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SURGICAL EXTRACTIONS (WISDOM TOOTH) INR   0 INR  0
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SURGICAL EXTRACTIONS (WISDOM TOOTH)

The pain, swelling and discomfort that follows wisdom tooth extraction is a normal part of the healing process. How long is wisdom teeth recovery time? When will you be back to chewing crunchy carrots and apples with ease? Getting Your Teeth Pulled The wisdom teeth, also known as the third molars, are the final set of molars to erupt. Not everyone keeps these teeth, nor are they necessary for having a healthy, beautiful smile. In fact, they can cause harm if they do not come in properly. When these molars come in, usually between the ages of 16 and 20, there may not be enough room left for them to erupt. As a result, they can emerge at an angle, they may crowd the mouth and sometimes they don't fully emerge. This can lead to future oral health problems like infections and pain. The American Dental Association recommends that people have their mouth checked before age 20 to see how the wisdom teeth are erupting and for wisdom teethimpaction while the roots are still developing. If necessary, a dentist or an oral surgeon can remove the final molars in a single outpatient procedure. Tooth extraction is a form of major surgery. While in general anesthesia or local anesthesia options are used to make wisdom teeth removal a more comfortable procedure, pain and discomfort are a part of the process, especially after the anesthesia wears off. After your teeth are pulled, wisdom teeth recovery time begins. Taking Care of Yourself After Surgery After getting your wisdom teeth pulled, you are likely to experience pain and swelling. There may be some bleeding. While your mouth heals, you have to be careful not to dislodge the blood clot or harm your healing gums. You should not consume solid foods, alcohol, coffee, soda or hot beverages in the first few days following your procedure. You shouldn't even brush your teeth for the first day of recovery. According to the offices of practicing oral surgeon Dr. Joseph Arzadon of Arlington, Virginia, typical wisdom teeth recovery time is three to four days, although it can be as long as one week. The length of recovery depends a lot on how badly the wisdom teeth were impacted and how they were erupting. There are plenty of things you can do to make the recovery time easier. Plan on taking it easy for a few days; you can resume your normal activities after the first day in most cases, but for about a week you don't want to do anything that could dislodge the blood clot from where your teeth were removed. For the pain, you can take a prescription pain killer given to you by your oral surgeon or recommended over-the-counter pain relievers. To help with the swelling, place an ice pack over your jaw. The cold helps to reduce the inflammation and ease any discomfort. Your dentist or oral surgeon should instruct you on how to take care of your mouth for the recovery period. You may be told to avoid brushing, spitting, flossing and rinsing for 24 hours. After that, you can gently brush your teeth. Rinse your mouth with salt water frequently to help keep it clean and prevent an infection. Stock up on apple sauce, yogurt, cottage cheese and other soft foods. You want to eat a soft-food diet for the first day or more and then slowly move to semi-soft foods when you are ready. The recovery period can take several days and in some cases there may still be swelling and discomfort for a week or more. Use ice packs, enjoy soft foods and keep your mouth clean with simple salt water. If you notice any unusual symptoms like pus discharge, severe pain or a fever, call your oral surgeon right away. While complications such as an infection are rare, they are possible.

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ORTHODONTIC LINGUAL BRACES INR   0 INR  0
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ORTHODONTIC LINGUAL BRACES

