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How to remove a nerve from a tooth and what problems may arise.

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We get acquainted with the features and interesting nuances of the procedure to remove a nerve from a tooth ...

What is popularly called the dental nerve, in reality, is a neurovascular bundle, which has a rather complex structure and is properly called pulp. Thanks to this tissue, located inside the crown and root of the tooth, it is able to respond to external influences: for example, to feel hot and cold food. Pulp is also a kind of barrier to the further penetration of bacteria.

The photo below shows the nerve removed from the tooth:

Photograph of a nerve removed from the tooth (pulp)

Removing a nerve from a tooth leads to the fact that it becomes “dead” and loses the ability to perceive almost all types of stimuli (cold, sweet, sour, salty). But a tooth is called a dead one, first of all, for the reason that it loses its blood supply, the rate of mineralization processes significantly decreases in it - in other words, with time it becomes fragile, and the enamel becomes dull.

But why then do dentists so often remove a nerve from a tooth, thereby effectively depriving it of a very important internal component? What consequences can these prevent and is it really necessary to remove a nerve from a tooth?

The photo shows a carious tooth prepared for endodontic treatment.

Next, we will try to consider these issues in more detail, as well as get acquainted with the patient's feedback on “unforgettable” impressions at the dentist and see how the nerve removal procedure can occur at all and in which cases it is sometimes accompanied by very, very unpleasant feelings ...

 

When you have to remove a nerve from a tooth

During initial tooth decay by caries the nerve is not affected yet but with deepening carious process bacteria eventually penetrate the pulp chamber, causing inflammation here - pulpitis. In this case, a person may experience severe pain, often aggravated at night.

Pulpitis (inflammation of the dental “nerve”) is a disease that almost always requires partially or completely removing the affected pulp from the tooth in order to avoid further spread of the infection beyond the root, which could lead to serious complications.

Inflammation of the dental nerve leads to pulpitis, which is usually accompanied by acute pain.

Sometimes there are cases when the removal of the nerve is required after a severe trauma of the tooth, most often - the front. Traumatic pulpitis it is not as common as infectious pulpitis of carious origin, but it will still be necessary to remove the nerve from the tooth.

The photo shows a broken tooth - it will also have to remove a nerve from it.

There are also cases when the infection penetrates into the tooth not through the carious cavity, but through the so-called retrograde pathway, that is, through the hole at the top of the root. At this stage of the inflammatory process in the pulp pass on the same principle as with classical pulpitis.

In rare cases, the pulp is damaged by stones or "stones", sometimes under certain conditions appearing in the root canals and compressing the delicate tissues of the neurovascular bundle, causing their irritation. This may cause traumatic damage to the pulp with a subsequent inflammatory reaction, which leads to the need to urgently remove the nerve from the tooth, which visually often looks completely healthy.

It is interesting: “Is it necessary to remove a nerve from a tooth before prosthetics with crowns?”

When preparing a tooth for a crown, it is often pre-depulped, but is it always necessary? ..

Depending on the clinical situation,An orthopedic dentist may, before dissecting a tooth under the crown, refer a patient for depulpation to a dentist-therapist who removes nerves from the tooth, cleans the canals and seals them to the top. In the case of a heavily damaged tooth under the crown, the nerves are necessarily removed, and in cases of prosthetics with metal-ceramic, this depends on the doctor’s tactics.

There are two schools or two approaches to prosthetics with metal-ceramic: either leave the pulp in the tooth, or else remove it completely. And if the orthopedic surgeon chooses the last option - this does not mean that he is a bad doctor. The fact is that most of the tooth is “cut down” under the metal ceramics, and the probability of overheating of the nerve or its damage during this procedure is extremely high. Therefore, in proportion to the risks, the dentist can decide not to endanger future prosthetics and eliminate uncertainty: Will the tooth ache under the crown or not.

During the grinding of the tooth under the crown, the nerve inside it can overheat, which subsequently leads to pulpitis.

A school that preserves the pulp in the channels during prosthetics with metal-ceramic adheres to another opinion. But this requires a high level of professionalism of the doctor (backed up by a special preparation technique), as well as the availability of certain equipment,allowing to grind the tooth on all sides during grinding.

 

How painful is it to remove the pulp from the tooth?

Modern dentistry has techniques that reliably relieve the tooth, so that the removal of the dental nerve is painless. However, although this may seem strange, not all physicians are fluent in pain management techniques and not all clinics have effective anesthetics for local anesthesia. In some free clinics, the situation with this can be especially pitiable.

In most cases, local anesthesia is sufficient for painless nerve removal.

That is why there are still reviews, disturbing the consciousness of those people who are preparing for the first time to depulp a tooth (nerve removal, followed by filling the canals).

Feedback:

“10 years ago I was treating the lower chewing tooth in the clinic at the place of residence (free of charge, which I regretted). I already had experience when a nerve was removed from a tooth. I thought the doctor would put arsenic and all that. And he just drilled a tooth. Then he stuck something into it (as much as a spark from his eyes) and took out a nerve. Without any anesthesia! Horror, in general. "

Konstantin, Izhevsk

It is the panic fear of the upcoming nerve removal procedure that causes some people to take risks by contacting clinics where they are treated under general anesthesia, that is, with a complete blackout.However, sometimes no argument that most people get absolutely painless help in the treatment of pulpitis under local anesthesia (that is, in the mind) does not help. Even the increased cost of removing a nerve from a tooth under anesthesia is not an obstacle in such cases.

Patients who are especially afraid of pain prefer to treat their teeth under general anesthesia ...

However, besides the desire to go to the “operating table” at your own risk and remove nerves from one or several diseased teeth in a dream, there are strict indications for anesthesia that a competent dentist must take into account when choosing methods and means of anesthesia.

Feedback

“I don’t know why people are so afraid to go to the dentist to remove their nerves, but I personally removed them more than once and there was no severe pain. There is no pain at all! For the thirty minutes that the doctor picks there, it may prick a couple of times, but it’s not even a pain to call it. Simply, there is a feeling that something is being done in the tooth, and there is no pain during the removal of the nerve. ”

Valentina, Neftegorsk

 

The main steps of the nerve removal procedure

Having decided on why a nerve is removed from a tooth at all (and that this is not always painful), we proceed to the next question: how does this procedure actually take place?What exactly can you expect in the dentist's office?

Consider the main steps that form the procedure for removing a nerve from a tooth.

Generally speaking, depending on the nature and depth of damage to the pulp tissue, the doctor may decide on the partial removal of the nerve (the so-called amputation) or on its complete removal (extirpation). During amputation of the nerve, only the coronal portion of the nerve is cut off, which is located in the pulp chamber, and the root portion is preserved. However, this technique is not common, so most often resort to the complete extraction of the dental nerve from the canal system. And the more of these channels, the higher will be the price of treatment.

In the photo below, the root canals are clearly visible - each of them must be thoroughly cleaned of pulp residues, otherwise the infection remaining in them can lead to serious consequences in the future:

Each of the root canals should be thoroughly cleaned of residual pulp.

For interesting details of the treatment of pulpitis in teeth with several channels, see a separate article: About the treatment of pulpitis three-channel teeth and prices for this procedure.

Let us consider the main stages of preliminary preparation for the procedure of nerve extraction from a tooth:

  • X-ray of the tooth. It is used, for example, in case of any doubts of the doctor at the stage of diagnosis.If there are suspicions that the nerve in the canals has died, then intraoral contact radiography, or a snapshot on a viziograph, which is safer than the first variant, is more often done.
  • Anesthesia. Local anesthesia is usually used, but, as noted above, with certain indications or wishes on the part of the patient, treatment can be carried out under general anesthesia with a total loss of consciousness (especially anesthesia is required for the treatment of young children). In the case of local anesthesia, techniques and anesthetics are used to remove the nerve, which allow you to reliably and permanently freeze the tooth, almost completely turning off its sensitivity for a while.
  • Insulation of the working field. In expensive private clinics, before the treatment of a tooth, cofferdam is applied — a special latex film that protects the aching tooth from saliva from the oral cavity and, moreover, creates more comfortable conditions for the doctor’s work.In expensive clinics, cofferdam is used to isolate a sick tooth from the mouth.
  • Processing of carious tissues of the tooth with simultaneous air-water cooling, creating convenient access to the pulp chamber, its opening and the formation of smooth sheer walls.

After a high-quality preparation, the nerve itself is removed from the tooth, which is performed by a pulpoextractor, a special disposable tool. The structure of the pulpoextractor allows the capture of the neurovascular bundle and extract it from the tooth canal after turning the tool along the axis at an angle of 90-180 degrees.

Pulpoextractor

With a wide enough channel, it is often necessary to introduce more than one pulpoextractor to capture the pulp.

It is interesting

The usual string from the piano served as the prototype of the first pulpoextractor.

Currently, there is a technique for removing a dental nerve without pulpoextractor. A number of dentists are of the opinion that in some clinical situations the pulpoextractor extracts the nerve too roughly, creating its traumatic breakdown together with the periodontal tissues, which can in rare cases lead to certain negative consequences.

Therefore, universal files are used - tools for the passage and expansion of the root canals, which allow to carefully and controlledly cut the pulp at a given length without disturbing the root tissue that is sensitive to endodontic treatment.Control of nerve removal in this way can be carried out according to x-ray images, as well as special instruments for measuring channels, tables, etc.

It looks like a piece of the dental nerve at the tip of a dental file.

Unlike pulpoextractor, files allow less traumatic removal of pulp from the root canals of a tooth.

To the note: "Is it possible to remove the nerve at home and if so, how to do it?"

Unfortunately, the question that concerns many people can only be answered negatively.

As practice shows, there are a lot of "craftsmen" who, when acute pain independently try to kill the nerve in the tooth at home, and if possible, get rid of it altogether. For example, there are cases when people “burned” their dental nerve. garlic, liquid ammonia, acids, alkalis on a cotton wool embedded in the "hollow", tried to cauterize the nerve with a hot needle and even a spark from a car ignition system.

However, all these methods can not be called safe for health. And even if you get somewhere arsenic paste, which is intended only for professional use, at best it will not remove the nerve, but will cause its necrosis (death), and at worst - even more pain with the safety of a living nerve, or will burn the gum around the patient and healthy neighboring teeth.

If the canal treatment of the tooth ended immediately after the removal of the nerve, it would greatly simplify the life of both the doctors and their patients. However, everything is somewhat more complicated.

In order to save the tooth for the rest of its life, immediately after removing the pulp from all canals, the dentist passes and expands them over a given length of roots, thoroughly rinses active antiseptics (from the remnants of infection and pulp) at these stages, seals it, and then makes a control picture .

Each pulp-cleaned channel must be carefully sealed ...

A permanent filling per tooth is placed on the first or (more often) next visit.

(Clearly, some procedures for endodontic tooth treatment can be viewed on the video at the end of this article).

 

Possible medical errors and their consequences

The removal of the dental nerve is an event that is responsible in every sense, on which the fate of an already dead tooth depends. Under certain circumstances (lack of professionalism or fatigue of the doctor, outdated equipment and instruments), medical errors can occur during the removal of the nerve, which sometimes lead to tragic consequences for the tooth.

Most often during the extraction of the pulp there are two complications:

  • break off the tool in the channel;
  • severe bleeding from the canal.

The photo below shows an example of a broken dental instrument in the canal:

Sometimes a dental instrument breaks down in the canal of the tooth - in this case it is important to remove the debris to prevent the development of severe complications.

However, if a tool can be called a classic mistake of a doctor, then bleeding from the canal can sometimes be difficult to foresee - for example, the pulp can be pulled off while extracting the pulpoextractor may occur too deep. That is why a number of dentists do not consider it appropriate to risk removing the nerve from the tooth with a pulpoextractor, and prefer another method: cut off the soft tissue gradually with files with abundant stage-by-stage washing of the canal with antiseptics.

Breakdown of the pulpoextractor in the channel occurs due to the violation of the technique of working with it (its excessive torsion in the channel), or when using unsuitable (defective) tools.

If bleeding from the canal of the tooth is most often stopped quickly and without serious consequences, then removing the left piece of pulpoextractor is a complicated procedure, which requires the appropriate skills and specific equipment from the doctor.Leaving the “dirty” residue of the pulpoextractor in the untreated canal means tooth extraction, and it is only a matter of time.

The photo shows a piece of a piece of dental instrument removed from the canal.

Another possible complication of the doctor’s fault is the reappearance of pain, which is a consequence of incomplete extraction of the nerve from the dental canals. Unfortunately, even nowadays there are cases when a doctor, due to haste, negligence or fear of hurting a person, may accidentally or specifically leave a part of the dental nerve in the canals not removed.

It is not by chance that there is even a diagnosis in the clinic - residual pulpitis, when an exacerbation of the re-inflammatory process in a collapsing nerve residue in one or several channels begins. After incomplete removal of the nerve, the tooth first aches, and then it can become acutely acute with a further spread of infection into the surrounding root tissue and the development of a more serious periodontitis disease (patients may feel that the tooth pulses after pain removal from the nerve).

With the development of residual pulpitis, it is necessary to urgently re-treat the poorly processed canals anew, since completely not removed infected nerve creates the threat of serious complications, leading at best to tooth extraction.

Question to the dentist: “Why does my tooth darken after a nerve is removed?”

Sometimes after treatment of pulpitis, the tooth may darken greatly.

After high-quality canal treatment, the tooth usually does not darken over the years, but only fades, that is, it loses its natural luster, which is not a deviation from the norm. If the tooth turned black or yellowed some time after the nerve had been removed, the cause should be sought either in the preparation of the tooth cavity under the filling (in low-quality excision of carious tissues), or in poor instrumental processing of the canals while leaving nerve residues and bacterial infection in them.

In addition, often a serious change in the color of the tooth crown is associated with the material used for sealing the canals. For example, some dentists, by mistake, still continue to fill the canals of the front teeth after nerve removal with Endometasone, due to which, after a few years, the teeth may become very yellow, which is even indicated in the instructions for the material.

All shades of pink can appear on a dead tooth after canal filling using resorcin-formalin paste. Unfortunately, on a budget intake, this harmful in every sense paste is still being used, especially after the removal of nerves from milk teeth.

And here is an example of a pink tooth, the color of which appeared due to the use of resorcin-formalin paste for canal treatment.

 

How much can a tooth treatment cost with nerve removal?

The price for the removal of a nerve from a tooth is based on each stage of the procedure and its complexity. Ah, if only the cost of nerve extraction and anesthesia were recorded in the receipt for the services performed, the treatment would be worth a penny ...

In fact, in the final list of services provided by the dentist, as a rule, at least 5-6 points of the price list appear: from anesthesia and passage of each canal with its filling to the cost of the final filling.

Here is a photo with an example of a price list for services for the treatment of pulpitis (caries complication):

Pulpitus price list

A person who is not familiar with dentistry, usually can not clearly understand how much it will cost to cure a tooth with the removal of the nerve and the production of permanent fillings. And even often the clinic administrator, who does not know the nuances of endodontics, can only very roughly suggest the price.

Therefore, most often the patient is informed of the minimum possible amount. As a rule, this is a single-channel pulpitis, the treatment of which should take place without force majeure (without narrow and curved channels, without the use of additional drugs and x-rays).

As a rule, the minimum price is obtained only in the treatment of pulpitis single-channel tooth.

On a note

When a consultant tells you a price, for example, “from 3,000 rubles,” and after treatment a receipt consists of 8-10 items with a final amount of 10,000 rubles, then friends, you should not immediately suspect the clinic staff of cheating. It is possible that you should be offended only at your sixth upper tooth with five narrow channels, which the doctor had to spend more than 2 hours to expand and wash with ultrasound activation, constantly take intermediate pictures on the visiograph, and in the end - fill them with the Termafil »And install a high-quality" light "seal, which has a 5-year warranty.

Fortunately, there are clinics and highly qualified doctors who discuss the cost of treatment with patients in advance, based on free time and more consultation and diagnosis. In such cases, a fixed price is not set, but a not too blurred range of deviation from the final cost is given, for example, from 8 to 9 thousand rubles for the complete treatment of the upper sixth tooth after diagnosing the maximum of possible nuances (surprises) for the future.

 

Interesting video: close-up removal of the dental nerve

 

And here you can see all the stages of treatment of pulpitis single-channel tooth.

 

 

To the entry "How to remove a nerve from a tooth and what problems may arise" 196 comments
  1. Maria:

    Today went to the dentist. I treated two front teeth (for a fee), a shot - this is the most painful thing that I felt during this hour. During removal of caries, the nerve was touched and it had to be removed, it was not painful, I did not feel anything - neither the teeth, nor the tip of the nose.Everything went well, but the doctor said that the tooth may darken over time and will be sick for a month, it was this news I was very upset.

