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Medical Forum / General / Dentistry / July 2007What in the world is wrong with my gold crown and RCT?
I hade a RCT and new good crown put on second bottom left tooth form back. When the temp crown was on it felt just great. Now with the gold crown on it feels tender and sensitive as if the dang nerve is still ALIVE! But how can that be? That it has feeling in it with perm crown on it? Probably your muscles were a bit tight when the crown was cemented and you did not demonstrate your "normal" tooth-together position and all the lateral and protrusive positions. In which case, it simply needs a minor adjustment to the biting surface. Call your dentist and ask for an adjustment. No big deal, happens all the time.  Signature/ Amatus / >I hade a RCT and new good crown put on second bottom > left tooth form back. [quoted text clipped - 5 lines] > But how can that be? That it has feeling in it with > perm crown on it? >Probably your muscles were a bit tight when the crown was cemented and you >did not demonstrate your "normal" tooth-together position and all the >lateral and protrusive positions. In which case, it simply needs a minor >adjustment to the biting surface. Call your dentist and ask for an >adjustment. No big deal, happens all the time. OK will do will see what happens You might be allergic to gold.Many people are... Just a thought.. Allergies can cause pain.. Nope. AC is on the right track. Steve > You might be allergic to gold.Many people are... > > Just a thought.. > > Allergies can cause pain.. Never heard of a Au allergy myself. In fact gold salts are used in the treatment of arthritis. Could be the occlusion or periodontal inflammation mimicking TAC. >Nope. > [quoted text clipped - 7 lines] >> >> Allergies can cause pain.. > You might be allergic to gold.Many people are... Not true. If gold is not the most biocompatible metal known to man, it is so close that the difference does not matter. Vaughn The crown might have a high spot, which needs to be reduced, or, there may still be some living nerve accidentally left in the tooth after the root canal. occasionally this happens since molar root canals are more difficult to do. The temporary tooth is often cemented with a cement that contains a painkiller called eugenol (otherwise known as clove oil). The permanent crown would not be cemented with a cement containing a pain killer. So if the tooth nerve was partly alive, you wouldn't feel it with the temporary cement with the painkiller, but you'd feel it with the permanent crown cemented without the painkiller cement. >The crown might have a high spot, which needs to be reduced, OK >or, there may still be some living nerve accidentally left in the >tooth after the root canal. occasionally this happens since molar [quoted text clipped - 5 lines] >with the painkiller, but you'd feel it with the permanent crown >cemented without the painkiller cement. OK But what is the fix for this.... if any? Can my dentist go back in and remove the partial live nerve still? Can he work THROUGH the gold crown on top? Id like to do everything I can to NOT lose this tooth (extracted). But a bridge or implant is way out of my budget right now. Should I just get it adjusted and then give tooth more "time" to settle down? Its been abt 6 weeks since perm gold crown and RCT was done. Thanks guys!! I have a dental apt for next week but want to go there informed beforehand. >The crown might have a high spot, which needs to be reduced, > [quoted text clipped - 7 lines] >with the painkiller, but you'd feel it with the permanent crown >cemented without the painkiller cement. Ok well I went back to my dentist who did the RCT he took an X-ray and it looks OK.... no fractures or problems seen. So he did some "adjusting" on the bite.... both the crown and tooth above it I told him I would give it a bit more time..se what happens now But if still hurting what are my options then? Bottom line.... has this RCT basically 'failed"? Or can he go back in and do another RCT maybe filing in any voids? Should I go to another doc.... maybe an endo? Id REALLY like to save this tooth.... no extraction.... but money is limited right now and cant afford implants. If you stand a bit closer to the monitor, maybe we could see better. :-) Lots of choices and options still on the table. Don't worry about it. Take it one step at a time. It should take a couple of weeks to settle fully if it was "high". Your dentist would be best suited to give you a list of possible choices. BTW,,,,,,,,,,,,, fractures almost never show up on x-ray images. If the pain is consistent with pulpal pain, then I *might* suggest re-treatment of the RCT. Sometimes, (after discussing possible sequellae with the patient) we will go back in a hunt for extra canals. This often requires removal of more tooth structure, and possible perforation of the tooth. Each case is different. If your peace of mind would do better, get an opinion from an endodontist. Be prepared to pay for the time though. Signature/ Amatus / > >>The crown might have a high spot, which needs to be reduced, [quoted text clipped - 29 lines] > but money is limited right now and cant afford > implants. > If you stand a bit closer to the monitor, maybe we could see better. :-) Hey! That's my line! (insert smiley here) 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 >> You might be allergic to gold.Many people are... > > Not true. If gold is not the most biocompatible metal known to man, it is >so close that the difference does not matter. > >Vaughn Of course Nickel is a horse of a different kettle of fish entirely. <g> > You might be allergic to gold.Many people are... > > Just a thought.. > > Allergies can cause pain.. *************************************************************************** We can try crowns in Zirconia, since we provide this ceramic material to several labs and they don't have any problems with their patients. Seldoms are these who are allergic with ceramics. Thanks. > You might be allergic to gold.Many people are... > > Just a thought.. > > Allergies can cause pain.. *************************************************************************** We can try crowns in Zirconia, since we provide this ceramic material to several labs and they don't have any problems with their patients. Seldoms are these who are allergic with ceramics. Thanks. On Jul 5, 2:02 pm, m...@privacy.net wrote: > I hade a RCT and new good crown put on second bottom > left tooth form back. [quoted text clipped - 5 lines] > But how can that be? That it has feeling in it with > perm crown on it? myspace.com/crownandbridgeworks hey ! let me make the next one ! |
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