There are so many options available to people who want to get their teeth straightened, but one you may not have thought of is lingual braces. What are lingual braces and how do they differ from the other types of braces? With 4.5 million people in the United States currently wearing braces or some other appliance in pursuit to straighten their teeth and keep their mouth beautiful, it is vital. And it's not just important for kids; of those millions, health insurance company Humana says at least 25 percent of them are adults. What Are Lingual Braces? Lingual braces are placed behind the teeth (by the tongue and palate), rather than in front, and therefore offer a great cosmetic alternative for those who want their teeth straightened, without the braces showing. The process for lingual braces involves taking an impression of the teeth, which is then sent to a dental laboratory and used to create customized brackets. The process takes about six weeks and, once complete, allows the orthodontist to use a specific process to cement the braces onto the back surfaces of your teeth. Like traditional braces, this product works by applying gentle yet continuous pressure on the teeth, to help them slowly shift into proper position. The treatment can take anywhere from 18-36 months, depending on the severity of a patient's overcrowding of teeth or their bite. Braces are definitely worth the investment, but lingual braces have special requirements. Because they're custom made, they cost a bit more and treatment tends to be more involved. One of the biggest factors to consider is the cost of the materials; each tooth has its own installment of brackets and arch wires. With costs of $5,000 or more, find out which type of lingual braces would be most effective for your family. Not all orthodontists offer lingual braces because training and technical expertise are needed. The American Lingual Association of Orthodontists represents orthodontists dedicated to using the lingual braces procedure. Types of Lingual Braces Your choice of brand depends upon the orthodontist and his recommendation, as well as your preference. Regardless of the developer, the oral appliance device works in the same way. The difference is in the design and how the braces are attached and secured on the back of the teeth. Some of the most popular brands are: Incognito iBraces In-Ovation STb Light Lingual System Suresmile Lingual QT Taking Care of Lingual Braces As with any orthodontic appliance, good oral hygiene is essential to ensure that gingivitis or tooth decay don't creep in. Proper dental hygiene should include: Brushing twice a day for at least two minutes. Using a soft round-bristle toothbrush to brush at the gumline and the teeth. Flossing daily (floss threader can also be used) or an interproximal brush (if space between the teeth is present) to remove plaque and food debris between the teeth. Using an oral irrigation device to help flush out food debris around the brackets and teeth. Rinsing with a fluoride rinse to strengthen the teeth. Lingual braces may also irritate the tongue and may cause it to become tender. Using wax against the lower teeth to cover the braces can help alleviate this soreness. Some people find speaking clearly and enunciating more difficult while wearing lingual braces. With enough practice, wearers get used to the feel of the braces on the backs of their teeth, and talking normally is a snap. Ultimately, professional dental cleanings every six months are critical to a patient's health with braces. Daily dental habits such as brushing twice a day and flossing daily will prevent plaque buildup and tooth decay. In addition, using products like Colgate Total Daily Repair toothpaste repairs early teeth and gum damage. Having a great smile is worth the temporary inconvenience and expense of braces. Some people are hesitant to invest in them despite the difference they can make — lingual braces are an answer to this problem. Whether you can see them or not, find out which braces are right for you. After all, a beautiful smile with healthy, straight teeth is absolutely worth the effort!

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ORTHODONTIC METAL BRACES INR   0 INR  0
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ORTHODONTIC METAL BRACES

A variety of orthodontic options exist today for people looking into getting braces. From traditional metal braces to Invisalign aligners, it can be a challenge to decide which choice is the best for your particular needs. Your dentist will likely refer you to an orthodontist who can work with you to explain the benefits of each type. Advantages and Disadvantages of Metal Orthodontia Traditional braces are more effective at treating extreme overcrowding than other options like clear braces or Invisalign aligners and are less expensive. They give your orthodontist the control he needs to move the teeth in small increments at a time. The main disadvantage of traditional braces is the metal mouth appearance. While less noticeable orthodontics like Invisalign may seem like a better choice for those who are conscious of their appearance, today's braces are more visually appealing than in past years, with a range of color options for both the brackets and the elastics. Wearing these types of braces also means that you don't have to worry about ever misplacing your aligners. Taking Care of Your Braces If you and your dentist decide that metal braces are the right choice for your orthodontic needs, some things to keep in mind include Avoid foods that aren't braces-friendly. Avoid chewy foods, like caramels or other soft candies, as well as very hard or crunchy foods that could damage your braces. Certain fruits and vegetables can get stuck in your braces, and should be cut into small pieces. Your practitioner will likely give you a list of foods to avoid to keep your braces in good shape and decrease your risk of cavities. Brush and floss appropriately. Taking proper care of your teeth is always important, but it is especially true when you have braces. Brushing and flossing regularly will keep your braces looking good and help you avoid staining to your teeth. Your dentist may recommend you use a special brush designed to get into the crevices and different surfaces in metal braces. It may take some practice to learn how to brush and floss around your braces, but it will get easier with time. Learn more about proper flossing techniques in the Colgate Oral Care resources. Keep your followup appointments. Seeing your dentist and orthodontist regularly allows for any adjustments to the braces to be made and gives you an opportunity to have any questions or concerns addressed. You will be wearing your braces for a fairly lengthy period, so it is important to follow your orthodontist's instructions and care for them properly. While braces may seem like an inconvenience, once the treatment is over, your new smile will be all the reward you need.

