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About Tony Appleton BDS DPDS
(Top Expert on this page)

Expertise
I am an experienced general dental practitioner in private dental practice in the UK. I will happily answer questions related to general practice, and have interests in endodontics (root canal), dental implants, CEREC and cosmetic dentistry.

Experience

Experience in the area

I have been a general practitioner for over 22 years, working initially under the NHS, but since 2001 have been solely in private practice. I run a busy practice with my wife, Lisa, who is also a dentist. I have also been closely involved in the training of young dentists, and have lectured to dentists on a variety of subjects, both clinical and managerial, related to general dental practice.

Organizations

Church Street Dental Practice

Stratford Dental

British Dental Association

Publications

British Dental Journal

Cancer Treatment Reviews

Education/Credentials

BDS DPDS



   

You are here:  Experts > Health/Fitness > Dentistry > Dentistry

Questions Answered By Expert  Tony Appleton BDS DPDS 
In Category  Dentistry

SubjectDate Asked

acute pulpitis and local anaesthetic11/15/2009
  Q: if a patient with acute pulpitis wants an extraction, the local anaesthetic does not work due to ...
  A: You need to treat the acute infection. Primary treatment being drainage, either directly if there ...
pain after temporary crown11/12/2009
  Q: Some months ago my dentist recommended that a heavily filled molar would need a crown; at the time ...
  A: If it is not the bite that is the problem then there are several other possibilities. there could be ...
recurrent infection/ pustule ? maxillary sinus11/11/2009
  Q: apologies for the long post. Seven years ago I had a prolonged episode of toothache and a small ...
  A: This sounds very like recurrent infection from the tooth. In which case your best bet would be to ...
Perforated root with pin protruding into gum11/7/2009
  Q: I have been having RCT on a rear upper molar that had initially had RCT 10 years prior. The dentist ...
  A: Do you feel confident in this dentist? A perforation like this is not uncommon and happens to the ...
root left in after an extraction11/7/2009
  Q: I have recently changed dentists and my new dentist has discovered roots left in from extractions ...
  A: It is not necessarily egligent to leave tooth roots behind, but the dentist should have discussed ...
cantilever bridge11/6/2009
  Q: Dr. Appleton, I was hoping to get some advice on a very bad experience with a dentist. I saw him for ...
  A: A canine tooth is usually strong enough to support a cantilever replacing the lateral incisor, ...
Possible Implant Back Upper Molar11/3/2009
  Q: Appleton: I just lost a crown on a tooth that was root canalled last year - it is the very back one ...
  A: As ever, a second opinion may well be useful - another dentist may feel a crown is reasonable. To ...
Numb teeth10/30/2009
  Q: Hoping you can help ? I am a 42yr old female who recently had a large, old amalgam filling removed ...
  A: This is hard to diagnose without seeing you, but it sounds like it is either a problem starting with ...
crack root of a front tooth10/30/2009
  Q: i only have two of my own teeth left in the bottom of my mouth and yesterday i think i cracked the ...
  A: I'm afraid that with only two teeth remaining you are probably fighting a bit of a losing battle! ...
root canal pain10/5/2009
  Q: first of all I want to say that I haven't been tooth pain free since May 2009. I had a tooth (#30) ...
  A: It is not common to need this treatment, but from what you are describing you problems are complex. ...
Root Canal question10/3/2009
  Q: I was wondering if you educate me a little please? My daughter (17y/o) fell at school approx 2 years ...
  A: 1 The 'nerve' is completely removed 2 Normally 1 root in this particular tooth 3 It may darken, but ...
Root Canal9/29/2009
  Q: Firstly, thanks for any advice you can offer. I've been having a great deal of trouble with a root ...
  A: The ideal solution would be to see an endodontist (specialist in root canal treatment). This would ...
Dental cyst9/29/2009
  Q: I went to my dentist because I had a severe pain in my chin. I couldn't use my front two teeth to ...
  A: It sounds to me like your dentist has been rather hasty with his diagnosis - firstly in removing ...
throbbing after an emergency root canal9/27/2009
  Q: Tony Appleton, First of all, thank you for your time. I had an emergency root canal on the tooth ...
  A: It is quite normal for a tooth to be painful as you describe after root canal treatment - it can ...
My son broke his tooth.9/27/2009
  Q: Tony, My son Anirudh who is 3.5yrs old broke his front tooth(milk tooth) while playing. We are not ...
  A: He needs to see a dentist. It may be that the tooth root needs to be extracted, ormaybe it could be ...
porcelain veneers9/26/2009
  Q: I would much appreciate your expertise.. I have recently had my porcelain veneers replaced for ...
  A: The dentist should replace these for you free of charge. You can't get a proper appreciation of the ...
Root Canal Pain9/25/2009
  Q: I had a root canal 4 days ago and have been in pain since the procedure. 15 years ago I did have a ...
  A: You can experience quite a degree of pain after root treatment, and this doesn't necessarily mean ...
retreatment of root canals9/24/2009
  Q: A family member had root canal treatment in a molar two years ago. Now he needs retreatment. He is ...
  A: Modern root canal treatment is far far more effective than the treatment you had in the 1940s. ...
Teeth keep chipping off9/23/2009
  Q: My wife's teeth keep chipping off periodically. She is 48 yrs old. Could you please explain as to ...
  A: I'm afraid that without further information on the nature/location of the chipping I can't be of ...
Sudden cavities9/22/2009
  Q: "I am 56 years old. Up until this year, I typically could eat anything and never have a cavity. I ...
  A: Cavities are caused by sugar in your diet, so the obvious thought is that you may have changed your ...
Use of Fosamax and root canal9/15/2009
  Q: I have been on Fosamax for five years. Is there any danger to my jaw bone or healing after a root ...
  A: If you were my patient I would refer you to a maxillofacial department for management of the ...
Root Canal or not?9/15/2009
  Q: i am just wondering what my dentist is thinking really, i went there the first time (about a month ...
  A: The dentist is trying to determine whether or not the pulp in the middle of your tooth will recover ...
Crowns9/14/2009
  Q: My dentist says that I need several crowns put on my upper teeth. The dental sheet specifies two ...
  A: The second type is much stronger so may last longer - appearance should be the same. A lot depends ...
Braces & Jaw Surgery9/12/2009
  Q: I had braces for many years as a kid. I started when I was 7 with a palate expander and then we ...
  A: Jaw surgery is not to be undertaken lightly, and it doesn't sound to me like the right thing to do! ...
bridge gone wrong9/9/2009
  Q: I have had a bridge for the last 12 years. I take very good care of my teen but I have just been ...
  A: The best option would be the implants - although a partial denture would be OK - it really depends ...
Past dentist ruined my teeth - is new dentist any better?9/6/2009
  Q: Appelton, I'm a 25 year old girl who's had a number of problems with my teeth over the years. I'd ...
  A: Only you can decide whether or not to complain about your first dentist, and to a degree it depends ...
decolorization of teeth9/5/2009
  Q: I am 25 years old.I have one tooth in front which looks quite different than the rest of my teeth. ...
  A: There are various techniques available to restore the appearance of your tooth, and may be as simple ...
clenching and grinding/nightguards8/19/2009
  Q: Appleton, I think I am clenching and grinding my teeth at night. I have followed up with my ...
  A: I'm not a great fan of the shop-bought appliances because they are not made to fit your mouth, hence ...
opinion8/17/2009
  Q: my name is anika. I had one question for you.. what benefits does dentistry give you as a career ...
  A: It depends what you are looking for from life. The perceived benefits relate to you as an individual ...
RCT8/14/2009
  Q: i had an infection in my front teeth (teeth 1 2 ). the doc. suggested me to go for a RCT. the ...
  A: Presumably at surgery he found the tooth was not savable and hence removed the tooth. Stem cell ...
Crown8/13/2009
  Q: When my crown was put on, the tooth was not cleaned with anything. As soon as I got to the dentist, ...
  A: The dentist will have been sure that the tooth was clean enough - if there were any large particles ...
cerec vs other crowns8/13/2009
  Q: I require a crown on tooth #30. I had a root canal done on it ~10 yrs ago but never had it capped; ...
  A: Cerec is a fantastic technique and does produce a better fitting restoration than you will get from ...
Root canal8/12/2009
  Q: Last September I complained to my dentist during my check up that one of my upper left molars that ...
  A: This is obviously a difficult problem to diagnose - but what I would suggest is that you see an ...
orthodontic treatment8/10/2009
  Q: My daughters clinician has recently left the hospital. My daughter was due to have a brace removed ...
  A: The hospital currently have the responsibility for your daughter's orthodontic treatment, and you ...
Pain after fillings8/6/2009
  Q: I received two fillings one month ago in two of my back teeth, one on either side. The one on the ...
  A: It certainly sounds like you do need to have the filling removed and possibly a temporary sedative ...
I had an Extraction/Partial placed on same day7/25/2009
  Q: My question is, I had an extraction done by my Dentist on Thursday the 23rd Of July as well as a ...
  A: You may well have to see your dentist if you can't remove the partial. Keep trying as dentures have ...
Problem with filling of a molar7/21/2009
  Q: I had a filling done about 7 weeks ago. I had a temporary filling first as the dentist said there ...
  A: If it is just the filling is a bit high and needs adjusting then there would be no charge. If the ...
root canal7/20/2009
  Q: I have recently had a root canal and my tooth is still very sensitive and also still hurts very ...
  A: Certainly a second opinion may give you more information - an x-ray can give a good idea of the ...
dentures7/18/2009
  Q: I am currently in the process of getting my permanant denture,only to find once i get them the eye ...
  A: Well then I think you need to ask your dentist to have those teeth changed - he may not like it but ...
root canal7/16/2009
  Q: I have researched the symptoms of root canal infections online and they describe a sharp pain ...
  A: A deep throb is possibly a dental abscess where root canal treatment may be indicated - sensitivity ...
dentures7/15/2009
  Q: I am currently in the process of getting my permanant denture,only to find once i get them the eye ...
  A: Your dentist is right that in a normal healthy dentition the canine teeth ('eye' teeth) are slightly ...
Fillings?6/18/2009
  Q: I am 25 yr old male, have had several fissure sealants, but have not had any fillings yet. I have ...
  A: Did you have any x-rays taken? It is possible that you have developed these cavities, but I would ...
Apical Infection - Root canal failure -6/18/2009
  Q: I had a root canal treatment done on ur6 tooth over 3 years ago. About 6 months I started to get a ...
  A: Being unable to remove the tooth roots is not in itself negligent. Failing to tell you that the ...
Cracked tooth or something else?6/16/2009
  Q: I was eating cherries the other day and accidentally bit into a pit. My tooth has been sensitive ...
  A: See how it goes - you have probably just 'bruised' the ligaments that support the tooth and this ...
do i need filling for a healthy tooth6/12/2009
  Q: im 17 yraes old male,my problem is that i five years ago got a composite filling in my top left ...
  A: If the cavity has gone through to the pulp in the middle of the tooth then you will need root canal ...
painful gum behing front bottom tooth6/11/2009
  Q: Tony, I hope that you can help. For the past week I have had a very soregum behind my front tooth ...
  A: We need a diagnosis before any treatment can be done. Often an early infection will not show up on ...
question about lose crown6/11/2009
  Q: I have a lose crown and the tooth is slightly sensitive. The dentist will look at it next week. I ...
  A: The bottom line here is that something has failed - usually it is just the cement seal, but it could ...
Went in for deep cleaning - infection now?6/11/2009
  Q: Dr. Appleton, About a week ago I went to my dentist for a deep cleaning where they gave me a shot ...
  A: You have damaged your lips etc whilst they were numb from the local anaesthetic. This will heal, ...
whitening6/8/2009
  Q: You probably get this all the time, but I'm wondering about the safety of these home whitening ...
  A: Stay away from home whitening remedies - unless your dentist recommends one to you. Most of them ...
Pain in my two left incisors6/7/2009
  Q: I had an injury to my face about six years ago (I fell on my nose). Since then I feel that the area ...
  A: This sounds like 2 problems - the accident has caused problems with your nose/sinuses and you also ...
Post Operative Receeding Gums6/7/2009
  Q: Can you please offer some advice regarding the recent onset of my gum recession following implant ...
  A: This recession has happened because of the loss of bone subsequent to loss of the two teeth, but the ...
pain after toothextraction6/6/2009
  Q: i had a fronttooth that broke off extracted on tuesdayafternoon. the tooth had rootkanal done many ...
  A: The risk after an extraction is a condition called 'dry socket'. This is where the tooth socket ...
Dental abscess after root canal6/6/2009
  Q: I have recently had root canal treatment and after my second and final appointment developed a ...
  A: You need to see your dentist again - this may or may not be significant but your dentist may want to ...
Drugs for infection/swelling6/5/2009
  Q: Appleton, when it comes to drugs fighting off swelling and infection, if antibiotics cannot take ...
  A: Advil/ibuprofen are pain-killers and are anti-inflammatory so they will help the swelling a little ...
Ibuprofen6/5/2009
  Q: Appleton, I need your opinion on something. Is ibuprofen considered a good pain reliever for ...
  A: Ibuprofen is a good drug for dental pain relief, and yes, advil is ibuprofen. Every drug has ...
implant vs. bridge vs. keep flipper6/4/2009
  Q: I have a flipper for tooth 5 which has been previously a pontic attached to 4. Tooth 6 was an ...
  A: When an implant fails it is due to infection and the implant becomes loose. It is very easy to ...
Gold crown and amalgam6/4/2009
  Q: I have recently taken moulds for a gold crown on #31. It is root canaled and with post and pin, ...
  A: Galvanic action occurs mostly when the two different metals are in contact, so it is not a good idea ...
Pain after root canal6/3/2009
  Q: I had a root canal 9 days ago, on a Monday, it was the final session and the tooth was filled with ...
  A: If it is improving then don't worry - it can take a while for the inflammation to subside following ...
implant vs. bridge vs. keep flipper6/3/2009
  Q: I have a flipper for tooth 5 which has been previously a pontic attached to 4. Tooth 6 was an ...
  A: If you are happy with the denture then just keep the denture - you don't have to have anything ...
Root canals/Onlay sensitivity5/30/2009
  Q: Appleton: I had an onlay placed on a back molar three years ago. Later found out dentist only ...
  A: After 3 years this is not related to the acid etch at cementation. It may just be sensitivity, or ...
CEREC porcelain inlay fell out 3 times?5/30/2009
  Q: I live in Johannesburg, South Africa. After a big chunk broke off from a molar in my left lower jaw, ...
  A: The problem is most likely that the preparation didn't create enough retention for the inlay, so ...
teeth whitening5/30/2009
  Q: I drink tea every day and my teeth are very yellow. Is there a way to keep them white? If I have a ...
  A: Teeth whitening, when done professionally, works very well. However, tea/coffee/red wine etc. will ...
root canal5/29/2009
  Q: I have recently just had a root canal on my 1, 6. that my dentist advised i have done even though it ...
  A: The tooth could well be infected - you need to get the dentist to look at it again. You may just ...
Tooth extraction and infection5/27/2009
  Q: I had a bottom right first molar extracted last Friday. The dentist advised me to do it since more ...
  A: It is not uncommon to get an infection in the socket after an extraction - particularly a difficult ...
Tooth Sensitivity and Crowns5/21/2009
  Q: I have developed gum recession on my lower back left teeth. Much of this is due to recent root ...
  A: No a crown isn't really the answer here - the dentist can desensitise the tooth plus there are ...
Painful and sensative bottom front teeth5/21/2009
  Q: For the last few months I had have a terrible pain in my bottom front 2 teeth. I can feel the teeth ...
  A: We don't do any treatment without having an accurate diagnosis first. This could be an issue with ...
Bad teeth5/20/2009
  Q: I have been going to my dentist regularly since I was a small child and I have always brushed my ...
  A: The bottom line is that decay is caused by sugar in your diet - some people have teeth that are more ...
Calcium Hydroxide treatments5/20/2009
  Q: My daughter had the number 7 tooth knocked out when she was 9 years old. It was reimplanted. She is ...
  A: Calcium hydroxide is placed inside the root canal to try and encourage repair of the root and bone - ...
replacing a missing tooth5/20/2009
  Q: Several years ago I had a back tooth (the one before last) removed, but I didn't get a false tooth ...
  A: I'm really sorry to say this but I don't actually think this is caused by the missing tooth, but is ...
Infection or something else5/20/2009
  Q: I came back from the dentist, and the x-rays show a dark or gray spot above one of my front teeth. ...
  A: It can be quite tricky to diagnose the health of the tooth pulp, as the tooth can be alive or dead ...
tooth prob.5/18/2009
  Q: i got my braces off 2 yrs ago and about 1 later i started having a tooth ach. i am unable to eat on ...
  A: This brown spot may not actually need to be filled, and I would be quite surprised if 3 dentists had ...
Dental Extraction5/18/2009
  Q: I had one of my wisdom teeth removed 2 weeks ago. The dentist told me he was not able to get one of ...
  A: You don't need to worry about this - often wisdom teeth are quite difficult to remove, but if you ...
extraction5/18/2009
  Q: i really need some help!i went to the dentist as i had an infection in my tooth/gum/neck all bottom ...
  A: At the end of the day what treatment you have is your choice. Once you understand the different ...
root canal broken file5/16/2009
  Q: I have had a root canal treatment on a lower molar at an NHS dentist. After treatment my tooth has ...
  A: Yes the dentist should have informed you of the broken instrument. Broken instruments are quite a ...
Cracked Tooth After Root Canal5/16/2009
  Q: I hope I can describe this to you in an understandable manner. My tooth cracked about 5-6 weeks ...
  A: It is impossible to tell whether or not anything untoward was done. During root canal treatment we ...
Root Canal/Extraction problems5/16/2009
  Q: A couple years ago I had an Endodontist perform a root canal. About a year after that I had an ...
  A: We like to leave an extraction site for around 2 months before placing an implant, and we have quite ...
sensitive tooth5/15/2009
  Q: it is my front tooth. 3 weeks ago I went to the dentist twice in one week with the problem and on ...
  A: It certainly sounds like you have an infection on this tooth. There are 2 possible areas that can ...
Infections5/15/2009
  Q: Dr. Appleton: Hi, I'm Mary, and I would like to ask you a question in regards to infections on ...
  A: The dentist was testing to try and discover the health of the pulp of the tooth. Unfortunately it ...
Trismus/numb face5/14/2009
  Q: I had a pretty deep filling 2 weeks ago - tooth at the lower back, next to wisdom tooth. A few days ...
  A: This could be a response to the injection you had - you can sometimes get bruising deep within the ...
Root Canal/Extraction problems5/13/2009
  Q: A couple years ago I had an Endodontist perform a root canal. About a year after that I had an ...
  A: Yes it sounds quite a normal part of the healing process. An implant is usually far preferable to a ...
regarding tooth extraction5/13/2009
  Q: i was wondering if you could give me a bit of advice regarding a tooth i am due to have extracted ...
  A: Yes, infections in the mouth often cause the lymph glands in the neck to swell, and this may well be ...
root canal5/12/2009
  Q: I had a tiny tiny bit of discomfort of my upper right molar which has a gold crown on it. I went to ...
  A: It sounds like the nerve in the middle of the tooth has died, hence the need for root canal ...
cavity under a filling5/12/2009
  Q: I had a filling last year. This year(less than 12 months later), when I went for my exam/cleaning ...
  A: There are a number of reasons for early failure of a filling, and you are right, a filling should ...
Steriods5/12/2009
  Q: Everyone tells me that i need to tell my dentist that i am taking steroids Methylprednisolone to be ...
  A: It is crucial that your dentist knows ALL of your medical history - not just the medication you are ...
decay in root canal5/11/2009
  Q: I went to the dentist to have a crown replaced where a root canal had been done previously-can't ...
  A: The decay needs removing, otherwise it is highly likely you will develop an abscess. Consequently ...
Penicillin after wisdom tooth extraction5/11/2009
  Q: I had a wisdom tooth removed last week sunday. I had a lot of pain for a week and was placed on ...
  A: You have had minor surgery, which can make you feel lousy. The sore throat may just be incidental ...
regarding tooth extraction5/10/2009
  Q: i was wondering if you could give me a bit of advice regarding a tooth i am due to have extracted ...
  A: Extracting teeth is a pretty routine affair (for us!) although I really do appreciate that the ...
Need help deciding if I should get a root canal5/10/2009
  Q: My upper right back molar was prepped for a crown a month ago. The tooth did not cause me any ...
  A: This is always a difficult situation. I think from the sound of it that you are going to end up ...
sons mouth5/7/2009
  Q: My son got a tooth pulled 2 days ago on the bottom right side of his mouth. Now he has a white ...
  A: This could be any number of things - it may just be normal, or it may indicate an infected socket, ...
Cracked incisor5/7/2009
  Q: It initially started chipping and was put a filling which lasted for five years. Unfortunately i bit ...
  A: Your options are to have another filling, or to have a veneer or crown. Go and see your dentist and ...
Need for Root canal5/6/2009
  Q: After excavating and removing the decay from a cavity on #30, my dentist removed the old ...
  A: If decay had breached the pulp then root canal is the only option (short of extraction). Pulp ...
WISDOM TEETH5/6/2009
  Q: I'M SUFFERING TERRIBLE PAIN DUE TO IMPACTED LOWER WISDOM TEETH, I'VE BEEN TO THE DENTIST AND HE ...
  A: Your dentist should be able to clean out the gum around the wisdom teeth and give you some ...
temp crown4/30/2009
  Q: i have just had 4 temporary crowns cemented onto my first 4 top front teeth, i am very concerned as ...
  A: The gum does get rather 'knocked about' during this type of work, indeed she may have deliberately ...
aneathestising of gum4/30/2009
  Q: I went to the dentist last night to have a crown on my back tooth. I had 2 injections to numb the ...
  A: Some local anaesthetic solutions contain adrenaline, which helps to prolong and deepen the effect on ...
Infection was drained4/29/2009
  Q: I got all four of my wisdom teeth pulled 5 weeks ago. Everything was good until yesterday when the ...
  A: It is very unusual for a socket to become infected this long after the procedure. It could be a ...
root canal and achness4/28/2009
  Q: I had a root canal a couple of years ago. I was under the impression that after a root canal, the ...
  A: There should be no sensation to hot/cold/sweet etc., although the tooth may respond to pressure. ...
Tooth sensitivity after treatment4/25/2009
  Q: About two months ago I visited my dentist suffering from tooth sensitivity. I had two teeth, my ...
  A: Placing composite fillings to cover the sensitive dentine is normally what we would do, and in most ...
pain after gumline fillings - need a root canal?4/25/2009
  Q: Age 39 I only had 1 filling. I'd had one deep cleaning and went to dentists every 6 months. I had ...
  A: I'm afraid that if a tooth needs root canal, then the only alternative would be extraction which is ...
root canal treatment4/24/2009
  Q: My right side lower molar tooth had a big filling. My NHS dentist decide to put a crown over it in ...
  A: There are a number of different problems that can cause pain such as you describe, and if the ...
root canal?4/22/2009
  Q: I went in three weeks ago for 2 small fillings, both on my LR side(#31 and 28)One week after that, I ...
  A: The obvious culprit would be one of the teeth you recently had filled. When a dental pulp is ...
Severe dental pain4/22/2009
  Q: I recently had a cavity replaced in my upper right teeth. Since that time (6 days) I have had severe ...
  A: It sounds very much like the pulp of the tooth has become inflamed following the filling work. ...
Painful sore after dental work4/21/2009
