> Can anyone recommend a top-notch diagnostician in NYC? Have had a lot of
> discomfort with many teeth after major restoration, and to be honest, I
> think the couple of dentists I've seen already are just winging it. Anyone
> you can recommend who has absolutely seen it all? Thanks.
Certainly if there is any doubt about the state of the pulp, any good
endodontist should be able to work this out--eventually. Some cases are
extremely clear-cut, others (quite likely yours) may have some
ambiguity. Just because you can't just look at a tooth and know exactly
what is going on every time doesn't mean they're "winging it" either.
Sometimes, esp. when several teeth are involved, it can be frustrating
determining the cause. But it almost always can be pinpointed--eventually.
Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
Robert - 29 Apr 2008 01:08 GMT
>> Can anyone recommend a top-notch diagnostician in NYC? Have had a lot of
>> discomfort with many teeth after major restoration, and to be honest, I
>> think the couple of dentists I've seen already are just winging it.
>> Anyone you can recommend who has absolutely seen it all? Thanks.
> Certainly if there is any doubt about the state of the pulp, any good
> endodontist should be able to work this out--eventually. Some cases are
[quoted text clipped - 3 lines]
> when several teeth are involved, it can be frustrating determining the
> cause. But it almost always can be pinpointed--eventually.
That is the problem. There seem to be so many teeth that are causing
discomfort. I can't believe that so many teeth are going bad all at the same
time. Is that possible? (1 through 6). Can an infection leap inside from
one tooth to the other? Do I just start having root canal after root canal
until they find the "real" culprit? Starting to feel some sensativity way
up into the sinus area above a couple of them. I'm more alarmed than my
dentist is but I just have a feeling that something bad is going on.
#3 and #4 are starting to look dark on the side of them but the dentist said
that is from the resin fillings. Not sure I understand that.
I know the dentist wants to help, but I want to find a diagnostician who has
seen it all a hundred times. Before it becomes really serious.
Newbie@bix.nex - 29 Apr 2008 01:59 GMT
>>> Can anyone recommend a top-notch diagnostician in NYC? Have had a lot of
>>> discomfort with many teeth after major restoration, and to be honest, I
[quoted text clipped - 22 lines]
>I know the dentist wants to help, but I want to find a diagnostician who has
>seen it all a hundred times. Before it becomes really serious.
Find an endodontist
www.aae.org
Robert - 29 Apr 2008 02:11 GMT
> Find an endodontist
Thanks, made an appointment with a top notch one. Unfortunately he is out of
town and can't see me until next week. From the little I've described does
it sound like a dental emergency? Wonder if I should even wait that long.
Steven Bornfeld - 29 Apr 2008 03:55 GMT
>> Find an endodontist
>
> Thanks, made an appointment with a top notch one. Unfortunately he is out of
> town and can't see me until next week. From the little I've described does
> it sound like a dental emergency? Wonder if I should even wait that long.
You'll be the first to know if it's an emergency. I'll admit to being
curious who you're going to see. I'm sure I don't know most
endodontists in NYC, but I do know quite a few.
Steve
Robert - 29 Apr 2008 12:13 GMT
>>> Find an endodontist
>
> You'll be the first to know if it's an emergency. I'll admit to being
> curious who you're going to see. I'm sure I don't know most endodontists
> in NYC, but I do know quite a few.
Will email you with the name of the guy.
I'm not sure I would know. Since this is the first time I've had dental
discomfort in my life, it all seems like an emergency :) To me, sensitivity
way above the tooth up near the sinuses sounds pretty scary but maybe it is
not unusual.
Steven Bornfeld - 29 Apr 2008 13:56 GMT
>>>> Find an endodontist
>>>>
[quoted text clipped - 8 lines]
> way above the tooth up near the sinuses sounds pretty scary but maybe it is
> not unusual.
Can't rule out sinus problems either, esp. with the amount of tree
pollen in the air.
This is my home e-mail; remove "mung" to reply.
Steve
Robert - 29 Apr 2008 15:41 GMT
>>>>> Find an endodontist
>>>>>
> Can't rule out sinus problems either, esp. with the amount of tree pollen
> in the air.
> This is my home e-mail; remove "mung" to reply.
Interesting. Maybe I'll see an ENT guy as well.
Robert - 29 Apr 2008 16:15 GMT
>> Find an endodontist
>
[quoted text clipped - 3 lines]
> does
> it sound like a dental emergency? Wonder if I should even wait that long.
One other thought occurred to me. I had work done in that area a little
over a week ago. Is it possible that an infection developed from the
novocaine injection? Have you ever heard of that?
Mark & Steven Bornfeld - 29 Apr 2008 17:06 GMT
>>> Find an endodontist
>>>
[quoted text clipped - 7 lines]
> over a week ago. Is it possible that an infection developed from the
> novocaine injection? Have you ever heard of that?
Yes, it happens, but rarely. Oral mucosa is generally very resistant
to routine bacterial infection even if traumatized. If there is a
pre-existing infection--endodontic or periodontal, it can spread,
perhaps be innoculated. As far as post-injection infection in a
previously uninfected place, I think I MAY have seen that once in 32
years. What happens more frequently is you may nick a vein and get a
hematoma that may be confused with an infection (and in fact
occasionally large hematomas may become secondarily infected)--but you'd
certainly be sure something was wrong in a very particular area if this
happened.
Steve

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