Vertical apical root fractures occur with the tip of the root, and can cause you severe to intense pain, even if you ve had the nerve removed with a root canal. Even though the nerve may not be present, vertical apical root fractures cause a lot of pain, which occurs in the tooth. Normally, vertical apical fractures will cause you more pain than any other type of fracture. Sometimes they can be pulled, although in most cases they need to be cut out by a qualified surgeon. When the time comes to have your wisdom teeth extracted, you ll need to go to an oral surgeon and have a consultation first. During the consultation, you ll take a few x-rays that will let the surgeon know how bad your wisdom teeth are. Gold is considered by many to be the best, although it is also the most expensive and will require you to visit the dentist several times before the filling will be complete. Silver fillings on the other hand, are less expensive than gold materials and they can be quite resistant to wear. With their color being dark, they are easier to notice than composite or porcelain fillings, and aren t recommended for visible areas of the mouth, especially the front teeth. Over time, the gums will get very tender and start to appear puffy. When you brush your teeth, you ll notice that your gums have become very sore and they will start to bleed with little to no pressure. If you notice blood when brushing, chances are you have gingivitis. Anytime you brush your teeth or floss, there shouldn t be any sign of blood. If he is going to pull or cut out your teeth, you ll have the option of using local anaesthesia or going with an IV sedation. An IV sedation is the preferred way to have wisdom teeth extracted, as you ll be so relaxed you won t know what is going on. If you decide to just use local anaesthesia, which is numbing, you ll be fully aware of the procedure. When someone who suffers from dental anxiety finally goes to the dentist, they normally find that even the smallest of problems can turn serious and require a lot of work and intervention from the dentist. Even though you may not realize it, regular cleaning visits to your dentist is the best way to keep your teeth healthy, and prevent problems such as decay and cavities.