Having tooth pain or problems can be one of the most uncomfortable experiences possible. It is hard to ignore because it makes your whole quality of life worse. When infection or decay reaches the inner parts of your tooth, it can cause many miserable symptoms. Often the key is getting root canal treatment to save your tooth and alleviate your symptoms. Here are some warning signs that indicate you might need this type of treatment.
Severe pain:
Although not always present, severe pain sometimes occurs with a tooth that needs root canal therapy. It may be sharp, intense pain or a dull ache that won’t subside. If you experience tooth pain that is severe or lasts for several days, see your dentist for an evaluation. If root canal treatment is necessary, any pain you may have will likely disappear after a successful procedure.
Sensitivity to hot or cold:
Discomfort when consuming hot or cold items is another sign of a problem. Mild sensitivity is usually not a big deal, but actual pain when your tooth hits these temperatures may mean the tooth is in an advanced stage of trouble.
Gum tenderness or inflammation:
Swelling or tenderness is often associated with infection, although it doesn’t always mean infection is present. Your dentist can determine the seriousness of the issues and whether root canal treatment is advised. Watch for tenderness, swelling, or even a lump in the affected area.
Darkened tooth:
Discoloration is a sign that the nerves of a tooth are damaged. The tooth may become gray, black or dark yellow. Tooth discoloration is also related to trauma, damaged fillings or severe decay, so visiting your dentist for a checkup is recommended.
Gum boils:
If lesions similar to a pimple form in the gum tissues, it is called a gum boil. It is usually an accumulation of pus, which can be linked to infection. The boil may be larger or smaller at certain times, depending on the activity of the infection in your mouth. It will feel tender and can cause swelling in the area, and you may notice a bad taste in your mouth.
If you have symptoms such as these, see your dentist to learn if root canal treatment is the solution.
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Root canal treatments are specifically designed to relieve the tooth pain associated with an infected tooth root. Patients come in with pain, and often leave the procedure with less discomfort than before. However, if you’ve recently had a root canal treatment on one or more of your teeth, you might be experiencing discomfort following the procedure. Fortunately, there are things you can do at home to take care of it.
Are your gums sore, tender or swollen surrounding the affected tooth? This is likely the result of the tiny metal clips that affix a rubber dam around the tooth, protecting it and protecting your mouth. The clips are attached along the gum line, and can leave tiny bruises or sometimes small cuts in the soft gum tissue. This pain should alleviate within two days of the treatment.
Is the tooth itself sore? This is a common occurrence and is typically the result of an inflammation of the mouth tissues that encase the tooth root. The tools used by the endodontist to perform the procedure can irritate the tissues.
Both of these types of pain can be dealt with by several over-the-counter analgesics. The ones that are most recommended to treat dental pain are those that possess anti-inflammatory agents: naproxen sodium, ibuprofen or aspirin, etc. If you are also taking narcotics prescribed by your dentist, do not take any further medication, over-the-counter or prescription, until you have checked with your dentist. Dangerous reactions can occur.
If you have been prescribed antibiotics, do not stop until you have completed each recommended dose. This ensures that your tooth remains free of infection and can heal thoroughly.
Ask your endodontist if you have other concerns about treating your post-root canal treatment pain.
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Oral surgery to correct problems with the jaw is known as orthognathic surgery. Jaw issues can result from birth defects, changes due to growth, or injury or trauma to the face. While orthodontics can correct bite problems when only the teeth are involved, oral surgery may be required when repositioning of the jaw is necessary to correct the issue. If you suffer from any of the following concerns, orthognathic surgery may be a consideration:
- Difficulty chewing, biting or swallowing
- Problems with opening and closing your mouth, or with speaking
- Persistent jaw or temporomandibular joint pain
- Clenching or grinding of teeth causing excessive wear to the teeth
- Inability to make the lips meet without straining
- Un-proportional facial appearance or protruding jaw
- Malocclusion, open, or incorrect bite
- Recessive lower jaw and chin
- Sleep apnea and breathing problems
Most jaw surgeries are performed completely in the mouth, so no facial scars are visible. The oral surgeon makes cuts in the jawbone and then moves them to the correct position. Once the jaw is correctly aligned, screws and bone plates are placed to secure the jaw into the new position. Sometimes it may be necessary to add extra bone to the jaw from your hip, leg, or rib.
Orthognathic surgery is performed by an oral and maxillofacial surgeon usually in a hospital setting. Recovery time from jaw surgery takes three to six weeks. Your general or family dentist should be able to refer you to a skilled oral surgeon for a consultation and examination to determine a treatment plan. Jaw surgery can improve not only your facial appearance, but also chewing, speaking and breathing functions.
