Hello! First of all, thank you for your answer. I wrote to you about the extraction of my lower left wisdom tooth and asked you about slight bleeding after the extraction. Two days ago I had the stitches removed and the doctor concluded that I have a slight inflammation and that the wound will take a little longer to h
Hello!
First of all, thank you for your answer. I wrote to you about the extraction of my lower left wisdom tooth and asked you about slight bleeding after the extraction. Two days ago I had the stitches removed and the doctor concluded that I have a slight inflammation and that the wound will take a little longer to heal. He also noticed that a polyp had formed. I asked him why he did not puncture it and he said that it would bleed too much, but that it would disappear in a few months. I would like you to tell me a little more about it. Is it dangerous, and what should I do if I accidentally injure it myself? Because I am afraid, I do not dare to eat on that side and I also brush the teeth on that side more superficially. I have no other problems, although I do have caries on the second and first molars, but I am going to the dentist tomorrow to have that treated as well.
Thank you for your answer. Kind regards, Tjaša
Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.
Dear Sir/Madam! Prolonged or recurrent bleeding from the area of the procedure can certainly be a consequence of inflammation of the soft tissues. A polyp is a harmless formation composed of granulation tissue that is extremely well supplied with blood. A polyp cannot be puncture
Dear Sir/Madam!
Prolonged or recurrent bleeding from the area of the procedure can certainly be a consequence of inflammation of the soft tissues. A polyp is a harmless formation composed of granulation tissue that is extremely well supplied with blood. A polyp cannot be punctured, but it can be injured and then it will bleed heavily (the bleeding will stop spontaneously). It will most likely disappear on its own, but it can also be removed with a minor procedure (cauterization).
Dear Sir/Madam! In the lower row, I think the right central incisor is quite loose. The lateral incisor next to it also moves. The canine farther along is okay. Then there is a loose first premolar. The molars at the end are firmly anchored. If I massage the gum, something white comes out from behind the gum around the
Dear Sir/Madam!
In the lower row, I think the right central incisor is quite loose. The lateral incisor next to it also moves. The canine farther along is okay. Then there is a loose first premolar. The molars at the end are firmly anchored. If I massage the gum, something white comes out from behind the gum around the problematic teeth. It is probably a purulent discharge — a consequence of periodontal disease. About half a year ago a respected dentist cleaned the tartar and sent me for an orthopantomogram. After the tartar was removed, the tooth I think is the right central incisor looked like a well-sharpened spear stuck into the gum. The dentist examined the orthopantomogram and sent me home, saying everything was fine and I should come back in half a year for another tartar cleaning, despite the fact that I told her about the mobility of the teeth and she herself verified my claims with some instrument whose name I do not know; she did mention deep periodontal pockets. The holes that appeared to the left and right of the lower part of the central incisor after the tartar was removed were relatively quickly filled again with tartar, which has now built up again, especially on the back of the tooth. This is probably because the tooth has been crookedly positioned between the other two from the beginning. Around the central and lateral incisors there is a visible recession of the gum by about half a centimetre, and at the first premolar the exposure of the so-called tooth neck is a few millimetres deeper and continues to deepen!!!??? How far can it still progress? Since half a year has passed and there is no point going somewhere where they do not know how, or for some reason do not dare, to deal with periodontal problems, I would like to know whether you are willing to treat them and save the teeth from falling out or extraction, because otherwise they are relatively fine. I am a paying patient, Samo, if I may joke a little. But jokes aside, the matter is serious: I have difficulty eating and am consequently losing weight, not to mention the seepage of purulent fluid through porous periodontal tissues, which causes fatal diseases of vital internal organs. Thank you very much for your answer.
Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.
Dear Sir/Madam! Based on your description, I conclude that you have periodontal disease. Treatment of periodontal disease is a lengthy and not always successful process, and to a large extent it also depends on your cooperation (literally obsessive cleaning of the interdental spa
Dear Sir/Madam!
