Frequently Asked Question

Why is my root canal failing?

Root canal failure can occur due to several reasons such as incomplete removal of the pulp (nerve), crack or fractures in the tooth, or chronic infection. Bacteria left in the canals will multiply, leading to persistent infection. This can occur do to complex root morphology, or missed canals. Cracks in the treated tooth can cause pain and los of function. Reinfection can also occur if the filling or crown fails, allowing saliva and bacteria to seep in. Chronic infections can be difficult to treat as the bacteria build up outside of the tooth structure with in the bone. Regular dental check-ups and good oral hygiene can help prevent these issues, but sometimes retreatment or surgical intervention may be necessary.

Why is my implant failing?

Implant failure can result from poor bone integration, infection, insufficient bone density, or excessive stress on the implant. Poor bone integration, or osseointegration, can happen if the bone fails to fuse properly with the implant. Infections around the implant site, known as peri-implantitis, can cause bone loss resulting in implant instability. Insufficient bone density may not support the implant adequately, leading to failure. This can be do to aging, smoking, and other habits. Excessive stress from teeth grinding or improper placement can also jeopardize the implant. Systemic health conditions like diabetes, osteoporosis, or history of cancer can also jeopardize implants. It’s crucial to follow post-operative care instructions and maintain regular dental visits to monitor and address any issues early on.

Why do I need to replace my missing teeth?

Replacing missing teeth is essential to prevent shifting of adjacent teeth, maintaining facial structure, improving chewing and speaking, and avoiding bone loss in the jaw. Missing teeth can cause remaining teeth to drift into the gap, leading to misalignment and bite issues. Facial structure can collapse over time, giving a sunken appearance which contributes to the appearance of aging. Proper chewing and speech may be compromised, affecting nutrition and communication. Bone loss in the jaw (resorption) occurs because the bone lacks stimulation from tooth roots, leading to further dental complications. Replacing missing teeth helps maintain overall oral health and functionality.

What is a denture?

A denture is a removable dental appliance designed to replace missing teeth and surrounding tissues. They can be full (replacing all teeth) or partial (replacing some teeth). Full dentures rest on the gums and cover the entire arch, while partial dentures are anchored to existing teeth with clasps or precision attachments. Dentures restore the ability to chew and speak properly, support facial muscles, and enhance the smile’s appearance. Modern dentures are made from durable materials like cast metals and acrylic resins. They are customized for a natural look and comfortable fit, improving the quality of life for individuals with missing teeth.

What is a removable partial denture?

A removable partial denture is a dental appliance that replaces some missing teeth and is anchored by remaining natural teeth. It consists of replacement teeth attached to a pink-colored plastic base, connected by a metal framework. The denture is held in place by clasps or precision attachments that fit onto natural teeth. Removable partial dentures help restore function and appearance, prevent remaining teeth from shifting, and improve chewing and speaking abilities. They are a cost-effective and less invasive option compared to fixed bridges or implants, and can be easily removed for cleaning and maintenance.

What is a bridge? Why is a bridge a good option?

A dental bridge is a fixed appliance that replaces one or more missing teeth by anchoring to adjacent teeth. It consists of artificial teeth (pontics) held in place by crowns on the natural teeth (abutments) on either side of the gap. The natural teeth are prepared into abutments by cutting the tooth from all sides, similarly to a crown preparation. Bridges restore function, maintain facial shape, and prevent adjacent teeth from shifting into the empty space. They can be made from various materials, including porcelain, gold / metal alloys, or ceramics, providing a durable and natural-looking solution. Bridges are a good option because they are fixed in place, offering stability and comfort, and they can last many years with proper care.

What happens if you don’t replace missing teeth?

Failing to replace missing teeth can lead to misalignment, difficulty in chewing, speech problems, and bone loss in the jaw. Adjacent teeth may shift into the gap, causing bite issues and uneven wear. Severe misalignments may need to be corrected with orthodontist. Chewing can become inefficient, leading to digestive problems and nutritional deficiencies. Speech may be affected, making it difficult to pronounce certain words. The jawbone can deteriorate due to lack of stimulation from tooth roots, resulting in a sunken facial appearance and further dental complications. Overall, the absence of teeth can significantly impact oral health and quality of life, making replacement essential.

What is gingivitis?

Gingivitis is inflammation of the gums caused by plaque buildup. It can lead to redness, swelling, and bleeding  of the gums, particularly during brushing or flossing. Plaque, a sticky film of bacteria, accumulates on the teeth and gums, irritating the tissues. If left untreated, gingivitis can progress to periodontitis, a more severe form of gum disease that affects the bone and supporting structures of the teeth. Good oral hygiene practices, including regular brushing, flossing, and dental cleanings, can prevent and reverse gingivitis, promoting healthy gums and preventing further complications.

Why does my tooth hurt?

