Hello! One month ago my dentist treated my lower right first premolar, filled the root canals and then closed the tooth with a white temporary filling. Just 2 days later I went back because the tooth was hurting badly; the dentist removed the filling and then went into both canals again with a file. In both I had the feeling as if he had pierced through them. After that everything was fine for 25 days. Today I went back because of pain I had last weekend; he repeated the procedure and said that it had become infected with pus. About an hour later a thick red discharge came out of these roots (about 10 drops in total), as if it were thick blood. I would like to know whether this is dangerous and whether it was thick dark-red blood or whether there was also some pus in it. And why do the tooth roots become purulent when the tooth is "open"? Thank you and kind regards!

Dear Sir/Madam!Based on what you have written, I believe this is a chronic pathological process occurring around the root tips. When the inflammation flares up acutely, the pressure of fluid (serous, purulent, bloody) increases and the fluid drains outward through the root canals, as you also observed. The problem is treated with root-canal treatment, which, as I understand it, is already being carried out. The prognosis of a tooth treated in this way is very difficult to predict even when we already have an X-ray.Have a nice day!

I have a problem that has been recurring for about two years. I had an apicoectomy on an upper second premolar. After the apicoectomy there was the "normal" postoperative pain, which lasted for about a few days. After 10 days, when the sutures had already fallen out, I began to have unbearable pain. The pain was so severe that no tablets helped; I could not sleep at night and could not eat during the day, and I was completely beside myself. I first went to the dentist, who told me it could be an infection or something like that and prescribed antibiotics, but the condition did not improve at all. I went to an oral surgeon, explained the situation, and he performed another apicoectomy because, as he said, there was nothing else he could do. After the second apicoectomy it was the same again. After 10 days the pain returned, perhaps a little less severe. I tried cooling with ice, applying hot compresses and using gum gel; nothing helped at all. The pain was still there, sometimes less and then very severe again. It lasted about 7 days, then the pain disappeared completely. I was extremely happy and thought it was finally over, whatever it was. Then one month ago the pain appeared again, unbearable and lasting 1–2 days. I went back to the dentist, who again said there was nothing wrong. At present, even as I write to you, the pain is present again. It is not as severe but is still there and has lasted about 3 days. I feel the pain across almost the entire upper left jaw and it also spreads above the jaw. I am not sure whether the exact tooth on which the apicoectomy was performed is hurting, because when the pain occurs, almost all my upper left teeth hurt.

Dear Sir/Madam!Based on what you have written, I would say that the source of the pain is not only the tooth in question. First, problems with other teeth in this region should be excluded (panoramic X-ray). If they do not show a likelihood of pathological changes, then in the differential diagnosis we could consider neuralgic pain in the distribution of the second branch of the trigeminal nerve, at least based on the history you have provided. For a more precise answer, please call me by telephone.Have a nice day!

Hi! I have a question about wisdom-tooth extraction. I am 24 years old and have been dealing with problems with my wisdom teeth for more than 5 years. I have been to the emergency dentist several times (usually to have drainage strips changed), where they told me that the wisdom teeth should be removed. When I mentioned this to my dentists (I changed dentists 2 years ago), both said it was not necessary because the wisdom teeth had already erupted. Nevertheless, approximately every 2 months I develop inflammation, severe pain, about a week of being unable to function normally, my resistance drops and I also have difficulty eating. I would like to know whether in such a case the dentist is obliged to enable extraction regardless of his opinion that it is not necessary. Or how can I argue that I no longer want constant problems with the wisdom teeth and really want to get rid of them. Thank you in advance for your answer. Kind regards.

Dear Sir/Madam!I cannot answer legal questions about the duties and rights of doctors or patients. In principle, wisdom teeth are extracted if they cause the problems you describe. If these problems are only subjective (without visible signs of local inflammation), this can also be a sufficient reason for removal. The procedure can be quite invasive and demanding and, in addition to short-term problems (pain, swelling...), can also result in permanent consequences (nerve damage), so the decision needs to be carefully considered.Have a nice day!

Dentist - Your questions

Visitor asks:

Hello! One month ago my dentist treated my lower right first premolar, filled the root canals and then closed the tooth with a white temporary filling. Just 2 days later I went back because the tooth was hurting badly; the dentist removed the filling and then went into both canals again with a file. In both I had the f

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Based on what you have written, I believe this is a chronic pathological process occurring around the root tips. When the inflammation flares up acutely, the pressure of fluid (serous, purulent, bloody) increases and the fluid drains outward through the root canal

Visitor asks:

Hello Mag. Tomaž Rotar. I am interested in having an implant placed; I currently have the upper left lateral incisor on a post. I would like to know the total approximate price of the procedure and whether you offer payment in instalments. Kind regards.

