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Started By
Message
re: OT Dental Expert Advice Needed
Posted on 9/16/18 at 11:49 pm to Jalbow3
Posted on 9/16/18 at 11:49 pm to Jalbow3
quote:
either way I wouldn't put it off, it's only going to be worse by putting it off
I would definitely hold off a few weeks on it.
When you had your tooth prepped for the restoration, your dentist was cutting into a part of your body. If you go into a surgery, the incisions hurt for a while afterwards. Give the nerve a chance to heal.
The mechanism for dental sensitivities are more nuanced than the simple "a part of your body was removed, and therefore traumatized" analogy would lead on, but entire courses are given on this topic is much more complicated than what can be written on a message board. But, I think the basic premise is applicable and easy to understand.
If it was small caries as you say, then your dentist didn't likely hit the nerve. You're likely experiencing sensitivity and not an irreversible pulpitis (which needs a root canal). If it lasts for longer than a month, get it looked at again. But, it's much more likely that you have a high restoration, poor bonding, or just flat out injured pulp (not infected or dying pulp). I think your better off waiting at least 3 weeks before jumping to a root canal.
And before you even ask, YES, this can happen to a tooth even though it has never happened to you before.
This post was edited on 9/16/18 at 11:52 pm
2
Posted on 9/17/18 at 5:35 am to Tigershatebama
I was going to give it two weeks before going back in, but I’ll wait a month to see if the pain goes away based on your analysis.
Posted on 9/17/18 at 7:27 am to Tigershatebama
quote:
I would definitely hold off a few weeks on it.
When you had your tooth prepped for the restoration, your dentist was cutting into a part of your body. If you go into a surgery, the incisions hurt for a while afterwards. Give the nerve a chance to heal.
The mechanism for dental sensitivities are more nuanced than the simple "a part of your body was removed, and therefore traumatized" analogy would lead on, but entire courses are given on this topic is much more complicated than what can be written on a message board. But, I think the basic premise is applicable and easy to understand.
If it was small caries as you say, then your dentist didn't likely hit the nerve. You're likely experiencing sensitivity and not an irreversible pulpitis (which needs a root canal). If it lasts for longer than a month, get it looked at again. But, it's much more likely that you have a high restoration, poor bonding, or just flat out injured pulp (not infected or dying pulp). I think your better off waiting at least 3 weeks before jumping to a root canal.
And before you even ask, YES, this can happen to a tooth even though it has never happened to you before.
Generally good advice, but if he has a high restoration, wouldn't it be better to have it checked asap? A high restoration that is not adjusted may be the last insult that sends to tooth to root canal land. Same goes for a poor bond IMHO.
I'd have the tooth checked for high restoration or improper bonding as soon as you can.
This post was edited on 9/17/18 at 7:33 am
Posted on 9/17/18 at 8:01 am to TDFreak
I jabbed my gum 6 months ago with a proxabrush. Got a small but damaging infection that Dentist tried a penicillin script on, didn't get it all. A month ago he decided to cut and clean and found on the exterior the tooth had an unexpected curve that was holding a packet of infection so he shaved that down flat and another round of penicillin. $860.
Surgery site kept weeping, got a secondary infection. So last Thursday he reopened found the secondary infection spread and cleaned out/cut open about half my lower palate and put me on Clindamycin. Cost: $0 except about $30 for the antibiotic.
Tell your Dentist to bill it as a complication from last procedure and eat the costs!
Surgery site kept weeping, got a secondary infection. So last Thursday he reopened found the secondary infection spread and cleaned out/cut open about half my lower palate and put me on Clindamycin. Cost: $0 except about $30 for the antibiotic.
Tell your Dentist to bill it as a complication from last procedure and eat the costs!
Posted on 9/17/18 at 8:25 am to toofache
quote:Great for the tooth but must be hard on a your liver.
You can take 800mg of ibuprofen 3 times a day for a week
Posted on 9/17/18 at 8:35 am to TDFreak
Make sure you bite isn’t off with the new filling. If it bugs you in your sleep you may be causing trauma to the tooth without knowing it. Had it happen to me.
Posted on 9/17/18 at 9:36 am to Morty
quote:
Just get the freaking root canal you cheap bastard
frick that, I would get a second opinion. Having a trust worthy dentist is invaluable.
