My left tooth... again

Some things I wanted to try to better understand further before I opt
to get the tooth pulled:

- How can a successfully RCT-ed tooth still cause pain? I've been
told if it has a crack in it, but what is the mechanism? The only
living thing the crack could be touching is the periodontal ligament.
Can that really cause significant pain?

- Can gutta percha overfill that is visible on an x-ray and seems to
be coming out of the tooth root apex be the cause of pain? I would
think so, especially if it is impinging on the nerve in the jaw. Is
that actually a possibility? See http://geocities.com/dtminer40/tooth.jpg
for the xray, which I've linked to before on a file sharing site, but
this one is easier to get to.

- Is there a good explanation for these pain symptoms: dull ache all
the time, ranging from almost unbearable to almost nonexistent; not
much increase in pain with downward pressure; significant increase in
pain with lateral pressure.

Thanks for any thoughts,

John.

.

Relevant Pages

  • Re: Should the good filling be taken out...
    ... Cracked tooth only hurts when you spread the fractured peice away from the ... >> If pain goes away, ... >> Take out old filling and inspect for cracks. ... moving on to a crown is my next step. ...
    (sci.med.dentistry)
  • Re: Im losing my pants!
    ... At that time I couldn't tell if the pain was ... Unfortunately with that tooth, I had been living in NY and had an accident ... And my daughter has more food allergies than my mom! ...
    (alt.support.diabetes)
  • Re: Crowned tooth needs root canal?
    ... NTI_ ... Try an NTI first, if pain persists RCT ... >> Three years ago I had a cracked upper molar repaired with a crown. ... the tooth has been symptom free and ...
    (sci.med.dentistry)
  • Re: Mischief has a FORL
    ... But she will figure out the pain is gone and forgive you. ... Dr. C found a tooth that looked suspicious. ... a dental/x-rays/extraction is a little out of my league. ... dental cleaning and extraction. ...
    (rec.pets.cats.anecdotes)
  • Re: Variable percussion tenderness on RCT and crowned tooth after 5 weeks?
    ... Pre-RCT pain was exquisite when trying to sleep, ... Tooth was sensitive ... Post-RCT pain was minimal except for tenderness to contact ... the hallmark of a fracture.) ...
    (sci.med.dentistry)