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Medical Forum / General / Dentistry / January 2005

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Cracked Molar - infection - bone lost - question and advice needed

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Biker - 15 Jan 2005 16:18 GMT
My molar #31 developed infection, my dentist told me it cracked,
bacteria got in and cause infection and caused bone lost. He performed
the root canal, filling, installed 2 metal rods to hold the tooth and
put crown on it.
Two years later, this tooth flared up again, puss came out of gum,
etc...I went to endodontist, he said the tooth might be cracked. He
seemed ambivalent whether the tooth can be saved.

1) What is my option now? I told my dentist to extract the tooth, and
have it installed a new fake tooth by specialist after installing lost
bone so I chew on my favorite side. I had a cracked molar on the other
side on lower jaw removed and had a bridge installed.

2) This is my second cracked tooth, is it a medical problem due to any
type of hormone, vitamine deficiencies? DDS, MD please advice.
3) Can you really save a cracked tooth?
Mark & Steven Bornfeld DDS - 15 Jan 2005 16:25 GMT
> My molar #31 developed infection, my dentist told me it cracked,
> bacteria got in and cause infection and caused bone lost. He performed
[quoted text clipped - 12 lines]
> type of hormone, vitamine deficiencies? DDS, MD please advice.
> 3) Can you really save a cracked tooth?

    If the tooth is in fact cracked down the root it almost certainly
should be extracted.  I assume you have upper molars present that chew
against #31.  If you do, it may be possible to do an implant-retained
replacement.  Ask your dentist.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

StovePipe - 15 Jan 2005 19:26 GMT
Kracked tooth person wrote:

> > 1) What is my option now? I told my dentist to extract the tooth, and
> > have it installed a new fake tooth by specialist after installing lost
> > bone so I chew on my favorite side. I had a cracked molar on the other
> > side on lower jaw removed and had a bridge installed.

If you've lost bone around the tooth, that is (IMO) indication that the
good work your dentist put in to save it will not work. That is a shame,
but at least you and your dentist tried. You must get the tooth out
ASAP, and have the alveolus (hole in the bone) cleaned out to remove any
residual infection and abnormal tissues. This is because you want to
have the best possible chance of implanting a tooth in this area, with
as little bone loss as possible.

> > 2) This is my second cracked tooth, is it a medical problem due to any
> > type of hormone, vitamine deficiencies? DDS, MD please advice.

This is a force problem. See b/lo.

> > 3) Can you really save a cracked tooth?

As I said above, IMO, no you cannot. In fact, if I was the dentist that
tried to save your tooth, and you came back in this condition, I would
refuse further treatment and investment, and refer you to my Oral
Surgeon, so the tooth socket can be prepared for receiving an implant.
You mention that this is the second one; you will undoubtedly need a
protector to keep abnormal forces off your teeth and save them from
breaking further.

This is all the more important if you do decide to put in an implant or
fixed bridge.

I would suggest an NTI as the protector; it is very small, well
tolerated, and actually will help relax your muscles of the head and
neck, rather than tightening them.

You can get an idea what this device looks like from their website:

http://www.nti-tss.com

Above all, remember: you need to get the tooth out NOW.

Cheers, and hope you get some treatment soon.
SP

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Not a real Addy, yet

Matt - 16 Jan 2005 07:13 GMT
> I would suggest an NTI as the protector; it is very small, well
> tolerated, and actually will help relax your muscles of the head and
[quoted text clipped - 3 lines]
>
> http://www.nti-tss.com

What is NTI?  It doesn't show up at http://www.acronymfinder.com/
StovePipe - 16 Jan 2005 08:01 GMT
> > I would suggest an NTI as the protector; it is very small, well
> > tolerated, and actually will help relax your muscles of the head and
[quoted text clipped - 5 lines]
>
> What is NTI?  It doesn't show up at http://www.acronymfinder.com/

Check out the link I typed above your question.
SP
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Not a real Addy, yet

Matt - 17 Jan 2005 02:59 GMT
>>>You can get an idea what this device looks like from their website:
>>>
[quoted text clipped - 4 lines]
> Check out the link I typed above your question.
> SP

I did, but after some minutes I hadn't found a meaning for the acronym.
  Maybe it is just the name of the company.
StovePipe - 17 Jan 2005 04:37 GMT
> >>>You can get an idea what this device looks like from their website:
> >>>
[quoted text clipped - 7 lines]
> I did, but after some minutes I hadn't found a meaning for the acronym.
>    Maybe it is just the name of the company.

sorry.... the acronym means: Nociceptive Trigeminal Inhibition, or
reflex inhibition of biting forces.... Try it: you know you can chomp a
wooden pencil into pieces if you bite down on it on your back teeth, but
just try to do the same thing with the front ones.. You would damage
them, and your nervous system knows this, so it sets up a reflex
inhibition of the chewing muscles: the more you try to bite hard, the
more that inhibition is intensified. In fact, it is so strong that James
P Lund, a dentist-researcher, has described it and investigates the
central nervous system using this reflex and other jaw reflexes. It's
curious that the  acrofinder site would not figure that acronym out... I
guess they don't search websites for their info.
HTH
SP
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Not a real Addy, yet

Matt - 17 Jan 2005 17:13 GMT
> It's
> curious that the  acrofinder site would not figure that acronym out... I
> guess they don't search websites for their info.
> HTH
> SP

Thanks.  They are probably depending on some generous dentist to sign up
and give the definition.
W_B - 19 Jan 2005 19:42 GMT
>>>>You can get an idea what this device looks like from their website:
>>>>
[quoted text clipped - 7 lines]
>I did, but after some minutes I hadn't found a meaning for the acronym.
>   Maybe it is just the name of the company.

Nociceptive Trigeminal Inhibition - Tension Suppression System
--

W_B

Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Joel M. Eichen - 16 Jan 2005 12:07 GMT
>> I would suggest an NTI as the protector; it is very small, well
>> tolerated, and actually will help relax your muscles of the head and
[quoted text clipped - 5 lines]
>
>What is NTI?  It doesn't show up at http://www.acronymfinder.com/

REPLY

http://www.nti-tss.com/

The ABC's of TMD's: Basic anatomy, function and parafunction of the TM
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click here
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StovePipe - 16 Jan 2005 17:36 GMT
>  Visit the NTI site for patients:
> HeadachePrevention.com
[quoted text clipped - 3 lines]
> Press Room
> Listing of NTI Providers

I would click one of these... I can never remember head ache prevention,
so I tend to refer to the 'Home Site' so to speak...
Merci
SP
Signature

Not a real Addy, yet

W_B - 19 Jan 2005 19:15 GMT
>> I would suggest an NTI as the protector; it is very small, well
>> tolerated, and actually will help relax your muscles of the head and
[quoted text clipped - 5 lines]
>
>What is NTI?  It doesn't show up at http://www.acronymfinder.com/

Go to the link that you were given.
nti-tss.com
--

W_B

Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
W_B - 19 Jan 2005 17:58 GMT
>You must get the tooth out
>ASAP,

>and have the alveolus (hole in the bone) cleaned out to remove any
>residual infection and abnormal tissues.

This is debatable.
Usually remove all granulation tissue, but no bone.
--

W_B

Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
 
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