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ORTHODONTIC CLEAR ALIGNERS INR   0 INR  0
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ORTHODONTIC CLEAR ALIGNERS

When consumers think about orthodontics, braces are the first thing to come to mind. However, orthodontics is more than just braces. Orthodontists are concerned with the position of the teeth, what has caused them to arrive at their current position, and what future movement may be needed so that a patient’s bite is fully functional. Your cosmetic dentist may have some orthodontic options available to straighten your teeth, ranging from conventional braces (with wires and brackets) to invisible braces (clear orthodontic aligners). Each method ranges in price and treatment length, and will vary by patient. Ask your cosmetic dentist about which treatment is right for you. CLEAR ORTHODONTICS ALIGNERS Clear orthodontic aligners can straighten a dental patient’s teeth without the wires and brackets of traditional braces. The aligners consist of a sequence of clear, removable trays that fit over the teeth to straighten them. Each tray must be worn by the patient for a specified amount of time—usually around 20 hours a day for two weeks–before the patient can progress to the next tray. In most situations, the aligners can straighten teeth in anywhere from six to 18 months. Clear orthodontic aligners are suitable for patients with mild or moderate crowding, or minor spacing issues. They may not be appropriate for patients with severe crowding or spacing. While the aligners can correct a mild malocclusion, patients with severe underbites, overbites or crossbites may require more advanced orthodontic treatment. Unlike traditional braces, the trays can be removed for brushing, flossing, and eating. Because the trays are clear, patients can undergo this type of orthodontic treatment without the usual discomfort associated with regular braces. Although treatment prices for aligners are normally set by the individual dentist or orthodontist, they can be more expensive than braces. If a patient fails to wear the trays properly, or loses them, additional costs may be incurred if new trays or impressions of a patient’s teeth are needed.

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ORTHODONTICS TREATMENT INR   0 INR  0
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ORTHODONTICS TREATMENT

