Category: Dental Hygiene

advice for a missing tooth! sinus lifts, implants, crowns… : Dentistry

so i’m only 17 years old but i was born missing one adult tooth on my upper row of teeth. i just had my baby tooth removed today because it was infected and now i’m left with a hole in my mouth. it’s not very visible but of course it’s not something i’d like to keep – the gap that is.

since i’m so young, i’ve been told that i could do an implant but i’ll not only have to wait about 4 years but also have to do a sinus lift! a crown would mean shaving my teeth down but could be done earlier. does anyone have any experiences they could share or any advice? i have extreme needle anxiety and will have to be sedated for any extreme dental procedure as i already freaked out during my tooth removal today.

i hate having a gap tooth there and 4 years is a long wait, but a crown would mean ruining my other 2 teeth next to it.

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Katie Taylor

Do You Have Enamel Erosion?

We put our teeth through a lot in our lifetime, including the hours we spend eating and drinking. The tooth surfaces must deal with a constantly changing environment. One area that sometimes gets overlooked when choosing our diet is the acidity in maybe causing to our teeth.

Enamel is the hardest substance found in the body but even this amazingly tough outer tooth layer can be damaged by a pH environment lower than 5.5. The pH 0 being the most acidic. If these harsh conditions occur frequently then the top layer can be eroded away over time.

The appearance of acid erosion differs from other types of tooth substance loss as it is smoother in appearance making it less obvious to spot. Here’s what to look out for:

  • Saucer shaped depressions, wearing away of biting surfaces and edges that have a smooth shiny appearance.
  • Thinner enamel or dentine which sometimes has a darker yellow/brown coloring.
  • These visual symptoms are often accompanied by sensitivity to hot, cold, and sweet stimulates
  • The surface of the tooth can also feel different to the tongue and touch usually feeling rougher.

Causes include internal factors such as:

  • Gastroesophageal reflux or acid reflux. This can be caused by food/drink, smoking, pregnancy, and medical conditions such as hiatus hernia.
  • Bulimia is eating disorder which causes frequent vomiting to control a person’s food intake. This causes the enamel to be in contact with strong acids in the stomach.
  • Binge drinking and alcoholism can also induce regular vomiting. The acid in the stomach has a pH around 1.

External factors:

  • Foods include acidic fruit such as citrus fruits, apples, and tomatoes.
  • Anything that has been pickled or preserved in vinegar is also a high risk.
  • Drinks such as sodas, alcohol and fruit juices are obvious dangers but there are
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r/Dentistry - Need urgent help selecting an endo?

Need urgent help selecting an endo? : Dentistry

I am meeting an endo tomorrow for a first consult on #18.

No pain, no pus, no fever. Acute irreversible pulpitis with periapical abscess.

I do have swelling over both #18 and #19 that has been there for 7 days now already so time is passing. Everyone was closed over Thanksgiving.

Can I get some guidance on the endo steps/choices? How do I judge the quality of his recommendations and commit?

Is this a clear cut case or should I waste time and money on consulting different endos?

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Electric toothbrush gift : Dentistry

I am looking to get an electric toothbrush as a gift. I narrowed things down to a sonicare, but i am unsure of which exact model to get. I have no experience with electric toothbrushes so i would appreciate any insight on what models i should consider. Budget is pretty flexible but keeping it in the $100 and less range is preferred. I can go higher if necessary though

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Question about pain around gum surgery site two months post-op : Dentistry

Question about pain around gum surgery site two months post-op : Dentistry

At the end of September I had a gum graft procedure performed around my bottom front teeth. Leading up to that surgery, I had experienced gum recession and related pain. (I also have a history of braces and jaw surgery.) I had two post-op appointments with my periodontist, one at two weeks out and another at six weeks out. Both times my periodontist expressed satisfaction with the outcome. However, I mentioned at the last appointment (which was about three weeks ago) that I’m having some pain around the site. It’s not constant, but it’s frequent enough to have my concerned. She thought it might be tooth sensitivity and prescribed me a special toothpaste. Unfortunately it hasn’t resolved the pain. Here is a photo of the site from today. I don’t think it’s changed much over the past few weeks, but it’s in a region of my mouth that I do not closely inspect every day. I’m not so concerned about aesthetics. I’m concerned about general health and not being in permanent pain.

Is some pain normal, even two months out? Or could this be a sign that the tissue is receding again? Should I call and make a new appointment with the periodontist? Thanks! I appreciate you all.

