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File: images (34).jpg (19 KB, 678x452)
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Hello retards, dentist here
I kinda stopped lurking fit and chans in general because adult life isn't very compatible with my teenage habits of constant 4chan scrolling.
From time to time though I still check the catalog to see how things are going, this morning I stumbled upon a thread about oral health, and the absolute horseshit I red there made my brain shiver. But it's kinda normal, when it comes to oral health people have a lot of questions, not many answers, and the average joe many times sees dentists as blood sucking charlatans who will charge you a month salary for a root canal. This of course creates even more doubts and misgivings.

Now, I'm an old fag enough to remember word filters and a time where this board was called /Health and Fitness/, so I wanted to open a thread about oral health, where you guys can ask me questions, english isn't my first language but I'll try to give you the best answers I can. Remember that no matter how much you can lift, you won't get laid if your teeth look like shit.

I hope this thread can help at least some of you to have a better idea about wtf is happening in their mouth and what to do about it, see you.
>>
>>76682620
Who do dentists get upset if someone says they don't want the X-rays during a cleaning
>>
I have 2 metal permanent retainers in my mouth that I've had for 15 years. They're still intact and I keep them clean. Convince me the metal isn't leaching into my blood..
>>
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>>76682620
Vitamins repair teeth. Density is a scam.
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>>76682625

Xrays are fundamental to understand what's happening in a mouth. Just by observing with our eyes, even using magnifying glasses, a dentist or a hygienist can't know if a tooth has a cavity, if the root is fractured, if there's a granuloma and so on. Teeth are small, and we have a lot of them, using an X Ray is the fastest and safest way to get info about them.

Look at the pic for example. The tiny black dot are interproximal cavities, nasty cavities that appears between tooth because people don't floss. These cavities are very small and it's impossible to see them at naked eye, at least when they are this small and treating them would take 1 hour. Without an X Ray, these cavities would go unnoticed and the patient that refused the Xrays would come back at my office 1-2 years later with cavities big as bullet holes, and the teeth would need a root canal or extraction. That's why Xrays are important, and they absolutely not a scam. And they're not harmful unless the dentist make 1000 of them in a single day on you. That's why it's moronic to refuse Xrays, it's like a patient going to the doctor to check a rash on his ass and refusing to take off their pants and asking the doctor "well, why can't you see what's going on without seeing my ass, you pervert"

> but then why you run away when Xrays are taken

Because I take a lot of Xrays every day, and despite the fact that the drag cannon is pointed at your mouth, some ionizing radiation still floats in the air around you, and even if it's a 0.0005 of radiation, after a week of work in the clinic it would be much more, and I don't wanna take it.

> what about panoramic x-ray
The amount of radiation is still very little, and they're very good to give a general idea of the mouth.
>>
>>76683696

(cont.)

> what about dentalscan (CBCT)
now we're talking. CBCT gives you a LOT of radiation, it's not harmful of course, but a lot more than simple Xrays like the one I mentioned before. CBCT should be used only when it's necessary (mostly wisdom tooth surgery), and not more than 2-3 per year.

Last important thing: ask for your Xrays. Many people don't do this, many don't know they can, but by law (at least here in the EU) dentists are mandated by law to give you your Xrays if you ask them. It's your teeth, you paid for them, and you have any reason to have them stored in your pc so that in the future if you move, if you change dentist, if you need it for insurance reason and so on, you have a picture of what your mouth looked like in that specific time.
With dentalscan this is not possible though, because you need special softwares to open them. But you can ask screenshot of them.
>>
>>76682639

Because your body doesn't work this way. The kind of metal used for retainers, capsules, crowns and so on doesn't simply "leach" into your blood, unless you had it made by a street dentist in the streets of New Delhi. I'm aware that in a atomic/molecular way there might be some "leaching" although I don't think that's the term, but that's not my field and it's in no ways harmful for your general health.
The only way metal could "leach" into your bloodstream would be if it detached from the tooth and you swallow it (you would have to be very unlucky and have a very dumb throat reflex for this) and believe me the metal particles in your bloodstream would be the last of your problems in that case.

Keep your retainers, they're the best way to preserve the position of your teeth after you or your parents spent thousand of euros/dollars on straightening your teeth after orthodontics. The inferior one is especially important as lower incisors tend to move very quickly after the end of the treatment and it's very hard to get them back in position. I had my retainer since middle school, and it's still there.
>>
>>76683306

Again, your body doesn't work like that. I'm sorry, things would be much easier if it did.
That tooth clearly had a filling done, and a very shitty one.
Zoom on the second picture, on the cervical area of the tooth, near the gum. You can clearly see the tertiary dentin (the black thing) and what's left of the cavity, behind a thin layer of whiteish resin, and the gum around the tooth is still a bit swollen after the treatment. The dentist that did it didn't even bother to clean the cavity perfectly, so you can see the black shade behind the resin.

