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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Is trismus normal after wisdom teeth removal?

Query: Hi doctor, One month ago, I had all four wisdom teeth removed. Recently I begin to have stiff feelings near the areas of extracted teeth, heart palpitations, difficulty in breathing, burning sensation in the gums and the head. There is no pain during eating or drinking. What could be the cause for ...  Read Full »

Dr. Muzaffer Hussain Parray


Answer: Hi, Welcome to Your symptoms look like anxiety more than a tooth issue. Yes, when we remove the third molars there can be slight tightness because the occlusion gets little deranged in case you have any one of them functional. There is no need to worry, but get some IOPA (intraoral pe...  Read Full »

What should I do for my chronic toothache?

Query: Hi doctor, I have a chronic toothache. I took an X-ray of the tooth. Is there anything wrong with my X-ray? Currently, I am taking Citalopram 40 mg and Doxycycline.   Read Full »

Dr. Bharat Joshi

Dentist, Periodontist

Answer: Hi, Welcome to I have gone through the X-ray (attachment removed to protect patient identity). Your left central incisor shows a problem of internal resorption. I suggest you continue taking medications for five days and then do RCT (root canal treatment) for this affected tooth. ...  Read Full »

Is it normal to have pain after root canal treatment?

Query: Hello doctor, I have pain two weeks after root canal treatment.  Read Full »

Dr. Mousam Chattopadhyay

Dentist, Endodontist

Answer: Hello, Welcome to I went through your query and the attached x-ray (attachment removed to protect patient identity). Kindly let me know how long you have been facing pain post root canal. Was it continuous after the procedure did, or it started recently? The x-ray does not s...  Read Full »

How to treat a cracked tooth?

Query: Hello doctor, While trying to disassemble a monitor, I accidentally hit myself in the face with the base of the monitor. Later, I noticed that my lateral incisor had a crack and the very top of the tooth had chipped off. Based on the research it seems like it is just a craze line. About half of th...  Read Full »

Dr. Prerna Jain

Dentist, Orthodontist

Answer: Hi, Welcome to Looking at the picture (attachment removed to protect patient identity) and with your history, it seems that it is an impact trauma with incisal fracture. To confirm that the fracture has not extended to the root of the tooth we must do an x-ray (IOPA - intraoral periapi...  Read Full »

Is it mandatory to remove the broken file during RCT?

Query: Hello doctor,Today the dentist has broken a file inside my tooth during root canal treatment. She said she could not remove the broken file, continued the treatment, and tried to bypass the broken file. And she also said that she does not know if I would have complications from this broken file or i...  Read Full »

Dr. Naveen Thomas

Dentist, Endodontist, Pedodontist, Periodontist

Answer: Hello, Welcome to Usually, there will not be many complications if the file is in the canal only and not extending beyond the root apex. In my opinion, ask her to finish RCT (root canal treatment) for the rest of the canals. If any complications arise, see an Endodontist to retrieve...  Read Full »

Is the reddish spot on my molar tooth a cavity?

Query: Hi doctor, I was wondering if my back teeth have a cavity. When I was examining my molars, I came across a strange reddish color on top. I did some research on the internet and read that a cavity will be either brown or black in color. I am very confused. I do not want it to spread and I am asking ...  Read Full »

Dr. Prerna Jain

Dentist, Orthodontist

Answer: Hi, Welcome to You are right. Cavities usually look brown or black in color. But, it may still be a cavity that is stained. It could also be something called as chronic hyperplastic pulpitis, which looks like a red swelling in the middle of the tooth. It is a slow chronic irritation of ...  Read Full »

Why do I have a weird feeling in the apicoectomy site?

Query: Hello doctor, I had an apicoectomy on one of my teeth before few months. Since then, I have a weird feeling around the operation site. None of my teeth hurts, but I always feel this weird sensation around the alveolar mucosa part, like something is on my gum. Sometimes I also feel mild burning fro...  Read Full »

Dr. Bharat Joshi

Dentist, Periodontist

Answer: Hello, Welcome to Thanks for the pictures (attachment removed to protect patient identity). Yes, in your x-ray, there is small radiolucency in the treated tooth. But the sensation you are talking about is not related to that. If you can observe your tooth, this is angled outside. Du...  Read Full »

Does my dental X-ray show any cavity?

Query: Hi doctor, I have got a dental x-ray done today. I got a root canal on the upper second tooth from the canine. Please go through my dental x-ray and inform about cavities if any.  Read Full »

Dr. Prerna Jain

Dentist, Orthodontist

Answer: Hi, Welcome to I would like to tell you that OPG - orthopantomogram x-ray is not the most reliable investigation for diagnosing cavities. The reason is that it is a larger x-ray of the whole oral cavity, which is great for studying the relation between teeth and bones. Unless the cavity...  Read Full »

What causes constant pulsatile tooth pain?

Query: Hi doctor, I have constant pain in my front tooth (11). I have not had any trauma to it as of I aware and I take good care of my teeth. I do not have gum disease. There may be a tiny bit of gum recession due to over brushing. The ache is constant. I do not get any pain from cold or hot food or drink...  Read Full »

Dr. Prerna Jain

Dentist, Orthodontist

Answer: Hi, Welcome to The tooth pain you are experiencing is indicative of pulpitis that is there is inflammation of the living part of your tooth. It may or may not be irreversible. It would be clearer if you could answer a few more questions. When did the pain start? How long has it been? Ho...  Read Full »

What could present as a lump in the gums of upper front teeth?

Query: Hello doctor, I am a 50-year-old male. I am having good health and no medications. About three days ago, I noticed with my tongue a lump, mass on my upper gum right to my front teeth and towards the top of the jaw, gumline. It feels smooth and dome-like. I took a look at it in the mirror and of c...  Read Full »

Dr. Mousam Chattopadhyay

Dentist, Endodontist

Answer: Hello, Welcome to Kindly upload an image of the lump. It can be a cyst or an abscess due to the crown. I need to find out soon. I need your cooperation and faith. Kindly upload the image as soon as convenient as the lump is a serious issue. It is not cancerous or something to be sup...  Read Full »

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