Dear Sir/Madam! I am 31 years old. Seven years ago a private dentist made three separate "crowns" for teeth 5, 6 and 7 in the upper left. In the summer the middle tooth 6 broke and the remaining part of the tooth had to be extracted. I now have a gap at the site of tooth 6, while the two neighbouring teeth have artificial crowns. The dentist suggested a bridge. Because I started wearing fixed braces four years ago (I wore them for two years), and for the past two years I have still had a wire on the inner side from the left canine to the right canine, and because I have already invested a great deal in my teeth, I would like to know how the above problem could best be solved aesthetically, as I do not want the bridge supports to be visible. I have a very delicate face and a broad smile, so this bothers me a lot. My orthodontist says he must not remove the wire until the missing tooth is replaced, otherwise my teeth would start moving. I am also interested in the approximate price. Thank you for the time you have given me and kind regards.

Dear Sir/Madam!The gap can be restored in two possible ways. The classic and most commonly used option is a bridge. To some extent this is also a logical and rational solution, because the abutment teeth have already been prepared, so we would not cause additional damage. The solution is quick, durable and aesthetic.Placement of a dental implant is the second option. This does not burden the neighbouring teeth. If the anatomical and other conditions are suitable, implantation is a good, durable and aesthetic solution. The procedure takes more time than the first option; good osseointegration of the implant can sometimes take as long as six months. Only after this period can the implant be loaded with a dental crown.Prices: -EUR 210 X 3 = EUR 630 (metal-ceramic bridge)-EUR 350 X 3 = EUR 1050 (all-ceramic on zirconia)-EUR 750 (implant) + EUR 420 (crown on implant) = EUR 1170.Have a nice day!

Dear Sir/Madam! On 5 November 2009 I presented my problem to you, but I have not yet seen an answer. I would again like to ask whether the procedure itself (replacement of a filling on the lower first molar) can trigger neuralgic pain. Can repeated administration of a "mandibular block" (Sandonest 2%) also cause such problems? All this has been happening to me after a visit to the dentist. The attacks are unbearably painful. The dental X-ray is normal, although two teeth (lower right first molar and upper right second molar) are very sensitive to cold food, air and similar stimuli. The attacks are triggered by chewing, brushing my teeth and warm food. My neurologist prescribed Lyrica, which somewhat calms these attacks. Please give me your opinion and advice on what I should do.

Dear Sir/Madam!I apologise for having missed your question. You have almost answered it yourself. The procedures and actions listed can certainly trigger attacks of neuralgic pain. Neuralgia is treated with administration of vitamin B and the medicines you already have. Locally (at the exit points of the trigeminal branches), anaesthetic blocks can be administered. Removing the triggering factor (hypersensitivity of the tooth necks) could likewise help in resolving your problems. For additional information, please make an appointment for an examination.Have a nice day!

Hello. Two months ago I had a "two-surface" white filling placed on my first molar. The caries was between the first and second molars (my teeth are crowded), and in my opinion it was therefore treated too late (for half a year I kept asking my dentist, but she said "there is nothing there"). I would now like to know: a) How long is the tooth sensitive to loading? I have had an unpleasant sensation for the second month already, but the doctor says this is normal. b) Is it true that after signing the declaration for a chosen dentist one cannot transfer to another for one month? As I understand it, you also work under a concession – in that case I therefore cannot register with you for one year? Thank you in advance and kind regards. M.

Dear Sir/Madam!Hypersensitivity of teeth to changes in osmotic pressure and temperature changes after replacement of a filling is quite a common problem. The hypersensitivity can last for several months. If the tooth also becomes sensitive to pressure or tapping, this means that the dental pulp is inflamed throughout and that the inflammation has already spread to the periodontal ligament. The condition is irreversible and requires root canal treatment. After signing the declaration for a chosen dentist, another dentist should not be selected for one year.Have a nice day!

Dear Sir/Madam! I have terrible frustration and fears regarding the following issue. My upper right second molar is completely destroyed. About three years ago it hurt terribly, but because I had an exam the next day I did not let my dentist extract it. She therefore opened the tooth and removed the nerve (vital trepanation?). The tooth has been open ever since and generally does not hurt if I leave it alone. There is also no visible or palpable abscess, but the tooth really is completely decayed :(. Before that I once had a syncope when I received a local anaesthetic, so I am EXTREMELY afraid of going to the dentist. This is especially because I am a radiological engineer and know just enough about these things to create terrible scenarios in my head. I am afraid that the problem has "eaten" deeply into the bone or that I will find out I have a cyst or something similar. Please tell me whether there is cause for alarm and whether a normal extraction will most likely be sufficient. I think I have already overcome my fear of the extraction and of having another syncope from the anaesthetic. The only thing still stopping me is fear of what I can expect. Please advise me. Thank you very much for your answer.

Dear Sir/Madam!From what you have written, I could conclude that we will no longer be able to perform adequate root canal treatment on the tooth (I can confirm this only after reviewing an X-ray), so you can expect extraction of the tooth. If a periapical cyst has developed above the tooth, it must be enucleated at the same time, which usually does not present a more serious problem. You experienced the syncope because of excessive fear and not because of the anaesthetic. If extreme fear is still present, we suggest prior sedation with medication (sedatives). There is no reason for alarm!We look forward to your visit!