  Q: I had work done 4 days ago (repl. filling, onlay prep)Was careful not to bite mouth while numb as ...
  A: This could be either - it could have been caused during the dental work or you could have bitten it ...
Bad molar contact4/21/2009
  Q: I am an American presently deputed in Afghanistan. Recently I had to visit a local dentist due to a ...
  A: It sounds very much like you have periodontal disease. This is where the gum/bone supporting the ...
Pain STILL 2 years after filling!4/20/2009
  Q: i have a had a tooth filled 3 times-last one by a different dentist, because the first 2 didnt go ...
  A: This is either the tooth needing further treatment such as root canal work, or a case of the bite ...
severe facial swelling still present4/20/2009
  Q: My daughter is nearly 13 and has worn fixed braces since she was 10. The week before last she got ...
  A: Sorry - my reply is probably far too late to be of any use to you. What I would have suggested is ...
root canals4/18/2009
  Q: I have had a root canal on one of my tooth, and it still feels achy pain from time to time when I ...
  A: If the root canal fails then you may get pain, swelling, infection and end up losing the tooth. ...
Grateful of your advice4/18/2009
  Q: i recently went to a orthadontist to se about getting braces to straighten my teeth. I am 21. He did ...
  A: It is quite normal for an orthodontist to fully examine your teeth, indeed, he needs to be certain ...
root canal pain4/18/2009
  Q: I had a root canal done last Monday (4 days ago) and have been in pain since. It hurts more than ...
  A: Ye sit can be very painful following a root canal treatment. You can have inflammation around the ...
root canals4/18/2009
  Q: I have had a root canal on one of my tooth, and it still feels achy pain from time to time when I ...
  A: If there is an untreated canal you can get symptoms such as you describe, and leaving it untreated ...
Misc.4/17/2009
  Q: I have a few questions hopefully you can shed some light on. First, is it possible for a nerve in a ...
  A: Yes the pulp of a tooth ('nerve') can die due to decay or trauma, or indeed any work that id done to ...
Root canal 2nd Xray4/16/2009
  Q: hopefully this will be my last question! I just wondered if you could look at this 2nd Xray, in ...
  A: This second x-ray is not as good quality as the first one you showed me, and you are right it does ...
neuralgia tooth pain?4/16/2009
  Q: over recent years whenever I get a cold I develop a really intense tingling and irritation inside my ...
  A: This sounds like chronic sinusitis to me. Your sinuses are very closely related to your top teeth ...
DEFECTIVE CROWN?4/16/2009
  Q: A four month old crown recently fell out. I was surprised to see the metal exposed through the ...
  A: First thing to ask is are you certain this is the new crown? I know it my sound like a stupid ...
Root canal or not4/15/2009
  Q: I wonder if you can help me? I´m currently 2 months into a 7 month trip in Central & S. America. I ...
  A: I think you should probably get the dentist to at least start root canal treatment on that tooth - ...
root canal4/15/2009
  Q: I have a few questions, and I'm going to number them to make sure they get answered so I don't have ...
  A: 1. average of about 15 years - no they don't break easily. 2. pain, breakage of crown or opposing ...
Which crowns for anterior teeth?4/15/2009
  Q: I'm 33 yrs male in India. I've a bad toothless smile due to deep bite. My dentist recommeds crowning ...
  A: 1. No not if correctly prepared and fitted. However, if you have bite issues then it may well be ...
teeth problems4/15/2009
  Q: I recently have had a root canal on tooth 2 and it still hurts till this day. It didn't hurt like ...
  A: You are right, a root filled tooth should not experience any sensations from hot/cold/sweet etc. ...
Root canal or not4/14/2009
  Q: I wonder if you can help me? I´m currently 2 months into a 7 month trip in Central & S. America. I ...
  A: I'm afraid that there is a very high chance that you are going to lose this tooth. The infection ...
dentist4/14/2009
  Q: My daughter is 7 and has already lost about 4 teeth. How many more will she lose and re-grow and ...
  A: There are 20 'baby' teeth, which will be lost, and ultimately she will end up with 32 adult teeth. ...
operation and tooth discolouration4/9/2009
  Q: My teeth feel very senstive esp the two front ones. Is this due to the anaesthetic or the operation? ...
  A: I can't think of any reason why the procedure would stain your teeth - other than if you have been ...
No temporary bridge4/7/2009
  Q: I asked a dentist, I had just joined, about cosmetic work. She said she could do it and that she did ...
  A: Yes you should really have a temporary bridge, and this does sound like a bit of a rush job. ...
crown4/4/2009
  Q: Please advise on the following: Can a dentist who has a BDS do a crown? His surgery says that they ...
  A: Orthodontics, periodontics and endodontics are all specialties - some dentists are able to do these ...
Root Canals4/3/2009
  Q: I just had a root canal due to an infection on the bone. My tooth was already dead prior to the root ...
  A: You have to be guided by your dentist as to whether a crown is needed or not - there are a lot of ...
infection above re-root canal4/2/2009
  Q: Due to an infection above an old root canal and crown, I underwent a re-root canal performed by an ...
  A: Your only real treatment options are re-root treatment again, apicectomy or extraction. the first ...
Teeth pain after cleaning3/30/2009
  Q: Last week i went to my dentist and had a cleaning performed. ever since my lower front teeth have ...
  A: This is pretty normal, especially if you hadn't had your teeth cleaned for a while. The gum shrinks ...
tooth enamel!!!3/30/2009
  Q: I am currently 20 years old and for some time now (maybe a few years) I have noticed that my two ...
  A: It sounds like your enamel has is eroding, and this is usually caused by an acidic diet. So, if you ...
Adult teething3/28/2009
  Q: i am 19 and i have a tooth appearing behind my inferior molars just wondering how to ease the ...
  A: This is probably your wisdom tooth, and it can be quite painful while it is erupting. Keep the area ...
stuck3/27/2009
  Q: big problem! today i was eating seaweed and i got some stuck in my teeth. problem is it got lodged ...
  A: If there is still some stuck then you will find that you end up getting a localised gum inflammation ...
Jaw Ache / Tooth Ache after filling in December 20083/27/2009
  Q: I'm a 22 year old female - (not sure why this would be important by my dentist asked me my age when ...
  A: Obviously I can't give you an accurate diagnosis without seeing you, but from what you have ...
Cap tooth3/26/2009
  Q: Iv just had one of my front teeth pernamently cap, im deeply concerned about the size as it is to ...
  A: If you are not happy with the result then you are perfectly entitled to complain, and as long as ...
Removal of 2nd molar3/26/2009
  Q: I have a question about the removal of my back left top second molar. For the past year the tooth ...
  A: If the tooth is such that it can be saved then save it! Losing the tooth will disrupt your eating ...
pain after tooth extraction3/25/2009
  Q: I am really hoping you can help as have been in agony with my tooth since last week. i went to the ...
  A: I'm afraid that after an infected tooth has been extracted it can be pretty painful for a while. ...
Roots3/25/2009
  Q: I just got back from the Dentist and was having a upper back molar pulled and the one next to it, ...
  A: It is preferable for the roots to be removed where possible. On occasion it is OK to leave a small ...
dead tooth whitening3/25/2009
  Q: i had a root canal done about 2-3 years ago in my front tooth i have been reading that peoples tooth ...
  A: Teeth don't always darken after root canal - and it can vary tremendously. I doubt very much the ...
TMJ3/24/2009
  Q: My dentist told me that I have tmj. My jaw clicks on the right side. I know that tmj is supposed ...
  A: Yes it can - the pain comes from overworking the jaw joints and muscles, often this will be from ...
Cracking, chipping Crowns and Vaneers3/21/2009
  Q: I was wondering if you can give me some advice. About 14 months ago, I went to a cosmetic dentist ...
  A: This sounds like an issue with your bite. You are absolutely right - you should expect crowns to ...
Re: root canal?3/20/2009
  Q: "Hi, I had a filling that needed to be replaced. Once the dentist was inside, he felt that I needed ...
  A: Unfortunately instruments used in root canal treatment can and do fracture - it happens to all of ...
freeze/numb3/19/2009
  Q: I got 3 injections to numb my mouth in order to get lower back tooth sorted for a crown - 1st ...
  A: With this particular type of injection there is a risk of the needle touching the nerve - it is just ...
Re: root canal?3/18/2009
  Q: "Hi, I had a filling that needed to be replaced. Once the dentist was inside, he felt that I needed ...
  A: Yes the nerve can be involved and you can have no symptoms whatsoever - this is actually quite ...
Part of impacted wisdom tooth lft after surgery3/18/2009
  Q: I have my bottom partially impacted wisdom tooth removed 4 days ago and the had 4 stitches, I have ...
  A: This could be apiece of tooth, but if so the dentist should have informed you that a piece was left. ...
Numbness in lip and partial chin3/17/2009
  Q: I had all 4 wisdom teeth extracted 2 1/2 years ago. My dentist told me that I could have numbness in ...
  A: Damage to the nerve is a very real risk when a lower wisdom tooth is extracted, and you should have ...
broken teeth ( have not visited a dentest for about 10 years )3/16/2009
  Q: I have a couple of broken teeth and was hoping you could give me some idea to the treatment ...
  A: The choice will be between removing the remaining tooth/teeth, or restoring them. It may be as ...
chipped teeth3/15/2009
  Q: First, of all I have TMJ and have experienced chipped teeth all my life. I do have a bite plate, ...
  A: The only way to improve the structure of your teeth is to use fluoride. You should talk to your ...
Tooth extraction3/14/2009
  Q: I am having my 2nd upper molar extracted (on the right side). Do I have to replace this tooth? I do ...
  A: In an ideal world you would replace the tooth with an implant - you are right, a bridge is not an ...
maryland bridge probelms3/9/2009
  Q: I am 18 and I had a baby tooth fall out with no adult tooth to replace it in November of 2008. I ...
  A: A Maryland bridge can be a very successful restoration, but as you have found they can sometimes be ...
Porcelain Crown3/9/2009
  Q: I had a full white porcelain crown made in Thailand for my front tooth, with amazing results and ...
  A: What you want is a UK dentist to remove the old crown, re-prepare the tooth, take the impressions, ...
Is this just reversible pulpitis that is resolving?3/6/2009
  Q: Appleton, Three weeks ago my dentist detected some deep decay under one of the fillings he placed a ...
  A: It could be either, although it sounds more like it is resolving. I'm afraid you are quite right ...
my tooth has gotten squint3/5/2009
  Q: one of my teeth (left top side, next to the front) used to be almost perfectly straight, now it has ...
  A: This movement could be just part of the normal wear and tear that teeth go through, or it could be ...
Old Implant Making Gums Hurt Now3/5/2009
  Q: I have a 12+yr implant for th#30. Just a few months ago I noticed that the gum surrounding it ...
  A: Yes you are probably right - you could well have an infection around the implant and should get it ...
question about crowns3/5/2009
  Q: Dr., I am having a crown made for a lower back tooth. The dentist put on a silver temporary -- I ...
  A: This is almost certainly normal - the metal temporary won't be fitting terribly well so the ...
Implant Failure3/4/2009
  Q: I had a dental plant done on my front tooth about 2 years ago. Recently, I've noticed that my teeth ...
  A: It could well be the implant is fine, but if your other teeth are moving then this is a sign of ...
cleaning inside of implant3/4/2009
  Q: Appleton, In a process of placing a crown on implant (Zimmer, screw-went), during numerous removal ...
  A: This is a very strange situation! It would help if your dentist could identify what it is that has ...
veneers/crowns on top front teeth3/4/2009
  Q: I have had veneers put on my top 2 front teeth 15 years ago. The job was poorly done since it was ...
  A: The choice of veneers or crowns really depends on the amount of tooth substance remaining, and if an ...
Wisdom Tooth Extraction3/3/2009
  Q: I have a wisdom tooth that is in very bad condition. I was hoping to get it extracted because the ...
  A: If the wisdom tooth is now in a good functional position then restoring it is a very valid option. ...
Root Canal3/3/2009
  Q: I had root canal three weeks ago after an abcess on a filling done by another dentist 12 months ...
  A: You need to get this tooth looked at again - any pain should have completely resolved after 3 weeks. ...
New Bridge3/2/2009
  Q: I previously had a bridge for 20 years and recently had it replaced as I was having some veneers and ...
  A: Porcelain fused to metal is the normal material to use for a bridge. As such there is underlying ...
dead front tooth3/2/2009
  Q: I had a brace as a teenager, I have had a yellow look to one of my front teeth for years now. I'm 36 ...
  A: The tooth could go even darker following root canal treatment, but you don't really have a lot of ...
Crowns2/28/2009
  Q: Many years ago I had a lot of dental work done and this included a few crowns. To be exact all the ...
  A: It sounds like one of these crowns is failing, and you have probably developed a cavity underneath ...
new bridge for old2/27/2009
  Q: i recently had a 4 unit bridge removed had for 20+ yrs, i lost my 2 front teeth when young, and had ...
  A: Sometimes it is useful for you to visit the lab and speak to the technician yourself. Most mouths ...
tooth2/27/2009
  Q: My little 2 year old son just fell and hit his upper tooth (1) and it went inside his gums entirely. ...
  A: This is quite a common type of accident, and in most cases the adult tooth is unaffected. There is ...
Pain after filling2/26/2009
  Q: I had not been to a dentist in over seven years but plucked up the courage and went a few weeks ago. ...
  A: the pulp in the middle of the tooth is inflamed and giving these symptoms. if it is not improving ...
Can getting a filling cause need for a root canal?2/26/2009
  Q: I went to a new dentist recently who told me that I had a cavity. I had never felt it before, and ...
  A: It is quite common for a tooth to give symptoms after having a filling done, because the pulp of the ...
Decayed lower first molar2/25/2009
  Q: I've had this cavity since I was a little girl and my parents couldn't afford to even have it ...
  A: Really you should see a dentist and get all the options then. It may be that you only need a ...
Prosthodontics2/25/2009
  Q: I'm interested in becoming a specialized dentist one day and I was wondering what courses you took ...
  A: I am in the UK and I presume you are in the US? Here in the UK to do dentistry you generally need ...
Front teeth2/25/2009
  Q: My husband was a pitcher in college and had his two front teeth knocked out. They put them back in. ...
  A: His options are either to have a denture, a bridge or dental implants. the simplest option would be ...
Impacted Tooth2/24/2009
  Q: I am a 26 year old, and in a month I am going to have an operation to remove my wisdom teeth, ...
  A: When a lower wisdom tooth is removed there is always a risk of damage to the adjacent nerves, and ...
a levels2/24/2009
  Q: I am currently studying for my gcse's and am predicted C's in everything except art and design which ...
  A: You will need to do extra work experience which you need to arrange yourself - not through your ...
damaged teeth2/23/2009
  Q: My son aged 14 fell and disclocated his elbow. He also loosened his left front tooth, which ...
  A: The darkening suggests that the teeth are dead/dying, which is not at all unusual following such a ...
a levels2/23/2009
  Q: I am currently studying for my gcse's and am predicted C's in everything except art and design which ...
  A: To study dentistry you need to do A levels in chemistry and preferably biology. The third A level ...
Dental Pain2/20/2009
  Q: I have several broken teeth and very little money (or else i'd just go to a dentist) I had a mild ...
  A: I'm afraid there are really no alternatives other than to see a dentist as your tooth needs treating ...
Pain After Filling2/20/2009
  Q: I had a filling done 8 days ago, i had'nt seen a dentist for 2 and a half years as i have always ...
  A: It could be that the pulp in the middle of the tooth is starting to die. this happens on occasion ...
cracked tooth2/18/2009
  Q: I am 59 years of age and in good health. In the last five years I have had three cracked teeth, all ...
  A: I'm afraid that often it is just a case of general wear and tear, although cracking 3 teeth so badly ...
Additional questions RE: Root canal performed suddently without any symption2/17/2009
  Q: Appleton, Thank you for your reply. Got two more questions. Thanks for your help. • With a ...
  A: 1) Usually yes. 2) It would be unusual to drill too deep in a healthy tooth, as when drilling we are ...
Painful when chewing2/17/2009
  Q: I've had a molar that's has been bothering me every now and then for over a year when I chew and ...
  A: the likeliest is either a hairline crack in the tooth, or symptoms caused by this small cavity. ...
my 5 year sold son2/16/2009
  Q: My son complained on tooth ache today top left molar, so we took him to dentist today, he has a ...
  A: If your son has symptoms from infection (temperature, fever, etc) then he needs to be on ...
cyst/infection?/root canal2/16/2009
  Q: .. about 2 weeks ago, I had a cyst appear on my lower gum, beneath the 4th tooth from the front, ...
  A: This all sounds pretty normal to me - what you have is not a cyst it is a dental abscess that is ...
Teeth Infections and how they affect body2/13/2009
  Q: Dr. Appleton - I thank you for giving your professional opinion and spending your valuable time here ...
  A: Yes I'm afraid chemo etc can cause all sorts of dental problems. The main factor is the reduction ...
CEREC and Bisphenol-A (BPA) : 3M Paradigm MZ1002/13/2009
  Q: Bonjour Dr. Appleton, I understand the concerns about composite fillings and the fact they (can? ...
  A: It is my feeling that the potential release of oestrogen-like compounds from resin fillings is not ...
Questions2/12/2009
  Q: I had a large filling and my dentist said it was cracked, so my dentist suggested a crown. He did ...
  A: Ideally your dentist would have recognised root canal needed doing prior to fitting the crown. If ...
Recurring tongue abmormalities2/12/2009
  Q: Every once in a while I get white bumps from the tip of my tongue down the side (sometimes both ...
  A: I'm not sure what this is from the photo - it could be many things but a distinct possibility would ...
sensitivity to white fillings2/12/2009
  Q: Just before Christmas I had three old silver fillings replaced with white in three molars (top and ...
  A: Having any work done to a tooth can upset the tooth and give rise to some sensitivity for a while. ...
General Dentist vs. Endodontist2/11/2009
  Q: Can general dentists perform root canals, or do only Endodontist's perform them? My boyfriend needs ...
  A: Yes - general dentists can and do perform the majority of all root canal work that is done. Having ...
Soft enamel diagnosis2/10/2009
  Q: well first off I'll say I haven't always been the best at taking care of my teeth until the last few ...
  A: You need to look very closely at your diet and reduce the amount of sugar you have. Sugar is not ...
post- root-canal pre-crown sensitivity2/10/2009
  Q: Two years ago I had a root canal treatment on a molar, but did not get a crown. Two weeks ago, the ...
  A: I'm afraid it is just a case of seeing how the tooth settles. It sounds like your dentist is doing ...
Root canal performed suddently without any symption2/9/2009
  Q: Dr. Appleton, My daughter, a college student, besides, daily oral hygiene and twice a year dental ...
  A: It is perfectly possible to need a root canal treatment without having any symptoms whatsoever. ...
Sugar free squash and teeth2/9/2009
  Q: I have just been for a check up for the first time in about 5 years. Terrible l know, the last time ...
  A: Fizzy water classes as a fizzy drink - the fizzy bit is acid and this can gradually dissolve your ...
Porcelain capping2/8/2009
  Q: I have ok teeth but I want to make them better...after lookin at my teeth my dentist said that the ...
  A: Having your teeth crowned commits your teeth to crowns for life. These crowns will need replacing ...
red, inflamed gums2/8/2009
  Q: "For the past month or so I have had gums that have bled more than usual. I haven't thought much of ...
  A: Most likely is that you have a viral infection generally. The gums are unlikely to be causing these ...
tooth extraction for 3 year old son2/8/2009
  Q: i have a 3 year old son whose teeth are decayed (all of them)due to use of infant milk at night, ...
  A: You haven't really got any choice - if all teeth are decayed at 3 then they need to go otherwise ...
My sons teeth2/7/2009
  Q: I've just returned from the 6 month check up for my son. Since birth Callum has had problems with ...
  A: Decay is purely caused by sugar in the diet. It is good that he doesn't have fizzy drinks, but ...
My Dentist and Fillings2/6/2009
  Q: I go to my dentist every 6 months for a checkup. The Last time I went I got an x-ray and he said I ...
  A: Cavities can develop pretty quickly, and unfortunately they often can appear minor on the surface ...
root canal2/5/2009
  Q: I broke my top front tooth 5 years ago whil abroad. Over thee it was just reshaped and left. But as ...
  A: It can be hard to anaesthetize a tooth 100% when there is infection present. By dressing the tooth ...
Enamel Fluorosis2/5/2009
  Q: I have just been told mMy four year old daughter has enamel fluorosis on two of her top teeth at the ...
  A: Fluorosis is caused by too much fluoride while the teeth are developing. So, this may usually have ...
Eye teeth2/5/2009
  Q: I'm 15 years old and I have eye teeth that didn't grow in properly, I heard that they don't pull eye ...
  A: canine teeth (eye teeth) are pretty important teeth for both appearance and function. However, you ...
Root Canal2/4/2009
  Q: I had a root canal done about 8mo.ago.I'd like to know if I'm at any risk if the Dentist broke a ...
  A: Unfortunately having an instrument break during root canal treatment is a common occurrence. We are ...
mouth sore2/4/2009
  Q: i know you probably can't tell me exactly what it is but i have this sore near my molars on my inner ...
  A: It is probably an ulcer, which most people get from time to time. They can be very painful but will ...
Back molar extraction?2/4/2009
  Q: I'm trying to avoid some dental bills :) MY dentist recommended two things: 1. Redo a root canal ...
  A: It is your choice as to what treatment you have. If you would prefer to leave the molar untreated ...
Pain after temporary crown placed2/3/2009
  Q: Five months after getting a new crown my tooth #19 developed a fistula. I had a root canal done ...
  A: Diagnosis involves weighing up the symptoms and signs along with the results of any special tests. ...
Filling Problem2/3/2009
  Q: My fiancee had a tooth filled about 3 weeks ago. The dentist used a "high tech" tool to find ...
  A: Having any filling irritates the pulp in the middle of the tooth. Generally this settles very ...
Grey tooth showing through veneer2/2/2009
  Q: My daughter broke one of her top front teeth when a child, 6 years ago. She had root canal ...
  A: Bleaching can be a bit hit and miss for this type of problem - it may be worth trying, although the ...
crown come out again2/1/2009
  Q: I had a crown on a post fitted on a front tooth about 30 years ago now, so I certainly can't ...
  A: This is a sign that the crown is failing - not surprising as 30 years is way beyond the average life ...
I'm thinking of aborting my 4-tooth bridge procedure midway. What are my options from here?2/1/2009
  Q: My dentist (a dental student actually) has started a four-tooth bridge. The first abutment tooth ...
  A: Firstly - do not think that the permanent bridge will be anything like the temporary one - it ...
Crown vs. Metal Band1/31/2009
  Q: I had a root canal on tooth #18. I currently have a metal band around that tooth. Is it a good ...
  A: A crown now would be a good idea as it will be stronger than the metal band and will seal the top of ...
Insufficient Pain Relief for Root Canal Treatment1/31/2009
  Q: Two weeks ago the dentist started work on the 3rd molar back from the canine (?) tooth. The tooth ...
  A: I'm afraid that sometimes root canal work can be painful. The reason is that the pulp in the tooth ...
discolouration after dental implant1/31/2009
  Q: Roughlt 6 weeks ago I got dental implants to replace lower incisors that were missing from birth. ...
  A: This could be a number of things. probably the most likely is staining - have you been using a ...
root canal retreatment1/30/2009
  Q: I recently had a root canal retreated. The original root canal was done over four years ago. I never ...
  A: Dental amalgam is perfectly safe, although we try to avoid its use where possible. In some cases, ...
Bump/Lump on inner upper gum1/30/2009
  Q: "About 2 months ago I felt a swelling on my right upper gum just behind my wisdom tooth that cause ...
  A: This is probably an infection that keeps coming and going. the dentist really needs to see it when ...
