19years old, do u guys think I gonna need do extraction for braces?

My oral surgeon reviewed my CBCT: the tooth is fully impacted and almost horizontal, the bone on this side is much thinner than on the left, and the roots are close to the inferior alveolar nerve and the lower border of the mandible (not touching the nerve). He warned that a full extraction could risk a mandibular fracture and recommended monitoring for 3-4 months, with coronectomy as a possible option.

1. Is a full extraction realistic here, or would you lean toward coronectomy?
2. Any experience with coronectomy on a nearly horizontal tooth like this?
3. If the right side is treated, will my mouth opening go back to normal, like on the left?

so I was chewing gum and my tooth literally fell out my mouth. I did know I had an issue with this tooth because my nerve hurts when I bite too hard on something but I never thought this would happen. You can clearly see that the first picture shows my tooth empty. I don’t have any insurance but idk what to do. any advice is helpful.

*** edit: I am in my early 20s, nerves are close to roots of bottom teeth but not touching, surgeon states this as high risk for damage

Hello folks!

I’m posting here because I just received news from my oral surgeon that I have a risk of jaw fracture & nerve damage from the extraction of my 8 wisdom teeth.

I want to preface this post by saying that I understand the advice from medical professionals who have seen my CBCT & 3d & panoramic scans have the best advice on my specific situation. I am mostly asking for a possible secondary opinion as my options are limited. On top of this, the oral surgeon I’m seeing is the only option for my insurance (State Medicaid) which will be important later, when I discuss the concerns regarding his reviews.

I was seen by my dentist at an urgent consultation to extract my 8 wisdom teeth. They did a panoramic xray, which is the picture posted here. They said if the teeth were bothering me too much, they could take them out right then and there without sedation. I was not comfortable with this, so they were able to recommend me to an oral surgeon who can put me under conscious sedation for the procedure, which I accepted.

Now, I have had a consultation with this surgeon, who informed me that I have a higher risk of jaw fracture and nerve damage. This was shocking information for me because it seemed as though my dentist was comfortable taking the teeth out without stating any of the risks my surgeon informed me of.

My main questions are, 1. Is it common practice to warn patients of higher risks associated with supernumerary teeth? What are the odds of a fracture actually happening? And 2. Should I trust this surgeons advice? Do I have options, aside from my current dentist who I plan on contacting, for a second opinion?

My other worry is that the reviews for this surgeon are pretty mixed. They are either 5 stars or 1 star, no in between. Due to the rules of this subreddit, I won’t post the exact concerns but they are pretty big. I understand he does have a lot of experience, including people who have had 10, 11 & 12 wisdom teeth extracted. I want to trust this, but it is difficult given what anecdotes I have seen. He seemed professional and knowledgeable, although he stressed not moving my jaw during the procedure which can heighten the risk of a fracture (I understand that this is a reasonable request, although it reminded me of the previous reviews of his I’ve seen.)

This is all fresh news and I’m going to gather as much information as possible within the next few weeks from other medical professionals, but I was hoping to get outside perspective as well. It’s just nerve wracking for me, I have never been in surgery or had a procedure done that is this intense, so I don’t want to be in bad hands for my first. Especially since I am aware that I have a pretty rare condition in regards to my teeth.

Per the rules, I do drink once or twice weekly, smoke nicotine socially and marijuana roughly twice weekly to help sleep. I am quitting all substances until my procedure two months from now in preparation.

Thanks in advance, if I need to add more information to my post please let me know! I am happy to provide whatever I can to receive more information from other professionals :)

Expérience encourageante si ça peux faire du bien à quelqu’un ❤️✨.

J’ai une énorme phobie du dentiste, j’ai la même dentiste depuis des années et ça se passe assez bien avec elle, donc je n’ai jamais voulu aller ailleurs, mais elle est surchargée, sa prend 7-8 mois avant d’avoir un rendez-vous et mes dents dont j’ai repoussée les soins pendant beaucoup trop d’années sont de pires en pires. J’avais vraiment honte de mes dents de devant et j’ai dû en faire arracher plusieures dans le fond.

J’ai posté la dent de la première image il y a quelques semaines ici, on m’a conseillé de vite consulter un dentiste, merci de toutes les réponses et que probablement même elle ne serait pas réparable ( grosse carie derrière).
J’ai pris mon courage à deux mains et j’ai appeler une autre clinique que la mienne faute de rendez-vous plus tôt.
Consultation et radios la semaine dernière qui ont montrés une bonne carie, mais pourrais peut-être être encore sauvée si je prenais rendez-vous vite. Avant, j’aurais tardé par peur et même des fois je n’allais même pas à mes rendez-vous comment j’en dormais pas de la nuit.

