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Medical Forum / General / Dentistry / February 2005

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Temp crown, root canal questions

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glitch - 13 Feb 2005 16:51 GMT
I've had pain from chewing and cold liquid in a bottom rear tooth for
quite a while; dentists see no cracks or problems (and he looked when
replacing a filling), except for tooth being maybe unusually shaped
(high cusps, I think). If I had to describe the  pain, it sure does
feel like theres a big crack right down the middle.  But there's
usually no spontaneous pain, though sometimes I feel aches during the
night (but thats usually after eating cold fruit at night then going to
sleep).  After biting on a bone accidentally during a meal though, for
example, it will ache for hours and be extra sensitive to cold.

One dentist said I should get a temp crown for a few weeks and if that
solves it, then a permanent.  If  symptoms persist with temp crown for
the few weeks test, then root canal before permanent crown.

Due to my difficult travel schedule and I'm also in the process of
moving, I would like to know the advisability of either "getting it
over with quickly" (root canal) or else, waiting about 3 months with
the temp crown before deciding to get either a permanent crown or a
root canal + crown (as long as symptoms don't get worse).

So, first, is it significantly worse for the tooth to just get the root
canal now, assuming maybe about 50% chance that it's the real solution.
(I know it would be worse on the wallet, but...i'll ignore that for
now)

Second, if its a bad idea, then is it OK to have a temp crown for about
3 months or more (I guess strong glue would have to be used...I'm an
avid flosser.

Third, I really don't know anything about how crowns are made, so:  If
a temp crown is made by dentist #1, can a different dentist install the
permanent crown later, or would he have to start from scratch?  I would
guess the latter (?), unfortunately.
Steven Bornfeld - 13 Feb 2005 17:28 GMT
> I've had pain from chewing and cold liquid in a bottom rear tooth for
> quite a while; dentists see no cracks or problems (and he looked when
[quoted text clipped - 29 lines]
> permanent crown later, or would he have to start from scratch?  I would
> guess the latter (?), unfortunately.

    Problem with doing root canal pre-emptively is that if there is an
undetected fracture it could be for naught and you could wind up losing
the tooth.
    Assuming the offending tooth can be isolated, I would probably choose
to remove any restorations in the tooth and examine it for signs of
fracture under high magnification.  If nothing can be seen, I would
place a sedative dressing for a few weeks and see if there is any change
 (possibly relieving the bite to lessen pressure on the tooth).  If the
sensitivity to direct pressure on the tooth remains, I would place a
temporary crown, and use a cement strong enough to last as long as you
need it to.

Steve
glitch - 13 Feb 2005 17:54 GMT
Thank you very much.  The dentist who removed the filling (restoration)
and put in a new one, did not use a microscope...just the eye. I had
never thought about that as a problem.  That was a few months ago.
Oooh, taking out the filling again to have another look...ugh.

(p.s. How many (what %)dentists have microscopes; I guess I have to ask
before making appointment.  I guess I'm wondering: If someone were to
go to randomly selected dentist with a problem like mine, how likely is
it a microscope will be used/available...and what kinds of dentists
have them.).

I guess I'm also under the misconception that a crown can be useful if
there's a crack/fracture, whether it can be seen or not.  I thought
that that the dentist who suggested a temp crown thought there might be
an unseen crack and the crown might solve the problem...???

> > I've had pain from chewing and cold liquid in a bottom rear tooth for
> > quite a while; dentists see no cracks or problems (and he looked when
[quoted text clipped - 43 lines]
>
> Steve
glitch - 13 Feb 2005 18:05 GMT
p.s. Just wanted to reiterate: There is alot of pain from cold liquid
though (along with the chewing pain),  but its hard to say how long it
lasts. I guess there's some aching for an hour after cold liquid
sometimes, but the immediate extreme pain goes away pretty fast.  Not
sure if thats relevant.
W_B - 13 Feb 2005 18:56 GMT
>p.s. Just wanted to reiterate: There is alot of pain from cold liquid
>though (along with the chewing pain),  but its hard to say how long it
>lasts. I guess there's some aching for an hour after cold liquid
>sometimes, but the immediate extreme pain goes away pretty fast.  Not
>sure if thats relevant.

Very relevant.

