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Message
re: Is there such thing as an emergency dentist?
Posted on 3/13/22 at 8:49 am to genuineLSUtiger
Posted on 3/13/22 at 8:49 am to genuineLSUtiger
It's usually an infection causing the pain. Amoxicillin is the usual script. Dentist can't do a root canal without clearing up the infection.
0
Posted on 3/13/22 at 9:44 am to Giantkiller
quote:
Is there such thing as an emergency dentist?
Just not on Fridays. Dentists don't work Fridays.
Posted on 3/13/22 at 11:41 am to Giantkiller
Tylenol and advil taken together have a powerful analgesic effect on tooth pain. Studies suggest it might be as good as opiods at higher doses (like 750mg tylenol, 6-800 advil). I have no qualms taking that much in an painful situation but I would never take it like that regularly. I am not advocating you take a couple/3 extra strength tylenol and 4 advil but I have done it and it worked in my situation.
Posted on 3/13/22 at 11:44 am to FunkyFreshFranklin
quote:
I would get another opinion if you are having concerns about your current dentist. Why were you told you neede a crown in the first place though? Crack found? Pain on chewing? Broken tooth?
So about 6 mos ago I was having my regular cleaning and the dentist noticed a crack in the back molar - #18.. right next to where my formerly extracted wisdom tooth used to be. They said there was a crack but to just be aware of it as it might stay like that for awhile. Sure enough, a few months later I was having some minor pain in it so I made an appointment to check it out.
The dentist said she didn't think it needed root canal work so we'd try just the crown to see if that would be enough. They took molds and made a crown, later installing it and sending me on my way.
Over the course of the next few hours, I was in considerable pain. The numbing wore off and it was agonizing. I called their office and they said to take 800mg of ibuprofen and max strength tylenol. It took the weekend plus a few days, but everything I could find on the web said that pain like this was normal and to expect at least 2 weeks to recover.
Now about 6 weeks post-procedure, the pain has slowly crept in and is reaching similar levels that I was in immediately following. The gum doesn't look red or inflamed so I don't know if it's an infection - unless it's somewhere obviously under the tooth.
Does this sound like something that could reasonably happen to any patient or is my dentist just an inexperienced dumbass?
Posted on 3/13/22 at 1:11 pm to Giantkiller
Your tooth has different levels of “health” as we will call it
Normal- self explanatory
Reversible pulpitis-minor to moderate pain but will go away after a relatively short prior of time. Usually seen after a procedure is performed
Irreversible pulpitis- tooth is on the verge of “dying” and has now become very painful. Spontaneous pain and can wake you up at night from hurting. This condition will not get better and a tooth will have to have a root canal.
Necrotic- tooth is no longer vital. This is when an infection can occur
Cracked teeth can be difficult to diagnose/treat. Often times a crown is all that’s needed. Other times depending on the crack/severity, a root canal and crown needs to be done. There is a special tool that can be used to help diagnose a crack that you put on various parts of the tooth and have a patient bite down and it can help isolate/diagnose a cracked area. If the tooth already had a filling, then a crack, now a new crown, that tooth has been worked on several times and the nerve may now be dying causing your pain. Imagine having repetitive surgeries on the same finger/knee/arm. I wouldn’t say your dentist did anything wrong but you likely need a root canal now. Hindsight is always 20/20 and it’s easy to say a root canal should have been done before. Having not done the exam or seen x-rays I can’t say what I would have done. I have seen teeth do a lot weird things over the years. Hope some of this information helped.
Normal- self explanatory
Reversible pulpitis-minor to moderate pain but will go away after a relatively short prior of time. Usually seen after a procedure is performed
Irreversible pulpitis- tooth is on the verge of “dying” and has now become very painful. Spontaneous pain and can wake you up at night from hurting. This condition will not get better and a tooth will have to have a root canal.