Tooth pain can be due to cavities, infections, gum disease, cracked teeth , wear, or exposed roots. Cavities, or tooth decay, occur when bacteria in plaque produce acids that erode the tooth enamel inwards toward the nerve, leading to pain. Infections can develop in the tooth pulp, causing severe discomfort and requiring root canal treatment. Gum disease can cause pain and inflammation in the gums and supporting tissues. Cracked teeth can expose the inner layers, resulting in sensitivity and pain, particularly when biting. Exposed roots, often due to gum recession, can cause sharp pain when eating hot, cold, or sweet foods. A dental examination is necessary to diagnose and treat the cause.

I cracked my tooth, what can we do to fix it? Why can’t it be fixed?

Cracked teeth can often be repaired with bonding, crowns, or root canal treatment. Bonding involves applying a tooth-colored resin to fill the crack and restore the tooth’s appearance and function. Crowns, or caps, cover the entire tooth to protect it from further damage and restore its shape and strength. Root canal treatment may be needed if the crack extends into the pulp, followed by a crown to seal and protect the tooth. In severe cases, extraction may be necessary if the crack extends below the gum line, making it impossible to save the tooth. Your dentist will recommend the best treatment based on the extent of the damage.

Why is bruxism/grinding my teeth an issue? How do you know I am grinding my teeth?

Bruxism, or teeth grinding, can cause tooth wear, fractures, and jaw pain. It can lead to flattened teeth, chipped or cracked enamel, and increased tooth sensitivity. Grinding can also strain the jaw muscles and joints, resulting in discomfort, headaches, and temporomandibular joint (TMJ) disorders. Dentists can diagnose bruxism by observing signs such as worn-down teeth, enamel damage, and complaints of jaw pain. They may also inquire about symptoms morning headaches, facial pain, or disturbed sleep. Conditions like sleep apnea, high levels of stress, and even weight training can trigger bruxism. Nightguards or occlusal splints can be prescribed to protect the teeth and alleviate symptoms.

Why do my gums hurt?

Gum pain can result from gingivitis, periodontitis, abscesses, or trauma. Gingivitis is the inflammation of the gums caused by plaque buildup, leading to redness, swelling, and tenderness. Periodontitis is a more severe form of gum disease that affects the bone and supporting structures of the teeth, causing pain and discomfort. Abscesses, or pockets of infection, can form in the gums, resulting in severe pain and swelling, and potential for tooth loss. Trauma from injuries, aggressive brushing, or dental procedures can also cause acute gum pain. Proper diagnosis and treatment are essential to address the underlying cause and alleviate pain.

Why do I have this red pimple on my gums (abscess)?

A red pimple on the gums is called an abscess, and indicates infection. Abscesses form when bacteria invade the gums or tooth pulp, leading to a collection of pus. They can cause severe pain, swelling, and fever. Abscesses require prompt dental treatment to prevent the spread of infection and relieve pain. Failure to treat an abscess can lead to life threatening complications and should be treated as a dental emergency. Treatment may involve draining the abscess, performing a root canal, or extracting the affected tooth. Antibiotics may also be prescribed to help eliminate the infection. Maintaining good oral hygiene and seeking regular dental care can help prevent abscesses and other dental infections.

Why do you recommend I replace this filling? VS Why do I need to do this filling?

Replacing a filling may be necessary due to wear, decay around the filling, or damage. Over time, fillings can wear down, crack, or chip, compromising their effectiveness. Decay can develop around or under the filling, requiring replacement to prevent further damage. New fillings are needed to restore tooth function, protect the tooth from decay, and maintain overall oral health. Neglecting to replace or place fillings can lead to more extensive dental issues, such as larger cavities, tooth infections, or the need for more complex treatments like crowns or root canals.

Why do I need a bone graft after this tooth is extracted?

Bone grafting after extraction helps preserve the jawbone structure, providing a stable foundation for future dental implants or other restorations. When a tooth is extracted, the surrounding bone can deteriorate due to lack of stimulation from the tooth root. Bone grafts involve placing bone material in the extraction site to promote new bone growth and maintain the bone’s height and width. This procedure is essential for ensuring sufficient bone density and volume for successful implant placement or to support dentures. Bone grafting can also prevent changes in facial structure and maintain overall oral health.

Why do root canal treated teeth need crowns after treatment?

Crowns protect and strengthen root canal-treated teeth, which are more susceptible to fractures due to the loss of tooth structure and demineralization. During a root canal, the infected pulp is removed, and the tooth is cleaned and sealed. This process can weaken the tooth, making it prone to cracking or breaking. A crown, or cap, covers the entire tooth, providing protection and restoring its shape, function, and appearance. Crowns help distribute biting forces evenly, prevent further decay, and extend the lifespan of the treated tooth, ensuring long-term oral health and functionality. Placing a crown sooner than later ensures the structure of the tooth has the highest integrity , ensuring better success and longer survival times.

Why is an implant better than a bridge?

Implants are better because they preserve jawbone, do not affect adjacent teeth, and provide a permanent, natural-looking solution. Dental implants act as artificial tooth roots, stimulating the bone and preventing bone loss. Unlike bridges, implants do not require grinding down adjacent teeth for support, preserving natural tooth structure. When complications arise with one or multiple teeth involved in a bridge, the entire bridge is affected. Implants are designed to integrate with the bone, providing a stable and durable foundation for replacement teeth. They look and function like natural teeth, offering a more comfortable and aesthetically pleasing option. With proper care, implants can last a lifetime, making them a superior choice for tooth replacement.

