Porcelain dental veneers and teeth sculpting – reshaping the lower front teeth. Before and after photos. The upper porcelain teeth veneers were used to close the large teeth gaps spaces after the two upper front teeth were dramatically shortened. This businessman did not respond – get numb – from typical dental local anesthetics – novocaine – and so he avoided needed dentistry for many years. A combination of Carbocaine and Marcaine was found that offered him profound local anesthesia – numbness – so he could get all the needed dentistry performed without tooth pain.

Emergency gum pain and pain relief from treatment by removal of the inflamed gums. Distal wedge procedure – one week post op. This periodontal surgery is performed to remove gum tissue – the pericorium – that may grow over the biting surface of the lower back molar and cause severe gum pain. The pericorium in this patient had occasionally become infected and very painful and required antibiotics.

Acute periodontal abscess that caused tooth and gum pain. 1) This patient presented with this fistula – gum boil – between tooth #’s 7 & 8. Tooth #’s 8 & 9 had acrylic veneers placed about two years ago by her local dentist. Her general dentist had performed a gingivectomy last year to attempt to treat the occasional swelling of the gums in this same area. 2) The xray of tooth #9 shows a healed apicoectomy from 12 years ago that is not related to the current problem. 3) A gutta percha point was placed in the draining fistula and radiographed to see where it lead. It stayed at the coronal gingiva around the margin of the acrylic veneer. The patient was put on tetracycline antibiotics for a week. [This is not a recommendation for everybody!] 4) Reevaluation two days later shows improvement in tooth pain symptoms and gingival gum inflammation. An evaluation with the Periodontist and treatment of the veneer margin will occur following resolution of the acute gum condition. Photo #1 of 2.

Acute periodontal abscess – gum infection – that caused pain in the teeth and gums. Close up photos. Antibiotics provided initial pain relief of the dental emergency. This patient presented with this draining fistula between tooth #’s 7 & 8. Tooth #’s 8 & 9 had acrylic laminates placed about two years ago by her local dentist. Her general dentist had performed a gingivectomy last year to attempt to treat the occasional swelling of the gums and gum pain in this same area. A gutta percha point was placed in the fistula and radiographed to see where it lead. It stayed at the gum line around the margin of the laminate. The patient was put on tetracycline antibiotics for a week. [This is not a recommendation for everybody!]. Reevaluation two days later showed improvement in gum pain symptoms and gingival inflammation. An evaluation by Periodontist and recontouring the laminate margin will occur following resolution of the acute condition. Photo #2 of 2.

Teeth pain emergency with radiating jaw pain – and pain relief with treatment of the root canal. Photos 1) & 2) Teeth #’s 19 & 18 following removal of large, old silver dental fillings in a female patient who had been experiencing teeth pain. 3) X-ray of an endodontic file lengths. Note that the calcification in the mesial root of #18 initially prevented root canal instrumentation by the Endodontist. 4) Final endodontic obturation showing that the mesial root of #18 was located and treated. Chronic inflammation in the dental pulp due to the presence of large, old silver fillings can increase the difficulty of root canal therapy. Earlier root canal therapy should be considered in these situations.

Teeth pain emergency and pain relief with root canal treatment. 1) & 2) X-rays of tooth #’s 19 & 18 showing large, old silver fillings in a 38 year-old female patient who had been experiencing pain. Note the decreased size of the pulp chambers in these teeth. 3) Xray of the endodontic file lengths. Note that the calcification in the mesial root of #18 initially prevented instrumentation by the Endodontist. 4) Final endodontic obturation shows that the mesial root of #18 was located and treated. Chronic inflammation in the dental pulp due to the presence of large, old fillings can increase the difficulty of root canal therapy. Earlier root canal therapy should be considered in these situations. Pain medicine was also given after this visit.

This patient presented with a tooth pain emergency. Tooth cavity decay was drilled away. This tooth is being prepared for root canal and a dental crown. Before and after tooth preparation is shown. The root canal treatment will provide pain relief; pain medication will also help.

Mouth pain control when giving a novocaine shot. When palatal anesthesia is needed first anesthetize the buccal mucosa. Then penetrate the buccal gingiva with the needle and infiltrate as you push the needle towards the palate. This is a far less painful way to anesthetize the palate.

Emergency jaw pain in the right mandible and pain control with root canal treatment. 1) Xrays show large dental caries cavities in the second premolar and first molar and smaller cavities in both the second and third molars. 2) There was also a large periapical radiolucency around the apex of the second premolar tooth. 3) Photo of the second premolar and first molar. 4) Radiograph of the second premolar and first molar following root canal. The patient felt immediate relief of tooth pain afterwards without the need for pain medicine. Note: these teeth were treated following a careful differential diagnosis by the Endodontist. It would not be surprising, if in another patient, the mouth pain came from a tooth with a less apparently severe problem.

This emergency patient presented with oral pain on her lower right side that was subsequently diagnosed as root canal pain. Root canal therapy, crown build-up and tooth crown preparation was performed for both the molar and premolar. The premolar is the focus in this series of photos. Root canal treatment can provide substantial and fast tooth pain relief.

This patient presented with tooth pain on her lower right side that was subsequently diagnosed as root canal pain. Root canal therapy, crown build-up and tooth crown preparation was performed for both the molar and premolar. The molar is the focus in this series of photos. Root canal treatment can provide substantial and fast tooth pain relief.

Canker sore medicine provides immediate pain relief from oral mouth pain caused by aphthous ulcers. Application of Sulfuric Acid and Sulfonated Phenolics in an aqueous solution for treatment of an aphthous ulcer – canker sore pain. This is a chemical cautery agent that specifically adheres to aphthous tissue. 1) The canker sore. 2) After application of this solution. The procedure is painless, takes only five minutes and does not even require anesthesia. Patients feel nearly immediate canker sore pain relief from the treatment that otherwise would have lasted for seven to ten days. This treatment does not prevent the recurrence of the apthous ulcer.

Pain treatment of an aphthous ulcer – canker sore – to provide pain relief from oral mouth pain. How to pictures. 1) The initial canker sore. 2) Application of Sulfuric Acid and Sulfonated Phenolics in an aqueous solution with a small bonding brush. This is a chemical cautery agent that specifically adheres to aphthous gum tissue. 3) One minute later. 4) Two minutes later. The pain associated with the canker sore is almost completely gone in minutes. For more information, click on the “Dental Articles” at the top of this page and then click on “Canker Sores” in the left margin.

Pain relief from canker sores by application of a dental office pain medicine. Before and after photos. 1) The initial canker sore. 2) Immediately after application of Sulfuric Acid and Sulfonated Phenolics in an aqueous solution with a small bonding brush. This chemical cautery agent that specifically adheres to aphthous gum tissue. The canker sore pain is almost completely gone in minutes. This canker sore pain medicine is only available to dentists and doctors and is not available to patients for home use.