> Pain receptors remain in the ligament holding the tooth to the bone.
>
[quoted text clipped - 31 lines]
>
> - Show quoted text -
> Amatus,
>
[quoted text clipped - 9 lines]
>
> Rob
Yes, but it is also possible that the 'old' root canal is
not doing it's job and may just need to be retreated. After
placing a post and new crown, that is not good news, but
it still may be the case.
Had one of these 4-5 years ago. Tried to save the patient
some money by trusting another dentist's old endo that
looked 'OK' on film. Put the post and new restoration on
and it gave trouble almost immediately.
Took the crown off, got the post out, redid the endo, new
post, new crown....but it has worked!
D
Argonne1 - 18 Apr 2009 08:12 GMT
> > Amatus,
>
[quoted text clipped - 24 lines]
>
> D
Thanks for the added input. Certainly among the list of
possibilities. I've had endos go bad in the past and have benefited
from a redo.
However, in my case, I did some more troubleshooting since my dentist
and I both agreed that the problem might be one of gum abrasion since
the pain was quite minor (a 1 on a scale of ten) and not a steady
pain. Also, no sensitivity to hot or cold. As a result, I checked the
pulse setting on my WaterPik and turned it down a couple of notches.
In the past, a too powerful pulse, believe it or not, was responsible
for gum irritation.
Voila! It worked. That was four days ago and no more discomfort
since.
Sometimes, solutions require thinking outside the box.
New B. - 19 Apr 2009 00:12 GMT
>Tried to save the patient
>some money by trusting another dentist's old endo that
>looked 'OK' on film.
Admirable, have done the same.
>Put the post and new restoration on
>and it gave trouble almost immediately.
Have had similar results, in certain cases.
Am more selective now.
>Took the crown off, got the post out, redid the endo, new
>post, new crown....but it has worked!
I applaud your treatment, actions. and success !
But mostly your 'nerve' to tackle such a case.
You have proven that an astute practitioner can salvage
a case without reverting to referral or extraction.
Good case report mate !
>D