Hello! Eight years ago, more than half of my upper central incisor was knocked off. At that time they rebuilt half of the tooth artificially, and a smaller part of it (on the back and side) has since chipped off. The tooth has started to decay (only a little, but still), it often hurts badly, and it is also slightly lo
Hello!
Eight years ago, more than half of my upper central incisor was knocked off. At that time they rebuilt half of the tooth artificially, and a smaller part of it (on the back and side) has since chipped off. The tooth has started to decay (only a little, but still), it often hurts badly, and it is also slightly loose.
What can be done in such a case?
Or will it need to be replaced with a new one?
What is the price? I maintain my teeth regularly, occasionally drink coffee or tea, and stopped smoking a year ago.
I would also like to ask about my upper lateral incisors, which are very small and crooked. What is the procedure; could they simply be covered with crowns? What is the price?
Thank you very much,
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! Pain and mobility of the central incisor are signs that influence the choice of treatment. Pain indicates inflammation of the dental pulp, which requires root canal treatment. Its success depends on the amount of damage already present in the bone tissue around th
Dear Sir/Madam!
Pain and mobility of the central incisor are signs that influence the choice of treatment. Pain indicates inflammation of the dental pulp, which requires root canal treatment. Its success depends on the amount of damage already present in the bone tissue around the tooth. An X-ray is therefore required to assess the prognosis. Marked mobility may indicate severe involvement of the periodontal tissues or even a root fracture. This diagnosis is likewise made with an X-ray. In the worst case, the tooth must of course be removed. If the tooth can be retained, it would ultimately need to be restored with a crown (EUR 210). If the tooth is extracted, it must be replaced (bridge: 3 × EUR 210 = EUR 630, or implant: EUR 900 + crown EUR 420 = EUR 1,350).
Hello, I would like to know approximately how much the best possible bridge option would cost at your practice: I am missing the upper right lateral incisor, and the bridge would be cantilevered from the upper right canine. The canine is healthy and strong. I am interested in a standard at the level of 3M Lava or bette
Hello,
I would like to know approximately how much the best possible bridge option would cost at your practice:
I am missing the upper right lateral incisor, and the bridge would be cantilevered from the upper right canine.
The canine is healthy and strong.
I am interested in a standard at the level of 3M Lava or better.
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 best solution would be implant treatment, which would allow us to avoid preparing the healthy and intact canine. If you have already decided on a bridge, it would consist of only two teeth, since it is sufficient to attach the lateral incisor to one abutment t
Dear Sir/Madam!
The best solution would be implant treatment, which would allow us to avoid preparing the healthy and intact canine. If you have already decided on a bridge, it would consist of only two teeth, since it is sufficient to attach the lateral incisor to one abutment tooth. We would choose zirconia-based ceramic. Price: zirconia crown (350 Eur) x 2 = 700 Eur.
Hello, My two upper central incisors are quite inclined inward. I am interested in alternatives to orthodontic braces.
Hello,
My two upper central incisors are quite inclined inward. I am interested in alternatives to orthodontic braces.
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! Orthodontic treatment is certainly the most appropriate because it is the least radical. An alternative solution, if the problem is mainly aesthetic, is fixed prosthodontic treatment. Crowns are made on the existing teeth that meet physiological and individual nee
Dear Sir/Madam!
Orthodontic treatment is certainly the most appropriate because it is the least radical. An alternative solution, if the problem is mainly aesthetic, is fixed prosthodontic treatment. Crowns are made on the existing teeth that meet physiological and individual needs both aesthetically and functionally. I would emphasise that this is a radical solution, since we would most likely prepare intact teeth, which is an irreversible procedure. We resort to this solution after the other options have been exhausted.
Dear Mr Tomaž, I have a question regarding my teeth (periodontitis in the upper jaw). I will be brief; you would probably have to see the images (I have a panoramic X-ray that is one week old). My upper left central incisor is coming out, the right one is also already very loose, I no longer have the upper left second
Dear Mr Tomaž,
I have a question regarding my teeth (periodontitis in the upper jaw). I will be brief; you would probably have to see the images (I have a panoramic X-ray that is one week old). My upper left central incisor is coming out, the right one is also already very loose, I no longer have the upper left second premolar, and on the right side the second premolar and first molar are loose, with the first molar in very poor condition. I see a periodontist, who suggested that I have an implant placed in place of the left central incisor. I am not very keen on that and would like another opinion: could all the above-mentioned teeth be removed and everything that is still good be prepared and covered with crowns?
Thank you for your answer, Tatjana
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! Decisions regarding the type of treatment are most difficult precisely in a case such as the one described. They depend on various factors: the extent of periodontal tissue involvement, dental status, hygiene, the patient's willingness to undergo treatment, system
Dear Sir/Madam!
