Hello! The problems with the lower tooth 6 began two years ago, when my dentist replaced an old filling with a white one on a completely healthy tooth. Because sensitivity to biting and thermal stimuli did not settle for several months, she opened the tooth and placed medication inside. The medication later fell out, and because I was travelling, the tooth was partly open for one month. This was followed by more medication and then another white filling. The story repeated itself because, due to pain, I still could not chew even softer foods. I should mention that the X-ray showed nothing. The dentist subsequently opened the tooth twice more — partly because of pain and the last time also because of a chipped filling. She always says that the tooth is completely healthy and there is no sign of decay or inflammation. I now have medication in the tooth again. Because we have repeated the procedure so many times, she now suggests removal of the pulp, the nerve. Could the irritation/sensitivity of the tooth have been caused by drilling too deeply (the procedure was always performed with an injection)? Since I know that removing the pulp "kills" the tooth, I would still like to fight for it and this solution does not convince me at all. Is there any other option for calming an apparently completely healthy tooth? What do you suggest?

Dear Sir/Madam!An X-ray is not always directly correlated with the symptoms produced by the tooth in question. Clinically, regardless of the actual or histological condition of the pulp (nerve), we distinguish only between two clinical pictures: reversible and irreversible pulpitis (reversible and irreversible inflammation of the dental pulp). Signs of an irreversible condition are: marked sensitivity to percussion, spontaneous pain, pain in the area of the root apex, swelling...). With the described clinical picture, the pulp must be removed, i.e. the tooth must undergo root canal treatment. Signs of a reversible condition are: hypersensitivity to temperature changes, changes in osmotic pressure..., but the pain subsides within a few seconds after the stimulus. Different procedures are used in such cases (direct pulp capping, protection of tooth necks...). I am convinced that your therapist will make the correct decision.Have a nice day!

Hello! Some time ago my dentist replaced fillings on my central and lateral incisor (on the side). The problem is that the fillings are still visible. Between the central and lateral incisor it looks as if I have a dark line, which bothers me greatly from an aesthetic point of view. I told my dentist this too, but she said it cannot be done differently because of the way the light reflects... Now I would like to know whether that is really true, since a friend of mine also has a filling on her front teeth that is not visible. Is it true that in some cases it is impossible to make a filling that is not visible? Since this bothers me very much, I am also interested in veneers. Somewhere you wrote that veneers are possible only if the teeth do not have extensive fillings, so I would like to ask: my central incisor has a filling on three surfaces and the lateral incisor on two. Am I a candidate for veneers? If not, what could be done in my case? Kind regards.

Dear Sir/Madam!It would be difficult to assess the fillings without a clinical examination. Sometimes it is indeed difficult or even impossible to make a completely invisible filling with composite materials. There are several materials that differ greatly in their optical properties, so it might be worthwhile trying again. Veneers usually require a relatively sound tooth structure. If this is not present, we prefer to make a classic dental crown, which is aesthetically equally excellent but provides considerably greater strength.Have a nice day!

Dentist - Your questions

Visitor asks:

Hello, I am interested in tooth whitening. My dentist says that my teeth are not discoloured because of external effects, but that I probably have yellow teeth from childhood because of some medication, and it is also possible that the cause goes back as far as pregnancy. The effect of whitening is therefore said to be

Dentist Tomaž Rotar answers:

Dear Sir/Madam! If the teeth are indeed unevenly discoloured, which is usually a consequence of taking tetracyclines during the mineralisation of the affected teeth, the result of whitening is usually unsatisfactory. The teeth do become lighter, but uneven discolouration can stil

Visitor asks:

Hello, I would like your opinion. My two upper central incisors have white fillings and they are visibly becoming darker. How could this be solved? In the upper right I have the lateral incisor and canine normal without fillings, I am missing the first premolar, the second premolar is a dark tooth with a dark filling,

