Hello, Two months ago my dentist treated caries on a molar that had never caused me any problems. On the X-ray the caries did not look large, but after the procedure the dentist commented that it had been extensive and had reached almost to the nerve. He removed a lot of enamel and made a large filling. The invoice for the service states: I.K. (MTA), MO comp.pl.. For a month the tooth was extremely sensitive—to cold, heat, air, and sometimes it would suddenly hurt sharply for no apparent reason. Half of my head hurt—from the jaw to the top of my head—and I also had a burning sensation around the eye. After three weeks the dentist checked the filling, said it was sealed, the tooth did not hurt on percussion (and still does not), checked vitality and says the nerve is still alive (he had to move the device around for some time before I felt a slight jolt). He advised me to wait another month or two and, if it does not settle down, he will remove the filling and devitalize the nerve. The situation did slowly begin to settle, but a few days ago the problem returned. There is no longer sensitivity to temperature changes and the tooth does not hurt on percussion, but there is constant pain, which today again spread across my face to the cheek, ear and top of the head. Do you think I should wait a little longer or see the dentist? Is devitalizing the nerve really the only option? Is there a way or substance that can simply calm and heal the pulp rather than destroy it?

Dear Sir/Madam! I myself would proceed in exactly the same way in the situation you describe. A tooth is irritated by every procedure. The degree of irritation depends mainly on the amount of work required to remove the carious tissue. The density of dentine (the size and density of the dentinal tubules) also determines the extent of the effect on the dental pulp. If the irritation is excessive, the pulp will respond with a pre-inflammatory condition (hyperemia), which clinically most often presents as hypersensitivity to certain stimuli (sharp sensitivity). If the tooth becomes sensitive to percussion, this means that the pre-inflammatory condition has changed into inflammation of the pulp (an irreversible condition), which requires its removal (root canal treatment). The pain you describe (across the face) seems to me more similar to an atypical facial pain (perhaps neuralgia), which I believe is not closely related to what is happening in the tooth itself. Have a nice day!

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Visitor asks:

Hello, I recently visited the dentist to have an upper first molar filled. He drilled the tooth, placed medication and then filled it. The problem is that the tooth now hurts a little and reacts to hot drinks (it never hurt before), and sometimes it hurts when I eat, but the pain lasts only a second or two. Is this nor

Dentist Tomaž Rotar answers:

Dear Sir/Madam! If it is a reaction to a change in temperature (hot, cold) or to changes in osmotic pressure (sour, sweet, salty), the situation is not so bad and is expected. During preparation and caries removal the tooth was irritated, which means a certain degree of inflammat

Visitor asks:

Hello, I would like to know whether you use an operating microscope for endodontic treatment (root canal cleaning) in your practice? Thank you for your answer and best regards, Nataša

Dentist Tomaž Rotar answers:

Dear Sir/Madam! We do not need an operating microscope, but we do use other magnification devices. Have a nice day!

Visitor asks:

Hello... I have been diagnosed with periodontitis at such an advanced stage that all my teeth are loose... and will fall out. I am 33 years old and would like to know about fixed prosthetics... what are the costs, how much does insurance cover? What is the price for both jaws? Thank you for your answer...

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Assuming that both jaws (edentulous) need to be restored with a fixed prosthetic restoration (a bridge in the upper and lower jaw), and consequently four implants are placed in the lower jaw and six implants in the upper jaw, the price would be as follows: Upper j

Visitor asks:

Hello, today my dentist told me that I have no bone between teeth four and five and also noticed a cyst on the X-ray. He said that teeth four and five are at risk of being lost. Regarding the cyst, he said it needs to be monitored and, if it grows a little, it will have to be removed. He noticed the cyst on the X-ray a

Dentist Tomaž Rotar answers:

Dear Sir/Madam! It is practically impossible to assess the problem without the X-ray. If possible, you can send it to me by e-mail. Have a nice day!

Visitor asks:

Hello, how long is the waiting time for an apicoectomy (self-pay)? The procedure is not urgent. Thank you for your answer, best regards

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Approximately a month and a half. Have a nice day!

Visitor asks:

Hello, Two months ago my dentist treated caries on a molar that had never caused me any problems. On the X-ray the caries did not look large, but after the procedure the dentist commented that it had been extensive and had reached almost to the nerve. He removed a lot of enamel and made a large filling. The invoice for

Dentist Tomaž Rotar answers:

Dear Sir/Madam! I myself would proceed in exactly the same way in the situation you describe. A tooth is irritated by every procedure. The degree of irritation depends mainly on the amount of work required to remove the carious tissue. The density of dentine (the size and density

Visitor asks:

Dear Sir/Madam On the lower jaw, I am missing three consecutive teeth on the right and one tooth on the left. I would like to know whether ZZZS covers the cost of a cast partial denture. Thank you and best regards, Bine.

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The relevant provision in the regulations states: -A patient is entitled to a denture with a cast base if five teeth are missing in one jaw in three or more separate gaps. Have a nice day!

Visitor asks:

Hello, I am contacting you about the following problem. Six months ago, direct pulp capping was performed on my upper tooth (4) and it was closed with a temporary filling. During this period I did not have any particular problems with the tooth, except that it was slightly more sensitive to extremely cold drinks (but n

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The symptoms you describe may mean that the tooth has progressed to necrosis (died). Pain that first increases and is then followed by the absence of symptoms characteristic of a vital tooth could indicate exactly that. This is a very common event after direct pul

Visitor asks:

My son is just about to turn 6. After a week since he first mentioned that his lower central incisor was loose, the tooth came out yesterday. The tooth did not actually come out whole, but broke off. It is visible that the child still has a root in the gum, and the permanent tooth is also visible behind it. Should we w

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Parents often come to the practice with a similar question. A primary tooth may have only a short root when it falls out because the rest has already been resorbed, which can mislead them into thinking that the root has fractured. The incisal edge of the permanent

Visitor asks:

Hello! Three years ago my dentist treated the lower right second molar because of a granuloma, and afterwards it was fine. Now the tooth is completely decayed, which I think is a consequence of not being able to take care of my oral hygiene during pregnancy as well as I would have liked (nausea; my daughter is now 3 mo

Dentist Tomaž Rotar answers:

Dear Sir/Madam! It would be very difficult to comment on the condition you describe without an examination. It is certainly not dangerous, but it does require a visit to the dentist and treatment of the condition. Have a nice day!

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