Dental mistake1/30/2009
  Q: In good faith I went to the dentist who had given me a quote to have a cap put on a tooth that ...
  A: You need to get a second opinion straight away. You need to know whether this dentist actually ...
Numbness1/29/2009
  Q: I am a 54 year old woman and had work for a crown done on Monday. It is my back lower left tooth ...
  A: Usually this is caused by the injection itself either having directly traumatized the nerve, or from ...
prosthetic work1/29/2009
  Q: Appleton , I'd like to get your opinion about prosthetic work on implants, and front lower teeth: ...
  A: A bridge can be made from zirconium/ceramic on implants, however my personal preference would still ...
Kindly advise re: healing without root canal and least toxic materials1/29/2009
  Q: Appleton, Would you kindly let me know of any new technology that is or might soon be available to ...
  A: There are several tests to try and determine the health of the pulp - temperature, particularly ...
Can you prevent the need for a root canal?1/28/2009
  Q: First off, I will start by saying my teeth brushing habits were not the greatest. Also that it had ...
  A: The bottom line is that if there pulp starts to die then you either need root canal treatment or ...
dental implant1/28/2009
  Q: In May, I had a tooth pulled (a baby tooth that never feel out because there was no adult tooth ...
  A: The answer is probably. You need to be careful that the space where the tooth was extracted doesn't ...
Kindly advise re: healing without root canal and least toxic materials1/28/2009
  Q: Appleton, Would you kindly let me know of any new technology that is or might soon be available to ...
  A: I'm afraid a pulp will either heal itself or die and there are no new techniques on the horizon that ...
Post -Molar Extraction1/27/2009
  Q: I'm a 33 year old Male. Due to a cavity in my second from rear lower left Molar, I today had to ...
  A: Your face won't change because of this, and yes, the molar behind the space could tilt forwards and ...
Root Resorption1/27/2009
  Q: I was told I have a root resorption in one tooth and now in another, was told the was nothing that ...
  A: I'm afraid root resorption is incredibly hard to treat successfully - in most cases you end up ...
Excruciating Tooth/Jaw Pain1/24/2009
  Q: I had a root canal done on the 2nd from last tooth on the bottom left about a year and half ago. ...
  A: Root canal work can cause quite a degree of pain afterwards, although from the level you describe it ...
Sharp, dull pain and cold sensitivity1/23/2009
  Q: I had a large amalgam filling with decay underneath removed from a bottom first molar about eight ...
  A: You may need root canal treatment doing on this tooth. It really depends on the size of the inlay - ...
root canal carrier came out1/22/2009
  Q: I had a root canal done in September - I was in a lot of pain and went to the first dentist a friend ...
  A: The seal at the tip of the root filling is very important, and although I doubt that the removal of ...
Implants or Bridge1/21/2009
  Q: I had a tooth knocked out (12) and one bent inwards (11) the dentist i've seen wants to extract (11) ...
  A: Your idea is actually the best way to deal with your situation. You are absolutely right to want to ...
bridge vs implant1/20/2009
  Q: My cosmetic dentist wants to place a bridge over tooth 7,8,9 rather than an implant for #8 because ...
  A: I prefer to use ceramic bonded to metal in this situation, as all ceramic bridges don't tend to be ...
Gum and Enamel Damage1/19/2009
  Q: I've recently noticed that the inside of my two front teeth, both top and bottom, are stained brown. ...
  A: The brown is probably staining from smoking, and can most likely be polished off. It could be decay ...
childs teeth1/19/2009
  Q: I was wondering how long it can take after a child has lost their baby teeth for their permanent ...
  A: The permanent teeth can come through anywhere between 6 and 7 on average - although they can come ...
Tooth Extraction1/18/2009
  Q: I recently had one of my bottom molars extracted and still wondering how this could of happened. I ...
  A: It sounds like you had periodontal disease, which is quite painless, but your other teeth should be ...
Resistance to local anaesthetic1/18/2009
  Q: over the last few years I seem to have developed a considerable resistance to local anaesthetic. My ...
  A: Some people just are resistant to local anaesthetic. Could I suggest that maybe a dental hospital ...
tooth sensitivity1/16/2009
  Q: , I was just at the dentist this past week to get a crown put onto a cracked tooth. The dentist ...
  A: I think it is likely that you will need root canal treatment prior to having a crown fitted. This ...
crown1/16/2009
  Q: I've had a crown on my tooth near the front of my mouth for several years. Today i was brushing my ...
  A: You obviously need to see a dentist as soon as is practical. In the meantime if it isn't causing ...
pain when bite down - left side of face to ear1/15/2009
  Q: I have dull pain on the left side of my face, jaw, up to ear. When I bite down my bottom back tooth ...
  A: You could have an abscess developing under the tooth - in the early stages it wouldn't show up on an ...
Cracked Tooth1/15/2009
  Q: I had a Root Canal and crown placed on my bottom right molar (3rd from eye tooth) about 6 months ...
  A: There is obviously a problem with this tooth, and your dentist really ought to get to the bottom of ...
dentures over root canal1/15/2009
  Q: I have a upper denture and on my way to have a bottom. I have about 6 teeth at the bottom with one ...
  A: By keeping the roots of the teeth the denture will have much better support. The denture will sit ...
gums1/14/2009
  Q: I came home tonight to rinse my mouth with mouth wash and brush my teeth. Before I did this I ...
  A: It is probably nothing at all to worry about - it may be a bruise, in which case it will disappear ...
Dentistry Enquiry1/13/2009
  Q: My question is not related to health but to dentistry its self. I am very keen to become a dentist, ...
  A: Sounds like you are getting there! Yes you should start your work experience now - that way you ...
Wisdom Tooth Trouble1/13/2009
  Q: I am 22 years old. My wisdom tooth on the lower left hand side of my mouth has started growing ...
  A: The antibiotics will settle the infection down, and you should rinse vigorously with warm salty ...
rot canal work1/13/2009
  Q: a new dentist(just qualified)under instruction from senior dentist started a root canal on a back ...
  A: Root canal work is very intricate and technically hard to carry out, particularly on a molar tooth. ...
Dentistry Enquiry1/12/2009
  Q: My question is not related to health but to dentistry its self. I am very keen to become a dentist, ...
  A: Anything that you made in the dental lab would show your manual skills and would make a great ...
Dentistry Enquiry1/11/2009
  Q: My question is not related to health but to dentistry its self. I am very keen to become a dentist, ...
  A: Fantastic! You seem to know most of the answers already. You are doing the right A levels i.e. ...
17 with Baby teeth1/10/2009
  Q: I'm 17 years of age and to present i still have all of my baby teeth apart from my two front teeth. ...
  A: Because your permanent teeth aren't present the bone that would support them (the alveolus) hasn't ...
Sudden sensitivity1/9/2009
  Q: One of my molars was chipped (two years ago and I haven't been able to get it fixed) and I'm pretty ...
  A: The dentine which is exposed can be very sensitive, and this causes the pulp to become inflamed. ...
Wisdom teeth-after surgery pain1/9/2009
  Q: I recently had a very bad experience getting my wisdom teeth removed. My dentist told me that ...
  A: It can take a couple of weeks for the pain to go following this type of surgery. Removing a wisdom ...
dentistry1/6/2009
  Q: precaution,complication and its management during dental treatments like extraction,root canal and ...
  A: Bell's palsy doesn't directly affect your treatment - i.e. there's no problem with doing extractions ...
Dental/gum/allergy confusion...12/22/2008
  Q: PRIORITY:HIGH Dear DR Appleton: I floss and brush faithfully and have check ups. Unfortunately when ...
  A: I think you should get this tooth looked at. It could be there is an infection developing under the ...
Strange toothache12/19/2008
  Q: Appleton, I had a question regarding a toothache. I've been having these strange, sometimes very ...
  A: This is obviously difficult to diagnose without examining you, but the 2 most likely causes are that ...
antibiotic choice post extraction/implant12/18/2008
  Q: , I had tooth # 12 extracted today(root canaled 8 years ago, no infection but decayed weakened ...
  A: Your dentists are just using an appropriate antibiotic as the first 2 choices cannot be used. I ...
extractions and grafts12/18/2008
  Q: If a person had a bone graft how soon might they be allowed to have the tooth right next to it ...
  A: This would be bad planning!! The health of the adjacent tooth should have been ascertained before ...
crown came off along with part of the tooth12/18/2008
  Q: I had a root canal done on my #8 tooth in ~1997 and subsequently had a crown (porcelin-metal)placed ...
  A: Yes this is common - it is generally how a crown will ultimately fail, although 5 years is a bit ...
front tooth damage12/17/2008
  Q: my front teeth are very discolored and one is chipped and is black on the inside i really want to ...
  A: I can't say what needs to be done without seeing you. However we can generally sort most things ...
implants12/17/2008
  Q: Do implants that have bone grafts at the time of extraction usually far better for the long run than ...
  A: Most failure will occur soon after the implant is placed, and the success of the graft is obviously ...
implants12/16/2008
  Q: Do implants that have bone grafts at the time of extraction usually far better for the long run than ...
  A: The situation is far better if the graft is done at or near to the extraction. This is because at ...
crest of tooth bone loss12/16/2008
  Q: What factors might contribute to the loss of bone at just the top/crest of one's lower front teeth? ...
  A: Sorry - your initial question describes 'loss of bone at just the top/crest of one's lower front ...
Thinner,12/16/2008
  Q: I somehow feel that my teeth are becoming thinner and the gums are receding. The gaps between some ...
  A: If you have a lot of acid in your diet (fruit/juices/carbonated drinks) then the enamel could well ...
root canal12/15/2008
  Q: I went to a franchise dental place 1 week ago last Friday for a tooth ache and they said that there ...
  A: It sounds like the initial diagnosis was incorrect, and that the root canal work probably should ...
composite resorations12/14/2008
  Q: For proximal carious lesions which extend to the root surface and need to be restored with open end ...
  A: Composite is stronger than glass ionomer, so you really want as much composite as possible, but you ...
Fron tooth extraction12/11/2008
  Q: while now. In order to fill the gap, my dentist suggested that i get a bridge or implants done. As ...
  A: It is quite normal for there to be some pain, and for the socket to be oozing a little at this ...
bridges vs. dentures12/11/2008
  Q: I've heard when someone has a partial denture (for 1-2 molars) sometimes the other teeth fall out ...
  A: A partial denture or a bridge per se will not cause the adjacent teeth to fall out. Having a ...
veneer prep ( drilling)12/9/2008
  Q: i went to the family dentist and had my teeth prepped for getting veneers, after i got out and the ...
  A: I very much doubt the drill went anywhere near the nerve, and it is quite common for any tooth that ...
Sensitive Teeth12/4/2008
  Q: ) I'm wondering why my teeth are so super sensitive to everything. They pain very easily to where it ...
  A: You are obviously not comfortable with Dr Singh otherwise you wouldn't be raising these issues now. ...
Crowns -ceramic12/3/2008
  Q: I recently had 4 ceramic crowns fitted to my upper front teeth at a dental clinic abroad (in EU). ...
  A: These are all issues that should be corrected by the dentist who fitted the crowns. From the sound ...
Root Canal/Teeth pain12/2/2008
  Q: Is it normal to have pain in a teeth next to the teeth where a root canal and wisdom teeth ...
  A: Any tooth that has had work done to it could potentially develop an abscess. An abscess forms when ...
Heavy Tetracyclin stain damage12/2/2008
  Q: Dr, My teeth are heavily damaged by tetracyclin. I am 30 years old. My teeth discoloration varies ...
  A: i would suggest that before opting for either of these solutions you investigate bleaching. ...
Exposed root query12/1/2008
  Q: I wonder if you can help me? I´m currently 2 months into a 7 month trip in Central & S. America. I ...
  A: I would not advise you to undergo gum surgery just prior to travelling away from civilisation! It ...
sore teeth12/1/2008
  Q: A dentist prescribed me an acrylic upper night guard. I did not have any symptoms or pain from ...
  A: If you haven't got TMJ problems or any symptoms why were you wearing a splint in the first place? ...
Root Canal/Teeth pain11/29/2008
  Q: Is it normal to have pain in a teeth next to the teeth where a root canal and wisdom teeth ...
  A: Simply having the wisdom tooth extracted and the root canal treatment on the adjacent tooth will not ...
to crown a tooth or not11/25/2008
  Q: I have a large back tooth with a filling in it, my old dentist said i should have it crowned, he is ...
  A: I'm afraid you will find that NHS dentists are very reluctant to perform root canal treatment - ...
to crown a tooth or not11/25/2008
  Q: I have a large back tooth with a filling in it, my old dentist said i should have it crowned, he is ...
  A: As I said - if there is infection (under the tooth) then that would need sorting out first, probably ...
tooth removal11/25/2008
  Q: I have a huge fear of the dentist - i haven't been since i was about 14 when i was there i was "put ...
  A: You need to go and see a dentist and to discuss your fears with them. They will be able to ensure ...
Sinus/Root Canal Pain11/24/2008
  Q: I had a root canal done when i was 16 years old while living in VT. I graduated highschool, and ...
  A: It really depends whether the pain is coming from the tooth or the sinus. Sinus pain can feel ...
effects of a "short" root canal.11/23/2008
  Q: I have a root canal on a molar, and a xray showed that one of the roots is a "little short". The ...
  A: if a root filling is 'short' then there is a potential for re-infection in the future as there is ...
to crown a tooth or not11/23/2008
  Q: I have a large back tooth with a filling in it, my old dentist said i should have it crowned, he is ...
  A: If there is an abscess on this tooth, then that would need sorting out by root treatment (if ...
Tooth Pain!11/23/2008
  Q: I was just hoping you might have a suggestion for me. I am up early with extreme tooth pain. My ...
  A: Did you seen an endodontist for the root canal or did your own dentist perform it? It may be worth ...
Root canal11/23/2008
  Q: I recently had a root canal to tooth #20 on the left bottom. While drilling the doctor hit my tongue ...
  A: This is an accident that is rare, but can happen, unfortunately. The tongue is healing, so is ...
Tooth Pain11/22/2008
  Q: I had my wisdom teeth removed on my left side about two months ago, and now i'm starting to get pain ...
  A: I'm sure that if you had another tooth present the dentist would have spotted it on the x-ray and ...
dry socket11/22/2008
  Q: I had my 2 left wisdom teeth removed on Nov, 17th and have been in pain now for 5 days. I just went ...
  A: I'm afraid your dentist doesn't seem to know very much about dry socket!!! It was not caused by ...
moving teeth11/21/2008
  Q: I am a 60 female in reasonable health. I have always cared for my teethe and had regular checkes and ...
  A: This sounds very much like you have periodontal disease. This is a slowly developing condition of ...
Swelling hard palate11/20/2008
  Q: I got a miscarriage last March 2008, I have visited mt dentist after a month, my dentist discoverd ...
  A: It is really really unlikely that this is cancer!! The most likely options are that it could be a ...
Fractured tooth11/18/2008
  Q: 4 or 5 years ago my front tooth got knocked out and the other front tooth severely damaged. I had ...
  A: Your options will be to have a denture, a bridge or an implant. The denture is the quickest, ...
Partial dentures?11/17/2008
  Q: I have recently lost a tooth at the front and had a partial denture on the NHS. I had this for ...
  A: Valplast dentures are similar to the NHS acrylic denture you had in that they will cover the same ...
Surgical Extraction of Upper Left Molar11/16/2008
  Q: To Whom it May Concern, I recently had a tooth extraction of my upper left molar instead of having ...
  A: Most extractions are quick, easy and painless. Some, however, become a little more complicated for ...
Lump on gum / root canal11/15/2008
  Q: In Jan this year I had to have a filing replaced as it fell out over Christmas break. It was the the ...
  A: The lump may indicate infection, or it may be 'normal' - your dentist does need to check this out ...
root canal problems11/14/2008
  Q: My question is regarding a root canal my husband had just today. He was having pain under a tooth ...
  A: This is a difficult one!! Root canal work is a technically demanding form of treatment at the best ...
CEREC dental crowns11/14/2008
  Q: I am a 59 yr. old male. My teeth were in rough condition so I made the decision to visit a CEREC ...
  A: The permanent crowns will undoubtedly be individual teeth, not linked. It is far easier to place a ...
Root canal treated again11/14/2008
  Q: I had a root canal treatment around 3 years back. I did not get a crown at that time and now around ...
  A: It is pretty normal to have pain like this following treatment - the whole area is inflamed and can ...
fake tooth fallin out11/13/2008
  Q: I have what i believe they call a post for one of my top front teeth. It has recently come loose ...
  A: You can fix it back in temporarily with a temporary cement ...
white filling, local anaes, 6 wks preg11/12/2008
  Q: I am 6 weeks, 4 days pregnant and yesterday had a filling with local anaesthetic 'lignospan'. I was ...
  A: Lignospan is safe in normal use in pregnancy. All anaesthetics have possible side-effects, and may ...
Sensitive Teeth11/12/2008
  Q: ) I'm wondering why my teeth are so super sensitive to everything. They pain very easily to where it ...
  A: there are many possible causes for sensitivity, and you do need to see a dentist to rule out ...
parotid salivary gland ??11/11/2008
  Q: So i read this and its exacly what i have same 2 holes on my cheek sinse i can remember but my ...
  A: Go and see a dentist - if there is still a piece of nail in the duct then you may well get infection ...
Brittle teeth11/11/2008
  Q: I am 29 years of age and suffer from brittle teeth. What I would like to know is, would taking ...
  A: No - calcium supplements may be good for bone strength but will have no effect on your teeth ...
Bad Tooth11/10/2008
  Q: My daughter broke her jaw when she was 10 yrs old. She is now 16. Within the past yr her dentist ...
  A: I'm afraid that treatment is not always successful, and that it is not necassarily the endodontist ...
numb tongue after wisdom teeth removal11/9/2008
  Q: I recently had all 4 wisdom teeth removed on a Thursday. i had one impacted wisdom tooth located on ...
  A: It may well return to normal with time, although you could be left with permanent altered sensation. ...
wisdom teeth and cavites11/9/2008
  Q: .. I have not been to the dentist in about 6 years. I recently went to one because my wisom teeth ...
  A: If you are in pain then that needs sorting out first. However, the longer you leave the cavities ...
Wisdom teeth and tongue11/7/2008
  Q: I had my 4 wisdom teeth out on Monday (3rd Nov) and am still in alot of pain, what I was not ...
  A: When lower wisdom teeth are removed there can be some bruising or damage to the nerve that supplies ...
Broken tooth11/6/2008
  Q: When I was eleven years old, I dropped a telephone(silly kids) on my front left tooth. It broke off ...
  A: You could have another filling placed similar to what you had done last time, or a better long-term ...
Pain in jaw11/6/2008
  Q: I have 2 crowns at the front that have a big gap now as i havent been able to afford to get them ...
  A: i doubt that this pain is related to the gap in the crowns - more likely is that there is a problem ...
Pain during root canal therapy.11/5/2008
  Q: I had root canal therapy on my tooth and the dentist left the root canal open with some sort of ...
  A: Unfortunately root canal work can give rise to some pain afterwards, and likewise, during the ...
Broken crown11/4/2008
  Q: My Mum who is 75 and in good health has a broken crown on her front bottom tooth.( She has a pallet ...
  A: If the underlying tooth is still healthy then there is no reason why a new crown can't be made. If ...
I think I have a bad dentist11/4/2008
  Q: I have been seeing this dentist since Aug '05. Have spent $9141. Have come to the end of my rope ...
  A: You need to speak to him about all of your concerns - put it in a letter if you wish, and see what ...
sore gums, receeding gums and staining of front teeth11/3/2008
  Q: I have recently noticed a problem with my four front teeth, specificaly that there appears to be an ...
  A: This sounds like abrasion of the teeth where a combination of acidic food/drinks and vigorous ...
wisdom tooth11/1/2008
  Q: hi ive had my wisdom tooth pulled out today but it is still bleeding 9 hours later anything i can do ...
  A: Don't use cotton wool! - get something like a piece of linen/old handkerchief, roll it up into a ...
missing tooth!11/1/2008
  Q: im missing my top right lateral incisor and as a result have a gap on that side of my mouth. the ...
  A: I'm afraid braces are probably the best solution - anything else would be a compromise. You would ...
Sensitive tooth10/31/2008
  Q: I had filling (at upper jaw back tooth) done 2 months ago. After the filling, I experienced some ...
  A: It is very common to experience sensitivity after having a filling done - and in most cases it ...
yellow and transparent teeth10/29/2008
  Q: Some of my teeth are becoming more yellow than others. I don't smoke, drink coffee, and I drink very ...
  A: Your teeth will go darker with age due to various components in your diet affecting the colour of ...
mouth infections and scared10/28/2008
  Q: one wisdom tooth has been slowly coming through for the past year or so. I have noticed that it is ...
  A: You will probably just need some antibiotics initially. If it is decided to remove the tooth, then ...
Tooth extraction.10/28/2008
  Q: I have been having pain in my top right molar.Actually it feels like the pain comes from the bone in ...
  A: You don't necessarily need to replace a tooth, although leaving a space risks the possibility of ...
filling10/27/2008
  Q: I had a filling replaced last Tuesday,my tooth did not bother me at all but the dentist said there ...
  A: It is pretty common for a tooth to give symptoms after a filling has been done. This is because the ...
tartar/plaque10/27/2008
  Q: With regard to the teeth, could you please tell me whether plaque is part of tartar, or is tartar ...
  A: Tartar (or calculus) is basically plaque that has calcified or gone hard. Plaque will calcify if it ...
Upper & Lower Crowns Do Not Match10/27/2008
  Q: back to my upper & lower crowns not matching, you said it was probably because they were not made at ...
  A: To ensure a perfect match it is preferable for the crowns to be made from the same batch of ceramic, ...
ROOT WORK10/26/2008
  Q: I previously had a crown which has now come out and the dentist tells me that it will not cement ...
  A: On occasion we can leave roots in place provided they are healthy and not infected. Usually though ...
Tooth Enamel10/25/2008
  Q: I went to have a regular checkup recently and the dentist stated that my tooth enamel is worn down ...
  A: Once the enamel has gone it won't return. this is caused usually by acid erosion and/or toothbrush ...
INLAYS10/25/2008
  Q: Dr. Appleton: I am getting an inlay filling, - a white composite - , in one of my molars. During my ...
  A: If the sensitivity is just because part of the tooth is exposed/has been worked on etc. then it ...
INLAYS10/25/2008
  Q: Dr. Appleton: I am getting an inlay filling, - a white composite - , in one of my molars. During my ...
  A: One of the reasons for providing an inlay in the first place is because it is far stronger than a ...
Tooth Broken during extraction10/24/2008
  Q: I went to my dentist this morning to have a lower back tooth (3rd from back) removed. The dentist ...
  A: The nerve may or may not have been removed. I would hope that the dentist has left you in such a ...
Dental Formula for Teeth Length10/24/2008
  Q: Good Morning Tony, I was told that there is a formula that dentists use for determining the length ...
  A: We do not use a hard and fast formula to calculate tooth size, because the size depends on many ...
apiocectomy10/23/2008
  Q: I have two discolored and chipped teeth after a very bad fall.My dentist prescribed ...
  A: An apicectomy is a surgical procedure performed on the roots of the teeth, and is not usually the ...
Teeth hurt after composit fillings10/22/2008
  Q: may be you can help me , as I saw already dentists and they could not find the origin of my problem. ...
  A: It is difficult to be certain, but I think your problems may well stem from the altered bite due to ...
root canal treatment comp;ication10/21/2008
