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Medical Forum / General / Dentistry / January 2005

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Repeat RCT

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jm3171 - 17 Jan 2005 10:45 GMT
Hi
I posted here a while back about having an RCT after an inlay and
previous filling failed.  I had the RCT just before Christmas.  As one
of  the 3 roots bled, filling was postponed for 72hrs and then a
composite used to plug the tiny access after root filling, (rather
than removing the entire porcelain inlay and waiting for a new one.)

Tooth was great for 2 weeks no pain perfect........then became almost
instantly pressure sensitive to even being touched with my tongue.
Over the last 2 weeks it has all the symptoms before the RCT, pulsing,
hot sensitive, but increasingly less intermittently.  Upon close
inspection one of the front cusps(of which only the outward facing
half is original tooth the other being inlay) has a perpendicular
crack side to side.  A couple of tiny white spots are forming at the
gum.

I'm guessing an infection. This is my 8th or 9th visit.  How many
times do I still keep going to the same dentist, each time the tooth
seems to deteriorate.  How long should one accept this (having spent
£500/$900 in total) before I seek a 2nd opinion and have to start
paying all over again !!  Or is this just plain unlucky and I'm in the
5/10%  bracket of RCT  failures ?

Thanks
Dr Steve - 18 Jan 2005 13:01 GMT
RCT failures are probably less than 1%.  Your case could be a missed canal.
It could be a fractured root.  It might even be traumatic occlusion during
sleep.  Was the inside of the tooth examined with high magnification?

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.
......................

> Hi
> I posted here a while back about having an RCT after an inlay and
[quoted text clipped - 20 lines]
>
> Thanks
John Mercer - 18 Jan 2005 20:25 GMT
No high magnification was used.  A single (bite) diagnostic x-ray was taken
prior to treatment and another at the end of the 1st session.  No dam was
used.  Dentist took off high points using ink paper as a marker yesterday
and suggested biting/clenching @ night reason for pain. Don't understand how
it can be painfree initially and then painful if this is the reason.

Thanks

> RCT failures are probably less than 1%.  Your case could be a missed
> canal. It could be a fractured root.  It might even be traumatic occlusion
[quoted text clipped - 25 lines]
>>
>> Thanks
Dr Steve - 19 Jan 2005 00:00 GMT
That can indeed occur.

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.
......................

> No high magnification was used.  A single (bite) diagnostic x-ray was
> taken prior to treatment and another at the end of the 1st session.  No
[quoted text clipped - 34 lines]
>>>
>>> Thanks
 
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