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Black hole on tooth. Recommended surgery. Another discoloured tooth. Recommended root canal. Afraid, advise?

Hello, my name is Dola. I have a large black deep hole in my tooth, gone through the gum, in the back side of my mouth.... I have had it for 8 years on. But I am so afraid of getting it out, now it has gone worse and today, I made a pressurized visit to a dentist, and he says i will need surgery.

Also, i had an accident 15 years ago that chipped off my front tooth, discoloured it and he also says i will need a root canal. I am sooooo AFRAID.
Asked On : Fri, 26 Apr 2013
Answers:  7 Views:  67
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Dentist 's  Response
Hi,

Hello and welcome to HCM,

Thanks for posting your query,

The large black deep hole which you are talking about is the chronic caries which has extended

deep enough and i think this one requires surgical treatment.

The front teeth has been discoloured because the tooth has become non vital which occurs

normally due to trauma or injuries.This one requires Root canal treatment follwed by capping.

Hope so this helps you out.

Thank you.

Answered: Sat, 27 Apr 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Hello ,
Thanks for writing in.
The tooth with black hole is affected with dental caries which is arrested.
Root canal treatment or restoration has to be done if required,if decay is progresses wide,and tooth cannot be saved,it has to be extracted out.
Usually such procedures are carried out under LOcal anaethesia and no need to be panic.
Regarding the front tooth which is chipped off,has to be root canal treated and crown placed.
These procedures are carried out under Local anaethesia ,Avoid anxiety and stress.
tAKE COmplete course of antibiotics too.
I wish you good health.
Answered: Fri, 26 Apr 2013
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Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for aksing the query,

Black hole which you are describing is nothing but dental caries if not treated in time can spread to the deeper structures leading to abscess formation.
Such type of infected tooth can be treated with root canal treatment.
This procedure is carried under local anesthesia so there is no need to get afraid.
Take complete course of antibiotics and analgesics.
After the treatment a prosthetic crown can be placed.
Maintain a good oral hygiene, use antiseptic mouthwash gargles twice daily.

Hope this helps out.

Regards..
Answered: Tue, 30 Apr 2013
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Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for aksing the query,

Black hole which you are describing is nothing but dental caries if not treated in time can spread to the deeper structures leading to abscess formation.
Such type of infected tooth can be treated with root canal treatment.
This procedure is carried under local anesthesia so there is no need to get afraid.
Take complete course of antibiotics and analgesics.
After the treatment a prosthetic crown can be placed.
Maintain a good oral hygiene, use antiseptic mouthwash gargles twice daily.

Hope this helps out.

Regards..
Answered: Tue, 30 Apr 2013
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1 Doctor agrees with this answer

  User's Response
Hello dear
First of all dont be so afraid. Root canal treatment or a surgery both will be done under anaesthesia, so you wont come to know about it and afterwards painkillers will be given to you so even after it you wont feel pain.But if you keep on bearing this trouble it will increase and hurt you more. So be brave hearted and go ahead.
"Why to fear when God is there"
Answered: Fri, 26 Apr 2013
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Dentist Dr. Farah Hussain's  Response

Hello there ,

Thanks for writing your query,


Tooth decay is nothing but bacterial infection that spreads to the deeper structures of the tooth and involves the tooth nerve tissue leading to pulpitis.

When the tooth is grossly decayed, it becomes weak and gets fractured.

We can save such infected and fractured tooth by root canal procedure, provided the periodontal status of the tooth is good. That is, if the tooth is not mobile.

Root canal procedure disinfects the tooth by removing the infected nerve tissue and the root canals are cleaned,shaped and filled with permanent restorative material.

Once the treatment is completed , the fractured or chipped tooth can be restored by a post and core preparation with a prosthetic crown coverage.

Other cavities in the tooth can be filled with restorative materials.


i hope this helps ,

take care.
Answered: Mon, 29 Apr 2013
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Dentist Dr. Tarush Thakur's  Response
Hi dola,
First of all there is nothing to be afraid of. Dental surgeries are usually minor procedures which are done giving local anesthetics, which means no pain and early recovery.

The "large black hole" on your tooth might be chronic caries. It becomes large with time until it eats up whole of the tooth.. The prevention in early stages is always better. There might also be a infectious process involved with it at the bottom of the tooth within the bone. A sinus tract or a thin tunnels forms between the infection (inside the bone) and the oral cavity, which drains the pus.

I recommend you to listen to your dentist as this will give long time relief to you and a healthy mouth.

Well regarding the front chipped of tooth, it might have become non vital (dead). This happens after trauma if the pulp(living tissue) gets involved. Root canal treatment has to be undergone to prevent future infections and problems. Root canal is usually a three sitting procedure but it can also be done in single sitting. A crown can then be placed, which will make your tooth look as new.

Dont worry, these procedures are very regular and normal. There is nothing to be afraid of.

Stay healthy
Thank you.

Answered: Fri, 26 Apr 2013
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2 Doctors agree with this answer

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