Hello, I have looked through almost all the medical advice about dental problems on the internet, but I have not found anything describing my problem, so I am writing to you personally. Two weeks ago I caught a severe cold (sore throat, inflamed left nostril and left ear). I recovered on my own, without antibiotics, and did not see a doctor. During the cold, however, I began to feel a sharp sensation in the upper left first or second premolar. One of the two teeth gave a jolt of pain when I walked downhill, moved my head quickly from side to side or jumped from a height downwards. After two weeks the condition is better; now the tooth only gives a jolt if I quickly throw my head back against a harder surface, for example an armchair. I am currently abroad and a few days ago I went to a dentist here. She examined both teeth; both have old fillings (the teeth are still vital), but she noticed nothing unusual. She also took X-rays of the teeth, but again saw nothing abnormal. Interestingly, the teeth do not hurt to touch, on percussion or when I eat. The dentist said we should wait and that she would rather not open both teeth because the problem is not very disturbing. She only gave me some alcohol-based solution or something similar, which I diluted with warm water and used to rinse the left side (Chlorophyllipt). It helped a little. Please tell me what you think this could be, because it is very unpleasant to keep visiting dentists abroad, and I will not return to Slovenia for another month. Thank you in advance and kind regards.

Dear Madam!You have listed typical signs of inflammation of the mucosa of a paranasal sinus (maxillary sinus). Rapid head movements shake the fluid in the sinus that accumulated as a result of acute inflammation. Movement of the fluid and increased pressure in the sinus trigger the characteristic pain. When the root tips of the upper teeth (premolars or molars) are located in or near the sinus cavity, inflammation can spread to them or vice versa. Since the X-ray did not show changes in the teeth or around the tips of their roots, we would conclude that the teeth themselves were not the cause of the pain. For more thorough diagnostics you would need to come to the practice; otherwise sinusitis (inflammation of the sinus mucosa) is treated with antibiotics.We look forward to your visit!

Dentist - Your questions

Visitor asks:

Hello, I have a gap of about 3–5 mm between my two upper front teeth. I heard that there is some kind of operation that pulls the teeth together. I would like to know what the procedure is and how much it costs. Thank you. Neja

Dentist Tomaž Rotar answers:

Dear Madam! I assume you are asking about a frenulotomy, in which the mucosal attachment between the upper lip and the vestibular part of the gingiva on the alveolar ridge is cut. It has the form of a narrow fold of mucosa and runs along the midline of the upper jaw. The procedur

Visitor asks:

Dear Sir/Madam, My dentist has given me a referral for treatment by a periodontist. Is it possible to have the treatment at your practice? Kind regards, Sandi

Dentist Tomaž Rotar answers:

Dear Sir/Madam! We also provide periodontal treatment. Please make an appointment by calling 04/5300660 or 040294488. Have a nice day!

Visitor asks:

Hello, I would like to know how long, on average, a tooth restored with a root post and a ceramic crown lasts. I have one such tooth (first premolar) that will need to be repaired in this way. Is this a good solution (the tooth has been without a nerve for several years, and now part of it broke off together with the f

Dentist Tomaž Rotar answers:

Dear Sir! Treatment of the tooth you describe certainly includes the procedures you have mentioned and, in this case, they are also the only solution. When a tooth no longer has enough of its own hard tissues forming the dental crown, it needs to be restored with a root post and

Visitor asks:

On Monday I have an appointment for a minor procedure that will be performed under local anaesthesia. In the meantime I have caught a cold, which is slowly improving, and the procedure is tomorrow. I would therefore like to know whether I can receive anaesthesia while I have a cold. Thank you

Dentist Tomaž Rotar answers:

Dear Sir/Madam! In your case, a cold and local anaesthesia are not directly related. The illness can be a greater problem during the procedure itself, because it is usually necessary to breathe through the nose so that cooling water or body fluids do not enter the airways. In add

Visitor asks:

Hello! I would like to ask about a post for the fourth tooth. What is your waiting time if one comes privately, and what is the approximate price? My tooth broke off; apparently a post and a new tooth can be attached to the root. Thank you.

Dentist Tomaž Rotar answers:

Dear Sir/Madam! We would restore the tooth with a root canal post and a crown. Most often we choose a metal-ceramic crown. Price: crown 210 Eur, Maillefer titanium post: 30 Eur. There is no waiting time. We look forward to your visit.

Visitor asks:

Hello! I injured my two front teeth in childhood. They have already been crowned several times, and now they are different in colour and there is a gap between them. I would like to know whether aesthetic veneers would be a permanent solution. Thank you for your answer! Kind regards, Uroš.

Dentist Tomaž Rotar answers:

Dear Sir! An aesthetic veneer has a relatively narrow indication: the tooth should be almost intact, meaning without large existing fillings or cracks, and the bite should be correct (no overloading of the prosthodontic restoration)... If I understood you correctly, crowns have a

Visitor asks:

Hello, I have looked through almost all the medical advice about dental problems on the internet, but I have not found anything describing my problem, so I am writing to you personally. Two weeks ago I caught a severe cold (sore throat, inflamed left nostril and left ear). I recovered on my own, without antibiotics, an

Dentist Tomaž Rotar answers:

Dear Madam! You have listed typical signs of inflammation of the mucosa of a paranasal sinus (maxillary sinus). Rapid head movements shake the fluid in the sinus that accumulated as a result of acute inflammation. Movement of the fluid and increased pressure in the sinus trigger

Visitor asks:

Hello, Doctor. I had surgery in the front part of my lower jaw two months ago. The first three lower front teeth were repaired 20 years ago. Metal posts were inserted and teeth were placed on them. Now these three teeth are chipping, and after the surgery I would like to replace them with new teeth. Can you do this usi

Dentist Tomaž Rotar answers:

Dear Sir! New crowns can be made on the existing posts if they are, of course, still in good condition, meaning that the X-ray and clinical examination provide no indication for their replacement. The insurance company covers the cost of veneered crowns. The old crowns might perh

Visitor asks:

Good day, my name is Domen and I am 15 years old. I have one question. I still have two deciduous canines, while the permanent teeth are still in the gums and do not have enough room to erupt. I know that I will need a procedure; I would like to know whether it is performed under local or general anaesthesia. I am also

Dentist Tomaž Rotar answers:

Hello! I have one question. I still have two deciduous canines and the permanent teeth are still in the gums. I know that a procedure awaits me; is it performed under local or general anaesthesia? I also have haemophilia; would that be an obstacle? And how is this procedure carri

Visitor asks:

Dear Sir/Madam! A year and a half ago I had my crowns replaced — both upper central incisors and the upper left lateral incisor; all the crowns are connected. The crowns are porcelain, but I noticed that a very small crack has appeared between the central and lateral incisor. It looks like a small black dot, but it bot

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Cracks in porcelain crowns are an unpredictable and unfortunately all too common problem. They do not depend on the method of hygiene or the type of toothbrush you use. A common cause of damage is overloading during biting due to the way the teeth meet or a hard p

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