Lingering pain to thermal stimulus is indicative of
irreversible pulpitis. Get RCT done by an endodontist.
Quickly.
Get a crown done ASAP after the endo.

--
W_B

wubbabubbazG@RBAGEyahoo.com
Take out the G'RBAGE
glitch - 16 Feb 2005 03:12 GMT
I'm not sure it's lingering "pain", but it is lingering
something...sensation or maybe an slight ache.  That's what makes it
hard to say if I need a root canal, right?

Also, I really don't know anything about how crowns are made.  If I end
up getting just a temp crown and not a root canal (which is quite
possible) I'd like to know:  If
a temp crown is made by dentist #1, can a different dentist install the

permanent crown later, or would he have to start from scratch?  Would I
have to "bring" the permanent crown to the second dentist, or just the
floor plans?

> >p.s. Just wanted to reiterate: There is alot of pain from cold liquid
> >though (along with the chewing pain),  but its hard to say how long it
[quoted text clipped - 14 lines]
> wubbabubbazG@RBAGEyahoo.com
> Take out the G'RBAGE
W_B - 16 Feb 2005 17:34 GMT
>I'm not sure it's lingering "pain", but it is lingering
>something...sensation or maybe an slight ache.  That's what makes it
>hard to say if I need a root canal, right?

Lingering for 30 -60 sec or more suggests irreversible pulpitis.
Pain upon heat stimulus is also usually present.

Am just guessing without an x-ray.
Can you post one or e-mail it to me ?

>Also, I really don't know anything about how crowns are made.  If I end
>up getting just a temp crown and not a root canal (which is quite
[quoted text clipped - 4 lines]
>have to "bring" the permanent crown to the second dentist, or just the
>floor plans?

Depends if an impression is made. Recommend that you find a doc
that you like and trust and let s/he do the entire job.

>> >p.s. Just wanted to reiterate: There is alot of pain from cold
>liquid
[quoted text clipped - 17 lines]
>> wubbabubbazG@RBAGEyahoo.com
>> Take out the G'RBAGE

--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
glitch - 16 Feb 2005 20:52 GMT
> >I'm not sure it's lingering "pain", but it is lingering
> >something...sensation or maybe an slight ache.  That's what makes it
[quoted text clipped - 5 lines]
> Am just guessing without an x-ray.
> Can you post one or e-mail it to me ?

Although I don't have a scanner that can do that,  I can tell you that
several dentists (including endodontist) have looked at the xrays and
they all say they see no problem.

> >Also, I really don't know anything about how crowns are made.  If I end
> >up getting just a temp crown and not a root canal (which is quite
[quoted text clipped - 7 lines]
> Depends if an impression is made. Recommend that you find a doc
> that you like and trust and let s/he do the entire job.

Of course, ideally I would have one dentist do it...but due to travel
and moving issues (mentioned previously), and the fact that I think I'm
going to want a temp. crown for at least a few months (in order to see
if it solves the problem), I have to think about possibly having a
different dentist install the permanent one.

> >> >p.s. Just wanted to reiterate: There is alot of pain from cold
> >liquid
[quoted text clipped - 23 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com
StovePipe - 18 Feb 2005 07:30 GMT
> Of course, ideally I would have one dentist do it...but due to travel
> and moving issues (mentioned previously), and the fact that I think I'm
> going to want a temp. crown for at least a few months (in order to see
> if it solves the problem), I have to think about possibly having a
> different dentist install the permanent one.

One suggestion that makes sense (at least to _me_) would be to place an
orthodontic band, in lieu of the temp crown. This would tend to
reinforce the tooth laterally, much like the metal straps around a
wooden barrel solidify it. It is relatively easy to do. Ask an
orthodontist to adapt one on your tooth and cement it into place. If the
fracture is one that tends to open the cracks as you bite down, this
procedure should help for a time, and tell you whether or not the tooth
would benefit from a crown. However, as stated by W_B, this tooth
probably would not withstand the trauma involved in cutting it down for
a crown. Therefore, if the ortho band proves to help the tooth, I would
seriously consider leaving it there and doing a root canal before
getting the crown done.

JMO, and hope this helps.
SP
Signature

Not a real Addy, yet

glitch - 21 Feb 2005 02:03 GMT
Thanks.  Yes, WB did say "....two operative traumas".....I didn't
realize that THAT includes reducing the tooth for crown
preparation....hmmmm....