Don't trust infographs you find online when it come to your health, anons

> vitamins repair teeth

That's someway true though. In the other thread people talked about hydroxyapatite or whatever is written in English, that's basically what's inside the enamel of your tooth and it's a great material to repair incipient cavities, which are cavities that are starting to form but still didn't make the hole in the tooth, they're only ruining the enamel. Mouthwash and toothpaste with hydroxiapatite will be the very common in the future and their efficacy is being tested now.

But these materials only work when the enamel is affected, and the enamel is the only part of the tooth that can somewhat repair itself (although that's not the right term, it's more like it cicatrize over the time and seal the tiny hole with harder enamel). Once the "hole" pass through the enamel, and reach the dentin, there's no coming back, the tooth need to be filled, it won't repair itself.
>>
>>76682620
Hi OP, I actually do have some questions and I would appreciate your advice.
I have periodontitis and had a cleaning on the upper side because the swelling was too much, and after that I got a root canal. That was half a year ago. I haven't done a cleaning on the lower side.
I also have a few caries, most of them tiny and one large. I have been putting off getting them fixed.
I also vape and drink coffee daily. Also sometimes I go 2 days without washing my teeth.
How fucked am I?
Will my teeth fall out before I turn 40?
Also, is it really that importante to do the gum cleaning for the periodontitis?
>>
How do I make my teeth whiter? I have 2 coffees a day.
>>
>>76682620
I discovered cavities in my wisdom molars that even require anesthesia to treat, but I had no symptoms. My question is, could it have been better to leave them be? I am afraid the radical resection is gonna fuck up my teeth structure or even damage my nerve
>>
fucker posted in the middle of the night and dipped
>>
>>76683821

Black/brownish stains from tea, coffee, red wine and so on are fairly easy to remove. Usually a decent deal hygienist will pass a brush or a rubber point to polish your teeth after the hygiene is over, that's enough to remove them, but they'll come back since it's easy for the black pigments of food and liquid to enter into the small crevices of your teeth.

A good way to avoid staining is literally wash your teeth with water, I mean just drink a glass of water after a coffee or a cup of tea, and let the water move around just like you do with a regular mouthwash.
This way all the tiny pigments won't have the time to find a crevice to get stuck around the place, and you will remove them when they're still swimming around your mouth.
Smoke stains for cigarette and vaping (yes vaping also stains, as well as iqos) are different, and nastier. The washing method works, but not as well.
>>
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>>76682620
would you rather bench 2 plates or 3 plates?
>>
>>76682625
Have you read Weston A. Price? What do you think about primitives having perfect teeth despite no dental care?
>>
>>76685224
meant to reply to >>76682620
>>
>>76682620
How to keep them clean and healthy? How many times a day brushing, mouth wash, floss? Any toothpaste recommendations, suplemets?
>>
is xylitol actually good for teeth or just a meme
>>
>>76685282

Xylitol is great. The reason is that's one of the few non cariogenic, but carioprotective sugars, meaning that not only the bacterias in your mouth don't like it and can't use it as food and establish colonies in your mouth and fuck things up with cavities, but the xylitol actually "fights" certain specific bacterias that are among the most cariogenic, like streptococcus aureus, because it's slightly acid and so it inhibits this bacteria, so that other, more teeth-friendly bacterias can take their place in the ecosystem that is your mouth, leaving you with less probability to develop cavities.

Cavities appear because you have sugars around your teeth, the bacterias munch on it, and they reproduce a lot because they like the place. Bacterias eat, and also shit, and their "shit" is what creates cavities, because these subproducts of their lives alters the Ph of the enamel, breaking it and perforating it. With Xylitol, this doesn't happen.
>>
>>76682620
I have serious periodontitis and plaque plus 3 fucked teeth, it's pretty bad. How long would it take to fix it all?
>>
>>76682620
>Hello retards, dentist here
My bottom front four teeth all have a constant feeling of like pressure without pain, that gets more intense when I shake my head or move around. I went to the dentist and they took scans and saw the roots on those four were all very weak or thin (I don’t really know the terminology) and referred me to an endodontist for a root canal. At the endodontist he was like really confused by all the data, none of my teeth really reacted to the cold test he did, and he thought it was strange that the pressure feeling had lasted this long without turning into actual pain if it was a root canal. I had chin surgery several years ago and he thought it was highly likely that was the cause but wasn’t sure how.

He recommended that I just monitor it and if it gets worse get a root canal on the one that I kind of felt the cold, but that I could get a root canal done if I wanted though the fact he didn’t know for sure what was going on made him hesitant. What would you do?
>>
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>>76685275

2 times a day brushing, 3 would be better but no one does it. The most important one is before going to bed, as when you go to sleep your salivation decrease (and saliva is filled with stuff that protects your teeth) and your mouth is left for 8-9 hours at the mercy of the bacterias in your mouth, who are free to do what they want and reproduce a lot. The lack of salivation is why we have awful breath in the morning, the mouth is very dry and there's lot of bacterias around.

