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Medical Forum / General / Dentistry / November 2004Should the good filling be taken out...
About 18 months ago I bit down very hard on a bone and could've sworn I cracked a tooth...but dentists saw no crack. (it's 2nd tooth from the back, on the top) For a month after that, it was very sensitive to cold (but only for a few seconds). Xrays show nothing abnormal, and a very good filling (although some, but not all, say they see a "crack line" on the top surface but they cannot see how far down it goes...no dentists say that "crackline". I do have some gum erosion, but I doubt that's related to the problem/pain below. Anyway, about 6 months ago, this started: About one in ten bites (depending on the angle or the shape of the food, which i can never identify) causes ALOT of sharp pain...feels like something "deep" but i cannot really explain it....just feels like "oh i just cracked a tooth". Then the pain goes away fairly quickly. I can usually chew anything and it's fine, just about one in ten bites cause that problem. Never any pain at any other time. Although I should add: for a 3-week period a few months ago, that tooth was very sensitive to cold liquid for maybe 6 seconds (just like it was about 18 months ago, initially) and also to chewing in general...but it was mainly pain from cold liquid. Then the cold-pain went away after a few weeks....the one-in-ten-bite pain is here and always will be it seems. I can live with it...it really doesn't bother me (not enough to want to have major dental work unless I need it)...i just chew more cautiously. But i want to prevent any future problems. So I saw about 5 dentists last month when I was visiting Bangkok....some of the best dental centers (and very low cost for these consultations, sometimes free)....All of them spent quite a bit of time examining, questioning, looking at xrays....testing my bite and putting cold water on my tooth...but they often could not elicit pain from the tooth...it's usually painful when I bite a certain way that they could not always replicate...and the cold water problem is from SWISHING the water in my mouth...not from them dropping cold water drops. I'm going back there soon but I'm unsure of whether I should have the filling taken out. There was not alot of agreement on what should be done among the different dentists. But none of them saw any problems....with the eye or xrays (taken a few times over the past 18 months). One dentist said to try a temp. crown and see what happens. One dentist said that would not be useful at all. A crown dentist said he thinks the pain is coming from one side of the tooth, so he quickly added a composite filling onto the side...it didn't help. Two endodontists said probably need root canal, but they need to take out the filling and see whats there. One of them said maybe the nerve is exposed just below the filling. A periodontist (who I trust the most and have used him for my root-plane-scalings over the past 2 years) said the nerve would not be exposed below my filling, but that if the pain continues the filling should be taken out to examine...then maybe root canal. Well, he said that while i was still having the cold pain last month. But it went away a few weeks ago...Of course, I'm left with the one in ten bite pain. He said (last year, when I was not having cold pain) that one-in-ten types of pain usually would not warrant taking out a good filling....maybe wait till ....??...something gets worse?..not sure. So, what should be done..have them take out the filling..or just live it with it and see if it goes away (no, the one-in-ten pain won't)...or, maybe there is a crack that noone sees (cracks can't be seen easily from xrays, right?), and maybe its dangerous?. I'd like to take care of this while i'm in thailand for the next month...i can't afford US dental care. Also, WHY would a temp crown NOT be a helpful diagnostic. One dentist said if there is a crack, a temp crown wouldn't make any difference. >About 18 months ago I bit down very hard on a bone and could've sworn >I cracked a tooth...but dentists saw no crack. (it's 2nd tooth from [quoted text clipped - 36 lines] >saw any problems....with the eye or xrays (taken a few times over the >past 18 months). Try Dr. Lily. >One dentist said to try a temp. crown and see what happens. One >dentist said that would not be useful at all. [quoted text clipped - 25 lines] >dentist said if there is a crack, a temp crown wouldn't make any >difference. >So, what should be done..have them take out the filling..or just live >it with it and see if it goes away (no, the one-in-ten pain [quoted text clipped - 5 lines] >dentist said if there is a crack, a temp crown wouldn't make any >difference. If this was my tooth