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Medical Forum / General / Dentistry / October 2006Cracked filling - concerned with pain
I have a cracked filling on a lower back molar. The original filling was done 15+ years ago, and has been repaired at least 3 times since then. I have significant issues with grinding which is the main cause of this. The molar has been very sensitive for 4+ months, and I was aware that it needed repair - the crack is evident to the touch of my tongue. However, I recall the last time it was done very vividly (~2 years ago). The freezing did nothing to dull the pain, and as a result I did everything I could to ensure it didn't crack by not eating on that side of my mouth for the past 2 years. I know that it needs to be fixed, and have an appointment next week. My dentist dismisses my concerns about the freezing saying that it will freeze and not to worry. I am, however, scared to bits! If I took a Tylenol 3 prior to my appointment, will that help dull the pain at all? Or do I need to suck it up and deal with it. Thanks for any suggestions. > I have a cracked filling on a lower back molar. The original filling > was done 15+ years ago, and has been repaired at least 3 times since [quoted text clipped - 16 lines] > > Thanks for any suggestions. Some days you get good anesthesia, some days you don't. Sometimes, esp. for the bottom molars the nerve isn't where the textbook says it should be, and the dentist has to alter the location of the injection slightly. In any case, there is no reason you should have to sit still with inadequate anesthesia. If it takes a couple more injections or a little more time, insist on it. Steve >> If I took a Tylenol 3 prior to my appointment, will that help dull the >> pain at all? Or do I need to suck it up and deal with it. > Some days you get good anesthesia, some days you don't. Sometimes, >esp. for the bottom molars the nerve isn't where the textbook says it >should be, and the dentist has to alter the location of the injection >slightly. In any case, there is no reason you should have to sit still >with inadequate anesthesia. If it takes a couple more injections or a >little more time, insist on it. Take nitrous oxide. It is not a panacea for sloppy dentistry, but it sure helps. -- Govt is an insult to human dignity. With or without govt, you would have good people doing good things and evil people doing evil things. But for good people to do evil things, that takes govt. Govt is the root of all evil. I agree with Dr. B. You should never have to endure painful treatments. Make sure you're good and numb before you let the dentist work on it. The dentist may be busy or behind schedule but don't let him work on it. How do you know your lower teeth are numb? There is no guarantee but your half of the tongue on the same side has to be numb, at least. Tylenol 3 before the treatment will dull the pain. I recommended that for my surgery or extraction patients. But you still need to be numbed. I would recommend getting a crown to cover that back tooth. And PFM(Porcelain Fused to Metal) crown with metal surface to be exact. The crown will hold and protect your tooth and the metal surface is better for your bite since you have a grinding habit. Porcelain is harder than your enamel and will wear out your opposing tooth because of your grinding. [AdvanceAgent #367924] Game I am currently playing: http://uc.gamestotal.com/?in=367924 > I have a cracked filling on a lower back molar. The original filling > was done 15+ years ago, and has been repaired at least 3 times since [quoted text clipped - 16 lines] > > Thanks for any suggestions. > I agree with Dr. B. You should never have to endure painful > treatments. Make sure you're good and numb before you let the dentist [quoted text clipped - 14 lines] > harder than your enamel and will wear out your opposing tooth because > of your grinding. Good point--I agree. Steve > [AdvanceAgent #367924] > Game I am currently playing: [quoted text clipped - 20 lines] >> >>Thanks for any suggestions. Thank you all for your responses. They are very helpful. I'm going to give the tylenol a try, and I'll make sure he freezes it again if needs be. And I will discuss your suggestion regarding the crown as well. That is another concern of mine - that this will simply continue happening repeatedly, regardless of what I do to protect my teeth. nacl4y schreef: > The molar has been very sensitive for 4+ months, and I was aware that > it needed repair - the crack is evident to the touch of my tongue. [quoted text clipped - 6 lines] > dentist dismisses my concerns about the freezing saying that it will > freeze and not to worry. I am, however, scared to bits! Nasty. It sometimes happens to me too. Last I had a girl with a cavity which could not be anesthesized... Twice... Even a dangerous treatment with the stabident system (perforating the jaw cortex with a bur and injecting the anesthesia directly into the spongiosa) could not help. But some dentists give up too early. Perhaps a second injection near the spix could help. If that doesn't work, a buccal injection can help a bit, although the firm cortex is preventing this. Sometimes it works, somtimes it doesn't. A temporary filling with ZOE can ease the tooth till the next time. Empirical conclusion, not evidence based. Also empirical: in many cases the patient had had an osteotomy for ortodontic reasons. This makes sense because the spix is changed (or the reference points at least, like the raphe pterygomandibulare). In extreme cases, I send the patient to the narcodontist... |
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