To pull or not to pull

_AVALANCHE_

Brief background story: I got hit in the face with a basketball...what must be nigh on 5 years ago now and chipped a front tooth (very very small chip). I went to Dentist at the time and he rounded it abit and all was grand.

Now though:( it's giving me abit of bother, I'm guessing the knock at the time killed the nerve?

I know nothing about Dental work, I'm assuming Root Canal is an option, I think Dentist mentioned it at the time,

Looking at the vid though, I don't know, looks like an awful lot of messing and chemicals, hermi something or other seals.....fugi 9:eek:, don't like the look of it at all.

Guy in Vid mentioned 40 mins, I've heard hours mentioned by people only a few months back, how long does it take, for a front tooth?

Should I just get it out?

Will a Root Canal definitely take...or could it fail after a few months? What will it cost? How much will a front denture cost?

Should I just get it out?:o

Of all teeth to happen to....and I haven't even got a filling.

Oral Surgeon

_AVALANCHE_ wrote: »

Brief background story: I got hit in the face with a basketball...what must be nigh on 5 years ago now and chipped a front tooth (very very small chip). I went to Dentist at the time and he rounded it abit and all was grand.

Now though:( it's giving me abit of bother, I'm guessing the knock at the time killed the nerve?

I know nothing about Dental work, I'm assuming Root Canal is an option, I think Dentist mentioned it at the time,

Looking at the vid though, I don't know, looks like an awful lot of messing and chemicals, hermi something or other seals.....fugi 9:eek:, don't like the look of it at all.

Guy in Vid mentioned 40 mins, I've heard hours mentioned by people only a few months back, how long does it take, for a front tooth?

Should I just get it out?

Will a Root Canal definitely take...or could it fail after a few months? What will it cost? How much will a front denture cost?

Should I just get it out?:o

Of all teeth to happen to....and I haven't even got a filling.

Following trauma, a dead tooth is strong possibility, is the tooth darkened, is it sore to touch or to bite on, is there a swelling or gumboil in the gum above it's root????

Upper front teeth have single roots and usually single canals. Success should be quite high (95%ish )and should be restorable if you say it just has a small filling. No medical or surgical treatment has 100% success....

Number of visits varies depending on your specific situation and dentists methods. Probably one or two. Maybe 45mins to an hour at each visit....

Cost, a few hundred... not sure...

Should you get the tooth out?? If this is a savable tooth- then no way, save it.... You will eventually pay the same or more in dentures/bridges/implants....

_AVALANCHE_

Oral Surgeon wrote: »

Following trauma, a dead tooth is strong possibility, is the tooth darkened, is it sore to touch or to bite on, is there a swelling or gumboil in the gum above it's root????

Tooth looks perfect, not darkened, no swelling or boils, it's sore to move with my hand, like it's loose.

Oral Surgeon wrote: »

Upper front teeth have single roots and usually single canals. Success should be quite high (95%ish )and should be restorable if you say it just has a small filling. No medical or surgical treatment has 100% success....

No, no filling, I meant that I don't even have a filling on any tooth and now this happens. Tiny chip on the edge is all it had.

Oral Surgeon wrote: »

Number of visits varies depending on your specific situation and dentists methods. Probably one or two. Maybe 45mins to an hour at each visit....

Cost, a few hundred... not sure...

Should you get the tooth out?? If this is a savable tooth- then no way, save it.... You will eventually pay the same or more in dentures/bridges/implants....

Jaysus, I thought a denture would be the end of it, I'll have to look up bridges and implants.:(:eek:

helimachoptor

I always prefer to save a tooth op (not a dentist) Ive had 2 root canals done by the same specialist the first one about 5 years ago and the second one about a month ago. It costs money but best to keep your own set!

btkm8unsl0w5r4

If the tooth can be kept, then do everything in your power to keep it, replacement is more difficult and costly. Root canal is a routien and successful treatment if done correctly. Dont allow yourself to get into a cycle of removing your body parts when the can be fixed.

letterman036

Save the tooth! Years to come you will be glad you did

_AVALANCHE_

What are the currently used products Dentists use in Ireland to perform Root Canal on a Tooth?

btkm8unsl0w5r4

Same things that are used in any country. However the materials are not as relevant as the care and attention of the dentist to the job. There are so many different techniques and various combinations of materials that you would need a 3 year masters in endodontics to fully understand all of them. Best see a endodontist if quality is your primary concern.