  Q: I had treatment of root canal. My dentist has given me another appointmet to do permanent filling. A ...
  A: This may be completely unrelated to the procedure, or it could indicate inflammation of your sinus. ...
sensitive filling10/21/2008
  Q: I am 56yrs old and in good health. Two weeks ago i had a filling which i found quite painful. 1 week ...
  A: When a filling is done it can irritate the pulp in the middle of the tooth, which then means the ...
Porcelain crowns turning dark10/15/2008
  Q: I had 6 crowns placed on my upper front teeth and a few weeks later 6 crowns placed on my lower ...
  A: I really don't know what he means by a hydration issue!!! Either the crowns match or they don't - ...
recurring tooth problem10/15/2008
  Q: at the end of august i started experiencing a throbbing sensation in one of my back right hand lower ...
  A: The pulp in the middle of the tooth has become irritated and is giving symptoms. If this doesn't ...
Numbness10/15/2008
  Q: I had a molar extracted on the 06/10/08. Although I have no pain now and it is healing well, my ...
  A: This is not the effects of the local anaesthetic, but is due to some nerve damage. This will either ...
Dentists10/14/2008
  Q: About three years ago I changed my NHS dentist and they did new x-rays and told me I needed ten ...
  A: This is very difficult. Your new dentist could well be, and probably is, right and is looking after ...
Bridge after Implants10/14/2008
  Q: again, I spoke to my implant surgeon as per your suggestion. He wants a PFM bridge and says he ...
  A: The bridge will be made with an underlying framework of a gold alloy for strength, and this can be a ...
sensitive filling10/13/2008
  Q: I have recently had a filling replaced from amalgam to a white filling. It was done about 2 months ...
  A: It is not uncommon to get sensitivity such as this following a filling, and yes, it is a possibility ...
root canal urgency?10/12/2008
  Q: In early August my general dentist suggested that I see an endodontist for a root canal for a lower ...
  A: The longer you leave it the more likely you are to experience pain and infection. It is impossible ...
Extraction and bridge10/11/2008
  Q: I recently had a lower first molar extracted. A root canal had failed and the tooth was infected. ...
  A: Whether or not you should have been prescribed antibiotics first is a difficult question to answer. ...
severe pain10/10/2008
  Q: I really need help. I am 25 and when I fell pregnant with our first daughter 7 years ago when two ...
  A: The first thing is please try not to be embarrassed about this - people get their mouths into quite ...
Front Teeth Extraction10/10/2008
  Q: My dentist wants to take out my front teeth because of bone loss. Only one feels loose (it was ...
  A: If you go for the bridge then you will have to have pfm for strength. If you have four individual ...
grey tooth10/9/2008
  Q: I asked this question to another doctor: I am 24 and just got braces off yesterday, I noticed last ...
  A: Also it can happen if the tooth dies, which is sometimes a result of orthodontic treatment. If the ...
pain after 3 root canals on tooth#31 with crown, is a #4 root canal possible?10/8/2008
  Q: I was told that #31 tooth can have 3 root canals. They were removed and a crown put in. Pain with ...
  A: All upper first molar teeth have 3 canals, most have a fourth and some have even more. The fourth ...
Pain after root canal and crown.10/8/2008
  Q: I had an Amalgam filling replaced with composite material in a back molar. Afterwards I was in a ...
  A: It looks like the root canal has not worked which happens for a number of reasons. If a canal is ...
dry socket10/8/2008
  Q: I have had 4 wisdom teeth out 1 week ago, I have dry socket in one how long does it take to heal? ...
  A: It varies but probably a week or so. You are unlikely to develop a dry socket in the other sockets ...
research10/7/2008
  Q: . i am a student and want to do research on any controversial issues in biology. I choose the field ...
  A: Yes - how about the use of dental amalgam? Amalgam contains a mixture of metals that set hard when ...
Front Teeth Extraction10/7/2008
  Q: My dentist wants to take out my front teeth because of bone loss. Only one feels loose (it was ...
  A: You should be able to have 2 implants with a bridge, or 4 separate implants with crowns, or a bridge ...
Veneers10/5/2008
  Q: I have gaps in my upper front teeth (around 4 of them) and am not very happy with my smile and ...
  A: You are absolutely right - veneers will mean you have to have some tooth enamel removed. Sometimes ...
Info re butterfly bridge that has a wing cut off10/5/2008
  Q: This was fitter 25 years ago when my tooth was extracted due to spongy jaw! One side became loose ...
  A: 25 years is fantastic for this type of bridge - they normally don't last anywhere near as long as ...
what is wrong with my tooth? needs root canal or something else?10/2/2008
  Q: I'm 24. A few days ago I went to a new dentist due to pain in a tooth (Ive not gone for 3 years ...
  A: Often when symptoms start such as this it can be quite difficult to diagnose the problem accurately. ...
Pain after having cavity filled10/1/2008
  Q: About 2 months ago I got a cavity filled. The next day when I tried to eat I could not chew on that ...
  A: When you have a filling done (or any work to a tooth), the pulp in the middle of the tooth becomes ...
extra teeth10/1/2008
  Q: I have two extra teeth in my upper gum one is not visible The other just started showing thru eight ...
  A: Your options are to do nothing or to have one or both of the teeth removed. If one of the teeth has ...
Injections9/30/2008
  Q: I went to my dentist today for a root canal and had the usual injection, but it all went wrong. I ...
  A: This is a rare but known complication of dental injections. Some of the anaesthetic was probably ...
chewing into cheek/gum9/30/2008
  Q: MY SON HAD A FILLING TODAY AND WHILE THE MEDS WORE OFF HE MANAGED TO BITE A HOLE INTO THE SIDE OF ...
  A: You need to ask the pharmacist for an anaesthetic gel, such as Bonjella, which will ease the ...
Surgical extraction of root canal filled roots9/29/2008
  Q: I had a tooth extracted in July. It had a crown on it and firstly the crown snapped off and left ...
  A: It is really quite straightforward to remove the roots. It is a minor surgical procedure - the ...
blood blister and pain due to dental xrays9/27/2008
  Q: I have a huge overbite ( my bottom teeth actually touch the front roof of my mouth). When I get ...
  A: I'm afraid that x-ray films are stiff and uncomfortable - they need to be rigid to get a decent ...
partial vs. implant9/26/2008
  Q: I am about at my wits end not knowing what to do. My front tooth and the one next to it are both ...
  A: A partial denture is the quick, easy and relatively cheap solution and is certainly the best short ...
Bridge work9/26/2008
  Q: I recently had a temporary bridge placed for my front teeth. It doesn't fit very well and is ...
  A: Temporary bridges are generally made from an acrylic or composite material - they are what they are ...
Partial poreclain on metal crown9/25/2008
  Q: 5 yrs. ago my dentist put a metal crown on my back molar, but put a porcelain cover on the outside ...
  A: We tend to use porcelain fused to metal crowns on all teeth these days because the appearance is so ...
Underbite9/20/2008
  Q: Im 26 yrs of age and i feel so ashamed not getting over done with it at the earliest age. now im ...
  A: You may well have braces both before and after surgery. This type of surgery is pretty major stuff ...
Cerec or other crown?9/20/2008
  Q: I had a crown (pfm) fitted to a lower left molar just over 2 years ago, this was chosen as a ...
  A: Cerec should give you an aesthetically pleasing crown - the crown is milled out of a single block of ...
please help if possible9/19/2008
  Q: yesterday i went and had a tooth removed,the whole process was horrible to begin with and i was in ...
  A: It sounds as though the tooth was quite infected - this can make the whole process fairly miserable ...
black lines forming behind teeth quickly9/18/2008
  Q: My wife noticed black lines starting to form behind her bottom teeth.She has been to a dentist and ...
  A: Decay is purely caused by sugar in your diet so you both need to examine your diet and see what the ...
Toddlers teeth9/17/2008
  Q: We took our 21 month old girl to her 1st visit to the dentist about 5 weeks ago and everything was ...
  A: You should get your daughter seen by your dentist or doctor as soon as possible. It is possible she ...
Do I need a dental implant?9/14/2008
  Q: I have a crown on my end lower molar tooth. My dentist just found out that there was a cavity under ...
  A: It is only possible to replace the crown where the underlying tooth is strong enough to support a ...
Root Exposure9/14/2008
  Q: I have a partial that has rubbed my gum and caused root exposure? Is there a remedy to correct ...
  A: The root can be covered with a small filling, or you can have a piece of gum grafted over the area. ...
Dry socket healing9/14/2008
  Q: I have found lots of different views on how long the pain from a dry socket should last. My problem ...
  A: Dry socket starts 2-4 days after the extraction - usually the area will have been improving ...
moving teeth after extractions9/14/2008
  Q: I had two molars removed, each a year apart from one another, the last being pulled last year. They ...
  A: These upper teeth could erupt until they meet your gum on the bottom jaw - this can then give rise ...
recent root canal9/13/2008
  Q: 1. I had a root canal 8 weeks ago, lower right molar,and just got the permanent crown on about a ...
  A: Firstly, you shouldn't be experiencing any pain from the first tooth - the gum around the tooth may ...
tooth resorption9/12/2008
  Q: My #11 upper left canine tooth has been tentatively diagnosed with a subgum carie and/or resorption ...
  A: If it is decay it may be repairable, if it is internal resorption then you could be in trouble! ...
Captek vs Lava crowns for the teeth that have the root canals done. Porcelain margins9/12/2008
  Q: I would like your advice about the Captek crowns. Are Captek the best crowns that can be used on ...
  A: Lava crowns are much more translucent than captek - that is why the aesthetics can be better. ...
Root canals and posts for the front teeth. What are the best crowns for these? Captek, Lava?9/11/2008
  Q: , 8 years ago my doctor placed PFM crowns on all my teeth. Now it is time to replace them, because ...
  A: All ceramic crowns can be a problem where you have metal posts in the teeth. This is because it can ...
dental roots9/10/2008
  Q: I have recently had a tooth extracted as I had long term infections that did not clear with anti ...
  A: Normally we would remove the roots with the tooth, however sometimes the roots are very difficult to ...
root canals and bridges9/8/2008
  Q: I have a bridge on my upper front teeth. Numbers 8 and 9 have cavities and my regular dentist says ...
  A: You have decay in two of the bridge support teeth. This means that the seal between the bridge and ...
Numb tongue :-(9/8/2008
  Q: I have just read your reply to a Q from someone who similar to me had a local anaesthetic injection ...
  A: Yes there is a chance you will recover with time. It is unusual to have symptoms in your palate at ...
Root canal, pregnant9/8/2008
  Q: I went to the dentist on Friday at 27 weeks pregnant. I was comfortable with the procedure until ...
  A: Are you sure it was formocresol that he used? We would tend to use sodium hypochlorite to disinfect ...
Roots felt under tongue.9/8/2008
  Q: I went to the dentist this last week and the day after I felt a bump on the inside lower part of my ...
  A: I think it is highly likely that these lumps are 'mandibular tori'. These are just small bony ...
abcess on my gum after a root canal9/5/2008
  Q: I had a root canal done this year and a month or so after an abcess with pus formed on my gums. ...
  A: You certainly need to go back to your dentist. If they decide that the root canal treatment hasn't ...
Wisdom tooth9/5/2008
  Q: I have a wisdom tooth that needs to be extracted, I went to my dentist and they drilled it out and ...
  A: You need to have the roots removed otherwise you risk a dental abscess which in itself is not very ...
slight discomfort9/4/2008
  Q: ive been having a little sensitivity and slight discomfort in a 3/4 teeth area one tooth in that ...
  A: He may be right - it could just be due to clenching and if so will probably not amount to much and ...
jaw alignment and pain9/3/2008
  Q: I am a 48 yr old man and I have never had a problem w/either and overbite or underbite but I ...
  A: Go and see your dentist - it is probably just that you have strained your jaw joint. This can ...
Pain After Extractions9/2/2008
  Q: "I am a 51 year old female and have had three molars pulled (2 left bottom and 1 right bottom) over ...
  A: Your dentist needs to get to the bottom of this for you. You really shouldn't be experiencing any ...
crown buildup8/20/2008
  Q: I have had a root canal on a tooth #31 a long time ago. the tooth decayed. I recently went to ...
  A: It is more likely that the initial root canal work had failed - I cannot say whether or not this was ...
Porcelain crowns and root canal treatment8/20/2008
  Q: I am about to have all-porcelain crowns fitted to a few of my upper front teeth, to improve their ...
  A: Your dentist needs to get to the bottom of these symptoms before fitting the permanent crown. ...
smell from tooth8/20/2008
  Q: I have noticed a horrible smell coming from one of my teeth which is the 4th tooth from my front ...
  A: The taste/smell is most likely coming from the gum around that tooth - if you have food trapping ...
daughter's traumatic visit to the dentist8/18/2008
  Q: I am quite concerned as my 6yr old daughter had an appointment to have her molar extracted,and my ...
  A: To extract a tooth we need to anaesthetise it, but in the case of baby teeth often just an ...
Upper Left Incisor has loose feeling w/ some cold/heat sensitivity8/18/2008
  Q: I have had a loose feeling in my upper left incisor (right behind canine tooth) for some time now. ...
  A: It is completely normal for teeth to feel very slightly mobile - however it can also be a sign of ...
Gum problem - seems to have significantly worsened since I attempted to treat it8/18/2008
  Q: A while ago I thought my gums were looking slightly too dark in parts and maybe not as healthy as ...
  A: Corsodyl is really the gold standard for mouthwash - I would be inclined to suggest that you go and ...
My daughter's new molar8/18/2008
  Q: I am from the London and I have just registered my 14 months old daughter with our local dental ...
  A: It could be a cavity - but it could also be a bit of foodstuff that has got lodged. Don't worry ...
Has treatment advanced over the years, particuarily for nervous patients?8/18/2008
  Q: I'm 34 and I haven't visited a dentist for 15 years mainly as I have been too scared and in more ...
  A: Treatment these days should be very much centred on what you want to achieve. Lots of things are ...
Denist cracked my tooth8/18/2008
  Q: I recently made a visit to my dentist. After the first exam, the dentist recommended I get 9 ...
  A: It is not unusual to get problems after filling work, and sometimes a 'crack' in the cusp of a tooth ...
prolonged numbness after tooth extraction8/17/2008
  Q: I have 2 bottom tooth extractions (one left and one on right side) and it has been 3 months, i still ...
  A: It sounds like you have experienced some nerve damage. You should go back to your dentist. This ...
cavities8/17/2008
  Q: how can i go to one dentist an have 0 cavities an another dentist says i have 5. i dont have ...
  A: Did the first dentist take x-rays? If not then the second dentist could be right. the only way to ...
Genetics?8/17/2008
  Q: I have severe problems with decay and breaking of my teeth. I brush and floss twice a day and use a ...
  A: Tooth decay is caused by exposure to sugar and/or acid in your diet, so the likely cause for your ...
Amalgam Filling Removal8/16/2008
  Q: I had 3 amalgam fillings removed from my left lower jaw about 4-5 weeks ago and replaced with ...
  A: This doesn't sound like infection - it sounds like the pulp in one or more of the teeth has become ...
Damage to root canal8/15/2008
  Q: I recently had work done to 8 teeth including crowns and prep for porcelain veneers. I have temps ...
  A: The work itself could have caused these problems, or more likely the teeth were in a poor condition ...
Root Canal and my wisdom tooth..8/14/2008
  Q: So about a month ago I had my root canal done at the last bottom right tooth. There was pain ...
  A: I think you are probably right - the pain is probably due to the wisdom tooth erupting. As long as ...
Tooth extraction or NOT8/14/2008
  Q: A friend of mine went to a dentist and was told she has 2 options, either tooth extraction or root ...
  A: Quite simply it is much harder to replace a missing tooth than to try and keep the tooth in the ...
bridge vs implant8/13/2008
  Q: I broke teeth 8 & 9 36 years ago. 6 years ago I had new crowns. tooth 9 broke and the crown fell ...
  A: There are a number of factors that need to be taken into account. Bridgework will involve using the ...
Cyst Removed-Electrical Pain8/13/2008
  Q: Four days ago my dentist discovered the root of my ongoing throbbing pain. He did an xray/opened up ...
  A: It is quite normal to have a degree of pain following the type of surgery you have had, and all I ...
Porcelaininfusedcrown8/11/2008
  Q: I just had a porcelain infused crown put on my fourth from the back upper right side. I noticed ...
  A: The black line on the inside of the crown is a normal feature of this type of crown - it is just the ...
Chipped tooth8/10/2008
  Q: I have had an accident 8 years ago, where I chipped lower part of my two front upper teeth. (around ...
  A: Yes it should be fine to have bonding done again - although I think you will find that the cost will ...
root canal8/10/2008
  Q: i have a patient age 36years, no other systemic diseases. i started root canal due to caries of ...
  A: Is there a pulp stone in the pulp chamber? If so this needs to be removed and usually you can then ...
Gum ache8/9/2008
  Q: Recently I had m cavities filled.They were in between tooth 19 and 20.The dentist had to give me 4 ...
  A: It could be from the injections, so you need to see whether it settles down on it's own or not. ...
root canal crowned tooth breaks at gum8/9/2008
  Q: my back molar on my right side had a root canal and a crown on it, and last night, it just snapped ...
  A: It depends whether the tooth can be restored again or not. There is a possibility that the tooth ...
Molars8/9/2008
  Q: I was wondering if you could help me, I am 21 years old, and never really had much difficulty with ...
  A: Almost certainly this is your wisdom teeth starting to erupt. If it becomes painful then go ans dee ...
provisional crown after s rct8/9/2008
  Q: I'm a dentist in China.I have some questions about the provisional crown after rct. In Chinese,we ...
  A: Since when do we religiously follow the textbook? A textbook may be a useful text for study, but ...
provisional crown after s rct8/8/2008
  Q: I'm a dentist in China.I have some questions about the provisional crown after rct. In Chinese,we ...
  A: There are several issues you want to consider. Firstly you obviously want to be fairly certain that ...
Dental Anesthesia during 1st trimester of pregnancy8/6/2008
  Q: I am 5 weeks pregnant, i had a very bad toothache and went to a dentist. I informed him that i am 5 ...
  A: Local anaesthetic is perfectly safe during pregnancy. Although dentistry is also safe during ...
dental implant and dentures8/6/2008
  Q: I am planning to get an extraction on my bottom #30 molar and replacing it with a dental implant. ...
  A: You are probably quite safe to leave the gap for the 3-4 month healing period - much longer than ...
Loosened crown on implant8/6/2008
  Q: I underwent a dental implant procedure around 6 months ago, and since then, the crown has come loose ...
  A: There was definitely a problem with the connection of the abutment to the implant. This can be ...
failed root canal8/5/2008
  Q: I returned to an endodontist after a failed root canal on #14 (gum swelling, thermal sensitivity and ...
  A: This is a tricky one - I'm sure if you go to the dentist who made the crown he will just tell you ...
Root Canal7/31/2008
  Q: I had undergone a root canal(#14) around 6 years ago but did not get the Crown or a permanent ...
  A: Before a tooth is rebuilt we always make sure that any root canal work is of a good enough standard. ...
Wisdom tooth extraction7/31/2008
  Q: I just got my molar #31 crowned, and am planning to get my bottom wisdom teeth extracted next month. ...
  A: There is always a risk to the adjacent teeth when an extraction is performed. You just need to make ...
tooth abcess7/30/2008
  Q: I have had an abcess on and off for a couple of months now, I did go to my dentist, he xrayed the ...
  A: You need to get an appointment straight away so that he can sort your pain out. Although the ...
Failing Bridge, Implants?7/30/2008
  Q: I had a bridge done approximately 1.5 years ago. This bridge fell off twice and was cemented back ...
  A: It would seem that this bridge was not right in the first place. 1.5 years is not long enough for a ...
tooth hurting again after I had a root canal7/30/2008
  Q: I would first like to thank you for taking your time to help others like myself. It really means ...
  A: Unfortunately after you have had root canal treatment there is always a chance that the infection ...
Drill to the tongue7/30/2008
  Q: my daughter is 4 years old and just had a filling done under local and she must have moved her ...
  A: Although it is possible that the drill injured her tongue, it is far more likely that your daughter ...
bone infection/arthritis - decay link7/29/2008
  Q: Appleton, Im 33 and just had a root canal done. Though Ive had hints of it earlier, about 2 weeks ...
  A: There is no link whatsoever between tooth decay and arthritis, and the disease process for both of ...
uncrowned root canal7/29/2008
  Q: My question is regarding a root canal I had back when I was 17, at the time my dentist told me my ...
  A: If you had a severe infection you would be very aware of it - you would have pain and swelling. It ...
teeth wiggle a little7/29/2008
  Q: I went to my dentist a couple of weeks ago and she said my teeth looked fine. I told her i brushed ...
  A: It is normal for your teeth to move slightly, and that is probably all that you are noticing. Gum ...
front teeth fillings7/29/2008
  Q: Just had my two front teeth filled after an accident. I'm not sure what I can or can't bite into, ...
  A: It really depends how large the fillings are and which surfaces of the teeth they cover. Initially ...
root canal of necrotic tooth7/28/2008
  Q: I'm a 60-year old woman with a history of many cavities, six crowns and two root canals. Recently, ...
  A: In an ideal world you would start the root canal treatment straight away, but waiting 2 weeks is ...
Implants and bad teeth7/28/2008
  Q: My Sister(22yrs old) has not had great teeth all her life and the detoriaton over the past few years ...
  A: It is quite normal to drill a hole in the back of a tooth to drain the infection - it is obviously ...
Antibiotics for gum infection leading to more pain?7/28/2008
  Q: 3 days ago I noticed a pain in my gums this then began to cause a facial swelling so yesterday I ...
  A: It could be a referred pain from your lower wisdom tooth, or it could be something entirely separate ...
front upper incisor tooth -trauma/child 8 1/2 years old.7/28/2008
  Q: APPLETON, MY SON WHO IS GOING IN THE THIRD GRADE THIS FALL WENT ON A DRIVING RANGE ON A GOLF ...
  A: The problem with a custom mouthguard is that his teeth are changing so much at the moment that they ...
front upper incisor tooth -trauma/child 8 1/2 years old.7/26/2008
  Q: APPLETON, MY SON WHO IS GOING IN THE THIRD GRADE THIS FALL WENT ON A DRIVING RANGE ON A GOLF ...
  A: First please stop blaming yourself for this! Accidents happen and that is what this was. Even if ...
Dental Implant care7/26/2008
  Q: I have had a dental implant located on the top front for about five (5) years. The surgeon told me ...
  A: A water pick is excellent. maintaining your oral hygiene is really the best thing you can do. Make ...
pain (infection?) after root canal and surgery7/25/2008
  Q: I had a root canal a few years back and after some time, developed an abscess which did drain. So, ...
  A: You really need to see an endodontist - i.e. someone who specialises in root canal work and this ...
Refilling fractured molars7/24/2008
  Q: I have fractures in 4 of my molars, apparently from many years of grinding. However, none of these ...
  A: If there is no clinical reason to replace the fillings then don't have them replaced! If the ...
Extracted teeth after surgery question7/24/2008
  Q: I am a twenty four year old male who recently had their wisdom teeth and one lower 2nd molar on the ...
  A: This all sounds pretty normal to me - you can expect pain and discomfort for a while after the ...
Alveoplasty7/24/2008
  Q: I am having IV Sedation next week. The oral surgeon is extracting 5 lower remaining teeth, and ...
  A: Be prepared for feeling fairly grim for a day or two - most likely a dull ache, so make sure you ...
Crown on live tooth7/23/2008
  Q: I had a crack in one of my bottom molars so the Dentist placed a crown on it. When they placed the ...
  A: You shouldn't be in pain - if you are then something is not right and your dentist should ...
Broken teeth7/23/2008
  Q: I met with an accident yesterday and a part of my front teeth has broken; now I have a gap between ...
