Dr. Hall,
One of my front teeth was knocked backwards 7 days ago and the root of the tooth went forward protruding into my upper lip and I can feel it almost in my right nostril. I went to the dentist and he was able to match up the bottom of my right front tooth with my left front tooth, but the injured right front tooth root protrudes way out and hurts my gums above the tooth. I can feel it when I put a finger in my right nose, it is very uncomfortable and it is poking into my upper lip. Is there any way an oral surgeon or anyone can reposition the tooth root back to where it was before the tooth was knocked out of place? My dentist says nothing can be done, but I honestly don’t see how I can continue going through this pain and discomfort with the tooth root being in the place it is in right now. Any help would be greatly appreciated.
– Dale in Maine
Dale,
I wish I would have caught you within the first day or two of the accident. Once it’s been a week or more, I think you have to wait until this is fully healed and then have the tooth moved orthodontically. When the injury is fresh you can just crunch things back into place. But even so, I’d get it moved. It can be done with placing braces on the front teeth for a relatively short period of time.
And you’re probably going to need a root canal treatmenton this tooth. When that is done, be sure the dentist or root canal specialist doesn’t leave any gutta percha or root canal cement inside the crown of the tooth, because that will lead to eventual discoloration of the tooth. In time, the tooth will probably get a little darker anyway. But darkening will take a number of years if they can keep that gutta percha and cement cleaned out from the inside of the tooth.
Dr. Hall
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About David A. Hall
Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.
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