it bothers you.  All of these procedures are very routine.  If you'd like to learn more you can click on the link for more info."
  },
  {
    "id": 2290,
    "title": "Fibrepost and Permacore - please help a nervous patient",
    "dialogue": "nhred: Hi All,\n\nMy first post on here so please be kind.\n\nI am 26 years old and around 18 years old i developed an irrational fear and suspicion of dentistry. I have spent the last year with on and off pain in my 5th tooth upper level (again please excuse my lack of knowledge and stupidity here) now i realize that waiting in pain was a silly thing to do. Long story short a piece came off the tooth the other day so i finally got to the dentists. The Dentist told me that i needed a \"fibrepost and perma core comp building\" and the tooth wouldn't be suitable for a crown as the procedure would ruin the tooth. I have a feeling that he is trying to push me into treatments that are not available on the NHS (i am in the UK) which is fine if necessary. My question is if the majority of the tooth is still remaining is it true that a crown is not possible? Also with the treatment he has recommended should there be a crown placed on top anyway? I am having nightmares of paying hundreds of pounds for a treatment that looks nothing like a tooth. If this is the case i would rather pay more for an extraction and implant.\n\nThanks in advance for your help guys thomas m mcconnell: In over 20 years of practice I have not come across a case  where the the majority of tooth remains and a crown is contra indicated. To be fair, an x-ray at the very least would be required by myself to form a more certain  opinion. nhred: thanks for your response Thomas, do you think that I should get a second opinion? thomas m mcconnell: Yes  you should get a second opinion .  Also let me edit my first response . Crowns are usually and most often placed on teeth that are mostly eaten up by decay , fractured,  have had a root canal and simply put have to little tooth structure left to retain a normal filling. From that view point I do not see how a tooth with the majority of tooth remaining would be ruined by a crown. There are in fact many instances when a crown would be considered over treatment. I have also learned that there are exceptions to many rules in Dentistry and with that in mind your Dentist may be right after all.  Finally,  if your tooth was restored with a buildup and does not expect a good prognosis as a  final restoration or is aesthetically and functionally not acceptable then a crown would very likely be a better treatment.......and \"possible\"."
  },
  {
    "id": 2291,
    "title": "Galvanic corrosion between gold and amalgam?",
    "dialogue": "Zoltan: Hello.\n\nMy tooth 18 has a largish amalgam filling which includes the side of the tooth facing tooth 19. I've had that filling in place for about 6 months and haven't had any issues with it. My dentist used amalgam since he said it was the most durable filling for molars (I also don't buy into the amalgam/mercury panic). \n\nI had a PFM crown on tooth 19 which needed to be replaced due to a gap between the crown and tooth (that crown was NOT done by my current dentist). I opted for a gold crown since it offers the best performance. The gold crown was placed two weeks ago.\n\nSince getting the gold crown I've started noticing the amalgam filling will sometimes have a metallic taste. This isn't something I've ever experienced before and have been pondering what it might be. So I was wondering, is it possible or even probable that there's a galvanic reaction occurring between the amalgam filling and the gold crown right next to it?"
  },
  {
    "id": 2292,
    "title": "Your insights needed",
    "dialogue": "Nik: We are conducting UK industry wide research on the reasons why patients do not attend appointments and would be really grateful if you could answer our survey. It will only take 5 mins (and all participants will be entered into a prize draw as a thank you). All participants will also be able to receive the published results and findings when they are available.\n\nYou can find the survey here: https://www.surveymonkey.com/s/patient_DNA_survey\n\nThank you"
  },
  {
    "id": 2293,
    "title": "Need a bit of advice on a periapical cyst",
    "dialogue": "jane singlehurst: I had an x-ray taken today, the dentist noticed a cyst which had formed above a tooth which is an abutment tooth for a 3 unit bridge. It is not infected, and the root has calcified. My opinion on this is that since the bridge never fit properly, excessive pressure may have caused this. The root has calcified, which is quite obvious as well. \n\nThe cyst is well encapsulated and not infected, so the dentist wants to give me antibiotics. This makes no sense to me. Can we just wait and review the size of the cyst over time rather than getting into any more aggressive treatment? Molly: Do not worry about it, the dentist will give you suggestions, you can turn to dental experts. They will give you great help. jane singlehurst: Molly said:\n\n\n\n\t\t\tDo not worry about it, the dentist will give you suggestions, you can turn to dental experts. They will give you great help.\n\t\t\nClick to expand...\n\n\n\nThanks Molly, my problem now appears to be an actual abscess there is a fistula which had formed which I couldn't see. Unfortunately it is way up at the apex of the tooth, so now I'm wondering which route to go on the endodontia side of things. Amazing how two x-rays can be so very different."
  },
  {
    "id": 2294,
    "title": "Legionella Risk Assessment - Dental equipment",
    "dialogue": "PiotrOakleaf: It has been a statutory requirement for some time for commercial premises to have a Legionella control system in place. The HTM 01-05 document has re-highlighted the need for all dental practice owners and responsible  persons to be aware of their legal obligations relating to the control of Legionella on their premises, which is also echoed by the Care Quality Commission* \"Essential Standards of Quality and Safety\" \n\n*CQC relates to England only\n\nRegulations and guidance that govern the management of Legionella include:\n\n\nHealth and Safety at Work etc Act 1974\nACOP L8 Control of Legionella Bacteria in Water Systems\nCOSHH 2002\nRIDDOR\nHTM 01-05\nHTM 04-01 parts A and B\nFor more information in about the assessment feel free to contact me on 07896049085."
  },
  {
    "id": 2295,
    "title": "Problems with Gums",
    "dialogue": "LilIVegan: Hello,\nfor the past 6 months i have been under gum pain that i cannot resolve.\n\nit started with the loss of my pet, which triggered a depression/sadness, and since\nthen i have suffered gum/nerve pain. I have been to specialists (periodontist) on gums and teeth,\nwhich have cleaned and basically said to continue my same dental habits of brushing several times\na day, and that eventually the gums would heal naturally.\n\nwith this, since the pain has not resided, it occurs from each time i brush, i have\ntried over 20 different types of toothbrushes, everything from soft to medium ect..,\nalso have used about dozen types of toothpastes, mouth washes, gels and nothing\nseems to resolve the irritation.\n\nI have noticed the pain comes from brushing, when i brush too close to the teeth\ngum line, and in result, the burning sensation occurs, and in order to remove plaque\nwith excessive brushing became a little bit reddish and receding. \n\nI am aware the human body is designed to heal itself, and i am hopefully doing everything\nthat is required, from proper diet ( i am a vegetarian, but i am also taking the needed vitamins).\nmy other concerns are that since the bushing to remove the plaque buildup is important\nto keep up, so it won't lead to gingivitis and other gum/teeth diseases, i am in constant\nstress of trying to find the balance of keeping my teeth clean, and healthy, without\nthe gum irritation. \n\nI know stress, emotional worries, fears, don't help the healing process, and the longer\nthis continues, i do worry that it will become chronic pain, and will never heal.\n\ni would also like to mention about my gum irritation, that the pain is in specific area\nof the outer parts of several lateral teeth up and down (where I've been brushing energetically\nto whiten them), while frontal and back teeth have no irritation, and also there is no irritation\nin whole inner side of any teeth. And also, toothpastes such as Colgate and vademecum started to peel\nthe oral mucosa inside my mouth, while the mouthwashes such as Listerine and lacalut are giving me a\nburning sensation. \n\nI am here to ask for help, to seek and understand why this is happening, are the\nnerves in the gums just very sensitive right now for myself, and i need to be more careful\nwhen brushing, and also, how to keep the plaque buildup minimum while keeping my\nteeth clean and healthy, and having no gum pain. \n\nthank you\n-Lili consultant: maybe overbrushing might be irritating that spot. Lay off for a good week and see where you are then. danielhermann: I too agree with the above saying that over brushing your teeths may be responsible for creation of  pain in gums or in the spot which is already in pain. Try to minimize your brushing habit to twice a day, which will also help you to retain your shine & healthy teeth & gums. MarkSummers: Whether you are having gum pain or nerve pain . but still, if its gum pain, it can be due to gingivitis or periodontitis or if their is infected tooth with a draining sinus, it can also cause pain in gums. stevengoldy: Daily brushing is the best way to keep healthy your teeth for beautiful smile on your face,\nbut excess and over brushing will be affect badly on your teeth."
  },
  {
    "id": 2296,
    "title": "Dental health",
    "dialogue": "Dr.smith: hey everyone! Dental health is really important. It's one way of having a positive outlook in life. Keeping clean is just great, it's one way to prevent dental hygieneproblems from occurring and from getting worst. We should take this matter seriously and not take this fro granted. Lorane: Careless about dental issues can really cost a lot so its important and good to have a regular checkup with a good dentist so that they can be cured at right time and our smile will always with us forever.. clarkedw83: Dental health is not just about sparkling teeth but a sparkling and genuine smile.The smile cannot be genuine if you are \nsuffering from a dental problem.To prevent dental problem  should follow the following tips these include :\n1) Brush your teeth properly\n2) Brush teeth twice a day\n3) Choose your tooth paste with proper fluoride balance\n4) Avoid chewing tobacco\n5) Avoid taking aerated drinks or red wine so often visit your dentist at least once in a month albtfisher80: Dental health is really very important because it refers to all aspects of the health and functioning of our mouth especially the teeth and gums. David Smith: Here are some tips of good dental health:-\n1.Brush at least twice a day.\n2.Use fluoridated toothpaste.\n3. Brush thoroughly.\n4. Floss your teeth daily.\n5. Limit acidic drinks like soft drinks, cordials and fruit juices.\n6. Limit sugary foods.\n7. Protect your teeth from injury.\n8. Try to save a knocked out tooth.\n9. Avoid using your teeth for anything other than chewing food.\n10. See your dentist for regular check-ups. MarkSummers: Keep your teeth and gums as healthy as possible and keep visits to the dentist to a minimum. stevengoldy: Daily brushing and flossing well is the best way to keep your teeth healthy.\nand if your teeth having any issue regarding oral health then you must go through dentist."
  },
  {
    "id": 2297,
    "title": "I was chewed out by my dentist's office for cancelling an appointment",
    "dialogue": "pdxmom5: I am a new member and I need to see if anyone has experienced what I have and some suggestions on how to handle this. Today ( Monday) I called my dentist's office because I needed to cancel an appointment I had for Wednesday to extract 2 teeth that are broken. I had to cancel since we are a one income family and my car decided to completely break down on us this weekend and we have to buy a new used car. In our budget, we just don't have the money to spend thousands of dollars on the implants I need and also get a car. I thought I had a good relationship with my dentist and his staff as my whole family has gone to them for a couple of years now and we have never had issues with them. Anyway, when I called first thing this morning and cancelled my appointment, I was thoroughly chewed out by the staff member who answered the phone and was chastised for having to cancel my appointment to get this work done on several other occasions. I was absolutely shocked and appalled as I have a severe medical condition that they are fully aware of and I have had to cancel appointments before because I was having surgeries and had my medical condition flare up. I know that their behavior is completely unprofessional and I understand if they are frustrated because I have had to cancel my appointments to get the work done, but I have always cancelled several days to weeks in advance when I have had an issue arise and think that the way they handled it is completely uncalled for. I forgot to mention that back in December I had taken in my son for an appointment and at the time I was very sick with the flu and they saw me suffering. I had an appointment set for later that same week and had talked to the receptionist about cancelling it. She told me to wait until the day before to see if maybe I would get better. When I came home, there was a nasty email from the dentist saying that they know I am sick and have other medical conditions, but they need to know immediately if I can make my appointment. I called back and cancelled and felt embarrassed to get such a nasty email. Now this happens. I really don't want to go back because of the way I was treated and I want to find a different dentist. I guess what I am asking is if anyone else has had this type of thing happen to them and is this something to report them on. I am feeling utterly humiliated and shocked and any advice would be highly appreciated."
  },
  {
    "id": 2298,
    "title": "What task in your business causes you the most pain?",
    "dialogue": "kdub: I'm doing some research into the business of Dentistry, in particular, the issues around what parts of running the business case the most pain. \n\nIf you've got some time, I'd love for dentists out there to answer two questions:\n - What task of your business causes the most pain? By pain I mean you hate doing it, or it costs you money etc.\n - If you could wave a magic wand and do anything to solve the problem, what would it be?\n\nKeen to hear your thoughts.\nKent"
  },
  {
    "id": 2299,
    "title": "How do I avoid braces?",
    "dialogue": "Braces and Invasalign: It's not that I have anything against them, no, I just have people including my friends that always constantly push me away from braces, and possibly Invasalign. \n\nAnyway, I just want to align my teeth that already look perfect from the mirror, but can feel one of my teeth is not aligned like the rest, and it's either the lateral incisor or central incisor that is pointing outwards that makes it possible for me to touch the side of tooth with my tongue. I can also see that not all teeth from top and bottom jaw are getting contact with each other when front teeth are in contact with the corresponding teeth from bottom jaw. I have to move top jaw a bit forward to make the others get contact.  \n\n\nI don't mind of I have to have an operation on my jaw, as long as no braces would be involved. I already suffered from Ludwig's Angina that didn't do its job in killing me, biodentlaboratory: You can always do invisalign, thats what my mother did and her teeth look better then mine! LADentalClinic.com: Invisalign is a great option for this because they don't get in the way nearly as much as regular braces do. They are not as unattractive as braces and create far less hassle for the wearer. \n\nIt is always far better to deal with the small issues you have now, than to have to deal with potentially larger issues in the future. Invisalign will help you tackle this small problem now. You can read more about Invisalign here: http://www.ladentalclinic.com/what-is-invisalign/ consultant: If you're teeth are already almost perfect and it's just one minor area, if you can live with it then you might not need anything really. I'd avoid any kind of jaw surgery. A non evasive approach to realignment is the way to go such as braces or Invisalign. MarkSummers: I decided to get invisalign to fix my crowded lower teeth."
  },
  {
    "id": 2300,
    "title": "Root canal gone wrong",
    "dialogue": "Mick2014: Hi there,\n\nI'm hoping someone can help me.\n\nI got a root canal and crown done 10 years ago. I've recently been getting some pain above the crown. It's not excruciating but I know there is something wrong.\n\nI went to the dentist and she told me that I needed to go to a specialist after viewing the x-ray. I went back to the original dentist who did the root canal and he kept saying that it didn't look like his work but it was! He didn't charge me for the consultation and told me to come back because he wants to see 'if he can get on there and fix it'.\n\nI've had advice to go to a specialist and not to go back to him because he obviously got it wrong in the first place.\n\nOver the last couple of years I've had chronic sinus problems and judging by the x-ray (I'm no expert) I'm wondering if the root canal infection is related?\n\nI have uploaded the x-ray here http://imgur.com/kM2hO1f\n\nIt's on the right side and 6 in including the front tooth.\n\nApologies for the long winded explanation!\n\nThanks in advance."
  },
  {
    "id": 2301,
    "title": "Dentist drilled on wrong tooth",
    "dialogue": "bdbart: So I went to the dentist this morning and got a cavity filled. While he was 'drilling' the tooth to make room for cavity filling, I 'think' that he started to drill on another tooth.  I didn't ask him about it, but afterwards I started to think that it was strange.  He only drilled on it for a few seconds before he finished up with the cavity tooth.  \n\nCould a dentist drill a slight 'hole' in another 'healthy' tooth to create a cavity in the future and keep me coming back for another cavity filling??\n\nI don't think he is a dishonest dentist, but has this ever happened before??? MarkSummers: Or maybe he just accidentally drilled the wrong tooth."
  },
  {
    "id": 2302,
    "title": "Confused with online advertising",
    "dialogue": "daniel: Hello,\nI'm a young dentist based in Minnesota. I'm trying to grow my practice online, but am overwhelmed with all the marketing options. Some marketing agents have talked to me about:\n* SEO\n* Google adwords - search, mobile, display network?\n* Facebook\n* Various YP paid indexes \n* I thought about starting a blog but I'm not great in writing stuff\n\nI have a budget that I can use to advertise in one of these channels (maybe two), but not enough to try them all... How do I know where to start?\nSome of my dentist friends said they don't believe in online advertising. Do dentists advertise online at all? From your experience, which channel is most effective?\n\nThanks,\nDaniel Jenn1fer: daniel said:\n\n\n\n\t\t\tHello,\nI'm a young dentist based in Minnesota. I'm trying to grow my practice online, but am overwhelmed with all the marketing options. Some marketing agents have talked to me about:\n* SEO\n* Google adwords - search, mobile, display network?\n* Facebook\n* Various YP paid indexes \n* I thought about starting a blog but I'm not great in writing stuff\n\nI have a budget that I can use to advertise in one of these channels (maybe two), but not enough to try them all... How do I know where to start?\nSome of my dentist friends said they don't believe in online advertising. Do dentists advertise online at all? From your experience, which channel is most effective?\n\nThanks,\nDaniel\n\t\t\nClick to expand...\n\n\nYes. Dentists do advertise online. A lot of advertising you do online, you can do for free and / or low cost. \n\nYou will need a website that looks professional that describes your practice, services offered, staff, and yourself to send people to. A website is a valuable sales tool to attract new clients. A lot of people will visit your website to check you out, get a \"feel\" for if you would be a good fit for them or not before ever calling the office. It is worth putting a little money into having a professional website made if you currently do not have a website.\n\nSEO\nThere are things you can do on your website, (on site SEO), and things that you can do off your website that will help your site appear in a decent spot in search results. On site SEO includes things like keywords or phrases used in your textcopy, high quality content, internal links,... Off site SEO includes things like links on other peoples sites, Twitter posts and mentions, press releases, article submissions, paid advertising,... A lot of which you can do yourself, have a staff member do, or hire someone. Be careful when hiring a SEO person or business because there are a lot of snake oil salesmen in the SEO world. \n\nGoogle AdWords\nTrial and error. You can set a budget as to the max you want to spend. There is a lot of information from Google and misc places that can help you choose what is right for you. \n\nFacebook\nFacebook is a way to get noticed and potential new patients. Create a Facebook page for the office and use it to network with other dentists, assistants and hygienists, and patients. You can also buy Facebook ads that are GEO targeted. You set a budget and have to pay each time someone clicks on your ad. There's a lot of information on the Facebook help pages and there are ways to also use Facebook for free exposure.\n\nYP - Yellow Pages online or Yahoo Places?\n\nBlog\nYou can have a blog for your business that updates patients on what is going on in the dental practice as well as provide practical information and tips. How to get your child to brush and floss their teeth? Is whitening your teeth right for you? How to properly care for partials and dentures? Which over-the-counter whitening products are okay to use? Talk about any specials or discounts you might offer. The ins and out of dental insurance. Talk about any new procedures or products you use and why. You can have guest bloggers who write dental articles for your blog. You can pay to have dental articles written or purchase articles from an article source. You can also use the blog to help boost your website ranking as part of your overall SEO strategy. \n\nIt's not like you only have to choose one or two online marketing options to invest your money in. Some things you can do yourself or spend a small amount of money on. You can go the route of hiring a marketing specialist, just do your homework before hiring one because some people and/or businesses will promise a whole lot or they realise this isn't your strong point and will use it to their advantage.\n\nJust remember that advertising online is not just about placing a link or making a website go live on the web and you are going to be flooded with new patients by the end of the week. \n\n\n\nDentalHealthBlog.com\nAn educational blog about all things dentistry related, written in an easy to understand way. Douglas: Networking with your online community\n\nYou also need to think about contacting your local online community for referrals and links. This will help you to increase your online profile.\n\nThis is not a case of just posting links on forums, rather it is building up a reputation where people want to link to your valid content.\n\nForums and message boards however are a good place to start. If you become a trusted member in answering questions you can often leave your website link in your signature.\n\nThere are also companies that will perform this service for you and call it 'link building'. Be warned though, some of them employ underhanded tactics to gain links.\n\nKind regards,\n\nCare Dental Rodrick Etienne: Hello Daniel,\n\nFirst off, I applaud you for starting your own dental practice, because we all know that starting and running a business can be tough work, otherwise everyone would do it.\n\nCongrats on that!\n\nI understand that the world of marketing can be very overwhelming with all the new marketing strategies, new platforms, software, services and the list goes on...\n\nOne person says this is the way to go and the other totally contradicts it.\n\nTrust me, I understand where you're coming from.\n\nHere's the good news...\n\nI'm not confused and I know what works when it comes to bringing in more patients into your practice...\n\nNot to sound cocky or anything.\n\nTrust me, it's taken me a great deal of effort in time, money (lots of it), and effort to weed out all the Internet Marketing hype.\n\nI've written several no-fluff, no-hype articles that addresses your question on my blogs and other website properties, but I'll elaborate a little on what's working right here in this post as I don't want to write a book (LOL).\n\nMarketing Strategy #1: Reputation Marketing\n\nWith the recent Trends that have been taking place during the last 12 plus months where SEO, Social Media, and Reputation have now been combined, you definitely must put your efforts here.\n\nIf you go to your Google+ Page, you'll notice that It includes Reviews, Reputation Monitoring (must be logged in), and the ability to interact with your patients (that's the Social Media element).\n\nThe SEO element comes into play because it's also your local Google Map listing that appears (if properly optimized) when a potential patient searches for dental services in your city or town.\n\nGoogle has now put Reviews above every other marketing element.\n\nIf you have bad reviews your potential patients will see them and you'll lose thousands of dollars because of them...\n\nA potential patient that sees negative reviews posted about your practice on your Google+ Page will most likely call your competitor whom have good reviews.\n\nNo Reviews can be just as bad, because with no reviews a potential patient doesn't have anything to base their decision on.\n\nOnce you have several 5-star reviews, you must market those all over the Internet for your potential patients to see them, which of course will motivate them to call you because they'll see you as the market leader.\n\nMarketing Strategy #2: Google Plus (a.k.a Google Maps Listing)\n\nYou must make sure you claim your Google Plus page because it's the single best Patient Generator that you can have Online and the best part is that Google provides it for FREE.\n\nIt's already Mobile-Friendly.\n\nGoogle has made your Google Plus page soo important, that it shows up above the organic Search Engine listings...\n\nThe only listings that appear about the Google+ Pages are listings that appear in the Top Local Business Directories such as Yelp, Kuduz, and so on.\n\nThe dentist Google Plus pages that appear on page one for the best keywords (i.e. cosmetic dentists) will get all the potential patients calling them.\n\nHere's the thing, there's only 7 spots that Google will show on the first page (A through G), and if you're not there, you're missing out on all that Internet Traffic.\n\nWhile I can get into several other Marketing Strategies that work, just know those two are the absolute most important.\n\nWith that said...\n\nReputation Marketing has to be the first element that you work on, because what good will it do you to Rank your Website/Blog and even your Google Plus page if you have either Negative or No Reviews?\n\nI don't want to spam this forum because I'm truly here to help dentists that have marketing related questions, but if you want to know more about Reputation Marketing and Google Plus, just visit my site at http://www.strategictwistmarketing.com danielhermann: Hey Daniel it is true that Dentist do advertise their work nowadays a lot, but advertising i think you first need to establish yourself as a good nearby dentist, who is smart in handling any issues occurring due to bad oral health. Once the pillars of foundation are made, then you can easily think of taking another plunge in advertising yourself via social media. MarkSummers: Hello Daniel.. I do agree to most of the suggestions written on this thread. Sometime when we do have too many options we find it more difficult to choose. Better yet establish your business first and a little bit of online work can help. Some can even be done on your own if you have the time for it."
  },
  {
    "id": 2303,
    "title": "Post Extraction Healing",
    "dialogue": "ricj7: I had a side low jaw tooth extracted 12 days ago. It had one root and it all went fine. Doctor had used anesthesia well and there was no pain during or immediate after extraction. Btw, my age is 45 years.\n\nHowever, now 12 days have passed but where the needle was used i.e. back of the mouth where both upper and lower jaws meet......that area the anesthesia was injected. After 12 days, I am having problems opening the mouth fully i.e. normally and it pains to do so. It is as if some lock has been placed on the back of the jaw. This pain was there from day 1 but I am surprised that it has not gone away by now.\n\nAlso, the socket area of extraction, when I press on gums around etc. I can feel the pain. Same during eating if some hard item hits the socket where the tooth was pulled out from.\n\nThe dentist who performed this surgery is now far as I did it during the travel to Florida. I need to know a) how long does it take to heal the socket area fully. b) the pain on the area where two jaws meet i.e. back of the mouth, when will it go away and when I will be able to open mouth fully. Even some jerk type action like throwing a ball hard or nodding head, i can feel that jaw pain and it worries me.\n\nI hope I have not caught any infection. Have had extractions before but never took so long for healing. Please advise if I need to go to a dentist or it is just normal going after extraction. Thanks all !!"
  },
  {
    "id": 2304,
    "title": "Cleaning+whitening on same day?",
    "dialogue": "crossbone: I'm planning to have my teeth cleaned and since I have stains, some extensive work is needed. In light of that, is it ok to have a teeth whitening procedure performed on the same day? CraigRWS: In this instance I'd probably wait a good few days after the cleaning before using any whitening products. If you don't you may find the whitening product will make your teeth/gums quite sensitive. Jennifer Shaw: Cleaning before whitening is a good idea, to remove all the plaque, tartar and some debris and to have great result for your teeth whitening. I'll also agree with Craig, some patients may may have possible sensitivity when having a cleaning, so you might have your teeth whitening treatment within a week of your cleaning. danielhermann: Yes teeth cleaning is important to get rid of cavities or stains which causes many dental issues, but cleaning & whitening shouldn't be taken place at the same time rather whitening should be done once healing takes place after moth cleaning. MarkSummers: Having a cleaning with your hygienist before whitening is definitely a good idea. The plaque, tarter, and/or debris will cause a build-up on your teeth that may not allow the teeth to whiten in certain areas, resulting in uneven coloring on your teeth. The same is true for the inflamation of the gums. If the whitening is done when your gums are inflamed you may have left over yellowing close to the gums after the inflimation is taken care of... MarkSummers: Cleaning and whitening your teeth shouldn't be done in just a day as they will become sensitive. And it will have the possibility that it couldn't be done correctly."
  },
  {
    "id": 2305,
    "title": "Dentist putting off a filling. Is it normal?",
    "dialogue": "mabwriter: I had a filling that fell out so I went to the dentist today to get it refilled expecting to hear I'd need a root canal. Well the dentist said there was no abscess and based on x-rays I wouldn't need a root canal, however said that could change once they drill and see how much decay there is, but in cases like mine it's very rare.\n\nWell I expected to have it filled today, but instead they scheduled it for next week. Is it normal? Couldn't it get worse where I'd need a root canal?\n\nAlso, I am not feeling any root canal symptoms, but ever since the hygienist blew that cold air into the hole where my filling was, my tooth has a slight ache. I'm guessing having cold air blown into a hole in your tooth is going to cause sensitivity, but just want to check. Cin: If you don't have pain, first of all you wouldn't need a root canal.  It would just cause sensitivity because it was an open hole. Libra: if RCT is not advised and there is no pain , then its ok to delay your appointment of filling for a week. MarkSummers: I've had fillings refilled, taken out and refilled again. Never a root canal because the root was healthy and showed no signs of decay.\n\nIts always good to Get a second opinion from another dentist. danielhermann: Yes i too believe that you need a second opinion to further reflect as what is hurting teeth or gums. Also cleanse your mouth with a mouthwash after every brushing, but try not to hurt that effected area. MarkSummers: I have fillings also and the dentist had full this off once due to some cases. And this is refilled again."
  },
  {
    "id": 2306,
    "title": "Slight irritation",
    "dialogue": "Richard: Hello,\n\nI have a slight annoying sensation in my mouth around the gun of one if my back teeth. No pain at all but just this itching sensation and it is heightened when I eat.\n\nI have just bought cordesol and will try this. I don't want to go to a dentist and pay £17.50 to be told to use cordesol danielhermann: Hmmm i feel it may be due to consumption of cavities in your mouth, would suggest you to do brushing twice a day & after brushing try mouth wash too. If the itching still persists i would suggest you to take help from nearby dentist, who can look into this matter in a better way."
  },
  {
    "id": 2307,
    "title": "Chipped molar during wisdom tooth extraction",
    "dialogue": "Waran: Hello,\n\nI am looking for some advise about a recent tooth extraction. I had an upper wisdom tooth removed and during the process it appears the dentist chipped the adjacent molar in several places on one side of the molar.\n\nHe didn't say anything to me during the procedure and after it was over I asked if everything looked good to which he answered \"yes\". So I'm a bit upset he didn't tell me what went wrong and I am concerned that having this chipped molar can lead to problems down the road. I am not sure how this would be repaired as I have never had this happen before.\n\nI am hoping I can get some advice. I am going to contact the dentist but I am unsure If I can get him to repair the damage or if I should even be concerned. I am assuming having the enamel broken off the tooth in a few places can't be good at all.\n\nthanks for reading and any responses. BilboSwaggins: That's horrible. I can't believe he didn't even tell you. You need to tell him asap. That's just wrong. Research cosmetic dentistry stuff. I personally think a crown would be your best bet, but it just sucks to have to do that because it isn't ever going to be the same as your original tooth. \n\nSorry you had to go through that, and good luck with it all."
  },
  {
    "id": 2308,
    "title": "Looking for some advice",
    "dialogue": "matthewhassell: I had a accident around 7 years ago which caused one of my front teeth to go grey, a NHS dentist drilled a hole in the back of the tooth and I'm pretty sure he took the root out, the tooth ended up a really bad shade so i opted for a veneer through the NHS which is horrible in all honesty, its not in line with my other teeth and you can see the tooth behind showing through, i was wondering if i would be eligible for an implant rather than another veneer, any advice would be appreciated danielhermann: Hmmm it is quite difficult to suggest as implantation can be successful in your case after going through your picture, rather i would suggest you to get your check gums & teeth thoroughly checked by a good dentist before taking any drastic step."
  },
  {
    "id": 2309,
    "title": "DAZED, CONFUSED and HORRIFIED!",
    "dialogue": "LotusT: decided to try new provider. I was not  aware dental assts gave injections. I was injected 6 fk'n times on the left side today for a scaling. Then 2 others are cleaned before she starts on me again. WTF!"
  },
  {
    "id": 2310,
    "title": "What's the best way to attract new clients?",
    "dialogue": "mosessovo: I have my own clinic and I am looking for the best way to attract new clients. Please share your thoughts danielhermann: Well the best way to get good number of client is through good work that you need to carry & be concerned with problem of the client, who expect the same from you. Do advertise your work in a best possible manner & float good offers from time to time."
