Front tooth fell out due to periodontitis - emergency help

  • Features of installing a temporary filling
  • Why can a temporary filling fall out?
  • What to do when a filling falls out
  • If the filling falls out on the day of installation
  • Loss of filling in sealed and unsealed canals
  • Recommendations
  • Temporary fillings are made from composites. Its installation is necessary to seal and protect the tooth cavity during the treatment period. The main task is to prevent the penetration of pathological microorganisms and remnants of food consumed by the patient into the dental canals. Unlike composites, which are fixed after treatment is completed, such a filling can be removed to continue dental procedures. Insufficient fixation can lead to a piece of composite falling out on its own. In order not to provoke complications or damage to the internal cavity of the tooth, you need to know what to do if a temporary filling falls out.

    When is a temporary filling required?

    A temporary filling is much inferior to a permanent one in terms of strength and durability. It is only needed for a couple of days to keep food and other substances out of the tooth cavity between visits to the dentist. Such a filling can be installed in the following cases:

    • — If the root canal treatment was lengthy and the installation of a permanent filling is postponed to the next visit.
    • — A temporary filling can serve to hold medication placed in the tooth cavity.
    • — If the doctor is not sure that the nerve remains intact. Waiting some time will help you understand whether the tooth can be covered with permanent material.

    Expiration date, tips

    In order for the filling to last for a long time, the following rules must be observed:

    1. If possible, exclude sweets from your diet.
    2. Eat food at room temperature. Excessively hot or cold foods contribute to the appearance of microcracks.
    3. Use a medium-hard toothbrush.
    4. Carry out oral hygiene procedures after every meal (even snacks).
    5. Use calcium and fluoride supplements to support dental health.

    To clean the tooth surface, in addition to paste, it is recommended to use flosses, rinses, and irrigators with disinfecting components.

    Manufacturers of preparations for home filling of dental cavities talk about the durability of the installed filling, however, in any case, you should consult a dentist for advice. This will help avoid a number of negative consequences after home filling.

    Types of temporary fillings

    There are several options for temporary fillings:

    • — Water-based artificial dentin. It is a mixture of distilled water and powder (zinc sulfate, zinc oxide, kaolin). The doctor brings the filling material to the desired consistency by adding water.
    • — Oil-based dentin. The composition of such artificial dentin is the same, but not with water, but with clove or peach oil. The material does not need to be mixed; it is sold ready-made.
    • — Special cement. There are several material options. It is used for teeth exposed to chewing stress. The product also serves as a gasket when filling canals.
    • Polymers. The rubber-like paste, which hardens when exposed to light, is a durable material that adheres well to the surface of the tooth.

    Contraindications

    Before self-treatment, it is recommended to make sure that the source of pain is the tooth, and not the soft tissues of the oral cavity or neoplasms. The latter means:

    • abscess;
    • cysts;
    • tumor formations;
    • granulomas, etc.

    If the dental nerve (pulp) is inflamed and there is intense pain, it is prohibited to close the hole with a filling. Absolute contraindications to the procedure are dental and systemic diseases.

    Installation of filling material is allowed if there is mild pain and a deep cavity without darkening. The initial stages of caries are regarded as a contraindication, along with advanced carious processes. Otherwise, under a permanent filling, the disease develops faster, affecting dental tissue, dentin, and nerves.

    If intense pain occurs, it is recommended to apply hygienic paste with fluoride to the chewing surface of the tooth before the procedure. Its composition has a calming effect and fills microcracks. It is prohibited to instill alcohol solutions into a carious cavity. The drug causes destruction of the nerve and soft tissues, provokes decomposition and necrosis.

    If the hole is small, the filling must be placed by a doctor. It is impossible to fill the hole completely on your own. This allows food particles to become trapped and bacteria to grow in the open cavity.

    Is it possible to install a temporary filling yourself?

    The installation of fillings should only be entrusted to a doctor. The fact is that, for all its rigidity, the tooth is very easily susceptible to infection. If you close a cavity in a tooth without proper preparation, there is a high probability of infection and the development of serious complications. The simplest thing is inflammation of the pulp, or pulpitis. In serious cases, the patient may lose a tooth and even harm neighboring ones if the inflammation spreads.

    The desire to fill a tooth with temporary material may arise if a permanent or temporary filling falls out or a piece of the crown part of the tooth breaks off. In these cases, you need to make an appointment with a doctor as soon as possible, and while waiting for the visit, avoid getting food into the resulting cavity and follow simple rules.

    Online consultation with a doctor about possible complications of self-medication

    If your permanent or temporary filling has fallen out, or a piece of a tooth has broken off, you should not waste time or try to cover the defect yourself with something. It is best to undergo an examination and consultation with a dentist. Because no available means can replace a dental filling or perform proper sanitation. A professional assessment of the condition of the tooth is necessary. Otherwise, complications may occur, infection of the wounded area, and inflammation of the nerve. Which will lead to more complex and expensive treatment:

    • treatment of pulpitis;
    • restoration with inlay;
    • removal of a tooth;
    • dental implantation;
    • prosthetics.

    What to do if there is a hole in your tooth?

    Some manipulations will help you wait for a visit to the doctor without complications:

    • First of all, it is important to prevent the accumulation of food debris and plaque inside the tooth. The danger is that bacteria developing in dental plaque release acids that are destructive to teeth.
    • If your tooth hurts, you can take a painkiller.
    • It would be a good idea to rinse with a warm soda solution.
    • It is better to limit chewing on the painful side so as not to provoke an attack of pain.
    • There is no need to cover the cavity with cotton wool, plasticine and other improvised means. This can cause complications and the development of infection.

