Hello, On 31 May 2011 my lower left wisdom tooth was surgically removed. Before the operation I had a very deep purulent pocket, because of which the strips had to be changed almost daily for three weeks beforehand. The operation was difficult because of the size of the tooth and its position (growing toward the tongue). Immediately after the operation the surgeon placed some kind of gauze into the wound, which I then had changed once more, until he completed the treatment on 9 June and also removed the sutures. A new problem has now appeared: purulent discharge, swelling near a lymph node, and mild tenderness to touch on the face. The surgeon who operated on me is absent, so I am asking you for your opinion. I would like to know what problems have developed and what should be done in this case. Is it possible that pus from deep inside is simply draining out this way and will eventually drain completely? Could my problem perhaps be solved simply with a strip or an antibiotic? Could there have been some diseased tissue present (the tooth was healthy) that should have been removed during the operation but was not? Can damaged/purulent tissue be seen on an X-ray? All I know is that after a tooth is removed (ordinary extraction rather than surgery), the pus also disappears on its own and the situation resolves. My present condition is therefore unfamiliar to me and I have not come across it even on forums. Thank you very much for your answers and kind regards.

Dear Sir/Madam!Based on what you have written, I believe that inflammation is still present. The difficulty of the procedure and consequently its effects most often account for the condition described. If the local lymph nodes are enlarged again (perhaps with an elevated body temperature as well), I would advise taking an antibiotic. In my opinion, additional local procedures are not necessary. For exact information I would of course need to examine the condition, but I am convinced that your therapist removed all diseased tissue. Recovery after procedures takes different lengths of time in different people, but in all cases the condition also resolves successfully.Have a nice day!

Hello! Because of a smaller jaw, my two upper central incisors are crooked and turned inward in the middle. I have noticed that quite a few people have teeth growing like this. Years ago, during an examination, I was told that an orthodontic appliance could only be fitted if two teeth (the second premolars or first molars) were removed first, creating the necessary space... I did not choose that option, so I am asking whether the two central incisors (they are completely healthy) could be aesthetically corrected with veneers, because I really want to have a beautiful smile. Kind regards! Katja

Dear Sir/Madam!The best solution is to place the teeth in the correct position (with an orthodontic appliance). A lack of space in the jaw can be compensated for in different ways: expansion of the jaw, slight narrowing of the dental crowns, extraction of premolars... After analysing the models and an X-ray, an orthodontic specialist can choose the best solution. If the listed solutions are still incompatible with the logic of how radical the procedures are, we can of course also consider other solutions (veneers and thus reshaping the dental crown, fabrication of a complete dental crown...). This procedure is not entirely non-radical either, since it also requires a certain degree of invasion into the hard dental tissues. I hope I have at least managed to broaden your view of how decisions about individual procedures are made and thus also justify the lack of a clear-cut answer.Have a nice day!

At 46, I have already been wearing complete lower and upper dentures for 20 years, so I "died" at 26... I decided that I would nevertheless like to "live" a little more, so I went for a consultation with a dentist, carrying a panoramic X-ray. He assessed that in the lower jaw the removable denture could be stabilized with 2 or 4 implants, while in the upper jaw, with 4 implants (probably 2 of them with artificial bone – sinus lift, implantation of artificial bone and then implants), a removable or even fixed palateless prosthesis could be made. It is obvious that such a solution would represent a very demanding procedure. I am turning to you because I urgently need a "second opinion". I realize that without a precise X-ray (CT) image you cannot alter the proposed solution, so I ask you to provide only the financial and time framework for a procedure comprising: 4 implants in the lower jaw + removable denture and 4 implants in the upper jaw + palateless removable denture. Additionally, please provide an outline of the solution for a "fixed prosthesis". Thank you!

Dear Sir/Madam!Price of the procedure for each jaw:EUR 750 (implant) X 4 = EUR 3,000 + EUR 710 (denture with cast base); total EUR 3,710.Time frame:implantation: one hour for each jaw.suture removal: ten days after the procedure.loading of implants: approximately 3 months after implantation we can make the denture, which is also attached to the implants. Until then you wear a temporary denture. Four visits are required to make the denture.For a fixed restoration, approximately 6 implants are required in each jaw.Have a nice day!

Hello! You seem like the right person to turn to for an additional opinion... about a month ago my own dentist made veneers on my upper central incisors. She said they would be sensitive for some time, but now that more than a month has passed, both teeth still hurt when I bite. Is that normal? When I rub these two teeth with my finger, despite regular hygiene there is a strange smell on my finger (this never happened before). Could something have gone wrong, and could I make an appointment for an examination with you? I have heard that you are among the better professionals in this field... Have a nice day! Sandi

Dear Sir/Madam!Hypersensitivity of teeth to changes in temperature and osmotic pressure can persist for quite some time after cementation of a prosthetic restoration. Sensitivity of a tooth to biting or impact (touch), however, is probably a sign of more serious damage to the dental pulp and requires root canal treatment. The complication is relatively common with extensive procedures on teeth, which represent a certain trauma to the tooth and most often end in devitalization of the tooth. I believe your treating dentist will know how to solve the problem.Have a nice day!

