Tooth 20: the Lower Left Upperdog- A Guide to Infections and Treatments

Do you have all 32 teeth? No? Are you looking for the answer to the question, if it is normal?

Yes, the total number of teeth in any adult human mouth is 32. But if you have any less than that, that is also a normal condition in any human being. The teeth other than wisdom teeth are complete in any human mouth, which is a total of 28. Adults may or may not have wisdom teeth grown. Some may have 1 wisdom tooth, some may have 2 or 3, and some may have all 4, but their are also those who have all 4 wisdom teeth. 

Coming to tooth 20, which is the 2nd premolar in the lower left quadrant, the 2nd premolar is also called the 2nd bicupsid. We all want to know where tooth 20 is located. Tooth 20 location is in the lower left quadrant before the 1st molar of the quadrant, or it is between tooth 21 1st premolar and tooth 19 1st molar. The lower left quadrant is all a set full of molars, premolars, canines, and incisors.

tooth 20 main

Why does Tooth 20 get infected? What is the solution to Treating an infection?

The tooth number 20 can get infected for many of the common reasons:

  • Cavities: If left untreated, cavities may hold bacteria that can infect the pulp, the tooth’s inner organ.
  • Chipped or cracked teeth: Both chips and cracks can give bacteria exactly the same access opportunities to pulp.
  • Gum Disease: Severe gum disease can result in pockets surrounding teeth, which provide an environment for bacteria to grow and eventually cause tooth infection.
  • Insufficient Dental Work: Bad crowns, fillings, or other dental work might leave gaps that germs can exploit.
  • Damage: When a tooth experiences physical trauma, bacteria may enter and cause structural damage.
  • Dry Mouth: An extended dry mouth may reduce saliva’s natural cleansing ability, which increases the growth of bacteria.

And in four different ways, you can treat the infection, which may or may not be a complete solution:

reasons for tooth 20 infections

Pain Management

  • Drugs such as acetaminophen or ibuprofen can help treat pain.
  • Gels or sprays available over-the-counter may offer temporary relief for the gums.

Controlling Infection

  • To treat the bacterial infection, your dentist will typically recommend antibiotics.
  • Your dentist might have to remove pus from an abscess in order to release pressure and reduce inflammation.

A Treatment for Completely Infected Teeth

  • Remove the infected tissue and preserve the tooth; a root canal may be required if the infection has spread to the pulp of the tooth.
  • Tooth extraction may be the only option to take in extreme situations if the tooth is irreversibly damaged.
  • Your dentist may suggest additional procedures, such as gum grafting or filling repair, based on the particular cause of the infection.

You can also care for your infected teeth at home to reduce inflammation or pain. You must rinse your mouth with salt water and brush your teeth gently two times a day with care. You must avoid too hot or cold food to avoid the pain due to sensitivity.

It’s better to see your dentist if you feel any inflammation or discomfort in tooth 20 or any other teeth. Following the instructions by your dentist and also following the dental checkups can help you avoid the severity of infection that can lead to any mishap.

How do we Differentiate Between Root Canal and Tooth number 20 Extraction?

In root canal treatment, the tooth remains in it’s place and is treated, while in tooth extraction, the tooth is removed from the jawline. When is one of them applicable? Well, if the damage is not treatable, tooth 20 is extracted from the mouth. 

Tooth 20 Root Canal Treatment 

Root canal treatment involves the cleaning of the infected area. The infected pulp is removed from tooth 20 and then cleaned and disinfected to avoid further bacterial attacks. Now tooth 20 is prepared for the filling of the area from which the pulp is removed. The cleaned and shaped canals are filled with a biocompatible material and sealed, or a crown is placed on the filling. 

The number of roots and canals can be different for different people. According to a research paper, the number of patterns of roots and canals is the same in 98% in 2nd premolar and 96% in the 1st premolar. The mandibular 1st and 2nd premolars have 1 root with 1 canal, which counts in the tooth 19, tooth 20, tooth 28, and tooth 29. 

You can take over-the-counter painkillers to relieve any minor discomfort or sensitivity you might experience after the treatment.

How Does Root Canal Help You?

  • It saves you from a tooth extraction.
  • Pain is relieved
  • You are being saved from any bacterial attacks again

Tooth 20 Extraction: An Irreversible Damage Treatment

A tooth extraction, also known as tooth pulling, is a dental treatment that involves completely removing a tooth from its socket in the jaw bone. It is only used as the last option when other restoration options, including tooth fillings or root canals, are either impossible or ineffective.

The dentist numbs the area of tooth extraction using local or general anesthesia, depending on the complexity of the tooth extraction area. An X-ray is also done to prepare for the treatment.

Depending on the tooth’s area and condition, different instruments are used by the dentist:

  • For easy extractions of apparent teeth, the dentist will use an elevator to loosen the tooth and then gently remove it with forceps.
  • For impacted wisdom teeth or firmly rooted teeth, surgical extraction may be required, which may involve the removal of gum and bone tissue to gain access to the tooth.

After the removal of teeth 20, the dentist will place the gauze to stop bleeding and prevent the formation of clotting. Sometimes stitches are also needed to close the gum in that area. 

When is Extraction A Must Procedure for the Patient?

  • Tooth decay or damage that is too severe to heal.
  • Wisdom teeth that have become impacted and are creating pain or problems with other teeth.
  • Advanced gum disease that results in considerable bone loss and tooth loosening.
  • Orthodontic treatment demands an allocation of space for tooth alignment.
  • Pre-existing medical issues require the extraction of compromised teeth.

The Other Procedures for Infected Teeths

The very first procedure that we will mention is gum grafting. The details of what gum grafting is and why it is needed to treat the tooth number 20 infection. 

Gum grafting is a procedure that is needed when the gums become thin enough that they start exposing the roots of the teeth due to infection. The infection attacks the gum tissue that needs to be replaced in order to avoid further infection by bacteria. Infection is the main reason for the decay of gum tissues, leading to more severe gum diseases. 

gum grafting tooth number 20

The other procedure is the dental filling. The dental filling and root canal treatment might look the same to you, but they are preferred in different situations, which we are going to discuss to make a clear difference. 

The dental filling is preferred to fill the minor cavities, which may or may not be caused by a tooth infection. But root canaling is only done when the infection attacks the pulp of your teeth. 

Posterior and Anterior teeth

All the front teeth in your mouth, which include all the canines and incisors, both maxillary and mandibular, are counted as anterior teeth. While the teeth are all in the back of your mouth, which include the premolars and molars, both of which include tooth 20 and 21, both are the posterior teeth in your mouth.