Necrotic- tooth is no longer vital. This is when an infection can occur
Cracked teeth can be difficult to diagnose/treat. Often times a crown is all that’s needed. Other times depending on the crack/severity, a root canal and crown needs to be done. There is a special tool that can be used to help diagnose a crack that you put on various parts of the tooth and have a patient bite down and it can help isolate/diagnose a cracked area. If the tooth already had a filling, then a crack, now a new crown, that tooth has been worked on several times and the nerve may now be dying causing your pain. Imagine having repetitive surgeries on the same finger/knee/arm. I wouldn’t say your dentist did anything wrong but you likely need a root canal now. Hindsight is always 20/20 and it’s easy to say a root canal should have been done before. Having not done the exam or seen x-rays I can’t say what I would have done. I have seen teeth do a lot weird things over the years. Hope some of this information helped.
Posted on 3/13/22 at 1:43 pm to BassAssassin22
quote:
Having not done the exam or seen x-rays I can’t say what I would have done. I have seen teeth do a lot weird things over the years. Hope some of this information helped.
Very much so. Thanks for the info and thanks to everyone here who (especially dentists) that chimed in.
Posted on 3/13/22 at 3:50 pm to BassAssassin22
Last question.. Will a root canal end any possibility of pain in the tooth? What's like the nuclear bomb of ending debilitating tooth and jaw pain? I'll hang up and listen. Thanks.
Posted on 3/13/22 at 5:17 pm to Giantkiller
Take 800 mg ibuprofen.
Make an appointment with a regular dentist during business hours.
Your wallet will thank me later.
If you choose to visit the emergency dentist you are gonna get bent over the barrel.
Make an appointment with a regular dentist during business hours.
Your wallet will thank me later.
If you choose to visit the emergency dentist you are gonna get bent over the barrel.
Posted on 3/13/22 at 8:33 pm to Giantkiller
It should. Root canals can still fail though. Essentially a root canal will take the nerve out of the tooth making it non vital. They can still get an infection if not cleaned properly or filled properly. Sometimes they just fail for no rhyme or reason. I send my patients to a specialist for back tooth root canals. Many of them can take a 3d x-ray showing all of the canals and anatomy. Those back teeth have more than one root and sometimes more than one canal in each root making treatment tricky. Having said that I would have the root canal done. The other option is taking it out and that should be a last resort. I see it daily in my office where people have had their back take teeth taken out because of pain and they elected to extract instead of save the tooth. What they end up with is front tooth problems (breaking/wear) because your back teeth protect your front teeth when you bite. I completely understand taking it out though, due to finances as it can be expensive to save a tooth. If possible I recommend saving it with a root canal.
Posted on 3/13/22 at 11:50 pm to Giantkiller
BassAssassin has good feedback.
Yeah I don’t necessarily think your dentist did anything wrong. Not sure how obvious the crack was.
Perhaps the symptoms could have been given more time to see if it was a random episode that would resolve on its own (however run risk of worsening if the crack propagates even more - again, I don’t know what this crack looked like but sometimes stain around filling can be mistaken for a crack). Or perhaps a CT scan of the tooth prior to crowning to see if the crack showed up with evidence of entering the nerve chamber or going down the root of the tooth.
However, given what you described, I would say that most dentists, including myself, would treat the way your case was treated. One added measure - I would have left you in a temporary crown until symptom free. Long story short, don’t think your dentist did anything wrong but you sound like you need a root canal.
Yeah I don’t necessarily think your dentist did anything wrong. Not sure how obvious the crack was.
Perhaps the symptoms could have been given more time to see if it was a random episode that would resolve on its own (however run risk of worsening if the crack propagates even more - again, I don’t know what this crack looked like but sometimes stain around filling can be mistaken for a crack). Or perhaps a CT scan of the tooth prior to crowning to see if the crack showed up with evidence of entering the nerve chamber or going down the root of the tooth.
However, given what you described, I would say that most dentists, including myself, would treat the way your case was treated. One added measure - I would have left you in a temporary crown until symptom free. Long story short, don’t think your dentist did anything wrong but you sound like you need a root canal.
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