Healthy tooth versus Decayed tooth

Tooth Sensitivity

Have you ever felt pain or discomfort after a bite of ice cream or a spoonful of hot soup? If so, you’re not alone. While pain caused by hot or cold foods could be a sign of a cavity, it’s also common in people who have sensitive teeth.

Tooth Sensitivity, or “dentin hypersensitivity,” is exactly what it sounds like: pain or discomfort in the teeth as a response to certain stimuli, such as hot or cold temperatures.

The most common triggers include:

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Hot foods
& beverages

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Cold foods
& beverages

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Sweet foods
& beverages

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Acidic foods
& beverages

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Cold
Air

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Brushing or
flossing teeth

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Alcohol - based
Mouth rinses

Your symptoms may come and go over time for no obvious reason. They may range from mild to intense. It may be temporary or a chronic problem, and it can affect one tooth, several teeth, or all the teeth in a single individual. It can have a number of different causes, but most cases of sensitive teeth are easily treated with a change in your oral hygiene regimen.

Some people naturally have more sensitive teeth than others due to having thinner enamel. The enamel is the outer layer of the tooth that protects it. In many cases, the tooth’s enamel can be worn down from:

  •  Regularly eating or drinking acidic foods and beverages
  •  Gum recession - this leaves sections of the tooth exposed and unprotected
  •  Using a hard toothbrush
  •  Brushing your teeth too hard
  •  Grinding your teeth (Bruxism)
  •  Tooth decay, broken teeth, chipped teeth, and worn-down fillings or crowns can leave the dentin of the tooth exposed. If this is the case, you’ll likely only feel sensitivity in one particular tooth or region in the mouth.
  •  Medical conditions like Gastroesophageal reflux (GERD), for example, can cause acid to come up from the stomach and esophagus, and may wear down teeth over time.
  •  Conditions that cause frequent vomiting — including gastroparesis and bulimia — can also cause acid to wear down the enamel.

If you’re experiencing tooth sensitivity for the first time, please do call us for an appointment. We will look at the health of your teeth and check for potential problems like cavities, loose fillings, or recessed gums that could be causing the sensitivity. We will also take an OPG X-ray to help ease the diagnosis of your problem.

Depending on your tooth sensitivity we will either change your oral hygiene methods, prescribe better toothpastes and mouth rinses or carry out treatment (tooth fillings, gum procedures, mouthguards etc) to relieve your pain.

If you have an underlying medical condition that has caused the sensitivity (GERD, Bulimia, Hyper acidity etc) usually treating these underlying causes would help ease the pain. This would be the first step in our treatment plan to help you get better.

Did You
Know ?

Your teeth may be temporarily sensitive following dental work like getting fillings, crowns, or teeth bleaching. In this case, sensitivity will also be confined to one tooth or the teeth surrounding the tooth that received dental work. This should subside after several days.

Composite Filling

Amalgam fillings also known as Silver fillings, have been used in dentistry for over 100 years. Health concerns have been raised as this filling material consists of a combination of metals including mercury (major concern), tin and copper as well as small amounts of zinc, indium or palladium.

We at Therapeuo choose not to use Silver fillings for any of our patients. In fact, we are often asked to replace these older silver fillings with a newer, tooth-coloured material known as Composite. If you have any silver fillings, we highly recommend you replace these with Composite.

Advantages of Composite fillings :

  •  These are dental restorations used to fill in decayed areas of the teeth.
  •  Help repair chipped or broken teeth.
  •  They blend well with the teeth and appear more natural than Silver fillings.
  •  Are highly durable, giving you a long lasting, beautiful smile.

These are not permanent and may someday have to be replaced. The best way to stay on top of such a potential development is to follow good oral hygiene practices, healthy eating habits, and maintaining a regular schedule of dental visits.

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Treatment Costs :
Rs. 2000 To Rs.3500

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Average Treatment Time :
45 Mins. To 1 Hr.

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Average No. of Sittings :
Single sitting per tooth/quadrant

Anterior composite

Anterior Composite

Posterior composite

Posterior Composite

Frequently Asked Questions

If you have a cavity, broken tooth, or a deteriorated filling, you may be a candidate for a tooth-coloured filling. Schedule a dental consultation with us to find out if a composite filling is right for you.

