Toothache Question

 

My mother 54 years old is having toothache and so she took sporidex af 750 that the dentist prescribed one year back. Astonishingly she got skin rashes after one hour from consumption which previously didn't happen. But I couldn't understand why this happened?

The antibiotic course shouldn't be taken on its own. Because there is a complete course time duration for antibiotics. Starting the antibiotics and not completing the course can make you antibiotic-resistant. 

Meaning these first-line antibiotics will not work in case you require them in the future for any illness and then higher antibiotics will be given.

So first stop taking medication randomly.

You can always come to Online Platforms like Lybrate, 1mg, and others and ask.

Whenever pain take a pain killer, not antibiotics. 

Regarding the allergic reaction, have you checked the expiry date of the medicine, or maybe the medicine was manipulated, did you buy from the recognized pharmacy, or over the period of one year her immune system went low.

Now that you know this medication has done the allergic reaction, keep noting it and always tell your physician or dental surgeon beforehand.

Anyways regarding toothache
when medicine does not work and cannot control the tooth pain, then it is high time that you visit the dentist. 

Firstly, the dentist will find out the tooth.
Secondly, the dentist will take the x-ray.

If the pain is due to caries, then there is a high chance that caries has reached the nerve and is giving pain due to infection. 

So the dentist will in that case open the tooth and open the tooth door and then pressure inside the tooth will be released out and as soon as the pressure due to pus is released the pain will subside.

But for all this, you need to visit the dentist. Then in subsequent follow up will try to save the tooth via RCT.

Third, if the tooth cannot be saved via rct then removal of the tooth, not on the same day though.

If it is not due to teeth and entirely pain arising out of gums then the dentist will do scaling, curettage, root planing, and give you gels to apply. But for anything you have to visit the dentist.

Right diagnosis is the key. 

Meanwhile, you can take
tab ketorolac dt - 2 tablets in half glass of water.
Or tab Ultracet one whenever you have pain.
But taking medication is subject to kidney, and liver diseases, whenever above or any allergy.

Stop if you have any of the whenever above and take crocin one tablet whenever pain.

Missing Teeth?

Question:  Hello, I didn't knew anything about dental procedures, I lost one teeth in my anterior region, then dentist suggested bridge, my two teeth used for bridge were completely healthy and fine, but still he did root canal on those. I did as he suggested. Now when I am reading on internet and some other places, they are saying root canal should not have been done if abutmentts were healthy. Now I am worried about my teeth. Will the lifetime of those teeth due to rct decrease? Or would it cause me any problem? I am worried lot about it. Please guide.

Remember
To replace any single tooth there are three options-

Option 1. 

If you want fixed teeth then - the topmost is DENTAL IMPLANTS

Adv of implant
-fixed
-last for many years
-bone remains the same even after 10 years. (slight change maybe)
-soft tissue remains the same even after 10 years.
-there is no need to cut the adjacent healthy tooth.

Dis adv of implant
-time taking procedure takes more than 3-4 months, sometimes even more than that.
-technique sensitive procedure.
-expensive, will cost from 10000/15000/20000/25000 to 60, 80k per tooth.
-it can also get an infection if not kept well called         Peri-Implantitis.

Option 2 

in fixed is a DENTAL BRIDGE, i.e taking the help of adjacent teeth and making 3 teeth together.

Advantages
-takes less time
-less expensive than the implant.
-it is fixed so no need to take it out.

Dis advantages
-1. Two natural teeth are cut and in the future, there is likely that those abutment teeth may get a cavity, or sensitivity or may need a root canal.
2. If not kept well infection in gums, bone

Option 3

Removable- Not Fixed

Advantages
-takes very less time to make.
-less expensive than the implant, and dental bridge.
-not technique sensitive.

Disadvantages
- you got to remove it every night
-gums and bones reduce with time.

-chances of caries and gum infection in the supporting teeth 

-mouth smell if not cleaned

Before implants came into practice, dental bridges were given as that was the only fixed treatment for replacing missing teeth available.

But with the implants invention, the topmost priority is given to implants when there is a need for fixed teeth and because of many advantages over the bridge and removable.

Deciding on what is to be given whether the implant or the bridge varies from case to case.