Based on your description, I conclude that you have periodontal disease. Treatment of periodontal disease is a lengthy and not always successful process, and to a large extent it also depends on your cooperation (literally obsessive cleaning of the interdental spaces...). The decision regarding the type of treatment (radical removal of teeth or, on the other hand, prolonging the life of your own dentition) therefore depends on the patient's wishes and readiness to undergo time-consuming therapy and follow hygiene instructions, and on the other hand on the dentist's decision based on experience with such patients. Treatment begins with hygiene phases, scaling and root planing, gingival curettage and flap surgery. If necessary, replacement of lost bone follows (guided tissue regeneration). Treatment also includes replacement of already lost chewing units, since the remaining teeth are overloaded. We can prepare a precise treatment plan after reviewing an X-ray and performing a clinical examination.
Hello! I am 33 years old, I still have all my own teeth and I take fairly regular care of them (brushing, dental visits), because the quality of my teeth is a little poorer and I am prone to caries; otherwise they are nice and white. My teeth are also quite tightly packed together, so they are harder to clean. I would
Hello!
I am 33 years old, I still have all my own teeth and I take fairly regular care of them (brushing, dental visits), because the quality of my teeth is a little poorer and I am prone to caries; otherwise they are nice and white. My teeth are also quite tightly packed together, so they are harder to clean. I would like to keep all my own teeth for a long time, so I am asking you for some advice. Two years ago the gums receded slightly around both lower first premolars; they were very sensitive, and my dentist told me to be careful when brushing and placed small fillings over the sensitive necks. A few months ago, however, I began to feel pulling pain in the upper left first molar, with occasional sensitivity, and I noticed that the gum had also receded slightly there, because when I feel the tooth where it meets the gum, I can feel that it is rough. Because I was afraid to go to the dentist, I bought Sensodyne toothpaste (which helped), but I am still worried that something may be wrong with the tooth. What do you advise regarding this? I should also mention that five months ago my upper left wisdom tooth was extracted; the wound had to be sutured, so it healed very slowly, and since then I have noticed that the left side of my tongue is more coated and that I always have bad breath. I do not know whether this is a consequence of the extraction or whether it is because of the first molar where the gum has receded slightly. Please advise me why my gums have started to recede (they never bleed, or perhaps very, very rarely), whether this is dangerous, as I would not like this to happen around other teeth too, because I would like to keep them for as long as possible.
I kindly ask for your answers and would also like to know whether it is possible to make an appointment with you for an examination, since I noticed that you have RVG and an intraoral camera and can examine the teeth in greater detail.
Kind regards!
Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.
Dear Sir/Madam! From what you describe, I can conclude that wedge-shaped erosions are appearing on your teeth. The cause of the problem is brushing, which may be incorrect, too frequent or too vigorous. I assume that you are a meticulous tooth brusher, so I believe that the gingi
Dear Sir/Madam!
From what you describe, I can conclude that wedge-shaped erosions are appearing on your teeth. The cause of the problem is brushing, which may be incorrect, too frequent or too vigorous. I assume that you are a meticulous tooth brusher, so I believe that the gingival recession is not the result of recurrent inflammation (gingivitis or periodontitis), which would also present as occasional bleeding. In any case, with all disorders of the periodontal tissues it is necessary to exclude the problems mentioned above, which we do with a panoramic X-ray. The consequence of gingival recession and the resulting wedge-shaped erosions of the dentin at the tooth neck is, of course, sensitivity, which may occur intermittently and with varying intensity. We help patients by impregnating/sealing the tooth necks with organic resins, which closes the exposed dentinal tubules; in more severe cases we place fillings shaped to the defects in the cervical dentin. We advise everyone on appropriate brushing technique. In extensive soft-tissue defects, the gum can also be surgically replaced. The postoperative condition in the area of the upper wisdom tooth is difficult for me to comment on without an examination, but I believe the complications are within the expected range.
Hello! I would like to know whether tooth extraction is self-pay. Kind regards
Hello!
I would like to know whether tooth extraction is self-pay.
Kind regards
Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.