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While minor gum recession can be treated by your dentist with deep cleaning and antibiotics, serious gum recession can only be treated with oral surgery. A loss of bone and gum pockets that are very deep require gum surgery to address the pain and damage left by acute gum recession.
Three treatments are used primarily in the treatment of serious gum recession, in order of invasiveness: pocket depth reduction, regeneration, and soft tissue graft. Pocket depth reduction involves a deep cleaning of the affected area. The periodontist folds the gum tissue back and utilizes tooth scaling and root planing to remove any tartar and plaque built up around the tooth. Once the gum pockets are clean, the surgeon pulls the gum tissue gently around the tooth, eliminating the deep pockets altogether or significantly reducing their depth.
Regeneration utilizes a similar treatment to pocket depth reduction, but it also addresses any bone loss that occurred due to acute gum recession. In this process, a regenerative agent such as graft tissue, membranes or tissue stimulating proteins is added to the affected area. The gum tissue is then tucked into place and stitched down. Over time, the regenerative agent will work to rebuild lost bone and tissue, leaving healthy and thriving tissue behind.
The most common soft tissue graft is taken from the patient’s own mouth, either by removing tissue from the roof of the mouth or from the gum tissue near the affected tooth. The healthy gum tissue is placed in the affected area, over the exposed tooth root, protecting it from infection and damage.
To prevent the need for oral surgery to address your receding gums, have good oral hygiene habits. Brush, floss and see your dentist twice a year for checkups and professional cleanings. Talk to your dentist if you have any other questions about how to reverse or prevent gum recession.
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Wisdom teeth are the last adult teeth to erupt into the mouth, generally emerging between the ages of seventeen and twenty-one. They are the third set of molars and are in pairs: two each on the top and bottom arch of teeth. While some patients don’t have wisdom teeth, most do. Many of those who do have them don’t have enough room for those teeth to erupt fully, causing them to be wedged under the back of another tooth, impacted in the gum.
Impacted wisdom teeth are very difficult to clean, and can negatively affect the surrounding teeth. They are highly vulnerable to disease and decay and may lead to tooth pain and damage to adjacent teeth. For these and other reasons, a dentist may recommend that the teeth be extracted through oral surgery as soon as necessary to prevent any problems.
Extraction of wisdom teeth is typically an outpatient procedure done in an oral surgeon’s office. A healthy patient can proceed with a typical surgery, but if any infection is detected, the surgery can’t move forward until the infection is cleared up through the use of a full course of antibiotics. Once the surgery is moving forward, the surgeon’s team will administer some form of anesthesia to numb the area surrounding the tooth or to possibly sedate the patient through IV sedation dentistry.
After the anesthesia has fully taken effect, the surgeon makes an incision to open the gum and to remove any bone that is blocking the tooth from extraction. The tissue connecting the bone to the tooth will be separated and the tooth will be removed. In some cases, the surgeon will have to break the tooth into smaller pieces to make it easier to remove. After thoroughly cleaning the area and removing any remaining debris, the incision will be closed, stitched and packed with sterile cotton gauze to staunch any bleeding.
The surgeon will provide aftercare instructions. Patients should follow these instructions to the letter in order to ensure the best and fastest healing of the surgical site.
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Not every smile is perfect, so many people want to improve their look through orthodontics. It’s not just a rite of passage for youth anymore; people of all ages pursue new smiles these days. A modern technology that is stylish and hassle-free has been developed called Invisalign. It provides great results without impacting your life as much as traditional braces.
The first step is choosing a dental professional who offers Invisalign treatment, since not every provider is trained and qualified in this approach. Once you find the right professional, the dentist will assess your mouth and determine if you’re a good candidate. With the exception of severe misalignment, most people can benefit from Invisalign.
To get started, your dentist will take teeth impressions and X-rays to create a 3D image of your mouth. That helps determine your treatment plan, how long you can expect the process to last, and allow you to see your teeth at each stage. Being able to see the final outcome is a great advantage of Invisalign.
Clear plastic aligners will be customized for your teeth. They are hardly noticeable in your smile and won’t cause irritation or discomfort. You’ll be instructed to wear them for 22 hours a day for a couple of weeks as they gently move your teeth into better positions, after which you’ll switch to a new set of aligners in the series. The trays are removed for cleaning and eating, making them much simpler than traditional braces. Your normal oral hygiene routine isn’t impacted, as you can continue brushing and flossing as usual without the appliance in your mouth. Many patients also rave about the fact that their diets do not need to change; there are no restrictions with Invisalign.
A checkup with your dentist is needed every 4-6 weeks to monitor your progress. It usually takes from 12-18 months to complete Invisalign treatment. With proper wear, you’ll end up with a beautiful smile without having to suffer through the common complaints of orthodontics.
Do not let another day go by without taking care of your dental needs. Request an appointment now at our Toronto dental office!
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