yes, it may go off for now. No 1 can tell when is the next attack as the cause of the symptom is not treated yet

How did they get there, why did the immune system not flush them out, why did the tubules in that tooth stop doing their job of keeping the tooth resilient? As they clearly have for many years, and still do for dozens of other teeth in the patient? "Bacteria" are always in our mouths, have been ever since mouths first evolved, and from before the moment of birth. Yet usually for many years of youth no such issues occur. Those are the dental questions that mystify me as an amateur observer of the topic! Of course that would imply that a dental issue usually has an undiagnosed/unnoticed medical issue underlying, or plain malnourishment (mineral misbalance etc). Your thoughts?
Sometimes? Given how small bacteria are, isn't this bound to happen every single time after the antibiotics/mouthwash used after/during treatment wear off? Especially taking into view a time frame of multiple decades of life?
I doubt that and would wager the opposite.. again as an interested bystander, not a dental professional. Brushing is clearly a somewhat abrasive action on enamel, especially weakened enamel. As are whitening products and toothpastes. Consequently, the harder, longer or more frequently one brushes, the more enamel is stressed --- in addition to and on top of abrasive and/or acidic food stuffs ingested.

This post has been edited by metaleap: Oct 18 2015, 10:29 PM

1)Teeth have 3 layers, namely enamel, dentin and pulp. And it is sterile in pulp ( no bacteria ). Once enamel and dentin are breakdown by bacteria, the pulp will get infected and straight down to the bone beneath. It takes years for enamel and dentin to breakdown, once its inside pulp ( which is hollow by the way ) they have a straight down access to the bone.

2) In a properly placed filling, they are no way the bacteria can go underneath the filling and cause a cavity to form beneath the filling ( secondary caries ). Sometimes the filling might have microcracks due to chewing, wear and tear,that can cause secondary caries

3) Mostly the public have the idea of ' the harder i brush, the cleaner it get'. Our teeth is not toilet bowl! ALWAYS use soft toothbrush and brush in circular motion, use floss and mouthwash to maintain the oral hygiene. The abrasion on enamel is a normal occurrence of nature as we bite, chew, acidic food that we cant do much about it. It is worsen by improper toothbrush and technique

Hope this helps

Thanks for replying!

What always amazes me: enamel and dentin don't break down across all teeth equally and uniformly, and not immediately beginning from the first moments those teeth broke out. Lifestyle and nutrition must be at the root, but what bothers me is that we still have no clear-cut answer on prevention. Are acidic foods the major culprit, or abrasion, any carbs or just refined sugar..

Another theory holds that normally tubules are designed to continuously regenerate dentin and enamel (just like bones constantly re-generate themselves) and malnutrition/malabsorption disturb that slowly over time. The approach being, "breakdown of enamel/dentin is normal and unpreventable, failure of regeneration is the real problem to be fixed". Well an interesting topic. Half of my fillings popped out within 6 - 24 months, most of them done in Germany. Every time a filling is done, a bit more of healthy tooth matter needs to be drilled away, so I'm very wary of getting the same fillings done every 1-2 years until most of the tooth will be completely gone another decade or so down the line.

Very interesting, given how infinitesimally small bacteria are, I'm quite curious how we ever managed that impressive feat.
Chewing and wear and tear are 100% guaranteed for everyone on a long enough timeline, so instead of "sometimes" shouldn't it be "more often than not"?

Indeed, so would be cool if the dental profession were to research somewhat deeper into how to help the body regenerate what inevitably gets broken down by real-life. Enamel breakdown may be inevitable, and yet decay isn't --- as every single skeleton (any age well into old age) older than say 100000 years ago (or simply any from today's few remaining "primitive" hunter/gatherer tribes) proves.

Well, caries formation is by various of factor beside diet and brushing. For example, consistency and quantity of saliva, teeth arrangement ( food tends to stuck in between crowded teeth and harder to clean ), medical condition. Beside, biting and chewing is not just left right up and down movement, it consist of various angle of movement and each people has their way of eating and their favorite side to chew. So we cant say if 1 tooth have problem, all the tooth going to have problem. Same as filling, if 1 filling is crack, doesnt means all the filling will fails. It can be simply means that particular tooth is that person favorite eating side, and hence the force exerted on that tooth is tremendously high.

Research are in the field of regenerative dentistry, but more works has to be done before it can be offer to public. For now, the concept is EARLY DETECTION AND PREVENTION.

FYI, our dentin do regenerate itself, it call secondary dentin/reparative dentin. Hope this info helps a bit

That makes sense. Imagine someone eliminates for a few months brushing, acidic foods, abrasive foods, carbs and eats only small swallowable pieces of fresh fatty ruminant meat, indeed swallowing them and never chewing or biting at all (not advisable digestion-wise for plant foods, but absolutely fine for fresh meat, eggs, dairy). What'll be the remaining risk factors for existing or new cavities? Only saliva and medical condition, right? How to take care of saliva and which medical conditions to check for? Would black coffee pose a potential danger to teeth under this setup, you reckon?
I know, and cavities sometimes harden, this suggests enamel is regenerated too, right or wrong?

This post has been edited by metaleap: Oct 20 2015, 12:31 AM

U shud see Dr shekhar imu oral clinic bukit jalil awesome doc....endo specialist

Hi doc AskTheDent, wta i had braces b4. Now if i want to remove my wisdom teeths must i start wearing braces all over again if i remove them???

Nop, it is not necessary

And what do you think about my earlier question AskTheDent?

This post has been edited by metaleap: Nov 3 2015, 02:23 AM

Morning

If we have something stuck behind our teeth and we can't seem to get it out; toothpick, floss, tongue.

How much does it cost for a dentist to do it?

Also, are teeth cleaning painful?

How much does it cost too?

This post has been edited by Raikkonen: Nov 3 2015, 06:22 AM

Ok thanks doc..

If it cant be taken out by floss, means a cavity has form, would strongly suggest you to have a check.

Cost is depending on location （generally big city cost more ) and the condition of your cavity, if it is a big cavity, then it will be fair for the dentist to charge you a little bit more

Teeth cleaning painful or not are depending on each individual, some dont feel a thing, some can jump up from the chair. If you belong to the latter grou[, i would suggest you to do it under anesthesia ( injection to make you numb )

For start,coffee can stain our teeth. Secondly it is acidic and can erode our teeth SLOWLY. But some research show coffee high in antioxidant and good for our gums.

Tips of coffee drinking:
1) rinse and brush your teeth after drinking
2) Use straw

Our body have its own defensive system, same goes to our teeth. Sometimes our teeth can stop the bacteria progression ( known as arrested caries ), but once a cavity is form, it cant regenerate itself to cover back the cavity

How to make teeth white

hi doctor,
i feel sengal sengal at my geraham.

what happen?

gigi sensitif?

Dr M have lived long using Hospital KL and IJN

so i wanna try out government hospital, because its not painful (yet!) and i dont mind long appointment

so is it painful? is doctors good? got MILF?

wisdom tooth removal in govt hospital

very long process of appointment, but is good actually, and cheap rm50 only

any particular govt hospital good?

anyways, i dont mind waiting for 1 month - 3 months.

My crowning recently cracked, which also affected (cracked) what remains of the old tooth. The cracked parts have been removed 10 days ago. Can I opt to leave the remains or cannot avoid extraction? If have to extract, any decent place to go to within klcc area?