Orthodontics Overview Straight teeth and a correct bite reduce the risk of future dental issues and help you to smile more confidently. With straight teeth, you have a better chance of preventing plaque buildup, which often leads to gum disease. You’ll also be able to chew food properly and speak better. Dental Associates offers many orthodontic treatment options, including traditional metal braces, clear ceramic braces, Invisalign trays, lingual archwires, removable appliances, or even partial treatments. We’ll help you to decide which orthodontic treatment is best for you based on the severity of your bite, the degree of dental misalignment and your hopes regarding treatment times and the final results. Whatever orthodontic treatment we determine is best for your individual case, your braces will straighten your teeth, help you bite and chew correctly, improve your appearance, improve your oral health and help you feel better about yourself! Braces for a Misaligned Bite Braces correct a bad bite, also called malocclusion. Types of misaligned bites can be a crossbite, overjet, open bites and other bite issues. Bad bites and crooked teeth are often interrelated, and braces can fix both simultaneously. Even if your teeth appear straight, it’s possible that your jaws may not be properly aligned. In this case, an orthodontist may recommend treatment to prevent future problems such as premature tooth loss, extra wear to tooth enamel, speech and chewing problems, and more severe jaw problems. Jaw or tooth alignment issues can be inherited or caused by an injury, losing baby teeth prematurely or too late, or by thumb sucking. The kind of orthodontic treatment you’ll have depends on what you need to get corrected, what you prefer and what your orthodontist recommends. Below are some of the most common orthodontic treatment options. Traditional metal braces are an orthodontic treatment optionTraditional Metal Braces Traditional braces consist of standard metal brackets. This is the most common type of braces, and they have become much sleeker and more comfortable with recent advancements in technology. With metal braces, you also have the option of adding colored elastic bands to make your braces vibrant, colorful and uniquely yours! Learn more about traditional braces and colorful braces bands. Clear Braces Not all braces brackets have to be metal. If you want your braces to be less noticeable, clear braces may be for you. Clear braces function in the same way as traditional metal braces, but the brackets are made with translucent materials. Learn more about clear braces on our traditional braces page. Invisalign clear braces are an orthodontic treatment optionInvisible Braces Invisalign braces are a clear set of custom-fitted removable trays made with a pliable material that fits snuggly to your teeth. Each new set of Invisalign aligners applies a slight adjustment to your teeth. Since they’re removable, you can take them out while eating, drinking, brushing and flossing, so you can easily maintain good oral health habits. You can also remove them for special occasions. Learn more about Invisalign clear braces. Partial Orthodontic Treatment Not everyone needs a full set of braces. Depending on the case, sometimes just one, two or a few teeth need to be realigned for aesthetic purposes, or to prepare for other dental work such as dental implants, restorations, or periodontics. In these types of cases, an orthodontist may recommend partial orthodontic treatment, also called limited treatment. Because this treatment corrects a more isolated area of the mouth, it usually requires less treatment time and also less hardware. Two-Phase Orthodontic Treatment for Young Children To create a healthy smile for a lifetime, a child’s teeth need to be straight and their jaws need to be aligned properly. It’s beneficial to have an orthodontist examine your child while they still have some of their baby teeth. By age seven, typically enough permanent teeth have emerged to evaluate relationships developing between the teeth, the jaw, and bite patterns for a pediatric dentist to make sure everything in the mouth will continue to develop as it should. If a pediatric dentist or orthodontist determines that early treatment is necessary, it often occurs in two phases. The first phase will begin right away while baby teeth are still present, and the second phase will occur when your child gets older at the time deemed appropriate by your child’s growth and development. At Dental Associates, you’ll experience the benefit of having your child’s orthodontist right down the hall from their pediatric dentist. Your child will receive the most coordinated pediatric dentistry and orthodontic care, all in the same clinic. Early treatment will help prevent larger oral issues later, and thus prevent more invasive orthodontic procedures when the child gets older. Early prevention and intervention makes orthodontic work as a teenager much more comfortable and successful.

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PERIODONTAL (GUM) INR   0 INR  0
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PERIODONTAL (GUM)

