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Have you ever felt pain or discomfort after a bite of ice cream or a spoonful of hot soup? If so, you're not alone. While pain caused by hot or cold foods could be a sign of a cavity, it's also common in people who have sensitive teeth.
Tooth Sensitivity, or "dentin hypersensitivity," is exactly what it sounds like: pain or discomfort in the teeth as a response to certain stimuli, such as hot or cold temperatures.
The most common triggers include:
Your symptoms may come and go over time for no obvious reason. They may range from mild to intense. It may be temporary or a chronic problem, and it can affect one tooth, several teeth, or all the teeth in a single individual. It can have a number of different causes, but most cases of sensitive teeth are easily treated with a change in your oral hygiene regimen.
Some people naturally have more sensitive teeth than others due to having thinner enamel. The enamel is the outer layer of the tooth that protects it. In many cases, the tooth's enamel can be worn down from:
Dentinal hypersensitivity, or tooth sensitivity, is a common dental problem. It's a condition that can develop over time, as a result of common problems such as receding gums and/or enamel wear. Most sufferers are between 20 and 50 years old. Tooth sensitivity can start to happen when the softer, inner part of the tooth called 'dentin' becomes exposed. Dentin is the “sensitive layer" and it lies under the enamel and the gums.
Thousands of microscopic channels run through the dentine towards the centre of the tooth. Once the dentine is exposed, external triggers (such as a cold drink) can stimulate the nerves inside the tooth, causing the characteristic short, sharp sensation of tooth sensitivity.
Our dental specialist at Therapeuo can confirm you have dentinal hypersensitivity. If you are diagnosed with dentinal hypersensitivity, you can help to minimise further exposure of the dentin, care for your sensitive teeth and relieve the symptoms by making some simple changes to your daily oral care routine and dietary habits.
If you've ever winced after an unwelcome sensation of tooth sensitivity, you're not the only one. But remember, there can be many different causes of dental sensation, other than tooth sensitivity. So, if you are feeling any discomfort, especially if it persists, the best thing you can do is visit your dentist and seek professional advice.
If you're experiencing tooth sensitivity for the first time, do not sit idle. Attend to it immediately and call us for an appointment. We will look at the health of your teeth and check for potential problems like cavities, loose fillings, or recessed gums that could be causing the sensitivity. We will also take an OPG X-ray (full mouth dental scan) to help diagnose your problem.
Depending on your tooth sensitivity we will either change your oral hygiene methods, prescribe better toothpastes and mouth rinses or carry out treatment (tooth fillings, gum procedures, mouthguards etc) to relieve your pain.
If you have an underlying medical condition that has caused the sensitivity (GERD, Bulimia, Hyper acidity etc) usually treating these underlying causes would help ease the pain. This would be the first step in our treatment plan to help you get better.
Your teeth may be temporarily sensitive following dental work like getting fillings, crowns, or teeth bleaching. In this case, sensitivity will also be confined to one tooth or the teeth surrounding the tooth that received dental work. This should subside after several days.
Amalgam fillings also known as Silver fillings, have been used in dentistry for over 100 years. Health concerns have been raised as this filling material consists of a combination of metals including mercury (major concern), tin and copper as well as small amounts of zinc, indium or palladium.
We at Therapeuo choose not to use Silver fillings for any of our patients. In fact, we are often asked to replace these older silver fillings with a newer, tooth-coloured material known as Composite. If you have any silver fillings, we highly recommend you replace these with Composite.
Resin composite fillings are made of a ceramic and plastic compound. Because resin mimics the appearance of natural teeth, these fillings blend right in. They're also known as "white fillings" or "tooth-coloured fillings." Such a procedure is usually done by our dental specialist known as an Aesthetic Dentist or Restorative Dentist.
Composite resins, or tooth-colored fillings, provide good durability and resistance to fracture in small to mid-size fillings that need to withstand moderate pressure from the constant stress of chewing. They can be used on either front or back teeth. They are a good choice for people who prefer that their fillings look more natural.
It generally takes longer to place a composite filling than it does for a metal filling. That's because composite fillings require the tooth be kept clean and dry while the cavity is being filled.