Je ne voulais pas perdre ma dent, alors j’ai placé un rendez-vous très vite , quelques jours après. C’était ce matin, j’étais hyper anxieuse à mon arrivée, la dentiste m’a vraiment rassurée et était à l’écoute .
Finalement, la carie n’avait pas encore touché le nerf et même si il ne restait pas besucoup de structure, la dentiste a réussis à mettre un pansement dedans et faire des miracles avec cette dent. Ça si bien été que elle m’a proposé de réparer la palette à côté qui en avait besoin et nettoyer/polir les autres dents proches avec du tarte.
Je suis en amour avec le résultat. Même si c’est encore sensible, je suis tellement fière de moi et heureuse d’y être allée. J’ai deux autres rendez-vous de prévue bientôt.

Si ça peux aider les anxieux comme moi, je me suis répétée une phrase que j’ai lu souvent dans les réponses des dentistes dans les commentaires: plus tu attends et pire ça va être. J’aurais attendu encore, j’aurais perdu cette dent, mais là elle est toute réparée enfin. ❤️

I need to have this wisdom tooth on the right side removed.
What are the actual risks involved?

I wasn't given any antibiotics before my wisdom tooth extraction—I’m having the procedure done tomorrow—but I’ve seen that some people are prescribed antibiotics to take before the surgery. Is this standard practice?

I got consistent with flossing for almost a month after my oral prophylaxis. Three days ago, my lower gum near my molar, where my wisdom tooth used to be, started aching. I had to take mefenamic acid, and the pain went away and didn’t come back.

Now, my upper molar is throbbing, almost like a heartbeat, and the pain is so distracting that I can’t focus on anything. I don’t want to take mefenamic acid anymore. Should I stop flossing for now?

Note: my wisdom tooth is already removed 10 months ago up and down.

I'm doing a post here because I cannot go to the dentist and Id like some advice.

I've had this issue for a week and the pictures are in order of how it's progressed. I can eat, swallow and drink completely fine and I only feel pain when I brush over the sores with my tongue or toothbrush. I did have a fever and body aches etc but I'm not sure if that was related to the sores as they're still here but my symptoms are mostly gone. I can't tell if they've been getting more painful and irritated or less.

I do smoke occasionally and rarely drink. Any idea of what it could be or what I should do? Thank you!

I (m34) got a root canal last Friday. Everything felt typical, but discomfort kept increasing each day. I didn’t take any ibuprofen because it’s been giving me bad heartburn and acid reflux. Things seem to be increasing instead of calming down. I took naproxen Monday to no effect. Tuesday night was so bad it partially prevented me from falling asleep even with prescribed acetaminophen and codeine. Today I’m scheduled for a crown placement on the same tooth at 9 am.

Does my symptoms mean the root canal wasn’t successful? Should I not get the crown just yet ?

Hello, English is not my first language, so I apologize if there is some mistake.

I've heard you need to wait at least twenty minutes after a meal to let the saliva regulate the pH of your mouth; but then I found myself reading an article that says it only applies when you're eating something acidic. So, I want to ask, what is the definition of acidic? How long should I wait after eating sugar? Or something else?

https://www.colgate.es/oral-health/brushing-and-flossing/is-brushing-teeth-after-eating-good-for-you

Thanks.

Hi in a bit of a tricky situation and need some advice or input.

Was just at the dentist and my gum pocket by the wisdom tooth is at around 8mm. I haven’t had any pain there but obviously this isn’t good.

The other problem is that my wisdom tooth is partially embedded (don’t know if that’s the right terminology) in my jaw bone, and the doctor said there is risk for nerve damage… they are currently unsure of what to do and they said they would get back to me regarding next steps.

How bad is it impacted and how high are the risks of nerve damage? This is my main concern..

Are there any other solutions worth trying?

​

When I prepare a crown, I start the buccal reduction by guiding the bur along the side of the tooth. However, when I try to create the buccal bevel (Abschrägung), the upper part of the tooth near the occlusal surface, similar to the area around the occlusal fissures, seems to remain untouched.

There is always a small area of the tooth that I cannot properly reduce. When I try to remove this remaining area, I end up creating grooves or ridges, and the preparation no longer looks smooth or uniform.

What am I doing wrong? How should I position and guide the bur to achieve an even buccal reduction without creating grooves or leaving unprepared areas?

Any tips or advice would be greatly appreciated!

Hello, I’m a 21-year-old female, and today, the first time in two years, I finally went to the dentist.
I hadn’t dared to go before because I had neglected my dental health for so long.

Ever since I was little, I’ve had issues with my gums.
They frequently become inflamed and start to bleed when I brush my teeth.
I also struggle with recurring cavities. When I was very young, one of my teeth actually rotted away(??idk it was literally black)I’m not sure if that was because my parents didn’t pay enough attention to it, or if there might be other, perhaps genetic, reasons.

