Dental Concerns: Do I Need Orthodontics and What About My Gums? - Dentistry

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I'm very worried. Please help me with my questions. Thanks!


Hello~ I previously had a tooth filled, but the dentist kept insisting that I undergo root canal treatment on the same tooth multiple times.
I felt like he was trying to take my money, so I became afraid to see a dentist again.
As a result, my jaw now shifts to the right when I close my mouth, and the teeth on the right side are shorter than those on the left.
Do I need orthodontic treatment for this?
Additionally, I sometimes notice a small abscess appearing next to my gums.
Does this indicate that my tooth is decayed? Recently, I also discovered a black line that looks like a blood vessel along my upper and lower gums.
It doesn't hurt when I press on it.
Could this black line be a sign of periodontal disease?
Moreover, I have had fillings on my molars, but sometimes they swell, and when they do, a small abscess appears on the outside.
What does this signify? I'm quite hesitant to see a dentist because in the past, every time I visited for the same tooth, the dentist kept recommending root canal treatment.
I'm curious, how many nerves does a single tooth have? This has made me very apprehensive about visiting the dentist.

*Yue*, 20~29 year old female. Ask Date: 2005/03/03

Dr. Chen Yingfang reply Dentistry


Hello! 1.
It could be dental calculus; please visit a clinic to see if you need a dental cleaning.
2.
It may be pulp disease; I recommend undergoing root canal treatment.
As for how many nerves there are, the term "nerves" refers to the soft tissue inside the tooth.
The number of root canals is commonly referred to as the number of nerves.
They must be thoroughly cleaned before sealing the root canals.

Reply Date: 2005/03/03

More Info


Hello! It sounds like you're experiencing a range of dental issues that are understandably causing you concern. Let's break down your questions and concerns regarding orthodontics, gum health, and the specific symptoms you're experiencing.


Orthodontics and Bite Alignment
From what you've described, it seems that your bite is misaligned, with your jaw shifting to the right when closed. This could be due to several factors, including the length of your teeth on one side compared to the other. Orthodontic treatment may be beneficial in your case, especially if the misalignment is causing discomfort or affecting your ability to chew properly.
Orthodontics can help realign your teeth and jaw, which may alleviate some of the discomfort you're experiencing. It's important to consult with an orthodontist who can assess your specific situation and recommend a treatment plan tailored to your needs. They can also address your concerns about previous dental experiences and ensure that you feel comfortable throughout the process.


Gum Health and Symptoms
Regarding the small abscess (the "膿包") that appears near your gums, this is often a sign of infection, which could indicate periodontal disease or an issue with a tooth that has had previous treatment. It's crucial to address this, as untreated gum infections can lead to more serious dental problems, including tooth loss.

The black line you mentioned along your gums could be a sign of several conditions, including gum disease or even a benign condition known as "melanin pigmentation," which is common in some individuals. However, without a proper examination, it's difficult to determine the exact cause.

Concerns About Previous Dental Care
Your apprehension about visiting the dentist again is understandable, especially if you've had negative experiences in the past. However, it's essential to find a dental professional who you trust and feel comfortable with. A good dentist will take the time to explain your treatment options and ensure that you understand the necessity of any procedures they recommend.


Recommendations
1. Seek a Second Opinion: If you're uncomfortable with your previous dentist's recommendations, consider seeking a second opinion from another dental professional. Look for a dentist who specializes in restorative dentistry or periodontics, as they can provide a comprehensive evaluation of your dental health.

2. Address Gum Issues Promptly: The presence of a gum abscess and any signs of infection should be addressed as soon as possible. Delaying treatment can lead to more severe complications.

3. Consider Orthodontic Evaluation: If your bite misalignment is causing discomfort, an orthodontic evaluation may be beneficial. An orthodontist can assess your situation and discuss potential treatment options.

4. Communicate Your Fears: When you do find a new dentist, be open about your previous experiences and fears. A compassionate dentist will work with you to make the experience as comfortable as possible.

5. Regular Check-ups: Once you find a dentist you trust, regular check-ups will help monitor your dental health and catch any issues early.


Conclusion
It's essential to address your dental concerns proactively. While it may feel daunting, finding the right dental care can significantly improve your oral health and overall well-being. Don't hesitate to seek out professionals who prioritize patient comfort and communication. Remember, your dental health is crucial, and with the right support, you can overcome your fears and achieve a healthier smile.

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