    Reply
  2. Helena:

    Just came from a dentist. Treated one front tooth (broke it). It was not possible to simply increase it, since the chip was more than half of the tooth, we had to remove the nerve, put the pin and build up the tooth itself on the pin. So, everything went just fine, they put the injection, and the injection did not hurt at all (after the second puncture, the needle doesn’t feel anything at all), and the first two punctures barely pinched. They removed the nerve, inserted the pin, increased it, that's all. By the way, she was afraid to go to the dentist to hysterics, the consequences of dental treatment in the USSR affected. Now medicine has gone far, now I’m not afraid to treat my teeth)

    Reply
  3. Nailya Akhmetshina:

    Removal after anesthesia was easy. But when the nerve was removed, I jumped up in the chair, 3 shots did not work. They put arsenic. My tooth hurts.

    Reply
  4. Vlad:

    Now a very strong painkiller, not painful at all.

    Reply
  5. Alexey:

    Now I am treating my teeth in the district clinic.What should I do, advise? Many drugs do not affect my body. On the 7th tooth, lidocaine was injected several times. Three times they put a temporary filling with medicine. Only now removed the last nerve. Here again with a temporary seal to the 15th. But other teeth are in poor condition. Also need to remove the nerve. What anesthesia really soothes the dental nerve, so it does not hurt to remove? Here's a joke. Lidocaine set and remove the tooth. No sensations, even a cyst was scraped. And the nerve of the tooth does not calm. From the chair almost throws out.

    Reply
    • Nikolai:

      So lidocaine is not considered the strongest. From popular - ultracain. On a chain from the USSR: novocaine, lidocaine, ultracain. But I agree, even ultarkain sometimes does not take particularly sensitive ones.

      Reply
      • Alexey:

        This is my problem. During the operation, the nervous system was injured in his youth. Now nerves to hell. On the one hand, the reaction is excellent. On the other hand, the nervous system is very sensitive.

        Reply
    • Svyatoslav Gennadievich:

      Hello, Alexey! You yourself write that you treat your teeth in the district clinic, and according to the protocol, the time is given no more than 20 minutes per patient.During this time, the doctor must do anesthesia and treat the canals, although in fact the canal treatment should not take less than 40 minutes or an hour or more. If you can not offer imported anesthesia as opposed to the free, not always effective Lidocaine, this complements the same arguments as above. If the clinic does not have modern anesthetics, then you should choose another institution where the focus is not on the patient's “RECEPTION”, but on the end result - a painless and high-quality treatment of the tooth canals followed by filling (restoration by “filling”).

      As for the arguments about the painless removal of the same Lidocaine. The fact is that it once again confirms that you can “freeze” well, only the equipment (and the anesthetic itself) needs an individual for you. In a budgetary institution, everything is under the standard "RECEPTION": there are many people, and the hospital is a hospital, and the doctor is a doctor. The only thing you are risking now is to get a negative impression, to refuse treatment altogether and to lose a tooth in a short time. Be healthy and get only professional dental treatment!

      Reply
      • Alexey:

        I agree with you on everything! In 1998, I made all my teeth in an elite private clinic. One tooth cost 500-650 rubles (after a devaluation of 1000). Then there was money. Now, for an invalid pension of 4037 rubles, try to do something! One heating is already 2450 rubles. in a two-man.

        Where is everything going? Peers are dying out like flies.

        I apologize. He moved away from the topic. So, on the topic. Then they did it with a guarantee of a seal for 10 years. They lasted for almost 15 years (some of them are still normal). Then, of course, one after another began to take off. What light-curing, it goes without saying, but ... Then they talked about the 5-6th generation and gel fillings. Now I tell the doctors, they pretend to hear about such for the first time. Warranty year. Also light-cured, but 2-3.

        And under the insurance policy for free in the district clinic, only cement, which I personally have never kept for more than a month. Therefore, all the teeth from childhood and exuded. Of course, you need to put a good light-cured. Her stickiness is several times better.

        Reply
    • Anonymous:

      Try ultrakain.

      Reply
    • Anonymous:

      Alex, go to the paid, there they will make everything painless. I even had a nerve removed, and then - not a bit of pain at all, it was just unpleasant and that was all!

      Reply
    • Anonymous:

      Similar situation. It turns out that I'm not such a phenomenon (

      Reply
    • Larisa:

      Ubytesin + lidocaine.

      Reply
    • Maria:

      Ubutesin is a strong drug.

      Reply
  6. Lena:

    I am 13 years old. Today I went to fill a tooth, the doctor told me that in a week I would have to remove a nerve and then fill a tooth. Very scary.

    Reply
    • Lizette:

      Same thing, I'm also 13 years old. But only for me in school will be done for the first time. She sat on the dentist's chair. 2 times they put arsenic, and on Tuesday or Wednesday they’ll get a nerve, I'm afraid. They say that Corvalol for an hour before the doctor need to drink. Or simply ask that the injection be done and that's it. But still somehow scary!

      Reply
  7. Anya:

    On Monday I need to remove the nerve on the 6th upper tooth. I'm scared. Some people write that it hurts with anesthesia. Is it true? Help!

    Reply
    • Svyatoslav Gennadievich:

      Hello, Anya! “Some” is a small percentage of statistics. In a normal clinic with a professional doctor, the statistics of such cases does not exceed 1% per month. And then, most often it is not pain, but pain after the removal of the "nerve" in the process of passing the channels.

      The most common statistic on pain during dental canal treatment is related to budget (free) dentistry, when either weak drugs are used, or the experts themselves are “weak” in terms of knowledge of the correct tooth anesthesia technique in the upper and lower jaw. I think your fears at the moment are in some sense similar to the purchase of household appliances (if the store does not provide for a check): is the fear of buying a television that is not working or a refrigerator justified? In theory, this possibility exists, but you cannot know in advance whether you will get into that insignificant percentage of unlucky buyers or not.

      However, you can always go to the store, which was recommended by friends, where there are guarantees, solid service and equipment is always good, and the brand is proven, especially where it is checked and calmed down. Then the fears will be much less.

      I think that you understood my analogy, take a deep breath and try to find more reasons for optimism. If only because your tooth, thank God, is not the bottom sixth, but for the bottom 6 and the “freeze” is somewhat unusual and difficult from the point of view of the stability of pain relief.The upper 6 teeth are almost always “frozen” 100% with imported anesthetic.

      Reply
      • Olga:

        And it was necessary for you, doctor, to mention precisely about the lower “six”. I have to depulp just her. Already I can not sleep for fear, I am an odontophob, which ones to look for, and here you are with your specification. And where should I get optimism now?

        Reply
    • Anonymous:

      No, it does not hurt!

      Reply
    • Nastya:

      I am 13 years old, I was removed a nerve with anesthesia, it does not hurt. You are lying and everything is fine)) Only after the nerve is killed will the tooth be very sore. I personally now have the 7th day of pain ...

      Reply
  8. Sveta:

    Today I went to the dentist, treated the second top tooth on top. There was a small hole, and when the doctor drilled - it turned out that caries damaged the entire tooth from the inside. The doctor cleaned, put a permanent filling, and after two hours began an unbearable pain. I called the doctor at the hospital, he told me to go to the nerve removal. Why didn't he do it right away?

    Reply
    • Svyatoslav Gennadievich:

      Hello, Sveta! I think that your purely human promise is to principally blame the doctor for not having “immediately removed the nerve.” I'm afraid that is not so simple.If we are talking about a public institution, then everything is more or less clear: most often the doctor is limited in time, and it is much easier to try to do something in one visit, rather than stretch it for several (I mean pulpitis). About the fact that there was a small “caries” in the tooth, and the doctor turned it into a big one: in fact, the doctor did the right thing here, that he processed carious tissues in the volume that was not really tinkering. Believe me, not a single doctor (even a private trader) is happy to take water and air dust from your oral cavity for a long time in the direction of your dressing gown, hands, face, hair, etc.

      Often, pain after setting a seal is caused by a violation of technical nuances: the tooth heated during the treatment, as there was little water, the vibration of the tip was large, the “nerve” was close, etc.

      I think that there is no point in clarifying your last question in the context of what you will not find anyway, at what point the doctor might not be able to see or make a mistake. But I can say that, by analogy with your question, I often get asked something like: “Tell me, please, I had a small hole in the tooth, and for some reason the doctor opened the whole tooth and pulled out all the nerves, why did he intentionally make the tooth dead , could it have been left alive? ”
      Thus, as many clinical cases - so many opinions. Everyone is extremely difficult to please!

      Reply
  9. Lydia:

    During one visit I treated 4 teeth, put 2 pins, built teeth for them under crowns, removed the roots and sealed the tooth. And it's not painful! True, I paid ten thousand for everything, they did an x-ray right away, but I don’t regret the money, I would run away in the municipality in the first minute, and then I spent almost four hours quietly. Thanks to my doctor, Marina Nikolaevna!

    Reply
    • Anonymous:

      Good day, Lydia! Tell me, please, and in what clinic did you treat?

      Reply
  10. Lena:

    Daughters of 16, the dentist said today that she needed to remove her nerve, thought that there was a small caries, and when they opened the hole, there was a huge hole.
    If the nerve is removed, how long will this “dead tooth” live?

    Reply
    • Svyatoslav Gennadievich:

      Hello, Lena! The question is extremely interesting and too subjective. I will try to express my point of view, based on almost 10 years of experience as a dentist-therapist, as well as logic and common sense. Let us turn the question a little and ask it like this: “And if the nerve is not removed, how long will the bad tooth last?”.I think the answer is obvious: life is not comfortable, the infection in the canals, the risks of getting flux on the entire facade at any time is great (in particular, for holidays or weekends). We can say that there is one step from pulpitis to tooth extraction, but the tooth is permanent.

      Now back to the merits of the question: your doctor was diagnosed by a pulpitis, the carious cavity progressed a long time ago, but in a latent form. Of course, it’s possible to doubt that, theoretically, the doctor tritely turned a deep caries into pulpitis to treat the canals for his own pleasure, but here, you know, you don’t find my opinion: you didn’t stand behind the doctor’s back, didn’t hold him.

      Regarding the life of "dead" teeth - it is difficult to say unequivocally: the process of disintegration of teeth, devoid of pulp, is the result of many factors. I can list only the main ones: the volume of the lost tooth tissues, the characteristics of the bite, the height of the filling, the nature of the food, the group identity of the tooth, the technique of applying the filling, etc. If more than 50% of the tooth is lost, the tooth is chewing, if you want, it “holds the bite”, the child likes to chew handles, bones, acorns, etc., the doctor put a filling quickly, in thick layers,incorrectly shone a filling, left thin walls of a tooth, edges, God forbid, carious tissues, etc., sometimes 1 of these factors is enough to “break off a dead” tooth in the next couple of weeks or months. Therefore, at present there is a protocol for the preservation of a “dead” tooth not with a conventional filling, but with a tab + crown. Almost all my patients on such a proposal just twist a finger to his temple. Indeed, why pay that kind of money in order to fill a tooth instead of a filling, to make a stump tab, and to close it with a crown?

      And here we return to what is written above: in this case, the life of a “dead” tooth is almost 100% extended to significant numbers (from 8-10 years old to 20-25). This technique allows him to be as secure as possible against various surprises, ranging from a doctor's mistakes in complex restoration of a tooth with a filling and ending with protection against unauthorized loads on the tooth. Tab and crown - orthopedic structures that are made exactly on the mold, minimizing errors in the details.

      However, each person chooses what is better for him “for money”, but listening to the advice of a doctor. If a tooth is destroyed by more than 50%, then it is advisable to think about its preservation for a year.In other cases it is a personal matter of every person, but know that a priori, a “dead” tooth becomes more fragile over the years.

      Reply
    • Anna:

      My “dead tooth” lived for 18 years with a filling, then broke. Now I will make a crown with a tab.

      Reply
  11. Larisa:

    Today we have cut teeth under metal ceramics. Everyone told me that it was not painful, but slightly uncomfortable. Apparently, my dentist used to work as a butcher before ... Desna broke into “tapes”. The process was periodically anesthetized with a sprinkler, there was blood. I tried to moan from pain, but in a sharp form it was said: "You are straining me." I did not know that by “cutting a tooth” is meant “cutting a gum” ... I'm terrified. After all, the casts have already been made.

    Reply
  12. Anonymous:

    I watched a video about the removal of a nerve from a tooth: / And a miracle happened! My tooth that had been sick for 5 days (pain pills did not help anymore) stopped hurting! Apparently, from fear 🙂

    Reply
    • Anonymous:

      Also just watched this video. The miracle did not spread to me (((

      Reply
  13. Yuliya:

    Yesterday I removed the nerve on the front teeth, put a seal. After the discharge of anesthesia, a temperature of 38.3 appeared, and 37.5 fell, and again, when biting, there was a slight pain.

    Reply
  14. Alfred:

    I will have my nerve removed tomorrow. Fearfully!

    Reply
  15. Anonymous:

    10 years ago, a nerve was removed on the bottom six, it was a horror, I thought I would die from pain. And so, in principle, well done, just recently updated the seal. Now the top six are worried, a year ago they renewed a seal on it, after that, from the side of the cheek, the sensitivity to cold and hot appeared, and seldom there is a slight throbbing pain inside. After going to the dentist, I was treated with fluoride for this tooth (I don’t remember the name exactly), they said that if I still had a lot of trouble, then most likely they would remove the nerve. Sensitivity is not completely, but gone. Or is it better not to delay the removal of the nerve?

    Reply
    • Svyatoslav Gennadievich:

      Hello! If you had a spontaneous pulsating pain in the tooth or were not passing for a long time, then we are talking about pulpitis or periodontitis. That is, it is necessary to treat the canals of the tooth with their subsequent filling. However, if your sensitivity appeared for a short time and only from irritants, then it is worth making the EDI of the tooth, before starting the canal treatment.If according to the device it is worth treating the channels, then it is recommended to do it immediately. If the instrument pulp is healthy, then you can follow the instructions of the doctor: in a pinch, simply replace the seal with a new, more hermetic one.

      Without the testimony of the device, the treatment can take place purely on a whim: if it is ill, it will not hurt. EDI is not in all clinics, so you have a difficult choice. I can say approximately that 70-80% percent you will probably have to treat the canals, as there are certain suspicions of pulpitis. Do not provide a snapshot of the tooth for analysis?

      Reply
      • Anonymous:

        I have a panoramic picture of my teeth. You throw it here?

        Reply
        • Admin:

          Yes, you can here. For example, in the form of a link to a file located on Yandex Disk.

          Reply
        • Svyatoslav Gennadievich:

          Hello! After analyzing the picture, I will say that there is a granuloma or a cyst on the top of the root of a tooth that has been treated many years ago. And a decent size. Definitely this tooth may have aggravation. As for the upper teeth: either 5 or 6 has a hidden carious cavity. Not exactly visible - it should be further analyzed at the reception.But the picture well illustrates the tragedy in the lower treated tooth, where the distant canal is poorly sealed - hence the granuloma that has grown. Contact your dentist urgently, and you will have to look for the upper tooth in your mouth, and the image will be an indirect assistant.

          Reply
      • Anonymous:

        (A picture is attached, the link is available only to the doctor ...)

        Reply
  16. Diana:

    Hello! My name is Diana and I am 15 years old. Today I was at the dentist, checking my teeth. It turned out that I have one tooth (4th on top) completely destroyed, said to remove the nerve. I am very afraid, I have never had a nerve removed from a tooth, the whole thing came to tears. As a result, enrolled in a paid clinic on Wednesday. Actually, why am I writing all this, I would like to ask you if it hurts?

    Reply
    • Svyatoslav Gennadievich:

      Hello, Diana! Many factors can influence the effectiveness of anesthesia, but more often than 80% of its level depends on the hands of the doctor. There is good news: this is the upper tooth and the fourth (I understand that you wrote the number correctly, that is, this is the one that comes right after the canine?), Therefore, it is easier for these teeth to make anesthesia without errors.

      The only thing that the 4th upper tooth is dual-channel, but this is not a serious hindrance to successful treatment. Stress affects the effectiveness of anesthesia, but rarely. However, it is necessary to calm down, so as not to interfere with the doctor to carry out the work. No professional doctor is configured specifically to hurt you. Import anesthetics are working wonders now.