  A: It really depends how big the broken piece is. If it is not too big then a tooth coloured filling ...
Dental Fillings7/23/2008
  Q: I am in the process of having work done on my teeth. I am a very nervous dental patient so i am ...
  A: This sounds as though it could be normal to me. Give it a few days - you should find the gum ...
swelling after procedure7/22/2008
  Q: yesterday my dentist did a 30 minute procedure to "clean out" a small infection of a previous root ...
  A: Clindamycin is quite a potent antibiotic, but as with any drug there are possible side effects. You ...
Tooth Trauma - How Long To Wait?7/9/2008
  Q: Due to a failed root canal I had my 2nd molar extracted. My now retired dentist installed a bridge ...
  A: It sounds to me like you need root canal treatment. Reversible and irreversible pulpitis are not ...
Veneers necessary?7/9/2008
  Q: I have been given two conflicting points of view and I would appreciate another opinion. My teeth ...
  A: I'm afraid it is impossible for me to give you a specific answer here without examining you first. ...
receding gums7/8/2008
  Q: You helped me out so much a year or so ago when I asked about a tooth that had broken. I still have ...
  A: It's really nice to hear from you again - so glad I could be of help to you last time! Thank you, ...
crowns7/7/2008
  Q: Dr. Appleton-- My two top front teeth have worn thin from scissoring against the bottom teeth ...
  A: Yes, crowning teeth does pose a risk to the health of those teeth - around 15% of crowned teeth ...
pain7/5/2008
  Q: had tooth ache went to dentist she said i had a gum infection the tooth is loose needs to come out ...
  A: It sounds like you ended up with 'dry socket'. This is when the socket gets infected after a tooth ...
Molars replaced using fixed bridge7/4/2008
  Q: Tony, Thanks for being here and your help. I am 26 years old with good teeth and oral hygiene and ...
  A: Dr Adel I think you are focussing on the wrong issues here. What you really ought to be most ...
irrigation cleaning7/3/2008
  Q: I'm 37 years old and my dentist suggested having irrigation cleaning along with my normal cleaning. ...
  A: I don't know whether or not you need this without seeing you. You really have to decide yourself ...
dental crowns that hurt when chewing7/1/2008
  Q: My dentist suggests the "sit and wait" protocol for now but I am at a loss as to why my permanent ...
  A: The pain is coming form one of two areas - either the root canal work hasn't settled fully, or, more ...
question7/1/2008
  Q: 1- i have a 2 big swollen zits on my cheek, one with white head and other bleeded out then formed a ...
  A: The zits won't be affected by the Zoom procedure. The white patches should blend in with the rest ...
Persistent pain following onlay6/30/2008
  Q: I would be really grateful if you could give me some pointers as to what might be causing me ...
  A: No you shouldn't have the tooth extracted. The first step would be to remove the onlay and place a ...
CEREC and circonia crown6/30/2008
  Q: Appleton Does CEREC handle crowns from circonia oxide? Is circonia crown covered with porcelain or ...
  A: Zirconia is a very strong material that we often use as the base for a crown. It is not good enough ...
dentistry abroad6/29/2008
  Q: I have been afflicted by a cosmetic dental problem ( a misplaced tooth) and also periodontal ...
  A: The best way to find any dentist is by personal recommendation so I'm afraid you are just going to ...
Pain after having permanent bridge installed6/27/2008
  Q: I have had a permanent bridge involving my lower sixth, fifht (missing tooth), and fourth tooth ...
  A: This could be just a case of waiting for the teeth to settle - in which case you should notice a ...
Wisdom Teeth and facial structure6/26/2008
  Q: If a person have his or her 4 wisdom teeth removed, will the missing wisdom teeth lead to bone loss ...
  A: No - losing wisdom teeth will not make any appreciable difference to facial aesthetics. Wisdom ...
after root canal pain6/25/2008
  Q: quick question. I had first root canal done (#13 I think, no wisdom tooth and this one is next to ...
  A: It could well be an infection starting, and it is always safer to get these things checked out. I'm ...
healing time between extraction & bridge6/25/2008
  Q: I am having a retained baby tooth and the erupting permanent tooth extracted soon. Afterwards, I ...
  A: You need to wait a period of time because once the teeth have been extracted the gum and bone that ...
Implant6/24/2008
  Q: I had an implant earlier today. Is it normal to have a very low grade fever following an implant? ...
  A: You shouldn't have a fever, although may feel tired and 'off colour'. If you had a general ...
Loss of incisor at infancy6/24/2008
  Q: This question has probably been frequently asked, however, I want to present a specific case. My ...
  A: I feel it is unlikely that this trauma will lead to any problems with her permanent dentition - at ...
cown w/root canal6/24/2008
  Q: 3 yrs ago I had a crown placed on lower back molar only to have a root canal 3 days later. A hole ...
  A: It sounds very much like the tooth has become infected. You need to see your dentist and if this is ...
Retained root tip6/24/2008
  Q: I am 28 years old and had my lower left wisdom tooth extracted by a general dentist. The tooth was ...
  A: It is not uncommon for a root tip to fracture during an extraction, and the benefits versus the ...
Extreme sensitvity/throbbing tooth after problems with biospy site healing6/21/2008
  Q: In August 2007 i had a 6mm punch biopsy on the top of my mouth next to my UL5 tooth, part of the gum ...
  A: Have root canal done. This tooth is obviously not going to settle down with conventional treatment ...
Missed canals during RCT6/19/2008
  Q: I've always wondered what happens to those small canals that are missed during RCT after the pulp ...
  A: The anatomy of the root canal system is complex, and although the main canal system consists of a ...
Bite feels different6/17/2008
  Q: Except for some cavities and wisdom teeth removal (8 yrs ago) I haven't had any problems with my ...
  A: I must admit this is a strange set of symptoms! I wonder if you have got some foodstuff wedged ...
loose front tooth6/17/2008
  Q: I was recently punched in the mouth and the blow seems to have connected soundly with my two front ...
  A: This tooth may firm up again and be OK - but there is no guarantee! There could just as easily be ...
Root treatment 4 months ago6/16/2008
  Q: I had an upper molar root treated in Feb/Mar and although appears successful the tooth can be sore ...
  A: It could be something as simple as the bite is a little bit high, in which case adjusting the bite ...
teeth sensitive to cool water6/15/2008
  Q: I think one or two of my upper-left molar(s) are a little bit sensitive to cool water. I found out ...
  A: This is probably either just tooth sensitivity, or it could mean that you have a leaking filling or ...
teeth changes6/15/2008
  Q: i have a similar problem to the previous question, i can see hairline cracks in certain lights, ...
  A: It is quite normal to have hairline cracks in your tooth enamel, and in most cases these will never ...
Hole in Gum6/14/2008
  Q: I have a tiny hole in my top gum the size of a pin hole. I didnt notice a spot appear that has ...
  A: This is probably either an abscess on the root of a tooth, or an ulcer. If it is just an ulcer it ...
Ongoing infection6/13/2008
  Q: Since Easter Weekend I have visited 4 different dentists a total of 6 times (long story), I have had ...
  A: You have quite a nasty infection going on, so yes, it is common to have this pain and swelling. The ...
broken front teeth6/13/2008
  Q: I slipped a two days ago and hit my face on concrete, breaking one of my upper front two teeth. Half ...
  A: Yes it is usually quite possible to repair this type of injury. How involved the repair is depends ...
pain after filling6/12/2008
  Q: I had an old filling removed right at the back of my mouth today, as it was "leaking", however all ...
  A: It sounds as though the local anaesthetic didn't work fully, and it is not unusual to get a degree ...
severe sinusitis after a root canal procedure6/12/2008
  Q: My friend went to a dentist who performed a root canal on his upper molar (27). Since this ...
  A: It is pretty normal to have pain after root canal work, but this generally subsides within 2-3 days. ...
12 year old with 4 baby teeth still in mouth6/11/2008
  Q: How long should a 12 year old girl with 2 baby lateral incisors and 2 baby cuspids all on top of ...
  A: Yes it is possible for teeth to appear late, although presumably your orthodontist has x-rays and so ...
pain after root canal6/10/2008
  Q: I had a root canal and 2 fillings done at the same time 4 days ago. They were on my top left side. ...
  A: Some after pain is pretty common with root canal treatment and you just need to see how it develops. ...
fillings6/9/2008
  Q: .I have 5 mercury based amalgam fillings on my teeth that are more than 10 years old. They seem ...
  A: The advantage is that the fillings will look more natural. The downside is that you will be having ...
Re-Root canel6/8/2008
  Q: i have slight pain in a root canel after having it done over 20years ago my dentist says i need ...
  A: I'm afraid if you have an infection then the choice of treatment is between re-root treatment and ...
back pain after dental anesthetic6/6/2008
  Q: I "lucked" into it, so will ask the question. Three days ago, I had a crown prepped on my lower jaw ...
  A: I can't think of any link whatsoever between the local anaesthetic and your symptoms. However, it ...
bone graft6/1/2008
  Q: For an alveolar ridge (lower front molar) do you think it's acceptable to fill with a bone graft two ...
  A: No it doesn't make the procedure any more difficult. There are a number of different techniques ...
Crowns and Veneers5/31/2008
  Q: I have two old PTM crowns (with post and core) on 22 and 11 I've been to two dentists who have ...
  A: Veneers and crowns can be used together very successfully. It is harder to obtain a perfect match, ...
Wisdom teeth swelling5/29/2008
  Q: I am 21 and have had one wisdom tooth through with no problems but in my right lower side there has ...
  A: This sort of infection is not particularly serious, but it can make life fairly miserable for a ...
gum recession5/28/2008
  Q: My gum has receded on my top front teeth and there are gaps. Is there any things that a dentist can ...
  A: This is not easy to do - if we try to block the gaps by either bonding to the teeth or placing ...
pain after tooth cleaning5/23/2008
  Q: i visited my dentist this morning because i was having a little pain in a tooth it wasnt to bad just ...
  A: Your dentist could well be right - and having had the tooth cleaned up could well have just upset it ...
Upper Cuspid Implants5/23/2008
  Q: I have impacted cuspids and never had them extracted. I'm 23 now and would like to just get this ...
  A: When you say you have impacted cuspids, I presume you mean the teeth are still buried and never cam ...
foul smell from gum?5/22/2008
  Q: I have had infection after infection. I have 2 tiny holes at each side of my gum this helped with ...
  A: Well done for getting then treated! The smell is because there was a lot of infection around those ...
Bleaching or Crown or Both5/21/2008
  Q: My endodontist wants to do internal bleaching after my root canal. My general dentist wants to put ...
  A: You are right - if you have a crown then bleaching is unnecessary. Basically if the bulk of the ...
Nerve pain when preparing tooth for perm. crown and when flossing5/21/2008
  Q: Appleton, My question is in regard to pain when preparing an upper molar for a permanent crown. No ...
  A: When a tooth is prepared for a crown the pulp in the middle becomes slightly inflamed. This can then ...
wisdom tooth loss of sensation to face5/19/2008
  Q: I had lower wisdom teeth removed 1 year ago I have revisited the surgeon twice last 6 months ago I ...
  A: As I am sure you were warned before the procedure, removing a lower wisdom tooth risks damage to the ...
numbness in lip and face5/18/2008
  Q: i was recently told i need a wisdom tooth in bottom right removed and a root canal on the tooth ...
  A: I'm afraid it is impossible for me to accurately diagnose your pain without examining you. It sounds ...
Permanent crown using temporary cement5/16/2008
  Q: I have a temporary crown on a suspected cracked tooth (pain on biting), and am due to have this ...
  A: Successful root canal treatment depends on there being a good coronal seal - i.e. on the top of the ...
umm...???5/15/2008
  Q: im really iffy about my dentist because when i had my last filling i had to go get it done every few ...
  A: Don't be terrified about having root canal - it is nowhere near as bad as the pain you are getting ...
son's treatment5/15/2008
  Q: can u help a very confused mother please? my 13 yr old son has just been told that he needs ...
  A: There are two basic approaches to orthodontics - extracting teeth and not extracting teeth, and this ...
whitening despite periodontal disease5/14/2008
  Q: Appleton, My husband wishes to continue whitening his teeth with the 9.5% whitening product we are ...
  A: I'm sure there won't be any harm, but my advice would be to wait until his gums have fully healed ...
Cantilever bridge PAIN!5/14/2008
  Q: Just over a month ago I had my new bridge permanently cemented in (upper left premolar is the pontif ...
  A: This is one of the risks associated with bridgework and one of two things has happened. Either the ...
injections5/13/2008
  Q: I am in the process of having my first a root canal filling done. The tooth is on the top second ...
  A: It is not unusual to need quite a lot of anaesthetic for the first root canal treatment. This is ...
Root re-trearment5/12/2008
  Q: I have a crown on a lower incisor (i.e. at the front of my mouth) which was done on the NHS 20 years ...
  A: The surgeon is absolutely correct - re-root treatment is most definitely the treatment of choice in ...
implants and gums5/10/2008
  Q: I have gum pockets of 4 and 5 where an implant would go. Do you think the implant has less chance ...
  A: It is essential that your gum disease is completely under control before you consider having an ...
Dentist Cut underneath my tongue5/9/2008
  Q: During a molar filling procedure, the dentist hand slipped and the drill cut underneath me tongue. I ...
  A: This was a very unfortunate accident! However, rest assured that the cut you received was probably ...
reaction to novocaine5/8/2008
  Q: Today i visited my dentist to be preped for for a crown fitting. As soon as the injection of ...
  A: You may have had an allergic reaction to the local that was used. Your dentist will know what this ...
loose crown5/8/2008
  Q: I had a root canal and crown put in 2 years ago. A year after the procedure, the crown became ...
  A: The success of a crown depends on the amount of support the underlying tooth can give to it, and the ...
swollen gums5/8/2008
  Q: I have swollen gums that have been bothering me for quite some time. It all started a few months ...
  A: You need to go and see your dentist again, maybe for some more cleaning and/or advice. If your ...
maryland bridge5/8/2008
  Q: Appleton, Please forgive my asking you a second question. My husband has lost teeth # 4 & #5 to ...
  A: This really is rather a long span for a Maryland bridge, and the support teeth would need some ...
is root filling the only solution?5/6/2008
  Q: I am problem with one of my right back teeth. There is a big hole in the teeth, consequently it's ...
  A: If the pulp of the tooth is involved by the decay then there are only two choices - root canal or ...
4 part bridge or implant5/6/2008
  Q: My 85 yr old mom's front tooth broke off, leaving the root. The other surrounding upper front teeth ...
  A: That is a judgement thing. In fact, it is probably better to remove the other crowns with a view to ...
Tooth Extraction5/6/2008
  Q: First of of all thank you for offering this service! My upper-left 1st molar had a cavity when I was ...
  A: If you have the first molar out you may end up with more room for the wisdom tooth - but this is by ...
Wisdom teeth5/5/2008
  Q: Four of my wisdom teeth have not grown properly. They are the last ones in each raw and I can’t ...
  A: Straightening them is unlikely to be feasible. Having them removed won't cause any problems with ...
bone regeneration5/4/2008
  Q: Does adding bone (for those who have bone loss) help ward off further bone loss in the future even ...
  A: Bone loss following loss of a tooth is unpredictable. Adding bone will certainly help to slow that ...
Re: Unbelievable Pain5/3/2008
  Q: Just found your site and am in dire need of some concrete answers. I had a root canal done on my ...
  A: If the infection can't be controlled by antibiotics then the piece of tooth will need to be removed. ...
Pain In Lower Front Teeth5/1/2008
  Q: Appleton: I'm a 43-year old woman. I went to the dentist a few days ago because I was having some ...
  A: You could have an abscess developing in that tooth. An early abscess won't show up on x-rays, but ...
getting silver teeth AND fillings5/1/2008
  Q: im thinking of getting 2 silver teeth,will the NHS fit these for me?? and i require 4 fillings, will ...
  A: No they won't fit the teeth for you on the NHS - this is not an NHS item and is not being done to ...
Why do I have to have temporary fillings5/1/2008
  Q: I need many fillings and have hesitated to go to the dentist more regularly as I can't afford it. ...
  A: Your dentist wants to be sure of the health of the teeth prior to placing permanent fillings. This ...
four front bottom teeth crowns4/30/2008
  Q: I am in the process of crowning my four bottom front teeth. It has been 6 days since my teeth have ...
  A: You could have an infection, but it is possible that the pain is just from the procedure itself and ...
receding gums/stained teeth4/26/2008
  Q: I have receding gums across my top front teeth, and the area above the enamel is becoming quite ...
  A: I presume that is is the roots of the teeth that are now visible and staining. If there is no ...
sensitive to cold temperature after veneer4/26/2008
  Q: Tony Appleton, I had 7 porcelain veneers on my front teeth in Jul 2004, using a CEREC 3D machine(or ...
  A: I would suggest you see an endodontist initially - a specialist in root canal treatment - and get a ...
Cantilever bridge PAIN!4/24/2008
  Q: Just over a month ago I had my new bridge permanently cemented in (upper left premolar is the pontif ...
  A: I think you will find it very hard to remove the cement yourself - the cement hardens and generally ...
regarding dental post4/23/2008
  Q: respected sir,i m a dentist from india.a patient visited me recently who had 34 & 35 roots left that ...
  A: The success of post crowns depends on the length of the post you are fitting. The post must be ...
Loose Gums around Wisdom Teeth.4/21/2008
  Q: my name is Korikai and I have something that has been bothering me for quite a few days. Recently, ...
  A: The 'surgery ' to remove the flap of gum is incredibly minor and very quick - oh - and painless!! ...
Loose Gums around Wisdom Teeth.4/21/2008
  Q: my name is Korikai and I have something that has been bothering me for quite a few days. Recently, ...
  A: The other option is surgically removing the flap - but it can grow back. Using a mouthwash is good, ...
Pain with a permanent crown..4/19/2008
  Q: I've got a permanent crown. Has been on about two weeks. A few days ago I noticed that when I go ...
  A: Is it an upper back tooth? Pain with movement such as you describe tends to be from sinusitis rather ...
Loose Gums around Wisdom Teeth.4/18/2008
  Q: my name is Korikai and I have something that has been bothering me for quite a few days. Recently, ...
  A: This is pretty common. As the tooth erupts part way through there is a flap of gum left which can be ...
Baby with odd shaped front tooth4/17/2008
  Q: Please help as I'm very concerned about my 10 month old daughter's front tooth which has just ...
  A: It could be any of the things you mentioned - an extra tooth, a malformed tooth or a rotated tooth. ...
Crown4/17/2008
  Q: .... Unfortunately my NHS dentist is very uncommunicative. I recently required root canal treatment ...
  A: It could be an inlay. An inlay is basically a filling that is made outside of the mouth and then ...
fillings4/16/2008
  Q: i recently (2 months ago) had 3 fillings done, they 2 of them have started to hurt alot. i went to a ...
  A: When you have a filling done the dentist needs to remove all of the decay in the tooth. Sometimes ...
Electric shock4/16/2008
  Q: I have a permanent (not removable) bridge that goes from the very back upper molar to the canine ...
  A: It sounds like the bridge may be failing on your canine tooth. because of this there could be some ...
pimple on gum4/15/2008
  Q: hey i was just wondering if i can take cefalexin for a tooth absess, it actually looks like a pimple ...
  A: Cefalexin is not a particularly good antibiotic for a dental abscess - i.e. it doesn't tend to work ...
dentistry4/15/2008
  Q: please can you tell me about the precautions to take when dealing with a patient whom has rhuematic ...
  A: Rheumatic fever can cause damage to the heart valves. Because of this all patients with a history ...
Toothache after the CEREC procedure4/14/2008
  Q: Several months ago one of my lower left molars with a large filling broke. I did not experience ...
  A: I doubt that the pain you are experiencing is related to the CEREC procedure itself. It is far more ...
Tooth Abcess/ Dental phobia4/11/2008
  Q: I have been suffering with dental pain in my top left hand side for a long time now and recently ...
  A: You may be able to find someone who will do root canal treatment under general anaesthetic, but it ...
Sensitive after multiple extractions4/11/2008
  Q: I am 54 yr old woman and I've had problems with dentists and my teeth since childhood. The doc I saw ...
  A: It can take a good few weeks for your mouth to settle following such traumatic treatment - you have ...
Dental Crowns4/10/2008
  Q: I had 2 root canals completed about 3 weeks ago on teeth #4 and #5. I have have since gone for a ...
  A: Porcelain fused to metal crowns are certainly stronger than all ceramic crowns, although there are ...
pain after rct4/10/2008
  Q: please explain this Qn: what the reason of pain in pt after two years RCT. many thanks in advance
  A: There are a number of reasons for pain, but I am assuming the tooth has been symptom free initially. ...
help4/9/2008
  Q: I think my bite is off....I recently had5cavities filled..its been almost2months.I'm having pain on ...
  A: If the bite is wrong you will be very conscious of one of your teeth every time you close your mouth ...
Infection above a root canal4/3/2008
  Q: I had a root canal and crown almost exactly three years ago without any complications or issues. ...
  A: Generally re-root treatment is the preferred treatment in this sort of situation. We rarely perform ...
Re Implants4/2/2008
  Q: I am a paitient in my 30's whom has sjogren's syndrome which equates to dry mouth & eyes. I have a ...
  A: As you are aware, Sjogren's syndrome causes dry mouth which has an adverse effect on your teeth and ...
Root filling or tooth removal?4/2/2008
  Q: I've been having pain in my upper right 1st molar. It has been previously filled and my dentist says ...
  A: You seem to have summed it up pretty well yourself! I'm afraid you have to rely on your dentist's ...
congenital missing teeth4/2/2008
  Q: im am writing on behalf of my 14 year old brother who suffers from congenital missing teeth. the ...
  A: There are two basic approaches to this problem. Either close up the spaces and accept the canines in ...
dental abbreviations4/1/2008
  Q: I would be grateful to know what the letters 'FCP LRS MOO followed by 'posterior composite fill' ...
  A: None of those terms is a standard dental abbreviation, however my best guess is as follows: FCP: ...
effects of incomplete decay removal3/30/2008
  Q: Dr. Tony, Just recently had an old lower rear molar filling (composite) replaced with Cerec. The ...
  A: Did the dentist tell you he had left decay? Often the floor of a cavity will look dark brown in ...
calcified root canal3/29/2008
  Q: i have my root canal done on #26 this week. I was told that the 5 canals he found are heavily ...
  A: When canals calcify they fill in, but despite the canals filling in there are still remnants of pulp ...
Root Canals/Crowns3/29/2008
  Q: I had three crowns installed that were supposedly top of the line and paid $1,000 for each. Less ...
  A: You need to follow the opinion of the dentist you trust - if you don't trust the original dentist ...
spanish dentist??3/27/2008
  Q: could you give me some advice please,i wanted to get my teeth done because they were crooked and ...
  A: I think you are right not to trust the Spanish dentist any more. Firstly it is wrong to make a ...
Teeth & pregnancy3/27/2008
  Q: I have been living in Spain for the past 5 years & due to personal circumstances i have not been ...
  A: A local anaesthetic is of no risk to you or the baby. A general anaesthetic should be avoided. My ...
Post Root Canal Pain3/26/2008
  Q: I got a root canal done several weeks ago. It never has felt "normal" since. There is a constant ...
  A: It is pretty normal to get some pain after root canal - but this should normally settle fully within ...
crowns3/26/2008
  Q: Hope you can give me an insight as to what may be happening with my crowns, so here goes i'll try to ...
  A: You need to find out why the crowns came out first. What reason does your dentist give? Two brand ...
