Floss is mainly to clean the area which will prevent tartar formation on that area.

Using a sickle scaler so often might actually injure the gums area if not use properly

Why not try stopping the sickle scaler and start flossing that area daily after brushing and see if it improves.

In my opinion, if you've had serious inflammation over at that area means an infection has already happened, the antibiotic will reduce the swelling.

In future it might get infected again if not well taken care, if it happens again its better to remove them.

How to take care? make sure you're brushing that part everyday, floss that region and try to gargle everytime after meal to make sure no food gets stuck there.

If thats the case, it would be better to remove the tooth before further damage happens which eventually affects the neighbouring tooth.

Do keep us updated on the progress.

Anyhow, you can always ask the previous dentist who took the x-ray to email the picture of the x-ray to you.

Thin Bristles are good yes. As long as they're soft. Charcoal ones are gimmicks, marketted as as antibacterial but studies shows that it does not help with lowering the bacterial count on the toothbrush.

But what is most important is the brushing technique, if you're brushing it wrongly, even the most expensive toothbrush will not help.

Dont forget flossing too. Brushing and Flossing is the most basic oral hygiene care that must be done.

You probably have got some sort of Gum disease. Better to get it checked with a dentist.. and specifically one that does a detail gum checkup. Not a lot clinic does it. But do enquire the front desk if they do have that service..

Its a sign of a start of infection. probably at a mild stage which may resolve on its own.. Do salt gargle rinse.

Its better to get it removed as soon as possible to prevent further infection that may increase complications in future.

yes. usually advisable to do both side together. As tooth function as a pair. since one of it has to come out. might as well get the other one out as well. Wisdom tooth dont really help in biting provided you still have your 1st and 2nd molar.

and yes. any infection can cause fever symptoms

It sounds like an periodontal abscess to me, abscess in the gum.. it is a chronic infection which becomes acute which swells up with pus and blood.

Cause of these abscess is due to tartar that may be well hidden under the gums.. usually you'll need an x-ray to be able to appreciate it.. a periodontal problem will not have any signs of decay or tooth problem. and mild discomfort only.

Please go ahead with another dentist for a second opinion. If it really is a periodontal abscess.. you will require a root planing or a deep scaling.

Here a picture for your reference,

From what you're telling me, it sounds alot like a gum problem. It doesnt not happen inside the tooth but on the outside which affects the supporting structure of the tooth namely the gums and the bone that are holding it.

Your dentist did a root canal that removes the pulp of the tooth which will render the tooth pain free cause it does not have anymore nerve endings. It is normal that there is no more pain on the tooth and allow you to bite.

He has cleaned the inside thoroughly but maybe the outside of the tooth hasnt been cleaned yet.

Its better to get a second opinion somewhere in this case. It hard to diagnose without an x-ray for your case. And your dentist telling you that it cant be cleaned thoroughly is kind absurd.. No matter how the tooth anatomy is, we are supposed to clean it out thoroughly when we do a root canal, and with you having gum issue.. its almost impossible to for him to not notice.. except he chose to ignore it..

unfortunately.. a gum treatment takes a longer time and need constant monitor and follow to ensure it heals and gets better.. charges arent high as compared to a root canal and a crown.. so yeah.. if you problem still persist.. i would suggest to see another dentist.

Infection spot is between 2 teeth, the picture only depicts on one tooth. Our tooth are all lined up together. so you have to imagine that the gum disease starts at the side of the tooth which eventually can affect the neighbouring tooth.

Because the source is from the tartar that is sticking on the tooth surface, so only way is to clean the tooth surface throughly. An x-ray would be helpful to detect is the neighbouring tooth is affected.



Heres a sample of x-ray I grabbed online. as you can see. it can involve the molar that has been root canal treated. Bone can continue losing but there might not be any bad symptoms because there are no more nerve endings on that tooth itself!

Again its hard to give a clear picture through a forum here. So best thing is to go to a dental clinic and tell them your concerns. And if you can share a copy of the x-ray taken. it would even help greatly.

Glad to be of help

First, you need to find out the cause of your grinding?

Stress or anxiety is one of the main reason, maybe find out when did your GF started noticing and did you have any change of habits?

Or perhaps you might have some mal-aligned teeth that causes the grinding, which can be fixed by braces.

Wearing a custom made mouth guard is one way to minimize the grinding as it parts your teeth away and protects the teeth from grinding each other.

I would suggest to start using the mouth guard to minimize the grinding habit and in the mean time find out what is causing the grinding to happen.

Perhaps check out your teeth for any mal-alignment that is causing the grinding?

Not sure of the price but I did one for RM250

you can bring her to a dentist, probably can wear some appliance that help to correct the growing tooth.

Yes, its best she goes under tight surveillance 3 or 6 monthly to monitor the growth,

Yes Myobrace is not cheap, you can go to other dentist for 2nd opinion too.

Probably RM50 for each tooth if I'm not wrong.

Most common brand would be waterpik, WP560 would be the lastest portable unit

There is a Periodontist clinic in Jalan Tun Razak, Menara See Hoy Chan, they specialize in Implants and gum problems.

sounds like stains or maybe tartar, best to get it checked at a dental clinic, sometimes some areas maybe be hard to reach and not effectively cleaned causing accumulation of stains.

tartar are usually hard and yellowish, brownish and they form near your gum lines on top of your tooth surface

Decay are usually soft and and brownish and darkish and usually inside your tooth.

Hard to tell by just seeing, a dentist has to probe and feel for it.