These are not permanent and may someday have to be replaced. The best way to stay on top of such a potential development is to follow good oral hygiene practices, healthy eating habits, and maintain a regular schedule of dental visits.
If you have a cavity, broken tooth, or a deteriorated filling, you may be a candidate for a tooth-coloured filling. Schedule a dental consultation with us to find out if a composite filling is right for you. Our dental specialists and aesthetics dentists will be able to guide you as to what will be the best option for your great smile.
A composite filling is a relatively short procedure and one of the most common dental procedures done today. When you arrive at our office, expect to spend an hour with us. During your visit, your gums and teeth will be anaesthetised with a local anaesthetic near the site of the filling. Once the area is numb, the decayed or damaged portion of your teeth will be removed. A rubber sheet (known as a rubber dam) will be placed around the tooth to keep you protected during the treatment phase. The new Composite filling will then be placed, shaped and polished before the procedure is complete. A blue coloured light will be used during the procedure to harden the restoration. All this is done with utmost care and precaution. Now your tooth is ready to use, though it is recommended that you do not try to eat or drink hot liquids until the anesthetic has worn off.
To maintain your fillings, you should follow good oral hygiene practices -- visiting us at Therapeuo regularly for dental clean ups. Brushing with a fluoride-containing toothpaste, and flossing at least once daily will help tremendously. If we your dental specialists suspect that a filling might be cracked or is "leaking" (when the sides of the filling don't fit tightly against the tooth, this allows debris and saliva to seep down between the filling and the tooth, which can lead to decay), we will take X-rays to assess the situation.
If your tooth is extremely sensitive, if you feel a sharp edge, if you notice a crack in the filling, or if a piece of the filling is missing, please call us for an appointment.
Composite fillings allow dentists to preserve more of the natural tooth structure? This is because composite materials chemically bond to the surface of the tooth like an adhesive. The process takes slightly longer to complete than traditional Silver fillings, but you can preserve more of the natural portion of the teeth while enjoying a restoration that is discreet.
There's no need to be worried if our Root canal specialist (Endodontist) prescribes a root canal procedure to treat a damaged or diseased tooth. A root canal is a pain free treatment. Millions of teeth are treated and saved this way each year, relieving pain and making teeth healthy again.
"Endo" is the Greek word for "inside" and "odont" is Greek for "tooth." Endodontic treatment treats the inside of the tooth. Root canal treatment is one type of endodontic treatment which aims to save your tooth.
Inside your tooth, beneath the white enamel and a hard layer called dentin, is a soft tissue called pulp. This tissue contains blood vessels, nerves and connective tissue, which help grow the root of your tooth during its development. A fully developed tooth can survive without the pulp because the tooth continues to be nourished by the tissues surrounding it.
Root Canals (short for Root Canal Treatments) are valuable dental procedures used to treat and preserve teeth with badly infected roots. The pulp is the live portion of the tooth that extends into the root and contains nerve endings and tissues. When it becomes infected, patients can experience dental pain, swelling and even tooth loss unless treated.
Root Canals remove the damaged parts of the tooth (cracked tooth or chipped tooth) and infected root due to severe decay or deep decay. In some cases, an antibiotic is prescribed to help prevent further infection within the tooth. The portion of the tooth that remains is usually restored using a cap or crown that provides a natural appearance and normal tooth function.
A modern root canal treatment (endodontic treatment) is nothing like those old sayings! It's very similar to a routine filling and can usually be completed in one or two appointments, depending on the condition of your tooth and your personal circumstances. At Therapeuo getting a root canal is a pain free treatment and is extremely effective. You'll be back to smiling, biting and chewing with ease in no time.
Note : However, in some severe cases multiple sittings might be required.
You could be a candidate for a root canal therapy if tooth decay (deep cavity or severe decay) or damage (cracked tooth) has allowed bacteria to infect the pulp inside your tooth. Root canals are needed for a cracked tooth from injury or genetics, a deep cavity, or issues from a previous filling. Patients generally need a root canal when they notice dental pain from sensitivity in their teeth, particularly hot and cold sensations or if their gums become swollen and tender with presence of a swelling.
