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Medical Forum / General / Dentistry / September 2005

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crown metal inside or all porcelan

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cozyhomelife - 01 Sep 2005 05:34 GMT
I posted this in another thread, but I'm afraid no one will see it, the work
is to be done tomorrow Thursday, I canceled my Wed appointment:

I'm supposed to get a crown tomorrow, and I was glad to be getting rid of my
old silver fillings as I tend to be one of those who think they might be
leaking mercury into my system.    I have 2 choices of crown types, as this
is what I think I know.   If I have anything wrong, please tell me(!):

1.   with the metal on the inside crown, they have to shave off a whole lot
less teeth, and the crowns are stronger against breaking.    I then began to
worry about that metal inside, if it wasn't the same thing as the old
fillings in my tooth.   The office worker said it wasn't, even though the
sample looked black like old silver, it was really a gold alloy and had no
mercury.    Is this a "what she don't know won't hurt her" statement, or the
truth?
2.   Complete porcelain crowns would contain no metal and if I was stupid
enough to bite hard things like hard candy, jawbreakers, ice, I might get
into trouble, or there could be a 'fluke' accident in my future, anyway.
A whole lot more tooth has to be ground down, as they are thicker.
    -the teeth I'm having capped on the bottom, will not show the metal
ring that I hear will line up with the gumline.    But some 2 on the top,
would show, when I smile.   All these 5 crowns that I will get over time,
are in the same area, about 5-6 teeth back when counting from the midline.
I had thought about getting them done all at once, and began to think if
anything went wrong, I might end up with a whole mouthful of mad teeth or
gums.   Also, I've never been to this dentist before, but naturally, hope
his work really fantastic, so am taking it slow.
Joel M. Eichen - 01 Sep 2005 11:03 GMT
>I posted this in another thread, but I'm afraid no one will see it, the work
>is to be done tomorrow Thursday, I canceled my Wed appointment:
>
>I'm supposed to get a crown tomorrow, and I was glad to be getting rid of my
>old silver fillings as I tend to be one of those who think they might be
>leaking mercury into my system.  

REPLY

I heard about this once or twice myself.

> I have 2 choices of crown types, as this
>is what I think I know.   If I have anything wrong, please tell me(!):
[quoted text clipped - 18 lines]
>gums.   Also, I've never been to this dentist before, but naturally, hope
>his work really fantastic, so am taking it slow.

I dunno .........

I just do not know ......
Jacob - 01 Sep 2005 12:57 GMT
I would have expected that the dentist him/her self would have answered your
questions and not just referred you to "the office worker."  Judging from
your next posting, you should be looking for another dentist today rather
than beginning your treatment with this one!!  There is NO way that I would
let any dentist do ANYTHING if I didn't  have COMPLETE confidence in them;
it is obvious to me that you don't and you should find another dentist today
and never go back to this one.

> I posted this in another thread, but I'm afraid no one will see it, the work
> is to be done tomorrow Thursday, I canceled my Wed appointment:
[quoted text clipped - 23 lines]
> gums.   Also, I've never been to this dentist before, but naturally, hope
> his work really fantastic, so am taking it slow.
Joel344 - 01 Sep 2005 13:25 GMT
Excellent Jacob. Right you are. If someone has lived 30 years withou
the crown, why must it be done TOMORROW? I do not even get my ca
serviced that quickly.

Joe

--
Joel34
cozyhomelife - 07 Sep 2005 03:17 GMT
I've never had a crown before... and this tooth never really hurt, except
when I bit down on food by mistake, which I always tried to keep the food on
the other side.    Now that I have the temp crown on...uh.... the tooth
hurts all the time.   Is this normal?    I don't want to proceed to getting
the real crown on until I know if this is more trouble or normal - but it
still has to stop before I get the real crown.  I mean, there's no sense in
slapping it on there and starting in drilling into it right away, in my
opinion.    Any ideas?
Joel M. Eichen - 07 Sep 2005 08:40 GMT
>I've never had a crown before... and this tooth never really hurt, except
>when I bit down on food by mistake, which I always tried to keep the food on
>the other side.    Now that I have the temp crown on...uh.... the tooth
>hurts all the time.   Is this normal?  

REPLY

Hard to say ... its a temporary. Perhaps it has come loose a bit.

> I don't want to proceed to getting
>the real crown on until I know if this is more trouble or normal - but it
>still has to stop before I get the real crown.  I mean, there's no sense in
>slapping it on there and starting in drilling into it right away, in my
>opinion.    Any ideas?

REPLY

Sure. Ask the dentist to temporarily cement the permanent crown for
three or four months ....

