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Medical Forum / General / Dentistry / August 2006

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Composite filling causes sharp pain when chewing.

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webmistress@onlyundiesclub.com - 09 Aug 2006 00:46 GMT
I recently got dental insurance, so after 4 years of not seeing a
dentist, I decided to go get a checkup.

Turns out I have 6 cavities.  All, which, they say are either on top or
underneath my older composite fillings. Two weeks ago they filled my
lower three right teeth, since then I have been having extreme
sensitivity when I touch the middle back tooth. It's also like a
shooting pain when I eat and the food (even soft things like bread)
causes immenses shooting pain which goes away after I stop chewing!

I went back to the dentist today (they had me scheduled for the other 3
fillings) and I told them that I didn't want to touch the teeth on the
other side until the tooth on the left was relieved of it's sensitivity
pain....I can't chew on that side!

So he takes a look at it and says that it just needs to be drilled down
a little bit. I kept telling him that I didn't feel pain when biting
down, just when I bite down on food or touch it with my finger. He
didn't seem to be listening to me because he kept asking me to bite
down and if there was pain!

He starts drilling on my sensitive tooth (WITHOUT NOVACANE) and i
screamed. OUCH right? If bread hurts it I AM 110% SURE THAT A DRILL
WILL HURT IT AS WELL. I swear this dentist was a dummy. I told him to
stop and he put three shots of novacane in the tooth and continued
drilling.

I was numb so I couldn't tell whether I had improvement or not at the
time. I asked him if there wasn't any improvement in a few weeks what
would happen? And he said "ROOT CANAL".

I'm starting to think all this guy wants is my money. I asked to look
at the x-rays and he was like "look, see, your previous filling was
close to the nerve, so this one's even closer..." And then I asked him
about the possibility of perhaps the composite filling not being bonded
correctly (it was a molar, and a large filling, and they only put the
curing light on it once....) and that  redoing the filling would help
(I read it all over the internet) and he said that "it's not possible,
we've come a long way in modern technology and that doesn't happen
anymore".

it's just ridiculous, if I have to get a root canal done on this tooth.
I almost don't want to get my other fillings fixed because they
"looked" close to the root too and I"m not having any problems with
them and the last thing I want to do is get 3 more fillings and then
end up with 3 more teeth that need root canals.

What do you guys think? Should I go to a new dentist?

Now I as I am sitting here typing this, (numb sensation is gone) I
clench my teeth together , and on release I feel pain in that tooth
(wasn't there before the DRILLING DOWN)
Shawn - 09 Aug 2006 01:20 GMT
> He starts drilling on my sensitive tooth (WITHOUT NOVACANE) and i
> screamed. OUCH right? If bread hurts it I AM 110% SURE THAT A DRILL
> WILL HURT IT AS WELL. I swear this dentist was a dummy. I told him to
> stop and he put three shots of novacane in the tooth and continued
> drilling.

> What do you guys think? Should I go to a new dentist?

Any dentist who drills my teeth and forgets the local injection needs
to be replaced. Especially when you look in his eyes & see dollar
signs in place of pupils.
Joel344 - 09 Aug 2006 04:16 GMT
Yeah you are losing confidence in the guy so try a new one .....

(¯`'•.¸ (¯`'•.¸ Joely¸.•'´¯)¸.•'´¯

--
Joel34
C.J. Thomas - 09 Aug 2006 16:16 GMT
he'll probably be happy to be without you, too...so everyone is happy

> Yeah you are losing confidence in the guy so try a new one .....
>
> (¯`'�.¸ (¯`'�.¸ Joely¸.�'´¯)¸.�'´¯)
George - 09 Aug 2006 18:52 GMT
> I'm starting to think all this guy wants is my money. I asked to look
> at the x-rays and he was like "look, see, your previous filling was
[quoted text clipped - 9 lines]
> clench my teeth together , and on release I feel pain in that tooth
> (wasn't there before the DRILLING DOWN)