> > Of course, ideally I would have one dentist do it...but due to travel
> > and moving issues (mentioned previously), and the fact that I think I'm
[quoted text clipped - 17 lines]
> JMO, and hope this helps.
> SP
Joel M. Eichen - 13 Feb 2005 18:45 GMT
>Thank you very much.  The dentist who removed the filling (restoration)
>and put in a new one, did not use a microscope...just the eye. I had
>never thought about that as a problem.

It isn't. I can see teeth without any microscope.

> That was a few months ago.
>Oooh, taking out the filling again to have another look...ugh.
[quoted text clipped - 77 lines]
>>
>> Steve
W_B - 13 Feb 2005 18:54 GMT
> That was a few months ago.
>Oooh, taking out the filling again to have another look...ugh.

The pulp can rarely stand more that two operative traumas.

RCT !

--
W_B

wubbabubbazG@RBAGEyahoo.com
Take out the G'RBAGE
LadyLollipop - 13 Feb 2005 22:43 GMT
>> That was a few months ago.
>>Oooh, taking out the filling again to have another look...ugh.
[quoted text clipped - 5 lines]
> --
> W_B

G'ARBAGE

http://www.zip.com.au/~rgammal/RCTframeset.htm

http://www.ericdavisdental.com/root_canals.htm

http://www.whale.to/d/root2.html

http://www.drshankland.com/rootcanal.html

http://webpages.charter.net/kyarbrough/rootcanals.htm

http://www.dentistry-toothtruth.com/faq.htm

http://www.cfsn.com/maz/

http://cnorman.best.vwh.net/blazing/dental.html

http://rheumatic.org/teeth.htm

http://www.zip.com.au/~rgammal/root_therapies.htm

http://zap.intergate.ca/root.html

http://www.toothwisdom.net/

http://www.dentistryholistic.com/education.html

http://www.hugnet.com/Root_Canals.html

http://www.karlloren.com/ultrasound/p25.htm

http://www.hallvtox.dircon.co.uk/hallvt.html

Root Canals. A tooth has miles of tiny canals running through the root. A
dead
or root filled tooth will have bacteria in these canals. There is no way of
removing the bacteria once they are in there.

http://www.toothwisdom.net/

Toxicity from Root Canals

The next subject to be discussed are root canals and their possible source
of
toxicity. Approximately twenty five million Americans undergo root canal
therapy every year in an effort to prevent the loss of teeth that have
abscessed. The root canal is the left portion of the tooth which houses the
vital organs such as the nerve and blood vessels. The dentist endeavors to
clean and sterilize this canal and fill it with a sterile, non toxic inert
material. This usually renders this tooth serviceable and non painful;
however,
the entire inner hard core of the tooth is made of dentin which has several
million dentinal tubules. These tubules allow the circulation of lymphatic
type
fluid to circulate from the vital organs of the root canal to the outside of
the tooth. This is a viable circulatory phenomenon which has a purpose. It
services the periodontal ligament as well as the sensory aspect of the nerve
and blood centers in the root canal. If the body chemistry is healthy, the
flow
of lymphatic fluid is from the root canal to the outside of the tooth. This
creates an irrigation for the tooth and usually prevents the accumulation of
plaque to form. When the body chemistry is not healthy, then the circulation
is
from the outside of the tooth to the inner root canal. This allows for no
irrigation, but rather an accumulation of plaque to form. There are many
more
reasons for maintaining the integrity of the circulation in the dentinal
tubules. Root canal therapy completely destroys this integrity, and what
happens to the non-circulating fluid in these tubules? This fluid as it ages
becomes stagnant and becomes a toxic substance. This porous structure now
becomes a septic mass emanating poisons into the body. Is this what you
want?
Mercury amalgams are said to be the caskets of the body. Root canals are
said
to be the cadavers of the body.

I do not recommend root canals for anyone. Each individual has a right to
their
decisions. Many people simply do not wish to lose a member of their body. I
respect this, and I always discuss the consequences.

The next area of discussion is whether the root canal filling actually
sterilizes the apical end of the tooth. There are so many lateral canals at
the
root end of the tooth where bacteria can harbor that it is unlikely that a
complete aseptic condition exists. This, however, is a debateable subject.
Again, the complete acceptance of root canal therapy as a viable
substitution
for extraction is completely and whole heartedly supported by organized
dentistry. You are in violation of the code of ethics if you speak out
against
root canal therapy. When I was a practicing dentist, I always let the
patient
make that decision after explaining all pros and cons.