Why does my breath smell?

Bad breath, or halitosis, can be caused by poor oral hygiene, gum disease, cavities, or medical conditions. Poor oral hygiene allows bacteria to accumulate on the teeth, gums, and tongue, producing foul odors. Gum disease, caused by plaque buildup, can lead to persistent bad breath. Cavities and infections can also produce unpleasant smells. Medical conditions such as sinus infections, diabetes, or digestive issues can contribute to halitosis. Regular dental cleanings, good oral hygiene practices, and addressing underlying health issues are essential for preventing and managing bad breath.

Why do I need to take antibiotics for a whole week if the pain went away after the first day?

Completing the antibiotic course ensures that the infection is fully eradicated and prevents antibiotic resistance or recurrence. While symptoms may improve quickly, some bacteria may remain and can multiply if the full course is not completed. Incomplete treatment can lead to the infection returning and becoming more difficult to treat. Additionally, not finishing antibiotics can contribute to the development of antibiotic-resistant bacteria, posing a significant health risk. Following the prescribed antibiotic regimen is crucial for effectively treating infections and safeguarding overall health.

Why do I need to fix my tooth if it no longer hurts/doesn’t hurt?

Lack of pain doesn’t mean the absence of issues. Untreated decay or damage can lead to severe problems, including infection and tooth loss. A tooth that no longer hurts may still have underlying issues such as cavities, cracks, or gum disease. These problems can progress silently, causing more extensive damage over time. Addressing dental issues promptly, even in the absence of pain, helps prevent complications, preserves tooth structure, and maintains overall oral health. Regular dental check-ups and early intervention are key to avoiding more complex and costly treatments.

Why is dentistry so expensive in the USA?

Dental care costs in the USA are high due to advanced technology, materials, training, and regulatory standards required to ensure high-quality care. The use of cutting-edge equipment, high-quality materials, and modern techniques contributes to the cost. Dentists undergo extensive education and training, including continuous education to stay updated with advancements. Regulatory standards and compliance with safety protocols add to operational costs. Additionally, overhead expenses such as staffing, facility maintenance, and insurance contribute to the overall cost of dental care. Despite the expense, these factors ensure patients receive safe, effective, and reliable treatment.

What is the difference between a denture, an overdenture, and a fixed all-on-x denture?

• Denture: A removable appliance that replaces missing teeth. Dentures can be full (replacing all teeth) or partial (replacing some teeth) and are supported by the gums and underlying bone.
• Overdenture: A removable denture that fits over remaining natural teeth or dental implants. Overdentures offer increased stability and retention compared to traditional dentures, providing improved function and comfort. They are not as
• Fixed All-on-X Denture: A permanent denture anchored by multiple implants. This type of denture offers a secure, stable solution that functions like natural teeth, providing excellent aesthetics and eliminating the need for removal. It is a popular choice for full-arch restoration, offering long-term durability and improved quality of life.

What is the difference between a general dentist and a specialist?

A general dentist provides routine care and minor procedures, while specialists undergo additional training to handle complex dental issues in fields like orthodontics, periodontics, or oral surgery. General dentists perform a wide range of services, including cleanings, fillings, crowns, and basic extractions. Specialists, such as orthodontists, periodontists, and oral surgeons, receive advanced education and training in their specific areas of expertise, allowing them to manage more complex cases. Specialists often focus on areas such as braces, gum disease treatment, dental implants, and complex surgeries, providing patients with specialized care for specific dental needs.

How can I afford to get my teeth fixed?

Explore options like dental insurance, payment plans, financing, dental schools, or clinics offering sliding scale fees to make dental care more affordable. Dental insurance can help cover part of the cost of treatments. Many dental offices offer payment plans or financing options to spread out the cost over time. Dental schools often provide low-cost care by supervised students. Community clinics or non-profit organizations may offer sliding scale fees based on income. Additionally, health savings accounts (HSAs) or flexible spending accounts (FSAs) can be used to pay for dental expenses, making it easier to manage costs.

Why doesn’t my insurance/Medicaid cover the cost of certain treatments?

Insurance and Medicaid may not cover all treatments due to plan limitations, exclusions, or deemed non-essential procedures. Each insurance plan has specific coverage limits and may exclude certain treatments considered cosmetic or elective. Medicaid coverage varies by state and may not include all dental services, focusing on essential treatments for overall health. It’s important to review your policy details to understand what is covered. For uncovered treatments, discuss alternative options with your dentist, such as payment plans, financing, or other ways to manage the cost effectively.

For comprehensive orthodontic care and to determine the best treatment plan for your needs, schedule a consultation with NextGen Dental & Orthodontics in Wheeling, IL. Our experienced team is dedicated to helping you achieve a healthier, more aligned smile. Contact us today to begin your journey towards a perfect smile!