      In my practice, cases of repeated injections of anesthesia in the treatment of the 4 upper teeth are extremely rare. I think that even with force majeure, the doctor will reintroduce the imported anesthetic drug and everything will be all right. In general, the treatment of the canals of a tooth is an ordinary manipulation. Sometimes in some shifts it is necessary to treat channels more than caries. With the help of canal treatment you are saved a tooth from being removed - this is worth remembering. Even if the risk that “freezing” will affect 40-50% is about 1-2% - this does not mean that you should stay at home and wait for the tooth to “rot”. Since you have a group affiliation (and the fact that the upper one) has almost 100% chances for painless treatment, I’m even happy for you: specifically, because you don’t start your experience of root canal treatment with the lower molar tooth.Lower molars are more susceptible to the vagaries of anesthesia, especially in the inexperienced hands of dentists.

      Reply
  17. Rustem Rinatovich:

    Dear patients! Come for a visit every 6 months. And it is cheaper for you and easier for us.

    Cynically! But surely, unfortunately ...

    Reply
  18. Irina:

    Hello! I am 33 years old, I finally decided to put braces on my crooked teeth, stopped with metal orthodontists. 3 months wore, everything was in order. After another shift of the arc, after about a week, there was just hellish pain for temperature: a sharp pain in the jaw above the canine appeared from cold and hot, but not constant, only during the meal, if the food was not at room temperature, and a few more minutes after ... First I could not understand what kind of pain I thought, because of braces, after the change of the arc, I hadn’t “moved away” yet. But then I realized that the nerve of some upper tooth hurts. Later I found a small seal in the canine root area - it hurt! All this beauty fell on holidays, and did not immediately run to the doctor. And after a couple of days, the pain began to subside and then it only appeared from the cold one, while quickly drinking, say, warm water, then “let it go” immediately. I went to the doctor.The orthodontist said that, most likely, pulpitis, it is necessary to take a picture and to the therapist. The picture was taken: in addition to the fact that the teeth “move”, the picture showed nothing. The therapist said that in the picture "nothing should not hurt."

    The orthodontist took me Doug, nevertheless, removed it, then they treated me with fluorolac and told me to wait, while everyone found the very seal, the “ball” at the root of the canine. There is no caries, as I understood, none of the doctors wanted to remove my nerve without acute pain. I think that this ball is the abscess that sits there ... It turns out. that I have to wait for him to break, I will die from pain, and only then will my nerve be removed? Or this abscess (if it is), or seal, can itself go through? It also reacts to the cold gum above the canine, plus I feel the air, there are painful sensations if you press on the face at the junction of the nose and nosogubki. Absolutely exactly it is not a tooth, and they knocked him, and checked with air, as if the sealing hurt. Why do doctors not want to remove the nerve?

    Reply
    • Svyatoslav Gennadievich:

      Hello! The version about "abscess" is excluded. The fact is that only a “live” tooth, in which there is a full-fledged “nerve”, can react to cold things.Of course, this does not mean that the “nerve” cannot be affected by the inflammatory process, however, as long as the tooth reacts to the cold, it’s too early to talk about “ulcers” at the root. Since you have fast-moving pain only from external stimuli, even caries or enamel hypersensitivity can be assumed. The riddle of the seal that has arisen against the background of orthodontic treatment suggests that the canine is too “shifting”, and this somehow affects the root zone of the canine.

      Of course, all this guesswork. The fact that this is not an “abscess” is for now 100%. Another question: the hardest thing to understand against the background of which the problem arose. Obviously, the doctors either feel sorry for working with the tusk, or do not really want to. The best moment of diagnosis could be EDI - electrical donation diagnostics. That is, the measurement using the device pulp excitability. If the pulp is healthy, then there may be hidden caries on the canine or hypersensitivity. And already against the background of whether orthodontic treatment this sensitivity has appeared - it will be difficult to say anyway.

      If the device shows that the excitability is reduced, then the pulp should be “removed” from the canal 100%. At this point, no doctor will get out.However, the difficulty is that this device is not in all clinics. I would say: most clinics somehow ignore it and do without EDI. In your case, such a diagnosis would answer half the questions.

      Reply
  19. Irina:

    Many thanks for the answer and for the advice! The fact that there is no abscess, you are absolutely right, because every day I feel better, the pain has gone completely to the cold, I can even eat ice cream, the seal is and press on it is sick ... As for the fact that the canine began to move too briskly, You, too, are absolutely right, I also thought about it, all the more, from the very beginning he “stuck forward” very strongly and very quickly got up in a row. Now, apparently, the arc on the upper jaw is not yet necessary to wear and I will look for EDI!

    Reply
  20. Anya:

    I had a tooth opened and a nerve was removed and told to come to wash. And how to wash it hurts?

    Reply
    • Svyatoslav Gennadievich:

      Hello, Anya! Some kind of stupidity - I will say straight away. During pulpitis, the canal is washed immediately and the canal is then sealed using a modern method. There are treatment options with staging an antiseptic dressing in the canals with gangrenous pulpitis, but then for the next visit it is simply removed, repeated treatment with the same means and filling is carried out (without it anywhere).

      I think that you are treated with purulent periodontitis, in which the “nerve” could not be a priori, since it decomposed for obvious reasons. If you are treated with the open channel method, then this method is too routine: many dentists criticize it for the risk of reinfection of the canal from the oral cavity. As for pain with such treatment, it is a question of the principle of the method. Solved individually, often applied prior anesthesia.

      Reply
  21. Ualihan:

    I soon want to remove the dental nerve. I am 14 years old, this is my first time, the procedure costs 3,600 rubles, will it hurt? Tell me please.

    Reply
    • Svyatoslav Gennadievich:

      Hello, Ualihan! Information is not enough for me to throw off approximate statistics. I will explain why. The most important thing is the group membership of the tooth and the qualification (experience) of the dentist. There are teeth that can be “frozen” by any practicing dentist. However, for example, at your age for a number of doctors, a problem can be a painless treatment of the lower large molars: the sixth and seventh. Of course, the younger they are, the harder it is for most dentists to do quality anesthesia.However, experienced dentists know many nuances of tricks to achieve persistent anesthesia in this age group for the treatment of any tooth.

      That is why I can not tell you with 100% accuracy: it will hurt or not. Another question is that, most likely, about 70-80% of cases pass painlessly in private clinics. Unlike state (free) dentistry, where the doctor accepts patients quickly and not always qualitatively. I am sure that the doctor will do everything possible so that it does not hurt. Modern anesthetics allow absolutely painless procedures in dentistry. So hope for the best and trust an experienced doctor! Good luck!

      Reply
  22. Ale:

    The tooth aches after the expansion of the tooth canals, a permanent filling will be put in 2 days. I know that this is normal when a tooth aches, but how can I get rid of the pain?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Unfortunately, it is forbidden to prescribe drugs in absentia. The fact is that you, as an example, may be allergic to certain drugs. The best option is to analyze the image after sealing the canals, and then draw conclusions,what to use home remedies to relieve post-filling pain.

      Reply
  23. Anonymous:

    Do not worry, it is pointless to be afraid.

    Reply
  24. Oksana:

    Hello today they put arsenic, they told me to come in a week to remove it. Is it not long to go with him, or rather, not dangerous? Then remove the nerve, very afraid it does not hurt? And you can ask the doctor for anesthesia?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Arsenic paste is an old method, it is better at least arsenic-free analogues. However, if you have already begun to be treated in this way, then it is worthwhile to clarify: have you precisely set up “arsenic”, maybe you did not understand the doctor? The arsenic paste is put for a maximum of 48 hours (2 days), and the arsenic-free paste is up to 5-7 days or more (the traveling version).

      I always treat with anesthesia, I think that the doctor will definitely do it, but it is worth asking for it, just in case. Successful treatment!

      Reply
  25. Dmitriy:

    Today I was at the dentist’s place, drilled a chewing tooth, said that it is necessary to remove nerves, seal the 3 channels and put a permanent filling. All this will cost 7000. Is the normal price? Since there was no such money with me, I put a temporary filling with arsenic.

    Reply
    • Svyatoslav Gennadievich:

      Hello! The norm is that of the majority. From the point of view of price policy, this is a normal price, for megacities it is even lower than the average. Another question is, what do you get for this price? I will explain approximately: the treatment of canals is the most expensive pleasure in this final price, since it is laborious, difficult, responsible and in every sense energy and materially expensive.

      That is why the clinic summarizes the list of procedures that are included in the canal treatment: expansion, passage, washing with so-and-so, using ultrasound during their processing, and (or) a microscope, canal filling with the method of lateral condensation of gutta-percha, hot gutta-percha, Termafil, etc., images (diagnostic, control, temporary filling, etc.) The average price for canal treatment (6 or 7 teeth) under a microscope is about 15-20 thousand rubles for one treatment: channels + light-cured filling ( for example, Filtec or Grady but).

      The patient pays not only for specific micro services during canal treatment and tooth filling, but also for the level of equipment at the clinic and the professionalism of the dentist. If for 7 thousand rubles this symbiosis of all of the abovecorresponds to the quality and guarantees for treatment (usually about a year for a seal and more than 3-5 years for channels), then the price is adequate. In the meantime, I can say in absentia that this price is normal.

      Reply
  26. Alexander:

    Yesterday I went to the dentist, and according to the results of the examination it was recommended to remove the nerves of 6-ki from the bottom left. Since I am insured by LCA from work with a very impressive coverage in terms of dentistry, everything, absolutely all procedures are free for me. So, after 3 injections with the most modern medicine, the doctor began to drill ... At first everything was, it seems, painless! But then the doctor got on the nerve and I started to twitch! They made another injection, already in the nerve, but it did not help. Only after 5-6 additional injections in the nerve did I stop feeling pain. Otherwise, everything was as described in the article.

    Reply
  27. Kaliza:

    Hello, I wanted to ask: if the caries did not reach the nerves, and the doctor put a seal without removing the nerve, what would happen, then the tooth will hurt?

    Reply
    • Svyatoslav Gennadievich:

      Hello! The question is provocative and requires a long explanation. Most of this answer is an unnecessarily professional topic, so I will limit myself to a brief explanation. If caries did not cause inflammation in the pulp of the tooth, then the seal can be immediately put.When a professional doesn’t do this, mistakes can lead to the fact that a carious tooth with a healthy pulp turns into pulpitis after treatment, that is, such a tooth will begin to hurt with a filling, although it shouldn’t be supposed. If the doctor initially (before treatment) does not determine the inflammation in the “nerve”, then the effect will be the same - the lack of success after the placement of the seal.

      If the diagnosis "caries" is made correctly, and the doctor performed his manipulations without errors, then the tooth will not ache under the filling. There are still some nuances: often the doctor, having made the correct diagnosis “caries”, makes a number of minor mistakes while working with light fillings, and pain is produced when you press the seal or the discomfort from the cold (less often hot). Here it is important to correctly assess the situation: if the pulp remains healthy and the tooth is sore from irritants (especially when pressure is applied on it), then we are talking about an illiterate formulation of a seal (with violations of preparation for filling especially). A number of doctors suggest waiting for 2-3 weeks until the dentin recovers itself and stops testing a person, while other dentists recommend re-filling the seal, but observe all the prescriptions according to the technology.

      In general, Kaliza, the answer to your question is this: the tooth will not hurt if the diagnosis of caries is correctly stated initially and with the observance of the treatment technology - from preparation under the seal to its final polishing.

      Reply
  28. Denis:

    I will remove the nerve on the lower tooth, the first on the right, is it scary? And how does this process happen?

    Reply
    • Svyatoslav Gennadievich:

      Hello! If you say “the first lower right”, you mean the lower incisor, then you should not worry 100%, since these teeth are not difficult to anesthetize. In this tooth there are both one and two channels, the “nerve” under anesthesia is removed without pain. If you say, “the first on the right,” you mean 7 or 8 tooth (the eighth is a wisdom tooth), then I can assume that in about 70-80% of cases everything will go well. The fact is that such teeth are technically difficult to freeze, but for experienced specialists it is not difficult, since from the theoretical and practical side they are well-trained and know all the possibilities of qualitatively anesthetizing 7 and 8 teeth. In the 7 lower teeth, most often there are three channels, in the eighth it happens arbitrarily, but most often the lower wisdom teeth, unlike the upper wise teeth, are not so complicated, and somewhere even easier - 3-4 channels are treated.

      Treatment of the canal of the tooth begins with anesthesia, then the tooth is dissected, open access to the mouth (s) of the canal is inserted into the canal with thin needles (files) that pass the canals along the entire length, and then expanded under the filling material for the canals. Most often they are filled with paste + guttaperchy pins. They tightly fill the channels, and then adjust and put a temporary seal until the next visit. At the end, a filling is placed on the upper (coronal) part of the tooth. In principle, not scary, but responsibly: from the doctor and the patient.

      Reply
  29. Alexander:

    The third time they put a temporary filling on arsenic, maybe they cover it up badly and the nerve is not killed? Could this be?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Unfortunately, I used to encounter such a problem myself: I haven’t been working with arsenic pastes for many years, but I use it without arsenic, but the point is the same. Honestly, in 95% of cases, this is a lack of knowledge and experience in quality anesthesia, because many dentists generally work without drugs for nerve devitalization - they can immediately heal any tooth, and use devitalizing paste only 3-5 times a year in the most difficult situations.At the children's reception, it is still possible to assume some individual characteristics of the tooth and the structure of the jaw, but in adults it is much easier. Therefore, if your case does not fall within the 5% of options associated with anesthetic obstructions (drugs, alcohol, strong fear, etc.), then the doctor does not use all the possibilities of imported anesthesia.

      As for the second problem voiced by you (it does not act, as you call it, “arsenic”), this happens when:

      1. Incorrect formulation of the paste;

      2. Too wide and long channels with massive pulp with insufficient amount of funds.

      However, I emphasize once again that in most cases, pulp devitalization paste is a reinsurance of the dentist and no more. Let you focus on the quality of anesthetic and anesthesia technique!

      Reply
  30. Lyudmila:

    After incorrect removal of the nerve (for a long time the doctor could not find it), everything around her became inflamed. Two months from the gums were bleeding, swelling. The teeth spread apart, the gums do not stick to the teeth. Now take a picture. They said the channel was sealed well. But it is already chronic. Or tolerate, or remove a tooth. Very sorry. Advise what to do?

    Reply
    • Svyatoslav Gennadievich:

      Hello, Ludmila! If you describe everything correctly, then you suffer from exacerbation of chronic periodontitis: it is possible that there is a perforation of the root or bottom of the tooth, due to which there is a moment of evacuation of bloody and (or) purulent exudate through the marginal gum. As for the fact that “the channels are well-sealed,” I can only advise checking this seal by providing a picture - either here (via mail, or by reference), or from an independent expert in the chair. This can not be so that without the cause of the gums "swelled." Without knowing your age and features of the gingival attachment, it is difficult for me to suggest or disprove periodontitis. Periodontitis is a problem that is not related in this context to canal treatment. Coincidence is not a coincidence? Again, I’ll come back to the need to see at least a snapshot, and then it will become clear: whether an examination in the dental chair is necessary and detailed diagnostics (probing, percussion, palpation of the gums, determining tooth mobility), or the verdict will be 100% - tooth removal dentist-surgeon. So I advise you to get a picture and (or) immediately from an independent dentist in the chair to look around and understand the reason. I wish you a speedy solution to the problem!

      Reply
  31. Anastasia:

    Good day! I was at the dentist 5 years ago. Put a seal. After 2 years, it fell out. Recently she decided to go again, they renewed a 10-year-old filling on the lower tooth, but on the account of where the filling fell, said pulpitis. Upper 5 or 6 on the left - said, will remove the nerve and fill up. I asked again how many visits there would be, the doctor said one thing. Question: Is it right to remove the nerve right away and close the seal in one visit?

    Reply
    • Svyatoslav Gennadievich:

      Hello, Anastasia! The question is just wonderful. For many years I have been observing how many dentists (about 30-40%) are with me next to me, are treating the canals and putting a seal in one visit, arguing that in one visit it saves time with the same results. Personally, I do not put at one time, because I see no reason to put a light seal on the unconsolidated material in the channel with or without a gasket. A lot of doctors agree with me, and an example for me is a professor of therapeutic dentistry (doctor of the highest category), who prefers to carry out a temporary restoration of a tooth after canal treatment. What does it mean: canals are sealed in a modern way until physiological narrowing,they are controlled by a snapshot and sealed (on top) with some cheap “permanent” material, which gives an excellent tightness to the tooth, but it assumes the replacement of this, all the same, temporary material with a high-quality permanent light-cured filling or restoration.

      All the "fuss" due to the fact that the material in the canals of the tooth over these few days shrinks, and the tightness of the permanent filling can be broken (microcracks and "leakage" will occur). This can be eliminated by rearranging the temporary fillings to a permanent one 3-5 days after endodontic treatment.