I'd have the tooth opened up and inspected for cracks. Worst case senerio is that it still bothers you, and you have to get the thing extracted. I would've had the thing opened up a long time ago when it hurt to chew with it! You might as well try to get this tooth to stop bothering you while you can afford it financially. Worst case senerio is that you have to extract it anyway. Right now, if it is cracked, you never know when the thing will decide to 'blow up' on you, and if you can't afford a crown, you probably won't be able to afford an implant or bridge in the US. If the thing needs to be extracted in Thailand, at least you may be able to afford a bridge to replace it. -- Adenosine Semi-informed Dental Consumer ? I should add that there is still some slight pain from cold liquids, but probably not really anymore than slight cold-pain that comes from all of my teeth. And I'm not sure about the one in ten bites...maybe its one in fifteen....I'd say maybe only 3 bites per day on the average actually hurt....then the rest of the day or night it's perfect. Crunchy peanut butter is one thing that often does the "trick" (causes pain)....I'll be chewing it, everything perfect, that AHHHH.....one little particle I bite on causes it...then everything perfect again. So, given the rarity of the pain right now, it's a tough decision on whether to take out a good filling? I'd say the average opinion of the dentists on this is to leave it alone for now, but I'm not sure, especially since I want to take advantage of the fact that I'll be visiting thailand soon. >I should add that there is still some slight pain from cold liquids, >but probably not really anymore than slight cold-pain that comes from [quoted text clipped - 9 lines] >but I'm not sure, especially since I want to take advantage of the >fact that I'll be visiting thailand soon. Pain is NOT NORMAL! Your teeth should not hurt. If your tooth has a fractured cusp, it will keep on getting more and more fractured until you end up having it split into a few pieces when you bite down! As I see it, you can choose to try to protect this tooth now, or continue living with UNEEDED PAIN! -- Adenosine Semi-informed Dental Consumer ? Listen carefully............. Have the filling removed and have any stain on the vertical walls of the inner surfaces removed. Then, insist on a 10-14X magnification using an Intra-Oral Camera or an Operating Microscope. Have the inner surface examined for fracture lines. From your description, I would expect to see two or more vertical fractures and one horizontal fracture line (at the base of one or more cusps). Then, have a bonded porcelain onlay fabricated to restore the tooth. We can go into detail on how to reduce the cusp above the horizontal fracture, but hopefully you will find a dentist who can actually think. All the vertical fractures (if they are discolored) need to be cut through.  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. ...................... > >>I should add that there is still some slight pain from cold liquids, [quoted text clipped - 23 lines] > Adenosine > Semi-informed Dental Consumer ? >Listen carefully............. > [quoted text clipped - 8 lines] >actually think. All the vertical fractures (if they are discolored) need to >be cut through. Do you think, in the case of the tooth being fractured, a 7/8th gold crown or a full gold crown would also work? Bonded porcelain is great looking and strong, but I, on my teeth, would perfer the material with the best record over time. -- Adenosine Semi-informed Dental Consumer ? I would suggest what-ever material and technique which will leave the greatest amount of axial wall standing (thickness) after the prep. 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. ...................... > >>Listen carefully............. [quoted text clipped - 20 lines] > Adenosine > Semi-informed Dental Consumer ? >>Listen carefully............. >> [quoted text clipped - 16 lines] >-- >Adenosine Really depends on where the fractures are. Gold has a longer history of use than the new porcelain restorations but, gold is just luted in place whereas porcelain can be bonded. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >>>Listen carefully............. >>> [quoted text clipped - 25 lines] > porcelain restorations but, gold is just luted > in place whereas porcelain can be bonded. Gold can be thinner, but requires greater length to be retentive and there must be enough residual tooth structure to provide both retention and resistance form. Porcelain requires greater bulk of material, but does not need to have the entire height of the tooth to gain enough retention/resistance. >>>Listen carefully............. >>> [quoted text clipped - 22 lines] >porcelain restorations but, gold is just luted >in place whereas porcelain can be bonded. I thought you could bond gold, or at least I've seen dentists posts claiming that. -- Adenosine Semi-informed Dental Consumer ? >>Really depends on where the fractures are. >> [quoted text clipped - 4 lines] >I thought you could bond gold, or at least I've seen dentists posts >claiming that. You can pack 24K gold into a preparation. This is called gold foil, or direct gold. You cannot make a crown out of it. Think that there are some claims of tooth/gold bonding. I remain unimpressed with such claims. The dental cement used to attach gold crowns (of any configuration) is considered a luting agent. I use Fuji1 and have for twenty years. Have used others but Fuji releases fluoride and decreases recurrent decay IMO. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >So, given the rarity of the pain right now, it's a >tough decision on whether to take out a good filling? If your tooth is fractured, by definition the filling cannot be good. There will be micro leakage. > I'd say the >average opinion of the dentists on this is to leave it alone for now, I wouldn't wait. >but I'm not sure, especially since I want to take advantage of the >fact that I'll be visiting thailand soon. Get it fixed. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >About 18 months ago I bit down very hard on a bone and could've sworn >I cracked a tooth...but dentists saw no crack. (it's 2nd tooth from [quoted text clipped - 4 lines] >goes...no dentists say that "crackline". I do have some gum erosion, >but I doubt that's related to the problem/pain below. If the tooth has a silver filling, it sounds like there is a cracked cusp. I frequently miss those until the patient comes back with the cusp in hand ... Joel >Anyway, about 6 months ago, this started: About one in ten bites >(depending on the angle or the shape of the food, which i can never [quoted text clipped - 57 lines] >dentist said if there is a crack, a temp crown wouldn't make any >difference. Ahhh - I am familiar with this symptom - your back molars function primarily compressing food - subjecting them to very large amounts of vertical force, causing vertical fractures a lot of the times. These fractures commonly run down the sides of the tooth, where it touches it neighbor teeth. When you bite down on food, this causes the tooth to split apart ever so slightly, causing the pain. I had this happen on myself. I had this happen on many of my patients, and, in most cases, a full coverage crown solve the problem - a full coverage crown will not let the tooth split apart anymore. SignatureShad Lewis www.WyomissingSmiles.com Shad, sir,,,,, chewing does not break teeth. clenching with isometric bruxism does. 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. ...................... > Ahhh - I am familiar with this symptom - your back molars function > primarily compressing food - subjecting them to very large amounts of [quoted text clipped - 5 lines] > full coverage crown solve the problem - a full coverage crown will not let > the tooth split apart anymore. Thanks so far to everyone. So, i hear possible cracked cusp, possible vertical cracks. How is this diagnosed? (Noone has yet said yes or no about taking out the filling to examine it...so is it yes? Or, instead should a crown be put first to see if it stops the pain? Of course, in 2 weeks I"ll ask my dentists about this, but its nice to have some background info. Did I or did I not already respond? 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. ...................... > Thanks so far to everyone. So, i hear possible cracked cusp, possible > vertical cracks. How is this diagnosed? (Noone has yet said yes or > no about taking out the filling to examine it...so is it yes? Or, > instead should a crown be put first to see if it stops the pain? Of > course, in 2 weeks I"ll ask my dentists about this, but its nice to > have some background info. I just read your post about taking out the filling, etc. Thanks (i get my messages many hours after they're posted). Do you (and the other dentists) think the the rarity (rare-frequency) of the pain will change what has been said so far, about possible causes and treatments and taking out filling? Pain from one in 100 (or maybe even rarer) bites is actually more accurate...I did a bad job of estimating the frequency earlier. And on an average day, I'd say I only get the pain a few times from the bites (and sometimes not at all)...but eating all day with no problem at all. And never any pain without those rare bites. And it only happens from some uniquely shaped food or particles...for example, in crunchy peanut butter, if one of the tiny pieces touches the tooth a certain way during a bite...etc. So from the point of view of dentists, is there a change on what to do? From the patient point of view, it becomes much more of a dilemma....take out a good filling due to rare pain....? > Did I or did I not already respond? > [quoted text clipped - 4 lines] > > course, in 2 weeks I"ll ask my dentists about this, but its nice to > > have some background info. What part of my two previous posts to you did not read or choose to ignore? 