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Dr Shyam Jamalabad | Answer |Ask -Follow

Dentist - Answered on Jun 08, 2023

Dr Shyam Jamalabad holds a bachelor’s degree in dental surgery from Government Dental College and Hospital, St George Hospital, Mumbai. He has been practising independently at his clinic in Mumbai since 1983.His patients range from celebrities to slum dwellers.... more

Question by Yatin_I on Jun 06, 2023Hindi

Health

Hi, i have dental issues , my upper left side of the jaw has teeth no 4&5 on which RCT is in progress since march 2023. it was very painful for tooth4 and mild for 5, so i changed dentist on 1 may and new dentist took full month of may to do RCT for 4 & 5 again. now pain has disappeared in 5 but remains in 4. the new dentist says that there is a pocket between 4 &3 and i have copy of xray that shows that. i m not sure this dentist is telling the right reasons, as some other dentist says that condition of 4 is so bad that filling inside it is visible from outside and extraction is last resort.. my question is what should i do? protecting a tooth at all costs is more important or shall i go for extraction.

Ans: Hi
Sorry to hear that even after two months your RCTs have not been completed to your satisfaction. There could be a variety of reasons why this is happening. Despite the impressive advances in Dental treatment procedures we still see some cases that are untreatable. And while we spare no effort to save natural teeth, in some cases extraction becomes unavoidable. What is important is that you get complete relief from pain/discomfort. Whether to extract it or continue with the treatment is a call you have to take in consultation with your dentist.

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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Question by Jayanth - Feb 17, 2023Hindi

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Sir, My Name is Jayanth Ten days before my lower left side from half of last second grinding teeth suddenly broke and fell, I did before or after have severe pain but last week I had mild sensation and while laying down for sleep a little more sensation and slight pain for two three days and so I got appointment from near by Dentist and after checking Doctor told that seeing X Ray is roots nerves are started damaging so as soon as possible Root canal if done means we can save teeth or if delayed means than only option will be to remove teeth. Any other option is there

Ans: Hello Jayanth
It appears from your description that part of your tooth has broken exposing the inner pulp (nerves & blood vessels, mainly)
It is possible that the tooth broke because it had already started decaying some time back. In any case, once the pulp is exposed the only way to save the tooth is by Root canal treatment. So your dentist has advised you correctly. There is no other option.

Dr Shyam Jamalabad | Answer |Ask -Follow

Dentist - Answered on Feb 27, 2023

Question by M - Feb 24, 2023Hindi

Health

Dear Dorctor, I did RCT for my (right upper) 6th around 3 years ago & 7th around 1 year ago my 8th tooth removed over 25 yrs ago & now I am 65. Though 6th is ok but 7th some times paining. Do I need to go for RCT again ? Kindly respond. Thank u

Ans: Hello
Your dentist will most likely take xrays to check if one of the mentioned teeth is reinfected. In which case retreatment may be necessary. However please note that upper molar teeth can sometimes show misleading signs of tooth infection if sinuses are inflamed. This happens because the roots of the upper molars are in close contact with the sinuses. So your dentist will try to rule out that angle, too.
The exact cause of your occasional pain can only be determined after careful clinical examination and correlating the findings with xrays and your history.

Dr Shyam Jamalabad | Answer |Ask -Follow

Dentist - Answered on Mar 23, 2023

Question by Steven - Mar 17, 2023Hindi

Health

Dr. Shyam, This is steven, I have a cavity in my last molar on the right side. the tooth has half eroded and has come out in bits and pieces. I have no issues with it other than that the food particles get stuck in it which I can feel and immediately i gargle and it comes out. No pain or whatsoever. What should be my next step kindly suggest

Ans: Hello
Any tooth which is decayed/broken should be treated as soon as possible. Regardless of whether it's hurting or not. Please remember that tooth decay if left untreated can spread to the neighbouring teeth.
Besides, even if the tooth is painless now it can trouble you later.
So please consult your dentist and seek his advice on what steps need to be taken

Dr Shyam Jamalabad | Answer |Ask -Follow

Dentist - Answered on Jul 18, 2023

Question by Rdy - Jul 18, 2023Hindi

Health

Sir, Recently I have underwent minor cardio issue and put two stunts. 2 teeth are shaking and little pain is there. shall i go for removal.

Ans: Hello
You can certainly get them extracted. A few precautions need to be taken.
You need to get prior approval from your treating Cardiac surgeon/physician. If your health parameters are all normal he will give you his approval. He would ask you to stop taking blood thinners (if you're taking any) a couple of days before the scheduled extractions. Also you need to take a course of antibiotics.
It’s very important that you keep both your Dentist and physician informed about your heart condition and your impending tooth extractions.

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