Brush for at least 2 minutes, download an app, there's a lot of them. First upper, then lower, then inside, outside, and if the two minutes still haven't passed, start again. Many people brush 2 times a day, the problem is that they don't do it properly, with the right care, but instead it becomes an automatic thing like tying your shoelaces.

> mouthwash
All of them are good, avoid Listerine like plague , there's alcool in it and it will burn your mouth and kill all the good bacterias, along with the good one. Fuck Listerine so much.

> floss
Flossing is very important, and sadly it's not done enough. That's the reason why in the current time, interproximal cavities like the one in pic related (btw that's the pic I meant to use here >>76683696 when talking about Xrays) are the most common cavities, because people are kinda good when it comes to brushing their teeth but very few use dental floss.

> Toothpaste
All of them are good, the amount of fluoride is usually 1450ppm (parts per million) wich is a good amount. For kids, the amount of fluoride should be way lower because kids are dumb and tend to swallow the toothpaste when they use it instead of spitting it, and fluoride in great quantity can be harmful for the germs of developing teeth. Avoid whitening toothpaste, black toothpaste, carbon toothpaste, they're overpriced, don't work and they're too abrasive and will ruin your enamel like sanding paper.

Last thing, a yearly check to your dentist or dental hygienist.
>>
>>76683818


>I have periodontitis and had a cleaning on the upper side because the swelling was too much, and after that I got a root canal. That was half a year ago. I haven't done a cleaning on the lower side.

Sorry to hear that, periodontitis is a bitch and in many times it's caused by congenital factors, so even people with perfect hygiene can get it, and it's very common. People with periodontal disease should get their mouth professionally cleaned (it's called scaling, or tartar removal) at least 2, even 3 times a year. In my office it's usually three times, once every 4 months, because that's the safest way to keep your mouth as clean as possible and make the teeth last. Do a full cleaning anon, find a dentist that you like and that perform dental scaling properly (no bullshit 30 minutes session, those won't help you) and start planning with him a maintenance treatment.

>I also have a few caries, most of them tiny and one large. I have been putting off getting them fixed.
That's bad

>I also vape and drink coffee daily. Also sometimes I go 2 days without washing my teeth.
That's even worse

>How fucked am I?
Not that fucked. You're a fitizen so that means you care about your health, it's just that for some reason you put your oral health in second place due to reasons. You're probably young, so you have that on your side, our body is incredibly resilient. But just like you started lifting, you have to decide and start getting your mouth fixed. That's the hardest part, once you start, then everything is downhill
>>
>>76683818

part 2

>Will my teeth fall out before I turn 40?
No, unless you also have very bad general health, or you're a woman who plans to have a bazillion kids (pregnancies are very though on your mouth's bone, when you got periodontitis). But your teeth may start moving, and become more and more unstable, and also all that sockets around your teeth become the perfect breeding place for bacterias, and you get bad breath.

>Also, is it really that importante to do the gum cleaning for the periodontitis
Refer to above. The first 1-2 sessions may be painful, because there'll be a lot of tartar and calculus to remove, and things may get messy. Ask your dentist to use some anesthesia, you won't feel a thing. But please, don't wait too much and write it on your to do's list by the end of the year.
>>
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>>76685421

Without seeing your mouth, knowing your general health and having some xrays done it's impossible to know. For the periodontal disease, refer to what I've said above, and about the 3 fucked up teeth, it depends on their level of fucked up and the kind of tooth (molar, incisor, canine..)
Extracting a tooth isn't that expensive. Root canals and crowns can be very expensive, depending on the tooth and the number of roots/canals. Implant and crown are about 2500€ where I work.
>>
>>76685224

Good question, I'm a history autist and I was one of the few of my class to pay attention when it came to history of dentistry, and to theories of people like Price.

My opinion is mixed. It's true that human beings after the agricultural revolution and sedentary life showed more signs of fucked up teeth, cavity, periodontal disease and so on related to more carbohydrates in our daily diets and less meat and proteins.. But it wasn't heaven before that.
Primitives teeth, and Sapiens that still lived nomadic, hunter gatherers life and ate (raw) meat, vegetables, roots and so on, had less caries but their teeth were extremely abraded, because of how much they were chewing and chewing, their diet consisted of very fibrous food and it showed on their mouth. They had less cavities but their teeth were far from perfect, and eating with a mouth like pic related would become unbearable pretty fast.
>>
>>76685517
Molars and it's just extraction. My teeth look like that on your pic but white, for some god know what reason the color of my teeth looks great and healthy, the big problem is at the gum line that is all kind of fucked.

Health wise I'm pretty good but cuts and shit like that do take more than they should to heal.

