What is the most difficult tooth to extract?

Lower back teeth are typically the hardest to anesthetize. This is because it requires a little more work in terms of numbing the nerve endings, which are more plentiful at the back, lower part of the jaw.

Does Hypercementosis cause root resorption?

Hypercementosis should be surrounded by a periodontal membrane space, which is usually thinner than the soft tissue capsule of the benign cementoblastoma, and there is no root resorption or jaw expansion with hypercementosis.

What is dental Hypercementosis?

Hypercementosis is a non-neoplastic condition characterised by excessive deposition of cementum on the roots of teeth. 1. It may affect a single tooth or multiple teeth. The condition is asymptomatic and is detected on radiographic examination.

Does Hypercementosis cause pain?

It is experienced as an uncomfortable sensation in the tooth, followed by an aching pain. It may be noted on radiographs as a radiopaque (or lighter) mass at each root apex.

Which tooth is most difficult to extract maxillary?

Secondly, the degree of difficulty of an extraction is also determined by the anatomy of the tooth. Canine teeth have a large bulbous root with an extensive periodontal attachment. The curved roots of multirooted teeth make a extraction technically more difficult.

Are top or bottom teeth harder to remove?

Upper wisdom teeth are often easier to remove than lower ones, which are more likely to be impacted. Your dentist will say whether the tooth should be taken out at the dental practice, or whether you should be referred to a specialist (oral surgeon) at a hospital.

Which is most frequently affected by root Dilaceration?

Dilaceration is defined as a deviation or bend in the linear relationship of a tooth crown to its root. This occurs most often in the permanent dentition and frequently affects the maxillary incisors (Fig. 10).

What is sclerosing osteitis?

What is condensing osteitis? Condensing osteitis consists of abnormal bone growth and lesions that may result from tooth inflammation or infections. Also known as focal sclerosing osteitis, this dental condition is known for causing harder, denser bones, which primarily affects molars in your jaw area.

What is dental Dilaceration?

By definition, dilaceration is an abnormal angulation or bend in the root and less frequently, the crown of a tooth. Most cases are idiopathic and have no clinical feature [1]. In limited cases with recognized cause, injury was the first reason.

What is dental Hypodontia?

What is hypodontia? Sometimes people do not develop all their teeth. This is called hypodontia. It can affect baby and adult teeth. About one in 20 people have one or two teeth missing, however, more teeth can be missing.

What is enamel hypoplasia?

Enamel hypoplasia is a developmental defect that results in inadequate enamel. It can affect both baby teeth and permanent teeth. In severe cases, no enamel forms on the teeth, and in standard cases, the tooth enamel is thin and weak.

Is molar tooth extraction painful?

Yes, getting a tooth pulled can hurt. However, your dentist will typically give you local anesthesia during the procedure to eliminate the pain. Also, following the procedure, dentists usually recommend over-the-counter (OTC) or prescription pain medication to help you manage the pain.

How is hypercementosis a challenge for endodontic therapy?

Based on literature, it is possible to notice a lack of scientific studies which guide the endodontist for treating teeth with hypercementosis, since the cement deposition lead to the length increase of the cementum canal, and consequently, to the increase of the distance from CDC junction to apical root end.

What is the root shape of hypercementosis?

Hypercementosis is the increase in cementum deposition on a root surface resulting in an abnormal root shape, frequently a bulbous tip at the root apex. Brad W. Neville DDS, Angela C. Chi DMD, in Color Atlas of Oral and Maxillofacial Diseases, 2019 Hypercementosis is a nonneoplastic deposition of excessive cementum.

What happens to your teeth when you have eotrh?

As the disease progresses, the roots of multiple teeth begin to resorb (dissolve), and the body tries to stabilize these teeth by laying down extra cementum. This results in hypercementosis, or bulbous swellings around the roots of affected teeth. These teeth become infected, abscess, and may loosen or even fracture.

What causes cementum to be deposited on tooth roots?

Cementum is normally deposited on tooth roots throughout life to compensate for occlusal wear; an excess of such physiological deposition is termed ‘ hypercementosis ’. The common causes of hypercementosis are chronic periapical infection, a functionless tooth, a reaction to increased stress on the tooth, and Paget disease.