  },
  {
    "id": 2311,
    "title": "kind of hurts to brush teeth after 2-3 days of alcohol consumption",
    "dialogue": "gkitty: I literally for 2 days mixed up some (1 bottle of vodka for all 2-3 days) and some walmart brand Pink lemonade \"crystal light\" The stuff itself has no sugar in it.\n\nAnyhow I woke up a day or so ago and brushed my teeth and noticed it didn't really hurt to brush but it would zing me around my gum lines and the crowns of my teeth. This is not just occurring in one place of my mouth but all over. it's easier to make contact with the zing around the front and back of the gum line . I've never had this problem before and i brush and floss regularly. I read it could be gum recession? Is this anything I should worry about? Is this possible to happen to someone over a 2-3 day period? Will From Hull: Drinking vodka for two days isn't going to be good for your teeth. For a start - it contains potato - which is high in starch (which is converted to sugar easily). Alcohol is also 'converted' sugar.\nSo all in all, you have given your teeth a battering for 3 days. I'd drink nothing but water and milk for a few days, and use mouthwash after brushing in an evening. ThirdStreetDental: Gum recession is very unlikely to occur after only a 2-3 day period. However, you could have sensitive teeth. While the Crystal Light doesn't have sugar in it, alcohol does, which can lead to cavities and further irritate sensitive teeth. I would switch to a toothpaste for sensitive teeth, such as Sensodyne, and if the problem continues see your dentist. You could also be brushing too hard. Ohio Dentistry: I agree with ThirdStreetDental above, try using Sensodyne or other like toothpaste for sensitive teeth.  \n\nI really think that the massive amount of crystal light may have caused the sensitivity.  True it may not have sugar in it, but it probably has some kind of artificial sweetener, or like chemical (otherwise you'd just be drinking sour lemon water).  I've had a similar sensitivity happen to me.  I was traveling for a weekend and drank a few bottles of Poweraid/Gatoraid over the couple days with very little water.  The Poweraid made my teeth sensitive, but no permanent damage.  I believe it had to do with the \"fake sugar\" they put in those kinds of sport drinks. consultant: Many adults have gum recession later in life. That's not uncommon. Try drink in moderation and less frequently. You'll enjoy it more that way. If you can't do that then you need to start going to AA. Don't brush for a few days. Then touch and see if it's tender still. If it is wait another week before attempting to brush. and lay off the boze danielhermann: Any starch based drinks does harms our teeth like anything if the same has been consumed for 2-3 days, though in your case it seems that too much consumption of liquor has made your teeth much sensitive, that is why consumption of liquor is always held as bad for tooth or gums."
  },
  {
    "id": 2312,
    "title": "Should I be worried about this?",
    "dialogue": "Robert: Good day! Guys can you please have a look? Because I don't know what that white round spot/hole is... its been bothering me for more that 3 weeks already... Should I be worried? I hope its not cancer \n\n\nKindest Regards\n\nrobert consultant: I doubt that's cancer. That's just the color of the area from loose of a tooth. It's not cancer. Robert: there  wasn't any teeth there... Libra: its not cancer. may be it has developed bcz of continuous impingemnt of ur lower teeth in that area during chewing, any sort of infection, cheek biting,smoking...better to visit ur dentist if its painful n donot heal in 5-6 weeks. only detailed history of ur condition wd gv a definite diagnosis.\nmoreover if its cz of sharp cusp  hittng that area or cheek biting then it shd  heal  within 3-4 weeks. Rex Fuller: Better ask your doctor about it. CraigRWS: Robert said:\n\n\n\n\t\t\tGood day! Guys can you please have a look? Because I don't know what that white round spot/hole is... its been bothering me for more that 3 weeks already... Should I be worried? I hope its not cancer\n\t\t\nClick to expand...\n\n\nYou should visit your dentist as soon as possible for clarification, a good professional dentist checks for signs of oral cancers as part of their examination. danielhermann: I too agree with the above suggestions that you need to consult your problem with a good dentist, else an infection in gum/teeth can lead to many detrimental health issues, which will difficult to be resolved later on. if ignored now. Also keep a check on your gums, which shouldn't bleed much."
  },
  {
    "id": 2313,
    "title": "Damaging my own teeth",
    "dialogue": "Rainman: I have had an obsessive compulsive problem in the past where I bit down on my chaw (like chewing gum without the gum). My wife or myself catch me doing it occassionally, as I do it subconsciously, but I don't do so often anymore. \n\nAnyway, I had a big shock a week ago when I noticed I have chipped a back tooth, the bottom left and second from last (the cusp I think you call it). I didn't feel it happen and only noticed because I felt a jagged point with my tongue. I only ever felt an uncomfortable feeling 4 days later after playing around with it too much with my tongue and started to feel the \"nerve\" running down my chaw but that went away after around 12 hours. Now it feels normal again even when eating or drinking hot or cold liquids.\n\nAfter doing some research I have learned that teeth can crack and chip over time and it has frightened me about my previous anxiety habit that probably lasted for around 4 years!! However, the tooth in question that cracked had an enormous filling that I remember the dentist almost wanted to pull out 10 years ago (It took me a long time to go to the dentist because I thought my pain was due to a gum problem as I couldn't feel any pain on my tooth,  only the gum and was gargling down listeren all day, still should've gone though). \n\nOne question I have is could my past habit have caused fractures or kill nerves? I am going to the dentist to check the chipped tooth but what would you expect him to do? Can I check for fractures in my teeth?  As I have already stated I have anxiety so am concerned about my teeth  . dentistinnoida: Yes, definitely. your past habit may weaken your teeth. It may also cause 'Attrition' which initially starts with hot and cold sensations. You must visit your dentist ASAP. Unfortunately, there is not way to stop such habits but consciously trying to avoid doing them. marrkarnell: i also had a chipped tooth in the past. i thought it's just something that stuck on my tooth. after a while, i was able to get the chipped part. and after few months, i have to go to dentist because the chipped tooth is aching. there i discovered that i had tooth cavity. just sharing! )))) Cin: What is chaw? danielhermann: My friend i believe it is important to get your problem sorted out as soon as possible, since any problem leads to many other unseen on mouth issues, It is due to your past habit, which has given rise too many tooth issues. Would suggest you to get in touch with a good dentist who can help you to ease your problem."
  },
  {
    "id": 2314,
    "title": "Can't open my mouth all the way. HELP!?",
    "dialogue": "Billy: I had this last year in the summer when i could not open my mouth fully on my right side sometimes but my left side is just fine with out any pain.\n\nAnd most of the time i could open my mouth fully but came back sometimes.\n\nUntill last night nearly everytime for a period of time i open my mouth it kept clicking on my right side in my mouth and not open it fully.\n\nIt does not hurt on my right side and i can only open about all most 4 or 3 fingers open.\n\nI can talk and eat normally and i told my mum and dad about this they say go to the dentist.\n\nAnd i am getting worried about this.\n\nWhat is this? and how to get help? Will it go away in time?\n\nAnd why do i have this problem? What is the cause of it? Thanks"
  },
  {
    "id": 2315,
    "title": "Why do some dentists refuse to prescribe phenergan along with hydrocodone?",
    "dialogue": "melturco: My past dentists prescribed me phenergan with my hydrocodone to aid with nausia, otherwise the pain killer makes me sick. My new dentist told me that he does NOT prescribe phenergan and that other dentists should not either. He did not explain why, and I would like to know why. (He instead went on to prescribe me Vicodin, which as you know ALSO has hydrocodone in it, but with no phenargan prescription.)\n\n1) What is the general feeling in the dentist world when it comes to prescribing phenegran with pain killers?\n2) What is taught about this or written about it journals?\n3) Why would a dentist refuse to prescribe it yet others prescribe it?\n\nThanks."
  },
  {
    "id": 2316,
    "title": "Do bridges always have free space between the bridge and the gum below?",
    "dialogue": "finalprice: Or are they normally close to the gum? How safe is it if you only clean the bridge with a toothbrush? finalprice: Please anybody?"
  },
  {
    "id": 2317,
    "title": "hello....I cant find prosthodontics portion",
    "dialogue": "Dr Marrie: I want to know about different part of partial denture.....impression material.... Positions and all... I have a viva ..... If any one can help"
  },
  {
    "id": 2318,
    "title": "bone like bump on jaw line not gum line!!!!",
    "dialogue": "ririzzy17: i have had a porcilian crown on my first moller going towards the back on my right side of my mouth for 4 years or maybe a little longer....it has never botherd me up until recently when i noticed a huge hard bump on my jaw line that feels like bone.. i dont know what it is!!! obiousvouly or i wouldnt be asking if anyone might know anything about it... it is bothering to me but other than that its fine.. but sometimes i think it keeps getting bigger very slowly!!! does anyone know of anything like this or something similar.  please let me know Cin: I just joined this forum and just read your post.  Yes--I know what it is.  I have the same thing and my hygienist has several that are even big.  They are part of the jaw and they have a name but don't know how to spell it.  It starts with exos something.  Or else ES something.  It's a long name.  My hygienist said a lot of people have them and they just are part of the bone in the jaw.  Nothing to worry about at all."
  },
  {
    "id": 2319,
    "title": "Bad Crown question",
    "dialogue": "Jairo Mejia: Hello,\nI had two crowns done about 3 years years ago. I went to a different dentist for a regular cleaning and check-up after 1.5 years of the crown work. New dentist took X-rays of my teeth and the dentist told me I needed to replace/fix two crowns and they happened to be the crowns the previous dentist did. The crowns didn't brake but the new dentist said that internally they were not done properly and they soon will give me problems again. I noticed that they bleed every now and then. He showed me the x-rays where you can see that crowns are not good. My question is, should I go back to the previous dentist after all this time to tell her the problem and do you think she should fix the two crowns at no cost to me since they didnt do a good job since the beginning? I have the x-rays from the new dentist to show. Thank you. CraigRWS: Personally, I would leave the first dentist well alone ,I very much doubt anyway that they'd fix and no charge, I wouldn't want them too anyway. Better to get them redone correctly using your new dentist. SacredGal: I for sure go back to that dentist and insist on some sort of refund , and I would not take no for an answer , no way no how , you spent good hard earned money for them"
  },
  {
    "id": 2320,
    "title": "Dentist Installed Crown Without Any Cement-I'm Concerned?",
    "dialogue": "Itsme2: I just had a porcelain crown installed. Dental assistant did trial fit and polish, took it in and out a couple of times, said it looked great. Put a cotton roll between the upper crown and lower teeth and went to get the dentist to cement the crown. Dentist came and after several attempts could not remove the crown, said because the tooth was fragile he didn't want to try any more for fear of breaking the tooth. Dentist said the uncemented crown and tooth would be fine and that he had a couple of other patients were same thing happened and they were doing just fine after many years, one as long as twenty years. He also said if it came loose and was damaged or lost he would replace at his cost.\n\nMy concern at this point is, do I need to worry about bacteria getting under the unsealed crown and causing decay/infection? I also travel and am sometimes away for a week or two at a time, if the crown comes off of course it will happen when I'm out of town.\n\nShould I insist that the new crown be cut off and replaced properly?\n\nSeeking advice on how to best handle this situation.\n\nThank you! Jennifer Shaw: That is quite strange. Yes, you should insist your dentist to apply cement to the inside of the crown surface and then fit it into place over the tooth.Probably because of the number of processing steps on the installation, the dentist did a slight discrepancy on the fitting. So make him do a minor grinding and smoothing of its surface to ensure it fits correctly. SacredGal: wow I would totally insist on him cementing it and I would not leave until he does so SacredGal: oh wow and no way would I have let an assistant do any fit and finish , I don't care how much experience she has , with my dentist I made this very clear when I started to see him , that the assistant was to only assist him and do nothing on me"
  },
  {
    "id": 2321,
    "title": "Indiana- Looking for discarded film",
    "dialogue": "benny1636: Hey guys if any of you are in indiana and have the discarded lead x-ray foils I will gladly take them off your hands.I use them for making target ammunition. just shoot me a pm, thanks in advance.\n\n - Benny benny1636: bump. willing to pay for these foils."
  },
  {
    "id": 2322,
    "title": "Swollen gums on the top front teeth.",
    "dialogue": "luq: Hi.\nI've got a strange problem with swollen gums. The thing is, they are swollen only on the top front teeth. I guess it began some time ago, but it has not been bothering me until now.\nI've had some \"dental injuries\" in the past, which required some minor reconstructions of the upper front teeth ( crown reconstruction ). Since then the gums are permanently swollen. I've visited two dentists but none of them could really help me. The first one thought it may be related to the irritation caused by irregular, sharp surface of the composite, which was corrected afterwards. The problem persisted. Another came up with an idea of overgrowth caused by the lack of contact between the teeth.. He fixed it, swelling decreased a bit, but it's still there.\nIt sometimes hurts during flossing, sometimes not. It's sensitive to touch, mostly near the teeth, at the edge. It's not that significantly reddish, but the difference is noticeable.\nI think i should also mention that the surfaces of those teeth are not even ( due to the reconstruction ), which makes me wonder if this may be the cause ( pressure ). I also am more of a mouth breather myself, which also may be a direct factor. Thus i was wondering if there are any things that i could cover swollen gums with during sleep, to prevent the irritation.\nI brush, floss, rinse and visit my dentist regularly, so i think it's highly unlikely that my oral hygiene is the problem.\nI would be really grateful if you could share some suggestions with me, but on the other hand i am aware, that it may be difficult to identify the underlying cause.\nThanks in advance consultant: don't brush, floss, or rinse for at least a week and see how it feels. I suspect its constantly being irritated by over cleaning."
  },
  {
    "id": 2323,
    "title": "Worried",
    "dialogue": "Kate: Hi there, I'm new to this forum and really need advice, I'm starting to feel quite stressed out.\n\nI had toothache start on my bottom right back tooth about six months ago. I went to the dentist and she filled out, but the toothache persisted. We decided to try root treatment, however when she started it my nerves wouldn't go numb. She gave me antibiotics and I was supposed to go back, but after the pain I experienced I was too terrified. I left it a few months and had a few niggles but nothing I couldn't manage with painkillers.\n\nThan a few weeks ago the pain changed. Instead of being normal toothache, it was sore when I bit down or put pressure on my tooth, and I could feel swelling on the gum beside the tooth. I decided to go to a different dentist, who gave me antibiotics. After taking them, the swelling was still there but she started the root treatment anyway. It was going ok and she managed to get some of the nerve out but there was one that was still too painful. She dressed it and said it should die off and to come back the following week to finish off. However the pain had worsened and the swelling was getting worse, so I went back a few days early and asked to have it removed. She extracted the tooth this morning, which was fine, but now the anaesthetic has worn off the tooth beside the extracted tooth is now painful in the same way ie when i bite down or put pressure on. Does anyone have any idea what is going on?? I'm at my wits end"
  },
  {
    "id": 2324,
    "title": "English Dental Terminology Ebook",
    "dialogue": "phanquanghuy: Hi everyone, I need a English Dental Terminology Ebook so who can help you? Thanks."
  },
  {
    "id": 2325,
    "title": "Receding Gums",
    "dialogue": "Will: Hello, I'm new here \n\nAnyone know what is going on with this tooth? I'm booked in for seeing the dentist of course but I've been obsessing and fearing the worst that my teeth will fall out. I can be almost certain this is some form of gum disease, and I'm certain I should have got this looked at a year ago!\n\nCan anyone help please?! Before I go mad and self diagnose myself inaccurately like the dentist I am NOT!\n\nThanks guys!"
  },
  {
    "id": 2326,
    "title": "Teeth Whitening Pen",
    "dialogue": "Terryguy: Hello everyone. I am trying to get my teeth whiter while staying on my budget. Has anyone here tried using a teeth whitening pen? I read somewhere that this is a cheap alternative to whiten the teeth, but I am a bit hesitant to try it because I lack information. Your response will be greatly appreciated. suevivaconcepts: http whiterimage com whiter image-pen \n\nI personally use this OTC system. And it lifts a quarter of a shade with each treatment. There is zero sensitivity and its great for on the Go or Home use at budges costs in comparison to Office brightening treatments. Definitely worth a try. Especially for $25. marrkarnell: i use blue covarine once. i mixed it with toothpaste and it gave an optical illusion making my teeth less yellow. bleaching is also good Henry Davis: Hello buddy. My teeth are very sensitive. I have no cold water and hot vegetable. Because it’s very problem create in my teeth. mitzim440: I've used the Brilliant teeth cleaning pen and it seemed to help some. I found that using the strips would be more beneficial and easier, but that's just me. I am adding one more thing. What's your opinion about this smile makeovers? I have heard that a lot of people have benefited from it and am planning to getting it done. Do it have any side effects? jpalmer: I know whiter image works well. But the pen is just used as a touch up. You will need to use some trays that keep it on your teeth longer to get better results. Just make sure you get a gum exam to make sure you do not have periodontal disease before using the trays otherwise you could have more pain and sensitivity than necessary. Whiter image makes a take home tray kit that is very reasonably priced. CraigRWS: Terryguy said:\n\n\n\n\t\t\tHello everyone. I am trying to get my teeth whiter while staying on my budget. Has anyone here tried using a teeth whitening pen? I read somewhere that this is a cheap alternative to whiten the teeth, but I am a bit hesitant to try it because I lack information. Your response will be greatly appreciated.\n\t\t\nClick to expand...\n\n\nTeeth whitening pens are very easy and convenient to use, as long as you use them alongside regular brushing and flossing you will eventually start seeing results, don't expect miracles after just one use, keep using though and I'm sure you'll be happy."
  },
  {
    "id": 2327,
    "title": "Bumps on side of tounge",
    "dialogue": "Jenny: have bumps on the left side of my tongue they don't hurt. The skin is also swollen underneath the tongue with 2 sores. I have also have a small white bump where my wisdom tooth should be (it has not come in yet). The area is bumpy over my wisdom tooth area. I don't have any pain by the wisdom tooth. The only pain I have is if I put pressure on the two sores on the swollen skin. \n\nObviously I can't rush to the dentist since it's Friday. Any idea on what's going on. \n\nMy sister says I might have cancer. Which just scares me more."
  },
  {
    "id": 2328,
    "title": "Haven't brushed in 3 years what to do?",
    "dialogue": "Dawg: After a little bit during school I was becoming lazy and after my teeth started to go yellow I thought no big deal but now I am too afraid to go to the dentist I am 14 years old hoping somebody can give me a tip they r yellow and hurt like crap they r ultra sensitive havnt been to a dentist for about 10 years now ThirdStreetDental: If you haven't been caring for your teeth properly it's likely that you have some tooth decay which would cause the pain and sensitivity. The yellowing could be due to drinks, such as soda and coffee and poor oral hygiene. You can't underestimate the importance of brushing and flossing. Plus, once plaque hardens only a dentist can remove it, which means you might have a build-up and that can create a yellow tint. You are still extremely young and can likely reverse any damage you've done. See a dentist as soon as you can. It's never as scary as you think it will be. As a dentist, I see terrified patients all of the time who think that their visit will be horrible because they haven't kept up with their regular dental check-ups. It's never as bad as you build it up to be. I promise! DentalDirectSales: I would start caring for them, go to the dentist and get them to clean them for you. Don't stress so hard, everyone makes mistakes. It's all about how you go about avoiding them in the future, and fixing the ones from the past. Start brushing your teeth twice a day, morning and night, and go see your local dentist ASAP so he can tell you more as to what's causing your pain! DentalSave: maintain your teeth\n\nI completely agree, you have to seek professional dental care immediately! Keep in mind that neglecting the daily maintenance of your teeth can result in a dental bill worth several thousands.. biodentlaboratory: is dental insurance a problem? why wouldn't you go to the dentist? whatever it is you need to get over it and go! CraigRWS: As some one who went through a similar experience, I can only urge you to make the decision to see the dentist as soon as possible. The longer you leave it the worse it's going to get, and more expensive it will become. \n\nIn the meantime buy a toothbrush and sensitive toothpaste and some floss. It's really does only take 2 - 3 minutes a couple of times a day at least. You can find instructional videos on youtube if you need to learn how to do it properly. \n\nIt doesn't have to get any worse, just build up the courage and take the first step.. DentalDirectSales: Not keeping your mouth healthy and clean can result in a lot of other issues later down the road. Your best bet is to go see your dentist, get cleaned up, and listen to EVERY bit of advice he gives you. David Smith: Brush and Floss is very basic to improve your dental health.Plaque will build up and decay will be working overtime under it, get into the habit at least once a day."
  },
  {
    "id": 2329,
    "title": "chemo & bridge work?",
    "dialogue": "nixie: wife was diagnosed with breast cancer and gone through chemo. as some of u might know chemo is not so good for your teeth. she now has pain (only at night time, not when eating or day time?) where she has a bridge.\n\nwe cant afford implants but can afford a new bridge mind u her current bridge is 15yrs old. is there a way around implants and she says dentures are a no no.\n\nty."
  },
  {
    "id": 2330,
    "title": "Am I Being Up-charged?",
    "dialogue": "Jill: Hi,\nTook my son to our new dentist today. My son has 3 cavities that need to be filled. Fine. Included in the treatment plan was a charge of $75 per filling for \"Application of desensitizing medicine.\"\n\nI don't recall this ever being done in the past with any of my kids. Is this legit or should I politely say, \"No, thank you.\"\n\nHoping they don't come back with, \"This is office policy and not optional\".\n\nPlease advise. Thank you."
  },
  {
    "id": 2331,
    "title": "Verify dentist's opinion",
    "dialogue": "akkers: A few months ago I visited the dentist and he did a filling. Part of the filling fell out when I was eating on the same day; I had to fish it out with my fingers and saw that it was the filling.\nThree months later I had an appointment with the hygientist and i mentioned the filling dropping out; she agreed and asked me to mention to the dentist on my next check-up.\nNow I went back for a check-up with the dentist, he confirmed that part of the filling had fallen out. However, he aid that the filling had fallen out as a small part of the tooth had broken off. He wants me to go back on next appointment for a full filling at a cost of £49.\nNow, I am suspect about that and I believe he is blaming the tooth so that he does not have to do the filling again under warranty.\nWhat are my options? Is there a way I can verify his claim that the tooth had broken? I feel agrieved and I know that this practice is known for squeezing every extra pound out of customers. CraigRWS: In the UK with the NHS \"No additional charge should be made by your dentist where a restoration has to be repaired or replaced within 12 months.\" see here for the full lowdown.\n\nIf it's a private dentist then I believe it's at the discretion of that dentist."
  },
  {
    "id": 2332,
    "title": "Question about my teeth",
    "dialogue": "BigP50: So today I was in the bathroom at school (Nebraska, Go Big Red!) and i looked in the mirror, and noticed something on my teeth. Im not sure how to describe it really, but the best description I can give is it looked like someone drew a line on 3 of my bottom teeth with a pencil. I tried using mouthwash and brushing but its still there.\n\nIs there anyone out there that could help me or at least tell me whats happening?\n\nThanks,\n\nPatrick. CraigRWS: Without actually seeing it then an opinion can't really be afforded, you need to see a dentist to get it checked out."
  },
  {
    "id": 2333,
    "title": "Autoclave",
    "dialogue": "sje74: Looking for someone to take over lease of Autoclave Enigma 8 Litre.\nLease company is Investec, lease ends Feb 2015.\n£26 per month\nAutoclave is pristine like new.\nDue to emigrate in Spring next year, autoclave is in storage and has only \nbeen used a handful of times.\nI am based in South Wales."
  },
  {
    "id": 2334,
    "title": "I need help with interview questions for college assignment",
    "dialogue": "JWAMBAUGH: Hello.  My name is Jennifer and I am a student at BCTC in Lexington, Ky.  I will be entering the Dental Laboratory Technology program next semester.  We were assigned to interview someone practicing in the Dental Field for an assignment.  I had someone agree to do the interview and then never heard back from them.  Now I am running out of time to complete my assignment and thought maybe someone here could help me.  I would appreciate it very much.  Below are the questions for the interview.  if you can help, please post your answers here  and include your name and where you practice or send them to (e-mail address removed).  Thanks so much for your time.\n\nThank you so much for your quick response.  Here are questions for the interview:\n\nWhy did you decide to pursue a career in the Dental Field?\n\nHow long after school did it take to have a job offer?\n\nHow long have you been working in this field?\n\nWhat are the perks of being in the Dental field?\n\nIs there anything that you don't like about working in Dentistry?\n\nHow do you deal with patients that are nervous or scared?\n\nHave you ever have a difficult patient?  How did you handle that situation?\n\nDo you think your job is rewarding?\n\nHas there ever been a time that you could not help someone and how did it make you feel?\n\nKnowing what you know now, if there was a way to travel back in time, would you have chosen a different career? biodentlaboratory: You should know how to answer those questions."
  },
  {
    "id": 2335,
    "title": "Practicing dentistry with epilepsy",
    "dialogue": "Guest: I'm preparing to apply for my dental license. I suffer from mild epilepsy with sporadic hand tremors in my right (stronger) hand. The frequency is variable and there are no warning signs. Once it starts, it usually lasts 2-3 seconds. I'm fully aware of the challenges this poses for dental practice. \n\nI post to ask for advice. Any advice is welcome, but discussion of field roles, work settings, and methods of practice would be particularly useful in thinking through this dilemma.\n\nThank you. biodentlaboratory: My advice to you is just always to stay calm when it begins to happen, so god for bid if and when it happens to you while with a patient, it doesn't worry them because it looks like you have everything under control."
  },
  {
    "id": 2336,
    "title": "Front Tooth Question",
    "dialogue": "JustPostingQuestion: My dentist really should know better!!! \nMy front Porcelain Bonding cracked. It is showing my bottom tooth. I am going to wait to have a cap put in for insurance to kick in to cover it. But should not my dentist have recommended that I PROTECT the bottom tooth that is void of enamel? I feel a tingle now. I PRAY IT'S NOT BE BEGINNING OF A CAVITE! \n\nWhat can I do to prevent a cavity from forming? What is the price to have some bonding protection to cover the bottom tooth?\n\nAlso, if my dentist does not specialize in cosmetic dentistry should I go to someone who does? She has no photos to show me."
  },
  {
    "id": 2337,
    "title": "Holistic dentist",
    "dialogue": "passedout: I'm trying to locate a holistic dentist in Pattaya area to have all my amalgam fillings taken out. Can anyone recommend a professional dentist who's using rubber dam, mask etc. to protect me from mercury fumes? \nAlso I'm looking at zirconia core implants as alternative to root canal but I believe that material hasn't been approved in Thailand yet. Is that right? Does anyone know for sure? I favour that over titanium being less toxic.\nApologies if my question has already been asked. If so I must have missed it during my search on this forum. \nThanks a lot in advance."
  },
  {
    "id": 2338,
    "title": "What do they mean by aligned teeth?",
    "dialogue": "Braces and Invasalign: Is it when all the teeth from bottom jaw and top jaw are in contact when jaws are closed? Or does it have anything to do with the teeth all aligned together with no gaps between teeth?\n\nI'm 21, and when I close my jaws, I notice not all teeth are in contact with the corresponding teeth on lower jaw, but when I move my top jaw forward and top teeth are no longer touching the ones on the bottom, I notice there is no longer a gap between the molars from top jaw and bottom jaw."
  },
  {
    "id": 2339,
    "title": "abcess",
    "dialogue": "denise04: I have a huge hole in my tooth and I filled it with dentemp  now my fave has swollen some I didn't no I had a abcess it must be way up inmy face somewere and I don't have extra money to go to dentist rite now they say this last 3 to 5 days when it comes out don't think im gonna put it back in but I used it to keep the air out I think its hitting a nerve its very painful also im using saltwater and vitamin c mabey it will help until I can get to a dentist"
  },
  {
    "id": 2340,
    "title": "Use of Dentemp",
    "dialogue": "jacobwatts: Is Dentemp a safe thing for my patients to use. I have one who is in another country for 4 months, and wants to use it till she's back. denise04: im using it"
  },
  {
    "id": 2341,
    "title": "Additional charge fora  temporary bridge",
    "dialogue": "njkid1972: I have a tooth (lower front) that needs to be extracted and a bridge is planned. My dentist suggested a \"temporary\" bridge at the time of extraction for obvious cosmetic reason. She will place the permanent bridge in about 7 weeks. Her office tells me that I have to pay extra for the temporary bridge on top of the customary charge for the permanent (which is the charge for 3 crowns). What I don't understand (and she is not able to explain) is a temporary bridge IS part of any bridge work no matter if the middle teeth lost before or just recently extracted. I appreciate any comments"
  },
  {
    "id": 2342,
    "title": "Major Dental Work for Toddler?",
    "dialogue": "ConcernedMom1211: My son is 21 months old and just went to his first dentist. The dentist said he has hypoplasia enamel and will need 2 crowns and 3 fillings. Since he is so young, it was recommended that the dental work be done at a hospital under conscious sedation. Does this sound reasonable for a 21 month old?"
  },
  {
    "id": 2343,
    "title": "Help TMJ patients find TMD dentistry",
    "dialogue": "jawdroptryout: Because TMD is a complex, difficult to diagnose disorder, we've found that our educationally based marketing approach is helping TMD sufferers understand that neuromuscular dentistry could be the solution they've been looking for, and connect with a dentist that has the training and treatment they need. \n\nIn so many cases, the patient had no idea their teeth were to blame for their painful symptoms.\n\nIf you'd like to learn more about our approach, you can visit us at jawdropdentalmarketing.com"
  },
  {
    "id": 2344,
    "title": "Oral Piercings & Jewelry - Is it a dental nightmare?",
    "dialogue": "Ohio Dentistry: I'm a parent, and along with the joys of parenthood come dealing with rebellious teenagers and their ridiculous fashion trends.  So anyways, my problem is this, my daughter wants to get her tongue pierced, and working in the dental profession the alarms and sirens start to go off in my head saying \"no way!\"\n\nBut, she has done extremely well in school, works, and is currently in her last year of high school, so I don't want to tell her no right off the bat.  I'd like to be open minded and consider it because I feel like she does deserve some kind of reward for being an awesome kid.\n\nCan anyone out there tell me, from their experiences, should I let my daughter get her tongue pierced?  I know if I tell her I don't want her to get her tongue pierced it will be because \"I'm her mom\" or \"it's because of my job\" and that's why I'm against her destroying her smile with piercings and barbells.  \n\n\nSo, I guess I would like someone to either confirm my fears that it's a bad idea or tell me how those with oral piercings still maintain their oral health and whether or not the jewelry has caused any damage or discomfort to their teeth.  What are the pros and cons?\n\nAny input would be appreciated.  Thanks!\n\nTrying to be a good mom."
