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Medical Forum / General / Dentistry / February 2007

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Root Canal Question

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Lurker - 04 Feb 2007 06:32 GMT
This question is to Dr. Bornfield (and any other dentist that may have
an opinion)

I was having significant pain on the left side (felt like someone was
drilling a nerve).  HOwever the exact tooth where the pain originating
was difficult to pinpoint.  I thought it was coming from my upper
front tooth, but then the whole left side (top and bottom) would hurt
and I really could not tell.

I made an appt with my dentist.  He took x-rays and tapped on several
of my upper teeth.  There was one tooth that was more sensitive than
the rest but the excruciating pain was not demonstrated  at visit (as
luck would have it).  He told me to wait because he could not tell
which tooth was the problem.  He told me to avoid RCT unless it was
absolutely debilitating, excruciating pain.  He said it was not
uncommon for the nerve to ride a rollar coaster for months, even years
before RCT was indicated.  So I thought OK, I'll wait.

About a week later the pain became more localized and my premolar
bicuspid (as I discerned from wikipedia) was the problem tooth.  It
hurt with hot, cold and pressure (tapping), and not just a little, A
LOT.  So I called my dentist to reappoint.  He referred me to an
endodontist.

Then the pain started to subside almost completely. So I thought I
would wait some more.
Now (after about 4 weeks since my last contact with my dentist) it
does not even hurt much, even  upon tapping.

So my question is ... do I need to see the endodontist now or am I ok
to leave this be?

I have learned here that it is not good to wait, but I also do not
want to do unecessary treatment.  Your expert opinion is very valued
and appreciated.

Thank you,

Sue
Lurker - 04 Feb 2007 06:33 GMT
> This question is to Dr. Bornfield (and any other dentist that may have
> an opinion)
[quoted text clipped - 35 lines]
>
> Sue

Sorry I misspelled your name, Dr. Bornfeld.
-Sue
Steven Bornfeld - 05 Feb 2007 03:01 GMT
> Sorry I misspelled your name, Dr. Bornfeld.
> -Sue

    They've done lots worse with my name.

Steve
Steven Bornfeld - 05 Feb 2007 03:00 GMT
> This question is to Dr. Bornfield (and any other dentist that may have
> an opinion)
[quoted text clipped - 35 lines]
>
> Sue

    Your symptoms are entirely consistent with a pulp going through its
death throes.  It is probable that the pulp is dead or dying.  I'm sure
there are many teeth that remain assymptomatic in this state for a very
long time, but then again others (sometimes for no apparent reason)
suddenly become acute abscesses again.  Sometimes infection is visible
on x-ray; sometimes not.  Occasionally a gum boil will open over the
root of the tooth, and may close up and reopen repeatedly.
    The tooth should be checked.  Even if quiet, it's not a good idea to
leave a tooth with a dead pulp alone.

Steve
Lurker - 05 Feb 2007 17:38 GMT
On Feb 4, 9:00 pm, Steven Bornfeld <dentaltwinm...@earthlink.net>
wrote:
> > This question is to Dr. Bornfield (and any other dentist that may have
> > an opinion)
[quoted text clipped - 49 lines]
>
> - Show quoted text -

Thank you Dr. Bornfeld,

I was hoping that I could get away without needing treatment, but I
guess the smart thing to do is to see the endodontist.  I will make
that appt!

Thanks again,
:-)
Sue
Newbie - 05 Feb 2007 20:05 GMT
>This question is to Dr. Bornfield (and any other dentist that may have
>an opinion)
[quoted text clipped - 35 lines]
>
>Sue

By all means get your tooth checked by the endodontist.

What you have described is referred to by some as the 'swan song'.
The pulp is likely necrotic (dead) but the infection is not gone.
The pain can, and often does, come back with a vengance.

More info here:  www.aae.org
Lurker - 06 Feb 2007 04:12 GMT
> >This question is to Dr. Bornfield (and any other dentist that may have
> >an opinion)
[quoted text clipped - 45 lines]
>
> - Show quoted text -

Thanks Newbie,

My husband and I  have a huge vacation coming up and I would hate to
have the pain come back while on vacation.   I am very lucky.  I know
and appreciate this.  In all honesty, I have been given more than I
deserve.

This year, I have the good fortune and opportunity to visit Earl
Bakken's hospital on the north end of the main island in Hawaii.  We
are going to visit him in March.   I am so excited. (Earl Bakken---->
http://www.earlbakken.com/ )

I don't want our  trip to be ruined by having to make an emergency
trip to see a dentist in Hawaii!!!!

Thank you for your input.  I know I am not unlike other patients  that
avoid therapy unless they are in pain.  However with advice found
here, I will definitely seek treatment NOW instead of later.

Thank you,

:-)

Sue
Dartos - 06 Feb 2007 17:01 GMT
If it does happen, let me know.
I know a good dentist or two in Hawaii.

;-)
D

> I don't want our  trip to be ruined by having to make an emergency
> trip to see a dentist in Hawaii!!!!

> Thank you,
>
> :-)
>
> Sue
Lurker - 09 Feb 2007 16:56 GMT
On Feb 6, 11:01 am, Dartos
If it does happen, let me know.
I know a good dentist or two in Hawaii.

;-)
D

Ha ha. Thanks Dartos. Hopefully we will have no dental or health
emergencies in Hawaii.  Never been there, and I am really excited to
go.

Endo Appt is next week.  Will check back here with diagnosis and
treatment plan.

Thanks all for your advice. It is much appreciated!

Sue
Lurker - 06 Feb 2007 05:43 GMT
> >This question is to Dr. Bornfield (and any other dentist that may have
> >an opinion)
[quoted text clipped - 45 lines]
>
> - Show quoted text -

Just looked here:  http://www.aae.org/patients/faqs/rootcanals.htm
Good  info and puts  a lot of my questions to rest.

Thanks  newbie.

And To all dentists out there:  Keep up the good works.  You are
valued even  though you may not always receive the accolades from your
patients.  Americans have come to expect  "free" treatment and service
(covered by ins. or what not).

Sorry about that. :-(

Sue
Newbie - 06 Feb 2007 15:00 GMT
>> >This question is to Dr. Bornfield (and any other dentist that may have
>> >an opinion)
[quoted text clipped - 59 lines]
>
>Sue

Glad to be of service, and thanks for the 'attaboy', it made my day.
Lurker - 16 Feb 2007 21:24 GMT
Just wanted to update...but not much to tell.  I went to the
endodontist and he diagnosed tooth #13 as looking a "little funky."
So next week I will have the canal filled.

The only thing that bothered me was that he said... "We will start
there and see if this takes care of the pain."  So it left me
wondering a little bit as to whether he saw something else going on.
I guess I should have asked him, but I didn't.

Thanks for any thoughts.

Sue
 
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