Dentist - Your questions

Visitor asks:

Hello, On 31 May 2011 my lower left wisdom tooth was surgically removed. Before the operation I had a very deep purulent pocket, because of which the strips had to be changed almost daily for three weeks beforehand. The operation was difficult because of the size of the tooth and its position (growing toward the tongue

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Based on what you have written, I believe that inflammation is still present. The difficulty of the procedure and consequently its effects most often account for the condition described. If the local lymph nodes are enlarged again (perhaps with an elevated body te

Visitor asks:

Hello! Because of a smaller jaw, my two upper central incisors are crooked and turned inward in the middle. I have noticed that quite a few people have teeth growing like this. Years ago, during an examination, I was told that an orthodontic appliance could only be fitted if two teeth (the second premolars or first mol

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The best solution is to place the teeth in the correct position (with an orthodontic appliance). A lack of space in the jaw can be compensated for in different ways: expansion of the jaw, slight narrowing of the dental crowns, extraction of premolars... After anal

Visitor asks:

At 46, I have already been wearing complete lower and upper dentures for 20 years, so I "died" at 26... I decided that I would nevertheless like to "live" a little more, so I went for a consultation with a dentist, carrying a panoramic X-ray. He assessed that in the lower jaw the removable denture could be stabilized w

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Price of the procedure for each jaw: EUR 750 (implant) X 4 = EUR 3,000 + EUR 710 (denture with cast base); total EUR 3,710. Time frame: implantation: one hour for each jaw. suture removal: ten days after the procedure. loading of implants: approximately 3 months a

Visitor asks:

When you mention a veneer price of 350 Eur, do you mean for just one tooth? I have a gap between the upper central incisors and would like to know how much everything would cost, because I am a student and this is not exactly cheap. Kind regards.

Dentist Tomaž Rotar answers:

Dear Sir/Madam! 350 Eur is the price of one dental veneer. If we need to reshape two dental crowns in order to close the gap between them, we most often need two dental veneers. Identical shape of the two central incisors is crucial for a good aesthetic result. Have a nice day!

Visitor asks:

Hello! I have a problem: I am missing a front tooth. Unfortunately it fell out, although a small part can still be seen, so the root is obviously still inside. I would like to know what the repair procedure would be, how much it would cost, and most importantly whether my gum could be numbed because unfortunately I am

Dentist Tomaž Rotar answers:

Dear Sir/Madam! If the root part of the tooth can be retained, I recommend root canal treatment and fabrication of an artificial dental crown on a post. Price: approx. EUR 100 (root canal treatment) + EUR 210 (metal-ceramic crown) = EUR 310. If we consider that the root part cann

Visitor asks:

Hello! I do not have either of my upper lateral incisors. My teeth are otherwise straight, but the appearance bothers me a lot because my canines are in the positions of the lateral incisors and my teeth look somewhat “vampire-like.” I would like to know whether this appearance could be corrected somehow, in what way,

Dentist Tomaž Rotar answers:

Dear Sir/Madam! If only reshaping of the canines is required, the procedure can be carried out by making two crowns for the canines and reshaping them in this way. Price: EUR 210 (metal-ceramic crown) X 2 = EUR 420, or EUR 350 (all-ceramic crown) X 2 = EUR 700. If the teeth also

Visitor asks:

Hello, I am missing both upper first premolars. Since I do not want bridges, I have decided on implants. I would like to know how much this costs, including X-rays/CD if necessary, and whether there is a difference in materials. Kind regards

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The price of the procedure you are asking about is: -750 Eur (implant without adding bone substitute) + 420 Eur (crown on implant) = 1170 Eur for one first premolar. All procedures required to achieve the desired result, some of which may be unpredictable at the v

Visitor asks:

Hello..... not long ago my lower left first and second molars were extracted. Next to them I also already have an erupted wisdom tooth, which is in good condition. I would like to know what you recommend, what all the possible ways are to replace those two teeth, and what the price would be. Thank you for your answer a

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Classical treatment of the gap requires grinding the second premolar and the wisdom tooth and making a bridge from the second premolar to the wisdom tooth. Instead of this, it is better to place two implants at the sites of the extracted teeth and, after a certain

Visitor asks:

Hello, yesterday, while biting into a cherry, I chipped off a small piece of a tooth (the lower left central incisor). I would like to know whether the repair is covered by insurance. Please kindly answer, and thank you in advance :)

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The repair is covered by insurance at your chosen dentist. Have a nice day!

Visitor asks:

Hello! You seem like the right person to turn to for an additional opinion... about a month ago my own dentist made veneers on my upper central incisors. She said they would be sensitive for some time, but now that more than a month has passed, both teeth still hurt when I bite. Is that normal? When I rub these two tee

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Hypersensitivity of teeth to changes in temperature and osmotic pressure can persist for quite some time after cementation of a prosthetic restoration. Sensitivity of a tooth to biting or impact (touch), however, is probably a sign of more serious damage to the de

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