  },
  {
    "id": 2345,
    "title": "Mercury Poisoned",
    "dialogue": "kendall7858: I am a dental patient with numerous mercury fillings that I want to have replaced.  They have broken my teeth due to expansion and contraction of the enamel with changes in temperature over time.  I am highly offended by the position of the ADA to literally give patients no alternatives to mercury implants.  They have caused grievous damage to my teeth.  I have the right as a human being to informed consent about what the holier-than-thou dental crowd decides is in my \"best\" interest as to what they determine to be \"safe\" levels of mercury toxicity.  This amounts to a conspiracy similar to Mafia protection money and extortion.  The patients have suffered untold harm by this inquisitorial atmosphere surrounding the dental \"profession\".  The ADA is trying desperately to keep the cover up in place on this issue.  Please know that God will judge ultimately.\n\nKen Johnson"
  },
  {
    "id": 2346,
    "title": "Cleanliness concern",
    "dialogue": "concerneddentalpatinet: So I am concerned about this scenario.  \nI was getting a cavity filled and I noticed the following.  Trays and instruments located behind me look well placed, clean, etc.\nOn my left in some drawers, I observe the assistant, take out a small box containing multiple colored curved items.  It is a colored piece, followed by a metal piece and an instrument that holds it all together.  It was explained to me that this was used to keep the filling from adhering to my other tooth.  The colored piece and the metal piece are:\n\n1. Laying on the counter, no napkin, tray etc. Later moved to the top of the box.\n2. Took out barehanded by the assistant,\n3. Placed in my mouth during my filing.\n\nWhile I understand that I am not the most dental savvy, is this normal procedure?  While I understand it is not necessarily a sterile technique for everything in a dental filing is this normal?  Anyone with dental experience please let me know.\n\nThanks a bunch."
  },
  {
    "id": 2347,
    "title": "What is on my gums?",
    "dialogue": "GeekoSuave: To preface this, I will list details in a simple form:\n\n-No pain\n-Been there at least 4 years, most likely more.\n-No symptoms\n-Looks like it may be larger than it was when I discovered it, and it's starting to look slightly hook-shaped\n\nNothing prompted me to post these other than curiosity, because it's seemed very benign.  I was just hoping to get a pretty good idea of what I'm dealing with here.  \n\nThanks! GeekoSuave: Okay, after a bit of Googling, it seems like this could possibly mandibular torus, or torus mandibularis (not terrific with medical terms.)\n\nThere are a couple things that tell me that this shouldn't be what it is, but obviously I wouldn't be here if I had even the slightest idea what it is.  It seems 90% of mandibular torus cases are bilateral, whereas mine is only on one side.  There are no other growths.  It also says this is a condition mostly prevalent in Asian men.  I'm a white male, 26 years old.  \n\nI read that grinding and clenching are possibly part of the problem if it is mandibular torus.  I do clench my teeth quite a bit, nearly subconsciously.  I don't even realize I'm doing it, but then at the end of the day I find that my jaw and teeth are sore from how much I've been doing it throughout the day.  \n\nHope this helps.  Thanks everybody freeandhappy: I'm no expert but it really just looks like irritation. Kind of going off of what you said about clenching your teeth a lot and sore jaw... I get something of the same when i have too much citrus and clench a lot too. I also grind the heck out of my teeth. It can sometimes take two weeks for mine to go away.  \n\nIf you've had it for 4 yrs., it's definitely worth getting checked out- it can only help you! You could probably benefit in some stress relieving activities as well! DentalDirectSales: I would just go to a dentist, fork out the minimum they require just to have a dentist inspect your mouth. They know the best what it is, more than a forum, but we're always willing to try and assist users here! danielhermann: Go for cleaning of your teeth. It is nothing but just a waste material which is stick on your teeth. It will be wash out by cleaning procedure."
  },
  {
    "id": 2348,
    "title": "Gap between molars",
    "dialogue": "3rdmolar: On my lower left side of my mouth, I have a gap between 3rd molar and 2nd molar. \n\nNealy 4 months back a mustard seed got stuck in that gap, despite rinsing and picking I couldn't get it out. While it was stuck there whenever I chewed or bit I used to feel pain there. Somehow it got out in one of my brushing but I still used to feel pain. \n\nI visited few dentists and they said the 3rd molar needs to be extracted and root canal needs to be done on 2nd molar. \n\nOne of the dentist put a cotton bud there but it used to get softened and dislodged and come of it's place. Another dentist said that I should have removed it as it is a foreign particle and shouldn't have left it there. Earlier dentist put 2 cotton buds there, 1 in the cavity and another on top of it, I think the lower one was pressing on the 2nd molar and causing a lot of pain. Today I somehow got it removed after a lot of effort and I'm not feeling that much pain on 2nd molar when I'm pressing down on it. There is still pain but not as much as I felt before. \n\nCan the hole left by extraction be closed or sealed? Is there any alternate treatment other than root canal? What happens if I don't go for extraction and don't get a crown/cap for the root canal one. Harry_Lloyd: Any good dentist can easily define you after check up. Your physical check up is must that`s why I can not recommend you any medicine or treatment because your dental condition is not clear to me. I can set an appointment for you with good dentists in your nearby areas. May be it is because of wrong food that you ave taken and did not feel pain at that time. 3rdmolar: Harry_Lloyd said:\n\n\n\n\t\t\tAny good dentist can easily define you after check up. Your physical check up is must that`s why I can not recommend you any medicine or treatment because your dental condition is not clear to me. I can set an appointment for you with good dentists in your nearby areas. May be it is because of wrong food that you ave taken and did not feel pain at that time.\n\t\t\nClick to expand...\n\n\nThanks for the reply. I have already undergone 2 sessions of root canal since I made the post."
  },
  {
    "id": 2349,
    "title": "What is wrong with my tongue?!?!?",
    "dialogue": "Grantwithaproblem: I have these bumps on the right side of my tongue, and they seem to go pretty decently back, almost looks like it goes down the back of my tongue. I am a user of smokeless tobacco, and this has me a little worried. What do y'all think it could be? Copy and paste this link to see the picture, thank you very much! I'm anxious."
  },
  {
    "id": 2350,
    "title": "Need advice....",
    "dialogue": "Maxwell Not so smart: I am in need of advice from a dentally knowledgeable forum. I need work done on my teeth but due to economic restrictions in both the work environment and personal finance I want to do it gradually, one  step at a time.\n\n I'll be using layman's terms here because I have zero expertize in the dental field.\nI will outline my dental issues using the standard adult dental layout (which I researched online)  All the work I need done is on the “Top” row of teeth. Positions #1-16 top right to left.\n\n The dental office is promoting a “Credit plan” which I feel influences the patient's (me) decision process and promote a “Do it all” strategy would be best. I REALLY don't want to start another line of credit right now but I am wondering if I have choices? Professionally speaking, would it be okay to have these procedures done one step at a time? And if so where should I start? ( one step at a time )\n\nI'm  A Fifty year old male and my dental issues are as follows...\n#16\tNeeds a filling (the dentist says)\n#15\tHas a temporary crown (which has actually been long overdue to be completed. Over two years but to the dentists credit I have had no issues with.)\n#14\tNormal with a filling (many years old)\n#13\tIs gone but the x-rays/dentist says the root(s) are/is still intact.\n#12–4\tAre normal.\n#3 \tExtracted recently.\n#2\tAlso has a temporary crown which was placed about the same time as #15 \n#1\tNormal.\n\nPersonal opinions are very welcome and appreciated!!! ThirdStreetDental: I don't see why you couldn't have the procedures done over a period of time. If you are really adverse to starting another line of credit, this is really your only option. Shop around and compare prices. It's better to have it done slowly than not at all. While it's ideal to fix any many of the problems as possible in a timely manner, you will still get the benefits of taking care of your teeth. The only issue that sticks out to me as an urgent matter is the missing tooth. Not replacing the tooth leads to bone loss and the other teeth shift, which can cause further tooth loss. My practice offers dental implants in North Vancouver. This is an excellent, more permanent solution to bridges or dentures. It will actually stimulate bone growth and you'll have a new tooth that functions and looks like the rest of your teeth. It can truly save your dental health. The filling should be second in your plan, as cavities can get worse if left untreated. Maxwell Not so smart: Thank you so much for taking the time to help me. I appreciate your input. DentalDirectSales: Like Third said, Over time is better than never going at all. If you're worried about your teeth moving around at all, or ever to stop the moving that has already started, I would have them check the missing tooth out first!"
  },
  {
    "id": 2351,
    "title": "Electric Flosser?",
    "dialogue": "Harvey Dent: I've really loved going to electric toothbrushing since discovering that actually, it's not a gimmick but actually cleans teeth better anyway! (It's still just as much hard work if you really want to clean your teeth properly, I actually clean for longer since it's easier to not have to do the scrubbing, now. I use the Oral-b Braun 5000 one, the big daddy, and polish using polish brushhead too, now.)\n\nWhat about the same thing for flossing? I use crest glide floss and carefully floss every night. I've got not very straight teeth and a lot of tight crevices but I work my way through it.\n\nAny recommendations for the best electric flossers? Pros/cons vs. regular floss tape?\n\nI started to look at the Oral-b Hummingbird one, has that been discontinued or something?\n\nI think the vibrating thread one looks more thorough than the philips 'air/water jetstream' version.....but really, I'm not sure and have not done intense research on it at this point.\n\nThanks for any info and insight. Harvey Dent: Lina Feng said:\n\n\n\n\t\t\tPeriodic check go to dentist and process a ultrasonic scaler teeth cleaning.\n\t\t\nClick to expand...\n\nMm, I'm talking about replacement for nightly flossing! not a periodic cleanup ."
  },
  {
    "id": 2352,
    "title": "vibration cured pains??",
    "dialogue": "matraraced: Okay, to start off, I'm not good with oral hygiene, I don't brush my teeth all too often, which had given me a  problem with the left side of my mouth. I've had pains every time I opened my mouth for the past few months, but last night before I went to bed, I put a massager (vibrator for muscles) under my pillow and rested my head on it, after about 5 mins I started tasting blood, sat up and spit out a little blood that was mixed with a little brown stuff and surprisingly I could open my mouth with no pains!  I'm just wondering if anyone could explain why that cured my mouth pain."
  },
  {
    "id": 2353,
    "title": "Upper & lower night guard",
    "dialogue": "M.Leon: Has anyone ever heard of a patient wearing an upper & lower night guard simultaneously?  Not attached - individual guards, hard acrylic, smooth occlusal surface"
  },
  {
    "id": 2354,
    "title": "Can this tooth be saved?",
    "dialogue": "ZenChild: Looking for a second opinion.\nA new dentist suggested there is no more body to hold a filling (the right side dark shadow is a deep cavity) and recommended a root canal and a crown.\nIs there a way to save the tooth?\nX-Ray attached.\n\nThanks in advance,\n\nZen ThirdStreetDental: Without taking my own x-rays and examining your tooth in person I cannot tell you definitively if the tooth can be saved. Sometimes a root canal and a crown are the only options. I would see another dentist for a second opinion if it bothers you. A filling can't replace a root canal."
  },
  {
    "id": 2355,
    "title": "Dentist won't give me partial",
    "dialogue": "Ms. V: My front tooth was knocked out when I was a youngster. Last year, my cap (or whatever it's called) fell out and I went to the dentist. She diagnosed gum disease and said she would not put in a partial unless I received extensive cleaning treatments first. I need my partial as I work with the public. She has refused to give me a partial stating she would be liable if she didn't treat my gum disease first. Can she refuse to give me my partial? I think she feels I won't be back for the treatments. Can she do this? ThirdStreetDental: Yes. A dentist can refuse to perform a treatment if it is not safe. I'd advise you to get a second opinion, however, it will likely be the same outcome. Addressing your gum disease is the number one priority. I know it can be tough when you are out in the public, but in the long run your teeth and gums will be much healthier. Go for the treatments and take care of it sooner rather than later."
  },
  {
    "id": 2356,
    "title": "Corsodyl- Stains your teeth?",
    "dialogue": "JamesT79: Hi! \n\nMy girlfriend recently purchased some Corsodyl for her gums, but complained about it staining her teeth. I tried it and didn't notice any staining. Does any else have the issue and if so what is the science behind it?\n\nThanks! \n\nMiles marrkarnell: This medicine may not be suitable for everyone and some people must never have it. If it stains your teeth, this can be reduced by avoiding tea, coffee and wine, and brushing teeth with a normal toothpaste before using this medicine. If you wear dentures clean them with a denture cleanser before using this medicine Will From Hull: My Auntie has used it for years and never mentioned about it staining her teeth.Although maybe she never knew!  However, my girlfriend's sister (who is a dental hygienist) said that it does indeed stain. I used it recently, but only for 2 weeks - as per my girlfriend's sister's advice.\nMarrkarnell mentioned that staining can be reduced by avoiding tea, coffee and wine. However, that - to me - states the obvious. Everyone knows that tea, coffee and wine staines the teeth!\nCorsodyl should only be used to treat gum problems and not as a regular mouth wash. If symptoms persist for longer than two weeks then you should go see your dentist anyway!"
  },
  {
    "id": 2357,
    "title": "nhs in pregnancy",
    "dialogue": "MEGAN: hi,\ni am currently registered with a private dentist. I have recently found out that i am pregnant and therefore am entitled to NHS fees. I contacted my dentist practice manager who \"was not sure if they could see me as a NHS patient \" and would look into it and get back to me. This was 2 weeks ago. Can anyone tell me if they can dump me as a patient for being pregnant or are they obliged to see me. there are no NHS dentist in my area.\n\nany help would be great!\n\nthank you Sheila john dentist: Hi Megan\nI am a dentist working in Liverpool. How I understand it is if you are already registered as an NHS patient then you automatically become exempt for the duration of your pregnancy and for 12 months after you've had your baby. However if you are not already registered under the NHS but are currently being treated as a private patient then no the practice has no obligation to transfer you to free NHS treatment. You can either find an alternative NHS practice and register as a new patient or continue as a private non exempt patient. Hope this helps.\nOh and best of luck in your pregnancy-I am also blessed to be expecting myself! Will From Hull: Hi Megan,\n\nNo - they are a private business. They can therefore accept and/or refuse custom to anybody according to their private policy.\nIt sounds unfair, but I was with a private practice for years. They also opted not to cater for any NHS patients at all.\n\nI've since moved and am looking to join a new practice that offers NHS treatments.\n\nGood luck with your pregnancy!"
  },
  {
    "id": 2358,
    "title": "Cost question for",
    "dialogue": "delancey: I receive insurance through my employer. It covers 100% of most basic procedures, such as cleaning, x-rays, etc. I contacted my insurance, and inquired about how much it would pay for having my braces removed, or the wire behind my teeth that keep my teeth in check (50%, I was told). That's fine, however, I am in a bit of a strange situation. \n\nI set up an appointment to see a dentist for a cleaning next week; however, I will be moving to Europe in 1 month from now. So I will soon be putting in my 2 week notice at work within the next week. So if I go to the dentist two weeks before I stop working for my current employer (who pays for dental insurance), will the cost still be covered by my insurance company? \n\nI just don't want the company to pull a fast one on me. So, essentially, if I go to the dentist while still employed by my current company, the insurance company will pay for the procedure? No prorations will occur, correct? I would assume this type of practice is regulated, but I do not trust the system. \n\nThanks! Will From Hull: Work is liable I believe. You are only liable after notice has been handed in. However, you should check with your insurer's policy handbook."
  },
  {
    "id": 2359,
    "title": "Horrible metal taste in mouth HELP",
    "dialogue": "scout24: Went to the dentist 6 weeks ago with metal taste in mouth.  He thought an Los metal crown was leaking and replaced with a cerec crown.  Fast forward 6 weeks and the taste is back.  Took the crown off the back tooth and replace with cerec crown assuming metal sensivity.  Next day very painful and went in to have crown removed and tooth was black overnight.  Root Canal done and sent to endodontist who completed root canal.  Tooth was sealed but no crown yet since it was too sensitive.  Now the metal taste is back and much worse.  Touching my tongue to that area is horrible\n\nNeed advice and cannot live like this Will From Hull: A metal taste in your mouth could suggest other, non dental, issues. I would strongly suggest that you visit your doctor."
  },
  {
    "id": 2360,
    "title": "Loose teeth/vibrations/didgeridoo - Problems?",
    "dialogue": "JPDIDGE: Hi,\n\nI have had teeth that move slightly for about 5 or 6 years (that's when the dentist noticed any way).  About 4 or 5 years ago I started playing didgeridoo.  I now play a lot, up to 3 or 4 hours a day.  Didgeridoo causes a great deal of vibration in the mouth, and some high pitched didgeridoos create quite an intense vibration.\n\nI was wondering what effects the vibration might cause to my teeth, could this be loosening them further?  They generally feel more solid in the morning and the sensations of movement increase during the day so it is as if they are settling down over night.\n\nAny advice would be greatly appreciated, I'm seeing my dentist next week so I'll be discussing it with her as well.\n\nCheers,\n\nJon"
  },
  {
    "id": 2361,
    "title": "Dental Units",
    "dialogue": "Donas3562: Which dental units are better.... air or electric? and whats the advantages of them?\nThanks"
  },
  {
    "id": 2362,
    "title": "General dentistry/orthodontics",
    "dialogue": "alpha2716: Can you practice general dentistry and orthodontics at the same time in a private practice. Ahokas: dentists, Barnegat, NJ\n\nReally, the entire team of dentists, Barnegat, NJ has undertaken special training in providing comfortable and quality dental care. If this info is true then I will hire this team for my dental treatment."
  },
  {
    "id": 2363,
    "title": "Please help!  My daughter may have infection under pulpotomy!",
    "dialogue": "joellelee: Hi everyone, I am new here.  My daughter was on the milk bottle too long up until 2 years of age and needed 4 front teeth pulled and two pulpotomies with crowns....fast forward, now she is 6.5 years old and hasn't had a cavity since then.  Today, dentist wanted to do xrays to see if there are cavities in between the teeth and now they see 4....ugh.  Makes me wonder.  I never had xrays as a child and never flossed and I guess any cavities I had just fell out with my baby teeth?\nAnyway, my daughter is also complaining of some slight pain under her tooth that was crowned.  The dentist did another xray on that tooth and there is a dark shadow under the tooth where it meets the gumline.  She said it could be an irritation of the 'medicine' they put into the pulpotomy leaking out or it could be an infection and there is no way of telling unless we yank the tooth.  This breaks my heart as she is already missing 4 front teeth and two on bottom are loose now that she is 6.  If I allow them to yank out this first front molar she will be so self conscious.  She hates that she has all of these teeth out as it is....In Googling, I don't see much info on infection under pulpotomy etc....any advice would be SOOOOO appreciated!  Thanks!  This is breaking my heart."
  },
  {
    "id": 2364,
    "title": "can anyone tell me what I need done?",
    "dialogue": "onefiftyone: When I was a kid a dentist told me I wouldn't need braces, but this was something that could only be fixed when I was at least 17 because my mouth would outgrow anything they did then to fix it.\n\nthe bottom row is fine to me, its just the gaps in the top row that bothers me, I want to get it fixed but I'm not sure what has to be done or how much it's gonna cost."
  },
  {
    "id": 2365,
    "title": "Tooth going black after the wrong root canal filling – malpractice ?!",
    "dialogue": "write2july: After a long history (more than 6 months) of mishaps, severe mistakes some that could be easily considered malpractice, something terrible happened to my 36 Molar:\nIn an attempt to fill the root canal with something, my doctor admitted to combined the following:\n\t-Metronidazole\n\t-Neomycin\n\t-Hydrocortisone\n\t-Calcium\nall of them in dry dust form, prepared in some pharmacy lab.\n\nAfter one day the tooth started to darken, contacted by phone my doctor said that everything is ok. After 3 days I visited another doctor, and he discovered that the paste invented by my former doctor has gone black inside my tooth, that started “eating” the healthy tooth from inside, that the tooth became brittle and it is generally speaking beyond any repair. Big chunks of black sand-like pieces of my tooth where extracted from inside out. He also urged me to find out what substances the former doctor combined.\n\nThe former doctor did admit to use all of the above, although I'm absolutely sure that he mixed them with some liquid that he does not want to disclose, and thus the chemical reaction and the production of what I guess to be something acid.\n\nIf anyone knows what substance may have made the mix go black, please let me know.\nAlso any solution to what is now a porous black shell of a tooth (maybe something that can restore the tooth density a little). As I cannot have implants due to a genetic autoimmune disease, it is very important to me to keep the tooth as long as possible.\n\nMany thanks, \nM danielhermann: This problem is known as Discoloration.The red blood fills all the tubules in the Dentine which is the internal tooth structure.The blood then clots and turns dark which is the color you are seeing.The only way to reduce the color is to do an internal bleaching. porcelain veneer may be used to mask the discoloration protect the tooth. Depending on the location of the tooth and your budget your dentist should be able to recommend the best option for you."
  },
  {
    "id": 2366,
    "title": "Did i just mess up my jaw bone?",
    "dialogue": "zacheyp: So a few weeks ago i had all 4 wisdom teeth taken out.  Painless procedure.  In the last week or so i felt a bump near the wisdom tooth on the side of the gum which hurt when in contact with my tongue.  Today i picked at it (i know, bad me) and it seems i got most of the bump to go away.  There was some blood but most importantley it did not feel like puss, but much harder, like bone.  I am in little to no pain now but i am worried that i picked out a chip of my jaw bone.  Help!! danielhermann: You should never do anything of that sort without consulting your dentist. You did not clearly mention that was it blood or puss. You mentioned it was harder than puss but you did not mention how harder. You should consult your dentist as soon as possible to avoid future troubles. ririzzy17: i have something wrong with me that is similiar to this!!!!! have you figured out yet\n\ni have had a porcilian crown on my first moller going towards the back on my right side of my mouth for 4 years or maybe a little longer....it has never botherd me up until recently when i noticed a huge hard bump on my jaw line that feels like bone.. i dont know what it is!!! obiousvouly or i wouldnt be asking if anyone might know anything about it... it is bothering to me but other than that its fine.. but sometimes i think it keeps getting bigger very slowly!!! does anyone know of anything like this or something similar. please let me know"
  },
  {
    "id": 2367,
    "title": "Alternative for dentist drill or root canal",
    "dialogue": "jinkx: I understand that bacterias degrade the tooth, and in later stages the pulp/nerve.\n\nSuppose a cavity has reached the nerve.\nWe kill all the bacteria using a anti infectant, and then seal the cavity. Will it stop the tooth from decaying further, since we have killed all the bacteria? In this way can we avoid the need for the dentist's drill or root canal? If no, why not?"
  },
  {
    "id": 2368,
    "title": "Padding",
    "dialogue": "Cupcakes: Been to the dentist today, for an abscess, got antibiotics and he drill a decayed tooth out to extract the pus, ready for extraction, he suggested I pack it out with cotton wool to stop food getting into it, any ideas / suggestions"
  },
  {
    "id": 2369,
    "title": "Do I have cavities? X-ray included",
    "dialogue": "ellochewy: I went to a new dentist today and he told me I have 4 cavities. My previous dentist never told me about any dental issues, so I'm led to believe that my new dentist might just be recommending pre-emptive cavity fillings. \n\nI've attached an image of the x-rays. Any feedback would be extremely helpful.\n\nThank you!"
  },
  {
    "id": 2370,
    "title": "Severe pain #9",
    "dialogue": "Aunteemom: Problem began with significant pain around upper front left tooth number 9. I went to dentist and several endodontists. If I push on upper lip above this tooth, it is throbbing. If I tighten lip, pain is also throbbing. CT scans and X-rays, including 3D do not present with fracture or infection. I am taking second round of antibiotics and no relief. Doctors do not want to perform root canal as I do not present with classic symptoms. It has been two weeks of this pain. The second week started with sinus pain between eyebrows and cheeks. Pressure in car is very bad. Last night ear pressure was extreme. Saw ENT and he states no infection and no swelling seen through scope. Pain in tooth still extreme now multiplied by sinus pain. I believe there is correlation but don't know what to do next"
  },
  {
    "id": 2371,
    "title": "Root canal questions",
    "dialogue": "muraiken: 1) I had a old crown replaced with some treatment for decay.  After the temporary crown was put on, I started having pain and ended up having a root canal.  So the impression for the new crown was taken before the root canal.  Will the root canal mean that the new crown that was ordered will not fit now and a new impression has to be taken?\n\n2) Couldn' t the general dentist have prevented the root canal? Can't they see where the nerves are from the x-ray?  Is there a chance that the root canal was caused by too aggressive drilling? DanPotter: I have a similar issue. My general dentist's hygienist discovered a deep cavity in a lower, lateral incisor (something the dentist himself should have noticed in his initial exam of my teeth). The cavity wasn't readily noticeable, I guess, because it was between two teeth.\n\nAnyway, he filled the cavity a few weeks ago and then the tooth started becoming sensitive to pressure/touch. Had a root canal done on it yesterday and the endodontist suspected the nerve was dead because the tooth didn't respond to cold.\n\nSo I'm thinking...Why the heck didn't my general dentist figure that out before charging me $500 to fill that cavity (and an additional minor cavity in the adjacent cuspid)? mitzim440: I think there will be no need to put crown on the root canals. jpalmer: Dentists don't usually cause the need for abscessed teeth needing root canals. Sometimes when working on teeth, issues get exposed that were not before detectable. \n\nAbscesses occur because of infections, infections are acute, with pain, or chronic without paint. Chronic infections can become acute without warning or notice or not ever.\n\nYou do not have to crown teeth with root canals, if you want to expose the now dead tooth that will become brittle to breaking more easily just leave it. If you want to protect the investment from the root canal then crown it. \n\nBut, if you are not going to crown the tooth, you should save the money and just get it extracted now as that is what will eventually happen and you will have saved the money for the root canal. Just my opinion, no one has a crystal ball, playing the odds."
  },
  {
    "id": 2372,
    "title": "bridge turns into root canal",
    "dialogue": "er78mph: Hello to all and thanks in advance,\nSo i have two missing teeth on the left back bottom side and after years of neglect ive decided to pay for a bridge.  Went to get procedure started last week (placed temporary bridge)  and ive been in pain even since.  My dentist drilled into the two connecting teeth and it seems like he might of drilled to much on the back one and ive had ear and headaches ever since.  The back tooth had a fill in from years ago but never had any issues with it before.  I've taken care of my teeth and have not had cavities in years.  Today I went back in to check with the doctor, he took and x-ray and reported that he needed perform a root canal on that back tooth in order to go ahead with bridge? I've saved 1,500 for the bridge and now he is trying to tell me that i have to come up with another 1,000 dollars for a root canal?  I am very confuse and would love some feedback.  I had no pain prior to this.  Is it part of the risk you take or was the dentist just in a hurry to get to another patient and drilled to far into my tooth??   Thank You very much!! bigmouth: If I were you I would get another opinion form an Endodontist who specializes in root canal before you do anything else.  be very careful , there are so many dentists out there but many are just selling dentistry and do not have your best interest at heart danielhermann: Go to some other dentist also for clearing your doubts and a second opinion. You can also ask your doubts from Dr. Vu Le who has a experience in all the fields of dentistry including root canal. Ask any doubts you have on his website Family Dental Programs & Dentistry by Orange County Dentist, Vu Le. jpalmer: What was the outcome?"
  },
  {
    "id": 2373,
    "title": "numb lip",
    "dialogue": "Phoenixlady: Is it possible that an abscess I had two months, has caused a numbness on my bottom right lip since then? Is it nerve damage and will it go away? danielhermann: Yes it is possible. Go to your dentist as soon as possible before your condition worsens."
  },
  {
    "id": 2374,
    "title": "Anyone Near Auburn Calif do forced erruption?",
    "dialogue": "WomaninAuburnCalif: Hello\n\nI am sorry to show up just to ask advice but not sure what to do next. I  belong to Chape De Indian Health in Auburn (due to being Native American) they have only Dentists and Orthodontics. Services on site are free, devices used are not (like crowns). Orthodotics cost half of what I paid 15 yrs ago.\n\nI need a Forced Erruption done. Due to the Periodontist I just met with for an appointment giving me way too much technical detail at the time, I was able to discipher I am a candidate  IF I have an extra 4 mm AFTER the 4mm down he said he'd need to dig into to do the Crown Extention. He wants to do implants really bad but we can't afford that much, can just do the Crown extentsion but both are bad. \n\nDoes anyone know of anyone who does this nearby? If not I am considering having Chape de Put on Orthodontics on the top of my teeth then asking if they can pull #2 down 4mm slowly then I'll to to the dept next door for the Crown.\n\nThanks for your generous time in reading this, I really appreciate it. WomaninAuburnCalif: The Periodontist was excellent by the way, but he never mentioned forced eruption"
  },
  {
    "id": 2375,
    "title": "Help indentifying tool",
    "dialogue": "Nate: Hello, I would greatly appreciate anyone's help in identifying this tool.\n\nThanks,\nNate"
  },
  {
    "id": 2376,
    "title": "Scared after biopsy",
    "dialogue": "Claire bear: hI, I am female 37 , never smoked and dont drink.\nA month ago I developed a huge lump on the left side of my hard palette on roof of mouth, accompanied by pain and a sore throat. About 7 days later the pain started to lessen (though still very sore to touch) but lump remained. My doc said biggest lump she seen. Went to dentist and he said possible relation to my nearby tooth that was dead awaiting root canal, currently with a large temp filling. Couple days later I started antibiotics and a wk later the lump had reduced by a third. Dentist said I may have to go oral surgeon because it did look a little sinister. However he said fact antibiotic reduced its size was good. Soon after went to an oral surgeon who sent me for scans. When I returned he said the pictures were not great and that there was no definitive obvious cause for lump. He did a biopsy that day, also by now lump was almost gone but had a obvious area still with a white patch and punched line around which he wasn't concerned about. After the biopsy he said the tissue he removed was very soft and not like cancer tissue that is normally hard. He sent for another scan which did show evidence of a pathway from tooth to area of biopsy. He says he 99% sure nothing serious. Couple days later the small white patch has re appeared with red around. When I asked before he said maybe salivary calcification? I am FREAKING OUT. What are chances of something serious? No lump has returned but just seems an area that hasn't returned to normal.  sorry for essay any advice suggestions be greaty appreciated"
  },
  {
    "id": 2377,
    "title": "Hi,",
    "dialogue": "Thomasbean: Hi, to all My name is Thomas. dentistinnoida: Hello Thomas,\n\nWelcome to the forum. I am also a new member. \n\nMy name is Dr. Reena Gupta and I am a practicing dentist having my own dental clinic in Noida. mitzim440: Hi Thomas and Reena. Glad to meet you here."
  },
  {
    "id": 2378,
    "title": "implant vs do nothing",
    "dialogue": "brboater: Dentists say bad things will happen if a tooth is pulled and the space is left empty.  But I haven't found anyone, yet, who has had problems arise from a missing tooth.  I am 64.  I have asked 3-4 people so far who have teeth missing.  They have had no problems.  I will ask more Paquitin RDA: Well, teeth move forward, and when a tooth shifts forward to replace the missing gap, it causes malocclusion from other teeth. Making certain teeth super erupt, and root exposure. Sensitivity, and oh, just the basic things like loosing more of your teeth. danielhermann: We don't give 100% surity of both things.\nSome people experience no problem after pulling the tooth and the space is left empty but some experience severe problems like joint problems, headaches, neck aches or ear aches.\nThere are some factors on which the movement depends like\n- Your age: In young age, the movement of rest of your teeth is faster.\n- Position of your tooth: The loss of canine tooth will effect the movement in large amount. But the loss last tooth does not give any bad effect. dentistinnoida: This thing is more user specific. Though there is no scientific verification but it does cause problems. As danielhermann has right mentioned, there are quite a few factors to be considered before any conclusion may be reached upon.\n\nDr. Reena Gupta marrkarnell: Maintenance of bone after tooth loss to improve or maintain facial esthetics and improved retention, function, and performance of removable restorations are only some of the advantages for the edentulous patient. mitzim440: The missing tooth will not only create a bad appearance but it can affect the functionality of your jaw bones and nearby teeth. More than all these, you cannot even have food properly."
