Iopa

IOPA is the short form for intraoral periapical radiograph. It is a type of intraoral, that is, the x-ray film is placed inside the mouth while taking a radiograph. This type of x-ray shows the entire tooth, along with its surrounding structures.

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Why is my tooth infection not evident on X-ray?

Query: Hello doctor, Last Saturday I was feeling some discomfort with one of my teeth. It is a tooth that has a crown on it. I was chewing on a piece of steak, and it felt sore. It felt a little sore on Saturday, Sunday, Monday, and Tuesday. I saw my dentist on Tuesday and they did not see any thing wrong ...  Read Full »


Dr. Naveen Thomas

Answer: Hi, Welcome to icliniq.com. Sometimes, it takes time for an abscess to show on the X-ray, but pain starts as soon as it starts producing pus. When the quantity of pus increases and causes bone loss at the root apex, then it starts showing on the X-ray. If tapping causes pain, then the tooth does n...  Read Full »

Do I need a root canal treatment compulsorily?

Query: Hi doctor, I had a cavity in the tooth. The X-rays show it was small but when the dentist drilled the nerve got exposed and is telling me I need a root canal along with crown. He has put a temporary filling for now. How do I know if I need a root canal for sure?  Read Full »


Dr. Prerna Jain

Answer: Hi, Welcome to icliniq.com. If the nerve or pulp of the tooth is exposed, there is no other course of treatment except root canal treatment. You can confirm the same using x-ray, IOPA of the tooth. If no treatment is continued or a permanent filling is placed, the tooth will continue to experienc...  Read Full »

Why are my teeth extremely sensitive to cold food?

Query: Hello doctor, I had my filling two years ago and it has been going well for a few months. I have had no problem with it but recently anything really cold touches it and I get a sharp pain. Hot foods cause no problem and sometimes it just hurts by itself.  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hello, Welcome to icliniq.com. It seems there are secondary caries below the loose filling. You need to get it removed as soon as possible. Replace it with a new one.  With regards to your symptoms, the probable cause may be a faulty restoration. The probable diagnosis could be a ...  Read Full »

What could be done for the sensitivity of teeth after drinking something cold?

Query: Hello doctor, I am experiencing a sensitivity in my tooth, whenever I drink something cold. I have sensitivity on the front tooth, both on the upper and lower jaws. I also notice a crack down the front teeth on the lower jaws. I started using a sensitivity relief toothpaste. Initially, it worked qui...  Read Full »


Dr. Honey Nandwani

Answer: Hello, Welcome to icliniq.com. It appears to be dentinal hypersensitivity, and it occurs due to the opening of the nerve endings on the surface of the teeth. If there is crack on the teeth, then an X-rayshould be done, to rule out the cause. The treatment can be planned accordingly. If it is due to...  Read Full »

Why do I feel severe pain and pressure on my right side of the gum?

Query: Hello doctor,When I press the area on my face under my right nostril, I get a pressure on my upper gum inside my mouth which hurts real bad. When I do not press on it, my right front tooth hurts, like a toothache or pressure.  Read Full »


Dr. Naveen Thomas

Answer: Hello, Welcome to icliniq.com. You might have an abscess or a cyst. You need to see a dentist for a visual and physical examination. It needs to be ascertained whether there is any cavity or an abscess related to any front teeth using an X-ray as soon as possible. For more information consult a dent...  Read Full »

Should I get my tooth removed if it aches?

Query: Hello doctor, I have a tooth problem in two of my teeth from about a whole week. One tooth is broken and my other one just hurts. It is a lower and upper one. I had a fever for a whole day and my ear has been hurting for two days already. Do I need to go to the emergency room or can I wait to ge...  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hello, Welcome to icliniq.com. I had gone through your question. I can understand your concern. It seems to me that you have acute pulpitis. You need to take a five-day antibiotic course and after that, you can get it removed. If you do not have any associated medical history or allergy to any of th...  Read Full »

What is the treatment for a pus-filled pimple at the site of my flap surgery?

Query: Hello doctor, I am a 35 year old male. I had a root canal treatment done on the lower left side second molar about four to five years back by an endodontist. Two years after the treatment, the ceramic crown came off and was replaced by a metallic crown. Recently, I had a pus pimple under that t...  Read Full »


Dr. Naveen Thomas

Answer: Hello, Welcome to icliniq.com. The infection is due to the improperly done root canal of the mesial root of that tooth. Flap surgery was done needlessly. The treatments possible are: Frequently, what the dentist would do after such a problem is to extract that tooth. Go to an Endodontist and reques...  Read Full »

I have pain in the left molar region and bleeding gums. Please help.

Query: Hi doctor, I have extreme pain in my left molar region, and I also have swollen gums that bleed while brushing. Please help.  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to icliniq.com. I had gone through your question. I can understand your concern about your bleeding gums and gingivitis. You need to keep brushing your teeth even though it bleeds. And you also need to get your teeth cleaned (oral prophylaxis). Probable causes: Plaque. Calculus....  Read Full »

What is the reason for recurrent sensitivity in the root canal-treated tooth?

Query: Hello doctor,Two months ago, I had a root canal done on a lower molar by a general dentist. I have put off getting a crown on it for now to evaluate its healing. Last week, I noticed hot food causes a sensitive feeling coming from that area whereas the week before, I had pain in my jaw area. I am no...  Read Full »


Dr. Naveen Thomas

Answer: Hello, Welcome to icliniq.com. I have seen the files and gone through them (attachment removed to protect patient identity). The two mesial roots are not properly filled to the tip but there does not seem to be any infection at the apex. I suggest you wait for a few more weeks. Are the sensitivity ...  Read Full »

I experience mild numbness and also sharp pain where the wisdom tooth was removed.Why is this happening?

Query: Hi doctor, I am a 20-year-old female. My height is 5'5" and my weight is 140 lbs. I experience mild numbness and sharp pain where the wisdom tooth was removed two years ago, thereby making it hard to eat. Why is this happening?  Read Full »


Dr. Senthil Kumar

Answer: Hi, Welcome to icliniq.com. Possible reasons for the numbness and sharp pain could be: Any root fragment leftover while removing the tooth. b) Damage to the second molar tooth (tooth just before the wisdom tooth) during the process of surgical removal. c) Cavities (decay) in the upper wisdo...  Read Full »

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