      Reply
  32. Vitali:

    Hello, tell me, but when caries reaches the pulp and constant aching pains begin, then with non-treatment, how long will they continue? I had a tooth a year or 2 ago (somewhere around the top fifth), for 2 or 3 days, I whined constantly and very hard. It seems to be like a pulpitis, but then he somehow suddenly stopped hurting, even reacting to sweets, although, as I understood, this happens only with a live pulp. What could it be?

    I forgot to add that now the tooth doesn’t bother at all almost, only if there is any chocolate to eat. It does not react to hot, cold, pressure, etc. (but there are caries).

    Reply
    • Svyatoslav Gennadievich:

      Hello! If you do not want to treat your teeth, but try to find an explanation for this possibility, then this is a dead-end path, but your business. Well, firstly, the pulp does not always die in the short term without treatment (from 2-3 days to 3-5 months), but most often (in 90-95%).

      Secondly, the tooth that you whined (pulpit), could stop hurting due to the compensation of the body and the protective reaction of the pulp from infection, but on the next tooth there is a banal average caries. I often encounter such cases: next to a dead tooth (periodontitis) is absolutely alive, but with average caries and reacts to sweets. So, based on your practice, you either have a dead tooth already destroyed by caries before the pulp chamber and a carious neighboring living tooth, or still chronic pulpitis, but the caries on the next tooth also gives a reaction to the sweet tooth as in the first case.

      Chronic pulpitis, as well as some forms of periodontitis,It may not be asymptomatic for years for all people, but the process of even asymptomatic tooth decay is a risk of serious complications and tooth loss due to their transformation into “roots”. Often you can hear something like this at the reception: “The tooth was initially very sick, then stopped reacting altogether, went to itself for many years, and then it broke off yesterday and the root began to hurt, the cheek was swollen, you could not touch it, it would be better to heal right away, only remove leftovers. "

      Reply
  33. Igor:

    Hello, Svyatoslav Gennadyevich ... Tell me, please, today the last tooth fell ill, the lower right (the so-called wisdom tooth). Next to him, pulpitis was treated in a free clinic. A lot of channels were very painful. Tell me, what are the problems with this last tooth? Thank you in advance.

    Forgot to report. The tooth hurts, but you can eat it. The tooth is whole, without holes. What could it be? As if the gum was a little swollen, where the teeth are gone. Beyond this tooth.

    Reply
    • Svyatoslav Gennadievich:

      Hello, Igor! Without examining the oral cavity, it is difficult to judge unequivocally, but judging by the description, you have a difficult eruption of a wisdom tooth (pericoronitis).If the edge of the wisdom tooth is slightly covered with the “hood” of the gum, then the risks of pain due to the tooth's attempt to break through the thickness of the tissue are high. The infectious component also influences: in case of incomplete dentition of the tooth, food may be thrown into the space between the tooth and the gum, which provokes inflammation. In any case, this is a reason to turn to the dentist for confirmation of the diagnosis and a decision regarding the wisdom tooth. The verdict depends on the individual tactics of the doctor in this clinical situation. If for the future there are serious risks of repetition (recurrence), or of a more serious infectious inflammatory process, then the eighth tooth is removed. However, a number of dentists prefer to help the tooth with the help of excision "hood". This practice is not welcome by all doctors, as it sometimes leads to new phenomena of pericoronitis, or to its complications (extremely rarely). Of course, it is up to your doctor here to decide.

      About the penultimate previously treated tooth: if you doubt the correctness of the treatment of its channels, you can take a diagnostic picture and provide it via mail or by reference.The only thing that according to the description it is important to first exclude pericoronitis in time, and then to deal with possible problems of the 7th tooth for the long term. Good luck!

      Reply
      • Tatyana:

        16 years ago, faced just such a problem. The wisdom tooth is not completely crawled out. Inflammation formed under the hood. The dentist cut the gum. After some time, the gums grew again and inflammation began. Got to see another doctor. She rejected the suggestion of a colleague to remove a tooth, arguing that there is an antagonist and that she will always have time to pull out. Gums cut, burned. She gave her phone number and said that if she repeated again, call her and she would remove a tooth for free.

        Very grateful to this doctor. The tooth is still intact (even though the antagonist was lost a few years ago) and no problems were created with it anymore. That would be more such professionals in free and paid clinics!

        Reply
  34. Vitali:

    Tomorrow they will remove the nerve on the bottom 8, scary. Does it hurt or how?

    Reply
    • Svyatoslav Gennadievich:

      Hello! It all depends on the professionalism of the dentist, the anesthetic chosen and your mood.The latter is an obligatory thing, as a positive attitude often works wonders. If the doctor does everything right, and you will be shaken with fear, and you will begin to listen to "your" feelings to insanity, then the procedure can be painful. Stress affects the level of quality anesthesia, I know from my own experience and the work of my colleagues that it is often necessary to leave a patient with anesthesia for 15–20 minutes (under the supervision of a nurse), to enable him to let go of the situation, take a breath and not dwell on his fears . I do not consider it a normal practice in the hospital to put the patient in the corridor for the same time, but after that in many cases persistent anesthesia occurs and the canal treatment of the tooth is painless. A good nurse in the office can tell a joke, ask about the weather, cars, advise something, etc., in general, translate nervous tension into a different direction. So do not be afraid and trust the experience and professionalism of doctors, well, and do not forget to remind the doctor that you prefer an “import” anesthetic against Lidocaine or, especially, Novocain. Good luck to you tomorrow!

      Reply
  35. Svetlana:

    Good day! In case of injury, 3 front teeth broke (2.1 to 1/2 of the height broken, 1.1 and 2.2 - partial chipped). Tooth 2.1 was pulped, the canal was sealed 5 days ago. Next, the dentist recommends building up this tooth on the pin. 1.1. and 2.2 increased, do not worry too much, there is a slight discomfort when pressing and a weak "aching" pain arises from time to time. The dentist says that you may have to depulp and 2 other teeth. How necessary is it in my case?

    Reply
    • Svyatoslav Gennadievich:

      Hello! The most accurate information (objective) gives EDI tooth. Not all clinics have the appropriate apparatus. In determining the electrical excitability of the pulp, you can find out whether there is an incipient inflammatory process or not. With injuries of such strength, it is often necessary to depulp a tooth. I do not think that this is a big tragedy, since with a certain experience and professionalism of the doctor, it is possible to correct the imperfections of a smile, if such is the case (bad shape of the teeth, slight tilts, turns, poor natural color of the teeth, length of the tooth crown, etc.) . That is, there are often even advantages from the restoration, but the question is, again, whether to make the tooth "dead"?

      If the EDP pulp died, then without a canal treatment, you can bring the tooth to periodontitis, periostitis and other purulent complications, from which the face swells. If the EDP pulp is healthy, then there is a chance to do so long as the restoration without pins.

      If the clinic does not have EDI, then you can verify your feelings with the diagnosis of pulpitis on complaints. When the pain becomes spontaneous (without irritants), intensifies in the late afternoon, at night and sometimes pain medication is required, then it is necessary to treat the canals - pulp inflammation occurs. No matter what kind of pain it is - acute or aching. If the aching short pain response is associated only with the effect of irritants for some time (cold, hot, sweet, etc.), and without this, the pain does not appear, then we can hope for dental treatment without removing the “nerve”. In any case, the last word is for the attending physician, and you are entitled to change the doctor if the position of the first is not satisfactory. Sometimes it is so necessary to hear the opinion of 2-3 colleagues in controversial cases in order to arrive at an unambiguous and the most correct conclusion.

      This consultation should not be considered as 2 opinion, since in absentia you can only outline a rough plan, but I will not be able to fully examine my teeth and understand the scale of the problem. Thanks for asking.

      Reply
  36. Alexey:

    Hello. I am 33 years old.A week ago I turned to a dentist, there was no pain in the tooth, there was caries on the bottom six. Tooth drilled, caries removed. It was deep, as they said, did not reach the pulp, although at the end of the drilling procedure there was pain. Put a temporary healing seal for 4 days. The tooth reacted to pressing and cold. The dentist said that the pain will pass after a permanent filling. Put a seal, light, and the tooth hurts just 2 days. Even with a slight pressure on it, or on cold water. It’s impossible to eat on this side. Tell me, please, what to do next?

    Reply
    • Svyatoslav Gennadievich:

      Hello! There is the most rational option - to find a clinic where they can spend the EDI of a tooth - exactly and without cheating. If the pulp is in the stage of inflammation (even initial), then the device will show it, and the channels will have to be treated. When the pulp is healthy, it is advisable to re-fill the filling with a professional dentist. In this context, I do not think that the tooth is spoiled, a number of technical nuances are simply broken, hence the sensitivity from cold and when biting on the filling.

      Option - wait until 2-3 weeks - controversial, as there are certain riskswhich can lead (in case of damage to the pulp) to complications, although a number of dentists adhere to this approach.

      Reply
  37. Alexey:

    Hello! I have a question: a seal has fallen out of the tooth, the second upper one from the end, chewing, in general. The doctor said, it is necessary to put a crown, first remove the nerves, clean the canals, put a stump. Do nerves immediately remove or not?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Modern methods of treatment involve the treatment of canals in one visit: the extraction of the "nerves", the passage, the expansion of the canals, drug treatment, filling for temporary restoration. The seal is most often placed on the next visit. In your case, as I understand it, this is a tab that is then hooked onto the crown.

      However, it is not a mistake to treat the canals with the prior use of the devitalizing paste (which kills the “nerve”). It is worth noting here that arsenic paste is not favored in our time - it has a negative effect on periapical tissues and may in the future provoke periodontitis. Armless - you can put, but also added an extra visit and (often) uncomfortable or sore feeling while walking with her.

      Therefore, simultaneous canal treatment is the most preferable in our time, with the exception of special situations. Successful to you treatment under the tab + crown.

      Reply
  38. Margarita:

    Hello! I want to ask your advice. I am 22, I recently had a filling, which I put in my school years, everything was black under it, and even before that this tooth was problematic - a little overcooling, and it starts to scratch inside or pulsate. And this despite the fact that he is dead.

    I went to a paid clinic where I already was, which I relatively trust. The dentist brushed my tooth, it turned out that the roots are in order, there is no blackness there. But for the order they took a picture, and it turned out that in one of the channels of the tooth there is a residue of a metal tool with which they are cleaned. Plus, there is a slight round inflammation under this root. In the end, she said she was not sure that she would be able to pull out a piece of debris, so it’s up to me to decide whether to unzip the channel or not. I was afraid.

    And now it's cold outside and the tooth is itching periodically. The question is whether to panic and do something, or if there is no danger of intensifying inflammation, then you need not worry? She closed the tooth on the conscience.

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think that you just left a "time bomb." Here it is difficult for me not to advise you to rebuild the canal of the tooth and eliminate the inflammatory process by an affordable method. You can try to remove the fragments using ultrasound equipment using a microscope, and then put in the canal a preparation based on calcium hydroxide for a period of 2-3 months to a year with periodic replacement of the material.

      Otherwise, the inflammatory focus will exist in the stage of compensation until the next exacerbation: hypothermia, stress, common diseases, hormonal failure, etc. may cause this. Therefore, if the dentist “fixed the tooth on the conscience”, then we are talking about the upper (coronal) part, which does not absolutely help the tooth for the future. That is, the reason for excitement remains.

      Reply
      • Margarita:

        Thanks for the answer! Eh, I’ll have to walk around with a delay in my mouth until I can get a tooth) It's a shame, however, apparently, my dentist was not ready for this turn of events. Looks like you’ll have to find another place to heal the tooth. I hope in my city there are dentists involved in this.

        Reply
  39. Dilya:

    Hello! In the middle of August, I had 3 nerves removed from the upper six, the pins were installed. After 1.5 weeks, the tooth began to react to the hot. Reacts to this day. I went again twice to my doctor, but he did not give the reason and did not say what to do. Tell me, please, why does a “dead” tooth react to hot things and what should be done?

    Reply
    • Svyatoslav Gennadievich:

      Hello! If this particular tooth creates similar problems, then it is a question of inadequate processing and (or) inadequate filling of the canals. In the upper 6 tooth almost always (more than in 80% of cases) there is 4 channel (according to the latest statistics). Even if channel 4 converges in the main in the mesial cheek root, then still, emptiness even in a narrow channel is abnormal. Just the same, such symptoms are possible with a similar error. Other technical errors could also lead to aggravation in the form that you have.

      I can advise only one thing: examine the 6 tooth in the picture. If possible, for analysis, you can send pictures to the mail (see the section “Feedback”), I will tell you if there is (approximately) a problem.It all depends on the quality of the picture and viewing angle. If something is revealed, it is necessary to heal the 6th tooth. If the problem is not confirmed in this tooth, you will have to diagnose the neighboring teeth, but all this is already in the chair at the dentist. Thanks for asking.

      Reply
  40. Daria:

    Hello, my tooth has crumbled in half and began to darken inside, sometimes aches a bit, but not much. How is this dangerous? And what will the dentist do? I'm just terribly afraid to go to the doctor. The third tooth on the bottom right.

    Reply
    • Svyatoslav Gennadievich:

      Hello! According to such small data, it is difficult for me to predict the further situation, but it’s already certain that sooner or later this will lead to tooth loss. In what form it will be: simply removing the “calm” root, but destroyed under the gum, or need emergency help because of severe pain, high fever, “flux”, etc. - not known.

      I think that the dentist’s tactics will be the following: analysis of the root canals and tissues outside of it from the image, after which treatment will be planned. Sometimes a doctor may suggest removal immediately, but you should consult another 2-3 doctors in other clinics, where there are ways to save even the most complex teeth.The treatment plan will depend on the situation in the channel and beyond the root. That is, the treatment can end in one day, and can be delayed for 2-3 or more receptions. The dentist can only be limited to filling, but can also begin treatment of the canals. In any case, everything is done under local anesthesia. A professional will never create a situation where you will be hurt, since the most comfortable treatment for the patient is also beneficial for the doctor to work calmly and fully. Do not be afraid and rather heal, until it "started" ...

      Reply
  41. Etoile:

    Hello! The fifth tooth from above began to feel hot and cold, sweet and sour, I think that this is the final caries. Is it painful to treat it with ubystezin, and will it remove the nerve? There are no holes in the tooth, but there is only a slight, so far, damage to the enamel, but this is definitely not a hole.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Taking into account your story, I think that you will be treated by the cervical caries without removing the “nerve”. Anesthesia is most often performed for patient comfort. "Nerve" is removed only as a last resort, especially since the placement of the seal will not interfere in the future (if it becomes necessary) to process the channels,as access to the channels can only be obtained through the chewing surface. So you risk nothing: a successful treatment for you!

      Reply
  42. Maksim:

    I am 15 years old, today went to the dentist. There was a hole, I thought that I just need to put a seal and that's it. It turned out you need to remove the nerve. I drilled a hole and put something, then made a temporary seal, was told to come next Monday. Will it hurt or not? 5 upper tooth.

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think that if you put the paste on the exposed nerve with the treatment of the cavity, then this was done with anesthesia. If you do not complain about the first visit, then everything went well. From this follows the fact that there is no point in fearing the second stage, because you transferred a living tooth to a dead one, that is, created all the conditions for its painless treatment. I will not criticize the method of treatment using devitalizing pastes - it is, in principle, acceptable for budget forms of treatment. So good luck to you in the future, the main thing here is not to be afraid and trust the dentist!

      Reply
  43. Larisa:

    Hello. On the sixth tooth on top of 3 weeks ago, changed the seal.The doctor said that there was no pulpitis, a protective dentin was developed, but I had to drill deep enough. Now this tooth periodically aches. Does this mean that pulpitis has developed and still need to remove the nerve?

    Reply
    • Svyatoslav Gennadievich:

      Hello! If spontaneous pain (that is, without external stimulus), especially confined to evening (night) time, is disturbed, pulpitis has developed almost 100%, and the channels of the sixth tooth will have to be treated. Meanwhile, pain when biting on a tooth (filling) can speak both about pulpitis (periodontitis) and post-filling reaction with a healthy pulp. Post-filling pain is indicative of irregularities in the formulation of the seal and requires a technically correct re-installation of the seal. Ideally, EDI can provide accurate information, but this is only if your symptoms cannot tell the doctor if there is inflammation of the pulp or not (for example, if you talk about pain when biting on a tooth, pain from a cold, etc. ., but there are no obvious signs of pulpitis, which I mentioned above). The destruction of the pulp does not always occur with a bright clinical symptoms, therefore, to help the doctor have EDI - the definition of pulp electro-excitability.If this device is not in the hospital, then everything is decided on the collected history and examination of the tooth in the mouth.

      If in doubt, the pulp is usually removed and the canals are sealed, so to speak, without guessing on the coffee grounds. Thanks for asking.