-Gum health
-Bone health
-Overall medical health of the patient
-Paying ability
-What is the patient expectation?
-If the patient is in hurry or there is less time for the treatment.

-Nearby labs are present or not 

-More qualified implant doctors are available or not in case of any situation turns worse in implant surgery.

-You stay near to the clinic or far.

So your dentist's decision on giving you a bridge depends on the above-mentioned factors.

If the root canal is done perfectly, if you maintain your teeth all three of them then it may last for many years.

If you want to let them be healthy forever,
maintain oral hygiene, do floss, brush twice, brush at night, reduce sugar, and keep visiting the dentist every 6 9 12 months to get an xray of all three and keep them with you. And always compare your xray with the last ones you have taken. With this, your bridge may last for a longer time.

Always remember even an implant fails too if no hygiene is maintained, if not brushed twice, if not flossed, etc.

Do not worry things are done now.
Now you have to follow up with him/her.

How to choose Right Toothbrush?

Is It a Cavity or Stain? How to Find Out

 Question for today is -

Why doesn't my dentist fix the little black dots and black lines on my teeth? Aren't these cavities?

Black Line or Blackspot

If your food is getting stuck in the Black Line or Black Spot and It is present on the surface like in this 1st picture

Then more likely it is a CAVITY due to caries.

The dentist confirms the Cavity which is present on the Black Line or Black Spot by probing the surface of the tooth.

If Probe goes inside the Line or Spot and food particle comes with the probe then definitely it is a cavity due to caries and it needs immediate attention of the dentist.

Black Stains

Black Stains are Superficial, These stains are due to plaque formation. Plaque is a white, sticky biofilm which is formed every day.

Black or Brown Stains like those present in the picture

on teeth which could be present due to many reasons.

Topmost reasons are

-Tea, Coffee

-Smoking, Tobacco Habits

-You might have taken some medication, (antibiotics tetracycline and doxycycline can affect enamel formation in children under the age of 8, tetracycline, Antihistamines, angiotensin-converting enzyme (ACE) inhibitors, calcium channel blockers, beta-blockers, heart rhythm medications, and diuretics, Cancer medication, etc.)

-You are not brushing at night / in the morning / or using datun or using red paste.

-Genetically

-Water in your area

-Improper Teeth Alignment and so your brush is not able to clean those areas.

Now you have to see in your tooth.

If your food is getting stuck in it, more likely it is a cavity, you need to get it filled.

If your food is not getting stuck then it is Stains that you can easily remove with a toothbrush, then those stains are more likely black/brown stains and do not require filling.

Stains can easily be removed with Brushing, Mouthwashes, and a dental treatment called Scaling, Curettage, Root Planning.

Is dental crowning after a root canal necessary?

Read this

by John I Ingle - “crowns should be placed on endodontically treated posterior teeth that have occlusal intercuspation with opposing teeth of the nature that places expansive forces on the cusps. Since crowns do not enhance the clinical success of anterior endodontically treated teeth, their use on relatively sound teeth should be limited to situations where esthetic and functional requirements cannot be adequately achieved by other more conservative restoration”

Meaning in simple terms

If RCT is done In Posterior teeth i.e 2 Premolars and 2 Molars and

if they have opposite teeth, then you must get a crown after the Root Canal, otherwise due to force by opposite tooth RCT treated tooth will fracture, and then it will be a waste of your time, money, and doctor’s time.

if there is no opposite tooth then you should not because then there will be no force on the RCT treated tooth.

In case of RCT in Anterior teeth i.e canine, lateral incisor and central incisor. There is no need for a crown in them until and unless there is esthetic demand by the patient or functional demand by your teeth.

Little bit about who is John Ingle?

Dr. John I. Ingle, is best known as author of ENDODONTICS, a leading text in the field, first published in 1965. Dr. Ingle obtained his dental degree from Northwestern University in 1942. In 1957 Dr. Ingle standardized the size and shape of endodontic instruments, an international standard that remains today.  He has published over 80 scientific articles in the dental literature and has lectured extensively throughout the world.

https://www.platinumdentalcentre.co.in/post/is-dental-crowning-after-a-root-canal-necessary

How to properly take care of your teeth?

 Question: How do you properly take care of your teeth?

