Re: Should the good filling be taken out...

From: Steven Fawks (tuthjockey_at_earthlink.net)
Date: 11/17/04 

Date: Wed, 17 Nov 2004 14:27:22 GMT

Thanks for saving me the time to write all of this stuff down.

You and I see it almost daily, but I still get a few blank stares
when I'm trying to explain it to patients.

Fawks

> "joe" <johnaroberts@gmail.com> wrote in message
>
>>snip
>>
>>Having pain from only 10% or %5 of bites doesn't sound like a common
>>problem....and why would clenching have anything to do with it if it
>>all started from one point in time...biting down hard on a bone 18
>>months ago.
>
>
> Cracked tooth only hurts when you spread the fractured peice away from the
> bulk of the tooth. There could (depending on where the crack is and how the
> teeth are shaped) be only one path of movement, and you have to get the
> force vector to go in that direction. Chewing does NOT break teeth! The
> force of actual tooth contact during chewing is very light. At night while
> sleeping, you can spend hours squeezing and isometrically grinding with over
> 600 psi. Usually, the patient will initiate the crack while clenching and
> isometrically grainding during sleep. Then, many times, the patient will be
> eating something rather soft, *which encourages the mouth to chew faster
> with more force*, and the final insult will occur with this relatively light
> force. We dentists see this all the time. If the fracture goes through the
> wrong place, you could end up needing a root canal procedure [right
> George?], or if the fracture extends down into the root, you end up losing
> the tooth.
>
> Listen carefully,,,,,,,, the filling needs to come out and the inside of the
> tooth studied under high magnification. If it has been 18 months already,
> you could be in big trouble very soon if you procrastinate any longer. You
> might already have waited too long.
>

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