Re: Tooth still is very sensitive after root canal

I have the same situation on tooth #19 where I had a root canal done on
a tooth with an existing gold crown. about 8 months ago. It's slightly
sensitive to percussion, like tapping on it with my finger, both on the
top of the tooth and on the side. But surprisingly, it doesn't bother
me when I eat, even something like almonds.

I know that it is not a problem with any remaining pulp because any
sensitivity to cold (which is what I had before) is completely gone.

The endo told me that what I was most likely sensing was the ligament
adjacent to the tooth

This must be a common problem because II also had the exact same thing
on #30 after an RC was done, i.e. no more cold sensitivity but
sensitive to percussion. This tooth, though, was utlimately replaced
by an implant/crown so no more problem.






JimSocal wrote:
On 23 May 2006 22:59:38 -0700, "Alexander Vasserman DDS"
<purple543210@xxxxxxxx> wrote:

On occasion this sort of thing happens. I encounter a patient like this
on average maybe once every 3 years.
Sometimes there is an unfilled canal sometimes a fracture. Sometimes
its an adjacent tooth that is giving the pain, Sometimes its the bite
either the new crown is too high or the tooth is in a traumatic bite.
Like Dr Bornfeld says time will reveal the cause. Having a root canal
look pretty on the x-ray does not mean that the problem was solved.
I believe you should wait before considering drastic unscientific and
desperate measures such as extraction because if the problem was not
the tooth you can not put it back.
Did you have a new crown placed over the root canal? If so what type
was it? you may also want to make sure you have good contacts on either
side of the crown. You can check this with floss, the crown should
floss like your other teeth. If the contact is not as tight food
impaction can irritate your gums and give you the symptoms you describe.
Thanks much for the info.

Figures, I'd be one of these "once in 3 years" patients. Luck with
dental work is something I seem not to have at all.

It's not the bite: there is no opposing tooth on this crown! I am in
the process of beginning to get implants but as yet there is no bite
there.

I am not considering anything drastic. I intend to live with it. I
just wondered if there was any recommended treatment or tests I should
get. I see that the recommendation is to just wait, so that is what I
will do.

I did have a new crown placed over the root canal. what type?
Porcelain, I believe. Is that what you mean? By "food impaction" you
mean, is food getting stuck in between the new crown and the old tooth
next to it? I'm not sure but that does not seem to be the case.

Before I got the new crown I had a temporary crown on there for
awhile. The temp crown bothered me more, and then after a while, it
calmed down to almost nothing. For some reason the permanent crown
bothers me more than the temp. did and is not calming down as quickly.
I wonder if it might be because there was more trauma involved in
installing the perm. crown? I mean, they screwed around with it a lot
getting it to fit right, put in on and off several times, etc...

Anyway, apparently there is really nothing I can do but wait ... and
HOPE that the sensitivity goes away and that I do not lose this tooth!

.

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