could my tooth be dying or die in the future?3/26/2008
  Q: When I was 15 I was beaten up by 2 older girls. 1 of the girls punched me in the mouth really hard ...
  A: Your dentist was right - there is a chance that this tooth could die at any time in the future. The ...
crowns3/20/2008
  Q: Hope you can give me an insight as to what may be happening with my crowns, so here goes i'll try to ...
  A: Was it the veneers that have come off? Veneers rely much more on the strength of the cement bond, ...
tooth pain3/20/2008
  Q: im having some trouble with my top right moler my very back one i have about a 5mm gap between my ...
  A: This pain can be caused by a number of things: the most likely cause is just plain old sensitivity - ...
damaged milk tooth3/19/2008
  Q: My 5 yr old son has a chipped (top front)tooth from an accident when he was 1. 2 days ago he said ...
  A: He is probably just losing the tooth normally, but you need to keep an eye the tooth. If you notice ...
Jaw infection maybe3/19/2008
  Q: A few years ago a dentist took an x-ray and said that I had some kind of infection around the root ...
  A: Treatment would consist of initially making a firm diagnosis i.e examining you, taking x-rays and ...
pain in front tooth3/18/2008
  Q: I have had pain (not severe) in right upper front tooth for 5 days now. I went to my dentist who ...
  A: Unfortunately with intermittent pain such as this it can sometimes be really hard to diagnose. Often ...
Jaw infection maybe3/18/2008
  Q: A few years ago a dentist took an x-ray and said that I had some kind of infection around the root ...
  A: It sounds to me like you have periodontal disease. The progressive loosening of your teeth is ...
post root canal3/16/2008
  Q: I had a canal done on a crowned tooth that was applied with temp cement because of continued ...
  A: It can take a little while for a tooth to fully settle after root canal treatment. However, you do ...
Sorry.3/14/2008
  Q: I never received an answer other than you had already answered my question. I tried to look in your ...
  A: I received the same question from you twice, so rejected one of them and answered the other one - ...
treatment3/14/2008
  Q: Does waiting time for dentist treatment vary depending on the area and practice? Can it take upto 1 ...
  A: Yes - waiting times vary tremendously and a year is quite feasible. Usually your dentist will refer ...
Have I been ripped off?3/14/2008
  Q: just had a root canal completed on my upper first molar three weeks ago. I went to my general ...
  A: For the opposing tooth to have over erupted the root filled tooth must have been broken for quite a ...
son's loose tooth3/13/2008
  Q: I'll try to keep this brief... :) My son is 6 and has a loose upper tooth. Above that tooth, his ...
  A: It depends how loose the tooth is. If you can get the tooth to come out very soon then fine, don't ...
Titanium implants3/12/2008
  Q: My brother had titanium implants inserted in July of last year- for the past 3 months he has had ...
  A: It is incredibly rare to be allergic to titanium (which is what the implants are made from), ...
root canal and restoration3/12/2008
  Q: One year ago exactly, almost to the date, I had a root canal and cap on one of my upper front teeth ...
  A: A root filled tooth will be weaker than a normal tooth because the root canal work has meant some of ...
Post root canal agony3/11/2008
  Q: I am no stranger to root canals. I just had my third finished up today. But lets go back a bit. The ...
  A: You can get quite a lot of after-pain following root canal treatment, and that doesn't necessarily ...
Pulp testing3/11/2008
  Q: I am a dentist and would like to know more about pulp vitality testing. In term of the range of ...
  A: Vitality testing is just an aid to your diagnosis. The actual values recorded will vary depending on ...
nerve pain3/10/2008
  Q: A few months ago I went to my dentist because I was having pain on biting. Dentist filled it and it ...
  A: It sounds as though the problem may be with the wisdom tooth - I very much doubt that there is any ...
Scaling in mouth3/6/2008
  Q: Dr. Appleton Thank you for your time and expertise. Very grateful. I'm a 41-year old male and for ...
  A: It may just be a build up of calculus around the teeth. In which case you need to see a hygienist to ...
veneers over caps3/6/2008
  Q: I have very nice porcelain caps on 8 of my upper teeth. The work was done 18 years ago.I always get ...
  A: No it is not possible to whiten your existing crowns, which leaves you with two options: Firstly ...
Tongue problem - please help3/6/2008
  Q: I have a tongue concern that I wanted to discuss with you. For the last 10-12 days, I seem to have ...
  A: This is probably nothing to worry about at all, and I would be inclined to see what happens over the ...
Porcelain veneers / laminates versus porcelain caps2/27/2008
  Q: My front tooth porcelain veneer came off and I was wondering before I go to my dentist I would like ...
  A: The appropriate solution for your tooth (veneer or crown) depends on the condition of your tooth and ...
posterior crossbite2/27/2008
  Q: I have had very little orthodontic work done, yet, my teeth are extremely straight. I do, however, ...
  A: Different cases are going to vary in how long it takes to correct, and the best person to advise you ...
Hairline crack2/27/2008
  Q: My dentist has recently told me that I have a 'hairline crack' in one of my back teeth. It causes ...
  A: It really depends on the extent of the crack. Worse case scenario is that part of the tooth ...
braces w/perio2/27/2008
  Q: i have been told that i have periodontal and i have had the scaling and root planing done about a ...
  A: Your Periodontist needs to advise you on this. Certainly you need your gum health to be as near ...
Child dentistry2/26/2008
  Q: Our 3y 9m son has had most of his teeth removed at a local hospital. The dentist concerned waited ...
  A: It is not practical to provide a young child with dentures. His gums will harden up, but it does ...
Neck & lower head pain2/26/2008
  Q: I had both my lower left & right molars extracted about four months ago. It was done about 3 weeks ...
  A: This is an unusual problem to have, and I can't say whether or not it is related to the extractions ...
Pain on crowned tooth.2/25/2008
  Q: About 3 years ago I had a crown placed on my top right molar, second from the back or first from the ...
  A: Gingivitis doesn't cause pain. It sounds very much like you may need root canal work, but the only ...
Root canal upper molar2/22/2008
  Q: I wonder if you can give me advice as to whether having a second, more thorough/larger root filling ...
  A: Widening the canals further (within reason) doesn't weaken the tooth any more than the original root ...
Root Canal / Sinus Problems2/22/2008
  Q: About 7 years ago I was experiencing slight pain in tooth. Dentist gave me a filling. After the ...
  A: It is unlikely your sinuses were damaged by the root canal treatment, but what is more likely is ...
possible teeth grinding2/22/2008
  Q: last weekend i leaned forward and a back tooth 3 in gave me a shooting pain that lasted for a few ...
  A: The likeliest cause is the tooth itself - it may be the pulp is inflamed hence the symptoms. If so ...
Root Canal : Healing2/21/2008
  Q: Appleton, I had a root canal upper right at the back (somewhere... sorry, can't be more specific) ...
  A: It can take some time for residual infection to completely disappear, so I wouldn't panic too much ...
crowns2/21/2008
  Q: My two front teeth are crowns and are now approx 4 years old,within the last two years the gum ...
  A: It sounds as though you have some gum disease going on around the crowned teeth. You need to see ...
Gum after apico2/21/2008
  Q: I had an apico about two weeks ago; the tooth had a root canal and has a cap. Stitches were removed ...
  A: It takes a little while for the tissues to settle after a procedure such as this. You may well get ...
Root canal upper molar2/21/2008
  Q: I wonder if you can give me advice as to whether having a second, more thorough/larger root filling ...
  A: A second root canal treatment has a lower success rate than the initial root treatment - but this is ...
Yellowing front tooth - result of 'train tracks'?2/20/2008
  Q: Over the last three years or so, I have noticed that one of my front teeth is slowing becoming more ...
  A: Exactly as your dentist said - this is usually due to trauma or orthodontics can cause it. No, a ...
Last upper molar tooth extraction vs root canal2/20/2008
  Q: my upper left last molar's nerve has died, so my dentist has advised me that I either should have ...
  A: Losing the last molar is not the end of the world, however there is a risk of the opposing teeth ...
extraction/implant2/19/2008
  Q: On the upper left and bottom left, both of my back molars are in need of help. My dentist says I ...
  A: You could have both teeth removed and it probably wouldn't impact too much on your chewing ability, ...
Dental implant?2/18/2008
  Q: To Tony, Hi Again. Thanks for your previous advice. since then, I have visited three dentists about ...
  A: Yes - too many x-rays are to be avoided. Any new dentist you see should request the x-rays from your ...
Severe pain 3 weeks after fillings2/13/2008
  Q: I had 4 fillings 3 weeks ago and I think the Dentist may have drilled too far. Every day I am ...
  A: If the pain is getting easier then it is reasonable to suggest that you wait a while longer to see ...
Tooth ache from Capped Teeth2/10/2008
  Q: I had my top 5 teeth capped and bottom one done about 5 years ago, they have been very sensitive ...
  A: Generally if your gums bleed it means you need to see the hygienist - it is usually from a build up ...
recent root canal2/10/2008
  Q: Hey thanks for taking my question. I just received a painless Root canal Friday the 8th. It was a ...
  A: It is not unusual for the tooth to be tender to bite on for a few days after root canal - this ...
Exposed bone?2/7/2008
  Q: I had my top left wisom tooth removed nearly 10 years ago. I noticed yesterday that I appear to ...
  A: This is most likely a piece of the tooth root that may have been left behind, or an extra tooth ...
old root canal and crown?2/7/2008
  Q: I had a root canal performed on a front tooth about 11 years ago. During the procedure, the dentist ...
  A: Neither of your dentists is wrong. Whether or not a tooth is crowned is a very subjective decision. ...
Jaw Restriction after Wisdom tooth removal2/5/2008
  Q: had my bottom right impacted wisdom tooth removed 11 days ago and had extreme swelling afterwards ...
  A: This is not unusual, and your opening should start to improve soon. There is a lot of swelling and ...
Post root canal symptoms2/3/2008
  Q: I had a root canal on my right upper molar 4 days ago following prep on a tooth to support a 3 crown ...
  A: Your sinus can be very close indeed to the roots of your upper teeth. It may be that some of the ...
Please help me to get my teeth numbed...2/2/2008
  Q: Ok, so 3 days ago i woke with such awful pain to my lower jaw, so i ran straight to my private ...
  A: When you have an abscess on a tooth, often the infection itself reduces the effectiveness of the ...
Root Canal2/1/2008
  Q: I fear that i'll need a root canal on the front tooth and god know what else on the rest, I also ...
  A: Don't panic! It is never as bad as you imagine it's going to be. The worst thing here is that you ...
Jaw pain2/1/2008
  Q: I have had root canal and fillings in left upper Molar 1 and left lower PM 2 (I think) That's what ...
  A: Basically this needs to be diagnosed. The pain you are getting is most likely either from your teeth ...
wisdom teeth extraction2/1/2008
  Q: I am 24 years old and both my lower wisdom teeth are causing me trouble. the right one is impacted ...
  A: This is not unreasonable. We try not to take out lower wisdom teeth unless we have to because there ...
root canal2/1/2008
  Q: I had a root canal 2 years ago on my upper front tooth. There is discoloration but i think it's ...
  A: You are developing an abscess on this tooth. You aren't feeling any pain because the infection is ...
Root Fracture1/29/2008
  Q: How bad are root fractures on teeth that have had a root canal? ALL I WANT TO KNOW IS AM I GOING TO ...
  A: Root fractures on any teeth are bad - it is irrelevant whether or not they have had a root canal. It ...
Front tooth1/29/2008
  Q: I have a front tooth that has had a root canal done on it. It just got hit last night. It is just a ...
  A: A tooth fracturing is a pretty common occurrence - and root filled teeth tend to be more brittle and ...
Post Surgery Issue1/29/2008
  Q: I got my wisdom tooth removed a week ago. The doctor could not remove a very small (1mm) part of ...
  A: It is highly unlikely that the piece of retained root is causing the pain. It is normal for the area ...
infected root canal abscess1/28/2008
  Q: Greetings from New Zealand! I am writing to you for some unbiased information. About June 2006 I ...
  A: What a beautiful country you live in! I was only drooling over a TV programme showing snowboarding ...
NERVES1/28/2008
  Q: I have has a lot of infections and nerve problems over time with all the teeth on the top right of ...
  A: ! No, damage from one nerve doesn't spread to another. However, the damage to your nerve occurs if ...
Implants1/24/2008
  Q: My second from the middle top front tooth has flared out and looks funny. I am 72 years old so have ...
  A: It really depends on what the situation is with your teeth and bone as to how long an implant takes, ...
help1/24/2008
  Q: i have noticed for a while that i need a tooth out and starting to develop black,which is leading to ...
  A: We really don't like to put people to sleep for routine treatment because the anaesthetic itself ...
help1/24/2008
  Q: i have noticed for a while that i need a tooth out and starting to develop black,which is leading to ...
  A: The original cavity was caused by sugar in your diet - it continues to get bigger until you get it ...
My sons teeth1/23/2008
  Q: I have recently noticed my 3 yr old son has a hole in his upper right end molar! I have to say I was ...
  A: Decay is mainly down to sugar intake. You need to closely examine your son's diet, as sugar lurks in ...
Toothache1/22/2008
  Q: I have had toothache in my lower centrals and laterals over the past couple of days. I see no ...
  A: This sort of pain in several teeth tends to come from grinding your teeth and/or clenching them. ...
GUM/TOOTH/JAW MOUTH ACHE??1/21/2008
  Q: I live in New Zealand and got my right wisdom tooth extracted in August 2007. That was fine but the ...
  A: An abscess can develop on a tooth when the nerve in the middle of the tooth starts to die - this can ...
Pain that travels from my chest to my bottom gums1/21/2008
  Q: I have been having pain, kind of like a wave feeling which travels from my chest to my gums. What ...
  A: This doesn't sound like a dental problem, but you ought to see your doctor to get this checked out. ...
GUM/TOOTH/JAW MOUTH ACHE??1/21/2008
  Q: I live in New Zealand and got my right wisdom tooth extracted in August 2007. That was fine but the ...
  A: You could have an abscess developing on that tooth - this can be quite hard to diagnose initially ...
Impact wisdom tooth1/18/2008
  Q: I've had an impact wisdom tooth for years (I'm 37 now), which has become infected on a few occasions ...
  A: I'm afraid that there is always a risk of nerve damage when extracting a lower wisdom tooth, and ...
After root canal and crown1/18/2008
  Q: i had a root canal done about a month and a half ago. i went right away to have the crown put on ...
  A: It could be that the tooth has re-infected and yes, it is possible that the dentist missed a further ...
teeth wont numb1/15/2008
  Q: I had root canal treatment about 12years ago on the lower left molar 3rd in from an extracted wisdom ...
  A: There are a number of reasons why a tooth won't go numb. The commonest is if there is infection ...
new crown1/15/2008
  Q: I had a root canal on #13 tooth about a month ago. I was at the dentist 3 days ago to get fitted ...
  A: if the tooth sometimes hurts after the root canal it may be there is still some infection going on. ...
white marks on inside of cheeks1/13/2008
  Q: this has now caused me to have thick white lines on my cheeks. i have heard that continued cheek ...
  A: Biting your cheeks won't cause cancer. However, white patches in your mouth can turn cancerous - ...
dental bridge1/9/2008
  Q: I need a permanent bridge on the left side of my mouth, starting with the second tooth after my ...
  A: This would certainly be a long bridge, and how suitable a design it is needs assessing with models ...
post extraction pain12/27/2007
  Q: and Merry Christmas to you mate we spoke before about pain and sensitivity after extraction that i ...
  A: Corsodyl is fine to use rather than hot saltwater - although if you use it for a long time it can ...
pain in jaw and ear after gumline filling12/21/2007
  Q: I have recently been to the dentist for the first time in 10 years. I had to have gum treatments ...
  A: It is not unusual to get some sensitivity/pain after a filling has been done, and normally this pain ...
follow up question12/21/2007
  Q: Answer: Hi James The denture just needs adjusting slightly - see your dentist and they will easily ...
  A: Yes this is the case - you are bound to worry as this has been a new experience for you, so not ...
Accident:Tooth Knocked Out12/20/2007
  Q: I was out and messing around with friend and was pushed and fell over, hitting the kerb and knocking ...
  A: After an accident such as you had, the nerve in the middle of the tooth either returns to normal, or ...
Jaw infection12/18/2007
  Q: I had a root canal done about 2 months ago. It took several rounds of antibiotics and several ...
  A: Well it is a big deal in that it means the root canal treatment is failing, and also that you are ...
Potential long term damage after a knock to the face?12/17/2007
  Q: Last night I got hit in the face by accident with a fair bit of force, my gums around my top right ...
  A: The symptoms you describe are what I would expect following such an injury. There may or may not be ...
oral thrush12/12/2007
  Q: Last week, my wife and i both visited our dentist for check ups. we were both done within minutes ...
  A: It is highly unlikely that you contracted this from your visit to the dentist, however due to your ...
after extraction12/12/2007
  Q: you were very honest in your previous responses so i would firstly like to thank you for that . i ...
  A: The denture just needs adjusting slightly - see your dentist and they will easily be able to sort ...
scaling and root planing12/10/2007
  Q: I have no symptoms of gum disease (bleeding, bad breath, sore or swollen gums) but the dentist found ...
  A: Your mouth will be uncomfortable for a while after the treatment, and your dentist will advise you ...
scared help12/10/2007
  Q: Get a filling. I'm really scared will it hurt will I need the shot cuz I'm scared of shots also. ...
  A: It is perfectly normal to feel anxious about treatment. However, modern dental treatment is ...
Lump on gum12/10/2007
  Q: I have a crown on a lower molar which had root canal surgery many years ago. The crown came loose 6 ...
  A: Your dentist has a lot of holidays! This lump sounds very much like an abscess to me, and with the ...
scaling and root planing12/9/2007
  Q: I have no symptoms of gum disease (bleeding, bad breath, sore or swollen gums) but the dentist found ...
  A: I'm afraid it is not unusual to be unaware that you have gum disease. This disease process is often ...
removal of fixed bridge12/4/2007
  Q: I have a fixed bridge that needs removing due to a tooth which was extracted which was growing ...
  A: Yes, I should think that your dentist should be able to remove the bridge and make a new one. As to ...
tooth extraction11/30/2007
  Q: went and had a tooth out today the dentist couldn't get it all out so he said he'd have to leave it ...
  A: The referral to hospital would be for them to remove the piece of root. This is a minor surgical ...
Broken molar getting loose?11/30/2007
  Q: I have a back molar that has more than half broken off at the gum line exposing nerves. It has been ...
  A: I think it is unlikely you will be able to wiggle the tooth out yourself, but if you did then as ...
wisdom tooth problem11/30/2007
  Q: am having problems with my wisdom tooth. I wore braces when I was 16 (am now 28), did extract 4 of ...
  A: You should have plenty of room for your wisdom teeth, and you are right, well placed wisdom teeth ...
Pain in lower Teeth11/29/2007
  Q: I have had a fgew guim infections in the past that have always been treated with antibiotics, I have ...
  A: This is a most unusual presentation - if the pain is actually from a tooth, although you can get ...
tooth extraction11/29/2007
  Q: went and had a tooth out today the dentist couldn't get it all out so he said he'd have to leave it ...
  A: What has to be weighed up here is the risk of leaving the piece of root, against the surgery ...
pain when i bite down.11/26/2007
  Q: i had my lower right wisdom tooth and one next to it filled with composite 4 days ago. i now cannot ...
  A: This is actually a fairly common occurrence - the pulp in the middle of the tooth has become ...
Crown Loose at the front11/26/2007
  Q: About 3 months ago it came loose when I bit onto some bread that had some dry hard rye in it - I ...
  A: Really the crown does need removing, but if it won't come out easily yet that could mean destroying ...
Sinus infection caused by a infected tooth11/21/2007
  Q: I have a tooth that was knocked out over thiry years ago and have had three root canals over the ...
  A: This could affect the sinus, although from the sound of it you ought to have this tooth sorted out ...
back molar removal11/20/2007
  Q: I have a question about the removal of my back left top molar (not a wisdom tooth). Four years ago ...
  A: If you have the tooth out you will manage. Obviously it will not be ideal because you will only be ...
tooth sensitivity11/19/2007
  Q: I have had sensitivity on the lower left side of my teeth for about 6 months. It is so severe I ...
  A: This type of problem can be difficult to diagnose and hence take a while to get resolved. Whilst I ...
lumineers11/16/2007
  Q: My teeth have started to decay in the last 6 yrs of my life. I'm 20. Its not awful, but its not a ...
  A: Lumineers are just really thin veneers. They can be placed on teeth either with no preparation ...
Cyst11/15/2007
  Q: I am reluctant attendee to the dentist. Had new patient check-up, following clinical exam was told ...
  A: I can't understand quite how the dentist has diagnosed a cyst without having taken an x-ray! If ...
2nd Molar extraction11/15/2007
  Q: I am in my early 30's and recently had my Left upper wisdom teeth removed as a precautionary measure ...
  A: It is preferable to keep your second molar if at all possible. I you lose it, you may find eating on ...
Dental pain after crown11/14/2007
  Q: Approx 5 weeks ago I had major treatment on 6 teeth to prepare them for a joined crown to which ...
  A: It can take a little while for a tooth to completely settle - but on occasion sometimes the tooth ...
my 2yr old's teeth pull forward11/13/2007
  Q: a few months ago i noticed his 2 top front teeth were starting to pull outwards i think it has ...
  A: Yes, the teeth may well return to their normal position with time, but more importantly his ...
Porcelain veneers & root canalled teeth11/13/2007
  Q: I've had root canal treatment on my four upper front teeth approx 12 years ago (I'm 24 now), and I ...
  A: Porcelain veneers should be fine for your front teeth, as long as they are not too heavily filled ...
my 2yr old's teeth pull forward11/12/2007
  Q: a few months ago i noticed his 2 top front teeth were starting to pull outwards i think it has ...
  A: The best thing you can do is throw away ALL of his dummies. I know it will be difficult at first, ...
toothace and fillings11/9/2007
  Q: i've been having the most awful toothache, mostly it is in 2 of the bottom back teeth (which i think ...
  A: Sorry but you're going to need to see the dentist!! It sounds like there is probably some decay ...
Receding gum issue following root canal and crowns11/8/2007
  Q: i had to have 4 root canal treatments and then 4 crowns put onto my teeth following a cycling ...
  A: It is all to do with how flush the crown is with the tooth - really this can only be checked by your ...
Receding gum issue following root canal and crowns11/8/2007
  Q: i had to have 4 root canal treatments and then 4 crowns put onto my teeth following a cycling ...
  A: The recession is either due to a build up of plaque, or due to the margins of the crowns not fitting ...
Root Canals11/8/2007
  Q: I had a root canal on an upper back tooth (#14) in July. The pain never subsided, and after two ...
  A: The success of root canal treatment depends on being able to remove all of the pulp tissue and ...
trigeminal neuralgia11/8/2007
  Q: I'm 17 weeks pregnant and recently had a crack in an old filling that was redone. Within 2 days the ...
  A: You have not got trigeminal neuralgia! Although this is twice as common in females than males, it ...
Receding gum issue following root canal and crowns11/7/2007
  Q: i had to have 4 root canal treatments and then 4 crowns put onto my teeth following a cycling ...
  A: It sounds like you are doing everything you should be doing to maintain good gum health, although to ...
Suspected dying tooth although x-ray seems fine.11/6/2007
  Q: Appleton, I have a tricky situation here. I had impact trauma on my front teeth while ...
  A: Following a trauma such as you had 11 years ago, a tooth can die really at any point in the future, ...
