Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / General / Dentistry / October 2004

Tip: Looking for answers? Try searching our database.

Bicuspid sensitive to percussion after root canal

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
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
Signature

Not a real Addy, yet

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
Signature

Not a real Addy, yet

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
Signature

Not a real Addy, yet

 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2008 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.