Dear Sir/Madam! If you visit a self-pay dental practice, tooth extraction is a self-pay procedure. With the dentist where you are registered and where you have reached your turn after the prescribed waiting period, extraction is not self-pay but is covered by insurance. Have a ni
Dear Sir/Madam!
If you visit a self-pay dental practice, tooth extraction is a self-pay procedure. With the dentist where you are registered and where you have reached your turn after the prescribed waiting period, extraction is not self-pay but is covered by insurance.
Hello! For some time I have been thinking about whitening my teeth. However, there is a problem because I am allergic to a substance called PARA-PHENYLENEDIAMINE. This substance is most commonly found in cosmetics and hair dyes. I would like to know whether whitening would be dangerous for me and whether this substance
Hello!
For some time I have been thinking about whitening my teeth. However, there is a problem because I am allergic to a substance called PARA-PHENYLENEDIAMINE.
This substance is most commonly found in cosmetics and hair dyes.
I would like to know whether whitening would be dangerous for me and whether this substance is used in tooth whitening.
Thank you very much for your answer!
Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.
Dear Sir/Madam! The products we use for whitening do not contain the substance you named. Have a nice day!
Dear Sir/Madam!
The products we use for whitening do not contain the substance you named.
Hello, I would like to know how long the waiting time is for removal of a wisdom tooth (I have a referral). Thank you and kind regards Mika
Hello,
I would like to know how long the waiting time is for removal of a wisdom tooth (I have a referral).
Thank you and kind regards
Mika
Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.
Dear Sir/Madam! I assume you have a referral for surgical removal of a wisdom tooth. Our practice does not have a concession for oral surgery services, so we provide them on a self-pay basis. The waiting time is around fourteen days. Have a nice day!
Dear Sir/Madam!
I assume you have a referral for surgical removal of a wisdom tooth. Our practice does not have a concession for oral surgery services, so we provide them on a self-pay basis. The waiting time is around fourteen days.
Dear Sir/Madam! I am 29 years old and 4 years ago I had 10 porcelain teeth made. Since then I have started having problems. Every 2 months I would swell up, and fortunately I was accepted by a maxillofacial surgeon who performed about 8 apicoectomies. After the apicoectomies I thought everything would be fine, but it w
Dear Sir/Madam!
I am 29 years old and 4 years ago I had 10 porcelain teeth made. Since then I have started having problems. Every 2 months I would swell up, and fortunately I was accepted by a maxillofacial surgeon who performed about 8 apicoectomies. After the apicoectomies I thought everything would be fine, but it was not. I still get inflammation (usually in autumn) around one tooth on the left side. How can I prevent these problems from recurring? What can happen in the future? I hope the situation is not too serious.
Thank you for your answer.
Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.
Dear Sir/Madam! Apicoectomy has only about 70% reliability. The success of the procedure depends on numerous anatomical and histological factors. According to recent clinical experience, apicoectomy is relatively reliable only after prior revision of the existing root canal filli
Dear Sir/Madam!
Apicoectomy has only about 70% reliability. The success of the procedure depends on numerous anatomical and histological factors. According to recent clinical experience, apicoectomy is relatively reliable only after prior revision of the existing root canal filling (prior repeat root canal treatment). In your case I would therefore suggest revision of the filling and repeat apicoectomy, provided the root length and other anatomical factors still allow this. For a more reliable prognosis, I would like to examine your orthopantomogram.
Hello, I am 30 years old and have already had three childbirths, which has also taken its toll on several of my teeth. Because of a very unpleasant experience at the dentist when I was young, I have been afraid to cross the threshold of a dental office for many years. In the upper jaw I am missing the first premolar an
Hello,
I am 30 years old and have already had three childbirths, which has also taken its toll on several of my teeth. Because of a very unpleasant experience at the dentist when I was young, I have been afraid to cross the threshold of a dental office for many years. In the upper jaw I am missing the first premolar and second premolar, the lateral incisor is chipped, and in the lower jaw the right canine is missing. I would most likely also need some fillings. I do not have my own dentist, as it has been more than ten years since I last visited one. I would very much like to have my teeth repaired and put in order, so I would also like to ask whether the procedures can be performed under anaesthesia and approximately how long one has to wait for implants (I know this depends on the material and quantity), as well as at least an approximate price for the procedure.