      Reply
  44. Munira:

    Good day! I had a question, the situation is this: in childhood they removed the bottom 6, and then they grew up 8. Both the bottom 8 are functional (they participate in the process of chewing). In the 8th tooth on the side where there is no 6th tooth, pulpitis. We decided not to delete it because it is very, very necessary))

    At the moment, the channels are cleaned and the tooth is under a temporary filling with some kind of antiseptic. It is necessary to choose whether to close a tooth with a ceramic tab or filling. What could you advise?

    The dentist says that control shots will have to be done in a year to be sure that everything is in order with the tooth. And at this stage there are no guarantees that a tooth should not be removed after a year ((And offered an option - to put a seal and remove it from the bite, so that the upper tooth would not rest on it, and a year later to put a tab.

    And another question: 8 - the same teeth for durability, like the rest? Or are they more fragile?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Firstly, it is difficult to judge without inspection in the oral cavity, how valuable this tooth is and what are the prospects for its existence in the dentition in your favor. Secondly, was there pulpitis at all? Could it be that a tooth still leads to the diagnosis “Periodontitis” that is not entirely convenient for a dentist? I am embarrassed by the laying of antiseptics and a kind of “mouse scuffling”: if we are talking about control shots in a year, then this falls under the monitoring of periodontitis at the stage of anti-inflammatory treatment, and for pulpitis (if it’s all about him) - this is too yes, coupled with the wording "no guarantees that you will not have to extract a tooth" and "must be removed from the bite." Based on the data you provided, I can say that the dentist either conducts periodontitis or cannot treat this wisdom tooth qualitatively (cannot go along the canals in length or does not find any canal, broke the instrument, poorly sealed the canals, created a false canal or made a perforation - many different factors sometimes push the dentist not to believe in the prospect of treatment).

      As for the strength of 8 teeth: they do not differ in any way from the rest: if the tooth is badly damaged (more than 1/2), then, of course, there are risks that it will crumble in the future, since it is “dead”. Therefore, they offered you one of the most reliable options for the restoration of the coronal part - a ceramic inlay. In addition to the tab, “dead” teeth are often covered with a crown, which allows it to stand in the dentition for as long as possible. Only here I doubt, starting from the words of your doctor, that it is worth doing such an expensive job, saving the upper part of the tooth, when the dentist knows something about his inadequate work (my guess) inside the canals. If you send a picture with the treated channels, then maybe I can give you a more complete analysis of its work.

      Reply
  45. Igor:

    A few days ago I treated 2 front teeth (canine and tooth, which is next to it, to the center). Fang was in poor condition, and I found out that I had to treat a tooth that was nearby, only after seeing the dentist. So, I did not remove the canine nerve, and the 2nd tooth was removed. And now, after 4-5 days, I noticed that he darkened.What is the reason for this and will it pass with time?

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think that this will not work. The darkening is most likely due to the fact that the material used to stain the tooth is used, since the dead tooth itself darkens gradually, more precisely, it fades with each passing year. Here we are obviously talking about some external factor. Sometimes it happens that staining is associated with bleeding from the channel, which was stopped with difficulty. Understand is on the spot - in the chair of a doctor. If you do not like the aesthetics of the tooth, then you can apply either endodontic bleaching (usually this technique helps to improve the color characteristics of the tooth without losing its tissues and with the maximum positive effect) or restoration of the anterior wall of the tooth using a light-cured material, making the so-called veneer a direct method. Thus, you will restore color and, as a result, aesthetics.

      Reply
  46. Timur:

    Today I went to the dentist and he said that I need to remove a nerve (from a 16th tooth). I read the comments and about the negligence of dentists - it already became scary. I wanted to ask, is it painful to remove the nerve?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Depulping the upper teeth is almost always painless. “Almost” - this means that practically there are no technical difficulties in carrying out a painless removal of the “nerve”, but in rare cases an inexperienced dentist may not pay attention to anesthesia from the palatal side, and then the treatment can be a little painful. I think that you should choose an experienced dentist with an experience of at least 5 years. Moreover, it is important to rely on the feedback from friends, acquaintances, relatives about this doctor (and to come to the reception without fear and strong feelings, because the fear of tooth treatment sometimes prevents anesthesia from fully acting).

      Reply
  47. Yuliya:

    Hello) I am afraid to go to the dentist! Although previously not so afraid. So, what I am doing: I was at the dentist, they put a seal on my front tooth, then, two years later, the tooth began to ache. I again went to the doctor, he drilled a tooth behind me - there was a small hole (and I do not know if my nerve was removed or not). The doctor told me to come back in two days, but I didn’t come (I regret very much now), and a year later the tooth broke down at the root.Now I am very much afraid that I will be done, delete the root completely, or what? And will it hurt? Tell me please )

    Reply
    • Svyatoslav Gennadievich:

      Hello! Still, the doctor removed the “nerve” for you, and a dead tooth that has thin walls that the doctor didn’t have time to clean out of caries and put a seal, since you didn’t come for a second appointment, it can break quite easily - and that’s what happened to you. Now it is important to evaluate the root for its suitability for further tooth prosthetics (that is, is it possible to save the root at all). There definitely need to contact the dentist at the reception, so he assessed the external characteristics of the root and took his picture. If the doctor does not recommend saving the tooth, then it is important to have another 1-2 consultations from other doctors in order to form a general opinion that is close to an objective one. According to the snapshot, the dentist will assess the condition of the tissues surrounding the root for inflammation, since the tooth has long been without a permanent filling. It is possible that root treatment will be needed, but this is only for the benefit, so that a cyst on the root of the tooth does not progress further.

      If the root of the tooth is to be preserved, then I advise you that its crown part was restored by the tab + crown. Naturally, this is after impeccable in-channel preparation.With regard to anesthesia and your fear of pain: if the tooth is saved, then they will do without anesthesia, since the “nerve” has already been removed from the tooth. If the need arises to remove the root, then the anterior group of teeth of the articaine anesthetic always acts flawlessly. The only thing that is a little painful is the introduction of anesthetic into the transitional fold itself (however, many experienced doctors can minimize these painful sensations).

      Reply
  48. Ira:

    Can I die from local anesthesia after a test on my arm? I'm very afraid.

    Reply
    • Svyatoslav Gennadievich:

      Hello! If we talk about modern local anesthetics (artikainovyh series of drugs), then they are almost not allergic to them, although sometimes there are systemic toxic reactions that cannot be prevented by any allergy tests. Thank God that at the reception at the dentist there are plenty of ways to prevent negative consequences and with such side effects.

      Since you ask a question about a skin test, it is just the same that is carried out so that a person does not die from allergies. It would be strange if they prescribed a sample in order to once again risk human health. That is, you definitely will not die from skin tests.With the development of an allergy to the drug (if it is), redness or slight swelling will appear on the skin, since a small dose of the drug is taken specially. However, there is no guarantee that, in case of a negative anesthetic test, an allergy will not develop during the administration of the drug in the form of infiltration or conduction anesthesia during the treatment or removal of a tooth. It is all about the dose, the site of injection, etc. Skin test is not the most perfect, there are more accurate tests. But the most important test is a history of allergies to certain drugs in the past. I am sure that the history of your “dental” life and general health will provide more information than samples.

      Reply
  49. Ivan:

    Hello. Sorry, you can tell whether it is possible to remove the darkening of the tooth without drilling [reference to the tooth with darkening is visible only to the doctor]. Maybe there is some cleaning or something like that? The plot itself is smooth with darkening, not loose. Thanks in advance for the answer.

    Reply
    • Svyatoslav Gennadievich:

      Hello! The picture is fuzzy, but it is clearly visible that the spot is black. More like carious. With such a color intensity, almost always there is at least an average caries.In your case, it is located in the cervical area - a thin layer of enamel over the softened tissues in this area often does not “fly off” for a long time, determining imaginary well-being. This is due to the fact that there is no direct load on the cervical area. This defect does not imply conservative treatment (for example, using the Icon technique), but requires a complete tooth treatment, removal of carious tissues with the subsequent production of a seal.

      That is, answering your question more specifically: “without drilling” will not do. Although I will emphasize once again that the picture is fuzzy, and in the end, it will still be up to your healthcare professional to decide after a careful examination in the chair.

      Reply
      • Ivan:

        Thanks for the detailed answer. Judging by your answer, it turns out that it will be necessary to drill, because this darkening I have long been (exactly 5 years). The doctor said that while you can watch and do not drill. But I thought about modern techniques, but it turns out that this is not my case for using them.

        Reply
  50. Alexander:

    Hello! A month before the new year came to the reception at a private clinic. Found caries on several teeth, one began to heal.Despite being treated in a modern clinic with good anesthetics, it was painful several times. The carious tissues were removed, the picture said that the nerve was very close to the healthy part of the tooth, and a temporary filling was placed. For three weeks (this was the time it took to go with a temporary filling), the tooth did not react either to cold, or to sweet, or to anything. Removed a temporary seal, put a permanent. Now, when I drink something cold / hot, the nerve seems to "burst" a little, the pain disappears immediately, it does not hurt after that, and even for this time it does not react to this stimulus (usually it only reacts once /drink).

    What do we have to do? Is the doctor to blame? Can waiting without treatment help? And I would also like to ask where you are, judging by your answers, you have a lot of experience.

    Reply
    • Svyatoslav Gennadievich:

      Hello, Alexander! According to your description, the tactics of the doctor as a whole are correct: first they checked that there was deep caries in the tooth, or already pulp. The fact that the tooth began to react in spite of the positive dynamics is almost certain that this is the result of excessive polishing of the enamel when correcting the bite fillings. Since the pain is irregular, I tend to say that this is not a complication after the treatment of deep caries.Of course, it is impossible to say 100% without verification, but I suppose that nothing bad will happen next.

      It would be good to check the tooth for EDI, but few clinics have this apparatus to determine the "health" of the pulp. Therefore, the option is to wait about 2 weeks after the treatment, but when other symptoms appear (acute pain, a reaction when biting, etc.), go to the doctor immediately.

      As for my work: despite the fact that I am a dental practitioner, I serve only the local attached population and do not go beyond the scope of my “province”)

      Reply
  51. Anonymous:

    Good day! Today I was treated with the top eight in a private clinic with an experienced doctor, whom I trust. I wanted to remove it, as there was an old caries and it was difficult to get close to it - it is from the back side. But the doctor suggested that the tooth be treated - since it stands exactly, judging by the picture, it does not interfere with the seven and it has enough space.

    It was difficult to treat, everyone was nervous - caries was just from all sides. As a result, I learned that I was immediately removed a nerve from one visit, but without clearing the canals, because they simply could not get close. At the same time, she left there some kind of “medicine” (I don’t know which one) on a permanent basis and immediately put a permanent filling.

    In general, I trusted the doctor up to this point — she made quite complex teeth for me, but this removal of the nerve without cleaning the canals and some kind of “medicine” under a permanent seal worries me. Should I worry?

    I do not want to offend an experienced doctor, but is it possible to do so? Maybe you should just remove the tooth?

    Reply
    • Svyatoslav Gennadievich:

      Hello! If “your words are spelled correctly,” then the doctor’s tactics are wrong. Since the channels are difficult to treat, and the cabinet is not equipped with a microscope (as an option), it was worthwhile to treat the pulpitis in several visits. Partial removal of the "nerve" without devitalizing method (pre-setting paste that kills the "nerve"), dooms the tooth to 100% exacerbation in the near future. The risk is very high. In addition, non-penetrated channels with a partially removed “nerve” (and even with a completely removed one) do not guarantee that the tooth will not ache.

      I can not know exactly what kind of medicine the doctor put under your permanent seal. I knew dentists who put analogs of arsenic paste under a permanent filling, as they did not have the ability to heal properly (this technique extremely damaged the tooth for the future).If the doctor has put something like a calcium drug with a complete removal of the “nerve” from all channels, then the tooth can still somehow with half-empty and empty channels under the sealed permanent seal to stand, although this treatment is not promising. The resorcinol-formalin method, sometimes used by doctors for eighth teeth, is not done in 1 visit.

      It is possible that it was necessary to remove a tooth or send it to a clinic where there is a microscope for treatment, but the doctor chose to bury the problem - and “out of sight”.

      Reply
  52. Raul:

    Hello! There is a hole in the tooth, I came to the dentistry, we drilled another hole in the same tooth (near the nerve), and shoved arsenic. They said after 2 days to come clean up arsenic, and a week later - to remove the nerve. Does it cost me these 2 procedures?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Either you describe something wrong, or (more likely), the dentist prefers the extreme version of the routine treatment method: after extracting the arsenic paste, record separately for channel therapy. The fact is that according to the devitalization method, after the installation of “arsenic”, the next visit immediately carries out endodontic treatment of the canals: just there, the “nerve” is removed, the treatment and (most often) their filling is completed.In a number of situations, the doctor has the right to leave in the processed canals another anti-inflammatory, anti-bacterial and (or) anesthetic, but I do not understand: why remove the paste and take it separately for treatment of the canals. Perhaps not from a good life. The last question famously combines two topical issues: will it be expensive and will the procedures be painful?

      If you are treated with such methods, then you are almost sure that it is inexpensive compared to higher class clinics. As for pain: I can’t say anything concrete, but it can be assumed. If you have been killed by a “nerve” with a paste using a high-quality technique, and even at the stage of canal treatment, anesthesia is done, then it is closer to 100%, which will not hurt or be slightly painful, but tolerable. As for the rest, I can only rely on the doctor’s skills, equipment capabilities and material resources: from the level of anesthesia to the presence or absence of endodontic “lotions” (K-files, Rimers, N-files, apex, gutta-percha, etc.).

      Reply
  53. Diana:

    About 3 weeks ago did the front tooth. There was a small caries, but the doctor made a big hole, as it spread further.She said: "If it is sick, then I will remove the nerve." Well, three weeks have passed, and only now I got sick, despite the fact that I am doing the last tooth on the right. Recently, an unfinished tooth, and others on the right side, began to ache. After they stopped hurting everything except the unfinished one, and the front one began to hurt. And I could not go to the doctor because she was not there. Is the tooth sick because of those pains? Will I have to remove the nerve and is it painful?

    Now I am 15 years old.

    Reply
    • Svyatoslav Gennadievich:

      Hello! In your case, the tooth may hurt because of a doctor’s mistakes (tooth overheating, incorrect diagnosis, chemical burn of the pulp, etc.), or due to infection in the canals. And without additional diagnostics it is not known, one tooth is the cause of your pain, or there are several causal teeth, but the assumption is still at the front. The search for a causal tooth is the most important stage, because without it you can hurt or do a lot of unnecessary work. I note that spontaneous pain (without irritation) of the treated tooth is 100% indication for the removal of the “nerve”.

      Regarding your question about the painfulness of the “nerve removal” procedure - pain in the treatment of pulpitis is excluded from a professional, as high-quality anesthesia is done.In almost 100% of cases, even the front teeth of the front teeth can be treated without causing pain to the patient, as they are easy to anesthetize. For everything else, I can’t say so, as it may be a bit more complicated with respect to some teeth, and in terms of anesthesia, everything is in the hands of the attending physician. In any case, there is no need to be afraid, and it is important to treat pulpitis as soon as possible, until it has passed into periodontitis or its complications (periostitis, as an option).

      Reply
  54. Alexander:

    Hello! Literally 3-4 days ago, the upper tooth began to hurt very badly (on which six months ago a seal was placed), although at first it was not clear that it was him, because the pain was almost the entire jaw, and I suspected that he was climbing 8 ka But now, it seems, it only feels like the 6th upper pain, and then, if you touch it, it just doesn't hurt much, but I still can't eat. They said that they might remove the nerve.

    Prior to that, in the same hospital, he treated caries of the 5th and 6th lower teeth, anesthesia was performed, and as a result, still on the 6th tooth I felt not mild pain, although there were fewer caries than on the 5th tooth. But still suffered and I recovered, it was literally this Monday,the gum is still aching, and even if the tooth is suppressed, then it feels a little bit - perhaps because they have been treated for about an hour, and anesthesia has been given several times. They said that it was precisely the lower 6 that was weakly sensitive to anesthesia and therefore it did not work in particular.

    What should I do to really understand that I need to remove a nerve from the upper 6th tooth? And again, is the 6th upper tooth very painfully treated, considering that anesthesia did not work on the lower 6th tooth? On Monday, to the doctor at the reception, has already been recorded. Tell me about this, what should I do? Plus, if you really need to remove the nerve, then you shouldn’t hesitate with it, because everything will only get worse?

