Re: Help--Should I get a crown?
From: The Real Paul (no_at_no.no)
Date: 12/28/04
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Date: Tue, 28 Dec 2004 13:31:17 GMT
A crack in your tooth will give you the symptoms you describe. When you bite
down, the tooth seperates the adjoining pieces of tooth on either side of
the crack. A crown will hold the pieces together and therefore not allow the
flexion about the crack and thus, the pain you feel. On the other hand any
residual pulpal tissues remaining in the tooth may be feeding some infection
around the root tip and this could be the source of your pain too. Or, a
combination of the two........
I would make a crown and seat it with temporary cement. Give it a month or
so and see how it is going.If it is still giving you pain to biting then I'd
take off the temporarily seated crown (not drill a hole through the top) and
reinstrument the root canals and search for a second distal canal. Then
reseat the crown temporarily. Also have the tooth thoroughly cleaned to
eliminate the periodontium as the culprit of any pain you are feeling. A
round of antibiotics may help here too.
If after all that you still have pain on biting, then YOU must decide is it
worth it to keep the tooth? If it is very minor then you may decide to keep
the tooth and put up with it. If it bothers you enough then you can have it
extracted. Ultimately the success of a root canal is determined by the
patient keeping the tooth. It may never be 100% pain free and feel
completely normal. Some teeth just don't respond to root canal therapy that
way. Most do though, and feel absolutely, completely normal.
Best wishes-
"Fred" <fredhanson@att.net> wrote in message
news:1104236926.270696.78010@z14g2000cwz.googlegroups.com...
> About 8 weeks ago I had a root canal on a lower molar (the last one on
> the left, #18). Ever since, the tooth has a small sensitivity to
> touch--not exactly pain but not pleasant. Slight touch does it, such
> as with a soft tooth brush, or pressure from food that gets chewed on
> the reduced tooth.
>
> My periodontist examined the tooth last week and found: a deep pocket
> on the back surface, a small crack on the same surface. His X-ray
> didn't show it, but he still wondered whether there was a hidden root
> that wasn't removed.
>
> My general dentist wants to put a permanent, metal crown on the tooth
> right away. His argument is that the temporary filling that the
> endodontist applied is mostly gone, and that the crown will strengthen
> the tooth. If the tooth fractures while we wait for the tooth to feel
> better we have lost the tooth.
>
> My question is, why put in the crown when each bite will produce
> discomfort, if not real pain? The tooth hasn't gotten less sensitive in
> 2 months; why expect it to feel better any time soon?
>
> Any suggestions about other treatments that will safeguard the tooth
> while we see if it resolves? Or, is getting a crown the best step now?
> Thanks in advance for your help.
>
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