Periodontal (gum) disease can be a very aggressive infection: Left untreated, it can destroy the vital periodontal structures that protect teeth and maintain their attachment to the jaw. The end result—tooth loss—harms both your health and appearance. Controlling gum disease and ultimately restoring health and appearance to damaged gums and tooth-supporting bone requires aggressive treatment—sometimes even surgical measures. Periodontal (gum) surgery treats moderate to advanced disease. Infection Control: An Important First Step Gum disease is primarily caused by bacterial plaque, a thin film of food remnants and bacteria that builds up on tooth surfaces when oral hygiene is inadequate or inefficient. As the gums become infected by the bacteria, the body responds with inflammation, a defensive mechanism aimed at isolating the bacteria and destroying it. But as the war between body and infection rages, the inflammation becomes chronic and damages the surrounding gum and bone tissues. This causes gum attachment and supporting bone to be lost from the teeth, creating spaces between the gums and teeth known as periodontal pockets. The progression of periodontal disease becomes a vicious cycle: As the pockets deepen, dental hygiene becomes less effective. The only way to stop gum disease is to remove bacterial plaque and calculus (hardened plaque deposits) from all tooth surfaces—including from the roots that lie beneath the gum line. Dentists use special hand instruments (or ultrasonic equipment) called scalers to manually remove calculus. If you need a deeper cleaning of the root surfaces, your general dentist may refer you to a periodontist (gum specialist) for a manual plaque-removal technique known as root planing or debridement. If the tissues don’t appear to be responding as desired, then antibiotic treatment to reduce bacterial levels might be introduced. Splinting teeth together, or bite adjustment—where a tiny bit of tooth enamel is removed to reduce forces received by a particular tooth—may also be included to help stabilize loose teeth. Of equal importance is a necessary change in behavior and lifestyle on the part of the patient. The disease develops and advances primarily because of a lack of effective hygiene, so the patient must therefore renew and maintain a daily habit of brushing and flossing, and a routine of regular dental visits for cleanings and checkups (at least twice a year and maybe more with advanced gum disease). He or she should also consider stopping tobacco use and other habits that harm oral health. Surgical Techniques If the infection has caused deep periodontal pockets (5 mm or more) or has settled beyond the reach of manual scalers, then gum surgery may be needed to access, clean and repair the diseased areas. Flap surgery is one type of procedure used to access the deeper pockets of infection and clean them. The surgeon, usually a periodontist, creates a three-sided flap in the gum tissue, with one side still attached to the blood supply. The resulting opening resembles the flap of an envelope. Opening the flap, the surgeon can then access deep periodontal pockets to perform plaque removal, as well as repair receded gum tissue or lost bone. When finished, the surgeon then sutures the flap closed with self-dissolving stitches. Regenerative techniques may also be needed to re-grow lost tissue and bone. These involve the use of various grafting procedures to obtain tissue from the roof of the patient’s mouth or another source and attach it where needed. Once in place, the graft acts as a scaffold for new gum tissue to grow upon and develop. These micro-surgical techniques require meticulous skill (and some level of art) not only to place the grafting material so it is most conducive to growth, but also to fashion it cosmetically to achieve the most attractive result. These and similar procedures are usually performed with local anesthesia, sometimes supplemented with other sedation methods. Special cleaning instructions will be given to protect the site from further infection, and any minor discomfort after the procedure can usually be managed with anti-inflammatory medication (like ibuprofen) for a few days. Treating Disease Today, Preventing It in the Future Gum disease treatment, including surgery, isn’t a cure—the prospect for reoccurrence is always there. Proper hygiene and maintenance by both you and your dentist is essential for preventing this. Gum surgery is performed to regenerate lost bone and to help create an environment around the teeth and gums that makes it easier to clean and maintain them. Gum surgery, then, should be considered as part of an overall strategy to stop periodontal (gum) disease’s unchecked advance so that healing can take place. This will allow you to keep your natural teeth for as long as possible—maybe even for life.

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Gum Surgery INR   0 INR  0
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Gum Surgery

Gum surgery is used to treat gum disease in cases when the tissue around the teeth is unhealthy and unable to be repaired through non-surgical treatments. Gum surgery can also be performed for cosmetic reasons, as a way of elongating teeth and improving the architecture of the gums. Whether you’re undertaking gum surgery as a way to treat gum disease or you’re choosing it for cosmetic reasons, Dental O So Gentle’s dentists are experienced and qualified in performing gum surgery. What is gum disease? Gum disease is also known as periodontal disease and is caused by an infection of the bones and tissues that support and surround the teeth. There are two types of gum disease: gingivitis and periodontitis. While gingivitis is the more mild of the two, periodontitis is severe and can spread beyond the gums and cause damage to the surrounding bone and tissues. What is gum surgery exactly? There are a few types of gum surgery and each case requires a customised surgery to suit the specific requirements of that situation. Flap surgery/ pocket reduction surgery – this procedure is the removal of tartar from underneath the gums and the reduction in the size of the space between the gum and teeth. This surgery is performed to decrease harmful bacteria growth and to prevent further health problems. In certain cases, irregular surfaces of the damaged bone can be smoothed over, to help and reduce the amount of places in which bacteria can reside. Soft tissue grafts – this type of gum surgery is undertaken in the event where the gums have receded too far or are too thin. A graft tissue, removed from the roof of the mouth, is then stitched on to the area that has been affected. This grafting process allows the lost dental arch tissue to be restored and improves the aesthetic appeal of the gum area around the tooth. Guided tissue regeneration – this procedure occurs when the bone that supports the tooth is destroyed. The aim of this surgery is to stimulate bone and gum tissue growth. A small piece of mesh like fabric is inserted between the bone and gum tissue, often done in combination with flap surgery. This prevents tissue growth in the area where the bone needs to regenerate, allowing for the regrowth of bone and connective tissue to support the teeth. Bone Surgery – Bone surgery is performed after flap surgery has already been done. The bone is reshaped to rid the surface of any craters that may promote bacteria collection and growth. What can I expect from gum surgery? If you’re preparing to undergo gum surgery here is what to expect: Before the surgery – your dentist will clean your teeth to ensure that it is in the best state possible to receive surgical treatment. You will then be given a local anaesthetic to numb the area. During the surgery – your dentist will fold the gums back to form a flap that allows access to the tissue below the gums. This infected tissue will be removed and the appropriate tooth will be scaled to remove plaque and bacteria that might be growing beneath the gum line. This process will also smooth out rough spots that would otherwise promote gum disease reoccurrence. After the surgery – once the surgery is complete, your dentist will put the gums back into place using stitches. The stitches are resorbable and will dissolve by themselves. Is there any long-term pain after the surgery? Most people experience only mild to moderate pain, which can be managed with over-the-counter painkillers. If you experience moderate swelling we recommend the application of an ice pack to the swollen area. If you’re taking antibiotics as per your dentist’s instruction, make sure to follow the instructions carefully. It is not uncommon for there to be bleeding or swelling after gum surgery, however if these symptoms persist or if any other problems arise, make sure to contact your dentist immediately.