A Root Canal could also be the right pain free treatment for you. We always prefer to preserve as much of your natural tooth as possible thereby saving your tooth instead of extracting it.
No. Local anaesthetics and advancements in modern dentistry have made root canals painfree procedures that are as comfortable as getting a standard tooth coloured filling. At Therapeuo it is usually a single sitting pain free procedure. There is no dental pain that will be felt by you during the root canal therapy.
The root canal specialist (endodontist) examines and takes a radiograph of the tooth using x-rays, then administers local anesthetic. This is to ensure pain free treatment. After the tooth root is numb, the endodontist places a small protective rubber sheet called a "dental dam" over the area to isolate the tooth and keep it clean and free of saliva during the root canal procedure.
The endodontist makes an opening in the crown of the tooth. Very tiny instruments are used to clean the pulp from the pulp chamber and root canals and to shape the space for filling. At Therapeuo our root canal specialist uses motorized instruments thereby ensuring quick and efficient cleaning allowing us to perform single visit root canal procedures.
After space is cleaned and shaped, the endodontist fills the root canals with a biocompatible material, usually a rubber-like material called gutta-percha. The gutta-percha is placed with an adhesive cement to ensure complete sealing of the root canals. In most cases, a temporary filling is placed to close the opening. The temporary filling will be removed by our restorative dentist before the tooth is restored.
After the final visit with our root canal specialist (endodontist), you must return to have a crown or other restoration placed by our restorative dentist, on the tooth to protect and restore it to full chewing function.
If the tooth lacks sufficient structure to hold the restoration in place, our prosthodontist (tooth cap specialist) may place a post inside the tooth. Following this your tooth will be ready to receive a cap and restore it to normal function.
You should not chew or bite on the treated tooth until you have had it restored by our prosthodontist. The unrestored tooth is susceptible to fracture, so you should visit us for a full restoration (crown or onlay) as soon as possible. Otherwise, you need only practice good oral hygiene, including brushing, flossing, and regular check-ups and cleanings (dental scalings).
Most endodontically treated teeth last as long as other natural teeth. In a few cases, a tooth that has undergone endodontic treatment does not heal or the pain continues. Occasionally, the tooth may become painful or diseased months or even years after successful treatment. Often when this occurs, redoing the endodontic procedure (Re-root canal therapy) can save the tooth.
The cost varies depending on how complex the problem is and which tooth is affected. Molars (the teeth present at the back of the mouth used for chewing) are more difficult to treat; the fee is usually more. The usual cost at Therapeuo is Rs 7,000 that could go up to Rs 8,500 depending on the complexity of the case and whether it is a re-root canal procedure or a fresh one.
Generally, endodontic treatment and restoration of the natural tooth are less expensive than the alternative of having the tooth extracted. An extracted tooth must be replaced with an implant or bridge to restore chewing function and prevent adjacent teeth from shifting.
The alternative is to have the tooth out (extracted). Once the pulp is destroyed, it can’t heal and it is not recommended to leave an infected tooth in the mouth. Although some people would prefer an extraction and a dental implant (artificial tooth root), it is usually best to keep as much of the natural tooth as possible.
It is normal for teeth to become inflamed after a root canal, potentially causing sensitivity for the first several days following treatment. You should not chew or bite on the treated tooth until you have had it restored by your dentist. The unrestored tooth is susceptible to fracture, so you should see your dentist for a full restoration as soon as possible. Otherwise, you need only practice good oral hygiene, including brushing, flossing, and regular checkups and cleanings.
Most endodontically treated teeth last as long as other natural teeth. In a few cases, a tooth that has undergone endodontic treatment does not heal or the pain continues. Occasionally, the tooth may become painful or diseased months or even years after successful treatment. Often when this occurs, redoing the endodontic procedure can save the tooth. However, normal brushing and flossing habits can be resumed immediately after treatment and restoration with a core and crown is complete.
Once the pulp in your tooth is infected, the only other alternative to Root Canal Therapy is having the tooth removed (extracted). This is absolutely discouraged at Therapeuo! We prefer preserving your natural tooth as much as possible. Removing one tooth can cause your other teeth to shift. This could change your bite and the quality of your smile!