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Based on what you wrote, I believe that the central incisors are non-vital and should first undergo root canal treatment. The teeth would then be ready for crowns on root posts. At the site of the first premolar, an implant or a bridge from the canine to the secon

Visitor asks:

Hello! The problems with the lower tooth 6 began two years ago, when my dentist replaced an old filling with a white one on a completely healthy tooth. Because sensitivity to biting and thermal stimuli did not settle for several months, she opened the tooth and placed medication inside. The medication later fell out, a

Dentist Tomaž Rotar answers:

Dear Sir/Madam! An X-ray is not always directly correlated with the symptoms produced by the tooth in question. Clinically, regardless of the actual or histological condition of the pulp (nerve), we distinguish only between two clinical pictures: reversible and irreversible pulpi

Visitor asks:

Dear Sir/Madam! My tooth has "opened", or rather quite a large piece of the tooth (upper first molar) has broken off and I now have a considerable hole. I am not scheduled with my own dentist until March, and I do not think I can wait that long. I would like to know how long I would have to wait with you and whether th

Dentist Tomaž Rotar answers:

Dear Sir/Madam! As a private-pay patient you can get an appointment relatively quickly (one to two weeks). A concession means that we can provide registered patients with services that are fully or partially covered by ZZZS. Unfortunately, we cannot provide such services to patie

Visitor asks:

Hello! Some time ago my dentist replaced fillings on my central and lateral incisor (on the side). The problem is that the fillings are still visible. Between the central and lateral incisor it looks as if I have a dark line, which bothers me greatly from an aesthetic point of view. I told my dentist this too, but she

Dentist Tomaž Rotar answers:

Dear Sir/Madam! It would be difficult to assess the fillings without a clinical examination. Sometimes it is indeed difficult or even impossible to make a completely invisible filling with composite materials. There are several materials that differ greatly in their optical prope

Visitor asks:

Dear Sir/Madam! I would like to ask something. Under a tooth that became inflamed I had swelling on the jaw for some time, and now a lump has formed... I think it contains pus... Is this dangerous and is there any medicine for it?

Dentist Tomaž Rotar answers:

Dear Sir/Madam! I believe you should see a dentist, who will drain the swelling, open the tooth and, if necessary (swollen local lymph nodes, elevated body temperature...), prescribe a systemic antibiotic as well. Have a nice day!

Visitor asks:

I had a wisdom tooth extracted and the wound was also sutured. After two days I am becoming swollen. I would like to know how long the area where the tooth was should be cooled with ice, whether excessive cooling can be harmful, and whether I should go back to the dentist.

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Cooling is usually recommended for a few hours after the procedure. It should be done at intervals (every half hour). If the cooling agent is frozen, it should be wrapped in a cloth to prevent frostbite of the skin. If a postoperative complication occurs (a prolon

Visitor asks:

Hello, I am interested in dental veneers that are bonded to the tooth. I have one central incisor that was prepared and fitted with a ceramic tooth, while the other central incisor has two small fillings; however, this natural central incisor has become approximately 0.5 mm shorter than the ceramic one. I would like to

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The length of the tooth in question can be corrected in two ways: -build-up with composite material (a relatively simple and quick solution, but over time the added material may become slightly discoloured) -aesthetic veneer (the most aesthetically refined solutio

Visitor asks:

Hello. I am interested in tooth whitening and would like to know the price. Kind regards.

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The price of whitening is EUR 270. Have a nice day!

Visitor asks:

Dear Sir/Madam! I have old gold crowns on my lower first molars that will have to be replaced. I am interested in all-ceramic (zirconia) crowns and of course the price of one crown including the material and the entire procedure (preparation, impressions, try-in...). Is it necessary to make both crowns at the same time

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The price of a crown is 350 Eur (the price includes everything). Whether it is better to make the crowns connected or not (that is, both at the same time) depends mainly on the characteristics of the abutment teeth (height of the prepared tooth, overload...). Usua

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