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Medical Forum / General / Dentistry / May 2008Signs of dying tooth?
About a week ago I had a resin filling replaced on #5. The dentist put some "medication" underneath the filling (Calcium Hydroxide maybe?) Anyway, that tooth feels fine, but #4 and #3 (which also have resin fillings) are starting to really hurt and it actually looks like they are starting to turn a little darkish on the side down near the gum line. Is that a sign of a dying tooth? Could the refilling in #5 affect them that way? If so, could it happen that fast or is likely pure coincidence? What should I consider doing? My dentist is away for a week. Thanks for any suggestions. No way to diagnose your problem over an internet connection. You need to be seen in person. Could be any number of things occurring. Find out who is covering emergencies for your dentist and get evaluated.  Signature/ Amatus / > About a week ago I had a resin filling replaced on #5. The dentist put > some "medication" underneath the filling (Calcium Hydroxide maybe?) [quoted text clipped - 5 lines] > it happen that fast or is likely pure coincidence? What should I consider > doing? My dentist is away for a week. Thanks for any suggestions. > No way to diagnose your problem over an internet connection. You need to > be seen in person. Could be any number of things occurring. > > Find out who is covering emergencies for your dentist and get evaluated. Unfortunately no one seems to cover for him, so maybe it is time for a new dentist. I reached him by phone and he perscribed an antibiotic which helped a bit. Although that might be bad news since it suggests there really is an infection in there. I'll be seeing him this week. Calcium hydroxide under resin fillings is pretty much outdated at this time. ;-( D > About a week ago I had a resin filling replaced on #5. The dentist put some > "medication" underneath the filling (Calcium Hydroxide maybe?) Anyway, that [quoted text clipped - 4 lines] > it happen that fast or is likely pure coincidence? What should I consider > doing? My dentist is away for a week. Thanks for any suggestions. Can you bond over an exposure ? <just kidding> >Calcium hydroxide under resin fillings is pretty much outdated >at this time. [quoted text clipped - 10 lines] >> it happen that fast or is likely pure coincidence? What should I consider >> doing? My dentist is away for a week. Thanks for any suggestions. > Calcium hydroxide under resin fillings is pretty much outdated > at this time. My bad - it wasn't Calcium Hydroxide and it wasn't under resin - it was the entire filling. It had three initials IRD, IDR, IMD, something like that. It was all done very quickly in one visit. >> Calcium hydroxide under resin fillings is pretty much outdated >> at this time. > >My bad - it wasn't Calcium Hydroxide and it wasn't under resin - it was the >entire filling. It had three initials IRD, IDR, IMD, something like that. >It was all done very quickly in one visit. Probably IRM Intermediate Restorative Material. *NOT* indicated for long term use !!! > Probably IRM > > Intermediate Restorative Material. > > *NOT* indicated for long term use !!! Yes, that's it, thanks! Right, he just put it in while we decided what the next course of treatment was. How short term is it? Weeks, months, years? Can bacteria leak in around it after just a week or so? > Calcium hydroxide under resin fillings is pretty much outdated > at this time. > > ;-( > D I've attended a number of courses in which the lecturers used calcium hydroxide in close proximity or in contact with the pulp, followed by some sort of glass ionomer (cement or resin based material, either one). Afterwards they applied the resin. I must say that I've been trying this method for a couple of years with very good results. I do, usually, fill the cavity with 0.20% chlorhexidine before applying the calcium hydroxide, but that's me being a perfectionist. What do you think of this protocol Dartos? kindly, Tiago Studies have shown that CaOH does not stimulate dentin formation. It is mildly bactericidal, though. Signature/ Amatus / On Apr 21, 10:32 pm, Dartos <tuthjoc...@myturbonet.com> wrote: > Calcium hydroxide under resin fillings is pretty much outdated > at this time. > > ;-( > D I've attended a number of courses in which the lecturers used calcium hydroxide in close proximity or in contact with the pulp, followed by some sort of glass ionomer (cement or resin based material, either one). Afterwards they applied the resin. I must say that I've been trying this method for a couple of years with very good results. I do, usually, fill the cavity with 0.20% chlorhexidine before applying the calcium hydroxide, but that's me being a perfectionist. What do you think of this protocol Dartos? kindly, Tiago > Studies have shown that CaOH does not stimulate dentin formation. It is > mildly bactericidal, though. And not worth much. I'd say the results would be just as good with SE Bond, or glass ionomer as the first layer and ditch the CaOH. JMO, D >> Studies have shown that CaOH does not stimulate dentin formation. It is >> mildly bactericidal, though. [quoted text clipped - 6 lines] >JMO, >D Since you advised me after my questions years ago, and you are the *grand master* of posterior composite, cannot remember the last time I used CaOH (Dycal). Don't think we have had a tube of it in the office for 5+ years. There is however, a rarely used medium bottle of CaOH powder readily mixed with *NO VASOCONSTRICTOR* sterile local anesthetic for those rare "weepy" canals. (Spin it down with a lentulo, close with a bonded flowable or fuji9, "no Cavit, please") The CaOH powder mixes nicely with USP petrolatum for a cheap and excellent PIP too ! Haven't used liners in years, rare sensitivity... 1 in 200 maybe ? Prolly less. CFSE Rules ! Placed it over a tiny non-bleeding mechanical exposure in two lower centrals about 9+ months ago with no symptom reports to date. {Was recontouring a 'roller coaster' for a more esthetic and functional prosthetic result} > There is however, a rarely used medium bottle of CaOH powder > readily mixed with *NO VASOCONSTRICTOR* sterile local anesthetic > for those rare "weepy" canals. (Spin it down with a lentulo, close > with a bonded flowable or fuji9, "no Cavit, please") > The CaOH powder mixes nicely with USP petrolatum for a cheap and > excellent PIP too ! Good advice! D >> There is however, a rarely used medium bottle of CaOH powder >> readily mixed with *NO VASOCONSTRICTOR* sterile local anesthetic [quoted text clipped - 6 lines] > >D Yer welcomed. |
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