Medical Forum / General / Dentistry / January 2005
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
 Signature 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
 Signature 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
 Signature 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/
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I hope you'll look this over carefully. The concept does work. Find a place in your practice, particularly staff oriented where it can be used with effectiveness. It is simple, fast, effective and inexpensive. What more do you want?" (From Occlusal Disease Simplified: The NTI Tension Suppression System, a Practical Clinical Course video) The NTI Tension Suppression System By preventing the nocturnal parafunctional occluding of the canine and molar teeth (which is required to generate significant muscle contraction intensity and jaw joint strain), the NTI-tss device prevents and reduces the muscular triggering component of migraine, chronic headache and jaw disorders. Worn primarily only during sleep, the daytime masticatory stimulation of the dentition prevents any adverse tooth movement supraeruption. While the Standard NTI-tss device can be worn indefinitely (while sleeping), the NTI-tss Daytime Device is recommended for the migraine sufferer (in addition to the use of the Standard Device) for 4 to 8 weeks during waking hours (but still impossible to use while eating, thereby preventing supraeruption). The Daytime Device takes advantage of the naturally protective nociceptive trigeminal inhibition reflex which suppress the powerful temporalis muscles. It is the protective reflex experienced when biting down, expecting something soft, but encountering something hard. -- 44 million people in the U.S. suffer from chronic clenching and grinding -- 23 million Americans suffer from migraine pain
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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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