FOR IMMEDIATE RELEASE:

- Hide quoted text - - Show quoted text -

>California Judge Approves Landmark Warning on Mercury Use in Dentistry.

>(San Francisco, CA) - For the first time anywhere, dentists will be
>required to post a warning about the dangers of mercury in their dental
>fillings. A California Superior court judge finalized the language for
>the warning to be posted in dentists' offices here today.

>The warning will read as follows:

>Notice to Patients, Proposition 65:

>Warning on dental amalgams, used in many dental fillings, causes exposure
>to mercury, a chemical known to the state of California to cause birth
>defects or other reproductive harm.

>Root canal treatments and restorations including fillings, crowns and
>bridges, use chemicals known to the state of California to cause cancer.

>The U.S. Food and Drug Administration has studied the situation and
>approved for use all dental restorative materials.

>Consult your dentist to determine which materials are appropriate for your
>treatment.

>The exact language of the warning was argued and then finalized before
>Superior Court Judge James A. Robertson II between the California Dental
[quoted text clipped - 3 lines]
>mercury dental fillings and root canals. The agreement also allows non-CDA
>dentists to opt in to the agreement and post the warning.

>The warning is the result of a lawsuit filed by The Law Offices of Shawn
>Khorrami on behalf of As You Sow, a not-for-profit foundation dedicated to
>advocacy and activism in the public interest.

>"This is the first admission by organized dentistry that amalgams pose a
>potential health risk," says Shawn Khorrami, lead attorney. "The only
>problem is that it's about 100 years too late."

>This California consent judgment follows on the heels of recent lawsuits
>filed in Georgia, Texas, Ohio and Los Angeles, California charging that
[quoted text clipped - 6 lines]
>risks to certain users. Mercury, a highly toxic substance, is the most
>widely used substance in dental fillings today.

>The use of mercury-based thimerosal in vaccines also has been the source
>of the recent controversy in the Homeland Security legislation.

>Khorrami filed the lawsuit against Roger Fieldman D.D.S., Inc., the
>Citadel Dental Group, Inc. dental offices, dental laboratories and
>private dental schools and training programs with more than nine
>employees. The suit won the enforcement of Proposition 65, Safe Drinking
>Water and Toxics Enforcement Act [Health & Safety Code ? 25249.6].

>Proposition 65 requires that a clear and reasonable warning be provided to
>persons prior to their exposure to a chemical known to cause cancer or
>reproductive harm. This statute lists mercury, contained in dental
>amalgam, as a substance that can cause reproductive toxicity. The lawsuit
>was based on the absence of warnings to patients treated with amalgam
>restorative materials in dental offices.

>The judgment on Proposition 65 mandates that all dental offices with more
>than nine employees provide warnings on the dangers of Mercury dental
>fillings to patients. Those in non-compliance could incur a fine of up to
>$2,500 per day.

>Press may contact: Jackie Gladfelter at 650-218-1856 or D. Infusino at
>415-225-7970; call Attorney Shawn Khorrami at 818-947-5111.

>###

Jan
Joel M. Eichen - 14 Feb 2005 00:56 GMT
Is Lady Lolly the same as Jan Drew?

She could lose two accounts for imitating a lollypop.

>>> That was a few months ago.
>>>Oooh, taking out the filling again to have another look...ugh.
[quoted text clipped - 184 lines]
>
>Jan
Steven Bornfeld - 13 Feb 2005 19:31 GMT
> Thank you very much.  The dentist who removed the filling (restoration)
> and put in a new one, did not use a microscope...just the eye. I had
[quoted text clipped - 11 lines]
> that that the dentist who suggested a temp crown thought there might be
> an unseen crack and the crown might solve the problem...???

    The crown MAY solve the problem if the crack has not extended under the
gumline.
    Most general dentists (myself included) don't have operating
microscopes as such, but many who don't have telescopes or intraoral
cameras which do a good job.  Most endodontists at this point probably
have microscopes.