Pulpitis after fixed bridge?11/6/2007
  Q: In the last month I have been getting a fixed bridge to replace a missing upper back tooth that was ...
  A: It is completely normal to apply the cement directly to the tooth - indeed that is what the cements ...
tooth decay treatment for my toddler11/4/2007
  Q: My daughter just turned two and she has tooth decay . We took her to a dentist and he suggested a ...
  A: Your daughter shouldn't get any pain because she has had the root canals treated. The main thing now ...
Excessive Pain after Temporary Crowns11/2/2007
  Q: Any help would be greatly appreciated: A week and a half ago I had a 2 temporary crowns put on my 2 ...
  A: What you have done is make yourself a nightguard, and this has obviously helped your symptoms by ...
Excessive Pain after Temporary Crowns11/2/2007
  Q: Any help would be greatly appreciated: A week and a half ago I had a 2 temporary crowns put on my 2 ...
  A: You really shouldn't have this level of pain following crown preparation. There are two ...
follow up question10/31/2007
  Q: lol . the tooth is a front bottom one so it can be seen when i smile i would like something in its ...
  A: Sounds like you have sinusitis, in which case you can try decongestants and steam inhalations which ...
follow up question10/30/2007
  Q: lol . the tooth is a front bottom one so it can be seen when i smile i would like something in its ...
  A: Yes - an immediate denture is the quickest and simplest way to replace your tooth once it's ...
Badly fitting crown after root canal treatment10/29/2007
  Q: I had root canal treatment to a right lower molar which then had to be fitted with a crown. It was ...
  A: If the crown isn't right then it isn't right, and your dentist ought to treat you until it is right! ...
fillings10/27/2007
  Q: I have a relative small "cavity" on the lower side of a a single face of a tooth. One dentist says ...
  A: I can't say whether it needs filling or not - you must decide which dentist's judgement you trust ...
Root Canal retreatment10/26/2007
  Q: Appleton, I went to a dentist for a root canal on tooth #4 and he did #5 by mistake. I have since ...
  A: Have the tooth re-treated. You are right in thinking that the success of a re-root treatment is ...
root canal therapy concern10/24/2007
  Q: I am in the process of having root canal therapy on my tooth (it's the tooth next to my front ...
  A: This tooth has been infected for a long time, so it can take quite a while to get it under control. ...
Infection?10/23/2007
  Q: About 8 weeks ago I had a rather large amalgam filling removed due to some additional decay found ...
  A: These could be a minor viral infection or possibly thrush. I doubt very much they are directly ...
ROOT CANAL10/23/2007
  Q: I HAVE BEEN TOLD BY MY DENTIST THAT I NEED TO HAVE ROOT CANAL,MY TOOTH ONLY HURTS WHEN I EAT THE ...
  A: Root canal treatment is a very common form of treatment these days. It is done when the nerve in the ...
piece of tooth coming through gumline after tooth extraction10/22/2007
  Q: Dr.Appleton, I had two teeth removed approximately 3 weeks ago. #30 and #31. The #31 tooth was a ...
  A: This could be a bit of tooth or more likely a small piece of bone. It is fairly common, and ...
apicoectomy complications10/21/2007
  Q: I have swelling where the incision was made and a white bump that stretches on to my lip. I have had ...
  A: It certainly sounds like infection, and you ought to see your dentist for advice. I'm afraid that ...
wisdom teeth pain10/20/2007
  Q: i've had my wisdom teeth taken out 7days ago. its still painful and the stitches haven;t ...
  A: It can take 2 or 3 weeks for the area to feel reasonably 'normal' again. You have had surgery that ...
Birth control pill and caries10/19/2007
  Q: I'm 23 and have always had perfectly healthy and cavity free teeth and have never been on ...
  A: The birth control pill has no effect whatsoever on developing cavities. Cavities are purely due to ...
Mouth Sores10/16/2007
  Q: only to find that this morning when I woke up my bottom lip is severely swollen. To make matter ...
  A: Did you have fillings in your lower teeth? If you did, and had a local anaesthetic that made your ...
post-op numbness10/15/2007
  Q: i had lt lower 8&9 and upper lt 9 removed 5 days ago under GA as yet i still have total numbness on ...
  A: The numbness could be caused either by swelling or nerve damage. Generally the numbness is transient ...
Root canal or wait?10/15/2007
  Q: I had a composite restauration done in an upper molar 2 months ago because I had a cavity near the ...
  A: The sensitivity to cold generally indicates the nerve is still alive. I would suggest that before ...
daughters greying tooth10/13/2007
  Q: My 20year old daughter who is away at university has just informed me that one of her teeth is ...
  A: When a front tooth starts to go grey it is usually a sign that the pulp of the tooth has died. The ...
Reacurring infection on 2 root canal treatment10/13/2007
  Q: I really hope you can shed some light on my probelm, it has been going on now for 5 years, i had ...
  A: You obviously have some infection going on, so I would suggest you see your dentist again. If he ...
re root treatment and antibiotics10/12/2007
  Q: i have been refferred to my local dental hospital in Glasgow by my dentist after a reccurring ...
  A: Yes - re root-treating a tooth can be particularly difficult, and if they are having these sorts of ...
Root Canal but holding off on Post & Crown10/11/2007
  Q: I recently got root canal work done and the dental office just called to say that it is not covered ...
  A: As long as the tooth is properly sealed in the interim you should be fine - just make sure your ...
re root treatment and antibiotics10/11/2007
  Q: i have been refferred to my local dental hospital in Glasgow by my dentist after a reccurring ...
  A: Yes a course of antibiotics may well help, but Metronidazole isn't really the first choice for this ...
healing sockets after wisdom tooth extraction10/11/2007
  Q: I had all four wisdom teeth extracted a little more than a week ago (10/2). The recovery went ...
  A: What you describe sounds completely normal. The sockets will remain 'open' like this for quite some ...
tooth extraction10/10/2007
  Q: I had my tooth extracted on Mon 8th Oct. And I was just wondering aboutt his dry socket thing..what ...
  A: Well - I think you know what I'm going to suggest!?! If you could manage on 1 a day why not take ...
12 Year Old Has Baby Teeth10/8/2007
  Q: My 12 year old daughter still has baby teeth. One of them is a top front tooth. Unfortunately due ...
  A: If this is one of the middle 4 top teeth then it is a cause for concern, and your dentist really ...
Root Canal Issue10/6/2007
  Q: I had a root canal done by a dentist in 2006 and I lost a good 2/3 of the tooth which was literally ...
  A: Really the best treatment for this tooth would be to get an opinion from an endodontist. They may ...
Porcelain veneers10/6/2007
  Q: I had porcelain caps applied to my front teeth over a year ago, and have found they have ...
  A: Porcelain will not itself change colour. Could the discolouration be due to staining? If so then ...
infection or trauma pain?10/5/2007
  Q: I had a molar extracted 48 hours ago. It was a difficult extraction as the root was hooked. I now ...
  A: No, it isn't normal practice to prescribe antibiotics routinely following an extraction - even if ...
Severe pain after 1st root canal procedure.......10/3/2007
  Q: I had the first part of the root canal treatment on a tooth that we believe had been infected for a ...
  A: I'm afraid root canal can sometimes be quite painful - usually if the tooth is acutely infected, as ...
reabsorption10/1/2007
  Q: What are the causes of tooth/root reabsorbtion? I just had a tooth removed related to that ...
  A: Generally root resorption is related to trauma - i.e. a tooth that has suffered some traumatic ...
infection or trauma pain?10/1/2007
  Q: I had a molar extracted 48 hours ago. It was a difficult extraction as the root was hooked. I now ...
  A: An infected socket looks different - there may be pus present, and there may be an absence of a ...
throat and sinus pain after fillings9/30/2007
  Q: I was at the dentist two days ago to have three cavities filled in my front teeth. I'm extremely ...
  A: I don't think this has been caused by the injections. You are bound to have some pain after the ...
Grey Tooth9/29/2007
  Q: My brother-in-law was playing a soccer game and the opponent got mad and sucker punched him in the ...
  A: It does sound as though the tooth has been damaged. Generally speaking the tooth can be saved by ...
Cerec on a tooth with prior root canal9/27/2007
  Q: I recently moved from Los Angeles to Las Vegas and have just started with a new dentist when this ...
  A: I routinely use CEREC on molar teeth with no problem at all. However, CEREC is a technique, and is ...
Who is right?9/27/2007
  Q: I had a root canal done about twenty years ago on my front top right tooth and it was capped about 5 ...
  A: Infection doesn't make a crown fall out! A crown falls out if there is not enough retention for it. ...
Filling Query9/27/2007
  Q: I had one of my upper back teeth filled when I was 14 (ten years ago). I went for my last regular ...
  A: If the dentist probed around this old filling then that could be giving you the metallic taste - the ...
Root canal9/26/2007
  Q: I had a root canal done by my general dentist a few months back. after the root canal, I notice I ...
  A: This sounds completely reasonable to me - there is obviously an area within your tooth that your ...
Pregnant - Root canal too many x-rays9/24/2007
  Q: I am 15 weeks pregnant. My upper front tooth is abcessed and needs a root canal. The dentist ...
  A: 10 x-rays is far far too many! Did he mean you needed the x-rays just for this root canal, or are ...
treatment options after tooth extraction9/24/2007
  Q: I had a tooth (#30) extracted this past week after a failed retreat (they said there was only a ...
  A: It is quite normal for the area to be feeling tender - and this can last for 2 or 3 weeks. It ...
Re: Poligrip on the gums & tummy9/23/2007
  Q: Dr. I would like to know if swallowing poligrip will be dangerous to my body. I don't want to ...
  A: Poligrip won't harm you should you swallow any, although obviously you should aim not to! I'm ...
nerve damage?9/22/2007
  Q: I went to an emergency dentist on Tuesday who injected two lots of anesthetic into my back left jaw. ...
  A: It sounds like you may be developing an abscess on that tooth - the swelling associated with this ...
Wisdom teeth?9/22/2007
  Q: This morning when I was brushing my teeth, I noticed an extra tooth starting to grow above all my ...
  A: Wisdom teeth are just molar teeth that usually come through age 18-21 right at the back of your ...
Tooth with feeling very sensitive all of a sudden.9/21/2007
  Q: 2-3 years ago I chipped off about 1/3 of one of my front teeth and got a filling put on. Now all of ...
  A: It could be that the filling is starting to fail and needs replacing. However, it could also be that ...
Pain after Deep Filling...need root canal?9/21/2007
  Q: I had a deep filling on a back right molar 6 days ago. My dentist told me it was quite deep, and ...
  A: With a deep filling it is not unusual for the tooth to give symptoms for even a few weeks after ...
treatment options after tooth extraction9/20/2007
  Q: I had a tooth (#30) extracted this past week after a failed retreat (they said there was only a ...
  A: You have three options for replacing your tooth: A partial denture, a bridge or an implant crown. A ...
Grey tooth after filling9/19/2007
  Q: I went to the dentist yesterday for a cavity in my 1/4 tooth. They discovered it went very close to ...
  A: No you don't need to go back to the dentist yet - just wait until your next appointment as arranged. ...
cyst?9/17/2007
  Q: My question is regarding cysts on x-ray. How can you differentiate between a cyst versus an ...
  A: You can't. An x-ray just shows that there is something there - a firm diagnosis can only be made by ...
fillings9/16/2007
  Q: i take really good of my teeth the last visit i had the dr said i needed 4 or so fillings done. so i ...
  A: No it is not normal for fillings to fall out after only 14 months. Fillings should last for years. ...
Dental work9/13/2007
  Q: I have been seeing a new dentist for the past 3 months. At the time I had a tooth ache and asked ...
  A: I think what you are getting is just a side-effect of all the injections you have been having. This ...
2 year old teeth extraction9/12/2007
  Q: My 2 year old has badly decayed teeth and the specialist dentists here in Edinburgh have recommended ...
  A: The problem here is that your son has a large amount of decay at a very young age. If no treatment ...
6 Fillings and an Extraction9/12/2007
  Q: Having never had a filling i now find that aged 23 after 2 pregnancies i now require 6 fillings and ...
  A: Sedation will make you feel really drowsy and so that you really don't care about what is being ...
sensitive crown9/11/2007
  Q: I have a front tooth crowned and it has become sensitive too cold air and drinks,I have had the ...
  A: I'm afraid it sounds as though you are going to have to get this tooth looked at - it could be that ...
Root canal treatment9/11/2007
  Q: in root canal treatment if the pain is not getting less do we have any other procedure with out ...
  A: This is really a question of diagnosing why the root canal work has failed. If it is because the ...
my six year old tooth pain9/10/2007
  Q: My six year old son has had tooth pain in molar,getting gradually worse over the past few weeks .I ...
  A: The important thing at the moment is to get rid of your son's pain. I am presuming this is a baby ...
root canal for my daughter 5 yrs old9/10/2007
  Q: My daughter is 5 years old, I took her to the dentist for a check up, after seeing the X-ray the ...
  A: It is quite important that your daughter keeps her baby teeth until they are due to come out. This ...
Pain after Root Canal Treatment9/8/2007
  Q: I had a root canal treatment on a molar (second from the back on the top) about 4 months ago. Since ...
  A: Phil It depends how well you can cope with the pain. If it is manageable just with normal ...
unerupted teeth9/6/2007
  Q: Teeth numbers 3/3 have never erupted. Until 2 years ago I had milk teeth where there are now gaps. ...
  A: You've got to take advice from your specialists. As you are aware, there is a chance that the ...
Pain9/6/2007
  Q: On Monday i had severe pain in all top teeth on my right side. I couldn't get an appointment with ...
  A: As long as you can manage the pain with pain-killers, then wait until monday and see your own ...
Braces9/5/2007
  Q: I use to have straight teeth but since my wisdom teeth (all 4 have been removed) have come out my ...
  A: Yes you can. Of course it depends on how much tooth movement is required, and you would need to see ...
help9/5/2007
  Q: Okay this is a long one, but maybe someone can help me because not one of the dentists that I am ...
  A: It really sounds like you've been through a horrendous time! OK - an overextended root canal is ...
Acid erosion?9/5/2007
  Q: I have what look like yellow stains on the bottom of my front upper teeth which sometimes can be ...
  A: This could be acid erosion, or just staining - better see your dentist. Generally the treatment ...
Tongue is burning after having 2 fillings9/5/2007
  Q: Hey there, Here is my situation..... I have gone to the dentist last week (Aug 29, 2007) and had 2 ...
  A: I'm afraid you can't predict how long it will take to heal, although I would have thought it should ...
Tongue is burning after having 2 fillings9/4/2007
  Q: Hey there, Here is my situation..... I have gone to the dentist last week (Aug 29, 2007) and had 2 ...
  A: This sounds very much like there has been some damage to your lingual nerve. This can happen on ...
permanent teeth9/3/2007
  Q: I'm 32 years old and still have a baby canine tooth in my upper jaw. The tooth has started to become ...
  A: I'm afraid this sounds like the baby tooth has come to the end of it's life. Generally a retained ...
Tooth problem8/22/2007
  Q: Well for a while now one of my wisdom teeth have been coming out (I'm nearly 19 now) and it was ok ...
  A: It really depends how much trouble it is giving you. The gum is infected, hence the pain and bad ...
Marilyn Bridge8/22/2007
  Q: what do u suggest for gluing a marilyn bridge tooth? ANSWER: Hi Jose Do you mean Maryland bridge? ...
  A: Ah - I'm afraid I don't know anyone in your area - however if you happen to be in the UK then please ...
Marilyn Bridge8/22/2007
  Q: what do u suggest for gluing a marilyn bridge tooth? ANSWER: Hi Jose Do you mean Maryland bridge? ...
  A: Jose I thought maybe you were a dental student!! Sorry - you won't be able to purchase it, and ...
Unknown Odor!8/22/2007
  Q: .. I have been keeping up with my oral cleanings. In the past it was detected that I had the early ...
  A: There are many causes of halitosis - one of the commonest being dental disease, so your initial ...
Root Canal problems8/22/2007
  Q: I wonder if you could help? I suffered a head trauma about 9 weeks ago basically face dropped onto ...
  A: Go back to your dentist. Don't be scared of going back, you may have an infection developing around ...
undecided about a tooth problem - what to do next??8/22/2007
  Q: ! I have had so many problems with this particular tooth that I can’t make up my mind what to do ...
  A: I agree with you that it is best to avoid extractions whenever possible. However, there does come a ...
Wisdom Tooth Problems8/21/2007
  Q: I have my last wisdom tooth coming in. As it's pushing through the gumline there's a 1/2 inch flap ...
  A: Generally it will disappear as the tooth comes through further. Sometimes, however, if there is ...
Injury - broken root?8/21/2007
  Q: I had a bad fall last week and damaged my front teeth of which one is a crown. The lip is quite ...
  A: I'm afraid that often with an injury of this type there is a high chance that you will end up losing ...
tooth decay treatment for my toddler8/21/2007
  Q: My daughter just turned two and she has tooth decay . We took her to a dentist and he suggested a ...
  A: We don't use a general anaesthetic unless we really have to, because there is a significant risk ...
Bruising after filling8/20/2007
  Q: On 7/31/07 I had composite fillings on Teeth 3 and 4 and in between them. This was my first ...
  A: It sounds as though the injection(s) caused some bleeding into your tissues, which is really just ...
tooth or facial ache8/19/2007
  Q: I believe my problem started about 2 months ago when I was visiting in Seattle. (I live in CA) It ...
  A: The likeliest cause for your pain is the nerve in one of the support teeth dying. This gives the ...
Can a moving tooth be saved?8/19/2007
  Q: Mr Appleton, My father is 66 years old, and his second pre molar has been wobbling for a few years, ...
  A: It sounds as though your father has gum disease around this tooth. Basically over the years gum ...
severe gum pain.8/19/2007
  Q: just recently on the left side of my mouth in the gum where the joint of the mouth is (that part ...
  A: It is obviously difficult to diagnose your problem properly without seeing you, but this sounds as ...
Bite problem8/18/2007
  Q: i had a deep filling done on my front tooth awhile ago and it has always been sensitive, but a few ...
  A: This really doesn't sound like a bite problem to me. It sounds very much like you are developing an ...
Do i need a root canal?8/17/2007
  Q: I have recently discovered that my top right tooth has a crack (cater like shape on my tooth) in it ...
  A: I'm afraid here you have to rely on the judgement of one or other of the dentists. If the decay has ...
Have i got nerve damage???8/17/2007
  Q: I hope you can help me, yesterday i had four teeth prepped for veneers, one of my front teeth needed ...
  A: These symptoms are because you have had a lot of the enamel removed, exposing the more sensitive ...
Root canal, crown lengthening, and implants.8/17/2007
  Q: My husband has been dealing with a great deal of dental problems. He avoided the dentist for about ...
  A: I would be inclined to suggest you have the crowns replaced rather than rush into implants. ...
Swollen gum following treatment for perforation8/16/2007
  Q: I had root canal treatment last November, which caused a perforation and I had to attend a Dental ...
  A: Yes, I think this is almost certainly related to the perforation/root canal work you had done. I'm ...
Sinus, migraine, or root canal?8/15/2007
  Q: Appleton, I have had pain which seems to originate in my next to last molar (not counting wisdom ...
  A: This can be a difficult one! Generally if heat triggers the pain it indicates that the pain is ...
purple bump inside the mouth8/13/2007
  Q: when my daughter was 6 months we noticed a small bump in her mouth so we took her to the doctors and ...
  A: Take her to the dentist - unfortunately a lot of doctors (but by no means all) aren't terribly good ...
Tooth darkening8/12/2007
  Q: A couple of weeks ago my friend accidentally hit the front of my mouth with his knee. I didn't bleed ...
  A: Yes - get it checked out. You are right, the nerve could be dying and may need treatment. This is ...
Re:tooth ache8/10/2007
  Q: I have been to see my dentist complaining of pain on my lower back teeth but not sure for which ...
  A: The antibiotics won't be causing the tooth pain. This pain sounds to me like the nerve in the tooth ...
A discoloured tooth and a possible extra tooth8/10/2007
  Q: I have two sons, one aged 4 1/2 and the other aged almost 2 years. We normally go once a year to the ...
  A: Yes - the risk to the permanent tooth can be from infection, or it can be directly from the trauma ...
A discoloured tooth and a possible extra tooth8/9/2007
  Q: I have two sons, one aged 4 1/2 and the other aged almost 2 years. We normally go once a year to the ...
  A: Yes - I think you are right - the discoloured baby tooth has most likely died due to the previous ...
root canal8/9/2007
  Q: Doctor i had a root canal done on my lower wisdom tooth(the last molar on that side) ,55 days ...
  A: Wisdom teeth can have some strange anatomy - there can be extra root canals. Yes it can be hard to ...
abcess8/4/2007
  Q: My tooth is now rotton and some has craked off.The abcess in my gum is still there it is like a big ...
  A: Zoe No this is not life threatening! Also it doesn't sound like gum disease. What you have is ...
small hole in cheek8/3/2007
  Q: Some months back (as many as maybe, 6?) I noticed a small hole in my cheek (in my mouth). It is ...
  A: John My pleasure! Sometimes the opening (technical name: Stenson's duct) to the parotid can become ...
swelling following root canal treatment8/3/2007
  Q: I had root canal treatment on my lower left eyetooth three days ago due to persistent problems with ...
  A: This sounds like infection to me. If the swelling is getting worse then see your dentist again as ...
Root Canal complication8/3/2007
  Q: 3 hours after a root canal treatment on a bottom molar i experienced severe pain and facial ...
  A: These symptoms can be caused by a number of things. The infection around the tooth; the actual ...
bleeding gums8/2/2007
  Q: i've had the problem of bleeding gums for over a year now. I've been told by my dentist that i need ...
  A: Bleeding gums are a sign that there is a build up of plaque around your teeth. This plaque causes ...
small hole in cheek8/2/2007
  Q: Some months back (as many as maybe, 6?) I noticed a small hole in my cheek (in my mouth). It is ...
  A: Where exactly is this hole? If it is on your cheek, adjacent to your upper first molar tooth then it ...
Problems with Maryland Bridge8/1/2007
  Q: I have had a terrible time with my new Maryland Bridge on the tooth adjacent to my front tooth and ...
  A: At this stage I would be inclined to suggest you give it a bit more time - use a desensitising ...
crown8/1/2007
  Q: Doctor i had a root canal done on my lower wisdom tooth ,46 days back.However the dentist put only a ...
  A: I am inclined to suggest that you would be better off with the crown - research shows that for molar ...
cavities still very painful7/21/2007
  Q: i think i may have written before, but i still have not managed to resolve the issues with my teeth. ...
  A: If the pain is just when you are biting down then you may not need root canal. The next stage should ...
prothesis7/20/2007
  Q: iam adentist &i have acse with edentiolous lower jaw and i need to make acomplete lower denture but ...
  A: Well one way or another you have to create space for the -/F. Once you have established the correct ...
shadow on ex-ray over top front tooth7/19/2007
  Q: I am 39 yrs old and ex-rays show a shadow/possible cyst over my top front tooth. I have seen an ...
  A: You need to see an Oral Medicine specialist. They are best placed to diagnose and treat this lesion ...
Bleaching7/17/2007
  Q: if i did bleaching,what r the precautions that i have to follow? till which time it will be ...
  A: When you are bleaching you just need to follow the instructions you will have been given very ...
Pain in tooth after filled cavity7/14/2007
  Q: I went to my dentist last week, just for a check up. I wasn't having any pain. He said I need ...
  A: If the pain continues, or gets worse, then you will probably need further treatment to that tooth. ...
teeth7/13/2007
  Q: My five year old son came to me about a bump inside his mouth. It looks as if a tooth is growing ...
  A: This is most likely exactly that - his permanent tooth starting to erupt. However, it could also be ...
Paediatric dentistry7/12/2007