Thank you in advance for your answer and kind regards; at the same time I hope for a nicer smile.
Urška
Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.
Dear Sir/Madam! For implant placement we can schedule you relatively soon after your call (three weeks). The price of an implant is EUR 900. All procedures are performed under local anaesthesia. Have a nice day!
Dear Sir/Madam!
For implant placement we can schedule you relatively soon after your call (three weeks). The price of an implant is EUR 900. All procedures are performed under local anaesthesia.
I am 21 years old. Today, i.e. 22 September 2009 at 16:00, I had a wisdom tooth extracted in Ljubljana. I am now lying at home 80 km from Ljubljana (21 km from Kočevje) and I am bleeding. Before that I applied cold compresses (ice wrapped in a cloth) and I also brushed my teeth with a special toothbrush. Did brushing m
I am 21 years old. Today, i.e. 22 September 2009 at 16:00, I had a wisdom tooth extracted in Ljubljana. I am now lying at home 80 km from Ljubljana (21 km from Kočevje) and I am bleeding. Before that I applied cold compresses (ice wrapped in a cloth) and I also brushed my teeth with a special toothbrush. Did brushing my teeth cause the bleeding? What can I do?
Kind regards, Tjaša
Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.
Dear Sir/Madam! From your description it is difficult to determine how long after the procedure you are still bleeding and how heavy the bleeding is. A small amount of bleeding may still be present for several hours after the procedure. There are various causes of prolonged bleed
Dear Sir/Madam!
From your description it is difficult to determine how long after the procedure you are still bleeding and how heavy the bleeding is. A small amount of bleeding may still be present for several hours after the procedure. There are various causes of prolonged bleeding: a large wound, an inflamed area, taking certain medications (aspirin, Marivarin...), systemic blood-clotting disorders. In any case, return to a dentist or doctor so that the wound can be additionally sutured and agents for stabilising the clot can be placed in the wound. In rare cases, systemic clotting factors can be injected (Dicynone). You can help stop the bleeding yourself by cooling the area (ice, ice cream, a cold drink) and compressing the wound (bite on a sterile or at least clean swab). Do not touch the surface of the wound; clean around it.
Dear Sir/Madam, I am 28 years old and I still have a primary second premolar on the lower left. There is no permanent tooth bud. The primary tooth has an amalgam filling. A few weeks ago the tooth began to hurt when I bite (it does not hurt on its own). The root area also hurts if I touch it with my finger. I visited m
Dear Sir/Madam,
I am 28 years old and I still have a primary second premolar on the lower left. There is no permanent tooth bud. The primary tooth has an amalgam filling. A few weeks ago the tooth began to hurt when I bite (it does not hurt on its own). The root area also hurts if I touch it with my finger. I visited my dentist, who took an X-ray. He says there is nothing serious visible, so he ground the filling down slightly because the tooth may be overloaded (I am not exactly sure what that means). He said that if the situation does not improve, he recommends having the tooth removed because it cannot be treated.
I would like to know your opinion. Is there any other solution that could somehow allow this tooth to be treated? Please advise me how to proceed. Thank you in advance for your answer.
Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.
Dear Sir/Madam! Root canal treatment of any tooth depends on anatomical and pathological factors. If the primary tooth has well-developed, non-resorbed roots, if the root canals are patent, if the tooth has sufficient strength, if the crown is relatively intact, ... then it could
Dear Sir/Madam!
Root canal treatment of any tooth depends on anatomical and pathological factors. If the primary tooth has well-developed, non-resorbed roots, if the root canals are patent, if the tooth has sufficient strength, if the crown is relatively intact, ... then it could still be treated endodontically. To make a decision I would need to see the X-ray; otherwise, I believe you should trust the decision of your dentist.
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