    Reply
    • Svyatoslav Gennadievich:

      Hello! I answer in order:

      1. Usually acute pain, as well as a strong and not passing painful reaction from irritants, and everything in this spirit, speaks about the expediency of canal treatment. It is precisely for a particular tooth that you cannot say for sure without a dentist - he conducts an examination and instrumental examination with regard to your, so to speak, “indications”. Often this is not enough, and a snapshot of the tooth and (or) EDI comes to the aid of the doctor, although there are not many clinics where the latter method is used.

      26, the upper tooth in comparison with the lower 6 should be treated “painlessly”, but professionals do not ask this question - with normal hands of a doctor, all teeth can be treated without pain. In the context of realities, the top 6 tooth should be better for an average doctor if it doesn't matter with his hands.

      3. It is not necessary to linger precisely, as the pulpitis smoothly passes into periodontitis and its complications (periostitis or “flux”, as it is teased by the people). Again, if you're lucky, the pulpitis can torment for several weeks, smoothly turning into its chronic form without complications up to 6-12 months. But I do not think that it is worth relying on such luck (I say it is).

      Reply
  55. Anonymous:

    I am 15 years old, I am going to be treated today. I have a nerve open, very afraid ...

    Reply
  56. Anastasia:

    Good afternoon, Svyatoslav Gennadyevich. My boyfriend has fluorosis, not in an advanced stage, but, nevertheless, there are spots. Is it treated, or can only veneers help? And if it can be cured, how?

    Reply
    • Svyatoslav Gennadievich:

      Hello! The problem is not the most common, but the principle of treating stains with fluorosis most often comes down to bleaching of enamel, microabrasion of enamel, sealing of defects and making veneers.If your case is not running, then it is useful to clarify about teeth whitening or enamel microabrasion.

      Microabrasion removes a microscopically thin layer of enamel - in fact, it is a combination of bleaching and grinding. Sealing spots with light-cured composites is also an option for fluorosis for the frontal group of teeth. These are techniques that are used for mild forms of fluorosis, without the use of veneers.

      Reply
  57. Svetlana:

    Hello! Yesterday I was treated with acute pain, and I had a nerve removed on the upper 1-ke on the left; before that, it was sealed 10 years ago. They took a picture before and after. But tonight, when I press this tooth, I feel pain. I have a bad “nerve” removed and I need to retreat, or can the pain go away without consequences? Do I have to wait a few days before running for a consultation?

    And another question: about 20 years ago, while still in school, I had a nerve removed from the 2-ki on the left. about 2 years ago it darkened on the inside, and on the outside the gums turned a little blue. They tell me in a free clinic that everything is fine with him, is it really so? Why does the gum above this tooth change color?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Pain when biting on a tooth is often present for several days after canal treatment - this is the so-called post-filling reaction. Many practicing dentists consider it the norm if it lasts within 3-7 days, and when using some filling materials - up to 1-2 months. However, the pain should not be painful and should tend to decrease with each day (week). Usually, the front teeth are not difficult to treat the canal, since there is one straight and wide canal in the upper central incisor.

      Now about the second tooth on the left. Regarding the reason for the blueing of the gums in absentia, I can only guess: the formalin method or Endomethasone containing formaldehyde sometimes causes such reactions. There are filling materials that cause a strong darkening of the tooth and even the edges of the gums. I think that the exact answer can be given by an experienced dentist after a thorough examination of the tooth and analysis of the image. Including the verdict about the prospect of retreatment of the tooth.

      Reply
  58. Olga:

    She came to a paid dentist, said she had a toothache, pointed to the bottom six.The orthopedist in the picture did not immediately see that there was a cyst on the root on this tooth, and advised him to cure the five. And said that the pain allegedly moves away from the top five to the six. And two days later, another doctor in the same clinic saw a cyst on a six. Removed the lower 6-ku with a cyst. At that time, they began to treat the five. Now I fly the bottom 5-ku. For two days they put anesthesia to remove the nerve - nothing helps, anesthesia does not work, the tooth hurts terribly. Arsenic was put on the night, let go home for a day. A day later came - arsenic did not work, put again anesthesia. In general, nothing helped.

    It turned out that the nerve was pulled out to me at the same moment when the tooth was removed - 15 minutes after the removal. And that, even under that anesthesia, it hurt. Then they let me go home for a couple of days with an open tooth. A couple of days came, I was cleaned again the channels and sealed. The pain while cleaning the canal was terrible at one point, somewhere in the middle of the canal. And at the top of the channel it was already not painful. And the pain, which appeared during the cleaning, was preserved. Now my tooth hurts every day, it's been a week. After 6 pm and at night the pain increases.I saw the picture myself - there is one channel there, and the picture was sealed up normally. The doctor also says that everything is fine. In general, what to do, I do not know, a week has passed, and my tooth hurts. It is a temporary seal.

    Another therapist in the same clinic suggested that there is a nerve bone that can be seen in the 3D image, and he put me a resodent. The next day, the pain also continued, came back to the clinic, already there was a change of the third therapist. The third therapist examined the hole, looked closer at the standing teeth and saw caries in the fourth and third tooth in the picture - the hidden caries, which is not visible to the eye, it is inside under the crown of the tooth. And after that I made an assumption that my five was sealed up normally, nevertheless it was good, there was no nerve bone there, and the fourth tooth next to it could hurt and supposedly give it to the top five. But it hurts me specifically 5 tooth - according to my feeling, during the day he whines, itches from the inside, he is bursting, and I want to tear off a temporary seal, to pick it all up in this one channel. In addition to all this, the gum has become inflamed: under the removed 6th, and under the 5th, and comes to the 4th. By evening, the pain intensifies, and when I go out into the street, with every step I have in my fifth tooth, it feels as if he is twitching, and he shoots.

    I have been drinking nimesil for 2 weeks already.I do not even know what to do. In the fifth tooth, the canal was sealed 21.02.17. Today is 02/28/17. Tomorrow I have to go back to this clinic for an examination. The situation is such that three doctors are in the same clinic and they have different opinions. And I have one teeth. What could it be? What to do? ((

    I want to note that before this 5th tooth was touched, it was NOT sick, but only 6 with a cyst was sick.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Thank you for describing in such detail. Actually, you are right: there is a suspicion that there are more alveine pains, and the fifth tooth could have nothing to do with it. That is, the alveolitis could begin, and post-filling pain in the treated fifth tooth also increased the symptoms. This strange, if I may say so, “tandem” could in some way confuse the doctors. I do not do this in my practice, because it aggravates the treatment, or rather, it leads to deterioration more often. Not only is the removal a trauma, but also after the canal treatment many dentists get on the background of a number of shortcomings the same, in fact, the trauma, but only the periodontium.

      If you send a snapshot of the tooth after the canal treatment, then I could analyze the quality of the treatment.In the meantime, I will only say in absentia that it is worth taking care of the hole, of alleviating this symptom, and then checking the fact of quality treatment of the fifth tooth canal. If, however, we continue to look for non-existent problems by other dentists - this is fraught with multiple useless dental treatments and, God forbid, their removal, which, with some dexterity, is practiced by dentists who “chop off the shoulder.” So start with the hole, make sure of the quality of treatment of the fifth, and then look at the situation.

      Reply
  59. Helena:

    Hello, Svyatoslav Gennadyevich! I really need an assessment of the result of channel treatment and a further forecast. Lower six, periodontitis. The treatment process: metapex for a week, filling with vertical condensation method, a week later permanent filling. In the picture I see a filling material and gutta for apexes. In addition to this, are there any more errors? The doctor said that he had brought it out specifically “to treat inflammation,” so he didn’t ask him any other questions. How tightly are the channels sealed up? Confused uneven color fillings near the top of one of the roots. And in general, how do you rate this result?

    At the moment (2 weeks from setting a permanent seal) a sudden aching pain (1 time in 2 days), independent of the load, stimuli and time of day. Sensitivity decreases, soft food chew quietly.

    I apologize for the many questions, but I, as the owner of three “dead” sixes, really want to understand the mysteries of endodontics. Thank you in advance for the answers! Snapshot: [link visible only to doctor]

    Reply
    • Svyatoslav Gennadievich:

      Hello! You say everything correctly: there is a material output, a slight inhomogeneity (unevenness of the material, but only slightly). However, such filling is not bad in medical circles, and its consequences are not likely to be negative. Just when periodontitis is important that the obturation of the channels was dense, so that the apical openings were blocked. The biggest “sin” for a doctor would be if the apical delta were left without material. Then his colleagues would raise him, and many more things they would do. And so, from the point of view of the medical community - quite a decent filling. Another question that is not always comfortable for the patient: it is often necessary to wait long enough until all the symptoms have passed (post-filling pain can last up to 2-3 months in such cases).I am embarrassed that you have a sudden aching pain with a certain periodicity. Although, perhaps, it is such an individual reaction (you can also evaluate the next tooth for caries, as an option). But in the picture you can only sympathize with you, and in a sense, praise the doctor that everything is done as close as possible to the ideal for periodontitis.

      Reply
      • Helena:

        Thank you so much for the quick response! You all “laid out on the shelves” and gave me back the confidence in my doctor, and I was thinking of changing the specialist, as the channels of another two problematic sixes were to be re-channeled. Before your answer, after watching pictures of beautiful and elegant endo on the Internet, my tooth seemed to me barbarously processed)

        Concerning the pain: a deep filling was replaced on the next seven, and this tooth is under suspicion as the cause of pain, although it is absolutely calm due to subjective feelings. While watching. Thanks again and success! Sincerely.

        Reply
  60. Vladislav:

    Svyatoslav Gennadievich, I am 17 years old, I have the following problem: they sealed my nerve. And now I touch only to the tooth - it starts to hurt. And in general, without touching, it hurts so much, and it also reacts strongly to cold and hot. And hard to sleep. Give advice, please!

    Reply
    • Svyatoslav Gennadievich:

      Hello! I believe that the channels, judging by the symptoms, were not treated to you, that is, the “nerve” was not removed. You describe the symptoms of pulpitis, which appeared after the installation of the seal, that is, in this case, full endodontic help is required. I recommend referring to the same or another dentist-therapist for the purpose of canal treatment. The search for a causal tooth is obligatory: sometimes the next tooth starts to hurt, and it feels like it hurts. So it is urgent to see a doctor in order not to wait for complications.

      Reply
  61. Vladislav:

    Svyatoslav Gennadievich, I addressed you recently and I want to ask one more question. I had a toothache for a week and stopped hurting, what should I do? I think that the nerve is dead - can this be in itself, if the inflamed nerve was? And is it dangerous, if the nerve is dead, do you need to go to the dentist as soon as possible? And I wanted to ask: if I come to him at the reception, what to say, because he will ask, what's the problem?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Considering that you had spontaneous pain, long-lasting and not giving a normal sleep - it was most likely a complication that arose after the treatment of caries. That is, it was an acute stage of pulpitis.Currently, it is a chronic form, so the tooth has stopped responding. If the “nerve” dies quickly, then the purulent form of periodontitis may begin soon. In the case when compensation prevails, the “nerve” inside the canals may be in the inflammatory stage for a long time, but it does not die, so in the future there may be an exacerbation of pulpitis, or the same scenario as I described earlier will happen: the “nerve” will die. and the tooth will enter the periodontal phase. However, there is no point in waiting for the tooth to ache again.

      If you come to the dentist, you need to say exactly what you described above. This is sufficient to cause a pulpless depulsive effect and to prevent the negative consequences of infectious origin.

      Reply
  62. Tatyana:

    I have a question: often after visiting a dental office, herpes appears on the lips. A week ago, a nerve was removed, the canal was sealed, a temporary filling was placed. Tomorrow go to the doctor, put a permanent filling, and I have herpes. What to do?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Labial herpes is one of the most common diseases, the trigger of which is a decrease in immunity (including stress,in this case, in the context of visiting a dentist). Most often, this disease does not interfere with dental treatment. The ideal option is the use of drugs for rapid relief of symptoms of herpes - antiviral therapy with acyclovir-containing drugs. With the frequent occurrence of herpes, patients themselves often know what is perfect for them, since they have “eaten” the dog for life in this matter. So, go to the doctor, and the dentist will find a way out.

      Reply
  63. Yana:

    Hello, my name is Yana. I am 12 years old. On March 28, they put arsenic on me, since it was very painful. Today came, but it hurt me again and again the arsenic. Does it hurt to remove the nerve?

    I will do everything without anesthetic. Tooth bottom, root. Very scary.

    Reply
    • Svyatoslav Gennadievich:

      Hello! You yourself refused anesthetic or are you just in panic afraid of anesthesia injections? If this is not the case, then ask your doctor to do a quality anesthesia so that the treatment is painless. However, lower molars are sometimes difficult to treat for a number of reasons, and anesthesia at your age does not always act adequately. However, be patient and ask your doctor to work with anesthesia.

      Do not be afraid.Consider that canal treatment is a very crucial moment: if you don’t conduct it qualitatively, then the tooth can be lost in the next 1-5 years. But it is already permanent, so there is something to fight for. Good luck to you in this event!

      Reply
  64. Dimon:

    A week had a bad toothache! Then he passed. Then I went to the dentist, told him that my tooth had been sick for a week. He knocked and said that if he was ill, come. And he also said: maybe they did it through ?! Describe my problem, please.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Apparently, the dentist for some reason cannot or does not want to carry out timely diagnosis of the problem tooth and suggests waiting for the weather at the sea - when the tooth is sore, the gums swell, etc., that is, when, it is possible, to save the tooth it will be difficult or even impossible.

      If the doctor does not have the necessary diagnostic devices, tools, experience, desire or time, then they often say: “Come later.” According to the description of the symptoms alone, it is difficult to guess what you have with the tooth: pulpitis, periodontitis, worsening periodontitis in a tooth already treated in the canals (canal) or something else.An x-ray (or on a visiograph) of suspicious teeth could clarify something.

      Look for a causative tooth at a normal dentist and rather heal it. It seems that you know the approximate location of the patient's tooth - you need to take pictures of this area and see what is wrong there.

      Reply
  65. Katya:

    Hello, a week ago, a nerve was removed from the front tooth. Was treated in a private clinic. The check indicated that they had done filling 1 channel with lateral condensation and put a light seal. I would like to know whether the tooth will quickly collapse and can somehow delay it?

    Reply
    • Svyatoslav Gennadievich:

      Hello! If the doctor has done everything as expected, and the tooth has sufficiently strong bearing walls, then without a tab (crown) on the basis of only a therapeutic treatment, it can stand for more than 10-15 years. Every 1-2 years, the seal is worth inspecting, making corrections, checking the status of the root in the picture. Each doctor has his own point of view on control examinations. Someone thinks that they are not needed at all. Personally, I think that the first control inspection of the seal is best done in six months, the second - in 2 years, and the third - in 4-5 years.Although, I repeat, each doctor has his own opinion about how closely and often you need to track the treatment carried out.

      Reply
  66. Nastya:

    Hello! The last molar (7) broke off very strongly, after a filling had fallen out of it. The doctor said that you need to eventually remove the nerve, clean the canals and put a permanent filling. At the moment, laid the medicine for 10 days and put a temporary seal. The tooth did not hurt (and when it broke away, both before and after - only on the first day it was a little whining, but not at all critical). On the second day, a slight irritation appeared on the gum, as the filling touches it (the tooth broke off just below the gum) and the tongue. It does not hurt, but it significantly tweaks. Irritation does not get stronger, but the question bothers - is it normal?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Not quite normal. It is best to correct the temporary dressing lying on the gum, or to immediately treat the canals if it is impossible to correct them. This is due to the fact that arthritic paste irritates the mucous membranes and can even create a burn. And 10 days is not a matter of principle.This paste, according to the instructions, put from three or more days. That is, there is no need to cook a tooth in its own juice.

      Reply
  67. Alexander:

    Hello, I am 13 years old, why did I get arsenic, and the nerve did not die? An old arsenic was removed in the clinic, they looked, and my nerve did not die. They said that again arsenic is necessary. Imposed a new arsenic. But it hurts me, but it is tolerable. If the nerve does not die, what will the dentists do to me? Tell me please.

    Reply
    • Svyatoslav Gennadievich:

      Hello! The fact is that at a certain patient's age (up to about 18 years old), it may be difficult for some doctors to perform anesthesia, but this is only due to the lack of professionalism and working conditions, especially in polyclinics, where many people need to be served in a short time (almost not three in one hour). That is, in terms of anesthesia and such a routine method of pulping tooth care, the clinic often does not provide a high-quality service.

      Often the following classical scheme is observed in clinics: arsenic, arsenic, painful canal treatment, medicine (antiseptic), medicine, canal filling,then a filling, again the return of pain, retreatment with medications, and often a tooth extraction with the ineffectiveness of the above procedures. Of course, there are quite a few doctors in hospitals and clinics who give quality with all the burden of work in this system, but, in my opinion, your case does not fall into this category.