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appreciation and gratitude :)


Just wanted to shout out all of the dentists and dental hygienists working during the pandemic. I’m a 20 F college student, and lost my six top front teeth this past January after a long battle with anorexia and bulimia / not having dental care growing up.

I’m on the path now to getting implants and I’m halfway through about 4 appointments to fix (tiny, thankfully, but numerous) cavities. My new dentist is INCREDIBLY nice, comforting, and turns the whole thing into a really relaxing experience— even when I’m freaking out and asking if the rest of my teeth are going to fall out (they’re not, but I’m a hypochondriac, and sinus pain instantly sends me into “oh god I’ll have a full set of dentures by 30” mode).

I just want to say thank you to all the dentists, hygienists, and office workers lurking on this sub. I know it’s platitudinous, but it’s a really difficult time right now, and I’m glad there are healthcare professionals out there helping people get help. I’ve browsed this sub over the past few months for advice and understanding, and it’s really helped me feel energized when it comes to getting back to a normal life. Y’all deserve so much love.

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Dr. Kavita Tarale

Microscope-assisted Root Canal Treatment: Why We Recommend It

Perfection is in the finer details

Root canals are very small and are often missed by a human naked eye. They are small but very important anatomical structures which can determine the success or failure of a root canal treatment. Only with the help of a dental microscope one can identify, clean, and fill them to perfection.

One of the most common reasons for root canal failure is missing these minute, anatomical details. Human eye has certain limitations and only with the help of a surgical microscope can a clinician overcome these limitations,

“If you can’t see it, you can’t treat it”

Apart from visualizing and treating the root canals, surgical microscope has wide range of other uses in endodontics. To mention a few:

  1. Conservative access preparation
  2. Retreatment of failed root canal treatment
  3. Removal of broken instruments from the canals
  4. Removal of dental post, etc.

Of course, the skills and techniques of the operator are also important. Modern endodontics is about science, skill, knowledge of anatomical details and use of appropriate tools and equipment.

Microscope-assisted root canal treatments have a predictable and long-term success.

Specialist Endodontist, India
Umm Suqeim Clinic, Dubai

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Dr. Kavita Tarale

Microscope-assisted Root Canal Treatment: Why We Recommend It

Perfection is in the finer details

Root canals are very small and are often missed by a human naked eye. They are small but very important anatomical structures which can determine the success or failure of a root canal treatment. Only with the help of a dental microscope one can identify, clean, and fill them to perfection.

One of the most common reasons for root canal failure is missing these minute, anatomical details. Human eye has certain limitations and only with the help of a surgical microscope can a clinician overcome these limitations,

“If you can’t see it, you can’t treat it”

Apart from visualizing and treating the root canals, surgical microscope has wide range of other uses in endodontics. To mention a few:

  1. Conservative access preparation
  2. Retreatment of failed root canal treatment
  3. Removal of broken instruments from the canals
  4. Removal of dental post, etc.

Of course, the skills and techniques of the operator are also important. Modern endodontics is about science, skill, knowledge of anatomical details and use of appropriate tools and equipment.

Microscope-assisted root canal treatments have a predictable and long-term success.

Specialist Endodontist, India
Umm Suqeim Clinic, Dubai

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My tooth just broke inside of my mouth, what should I do? : Dentistry

I know the obvious answer is to see a dentist, but I have no coverage and am completely broke right now 🙁 I’m just wondering if there’s anything I can do at home, or is this something that should be checked out fairly urgently?

I had a large hole in one of my molars that I think was there because I had lost a filling somehow. Its been gaping open for months now but I try to rinse my mouth after eating to prevent food getting stuck in it. I brush my teeth at least once every day and always have, but I have struggled with dental problems all of my life and have had multiple fillings, a root canal (that fell out years later), and pulled teeth. It has been awful for me because dental things give me severe anxiety and panic attacks, so bad that I once as a child had a dentist ask my mom not to bring me back again because of how much of a fit I had.

I haven’t been to the dentist in years due to financial issues and I’ve had two issues that I’ve really needed to get checked out but haven’t. 1st, my wisdom teeth are growing in very much the wrong way, and two, I cannot stop grinding my teeth and clenching my jaw at night. I wake up with a stiff jaw that cracks and clicks first thing in the morning when I open my mouth.

Just now, I was eating and felt the tooth with the hole break. I spat it out and rinsed my mouth. The inside of the other half of the tooth is fully exposed along with some raw gum. It bled the tiniest bit and didnt hurt at all but I know how bad

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