Dentists in your Area:
Fairfield, 06825
Distance: 2.4 Miles
, 06460
Distance: 12.9 Miles
Stamford, 06901
Distance: 15.3 Miles
West Haven, 06516
Distance: 18.5 Miles
West Haven, 06516-4310
Distance: 18.6 Miles
Danbury, 06810-6525
Distance: 20.1 Miles
Huntington, 11743
Distance: 20.3 Miles
Islip, 11751
Distance: 28.2 Miles
Hicksville, 11801
Distance: 29.8 Miles
Great Neck, 11021
Distance: 30.7 Miles
start your health research here
Search Checkdent
dental-videos
DENTAL FORUM
Search Forum
0

cracked molar or bad filling?

User Level:
Patient
Posted by: elizabth  (7 years ago)
3 weeks ago i bit on some hard gum resin on the lower left number 6 molar.Nearly immediately after, I had discomfort that sometimes verges on pain when chewing on that molar.The molar had a white filling 10 years prior still in good shape up to that point.
There are NO symptoms unless I chew actual food on that tooth.It is not sensitive to temperatures, there is no throbbing and no pain.Biting/Clenching the teeth hard does not cause any pain.
After a scan, the dentist decided to replace the filling which he did. When that did not work,his superior dentist decided it was a bad filling and replaced it at no cost.Still not improved.Now another dentist reckons I have a bad filling and wants to replace the filling.
I think I may have a crack down the side of the tooth on the side of the tongue, but the dentists are dismissing this option.
What else can this be and how to treat it?
User Level:
Dentist
3 weeks ago i bit on some hard gum resin on the lower left number 6 molar.Nearly immediately after, I had discomfort that sometimes verges on pain when chewing on that molar.The molar had a white filling 10 years prior still in good shape up to that point.
There are NO symptoms unless I chew actual food on that tooth.It is not sensitive to temperatures, there is no throbbing and no pain.Biting/Clenching the teeth hard does not cause any pain.
After a scan, the dentist decided to replace the filling which he did. When that did not work,his superior dentist decided it was a bad filling and replaced it at no cost.Still not improved.Now another dentist reckons I have a bad filling and wants to replace the filling.
I think I may have a crack down the side of the tooth on the side of the tongue, but the dentists are dismissing this option.
What else can this be and how to treat it?


Chances are very high your tooth is cracked. Either that, or you need a root canal. No one can know for sure, so this is what you do.

1. Have the tooth prepared for a conservative crown. Have a temporary cemented. If you are free of pain for 3 or 4 weeks, you can have a permanent crown done.
2. If the temporary crown does not relieve pain, you will have to have a root canal before a crown is fabricated.

10% of cracked teeth cannot even be saved with a root canal. Hope you are not one of the unlucky 10%!

Had a case exactly like yours today. Fortunately, after the anesthesia wore off, the patient said he was suddenly pain-free with biting with his new temporary crown.
Posted 7 years ago
User Level:
Dentist
Dear Elisabeth, dear Kim!

Yesterday I send this text to the translator, but Colleague Kim was faster :-)

But maybe this translation will also help you Elisabeth. Weeks ago I had a case like yours and at that time I studied a little bit the literature and found the "let go pain" check.

It could also be what we call an occlusal trauma that we’re dealing with – a hematoma around the root. It could also be, like Dr. Kim Henry post, a longitudinal fracture of the root.

What can you do? Simple – we (Docotors) check if there is what we call a „let go“ pain:

You bite carefully on something hard – a pencil, for example – slowly building up pressure and then you suddenly let go. If you feel a pain when you let go then this indicates a longitudinal fracture and this can then be confirmed by means of a special dental CT scan. If there is a longitudinal fracture then the tooth will be lost.

If there’s an occlusal trauma you’re more likely to feel pain when biting than when letting go. There’s nothing to do here, it’ll heal on its own.

Since the tooth has been drilled several times already there could also be a "reactive" pulpitis. If so the pain will get worse and could then suddenly stop. The tooth then becomes sensitive to tapping, the nerve dies and a root canal should be done.

Last but not least combinations of all this are possible.
Liebe Grüße JB
 
www.denta-beaute.com
 
 
 
Posted 7 years ago
0
loading