  Q: I have a four year old son who needs a front tooth extraction, it cracked when he fell over when 1 ...
  A: This is a difficult one. If he is not in pain it is tempting to leave the tooth until it comes out ...
open tooth?7/11/2007
  Q: Two months ago I broke my tooth, the last in my lower jaw. Due to circumstances, I couldn't go and ...
  A: You have an abscess (infection) under that tooth, and your dentist may be able to save the tooth, or ...
need opinion7/10/2007
  Q: the past couple of days my mouth has had a horrible smell. i have never had any problems with bad ...
  A: The smell can come from a number of areas. The commonest would be either gum problems or cavities - ...
Extraction/Implant Questions7/8/2007
  Q: doctor, for answering my questions: 1) had an old crown removed in Feb because dentist said it was ...
  A: It sounds like you did the right thing in having the tooth removed. Had you not done, then you would ...
root canal question7/7/2007
  Q: Firstly, I am currently living in Costa Rica and have just completed a root canal procedure on the ...
  A: It is quite normal to still have some pain and/or tenderness straight after root canal work has been ...
childs teeth7/7/2007
  Q: my daughter is 5 years old we have had no problems with her teeth and she visits her dentist ...
  A: The black lines could be decay, but they could also just be staining, and really she needs to see a ...
Extraction7/6/2007
  Q: I have always shied away from the dentist since it has always brought pain and suffering for me... ...
  A: Your jaw and jaw muscles do take a bit of a battering when you have 4 wisdom teeth out, but ...
childrens tooth decay/extractions7/6/2007
  Q: Please advise me!! I finally registered with a dentist after not been able to get one for my son ...
  A: I fully agree with your concerns, and I think that what you need is for him to see someone who ...
Preventing Cavities7/6/2007
  Q: I was wondering if you would be kind enough to give me some dental advice. I quite often have ...
  A: The sort of cavities you describe at the gumline tend to be due to a combination of an acidic diet ...
post-cavity pain in tooth when i bite7/6/2007
  Q: recently i went to a new dentist - i hadnt had any problems with my teeth but thought it was time ...
  A: It sounds to me like the two fillings he placed are high, and that the bite needs adjusting. The ...
h7/5/2007
  Q: i have sensitive teeth adnworn away enamel due to bruxism am 43 y.o. lite complected amle with dark ...
  A: I think with your sensitivity issues and bruxism you should steer clear of do-it-yourself whitening ...
Pain after root canal7/5/2007
  Q: My daughter returned to the endodontist today. He told her it was probably an inflamed or irritated ...
  A: An irritation or inflammation of the tissues is quite common after root canal treatment, and in the ...
childrens tooth decay/extractions7/5/2007
  Q: Please advise me!! I finally registered with a dentist after not been able to get one for my son ...
  A: If the teeth are badly decayed, then extracting them under general anaesthetic is really the only ...
Toddler - problems post extraction7/5/2007
  Q: My 28 month old daughter had a bottom back tooth (next tooth down from a molar) extracted a week ...
  A: This does sound unusual. My initial thought is that your daughter's mouth is still rather sore, but ...
forever pain7/5/2007
  Q: My daughter was recommended to have a small filling in #18. There was no pain prior to this and she ...
  A: Well - there are two possibilities here - firstly the tooth may just need a bit of time to settle ...
HARD HIT TO FRONT TEETH7/4/2007
  Q: ABOUT TWO MONTHS AGO, MY DAUGHTER HIT ME REALLY HARD IN MY FRONT TEETH WITH THE BACK OF HER HEAD. ...
  A: It may heal on its own, but it may need further treatment. I'm afraid you just have to wait and see ...
pain after root canal?6/27/2007
  Q: Three months ago I had a cavity, I was told that it very little and would be a fast and easy ...
  A: It sounds like you have been really unlucky! There is probably a fracture in the roots of the tooth, ...
gap6/26/2007
  Q: ANSWER: Hi Tasha It really depends on how big the gaps are. Often we can create the illusion of ...
  A: It's impossible to say how long you would need to keep braces on without doing a full orthodontic ...
swelling after root canal6/25/2007
  Q: I had a root canal on my front tooth #8 this morning. It went smoothly, but now I've noticed I have ...
  A: This sounds normal after root canal. You can get quite a lot of pain initially, but this only tends ...
Tooth knocked out of place6/23/2007
  Q: One of my front teeth was knocked backwards 7 days ago and the root of the tooth went forward ...
  A: This sounds like a nasty injury! I'm afraid that the prognosis for a tooth that has been bodily ...
gap6/23/2007
  Q:
  A: It really depends on how big the gaps are. Often we can create the illusion of closing gaps just by ...
Horrible Abscess6/22/2007
  Q: I'm 26 and I had a root canal done about 11 years ago on one of my front teeth that I managed to ...
  A: If your dentist has drained the abscess then the swelling is probably just residual and should ...
tobacco6/18/2007
  Q: Can my dentist tell if i have used tobacco even though its been 2 days. Also even though i am ...
  A: It depends how much you smoked. If you were a heavy smoker for a reasonable period of time then we ...
Discoloured tooth6/15/2007
  Q: My 3 year old son has suddenly presented with a discolored front tooth. His teeth have always been ...
  A: It sounds like your son has knocked his tooth, causing the tooth to die. This is actually a very ...
Sensitivity after filling6/15/2007
  Q: I got a root canal treatment done two years back in 2005 October. Everything was okay till I ...
  A: He should have put in a temporary filling with a medicated dressing underneath first as the other ...
which bridge?6/14/2007
  Q: I had a 3 part bridge put on my upper molars. The bridge consisted of chromium/cobalt/porcelain. I ...
  A: Really the only non-metal bridge that has a chance of working needs to have a Zirconia core to it. ...
extraction healing time6/14/2007
  Q: How long should it take for a pre molar extraction to heal. I had one pulled in my top jaw a week ...
  A: This could be normal - it can take a few weeks for the extraction site to feel completely normal. ...
maryland bridge6/13/2007
  Q: i had an extraction on my upper tooth 7 days ago and had a maryland fitted in. but it has come out 3 ...
  A: I presume the Maryland bridge is being used as a temporary solution? There are a number or reasons ...
ROOT CANAL6/12/2007
  Q: TOOTH #31 JUST BEFORE MY WISDOM TOOTH ON MY RIGHT HAS ROTTED AND PIECE HAS BROKEN OFF. I HAVE A ROOT ...
  A: It's never good to lose a tooth, and losing a molar such as this can lead to tipping and movement of ...
Strange round gum... thing!6/12/2007
  Q: A couple of days ago I woke up to find what at the time I thought was a depression on the inside of ...
  A: I'm afraid it's really difficult to suggest what this could be without seeing it. Has it given you ...
Amalgam or composite filling on last bottom6/8/2007
  Q: i have started undergoing root canal treatment on my last lower molar in the left side(wisdom ...
  A: As in my previous answer - probably amalgam would be best as it is stronger and cheaper. You are ...
which filling material & crown and post required or not6/7/2007
  Q: i had written to you earlier in the day about the root canal treatment advised by my dentist on my ...
  A: The small x-ray that your dentist took is the correct view for root canal treatment. A panoramic ...
Root Canal6/7/2007
  Q: My wisdom tooth was paining me(not a lot) since the last week.Its only painining when i bite with ...
  A: The first question is whether or not it is worth going to all this trouble for a wisdom tooth. If ...
Temporary Bridge6/7/2007
  Q: I had a 4 tooth temporary bridge in my mouth. While eating I noticed that it was gone and I had ...
  A: Don't worry - the bridge will probably just pass through giving you no discomfort at all. Yes, the ...
"Wiggly" Molar6/6/2007
  Q: I have quite a bit of anxiety about going to the dentist and have not been in 5 years. Last year, ...
  A: I'm afraid it doesn't sound very good for this tooth. Obviously part of the remaining tooth has ...
cracked tooth6/2/2007
  Q: My small molar in the front of my mouth had a filling put in it years ago because the doctor said I ...
  A: Oil of cloves will help the pain - applied directly to the tooth itself. Obviously your normal pain ...
root canal5/31/2007
  Q: I went to open a root canal that was infected hopping I would get another root canal in its place, ...
  A: Sometimes a perforation can be repaired, sometimes not. You could ask your dentist if he feels it is ...
decay in upper temporary molar5/21/2007
  Q: My 7 years old son has a decay on his upper temporary molar. The dentist said it needs to be ...
  A: It depends how bad the decay is. If the tooth is heavily decayed then realistically extraction is ...
Crowns over implants5/20/2007
  Q: Is it better to screw in or cement the permanent crowns over implants? What are the pros and cons of ...
  A: A screw retained crown will need to have an access hole through the top or back of the crown which ...
pain on root canal/crowned tooth.5/10/2007
  Q: I guess about 17 years ago, I was pretty young I had a root canal done on an upper molar. My dentist ...
  A: It sounds like you have an abscess developing on that tooth. You need to get back to your dentist ...
Root treatment when installing bridge5/10/2007
  Q: I have a missing molar on both upper sides. In neither case is there enough bone to do an implant, ...
  A: I'm afraid I can't suggest an expert as I'm in the UK and you are in Argentina. However, it ...
Root treatment when installing bridge5/9/2007
  Q: I have a missing molar on both upper sides. In neither case is there enough bone to do an implant, ...
  A: Is your dentist advising root canal treatment because the teeth need root canal treatment or because ...
wisdom teeth5/7/2007
  Q: I realize I'm going to have to have them out... though lack of insurance is preventing me, and a ...
  A: It sounds as though these teeth are decaying. This is pretty common for upper wisdom teeth, as they ...
Crown Lengthening5/5/2007
  Q: I have had RC's on teeth 14, 15. Gen, dentist has said go for CL with periodontist, he put posts ...
  A: I agree with your general dentist - the CL should be done first and allowed to heal before doing the ...
Possible cracked teeth.5/2/2007
  Q: I had a fairly hard fall onto my face while practising gymnastics, and as a result, chipped a small ...
  A: It is very common indeed to have hairline cracks in the enamel of your teeth, in fact it is pretty ...
broken tooth4/27/2007
  Q: i had a temp filling put in a week ago i was told that it was quite a big hole but today part of my ...
  A: This is not an uncommon scenario, and generally if the tooth isn't hurting now (ie the temporary ...
water piks & power toothbrushes4/27/2007
  Q: Your past help has been greatly appreciated. I am wondering what you think about the use of a ...
  A: Lovely to hear from you again! As you obviously realise, the most important thing is to maintain ...
Root canal and sinus pain4/26/2007
  Q: I had a root canal done on my upper molar (3rd from the back) yesterday and since the procedure I ...
  A: It is quite normal to get a good degree of pain such as you describe immediately after root canal ...
raised ridge behind front tooth4/26/2007
  Q: I was wondering if you could advise me. I had a root filling on a front tooth last year. Recently ...
  A: Lisa I 'think' the ridge will be the edge of the filling, and the clicking sensation is the filling ...
raised ridge behind front tooth4/26/2007
  Q: I was wondering if you could advise me. I had a root filling on a front tooth last year. Recently ...
  A: The ridge you are feeling is probably the edge of the filling that was put into the back of the ...
Removal of amalgam filling4/21/2007
  Q: I had a fairly large amalgam filling removed on one of my molars a couple of weeks ago. Afterwards, ...
  A: Whenever we do any work to a tooth the 'nerve' in the middle of the tooth becomes 'irritated'. This ...
dead tooth after apicoectomy4/19/2007
  Q: I had an apicoectomy a couple weeks ago to try and save a tooth that's had two root canals. When I ...
  A: You need to get your endodontist to explain exactly what they think has happened. An apicectomy ...
apicoectomy4/17/2007
  Q: I have had recurring pain and face swelling for about 5 years. My ENT recently told me that I would ...
  A: If this trouble is due to a tooth infection, then you need to see an endodontist. The tooth will ...
Crack in Tooth and Pain4/14/2007
  Q: Can you still get an infection in a root canaled tooth if it was cracked before hand? Its now ...
  A: Yes a tooth can become re-infected, and it doesn't necessarily have to be cracked for re-infection ...
broken back molar4/13/2007
  Q: I am 76 years of age, in good health, and while I have all my teeth with the exception of 1-2 ...
  A: Having your teeth cleaned regularly is probably the most important thing you can have done to ...
Root Canal4/5/2007
  Q: hope you can put my mind at rest. I have recently had a 30 year old gold cap removed due to my ...
  A: If the dentist thinks there is a reasonable chance of saving the tooth with root canal work, then I ...
Strength of teeth4/4/2007
  Q: I am considering braces for fixing my bite (for an aesthetic reason), but have concerns about ...
  A: If your teeth and gums are healthy, then orthodontics shouldn't be a problem. Ask your regular ...
Root Canal - Pain years after4/4/2007
  Q: A couple of years ago, I had the first two parts of a root canal procedure done on the last lower ...
  A: Wow - you certainly get the prize for the longest question! You are absolutely right - the ...
Post Extraction Procedure4/4/2007
  Q: Would you happen to have a procedure for what to do the first 24 to 48 hours after having a tooth ...
  A: For the rest of that day I ask my patients to avoid rinsing their mouth so as not to disturb the ...
pain after root canal and subsequent tooth extraction4/3/2007
  Q: my filling cracked ( the tooth had just been filled 2 months ago) i started to have some pain in my ...
  A: It sounds like you had a really nasty infection. It is unusual but not unheard of to have this level ...
front tooth4/2/2007
  Q: i am getting alot of pain in 1 of my front teeth, i went 2 the dentist a few weeks ago and she said ...
  A: It sounds like you have an abscess starting under your tooth. What is probably happening is the ...
pain after root canal4/2/2007
  Q: I had a root canal done about a month ago and got a permanent crown soon after (tooth #13). I had ...
  A: There are a number of possibilities for your pain. It could be something as simple as the bite being ...
Gum Recession4/1/2007
  Q: Does gum recession cause your teeth to ache for an hour after eating and drinking? It seems when I ...
  A: Yes it can do. Where the gum has receded you are left with the dentine of the roots of your teeth ...
Dry Socket4/1/2007
  Q: I had a bottom wisdom tooth extraction last wednesday 28th March, and on Friday developed extreme ...
  A: Don't worry about this. It sounds as though your dentist has carried out perfectly normal treatment. ...
hit tooth3/31/2007
  Q: I have braces now and I hit my front tooth in my knee while playing a few weeks ago. Where the gum ...
  A: If your tooth has gone darker (i.e. it appears much more grey than the adjacent teeth), then it is ...
rooth canal3/30/2007
  Q: My dentist did work in my upper back tooth in order to prepare it for a crown. I'm in pain, the same ...
  A: The pain is either from infection or from the pulp being inflamed. Doing any work to a tooth ...
rooth canal3/29/2007
  Q: My dentist did work in my upper back tooth in order to prepare it for a crown. I'm in pain, the same ...
  A: The antibiotic will only help if the pain is due to infection. I would suggest that you should ...
Sensitivity/Pain in Front Tooth3/28/2007
  Q: My right front tooth is constantly sensitive/painful - not particularly to cold or hot, but ...
  A: This sounds to be a bit more than just sensitivity. The pulp in the middle of your tooth is inflamed ...
Enamal3/27/2007
  Q: How strong is your enamel? When I go for a cleaning they use metal tools and scrape at my teeth, ...
  A: No, they don't damage the enamel either. If you have some exposed dentine at the base of your teeth ...
Enamal3/27/2007
  Q: How strong is your enamel? When I go for a cleaning they use metal tools and scrape at my teeth, ...
  A: Enamel is the strongest substance in your body. The instruments used to clean your teeth are ...
root canal sinuses3/26/2007
  Q: I had a painful tooth that hurt when biting,the pain spread out to my neck and behind my sinuses so ...
  A: I would advise against having the permanent crown fitted just yet. You really need to get to the ...
Infection Detection3/25/2007
  Q: Is it possible to still have an infection in the pulp cavity with a cracked tooth and the dentist ...
  A: The short answer to this is yes. When we remove a filling we don't get to see the pulp of the tooth, ...
Dentures3/22/2007
  Q: Appleton: Your previous advice was priceless. Could you tell me also if there is a way to "cut ...
  A: Good for you! It is most important that you fully understand what treatment you are having, and why. ...
Dentures3/22/2007
  Q: Appleton: Your previous advice was priceless. Could you tell me also if there is a way to "cut ...
  A: So - have you had #30 out yet?? How's your treatment going? There are basically two different types ...
tooth extraction one being a wisdom tooth3/21/2007
  Q: Iam in so much pain and my gums and jaw are swallen I take vicodin but it doesnt even help. It also ...
  A: It sound like you have a 'dry socket'. This is where the extraction socket becomes infected 2-3 days ...
tooth pain3/19/2007
  Q: My name is Ryan Zembower and i have had pain on the upper left side of my teeth for about 6 months ...
  A: From the sound of it the likely causes of this pain are either tooth related i.e. a tooth needs root ...
hi tony3/17/2007
  Q: Seen your name thought i would say hello , I dont know if you remember me from marlborough rd im ...
  A: Great to hear from you - of course I remember you!! The wisdom teeth were obviously a red herring, ...
teeth after root canal3/17/2007
  Q: I had several root canals done and lost my insurance...the temp. fillings all came out and now my ...
  A: I can't give you any advice regards the insurance issue, because I am in the UK and I presume you ...
front lower gums3/15/2007
  Q: my front lower gums are so painful ,please help me what could it be and the treatment ANSWER: Hi ...
  A: This pain could either be from your gums, or from your teeth. I'm afraid there are many possible ...
Crown Still Okay?3/15/2007
  Q: I've just gone through the long and somewhat arduous process of having an implant put in--an ...
  A: Oh dear!! Whilst most unfortunate this is not an uncommon happening. Don't worry, however, the ...
pain in #32 socket3/9/2007
  Q: Appleton Over a year ago I had #32 removed with no problems . I had minor swelling and minor ...
  A: No, this is not a dry socket. That condition only occurs a few days after the extraction. From your ...
Oral Sedation vs IV sedation vs Nitrous3/8/2007
  Q: How different will I feel with oral sedation vs IV sedation? Will they need to use a bite block to ...
  A: Oral sedation can be a bit hit and miss. As you are taking the sedation in tablet form your doctor ...
Guided Tissue Regeneration3/6/2007
  Q: How is the "membrane" attached to the area if its resorbable? Oh, and can a nerve be bruised even if ...
  A: The membrane is cut to shape, then placed over the graft, and when your blood has soaked into it it ...
Guided Tissue Regeneration3/6/2007
  Q: My oral surgeon is going to do this in combo with a bone graft and implant. Is this a painful ...
  A: It can be rather uncomfortable post-op - generally you may find the bone donor site is worse than ...
Dental3/5/2007
  Q: 1. I am 54 years old and in a good general health. I have 25-year-old Russian steel crowns on teeth ...
  A: Lets start with the basics. Your first priority should be your gums. There is no point planning ...
Size of Implants3/3/2007
  Q: Is a 9 mm long implant too small for a lower molar area? I had different consultations ranging from ...
  A: In planning the size of implant to use, an important consideration is the position of adjacent ...
Deep teeth decay, really don't I need Root Canal?3/2/2007
  Q: There was hole in my back teeth for quite a long time. Three days ago,it caused me a sudden attack, ...
  A: Yes there's a possibility you don't need root canal. This all depends, however, on whether or not ...
Cerec3/1/2007
  Q: Can Cerec crowns be made over implants? Are they also strong enough on regular back teeth for people ...
  A: Yes CEREC crowns can be made over implants with fantastic results. Personally I only tend to place ...
Filling 'coating' on teeth2/28/2007
  Q: Several years ago, around the age of 14-15, I wore a fixed brace on bottom and top teeth. This was ...
  A: Cleaning with an electric toothbrush (whilst a very good thing) won't really remove any of the old ...
Broken Teeth2/28/2007
  Q: 1). What is it about milk that preserves a broken tooth? would it be the natural bacteria or the ...
  A: Milk doesn't actually do anything for a broken tooth. The calcium in milk may be beneficial for your ...
Root Canal2/27/2007
  Q: I have been having pain in the back of my tooth for ages, and have been told hat i needed a root ...
  A: It's not unusual to have a degree of pain after root canal has been completed, but generally that ...
Cracked Crown2/26/2007
  Q: I had 1 root canal and porcelain crown in Feb 2004 on my lower very back tooth. In Feb 2005 I had ...
  A: Yes clenching/grinding your teeth can crack crowns (and healthy teeth). It is a possibility that you ...
filling2/24/2007
  Q: yesterday i had an old filling removed and re-done, i was told it was slightly cracked and greyish ...
  A: It's not unusual for you to experience discomfort/pain after having a filling done. Whenever we ...
Synthetic Bone2/23/2007
  Q: So with what ever bone you use as a graft, (donor, bovine, or synthetic) you will lose the grafted ...
  A: Not quite - the synthetic bone acts as a matrix for your own bone to grow into - so becomes ...
calcified root2/23/2007
  Q: The dentist I went to said I had a root canal that had calcified. I lost the filling right before I ...
  A: Yes this sounds like normal procedure. Before placing a crown on a tooth we need to be certain that ...
Synthetic Bone2/22/2007
  Q: I understand that synthetic bone resorbs after a few months leaving the patients own bone, is that ...
  A: Yes you're right, the synthetic bone will resorb over a period of time. However, it's job is not to ...
Synthetic Bone2/22/2007
  Q: I went for 3 implant consultations and all three dentists recommend synthetic bone for grafting. Has ...
  A: In the right cases, synthetic bone is preferred over autogenous bone (i.e. your own bone) because ...
very bad breath2/21/2007
  Q: about 6 years ago i had tonsilitis also i have a maryland bridge in my mouth i have a bad taste and ...
  A: Basically your bad breath can be coming from one of three places - your mouth, your throat and upper ...
Bad Teeth and breath2/20/2007
  Q: My husband is 40 years and his breath is real bad. he has a few bad teeth. he brushes all the time. ...
  A: Yes he could have an infection. It is really good that he is cleaning his teeth well and using a ...
Hydrogen Peroxide2/18/2007
  Q: Would you recommend using Hydrogen Peroxide as a mouthwash? If so, what would be a good ...
  A: I wouldn't really recommend using Hydrogen Peroxide as a mouthwash. Hydrogen Peroxide is an ...
Pain Control2/18/2007
  Q: I say it based on experience. The injections have failed to work several times on several teeth. ...
  A: OK. There are several things worth considering here. Sometimes a tooth just will not go numb. As I ...
Pain Control2/17/2007
  Q: Novocaine has no real effect on me at all, and complete sedation is not an option due to lack of ...
  A: When you say that novocaine has no real effect on you, what are you basing this on? Is it that this ...
eyeteeth crowns2/16/2007
  Q: I used to have upper eye teeth with keen ends. Some time ago my dentist told me that it did not look ...
  A: Have you had any problems at all with your teeth since you had the canines (eye teeth) reshaped? For ...
restorative2/15/2007
  Q: how to gain maximum retention and resistance of restoration
  A: You need to be more specific. What sort of restoration are you talking about and what is it that ...
front tooth problem2/9/2007
  Q: Dr. Appleton! Also, my son's dentist says he needs a root canal on a tooth right next to his upper ...
  A: The tooth has a root canal inside it that runs from the middle of the tooth right down to the tip of ...
front tooth problem2/8/2007
  Q: Dr. Appleton, Today I looked in the mirror and it looks like one of my upper front teeth has somehow ...
  A: This could be one of a number of things, ranging from serious to minor. As you are not getting any ...
Fluoride is harmful??2/2/2007
  Q: Is fluoride harmful to teeth...? Is root canal treatment is bad for health? are these true? Dr. ...
  A: In the right amounts fluoride is very beneficial to your teeth. Fluoride helps to strengthen your ...
possible dry socket1/25/2007
  Q: Dr, i had a tooth extracted 12 days ago i looked at it two days ago for the first time with a small ...
  A: Don't worry, This sounds completely normal. Following an extraction the bone and gum that surrounded ...

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