Choose FLUORONIDATED TOOTHPASTE 

3m clinpro 5000 1.1% toothpaste (it's more expensive than the other toothpaste available on the market)

or Enafix toothpaste.

 Reduces risk for cavity and makes enamel strong. FLOURODINATED TOOTHPASTE decreases enamel solubility by acids and also improves remineralization.

Also
1. Correct brushing technique (Type of Brush, Angulation of Brush, Timing of Brushing, Movement of Brushing is equally important). https://www.youtube.com/watch?v=MvRI4mlhOFo

2. Flossing daily. https://www.youtube.com/watch?v=eAp2FeO4hCI

3. Use of Mouthwash like chlorhexidine, hydrogen peroxide, or betadine or salt water rinses

4. Use of Interdental Brushes/Toothpicks. 

https://www.youtube.com/watch?v=lFc3xc3JtOg

https://www.youtube.com/watch?v=wGAeIR8vpfU

https://www.youtube.com/watch?v=V4KIsopfWP4

5. Gum paints like Stolin. Metrohex plus gel for gum care.

6. Fluoride application every 6 months from a nearby Dentist.

7. Tell your Dentist to take 5 x-rays (upper/ lower right and left back teeth from canine to the last molar) of yours every quarterly or 6 months or yearly (depending on the caries activity level) quarterly left-back and keep a track of caries activity.

8. Brushing at night is super important, no matter what you eat or drink. Mouthwash cannot be a substitute for brushing. Brushing is a must. You can do Clean Brushing (without toothpaste). https://www.youtube.com/watch?v=LEqDNAJbwmY

9. Restrict eating toffee/ chocolate/ milk/soda/pizza/burger/chewing gum/or any food or drink in between your meal.

10. Stop habits like drinking coke, lime, any fizzy drinks, tobacco, paan, smoke, and similar.

You need to reduce the bacterial load in your mouth, as soon as you do it you will see a change.

Get your fillings completed before it reaches deep. It will save not only your tooth from getting super decay but also save your money which you will be spending on the future high-end treatment.

What to do After Tooth Removal ?

Question:

What are the precautions to take after tooth extraction?

Immediately after extraction till 24 hours.

The next 24 hrs are extremely important because your activity will decide whether your healing will take place on time or not, whether your healing clot will stay or get removed.

• Keep pressing the cotton ball for an hour.

• After an hour, remove the cotton ball and have a cup of vanilla/ chocolate ice cream, not butterscotch, only a cup and not a stick of ice cream.

• For the next 24 hours No spitting. Take saliva inside. NO SPITTING.
  

• Take soft, cold food and water only.

• Apply Icepack.

• Do not brush. No Toothbrushing.

• Do not drink anything from a straw, if you want to drink coconut water, take it in a glass and then drink.

• No fizz drinks.

• No Hot food or water items.

• Do not wrap a cloth around your face.

• Do not sleep on that side.

• Do not place a blanket or bedsheet on your face.

• No Smoking, Alcohol, Tobacco chewing.
  
  
  
  
  
  
  
  
  
  

• Take medication as prescribed.

• Do not try and use your tongue and finger to touch the extracted socket.

• Stop talking for an hour and speak less for the next 24 hours.

• Take a rest and also you can continue your daily activity.

• Do not take stress or tension.

Anything you do wrong in the immediate next 24 hours, your healing clot will get dislodged, chances are that there will be an infection and result in a DRY SOCKET

.

After 24- 36 hours

• All the normal activities can be started.

• Start warm saline rinses i.e add a pinch of salt in half glass of warm water and do rinses at least 4–5 times a day.

• Take medication as prescribed. Don’t try and outplay the dentist by thinking now you are not having pain so why should I take anti-inflammatory and antibiotics medication, Please.

• No Smoking, Alcohol, Tobacco chewing at least for 7–14 days.

• Do not try to use your finger and tongue to touch the extracted socket.

• After having food, do rinse your mouth with a warm saline rinse or you can also do betadine rinses in a 1:3 ratio.

If you Feel you have pain after 3–5 days after tooth extraction, then surely it is a Dry Socket and for that, you need to visit the dentist.

The Dentist will Irrigate and put medication in the socket.

You will need to keep visiting 3–4 times to change the dressings.