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Medical Forum / General / Dentistry / June 2006

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tooth pain

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chiggins - 15 Jun 2006 04:22 GMT
I went to have my teeth cleaned at my regular dentist office. While i was
there I was told I needed a cavity filled on a back bottom molar.  At this
point there was no pain and I did not know I had a cavity but the filling
would be a minor inexpensive procedure so I made the appointment to have it
filled.  Once it was filled the dentist told me i could chew on that side as
soon as the numbness went away.  That night after the numbness was gone, I
tried to eat supper and when i bit down on that tooth i had sharp shooting
pains that were very intense.  It only lasted a few minutes and went away.  I
tried chewing on that side again the next day and the same thing happened.  I
called my dentist and told him.  He said that it was a very deep cavity, that
in fact, the tooth almost needed a root canal and that i may need to have a
crown put over it.  My question and concern is that the tooth was not hurting
at all before and now i can not chew on that side at all.  Will a crown help
this sharp shooting pain?  is this a bad cavity or could it be a fractured
root or cracked tooth?  I have read that if the tooth is cracked that a crown
will not help?  I would like to know a little more before I spend even more
money on a crown, that if I had known I was going to have to get I would have
left the tooth alone.
Mark & Steven Bornfeld - 15 Jun 2006 15:59 GMT
> I went to have my teeth cleaned at my regular dentist office. While i was
> there I was told I needed a cavity filled on a back bottom molar.  At this
[quoted text clipped - 14 lines]
> money on a crown, that if I had known I was going to have to get I would have
> left the tooth alone.

    The first order of business is treating the pain.  Sharp pain to biting
is consistant with a crack, but postop. sensitivity with large resin
fillings is common.  The bite should be checked, as even a slight
premature contact can cause pain over time.
    If there is a crack, it is helpful if it can be located.  Sometimes I
will prepare a tooth for a crown and leave a temporary crown on for a
while to evaluate the symptoms.

Steve

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

 
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