>2500€
Fuck it's not even that bad, I wish I wasn't a pussy and absolutely ashamed of the state of my mouth so I could go to the dentist. Also I have enlarged tonsils so they'll probably freak out. I wouldn't mind paying 10k if I could get a great smile without the pain and trouble that start digging in my mouth will bring.
>>
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>>76683825

There's always a ting risk of nerve damage when you have to extract your lower wisdom teeth. That's why it's important to have a CBCT or a dentalscan, so that the dentist can see if the nerve is near the tooth, and if it's easy to extract surgically or it's safer to leave it there. 90% of the times the risks of having a timing bomb filled with bacterias and shit inside your mouth and that can give you abscess and swelling, is greater than the risk of touching the nerve during the extraction, so the dentist decide to remove the tooth. Believe me, it's almost always the best option.

> but I had no symptoms

That's because the nerve inside the tooth is already dead. But the bacterias inside the tooth will keep growing, and when your immune system is weak, they will suddenly grow more and multiply, with the risk of developing an abscess, which is very painful and require antibiotics. Also if you wait too much the cavity that develops on a wisdom tooth usually "jumps" on the adjacent tooth, and that's a double pain in the ass, and in some times extraction of the other tooth is required too, pic related

>>76684128
:(

>>76684658
I could (barely) bench 2pl8 at my peak /fit/ days, but those times are long gone. I cherish those memories, but I don't miss it, i have a family now and your priorities change a lot.
>>
how much more beneficial is an electric brush over a normal one
sometimes i brush too hard on the manual and my gums bleed a lil
>>
>>76685554

Extractions alone isn't too expensive, in my clinic it ranges from 150-200€ depending on how much it will take and if the tooth is broken into many pieces.

> Health wise I'm pretty good but cuts and shit like that do take more than they should to heal.

Careful anon, if you're young that's not normal. How much "take more to heal" are we talking about? And the tonsils?
You should get that checked too.
You suffer from diabetes? There's a correlation between that and periodontal disease.

> I wish I wasn't a pussy and absolutely ashamed of the state of my mouth so I could go to the dentist.

Go anon, believe me. You wouldn't believe the nasty things I've seen in just 10 years of practice, lel. Some bloody gums, big tonsils and three broken teeth are nothing, believe me. Don't be ashamed, exact like landwhales shouldn't be ashamed when going to the gym. The first step is the toughest, I know, but after that it's downhill.
>>
unrelated to /fit/, but how can i tell if a dentist is scamming me?
>>
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>>76685427
Why didn't you answer me?
>>
>>76685588

Checked. They work better because with the electric brush, it's the brush that is making the cleaning movement, not your wrist or your hand, so the movement will always be 100% efficient, instead of a sloppy half assed movement that you can make when you clean your teeth in thee morning, while thinking about other stuff.

Still, manual brushes are still very good, but it's like driving with manual vs automatic. The latter is easier and always efficient, the other works fine too, but to really have all the benefits from it you have to know how to use it. I brush with manual for example, because I know what to do.

> sometimes i brush too hard on the manual and my gums bleed a lil

Might be a lot of factors. Maybe you have some calculus here and there and your gums are inflammated, maybe you actually brush too hard. Be sure to use a soft toothbrush (Medium is often too hard, and Hard toothbrushes are simply a crime against your gums and your enamel, avoid at any cost as they abrade a lot and give you a false feeling of cleaning).
If it happens regularly, a visit to your dentist might be a good idea. It's probably nothing btw, maybe you just need some scaling.
>>
>>76685602
Google says the normal is 3-7 days, mine takes maybe 10. And yes I assume it's due to insulin resistance that's why I reduced carbs, did blood work in August and my fasted glicose was well within the range. The enlarged tonsils is something I have since childhood, doctor even spoke to my parents about removing them but never got that done.

How do you find a trusty dentist? I'm in EU and there a shit ton of franchise clinics and for some reason that seems sketchy as fuck even though they seem to have top of the line equipment. I want a boomer dentist, not some 36 years old Stacy.
>>
>>76685620
i visited my local dentist a while and they said my brushing was wearing away my gums so i brush a lot lighter now, but i still very occasionally get bleeding
my current brush is starting to get old so i will buy a soft one next time. thanks dentistbro
>>
>>76682620
My upper right lateral incisor is slightly behind my central incisor and canine (crowding?). Should I get braces to fix it or can I just put a veneer on it or something to make it look like my teeth are aligned? Can I Mew it away or is that a meme?

Also, if I move my jaw forwards and backwards it makes a clunking noise which I can feel in my jawbone and i think this is TMJ. My usual bite has my jaw ‘clicked’ back, but if I move my jaw forward to touch the front of my lower central incisors to the back of my upper frontal incisors it gets ‘clicked’ forward. It’s not painful, it’s just fucking annoying and it feels like my jaw doesnt sit right. Can this be fixed by having my teeth aligned? How do I achieve this? I’m 27 and have had a few teeth removed in my life.
>>
>>76685541
>but their teeth were extremely abraded, because of how much they were chewing
So? Price is still right, dental health is 95% nutrition, and with modern conveniences chewy food isn't an issue. So the solution should be trying to get the masses to eat better rather than braces and brushing which just mask the symptoms.
>>
>>76685614