Decisions regarding the type of treatment are most difficult precisely in a case such as the one described. They depend on various factors: the extent of periodontal tissue involvement, dental status, hygiene, the patient's willingness to undergo treatment, systemic diseases, smoking, the patient's wishes, the patient's financial means,... It would be easier to make a decision if we could look at the panoramic X-ray and, of course, the condition in the mouth.
Dear Sir/Madam! Since I am not sure that you read this message (Your comment is awaiting moderation?), I will try once again, hoping that this time a ray of dental hope will finally shine among my loose teeth in need of help. In the lower row, I think the lower right central incisor is quite loose. The lateral incisor
Dear Sir/Madam! Since I am not sure that you read this message (Your comment is awaiting moderation?), I will try once again, hoping that this time a ray of dental hope will finally shine among my loose teeth in need of help.
In the lower row, I think the lower right central incisor is quite loose. The lateral incisor next to it is loose too. The canine farther along is okay. Then there is a loose first premolar. The molars at the back are firmly anchored. If I massage the gum, something white seeps out from behind the gum around the problematic teeth. It is probably purulent discharge – a consequence of periodontal disease. About half a year ago, my respected dentist cleaned the calculus and sent me for a panoramic X-ray. After the calculus was removed, the mentioned lower right central incisor, I think, looked like a well-sharpened spear stuck into the gum. The respected dentist looked at the panoramic X-ray and sent me home, saying everything was fine and that I should come back in half a year to have the calculus cleaned again, even though I told her about the tooth mobility and she herself, using some instrument whose name I do not know, confirmed the truth of what I was saying; she did, however, mention deep periodontal pockets. The depressions that appeared to the left and right of the lower part of the central incisor after the calculus was removed were relatively quickly filled again with calculus, which has now accumulated once more, especially on the back surface of the tooth. This is probably because the tooth has been growing crookedly between the other two from the beginning. At the central and lateral incisor there is visible gum recession of about half a centimetre, while at the first premolar the exposure of the so-called tooth neck is a few millimetres deeper still and continues to deepen!!!??? How far can this 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 tackle periodontal problems, I would like to know whether you would be willing to take them on and save the teeth from falling out or being extracted, since otherwise they are relatively all right. I am a paying patient, Samo, if I may make a small joke. But jokes aside, the matter is serious: I have difficulty eating and consequently I am 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.
P.S.
I apologise for bothering and troubling you, but the problems are getting worse. Should I interpret your silence as meaning that you cannot help me?
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 I conclude that there is a serious problem with the periodontal tissues, which also requires serious and usually long-term treatment that will be unsuccessful without strict adherence to the instructions. In order to decide which treatment to
Dear Sir/Madam!
From your description I conclude that there is a serious problem with the periodontal tissues, which also requires serious and usually long-term treatment that will be unsuccessful without strict adherence to the instructions. In order to decide which treatment to choose, we need at least a panoramic X-ray and, of course, a clinical examination. Periodontal treatment begins with the conventional hygienic phase and instruction in oral hygiene, which has (I assume) already been done. This is followed by scaling and root planing, flap operations and guided tissue regeneration. Please make an appointment for an examination, at which time we can provide you with specific information about the treatment.
Please also tell me what it means that there is a suspicion of an apical process at tooth 11. Thank you and kind regards.
Please also tell me what it means that there is a suspicion of an apical process at tooth 11. Thank you and 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! Without a suspicion of an apical process, an apicoectomy or root canal treatment would not be necessary at all. The term itself means that bacteria have caused inflammation of the periodontal ligament at the root apex and the formation of granulation tissue at tha
Dear Sir/Madam!
Without a suspicion of an apical process, an apicoectomy or root canal treatment would not be necessary at all. The term itself means that bacteria have caused inflammation of the periodontal ligament at the root apex and the formation of granulation tissue at that site.
A pus-filled bump developed above an upper front tooth, and because of it my dentist recommended an apicoectomy of tooth 21. Since I was very afraid of the procedure, I asked her for antibiotics, believing that the bump would disappear with them. She agreed and indeed the bump disappeared. After two months I went for a
A pus-filled bump developed above an upper front tooth, and because of it my dentist recommended an apicoectomy of tooth 21. Since I was very afraid of the procedure, I asked her for antibiotics, believing that the bump would disappear with them. She agreed and indeed the bump disappeared. After two months I went for another examination, but she noticed redness in the area and said that pus was draining, and nevertheless referred me to hospital for an apicoectomy. I went there, and after the examination the oral surgeon scheduled me for June 2010, saying that it was not so urgent. I would now like to know, and kindly ask you to explain, whether this is urgent at all, whether it is true that it is urgent but not very urgent, whether it can heal on its own, or whether I should rather go privately and have it resolved as soon as possible. If this inflammation could spread to neighbouring teeth, I would gather my courage and go privately. Thank you in advance for your answer and 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! You should certainly trust the surgeon's opinion. Of course, when deciding on the date of the procedure, the possibility of the procedure being paid for by the insurance is also an important factor. If an apicoectomy needs to be performed, then by medical logic it
Dear Sir/Madam!
