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Medical Forum / General / Dentistry / May 2007

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Crown Prep

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BakedWafer - 26 May 2007 00:49 GMT
Is it normal to have pressure sensitivity on a temporary crown.  I can
bite down normally, but it is tough to eat on that side because the
tooth is sensitive to the pressure.  It's been 3 days since I received
crown prep and temp crown.

Regards
Amatus Cremona - 27 May 2007 17:47 GMT
What's a temporary crown?

;-0

> Is it normal to have pressure sensitivity on a temporary crown.  I can
> bite down normally, but it is tough to eat on that side because the
> tooth is sensitive to the pressure.  It's been 3 days since I received
> crown prep and temp crown.
>
> Regards
Amatus Cremona - 29 May 2007 14:16 GMT
Paging Dr.  Bornfeld   ???   :-))

Regarding the OP's question,,,, the tooth should NOT hurt to biting
pressure.  Do NOT have the final crown cemented with "Permanent" cement
until you know the tooth is comfortable.  Let them place the final crown
with temporary cement if it is still hurting.  About 4% of teeth getting
full crowns will need RCT in the first few months.  This may be one of those
teeth.  It may also just be irritated from being worked on, or there could
be some stray cement under the gum-line, or any number of other things.

Signature

/

Amatus

/

> What's a temporary crown?
>
[quoted text clipped - 6 lines]
>>
>> Regards
Mark & Steven Bornfeld - 29 May 2007 14:38 GMT
> Paging Dr.  Bornfeld   ???   :-))

    Sorry AC for fallin' down on the job.

Best,
Steve

> Regarding the OP's question,,,, the tooth should NOT hurt to biting
> pressure.  Do NOT have the final crown cemented with "Permanent" cement
[quoted text clipped - 3 lines]
> teeth.  It may also just be irritated from being worked on, or there could
> be some stray cement under the gum-line, or any number of other things.

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

Amatus Cremona - 29 May 2007 14:57 GMT
You are forgiven.  :-)

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Amatus

/

>> Paging Dr.  Bornfeld   ???   :-))
>
[quoted text clipped - 11 lines]
>> there could be some stray cement under the gum-line, or any number of
>> other things.
Newbie - 29 May 2007 16:03 GMT
>Paging Dr.  Bornfeld   ???   :-))
>
[quoted text clipped - 5 lines]
>teeth.  It may also just be irritated from being worked on, or there could
>be some stray cement under the gum-line, or any number of other things.

Don't know where you got that 4% statistic, but I say those
teeth needed RCT *before* crown prep.
Amatus Cremona - 29 May 2007 19:48 GMT
I got it from a research article.

I agree that most of these teeth needed RCT before treatment.  And,, for
others, the crown prep, was the last straw.

Signature

/

Amatus

/

>
>>Paging Dr.  Bornfeld   ???   :-))
[quoted text clipped - 10 lines]
> Don't know where you got that 4% statistic, but I say those
> teeth needed RCT *before* crown prep.
Newbie - 29 May 2007 21:40 GMT
>I got it from a research article.
>
>I agree that most of these teeth needed RCT before treatment.  And,, for
>others, the crown prep, was the last straw.

So when evaluating teeth for crowns look for reduced pulp
chamber volume, pulp stones, constricted canals...

These are pathologic signs in a very likely compromised pulp.
BakedWafer - 30 May 2007 21:00 GMT
> >I got it from a research article.
>
[quoted text clipped - 5 lines]
>
> These are pathologic signs in a very likely compromised pulp.

The temp. seems to be getting progressively better, it does not hurt
as much, and I can chew somewhat on that side.  Please note, I also
have TMJ, so my teeth and jaw currently ache, on both sides from the
temp procedure.  If I take one Advil it goes away.  I grind my teeth,
so I think that I am aggravating it overnight.  I have devised a
solution, and the tooth seems to be getting some what better.

Also, I'd like to add; the way my tooth chipped was unique.  It was a
molar that broke off on the backside of the tooth, so my tooth had to
be oddly cut in order to prepare for the temp. and permanent crown.  I
believe this is the root cause of the pain, as one part of the tooth
is higher, so much of biting pressure comes down on it, which wouldn't
be the case with the permanent crown, as it would be fit to the tooth
and more uniform.  Anyhow, thanks for the input.

Thanks
Amatus Cremona - 31 May 2007 13:44 GMT
I will occasionally find the lower first molar with pain simply is suffering
from TFO, and an NTI solves the problem.

Signature

/

Amatus

/

>> >I got it from a research article.
>>
[quoted text clipped - 22 lines]
>
> Thanks
Newbie - 31 May 2007 16:08 GMT
>I will occasionally find the lower first molar with pain simply is suffering
>from TFO, and an NTI solves the problem.

Tough
Frakkin'
Occlusion

Kewl.
Dartos - 31 May 2007 19:32 GMT
My experience also.

D

>>I will occasionally find the lower first molar with pain simply is suffering
>
[quoted text clipped - 5 lines]
>
> Kewl.

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