During your visit, your gums and teeth will be anaesthetised with a local anaesthetic near the site of the filling. Once the area is numb, the decayed or damaged portion of your teeth will be removed. A rubber sheet will be placed around the tooth to keep you protected during the treatment phase. The new Composite filling will then be placed, shaped and polished before the procedure is complete. A blue coloured light will be used during the procedure to harden the restoration. All this is done with utmost care and precaution.

You should be able to return to normal activity and oral care immediately after your visit. It is normal to experience cold sensitivity following the placement of a Composite filling. A quick “zing” with ice water, ice cold pop or ice cream is normal and will improve with time. However, if this ever occurs we encourage you to call our office if you have any concerns.

Did You
Know ?

Composite fillings allow dentists to preserve more of the natural tooth structure? This is because composite materials chemically bond to the surface of the tooth like an adhesive. The process takes slightly longer to complete than traditional Silver fillings, but you can preserve more of the natural portion of the teeth while enjoying a restoration that is discreet.

Root Canal Treatment

Root Canals (short for Root Canal Treatments) are valuable dental procedures used to treat and preserve teeth with badly infected roots. The pulp is the live portion of the tooth that extends into the root and contains nerve endings and tissues. When it becomes infected, patients can experience pain, swelling and even tooth loss unless treated.

Root Canals remove the damaged parts of the tooth and infected root. In some cases, an antibiotic is prescribed to help prevent further infection within the tooth. The portion of the tooth that remains is usually restored using a cap or crown that provides a natural appearance and normal tooth function.

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Treatment Costs :
Rs. 7000 To Rs.8500

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Average Treatment Time :
45 Mins to 1 Hr.

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Average No. of Sittings :
One to Two Sittings

Note :However, in some severe cases multiple sittings might be required.

Frequently Asked Questions

You could be a candidate for a root canal if tooth decay or damage has allowed bacteria to infect the pulp inside your tooth. A Root Canal could also be the right treatment for you if you prefer to preserve as much of your natural tooth as possible instead of extracting the tooth. For more information about root canals and whether they are right for you, schedule a dental checkup and consultation at your earliest convenience with us.

No. Local anaesthetics and advancements in modern dentistry have made root canals highly tolerable procedures that as comfortable than getting a standard filling.

If you decide to undergo a root canal, the first step in your procedure will involve a local anaesthetic. Once your tooth root is numb, the diseased portion of your tooth pulp will be removed and potentially treated for bacterial infection. The tooth will then be sealed and filled before being restored with a crown.

The alternative is to have the tooth out (extracted). Once the pulp is destroyed, it can’t heal and it is not recommended to leave an infected tooth in the mouth. Although some people would prefer an extraction, it is usually best to keep as much of the natural tooth as possible.

Root canal treatment is usually very successful. However, if the infection comes back the treatment can be repeated.

It is highly recommended to restore the tooth with a crown to provide extra support and strength to the tooth.

Root canal treatment is a routine dental procedure, which your dentist will be happy to do for you.

It is normal for teeth to become inflamed after a root canal, potentially causing sensitivity for the first several days following treatment. However, normal brushing and flossing habits can be resumed immediately after treatment and restoration with a core and crown is complete.

Did You
Know ?

Once the pulp in your tooth is infected, the only other alternative to a Root Canal is having the tooth removed (extracted). This is absolutely discouraged We prefer preserving your tooth as much as possible. Removing one tooth can cause your other teeth to shift. This could change your bite and the quality of your smile!

Tooth extractions

Tooth extractions are routine dental procedures to remove decayed, damaged or otherwise problematic teeth. We at Therapeuo usually make every effort to preserve natural teeth, although sometimes an extraction is necessary. Depending on which teeth are removed, they may be replaced with a dental implant or another oral prosthetic.

There are several reasons why you could need a tooth extraction:

  •  Severe tooth decay and very deep cavities (Most common).
  •  Impacted teeth – particularly wisdom teeth.
  •  Advanced gum (periodontal) disease.
  •  Cracked or broken teeth.

Although many circumstances requiring extraction are unavoidable, some could be prevented with regular dental checks and clean-up visits to the dentist.

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Treatment Costs :
Rs. 3000(simple) To
Rs.9000(complex)

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Average Treatment Time :
45 Mins to One and
a Half hour

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Average No. of Sittings :
Single Sittings per
tooth or Quadrant

Only we can tell you if you require a tooth extraction. However, you may be a candidate for the procedure if one or more of your teeth are decayed so severely that a filling, root canal or other restoration is not a possibility for treatment.