Posted on 9/17/18 at 9:38 am to TDFreak
Sounds like they were trying to save you from needing a root canal, but once they started drilling they realized that wasn't an option.
It happens.
It happens.
Posted on 9/17/18 at 10:58 am to cattus
quote:
Great for the tooth but must be hard on a your liver.
This is wrong, NSAIDS rarely affect the liver. I think you are confusing this with tylenol.
Posted on 9/17/18 at 11:09 am to TDFreak
Personally I'd give it a few more weeks. The nerve is inflamed but it could be reversible pulpitis at this point.
Is it a quick sharp pain to cold or is it something that lingers for 20+ seconds? If it's the latter you're already set for a root canal but the former you have good odds it heals on own. If it's mostly when chewing the filling could just be high.
But yeah shite happens. I've learned to explain that any time a hand piece touches a tooth, it could end up in a root canal. If it's a molar get it done by an endo and ask him for a pros referral if you want someone to do the crown.
Is it a quick sharp pain to cold or is it something that lingers for 20+ seconds? If it's the latter you're already set for a root canal but the former you have good odds it heals on own. If it's mostly when chewing the filling could just be high.
But yeah shite happens. I've learned to explain that any time a hand piece touches a tooth, it could end up in a root canal. If it's a molar get it done by an endo and ask him for a pros referral if you want someone to do the crown.
Posted on 9/17/18 at 11:58 am to tween the hedges
quote:
ask him for a pros referral if you want someone to do the crown.
That's funny! You must be a perio resident.
Posted on 9/17/18 at 12:01 pm to TDFreak
I had a dentist break the drill bit off in my root during a root canal, she said it would be fine and just left it.
Had nothing but problems for years and finally lost the entire tooth, and it costs me out the arse.
I would tell them they screwed up and ask if you can get a discount on the root canal crown
Had nothing but problems for years and finally lost the entire tooth, and it costs me out the arse.
I would tell them they screwed up and ask if you can get a discount on the root canal crown
Posted on 9/17/18 at 12:02 pm to ruzil
Haha no but if he's hellbent on not giving his GP any more money. No endo is going to refer him to a different GP to do the crown.
Posted on 9/17/18 at 12:08 pm to tween the hedges
quote:
Haha no but if he's hellbent on not giving his GP any more money. No endo is going to refer him to a different GP to do the crown.
I might be more willing to go to my GP now based on what I’ve read.
But definitely will request an endodontist since this is a molar.
Still hoping it heals!
Posted on 9/17/18 at 12:33 pm to TDFreak
A filling doesnt guarantee not needing a root canal.
Posted on 9/17/18 at 1:39 pm to TDFreak
Just because you have sensitivity or bite pain now doesn't mean it was a shoddy job. It just means you need to start flossing your teeth twice a day and laying off the sodas. That said, if a filling is small then it is normal to have some sensitivity for a few weeks after placement. If a cavity is at all questionable before I put a filling in it, I always tell the patient that a root canal and crown may be needed depending on how close to the nerve it is. Sometimes in rarer cases, a tooth responds negatively to even a shallow filling and the root canal has to be done. But it doesn't necessarily mean the cavity wasn't removed and the filling placed properly.
Posted on 9/17/18 at 8:03 pm to tween the hedges
quote:
Haha no but if he's hellbent on not giving his GP any more money. No endo is going to refer him to a different GP to do the crown.
Really, I wouldn’t mind a specialist picking up the phone and discussing the case with me. If the patient has lost confidence in me, even if the situation was due to the patient wrongly placing blame due to ignorance, I wouldn’t be insulted if they wanted to go elsewhere. A heads up phone call is appreciated, a blind referral to another GP is not.
Posted on 9/17/18 at 8:14 pm to TDFreak
quote:
She said that with teeth sometimes unexpected things happen and that’s just how it goes.
Opposed to other things?
Posted on 9/17/18 at 8:25 pm to genuineLSUtiger
Dental Convention up in here
Can I get some CE from this?
Can I get some CE from this?
Posted on 9/18/18 at 5:44 pm to wahoocs
quote:
Can I get some CE from this?
AGD# please.
I’ll make sure you get credit.
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