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Price of the procedure you are asking about: -750 Eur (implant) -420 Eur (crown on implant) The price includes all procedures and materials from the beginning to the final result, including a temporary replacement. You can pay everything in instalments. Have a nic

Visitor asks:

I have a bridge in the upper right, four teeth supported by two existing teeth. The bridge has started to become loose and it looks as though it will need to be replaced, because the supporting teeth are also mobile. I am 59 years old. Would it be possible to create a new bridge using implants? What would the price be

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Based on what you have written, I believe you would need two implants supporting four teeth. Price of the procedure: -750 Eur (implant) X 2 = 1500 Eur. -420 Eur (crown on implant) X 2 = 840 Eur -210 Eur (crown as a pontic) X 2 = 420 Eur The price includes all proc

Visitor asks:

I have a problem that has been recurring for about two years. I had an apicoectomy on an upper second premolar. After the apicoectomy there was the "normal" postoperative pain, which lasted for about a few days. After 10 days, when the sutures had already fallen out, I began to have unbearable pain. The pain was so sev

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Based on what you have written, I would say that the source of the pain is not only the tooth in question. First, problems with other teeth in this region should be excluded (panoramic X-ray). If they do not show a likelihood of pathological changes, then in the d

Visitor asks:

Question ... Approximately how much would a crown cost, and what time period would need to be planned? Thank you.

Dentist Tomaž Rotar answers:

A crown costs 210 Eur. We need one week and two visits. Thank you mr.sc. Tomaž Rotar, D.M.D.

Visitor asks:

GOOD DAY. I AM MISSING A LOWER CANINE AND WOULD LIKE TO KNOW HOW MUCH AN IMPLANT WOULD COST, WHETHER I CAN ALSO HAVE AN X-RAY DONE AT YOUR CLINIC AND WHETHER I COULD PAY IN SEVERAL INSTALMENTS. THANK YOU FOR YOUR UNDERSTANDING. MY DENTIST HAS ALREADY INSERTED A POST, BUT UNFORTUNATELY I COULD NOT GO BACK TO HER BECAUSE

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Price of the procedure you are asking about: -750 Eur (implant) -420 Eur (crown on implant) The price includes all materials and procedures from the beginning to the final result. Payment in instalments is possible. Have a nice day!

Visitor asks:

Hello, my father is 65 years old and his two upper central incisors and left lateral incisor have chipped. I am interested in the costs. He will probably need a bridge because the teeth, including the canines, are in very poor condition, so he will most likely need a six-unit bridge. I would like to know how much is co

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Price of the procedure you are asking about: -210 Eur (metal-ceramic crown) X 6 = 1260 Eur. or -350 Eur (all-ceramic crown) X 6 = 2100 Eur. The price includes all materials and procedures from the beginning to the final result, including temporary replacements. Ha

Visitor asks:

Dear Sir/Madam, I have very bad teeth (those that are still left). When I was young I did not take care of them at all. I have had very, very bad experiences with dentists (I would rather not explain), and I am terribly afraid of them. I would like to know whether there is anyone anywhere who could repair, replace and

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Dental treatment under general anaesthesia is performed at the dental clinic. Have a nice day!

Visitor asks:

Hi! I have a question about wisdom-tooth extraction. I am 24 years old and have been dealing with problems with my wisdom teeth for more than 5 years. I have been to the emergency dentist several times (usually to have drainage strips changed), where they told me that the wisdom teeth should be removed. When I mentione

Dentist Tomaž Rotar answers:

Dear Sir/Madam! I cannot answer legal questions about the duties and rights of doctors or patients. In principle, wisdom teeth are extracted if they cause the problems you describe. If these problems are only subjective (without visible signs of local inflammation), this can also

Visitor asks:

Hello, I recently noticed that the gum around my upper right first premolar is receding slightly, exposing the tooth neck. I also noticed slight bleeding from this area when brushing my teeth. What can I do to prevent further gum recession? I use the softest toothbrush and I am not too rough when brushing; I only bleed

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The problem you describe is most often a consequence of incorrect brushing. Brush movements should follow the direction from the gum toward the tooth. Gum bleeding is a consequence of inflammation of the gum, not injury to it. The inflammation occurs because of th

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