  },
  {
    "id": 2379,
    "title": "hi",
    "dialogue": "Henry Davis: i m Henry Davis from us. i m working in dental implant. i have 2 year experience. mitzim440: Glad to meet you Henry. I hope your job is going fine."
  },
  {
    "id": 2380,
    "title": "A guide to Bruxism",
    "dialogue": "rosiebruce: There are two important issues about grinding your teeth that you should be aware of. First of all, it can cause your teeth real damage in the long term. In fact, in particularly extreme cases, it can cause damage to your teeth very quickly. The second issue about teeth grinding is that it can make life a misery – not for the grinder necessarily, but certainly for the poor person who is trying to sleep next to them.\n\nMedical experts believe that around 20% of people grind their teeth while they sleep. The medical name for it is bruxism. The reason why bruxism causes so much interest amongst the medical community is because it cannot be cured. Also, no-one really knows quite why some of us do grind our teeth. Some evidence suggests it is genetic. Other evidence suggests that it could be related to stress or anxiety. But because we don’t really know what causes it, we don’t really know how to cure it.\n\nSo how do you know if you have a case of bruxism? Normally, the sufferer sleeps through it and it is usually the person next to them who notices it first. As you would imagine, sleeping next to someone who is grinding their teeth all night is very difficult! However, the sufferer themselves may begin to notice some side-effects of their bruxism. They may wake up in the morning with aching teeth or a saw jaw, for example.\n\nBruxism is unusual in that it is both a medical problem and a dental problem. Therefore, if you are grinding your teeth on a regular basis, your first step should be to visit your GP. They will diagnose your condition in more detail to try and discover the extent of the problem. Don’t worry, they won’t have to attach sleep monitors. Usually, the diagnosis will involve making assumptions based on how you answer a number of questions. For example, do you wake up in the morning with headaches? If so, how severe are they – are they disrupting your everyday life? Other aches and pains, such as earache or a clicking jaw, can also be tell-tale signs that you are grinding your teeth at night.\n\nBased on your answers to these questions, your GP will usually be able to evaluate how serious the bruxism is. Mild cases of bruxism may not require any treatment, though your GP may encourage you to look at your lifestyle and diet to see if you can make any adjustments. It could be that you could look at ways to relieve some of the stress in your professional or personal life, which may help. Alternatively, it could be something like giving up smoking or drinking caffeine which makes the difference.\n\nIf your GP believes you have a chronic case of bruxism which is seriously affecting your health or your partner’s quality of life, there are a number of treatment options at their disposal. As already mentioned, bruxism cannot be cured, so the treatment is usually based around finding ways to manage and reduce it, so that it does not continue to affect your quality of life.\n\nTreatment for bruxism normally combines two different strategies. There is the dental aspect, which could involve being fitted for a dental guard or splint which protects the teeth against the nightly wear and tear caused by bruxism. This will involve a visit to your dentist so that you can be fitted for a suitable product. Of course, this will not help to cure your condition; it will simply ensure that the damage to your teeth is minimised in the long term.\n\nThe second part of the treatment normally involves exploring a variety of techniques to remove stress and anxiety and to improve relaxation before bedtime. It could include massage, for example, or working with a dietician to understand what you are eating before you go to bed. Some sufferers claim that behavioural therapies can help, such as autosuggestion techniques or hypnosis.\n\nAlthough there is a shortage of research into bruxism, there is some evidence to suggest that it primarily occurs in the lighter stages of sleep. Therefore, much of your treatment should be focused around ensuring that you are going to bed relaxed and ready to sleep, so that you enter a deep sleep as quickly as possible. In the same way that thinking about you evening diet can help, some sufferers have found that exercise can reduce their teeth grinding. danielhermann: Thanks for sharing this information rosiebruce.\nGrinding and clenching teeth is one of the common problem in dentistry. There are treatments for this as you discussed. The main cause of bruxism is stress. smiles4less: Bruxism is the medical term that describes the act of Teeth Grinding & Jaw Clenching, sometimes people grind their teeth without it causing any symptoms or problems. However, regular and persistent teeth grinding can cause pain and discomfort in your jaw and it can wear down your teeth.\n\nAt smiles4less.co.uk we have a range of products designed specifically to combat the effects of bruxism. dentistinnoida: Bruxism\n\nWhen you chew your food, your deliver a force of about 175 pounds per square inch (psi) to your teeth. But when you grind your teeth at night, there’s no food to absorb the impact, so the force on your teeth can be 300 psi or more. That’s enough to cause permanent damage to your teeth, including cracked and chipped enamel, hairline fractures, and even wearing down of the teeth to the gumline & loosening of the dental implant screws The enamel may become so worn that the inside of the tooth (called the dentin) is exposed. If bruxism isn’t treated, it can lead to gum damage, loss of both natural teeth and restorations, and other more complicated jaw-related disorders (such as TMJ known disorders). Over time, your teeth may become sensitive due to exposed dentin, and your jaws may even move out of proper balance. Grinding your teeth can also cause a wide variety of other symptoms including soreness and fatigue in your jaw and facial muscles, and earaches or headaches-especially when you wake up in the morning. There is no known cure for bruxism. Fortunately, with night-guard trays there are ways to reduce or stop your grinding and even ways to limit further damage and pain due to grinding.\nDo You Grind Your Teeth?\nHow to find out if you’re grinding your teeth?\nBecause most bruxism happens at night, most sufferers aren’t even aware of it until a sleep partner mentions the noise or until a dentist notices that their teeth are damaged. Here are some typical symptoms that may indicate nighttime teeth grinding:\n\nSymptom checklist:\n\n    Jaw or facial pain and tenderness on awakening that lessens throughout the day\n    Headaches or earaches in the morning that go away as the day wears on\n    Spouse or sleep partner complains that the noise is keeping them awake at night\n    Teeth have become sensitive to cold, pressure, or other stimuli\n    Tips of teeth appear flattened\n\nWhat to do if you think you may be grinding your teeth?\nIf you think you might be grinding your teeth at night, the first thing to do is visit your dentist in noida to assess any possible damage. It’s essential to halt the course of the disease to prevent or arrest damage to your teeth, gums, and jaws.\n\nDr. Reena Gupta marrkarnell: People who suffer from bruxism usually is prone to unusual headaches and migraine, ear aches, tooth mobility and tooth loss, etc. This is due to the force exerted among the teeth that causes pressure to the neighboring body parts. Teeth can also be easily worn out."
  },
  {
    "id": 2381,
    "title": "Does anyone know Mouthcoloid - colloidal silver mouthwash?",
    "dialogue": "soniafreedman: I'm having problems and pain on my teeth. I hear that colloidal silver is good to for mouth problems, but I don't want to make it myself I can't even find were to buy distilled water, so I looked on the forums and found mouthcoloid mouthwash. So does anyone used it? is it modified? Can I use it? suevivaconcepts: My mother has used this OTC treatments. And it seems to help her. There are many online homeopathic sites that offer this quite afford ably as well as Wholefoods, Trader Joes, and Sprouts, here in California.\n\nTaken from Wikipedia. \nThe medical uses of silver include its incorporation into wound dressings, creams, and as an antibiotic coating on medical devices. While wound dressings containing silver sulfadiazine or silver nanomaterials may be used on external infections,[1][2][3] there is little evidence to support such use.[4] There is tentative evidence that silver coatings on urinary catheters and endotracheal breathing tubes may reduce the incidence of catheter-related urinary tract infections and ventilator-associated pneumonia, respectively.[5][6] The silver ion (Ag+) is bioactive and in sufficient concentration readily kills bacteria in vitro. Silver exhibits low toxicity in the human body, and minimal risk is expected due to clinical exposure by inhalation, ingestion, dermal application.[7] Silver and silver nanoparticles are used as an antimicrobial in a variety of industrial, healthcare and domestic applications.[8]\nColloidal silver (a colloid consisting of silver particles suspended in liquid) and formulations containing silver salts were used by physicians in the early 20th century, but their use was largely discontinued in the 1940s following the development of safer and effective modern antibiotics.[9][10] Since the 1990s, colloidal silver has again been marketed as an alternative medicine, often with extensive \"cure-all\" claims. Colloidal silver products remain available in many countries as dietary supplements and homeopathic remedies, although they are not effective in treating any known condition and carry the risk of serious side effects such as argyria, allergic reactions, and interactions with prescription medications.[11][12] marrkarnell: Since silver is known as infection-treating element, then it could be effective. Scientists says that including silver in mouthwashes helps combat mouth infection and fungi"
  },
  {
    "id": 2382,
    "title": "Pacifier effect on teeth? (picture)",
    "dialogue": "alex999: Hi. We have twins, about 2 yrs old. The boy uses a pacifier a lot. The girl never has used one. My husband does not want to stop using the pacifier on the boy because he says it calms him down. It does, but I am concerned about his teeth. Please see this picture\n\nbit.ly/16aWqsp\n\nIt won't let me put the link because I am new member but try \n\nbit\n\n(dot)\n\nly\n\n(forward slash)\n\n16aWqsp\n\nI think this is case sensetive, this last part the W must be capital\n\nThe mouth on the left is the boy who uses a pacifier, and the mouth on the right is the girl. His teeth look asymmetric, and some look short esp the ? first upper left incisor, and the one next to that. Also some along the maxilla side look maybe short. Am I correct in my viewing of this? The girl's teeth look perfect and straight to me. Is this irreversable? If he stops using the pacifier now, will these teeth grow longer and assume a normal shape and orientation of the teeth or will his teeth always look crooked, including when he sheds the milk teeth and grows adult teeth? What's the worst thing that can happen if he keeps using this pacifier until, say 3 years old? I want to show my husband some info from people who are experts. Of course we are going to the dentist soon, when we can get an appointment (the pediatric dentist here are full for months), but wanted some info beforehand. I appreciate all your help. If they photo does not come through please let me know.\nthanks suevivaconcepts: I believe the risk of developing and over bite may be gradual, as would thumb sucking. \n\nIf you google \"Pacifier Overbite\" there are many images of the formation of the incisors."
  },
  {
    "id": 2383,
    "title": "A guide to Enlighten Teeth Whitening",
    "dialogue": "rosiebruce: Tooth whitening is becoming more and more popular in the UK. As more and more people look for affordable opportunities to improve the quality of their smile, there are more products available, new brands appearing and more dentists with the technology to deliver different treatments and solutions.\n\nEnlighten is a technological leader in professional teeth whitening. A US-based research laboratory, they pride themselves on their ability to produce cutting-edge products that really make a visible difference to your smile and your self-confidence.\n\nOne of the major challenges for manufacturers of tooth whitening kits was to create effective products without using substances that were harsh enough to damage teeth and cause the patient unnecessary pain. In the 18th Century, when barber shops also often performed the role of community dentist, teeth were whitened using acid. It did the job, but unfortunately also corroded the tooth enamel and led to severe tooth decay in the future.\n\nSince then (thankfully), the science of tooth whitening has evolved in an advanced practice. At the leading edge of this practice is Enlighten, who have developed a comprehensive suite of tooth whitening products that perform consistently well against the competition. The Enlighten range includes kits for both home use and dentist applied, with varying strengths and modes of application.\n\nThe key to the success of Enlighten is that it works safely and painlessly, yet at the same time it also provides predicable results. The main brand in the Enlighten stable is called Evolution. Depending on how your teeth are at the beginning of the process, Enlighten Evolution can whiten your teeth by up to ten shades. In fact, Enlighten claim that Evolution is the only product to guarantee that any patient will whiten to at least B1.\n\nGuaranteeing a certain standard of whiteness from a tooth whitening product is very difficult. This is because every patient is an individual case. We all have slightly different teeth – some can be more porous for example – and we all have slightly different lifestyles and diets. It all impacts on how much our teeth stain and lose their natural shine. However, Enlighten products claim to work effectively in virtually every case.\n\nThe Evolution brand is also adaptable enough to meet different patient requirements. You should talk to your dentist about which approach might be right for your teeth. You could choose an Evolution Kit which involves primarily home whitening. This normally takes around four weeks and there are different strength kits available, depending on how stained your teeth are.\n\nAlternatively, Evolution also offers a kit which is partly home whitening and partly in-practice whitening. Under dental supervision, the final part of the whitening process is done at a much stronger strength, so that you see results faster. Finally, you can have the Evolution treatment in just one dental appointment – so you will see the difference in your teeth in just 60 minutes!\n\nIn each type of kit, the same technology and products are used – only the strengths vary. The Evolution process is also broadly the same, whether you use a home kit or add in a dental appointment. Teeth are whitening using the special ‘Evo gel’ which is added to trays Each kit also includes Enlighten’s own desensitiser, which helps your teeth acclimatise to the whitening products.\n\nSensitivity can be a side-effect of tooth whitening. However, at no point does the Evolution system damage the enamel of your teeth or harm your gums in any way, shape or form.\n\nThe Enlighten Evolution system is proven to be effective at whitening teeth. On average, your teeth will normally maintain their whiteness for around three years before you need a top-up treatment. Once you have had your teeth whitened, it is important that you continue to look after them properly if you want to maintain the best results. Changing your diet can help to protect the whiteness of your teeth, especially if you drink a lot of coffee or red wine for example.\n\nIn a crowded market, Evolution is a product that really stands out. Comfortable, patient-friendly and affordable, it can make a significant difference to the quality of your smile. danielhermann: Thanks for sharing this information rosiebruce. Teeth whitening is very popular now a days. There are some home remedies also which help you to whiten your teeth naturally. You can also recommend them if you want. Nerve: I want to get my teeth whitened but it would probably mean my crown would match anymore. marrkarnell: i just wanna share something blue covarine. they say taht it makes an optical illusion making your teeth look less yellow (in case) when used with toothpaste"
  },
  {
    "id": 2384,
    "title": "new dentist practicioner",
    "dialogue": "acorn54: a new dentist took over my old dentists practice and he operates differently in that he performs more dental care such as measuring the gum pockets which my previous dentist did not do\nhe sold me a water pik and said that i need to come in every 3 mos for a cleaning instead of 6 mos. as my gum line is recessed\nis this just a gimmick or are my teeth in danger. dentistinnoida: I would not like to comment on other dentist's diagnosis but I have never asked any of my patient to come for a scaling in 3 months. Once in 6 months is more than sufficient.\n\nDr. Reena Gupta marrkarnell: ask him first why he is doing so. if you dont get a good reply, then maybe it's time to speak out"
  },
  {
    "id": 2385,
    "title": "Occlusion",
    "dialogue": "Tekscan: Curious how others are using T-Scan to help their patients?\n\nJoin Jen Cullen for a live webinar on T-Scan Bite Force Dynamics on Tuesday, May 14th at 6pm. \n\nThis session will last approx 30 minutes and give you some insight as to why so many people are adding T-Scan to their practices. Jen will present a few live cases and research that supports T-Scan's applications in an everyday practice.\n\nRegister by replying to this thread with your name and email address"
  },
  {
    "id": 2386,
    "title": "T-Bolt III Compressor - Luckman",
    "dialogue": "LuckmanLLC: Hello all,\n\nI would like to let any T-Bolt III compressor owners or anyone interested in this great piece of equipment that the former Luckman corporation is back up and running after the owner, Frank Luckman's unfortunate passing. It's been difficult to track down customers, but it's our goal to provide exceptional customer service to all of our loyal users. Under new ownership, Luckman LLC will continue to provide our customers with compressors, parts and service.  Please look for us, Luckman LLC, on Facebook and visit our website luckmanllc.com for more information. Thank you for your support."
  },
  {
    "id": 2387,
    "title": "question about safe relax crown remover",
    "dialogue": "dido22: hello everybody ...   I want want to ask about the safe relax crown remover..is it more effective than the manual and what do you advise me in this issue?\nthank u danielhermann: For stress-free automatic system removal of a crown always remains a delicate procedure. Due to these constraints safe relax crown remover has developed.\nIt enables you to successfully carry out crown and bridge removals without stress for the patient.\nIf you are afraid of pain then you can go for it. Kevin01: I think you should concern any dentist.Because tooth problem can only be solved when you see a dentist."
  },
  {
    "id": 2388,
    "title": "cold sensitive, then click sound, then no pain",
    "dialogue": "Drew: I have a molar that has had previous work completed and developed a cold sensitivity shortly there after.  the unsual thing is that i can hold the cold liquid on the tooth for appx 3 seconds and i feel a click sound/feeling and like that the switch is turned off and there is no pain assosiated w/ the cold sensitivity.  this was a very deep cavity filling using metal alloy not acrylic and was a correction to previous filling that had went bad underneath.  any thoughts?  Drew."
  },
  {
    "id": 2389,
    "title": "Fuzzy Brush Jim Drew",
    "dialogue": "kirtinag: Hi,\nDo any buddy knows about Fuzzy Brush by Jim Drew. Thomasbean: Hi I am new to this forum but I would like to tell you about fuzzy brush as I had an interview with Jim Drew Last week, that was awesome, \n\nJim Drew - Fuzzy Brush founded Fuzzy Brush in 1996. \nSince then over 120 million brushes have been sold around the world!\nAround 8000 Vending machines can be seen all over the UK at airports, motorway sevices, cinema groups, train stations and large restaurant chains\nToday factories are geared to manufacture 3.6 million brushes per month and investment into Fuzzy Brush retail is the next step forward ...\nThe new retail packaging that carries 6 brushes have been designed for sale in Duty Free, pharmacies, petrol stations and super markets worldwide\nSales are already in progress in the USA, UK, Germany, South Korea, Estoni, Poland, Romania, Turkey and Japan\nThe company’s objective is to float on the smaller London Stock Exchange (AIM) in early 2017."
  },
  {
    "id": 2390,
    "title": "Teeth Whitening Legislation",
    "dialogue": "smiles4less: The law relating to teeth whitening changed on 31 October 2012. The new law increases the percentage of hydrogen peroxide allowed in tooth whitening or bleaching products to 6%, subject to conditions which include first use by a dental practitioner or under their direct supervision. Until 31 October the previous law remained in force and this position statement relates to treatment provided after 31 October 2012.\n\nDental Protection welcomes the change in the law, which will allow practitioners to act in their patients’ best interests whilst remaining within the law. The legislation relating to tooth whitening is laid down by the European Union and the change to the law follows many years of lobbying by dental groups. The new law draws a clear line between the products that can legally be used for tooth whitening by dentists or under their direct supervision and the products that can be purchased by non-dental professionals.\n\nThe change follows as an amendment to the EU Directive 76/768/EEC concerning cosmetic products. The amending Council Directive 2011/84/EU was published in September 2011 requiring the UK Government to amend the law. The Cosmetic Products (Safety) (Amendment) Regulations 2012 (The ‘Regulations’) amend the previous regulations relating to tooth whitening.\n\nThe new Regulations allow the use of hydrogen peroxide and other compounds or mixtures that release hydrogen peroxide, including carbamide peroxide and zinc peroxide to be used for tooth whitening. The maximum concentration that may be used for tooth whitening under the Regulations is 6% present or released. In very broad terms and as a general guide, a percentage expressed in terms of carbamide peroxide content will release one third of that level of hydrogen peroxide. Thus, the commonly used products containing 16% carbamide peroxide would be permitted under the revised Regulations because they would normally be releasing less than 6% hydrogen peroxide.\n\nThe Regulations set out that products containing or releasing up to 6% hydrogen peroxide can be used, subject to conditions:\n\nTo only be sold to dental practitioners\nFor each cycle of use, first use by a dental practitioner; or\nUnder their direct supervision, if an equivalent level of safety is to be ensured.\nAfterwards to be provided to the consumer to complete the cycle of use.\nNot to be used on a person under 18 years of age.\nIt is appropriate for the dentist to carry out an examination before embarking on a course of tooth whitening, to determine whether tooth whitening is a suitable treatment option for the patient. A detailed contemporaneous record should be kept of this examination, detailing the consent process including your discussion with the patient about the risks and benefits of the treatment."
  },
  {
    "id": 2391,
    "title": "Is the Dental industry beyond with technology?",
    "dialogue": "dentalsupportuk: Hi guys,\n\nMy first post here.\n\nI work for a Dental IT company in the UK, and having come from a general IT Field i am shocked on a daily basis how far behind The Dental industry is with regards to IT and computers.\n\nIs it me, or is it lagging behind? Is there a reason?\n\nRegards\nDental Support UK"
  },
  {
    "id": 2392,
    "title": "Iluma ct conebeam scanner warning",
    "dialogue": "cttech2013: First and foremost I am licensed and registered in general radiography and computed tomography. This is a long overdue warning to any dentists, cosmetic surgeons, ENT's, orthodontists etc etc in the market for a sit down dental CT scanner. STAY AWAY FROM THE ILUMA CT Scanner by IMTEC/3M!!!!!  The most significant problem with this thing (there are many) is the lack of head support for the patient. If you google image \"iluma ct scanner\" you will notice that there is no support for the back of the patients head once they sit in the chair, only a chin cup. If you examine further however on the white colored models (the one I use) there is a head rest. After months of having to do repeat scans due to motion I noticed  an ad for the scanner in a medical journal. A head rest was affixed to the back of the chair in the ad but I however had no such piece on my scanner. How come? I figured I could call Imtec mention the ad and have them send me this piece because for some reason they forgot to give it to me in the first place. Problem solved no more motion. Keep in mind I had already mentioned to their service dept the need for greater head support multiple times although they never brought up the piece. Anyway another call to Imtec, I mention my discovery and out of the mouths of these people themselves. \"We don't provide that piece anymore because when the gantry spins around the patient it slams into the head rest\". What!?? They were knowingly advertising and selling a machine with a major defect. Not long after my expose phone call did I notice a revamp of their web page without images of the defected scanner, but there's still a catch. They still sell the exact same unit, just a different color(black), still without the head piece. Repeats and motion filled scans galore. I'm not even going to get into how the gantry constantly bumps into larger PT's shoulders as well. To think people could actually complicate the idea of just sitting in a chair. \n\nJust want to add that there are multiple people who share a negative opinion of this piece of equipment. ENT's, radiographers, PA's, radiologists, NP's, oral surgeons/dentists and of course patients. STAY AWAY!"
  },
  {
    "id": 2393,
    "title": "Question about my front tooth",
    "dialogue": "dgreenson: I went to the dentist last year to get a tooth crowned and he told me that my upper front teeth would need some work. Well recently my nephew was playing with me and he hit me pretty hard with a remote control and the outcome was my upper tooth broke at the middle, now I know it was from decay and my nephew just spend up the process but anyways my question is this. \n\nThe upper part of my tooth is still there, would I need a bridge or dentures or an implant?\n\nIf I get a bridge how long is the procedure (that's if I am qualified to get it)?\n\nWhat is a better choice dentures, a bridge, or implants? I know implants are expensive so I don't even think that's a choice\n\nThank you"
  },
  {
    "id": 2394,
    "title": "simple extraction and surgical extraction",
    "dialogue": "b11_: What is the difference between a simple extraction and a surgical extraction? Paquitin RDA: Simple Extraction:\nAll it requires is for the doctor to use basic instrumentation, and just elevate the tooth.\n\nSurgical Extraction:\nMore involved, alot more risks, longer healing time for the patient, more post operative discomfort. A different post op medication. And the doctor may have to \"Section\" your tooth, which means, the use of the drill to cut the tooth into parts to facilitate it's removal."
  },
  {
    "id": 2395,
    "title": "Dentures or no",
    "dialogue": "KawaGeo: I have a severe osteoarthritis on my left hip. It needs a total hip replacement. I was seen by a surgeon some weeks ago. He told me my dentition looks so bad that it needs to be addressed before hip surgery. The dental work has to be done by an oral surgeon. I have 7 roots and 8 full teeth to be extracted. My question is: do I need a pair of dentures to wear afterward? In other words, can I wait for them after the hip recovery is completed (4-6 months?) KawaGeo: Sorry... I forgot to request an instant email notification."
  },
  {
    "id": 2396,
    "title": "A guide to Gum Recession",
    "dialogue": "rosiebruce: Receding gums can be caused by a number of reasons. But one of the biggest problems is that it is actually quite a difficult condition to spot. If the gums are receding very slowly, it is always difficult to identify very gradual erosion. By then, it could be too late to take the necessary steps to slow it down.\n\nGum recession is most common in people over the age of 40. However, you could probably amend that to say that it is identified most often when people are in their Forties. In many cases, the gums have begun to recede very slowly before that so there was probably several opportunities for them to be diagnosed and for treatment to start.\n\nSo what causes your gums to recede? In the first instance, it can be something as simply as brushing your teeth too hard. We all want to get our teeth as clean as possible, but it is important that you clean your teeth in the right way. Your dentist can explain the right approach to oral hygiene and demonstrate brushing techniques that can ensure that your gums are not damaged. They will also be able to recommend an appropriate toothbrush.\n\nA more serious cause of receding gums is gum disease. If plaque and bacteria are allowed to build up on your teeth, then the bacteria can attack the gums and become embedded into gaps between the gums and the roots of the teeth. Advanced gum disease will need to be treated by a dentist. In the majority of cases, it involves a deep clean of your teeth which includes clearing out the hardened plaque from between the gums and around the roots of the teeth. It requires a local anaesthetic as it can be painful.\n\nThe third most common reason for gum recession is orthodontic treatment. When teeth are moved into a better position through an orthodontic treatment, it can often result in the roots of the teeth becoming more prominent. So as the tops of the teeth move to become straighter and to refine the bite and smile, the roots of the teeth can be pushed in the other direction and appear more visible above the gum line.\n\nIn cases of serious gum recession, either caused by gum disease or by orthodontic treatment, the only solution may be surgery. Gingival grafting is a treatment that involves grafts from either neighbouring gums or the roof of the mouth onto the affects areas. The surgical procedure is usually performed by a specialist periodontist rather than a dentist and the patient will require a local anaesthetic. Your new gums will usually be healed within the space of about a month. In some cases, once the gums have healed the periodontist may be required to perform some additional shaping to ensure that the gum grafts look as natural as possible.\n\nIf you are concerned about your gums receding, there are a number of symptoms that you can watch out for. Of course, you should keep an eye on your gums, but it can be difficult to tell whether they are receding or not unless you have a professional eye. However, if you find that your teeth are becoming more sensitive, this can be an indication that more of your tooth is becoming exposed as the gums recede.\n\nYou may also notice a change in the colour of some of your teeth. As the gums recede, the lower part of the tooth which becomes exposed may be whiter than the original crown of the tooth.\n\nIt is important that you take responsibility for the health of your own teeth. However, one of the most important things you can do is regularly visit your dentist. As a professional, you dentist will be able to spot whether plaque is building up on your teeth and causing gum disease. They will also be able to identify whether you have cavities below the gum line, which is another indication that gum disease is causing your gums to recede.\n\nRegular visits to your dentist should mean that problems are spotted early and dealt with accordingly. If this happens, then you should be able to maintain healthy gums and healthy teeth for a long time beyond your Forties. Johnh: Good and reliable information. I was also a victim of gum disease, Thanks for good docs who really helped me out and get me out from these painful disease . chrp123: You may also notice your gums recede post root surface instrumentation, but this is to be expected as the biofilm is disturbed, the inflammation around the tooth reduces new gingival attachment forms"
  },
  {
    "id": 2397,
    "title": "My dental elective, Buenos Aires 2013",
    "dialogue": "chrp123: So I'm Charlie, a fourth year dental student from Newcastle University. This July 2013, I am heading to Buenos Aires, Argentina, for a fantastic opportunity to volunteer for Todos Juntos Children’s Trust. This is a trust set up to provide free dental care to impoverished children up to the age of 18 in the slums surrounding Buenos Aires. I’m looking to raise £650 pounds to help fund my accommodation, flights and travel costs for the 2 weeks I am volunteering. Anything above this amount will be donated to Todos Juntos Children’s Trust. I have created a web page and fundraising web page, the links are provided below.\n\nTo check out more about my elective and the great support Todos Juntos provide then visit my 'About' page. Otherwise visit the Todos Juntos website by clicking on their logo on the home page to be redirected to their page. I shall be posting a blog and photos of my experiences whilst I’m Buenos Aires. If you are able to help me fund my elective and hopefully raise some money for Todos Juntos, the link is provided below.\n\nThanks for taking time out of your day to read this.\n\ncharliesdentalelective.moonfruit.com\n\n\ngofundme.com/2c7g24 chrp123: If you have any questions, do not hesitate to ask!\n\nmany thanks,\n\nCharlie"
  },
  {
    "id": 2398,
    "title": "Food getting caught on new crown",
    "dialogue": "JustPostingQuestion: I paid mega bucks for my dentist to put in a new crown in my back molar. This was after a root canal. \nMy dentist had to try to get the bite right. It was way too high. So he made my upper filling lower so it would normalize my bite. Then he grinded down my new crown a little.\nMy bite feels good. But I worry my top filling is weeker now and will cause a problem down the line! After all, the filling was drilled down. Also, I feel food is getting caught back where my new molar was put in. Should I contact my dentist again? I paid so much money. He should really make sure not food is getting trapped, correct? Also, is there something he can put on top of what was drilled down so it wouldn't trap food? I shouldn't t be charged anymore..... What are you thoughts."
  },
  {
    "id": 2399,
    "title": "Good?",
    "dialogue": "dentalconcerns: First off I just want to say that I know that I have bad dental hygiene and am working on improving it. I even have a job now that offers a dental plan and I have signed up for it but doesn't go in effect till January 2013. \n\nWhile in the bathroom this evening I was able to remove, what I assume, a clump of old food particles inbetween my teeth by the gum area. There now feels like this weird hole (again yes I know I have had bad dental hygiene). Is this a good thing that I was able to remove this by myself and now there is an empty \"pocket\" by my gums and teeth; the teeth around the area still seem firmly in place. \n\nThank you for your time reading this and any responses that I receive.\n\nP.S. I wanted to submit a picture but apparently unable to do, also I hope I get email notifications as this is my first thread post. JohnChavesDDS: Hopefully you will be able to see a dentist in your area soon, without something there your teeth will begin to shift. Bert: If the thing you removed was calculus (tartar) it is a good thing to remove. But it is much better if a dental professional removes it because they also smooth the tooth surface. There is certainly more tartar there and you won't be able to do a good job on your own. Get informed and make an effort to change hygiene habits. It is essential.\nGo see a dentist or dental hygienist sooner than later.\nbest of luck,\nBert danielhermann: You should go for dental clean up if you have a clump of old particles in between your teeth. And if you are not hygiene then you should be. else it will effect your oral health very badly."
