Dear Sir/Madam! Two days ago during the night I felt some pain beneath my lower jaw. I have not had teeth in this area for two years because I now wear a denture. The pain is quite far from the central lower tooth and I do not know whether that tooth could be responsible. The tooth does not hurt under pressure, when biting, or if I tap it with a small hammer. The inner side of the gum above the painful area also hurts, and when I brush my teeth and gums that part hurts as if it were inflamed. I do not know whether there can be pain under the gum or lower jaw even where there are no teeth. Perhaps the cause is somewhere else. I am going to the dentist tomorrow for an X-ray. Could the root of a middle lower tooth extend, for example, to where I feel pain around the lower left tooth 3? I regularly wear and clean my denture and teeth; which toothpaste would you recommend, for example, to remove as many bacteria as possible? Thank you for your answer. Milena

Dear Sir/Madam!Despite everything, the cause of pain is most often a tooth, even though at first glance the pain seems to be located some distance away from it. In second place we could put pain caused by the denture, although it seems unusual that a denture that does not itself change could begin to cause pain after a longer period of trouble-free wear. Other causes should be looked for on an X-ray (remaining tooth root, cyst...). Among the less likely causes, neuralgic pain is also worth mentioning.Have a nice day!

Dear Sir/Madam, I am 53 years old. At the moment I again have pain in the area of my right cheek, a headache, pain when I bend forward, and also at night when I am lying down. It points to sinus inflammation. I have not had a cold, but I have a thick nasal discharge. My general practitioner prescribed Amoksiklav and Avamys spray; I rinse with Quixx spray. I am worried about the cause of the illness because this happens to me repeatedly. During sports activities I sweat heavily, but only on my head, and after a few days pain appears in the gum, especially in the right upper tooth area. I have a bridge or crowned teeth; the second molar is separate and it is precisely this tooth that begins to hurt first. It has been treated several times, but the X-ray does not show a bad condition. I am worried because after two days the gums of my other teeth also inevitably start to hurt (though less). Because of this I cannot afford more strenuous hill walking, running... because I keep getting these problems. In summer I have no problems, but when colder days arrive the same picture repeats itself. I think I take sufficient care of hygiene because I devote time to it, and I do not have gum problems if I do not “exercise,” for example for three months. My main question is whether it is possible that the problems are due to sensitivity of the teeth/gums, what should I do... What is the connection between the sinuses and the teeth, or are the sinuses or the teeth the cause? Thank you for your answer and kind regards, Julka

Dear Sir/Madam!The history you describe very precisely in your message could indicate inflammation of the paranasal sinus (maxillary sinusitis) on one side. The cause of the inflammation can of course also be the teeth (most often), which depends either on their health status or on anatomical characteristics (size of the sinus, position of the roots...). X-ray diagnostics (panoramic X-ray, local images, 3D imaging, CT of the paranasal sinuses...) and, of course, a clinical examination will certainly be useful.Have a nice day!

Dentist - Your questions

Visitor asks:

Hello! A week ago I had an apicoectomy. Soon after the procedure I became swollen, and the swelling simply will not go away. By the end of the week it had not decreased. On Friday I began to have severe pain and became even more swollen. I therefore called the office, but probably because of the holidays nobody answere

Dentist Tomaž Rotar answers:

Dear Sir/Madam! In principle, swelling one week after the procedure does not yet mean a complication. The procedure is relatively radical, so short-term consequences are usually both visible and felt. Taking an antibiotic in such a case is recommended, as are cooling and analgesi

Visitor asks:

I would like to know how long I must wait for a complete denture after the last tooth extraction. I have diabetes and use insulin — I give myself injections four times a day. I would also like to know the price of a complete denture. Kind regards and thank you for your answer!

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Final remodelling of the bony ridge takes four to six months after tooth extraction. If a denture needs to be made immediately after extraction, it should be temporary. Otherwise, a denture made after extraction requires relining to compensate for changes in the b

Visitor asks:

Dear Sir/Madam! I am interested in dental crowns. What materials do you make them from, which do you recommend and what is the price for 31 teeth? Does insurance cover anything? Thank you sincerely in advance for your answer. Kind regards, sara

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The insurance company covers prosthetic services according to the rules listed on its website. If I knew your dental status, I could give you a more precise answer. Bridge constructions are most often made from metal-ceramic or all-ceramic crowns. Price per crown:

Visitor asks:

Dear Sir/Madam! Two days ago during the night I felt some pain beneath my lower jaw. I have not had teeth in this area for two years because I now wear a denture. The pain is quite far from the central lower tooth and I do not know whether that tooth could be responsible. The tooth does not hurt under pressure, when bi

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Despite everything, the cause of pain is most often a tooth, even though at first glance the pain seems to be located some distance away from it. In second place we could put pain caused by the denture, although it seems unusual that a denture that does not itself

Visitor asks:

Dear Sir/Madam! I would like to know whether there is any waiting time for self-paying patients at your practice. I would also like to know whether osteoporosis is an obstacle when deciding on the placement of dental implants. Thank you and kind regards. Marija

Dentist Tomaž Rotar answers:

Dear Sir/Madam! We always adapt to the needs. If the service is not urgent and the patient can wait, we schedule the appointment for approximately two months later. Osteoporosis is a relative contraindication. Studies show that it may in fact be the use of osteoporosis medication

Visitor asks:

Dear Sir/Madam! On Wednesday I had surgical removal of a wisdom tooth. The wound was sutured and today I noticed a small white spot on the wound that looks like pus. Should I go back to the doctor immediately in this case, or is this something normal that can happen? Thank you for your answer! Kind regards, Darinka

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Based on what you have written, I believe that an additional visit will not be necessary. Have a nice day!

Visitor asks:

Dear Sir/Madam, my dentist has scheduled an extraction of my lower left second molar, which is already non-vital and treated, because it has a longitudinally cracked root and can no longer be saved. I am considering an implant and would like to know how long after the extraction the procedure for implant placement can

Dentist Tomaž Rotar answers:

Dear Sir/Madam! In this case we would perform delayed implantation, which means at least 2–3 months after the tooth extraction. Price of the procedure: - EUR 750 (implant) + EUR 420 (crown on implant) = EUR 1170. Have a nice day!

Visitor asks:

Dear Sir/Madam, I am 53 years old. At the moment I again have pain in the area of my right cheek, a headache, pain when I bend forward, and also at night when I am lying down. It points to sinus inflammation. I have not had a cold, but I have a thick nasal discharge. My general practitioner prescribed Amoksiklav and Av

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The history you describe very precisely in your message could indicate inflammation of the paranasal sinus (maxillary sinusitis) on one side. The cause of the inflammation can of course also be the teeth (most often), which depends either on their health status or

Visitor asks:

I would like to know whether you could correct the gap between my upper teeth?

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The gap between the upper central incisors can be corrected in different ways: -build-up with composite material (white filling). The solution is quick and simple, but composites may become discoloured over time. The procedure is reversible because it can be perfo

Visitor asks:

Hello, I would like to know whether removal of the nerve from a tooth and the associated local anaesthesia, medicines for devitalising the nerve or anything similar, as well as the stress associated with this, can have a negative effect on pregnancy. Are the first or the last weeks of pregnancy more risky? Is the risk

Dentist Tomaž Rotar answers:

Dear Sir/Madam! None of the listed procedures has a negative effect on pregnancy. As for stress, you will know best yourself how much there is and how well you can control it. Have a nice day!

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