How to treat a mouth injury?

A couple months ago I fell down and knocked my front teeth hard and they are now turning black. The other thing that worries me is I can feel a root. It is kind of lodged up near my nasal cavity. Do you think I should go to the doctor or the should I see a dentist? Do you know what they will end up doing? Maybe dental implants or porcelain veneers?

– Benny in Michigan


Typically when a tooth turns black it is due to the nerve tissue being killed. The tissue inside the tooth has likely died. Therefore, the treatment that will be required if this is the case are root canal treatments.

It sounds like the teeth are still in place. And the root near your nose area is a bit confusing from what you have described. Your teeth can be re-positioned correctly if needed, although since so much time has passed since the original dental emergency, the bone has likely healed already. You may be interested in having the teeth extracted. If the roots have been cracked than the tooth will not be able to be saved and will need to be extracted. If this is the case, then dental implants are a possibility.

You would need to see an expert cosmetic dentist for this kind of work. After the root canal treatments have been done, you may need porcelain veneers or porcelain crowns for appearance purposes.

This post is sponsored by Cleveland dentist Hylan Dental Care.

Can I get sedation dentistry for a cavity?

I am a chicken when it comes to going to the dentist. I don’t even like getting my teeth cleaned, let alone having any other treatment done. I’ve heard of sedation dentistry. Is it safe? Can I get it to have a cavity filled?

– Jenny in Arizona


Sedation dentistry or what is often called sleep dentistry is completely safe. It simply involves takingĀ  a pill before your dental appointment. It is much better to treat your cavity sooner than later, before it turns into a more serious problem. Oral sedation has helped hundreds of patients deal with their dental fear and anxiety.

Although, to have a cavity filled it may be a bit extreme. There are dentists out there that place an emphasis on fearful patients. There are many gentle dentistry techniques that can be used that may be helpful. It sounds like you have already tried nitrous oxide gas. But many dentists offer music or movies to help distract you so you don’t hear what is going on. And with nitrous and Novocain you can still communicate with your dentist. You can tell them when you are uncomfortable so they can proceed more slowly or administer you a higher dose of nitrous.

If you are petrified, sedation can be used in an office setting and is completely safe. This is because your protective reflexes like coughing and breathing are still fully functional. After your appointment it simply feels as if no time has passed, or like you have been asleep. You are indifferent to what is going on around you and likely will not remember anything. You will be monitored throughout the appointment as a safety precaution.

Hopefully this helped to answer your questions.

This post is sponsored by Brook Park dentist Hylan Dental Care.


What are my options to fix my brown tooth?

I have an ugly tooth that is a yellow-brown color. Here’s the story. When I was a kid I had a couple accidents that affected my tooth. First, I fell out of a swing and another time my tooth was hit from a croquet ball. It seems to have darkened over the years. I was told at my last dentist appointment that I need a dental implant. He said this is because the root was gone.

It turns out that I need to have a couple fillings and also come crowns done. So you can see how expensive this trip to the dentist turned out for me. I’m on a tight budget and can’t seem to justify the cost of the dental implant when I have other teeth that need to be taken care of.

As much as I’m worried about the cost of a dental implant, I have to do something to fix this ugly front tooth. I just hate the way it looks.

– Michelle in Idaho


Based on what you have described about the accidents you had as a child, it sounds like the impact to your tooth actually severed the nerve and blood flow to the tooth. Therefore, the tissue has died. When this happens, the tooth becomes infected and the typical treatment is to have a root canal done. Although, it sounds like you never had this done so what has happened is that the tooth has been eaten away. It is also very possible that the same thing would have happened regardless of you getting the root canal treatment. This process where an infected tooth is left untreated is called root resportion.

Unfortunately once the root is gone, the tooth is not salvageable.

You do have options though, and your dentist is ethically obligated to present them to you. If he doesn’t, you may want to consider finding a new dentist because there are many trustworthy and affordable dentists out there that will be willing to work with you financially.

To replace a missing tooth, you have several options. A dental implant is the best solution because it looks, feels, and functions just like a natural tooth. It is true that implants are expensive so you may want to consider a dental bridge or a removable partial denture.

A dental bridge uses the two teeth surrounding the missing tooth. Crowns or caps are placed on these teeth and an artificial tooth fills the gap between them. This treatment is more affordable than implants but may place additional stress on the neighboring teeth.

A removable partial denture is another option for you. This appliance clips to your adjacent teeth with a false tooth that fills in the gap. This is a much more affordable treatment for a missing tooth. But it isn’t going to be as comfortable.

Best of luck to you. Hopefully this information answered your questions and presented some options for your treatment.

This post is sponsored by Cleveland dentist Hylan Dental Care.


Will Snap-on Smile work for a temporary tooth replacement?

I am trying to find out if the Snap-on Smile is a good option for me. I am missing two teeth on top and I think I am going to have to get another one taken out. I have looked into the cost of dental implants and dentures and just don’t think I can make that work for my budget. I know I need to get in to see a dentist to know for sure if I would be a Snap-on Smile candidate, but I just wanted to try to find out some more about it before I make the appointment. I’m in my 50’s and pretty good physical health.

– Michael in Kansas


It is very difficult to give you any specific recommendations without having actually seen your case.

From what you have described about your missing teeth and the fact that you are thinking that another one may need to be removed, it sounds as if periodontal disease may be an issue for you. If this is the case, there are some problems that Snap-on Smile may present for you. This is because the appliance actually snaps onto your natural teeth. Therefore, some stress will be placed on those teeth which may complicate periodontal disease. The dentist may also have a tough time getting the appliance to fit appropriately.

If you are looking for an option that is less expensive than dental implants or dentures, a flipper partial could work for you. The missing teeth are mimicked with plastic teeth which makes this treatment much less pricey.

Hopefully this gives you some more information to help you out.

This post is sponsored by Cleveland dentist Hylan Dental Care.