Steve

>>>I've had pain from chewing and cold liquid in a bottom rear tooth
>>
[quoted text clipped - 103 lines]
>>
>>Steve
W_B - 13 Feb 2005 18:53 GMT
>> I've had pain from chewing and cold liquid in a bottom rear tooth for
>> quite a while; dentists see no cracks or problems (and he looked when
[quoted text clipped - 43 lines]
>
>Steve

Usually I agree with you Bornfeld, however in this instance
with regard to the symptoms RCT is advisable followed quickly
with a perm crown.

Can be done in the same appt.

--
W_B

wubbabubbazG@RBAGEyahoo.com
Take out the G'RBAGE
Joel M. Eichen - 13 Feb 2005 18:44 GMT
>I've had pain from chewing and cold liquid in a bottom rear tooth for
>quite a while; dentists see no cracks or problems (and he looked when
>replacing a filling), except for tooth being maybe unusually shaped
>(high cusps, I think). If I had to describe the  pain, it sure does
>feel like theres a big crack right down the middle.

Yup, I was going to suggest that.

Joel

Try biting on a clothespin and see if it becomes worse.
(A small clothespin of course)

>  But there's
>usually no spontaneous pain, though sometimes I feel aches during the
[quoted text clipped - 25 lines]
>permanent crown later, or would he have to start from scratch?  I would
>guess the latter (?), unfortunately.
W_B - 13 Feb 2005 18:54 GMT
> I would like to know the advisability of either "getting it
>over with quickly" (root canal)

Your best bet is RCT (root canal therapy)
followed by a permanent crown.

--
W_B

wubbabubbazG@RBAGEyahoo.com
Take out the G'RBAGE
LadyLollipop - 13 Feb 2005 22:41 GMT
> I've had pain from chewing and cold liquid in a bottom rear tooth for
> quite a while; dentists see no cracks or problems (and he looked when
[quoted text clipped - 29 lines]
> permanent crown later, or would he have to start from scratch?  I would
> guess the latter (?), unfortunately.

http://www.zip.com.au/~rgammal/RCTframeset.htm

http://www.ericdavisdental.com/root_canals.htm

http://www.whale.to/d/root2.html

http://www.drshankland.com/rootcanal.html

http://webpages.charter.net/kyarbrough/rootcanals.htm

http://www.dentistry-toothtruth.com/faq.htm

http://www.cfsn.com/maz/

http://cnorman.best.vwh.net/blazing/dental.html

http://rheumatic.org/teeth.htm

http://www.zip.com.au/~rgammal/root_therapies.htm

http://zap.intergate.ca/root.html

http://www.toothwisdom.net/

http://www.dentistryholistic.com/education.html

http://www.hugnet.com/Root_Canals.html

http://www.karlloren.com/ultrasound/p25.htm

http://www.hallvtox.dircon.co.uk/hallvt.html

Root Canals. A tooth has miles of tiny canals running through the root. A
dead
or root filled tooth will have bacteria in these canals. There is no way of
removing the bacteria once they are in there.

http://www.toothwisdom.net/

Toxicity from Root Canals

The next subject to be discussed are root canals and their possible source
of
toxicity. Approximately twenty five million Americans undergo root canal
therapy every year in an effort to prevent the loss of teeth that have
abscessed. The root canal is the left portion of the tooth which houses the
vital organs such as the nerve and blood vessels. The dentist endeavors to
clean and sterilize this canal and fill it with a sterile, non toxic inert
material. This usually renders this tooth serviceable and non painful;
however,
the entire inner hard core of the tooth is made of dentin which has several
million dentinal tubules. These tubules allow the circulation of lymphatic
type
fluid to circulate from the vital organs of the root canal to the outside of
the tooth. This is a viable circulatory phenomenon which has a purpose. It
services the periodontal ligament as well as the sensory aspect of the nerve
and blood centers in the root canal. If the body chemistry is healthy, the
flow
of lymphatic fluid is from the root canal to the outside of the tooth. This
creates an irrigation for the tooth and usually prevents the accumulation of
plaque to form. When the body chemistry is not healthy, then the circulation
is
from the outside of the tooth to the inner root canal. This allows for no
irrigation, but rather an accumulation of plaque to form. There are many
more
reasons for maintaining the integrity of the circulation in the dentinal
tubules. Root canal therapy completely destroys this integrity, and what
happens to the non-circulating fluid in these tubules? This fluid as it ages
becomes stagnant and becomes a toxic substance. This porous structure now
becomes a septic mass emanating poisons into the body. Is this what you
want?
Mercury amalgams are said to be the caskets of the body. Root canals are
said
to be the cadavers of the body.