Today, the dentist mentioned that I might be in the early stages of periodontitis. I also have several cavities. (even though I brush my teeth regularly)

I feel completely overwhelmed and just want to cry it’s causing me so much stress.
Honestly, for the past few years, I’ve been struggling just to survive, I had much bigger problems to deal with than my dental hygiene.
That’s also why I started smoking four years ago.
I was of the opinion that I wouldn’t live much longer anyway, due to years of abuse by my mother and my mental health, which is why I had completely neglected my own health.
Now I’m terrified for my teeth.

My mother recently had to get dental implants because she had lost some of her teeth. I’m afraid I might have a genetic predisposition for this. I’m only 21, and now I’m being told I might be at the start of such a serious condition. I’m screwed, aren’t I?

I've been down this road before and it always seems like a toss up, with most professional resources claiming that either procedure has an average life expectancy of about ten years.

I am in my mid 60s and I have 50 years of history with dental work. I've had several root canals and many crowns and my mouth currently sports 4 implants that have knock on wood, been successful. I've had both successful root canals (defined as lasting ten years or more) and root canals that failed - some quickly, some not so quickly.

I guess I am always hoping enough time goes by as I age, that technology will bring on better solutions - but so far not yet lol. At my age, it may never happen.

Any way, to the point, I have a molar with a very old filling that has collapsed and the beginnings of an infection.

Just wondering if anyone has any additional thoughts or comments that would help me decide in leaning toward one direction or another.

Many thanks....peace.

Title says it all the size of break recently got slightly bigger and am trying to get dentist but idk if im cooked or not.

Dentist didn’t see me after taking the bitewing X-rays and left me without any explanation. Hence my question.

J’ai eu une grosse réparation sur cette dent hier, la structure de ma dent était très mince et la dentiste a réussie à la sauver en nettoyant la carie, elle a mis un pansement et bien tout refermé.
Quand je suis partie de la clinique hier ma dent était de couleur identique, unie partout.
Ce matin, je remarque que une partie est beaucoup plus blanche que le reste de la dent. Ça fait vraiment une grosse tâche blanche directement dans ma dent, il n’y a rien sur ma dent. Je sais que cette tâche était présente avant la réparation sur ma dent, donc j’imagine que ça doit être de l’émail ou quelque chose ainsi, je voudrais juste savoir si c’est normal ? Merci :)
( je revois ma dentiste dans un mois, je vais lui en parler ).

NAD. 56F SCAD with heart arrest survivor on 7 heart meds (but no longer strong blood thinners), and gabapentin for sciatica. And all this takes place in France. English isn't my mothertongue.

I'd like to have your opinion on the expected success rate of a planned implant. I'm suddenly very anxious about the situation because of how the dentist didn't really discuss my options or even let me see the panoramic dental scanner to show what they were going to do, as has always been my experience with dentists.

NOT looking for legal advice, just to know if this is a normal outcome, or I should not get the surgery.

Some background.

Early 2024 I'm on 800mg daily gabapentin for sciatica, I find a reputable stomatologist/oral surgeon to deal with the aftermath of bad dentistry meets shitty genes: I'm left with a chipped tooth that will not keep its filling, and a hole where a crown will not stay put, on a palate bone that is 2millimetres thick, that my former stomatologist wouldn't touch.

The oral surgeon says, we can do something, but first go see this very good dental surgeon for the chipped teeth then come back to me. I make an appointment with the dentist for september.

1st of august 2024, SCAD, 2 weeks in hospital, in cardio ICU then regukar cardio department, then back home with an 24/7 external defibrillator for a month. Massive fatigue, and the combined meds feel like an early onset dementia: unable to sort my healthcare related documents, or analyse a situation and make informed decisions. Like a loss of advanced cognitive capacities.

End of september 2024, I go to the appointment with the dentist for the chipped tooth, she does an amazing job with techniques and tools I've never seen in a dentist surgery before, clearly a cutting edge excellent dentist. I don't recall exactly what she did, but it took multiple appointments.

End of 2024 she tells me we can totally treat the missing crown here. She says the tooth is cracked and brittle and that's why the crown won't stay put, and the tooth needs to go, and she can scrape the palate bone structure beneath the tooth from 2mm down to 1mm and then add some bone graft there to strenghten it enough to be able to hold an implant. So we extract the tooth sometime early 2025 IIRC, and a in september2025 she scrapes the bone in which the faulty crown's tooth was set down to 1mm.

I have to say, at that time I felt like I was in the passenger seat of my life, not capable of making informed pondered decisions, just following instructions in a floaty kinda perception of things, but I don't think it showed until someone asked me to grab a specific document in my healthcare documents binder (couldn't do it).

I'm to come back within a time frame for the bone grafting, but in the mean time I need to get a minor surgery (polyp removal), that leaves me unexpectedly exhausted, massive fatigue, for weeks, and on the day of the planned grafting my heart is acting out, and I can't go, so I have to cancel, and then between the fatigue and the meds, and the dementia-like state I'm in, I just wait too long to go back there and the grafting window has closed. My fault entirely.

