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Medical Forum / General / Dentistry / March 2007

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Discomfort/pain after replaced filling

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grubertm@gmail.com - 01 Mar 2007 22:29 GMT
I was hoping that my weekly dental appointments would come to an end,
but no such luck. Here's what happened:
RCT on #19, dentist did a crown buildup, and while working in that
area recommended replacing a small amalgam filling in #20 (distal)
with composite. Things are fine for one week. Then while chewing I
notice a sharp edge on #20 and two small white slivers barely hanging
on. Other than the sharp edge no discomfort. About a week later I
notice some pain while biting down. A very small area where the
filling was placed is sensitive to biting force pressure (_not_
release). Dentist inspects tooth and concludes that the filling has
chipped and reschedules me for replacement a week later. This
replacement was done yesterday. Now there is no pain when chewing.
However, I can still find a spot where the release of pressure causes
discomfort.

Any ideas what's going on here? The tooth was completely asymptomatic,
then chips, then sensitive to pressure, and now sensitive to release
of pressure ?

Thank you,
 Marco
Mark & Steven Bornfeld - 01 Mar 2007 22:34 GMT
> I was hoping that my weekly dental appointments would come to an end,
> but no such luck. Here's what happened:
[quoted text clipped - 17 lines]
> Thank you,
>   Marco

    Might be as simple as a slight bite adjustment is needed.  Go back and
have it looked at.

Steve

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

Amatus Cremona - 02 Mar 2007 12:33 GMT
> Any ideas what's going on here? The tooth was completely asymptomatic,
> then chips, then sensitive to pressure, and now    ***sensitive to release
> of pressure*** ?

Who wants to comment on the obvious (to a dentist)?

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Amatus

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grubertm@gmail.com - 02 Mar 2007 18:47 GMT
> > Any ideas what's going on here? The tooth was completely asymptomatic,
> > then chips, then sensitive to pressure, and now    ***sensitive to release
> > of pressure*** ?
>
> Who wants to comment on the obvious (to a dentist)?

I was hoping for some less obvious and more uplifting explanations
before considering a cracked tooth :)
jessiezyt@yahoo.com - 02 Mar 2007 19:44 GMT
On Mar 2, 10:47 am, grube...@gmail.com wrote:

> > > Any ideas what's going on here? The tooth was completely asymptomatic,
> > > then chips, then sensitive to pressure, and now    ***sensitive to release
[quoted text clipped - 4 lines]
> I was hoping for some less obvious and more uplifting explanations
> before considering a cracked tooth :)

I'd suggest you wait for a few weeks so that the teeth may accommodate
each other. Too much dental work may be even worse.
Amatus Cremona - 05 Mar 2007 12:53 GMT
***sensitive to release of pressure*** ?

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Amatus

/

> On Mar 2, 10:47 am, grube...@gmail.com wrote:
>>
[quoted text clipped - 11 lines]
> I'd suggest you wait for a few weeks so that the teeth may accommodate
> each other. Too much dental work may be even worse.
Steven Bornfeld - 05 Mar 2007 13:38 GMT
> ***sensitive to release of pressure*** ?

    I assume OP refers to "rebound tenderness", though I've heard of it
more in the context of appendicitis than dentoalveolar abscess.

Steve
Amatus Cremona - 05 Mar 2007 14:30 GMT
Almost guaranteed to have a cracked tooth if it hurts when the pressure is
released rather than when biting down, agreed?

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Amatus

/

>> ***sensitive to release of pressure*** ?
>
> I assume OP refers to "rebound tenderness", though I've heard of it more
> in the context of appendicitis than dentoalveolar abscess.
>
> Steve
Mark & Steven Bornfeld - 05 Mar 2007 15:01 GMT
> Almost guaranteed to have a cracked tooth if it hurts when the pressure is
> released rather than when biting down, agreed?

    I wouldn't guarantee it, but it's certainly suggestive.

Steve

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

Amatus Cremona - 05 Mar 2007 15:26 GMT
How about 7/10 of the time??

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Amatus

/

>> Almost guaranteed to have a cracked tooth if it hurts when the pressure
>> is released rather than when biting down, agreed?
>
> I wouldn't guarantee it, but it's certainly suggestive.
>
> Steve
Mark & Steven Bornfeld - 05 Mar 2007 17:13 GMT
> How about 7/10 of the time??

Sold!!

Steve

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

 
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