For two days my upper tooth 6 was slightly sensitive to hot and cold. I rushed to the emergency dentist so there would be no surprises over the weekend, and it was a good thing I went, because caries had developed beneath the filling and had already reached the pulp. Part of the filling and the caries were removed (it hurt a little). The tooth is now temporarily closed, my appointment with my dentist is in 20 days, and I have lots of questions. Does caries reaching the pulp mean that the pulp will have to be devitalized, removed and the root canal filled? Apparently there is a technique of laser pulpotomy combined with MTA (Mineral Trioxide Aggregate), and I would like to know whether this is also used in adults and whether you perhaps use this technique at your practice. Above all, I wonder whether waiting 20 days reduces the chances of successful treatment. It is very important to me to keep the tooth in the best possible condition.

Dear Sir/Madam!Based on what you have written, I believe that direct pulp capping was performed, which means that the site where the pulp was exposed was covered with an agent (Calksyl...) that causes minimal necrosis of the pulp tissue and subsequent deposition of tertiary dentin, which will once again separate the inside and outside of the pulp chamber. In adults, the described procedure, or the pulpotomy that most often follows it and about which you are asking, is generally not used because the procedures are most often unsuccessful. We can certainly attempt the procedure; in any case, if it fails, we can continue with vital or mortal extirpation (complete removal) of the dental pulp. If I may assume that direct pulp capping has already been performed, then a delay of three weeks until further treatment (if it is needed at all) is not problematic.Have a nice day!

Hello! I would like your opinion. After a month of treatment (7 visits to the dentist), the final diagnosis is: gangrene of teeth 6 and 8 in the upper left, and decay of the crown of tooth 7. The pain is unbearable. Is the tooth 8, the so-called wisdom tooth, treated or is extraction better? Why does such a situation arise where three teeth begin to die at the same time, considering that I visit the dentist regularly, even up to three times a year? I also have a new X-ray on which tooth 8 showed no signs of decay, and I did not feel the vitality test at all — how is that possible? I would also like to know whether it is normal for such treatment to be performed without local anaesthesia, on a live tooth, when the already very painful area causes unbearable pain. What are the chances of keeping tooth 6, in which three canals have been cleaned and which has been left open since 25 August? Thank you very much for your answers and kind regards.

Dear Sir/Madam!Root canal treatment of a wisdom tooth is technically difficult to perform. If the treatment cannot be carried out, we prefer to extract the tooth. Late detection of carious lesions that, if untreated, slowly reach the dental pulp ultimately leads to the clinical picture you describe. It has been statistically shown that dentists miss approximately 30% of dental caries at the contact points between teeth because it is difficult to see in its early stages. We recommend occasional imaging using panoramic or bitewing techniques, but even X-rays are not completely reliable. I definitely recommend root canal treatment under local anaesthesia, at least in the first phase. If you want a prognosis for the tooth 6 you describe, I would need to see at least a local X-ray.Have a nice day!

Dear Doctor, I have just returned from a visit to the dentist and am turning to you because at the office I did not receive an adequate explanation of today's treatment. My condition was caries on the lower right first molar distally and the second molar mesially. The dentist drilled first the first molar and then the second molar in order to make a completely ordinary filling. When he was almost finished and only wanted to grind the occlusal surface, he suddenly panicked a little and began telling the assistant to quickly, quickly mix something on a sterile plate with sterile instruments because “the pulp had come to the surface.” I felt pain despite the mandibular block. I would like to know what actually happened and what the possible consequences are. Does the inside of the tooth regenerate over time so that later there are no problems because of this? Can I expect inflammation? Thank you for your kindness.

Dear Sir/Madam!Based on what you have written, I believe the carious process destroyed the entire thickness of the dentin, which the dentist had to attempt to remove. During the procedure, the dental pulp was exposed. The dentist tried to cover the small defect with a material we use for direct pulp capping. The purpose of the procedure is to protect the pulp from the external environment and to stimulate the formation of reparative dentin, which will finally separate the pulp from the cavity containing the filling. You do not need to expect problems, although it is true that the pulp can respond to relatively severe stress with inflammation. Three quarters of pulpitis cases (inflammations) proceed asymptomatically (without pain), but all of them result in pulp necrosis. In this case, root canal treatment is necessary, during which dead tissue is removed from the root canals and the canals are filled with a synthetic material.Have a nice day!