Avoid shady places, and listen to your guts. Incredibly low prices, low level of hygiene, those are the basics. But now, at least here in Europe, the new fad are big franchise clinics, that basically works like commercial gyms like McFit or Planet fitness. They're huge, shiny, have incredibly low prices, and will literally scam you proposing you enormous treatment of tens of thousands of euros, while in reality you only have a cavity or two and a scaling to be done.
These places are dangerous because due to the low prices, the moment they cease to make money they close down every fast, and this means letting people in the street in the middle of their treatment. Imagine going to a clinic, get your teeth extracted because you planned to make implants, and the next week you go there and the clinic is now shut down. I've seen it happen with my eyes with VitalDent, a huge spanish franchise.
>>
>>76685615
>>76685427

Sorry fren, I lost your post there. It's the first time I see something like this, I have to admit it.

> I went to the dentist and they took scans and saw the roots on those four were all very weak or thin...and referred me to an endodontist for a root canal.

They told you to have all your frontal incisors endodontically treated because "the roots where thin" despite no cavities and without even doing a vitality test? Jesus F. Christ.

> At the endodontist he was like really confused by all the data, none of my teeth really reacted to the cold test he did, and he thought it was strange that the pressure feeling had lasted this long without turning into actual pain if it was a root canal.

Absolutely, thank God he didn't do anything and questioned the first initial treatment.

> I had chin surgery several years ago and he thought it was highly likely that was the cause but wasn’t sure how.

That would be my same guess. It's highly likely that the reason behind this feeling of pressure come from the chin surgery, although I have no further data to confirm that. What I can absolutely tell you is that "weak roots" arent absolutely a resin to perform a root canal on otherwise perfectly healthy teeth. It's a good thing that your endodontist decided to not go on with the treatment.
My advice would be to contact the surgeon that performed the chin surgery (when did you do it? Why?) and tell him what's happening, and go to another dentist for a new visit. Did they take normal Xrays or dentalscans/CBCT? Ask for them if you can.
Did you receive a hit in the area of the teeth? Do they look blackish? Are they slightly mobile?

My opinion anyway is that the origin of this pressure is not to be found in the teeth, but the chin surgery. Feel free to ask more questions
>>
>>76685724

Price wasn't right, and dental health isnt 95% nutrition. Price was a visionary and he had many good ideas, but he was a son of his time, a time were scientific research often tied with personal (and political) beliefs and a big will of making controversial statements. John Harvey Kellogg and his enemas are a good example of this.

Brushes is still necessary, although I also think that trying to get the masses to have better diets and lifestyle should be top priority of every government. But Price and his contemporaries greatly underestimated the role of the bacterial fauna inside our mouth, a role that only decades later would be given its importance (around 50-60s)

>>76685635
Glad to be helpful! Softer brush and toothpaste for bleeding gums (like Parodontax, but even mentadent and OralB have their brand now) are a phenomenal combo. It's the most gentle way to take care of your teeth and gums.
>>
>>76682625
They are not using xrays but devices that induce micro fractions in the enamel part of the tooth
>>
>>76685749
>They told you to have all your frontal incisors endodontically treated because "the roots where thin" despite no cavities and without even doing a vitality test? Jesus F. Christ.
It was for a consultation with the endodontist about if I might need a root canal but yeah
>My advice would be to contact the surgeon that performed the chin surgery (when did you do it? Why?)
I did it about 4 years ago back in college, and I only did it because I was insecure about my weak chin, it was purely cosmetic.
>Did they take normal Xrays or dentalscans/CBCT?
They took dentalscans at the endodontist appointment
>Do they look blackish? Are they slightly mobile?
They don't look black at all, they are the tiniest bit mobile though when I press on them.

Also I forgot to add, the reason I waited so long to have a dentist look at them was because the feeling didn't start right after or even a few months after the surgery, and I also stopped wearing my retainer around that time so in my head there was two possible causes, (1.) Permanent nerve damage I gave myself for no reason but vanity, or (2.) my teeth shifting had put pressure on them and it just happened to be right above my surgery (almost wishful thinking) and so I waited a while to get Invisalign/braces because it was almost like Schrodinger's cat where I was afraid of knowing this was permanent and destroying any hope it could eventually go away.

Finally a year ago I went to a dentist and started Invisalign, and when I'm wearing the retainers the feeling goes away completely most of them time. But when I take them off it comes back, so I thought this was confirming my hope it was totally unrelated to the surgery, but then I moved and had to go to a new dentist, he saw the thinning and referred me to the endodontist and now I have no idea what to think. It's really scary hearing from a medical professional he has no idea what's going on.
>>
>>76685749
>>76685951
And what question should I ask the plastic surgeon if I call them? If they've seen anything like this or had complications like it before? I've thought about calling them but I imagine their instant thought will be to come up with any reason it wasn't them to avoid liability on their part (not that I'm looking to sue but they don't know that) so I haven't yet.