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ROOT CANAL INR   0 INR  0
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ROOT CANAL

Root canal treatment is a treatment for repairing and, ultimately, saving a tooth once the nerve has become irreversibly damaged by decay or a fracture, and is infected. If treatment is not received, then the tissue surrounding the tooth could possibly become infected and an abscess may form. Root canal treatment is when the nerve and pulp (the centre of the tooth where the nerves and blood vessels are contained) are removed and the inside of the tooth is cleaned and sealed. Whilst it might seem extreme, the nerve has to be removed due to the multiplication of bacteria within the pulp chamber. How do I know if I might need a Root Canal Treatment? You might need a root canal treatment if you experience the following: Severe toothache during chewing or whenever there is pressure placed on the tooth. Prolonged sensitivity to hot and cold temperatures. (Especially once the stimulus is removed.) Tooth discolouration (darkening). Swelling and tenderness in the gums. Bad tastes in the surrounding area. A gum boil – a persistent or recurring pimple on the gums. Throbbing pain at night. Pain during running. Pain requiring relief by swishing cold water over the tooth. What happens during a root canal treatment? A root canal treatment will require at least one visit, and potentially more, to the dentist. The first step of the procedure is the taking of an x-ray. This will help determine the shape of the root canals and check if there are any signs of infection in the surrounding bone. Your dentist will then numb the area using a local anaesthesia. To keep the area dry and free of saliva during the treatment, a rubber dam (or separator) will be placed around the tooth. An access hole is made into the tooth, so that bacteria and decayed nerve tissue and debris removed. The tooth is then cleaned out using root canal files in our automated rotary system. Once cleaned thoroughly, the tooth is then sealed. A tooth that requires a root canal treatment is often one with a large filling or extensive decay, therefore making it weak. A crown is often required and placed on the tooth to protect it. This will help prevent breakages and restore it to full function. If any additional dental work is required, your dentist will discuss it with you. What should I expect after a root canal treatment? For the first few days after a root canal treatment, your tooth may feel sensitive. This is due to natural tissue inflammation, which can also be caused by pain or infection present prior to the procedure. This discomfort usually subsides after a few days, and it can be controlled using over-the-counter pain medications. What if the discomfort doesn’t go away? If you’re still experiencing uncomfortable pain after the treatment, you may need to schedule a five minute appointment with Dental O So Gentle in order to receive a minor occlusal adjustment. What can and I can’t I do after a root canal treatment? It is advisable that you minimise chewing on the tooth under repair, until the treatment is completed and the tooth is crowned. You can and should brush/floss as you do normally. If your tooth flares up and is too painful to touch, please call your dentist. This can happen occasionally due to the complicated nature of the root canal treatment. Either further canal cleaning or an occlusal adjustment may be needed.

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