Tooth extractions are routine dental procedures that remove decayed, damaged or otherwise problematic teeth. We at Therapeuo usually make every effort to preserve natural teeth, although sometimes a dental extraction is necessary. Depending on which teeth are removed, they may be replaced with a dental implant or another oral prosthetic by our restorative dentist or prosthetic dentist (prosthodontist).
Although many circumstances requiring extraction are unavoidable, some could be prevented with regular dental checks and clean-up visits to our dental clinic.
Before scheduling the procedure, our oral surgeon (dentist trained specially to remove teeth and carry out other dental surgical procedures) will take an X-ray of your tooth. Be sure to tell our dental surgeon about any medications you take, as well as vitamins, supplements, and over-the-counter drugs.
Please do tell our surgeon if you will soon be treated for another medical condition with an intravenous drug called a bisphosphonate. If so, the extraction should be done before the drug treatment, or your jaw could be at risk for osteonecrosis (bone death).
At Therapeuo we always want to make sure all your health conditions are stable or treated before you undergo the tooth extraction.
Only we as dental professionals can tell you if you require a tooth extraction. However, you may be a candidate for the procedure if one or more of your teeth are decayed so severely that a tooth coloured filling, root canal treatment or other restoration is not a possibility for treatment.
If we agree to extract one or more teeth, you will be scheduled to return for oral surgery at a later date.
Before starting the dental extraction, the dental surgeon will take an X-ray of your tooth. This imaging will help them evaluate the curvature and angle of the tooth’s root.
Once the local anesthetic has numbed the area, the surgeon will begin the extraction. They may remove the tooth in several pieces.
If the tooth is concealed beneath gum tissue or bone, the doctor may need to cut away the gum or remove the obstructing area of bone.
You should not feel pain (pain free treatment), but you can expect to feel pressure against the tooth. You may also hear grinding and cracking of bone or teeth. Some people find the experience unpleasant and distressing but there is no need to fret as you are in good hands.
If you do feel any pain, please notify our dentist or oral surgeon immediately. The doctor will administer more numbing agent.
After the extraction, stitches or additional procedures to control the bleeding in the missing tooth area may be necessary.
The dentist or oral surgeon will place a thick layer of gauze over the extraction site and have you bite on it to absorb the blood and start the clotting process. You may be prescribed medications to help manage pain in the hours following your extraction.
Aftercare for an extracted tooth can vary slightly depending on a few factors.
These include which tooth our dental surgeon took out, as some teeth have deeper roots than others and take longer to heal. However, most people find that pain decreases after about 3 days.
One of the most important aspects of aftercare is maintaining the blood clot that forms in the socket where the tooth used to be.
Caring for this blood clot is key to the healing process, and it helps prevent painful complications, such as dry socket.
Much of the aftercare in the first couple of days following an extraction focuses on allowing a blood clot to form and caring for the mouth in general.
As some experts note, low level bleeding for up to 24 hours after an extraction is perfectly normal. However, active bleeding after this point requires treatment and you should notify us immediately of the same.
The extraction socket in the area of the missing tooth may bleed for a few days. Please come and see us if the bleeding is heavy and doesn't stop.
You will be instructed to avoid certain foods and also keep the surgical site clean at all times.
A person should try to eat soft foods while recovering from tooth extraction.
After the clot has formed, it is vital to keep it securely in place and to follow some extra steps for oral hygiene to help prevent other issues.
Discomfort or dental pain in the extraction site is common and lasts for a few days. Most pain disappears 2-3 days after the procedure. Most healthy people don't need antibiotics after a regular tooth extraction.
Wisdom teeth or Third molars completely erupt usually between 18 to 24 years of age. However, sometimes there may not be room in your mouth for your wisdom teeth. Thus, when they start to come through, they push against the teeth already there or come through at an angle. This can be quite disconcerting especially if you have undergone orthodontic treatment. When this happens, you might feel some pain or discomfort, so the best thing to do is to visit us at Therapeuo.
