Medical Forum / General / Dentistry / October 2004
Bicuspid sensitive to percussion after root canal
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Rip - 20 Oct 2004 09:41 GMT Is this normal after 6 weeks. The root canal looks fine. The tooth is somewhat mobile and was not immediately crowned, but filled with IRM, part of which subsequently broke off. It was then repaired but it's still in a temporary state.
Joel M. Eichen - 20 Oct 2004 14:51 GMT >Is this normal after 6 weeks. The root canal looks fine. Yes, this does happen .....
>The tooth is >somewhat mobile and was not immediately crowned, but filled with IRM, >part of which subsequently broke off. It was then repaired but it's >still in a temporary state. Wait it out a bit ..........
MOLAR or bicuspid?
Joel
Rip - 21 Oct 2004 10:30 GMT Upper bicuspid. It's making me nervous because a slight headache in temple/eye area is present. After root canal, headache was better, after IRM broke off, headache got worse.
Worried that it's not completely sealed somewhere.
It is of course possible that the headache is not caused by it at all, but by another tooth or something else.
Would like to crown ASAP, but a crown is being done on the opposite side and I am avoiding using that side. I should probably not eat any solid foods.
>>Is this normal after 6 weeks. The root canal looks fine. > [quoted text clipped - 10 lines] > >Joel Joel M. Eichen - 20 Oct 2004 14:53 GMT >Is this normal after 6 weeks. The root canal looks fine. The tooth is >somewhat mobile and was not immediately crowned, but filled with IRM, >part of which subsequently broke off. It was then repaired but it's >still in a temporary state. BUT REMEMBER,
Here is why. Sometimes these teeth crack while waiting to proceed with treatment. MY SOLUTION? Grinding the tooth down big time, way out of occlusion.
Years ago we placed a copper band onto the tooth and cemented it until the patient was ready to complete treatment.
A cracked tooth often means extraction.
Joel
Dr. Steve - 21 Oct 2004 02:28 GMT >>Is this normal after 6 weeks. The root canal looks fine. The tooth is >>somewhat mobile and was not immediately crowned, but filled with IRM, [quoted text clipped - 13 lines] > >Joel Last pre-molar root canal treatment I did took 2 hours. Of course, the crown was bonded on at the end of the appt. .. Stephen Mancuso, D.D.S. Troy, Michigan, USA
Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting.
W_B - 21 Oct 2004 02:34 GMT >Last pre-molar root canal treatment I did took 2 hours. Of >course, the crown was bonded on at the end of the appt. >.. >Stephen Mancuso, D.D.S. Steve "what's a temporary" Mancuso strikes again 8^]]
-- W_B
wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE
Dr. Steve - 21 Oct 2004 02:55 GMT >>Last pre-molar root canal treatment I did took 2 hours. Of >>course, the crown was bonded on at the end of the appt. >>.. >>Stephen Mancuso, D.D.S. > >Steve "what's a temporary" Mancuso strikes again 8^]] Cool Nick-name, thanks! .. Stephen Mancuso, D.D.S. Troy, Michigan, USA
Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting.
Joel M. Eichen - 21 Oct 2004 12:11 GMT >Last pre-molar root canal treatment I did took 2 hours. Of >course, the crown was bonded on at the end of the appt. One of the advantages of CEREC .......I never thought of that!
(USEFUL PATIENT ADVICE TOO)
>.. >Stephen Mancuso, D.D.S. >Troy, Michigan, USA StovePipe - 22 Oct 2004 05:16 GMT > Last pre-molar root canal treatment I did took 2 hours. Of > course, the crown was bonded on at the end of the appt. > .. > Stephen Mancuso, D.D.S. > Troy, Michigan, USA So, you don't wait to make sure your RCT is OK b/4 doing a crown? What would happen here if your follow up P/A showed an apical radiolucency 6 months later? You'd have to drill through your onlay and re-do the RCT and possibly the onlay, no? IOW: do you never wait and see b/4 crowning after RCT?... Thanks SP
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Dr Steve - 26 Oct 2004 13:49 GMT If it needed to be redone a year later, I would re-do the entire thing at no charge to the patient (unless the patient did something they were instructed not to do--open beer bottles with teeth, fist fight, etc.)
So what if you have cut a hole right through the porcelain crown? If the crown is intact outside of the access hole, I will usually place a Cerana pre-formed inlay.