Gutta Percha of some form with a Zinc Oxide and eugenol sealer are the generally used materials, there are 100 bands on the market so you would have to ask the dentist doing the job. All the materials are biocompatable that how they work.

_AVALANCHE_

Vanessa Rancid Roadwork wrote: »

Same things that are used in any country. However the materials are not as relevant as the care and attention of the dentist to the job. There are so many different techniques and various combinations of materials that you would need a 3 year masters in endodontics to fully understand all of them. Best see a endodontist if quality is your primary concern.

Gutta Percha of some form with a Zinc Oxide and eugenol sealer are the generally used materials, there are 100 bands on the market so you would have to ask the dentist doing the job. All the materials are biocompatable that how they work.

Would a normal Dentist be a no no for Root Canals?

Is their toxicity concerns with products used?

http://www.ncbi.nlm.nih.gov/pubmed/11843970

http://www.ncbi.nlm.nih.gov/pubmed/2098460



Leakage differences with the different Techniques used.

Results
Statistical analysis indicated that Thermafil, Soft Core, Quick-Fill and System B techniques showed lower leakage than Microseal and lateral condensation (P < .05). However, statistically no difference was found among the core techniques and no difference was found between microseal and lateral condensation techniques (P > .05).

If the Canal wasn't successful for whatever reason and extraction was needed does all of the filler come out with the tooth on extraction?

How often are X Rays of the Tooth needed for after the Canal? Yearly?

btkm8unsl0w5r4

Ah yeah, your over researching this. Root canals work, if they didn't dentists would not do them. No there are no toxicity problems, yes you will find a article on any topic. You either want to save the tooth or not. General dentists an do root canals.

_AVALANCHE_

Tooth Regeneration.

Dentists could soon hang up their drills. A new peptide, embedded in a soft gel or a thin, flexible film and placed next to a cavity, encourages cells inside teeth to regenerate in about a month, according to a new study in the journal ACS Nano.



This technology is the first of its kind.


The new gel or thin film could eliminate the need to fill painful cavities or drill deep into the root canal of an infected tooth.
"It's not like toothpaste," which prevent cavities, said Nadia Benkirane-Jessel, a scientist at the Institut National de la Sante et de la Recherche Medicale and a co-author of a recent paper. "Here we are really trying to control cavities (after they develop)."


Drilling teeth and filling them is safe and effective. Dentists fill millions of cavities each year across the United States. However, though dentists numb the tooth, many patients still rue the sound of that drill.
The new research could make a trip to the dentist's office more pleasant, said Berkirane-Jessel. Instead of a drill, a quick dab of gel or a thin film against an infected tooth could heal teeth from within.


Cavities are bacteria and pus-filled holes on or in teeth which can lead to discomfort, pain and even tooth loss. When people eat acidic foods, consume sugary snacks or simply don't maintain proper oral hygiene, bacteria begin to eat away at the protective enamel and other minerals inside teeth.


The causes of cavities are varied. But for most cavities, the treatment is

the same: drilling into a tooth, removing the decay and filling in the hole to prevent further damage.
The gel or thin film contains a peptide known as MSH, or melanocyte-stimulating hormone. Previous experiments, reported in the Proceedings of the National Academy of Sciences, showed that MSH encourages bone regeneration.


Bone and teeth are fairly similar, so the French scientists reasoned that if the MSH were applied to teeth, it should help healing as well.
To test their theory, the French scientists applied either a film or gel, both of which contained MSH, to cavity-filled mice teeth. After about one month, the cavities had disappeared, said Benkirane-Jessel.
Benkirane-Jessel cautions that the MSH-containing films or gels only treat cavities; they don't prevent them. People will still need to brush, floss and use mouthwash to help prevent cavities from forming in the first place.
Treating cavities without drilling "would have its advantages," said Hom-Lay Wang, a dentist at the University of Michigan. Cavities and drilling can destroy the nerves and blood vessels inside a tooth, making it more brittle and likely to fracture. Regenerating a tooth could help avoid crowns after a cavity has been filled.


That said, regenerating a tooth from within would only be useful in a relatively small number of cases. Most cavities would still need to be drilled and filled.
In the meantime, patients can't slacken their oral hygiene either. Numerous clinical trials over several years will have to be completed before the MSH-containing gels or films are available to treat cavities in humans.

http://www.cbsnews.com/8301-504763_162-20009153-10391704.html



When will this be available?:P