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. ...................... >I just read your post about taking out the filling, etc. Thanks (i > get my messages many hours after they're posted). [quoted text clipped - 22 lines] >> > course, in 2 weeks I"ll ask my dentists about this, but its nice to >> > have some background info. I chose to ignore all of them. > What part of my two previous posts to you did not read or choose to ignore? > [quoted text clipped - 24 lines] > >> > course, in 2 weeks I"ll ask my dentists about this, but its nice to > >> > have some background info. That is certainly your perogative. It is, however, a mistake. When several dentists agree on the most likely cause for a set of symptoms, and these dentists have no financial interests plus years of experience in dealing with these issues, you would be hard pressed to get a more accurate recommendation. JMO, Fawks > I chose to ignore all of them. I wasn't talking about several dentists....I was responding to HIS question about his posts. Rather than try to answer my simple question, I mainly just got sarcastic responses in which he pretends that I "ignore" his posts. (but thanks for YOUR info.). > That is certainly your perogative. > [quoted text clipped - 9 lines] > > > I chose to ignore all of them. I thought you were replying to Dr. Mancuso (he usually gives very reasonable advice. Perhaps I was wrong. My apologies. I wasn't trying to be a smart alec. Best wishes, Fawks > I wasn't talking about several dentists....I was responding to HIS > question about his posts. Rather than try to answer my simple > question, I mainly just got sarcastic responses in which he pretends > that I "ignore" his posts. (but thanks for YOUR info.). >I thought you were replying to Dr. Mancuso (he usually gives very >reasonable advice. Perhaps I was wrong. My apologies. I wasn't trying >to be a smart alec. > >Best wishes, >Fawks The best best is always to reply, "Dear Steve," There could be hundreds if not thousands of mistaken identities ..... \ >> I wasn't talking about several dentists....I was responding to HIS >> question about his posts. Rather than try to answer my simple >> question, I mainly just got sarcastic responses in which he pretends >> that I "ignore" his posts. (but thanks for YOUR info.). Yeah, that will narrow it down a lot! ;-) Fawks > The best best is always to reply, > > "Dear Steve," CONCLUSION: Dentist in Thailand started taking the filling out and said (not her exact words): "Ahhh, I see the problem immediately. This filling is coming out much too easily....yes, that's because the filling is cracked". So, she then put in a new permanent filling and said she's quite sure that's the cause of the problem....not a cracked/fractured tooth. So far, seems she's is correct since I've had no biting pain so far (although it was rare to begin with). Perhaps the title of my initial post through off the dentists in this group, although my post DID explain what was meant by a "good filling" (i.e., dentists who looked at it from the outside said is was good)...but no one mentioned a cracked filling as a possibility. >CONCLUSION: Dentist in Thailand started taking the filling out and >said [quoted text clipped - 8 lines] >(i.e., dentists who looked at it from the outside said is was >good)...but no one mentioned a cracked filling as a possibility. If you were with Dr. Lily, you were in good hands! Joel M. Eichen DDS Yes, that's who I meant by "his". > I thought you were replying to Dr. Mancuso (he usually gives very > reasonable advice. Perhaps I was wrong. My apologies. I wasn't trying [quoted text clipped - 7 lines] > > question, I mainly just got sarcastic responses in which he pretends > > that I "ignore" his posts. (but thanks for YOUR info.). >Yes, that's who I meant by "his". And your point is... ? -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE >I chose to ignore all of them. I hope you have a high tolerance for pain. Just be reminded whenever the thing hurts biting into something that you could've done something to make chewing a pleasure and not a pain. -- Adenosine Semi-informed Dental Consumer ? > >I chose to ignore all of them. > > I hope you have a high tolerance for pain. > > Just be reminded whenever the thing hurts biting into something that > you could've done something to make chewing a pleasure and not a pain. I guess you didn't read my