We will take an OPG x-ray of your mouth to see how-or if-your wisdom teeth are coming through. From this, we will be able to judge whether or not to extract them, and how easy or difficult it might be. In certain complicated cases an additional scan known as a CBCT Scan will be required.
Note : In some cases where additional procedures are required they will be charged separately and you will be informed of the same prior to starting the treatment.
You may be a candidate for the procedure if your wisdom teeth are decayed so severely that a filling, root canal or other restoration is not a possibility for treatment. This will also be the case for recurring peri-coronitis(swollen and tender gums which bleed easily) or incorrectly erupted third molars.
If we agree to extract one or more teeth, you will be scheduled to return for oral surgery at a later date.
Before starting the dental extraction, our dental surgeon will take an X-ray of your tooth. This imaging will help us evaluate the curvature and angle of the tooth's root.
Once the local anesthetic has numbed the area, the oral surgeon will begin the extraction. We may remove the tooth completely or in several pieces depending on how badly the tooth is impacted.
If the tooth is concealed beneath gum tissue or bone, the oral surgeon may need to cut away the gum or remove the obstructing area of bone.
You will not feel pain (pain free treatment), but you can expect to feel pressure against the tooth. You may also hear grinding and cracking of bone or teeth. Some people find the experience unpleasant and distressing but there is no need to fret as you are in good hands.
If you do feel any pain, please notify our dentist or oral surgeon immediately. The doctor will administer more numbing agent.
After the extraction, stitches or additional procedures to control the bleeding in the missing tooth area may be necessary.
The dentist or oral surgeon will place a thick layer of gauze over the extraction site and have you bite on it to absorb the blood and start the clotting process. You may be prescribed medications to help manage pain in the hours following your extraction.
Aftercare for an extracted tooth can vary slightly depending on a few factors.
These include which tooth our dental surgeon took out, as some teeth have deeper roots than others and take longer to heal. However, most people find that pain decreases after about 3 days.
One of the most important aspects of aftercare is maintaining the blood clot that forms in the socket where the tooth used to be.
Caring for this blood clot is key to the healing process, and it helps prevent painful complications, such as dry socket.Much of the aftercare in the first couple of days following an extraction focuses on allowing a blood clot to form and caring for the mouth in general.
As some experts note, low level bleeding for up to 24 hours after an extraction is perfectly normal. However, active bleeding after this point requires treatment and you should notify us immediately of the same.
The extraction socket in the area of the missing tooth may bleed for a few days. Please come and see us if the bleeding is heavy and doesn't stop.
You will be instructed to avoid certain foods and also keep the surgical site clean at all times.
You should try to eat soft foods while recovering from tooth extraction. After the clot has formed, it is vital to keep it securely in place and to follow some extra steps for oral hygiene to help prevent other issues.
Saline rinses : When the clot is securely in place, gently rinse your mouth with a warm saline solution or a pinch of salt in warm water. This mixture helps kill bacteria in the mouth, which may prevent infections as the mouth heals.
Brush and floss as usual : Brush and floss the teeth as usual, but take care to avoid the extracted tooth (missing tooth area) altogether. The saline solution and any medicated mouthwash that we recommend should be enough to clean this area.
Eat soft foods : Throughout the entire healing process, you should eat soft foods that do not require a lot of chewing and are unlikely to become trapped in the empty socket(missing tooth area). Consider sticking to soups, yogurt, applesauce, and similar foods. Avoid hard toast, chips, and foods containing seeds.
However, the healing time for wisdom teeth extraction may still be much longer than that for a regular tooth, and a person may need to take more time off work or school.
The swelling gets worse, instead of better.
You have fever, chills or redness.
You have trouble swallowing.
You have uncontrolled bleeding in the area.
The area continues to ooze or bleed after the first 24 hours.
Your tongue, chin or lip feels numb more than 3 to 4 hours after the procedure.
The extraction site becomes very painful , This may be a sign that you have developed a dry socket.
Wisdom teeth can be difficult to reach while brushing because of their location in the mouth; as a result, they decay easily. Partially erupted wisdom teeth are particularly difficult to keep clean because they are still partly under the gums.