Dentist - Your questions

Visitor asks:

For two days my upper tooth 6 was slightly sensitive to hot and cold. I rushed to the emergency dentist so there would be no surprises over the weekend, and it was a good thing I went, because caries had developed beneath the filling and had already reached the pulp. Part of the filling and the caries were removed (it

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Based on what you have written, I believe that direct pulp capping was performed, which means that the site where the pulp was exposed was covered with an agent (Calksyl...) that causes minimal necrosis of the pulp tissue and subsequent deposition of tertiary dent

Visitor asks:

Hello! I would like your opinion. After a month of treatment (7 visits to the dentist), the final diagnosis is: gangrene of teeth 6 and 8 in the upper left, and decay of the crown of tooth 7. The pain is unbearable. Is the tooth 8, the so-called wisdom tooth, treated or is extraction better? Why does such a situation a

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Root canal treatment of a wisdom tooth is technically difficult to perform. If the treatment cannot be carried out, we prefer to extract the tooth. Late detection of carious lesions that, if untreated, slowly reach the dental pulp ultimately leads to the clinical

Visitor asks:

I have quite a few problems with my teeth, and in addition I have an incredible phobia of the dentist (or rather of dental procedures), so I am very interested in whether there is anywhere in Slovenia, Austria or Germany where dental problems can be treated under general anaesthesia (of course I know that if such a pos

Dentist Tomaž Rotar answers:

Dear Sir/Madam! You can inquire about treatment under general anaesthesia at the Dental Clinic in Ljubljana. Have a nice day!

Visitor asks:

Hello! Because of brittle teeth, the “remnants” of my upper second premolars had to be extracted, so I no longer have them. My dentist told me that I would need a Maryland bridge, which would cost me EUR 350 (each). What is the chance that the bridge could fall off, or that the other two teeth could be damaged, and can

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Given that the surface by which the bridge described is bonded to the neighboring teeth is relatively small, the probability that it will become detached is higher than with a classical bridge. An adhesive bridge also requires intervention in the hard tissues of t

Visitor asks:

Hello, I noticed a brown spot on the top of our 15-month-old daughter's lower first molar. We brush her teeth twice a day with toothpaste. During the day she also plays with the toothbrush herself and brushes her teeth. She drinks only water and does not eat sweets. The tooth erupted a little over a month ago. I would

Dentist Tomaž Rotar answers:

Dear Sir/Madam! It is most likely a developmental enamel disorder (hypoplasia). The brown spot visible on the tooth is brownish dentin, which is normally covered by enamel. In rare cases, hyperfluorosis (a consequence of an excessively high fluoride concentration in the enamel) c

Visitor asks:

What is the current waiting time for an apicoectomy procedure (on the upper left second premolar)? What is included in the price of 90 Eur and what possible additional costs are there before and after the procedure? Thank you in advance for your answer. Miro

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The waiting time is approx. two months. The price includes all costs of the procedure. Have a nice day!

Visitor asks:

I would like to know how much an upper complete denture on 2 implants would cost and whether insurance would cover anything. Thank you for your answer, kind regards.

Dentist Tomaž Rotar answers:

Dear Sir/Madam! If you are registered with our practice and the waiting period for prosthetic treatment has elapsed, ZZZS covers the cost of the complete denture, whose private price is otherwise EUR 500. The price of two implants is EUR 1500. Have a nice day!

Visitor asks:

Hello. Today I visited my dentist because I woke up this morning with swelling on my right cheek. Some time ago a lump appeared high above the tooth, but it did not hurt until yesterday. Yesterday it opened and blood and pus are draining from it; teeth 4 and 5 are practically only stumps. She gave me Amoksiklav and sai

Dentist Tomaž Rotar answers:

Dear Sir/Madam! A fistula or abscess has formed above the tooth. An additional incision of the swelling will therefore probably not be necessary. If the teeth can no longer be restored, they need to be removed if you want the condition not to recur. Have a nice day!

Visitor asks:

Hello, I would like to know how much a self-paid white crown costs for the upper first and second molars, where the surface area is quite large on both teeth. Thank you and kind regards, S.

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Price of a crown: - EUR 210 (metal-ceramic) - EUR 350 (all-ceramic). Have a nice day!

Visitor asks:

Dear Doctor, I have just returned from a visit to the dentist and am turning to you because at the office I did not receive an adequate explanation of today's treatment. My condition was caries on the lower right first molar distally and the second molar mesially. The dentist drilled first the first molar and then the

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Based on what you have written, I believe the carious process destroyed the entire thickness of the dentin, which the dentist had to attempt to remove. During the procedure, the dental pulp was exposed. The dentist tried to cover the small defect with a material w

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