Cosmetic Dentistry Guide » root canal

Teeth with root canal seems to be broken, what are my options?

admin — Fri, 20 Nov 2009 03:44:47 +0000

Q. I HAVE A ROOT CANAL.AND I WAS EATING SOMETHING VERY CRUNCHY WHEN I BITE I FELT THAT MY TEETH MOVE. MY DENTIST TOLD ME THAT I NEED TO WAY UNTYL THE CROWN COME OUT TO SEE IF THE PORTION OF THE TEETH IS OK BECAUSE WHEN HE CHECKED HE FELT THAT THE TEETH IS BROKE TOO. IS THERE OTHER ATERVATIVE.IS ONE OF MY FRONT TEETH

A. I would ask him to remove it and fit a temporary plate then consider a bridge or implant

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

Have been told I would loose all my teeth

admin — Fri, 20 Nov 2009 02:50:42 +0000

Q. Good afternoon,I have just visited a dentist who says that I need root canal surgery,and prescribed antibiotics because of an abcess.I had an upper bridge 10 teeth fitted 5yrs ago, though not by him, and have been told that I am about to lose all of my teeth, plus the bridge. I am at my wits end. I will not contemplate dentures, and need advise on implants.Please help

A. Options for replacing mising teeth are
1. bridges
2. dentures
3. implants.

Implants are a great way of replacing missing teeth. My advice would be to see an experienced implant dentist to provide you options.

Dr Kalpesh Bohara
The Dental Suite
www.dental-suite.co.uk
Tel: 01509 231144
36 Frederick Street
Loughborough Leicester
LE11 3BJ

Is root canal required before having a crown in my case

admin — Thu, 12 Nov 2009 12:59:46 +0000

Q. i asked my doctor to give me a nice smile or correct spaced teeth in the front of my mouth and he is giving me a crown and root canal on the damaged tooth first, but what about the other teeth in the front they are still spaced will i need a root canal on the other teeth in order to get them unspaced and looking nice?

A. It is difficult for me to say without seeing you, all I would say is that you don’t always need root canal before crown or veneer is fitted

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

Half my front tooth is broken and NHS is the only option

admin — Thu, 12 Nov 2009 12:48:37 +0000

Q. I have recently had one of my front teeth break off half way down, and I basically have a mouth full of fillings including a root canal job. My confidence has been knocked so much and I really don’t know what can be done to help me under the NHS? I’m really hoping you can advise me as it’s getting me really down.

A. You can get basic treatment on the NHS although cosmetic treatment may need to be paid separatly for the front tooth.

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

How good is white filling to have tooth whitened

admin — Thu, 12 Nov 2009 01:29:15 +0000

Q. Hi i have had root canal in one of my front teeth and it has become slightly grey,my dentist told me the only way to whiten it is to bleach it internally but theres no way i can afford it.is it possible to have a white filling in the front tooth instead and would this have a whitening effect?

A. The white filling would let the grey colour shine through so it doesn’t work too well

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

I need to know if one of my teeth needs to be pulled out?

admin — Tue, 10 Nov 2009 02:11:03 +0000

Q. Hi Dr. Patel, About 2 years ago I was getting a root canal and my tooth cracked and the tooth had to be pulled. It was the last tooth on the bottom. Now, the tooth above where the old tooth was is growing. The tooth that is growing is a crown. Should I have that tooth pulled? Should I have my regular dentist pull the tooth. Thank you.

A. You need to see your dentist and have it checked if you are wearing a lower denture than the top tooth should not move. Another cause could be the bone around that top tooth has weakened. Go and see your dentist.

Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS

My second root canal has gone horribly wrong

admin — Mon, 09 Nov 2009 05:59:54 +0000

Q. I had a root canal done on a mandibular 2nd molar 5 days ago, was already being treated with antibiotic as a precaution. After the novacaine wore off I was in a great deal of pain. Took vicodin and antibiotic as prescribed, called the dentist the following morning. He switched my antibiotic to a stonger one and said he would see me next week. I was awake all night tat night again in pain, called his emergency number, now accompanied by swelling an an inability to eat due to pain. He returned my call suggesting that I make an appt after the wknd was over to come in to have the tooth extracted. I am 44 years old, female, in good health. This is my second root canal and experienced nothing like this with my last one. Even the exterior of my face is painful when touched. Any suggestions on what has gone wrong or what I should do?

A. Sometimes an infection is so severe it won’t clear wth root canal. In these cases sometimes removal of the tooth is the only option. You could also ask for a referral to a specialist in root canal , an endondontist.

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

I have a 40 year old root canals with discoloured and fragile teeth

admin — Fri, 06 Nov 2009 04:56:49 +0000

Q. Dr Tennet, My upper two front teeth have 40 year old root canals. What is left of the teeth themselves is a very fragile & dark brown. What is the best cosmetic choice for covering them? I currently have porcelain crowns with white (titanium?) cores. They are ok, but not super. Any other options? Also, the gum above one of the crowns protrudes a bit more than its neighbor. That developed after the crowns were replaced a few years ago. My doctor has x-rayed and it doesn’t show an infection. I’m guessing a lot can go wrong with old dental work? Any advice would be appreciated

Discoloured Root filled teeth can be a problem to shade match All ceramic Zirconia cores are a good route but the level of opaque will need to be judged by trial and error it usually requires a few visits. The crown margins should be about 1mm below the gum line to hide the dark root emerging. If this is not possible then some periodontal plastic surgery to reshape the gum using grafts / emdogain etc might be an option.
Rob

Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ

Infected front tooth is drilled and treatment is causing lot of pain

admin — Fri, 06 Nov 2009 04:50:57 +0000

Q. I have been suffering wit a dead front tooth (top) for over a month. The dentist has drilled a hole in the back of the tooth, and initially left the tooth open in order for the bacteria to be killed off by the oxygen. This alleviated the pain initially. The tooth was then padded with soaked disinfectant on cotton wool. Following this after a week or so the tooth was repacked but left open. After the following week the tooth was packed with cotton wool and then sealed with a temporary filling. This felt ok for a while and then the pain was too great and so I removed the temporary filling and the padding and left the tooth open. This alleviated the pain once more. The tooth has now been packed again and sealed over with a temp filling and the pain at this point is quite bad with pain now at the gum and painful to pressure. Should I leave the filling in place or remove it and let the air in again? Is there a better method, this all seems a little ludicrous for this day and age!!!

A. You may need to consider removing the tooth if the infection doesn’t clear soon. Alternatively you could ask your dentist to refer you to a specialist endodontist, they might have more success in saving the tooth and completing the root canal

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

What can be done to a half broken tooth surfacing below gum-line?

admin — Fri, 06 Nov 2009 04:25:45 +0000

Q. Hi, I have just returned from a visit to my dentist today. My appointment was for preparation for a crown on upper molar, second from back. This tooth had broken in half followng root canal treatment and filling 5 years ago. My current dentist put a temporary cover on it and we left it for six months to ensure that the seal hadn’t been breached. When he removed the temporary today he advised he would be unable to save the tooth as what was left of the tooth was partially below the gum-line rendering a crown that would not be viable. He suggested either a bridge, which he felt was not a good option due to the grinding down of the adjacent teeth and suggested an implant at a cost of £2,000. Having done some research on the internet some sites have said that crowns can be placed even if there is only a root left (that has had root canal treatment) and a post can be inserted into the root for the crown to be attached to. Can you advise if this is a possibility please? I look forward to your response. Many thanks.

A. the details are all important here. some teeth can be managed with crowns some are better extracted.
the size, shape and location of the residual tooth : filling are all important.
Before implants there were several common ways to solve the problems. But the fix might only last 5-10years, Implants can be more predictable in some cases. so tend to be increasing in popularity.
If you are near our city centre Practice beside New Street shops contact Amy for details of a free initial assesment. 0121 643 0610

Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