Re: Pain in Root Canal/Crowned Tooth

From: Dr Steve (nospam_at_home.net)
Date: 02/07/05 

Date: Mon, 07 Feb 2005 20:00:47 GMT

A possible suggestion:

1) Get an NTI device, then if pain persists:
2) Have the Root canal retreated through the crown, then if pain persists:
3) get worked up for replacement of the tooth with an implant.

Or,,,,,, skip step (2)

Not having examined you in person, the above is just a guess. 

-- 
~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................
This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................
"Billy" <nospam@comcast.net> wrote in message 
news:yfmdnYWBM695R5vfRVn-iQ@comcast.com...
> "Dr. Steve" <drsteve@no-spam.com> wrote in message 
> news:m1ed011n8mupr45jpelk2eor58f41af3h4@4ax.com...
>> On Sun, 6 Feb 2005 18:53:51 -0500, "Billy" <nospam@comcast.net> wrote:
>>
>>>I've had pain (the pressure type) on my lower rear molar for several days
>>>now and the dentist can not determine the cause. I was hoping that 
>>>someone
>>>could give me their thoughts or experiences on this.
>>>
>>>The history of this molar tooth is that I've had a gum lengthening 
>>>procedure
>>>by a peridontist to fit a crown, then a route canal and crowned it 
>>>(silver
>>>with porcelain coating) - applied about three years ago.
>>>
>>>Suddenly last week, I started feeling pain in this area when I was 
>>>chewing.
>>>It becomes real painful and sensitive for an hour or so then subsides. 
>>>When
>>>it is sensitive, the area is very tender to any chewing down on it. It 
>>>feels
>>>like there is a weight being pressed on it. When the pain subsides, 
>>>chewing
>>>on it feels faintly annoying - not even a bother. Then it comes back 
>>>hours
>>>later or the next day and hurts again. Then subsides again.
>>>
>>>I went to the dentist and had an x-ray. Nothing found. He filed the tooth 
>>>to
>>>realign the bite thinking that this may be the reason. This still did not
>>>fix it.
>>>
>>>I looked around the tooth myself and did some poking with a travel plaque
>>>pick very lightly at the gums. The gums did not hurt and are not
>>>red/swollen. What I found is that there is actually a hole (or pit you 
>>>might
>>>call it) in the underside of the inside part of the crown. I can stick 
>>>this
>>>plaque pick right inside the underside of the crown. When I move it 
>>>around a
>>>bit in there - bingo - painful!
>>>
>>>How could there be pain in a root canalled tooth? Do you think this might 
>>>be
>>>the tooth, the gums, or the bone itself that is causing this intermittent
>>>pain?
>>>
>> Three possibilities come to mind.
>>
>> 1). Para-function--nighttime clenching
>
> I'm a bruxism  candidate. I've been doing this for years!
>
>> 2) cracked root
>
> Thanks. I'm going to visit an oral surgeon but just based on my own 
> curiosity: Would a cracked tooth that was previously route canalled have 
> pain? I was under the inpression that a root canal procedure eliminates 
> "feeling" in the tooth. Also, could the crack occur to a tooth underneath 
> a crown?
>
> I forgot to mention that the tooth sometimes feels steadily sore, even if 
> not biting down and just being "brushed" with my tounge.
>
>
>> 3) failed root canal treatment
>
> I was reading about Apicoectomy. It sounds scary.
>
>>
>> ..
>> Stephen Mancuso, D.D.S.
>> Troy, Michigan, USA
>>
>> I am writing on a Tablet-PC,so forgive me if the PC misreads my 
>> handwriting.
>
>

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