>My opinion anyway is that the origin of this pressure is not to be found in the teeth, but the chin surgery. Feel free to ask more questions
So should I look for another consultation with an endodontist to get a second opinion, or with a surgeon in my new area who might know about complications from the surgery? Or just wait till my invisalign treatment ends and reassess then?

And thanks for doing this by the way
>>
1. Is there any point in using diluted hydrogen peroxide as a mouthwash? The OTC stuff sold in a bottle diluted 1 part hydrogen peroxide to 3 parts water.

2. What type of questions would you ask a dentist to determine if they're not the type that will try to drill and fill every little dot they find to get rich off someone who has full coverage through insurance?

3. I had a shitty filling done at the top center section of a mollar and the filling came out when eating pomegranates or something. There's been a hole there for a year or so now and it doesn't seem to grow. I always take a very thin metal pin after eating and gently remove food that gets stuck in the hole before brushing and flossing. How screwed am I for not having fixed this yet?

Thanks in advanced, dental anon.
>>
>Flossing after every meal
>Brushing with a soft brush after every meal
>If food is acidic, wait 30 min before brushing
>Mouthwash w/ no alcohol before bed
>Tartar removal every 6 months

Do you think this is enough hygiene? How much brushing is too much?
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>>76682620
Asked about a pimple on my upper gum at my last checkup. Dentist said could be absess and will need root canal but was unable to determine which tooth from xrays, cold tests, procussion tests. Said he could just start doing drill tests, drilling without numbing, to see which tooth felt no pain, but he ran out of time and said to make another appointment. I never went back. Thinking of going for a 2nd opinion somewhere else, but I feel like it might be clearing up. I do have a lot of blocked sinus issues on that side, not sure if related.
I dont know what to do. I cant justify a couple of thousand dollars, or possilble altercations for the dentist to maybe fix a problem that currently is not causing me much issue. For now just taking it day to day, but will probably go to another dentist when my next check up is due and get their thoughts. Appreciate you taking the time to answer questions denty anon.
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I've got a permanent retainer on my inner lower teeth from orthodontic work done as a teen. I'm fine with it, but it's always made flossing a huge chore for those lower teeth so I usually just don't floss.
Are those waterpick (picrel) things a good enough substitute? They shoot high-ish pressure water in a very thin beam to get in between the teeth.
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>>76686317
I'm not him, but, no. Flossing is way more effective removing shit in between your teeth
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PSA: The holes in your tonsils can get these stinky blobs in them, but they are easily removed
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OP how do I make my fillings last longer? I have 3 since I was 16-18 (I had a sweet tooth) and all have been replaced at least once. Had one replaced this year because it was grey around the edge, for I think the second or maybe even third time (lost my records) and I'll probably have to have a root canal if the filling has to be redone again. I cut down on sugar (now I average 30 g/day down from 60), started using xylitol as a replacement, bought a sonicare toothbrush and combined fluoride & hydroxyapatite toothpaste/mouthwash. Anything else I can do? It is a composite (all my fillings are).
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>>76682620
>I'm too good to browse your board
>here's my advice
Fuck off
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>>76686580
Forbidden Tic-Tac
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My molar fillings seemed to have burred sharp edges from time and usage. Can I use a small file to grind the edge?

I brush with bicarb, floss and occasionaly do my own clean and scaling.
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>>76686580
Powwwaaa!
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>>76686878
>Can I use a small file to grind the edge?
>I brush with bicarb, floss and occasionaly do my own clean and scaling.
I bet you have a chlorine emitter in your house too, to "purify the air"
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Great thread OP. So many people are such retards when it comes to oral hygiene. Can't blame them
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>>76682620
My gums got super sensitive all of a sudden a few days ago. I brush twice a day and floss everyday. I'm also smoking a pack a day but have been doing so for a while now. Is it the smoking or change of weather and diet?
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>>76685575
I have to mention the nerves in the wisdom teeth aren't dead and the plan is to proceed with filling, not extraction. Of course, I will do individual radiographies for each of them.
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>>76682625
Because they bill for them.
Your well within your right in 99% of countries to tell the dentist to get bent (probably more politely than that).

X Rays are almost always used as a sales pitch.

The guy shilling the dentistry comments is clearly in dental school and is desperate to pay for it. That's why they put them so far in debt, imagine being $200k in debt and then they pull your license.

Easier just to lie to some people you barely know fill things that barely need filling and probably wont for years. Upsell whitening and $15 a tube "better toothpaste" that's literally no better than something you'd get from a pharmacy for $8-$10.
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>>76683818
This is a terrible combination man.

That's the kind of shit you NEED to get fixed. That's no unnecessary cosmetics that's fix it or expect to end up in an emergency dentists appointment. If your in North America and can't handle needles ask for the gas and numbing jell.
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>>76683753
>claims to be a dentist
>doesn't know what hydroxyapatite is

fraud
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>>76682620
What do you think about fluoride vs hydroxyapatite?
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>>76686012
>Is there any point in using diluted hydrogen peroxide as a mouthwash? The OTC stuff sold in a bottle diluted 1 part hydrogen peroxide to 3 parts water.