Decembre 2025 I go back to see the dentist, and she says "nah it's fine, I can still set in the inplant we've made, I'll just have to push it in". Then she snarkily mocks me for confusing painkiller and nerve calming meds, and an alarm bell just goes off in my mind, and I practiclly run out of the dentist.

Early 2026 I learn that sciatica pains come and go, and I could try to lessen the dosage of gabapentin that is most probably the med putting me in an early onset dementia like state, cognitively speaking. So, with my GP supervision, over the span of several months, I carefully scale it down to 400mg per day, then decide to go see the dentist again to discuss options now that I'm clearer minded and to pay the backlog of the work she did on my mouth.

So this is how the appointment went: Got me in the seat, checked the state of things, cleaned of a little buildup, told me we might be able to still continue the work to set the inplant. I was expecting a detailled discussion I'd finally be able to comprehend properly, but instead she told me we never discussed bone grafting, she didn't scrape my bone off, and ferried me off to take a panoramic dental scanner with my coat and bag, while the looked at the next patient (a quick check). But instead of inviting me back in the surgery to see the images, show me what had changed since last year and discuss options, she somehow presented me with last year's bill (OK) added in the cost of the implant (what?). I'm very susceptible to the white coat effect, and apparently still quite dumbed down by the meds because I payed upfront the equivalent of a small salary!!!

(I'm definitely gonna continue trying to lower the gabapentin dosage, it's a slow process, I can only lower it 100mg every 2 months.)

I managed to get a short explanation out of her about what she intended to do: poke a hole, pull the sides of the hole apart to fit the inplant in, and it will hold. I increduslouly joked "like a Molly screw?" and she said, " something like that". And then she wizzed off to a third patient.

Is this a procedure you recognise?

Also I mean the lying alone is a red flag, so I need a second opinion just because this is how she dealt with the situation. I'm getting the impression she's trying to shove the damn inplant in me no matter what, just to get her money.

At this point I just want to avoid worsening the situation in my mouth. If I did a stupid thing (not going to the bone grafting appointment) that can't be fixed, because the remaining bone is too thin, then I just need to know. I don't want an inplant there if it has high chances of harming me in the near future.

Please help me asses the situation dentistry-wise, I'll take it from there.

This happened to me yesterday and I wonder what happened, because this never happened to me before.

There's clearly something wrong and they're going soon.

Buuuuuuut I don't know if they're fully aware of just how terrible their breath is. Should I call the office and warn them? My worry is the office will not be prepared and/or react poorly and make my friend feel shame.

Hello ya’ll I just got my upper left wisdom tooth extracted yesterday. My dentist removed my tooth no problem, wasn’t impacted or anything. My issue isn’t pain or anything like that. I’m dealing with numbness in the sense that I feel like pressure on my left cheek. It’s hard to explain, I’m able to see I can open my mouth and move my eyes, etc. I perhaps may be overreacting since I’m an anxious person, but I heard that you can get permanent nerve damage if they poked a nerve. Has anyone else had this experience and what are some warning signs I should look for, or any recommendations. Thank you all in advance for reading and responding.

19y, do u guys think I gonna need do extraction for a dental braces?

Hello. 39/nb I have really horrible teeth and I’m addressing my dental health, overcoming significant dental phobia. The dentist I have is really good at working with dental anxiety and is nonjudgemental.
I got a full x ray using those instruments you stick in the jaw and…yeah, it was intolerable. I have a really active gag reflex, and the technician kept telling me to “bite harder” when I was already biting as hard as I could. Also she kept shoving the instrument into the tooth holes because there was no room. It also kept going on forever and they would not listen when I was like hey, I can’t tolerate this, and I can’t bite stronger. If you keep telling me to bite stronger I’m not going to magically be able to.
It was really stressful and I considered walking out. I didn’t, but I have questions on how I can go through this easier next time. My dentist says I won’t need an x ray like that for a very long time, and in the future I can do the panoramic kind.
But like…if someone cannot tolerate in-mouth x rays like this, can they just do the panoramic one in the first place? Are they missing something that the other method gets? Would using pediatric tools work better?
I’m glad I don’t have to do it anymore. Stressful encounters like this, even traumatic ones, have kept me out of dental care for a really long time before. I tried to stop them continuing the x rays but they said the dentist can’t do her exam if I did that and I don’t know if that’s true. But the one idea that I had is really like any other healthcare …I can say hey I don’t want to do this. I can’t tolerate it and we need to find an alternative.

I am going back,particularly because of my dentist saying I don’t have to do that again for a while, but I am wondering how I could make that better next time. Would Ativan help? Will it help when I have dentures to address the weaknesses in my bite/jaw?