Dentist - Your questions

Visitor asks:

Hello! I have a question. Two years ago I went to the dentist and the dentist put a temporary plaster-like material in my tooth instead of a filling because she was not sure whether the tooth would start hurting. Until the next visit the tooth did not hurt at all, and the dentist again put the same temporary material i

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The material that was placed in your tooth is certainly not suitable for such long-term treatment. Because the seal is leaking, the dentine softens or decays regardless of whether the tooth hurts or not. It is difficult to assess from what you have written how muc

Visitor asks:

Dear Sir/Madam! I kindly ask for your opinion. On my upper central incisor I have a metal post, over which there is a gold covering and a porcelain crown. What bothers me is that because of the gold covering the crown is positioned forward. I would like to know whether it is possible to replace the post with a non-meta

Dentist Tomaž Rotar answers:

Dear Sir/Madam! I assume that your central incisor is restored with a metal-ceramic crown on a custom-made metal post. Whether or not the post can be removed could only be determined after removing the crown and taking an X-ray. There is a risk of damaging the root while removing

Visitor asks:

Dear Sir/Madam! I am 31 years old. Seven years ago a private dentist made three separate "crowns" for teeth 5, 6 and 7 in the upper left. In the summer the middle tooth 6 broke and the remaining part of the tooth had to be extracted. I now have a gap at the site of tooth 6, while the two neighbouring teeth have artific

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The gap can be restored in two possible ways. The classic and most commonly used option is a bridge. To some extent this is also a logical and rational solution, because the abutment teeth have already been prepared, so we would not cause additional damage. The so

Visitor asks:

Dear Sir/Madam! I am 22 years old and I have a broken lower right first molar. I would like to know how much a new tooth costs and whether the examination is paid for by health insurance?

Dentist Tomaž Rotar answers:

Dear Sir/Madam! An examination with your chosen dentist is paid for by the insurance company! If only a crown needs to be made on the first molar, the price depends on the material and technological procedure used to make the new crown. Example: metal-ceramic (EUR 210). If the fi

Visitor asks:

Hello! Behind my wisdom tooth, a small bump has appeared on the gum, similar to a fibroma or wart, the colour of the gum, about 2–4 mm in size and painless. Is it possible that it will disappear on its own over time, or is surgical removal necessary? Thank you for your answer and kind regards.

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Whether this really is a benign tumour, namely a fibroma, can only be confirmed by histological diagnosis. Until then we can only speak of a formation resembling a small, firm swelling. Similar formations are not dangerous and are removed if their presence causes

Visitor asks:

Hello! I have a referral from my dentist for an apicoectomy. I would like to know whether you also have a concession for this, or how much the procedure costs if I pay privately, and of course how quickly I can get an appointment. Thank you and kind regards!

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Our practice does not have a concession for oral-surgical procedures. We can schedule you as a private-pay patient. The procedure costs 90 Eur. Have a nice day!

Visitor asks:

Hello, I have not been to a dentist for more than 13 years, and the condition in my mouth reflects that. I would like to have my teeth repaired. Not all of them are completely bad, but it is true that I cannot smile, which has already affected my self-confidence. In the upper jaw I am missing the lateral incisor and ca

Dentist Tomaž Rotar answers:

Dear Sir/Madam! I can suggest only one thing: make an appointment for an examination as soon as possible (04/5300660 or 040 294488). Payment in instalments is always possible. Have a nice day!

Visitor asks:

Dear Sir/Madam! On 5 November 2009 I presented my problem to you, but I have not yet seen an answer. I would again like to ask whether the procedure itself (replacement of a filling on the lower first molar) can trigger neuralgic pain. Can repeated administration of a "mandibular block" (Sandonest 2%) also cause such p

Dentist Tomaž Rotar answers:

Dear Sir/Madam! I apologise for having missed your question. You have almost answered it yourself. The procedures and actions listed can certainly trigger attacks of neuralgic pain. Neuralgia is treated with administration of vitamin B and the medicines you already have. Locally

Visitor asks:

Hello. Two months ago I had a "two-surface" white filling placed on my first molar. The caries was between the first and second molars (my teeth are crowded), and in my opinion it was therefore treated too late (for half a year I kept asking my dentist, but she said "there is nothing there"). I would now like to know:

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Hypersensitivity of teeth to changes in osmotic pressure and temperature changes after replacement of a filling is quite a common problem. The hypersensitivity can last for several months. If the tooth also becomes sensitive to pressure or tapping, this means that

Visitor asks:

Dear Sir/Madam! I have terrible frustration and fears regarding the following issue. My upper right second molar is completely destroyed. About three years ago it hurt terribly, but because I had an exam the next day I did not let my dentist extract it. She therefore opened the tooth and removed the nerve (vital trepan

Dentist Tomaž Rotar answers:

Dear Sir/Madam! From what you have written, I could conclude that we will no longer be able to perform adequate root canal treatment on the tooth (I can confirm this only after reviewing an X-ray), so you can expect extraction of the tooth. If a periapical cyst has developed abov

Your questions

Visitor asks:

Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.

Visitor asks:

Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.

Visitor asks:

Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.

Visitor asks:

Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.

Visitor asks:

Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.

Visitor asks:

Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.

Visitor asks:

Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.

Visitor asks:

Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.

Visitor asks:

Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.

Visitor asks:

Dentist Tomaž Rotar answers:iThis question is more than six months old, so the information in the answer may no longer be accurate.

Ask Tomaž Rotar your public question

Dentist Tomaž Rotar answers:

Dentist Tomaž Rotar answers:

Dentist Tomaž Rotar answers:

Dentist Tomaž Rotar answers:

Dentist Tomaž Rotar answers:

Dentist Tomaž Rotar answers:

Dentist Tomaž Rotar answers:

Dentist Tomaž Rotar answers:

Dentist Tomaž Rotar answers:

Dentist Tomaž Rotar answers: