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Medical Forum / General / Dentistry / February 2006

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tooth hurts

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bob - 04 Feb 2006 20:41 GMT
just got back from the dentist, got a crown.  The freezing is starting
to wear off and the tooth he put the crown on is sensitive to cold an is
a little sore.  Is this normal?  Thanx in advance...BOB
JimSocal - 05 Feb 2006 17:32 GMT
>just got back from the dentist, got a crown.  The freezing is starting
>to wear off and the tooth he put the crown on is sensitive to cold an is
>a little sore.  Is this normal?  Thanx in advance...BOB
I'm not a dentist but I've just had a similar experience.
Unless it hurts real bad, what I did is take ibuprofen to decrease
inflammation and wait and see if the pain decreases over the next few
days. If it decreases, then no problem.

If it increases then I'd call my dentist.

Could be that the nerves are just shaken up from the experience and
will settle down. Or it could be you need a root canal. Hopefully the
former.

Let us know how it turns out.

Meanwhile hopefully a dentist will answer your question and tell me if
I'm off base here.
bob - 05 Feb 2006 18:26 GMT
Thanx Jim.  I do know about the ibuprofen.  It doesn't hurt really bad
now.  Just when I drink cold water, it's sensitive.  So your pain went
away after a while?

> >just got back from the dentist, got a crown.  The freezing is starting
> >to wear off and the tooth he put the crown on is sensitive to cold an is
[quoted text clipped - 14 lines]
> Meanwhile hopefully a dentist will answer your question and tell me if
> I'm off base here.
DocGabeS D.M.D. - 05 Feb 2006 23:04 GMT
Jim: you're right about the pain after the crown and all the other stuff,
but........
not even a licensed dentist can "prescribe" ibuprofene on line without
actually seing a patient, next time you should send him to the doctor whom
will finally decide if he needs a medication or not, or you could have said
just "take something anti pain", actually saying (or typing) the word
ibuprofene becomes illegal, and it is illegal because it might be dangerous,
he/she might be allergic to ibuprofene, you also are giving other people the
idea of ibuprofene being harmless which is not real, every drug has its
dangers and depends on the person who's taking it and on the dose
administered and that is a professional decision, don't play with other
people's lives, you'd better had told him to CALL THE DENTIST!!! if you
don't know something about your dental treatment, CALL YOUR DENTIST! if you
have a question... CALL YOUR DENTIST, I think that all the people that comes
here asking for advise should CALL THEIR DENTISTS and if you don't trust
your dentist so try ANOTHER dentist, but why should I believe dentists if i
got this news group with people like (I don't wanna NAME) that perform
actual dentist hating
phrasing so good!!!
DO NOT recommend prescription drugs on line to anybody!!!
you could get them DEAD!!!

Cheers
Gabely
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Thank You

> Thanx Jim.  I do know about the ibuprofen.  It doesn't hurt really bad
> now.  Just when I drink cold water, it's sensitive.  So your pain went
[quoted text clipped - 18 lines]
>> Meanwhile hopefully a dentist will answer your question and tell me if
>> I'm off base here.
JimSocal - 07 Feb 2006 10:58 GMT
>Jim: you're right about the pain after the crown and all the other stuff,
>but........
[quoted text clipped - 20 lines]
>Cheers
>Gabely
Wow, I'm no doctor but I bet a doctor would tell you that you should
cut down on the caffeine or whatever it is that is making you so
uptight.

This is what I said (re-read the post):
"what I did is take ibuprofen to decrease
inflammation and wait and see if the pain decreases over the next few
days."
Where did I prescribe ibuprofen to anyone?

I also said I was no dentist right off the bat.
Gaby Hamezaiien - 07 Feb 2006 16:22 GMT
please Jim don't take it so hard pal!
everything's cool!
just the real thing and the law, that's it

(I'm also trying to quit smoking) ;-P

>>Jim: you're right about the pain after the crown and all the other stuff,
>>but........
[quoted text clipped - 37 lines]
>
> I also said I was no dentist right off the bat.
Gaby Hamezaiien - 05 Feb 2006 23:22 GMT
Bob: everytime you drink cold water you stimulate your tooth, and you don't
wanna do that, also try not to eat with that side for a couple of days, try
a call to the dentist to ask HIM what medication to take, and to tell him
about your symptoms, I hope your pain goes away fast but if it doesn't and
gets worse then go back to him and have him fix it with a desensitizer or a
root cannal treatment, or whatever, do not take any medication that hasn't
been prescribed by a licensed professional.
best regards
Gabe

> Thanx Jim.  I do know about the ibuprofen.  It doesn't hurt really bad
> now.  Just when I drink cold water, it's sensitive.  So your pain went
[quoted text clipped - 18 lines]
>> Meanwhile hopefully a dentist will answer your question and tell me if
>> I'm off base here.
JimSocal - 07 Feb 2006 10:58 GMT
>Thanx Jim.  I do know about the ibuprofen.  It doesn't hurt really bad
>now.  Just when I drink cold water, it's sensitive.  So your pain went
>away after a while?

My "sensitive" tooth is becoming less sensitive over time. It's been
over a month now and it's better (mine was after a root canal, not
just a crown; actually a crown AND a root canal).

But my endodontist explained to me that when you go in there and mess
around with nerves and such, they can become irritated or (not sure
the exact terminology but you get the idea...) and it can sometimes
take anywhere between a week to several months to calm down.

I would definitely call and ask your dentist about it, but I'm just
telling you my experience and what I've heard/been told.

Good luck.
Gabe - 07 Feb 2006 18:40 GMT
There's a diference as I see:

A- Bob has got a crown on a vital tooth which has been carved (Prepared) in
order to receive the crown, which also is resulting sensitive to
temperature, mostly must be more sensitive to cold than to hot, (but don't
try a boiling Earl Gray with cinnamon 'cause it might surprise you how
painfull it can be), now this tooth might take two ways: 1- the sensitivity
can slowly go away, in that case maybe a NSAI (Non Steroidal Anti
Inflammatory) drug would help, usually like ibuprofene 200 mg every 8 hours
during 3 or 4 days, really helps a lot to pass it over but it might be a
dangerous drug and must be prescribed by a doctor who knows whatever other
medications you might be taking (or not), now the other situation 2- it
might be more and more painfull so it'll take you back to the dentist's
chair to have the crown removed and a root cannal treatment done, you might
also be referred to a specialist in endo, and then have the crown cemented
back (if it ever survived intactly the removal maneuvers), I do that a lot,
and thanks G'd, successfully and my experience tells me that it's better to
have the rtc done BEFORE any crown installment in general terms although I
know there are exceptions, but... gotta tel you... I make a living from
removing crowns doing rct and temporary cementing back the crown before
sending the patient back to his own dentist.
I REALLY HOPE that Bob gets the first one...
B- Jim in the other hand has a still sensitive RTC post-operatory tooth,
reasons? it doesn't matter the real reason, if there is post-operatory
sensitivity (mostly to pressure) in any of my cases and I know it I reopen
it, clean, rinse put atb medication, and wait for two weeks, then open again
rinse back a lot (!!!) and then fill it again, after that there is no
sensitivity at all. One month seems a lot of time for me, two weeks....
depends on how hard was the original infection, have you taken the
antobiotic medication the doctor prescribed you? I've seen cases of people
not taking the prescribed meds which is also as bad as taking meds without
prescription.

Cheers!

Gabe

>>Thanx Jim.  I do know about the ibuprofen.  It doesn't hurt really bad
>>now.  Just when I drink cold water, it's sensitive.  So your pain went
[quoted text clipped - 13 lines]
>
> Good luck.
bob - 07 Feb 2006 23:32 GMT
Thanx Gabe.  I'm on my 4th day today since the procedure, and things
seem to be getting better every day.  It doesn't hurt at all any more,
even when I chew.  Still gets sensitive when I drink something cold, but
that is getting better as well.  I guess these are good signs?

> There's a diference as I see:
>
[quoted text clipped - 40 lines]
> > over a month now and it's better (mine was after a root canal, not
> > just a crown; actually a crown AND a root canal).
Number One - 09 Feb 2006 07:15 GMT
The bottom line here is that the patient is in a massive amount of
pain,  and needs at best temp relief from the pain.  Most Dentists will
at least prescribe you a low dose of a narcotic pain killer.  Either
Percocet or Vicoden.  What I don't understand is the different between
the two.  I know that one is s Schedule II and one is a Schedule III.
I have for one reason or another been in pain for the last several
years off and on, between dental and back pain and have been alternated
betweek Oxycodone 5\325 (percocet) and VicodenES 7.5\750
(hydrocondone).  I know that the Oxy is considered to be more powerful
for some reason,  but the Vicoden works better for me.  Again,  these
are only temporary fixes, and you need to be very carefull as the need
to take more builds relativly fast.  I damaged a disk in my back last
week, and now have to take percs 3 x a day.   It makes my stomach feel
really funny and I get hungry at screwy times of the night.  I asked my
Dr for something different,  and he gave me 800mg of Ibuprofen,  but
they do not relax me the same as the others do,  so we went back to the
percocet.  Thats is a little differen't situaiton than you have.  Try
getting some ES Vicoden, and take that with a few Ibuporfen, that will
help with the swelling and the pain medication will negate, at least
for short time anyways, the pain. But you will at least be able to
sleep. Be carefull when you eat ect. I had been taking pain killers and
hadn't eaten meal in a few days and ate a seak dinner and further
damaged the tooth and didn't know because I felt no pain.

 The long and short of it is,  be carefull,  and listen to the people
here,  especially Dr Joel,  he wont steer you wrong.

 BR$
 
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