  },
  {
    "id": 2400,
    "title": "Portable Pano Machine",
    "dialogue": "kim.coad: Is there a product that exists to convert my digital pano to go portable? I care for service members and need a way to take pano's!!"
  },
  {
    "id": 2401,
    "title": "dexis digital sensor 4 sale.",
    "dialogue": "mufossa: I have a dexis digital platinum sensor.\n\nWorks great and in great barely used condition.\n\n\nContact me if interested in buying. \n\nThanks kim.coad: Is this a platnium sensor? How much are you asking for it?"
  },
  {
    "id": 2402,
    "title": "Questions for Practicing Dentists",
    "dialogue": "dpain: Hello,\n\nWe are developing a system that streamlines sterilization and patient records and would like to talk with some dentists or hygenists regarding some of the issues you come across in your daily tasks. In return, we would be willing to supply the system free of charge, saving you hours of labor. Would anybody be interested?"
  },
  {
    "id": 2403,
    "title": "Hello All",
    "dialogue": "bodawo: Hello,  I am new here but have been lurking for quite some time. I am excited to start networking being more active in the community.  Glad to have found this place.\n\n(e-mail address removed) tribecadentist: Hello, I am here new member. Forum is very nice activity. I just created an account on that site now."
  },
  {
    "id": 2404,
    "title": "A guide to Dental Fillings - ask your Birmingham Dentist",
    "dialogue": "rosiebruce: Everybody hates fillings, don’t they? In fact, most of us hate fillings so much that we can’t bear to think about them, talk about them, look at them or even ask our dentists about them. Most of us, when we visit the dentist for a routine check-up, will simply sit there, stare at the ceiling and hope that the dreaded ‘f’ word doesn’t crop up in conversation.\n\nWell, the fact is that we usually will have to discuss the ‘f’ word with our dentists, because sooner or later, most of us will need a filling (even if it is just a little one). Fillings are one of the most routine dental procedures which most dentists perform every day. But because we hate fillings so much, many of us don’t know too much about them. And, there are definitely some things that you really should know about fillings...\n\nThe good news is that there is now a much more diverse range of fillings available to choose from than there ever has been in the past. The bad news is that new types of fillings (such as white fillings) are often more expensive than standard treatments and most dentists would only recommend the extra cost for a very visible cavity. That’s why the majority of patients with a tooth cavity will usually end up with an ‘amalgam’.\n\nAmalgam fillings are the traditional type of fillings that are usually black in colour. They are made from an amalgamation of a number of different metals which usually include tin, silver, copper and mercury - hence the colour. While amalgams are not the most visually attractive option for filling a cavity, they have the advantage of being very durable. This means that they can withstand the constant demands of chewing or tooth-grinding without breaking down or coming loose.\n\nSo amalgams have their plus points – of course, they’ve been used by dentists to fill cavities for decades, so you would expect them to. However, there is also one very important negative issue surrounding amalgams. Many people are against amalgam fillings because they contain mercury – which is very toxic to human beings.\n\nThe debate around the toxicity of the mercury in amalgam fillings has been raging for several years. According to the most recent research, around 8 million cavities in the UK are filled with amalgams each year. However, anti-amalgam campaigners (of which there is a growing number) claim that the mercury in amalgams is responsible for a variety of health issues, from headaches to Alzheimer’s disease.\n\nSo let’s look at the two sides of the debate. On one side are the authorities such as the FDA and the British Dental Association, who claim that the mercury in amalgams is tightly bonded into a compound with the other elements in your filling, so it poses no threat to your health. On the other side are a band of alternative therapists, dentists and even national governments such as Norway and Denmark, who believe that amalgams release mercury vapours which can contaminate your bloodstream. In Norway, Denmark and a number of other countries, amalgams are no longer recommended by dentists.\n\nIf you are concerned about amalgam fillings and the effect that they could have on or your children’s health, then there are a number of steps that you can take. First of all, speak to your dentist and find out their views on the subject. There are now many dentists in the UK who choose not to work with amalgams and prefer to only recommend other types of filling.\n\nWhen you talk to your dentist, ask him or her about other options for fillings cavities. You may be surprised by how many choices you have. Whereas they can be more expensive than the cheaper amalgam, you could talk to your dentist about composite resins, glass or ceramic fillings – none of which contain mercury.\n\nFinally, what can you do if you already have amalgam fillings – after all, most of us with NHS dentists probably do. It is possible to have you amalgam fillings replaced. Once again, talk to your dentist who will be able to explain much more about the procedure. There is a standard protocol involved which will ensure that the mercury is kept bonded within the amalgam while it is removed - ensuring that the filling can be replaced safely."
  },
  {
    "id": 2405,
    "title": "A guide to Flourosis",
    "dialogue": "rosiebruce: If you’re a parent, you are probably already aware of the debate surrounding flouride. Fouride is added to much of the drinking water in the UK before it reaches our homes. Many people see this as one of the key factors in reducing tooth decay and improving oral hygiene across the UK.\n\nHowever, there is another side to the debate. There are many opponents to flouride in water as too much flouride can actually be detrimental to the health of our children’s teeth. Too much flouride can cause a condition known as flourosis in children.\n\nSo what is flourosis? To put it simply, too much flouride causes the teeth to become discoloured. However, it does not affect adults. Flourosis only affects children as their adult teeth are emerging. It causes white, yellow and brown spots to form on the tooth enamel. Luckily, the symptoms of flourosis are no more serious than that. It is a disease with purely cosmetic implications for your teeth. Once teeth have fully developed into the adult stage, flourosis no longer develops.\n\nThere are some cases of flourosis that are so minimal that most people do not even realise that they have it. It won’t cause your teeth to ache or your gums to rot. Sometimes, only your dentist can notice you have it.\n\nHowever, there are other cases where the teeth can be visibly discoloured. And while the disease is not serious, it can affect a child’s confidence and self-esteem just as they are growing up and becoming more aware of how they look. Therefore, most parents are very keen to ensure that their child does not develop flourosis.\n\nThis is at the heart of the debate about whether flouride should be added to our drinking water. From one point of view, flouride is vital in strengthening the tooth enamel as your child grows up. In fact, it is fair to say that flouride is your most important ally in fighting tooth decay. However, from another point of view, it can be a contributing factor to flourosis for a small number of children.\n\nIf you have concerns about your child’s teeth, the best thing to do is to talk to your dentist about it. Your dentist will be able to examine your child’s teeth and evaluate whether tooth decay is likely to be a problem or whether there are any early signs of flourosis. This will enable your dentist to form a professional opinion on how much flouride your child needs.\n\nTherefore, parents should be conscious of the need to balance protecting their child’s teeth against exposing their child to too much flouride. However, many cases of flouride simply come about because children are swallowing toothpaste or using an additional flouride mouthwash. Some parents give their children flouride supplements – which you should avoid doing unless your dentist specifically recommends it.\n\nOf course, flouride is not the only way to protect against tooth decay. You should ensure that your child maintains a good all-round oral health and hygiene routine, which includes avoiding too many sugary snacks, cleaning their teeth twice every day and using a small amount of flouride toothpaste. If you child sticks to this regime, then they should develop healthy adult teeth.\n\nFinally, what if you are an adult who developed flourosis as a child? Is there anything that you can now do to improve the cosmetic appearance of your teeth? Flouride is not a degenerative disease so it will not cause your teeth to decay. Therefore, the majority of dental treatments available to you are the same as the treatments available to other people with discoloured teeth.\n\nTherefore, tooth whitening is an option which many people can consider. There are now a variety of whitening techniques, treatments and brands available, to suit a broad range of budgets. Another possibility are veneers, which cover your teeth with a suitable material such as porcelaine, which creates a perfect, natural smile.\n\nTo find out more about the techniques available for restoring your teeth after flourosis, you should speak to your dentist."
  },
  {
    "id": 2406,
    "title": "A guide to Emergency Dentistry",
    "dialogue": "rosiebruce: Most of us are used to visiting the dentist every six months or so. If you get into good habits from an early age, going for those routine check-ups just becomes second nature. Thankfully, dental emergencies are few and far between for most us. But that doesn’t mean that you shouldn’t prepare yourself and make sure you’re fully equipped for every eventuality.\n\nThis article is a step-by-step look at what you need to know and what you need to do in a dental emergency. It will answer the following questions - What exactly constitutes a dental emergency? What can you do to prepare for them? And what can you do if it actually happens?\n\nThe good news is that, if you require some emergency dental work, it won’t only be you who will be fully prepared. Your dentist will make provision for the arrival of emergency cases and ensure that their schedule is flexible enough to deal with unexpected issues. So if something happens, you first port of call should be your dentist. Depending on the severity of your situation, they will usually fit you in for an appointment on the same day.\n\nMost dentists have an emergency out-of-hours contact number, as well as the standard reception number, so it is worth making a note of both of these. Alternatively, if you cannot contact your dentist, you can call NHS Direct who will be able to put you in touch with your nearest emergency dentist.\n\nSo now you know who to contact. But what constitutes a dental emergency? Is a lost filling an emergency? Or are we only talking severe trauma and missing teeth?\nThere are a number of scenarios in which you may feel you need to contact a dentist immediately. Broadly speaking, these can fall into two categories: visible damage to your teeth or the onset of pain which signals underlying causes such as decay.\n\nVisible damage to teeth is a fairly common occurance. Teeth can be chipped, cracked, split, knocked in and knocked out. It can happen while you are playing sport, if you trip and fall over or even if you bite down unexpectedly on something hard and crunchy, like a peanut. Much of the time, there is very little we can do about it and not much we can do to avoid it. File under accidental and contact your dentist.\n\nThe second type of dental emergency is when the pain is caused by underlying decay. If you are visiting your dentist regularly, tooth decay should be spotted and treated before it becomes too serious. However, if you have not been visiting your dentist regularly, then tooth decay may take hold and work its way into your tooth. This is normally treated easily with a filling, which will stop the pain. In some cases, however, it may escalate into an abscess, which can create the onset of sudden, unbearable pain that requires immediate dental care.\n\nThis is a common situation for people with dental phobia. Their fear of the dentist means that they avoid routine check-ups and try to ignore minor toothaches. The problem is that the underlying causes of the toothache will not go away; so they face more pain and more serious dental work further down the line.\n\nCan you prepare for dental emergencies? It can help to keep a dental first aid kit at home which contains some essentials until you can reach a dentist. Painkillers should obviously be included. You may also want to include some antiseptic mouthwash and cotton wool pads, which can be used to stem bleeding. Finally, don’t forget your sugar free gum. It sounds like strange advice, but it is the perfect thing for plugging the gap if a filling falls out – don’t forget, it’s only a temporary solution though!\n\nAnd what about that lost filling? Does that really constitute a dental emergency? Toothache can be very painful and disruptive, and it will only get worse. So don’t be afraid to call your dentist and request an emergency appointment. Once your dentist has looked at your tooth, they can decide what needs to be done. If it is an emergency, they may choose to treat you there and then. Alternatively, they can give you a temporary filling and schedule you in for a proper appointment. Either way, it will solve the pain and give you peace of mind."
  },
  {
    "id": 2407,
    "title": "Dentists in Perth?",
    "dialogue": "jpsmith: Before i decide on what to do with my teeth\ni wanted to check if the cosmetic dentist is\nlegitimately certified and knowledgeable. domtoreto: Totally agree with the fact that before getting any kind of dental care or treatment, its important to make sure that the dentist is legally certified and professional. In such situations, its always great to go through their testimonials and feedbacks online. danielhermann: It is very necessary to first double check the doctor from whom you are getting your treatment. To do this, you should consult with your friends, colleges and you can also check their certification by searching online."
  },
  {
    "id": 2408,
    "title": "Etching Time",
    "dialogue": "neutrino: Hello I am a dental student and I would really appreciate it if you guys can help me with this question\n\nFor composite restoration how is etching time different in primary vs permanent teeth? and why is there a difference?\n\nI know permanent teeth are more calcified so we would etch permanent teeth for a longer period. is that correct?\n\nthnk you"
  },
  {
    "id": 2409,
    "title": "just say no to fixed bridges",
    "dialogue": "Thomas Bird: No matter what your dentist tell you, permanent bridges are most certainly NOT permanent. I have been through two of them and I would never recommend anyone to get one of those horrible things. All a bridge does is trade in one set of dental problems for an even greater set of dental problems later on. If you get 10 years out of your bridge it is a small miracle and after that bridge fails if your roots are strong enough to handle another one afterwards it is an even greater miracle. After that you are looking at a denture. Fixed bridges make absolutely no sense. Destroying good teeth to fill spaces is an extremely risky proposition to begin with, but what your dentist won't tell you is the myriad of problems that an occur:\n\n1. if you damage one of the crowns you most likely must replace the entire bridge\n2. if you get a cavity under the bridge you are positively screwed\n3. bridges place a tremendous amount of stress on your roots and greatly increase the likelihood of one of your other teeth failing.\n4. bridges are terribly painful and expensive to replace\n5. upper bridges grind down teeth below them like a soap stone\n6. when your bridge fails (and it WILL fail eventually), your only real option will be a partial denture.\n\nKEEP YOUR NATURAL TEETH ALWAYS! Bridges do nothing but trade small dental problems for big ones later on. If you have one space your trying to fix, when you do a 3 crown bridge you will soon have 3 spaces to worry about instead of only one. JUST SAY NO TO FIXED BRIDGES! THEY ARE A WASTE OF TIME AND ALL THEY DO IS PUT MORE MONEY IN THE POCKETS OF CROOKED DENTISTS! sqwerl: Bridges are a great option but are obviously not for everyone and the trade-offs should be discussed with your dentist. If your dentist lead you to believe your bridges would last a lifetime then either he/she wasn't truthful or you didn't ask the right questions. Bridges can last as few as 2-3 years but this is often due to poor hygiene and not having routine cleanings. They have been known to last as long as 25 years or more. Life of the bridge can also be affected by diabetes, periodontal or other diseases.\n\nThe key to replacing missing teeth with dental fixtures is sustaining the life of the remaining teeth. Removable partial dentures would be my last option as they have been shown to either increase tooth loss greater than a fixed bridge or at least didn't help the survival rate of remaining teeth like fixed bridges have been shown to do. Some studies have shown removable partial dentures increase abutment tooth loss from 17% to 30% at 4-7 years yet  have also shown tooth supported bridges improve survival with tooth loss from 7%-10%.\n\nYour options after a bridge failure aren't always limited to only partial dentures as you claim. Many people have the option of another bridge that sometimes can be attached to stronger teeth than the original bridge. You also have the option of dental implants which usually significantly increase the rate of tooth survival over partial dentures and even bridges. There are also more risks with implants however and they are usually quite expensive.\n\nUltimately someone should research all options and meet with several different dentists to discuss the trade-offs before they decide on a replacement option. They shouldn't rely on the wild speculation and extremely biased information from the banned user above. Bert: Implant is certainly the first option to replace a missing tooth. Now a days there are very little contra-indications. Fixed bridge is the second option. And the decision is made ultimately around the financial situation.\nbest of luck,\nBert rob55: A fixed bridge will do just that - bridge the gap left by a missing tooth or teeth with a new, false tooth that is attached to your natural surrounding teeth via crowns. A fixed bridge is not removable, but it does look natural and is a successful way to replace a missing tooth that will last - making sure that you have a beautiful, complete smile for years. Bertram Boniface: Why was Thomas Bird banned?\nHe just sounds as though he has had some thoroughly bad treattment carried out and is rightly upset and angry. Much of what he says is true.\n1. If you damage one unit, then repair if possible, is difficult. Often the bridge has to be remade.\n2. If you get a cavity under the bridge then this can indeed jeopardise the whole bridge. Cavities are rare under well fitting bridgework but unfortunately well fitting bridgework is also rare.\n3. If well designed and executed, bridges do not unduly stress the supporting teeth.\nUnfortunately a great deal of bridgework is substandard and does indeed lead to further tooth loss.\n4. High quality dentistry, like anything else of high quality, tends to be costly.\nBy and large you get what you pay for. If you buy cheap dentistry be prepared for trouble. Unfortunately not all costly dentistry is good dentistry.There is absolutely no excuse for dental treatment being \"terribly painful\" - you are seeing the wrong dentist.\n5.If a bridge has the wrong bite relationship with the opposing teeth, it can indeed cause accelerated wear, discomfort and further trouble. If the bridge is adjusted and then not repolished and reglazed, the wear can be very severe.\n5.In time, everything fails, that is inevitable. However how long a bridge lasts before it fails depends on (i) how well it was made and (ii) how well it was looked after. Bad bridgework (which is common) fails within three or four years. Good bridgework can and should last for at least twenty years. Mine did. However if you put beautifully made bridgework into a filthy and neglected mouth then that will fail pretty quickly too.\nAll too often bad bridgework causes more problems than it solves and sadly too many dentists are either incompetent or dihonest or both. Were that not the case, there would be far fewer angry patients suing their dentists. dentalguy23: Thomas Bird said:\n\n\n\n\t\t\tJUST SAY NO TO FIXED BRIDGES! THEY ARE A WASTE OF TIME AND ALL THEY DO IS PUT MORE MONEY IN THE POCKETS OF CROOKED DENTISTS!\n\t\t\nClick to expand...\n\n\nNot sure if that is a fair statement. You made some good points but there are definitely times when bridges are necessary."
  },
  {
    "id": 2410,
    "title": "Tooth pain- only in cold air",
    "dialogue": "the.wild.geese: Tooth pain- only in cold air- why?\n\nHello,\n\nSuddenly whenever I go out in the cold weather I get a dull pain under one tooth.  The colder it is, the worse the pain is.  For a few minutes, the pain gets sharper as I stay outside, then after about 5 minutes there is a tiny popping sensation with a barely audible popping sound.  After that the tooth continues to ache, but not as sharply.\n\nThis happens every time I go outside in the cold air.  The tooth is one of my two, top front teeth.  It may be relevant that I recently had a month long virus with horrible sinus issues.  What's going on?  Will this go away on its own?\n\nThanks!"
  },
  {
    "id": 2411,
    "title": "Can Someone Recommend A Good Dental Website Company?",
    "dialogue": "Ookii Tatsu: Does anyone have good experience with a website company that specializes in Dental Websites?"
  },
  {
    "id": 2412,
    "title": "Worts pain I've ever experienced and no means to correct it",
    "dialogue": "skinniman: Okay, I have a tooth that lost a ten year old filling a few months ago and have been having toothaches in it that last from 15 minutes to an hour when I eat foods that are hot.\n\nFor the last couple of weeks those toothaches have went away but have been replaced by a new much shorter toothache that is literally 100 times worse.  They come in very short bursts, less that a second long, and maybe like 5 or so times within a few minute period.  These don't come when eating but rather out of the blue and, oddly enough, only in the afternoon/early evening.\n\nBut I can not stress enough that this pain is excruciating and tolerable only because they are such short bursts, but today I had one that lasted over 5 seconds and I fear they will get worse.  I've had some bad toothaches in my life and I tell you this far far worse that any pain I've ever felt anywhere on my body.  If they get any longer I don't know how I will be able to tolerate them.\n\nNow, the real problem lies in the fact that right now I am unemployed and am only eating by the good grace of my family, but I have NO ONE I can turn to for the $ it would take for a root canal.  \n\nOn top of that I had to have the tooth directly behind it pulled due to not being able to afford a root canal and if this one gets pulled I won't be able to chew on that side at all.  Plus on the other side a ten year old crown and the post it's on recently just fell out so chewing on the other side is problematic as well.\n\nI'm only 40 years old and I'm looking at a liquid diet.\n\nMy question is if there are dentists that deal with people with extreme situations and little to no money to deal with them?  All the dentists I call will only quote their prices and they're way too high for me even to consider."
  },
  {
    "id": 2413,
    "title": "Gingivitis coming back?",
    "dialogue": "You dont know: Recently i had gingivitis on my top right quadrent of my mouth i went to my dentist and it went away.\nNow up in the left top opposite  side it is back but much worse. The pockets are worse, it hurts worse, bleeds worse, EVERYTHING worse. \nIts not pero. Yet but Im afraid if untreated in about a month it might be. \nIm only 13 going on 14 so i don't know much about this stuff. I cant seem to find it anywhere.\nThere are only 3 teeth in that section in so far with the other molar about to come in. The first two are a bit looser than my liking and permanate.\nOn the 2nd to the back or middle, the inflamation has risien and in like a small \"sting\" i guess you could call it, it has risien up and gone sideways, over the third and back molar.  What is it?!?\nIts really got me worried. We're trying to set up an appointment asap but until then, What should i do to keep it clean as possible? And brushing techniques? \nIm using antiseptic listerene mouthwash and total care paste, and sometimes i take cotton swabs and dabb the areas with hydrogen peroxide. It seems to be worse ing. \nWhats my problem?? You dont know: Where i said sting i ment STRING sorry about that"
  },
  {
    "id": 2414,
    "title": "is a gum stimulator necessary?",
    "dialogue": "christinagoodwin: If I have a healthy mouth and I brush and floss everyday do I need to use a gum stimulator?"
  },
  {
    "id": 2415,
    "title": "Bananas for Whitening?",
    "dialogue": "ronhum: Ok.  Some of my friends are starting to rub banana peels on their teeth to whiten them.  Some say they are seeing a difference.  Is there a scientific basis for this?   Is it a myth?  Cannot really find any reputable info on it. Douglas: Is this for real?\n\nDoes this work then? johnmoran12: Hello.. Friend....\nTo whiten teeth with banana peel is very safe and healthy for teeth as banana peels are a wonderful source of minerals and vitamins. They do not have the abrasiveness that other natural whiteners have and best of all they are inexpensive. \nBrush your teeth as usual with a natural toothpaste or you can use the banana peel first and then brush. domtoreto: In my opinion, to whiten teeth with banana peel is very safe and healthy for teeth as banana peels are a wonderful source of minerals and vitamins. Minerals in the peel like potassium, magnesium and manganese absorb into your teeth and can whiten them. Bert: I can hardly believe that that works.\nI would even suggest that might have the opposite effect.\ngood luck! rob55: Use a ripe banana as it has the most potassium content in it. Peel from the bottom end as this is how monkeys peel their bananas and it will keep you from having all \nthose loose threads.\n\nGently rub on teeth\n\nTake a piece of the inside of the banana peel and gently rub around on your teeth for about 2 minutes. danielhermann: It's strange but true...\nyou can whiten your teeth with the help of banana peel. \nBut it has very rare effect. So, there are some rumors about it.\nI prefer strawberries and any acidic food instead of banana peel."
  },
  {
    "id": 2416,
    "title": "Need advise on how to fix teeth, and cost. (Pictures provided)",
    "dialogue": "NeedTeethHelp: Hello,\n\nI was wondering if someone could tell me what procedure would be the best to fix my teeth, and how much it might cost (with no insurance, but I don't think insurance would cover this anyways). If there are a few different options, can you tell me the effectiveness and cost of them?\n\n\n\n\n\n\n\n\n\n\nTooth #5 is a baby tooth still (I'm 20 years old). There should be a tooth at #4, but it never grew in. I was wondering how much it would be to make teeth #1 and #2 longer, and to fix my four bottom teeth (#3, #4, #5, and #6). Any advise is greatly appreciated!\n\nThank you!"
  },
  {
    "id": 2417,
    "title": "Preventing grinding teeth",
    "dialogue": "musiclvr56: I read that one should close your lips and have teeth apart (relaxing jaw) to prevent grinding.  I have allergies and sleep with my mouth open.  I know this sounds funny, but I don't know if I could sleep through the night breathing through my nose.  \n\nSuggestions, comments? pascale1973: I think I've been grinding my teeth also, a night guard is a good idea, the whole thing about keeping your mouth open at night or closed or this or that is kind of difficult to manage, I mean who really knows what we're doing while we sleep.  If I was aware of what I'm doing while I sleep I wouldn't grind in the first place right...I wrote a cool article about teeth grinding, maybe you can check it out  good luck! jpsmith: musiclvr56 said:\n\n\n\n\t\t\tI read that one should close your lips and have teeth apart (relaxing jaw) to prevent grinding.  I have allergies and sleep with my mouth open.  I know this sounds funny, but I don't know if I could sleep through the night breathing through my nose.  \n\nSuggestions, comments?\n\t\t\nClick to expand...\n\n\nyou can use a mouth guard..Now a days young and adults are using customized mouth guards..\nGrinding teeth can have a variety of causes, nothing more than a habit. It also can be a result of the body's reaction when the teeth do not line up or come together properly. It also can be a symptom of certain rare diseases of the nerves and muscles in the face. domtoreto: Teeth grinding is known in medical terms as bruxism. Grinding and clenching teeth during sleep is very common. Grinding your teeth at night is usually caused by having stress and not dealing with it the right way. And if thats the case of yours as well, consider taking advice of a dentist as well as doctor to prevent grinding teeth. danielhermann: The main reason of grinding and clenching is stress. \nClenching may do more harm than grinding because clenching can cause degeneration in the joint.\nThere are some tips to stop grinding and clenching.\n\n* Take a warm bath before bedtime. It can relax your jaw temporarily.\n\n* Do exercise or a walk. They may help to relieve your tension and stress. As i said the main reason of grinding and clenching is stress.\n\n* Remind yourself not to clench. Do anything which will remind you to keep your jaw relax. for example any dot on your cell phone or watch, sticky note etc. rob55: Keep your lips sealed, but your teeth apart. Your teeth should be touching only when you're chewing or swallowing. Drop your jaw and feel the muscles relax -- then try to maintain that feeling.\n\nTake a warm bath before bedtime. The warmth of the water may temporarily relax your jaw muscles.\n\nExercise. Your body, not your jaw, that is. A walk or other mild exercise may help relieve some of the tension and stress that's causing bruxism. johnmoran12: Bruxism is clenching or grinding your teeth. Most people are not even aware that they are doing this. In the United States, bruxism affects about 30 million to 40 million children and adults.\n\nSome people grind their teeth only during sleep. This is called \"nocturnal bruxism\" or \"sleep-related bruxism.\" Others grind or clench their teeth during the daytime as well. This is thought to be related to stress or anxiety. Stress can occur for many reasons, including sad and painful events such as the death of a loved one or the loss of a job. It can also occur from joyous events such as a new job or the birth of a baby."
  },
  {
    "id": 2418,
    "title": "Employment Help Needed",
    "dialogue": "Dr.Bhagavatula: Hey All,\n\nI have been struggling with finding quality staff for my dental practice. I was hoping you could share your best resources for advertising job openings and connecting with potential new team members. \n\nPlease reply to this thread with your favorite places to look for or post jobs. Which have been most successful for you? It should be helpful for everyone because we'll have a comprehensive list of the best places to search. \n\nI actually got so frustrated that I started my own job search site:\ndastaff.com\ncheck it out and let me know what you think. \n\nWe are still in the development stage and your feedback would be invaluable."
  },
  {
    "id": 2419,
    "title": "Root Canal or filling?",
    "dialogue": "ecogenie: She tells me that she might be able to save the tooth with a filling. I said okay that would be great! She took the needle placed it at the bottom of the root and left it there for some time putting in the novacaine. Never moved the needle to another location. The filling went in at the gum line in front. It is the k-nine next to #28 which was taken out two weeks before this. It had a small amount of abcess and he said  there was scare tissue that caused much pain when it came out. He scraped out the tissue around the bone or the abcess. Don't know which it was. Anyway the tooth I am dealing with now has much pain at the bottom of the root up about half way. When adding pressure to the tooth it hurts. I only have five bottom front teeth left in my mouth. I hate the tought of floating bottom denturres and not being able to eat with them. Can not afford implants and don't like the thought of metal in my mouth. Read somewhere that they act as a positive and negative poles with the fluid in your mouth. Messes with you energy somehow. What should I do here? Go to juicing and be happy I did!!!."
  },
  {
    "id": 2420,
    "title": "Dental Implant",
    "dialogue": "jpsmith: if its not too much to ask can anybody send me some links about Dental Implants?\nthanks in advance! Jasonplochner: If you google it. You will be able to find lots of trusted and authentic information regarding dental implants. However, it is better if you can ask a good dentist personally about this. JohnChavesDDS: Is there something specific that you are looking for? domtoreto: Dental implants may be an option for people with missing teeth. A dental implant is an artificial tooth root that is placed into your jaw to hold a replacement tooth or bridge. Bert: A dental implant is, in rough terms, a titanium screw that dentist screw into your jaw bone that will serve to hold a prefabricated crown. Titanium is used for it is not rejected by our body defence cells.\nbest of luck,\nBert rob55: Dental implants look and feel like your own teeth. And because they are designed to fuse with bone, they become permanent."
  },
  {
    "id": 2421,
    "title": "Going to Dentist about a tooth abcess?",
    "dialogue": "babyrose0120: HI , on wednesday last week i had a red spot come up on my gum so i have made a dentist appointment which is tomorrow to get it checked out , i have a dentist phobia and im so worried about going , can someone tell me what they will do if it is a abcess? will they want to do the work if needed tomorrow ? or will they let me do it another time ?, Will they give antibiotics ? Thanks. I thought i had better make the appointment just in case as we are going camping next weekend for 9 days and didnt want it to get bad. Thanks domtoreto: You have made the right decision to visit the dentist about a tooth abscess. In your situation, taking help of dentist is the best thing to do for right advice."
  },
  {
    "id": 2422,
    "title": "Fillings",
    "dialogue": "Brandonwil86: I had a few fillings done a few weeks ago.Between then and yesterday everything was fine.I woke up this morning and now they are sensitive to perssure.Any suggestions? domtoreto: One of the reason why your teeth are sensitive is that deeper fillings could take a lot longer to settle down. Other possible causes could be that there is some inflammation in the tooth making it more sensitive to contact, maybe a high spot on the filling that needs adjusting. rob55: Every filling is a little different. Your tooth has a nerve in the middle, surrounded by a sort of bony material called dentin, and then a coating of enamel on the outside. When the dentist drills into the tooth and then fills the hole with this foreign material, the nerve is perturbed. Once the novocaine wears off, you feel soreness, more or less depending on how close he got to the nerve, how much damage is done.\n\nThe tooth then begins to heal by growing more dentin around the nerve. The nerve can even grow over to the side, 'out of the way' of the foreign material. This is called 'secondary dentin', and it takes a while to grow. So for a few days, maybe even weeks, it will be more sensitive than before. Sometimes the filling doesn't even go near the nerve and you don't even feel it. Other times it just destroys the nerve and it will be touchy for a long time.\n\nYou know, if a doctor cut you open to take out some organ or something, he sews it up where he cut you open. It takes about a week for the skin to grow together so they can take out the stitches, but it will take a much longer time to heal completely. Maybe a year! It's like that with teeth too.\n\nBTW the short needle is called a 'ligajet'. It's something new, injecting the anesthetic right into the 'ligature' between the tooth and the jaw. It can be used to anesthetise a single tooth instead of the whole side. I kind of like it! (You can see, I've had a lot of dental work.)\n\nI'd say give it a week or two. It should get slowly better. As long as it's getting better, not as painful as a few days before, I'd say it was okay. If it doesn't get better, I'd call the dentist and see if he needs to do something more."