    Expert opinion

    Lyubov Ivanovna Kopylova

    dentist-therapist

    Experience: more than 10 years

    Temporary filling at home is an option for those who cannot get to the doctor for quality caries treatment. This is not an alternative method of dental treatment and is not an option for those who want to save money on visiting a doctor. Caries can be cured only in a dental clinic, using modern equipment for removing pathological tissue and high-quality filling material. It is important to understand that the temporary filling that you put on yourself does not stop the destructive process!

    How to fill a tooth yourself using the Tsivinsky method

    It is important to know exactly how and what a filling is made of. As a classic filling, drilling is used, after which a filling is installed. Dr. Tsivinsky has created a new technique that allows the procedure in question to be performed without the use of a drill. This method helps speed up the process of tooth restoration and also eliminates the pain of this event.

    Stages of filling with Santedex:

    1. It is necessary to thoroughly mix the dry and liquid material in the package. The result should be a clay consistency.
    2. Next, fill the tooth hole with the resulting medicinal mixture.

    This procedure is suitable for:

    • filling microcracks in the tooth;
    • eliminating pain;
    • providing a therapeutic effect;
    • relieving enamel hypersensitivity.

    Filling with Santedex can save a person from the above dental problems overnight. Using this method, you can maintain dental health permanently. The author of the technique speaks about the durability of such fillings, and also emphasizes the need and effectiveness of using medicinal powder for damaged teeth. This is due to the relief of inflammatory processes and disinfection of areas of the oral cavity due to the valuable properties of the medicine.

    Prevention of caries

    The easiest way to avoid fillings or minimize the number of fillings is to visit your dentist regularly. This should be done at least once every six months. Simple tips will also help keep your teeth healthy:

    • Careful hygiene. You need to brush your teeth with a high-quality brush and toothpaste at least twice a day.
    • Using dental floss will help remove plaque from hard-to-reach places.
    • Rinsing with special liquids will also help keep your gums healthy, which play a huge role in keeping your mouth healthy.
    • A balanced diet will help ensure you have enough vitamins and minerals to keep your teeth strong.

    Now we treat teeth even better!

    Treatment, re-treatment of canals, elimination of caries under a microscope without damaging healthy tooth tissue.
    We do everything to save your own tooth. Consultation with specialists is FREE!

    More details

    Diagnosis and treatment planning for periodontitis

    The patient complained that his front teeth began to become loose and his upper tooth began to hurt. During the examination, the dentist found out that 8 teeth were missing, and there were many problems with the rest.

    Problems during inspection:

    1. On the lower jaw, only the root remained of one tooth.
    2. On the upper jaw, the chewing tooth is severely destroyed.
    3. Some teeth have protruded towards the opposite jaw.
    4. The central lower tooth is very loose.
    5. There are a lot of deposits on the teeth (plaque, tartar).
    6. The gums near the upper tooth are very inflamed, the tooth hurts when pressed.
    7. Old fillings on teeth - unaesthetic fillings on the upper front teeth, a sagging filling on a chewing tooth.


    To understand the condition of the bone, a computed tomography scan of the teeth was performed.

    The main problems with the image:

    1. Critical loss of bone tissue in the area of ​​the lateral teeth and the lower front tooth.
    2. Inflammation at the roots of the two front upper teeth on the right.
    3. Inflammation in the maxillary sinus (sinusitis).

    A computed tomogram of the teeth shows that the central lower tooth (the tooth was loose) practically does not hold in the bone, the bone tissue around the root is sparse.

    Diagnosis

    – partial secondary adentia (loss of teeth), chronic generalized periodontitis, malocclusion, right-sided odontogenic sinusitis.

    The reason for this condition was the lack of prevention (the patient had not visited a hygienist for several years) and regular dental examinations. Tooth loss can be prevented by taking good care of your health. Visit your dentist, even if you have no complaints, twice a year!

    Comprehensive treatment plan:

    • professional oral hygiene to remove all deposits and prepare for dental treatment,
    • revision and removal of failing teeth,
    • treatment of tooth canals (the roots of which have inflammation and treatment is advisable),
    • treatment of sinusitis,
    • installation of dental implants in the lower jaw with plastic surgery of bone and soft tissues,
    • prosthetics of lower teeth on implants,
    • prosthetics of the upper teeth with removable telescopic dentures,
    • restoration of the remaining teeth with ceramic crowns.

    The estimate for complete treatment was 1,804,974 rubles.

    At the moment, this amount is unaffordable for the patient, since his wife is undergoing bite correction and dental prosthetics at Dial-Dent (in fact, looking at his wife, the man decided to visit the dentist). Due to the difficult financial situation, it was decided at this time to do everything necessary to eliminate the development of periodontitis and prevent the loss of remaining teeth.

    Abbreviated treatment plan (elimination of emergency problems):

    1. Professional oral hygiene.
    2. Removal of 6 failing teeth under sedation.
    3. Treatment of sinusitis.
    4. Treatment of canals of two front teeth under a microscope.
    5. Temporary aesthetic prosthetics for the removed lower anterior tooth.

    Such an abbreviated plan (with an estimate of 83,000 rubles) provides for the continuation of treatment at any time, the logic of the stages will not be disrupted, and the health of the dental system will be preserved as much as possible before moving on to further treatment. The main thing is not to delay the restoration of teeth too much, since without load (without installing implants) the jaw bone is prone to thinning, and chewing without teeth in the lateral sections is very uncomfortable, the joints are overloaded.

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