I cannot examine you over the Internet so I cannot be sure, but
"pressure pain" felt on RELEASE usually points to a problem with the
bonding, ie there might be some microgap between the tooth and the
filling or a point where the bonding agent has failed that causes this
type of pain. This kind of pain is often confused with pain from a
"proud" filling, which would be countered by grinding down the filling
as your dentist attempted. Despite what your dentist claimed, bonding
agents do fail even with modern technology and even if everything is
done right... we can only keep praying and hoping fgor the perfect
bonding agent.
A possible solution I can suggest is training the curing light over the
filling for 40-60 seconds in case the material wasn't completely cured.
If that is not the case and symptoms persist, the filling should be
replaced - personally, I usually prefer handling thse cases in two
visits (ie remove old filling & place temp dressing in the first visit,
cutback dressing & place final filling in the second visit).

Regards,
George
Mark & Steven Bornfeld - 12 Aug 2006 18:48 GMT
> I cannot examine you over the Internet so I cannot be sure, but
> "pressure pain" felt on RELEASE usually points to a problem with the
> bonding, ie there might be some microgap between the tooth and the
> filling or a point where the bonding agent has failed that causes this
> type of pain.

    I had never heard this.  Rebound pain of this type makes intuitive
sense, but I had never heard it put this way.
    Do you by any chance have any references?

Steve

 This kind of pain is often confused with pain from a
> "proud" filling, which would be countered by grinding down the filling
> as your dentist attempted. Despite what your dentist claimed, bonding
[quoted text clipped - 10 lines]
> Regards,
> George

Signature

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

George - 15 Aug 2006 23:51 GMT
> > I cannot examine you over the Internet so I cannot be sure, but
> > "pressure pain" felt on RELEASE usually points to a problem with the
[quoted text clipped - 5 lines]
> sense, but I had never heard it put this way.
>     Do you by any chance have any references?

No sorry Steve, it's something I picked up at Dental Town. An occlusal
interference would cause truma of the periodontal ligament and pain
would be felt upon applying pressure on the tooth. Bonding failure
could cause the composite to lift off the pulpal floor upon release of
the pressure, causing fluid to move in the tubules and pain. Makes
sense really. You can check this with a tooth sleuth or a ball
burnisher.

Regards,
George
Mark & Steven Bornfeld - 16 Aug 2006 15:59 GMT
> No sorry Steve, it's something I picked up at Dental Town. An occlusal
> interference would cause truma of the periodontal ligament and pain
[quoted text clipped - 6 lines]
> Regards,
> George

Thanks, George!

Steve

Signature

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

Steve Richfie1d - 09 Aug 2006 20:27 GMT
Web Mistress,

> ... And then I asked him
> about the possibility of perhaps the composite filling not being bonded
[quoted text clipped - 3 lines]
> we've come a long way in modern technology and that doesn't happen
> anymore".

Translation: This can't possibly go wrong, so I can do the sloppiest
imaginable job and it will still work. Why be careful when sloppy works
just as well?

I think we can all see where this leads - to just where you now are.

Steve Richfie1d
Doc is Creating beautiful smiles - 21 Aug 2006 20:33 GMT
> I recently got dental insurance, so after 4 years of not seeing a
> dentist, I decided to go get a checkup.
[quoted text clipped - 48 lines]
> clench my teeth together , and on release I feel pain in that tooth
> (wasn't there before the DRILLING DOWN)
Doc is Creating beautiful smiles - 21 Aug 2006 20:35 GMT
Hello,

I am sad to hear of this situation. First and formeost- Please remember
you must feel comfortable in the practice you are seeking care in. If
you cannot- your mind will not be at ease.

Good day!

> I recently got dental insurance, so after 4 years of not seeing a
> dentist, I decided to go get a checkup.
[quoted text clipped - 48 lines]
> clench my teeth together , and on release I feel pain in that tooth
> (wasn't there before the DRILLING DOWN)
 
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