If we agree to extract one or more teeth, you will be scheduled to return for oral surgery at a later date. You will be given a local anaesthetic to prevent pain during the procedure, and you may be prescribed medications to help manage pain in the hours following your extraction.

Post-operative care following a tooth extraction is essential for healing and preventing complications.

General Care:

The extraction socket may bleed for a few days. See your dentist if bleeding is heavy and doesn’t stop.

You will be instructed to avoid certain foods and also keep the surgical site clean at all times.

If you are prescribed an antibiotic, it is important that you complete the course of treatment to prevent infection.

Do's:

Eat and drink cold or cooled-down food and drinks that do not require chewing such as yogurt, thin soup, milkshakes and ice cream.

Brush your teeth carefully. Avoid brushing the extraction site for at least a few days.

Take painkillers if needed. Painkillers containing acetylsalicylic acid (ASA), such as aspirin, are not recommended, as they can cause prolonged bleeding.

Use ice packs to reduce swelling and pain if needed.

Dont's:

Avoid eating, drinking for at least two hours after extraction.

Smoking must be completely avoided.

Avoid strenuous physical activity at least for a couple of days.

Don’t drink through a straw, as doing so may delay the healing process and cause a condition known as ‘dry socket.

Did You
Know ?

Discomfort in the extraction site is common and lasts for a few days. Most pain disappears 2-3 days after the procedure. Most healthy people don’t need antibiotics after a regular tooth extraction.

Third Molar or wisdom teeth removal

Wisdom teeth or Third molars completely erupt usually between 18 to 24 years of age. However, sometimes there may not be room in your mouth for your wisdom teeth. Thus, when they start to come through, they push against the teeth already there or come through at an angle. This can be quite disconcerting especially if you have undergone orthodontic treatment. When this happens, you might feel some pain or discomfort, so the best thing to do is to visit us at Therapeuo.

We will take an OPG x-ray of your mouth to see how-or if-your wisdom teeth are coming through. From this, we will be able to judge whether or not to extract them , and how easy or difficult it might be. In certain complicated cases an additional scan known as a CBCT Scan will be required

Signs and Symptoms requiring wisdom teeth removal:

  •  Acute peri-coronitis (swollen gum tissue around the wisdom tooth) associated with pain and a bad taste in the mouth.
  •  More serious symptoms that require immediate treatment include.
  •  Fever.
  •  Wisdom tooth-related abscess.
  •  Difficulty opening the mouth because of swelling.

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Treatment Costs :
Rs. 5000 To
Rs.9000 per tooth

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Average Treatment Time :
45 Mins to One and
a Half hour

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Average No. of Sittings :
Single Sittings per
tooth

Frequently Asked Questions

You may be a candidate for the procedure if your wisdom teeth are decayed so severely that a filling, root canal or other restoration is not a possibility for treatment. This will also be the case for recurring peri-coronitis or incorrectly erupted third molars.

If we agree to extract one or more wisdom teeth, you will be scheduled to return for oral surgery at a later date. You will be given a local anaesthetic to prevent pain during the procedure, and you may be prescribed medications to help manage pain in the hours following your extraction. In cases of infection antibiotics will also be prescribed.

Post-operative care following a tooth extraction is essential for healing and preventing complications.

General Care:

The extraction socket may bleed for a few days. See your dentist if bleeding is heavy and doesn’t stop.

You will be instructed to avoid certain foods and also keep the surgical site clean at all times.

If you are prescribed an antibiotic, it is important that you complete the course of treatment to prevent infection.

Do's:

Eat and drink cold or cooled-down food and drinks that do not require chewing such as yogurt, thin soup, milkshakes and ice cream.

Brush your teeth carefully. Avoid brushing the extraction site for at least a few days.

Take painkillers if needed. Painkillers containing acetylsalicylic acid (ASA), such as aspirin, are not recommended, as they can cause prolonged bleeding.

Use ice packs to reduce swelling and pain if needed.

Dont's:

Avoid eating, drinking for at least two hours after extraction.

Smoking must be completely avoided.

Avoid strenuous physical activity at least for a couple of days.

Don’t drink through a straw, as doing so may delay the healing process and cause a condition known as ‘dry socket.

Did You
Know ?

Wisdom teeth can be difficult to clean because of their location in the mouth; as a result, they decay easily. Partially erupted wisdom teeth are particularly difficult to keep clean because they are still partly under the gum.