Dental Tartar Removal and Its Aftermath: What to Do Next? - Dentistry

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Condition of dental calculus removal?


Hello, Doctor: Why is it that after having my dental calculus cleaned, I suddenly noticed a small irregular white piece fall out while brushing my teeth before bed? When I looked in the mirror, I discovered a small hole in the gap between my teeth.
Is it possible that the dentist accidentally damaged my tooth during the cleaning? I don’t remember that tooth ever being filled.
Could it be that the filling was removed during the cleaning? I have asked the dentist three times during follow-up visits, but they keep telling me it’s a cavity.
However, that hole clearly appeared after the dental cleaning.
What should I do? I’ve had two root canals done, and even after several months, I still feel discomfort, and now I can see dark spots...
I have lost trust in that dentist.
Should I consider switching to another one? I’m really afraid of not getting it filled and developing cavities.

Acacia, 20~29 year old female. Ask Date: 2020/03/24

Dr. Huang Tingfang reply Dentistry


Dear Ms.
Acacia,
Hello! Based on your description (a small irregularly shaped white piece has fallen out), it could possibly be dental calculus or a piece of a previous filling that has come loose.
Please communicate more with your dentist.
Take care of yourself! Wishing you all the best!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2020/03/24

More Info


When it comes to dental care, particularly after a tartar removal procedure, it's essential to understand the implications of what you might be experiencing. From your description, it seems that after your dental cleaning, you noticed a small irregular white piece fall out, and upon inspection, you found a small hole in the gap between your teeth. This situation can understandably cause concern, especially if you are unsure about the integrity of your dental work.

Firstly, it is important to clarify that dental cleanings, which often involve scaling to remove tartar, should not damage your teeth. However, if there were pre-existing conditions, such as cavities or weakened enamel, the cleaning process might exacerbate these issues. If your dentist has indicated that the hole is due to decay, it is crucial to take this seriously. Cavities can develop in areas that are difficult to clean, and if left untreated, they can lead to more severe dental problems, including infections or the need for root canal therapy.

Regarding your concern about whether the cleaning could have caused the damage, it is unlikely that a professional cleaning would directly "drill" into your tooth unless there was already a significant issue present. If you had a filling in that area, it is possible that the filling could have been compromised due to decay or other factors, leading to its dislodgment during the cleaning.
Given that you have already had two root canals and are still experiencing discomfort, it may be wise to seek a second opinion. Trust in your dental provider is paramount, and if you feel that your concerns are not being adequately addressed, it is entirely reasonable to consult another dentist. A fresh perspective can provide clarity and potentially a different treatment approach that may better suit your needs.

In the meantime, here are some steps you can take to manage your dental health until you can see a new dentist:
1. Maintain Oral Hygiene: Continue to brush your teeth at least twice a day and floss daily. Be gentle around the area where you noticed the hole to avoid further irritation.

2. Avoid Hard Foods: Stick to softer foods that won’t put pressure on the affected area. This can help prevent further damage or discomfort.

3. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, swelling, or sensitivity to temperature. This information will be helpful for your new dentist.

4. Consider Temporary Solutions: If the hole is causing significant discomfort, you might consider using dental wax or a temporary dental filling material available at pharmacies to cover the area until you can get professional care.

5. Seek a New Dentist: Research and find a reputable dentist who has good reviews and is known for their thoroughness. It’s important to feel comfortable and confident in your dental care provider.

In conclusion, while dental cleanings are essential for maintaining oral health, they can sometimes reveal underlying issues that need to be addressed. If you suspect that your current dentist is not providing the care you need, seeking a second opinion is a prudent choice. Your dental health is crucial, and you deserve to have a provider who listens to your concerns and provides clear, effective treatment options.

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