last post from more than 2 days ago in which I said the pain is very rare, and I asked a question about that fact (and no one answered it). I can tell you one thing: I saw at least 5 dentists about 6 weeks ago and NONE of them said is was anything near an "urgent" problem, and they all said it would not be a problem for me to wait 2 months or so and re-visit with them. > I guess you didn't read my last post from more than 2 days ago in > which I said the pain is very rare, and I asked a question about that > fact (and no one answered it). Not quite true.. DrS said that the pain is there only when you hit the tooth with a food substance that puts a force vector right in the direction needed to force fractured parts apart. At times, it is not the forcing apart that causes the pain but the pinch on the periodontal ligament that happens when the tooth snaps back into position. I cannot believe that living with this as a chronic situation is good for the nerve of your tooth, to say nothing about the possible bone loss around the fractured part of the tooth, if indeed the fracture is against the bone. Just my thoughts SP SignatureNot a real Addy, yet >I just read your post about taking out the filling, etc. Thanks (i >get my messages many hours after they're posted). [quoted text clipped - 13 lines] >do? From the patient point of view, it becomes much more of a >dilemma....take out a good filling due to rare pain....? As I pointed out earlier a tooth with a fracture is not considered to have a 'good filling period. Your symptoms will only get worse with time and depending on the nature of the fracture can lead to tooth loss. Get it treated already. Done with this thread, -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >Thanks so far to everyone. So, i hear possible cracked cusp, possible >vertical cracks. How is this diagnosed? (Noone has yet said yes or >no about taking out the filling to examine it...so is it yes? Mancuso and me said yes. >Or, >instead should a crown be put first to see if it stops the pain? No, try the least invasive procedure first. > Of >course, in 2 weeks I"ll ask my dentists about this, but its nice to >have some background info. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com This is a very common problem. It isn't always simple to fix (as you're finding out). *Sounds like* a cracked tooth. Could be just sore from clenching during sleep. Can't tell over the internet. Can't always tell when you're sitting in the chair! I talk the case over with the patient and start by checking the occlusion and often fitting the patient with an NTI to prevent any night time clenching. If pain goes away, you're done. If not...... Take out old filling and inspect for cracks. Bond in new filling. If cracks are found, moving on to a crown is my next step. If the biting problems are improved with the temporary crown in place (a little cold sensitivity isn't abnormal at this stage), I'll cement the permanent crown. Quit there. If the tooth is worse with the temporary crown in place, I'll do a root canal before cementing the crown. Some dentists jump right to the root canal and crown and usually get rid of the pain. To me, that is often unnecessary as long as the patient understands the steps that I take to do the least amount of work and still solve the problem. Best wishes, Fawks > About 18 months ago I bit down very hard on a bone and could've sworn > I cracked a tooth...but dentists saw no crack. (it's 2nd tooth from [quoted text clipped - 66 lines] > dentist said if there is a crack, a temp crown wouldn't make any > difference. This is a very common problem. It isn't always simple to fix (as you're finding out). *Sounds like* a cracked tooth. Could be just sore from clenching during sleep. Can't tell over the internet. Can't always tell when you're sitting in the chair! snip Having pain from only 10% or %5 of bites doesn't sound like a common problem....and why would clenching have anything to do with it if it all started from one point in time...biting down hard on a bone 18 months ago. > This is a very common problem. It isn't always simple to fix (as you're > finding out). [quoted text clipped - 96 lines] > > dentist said if there is a crack, a temp crown wouldn't make any > > difference. "joe" <johnaroberts@gmail.com> wrote in message > snip > > Having pain from only 10% or %5 of bites doesn't sound like a common > problem....and why would clenching have anything to do with it if it > all started from one point in time...biting down hard on a bone 18 > months ago. Cracked tooth only hurts when you spread the fractured peice away from the bulk of the tooth. There could (depending on where the crack is and how the teeth are shaped) be only one path of movement, and you have to get the force vector to