I strongly advise against using hydrogen peroxide as a mouthwash, even diluted. It's very aggressive for the mucose of the mouth, and fucks up the bacterial ecosystem (again, kill good bacterias and so bad bacterias take their place, it's always the same story). Regular mouthwash do their job perfectly, they're designed to work well and don't interfere with the ecosystem of the mouth, and don't ruin the epithelium of gum and the inner part of the cheeks. There's really no sense in using hydrogen peroxide, especially daily, just avoid it.

>2. What type of questions would you ask a dentist to determine if they're not the type that will try to drill and fill every little dot they find to get rich off someone who has full coverage through insurance?

It's not easy, you will understand this because from the first visit he will start presenting you big estimates, and try to convince you to spend big money on a lot of treatments. Of course, maybe you have a terrible mouth and maybe you actually NEED those treatment.. so there's really no sure way to tell. As I said, it's a mix of guts, and first impression.

My advice is to use word of mouth when you have to choose a new dentist, don't trust too much shiny new clinics, internet ads, reviews on Google maps and so on. Good old word of mouth works wonders in this job.


>3. I had a shitty filling done..

If it's asymptomatic, it doesn't mean that the cavity is small, maybe it's deep enough to have killed the nerve and now the tooth is not sensitive anymore, but the cavity is still growing.
It's not THAT bad if it never made an abscess, but go and make that filled again before it's too late. Maybe a normal filling will be enough, and you won't have to spend big bucks for a root canal (they're very expensive when it comes to molars, as they have many roots)
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>>76686031

You're doing very good anon. Bonus point for this part

>>Brushing with a soft brush after every meal

That's something even some dentist forget to mention to their patient. I think you're really doing the best you can to keep your mouth healthy.
About brushing, I wouldn't do more than 3-4 times, after that it's pure ADHD like washing hands twenty times a day
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>>76687713
?

>>76687312
oh that changes things, it means that the cavities on your wisdom teeth aren't as bad. But why did you mention the radical resection, if the plan is to just do some filling on the wisdom teeth?
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>>76682620
People will claim they don't believe in dental health but brush their teeth anyway. People are too stupid to talk this confidently
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>>76687056

When it come to your gums, you have to make a big distinction, only a part or a small are of your gums started to get sensitive, or it's a generalized thing?
In the first case, 9 out of 10 the reason is the tooth in the area of the sensitive gum. In the second case, I can't really say because it could be a great variety of reasons, but many in people like you who brush, floss and do things properly, it shouldn't be anything important.

It's not the smoke, it doesn't affect the gum so suddenly and not in that way, and not the weather, although some people with chronic sinusitis or allergies during autumn can experience pain in the upper gums, when the maxillary sinuses are located, but it doesn't look like that's the case. Keep an eye on it, if it doesn't go away by itself, a visit to your dentist is the right thing. Just to be sure things are okay.

>>76686995
Thanks man, yeah I'm glad that the thread is going quite good, always good to help some fellow anons.

>>76686878

It's a risk to touch them and you won't be as precise as a dentist, if you feel with your tongue that they became sharp, just go to a dental clinic and tell them, they will use a rubber point to make it smoother, maybe they won't even charge you.

> I brush with bicarb, floss and occasionaly do my own clean and scaling.

Anon, I...
please expand on this topic, I'm genuinely both curious and worried. Especially the scaling and clean.
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>>76686854

When fillings fall off after just a couple of years, it's not really your fault, it means that the dentinal pavement (the ground of sound dentine where the filling is "glued" so it stays firm on the tooth) was either still contaminated with bacterias and cavity, or not dry enough because blood , saliva or water got in the way. So it's more of a structural problem of the filling, and the dentist is the one to blame.

Again, without seeing your mouth I can't be 100% sure of this. Some people for example have bruxism, they grin their teeth a lot, or they bite their nails and this make aesthetic fillings especially on the incisors fall very easily. But if that happens in posterior teeth, yeah thats because the filling was made poorly.

> Had one replaced this year because it was grey around the edge

yeah thats a classic case of filling that was made on dentin that wasn't cleaned enough by the previous cavity. Totally the dentist's fault.

>>76686317

Waterpik and Hydropulsors (I don't know what's the term in english) are great items, they're easy to use, extremely effective and in general the patients I advised to get one were always happy after learning how to use them. They will get more and more common, now they're still kinda new, but in my opinion in some years they will become ubiquitous.

