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Medical Forum / General / Dentistry / March 2005

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When it Rains it Pours

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ken - 28 Mar 2005 01:48 GMT
People like me keep dentists living a comfortable lifestyle.

#29 has a cavity(under a filling) that is too close to the nerve for
filling.  I have been told this by 3 dentists (a DMD, Endo and Surgeon). #30
has an old RC (15 years) that has a slight infection at the botom). My
tooth throbs late in the afternoon from one of these.
Ibuprofen does the job.  It usually starts after I eat.
Tooth #29 has nothing above since I am awaiting an implant.  I have shown
the x-ray(29-31) to 4 dentists and have gotten a split decision as to what
tooth is the villian.
(although it is agreed that a RC is needed eventually on both).
When they bang on 29 it does hurt.. #30 does not hurt when they bang.  But I
personally tend to think it is the #30 (Old RC) from the sensation of the
location when it does begin to throb.
I understand the concept of referred pain and really want to get the RC done
on the correct tooth. The reason I think it is not #29 is that there is no
pressure on the tooth when I eat.
Any thoughts would be appreciated.  How do I find out what is the tooth
causing the throbbing.  Pain level is about 5-6..bearable but you don't want
to live with it.

Regards, Ken

Any thoughts.
NOYB - 28 Mar 2005 01:52 GMT
> People like me keep dentists living a comfortable lifestyle.
>
[quoted text clipped - 15 lines]
> Any thoughts would be appreciated.  How do I find out what is the tooth
> causing the throbbing.

#29 hurts to percussion, and #30 doesn't? That's a pretty strong clue right
there.

Any hot/cold sensitivity?  Does it linger?  Any spontaneous pain that wakes
you at night?
ken - 30 Mar 2005 00:35 GMT
>> People like me keep dentists living a comfortable lifestyle.
>>
[quoted text clipped - 21 lines]
> Any hot/cold sensitivity?  Does it linger?  Any spontaneous pain that
> wakes you at night?

When I lie down at night it usually begins to throb..6-7 on the pain scale..
That is when I take IB.  The gum of the tooth is sensitivie to hot and cold.
Joel M. Eichen - 30 Mar 2005 00:45 GMT
>> Any hot/cold sensitivity?  Does it linger?  Any spontaneous pain that
>> wakes you at night?
>
>When I lie down at night it usually begins to throb..6-7 on the pain scale..
>That is when I take IB.  The gum of the tooth is sensitivie to hot and cold.

Becoming abscessed ....... this is called postural pressure ......
when you lie down the blood does not drain away from the jaw quite as
rapidly. Its hyperemic, meaning increased blood flow to the area
....... thus the throb.

Joel
Steven Bornfeld - 28 Mar 2005 03:55 GMT
> People like me keep dentists living a comfortable lifestyle.
>
[quoted text clipped - 20 lines]
>
> Any thoughts.

    You've already been told that #29 needs a root canal treatment.  Why
not take care of the obvious?
    #30 is a tougher situation.  If there is no post in the canal it may be
possible to re-treat if pain remains after the rct on #29.  Another
option--an apicoectomy is difficult to do in this area.

Steve

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Cut the nonsense to reply

StovePipe - 30 Mar 2005 03:54 GMT
>       You've already been told that #29 needs a root canal treatment.  Why
> not take care of the obvious?
[quoted text clipped - 3 lines]
>
> Steve

But a temporary treatment with the Biocalyx (now called Endocalyx) may
just be the ticket to resorbing that lesion under the #30. I would of
course follow up with the standard gutta percha treatment when the
lesion is gone. The trick is to find a no-bullshit dentist who uses
Bio/Endocalyx as an interim medicated treatment, and not as a final
(read alt.dentist) obturation.

The tx is really simple: mix it up as per instructions but add a drop of
dH2O to keep it from getting hard as cement (which it _will_ do if you
forget the water). Slop it in as you would a Ca(OH)2 treatment, and
repeat every so often (I used 3 weeks, 6 weeks and 12 weeks on one
case).
HTH
SP
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Finally: take out the TRASHH

 
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