go in that direction. Chewing does NOT break teeth! The force of actual tooth contact during chewing is very light. At night while sleeping, you can spend hours squeezing and isometrically grinding with over 600 psi. Usually, the patient will initiate the crack while clenching and isometrically grainding during sleep. Then, many times, the patient will be eating something rather soft, *which encourages the mouth to chew faster with more force*, and the final insult will occur with this relatively light force. We dentists see this all the time. If the fracture goes through the wrong place, you could end up needing a root canal procedure [right George?], or if the fracture extends down into the root, you end up losing the tooth. Listen carefully,,,,,,,, the filling needs to come out and the inside of the tooth studied under high magnification. If it has been 18 months already, you could be in big trouble very soon if you procrastinate any longer. You might already have waited too long. 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. ...................... >> This is a very common problem. It isn't always simple to fix (as you're >> finding out). [quoted text clipped - 96 lines] >> > dentist said if there is a crack, a temp crown wouldn't make any >> > difference. Thanks for saving me the time to write all of this stuff down. You and I see it almost daily, but I still get a few blank stares when I'm trying to explain it to patients. Fawks > "joe" <johnaroberts@gmail.com> wrote in message > [quoted text clipped - 24 lines] > you could be in big trouble very soon if you procrastinate any longer. You > might already have waited too long. > If the fracture goes through the >wrong place, you could end up needing a root canal procedure [right >George?], or if the fracture extends down into the root, you end up losing >the tooth. Indeed. But can have benefits, but only in the right circumstance. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com But,,,,,,,,,, every dentist does not keep 21 year old Scotch handy for afterwards. 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. ...................... > >> If the fracture goes through the [quoted text clipped - 11 lines] > Take out the G'RBAGE > wubbabubbazG@RBAGEyahoo.com >But,,,,,,,,,, every dentist does not keep 21 year old Scotch handy for >afterwards. They should, afterall it is a standard of practice ;-) -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >But,,,,,,,,,, every dentist does not keep 21 year old Scotch handy for >afterwards. That's just good 'follow up' care. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com But every dentist does not keep 21 year old Scotch handy for afterwards. "That's just good follow up care" Who is responsible for the patient getting home. or does he sleep out the night at the office. Gail >But every dentist does not keep 21 year old Scotch handy for afterwards. >"That's just good follow up care" [quoted text clipped - 3 lines] > >Gail Arrangements were made. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >>But,,,,,,,,,, every dentist does not keep 21 year old Scotch handy for >>afterwards. > >That's just good 'follow up' care. Man, I have to find a new dentist. I mean, some people go after the ones who are quick to hand out the Vicodin, but I think that the aged Scotch would be a very nice post-operative comfort. -- Adenosine Semi-informed Dental Consumer ? >>>But,,,,,,,,,, every dentist does not keep 21 year old Scotch handy for >>>afterwards. [quoted text clipped - 4 lines] >ones who are quick to hand out the Vicodin, but I think that the aged >Scotch would be a very nice post-operative comfort. It works quite nicely, case selection is important. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com Adenosine, "I think the aged Scotch would be a very nice post-operative comfort" Adenosine, you are so very honest, it is comforting after all the catcalls of Liar. Gail. > if the pain continues the filling >should be taken out to examine...then maybe root canal. Probably the best bet. Get the fill removed and the fracture examined. May or may not need RCT >Well, he said that while i was still having the cold pain last month. >But it went away a few weeks ago...Of course, I'm left with the one in >ten bite pain. He said (last year, when I was not having cold pain) >that one-in-ten types of pain usually would not warrant taking out a >good filling....maybe wait till ....??...something gets worse?..not >sure. It will only get worse, get the tooth treated while it still can be saved. My bet is that you partially fractured the tooth when you heard the sound. Fractures only propagate, they do not heal. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com |
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