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Medical Forum / General / Dentistry / October 2008

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Pain On Biting

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goldbanjo - 28 Oct 2008 13:54 GMT
Two weeks ago, for one afternoon, tooth #2 which is crowned and not
root canaled, bothered me when biting on it, just mildly. It stopped
but yesterday it started again. When I touch the tooth, it also feels
a slight dull pain. The crown feels a little "off", high. There is no
swelling or pain in surrounding gum or up higher. I do have some sinus
pain and am wondering if that could cause this. Also, the margin is
showing since this is a 20 year old crown. The dentist didn't see
anything when I had my teeth cleaned 3 months ago but I didn't ask
because it wasn't bothering me then. Tooth #1 was extracted many years
ago. I had a really bad day yesterday and may have been inadvertently
clenching. Could it be from that or sinus related? Could it be a
cracked tooth under the crown and could they see this on an x-ray when
it's crowned?
Mark & Steven Bornfeld - 28 Oct 2008 14:23 GMT
> Two weeks ago, for one afternoon, tooth #2 which is crowned and not
> root canaled, bothered me when biting on it, just mildly. It stopped
[quoted text clipped - 9 lines]
> cracked tooth under the crown and could they see this on an x-ray when
> it's crowned?

    It could be from any an all of these things.  Clenching could cause it;
sinus inflammation could cause it; crack is less likely as it tends to
give sharper and more consistent pain.  The pulp may have been damaged
(even as long as 20 years ago when the crown was done) and may have
chosen this time to flare up.  Worth having it looked at.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

goldbanjo - 29 Oct 2008 00:11 GMT
Thank you Steve. I went to see my dentist today and he took an x-ray,
sees no decay or cracks or signs of infection but does see pretty
severe bone loss.  He ground the crown down a little to adjust my bite
which seemed high. He didn't feel that is was necessary at this point
to remove the crown and see what's underneath. The tooth isn't a good
candidate for a root canal or even a new crown due to the bone loss.
Probably extraction if it keeps feeling sore or really acts up. I
would like to keep it as an anchor because 3 and 4 are both root
canaled and also have bone loss and may someday fail but the tooth is
not a good anchor so not worth preserving for that purpose. Sorry for
the double post. I posted last night and it didn't show up this
morning, so reposted. If the pulp is acting up as you said is a
possibility, I guess I will have to wait and see if the pain becomes
more constant. At this point, it is only upon pressure and not as much
as I felt it yesterday. Thanks as always.

On Oct 28, 9:23 am, Mark & Steven Bornfeld
<bornfeldm...@dentaltwins.com> wrote:
> > Two weeks ago, for one afternoon, tooth #2 which is crowned and not
> > root canaled, bothered me when biting on it, just mildly. It stopped
[quoted text clipped - 22 lines]
> Brooklyn, NY
> 718-258-5001
 
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