Re: Sensitivity to sweets

Hi Steve, thanks so much for answering me so fast. I understand what
you mean about the nesbit. Well, I can start on the first part of the
implant in about a month but still stuck with the flipper until the
tooth is ready. I've made it this far, fortunately, the configuration
of my mouth is such that you can't see the missing tooth unless I
smile so I've learned to smile with my mouth closed or just people the
truth. I have been on a coffee candy binge lately so hope I didn't
cause decay in the past few weeks. I always use fluoride toothpaste
right after but it may have been too late. No more, I won't touch it
again, not worth it, didn't know they're the worst offenders...thank
you for that info! Well, tomorrow I have to have a cleaning so will
ask my dentist about this tooth. I forgot to mention that I have some
soreness when I touch next to my left nostril or the gum very high up
where 11 was extracted. It was 9 1/2 weeks ago, also had a bone graft.
Is it normal to still feel black and blue when I touch it? I also have
the same when I touch where #2 was removed, the gum is still a bit
tender. Neither area hurts if I don't touch it. I am just a little
scared to start the implant drilling if it still feels sore. Thanks on
the NYU feedback. I may get a consultation and see how I feel about
it.

On Mar 16, 1:35 pm, Mark & Steven Bornfeld
<bornfeldm...@xxxxxxxxxxxxxxx> wrote:
goldbanjo wrote:
I noticed that when I had pancake syrup, tooth #13 which is crowned
and not root canaled, felt some pain. I used the waterpik and it went
away. Last night, I was eating a hard candy and the same thing
happened. The crown is old and some of the tooth shows. I had bite
wings and periapical done routinely 3 months ago and no decay was
seen. What can be done? Do they have to take the crown off and look
since they can't see through the crown on the x-ray? I don't want a
root canal if I don't need one. No sensitivity to heat, some to cold
but I have always had that (for 12 years) on that tooth...but never to
sweets until now. Can they apply a sealant to that tiny margin that
shows? I am using Sensodyne but not all the time and I am starting to
apply it and just leave it on for a bit, maybe that will help. Any
advice would be appreciated.

Two more questions...can I get a Valplast nesbit for an anterior tooth
(11)? I have read no, but thought I'd hear it straight from the people
here. Still having trouble with the flipper...hate it and I can't talk
with it no matter how much I practice. Also, how is NYUs reputation
for implants? This is going to be hard for me financially so I'd
consider it but would like to know what you've heard, if anything.
Thanks as always.

Hi Banjo!

        It is not unusual to get sensitivity to sweets on a vital tooth with
exposed root surface.  Decay will do it of course, but does not mean
decay is there.  BTW, hard candies are about the worst decay-inducing
forms of sugar.
        It should not be necessary to take the crown off.  Assuming you haven't
had washout of all the cement, the decay will start on the root surface,
usually at the crown margin, and should be visible either clinically or
on bitewing.
        Use a desensitizing toothpaste and stay away from the hard candies--or
substitute sugar-free.
        I've never done a Valplast nesbit.  For that matter, I almost never do
a nesbit--haven't done one in years.  It's not a good idea, and I doubt
it would be stable without a real palatal extension, and then you're
back to a glorified flipper.
        I've heard only good things about the implant program at NYU, though I
don't know if they're done in the dental school itself or in the
Bellevue clinic.

Steve

--
Mark & Steven Bornfeld DDShttp://www.dentaltwins.com
Brooklyn, NY
718-258-5001

.

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