Re: Sensitivity to sweets
- From: "Tin@" <Tinas49ers@xxxxxxxxx>
- Date: Tue, 17 Mar 2009 07:49:52 -0700 (PDT)
On Mar 17, 6:43 am, Mark & Steven Bornfeld
<bornfeldm...@xxxxxxxxxxxxxxx> wrote:
Tin@ wrote:
On Mar 16, 10:35 am, Mark & Steven Bornfeld
<bornfeldm...@xxxxxxxxxxxxxxx> wrote:
goldbanjo wrote:
I noticed that when I had pancake syrup, tooth #13 which is crownedHi Banjo!
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.
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- Hide quoted text -
- Show quoted text -
Hi Steve, do you think a little bonding at the root surface of #13
might be helpful? I know sometimes my Dr does that, plus then it
would seem to me that it would keep the tooth from recurrent decay and
saving it from being replaced, at least for now.
I do it if there is caries or deep erosion/abrasion/abfraction, for
sure--if I'm confident I have access to the whole lesion. I sometimes
flow a little flowable resin or even just bonding agent on the root
surface, but I avoid it if I can--if the material has any thickness and
is at the gingival margin it can be a plaque trap. But if the patient
has already given it a go with a desensitizing toothpaste, and I've
tried something like Duraphat or Hurriseal and it's still
sensitive--sure, it's worth a try.
Steve
--
Mark & Steven Bornfeld DDShttp://www.dentaltwins.com
Brooklyn, NY
718-258-5001- Hide quoted text -
- Show quoted text -
Sometimes my Dr does that too.
.
- References:
- Sensitivity to sweets
- From: goldbanjo
- Re: Sensitivity to sweets
- From: Mark & Steven Bornfeld
- Re: Sensitivity to sweets
- From: Tin@
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