Dear Sir/Madam! I have a 3.5-year-old daughter. In the past she was diagnosed relatively late (at the age of 2) with lactose intolerance, which later resolved. She is also very small and weighs about 11.5 kg, which is significantly too little for her age, but poor appetite has been a problem for almost her entire life. Consequently, another problem is that her teeth are very fragile. Her upper incisors are already quite badly affected, although they are not yet black (they are brown), and only on the front surface. The first molars are also beginning to be affected in places, and tartar is already accumulating on the lower teeth as well. We brush her teeth regularly, but I cannot prevent the gradual accumulation of tartar and decay. Last autumn, at a private practice and for payment, her teeth were protected with a fluoride solution, but the condition soon began to worsen again. I would very much like to have her teeth treated, because I am afraid that once they start becoming sensitive she will simply stop eating, and she is already critically thin, so we have regular weight checks and consultations at PKLJ. Her personal paediatric dentist says that at her age they do not treat teeth, so he also will not or cannot issue a referral for dental treatment under general anaesthesia at the dental clinic in Ljubljana. I would like to know whether you perform dental treatment in such young children under general anaesthesia, what the price and waiting time for such a procedure are (we are from Ljubljana). If you do not perform such procedures, I would like to know whom I can contact or what you can advise me. Kind regards and pleasant holidays, Marija

Dear Sir/Madam!The question that occurs to me is why it would be necessary to treat the teeth under general anaesthesia. Such procedures are, also from the professional point of view, reserved for children and adults who, because of more severe health disorders, are unable to cooperate during treatment. These procedures are radical and one-off, so they do not achieve optimal effects. The dentist's work is made more difficult by the presence of tubes in the oral cavity, which of course affects the result of the treatment. First, it would be necessary to determine the cause of the extensive carious lesions on the incisors (most often excessive intake of sweet drinks; nursing-bottle caries). If this is a developmental enamel disorder, appropriate treatment is necessary. We do not perform procedures under general anaesthesia in our practice. I can recommend the dental clinic in Ljubljana.Have a nice day!

I have visited the dentist regularly since my teenage years, so I have managed to keep my teeth, although apart from the front ones they all have fillings (some quite extensively), but I think this is common for my 50+ generation. A month and a half ago I began to feel pain, still tolerable, in a lower tooth 4 that had never been treated. A few days later, an X-ray and opening of the tooth showed that the tooth beneath the filling was already dead. The filling was already slightly chipped, but only six months earlier the dentist had said that because the damage was minor there was no point replacing it yet. After the first visit I also took antibiotic tablets, followed by two more visits two weeks apart. At the last visit the treatment was completed and the tooth was filled. I remember feeling that one needle or file passing through the canal gave me a slight prick at the bottom of the canal, as if it had gone through it. That same evening after the filling, the tooth seemed a little more sensitive when I was in a cold room. By the following evening the tooth clearly hurt when touched, and for the next two days I had to take Lekadol. For the last two days the tooth itself no longer hurts to touch, but the gum underneath it and the jawbone do. Should I have another X-ray, and will the tooth need to be opened and treated again? What is the best way to make sure the tooth is preserved?

Dear Sir/Madam!You have described a very common complication following root canal treatment. The symptoms described (pain on touch, spontaneous pain, a periapical area sensitive to pressure...) are the result of inflammation of the periodontal tissues (periodontal ligament, periapical bone) around the root tip. The inflammation can be caused by bacteria that may still be present in the root canal after treatment, or by the effect of filling materials on the periodontal ligament or bone. The options are as follows (individually or in combination):-repeat root canal treatment-apicoectomy or removal of the root tip-administration of systemic antibiotics.X-ray diagnostics are always useful in this case.Have a nice day!

Hello, Please explain whether the insurance company covers the cost of a bridge (crowns) only when seven years have passed since it was fitted. Under the bridge, one of the prepared teeth (central incisor) had a granuloma and also periodontal disease, so the tooth had to be extracted and the bridge removed. The removed bridge had been fitted a little over four years ago. I have a metal-porcelain restoration and intend to have the same again. I would like to know the price difference if the insurance company covers the basic restoration and whether I am entitled to coverage of this cost at all. Thank you for your answer.

Dear Sir/Madam!The expected service period for connected fixed constructions is seven years. The guarantee period, however, is one year. During the guarantee period, remaking the bridge (because of material fractures...) is covered by the dental laboratory. For the next six years, remaking the bridge is covered by the dentist himself if the bridge failed because of material fractures, inadequate work... If the reasons lie outside factors that the dentist could have influenced, the patient covers the cost of remaking the bridge. After the expected service period has ended, the cost of fabrication is again covered by the insurance company.Have a nice day!

Dear Mr Tomaž! A week ago I had dental treatment. Everything went smoothly in the upper jaw and the teeth are as good as new =). I am worried about the lower jaw, where I lost one tooth on each side (6 and 7). Before we extracted them, the tartar was also cleaned, and the extractions were done last. The lower part is supposed to be completed in the spring, once everything has healed nicely. I am concerned about pain that is getting worse every day, especially on the left side (first molar), where the extraction did not go very smoothly. Is it worth waiting a few more days in case it is only inflammation, or could a piece of root have remained in the jaw? I am worried because I can hardly get through a day without at least two or three Ibuprofen 600 mg tablets, which I know is not ideal, and of course I also have problems eating. I kindly ask for your advice. Thank you, respectfully. Igor

Dear Sir/Madam!Based on what you have written, I believe that several months have already passed since the procedure. Pain usually does not persist for that long. In any case, when looking for the cause of the problem it is necessary to take a panoramic or local X-ray. Only after excluding the most common causes (a broken root tip remains in the alveolus...) can we consider more complex and more difficult-to-treat causes of pain (neuralgia...). Delaying the diagnostic procedures mentioned and taking analgesics is not an appropriate solution.Have a nice day!

