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Medical Forum / General / Dentistry / November 2007Pain in tooth with no obvious problems
Almost out of the blue, tooth #24 is hurting. This tooth has never been worked on, hasn't ever given me problem, and as of last checkup in the spring, has no known decay. But all of a sudden it is extremely sensitive to cold and somewhat to hot, mostly right at the gumline. And it's lingering pain as well. Can anybody possibly suggest why a tooth with no obvious trauma is spontaneously showing signs of needing RCT? TFO Trauma From Occlusion  Signature/ Amatus / > Almost out of the blue, tooth #24 is hurting. This tooth has never > been worked on, hasn't ever given me problem, and as of last checkup [quoted text clipped - 4 lines] > Can anybody possibly suggest why a tooth with no obvious trauma is > spontaneously showing signs of needing RCT? Just had one of those this last month. 23 yo female college student, tooth #11, no cavity, no fillings, abfraction lesion present, patient had ortho 10 years ago. PAX showed an abcess, did endo, adjusted occlusion, tooth ache went away quickly. D > TFO > > Trauma > From > Occlusion Typically, what type of restoration would be required of this tooth once a root canal is performed, taking into consideration the fact that the structure is currently all there. crown? simple filling? post + crown? > Just had one of those this last month. 23 yo female college student, > tooth #11, no cavity, no fillings, abfraction lesion present, patient [quoted text clipped - 10 lines] > > From > > Occlusion IMO, a bonded composite that extends a couple of mm into the canal space to seal off the gutta-percha, plus a composite fill of the abfraction (both of which were placed when I finished the endo... it was a two appt. process since I could not dry the canal on the initial visit...I placed CaOH and waited a week or two). Most recent research dispels the need for post and crown in cases like this (anterior tooth with no previous restoration or fracture). D > Typically, what type of restoration would be required of this tooth > once a root canal is performed, taking into consideration the fact [quoted text clipped - 15 lines] >>>From >>>Occlusion I'd buy that for a dollar. >IMO, a bonded composite that extends a couple of mm into the canal >space to seal off the gutta-percha, plus a composite fill of the [quoted text clipped - 26 lines] >>>>From >>>>Occlusion > I'd buy that for a dollar. About all you can get for one now..... Definitely time to ditch the penny. Heck, they ditched the 'mill' back in the late 40's or early 50's. The penny isn't worth as much as a mill was then. (a mill was a plastic 'coin' used for paying sales tax...red ones were worth 1/10 of a cent, and I think the 5 mills, worth 1/2 cent, were green...yep, green, I have a jar of them in the basement...I don't know how widespread they were in the US...this was Missouri that I remember which is stamped on each 'coin') D >Almost out of the blue, tooth #24 is hurting. This tooth has never >been worked on, hasn't ever given me problem, and as of last checkup [quoted text clipped - 4 lines] >Can anybody possibly suggest why a tooth with no obvious trauma is >spontaneously showing signs of needing RCT? Sometimes these things happen for no apparent reason. Spontaneous pulpal combustion perhaps ? Other times there is an apparent cause that can be from a myriad of factors. Cannot speculate from here without at least an x-ray to look at. > Almost out of the blue, tooth #24 is hurting. This tooth has never > been worked on, hasn't ever given me problem, and as of last checkup [quoted text clipped - 4 lines] > Can anybody possibly suggest why a tooth with no obvious trauma is > spontaneously showing signs of needing RCT? Could be traumatic occlusion, as Amatus says. Could be periodontal. You may have suffered an injury months or years ago, long forgotten, and the nerve picked today to let you know. We'd just be speculating. You should have it looked at. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 On Nov 7, 12:21 pm, enro...@gmail.com wrote: > Almost out of the blue, tooth #24 is hurting. This tooth has never > been worked on, hasn't ever given me problem, and as of last checkup [quoted text clipped - 4 lines] > Can anybody possibly suggest why a tooth with no obvious trauma is > spontaneously showing signs of needing RCT? I wonder if it could be some gum recession related sensitivity since you mention that it's happening right at the gumline. Have you tried brushing with some Sendodyne or other desensitizing toothpaste? You might want to try that first, but if it persists have it looked at. Zzzdentist www.dentalminds.com |
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