Dentalnews (en)

Extract the dental nerve and then perform root canal treatment or kill the nerve using a toxin?

Generally: the longer a dental nerve is exposed or undernourished, the less rosy the future of the tooth!

Toxins should not be used, as they damage not only the dental nerve, but also the surrounding bone. But the tooth should not simply be left open – saliva contains hundreds of different bacteria, which are liable to invade an open tooth and are hard to remove after that.
The problem faced by doctor’s offices is timing. Toothaches appear without due warning, so toothache patients cannot just „make appointments“. This is when dentists resort to toxins, treatment of the „open tooth“, this does not take very long and is easy to squeeze into the ordinary daily schedule of the office! A separate appointment is then made for the actual root treatment.
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However long treatment takes, it is important to use a magnifier (magnifying glass, microscope) and coffer dam. This vastly improves the chances of saving your tooth!

Should milk teeth be pulled or shouldn’t they?

Parents are not the only ones who ask themselves this questions, but quite a lot of dentists do as well!

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Milk teeth are not only needed to chew and talk, but they also stimulate the growth of the jaw. But if parents do not teach their children proper dental care, it is sometimes necessary to remove milk teeth ahead of time.

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This is necessary when:

• the next tooth cannot come out (guided extraction)
• there is a chronic infection, e.g. a fistula has formed at the tip of the root causing problems
• the tooth has been so severely damaged by cavities that it can no longer fulfil its function as a placeholder.

Milk molars play a very important role in the development of a child’s jaw and should be kept intact until the first permanent molar (six) comes out. If the milk tooth in front of a permanent tooth has a filling, then it is crucial to run a thorough cavity check! – –

What can you do to prevent tongue cancer?

There are a few rules to observe, such as avoiding

• cigarettes
• alcohol
• spicy foods
• licking or chewing on pencil lead or similar materials

Practice proper oral hygiene and get regular dental cleaning, and if you should ever sense something funny in your mouth, then wait a week and if it’s still there, go see a doctor! If you belong to a high-risk group (such as nicotine addicts) then get regular check-ups!

Symptoms of tongue cancer

You have a sore spot on your tongue which just refuses to heal – you suspect it may be tongue cancer – what now?
Generally, whenever you have a sore or some alteration in the mucuous membrane of your mouth, you should remove your denture (assuming you have one), stop taking medication (even homeopathic medication) and wait a week.
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Should the sore refuse to heal even after a full week, then you need to go to the hospital and get a biopsy.
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Now you can see some pictures showing tongue cancer in its early stages, but these pictures are by no means exhaustive! You will see more pictures tomorrow, and find out how you can avoid tongue cancer and oral cancer!

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How long should you bother keeping a tooth?

Get a tooth removed, or wait, but for how long? As long as you still have good reason to!

We are talking about severely damaged teeth, teeth that have undergone root treatment but are still causing problems. The picture shows you a tooth that there is no more reason to keep.
The patient underwent root treatment 4 years previously and is still experiencing pain in this area. Root tip resection was performed, but to no avail. During the root tip resection, the tooth received neither an orthograde nor a retrograde filling – more on this topic here

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The patient opted for another resection, but in the course of the operation it became evident that the tooth needed extraction.

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The mucous membrane has been flipped to the side, you can see a small window of bone (highlighted in white), and you can clearly see the tooth (highlighted in black) – the root tip has already been cut. The inside of the tooth is highlighted in blue, inside the pink dot you can see the filling compound. Around the compound, however, the tooth has started to rot  – the black area. There is no more point in keeping this tooth, as faulty root treatment has caused the tooth to rot from the inside. Another root tip resection may help to put off the problem for a while, but not eliminate it completely!