Tooth misalignment, dental calculus?
Q1: Last week, I got hit in the mouth while playing basketball, and I think my tooth (the one next to my front tooth) might be slightly misaligned.
The angle is not significant, but it feels off.
I went to the dentist for an X-ray, and he explained a lot of things that I didn't fully understand.
He mentioned that there might be a crack near the root, which is causing some bleeding and making the tooth feel like it's floating.
However, I feel it's more about the angle being off rather than it floating.
He said that since I'm young, it might heal on its own, and that I should wait until it stops hurting.
If it continues to hurt, I would need a root canal treatment.
Right now, I don't have any pain, but the angle still feels a bit off.
Is that okay? Can it be corrected? Does this mean I might not need a root canal treatment?
Q2: I feel like I've been brushing my teeth properly, but I still have tartar buildup.
Is it inevitable over time, or could it be that my brushing technique is really the issue? Thank you.
Xiao Dou, 10~19 year old female. Ask Date: 2010/03/25
Dr. Zhuang Suhui reply Dentistry
Hello: Whether a tooth that has been hit requires root canal treatment is usually determined based on symptoms.
Typically, symptoms such as pain or the formation of an abscess indicate the need for treatment, but sometimes these issues may arise several years later, and treatment can still be performed at that time.
Tartar is formed from the accumulation of food debris; thorough brushing reduces tartar buildup, while inadequate brushing increases it.
You can refer to various websites for accurate brushing information or consult a professional dentist as well.
Reply Date: 2010/03/25
More Info
To address your concerns regarding tooth misalignment and tartar buildup, let's break down your questions and provide a comprehensive understanding of the issues at hand.
Q1: Tooth Misalignment and Potential Root Damage
It sounds like you experienced a dental trauma that has led to some misalignment of your tooth. The dentist's assessment regarding a potential crack in the root is significant. When a tooth is subjected to trauma, it can lead to several complications, including:
1. Root Fractures: These can occur even if the tooth appears intact externally. A fracture can cause the tooth to feel loose or misaligned, and it may not always be accompanied by pain initially.
2. Pulp Damage: If the fracture is severe, it can affect the pulp (the innermost part of the tooth containing nerves and blood vessels), potentially leading to pulpitis or necrosis, which may require root canal treatment.
3. Healing Potential: Your dentist mentioned that because you are young, there is a possibility that the tooth may heal itself. This is true to some extent, as younger individuals often have better healing capabilities. However, if the tooth continues to feel misaligned or if you experience pain later, further evaluation and possibly treatment will be necessary.
4. Orthodontic Correction: If the tooth remains misaligned after healing, orthodontic treatment may be an option. Braces or aligners can help reposition the tooth back into its proper alignment.
In summary, if the tooth is no longer painful, you may not need immediate root canal treatment, but it is essential to monitor the situation. If the misalignment persists or worsens, consult your dentist about potential orthodontic options.
Q2: Tartar Buildup and Oral Hygiene
Regarding your concern about tartar (calculus) buildup despite regular brushing, several factors can contribute to this issue:
1. Brushing Technique: While you may feel that your brushing technique is adequate, it’s crucial to ensure that you are brushing for at least two minutes, using a fluoride toothpaste, and covering all surfaces of your teeth, including the back molars and along the gum line. Consider using a soft-bristled toothbrush and replacing it every three to four months.
2. Frequency of Brushing: Brushing twice a day is recommended, but if you consume sugary or acidic foods frequently, you may need to brush more often or rinse your mouth with water after meals.
3. Flossing: Tartar often forms in areas that are difficult to reach with a toothbrush, such as between teeth. Daily flossing can help remove food particles and plaque that contribute to tartar buildup.
4. Diet: A diet high in sugars and carbohydrates can promote plaque formation, leading to tartar. Reducing sugary snacks and beverages can help minimize this risk.
5. Regular Dental Cleanings: Even with good oral hygiene, tartar can still form, as it hardens over time. Regular dental cleanings (typically every six months) are essential to remove tartar and prevent gum disease.
6. Saliva Production: Some individuals naturally produce less saliva, which can lead to increased plaque and tartar buildup. Staying hydrated and chewing sugar-free gum can help stimulate saliva production.
In conclusion, while brushing is crucial, it is not always sufficient to prevent tartar buildup entirely. A combination of proper brushing, flossing, dietary choices, and regular dental visits is essential for maintaining optimal oral health. If you continue to experience issues with tartar, consider discussing your oral hygiene routine with your dentist, who may provide personalized recommendations or suggest more frequent cleanings.
By addressing both your concerns about tooth alignment and tartar buildup, you can take proactive steps towards maintaining your dental health. Regular communication with your dental care provider is key to ensuring that any issues are managed effectively.
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