Dentist - Your questions

Visitor asks:

Dear Sir/Madam! I have major problems with my teeth. In the upper jaw I currently have a cast partial denture, but I am facing a complete denture. I would like to know the price of an acrylic complete denture with mini implants. In the lower jaw I am missing tooth 6 on the left and teeth 5 and 6 on the right, which I w

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Dear Sir/Madam! Prices: -EUR 500 (acrylic complete denture) -EUR 750 implant (we need two or four) -EUR 750 (implant) + 420 (crown on implant) = EUR 1170 (lower left) -EUR 750 (implant) X 2 + EUR 420 (crown on implant) X 2 = EUR 2340 (lower right) -EUR 350 (veneer

Visitor asks:

Dear Sir/Madam! I have a 3.5-year-old daughter. In the past she was diagnosed relatively late (at the age of 2) with lactose intolerance, which later resolved. She is also very small and weighs about 11.5 kg, which is significantly too little for her age, but poor appetite has been a problem for almost her entire life.

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The question that occurs to me is why it would be necessary to treat the teeth under general anaesthesia. Such procedures are, also from the professional point of view, reserved for children and adults who, because of more severe health disorders, are unable to co

Visitor asks:

Dear Sir/Madam, I am 46 years old and have had crowns on my upper and lower teeth for 18 years. Because of wear of the crowns and also loss of teeth in the back of the lower jaw, I decided on a complete rehabilitation of both jaws. I do not think the upper jaw will be a problem, since I am missing only 1 tooth at the b

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Based on the status you describe, I would suggest a solution with four implants: -lower right: an implant at the position of tooth 6 -lower left: implants at the positions of tooth 6, tooth 3 and tooth 1. Have a nice day!

Visitor asks:

I have visited the dentist regularly since my teenage years, so I have managed to keep my teeth, although apart from the front ones they all have fillings (some quite extensively), but I think this is common for my 50+ generation. A month and a half ago I began to feel pain, still tolerable, in a lower tooth 4 that had

Dentist Tomaž Rotar answers:

Dear Sir/Madam! You have described a very common complication following root canal treatment. The symptoms described (pain on touch, spontaneous pain, a periapical area sensitive to pressure...) are the result of inflammation of the periodontal tissues (periodontal ligament, peri

Visitor asks:

Hello, Please explain whether the insurance company covers the cost of a bridge (crowns) only when seven years have passed since it was fitted. Under the bridge, one of the prepared teeth (central incisor) had a granuloma and also periodontal disease, so the tooth had to be extracted and the bridge removed. The removed

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The expected service period for connected fixed constructions is seven years. The guarantee period, however, is one year. During the guarantee period, remaking the bridge (because of material fractures...) is covered by the dental laboratory. For the next six year

Visitor asks:

Hello! I would like to know about the durability of bridges on implants, healthy teeth and treated teeth. I am interested in a comparison. Second question... what is the situation if there are cantilevers on these abutments? Thank you in advance for your answer!!!!

Dentist Tomaž Rotar answers:

Dear Sir/Madam! We can speak about durability only statistically. The lifespan of an individual restoration naturally depends on the lifespan of the supporting elements (tooth, implant). Ten-year survival of a non-vital tooth is around 80%. Ten-year survival of implants is around

Visitor asks:

Dear Sir/Madam! I would like to know the price of repairing a cracked upper denture. Kind regards and thank you for your answer.

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The price depends on the difficulty of the repair. A simple repair costs 50 EUR. Have a nice day!

Visitor asks:

Dear Mr Tomaž! A week ago I had dental treatment. Everything went smoothly in the upper jaw and the teeth are as good as new =). I am worried about the lower jaw, where I lost one tooth on each side (6 and 7). Before we extracted them, the tartar was also cleaned, and the extractions were done last. The lower part is s

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Based on what you have written, I believe that several months have already passed since the procedure. Pain usually does not persist for that long. In any case, when looking for the cause of the problem it is necessary to take a panoramic or local X-ray. Only afte

Visitor asks:

Hello, because of pain in a tooth, my dentist opened the tooth (first molar) and discovered that a lesion had developed all the way to the bone. She said that unfortunately the tooth could no longer be saved and would need to be extracted. For this reason I would like to hear your opinion as well: is there any way the

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Based on what you have written, I believe the root furcation at the floor of the pulp chamber is affected. Such a tooth is very difficult to restore permanently. For a more precise answer, I would need to see the X-ray and the tooth itself. Have a nice day!

Visitor asks:

Hello! My wisdom tooth in the upper jaw has become inflamed. Because it hurts and bothers me, I would like to know the extent and cost of extraction with treatment, and whether the procedure can be done under general anesthesia! I am a self-paying patient; it is not under the concession/public insurance. I should also

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Extraction of an upper wisdom tooth usually does not present any particular difficulties. The price of the procedure is 60 EUR. A procedure under general anesthesia is not possible in our practice. If you have no health consequences after the meningitis you had, t

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