You should certainly trust the surgeon's opinion. Of course, when deciding on the date of the procedure, the possibility of the procedure being paid for by the insurance is also an important factor. If an apicoectomy needs to be performed, then by medical logic it should also be performed as soon as possible, although in most cases there is no danger that the disease process will spread to other teeth. For additional information we would need an X-ray.
Hello. First of all, let me say that I am terrified of the dentist; at the age of 26 my mouth is a disaster because fear kept me from going to a dentist for several years, but now I simply have to. I would like to know the following: -do you still accept patients and what is the waiting time? -what does the insurance c
Hello.
First of all, let me say that I am terrified of the dentist; at the age of 26 my mouth is a disaster because fear kept me from going to a dentist for several years, but now I simply have to.
I would like to know the following:
-do you still accept patients and what is the waiting time?
-what does the insurance cover and for what would I have to pay privately?
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! We accept patients if that is their wish and need. This is required by professional doctrine and by the insurer. We schedule the first examination within one month. Please make an appointment by telephone. As for the non-specific question of what the insurance cov
Dear Sir/Madam!
We accept patients if that is their wish and need. This is required by professional doctrine and by the insurer. We schedule the first examination within one month. Please make an appointment by telephone. As for the non-specific question of what the insurance covers, since we do not know what problem we would be treating, I cannot answer that for the time being. After the examination I will also be able to provide you with that information.
Hello Dr Rotar, I have a question. Actually, I would like a second opinion. On 11 September 2009 I received new upper teeth, or rather bridges. The invoice shows that the following was done: veneered crowns, an intermediate veneered pontic, Midor, etc. The problem is as follows. First, the result is very unaesthetic; e
Hello Dr Rotar,
I have a question. Actually, I would like a second opinion. On 11 September 2009 I received new upper teeth, or rather bridges. The invoice shows that the following was done: veneered crowns, an intermediate veneered pontic, Midor, etc. The problem is as follows. First, the result is very unaesthetic; everything is the colour of gold or brass. The second thing, which is also the most disturbing, is the pain. I feel as if my whole jaw is going to burst. I also have terrible headaches and dizziness. I have already been to my dentist several times, but she cannot find anything wrong. I simply cannot take Naklofen tablets 2–3 times every day. Please give me your opinion as to what might be wrong. I am also worried because on 20 October I am leaving abroad for six months.
Have a pleasant evening, Marija from Idrija.
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! Veneered crowns are not considered unaesthetic crowns, although at least in the visible area the metal should not be visible. The type of crowns should be decided upon before they are made. If you want an aesthetic restoration, I recommend metal-ceramic or all-cer
Dear Sir/Madam!
Veneered crowns are not considered unaesthetic crowns, although at least in the visible area the metal should not be visible. The type of crowns should be decided upon before they are made. If you want an aesthetic restoration, I recommend metal-ceramic or all-ceramic crowns. The pain is most likely a consequence of inflammation of the dental pulps after tooth preparation. I could decide on the type of treatment after a clinical examination and an X-ray. Root canal treatment will probably be necessary and should be carried out as soon as possible. Please make an appointment for an examination by phone: 04/5300660 or 040294488.
Dear Sir/Madam! Thank you for your answer! I would also like to know how much removal of a wisdom tooth costs and whether I need to bring an X-ray of the tooth. My dentist told me that it is growing into the jaw and that it should be removed as soon as possible. Since I am very afraid of the procedure (pain), I would l
Dear Sir/Madam!
Thank you for your answer! I would also like to know how much removal of a wisdom tooth costs and whether I need to bring an X-ray of the tooth. My dentist told me that it is growing into the jaw and that it should be removed as soon as possible. Since I am very afraid of the procedure (pain), I would like to know how the procedure is performed.
Thank you for your answer! 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! Removal of a wisdom tooth costs 90 Eur. For the procedure we need an X-ray (panoramic radiograph). Before the procedure we inject an anaesthetic (Scandonest, mandibular nerve block anaesthesia). We prepare the operative field, retract the soft tissues and obtain a
Dear Sir/Madam!
Removal of a wisdom tooth costs 90 Eur. For the procedure we need an X-ray (panoramic radiograph). Before the procedure we inject an anaesthetic (Scandonest, mandibular nerve block anaesthesia). We prepare the operative field, retract the soft tissues and obtain access to the cortical bone. We clear the path for extraction of the tooth, remove the tooth and suture the wound. After the procedure we advise cooling and analgesics as needed. The sutures are removed after ten days.
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