  },
  {
    "id": 2423,
    "title": "jaw problem",
    "dialogue": "pchant: Hello,\n\nI've been having this jaw problem since I was 16, and I am now 36. Long story short, 20 years ago I opened my mouth too wide and it got stuck, and I got so panic that I force-closed it. I went closed, but since then my my upper and lower teeth have misaligned and my face not symmetrical, and also I have clicking sound. I went to a dentist 15 years ago, and he said if I could chew without any problem a surgery is not recommended. The thing is my face now is more asymmetrical, and my clicking sound seems to be happening much more often. Is there any way to have my jaw fixed back to normal?\n\nBest,\nPol domtoreto: A well experienced dentist can only advise you in this situation. Hence, instead of taking and trying things, I would recommend you to visit a professional dentist who can help you to get rid of this problem. rob55: Natural Treatment Plan For Jaw Pain\n\nHere are some thoughts and guidelines that I keep in mind when looking to help people achieve long term relief from jaw pain and dysfunction:\n\n    Except for cases in which there is an overt subluxation or frank dislocation of the temporo-mandibular joint, it is best not to do any direct work to this joint. The temporo-mandibular joint has a disc that is critical in allowing the joint to work properly. This disc is very delicate and easily damaged when abrupt mechanical force is applied to the region. Such damage and potential ensuing scar tissue formation can create structural changes to the region that can lead to permanent problems.\n\n    Try not to chew gum. As I mentioned in an article that I wrote on why chewing gum isn't great for your health, over time, unnecessary use of your muscles of mastication can damage these muscles and the disc that lies in the temporo-mandibular joint.\n\n    Stretch your neck on a regular basis. Tight neck muscles and/or dysfunction in the joints of your neck can contribute to improper movement of your temporo-mandibular joints. For a description of simple neck exercises that you can do daily,"
  },
  {
    "id": 2424,
    "title": "Information Regarding Dental Implants",
    "dialogue": "Jasonplochner: Heya Fellas. This is my first post on this forum. I am here to get connected to people with common interest, i.e. dentistry. I work as a dental assistant. Recently, I started my own blog about dental information and I am going to share my posts with you guys. Looking forward to lots of dental related discussions. \n\nDental Implants or Bridges? It is a debatable topic and a commonly asked question. This topic, I am sharing with you, answers the first question. I am also gonna do article on Dental Bridges and will share with you guys. Personally I think dental implants is a better option, but its not recommended for everyone. Read the post and like and share if you want. Comment your feedback on the blog, if you want to. Soon I'll also do posts on bridges and then will compare both treatments to determine which is the best option.\n\nHere are the links: http://www.hoffmanestatesdentalclinic.blogspot.com/2012/09/about-dental-implants.html\nhttp://www.hoffmanestatesdentalclinic.blogspot.com/2012/09/more-about-dental-implants.html domtoreto: A dental is a prosthetic replacement for amissing tooth. A dental implant is an artificial root made of titanium metal. It is inserted into the jawbone to replace the root of the natural tooth."
  },
  {
    "id": 2425,
    "title": "Pain After Tooth Extraction",
    "dialogue": "Jimborino: A week ago today I had molar #19 pulled due to a horrible toothache. Turns out there was a small abscese in the root of the tooth. The dentist while pulling the tooth out broke the bone in my gum socket(from the sound of when he was pulling it I asked if it was cartiledge and he said it was my bone breaking) After the extraction he told me to put some pressure on my gum to close the larger then should be hole he left in my head. The wound healed fine(withing an hour it stopped bleeding). \n\nAfter examining where he had pulled it I noticed a good sized cavity that was hiding between the tooth he had pulled and the molar behind it. \n\nI don't have any noticeable swelling but the spot where he had pulled my tooth is still sore and my gum is still swollen from where he had said he broke the bone pulling the tooth(nothing crazy just small swelling on the outside of the tooth cavity).\n\nThe molar that was behind the tooth he pulled is very sensitive but nothing compared to how my tooth felt before he had pulled it. I was just wondering if the pain and small swelling I feel are normal when the gumline is fractured or if I should go back to the dentist(I don't have insurance and could hardly afford the tooth being pulled so it's not a no brainer to go back for me like it would be for most people.)\n\nThank you for your time. fredravez: Hi,\n\nYour problem is really painful. To reduce swelling you can do any home remedy. That will help.\n\nRegards\nFred westiegal: I rode my pain out for a long time. It came and went, sometimes disappearing for a few months. But it always came back worse. Eventually I just had to suck it up and pay for the work. joe joe: When the teeth is pulled out,its quiet normal to have that pain,try to wash your mouth with salt water.If the pain still exist,go to the dentist,that will be better. jpsmith: sad and painful story..\nyou could use a warm and salty water to ease the pain but don't swallow it, might upset your stomach. you can take pain relievers. you also can use salt and ginger, make a paste out of it then rub it on the affected area.. jpsmith: you can also use lemon juice and water at least twice a day. stevepolard: Avoid hot foods or drinks until the numbing wears off. You cannot feel pain while you are numb and may burn your mouth. Also take care not to accidentally chew your cheek. nancy1729: Unfortunately for some, pain does stick around for a while after an extraction. Best thing you can do is to wait it out with loads of painkillers and laying down! \nHave you tried elevating your head? With a few extra pillows? The blood flow is lessend by this, and pressure around the area calms a little. Ice pack on the outside will help - but remember not to leave it on any longer than 10 minutes at a time (10 mins on 10 mins off essentially). \n\nRemember not to use a heat pad! Heat on the area will not help with swelling and can make the area a lot more painful! Try not to have any 'hot' soup or 'hot' tea - cool jelly, not completely icy ice-cream and loads of water will help (Basically try not to go to the 'extremes' of the cold and hot registers) \n\nHope it starts to feel better soon! Mark Brown: This is very awe-full situation. In such a case one should consult some other dentist or a physician to get free from the pain and get a treatment soon as chances of swelling and infection persist even if you clean your mouth well after any meal. As per the basic solution to get relief from pain do avoid hot fluids as it relaxes the muscles. gotbfdk: hi there it sounds like u got an infection so its best to go back domtoreto: Most people experience some pain and swelling after having a tooth extracted. It is normal to feel some pain after the anesthesia wears off. If you develop new or worsening pain in the days after your tooth extraction, don't try to tough it out."
  },
  {
    "id": 2426,
    "title": "Two crowns now root canal on same tooth",
    "dialogue": "Baddad: Two years ago my dentist said that I had minor decay on a tooth but nothing that needed attention at the time, he Said that we would keep an eye on it. Since then I have been to see him numerouse times for regular cleanings and exams plus some other minor work. At no time did he mention that tooth. 3 months ago after a regular cleaning he said that not only did i need a crown on that tooth but the decay had spread to the tooth in front of it and it also needed a crown. To make a long story short he gave me a discount and we did the two crowns. After two months the original tooth had not settled down so he decided to redo the crown. Now two months later I still cannot put any pressure on the tooth and he says that I need a root canal to fix this. What should I do Bert: Apparently there was negligence. X-ray might have been a better monitoring option. \nNow it is too late.\nIt is hard to say if you really need a root canal treatment. Not enough info given. But it is possible. But for what I get from you, it is likely that your crown is or was high. That would have cause a over charge(weight) in this specific tooth and therefore injured the tissues close to the root tip, causing pain when you bite. \nBest of luck,\nBert"
  },
  {
    "id": 2427,
    "title": "Gum Sensitivity Between Two Front Teeth",
    "dialogue": "Cool92: I have noticed over the past couple of weeks that I've had sensitivity in the gum line between my two front teeth. I only feel this pain when I'm eating and food hits in the area or when I'm brushing my teeth and use too much pressure in that specific area. I can't exactly pinpoint whether it's on the backside of my gum line or the front. I have a small space between the two front teeth so I can definitely tell that this is the focal point area of the pain. \n\nI have checked and can't really see any lesions or redness so I'm confused of where the pain could be coming from. Any advice would be greatly appreciated and thanks in advance for your assistance. gotbfdk: Go see a dentist quick for a cleaning. You have gum disease witch can be reversed. If the swelling spread to the other teeth, it creates pockets called periodontal disease. You dont want that. Get a soft bristle toothbrush. When u brush and your gums bleed, keep brushing. Start flossing or get aa water pick flosser. Cool92: Thanks for the response. I just had a cleaning less than one month ago and there was nothing said about gum disease. In fact, the dentist said my gums were healthy. My gums are a healthy pink color and never bleed. domtoreto: From my point of view, tooth sensitivity is tooth discomfort after eating cold or hot foods or liquids or even breathing cold air. If your gums shrink, they can expose some of the roots of your teeth, making them sensitive."
  },
  {
    "id": 2428,
    "title": "Worried about my  teeth",
    "dialogue": "zx123: Hi\nI need to make an appointment to go to the dentist, but I'm a bit nervous about it.\nI have neglected my teeth and avoided going to the dentist for a long time, but I have decided to try and see one now before my teeth get any worse.\nI went to a dentist a few weeks ago but they could only give me one course of treatment so they didn't really do much.\nRecently I've started to worry and think about my teeth everyday.\nOne of the fillings in my back teeth feels like it is cracked and wearing down and I'm worried that it is going to come out.\nThere is also some other things I need to have done but I'm most worried about the filling.\nI cant afford to have everything I need done at the moment.\nIs it possible to just have one treatment, such as having a filling replaced from a private dentist? domtoreto: A healthy set of teeth is an important part of enhancing your look and personality. Regular dental care is important not only to your dental health but to your overall health as well. Visiting the dentist can help you prevent many dental problems."
  },
  {
    "id": 2429,
    "title": "registration issues",
    "dialogue": "seekseemss: i am a rehistered dentist under maharashtra dental counsil......i want 2 practise in rajasthan for that do i have to register myself nder rajasthan dental counsil???"
  },
  {
    "id": 2430,
    "title": "My teeth!",
    "dialogue": "badguy_oodguy: I didn't had any decays on my frontal teeth or plumbs... till now. I am 28 years old now.\n\nThis are my teeth:\n\nimg706.imageshack.us/img706/430/teethn.jpg\n\n1. At point 1 , I have something colored on the that tooth. What is it? I tried for 10-15 minutes to clean it with my new rotation oral B toothbrush but it didn't run away.\n\n2. What is that black on the teeth from bottom? Are them having decays ? or something bad? usually i don't like the \"tartar\" (or however is called in English) to be taken down because i don't like my tongue to hit in those sharps wholes between teeth.\n\n\nSorry for my bad English, I am not an English native."
  },
  {
    "id": 2431,
    "title": "how complicated will this extraction be?",
    "dialogue": "kenyaknowsbest: Ok being a broke college student with no insurance I have to settle for going to a dental school for dental work. I am have HUGE dental phobia , seems like everytime I sit in a dentist's chair I want to have a panic attack and want to cry but besides be being a big baby. I have neglected this top molar for awhile and the infection has eaten my bone away that supports the tooth. Being it doesnt have bone will the extraction be complicated? or just as any other extraction?"
  },
  {
    "id": 2432,
    "title": "Dental Implants After Care Tips.",
    "dialogue": "dimplanttnf: The following information provides some useful tips to help aid the healing process of teeth implants.\n\nIF LOCAL ANESTHESIA WAS USED: Usually the anesthesia usually lasts 3 to 4 hours. To avoid injury to the tongue, cheeks or lips, avoid chewing until the numbness goes away. It is also advisable to avoid hot drinks and / or foods until the effects disappear completely.\n\nFIRST AND SECOND WEEK OF TREATMENT\nAt eating time: Avoid any excessive pressure on dental implants. You should only eat soft, nutritious foods for a period of 2-4 weeks. Avoid sticky or hard foods and also maintain a high protein diet.\n\nMedications: Take antibiotics and pain relief pills as prescribed. Do not stop taking antibiotics, according to the time prescribed by the doctor. If you have any side effects caused by the medication, call your dentist. Take painkillers, only if necessary.\n\nHygiene: Avoid brushing the area with surgical bandage around the implant; rinse your mouth with a good mouthwash at least 2 times a day. That will help keep the implant area always clean.\nPhysical activity: Avoid physical activities and heavy lifting. This may cause bleeding around dental implants.\n\nIf you drink alcohol: Avoid it for 2 weeks until the tissues surrounding the implants heal correctly.\n\nIf you smoke: Avoid smoking for at least 3 days before surgery and for 2 weeks after treatment, otherwise the healing process will be slower than normal. In addition, the substances contained in cigarettes can cause other negative reactions.\n\nFood and Drinks: Avoid foods or hot drinks, spicy or acidic. Do not eat crunchy or hard food, because this will put more pressure on the dental implant. A surgical dressing is placed around the area of dental implants. This curettage should remain in place for two weeks and do not use a toothpick or touch the dental implant area with your tongue.\n\nIce pack: An ice pack should be applied externally on the dental implant site, as much as possible during the first 3 days. This will help reduce inflammation.\n\nDentures: If you wear dentures, this will loosen a bit to not apply pressure to the dental implant. The denture is placed with a protective dressing and should not be removed for two weeks.\n\nTHIRD WEEK\nLightly brush the dental implant site after you have removed the surgical bandage. (Usually two weeks after surgery). Apply some mouthwash to your toothbrush and brush gently around the treated areas.\n\nFOURTH WEEK\nResume normal cleaning of the area around the dental implant. gotbfdk: thanks i will use"
  },
  {
    "id": 2433,
    "title": "How Much Can a Pediatric Dentist Make?",
    "dialogue": "charles.macneil: Hello\n\nMy friend Kevin has recently become a pediatric dentist.\nHe works for a group that is known to be very successful.\n\nIts a group of maybe 8 ? dentists and its privately owned..  Its in a small midwestern town of about 60k.\n\nKevin has recently become a partner.\n\nMy girlfriend said she has heard he could be making 400k+ \n\nIs this really possible? JohnChavesDDS: Its totally possible. Mark Brown: The earning depends on the competition faced in the local area. If the combination of location, services and consultation fee sets perfect then the issue will remain about how to manage the patients that would even become regular in case of well being checkups."
  },
  {
    "id": 2434,
    "title": "Renting Operatory in Existing Practice",
    "dialogue": "KLartin: I plan to rent an operatory in an existing practice while my office is under construction; one day per week on owner's day off - minimal disruption to owner.\nNo staff or administrative fees to owner.  Major materials, my cost; disposables, owners cost.  Wondering if anyone has had similar experience, and what a reasonable rent/day for operatory use and sterilization. JohnChavesDDS: What city are you in? Beverly Hills vs somewhere in the midwest can be two totally different amounts."
  },
  {
    "id": 2435,
    "title": "eCommerce Dental Equipment Purchases",
    "dialogue": "robface: I'm wondering whether there are any dentists out there that buy consumables (e.g., specialized paper, etc.) via eCommerce.\n\nThe big suppliers I've seen are Patterson and Schein who I understand go around and work with dentists to remind them when and how many items dentists need to replenish.\n\nI'm wondering whether an Amazon.com might be the future of this space i.e., selling these items through the internet.\n\nWhat does everyone think?  Any concerns about this approach?\n\nThanks,\n\nRob JohnChavesDDS: Hey Rob, \n\nWe like the reps coming in, that way we can see and touch anything different. But I think the internet is the future of that business. \n\nJohn Chaves DDS"
  },
  {
    "id": 2436,
    "title": "How long till crown feels normal?",
    "dialogue": "southernwhite: I had a crown put on my front tooth, well on the left side, can see when i smile, it is the  third day  since it was put on, it doesnt hurt really  but feels weird, anyone know if it should feel weird at the 3rd day since it was put on, if it is, how long will it be till it feels like another tooth, southernwhite: i hope i get some responses"
  },
  {
    "id": 2437,
    "title": "Crown lengthening, build-up, and temporary crown on the same day?",
    "dialogue": "cleverwabbit: My tooth 30 is scheduled to have a root canal treatment this week, then afterwards the next day my general dentist wants to do a crown lengthening (due to a side cavity) and do the build-up and temporary crown on it. All in one session. Then in a few weeks, he wants to place the permanent crown on it. Is this being done correctly ? . Can a crown lengthening and temporary crown be done in one session ? The literature I found on-line says that after crown lengthening, the tooth and gum tissue must heal first. Is this the proper procedure?   I am very nervous about all of this dental work and am concerned because I have had some bad dental experiences and don't want to lose another tooth.\nThank you for any help."
  },
  {
    "id": 2438,
    "title": "bump on inside of lip",
    "dialogue": "disturbed13: i have felt a bump on my lip appear just today\nits quite clear\nand is about half as big as a pea\nits on the inside of my lower lip\ndoes anyone have any idea on what it might be?\nor should i try to post a pic? Alinajones: It looks like that bump in your lip with swelling and pain is in relation to some infected tooth because in canker or cold sores, you have ulceration but you have written that you donot have that. There can be some infection in your front left tooth, which can be because of tooth decay or some trauma. The tooth becomes non vital and peri apical infection is there which causes swelling and pain. Without clinical examinatin and xray, it is not possible to give definite diagnosis. You should visit your dentist and get it checked. Your dentist will take x-ray and do clinical exam and if tooth is infected, you may need Root Canal Treatment. dooder: disturbed13 said:\n\n\n\n\t\t\ti have felt a bump on my lip appear just today\nits quite clear\nand is about half as big as a pea\nits on the inside of my lower lip\ndoes anyone have any idea on what it might be?\nor should i try to post a pic?\n\t\t\nClick to expand...\n\n\ncould be a mucocele caused by a defective salivary duct"
  },
  {
    "id": 2439,
    "title": "mao inhibitor",
    "dialogue": "dooder: taking a mao inhibitor.  What local anesthetic\nis the best to get?"
  },
  {
    "id": 2440,
    "title": "i need your help please",
    "dialogue": "moonwaters11: [SIZE=\n\"5\"][/SIZE]\nHi my name is rebeKah fortson im in need of your help .im a poor mom barley making it doing good to pay my bills an groceries .i have no more teeth an i need mini dental implants \nPlease help me please .thank you an god bless you Alinajones: You can find free dental implants at the local hospitals and clinics where student dentists do need patients to hone their dentistry skills. Do not worry as there is a full-fledged dentist in attendance who supervises this procedure. Even though this might not be completely free the price is substantially reduced and you might end up paying an extremely negligible amount."
  },
  {
    "id": 2441,
    "title": "help needed to find cheap, free or a dentist i can sell my soul to",
    "dialogue": "kimokenny: im a single dad of 36, recovering from high grade b cell lymphome...with high dose rituxan treatment...with all the chemo etc given to me it left my bones in a bit of a state including my teeth...now im in recovery im finding my teeth becomeing more of an issue every day...ive tried to get a dentist local on the nhs as i cannot afford to go private...ive tried allsorts to resolve the issue...im devestated how my teeth have been left and no help to recover them to how they were before cancer treatment...and yes im very happy to be alive and to be saved by the treatments given to me...but devestated my teeth took the blast....ive been locked up for 3 months in an institute a few years ago as at one point i attempted suicide as i felt the problem along with a few other mentaly blinding me...hate my teeth need some advise...at the minuite...ive got to be strong as im a single dad...ive a 13 year old son....ive not the money to fix them...there just going to get worse...trying to move on with my life is difficult...been single for 5 years as i cant have a partner with my teeth like they are so i feel stuck...need a dentist that i can pay in kind...of some sorts lol...loose sleep every night over this and its on my mind all day...my bl==dy teeth! KLartin: If you live in or near a large city or university - find out if there is a dental school you can reach.  Also, many hospitals have dental clinics with residents.  Ask a social worker in your town to help you"
  },
  {
    "id": 2442,
    "title": "What is a Dental Implant and What is it Used for?",
    "dialogue": "dentalimplantsbridge: A dental implant is an artificial tooth root replacement that is used in prosthetic dentistry to support restorations that resemble a tooth or group of teeth. Dental implants are very commonly used in the world today, and can be used either for health reasons and cosmetic purposes.\n\nDental Implant Surgery\nDental implant surgery is the surgery that is used to insert the dental implant. The typical dental implant consists of a titanium screw with a roughened surface, and the surface on the implant is treated either by plasma spraying or sandblasting in order to increase the integration potential of the implant. \n\nThere are various different types of dental implants that can be used in this procedure. This offers patients a lot of variety and the ability to make the right decision just for them and their needs.\n\nThe implant surgery is performed as an outpatient procedure. This means that the patient is not required to stay overnight and that they are generally able to leave the clinic or hospital immediately after and return to doing their normal day to day activities.\nA single dental implant procedure involves an incision and flapping of the gum and usually takes about an hour, and multiple implants can even be installed in a single procedure. This makes it very convenient for the patient because rather than them having to come back several times to have all of their implants installed they can get it all done in a single procedure.\n\nRemember that dental implants come in all different shapes, sizes and textures, and you will need to work with your dentist in order to determine which particular dental implant is going to work best for you. If you have broken a tooth or would just like a different look to your teeth, dental implants are a great option and may be the perfect choice for you.\nIf you are interested in going through with this procedure then there are a few things you are going to need to do. You are going to need to learn more about it first and what your options are, and then make an appointment with your doctor, so you can discuss with them your ideas on the procedure. Not all people are eligible candidates for this procedure so this will also need to be determined, but it is definitely a popular dental procedure with a very high success rate, and one of the first that should be considered. johnmoran12: A dental implant is an artificial tooth root that is placed into your jaw to hold a replacement tooth or bridge. Dental implants may be an option for people who have lost a tooth or teeth due to periodontal disease, an injury, or some other reason.\n\nFor patients who are missing teeth or want to stabilize their dentures, dental implants may be the ultimate solution for them. While dental implants may be more costly than other solutions, they are definitely the gold standard for tooth replacement and denture stabilization."
  },
  {
    "id": 2443,
    "title": "Hello Everyone",
    "dialogue": "kattwlsn: Hi ,\nI am Katt and  New Here... Jasonplochner: Hello Katt. My name is Ibrahim. I am new here as well. Looking forward to connect with lots of people that shares the same interest of dentistry. stevepolard: Hello Everyone,\nI am newbie in this forum."
  },
  {
    "id": 2444,
    "title": "gurt56",
    "dialogue": "gurt56: I have a small blister that appeared quite a while ago inside my lower lip after I bit it quite hard. the blister comes about 3 times a week. I have tried to let it go, open it with a pin, brush it with my tooth brush after opening it, but it keeps coming back. what do you suggest. it never gets bigger, it just is there in the morning about 3 times a week for over 6 months. My dentist saw it and didnt have any suggestions or concerns."
  },
  {
    "id": 2445,
    "title": "Hi, I'm new here.  I have a question about my seven year old son.",
    "dialogue": "rrosario35: Hi, first of I did a google search to find this forum and it looks like it's pretty helpful.  \nGlad to be here in that case.\n\n\nSo... My first born is now 7 years old, he lost his first tooth when he was around 3 3/4 years old.  He tripped hit his mouth on the chair and his tooth (9) was out forward about 90 degrees.  I took him to a dentist they took an X-Ray and yanked the tooth out.  Back then we thought the XRay showed his second tooth ALREADY coming in... \n\nLike I said... He's seven now and he lost his other front tooth (8), he's also lost teeth 23, 24, 25, 26.  ALL of his teeth have grown in EXCEPT for #9.  \n\nNow we havent thought much of it until last week when my wife asked me what I thought about and it thought... \"Hmm well that is weird...\".  So we are going to take him to the dentist  in mid September but I wanted to know what you all thought about such a situation?  \n\nBesides \"going to the dentist\" has anyone had a similar situation?  What was the result AFTER the visit?   What was the outcome?  \n\nWe are certainly afraid of his tooth never growing in, it's almost made me cry (in private for course) at times.  Also I've wondered if something like this can contribute to any kind of pain a child may feel... he does complain about headaches once in a while but the doctor said he's fine.\n\nAnyway, your help is appreciated.   I know the ONLY thing we can do is wait for time and a bit more time to pass by to see if it ever grows in.\n\n\nThanks in advance! lharri: if the tooth is lost early because of some type of traumatic event the bone will grow over the permanent tooth and slow the eruption process. It will usually correct itself over time. Go to your dentist and let him take and xray and make sure everything is ok."
  },
  {
    "id": 2446,
    "title": "Loss of Maxilla Bone in Mouth",
    "dialogue": "silentwriter: I am a 63 y/o woman & I had my upper teeth removed in 2004 & false teeth made for me which never fit..therefore, I would never wear them.  In 2006, I had gastric bypass surgery & dropped to 95#. I then had an ulcer & when the gastric dr removed that he also removed my stapled stomach! I was on a feeding tube for 6 mos. In between that time in 2008, I had a sinus lift and then 6 implants were put in on top and 5 on the bottom. In 2011, I lost 1 implant on top.  This year, I lost another implant on top.  I went back to the oral surgeon & he said that my maxilla bone is totally deteriorated & that the other implants on top will fall out shortly as will the bottom implants & my 7 remaining teeth!  Then I went to John Hopkins Hospital (Baltimore) and their Prosthrodontist told me that he would make me a set of upper false teeth to bide me over until the upper bone is gone completely!  Great!! I went back to see him in October & after he took a 3D x-ray, he told me that he was \"sorry\" but he WOULD NOT BE ABLE TO make me the false teeth after all as he can see the maxilla bone is just about gone!  No one anywhere has been able to tell me why in the heck this has happened to me.  They will not take the bone from my hip to put in my mouth as they are afraid that my other health issues will not allow me to heal properly.  Thus I sit here wondering what I'll look like when I lose everything bone, implants and the rest of my own teeth when both bones in my mouth are gone!  My self-esteem is just about gone.  My husband doesn't understand how mortified I am in a restaurant. Trying to speak is just about impossible because without upper teeth, you are unable to form certain words.  How wonderful! Anyone else in this situation, I sure hope not! lharri: mortified\n\nCan you get your xrays and post"
  },
  {
    "id": 2447,
    "title": "Left of midline of top teeth coming forward/flipping outward??",
    "dialogue": "j40salyers: Hi. I have always had an overbite until i had braces. Of course i didnt wear my retainer and they stuck out alot again.i put my retainer back in and it fixed my teeth, but the left side of my midline on the top seems to still be coming outward. I have constant pain and sort of a numbing sensation in my left jaw. I have a tongue thrust, which causes my teeth to come forward, but the pain is worse than ever in my left incisors and only my left side is hurting...someone with knowledge on this please help me. Could breaking your nose/frame/dislocating your jaw do this?"
  },
  {
    "id": 2448,
    "title": "Some advice needed!",
    "dialogue": "nats86: Hi, I'm having quite a lot of work done on my teeth over the next few months- my teeth aren't in the best condition and I need to have a crown fitted to one of my front teeth and several fillings removed.  My dentist has said after the work we can think about what to do to make my teeth look better.  I have very slightly crooked front two teeth and another tooth that needs to be pushed back.  I am concetrating a lot on getting my teeth healthy at the moment, I've started flossing every day and I am noticing a big difference in teh health of my gums.\nAfter I've had all the work I need done I want to consider possibly having an invisalign fitted-does anyone know, is this possible with a crown and with teeth that have had some acid erosion etc?  \nI really want to work on getting more confident with my smiile over the next few years."
  },
  {
    "id": 2449,
    "title": "post question",
    "dialogue": "game27: is there such athing as injected post?"
  },
  {
    "id": 2450,
    "title": "Can I do internal bleaching while wearing braces?",
    "dialogue": "Neonfrog: I have an overbite, then I fall drop before and then one of my front teeth need root canal treatment. Now it's worrying me as I never open my mouth when taking pictures. And I'm wearing braces, so I'm considering doing internal bleaching for the decolourised tooth. Anyone can give me opinions? I seriously appreciate that"
  },
  {
    "id": 2451,
    "title": "i've been through alot ..sigh",
    "dialogue": "gtrstarr30: I'm 30 I have generalized anxiety disorder since i was 5 back in march I had a tooth that had a metal filling that had been cracked over 10 yrs start hurting extremely I went to dentist gave me a zpack cleared up the infection and i had a root canal after the root canal it stayed infected they gave me another zpack which didnt work I ended up in the e.r. with an iv of antibiotics 3 days later i had the tooth removed for a couple months i felt back to my old self in july i had another tooth on the same side that had a crack and filling in it chip off as well before it got worse i headed to the dentist he just drilled and crowned it the pain set in the first week i thought was normal while that was goin on my wisdom tooth on the top left started in extreme pain i had it removed and mentioned to the dentist the crown he did was hurting too he didn't seem like it was a big deal when the pain got worse a week after i went back he said it was inflamed either root canal or pull i decided on root canal again i told him i as scared it was gona get infected he gave me a zpack which i warned him it stopped working on me the last time he said it should work a week after and another zpack later i wanted to pull my own tooth out i called the dentist he pulled the tooth a week after that a top molar started feeling pain when i bit down i went to 3 dentists got a ct scan and everything finally the 3rd dentist said the tooth was dead after a month of pain he said root canal i said no way i had the tooth pulled a week ago today the oral surgeon said nerve problem?? but when he pulled it he said the roots were inflamed now i feel like the tooth next to it is having issues I feel like I'm going insane I've lost 5 teeth since march two being wisdom i've been on alot of diff antibiotics constant pain on the right side of my face for over a month my question being does anyone have any advice??"
  },
  {
    "id": 2452,
    "title": "Strange question....?",
    "dialogue": "LyndsayVA: Hi Everyone,\nMy name is Lyndsay and I am currently doing research on making dentistry more fun, productive and profitable.\n\nAs someone in the Dental industry what are the biggest problems you face on a day-to-day basis?\nI would just like to learn about the pain points you experience in your profession. Honest and blunt answers would be great, and I would love to hear back from you, even if it is only one sentence!\n\nThanks and Best Regards,\nLyndsay"
  },
  {
    "id": 2453,
    "title": "Migranes caused by dental work?",
    "dialogue": "FancyPantsMom: I had 3 fillings put in Monday, September 10 on the top right side of my mouth. It is now Sunday, September 16 and I am awaken once again by a migraine and pain on only that side of my face and jaw. My head is pounding on only that side. I never get headaches, let alone migraines. Everyday since I've have the work done, I have had a headache or migrane that will not go away. I keep having to take Tylenol every 4-6 hours. This does not seem normal at all. What should I do? Where should I go? I am very concerned. I have had fillings before and this never happened, but about a year ago I switched dentists because my insurance changed, and this new dentist has never filled my teeth before. I don't think I want to go back to him because I'm worried he might make things worse."
  },
  {
    "id": 2454,
    "title": "Dental Congress",
    "dialogue": "sdmeeting: It is our pleasure to invite you to the Fifth Anniversary edition of Sofia Dental Meeting which will be held in Sofia, Bulgaria, from 27th to 30th September 2012.\n\nYou have the opportunity to take part in an event, unique in its scale and excellent organization. It offers each participant vast learning opportunities in all spheres of dental medicine. Our mission is to stimulate the dental practitioners from all over the world to continuously improve their knowledge and skills and thus practice their profession in accordance with the highest standards.\n\nWe have more than 80 events conducted by more than 50 lecturers - 40 lectures, 30 hands-on workshops, 11 live clinical demonstrations on patients and 5 discussion panels. All these covered various topics in the fields of Implantology, Periodontology , Endodontics, Prosthetics, Esthetic Dentistry, Pediatric Dentistry and Orthodontics. A special part of our program was the lecture session for dental technicians. \n\nSo far we already have on our speaker-list the names of Prof. Touati, Prof. Bichacho, Prof. LeGall, Prof. Putignano, Prof. Saadoun, Dr. Landsberg, Dr. Lasserre, Dr. Fradeani, Dr. Henry Salama, Prof. Gambarini, Prof. Khoury, Dr. Rafi Romano, Dr. Devoto, Dr. Dalloca and many others.\n\nJoin us in Bulgaria or on livestream -sdm.bg"
  },
  {
    "id": 2455,
    "title": "Associate Dentists Wanted",
    "dialogue": "Hudec Dental: Hudec Dental has been in practice for over 35 years, providing high quality services to neighborhoods throughout the Cleveland area.  \n\nWe are looking to create mutually beneficial relationships with qualified providers that want to join a practice that can offer rewarding career options. Hudec Dental creates a professional environment with continual education, excellent benefits and compensation packages tailored to each individual with an opportunity for advancement within the practice.  \n\nJoin Cleveland’s premier team of dental professionals by submitting a resume to Hudec Dental Associates, Attn: HR, 3329 Broadview Rd., Cleveland, Ohio 44109, fax to 216.485.1257, or email (e-mail address removed).  We are an equal opportunity employer committed to the principles of diversity."
  },
  {
    "id": 2456,
    "title": "Claris Intraoral Camera",
    "dialogue": "gcoxusa: I have an opportunity to purchase a used Claris i310 Intraoral Camera which is used take pictures of teeth.  It normally has a docking station but this one does not.  Can someone tell me if this camera would work without the docking station?  I am being told that I can plug it into the USB port on a laptop."
  },
  {
    "id": 2457,
    "title": "Paperless Office?",
    "dialogue": "LHFD: Hello everyone,\nI am the IT Tech at our dentist office and the dentist here wants to go completely paperless, but we just aren't sure where to start . We use the Dentrix Software and they do have some solutions to meet our needs but just not everything. I would appreciate any suggestions, comments or advice I can get from offices that have already made the transition into being completely paperless, or even if you just started the process. Anything I can get, I would appreciate greatly. Thanks, and have a great day all"
  },
  {
    "id": 2458,
    "title": "Questions relating extractions and price.",
    "dialogue": "Kristyj077: I am gonna need an upper denture. I have 10 upper teeth that I have to be removed. 5 of them have not broken all the way down to the gum, but the other 5 have. That's not even a tooth, just some at the gum. So my first question is, will that cost more or be about the same price for a regular extraction? \n\nMy next question is, around here it's usually around 130 for an extraction, so will the dentist charge me by saying 130x10 leaving that being around 1,300 dollars for the extractions?\n\nAnd how much is it to have an impression done?\n\nThose are the questions I need answers too. Or just an idea of what I am looking at. Thanks to anyone that can help. Cburg: Extractions\n\nI have found some clinics in Mexico that will do it for around 1/2 price. You  might want to try these: (If you live close to Mexico!)"
  },
  {
    "id": 2459,
    "title": "Mini vs Regular Implants",
    "dialogue": "Cburg: Dear Forum,\n\nI am considering having major work done; possibly a whole mouth re-do. Some clinics only perform implants using the full size ones (Angeles in Tijuana), while many think the mini's are a good choice. I am considering the implant secured dentures, using a number of implants, and am looking at going to Mexico for a price break.\n\nI also want to preserve my jaw bone adequately. I have a considerable amount of recession, but my current dentist says it is fine for implants. Does anyone know how many implants are required to do this? (preserve the ridge)\n\nCan anyone recommend a low price clinic?\n\nThanks!\nMike"
  },
  {
    "id": 2460,
    "title": "How does ultrasonic shockwave not distroy other cells?",
    "dialogue": "diagnodent: I understand that the ultrasonic scalers that dental hygienists now routinely use to clean teeth produce a shockwave that can distrupt bacterial cell walls. How come that same shockwave dosent hurt our other cells?"
  },
  {
    "id": 2461,
    "title": "Acne Treatment Can Be a Life Saver",
    "dialogue": "kirinijoie: If you accept anytime suffered from abscess as a jailbait or apperceive anyone who just can't assume to advance a bright complexion, again you may apperceive immediate how arresting and awkward it can be. You may accept approved endless abscess articles and abounding altered skincare methods alone to wind up with the aforementioned problem. You may accept aswell resorted to alteration your diet in hopes of accepting rid of your outbreaks, alone to acquisition that no amount what you assume to do, annihilation works. In fact, you may acquisition that some abscess over the adverse articles that you acquirement can could could cause your derma to become added sensitive. Sometimes if annihilation works and all abroad fails you may charge to seek abscess treatments that are added intensive. These treatments can advice retrain your derma and put an end to your abscess nightmare. \n\nContrary to accepted belief, some bisect cases of abscess are not acquired by what is on the apparent of the skin. Applying creams and ointments would be abortive and a decay of time. They alone action a acting band-aid and can could could cause you abundant ache afterwards on. There are abscess treatments that can be done to get rid of your abscess problem. They can advance your complexion, arrangement and all-embracing action of your face. Treatments for abscess can be performed with lasers and actinic peels. Dermatologists and artificial surgeons who are certified to accomplish abscess treatments can action abatement by application some of the latest in medical technology with lasers to advice ambition the botheration areas, annihilate the behind bacilli and advice activate and advance advantageous facial tissue growth. \n\nFacial treatments that use phototherapy can even the derma tone, giving a added even complexion. It aswell reduces the actualization of wrinkles, abbreviate pores and abate the abundance of abscess out breaks. As the derma becomes stronger, usually afterwards several abscess treatments, it becomes added airy to blemishes and acne."
  },
  {
    "id": 2462,
    "title": "HELP HELP, my mouth pain will not go away",
    "dialogue": "bubbiebee: Back in Sept of 2011 I had a root canal on tooth 30 which had a old gold crown on it. The first root canal on this tooth was about 13 yrs ago and the bottom of the root was completed.  I was having lots of pressure around tooth 30 like someone was gripping it real hard and also lower jaw pain.  Fast forward... 2012  pain never went away, had the crown removed, still didn't help. had the tooth extracted Feb of this years.  Tooth was shattered and came out in pieces.   Had a bone graft done at the same time as the extraction.   Beginning June I went back to the oral surgeon was still having pressure.  Took a panoramic x-ray, said it healed great.  Sent me to a Endodontist who ended up doing a root canal on #28. When Ice was put on the tooth I jumped a mile.  The root canal was done , no issues. and yet here I am July 8th, and my lower mouth on the same side is full of pressure, I can't stand it.  My dentist talked to both my oral surgeon and endodontist and he wants me to go to a pain specialist, thinking that my teeth are very off balance, I don't chew on the left side due to the pressure and pain.   I called the specialist they all want me to go to but can't get in till September.   I can't live on painkillers for ever.   Nothing is showing on xrays.  could I have permanant nerve damage.  I really don't know what to do.   or what it could be.   HELP PLEASE jpsmith: markdev997 said:\n\n\n\n\t\t\tHelp someone please my teeth is pain when I drink cold water and also it is pain on the winter season.\n\t\t\nClick to expand...\n\n\nMouth sores..\norajel, sensitive toothpastes, vicoden, ibprofen 800's or cayenne pepper.\nCayenne pepper- put a few drops of warm water to make a paste in with a few pinches of the cayenne and rubbed it on the tortureous areas and let it sit for about 30 seconds. Then rinsed  with warm water. jpsmith: These can make you feel better..\nMouth sores often go away in 10 to 14 days, even if you don't do anything.Gargle with salt water or cool water. eating popsicles can help if you have mouth burn.Avoid hot beverages and foods, spicy and salty foods, and citrus. or take pain relievers."
  },
  {
    "id": 2463,
    "title": "Just had full mouth extraction, need help!!!!!!!!",
    "dialogue": "cosset: First off, sorry for the long post!\n\nOk, about 12 hours ago I had a full mouth extraction done with no sedation or benzodiazepine to help with the procedure. I had 4 teeth removed from the top and 7 removed from the bottom. I have been in severed pain ever since then. I'm just miserable. To the point where Im being a real dick to my lovely girlfriend and also my very supportive parents who were nice enough to pay for this procedure. I have not slept one single bit. The dentist prescribed me twenty(20) 7.5/325 Hydrocodone/APAP. These things are not working worth a damn at all. I'm almost tempted to go to the Emergency Room or something.\n\nLet me add some more here. A few months ago I had a nasty fall and shattered the scaphoid bone in my left hand. The bone pressed up against the nerve and thus made my thump and 2 first fingers get VERY swollen, numbness, tingling, burning, lightning like nerve pain. My doctor put me on Hydrocodone 7.5mg while we were getting ready to do surgery. I was on it about a month. Then I had a Scaphoid reunion surgery and he had to use a piece of donor bone to fix it properly. He essentially rebuilt that part of my hand and made one scaphoid out of 4 different pieces of bone. He also did a surgery to the median nerve in my left hand to relieve some of the swelling the hopefully get the feelings back in my left hands thumb, pointer and middle fingers. So essentially he rebuilt the bottom of my left hand. It was a pretty serious surgery.\n\nAfter surgery I was put on 15mg Roxicodone for a week, 5-6 times per day for about 5 days. Then we stepped down to 10mg Percocet for the next week, then down to 5mg Percocet for another week. After that we stepped down to the 10mg Hydrocodone because the bone still hurts sometimes but also the nerve pain from that median nerve is bad sometimes. I stopped taking the 10mg hydrocodone a week ago once I found out my mom and dad were going to pay for me to get my teeth done. So I was off of it about a week. I talked to my Doctor that did my hand surgery and he said to make sure to tell the dentist about my surgery and medication history because I was on those meds for so long he said that whatever they would normally give would probably not alleviate my pain at all due to how long I was on the Oxycodone/Hydrocodone.\n\nI went over all of this with my dentist. He didn't seem to give a crap at all and wrote me for twenty(20) 7.5/325 Hydrocodone/APAP.This is not helping me one single bit. It almost as though he didn't believe me even though my left hand/wrist is still in a fiberglass cast. They were using 3 pins stuck through my wrist to hold the new Scaphoid in place for the first month and then we took them out and went to the cast. I am just in complete misery. What should I do about this? Should I call this dentist when 8:00am rolls around? He seemed pretty serious that all he was going to give me was the 7.5/325s. He is also 250 miles a way. I am at a loss here. I do also have a very nice local doctor that has always taken care of me and my family. Would I have better luck calling him and explaining the situation and see if he will see me about this. I think this is my only other option other than going to the Emergency Room where my mom just so happens to work. I know they will give me like 3 days of pains meds but usually they only give like 12-15 5mg/500mg Hydrocodone/APAP but obviously if the 7.5s don't work I don't see how this will help me. Any input would be greatly appreciated. Its 4am, im miserable and got a few hours before stuff opens up. Thanks everyone. Sorry it is so damn long lol.\n-Cosset cosset: Its now 530am. I am going to start making phone calls at 8am. So I am hoping there is some late night people that will chime in with their opinions before then hehe. Much appreciated -Cosset cosset: sigh 630am. Haven't slept in like 30 hours. too miserable  bump cosset: 13 views and nobody has any idea on this  I'm so miserable right now. Oh wells. Almost 7am. One more hour and hopefully I can get this resolved  -Cosset cosset: 38 minutes and I am going to call my doctor. The dentist yesterday seemed to be set in his ways that all he would give me was the 7.5s. He didn't seem to care about my history, even when I told him that my doctor told me specifically to remind him about my recent surgeries and how long I have been on the pain meds so he could adjust the dosage. -Cosset"
  },
  {
    "id": 2464,
    "title": "Bad Odor Months After Tooth Extraction !",
    "dialogue": "cpotts28: I had 2 teeth beside each other extracted about 3 months ago and ever since I've noticed a foul odor 24 hrs a day. I've never had bad breath in my life and never noticed this until these 2 teeth were extracted. I have an appointment scheduled to my dentist but wanted to get some opinions on here as well. What could have caused this to happen? jpsmith: cpotts28 said:\n\n\n\n\t\t\tI had 2 teeth beside each other extracted about 3 months ago and ever since I've noticed a foul odor 24 hrs a day. I've never had bad breath in my life and never noticed this until these 2 teeth were extracted. I have an appointment scheduled to my dentist but wanted to get some opinions on here as well. What could have caused this to happen?\n\t\t\nClick to expand...\n\n\n One of the negative effects of the gauze gel to promote clotting is that it attracts and holds on to food particle debris and oral bacteria in saliva.You need to immediately begin warm salt water rinses for 3-4 minutes 5 times a day to irrigate and dislodge the debris."
  },
  {
    "id": 2465,
    "title": "Can a dentist adjust a retainer?",
    "dialogue": "dentallot: moderators please delete\n\nmoderators please delete"
  },
  {
    "id": 2466,
    "title": "Bruxism",
    "dialogue": "jpsmith: Bruxism is clenching or grinding your teeth. Most people are not even aware that they are doing this. Some people grind their teeth only during sleep. This is called \"nocturnal bruxism\" or \"sleep-related bruxism.\" It can have a variety of causes, nothing more than a habit. It also can be a result of the body's reaction when the teeth do not line up or come together properly. It also can be a symptom of certain rare diseases of the nerves and muscles in the face. People with severe bruxism can break dental fillings or damage their teeth. Rubbing the teeth together can cause the outer layers of enamel to wear away, exposing dentin. This can result in tooth sensitivity."
  },
  {
    "id": 2467,
    "title": "Cosmetic Dentistry Perth",
    "dialogue": "jpsmith: good day everyone! i'm a dentist in Perth, Australia.\nwe do have a website and our websites are loaded with information to questions and concerns that we typically get. any questions, ideas or thoughts you want to share i'm open and would want to share my knowledge and be of help.."
  },
  {
    "id": 2468,
    "title": "Please help",
    "dialogue": "Maria1976: I need to have my teeth fixed, but the prices here are very high. My dentist quoted me over 10K for all the issues i have. I have been browsing the net for a cheaper but still high quality solution and i found a company, that offers dental work in Hungary, Europe. I don't want the Mexican or Thai dentists, as i just don't trust them, but these guys seemed pretty good. Has anybody been to Hungary getting their teeth done? How was it? Did they speak English? Was it as good in quality as US dentists? What about the price? Has anyone been with dental-vacation.com? Please advise... I need to make a decision soon! Thanks gels: I would suggest going to a university to get them done, it's much cheaper to get them done by students. They do quality work especially since the Dentist instructors watch over them and double and triple check their work. fredravez: gels said:\n\n\n\n\t\t\tI would suggest going to a university to get them done, it's much cheaper to get them done by students. They do quality work especially since the Dentist instructors watch over them and double and triple check their work.\n\t\t\nClick to expand...\n\n\nHi\nI do agree with you. Also go for dental insurance that will help and I guess its good to have health insurance because this way you can get quality treatment in less money.\nRegards\nFred westo: I agree too about students"
  },
  {
    "id": 2469,
    "title": "Root exposed after grinding from filling -- will gum grow back over?",
    "dialogue": "frankjohnson: I went in for a regular cleaning recently and was told I had a cavity near the gum line on my lower back molar.  The dentist ground the tooth down to do the filling and it was slightly painful as she did that. I didn't have any sensitivity/pain there before the filling.  However, after the filling it became very sensitive along the gum line to hot or cold.  I went back in a week later and they confirmed that the gum had been ground away slightly and the root was exposed.  They put some 'desensitizing solution' on it, which seemed to cause more pain than reduce any.  They said it would just take time for the gum to grow back over the root (maybe 30 days or so, they estimated).  It's been about 30 days now and it's still very sensitive.  I have had some gum recession too so I'm worried that the gum will not grow back over the root.  The whole thing seemed a bit hastily done to me and I'm a bit frustrated that I went into the dentist without pain and now I have a recurring sensitivity.\n\nIs this a normal thing to happen when doing a filling?\n\nCould it be that it will just take longer for the gum to grow back over or should something else be done?"
  },
  {
    "id": 2470,
    "title": "question regarding removeable bridge",
    "dialogue": "lawrence12: Hello, I recently had a tooth removed, the tooth here that had a rooth canal on the xray. \n\nI decided to have it pulled for long term health reasons. \n\nI decided to have a removeable bridge that will latch on my last molar and premolar. \n\nBut my last molar has a small shallow composite filling and this will have to be shaved off a bit. \n\nSince I want this to last very long I was thinking of replacing this filling with a cerec restoration then have the bridge made since this tooth is very important. \n\nBut I was wondering if I could effectively remineralize the dentin or make it go hard and glassy brown with good nutrition and simply have all the filling removed and keep the dentin exposed and have the bridge sit on that instead of a cerec restoration. I want no more problems down the road due to this filling getting old or leaking or whatever else then possibly compromising solidity of my bridge, filling is 2 year old and is fine, so either i have it removed, or have a cerec inlay made, i trust my hygiene more than i trust a composite filling. i have read a few studies where innovative dentists prefer to leave open non decaying cavities instead of filling it so bacteria doesnt get trapped in and no remineralization can take place since everything is covered up. \n\nIs this viable to leave shallow dentin open and exposed or should I just have a cerec restoration for 1000$ then my bridge done ? \n\nI'm the kind of person with irreprochable hygiene now, I never eat sweets and always clean my teeth after meals even while at work. havent had cavities for over 2 years \n\ni heard dentin can remineralize with good nutrition like calcium, phorphorous, vitamin k2 supplements, gc tooth moose and fluoride rinse."
  },
  {
    "id": 2471,
    "title": "2 root canals, same tooth, still pain... help...",
    "dialogue": "diegonaut: Hi,\n\nI had a root canal  and crown done some months ago. After the 1st one, I began feeling sensitivity and pain with hot, cold and chewing. My dentist opened it back up and found that it was infected due to leakage. He said he could not have known it was infected until he opened it. He refilled the root canal and sealed it. It took two weeks to get my crown and I noticed sensitivity again. When it came time to put the crown on, I had him put it on temporarily just in case, because he said he had no idea why I would be feeling it. It's been a few weeks since then. It doesn't feel like the time it was infected, but I feel soreness and some pain through pressure. Today, I went back and he agreed to do the root canal again... My question is why? Just to fill it, go through the pain and have the same problem. '\n\nMy questions:\n\nIs there something he's not telling me?\n\nIs he missing something? Because he says he can't see anything in the new x-ray. But this time he said he noticed a circle around the top of the root canal in the old x-ray post 1st root canal, but said before, that he couldn't have known there was an infection till he opened it. Contradiction.\n\nI have sensitivity/soreness when I push on the front side of the tooth worked on, chewing on it, but less when pressing on the back side. ???\n\nI advised (I advised, geez...) that he check my bite again. He did and found some touching, so he shaved a little off. I said that I'd take a little time to see if that helps and to ponder what to do next. He's not offering any sound advice here.\n\nPlease help!!!\n\nJudy C joe joe: Well,i too had the same problem with my root canal.It was a failure and the doctor instructed me to have a re-RCT,but i am taking pain killers to overcome the pain."
  },
  {
    "id": 2472,
    "title": "Printer for Tuttnauer autoclave",
    "dialogue": "lunaak: Hello,\n\nI'm a pharmacist and I use tuttnauer 2340EKA. I need a printer fo it and I'm looking for someone with broken autoclave, but with working DPU 20 printer for replacement.\nI pay with paypal.\nPlease contact me by email.\nThx\nLukas"
  },
  {
    "id": 2473,
    "title": "Receding Gum/Whiteness",
    "dialogue": "paranoidaboutteeth: I have a finished root canal, without a crown on it. It's been like that for about 2 years now. And am getting the crown on it in the next two months. The past couple of weeks I have noticed that the gum around that tooth is a little bit lower, and there is a little bit of whiteness showing through the gum. Around the time that I noticed this I did switch to a mechanical tooth brush, which just irritated my entire mouth because I was using it too vigorously. I'm just concerned that this is caused by something other than my switching to that brush or something else entirely. I have switched back to just an old fashioned soft bristled bush because of all the irritation. \nI'm going to the dentist sometime this week for a cleaning and will point it out to them, but I was just wondering if I could get some opinions beforehand. Thank you! pascale1973: It's a good thing you have a dental appointment.\nWhite showing on the gums!...hopefully it's not an absess, depends on the white, is it like a zit or just white.  An old fashioned soft bristled brush is a good idea, I tore up my gums and caused myself recession using an electric tooth brush.  Good luck, hopefully all is well and you get that tooth crowned.  A tooth with a root canal is weaker than a tooth without a root canal, just be glad you haven't broken it."
  },
  {
    "id": 2474,
    "title": "Unusual extra growth of gum",
    "dialogue": "Extragum: There is an unusual gum placed like a bridge under my first premolar. It doesnt hurt or anything, do I have to get it removed and do you know what this may be? fredravez: Hi\nI think it might be infection use a good mouth wash and see your dentist. \nRegards\nFred Toother: In all cases such as these you should visit your dentist. Without seeing it no one will/should give you a diagnosis. To many variables go into making oral diagnosis."
  },
  {
    "id": 2475,
    "title": "Hypodontia and Microdontia",
    "dialogue": "fitzmum: Hi, \n\n1st post as I'm a little concerned about my son who is 11\n\nWe are in the UK but I guess that's not a problem \n\nMy son started having problems when around age 6 or 7 his baby teeth did't start to become loose or fall out. Dental  X Rays showed that he is missing 2 permanent teeth in the upper jaw and 3 missing in the bottom jaw. He is under the local dental hospital and they see him every 6 months. Yesterday we went and they say that he also has microdontia as the permanent teeth that are coming through are small.\n\nNow, he doesn't have any other developmental problems to our knowledge - he seems to be growing nice and tall although he's very slim! I made the mistake of googling the problems and it seems that it can be linked to developmental problems and low growth and hormone deficiency etc.\n\nSo, I'm quite worried now - should I follow this up with our GP for blood tests to check hormone levels? \n\nIs this Hypodontia and Microdontia really uncommon? Starting to worry now..."
  },
  {
    "id": 2476,
    "title": "Dental help needed",
    "dialogue": "dpoole: My wife and I are looking for a Dentist in the Space Coast area Of Florida. She has a very bad infection and we need to do something soon. She has received two estimates for work ranging between $8000 and $12000. Both of us have good full time jobs but they pulled medical and dental insurance. We aren't looking for anything free. Just hoping someone can offer some sort of payment plan. We signed up for care credit but won't cover all the work needed. Please contact me if you can help.\n\nThank you!"
  },
  {
    "id": 2477,
    "title": "unsatisfied with my new dentures ... Need advice.",
    "dialogue": "zephercan: I found a dental clinic in San Francisco that charges on a sliding scale.  I went there to get new dentures because my old ones(10 yrs) just didn't fit anymore. The assigned dentist seemed young and inexperienced. He frequently asked his superior for help and advice which made me nervous. After wearing my new dentures he couldn't find a hotspot I was suffering from. He was grinding away on them with no improvement so he finally asked his superior(again) to try. He found an ulceration on my gums and fixed it almost immediately. With that said here comes my question ...\nMy new dentures only show my lower teeth when my mouth is half way open which I think looks weird. For most people it is the opposite. You can only see my upper if I smile really big. When I talk you mostly see only my lower teeth which I think looks weird. He told me he couldn't make them longer because I will have a hard time pronouncing words. Is that really true? Doesn't seem like it's true to me.\nAlso the new dentures give me a sunken in old man look and I really really hate it. I understand this has happened because my gums have receded over the years, but can't the dentures be made to compensate? My old ones totally fill my cheeks out. Why can't my new ones be made to do that? Even when I eat the food gets trapped between my dentures and cheek because the dentures are so narrow. I remember my dentist telling me he made the dentures narrow because I have a narrow face. Did he make them too narrow???\nHow should I deal with this? I've had them for almost two weeks now. I'm going back in two days to address another hotspot, Can anyone offer me advice on how to approach these concerns? What are my options? I don't want to settle even if I have to pay twice I'll do it... somehow.\nThanks for taking the time to read this... Thank you!\nC. bruce85: zephercan said:\n\n\n\n\t\t\tI found a dental clinic in San Francisco that charges on a sliding scale.  I went there to get new dentures because my old ones(10 yrs) just didn't fit anymore. The assigned dentist seemed young and inexperienced. He frequently asked his superior for help and advice which made me nervous. After wearing my new dentures he couldn't find a hotspot I was suffering from. He was grinding away on them with no improvement so he finally asked his superior(again) to try. He found an ulceration on my gums and fixed it almost immediately. With that said here comes my question ...\nMy new dentures only show my lower teeth when my mouth is half way open which I think looks weird. For most people it is the opposite. You can only see my upper if I smile really big. When I talk you mostly see only my lower teeth which I think looks weird. He told me he couldn't make them longer because I will have a hard time pronouncing words. Is that really true? Doesn't seem like it's true to me.\nAlso the new dentures give me a sunken in old man look and I really really hate it. I understand this has happened because my gums have receded over the years, but can't the dentures be made to compensate? My old ones totally fill my cheeks out. Why can't my new ones be made to do that? Even when I eat the food gets trapped between my dentures and cheek because the dentures are so narrow. I remember my dentist telling me he made the dentures narrow because I have a narrow face. Did he make them too narrow???\nHow should I deal with this? I've had them for almost two weeks now. I'm going back in two days to address another hotspot, Can anyone offer me advice on how to approach these concerns? What are my options? I don't want to settle even if I have to pay twice I'll do it... somehow.\nThanks for taking the time to read this... Thank you!\nC.\n\t\t\nClick to expand...\n\n\nOh that is bad. I will advice you to have consultation first. You can find your local dentist online as well. There are many acknowledged and awarded dentists teams working online as well. You can have free consultation from them by submitting your problem.  Have a good day. If you want to discuss it with specialist in person you can visit my profile for link to the website."
  },
  {
    "id": 2478,
    "title": "Dentistry Equipment For Sale",
    "dialogue": "chadshoup: Recently a friend of mine bought a storage unit at auction.  In it were a few boxes of miscellaneous hoses, valves, etc for a dental nitrous oxide system.  ALL PARTS AND HOSES ARE BRAND NEW!  They are primarily from Matrx/Parker.  I found a Matrx catalog in PDF form online and looked up the part #s and realized that stuff has quite a bit of value.\n\nI'm offering it up at 25% of list price.  I have hose assemblies, shutoff valves, scavenger valves, etc.  If you are interested please send me a message and I'll get back to you.  Thanks. gbdelivery: I may be able to help\n\nI work for a company that sells dental and medical equipment and supplies, and I believe we could help you sell your items.\n\nIf you are willing to send us pictures and descriptions of the items, we could list them for as little as a week or up to two months on our website (DentasticDeals).  If we sell the items, we would keep 10% above what you need to get (we would list the items 10% above what you are asking) from them.\n\nWith our website and marketing, we reach over 5,000 dental and medical professionals a month.\n\nI look forward to hearing from you."
  },
  {
    "id": 2479,
    "title": "Cracked tooth question.",
    "dialogue": "swami7774: Situation: tooth #31 (lower right, second from the back) is cracked. I've had a temporary crown on it for about 3 weeks, with the plan being to put a permanent crown on later this week. But there's still pain when I bite down on it; a bit less than before, but still present. Is this normal? I'd rather avoid a root canal(or extraction) if possible. Doctor Bruce: swami7774 said:\n\n\n\n\t\t\tSituation: tooth #31 (lower right, second from the back) is cracked. I've had a temporary crown on it for about 3 weeks, with the plan being to put a permanent crown on later this week. But there's still pain when I bite down on it; a bit less than before, but still present. Is this normal? I'd rather avoid a root canal(or extraction) if possible.\n\t\t\nClick to expand...\n\n\nThere are a few possibilities why your tooth may still hurt.  The first question I would ask is can you make the tooth hurt just by clenching your teeth or grinding your teeth?  If the answer is yes, your temporary crown is high and the bite needs to be adjusted.  The next most likely thing is that is temp crown is loose and needs a stronger cement to hold it on.  The third possibility is that your tooth is cracked into the pulp (nerve) in which case you need root canal to eliminate the pain.  Don't put the permanent crown on until this is resolved or you might find yourself with a hole in your brand new crown after the Root canal is done."
  },
  {
    "id": 2480,
    "title": "Between a Rock and a Hard Place : /",
    "dialogue": "mebrittany: December 31st, 2010 I went to a dentist for a teeth cleaning. The dentist looked at my teeth and told me I needed 4 crowns. At the time I was a 22 year old single college student that also works full time. I told them I wanted to think it over, but they told me if I waited then the cost of the crowns would come out of my insurance balance for 2011 instead of 2010. Had me sign up for a loan, I told them I couldn't afford it and they reassured me that the payments would be low and that my insurance would pay me back. Said insurance would cover everything. They made it sound like I had to have dental surgery immediately. So since it sounded so dyer, I went against my better judgment and let them do dental surgery on my teeth that day. They put in temporary crowns, later installed the permanent ones. My insurance told me that based on the x-rays of my teeth, only 1 of the 4 crowns installed were needed. They refused to pay because of this. On February 10, 2012 I went to another dentist office for a teeth cleaning and they told me that 3 out of the 4 crowns had been placed incorrectly and that they would have to be replaced. I've contacted two attorney's on the matter, one of them didn't do dental claims, the other said I would loss money if I took legal action. I live on an aide's salary with my boyfriend who is unemployed, not really seeing any options. Any advice? I'll take anything."
  },
  {
    "id": 2481,
    "title": "How to find locations for Dental Office?",
    "dialogue": "Peterosky: Does anyone have an idea of where you can do some research if your thinking about opening up your own practice? wastas1: google earth Bucky Tooth: This is a good question.  My husband is looking to open his own dental practice and finding it hard to pick the right location...  Anyone else have some suggestions? RickScottDDS: If you are looking for a good location to open a new office there are several factors to consider.  \n\nFirst would be having a good amount of people in the area that need to be serviced.  Low population areas normally already have a local dentist set up whom people have gone to since they were young, whereas in larger cities people tend to not even know their own dentist and just go to whoever will offer them the best deal so you will have a great deal more business and you can mail flyers around the neighborhoods once you open with a special incentive and will have a good amount of people coming to you from the start without as much work.  \n\nAlso look into what other businesses are nearby.  See what other dentistry offices are in the area and how close and who is closer to the main roads.  Make sure no major construction is going on or is set to go on shortly in the area you are looking at.  I have seen 2 dental offices go out of business due to poor location and people being unable to reach them well due to construction that lasted for over a year,  \n\nA good idea if you are interested would be to offer the extra hurdle of exceptional guest service.  Even a themed dental office.  \n\nFor instance, some dentistry offices offer free coffee and donuts while waiting and I have heard people rave about these offices even when their work is shoddy due to the extra customer care.  \n\nThere was a place in Orlando, Florida that was phenomenal that had wall to wall business and has been a success since it first opened.  It was called Star Base Dental I believe and it is probably still around.  They played only Star Trek movies and episodes while you were in the waiting room, had headphones while you were being worked on and mini tv's in each area so patients could watch Star Trek during their visit and the workers dressed in Star Trek uniforms.  At the end of the visit the doctor came in and saw the patient off saying \"live long and prosper\" and making the Vulcan sign with the hand.  \n\nBecause of this theme and the fact that no other offices I have seen have done this type of thing yet other than this office, they swept the entire field in the area.  Everyone talked of them and even would drive an extra half hour to get to them as if they were their own theme park or event.  Point being if you incorporate a theme or some form of exceptional guest service you will stand out from the rest, get more recommendations and will do well regardless of any area you are in.  Best of luck to you. pascale1973: A good dentist could be anywhere\n\nIn today's market, finding the right location isn't as important as being visible on the web.  Ofcourse you don't want to open an office right next door to another but you know I'm in california and every corner probably has a dental office, in reality, if you are good and people like you, you will be successful wherever you are.  what's very important is to do a search on google and see how many people you will be competing against locally, I'll give you an example go to google and type in corona del mar dentist, this is my area, there's a quick count of how many people are competing for that, than do another search newport beach dentist and see how many are competing for that top spot.  Corona Del Mar is about 1 mile away from Newport Beach, so more and more people are using the internet to find a good dentist, doing a good job is very important because everyone will know via the net.  More importantly is if you are doing a good job and they are talking about it, you want to be able to show up in order to have new patients. gimics, themes, bla bla bla, people still want excellent dentistry, just make sure you are smart in maybe not picking the most populated (dental office areas web wise) you could be 3 feet away and better off.\nGood Luck! fredravez: Peterosky said:\n\n\n\n\t\t\tDoes anyone have an idea of where you can do some research if your thinking about opening up your own practice?\n\t\t\nClick to expand...\n\n\nHi\nI guess you better open at a place where you can expect more patients. Select the place of your convenience.\n\nRegards\nFred"
  },
  {
    "id": 2482,
    "title": "Looking for good dentist",
    "dialogue": "Robert Dauws: Can anyone help me find a good dentist in Austin? Alex Sirlom: There are a lot of good dentists in Austin, so finding one is really more about personal preference and convenience.  A great place to start looking for a dentist in Austin is on Yelp or a similar review site, since it will allow you to look in your particular area.  You should also look around dentists’ websites, as this is the best way to learn about their education and training, as well as their licensure and accreditation.  In the end, a little bit of research on your part can easily turn up a good dentist in Austin. Robert Dauws: Thanks a lot for the kind answer. pascale1973: Find a single dentist office\n\nI work for a dental office and beleive me when I tell you, try to find a private small office with a single dentist, you don't want to be a number.... fredravez: Robert Dauws said:\n\n\n\n\t\t\tCan anyone help me find a good dentist in Austin?\n\t\t\nClick to expand...\n\n\nHi\nIn my view the best dentist is your family dentist. So please consult your family members this will help if not your friends whom you trust\nRegards\nFred pahd: fredravez said:\n\n\n\n\t\t\tHi\nIn my view the best dentist is your family dentist. So please consult your family members this will help if not your friends whom you trust\nRegards\nFred\n\t\t\nClick to expand...\n\n\nI second this.  Unfortunately I am not familiar with dentists in the Austin area or I would recommend one.  But family recommendations go a long way.\n\n\n----------------------------------------------------------------------------------------\nEvery tooth in a man’s head is more valuable than a diamond. \n~Miguel de Cervantes, Don Quixote, 1605"
  },
  {
    "id": 2483,
    "title": "Im really concerned and would love some info ASAP",
    "dialogue": "matthiasjones: Like two or three days ago I was chillen on the couch watching tv... and I was just picking at my tooth for some reason idk i was bored haha but anyways I acidently scratched my gum and it hurt REALLY bad. So the next day it was fine but i didnt brush my teeth.. but to be honest i brush my teeth every other day and i know its not healthy or good.... anyways so the day after i scratched my gum its been hurting and feels kind of swollen up and i looked today in the mirror and i have two small white spots right next to each other just spots not bumbs just spot im concerned because ive been researching and im kind of scared im only 16 but Im going to wait a week or two before i go to the doctor or dentist. esmith91: Well first you might want to start brushing your teeth daily you will thank yourself later in life. Second, I sounds like it could just be a canker sore. I got them a lot when I picked my teeth and when I had braces. It can be treated with a product called orabase. It is sold at your local Walgreen's. Get the paste kind. Not only will it numb the pain your feeling it will provide a barrier so the foods you eat dont irritate it and it will allow the sore to heal quicker. fredravez: matthiasjones said:\n\n\n\n\t\t\tLike two or three days ago I was chillen on the couch watching tv... and I was just picking at my tooth for some reason idk i was bored haha but anyways I acidently scratched my gum and it hurt REALLY bad. So the next day it was fine but i didnt brush my teeth.. but to be honest i brush my teeth every other day and i know its not healthy or good.... anyways so the day after i scratched my gum its been hurting and feels kind of swollen up and i looked today in the mirror and i have two small white spots right next to each other just spots not bumbs just spot im concerned because ive been researching and im kind of scared im only 16 but Im going to wait a week or two before i go to the doctor or dentist.\n\t\t\nClick to expand...\n\n\nhi\nI think your mouth is really sensitive and the two white spots are canker sore. Not to worry just take mild food and drink milk that will help.\nRegards\nFered"
  },
  {
    "id": 2484,
    "title": "Pain in tooth",
    "dialogue": "gerrykrs: My 9–year-old boy is constantly complaining of achy tooth. He eats a lot of chocolates and I am worried about tooth decay. I have tried use of medicated toothpastes but that does not seem to be working. aazaya: i think you should take him to a dentist. he should stop eating chocolate.Thank you wastas1: astute observation my friend xyrildy: well i think the best thing to do is bring him to the dentist but for the meantime try to ask if there is an available pain reliever/anti-inflamatory for kids at his age. xyrildy: or what if look for a liniment to at least ease the pain sunny: gerrykrs said:\n\n\n\n\t\t\tMy 9–year-old boy is constantly complaining of achy tooth. He eats a lot of chocolates and I am worried about tooth decay. I have tried use of medicated toothpastes but that does not seem to be working.\n\t\t\nClick to expand...\n\n\nDont be late take him to a dentist, your son will definitely get rid from it. fredravez: gerrykrs said:\n\n\n\n\t\t\tMy 9–year-old boy is constantly complaining of achy tooth. He eats a lot of chocolates and I am worried about tooth decay. I have tried use of medicated toothpastes but that does not seem to be working.\n\t\t\nClick to expand...\n\n\nHi\nThese days there are many good mild mouth washes available in the market. Mouthwashes are good also because they properly clean and also protect teeth from cavities and mouth infections.\n\nRegards\nFred"
  },
  {
    "id": 2485,
    "title": "3D tooth model",
    "dialogue": "Ganesan: I believe that clinical notes are better written if there is a 3D model of a tooth is available. The 3D model can be rotated and a region can be marked with annotations. It can also be handy for explaining the procedure to patients.\n\nIs it a good idea to develop a 3D software, focusing on clinical notes recording? \n\nThanks\n\nGanesan"
  },
  {
    "id": 2486,
    "title": "DentalWave, the dentist medical record for iPad",
    "dialogue": "Ivano1985: Hi there, i would like to show you this new App for iPad very interesting for our clinical work. I think it's a great idea at very low price.\n\nYou can find it at dentalwave.net or iPad itunes\n\nLet me know what do you think about it!\nI hope you enjoy it\n\nDr Conti"
  },
  {
    "id": 2487,
    "title": "Dentist charged 9000 for services not provided",
    "dialogue": "Ella9656: On January 16, 2012, I went to see Dr. Blank to continue dental work that Dr.X had started, but was unable to complete because he relocated. \nOn January 16, 2012, Dr. Blank charged my care credit card $4386.00 prior to any work being performed and stated it was standard procedure, and because they had to order an abutment for a dental implant that needed to be activated.  The following week Dr. Blank performed three extractions and removed gum that was covering the fifth implant that needed to be activated (Dr. X had taken care of all prior work).  The plan of treatment was to create an over denture to cover my existing teeth which would attach to the implants.  I wanted this because it is more cost effective until my twins are older; I am done with graduate school and then eventually go to bridgework and all crowns.  Dr. X completed restoration of bottom teeth.\nDr. Blank took impressions of my mouth to prepared a wax model of the over denture.  At the visit, he said that the lab could not create a wax over denture because the three healthy teeth that Dr. X had put gold copings on to protect them were in the way.  Here removed and sanded down all the gold copings, and suggested I have 4 crowns (one would be a floater in the front and create an over denture to do around the crowns).  In addition, I could review the model that week and brought me a paper to sign while in the chair.  At that time Dr. Blank stated I should pay the lab $600.00 for a temporary appliance to see how it would look, function and feel because he would hate for me to  go right to the final product, activate the implant and have me be unhappy.  On February 6, 2012, I paid his office for four crowns and 600.00 for a temporary over denture totaling $3516.00.\nI went in the following day to see and try the wax model of the 4 crowns and over denture.  And it was terrible, --it looked like baby teeth, --my teeth were not even visible when I smiled.  \nThe following day I went to work with the lab technician to create the appliance and crowns to be sure they fit.  At that time, it was determined that we could not do the 4 crowns with the over denture appliance and have it fit and look right.  At that time, I asked for a refund on the crowns, and receptionists said she would have to wait until Dr. Blank told her to issue it.\n\n\n\nFebruary 13, 2012, I went to Dr. Blank to have the temporary appliance that I paid the lab $600.00 for placed in my mouth.  At that time Dr. Blank stated that the lab said that they could not create an over denture with the existing teeth and it would more than likely break within a week.  Dr. Blank advised me to have another three teeth removed and implants placed immediately (these are healthy teeth that Dr. X had covered and protected with the gold copings and Dr. Blank removed earlier).  Dr. Blank stated that if I didn’t have implants placed after he extracted the three teeth, it would  could result in bone loss –which then he would have to do a bone graft involving removing bone from my chin and knee to be placed in mouth to support implants.  He further added he could not even be sure there was enough bone anyways, and he still may have to do a bone graft. Dr. Blank further shaved down crowns and veneers that were completed on the bottom of my mouth because he said it was affecting my bite.  I made an appointment for Wednesday, 2/15/2012.  I was in tears when I left the office.  I again asked the receptionist for the refund and she stated that Dr. Blank said when all his work was completed he would credit me back the difference or charge me if I owed money.\nWhen I got home things just started to seem strange.  I was very upset; it made no logical sense for me to have healthy teeth removed.  Every dentist I have seen since the original accident in 8th grade and after the second accident, a few years ago….always took every measure everything measure to preserve healthy teeth.  Not to mention, the entire purpose of an over denture was to preserve teeth.  Dr. X had successfully made an over denture while protecting and preserving the natural teeth…and prior to that Dr. XX who did 3 sinus lifts, bone grafts and placed the 5 implants had made a temporary cemented bridge to cover existing teeth while implants healed, and I never had any problems.\nLater that evening I called Dr. Blank and explained that I did not want to have three healthy teeth removed and that I wanted the money for the crowns refunded.  He said he would do it later.\nThat is when I had enough.  In less than a month, Dr. Blank had charged my care credit over $9000.00 for work not provided.  On February 14, 2012, I contacted United Healthcare and Care Credit because claims were submitted and my care credit card billed for services that had not been performed.\nAt lunchtime on 2/14/2012, receptionist from Dr. Blank’s office called me about the appointment Wednesday for the extractions.  I told her I would no longer be continuing my dental work at his office and wanted refunded for all work that was not completed.  I said my husband would be over to pick up my records and receipts for all that they had charged me.  Later that day I received two messages that she had spoken Dr. Blank and he would refund me for the crowns.  My husband went over to Dr. Blank’s office.  The receptionist refused to give my husband anything, even a list of charges and he is the primary insurance holder (he could have at least had the bills and receipts).  She gave him a consent form for me to fill out but would not issue credit my care credit account.\nOn Thursday 2/16/2012, the receptionist called me in the morning.  I returned her call.  She stated that Dr. Blank would refund the crown money only if I agreed to sign a paper stating that I would consider the $600.00 temporary, the final product--, and Dr. Blank would keep the $3250.00 (the final product charge).  I explained to her that I will not sign this paper because it is not the final product and asked am I going to have to get an attorney?  Later that afternoon, my husband again went with my signed consent form for my records, the care credit card, and again they refused to give me my records or refund any money.  On my behalf, a member from the MADA contacted Dr. Blanks’ office and advised them that they cannot hold my records ransom.  And they still refused.  At this time, I do not have my records or a list of charges from his office.  I am going by United Healthcare claims that were submitted and my Care Credit Statements.\nAgain, I spoke to receptionist and she said Dr. Blank agreed the only way he would refund all of the money was if I return the temporary appliance that was in my mouth.  I explained to her that I will have nothing in my mouth but three sawed down teeth that were no longer protected, four activated implants, and one uncovered implant not yet activated or protected.  How could you ask me to do that?  She then said that Dr. Blank advised her that she is no longer allowed to speak with me, and she had to follow his orders, he signs her paychecks.  I got off the phone and just broke down in tears.\nI contacted a member of the local Dental Review Board.  It was suggested I try one more time to speak with Dr. Blank directly rather than his receptionists.  Later that evening in an attempt to straighten this matter out, I called Dr. Blanks’ office; Dr. Blank answered and hung up on me.  \nOn Friday, February 17, 2012, I made a final attempt to speak with Dr. Blank and called his other office.  I spoke with his receptionist and asked her to have him call me.  He never called.\nSo my credit has been exhausted.  I am in a temporary appliance.  I have to go to another dentist to continue this work, but I need my money back in order to start over. \nIn addition, during all of this, I find out that Dr. Blank was sentenced by Attorney General to a 3-year jail sentence and the judge gave him probation and community service 8 years ago for Medicaid Fraud, ordered to pay money and fines."
  },
  {
    "id": 2488,
    "title": "bump on tip of nose after getting novocain",
    "dialogue": "lola: i had a root canal done on tooth #5... on my way home from the dentist i my cheek and nose still felt numb and on the tip of my nose it felt like i was maybe getting a underground pimple... when the novocain was compleatly woren off i had a painful bump on the tip of my nose that after 7 years has not gone away... ive seen a ent and  dermatologist that dont seem to think its anything but cant give me any kind of diagnoses or idea why this all the sudden popped up..."
  },
  {
    "id": 2489,
    "title": "Refill Lost Filling",
    "dialogue": "monty_hall: After my wisdom teeth were removed, the dentist said I had a tiny pin prick hole on my upper rearmost molar caused by a wisdom tooth.  The filling is on the side of my tooth near the gum line.  This was about 10 years, ago.  Occasionally I pick at the filling because it's not smooth.  3 weeks ago it popped out when I picked too hard .  It doesn't hurt, it's just a hole.\n\nWhen I went to the dentist - immediately he said root canal.  This is a new dentist - Aspen Dental - as I moved recently.  I'm not sure if he's trying to up-sell me to an expensive procedure not to mention the crown.  On the other hand, there can be quacks that say sure we can refill knowing 2-3 years from now it will fail and I have to come back in for an expensive procedure..  Aspen referred me to some external endodontists and said that Aspen will be responsible for the post root canal work.\n\nWhat would you do?  Refill or root canal?  To me, the more of my natural tooth I can keep the better.  Not sure which is more riskier and will cause less problems in the future.  Money isn't the issue, it's trying to keep as much as I can of my tooth and to mitigate any headaches in the future.  Any advice greatly appreciated!"
  },
  {
    "id": 2490,
    "title": "Dentures at 22?",
    "dialogue": "mike444: I'm 22 years old and have many some very poor decisions in my life when it came to my oral health. Those bad choices turned into habits which I was never able to break. Now it's too late. I have already had my molars removed and it's inevitably going to happen to the rest of my teeth. I have been doing quite a bit of research about dentures and am trying to get comfortable with the fact that I'll need them before too long.\n\nI've always had a small, crowded mouth. With the fairly recent removal (6 months) of my molars, my wisdom teeth are finally coming in. My bottom left is pretty much completely in and my top right and top left are about half way in. My lower left still hasn't broken the surface yet.\n\nI want to get dentures before too long. Is this even possible at this moment? Should I wait until my wisdom teeth are completely in? \n\nPrice is a big reason I'm strongly considering dentures. But a bigger reason is the time all the procedures would take. I just want to be able to smile and love life! I know that with all the other procedures I need, it would be a very long time until I got to the point of being comfortable smiling in public... and that's if the procedures even worked. I feel as if dentures are the quick and cost effective way for me to move on to a more enjoyable life."
  },
  {
    "id": 2491,
    "title": "Partially erupted wisdom teeth and cysts",
    "dialogue": "btm5: Hello,\n\nI have two partially erupted bottom wisdom teeth with cysts. Each tooth on the x-ray has a half moon shaped cyst.  There is no pain or visible swelling.  I am getting the teeth removed in about a month.  I am reading that these are likely dentigerous cysts.\n\nDoes this sound plausible?  Should I be taking antibiotics for these?  My dentist said nothing about that, but I don't want to risk some horrible blood infection.\n\nThank you very much."
  },
  {
    "id": 2492,
    "title": "(dental dilemma) Can Someone Help me . . .",
    "dialogue": "sadpain: I have this dental Dilemma and i could not figure an ethical solution \n\n        Ms.julia is now patient in your office with a chief complaint that she “hates her partial denture” and she wants a “porcelain bridge”. She is a 39 year old computer analyst working for the same company for the past 15 years, and has had a fee-for service dental insurance contract with her company since she was hired\n\nMs.julia is in excellent general and dental health, and has had yearly dental examinations for the past 15 years. Twenty years ago, she had a serious auto accident and lost her mandibular central and lateral incisor, mandibular molars on the right side; Along with her maxillary right first and second molars she initially wore a temporary acrylic partial denture for three years that was replaced by her current removable partial denture that she has worn for ten years. The fit and appearance of the partial denture is poor. Her excellent periodontal health, Tooth position, size and occlusion would tolerate either a fixed or removable denture\n\nYou have explained to Ms.julia that she will not have occlusion on tooth #16 if a #33-34 porcelain fixed partial denture is made, but she does not care. You agree to submit pre-estimate for a fixed partial denture along with radiograph to her dental insurance company. Her dental insurance has $250 deductible with a co-pay of 50%for prosthodontics, for maximum annual benefit of $1,000\n\nFive week later, you receive a replay and a rejection of the treatment plan with an explanation that a removable partial denture would be allowable. Ms.julia is upset and insists that you complete the fixed partial denture. Submit it as a removable partial denture, and she will pay the balance you explain to her that is illegal, but she again insists that you follow her decision\n\nwhat would you do?"
  },
  {
    "id": 2493,
    "title": "Tooth questoin",
    "dialogue": "Toofy: ok, about 9 months ago I had to get a crown on my front tooth.\n\nMy dentist carved away at the tooth bone to create a \"V\" shaped cone. A crown was fit and everything was fine. However, I bit down on some food and heard a crack. The crown didn't break, but the bone did. The tooth is now unstable where I can wiggle the crown back and forth. When I bite down on food it hurts.\n\nWhat are my options now? pascale1973: Depending on how bad!\n\nWow, it sounds painful and annoying quite frankly, if the crown didn't break it sounds like the tooth structure underneath did, not knowing wether you had a root canal on this tooth or not make a big difference, you didn't mention pain so I wonder if you've had a prior root canal on this tooth.  The reason i mention this is because when there's a root canal, generally they place a post and buildup a structure on top of that to create the tooth structure under the crown.  If the tooth structure is still acceptable and you see a good dentist that really likes \"saving teeth\", you might be able to have a post and buildup done and a new crown put on top, the worst part is it's a new crown and you can't reuse it.  I'd say go back to the same dentist and see if he's kind enough to discount it since he just had it done."
  },
  {
    "id": 2494,
    "title": "Brown Spots on tooth?",
    "dialogue": "JDS5607: Hi All.\nI had a tooth extracted about three weeks ago. I experienced very little pain afterwards. However, the other day I started having pain in the general area that my tooth was pulled from. The teeth on either side of the vacant spot have small brown spots on them where the teeth touched, and the pain seems to be coming from one of the teeth. \n\nMy question is, are these spots normal and will they go away, or are they cavities being uncovered by the extraction?\n\nMy dentist did an oral exam without x-rays but I'm wondering if he missed this spot because it was covered by my tooth??\n\nAny help would be greatly appreciated. pascale1973: Should have it checked out NOW!\n\nIf your dentist did his exam without x-rays prior to the extraction, it's possible those spots were not visible and were covered by the tooth that was extracted.  It is very important to have them checked out, if you're already feeling pain those cavities could be quite deep and the longer you wait the worse your chances are in saving the tooth from a root canal.  Unfortunately with dentistry, the longer you wait the worse things do get.  If you go early enough it could be a simple fix like a composite filling.  good luck!"
  },
  {
    "id": 2495,
    "title": "bridge or implant problem",
    "dialogue": "rg2000: I have been told that I am a clencher.  I have had bottom molars #18 & #19 root canaled 6years ago.  Recently, I had excruciating throbbing in tooth #19 and had to have it extracted.  My question is which would be better a bridge between tooth 18 which has already had a root canal and #20 which is a virgin tooth or a single implant for #19 even though I am told I am a clencher and it may break? jessica: Implants or dental bridge\n\nIt is better if you opt for dental implants than getting dental bridge. Implants are the best way to replace missing teeth. If you are in habit of clenching your teeth, then you can get mouth guards for it. Thomas Bird: Whatever you do DON'T GET A BRIDGE! Those teeth they destroy to support the bridge will need to be dealt with in 10 years or less and your only option at that point is going to be a removable denture. Bridges are the biggest ripoff in the history of dentistry but dentists love to do them because they are big cash cows for them. Go with the implant or even a single-tooth partial denture. Trust me its a much better and healthier option than the bridge. I just had a six crown bridge removed and now I am having all my roots yanked out along with it and replaced with a partial denture. And I just turned 44! sqwerl: jessica said:\n\n\n\n\t\t\tIt is better if you opt for dental implants than getting dental bridge. Implants are the best way to replace missing teeth. If you are in habit of clenching your teeth, then you can get mouth guards for it.\n\t\t\nClick to expand...\n\n\n+1\n\nThe most highly recommended replacement method is implants. The success  rates are very, very high and they can last longer and are sometimes  easier to take care of than bridges. They keep the place of the tooth in  the old socket and prevent further bone loss. The downsides are they're  expensive and your gums will take time to heal. Obviously, not everyone  is a candidate.\n\nTooth Replacement with Dental Implants\n\nDental Implants | AAOMS.org\n\nBone loss is going to occur with bridges and partials. Neither option is  perfect and each have their own trade-offs. It's an inevitable fact and  you will end up losing more and more remaining teeth as the bone loss  continues. The primary reason for bridge failure is poor hygiene which  needs to be taken care of and decay between the bridge and supporting  teeth which makes it imperative to visit a dentist regularly for  cleanings and checkups. Pressure the bridge causes on the joining teeth  can also cause them to crack. This can be compounded by periodontal  disease, diabetes, and other disease. \n\nDental Bridge Multiple Teeth Replacements Single Tooth Bridgework Pros and Cons Ask The Dentist\n\n\n\n\t\t\tBridgework has been known to fail in 2-3 years ... but has also been known to last 25 years and more.\n\t\t\nClick to expand...\n\nBridgework Failure Chicago IL Dental Bridge Repair Replacement Fixing Bad Bridges Teeth Replacement Illinois\n\n\n\n\t\t\tIt is not uncommon for bridgework to last up to 30 years or more.  Unfortunately, failure can occur in as little as 1 month. Insurance  companies typically \"expect\" average bridgework to endure about 5 years,  which is reflected in most dental insurance programs.\n\t\t\nClick to expand...\n\nRemovable partial dentures would be my last option as they have been  shown to either increase tooth loss greater than a fixed bridge or at  least didn't help the survival rate of remaining teeth like fixed  bridges have been shown to do.\n\nSurvival Rates of Teeth Adjacent to Treated and Untreated Posterior Bounded Edentulous Spaces\n\n\n\n\t\t\tTreatment with a removable partial denture did not increase the  likelihood of adjacent tooth survival, while treatment with a fixed  partial denture did result in modestly improved survival of adjacent  teeth.\n\t\t\nClick to expand...\n\nResearch Shows That Not Replacing a Missing Tooth Increases Risk of Losing More Teeth\n\n\n\n\t\t\tWe can see that if a missing tooth is not replaced the loss of  adjacent teeth ranges from 12%-19%.  Tooth supported bridges improve  survival with tooth loss from 7%-10%.  Removable partial dentures  increase abutment tooth loss from 17% to 30% at 4-7 years.\n\t\t\nClick to expand...\n\nI  would be interested in seeing any information that would contradict this  and indicate that partial dentures will result in a higher percentage  of tooth survival over a fixed bridge."
  },
  {
    "id": 2496,
    "title": "Filling question?",
    "dialogue": "Chris: Hi, I'm deaf so please pardon my grammar if it's terrible. I had a tiny black dot on one of my teeth which turned out to be a cavity. I had it for years because my first dentist told me that it was a \"pre-cavity\" and that I didn't really need to have it taken care of. The tooth hurt every time I chewed food and brushed on this tooth but I didn't really complain about it to anyone because it wasn't that bad.\n\nI moved to a different dentist to get a second opinion. On the first checkup at the new dentist office, the hygienist said that I had a cavity and needed to get rid of it. I agreed to have the cavity removed so I got a filling on Thursday, the 20th. I was given Novocaine but I still felt every damn thing. I felt the hygienist drilling on my nerve and then filled the tooth. She told me that the cavity was completely gone. \n\nBefore I got rid of the cavity, it hurt while both brushing and chewing on the tooth. Now with the new filling, it doesn't hurt at all while I brush my teeth but it hurts EVEN MORE than before the cavity was \"gone\" while eating. Every time I have food on this tooth, it hits my nerve. It seriously feels like I was shocked by something. The pain has WORSENED. \n\nA friend told me that it can take up to three weeks for the pain to go away but I just have a feeling that this is permanent damage. Maybe my OCD is just making me paranoid. What could be the issue? Is it permanently damaged? How long should I wait before calling the dentist office again? It's just annoying to have to chew only on the right side of my mouth. Thanks so much for any answers!!"
  },
  {
    "id": 2497,
    "title": "Pain after new filling put in",
    "dialogue": "jzdp: Hello, during my routine cleaning and dental check, I was told two of the fillings needed to be replaced. A month after the new fillings were put in, the tooth is still extremely sensitive to cold  and hot. Pain is extreme even on contact with room temperature water from the tap. Dentist did a 'bite adjust' twice. Did not help. His latest suggestion is to remove the fillings and put in some temporary filler of some sort.\n\nAny advice? Thanks. jessica: Pain after filling\n\nIf a filling is deep, then a liner or base is applied on it and then filling is put over it. Filling must be very close to the nerve that's why it must be causing pain. If filling is quite deep, then You may require root canal treatment for it. Liner and base is given in case of deep fillings to provide protection. jzdp: Thanks for the reply and article. Dentist did say it was not a deep filling. From the article, it may be due to polymerization shrinkage tugging at the tooth. thomascarlyle: Hi\n\nDear JZDP, \n\nI would suggest you first scrap your dentist and go consult a good dental surgeon even if he charges more. Have the fillings removed, opt for laser therapy. That should do better! And be careful next time, for such screw ups may result in irreparable dental fractures! harvy: jzdp said:\n\n\n\n\t\t\tHello, during my routine cleaning and dental check, I was told two of the fillings needed to be replaced. A month after the new fillings were put in, the tooth is still extremely sensitive to cold  and hot. Pain is extreme even on contact with room temperature water from the tap. Dentist did a 'bite adjust' twice. Did not help. His latest suggestion is to remove the fillings and put in some temporary filler of some sort.\n\nAny advice? Thanks.\n\t\t\nClick to expand...\n\nAfter root canal treatment ie after removing the pus or wastes inside the tooth,doctor fills with some materials. Mostly after filling you could not feel pain, but you have to put a cap on the tooth treated. \nI have undergone this treatment and fitted a cap, now, no pain and dust."
  },
  {
    "id": 2498,
    "title": "Can all dentists use sedation techniques?",
    "dialogue": "Robert Dauws: Can all dentists use sedation techniques? Alex Sirlom: Robert Dauws said:\n\n\n\n\t\t\tCan all dentists use sedation techniques?\n\t\t\nClick to expand...\n\nNo, sedation techniques cannot be employed by all dentists.  Sedation dentistry can be quite complex, and most dentists who are interested in using these drugs must be licensed to do so.  Most dentists will mention on their websites if they have the appropriate licenses.  If they do not, it may be a good idea to contact their offices to ask.  It is important to remember that dentists’ sedation drugs require special training. lakeaustinfamilydental.com. Bucky Tooth: How common is it for a dentist to practice sedation dentistry?  Is it mainly marketed toward those with fear of dentists? jessica: conscious sedation\n\nIf the patient is apprehensive or a complicated extraction procedure is to be performed, then conscious sedation such as laughing gas is given to the patient. If some extensive procedure is to be done in children, then also conscious sedation is given. jessica: Dentist may or may not employ sedation technique. if a simple filling or scaling is to be done, then sedation is not required to be given to the patient."
  },
  {
    "id": 2499,
    "title": "Selling No-Stress 30 Minute Root Canal Product",
    "dialogue": "Keegan: Hey Guys,\n\nI'm involved with a company that is considering selling an informational DVD course on how to perform a 30 minute root canal that is light on pain and the patient can go through without any sorry.\n\nWe're going to market this to dentists. Do you think that this would be something that would be popular?  Curious about what dentists would pay for this.  \n\nThanks,\n\n--Keegan"
  }
]