      That is why I can say that if the “nerve does not die,” the doctor will do the work as well as you give him. If it hurts you too much and you interfere with the doctor, he will do as it will, and then see the above scheme.

      Therefore, I recommend changing the doctor to increase the level of treatment. I think that the doctor who repeatedly puts this “arsenic” to you will still be grateful to you, as he clearly does not cope with the requirements of modern dental treatment techniques.

      Reply
  68. Anna:

    Hello. And I have such a problem. Ill lower chewing tooth on the right (second from the end). It had a seal. Replaced. Still sick. I came again, removed 3 nerves, pulled something up and told me to walk for several days.

    Today, something poked and sealed. But now in the evening I started to get sick enough.This is normal? After all, the nerves are gone ... Why can he hurt? And if this is the norm, then after what period should stop being ill? I'm afraid something could have done wrong. When and in what case to sound the alarm?

    Reply
    • Svyatoslav Gennadievich:

      Hello! In the first days after canal treatment, there may be so-called post-filling pain. This is also considered a symptom of complications, but here its severity is determined when analyzing a snapshot, at least. Often, it is not necessary to re-treat a tooth, since the minor errors of the doctor are eliminated over time, and the symptoms disappear on average in 7-12 days.

      However, sometimes during treatment, the doctor makes significant mistakes:

      1. Too much aggressive material leads to the top of the root or roots of a tooth;

      2. Leaves the instrument fragment in the channel;

      3. Performs perforation of the tooth wall;

      4. The channel or channels, etc. do not pass to the end.

      All this can be seen in the picture. In such cases, the doctor is obliged to redo their work. Otherwise, the prospect of waiting for trouble from new exacerbations in the form of pain, swelling, temperature (with the risk of tooth extraction in the near future). So if painful sensations increase or do not pass for a long time, then it is worth sounding the alarm, since you and I do not know how well the work was done in the channels.

      Reply
  69. Vadim:

    Hello, today went to the dentist to treat the "chewing" tooth - he pulled out the remnants of food and put a temporary filling. He said nothing to me, except that he would come in a week and that was all! Will I remove a nerve from a tooth? Please tell me! Very scary (

    Reply
    • Svyatoslav Gennadievich:

      Hello! Judging by your description, we are probably talking about a two-stage diagnosis of deep caries. When a doctor doubts whether a patient has caries or pulpitis, he can put a temporary filling and wait some time. If you come according to plan or earlier and say that a closed tooth with a temporary filling is very sore, then it is pulpitis - the channels are treated according to this protocol. If there are no symptoms, the doctor will treat deep caries as planned.

      You are afraid to remove the “nerve” from the tooth, but I would be afraid of misdiagnosis, since such a test is not without errors. Much more promising, faster and more accurate - this is EDI (Electroodontodiagnostics) with the help of the device.

      Reply
  70. Vasilisa:

    Everything, of course, is good with painkillers, but what to do if you are allergic to them (tested for 12 essential ones)? And even one analysis showed that “everything is fine” - they pricked, and they pumped it out for 4 hours.There could be no talk of treatment. The doctor put "arsenic", without guarantee that it will not hurt. I have a low threshold of sensitivity. Tomorrow to the dentist, there are no modern drugs in the hospital, and what to do? How in the old way - 100 grams and a hammer ?!

    Reply
    • Svyatoslav Gennadievich:

      Hello! If we are talking about allergies and you are intolerant of Lidocaine and articainum preparations, then the situation is difficult. However, questions remain: what anesthetics have not yet been tested? Why do you say that you checked for 12 major, and then you talk about modern anesthetics in the hospital, having hope for their use?

      About the fact that you need to go to the dentist under the “chauffeur” - definitely it is not necessary to do so.

      Back in Soviet times, there were protocols for the management of pulpitis without anesthesia, and they were quite reasonable and often with minimal pain. This was done as follows. Almost always with pulpitis, we have a tooth decayed by caries, there is a carious cavity with softened dentin. Accordingly, millimeters or even fractions of a millimeter remain before the pulp. The work of the doctor is conducted with air-water cooling.That is, a lot of water is exposed, which allows using new boron to gently make access to the pulp, where the paste is based on paraformaldehyde (boneless) for 3-5 days. In the second visit, the channels are usually already treated painlessly.

      In the presence of pain, modern approaches to the treatment of pulpitis suggest that anesthesia is done intracanal (intrapulmonary), but neatly, in order to exclude an extra “strait” of anesthesia. With proper skill of the doctor, within 1-2 seconds there is a feeling of bursting in each channel, after which it is possible to perform mechanical and medical treatment of the channels for a given hour or more, give them taper and seal - no sensations will appear. The meaning of intrapulpar anesthesia in your case is that the anesthetic dose is minimal (insignificant) and practically does not go beyond the limits of the channel, which means that the risk of allergy is reduced to almost zero. This makes it possible with the help of this method to do the work with high quality and with minimal pain.

      Reply
  71. Dasha:

    Hello, yesterday I was treated with a tooth, the seven at the top.They removed their nerves, sealed the canals and put in a temporary filling. Said to come on Monday, will do a permanent. But the fact is that the tooth itself does not hurt, but it is very painful when bitten, when it is and when it comes into contact with the lower tooth (when it ate, it screamed as much as pain). What could it be?

    Reply
    • Svyatoslav Gennadievich:

      Hello! Apparently, in your case we are talking about post-filling pain, which is sometimes observed after the treatment of the canals of the tooth. The reasons can be various errors and inaccuracies during the conduction of canal therapy: from rough to insignificant. For example, perforation of the root or bottom of a tooth crown, removal of a filling material behind the apex, leaving the tool in the canal without properly correcting the situation, failure of the canal or part of it (or, in general, one canal was not found), periodontal burn with gross drug treatment of the canals under significant pressure, etc.

      In some cases, the causes of pain when biting on a tooth can be several at once, but to understand the seriousness of the situation, analysis of a tooth image before, during and after filling is important.The last version of the tooth images with already sealed canals should be made in different projections (this is desirable). That is, the pictures (for example, on the visiograph) are taken from different angles, so as not to miss the mistakes of the doctor, which will indicate the cause of the pain.

      If it turns out that all the channels are found and sealed perfectly, there are no instrument fragments, perforations and other serious problems, then we can safely expect that within 4-7 days the pain will disappear with the prospect of preserving the tooth for many years. In the case when the material is derived from the top of the root, the pain often lasts up to 2-3 weeks or even several months. Sometimes the feeling of discomfort lasts for years, and some patients do not stand up and require to remove a tooth with a large “conglomerate” behind the apex (in the most severe clinical cases).

      When the material is not so much outside the root, then most often the pain completely disappears within 1-2 weeks, and the tooth no longer makes itself felt, although this situation is also seen by a number of specialists as a complication after treatment.

      Perforation of the tooth wall, breaking off the instrument, removing the filling material in the maxillary sinus, mandibular canal, in large quantities beyond the apex, not passed canal or canals, etc.- All this will require retreatment, and in severe cases, tooth extraction or other surgical intervention. So to understand what kind of problem you have, you need pictures.

      Reply
  72. Newbie:

    The first time was at the dentist. Appealed to a paid private clinic. After the injection, the nerve was removed, it was very painful. Then they put a temporary seal. At the second visit, the canals were cleaned after the injection too, it was painful again, but it was the most painful when a seal was squeezed into the canals, hellish pain! And then for some reason they put a temporary filling on top, and before that they poured it on with some kind of medicine. Now, it seems, it does not hurt, but I am very much afraid to go for the third time.

    Maybe it makes sense in another clinic to take a picture and consult?

    Reply
    • Svyatoslav Gennadievich:

      Hello! If there was pulpitis and it’s really about removing the “nerve”, then I don’t understand why anesthesia does not work on you and why the tooth is treated in such a large number of visits. I am almost sure about these two signs (I repeat, if the diagnosis is pulpitis) that the doctor cannot cope with some difficult situation and tries to stop it as much as possible in order to save the tooth.

      Just in this vein, it makes sense to get advice in another clinic.

      Reply
  73. Dina:

    Hello. I came to the dentist to the state polyclinic, because two small holes appeared on the seal of the lower penultimate tooth on the right, and the seal itself began to crumble (because it was old). The tooth did not really bother, just sometimes whine. The dentist, without any X-rays, opened the seal and began to pick it. It became very painful, and he did anesthesia. After that, something else there was picking and putting, as he said, arsenic. I made the next appointment in five days to take it off.

    Throughout all five days, the tooth ached and ached, the pain intensified every day, and at night it was simply unbearable. In a calm state, he whined and yanked, and a sharp pain appeared when biting. Arsenic was removed today, although the dentist simply opened the canals, in other places this white nonsense remained. He refused my offer to make an x-ray, saying that he did not need it. He said to come in a week for filling, and to close the hole with a cotton swab during the meal. Every day, five or six times to rinse the mouth with a solution of soda, salt and iodine. Is it possible so much time to walk with an open dead nerve? Is it dangerous to give the doctor blind work like this? Tooth, by the way, did not get any easier. It hurts, right up to tears. I just can not stand a week. I think already go to another specialist.

    Reply
    • Svyatoslav Gennadievich:

      Hello! You are thinking in the right direction: the doctor is practicing a routine method of treatment for obvious reasons (state clinic, though). Walking with open channels in the tooth is not recommended. The fact that the treatment is currently ineffective is quite natural: the tactics of working with pulpit is wrong, arsenic paste is not put at all today because of its harmful effects on the periodontium, and you cannot walk with it for 5 days. Appointed rinsing - symptomatic therapy. It is sometimes performed when the doctor has carried out adequate treatment in the canals, but now it is not visible.

      I recommend to change the doctor (and it is quite possible that this will be a great relief for your current doctor).

      Reply
  74. Alexey:

    He was at the dentist, he treated the top six. Began to clean the caries itself, then set the arsenic, released for 4 days. Then he came, again they began to drill - apparently, on the first visit, caries was not completely removed. So - they began to remove the nerve, without an injection, the attempts to catch the nerve themselves were tolerant, but when the nerve itself was hooked, it became sooo painful, darkened in the eyes, threw into heat, the pressure decreased.They did not stop filling, citing the fact that there is a smell of pus, they said to rinse soda, drink anti-bacterial tablets and come in on Tuesday to put the medicine directly from the pus itself (like so). Will the medicine be put painlessly? Or will there be wild pain again when trying to stupidly clean or check for the presence of pus with a needle at the base of a tooth? The nerve that was removed was the only one? As now the tooth does not react to cold and hot food, to absorption. And what is supposed to be after installing the medication?

    I am 16 years old, I treat teeth directly in the municipal hospital. As for anesthesia, in the first visit he took ultrakain, a dentist made an injection on one side of the tooth, that is, from the side of the cheek. I heard it was better to cut off a tooth on both sides, for greater action.

    There is also a tooth to be removed, the top six, on the other hand, but there the doctor himself sells anesthetics. Friends said that the tooth is absolutely numb, and there is no pain or unpleasant sensations when the tooth is removed, only a slight crunch. I hope that will be the same in my case.

    I also wanted to know in which cases the nerve removal itself is prescribed? Only with pulpitis, as I understand, based on the reviews.How to determine pulpitis by external factors? Thank.

    Reply
    • Svyatoslav Gennadievich:

      Hello! A lot of questions, I'll start in order. First, you are strangely mixed into a bunch of nuances of treatment of pulpitis and periodontitis. With pulpitis, there can be no pus in the canals (except for pediatric dentistry in rare cases), and with periodontitis they do not put "arsenic" and similar pastes in order to kill the "nerve", since it already died in all the canals (in the sixth teeth often 4 channels, slightly less - three).

      As for the diagnosis according to your description, I cannot give a definite answer: you describe the pain during the removal of the “nerve” from the canal, and then you speak about the “smell of pus”. This is strange. I do not exclude that you had gangrenous pulpitis, where the pulp decomposed only in the coronal part, and remained alive in the canals.

      The fact that the paste for devitalization did not act adequately does not soften the blame of the doctor who cannot carry out normal anesthesia. It is for the upper sixth teeth most often done not only with the buccal (infiltration), but also from the palatal side (palatal conductor). Thus, with the help of the articaina drug, complete anesthesia is achieved.

      I don’t understand from your description what the difference is when the doctor performs anesthesia with Ultracain, and the option of removing the tooth with an anesthetic that the doctor himself “sells.”

      Removal of the “nerve” is one of the stages of the treatment of pulpitis, and with periodontitis, as I noted above, “nerve” as such is almost never the case. In extreme cases, it is a necrotic piece of flesh that has already begun to decompose.

      Judging by your description, I would strongly recommend changing the doctor.

      Reply
  75. Marina:

    Good day. Recently, I was given medicine on the 6th tooth from below (to kill the nerve) and next Sunday I have to remove the “nerve”. But the fact is that anesthesia practically does not work on me: I tried a conductor, which, as the doctor said, should completely desensitize. As a result, there was only a very slight numbness. After that, several more injections were made, one of which was even painful after the previous anesthesia and was made as if inside the tooth. Only after the third such injection did it not hurt exactly to the extent that I did not jump out of the chair (I have a very low pain threshold).Tell me how painful it will be to remove the nerve and is there a way to completely anesthetize the tooth? Because the last time they did not achieve complete anesthesia, and the upcoming procedure, as I understand it, is even more painful.

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think that the dentist is different: to achieve lasting pain relief of any tooth using numerous methods, ranging from infiltration and conduction anesthesia to intraralgamental and intrapulpar (at the second stage of treatment, as an option). If a doctor cannot anesthetize, then it often speaks about the incompetence of the doctor, much less often about the impossibility of anesthetization specifically in this patient. Moreover, each dentist has his own knowledge base in the field of anesthesia, and often it is not enough for people with a “low pain defect”. However, I know quite a few cases when intraligamentary anesthesia helped out in the most seemingly hopeless attempts to well anesthetize a tooth.

      It is strange that you did anesthesia inside the tooth and still put the paste for the deviation of the "nerve". According to your description, there are doubts about the competence of the dentist.I recommend not to torture myself or the doctor, but try to contact another specialist. As a rule, a good doctor is optimally suited (you need to ask your friends around), working in a private structure for more than 10 years, but less than 30 years. It is useful to keep in mind that the “old guard” dentists once practiced “live” treatment, and there is a danger that the skills of working with anesthetics have not been improved.

      Reply
  76. Yuliya:

    Hello, I always had a problem with my teeth. And now the trip to the dentist threatens the occupation of the office thereof for two months. The fact is that I am very much disturbed by an incomprehensible process that I touch with my tongue. The upper tooth (probably the seventh) is half destroyed (and inside), only a piece of the crown in front and remained, but quite large, I can not see what is there for a strange process. If you try to press or move it, then immediately begins to spread growing pain, very strong, immediately gives up and on the lower teeth, and on the upper (right side). Can this be a nerve? He is inside the tooth. But what is it I can not imagine.

    Reply
    • Svyatoslav Gennadievich:

      Hello! Judging by the description, you have practically only one root (roots) of the upper chewing tooth. The described “process” can be:

      1. Gingiva, which tightens the empty space, covering the root;

      2. Granulations that sprouted through the tooth decayed by caries. Granulation is a consequence of inflammation on the root (roots);

      3. Pulp hypertrophy (extremely rare). It is more common in childhood, when the nerve tissue grows from the coronal part of the destroyed tooth and occupies free space.

      I advise you to urgently go to the dentist: you will most likely have to remove the roots of the tooth, but you never know - there is still a chance to save the tooth (to undergo treatment in the canals and to restore its crown to return the lost function to the tooth).

      Reply
  77. Sardor:

    Hello. Today I have a nerve removed in the lower tooth (right side, penultimate tooth). Anesthesia did not work. But the worst is that I will go. The doctor said that you need to put the crown, as the tooth is destroyed by more than 60%. First you need to measure the size, then it will be set. Tell me, please, it will not hurt to put this crown?

    Reply
    • Svyatoslav Gennadievich:

      Hello! The fact that anesthesia did not work is closer to 100% fault of the dentist. With regard to fitting and fixing crowns - most often this procedure does not require anesthesia, in rare cases, application anesthesia is sufficient to obtain anesthesia of the marginal gums for a short time. So your worries about prosthetics with crowns are in vain, but I advise for the future for channel therapy (especially lower molars) to find an experienced dentist in terms of working with anesthetics.

      Reply
  78. Catherine:

    Hello! I am 17 years old. Passed a medical examination for admission to a medical school in the district clinic. They said that on the 47th tooth there is surface caries that should be treated. We checked all the other fillings, which were placed in the same clinic for 2-4 years - everything is normal.