Joel M. Eichen DDS
Amatus Cremona - 07 Sep 2005 14:30 GMT
>Now that I have the temp crown on...uh.... the tooth
> hurts all the time.   Is this normal?

Do NOT proceed from the temporary crown to the permanent crown if the tooth
still hurts.  If the pain is transient and occurs to temperature or sugar,
then sealing a final crown on will cure the pain.  If the tooth hurts to
bite on, either the temporary crown is too tall, or the tooth is not healthy
inside.  If the tooth is not doing well inside, sealing a final crown on
will not solve your problem and just cost you money for something you will
have to cut a hole through to treat the inside of the tooth later.

Since the previous postings was not copied to your last message, I cannot
look to see if you have had RCT on this tooth yet.  If not, I suspect it
will be your next path.  If RCT was done previously, you need to consider a
fractured root.  In addition, there are occasional patients who have teeth
which hurt to pressure just like a toothache, and the pain is actually
muscular and due to hours of clenching every night while sleeping.

Signature

/

Amatus

/

> I've never had a crown before... and this tooth never really hurt, except
> when I bit down on food by mistake, which I always tried to keep the food
[quoted text clipped - 7 lines]
> slapping it on there and starting in drilling into it right away, in my
> opinion.    Any ideas?
Joel344 - 07 Sep 2005 14:43 GMT
Original message here .........

Re: crown metal inside or all porcelan

--------------------------------------------------------------------------------

On Wed, 07 Sep 2005 02:17:27 GMT, "cozyhomelife"
wrote:

>I've never had a crown before... and this tooth never really hurt, except
>when I bit down on food by mistake, which I always tried to keep the
food on
>the other side. Now that I have the temp crown on...uh.... the tooth
>hurts all the time. Is this normal?

REPLY

Signature

Joel344

cozyhomelife - 07 Sep 2005 14:54 GMT
Actually, the pain I used to get from an accidental piece of food getting
over there and bitting on it, doesn't happen now.   It's some other pain.
Like it happens a couple of times a day where there is pain coming up the
whole side of my lower jaw, I take 2 tylenol + 1 advil and it goes away and
doesn't return for like 12 hours.   If I don't take the meds, it turns into
like a stabbing pain.   But when I take them, it stays good even after the 4
hours is up on the pills - weird.    I'm watching myself for brushing with 2
much gusto and holding my jaw tense to try to get to the bottom of it.
The bad thing is, since I had the tooth filling redid that was behind it,
I'm not even sure which tooth is causing this, I _think_ it's the crowned
one, but since this pain is like flowing up the whole bottom side, I can't
be sure.   It would be easier if just the tooth hurt.   My gum is not hot,
nor red nor have any bumps anywhere.
Signature

Happiness doesn't come from having things, it comes from *having things you
can find* :)

> >
> >Now that I have the temp crown on...uh.... the tooth
[quoted text clipped - 26 lines]
> > slapping it on there and starting in drilling into it right away, in my
> > opinion.    Any ideas?
Amatus Cremona - 07 Sep 2005 15:49 GMT
>It's some other pain.
> Like it happens a couple of times a day where there is pain coming up the
[quoted text clipped - 5 lines]
> 4
> hours is up on the pills - weird.

Your description could easily be a dead (or dying) tooth which needs RCT.
This usually happens when the tooth has had too many traumas during its
life.  Each episode of being hit the face, having decay, getting a filling,
etc. contributes.  Enough trauma and the blood supply going into the tiny
opening at the root of the tooth is cut off, and the inside become
gangrenous.  The tooth then needs RCT.  I have not seen your tooth, but your
description would fit.

Signature

/

Amatus

/

> Actually, the pain I used to get from an accidental piece of food getting
> over there and bitting on it, doesn't happen now.   It's some other pain.
[quoted text clipped - 53 lines]
>> > slapping it on there and starting in drilling into it right away, in my
>> > opinion.    Any ideas?
Joel M. Eichen - 07 Sep 2005 17:49 GMT
>Actually, the pain I used to get from an accidental piece of food getting
>over there and bitting on it, doesn't happen now.   It's some other pain.
>Like it happens a couple of times a day where there is pain coming up the
>whole side of my lower jaw, I take 2 tylenol + 1 advil and it goes away and
>doesn't return for like 12 hours.

This sounds like the pulp is dying and wil lrequire root canal
tehrapy. This is a guess though.

Joel M. Eichen DDS

>  If I don't take the meds, it turns into
>like a stabbing pain.   But when I take them, it stays good even after the 4
[quoted text clipped - 5 lines]
>be sure.   It would be easier if just the tooth hurt.   My gum is not hot,
>nor red nor have any bumps anywhere.
 
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