They're most effective in patients with periodontal disease, metal brackets, old people with big spaces between their teeth, because the water stream is perfect for cleaning wider areas. For super small spaces like retainers (i have a retainer too, lower incisors) the best thing is to use a SuperFloss. Oral-B makes it, it's a regular floss with three different areas, a rigid one so it easier to make it pass through the retainer, a spongy one to clean the metal, and a regular floss part to.. floss. It's very useful, but to be honest you might just use the waterpik (or any other brand) , so you can use the stream to clean all the other parts of the mouth.
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>>76688363

My bad, that's the phrase I wanted to greentext

>If food is acidic, wait 30 min before brushing

That's a very important rule that not many people knows. Acidic food and especially drinks (lemon juice, vinegar, orange juice , ALL KIND OF SODAS seriously guys sodas are the worst for your teeth and your overall health, fuck them) cause a change in the Ph of the enamel when they get into contact with it, and in very short words, this makes the surface of the enamel a bit "mushy".

DO NOT brush your teeth immediately after having eaten or drink something acidic, because the mechanical movement of the brush will scratch the surface of the enamel that still hasn't recovered from the Ph change and this will ruin it.

You just woke up, had Orange Juice for breakfast, and then you want to brush your teeth? Don't do it, wait at least 10-15 minutes, and be sure to drink a glass of water after the OJ or any other acidic liquid, so that the water can "clean" the surface of the tooth. My rule of thumb is, did you eat something acid? Then drink a glass of water after it, rinsing a bit. Can't go wrong with that.
For the very same reason, avoid drinking soda right before bed.
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>>76688449
>>>76686854 (YOU)
TY
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>>76685439
I haven't been to a dentist in 12 years. thought I do the twice brush for 2 mins + floss in the evening so maybe that's good enough
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>floss nightly
>form a c
>do both sides of teeth with a fresh piece
>get deep into the crevice and scrape 3-4 times
>brush twice a day
>spit instead of rinse
>scrape tongue
How do I bring down my 434 molars to 212?
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>>76685951

Wait, so you're doing Invisalign also? I mean you're in the middle of an orthodontic treatment right now, using removable retainers?
I'm a bit confused by the timeline between the chin surgery, the invisalign, and when the pain/pressure started, if you can write a post with more details that would be great.
Did your orthodontist knew about your chin surgery? Of course he knew, but I want to be sure. Did the surgeon who perfomed the chin surgery know that you would start an Invisalign treatment?

What did the first orthodontist say when you told him about the pressure on the incisors? Because knowing about this kind of things , pressure points between teeth and their movement, is 100% the orthodontist area of knowledge.

> but then I moved and had to go to a new dentist
Did you finish the invisalign treatment started with the first ortho, or began a new one?
> It's really scary hearing from a medical professional he has no idea what's going on.
Don't worry bro. Our bodies are incredibly complicated, it's normal that sometimes the answer isn't immediately there, medicine for 99% of human history has been a story of trial and error, and your case is a bit peculiar because there's a lot of stuff mixed in, between general dentistry, orthodontics and maxillo-facial surgery (in what consisted the chin surgery?)
To make you feel better, if 1) you are not feeling pain, have swelling or sign of infection and 2) the dentalscan told you that the bone and the teeth are fine, and there were no signs of bone resorption and most important root resorption (the root would appear shorter, not thinner) then nothing scary or irreparable is going on. Please give some more details because I would like to help you more on this.
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Just my opinion, but I feel like the reason people fall into this "dentistry = money scam" ideology is because most of the dental experience people have is preventative rather than reactionary. Cleanings twice a year are preventative. X-rays are preventative. Removing wisdom teeth is preventative. Things like cavities, root canals, etc., those are problems that occur that dentists fix, but everything else, nothing bad has happened yet, so people think it's a scam. Compare that to the other medical professions where most of their actions are being done after you have a problem show up and you go to a doctor, or physical therapist, or whoever, so it doesn't seem like a scam becuase they're treating something that has happened to you.
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>>76688470
>>76688363
Thanks anon. Sadly, I discovered all of this after having like 15 cavities fixed. I have a lot of fillings

I actually learned about the food acidity consideration here, no Dentist had told me that
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>>76688560
General medicine's prevention is mostly just eat well, exercise, don't drink too much or smoke, etc. You can't scrub plaque from an artery like you can a mouth.
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>>76682620
what's with the preamble?
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>>76682620
God bless you mr dentist
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>>76682620
Great thread BTW!

I have been using Hydroxyapatite toothpaste and flossing every day before sleep as well as cleaning my tounge with a tounge scraper, my overall oral health has improved greatly, still, I had a root canal done on a molar years ago, if I don't fluss it bleeds a little, is this normal?

Reading previous posts I realize I should get a full cleaning done either way, its been a while.
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>>76688392
The dentist showed me the resection in the mirror, and it looked scary to me subjectively. But it's not radical medically.
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Good thread, another dentalfag here ITT

>floss daily
>all tooth-related problems come from carbs, take it as you will, teeth dont rot if you eat protein and fat
>unless you're a coal miner working 10 hour shifts, you shouldn't be eating 3+ times a day and increasing your mouth acidity
>toothpaste isn't as important as getting the grime off your teeth
>electric toothbrush>ordinary one
>chew sugarfree gum each time after eating during the day
>dont forget to use a tongue scraper

Here are your perfect oral health redpills.



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