    On the 25th, a tooth fell to the bottom right. I confess, I sinned at 47, but I knew with my mind that I couldn’t get sick like that from light caries. The pain, by the way, was not very acute. Rather, pulling and aching, but after some time it passed and then the tooth started to hurt again.The next day I went to the clinic to see a doctor. The 47 tooth was immediately expelled, but the doctors were interested in 46. Since 2014, there has been a seal on it (depth 1-1.5 mm). They made an x-ray - in principle, everything is in order, but some place interested the doctors, so they decided to remove the seal. They took off, looked - everything is fine, the bottom is clean. They set a temporary one and told me to come in the 31st to watch what and how (it didn’t work out before - I left before Sunday). The doctor said he suspected pulpitis, but so far nothing will be done.

    Today went to the reception. A tooth these days still just a little under the head, pulling, but there was no direct pain, even though there was no crawling on the wall. Even without anesthetic. The doctor confirmed the diagnosis and said that he would remove the nerve. Today he drilled, laid arsenic and told to come to him in a week to remove and install a temporary seal.

    Could you answer how serious this procedure is? I understand that pulpitis is a dangerous disease, but I’m interested in the consequences. Just the next day we are going to rest on the sea and I wonder if I can swim right away, or will I have to wait so as not to cause inflammation? If it is important, I endure the anesthesia well, I do not feel pain, although I treat my teeth in regional dentistry.I also trust the doctors - in the spring they simply rescued me from pericoronitis there, and before that they had treated deep caries and even preserved a nerve.

    Thanks a lot in advance )

    Reply
    • Svyatoslav Gennadievich:

      Hello! It is great that you have a positive attitude towards treatment. Pulpitis is not a dangerous disease, but if it is ignored, it turns into diseases that are associated with purulent processes in the bone tissue, which really threatens health and even life. I think that it is advisable to treat the canals and fill the tooth before your vacation at sea. It is undesirable to go with the installed paste for devitalization, since the “nerve” under this paste can begin to decompose (especially if the rest is delayed for reasons beyond your control), which, in turn, can lead to undesirable consequences.

      Reply
  79. Alexandra:

    Hello! The question is this. There is a caries on the central incisor of the upper jaw, a small piece of enamel has broken off from behind, there is no pain, the tooth did not bother the earlier either. The doctor said that because of the extensive caries in the cleaning process, the pulp chamber would open and it would be necessary to remove the nerve.It is possible to remove a nerve at one time (since the canal is alone in this tooth), i.e. remove caries, remove the nerve, clean the canal, expand, seal the canal with gutta-percha pins and the tooth itself is already a permanent filling. I am embarrassed by the fact that the seal is planned to be placed immediately constant immediately after the canal filling, and there is no X-ray diagnostics at any stage. Those. before all manipulations + to check the length of the channel (with the help of K-files, I don’t know if there is an apex locator either) if the doctor has it at all + after filling the canals with gutta-percha x-rays. But the seal is already put immediately constant. I heard that mistakes during the treatment of canals are very frequent - re-insertion, under-filling, which leads to serious complications. And here it is immediately permanent, and in general, nerve removal, canal treatment without any X-ray control.

    Is it worth it to do all this without X-ray control, or is it worth looking for a clinic where such control is done? Is it necessary in the treatment of single-channel tooth?

    Reply
    • Svyatoslav Gennadievich:

      Hello! You are right: according to the protocol of endodontic treatment of a tooth, an x-ray is carried out both at the stage of diagnostics and after filling.These requirements are, in fact, obligatory, but modern realities are such that in a number of clinics (often budget ones) it is not possible to carry out this type of diagnosis. Moreover, in many respects, the treatment of one canal of the upper central incisors usually does not cause difficulties, and in almost 95% of cases everything goes successfully, therefore the very fact that the control in such cases is something like a formality is a requirement of the protocol. This is from the point of view of the classic treatment option, when the doctor, having a great experience and a good level of knowledge, does not face force majeure situations in endodontics. Otherwise, X-rays are mandatory even at an intermediate stage (with instruments injected into the canal to determine the curvature of the channel, the depth of passage, the presence of a “false” direction, etc.).

      Bottom line: although errors in treating the central upper incisors are rare, I am advised to take a control shot if I have any doubts about the competence of the doctor.

      Reply
  80. Karina:

    I have pulpitis on the 26th tooth, the doctor is already changing the 3rd temporary filling. Today she pulled out a nerve without anesthesia, it was painful, she said that she had a narrow canal and had to expand it for a long time.She wrote me down the other day. I asked, maybe better with an injection, because it hurts, to which she replied that the pain would pass as soon as she pulled the nerve out and there was no need for that. Maybe better with anesthesia? Tell me ...

    Reply
    • Svyatoslav Gennadievich:

      Hello! Your doctor practices doubtful treatment methods - it is more expedient to carry out treatment with high-quality anesthesia in one visit. That is, the removal of the "nerve" in the first visit is carried out without putting any drugs into the tooth. The fact that the doctor does not use anesthesia even if you have a desire for this is, in general, strange - this is at least inhuman to the patient.

      I advise you to find another dentist.

      Reply
  81. Anna:

    After arsenic inflamed tooth, what to do?

    Reply
    • Svyatoslav Gennadievich:

      Hello! If it was really about the use of arsenic paste, then you may have to carry out anti-inflammatory treatment, since in the future there is a risk of arsenic periodontitis, which is fraught with complications - up to the loss of a tooth, even with seemingly high-quality canal treatment.

      For the future, I advise you not to go to dentists who practice using arsenic layers for the dental nerve devitalization (numerous studies have shown harm from the use of such pastes, and today they use alternative devitalizing preparations that do not contain arsenic).

      Reply
  82. Sergei:

    Hello, Svyatoslav Gennadyevich. Tooth, top 6-ka. He started to get sick, I came to the doctor, she looked, did pictures on the X-ray, and eventually put some medicine. What exactly, she did not say, and I somehow was not interested. Not drilled anything. She said that so there is a hole. Next, recorded in a day to come.

    What will they do to me? Will nerves be removed? Will it hurt me? I made the bottom six quite a while ... I deleted nerves, cleaned the canals, the pain was terrible. I'm afraid now. Answer please. Tomorrow at the reception to one in the afternoon.

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think that they put a paste for devitalization, in order to delay the treatment of the canals of the upper sixth tooth. With a high degree of probability, the “nerve” has already been opened. Due to lack of time or for other reasons, the doctor put the pasta to finish the next visit.

      As for painfulness in removing the “nerve”: when compared with the lower tooth, the upper teeth are anesthetized many times better even with an average skill level at the dentist. But under certain conditions, it is also possible to not freeze the upper six sufficiently. I hope that your dentist will cope with this task and will not make you suffer. Good luck!

      Reply
  83. Lyudmila:

    I had a perfectly healthy tooth, without caries, but the doctor decided to depulp it to put on a crown. The crown has not yet been set, it should go two days later, but the tooth began to ache when tapping. I don’t know what to do ... The doctor took the money, he said he would do it cheaper. Where and to whom to turn, I do not understand. I hurried with the doctor.

    Reply
    • Svyatoslav Gennadievich:

      Hello! I think that the doctor did not inform you about possible post-filling pains (they are observed very often). Technical errors made during endodontic treatment of the tooth are not excluded. In any case, while it is not necessary to blame the doctor, you need to take a picture and get advice in another clinic. It is possible that in fact everything is in order, and you just need to wait a short time - most often the pain disappears 4-7 days after the treatment of the canals.

      Depulping a tooth under certain types of crowns (for example, under metal ceramics) is most often advisable due to the large processing of the tooth under the crown. So do not rush to conclusions and again diagnose the tooth for possible medical errors, and from this point of view it will be possible to talk about future plans for the tooth.

      Reply
  84. Alexander:

    Svyatoslav Gennadievich, read all your replies to comments. Thank you so much for your work and your time! Thank you for not disregarding us! Low bow to you.

    Reply
  85. Anton Grigorievich Furs:

    Good morning, Svyatoslav Gennadyevich. Prompt, everywhere I read about such symptoms of pulpitis as spontaneous bouts of pain (usually they write about long bouts, 5-10 minutes or more), or about nagging pain (constant or intermittent, including throbbing pain), increased reaction to temperature (if the nerve is still began to inflame). And what can mean short-term shooting in the tooth (they are very short, literally a split second). Arise spontaneously.Sometimes it is rare: 2-3 times a day (although stronger), and sometimes more often, for example, every 15-20 minutes, but already weaker (sometimes almost imperceptible, if it is a day). At night, not very worried, rather in the evening. There is caries on the tooth, but it is definitely not deep (there are also no hidden cavities in the picture). Such shooting has been going on for a month already. Periodically he shoots in other teeth (including the pulsed ones). The tooth does not respond to temperature (more precisely, it reacts like a normal healthy tooth). When eating food, too, no pain. All shooting / tingling is extremely short and spontaneous.

    Thank!

    Reply
    • Svyatoslav Gennadievich:

      Hello! Even with the nuances described by you, the symptoms are more like a complication of caries (pulpit rather than periodontitis). If pain occurs without irritants and, moreover, it has a certain regularity, especially considering evening time, then it is closer to 100% pulpitis. Sometimes pulsation can also occur with periodontitis. When eating on the background of caries complications, sometimes there is no pain reaction. In case of doubt, you can check the tooth on the EDI device to find out if the pulp is healthy, inflamed and started to die or has already died. Although this device is not in all dentistry.

      Nevertheless, I recommend to go to the dentist (perhaps even to several specialists) in order to clarify the situation, decide on the problem tooth and plan the treatment.

      Reply
  86. Catherine:

    Hello! In the treatment of pulpitis, one of the canals was not completely cleaned (there was little more on the tip), but the nerve itself, as I understood, is dead. The next day the doctor tried to clear the canal for me again, but the picture showed the same thing. The doctor said that it was pointless to do something, and the tool simply could not get there. With this tooth, you can continue to live, or is it worth to turn to another specialist? By itself, the tooth does not hurt. Thank you

    Reply
    • Hello, Catherine. If you do not clear and close the canal until the end, then in fact there is emptiness in the place where the pulp was, and microorganisms can begin to develop there, which later very often leads to inflammation of the tissues near the root of the tooth. The canal of the tooth must be cleaned and sealed to the top - this is a necessary criterion for quality treatment. An undeclamped canal is a source of infection, and the risk of inflammation in this case is very high.

      With complex channels, endodontic treatment is best done under a microscope; in the absence of such equipment, the doctor may not cope with the treatment. I strongly recommend that you turn to another specialist for canal over-treatment, preliminary clarifying whether there is an opportunity in the clinic for treatment with a microscope.

      Reply
  87. Lyudmila:

    I had a toothache for a very long time after a nerve had been removed. He then closed the temporary filling, then opened, because it began to hurt. And they took a picture and said that everything was fine. Today I went to them again - they took a picture, cleaned the canals, where the nerve was not completely removed. Antibiotics and antihistamines have been prescribed, as the gums are slightly swollen. One of the channels is a little bloody. They said that if this does not help, then you have to extract a tooth ((How to be in such a situation?

    Reply
    • Hello! After complete removal of the "nerve" in the canal of the tooth lay medicine for a period of 2 to 3 weeks. As a rule, the pain passes during this time, and the canals are sealed. The fact that the channel of blood - nothing terrible, it happens. Without pictures and inspection in this situation, there is no hope for hope, but if the “nerve” is completely removed, then everything should be fine.

      If the pain reappears and the doctor says that initially there was a lot of inflammation and that the tooth needs to be removed, then it makes sense to contact another 1-2 specialists to understand the full picture.

      Reply
  88. Lyudmila:

    He began to react to the cold and hot lower wisdom tooth. I put the medicine for 10 days under a temporary seal. Why not immediately remove the nerve? And another thing: she put 2 metal crowns on her lower teeth (metal ceramics were not allowed - large fillings will not be held). Put in February, when chewing gets a large amount of food in the three gaps between the teeth. The doctor said: do not panic, they will sit down. And now it's May, but nothing has "sat down." Do not panic, but the discomfort is terrible. This is normal?

    Reply
  89. Hello, Ludmila! On the first visit, the tooth is opened, the affected dentine is removed and a special medicine is put on the opened nerve, which mummifies the neurovascular bundle in the tooth (it kills it), and on the next visit the nerve is completely painlessly removed. Immediately the “nerve” is not removed due to the high painfulness of the procedure on the first visit (often the anesthesia does not stop the pain).

    As for crowns, they must meet certain requirements, one of which is the restoration of a contact point (interdental space). With a correctly made crown, which restores the anatomical shape of the tooth, the contact point is restored immediately, and food should not get stuck between the crowns. Constant hit of food between crowns, leading to discomfort, cannot be considered the norm.

    You write that because of the large seals, you were denied the installation of metal ceramics - the presence of large seals is not an absolute contraindication to the manufacture of metal-ceramic crowns. As a rule, cast stump inserts are made, which reinforce the tooth and restore its crown part, and then metal-ceramic crowns are fixed on them.

    I recommend contacting another in-house orthopedist for face-to-face consultation - not to the one that treated you (and better to another clinic to get an independent opinion). To tolerate a few more months in the hope that the discomfort will pass by itself is not worth it.

    Reply
  90. Helena:

    Hello. The doctor put a temporary seal (did not immediately say what kind of medicine) for 5 days.On the third day, all painful sensations disappeared, but he said that it was too early to remove the nerve and that he put up an arthritic paste. On the fifth day, unpleasant painful sensations appeared, even when pressing on the tooth with the tongue. The doctor reapplied a temporary filling with another paste (he said that you can walk with it for at least a month) and ordered to call in a week if he does not get sick. To the question “and if it will hurt?” He said all the same to call in a week, not earlier - supposedly this nerve was not completely killed, and the pain should go away completely.

    Tell me, re-filling for such a period - is this normal? Tooth and gum can not hurt?

    Reply
    • Hello, Elena! Temporary filling for a tooth is established in case the tooth treatment cannot be performed in one visit for any reason. As for the presence of an arthritic toothpaste in the cavity of the tooth (to kill the nerve) - this paste must be in the tooth for at least 7 days, provided that the pulp chamber is partially opened (the cavity where the nerve is located is opened).

      As for arsenic paste, the maximum time of its use is no more than 3 days.

      With the correct imposition of toothpaste tooth should not hurt. Firstly, because anesthetic components are contained in the preparation. Secondly, necrotization of the nerve contributes to the complete loss of sensitivity of the tooth. Painful sensations are possible if the concentration of the drug is insufficient, the drug is applied to the closed pulp chamber, as well as in the case of overexposure of the drug.

      Taking into account the situation described by you, I would recommend to go to another doctor as soon as possible (who does not consider it normal to go for a week with pain in the tooth in the hope that pain will still disappear and then it will be possible to start treatment).

      Reply
  91. Olga:

    Good day! Help advice please. About three years ago she treated her teeth in a state clinic. I was cured of one tooth, and the other aroused suspicion. They took a picture - they said that it was necessary to remove the nerve. It came as a surprise to me, because that tooth never hurted and my nerves never removed before. Scared. In general, I am very afraid of my teeth being treated and it almost always hurts me, even with anesthesia.

    About two years ago, she got out of her way and went to a private good clinic to “give up”, because it began to seem that this tooth was aching a little. There she told about the earlier diagnosis.Took a picture, checked for sensitivity. They said that the tooth is alive and there is no need to remove any nerve. Just healed caries, and all (to my great joy).

    About a year later, it began to seem to me again that the tooth aches a bit. But with a visit to the doctor, I was dragged out of fear ... A couple of weeks ago, I nevertheless decided and went for a consultation in another good private clinic. They took a 3D picture and confirmed that the nerve must be removed.

    These all different diagnoses and inaccurate symptoms confused me. How can a tooth with a sore nerve not be felt for more than three years? In addition, I am very afraid of all these manipulations. And is it really really necessary to remove the nerve? The tooth does not hurt, well, it sometimes seems that it whines, but this may be my suspiciousness, or impressionability. Upper tooth)

    Reply
    • Hello Olga. Well, I’ll add to your "piggy bank" the previously received opinions of doctors and my own: judging by your description, there is no need to remove the nerve from the tooth. I would recommend once a few months to see the dentist, so that he monitors the quality of the fit of the seal, which you put in the treatment of caries.You will always have time to remove a nerve from a practically non-disturbing tooth, so you do not need it in a hurry. But in the presence of acute unbearable pains during the pulpitis, or when the aching pains finally bother you - questions and the feasibility of endodontic treatment will disappear by themselves.

      Reply
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