Patient: The big tooth (the second from the bottom of the left row behind the penultimate) was cracked according to the doctor (the silver and gray of the previous filling were lost), the big tooth on the right was previously filled with a large area of decay and now wants to save, the wisdom tooth behind the doctor said it should also be pulled (the right has grown out of a face, but the left one is buried in the flesh and cannot be seen) The specialist endodontist did not give adequate advice and was not very patient so he took a full image and pulled the tooth ((such as pulling wisdom teeth)). Is it necessary to operate if a wisdom tooth is extracted? Is there any after-effects? Will it be difficult to remove?) Braces for the 2nd big tooth on the right (restoration) (Do I need to do root canal treatment?) Guangzhou Medical College First Affiliated Hospital, Department of Stomatology Pan Guangshi: The following is a personal opinion for your reference 1, the lower left penultimate tooth if cracked, do not pull out all, can be half tooth surgery, root canal treatment after crown repair, such as only the original filling material off, can be root canal treatment 2, in order to prevent both sides of the wisdom teeth on the front teeth damage, should be extracted, the left side of the tooth some difficulty, the right side is easier to pull out, pull wisdom teeth will not have 3, the right lower teeth should be root canal treatment + pile crown restoration, treatment is more complex, the cost is higher Patient: Thank you Dr. Pan’s recovery Thank you very much 1, my left 2nd tooth is now filling all fallen outside also has a large gap (feeling is the back of the tooth and the outside of the crack now teeth on a big empty hole eating pain can not bite went to some hospitals are not to fill on said to pull out, if not all pull out? I don’t know. Do you want to do the whole crown? If I don’t know whether I had a rotten nerve (root canal treatment) 10 years ago, can I do it again or not? Can’t you see it on the film? 2, my wisdom tooth extraction doctor said that there is a risk of nerve damage? The left one should be removed surgically? 3, the doctor root canal treatment + pile crown restoration cost about how much ah Guangzhou Medical College First Affiliated Hospital Department of Stomatology Pan Guangshi: 1, the said half tooth surgery, that is, the extraction of the bad side, the other half of the good to retain, so that the crown is also half (can also be linked with the front teeth into a bridge), this treatment is slightly more complex, but the patient is a great benefit 2, the X-ray film shows a two-dimensional image, the wisdom tooth root performance seems to be with the 3, the left side of the wisdom tooth not erupted if you do not want, but once erupted, there should be inflammation and other uncomfortable symptoms, then should be removed as soon as possible 4, about the root canal treatment + pile crown treatment costs, there will be differences around, you can consult your doctor before treatment Patient: Dr. Pan Thank you. 1. You are referring to a bridge with the front tooth. How should I treat between the gaps of half of the extracted teeth? If I don’t know whether I had a rotten nerve (root canal treatment) 10 years ago, can I do it again or not? Can’t I see it on the film? 2. The wisdom tooth extraction doctor said that surgery is needed? I was a little scared, so I decided to do it. 3. Is it bad for my health to remove a whole tooth and a half tooth that have been rotten and then install a crown? 4 Can I go to a general practitioner for my dental problems? Now I have to spend a long time to go to different specialists and different departments (with different answers from doctors)? The first affiliated hospital of Guangzhou Medical College stomatology Pan Guangshi: 1, the film does not show the left lower teeth have been root canal treatment, because you are young, redo the words is not very difficult, as for what way to take the crown after the hemithorax dental inlay, depending on your own, such as want to solve the gap, with the front teeth joint crown repair, such as do not want to grind the front teeth, the gap can be retained, simply for the crown after the hemithorax 2, the hospital in Shanghai The advantage is that the doctor specializes in one field, so the experience and facilities will be relatively high. It is still recommended that if you have wisdom teeth extracted, you can first go online to understand or inquire which specialist is better at it. 3, tooth extraction is a minor surgery, which is not bad for the body and can prevent big problems in the future by removing potential lesions in the mouth. 4. Your teeth include the contents of endodontics, restorative dentistry and oral and maxillofacial surgery, which can be completed by oral general practitioners in the Department of Dentistry of large general hospitals, such as in Jiu Hospital, which is recommended to be completed by subspecialties. It does take more time and cost Patient: Dr. Pan 1, there are several ways of crowning the teeth? The best kind of which ah I do porcelain tooth is filled with gold, afraid of inflammation 2, this tooth is now intact (rotten nerve) but the previous decay is too strong now the doctor said to help me do root canal treatment, please do not have to clear all the silver powder before doing so the tooth is not to crack? Guangzhou Medical College First Affiliated Hospital, Department of Stomatology Pan Guangshi: Xiao Chen, sorry for being busy these days, I was unable to answer you in time, 1, porcelain dental material types more, each has its advantages and disadvantages, a simple summary, the price is more expensive such as precious metal zirconium dioxide platinum and other types of course very good, the specific situation can consult your doctor in detail 2, to do the root canal treatment of this tooth, of course, need to remove the original filling silver powder, in During the treatment period, the doctor should reduce the height of this tooth bite, and at the same time reduce the use of this tooth, so as to avoid the situation of tooth fracture during the treatment period Patient: Dr. Pan You are so busy still remember me Thank you so much, 1, the above x-ray – you gave advice after I looked for a dentist I know said my teeth (above this one) my teeth can be done directly to the crown can be Can I get a crown? If it hurts later, it’s not too late to open a cavity for root canal treatment because I think this cavity is very big and it’s been fine for years. Secondly, I need to make a crown on my left tooth first. I want to get your advice. 2. The following X-ray – I have been to many hospitals recently and decided to do orthodontics. I have a big question now. or does it grow further and further down? Or is it growing further and further down? I heard you say that the root of the wisdom tooth seems to be close to the lower alveolar nerve canal so can it grow out naturally? I heard from the doctor that if there is a gap in the front, the 7th tooth will automatically move forward and then the wisdom tooth will grow vertically with a gap? Do you think this solution is feasible? Guangzhou Medical College First Affiliated Hospital, Department of Stomatology Pan Guangshi: 1, without root canal treatment directly crown repair is a bit risky, because this is a dead pulp teeth, teeth brittle, not strong fracture resistance, after the porcelain teeth may face not only the problem of apical inflammation, it is very likely to crack the whole crown off, 2, the film shows the second bicuspid root filling poor, the first molar fracture, without root canal treatment, The third molar obstruction, such as orthodontic treatment, the first molar can be extracted, the second bicuspid redo root canal treatment, pull the second molar forward to the first molar extraction after the gap, and then pull the third molar forward, this is a better plan, of course, it takes more time, do not worry about the third molar, orthodontists can pull the doctor to the ideal position, the patient: 1, then if the root canal treatment is not also dead pulp teeth, The majority of brittle teeth exist? If the tooth is cracked, the whole crown will never fall off? 2, my left wisdom tooth has grown out of the face will not be pulled if the front teeth fixed to replace? (If it grows slowly later) Guangzhou Medical College First Affiliated Hospital, Department of Stomatology Pan Guangshi: 1, simply use the crown to repair the dead pulp teeth will certainly appear the situation you are worried about, the clinical treatment of teeth to avoid fracture is based on root canal treatment on the root of the tooth glued on the fiber pile or metal to strengthen its strength (such as the principle of architectural design). 2. With your current age and the condition shown in the dental film, the space for this wisdom tooth to move is quite limited. Patient: Thank you, Dr. Pan, for your reply.