I do not recommend root canals for anyone. Each individual has a right to
their
decisions. Many people simply do not wish to lose a member of their body. I
respect this, and I always discuss the consequences.

The next area of discussion is whether the root canal filling actually
sterilizes the apical end of the tooth. There are so many lateral canals at
the
root end of the tooth where bacteria can harbor that it is unlikely that a
complete aseptic condition exists. This, however, is a debateable subject.
Again, the complete acceptance of root canal therapy as a viable
substitution
for extraction is completely and whole heartedly supported by organized
dentistry. You are in violation of the code of ethics if you speak out
against
root canal therapy. When I was a practicing dentist, I always let the
patient
make that decision after explaining all pros and cons.

FOR IMMEDIATE RELEASE:

- Hide quoted text - - Show quoted text -

>California Judge Approves Landmark Warning on Mercury Use in Dentistry.

>(San Francisco, CA) - For the first time anywhere, dentists will be
>required to post a warning about the dangers of mercury in their dental
>fillings. A California Superior court judge finalized the language for
>the warning to be posted in dentists' offices here today.

>The warning will read as follows:

>Notice to Patients, Proposition 65:

>Warning on dental amalgams, used in many dental fillings, causes exposure
>to mercury, a chemical known to the state of California to cause birth
>defects or other reproductive harm.

>Root canal treatments and restorations including fillings, crowns and
>bridges, use chemicals known to the state of California to cause cancer.

>The U.S. Food and Drug Administration has studied the situation and
>approved for use all dental restorative materials.

>Consult your dentist to determine which materials are appropriate for your
>treatment.

>The exact language of the warning was argued and then finalized before
>Superior Court Judge James A. Robertson II between the California Dental
[quoted text clipped - 3 lines]
>mercury dental fillings and root canals. The agreement also allows non-CDA
>dentists to opt in to the agreement and post the warning.

>The warning is the result of a lawsuit filed by The Law Offices of Shawn
>Khorrami on behalf of As You Sow, a not-for-profit foundation dedicated to
>advocacy and activism in the public interest.

>"This is the first admission by organized dentistry that amalgams pose a
>potential health risk," says Shawn Khorrami, lead attorney. "The only
>problem is that it's about 100 years too late."

>This California consent judgment follows on the heels of recent lawsuits
>filed in Georgia, Texas, Ohio and Los Angeles, California charging that
[quoted text clipped - 6 lines]
>risks to certain users. Mercury, a highly toxic substance, is the most
>widely used substance in dental fillings today.

>The use of mercury-based thimerosal in vaccines also has been the source
>of the recent controversy in the Homeland Security legislation.

>Khorrami filed the lawsuit against Roger Fieldman D.D.S., Inc., the
>Citadel Dental Group, Inc. dental offices, dental laboratories and
>private dental schools and training programs with more than nine
>employees. The suit won the enforcement of Proposition 65, Safe Drinking
>Water and Toxics Enforcement Act [Health & Safety Code ? 25249.6].

>Proposition 65 requires that a clear and reasonable warning be provided to
>persons prior to their exposure to a chemical known to cause cancer or
>reproductive harm. This statute lists mercury, contained in dental
>amalgam, as a substance that can cause reproductive toxicity. The lawsuit
>was based on the absence of warnings to patients treated with amalgam
>restorative materials in dental offices.

>The judgment on Proposition 65 mandates that all dental offices with more
>than nine employees provide warnings on the dangers of Mercury dental
>fillings to patients. Those in non-compliance could incur a fine of up to
>$2,500 per day.

>Press may contact: Jackie Gladfelter at 650-218-1856 or D. Infusino at
>415-225-7970; call Attorney Shawn Khorrami at 818-947-5111.

>###

Jan
Joel M. Eichen - 14 Feb 2005 00:56 GMT
>After biting on a bone accidentally during a meal though, for
>> example, it will ache for hours and be extra sensitive to cold.

who dat?

"LadyLollipop" <LadyLollipop@insightbb.com>
 
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