Re: Temp crown, root canal questions
From: W_B (no_one_at_nowhere.net)
Date: 02/13/05
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Date: Sun, 13 Feb 2005 18:53:43 GMT
On Sun, 13 Feb 2005 12:28:33 -0500, Steven Bornfeld
<dentaltwinnospam@earthlink.net> wrote:
>
>
>glitch wrote:
>> I've had pain from chewing and cold liquid in a bottom rear tooth for
>> quite a while; dentists see no cracks or problems (and he looked when
>> replacing a filling), except for tooth being maybe unusually shaped
>> (high cusps, I think). If I had to describe the pain, it sure does
>> feel like theres a big crack right down the middle. But there's
>> usually no spontaneous pain, though sometimes I feel aches during the
>> night (but thats usually after eating cold fruit at night then going to
>> sleep). After biting on a bone accidentally during a meal though, for
>> example, it will ache for hours and be extra sensitive to cold.
>>
>> One dentist said I should get a temp crown for a few weeks and if that
>> solves it, then a permanent. If symptoms persist with temp crown for
>> the few weeks test, then root canal before permanent crown.
>>
>> Due to my difficult travel schedule and I'm also in the process of
>> moving, I would like to know the advisability of either "getting it
>> over with quickly" (root canal) or else, waiting about 3 months with
>> the temp crown before deciding to get either a permanent crown or a
>> root canal + crown (as long as symptoms don't get worse).
>>
>> So, first, is it significantly worse for the tooth to just get the root
>> canal now, assuming maybe about 50% chance that it's the real solution.
>> (I know it would be worse on the wallet, but...i'll ignore that for
>> now)
>>
>> Second, if its a bad idea, then is it OK to have a temp crown for about
>> 3 months or more (I guess strong glue would have to be used...I'm an
>> avid flosser.
>>
>> Third, I really don't know anything about how crowns are made, so: If
>> a temp crown is made by dentist #1, can a different dentist install the
>> permanent crown later, or would he have to start from scratch? I would
>> guess the latter (?), unfortunately.
>>
>
> Problem with doing root canal pre-emptively is that if there is an
>undetected fracture it could be for naught and you could wind up losing
>the tooth.
> Assuming the offending tooth can be isolated, I would probably choose
>to remove any restorations in the tooth and examine it for signs of
>fracture under high magnification. If nothing can be seen, I would
>place a sedative dressing for a few weeks and see if there is any change
> (possibly relieving the bite to lessen pressure on the tooth). If the
>sensitivity to direct pressure on the tooth remains, I would place a
>temporary crown, and use a cement strong enough to last as long as you
>need it to.
>
>Steve
Usually I agree with you Bornfeld, however in this instance
with regard to the symptoms RCT is advisable followed quickly
with a perm crown.
Can be done in the same appt.
-- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE
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