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Medical Forum / General / Dentistry / July 2005

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Continued Pain after cracked tooth is capped....

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ZRexRider - 26 Jul 2005 15:29 GMT
Hi,

Just wondering if anybody else went through this and what the results
were.

I cracked a wisdom tooth - no idea how.  Just started becoming
sensative to hot/cold and pressure.  My dentist (who is very good) gave
me my options.  I decided I would keep the tooth and get it capped.
While I wore the temporary cap I noticed I was still sensative to
pressure (not cold or hot though).  My dentist temporarily glued the
permanent cap just to see if the pain would subside.  It didn't.

The sensativity is very specific - i can press lightly (with my finger)
on all four corners of the tooth and only one corner brings on the
pain.  It never bothers me without pressure and is uneffected by cold
and hot.

Is it possible for one root to need "canaling"?  Or is it possible the
tooth is still cracked in one area?

Thanks
Dr Steve - 26 Jul 2005 15:36 GMT
> Is it possible for one root to need "canaling"?  Or is it possible the
> tooth is still cracked in one area?

Not having seen the tooth, I cannot be specific.  I would say I doubt it is
worth the effort, unless you have a large dental arch, the wisdom tooth has
a good tooth to chew against, and the tooth is otherwise in FANTASTIC shape.

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
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.
......................

Steven Fawks - 26 Jul 2005 16:44 GMT
Agree.  I've crowned very few wisdom teeth over the last 26 years
and I might have done a root canal in 1 (partial denture abutment).

Fawks

>>Is it possible for one root to need "canaling"?  Or is it possible the
>>tooth is still cracked in one area?
>
> Not having seen the tooth, I cannot be specific.  I would say I doubt it is
> worth the effort, unless you have a large dental arch, the wisdom tooth has
> a good tooth to chew against, and the tooth is otherwise in FANTASTIC shape.
W_B - 26 Jul 2005 17:24 GMT
Have done the rare few myself, (RCT and Crn)
when the 1st and 2nd molars are missing, for a RPD abutment.

>Agree.  I've crowned very few wisdom teeth over the last 26 years
>and I might have done a root canal in 1 (partial denture abutment).
[quoted text clipped - 7 lines]
>> worth the effort, unless you have a large dental arch, the wisdom tooth has
>> a good tooth to chew against, and the tooth is otherwise in FANTASTIC shape.

--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Mark & Steven Bornfeld - 26 Jul 2005 18:52 GMT
> Have done the rare few myself, (RCT and Crn)
> when the 1st and 2nd molars are missing, for a RPD abutment.
[quoted text clipped - 3 lines]
>>
>>Fawks

    I did one on  my dad.  It lasted about 20 years.

Steve

>>>>Is it possible for one root to need "canaling"?  Or is it possible the
>>>>tooth is still cracked in one area?
[quoted text clipped - 8 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com

Signature

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

Dr Steve - 26 Jul 2005 18:56 GMT
Every once in a while I will see the patient who has slightly smaller third
molars which are in perfect alignment with 3-5 mm keratinized gingiva all
the way around them.  These get restored rather than extracted.  The vast
majority of third molars do not present this way.

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
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.
......................

>
>> Have done the rare few myself, (RCT and Crn)
[quoted text clipped - 22 lines]
>> Take out the G'RBAGE
>> wubbabubbazG@RBAGEyahoo.com
ZRexRider - 26 Jul 2005 21:01 GMT
Well I don't know if I have "3-5 mm keratinized gingiva" but all 4 of
my wisdom teeth fit just fine and I've had them for over 30 years so I
think they're keepers.

Regarding crowning wisdom teeth - this is my second to get done.  First
one didn't need a root canal and is working perfectly.

I just thought the my symptoms were odd.  Since only one corner is
pressure sensative.  Going to see an Endodontis in  a couple of weeks
so we shall see.

Thanks very much for all the responses
Dr Steve - 26 Jul 2005 21:48 GMT
Your description could be a cracked root or a dead pulp.  The GP or the
endodontist should be able to tell you better.  If you have room for the
wisdom teeth and are using them effectively, then I suspect it will be well
worth your while to restore the tooth.

Signature

~+--~+--~+--~+--~+--
Stephen [What's a Temporary?], D.D.S.
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.
......................

> Well I don't know if I have "3-5 mm keratinized gingiva" but all 4 of
> my wisdom teeth fit just fine and I've had them for over 30 years so I
[quoted text clipped - 8 lines]
>
> Thanks very much for all the responses

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