Re: Tooth under the bridge is sensitive to temperature (hot/cold)



emma wrote:
Thanks Dr. Bornfeld. You are actually right, it's an onlay bridge,
teeth are covered completly.
If there is a fracture, can the tooth be saved with RCT? Something
else?
Is there any test to confirm a fracture if x-ray doesn't show it?
Can something be done to a small fracture under the bridge? Bridge is
metal.

Thanks again.
Emma


If there is a fracture, whether the bridge (or the tooth for that matter) can be saved depends very much on the location and extent of the fracture. Many times (esp. if the tooth has not had previous root canal treatment) the fracture extends down and away from the chewing surface of the tooth. If the fracture isn't too far under the gumline it will probably be possible to save the tooth.
Whether in this case the bridge can be saved depends further on the amount of remaining tooth structure after the fractured segment is removed.
I'm afraid we're getting ahead of ourselves though--I can't say that the pain is caused by a fracture. You definitely should be examined promptly. Even at that, diagnosing small fractures can be very difficult and frustrating. It could be though that a quick look will make the problem very apparent.

Good luck,
Steve

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