Re: Crowned tooth needs root canal?


"W_B" <no_one@xxxxxxxxxxx> wrote in message
news:79mgd1ldtjtcevld60q5fg8balk1pminfa@xxxxxxxxxx
>
> Comments interspersed below.
>
> On Fri, 15 Jul 2005 15:35:08 -0700, "Blocks To Books"
> <blocks2books@xxxxxxx> wrote:
>
>>
>>"W_B" <no_one@xxxxxxxxxxx> wrote in message
>>news:cfkgd110umbjc0kpkdgn9c4tp18h2k9m6d@xxxxxxxxxx
>>> On Fri, 15 Jul 2005 14:48:16 -0700, "Blocks To Books"
>>> <blocks2books@xxxxxxx> wrote:
>>>
>>>>
>>>>"W_B" <no_one@xxxxxxxxxxx> wrote in message
>>>>news:01ggd1pv7281lqa1t51e0qg7ik16ggura3@xxxxxxxxxx
>>>>> Also there is the distinct possiblility that preparing the tooth for
>>>>> the crown was enough trauma to lead to slow pulpal death.
>>>>> Yes, even three years later. Bet the pulp is calcified and possibly
>>>>> has pulp stones.
>>>>>
>>>>> The endodontist should be able to make an accurate diagnosis.
>>>>>
>>>>> --
>>>>> W_B
>>>>>
>>>>> wubbabubbazG@xxxxxxxxxxxxxx
>>>>> Take out the G'RBAGE
>>>>
>>>>Thank you so much. I am hopeful to think there might be a possibility
>>>>to
>>>>save this tooth because of its close proximity to my sinus cavity and
>>>>having
>>>>two teeth with no restorations on either side of it. The x-ray has
>>>>appeared
>>>>clear to two different dentists who each took their own PA x-rays.
>>>>There
>>>>is
>>>>no hot or cold sensitivity - just pain to biting - biting only hard or
>>>>excessively chewy foods. Could the pulp still be dying without giving
>>>>other
>>>>symptoms or without any sign of problems at the root tips on a PA x-ray?
>>>
>>> Yes very possible.
>>>
>>>> I really hope the answer is yes.
>>>
>>> It is.
>>>
>>>>Thank you very much for responding and for
>>>>your hopeful input. I would like to be able to save this tooth if at
>>>>all
>>>>possible. That's why I'm being so proactive at this early stage rather
>>>>than
>>>>putting it off until I can't stand it anymore like I have in the past
>>>>with
>>>>other teeth.
>>>>
>>> Putting off dental treatment only costs you more in the long run;
>>> wether the currency is teeth or money.
>>>
>>> I am a bit perplexed that you have no hot or cold sensitivity.
>>> Didn't you say that this tooth already has a crown ?
>>>
>>> --
>>> W_B
>>>
>>> wubbabubbazG@xxxxxxxxxxxxxx
>>> Take out the G'RBAGE
>>
>>Yes, this tooth has a crown on it. Should I have hot or cold sensitivity
>>with a crown? I had some for a few weeks after the crown was initially
>>placed but once the tooth settled down it felt like all the others pain
>>and
>>symptom free. It had remained symptom free until a few weeks ago when it
>>began to exhibit pain to biting hard foods. That is still its only
>>symptom.
>
> Well, maybe not, what kind of crown is it ?
> This crown has been in place for ~3 yrs ?
> Sometimes pain to biting pressure is the only symptom.
>
>>
>>Thank you for giving me some hope that the tooth can be saved. I hope
>>that
>>your opinion turns out to be the one that my endodontist and dentist agree
>>with. I do not want to lose the tooth - especially because of its upper
>>location so close to my sinus.
>
> Hope so too for your sake.
> Don't worry too much about the proximity to the sinus,
> this is rarely a problem except in the case of endosseous implants.
>
>>
>>I put off the previous cracked tooth because I bought into the theory I
>>was
>>told that it was simply a sprained tooth and I let it go on in pain for
>>over
>>a year and a half. It turned out to be multiply fractured and badly
>>cracked
>>by the time I realized that I needed dental help. Even then it was hard
>>to
>>convince my then dentist that I needed more help than a crown. He had me
>>wait in a temporary for over 6 months for it to settle down and it never
>>did.
>
> A 'sprained' tooth eh ? 6 months ? Damn !
> 7 -10 days, maybe 14, then I do something.
>
>>
>>As a result of input I received from kind dentists on smd years ago, I
>>finally went to another dentist for a second opinion and he took a PA
>>X-ray
>>and found a big abscess on the root of the tooth and I was immediately
>>referred to the endodontist. I'm very glad that the tooth was able to be
>>saved and has a good root canal in it.
>
> Score one for the good guys.
>
>>
>>If it hadn't been for the valuable input I received on this newsgroup I
>>don't know if I would have ever have gotten the courage to go to another
>>dentist for a second opinion who found the abscess. I am still very
>>grateful for the help that was given on that tooth.
>
> We are glad to serve, though I probably wasn't here then.
>
>>Unfortunately this
>>tooth feels the same as the other one and I am beginning to show some
>>minor
>>signs of difficulty completing my workouts - which hasn't happened to me
>>since the other tooth that was abscessed. I hope whatever is wrong with
>>the
>>tooth will be obvious to someone. In the meantime, I deeply appreciate
>>any
>>input and information.
>>
> The endodontist should be able to make an accurate diagnosis.
> After all they are *the* experts in pulpal pathology.
>
> --
> W_B
>
> wubbabubbazG@xxxxxxxxxxxxxx
> Take out the G'RBAGE

I believe the crown is porcelain over either high noble metal or gold. It
has porcelain up to the gumline on the cheek side of the tooth and a big
band that looks like gold on the tongue side of the tooth. It was placed
three years ago to treat a symptomatic crack on the tooth that opened up
from one old filling on front end of the tooth to an old filling on the back
end of the tooth. The crack went right down the middle of the molar.

What is an endosseous implant? If it's a regular upper tooth implant, then
I am very worried from what I've read about low sinuses like mine. I don't
want to lose this tooth if there is any human or divine way to keep it
because of the naturally low sinus position and the virgin teeth on either
side of it.

I don't think you were on smd when I posted about my other tooth. It was
years ago. The tooth I got help for is still doing well and I'm so thankful
for the courage and help I received from the dentists on smd.

What goes around comes around so I hope you all will always get good help in
your lives when you really need it like I need it now. I can't tell you how
much I appreciate the information.


.

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