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Medical Forum / General / Dentistry / June 2009Cracked Tooth - what to do ?
Im currently undecided what to do. I have a cracked tooth on the left side. It is my 'First Molar' . I get excruitiating pain if I try to chew anything on it. Even if its just a blueberry or anything. Although if I dont chew anything at all on that side, I get no pain. So I have no real root damage. The roots are strong. It must be a small crack underneath everything that must be hitting the root at times ? I had a temporary crown done over a month ago.. the temp. crown is still on and I still have the same amount of pain as before when trying to chew. Its pizzin me off because this is a major chewing tooth..and I guess the only option is a root canal ? should one be done on that tooth or should I just have it taken out ? any advice is much appreciated thanks john > Im currently undecided what to do. I have a cracked tooth on the left > side. It is my 'First Molar' . [quoted text clipped - 17 lines] > thanks > john I assume the temporary crown was placed by your regular dentist in anticipation of a permanent crown. You're saying the pain was the same before the temporary crown was placed? Your symptoms are consistent with a fracture, but there could be pulpal involvement as well. Sorry, no way to tell. But it's likely your own dentist will be able to figure this out. Good luck, Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> Im currently undecided what to do. I have a cracked tooth on the left >> side. It is my 'First Molar' . [quoted text clipped - 27 lines] >Good luck, >Steve Could be a theraputic crown used as a diagnostic aid. Definitely has the symptoms of a 'cracked tooth'. Problem is the only definitive way to view the extent of the crack is to remove all decay, filling materials, temp crowns, etc... and actually view the crack. Whether the tooth is restorable is dependant on the extent of fracture. RCT and crown for some, EXT for others. Can you post an x-ray ? May or may not be helpful. > RCT and crown for some, EXT for others. > > Can you post an x-ray ? May or may not be helpful. The x-rays didnt show anything. EXT = extraction ? I have to go back there in a week.. my problem is I KNOW he's going to want to try the root canal next.. its all about $$ these days right ? So realistically, do you guys think it would be worth it to have a root canal ? I know your not able to diagnose correctly without all the technical data. but generally speaking ? The pain only occurs during one specific bitedown , when he does the bitedown test... and I remember him saying "its only over there?". But TRUST me, the pain is excruciating whenever I try to chew something over there. If I get it extracted, will I still be able to chew on my left side ? That first molar seems so important. I appreciate the help, guys. Cracked cusp?? AC >> RCT and crown for some, EXT for others. >> [quoted text clipped - 20 lines] > > I appreciate the help, guys. Should I have the root canal done or no ? I need to save this tooth. Do you think I need a hair-cut? Oh, wait, you have never seen my hair in person. Sorry for the sarcasm, but I hope you get the point. Signature/ Amatus / > Should I have the root canal done or no ? I need to save this tooth. >Should I have the root canal done or no ? I need to save this tooth. If you trust your dentist follow his recommendation. If still unsure, you may want a second opinion or three. Perhaps a consult with an endodontist. www.aae.org On May 22, 9:29 am, "john" <john167811_2654spammen...@yahoo.com> wrote: > > RCT and crown for some, EXT for others. > [quoted text clipped - 20 lines] > > I appreciate the help, guys. Root canal build-up and crowm= about $3000 extraction, bone graft, implant placement surgery, implant abutment, crown= about $4500 Is it about the money???? you tell me because if it is then wouldn't option 2 be better? you fractured a tooth and you are in pain. If it is possible to save the tooth then that is what you should do. If there are any questions that this crack is straight down the tooth, then i'd consider option 2. |
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