 Signature ~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA ....................................................
This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ......................
> >> Last pre-molar root canal treatment I did took 2 hours. Of [quoted text clipped - 10 lines] > Thanks > SP Rip - 21 Oct 2004 10:42 GMT Yes. Initially the tooth was not ground down for some reason. After part of the IRM broke off it was then ground down more. This was at UCLA dental school (you'd think they'd know to do that). The root canal was done very well but it took 6 hours.
I am not really sure what to do. It has been suggested to wait another 2 weeks until the crown on the opposing side is finished.
Night bruxism is probably making it worse though a soft splint (Splintek) is present.
>>Is this normal after 6 weeks. The root canal looks fine. The tooth is >>somewhat mobile and was not immediately crowned, but filled with IRM, [quoted text clipped - 13 lines] > >Joel W_B - 21 Oct 2004 16:35 GMT >The root canal >was done very well but it took 6 hours. 6 hours ?!?!
Most bicuspids takes me ~30 min. Pt out of chair that is and including anesthesia.
Of course have 20+ yrs experience, dental students are much slower --
W_B
Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com
Adenosine - 21 Oct 2004 17:03 GMT >Yes. >Initially the tooth was not ground down for some reason. After part of >the IRM broke off it was then ground down more. This was at UCLA >dental school (you'd think they'd know to do that). The root canal >was done very well but it took 6 hours. 6 hours? Holy sh.t!
Please tell me it involved multiple appointments. I can't even THINK about being in the chair for 6 hours, unless you were a bit 'generous' with the nitrous oxide. Once the anesthetic started wearing off, it would give a whole new meaning to 'bored to tears'.
Adenosine
Rip - 22 Oct 2004 04:02 GMT 2 appointments of 3 hours. It does require a lot of patience. You end up feeling like a lab rat. I No nitrous oxide :-) I did however
This is why I am not going anymore. With all the rules/regulations instructor consults, approval, scheduling conflicts, bureaucratic procedures, school closures due to breaks between semesters, traffic in los angeles, the half price is basically not worth it. Maybe if they paid the patients instead. Then they want you to sign a treatment plan i.e. you agree to have all your teeth fixed, not see any other private dentist, etc.
One good thing is that whatever is done will probably be high quality work. Though I wonder sometimes if little mistakes slip through like the lack of grinding down the tooth. They also say things like "we will not cement the crown unless it's perfect even if the school loses money therefore we do better work then private dentists who will not do that due to profit considerations.
>>Yes. >>Initially the tooth was not ground down for some reason. After part of [quoted text clipped - 10 lines] > >Adenosine Joel M. Eichen - 22 Oct 2004 13:36 GMT >2 appointments of 3 hours. It does require a lot of patience. You end >up feeling like a lab rat. I No nitrous oxide :-) I did however [quoted text clipped - 3 lines] >procedures, school closures due to breaks between semesters, traffic >in los angeles, the half price is basically not worth it. Wait a minute ... you need dentistry? Dental schools are not the place to get that!
>Maybe if >they paid the patients instead. Then they want you to sign a treatment [quoted text clipped - 6 lines] >will not cement the crown unless it's perfect even if the school loses >money Hah!
> therefore we do better work then private dentists who will not >do that due to profit considerations. Hah again.
>>>Yes. >>>Initially the tooth was not ground down for some reason. After part of [quoted text clipped - 10 lines] >> >>Adenosine StovePipe - 23 Oct 2004 03:51 GMT > >This is why I am not going anymore. With all the rules/regulations > >instructor consults, approval, scheduling conflicts, bureaucratic [quoted text clipped - 3 lines] > Wait a minute ... you need dentistry? Dental schools are not the place > to get that! YES... go over to the Law school... or even the Mad Dog school. You go to the Dental school for ear piercing and such... Cheeahs SP
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StovePipe - 23 Oct 2004 03:51 GMT > One good thing is that whatever is done will probably be high quality > work. Though I wonder sometimes if little mistakes slip through like > the lack of grinding down the tooth. They also say things like "we > will not cement the crown unless it's perfect even if the school loses > money therefore we do better work then private dentists who will not > do that due to profit considerations. I think that for most dentists, 'specially in LA, this last is just so much hubris. Any dentist who values his/her reputation will not cement a substandard crown either. JMO SP
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