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Medical Forum / General / Dentistry / June 2007#12 Sensitive After Filling
For a change, I've seen my dentist prior to asking this: On 6/12, #12 had a filling placed; #13 was prepped from a crown with a temporary crown placed; and #3 had core build-up and post placed with a temporary crown. Lots of drilling, many needle sticks so I wasn't too surprised that it hurt like hell for a few days. What did surprise me is that #12 - the least damaged tooth - remains the most painful and sensitive. It is especially sensitive to cold, and none too happy about being tapped. Xrays taken just hours ago show that the filling is nowhere near the nerve, there are no cracks - nothing that would explain why it's acting up (and the bite is fine). My dentist confirmed that I'm not confusing #12 with #13, which is drilled within 1mm of the nerve, as #13 was fine when cold air and water was applied, and when the same was done to #12 I nearly rocketed out of the chair. Any guesses as to why this tooth is so sensitive? I have another appointment next week (crown preps for #30 and #31) and I'll be able to whine about it more with her if it's still acting up.  Signature"Did Father shoot him? I will eat Grandfather for dinner." - Helen Keller, on learning of the death of her grandfather email: archaicnewelpeg at gmail dot com > For a change, I've seen my dentist prior to asking this: > [quoted text clipped - 15 lines] > appointment next week (crown preps for #30 and #31) and I'll be able to > whine about it more with her if it's still acting up. Was this the first filling ever placed on tooth #12? Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > > For a change, I've seen my dentist prior to asking this: > > [quoted text clipped - 17 lines] > > Was this the first filling ever placed on tooth #12? Sorry, forgot to mention that. No, it's the second filling; the original was removed and the new one covers 1/3 of the tooth, on the bottom biting surface. Both original and new fillings are amalgam (at my request!). My dentist told me that if it remains sensitive next week, she'll remove the filling and replace it with ... some sort of temporary filling that has a sedative effect (sorry, forgot what type of material she said it was) and then refill with amalgam once it settles down. She said if that did not resolve the problem, crowning should be considered. If there is nothing 'structurally' wrong with the tooth that would cause it to fail later, I'd rather leave it as a sensitive but natural tooth, as #11 is a crown and #13 will be in a few weeks. In general - not specifically this tooth, but in general - if the root and nerve are sound, would leaving it uncrowned but sensitive be too unwise (again, generally speaking! - I'll ask my dentist for specifics about this tooth, since she has the xrays and all)? Signature"Did Father shoot him? I will eat Grandfather for dinner." - Helen Keller, on learning of the death of her grandfather email: archaicnewelpeg at gmail dot com >> > For a change, I've seen my dentist prior to asking this: >> > [quoted text clipped - 35 lines] >I'll ask my dentist for specifics about this tooth, since she has the >xrays and all)? You need to know the cause of the sensitivity. Bicuspids in general and upper 1st bicuspids (5, 12) specifically are notorious for vertical fracture. > >> > For a change, I've seen my dentist prior to asking this: > [quoted text clipped - 42 lines] > > - Show quoted text - Hi The nerve inside the tooth controls the hot/cold sensitivity you are having. There is definitely internal nerve involvement with symptoms that strong. The dentist that I work for would probably try a temporary crown, and if the tooth still bothered you, recommend a root canal before the permanent crown was placed. Goog luck! Debbie > > >> > For a change, I've seen my dentist prior to asking this: > > [quoted text clipped - 57 lines] > permanent > crown was placed. Goog luck! I know about temporary crowns - I have two in right now. It's pretty obbvious on xray even to me (and more importantly, to my dentist) that there's nothing - no filling, no cracks, no untreated decay, no nothing - near the nerve, and she says the nerve is healthy. It is settling down more; this tooth has been sensitive my entire life - long, long before its first filling or cavity - and I'm hoping it just needed the extra time to settle. I also am having some sinus problems due to allergies, and I'm seeing my internist to see if that's causing the problem, since the tooth is sound. Signature"Did Father shoot him? I will eat Grandfather for dinner." - Helen Keller, on learning of the death of her grandfather email: archaicnewelpeg at gmail dot com N T I Signature/ Amatus / > >> > >> > For a change, I've seen my dentist prior to asking this: [quoted text clipped - 88 lines] > and I'm seeing my internist to see if that's causing the problem, since > the tooth is sound. > N T I Surely not another clencher...... <VBG> Steve > > N T I > > Surely not another clencher...... ...just when I get the bill. And it's not my teeth I'm clenching. (Had part of the filling taken down; the tooth is significantly improved.) Signature"Did Father shoot him? I will eat Grandfather for dinner." - Helen Keller, on learning of the death of her grandfather email: aripee at inanna . com |
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