Should You Follow Dental Advice for Asymptomatic Teeth?

Q: Should You Follow Dental Advice for Asymptomatic Teeth?

Hello： Sometimes dental issues arise, but the symptoms may not be obvious, so you may not feel anything. <br>Your dentist has explained the lesions to you using a full-mouth X-ray, which should be based on sound reasoning. <br>I hope your issues can be resolved promptly. <br>If y

If a tooth feels normal and there are no noticeable issues, is it necessary to undergo treatment as per the doctor's advice?

Hello Doctor: I have two teeth that have had metal crowns for ten years without any pain.
However, my dentist, while treating another tooth, showed me a full-mouth X-ray and mentioned that these two crowns are made of low-quality metal from ten years ago, which has caused periodontal infection and small cavities in the periodontal area, indicating periodontal disease.
He suggested that I should have them removed, undergo root canal treatment, replace the posts, and redo the crowns.
I cannot interpret the X-ray and do not see any cavities; I feel no abnormalities in my teeth, and my gums show no signs of redness, swelling, or pain.
Should I follow the doctor's advice for treatment? I am worried about being deceived.
Is there any way I can self-check for dental issues? Thank you.

Cai Tai Tai, 30~39 year old female. Ask Date: 2006/04/11

Dr. Wu Jinjun reply Dentistry

Hello: Sometimes dental issues arise, but the symptoms may not be obvious, so you may not feel anything.
Your dentist has explained the lesions to you using a full-mouth X-ray, which should be based on sound reasoning.
I hope your issues can be resolved promptly.
If you still have concerns, you can visit a teaching hospital, where other dentists can examine you.
If their assessment is the same, then you should proceed with treatment.
Dr.
Wu Jin-jun, Director of Dentistry, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2006/04/11

More Info

When it comes to dental health, the decision to follow a dentist's advice regarding asymptomatic teeth can be quite complex. While it is understandable to feel apprehensive about undergoing treatment for teeth that do not currently exhibit any symptoms, it is essential to consider several factors that could influence your decision.

Firstly, it is important to recognize that dental issues can often be asymptomatic in their early stages. Many dental problems, such as cavities, gum disease, or issues related to dental crowns, may not present noticeable symptoms until they have progressed significantly. This is particularly true for conditions like periodontal disease, which can develop silently and lead to tooth loss if not addressed promptly. Therefore, just because you do not feel pain or discomfort does not necessarily mean that your teeth are healthy.

In your case, your dentist has raised concerns about the quality of the metal crowns you have had for ten years. They have indicated that these crowns may be contributing to periodontal issues, which could potentially lead to more severe complications if left untreated. The presence of "small cavities" or "periodontal disease" as noted by your dentist could indicate that there is underlying damage that may not be immediately apparent to you.
To self-assess your dental health, consider the following steps:
1. Regular Dental Check-ups: Schedule regular visits with your dentist for professional cleanings and examinations. Dentists have the training and tools necessary to identify issues that may not be visible to the naked eye.

2. X-rays: If you are uncertain about the findings from your dentist, you can seek a second opinion from another dental professional who can review your X-rays and provide an independent assessment of your dental health.

3. Monitor Symptoms: Pay attention to any changes in your oral health, such as bleeding gums, changes in bite, sensitivity to hot or cold, or any discomfort. These can be indicators of underlying issues.

4. Oral Hygiene Practices: Maintain good oral hygiene by brushing twice a day, flossing daily, and using an antibacterial mouthwash. This can help prevent further issues and maintain overall dental health.

5. Educate Yourself: Research dental health topics to better understand the implications of untreated dental issues. Knowledge can empower you to make informed decisions about your dental care.

Ultimately, while it is natural to be cautious about undergoing unnecessary treatments, it is equally important to prioritize your long-term dental health. If your dentist has recommended treatment based on their professional assessment, it may be wise to consider their advice seriously, especially if they have provided a rationale based on your dental history and current condition.

If you remain uncertain, seeking a second opinion from another qualified dentist can provide additional clarity and help you make a more informed decision. Remember, your dental health is an investment in your overall well-being, and addressing potential issues early can save you from more extensive and costly treatments in the future.

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