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Dental Health  (Expert Forum)
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Cold affecting new crown
Answered by
Questions in the Dental Health forum are answered by Dr. Jerome Tsang and Dr. Jerome Bogin. Topics covered include bridges, cavities, crowns, and x-rays.

Cold affecting new crown

by HurtingBrownsFan, Dec 02, 2006 12:00AM
Hi, I've had fillings and crowns done more than a few times with great results. (nice looking and no pain)

Last month, after a two year gap, I had my teeth cleaned and x-rayed. Dentist said I needed a crown. A few days after the temp crown was placed, It really hurt when drinking hot or cold liquid. I explained this to the dentist when he was ready to place the perm crown. He found that the temp crown was loose and he speculated that may have been why it hurt.

As he was getting the perm crown ready he then posed the question, "do you want a root canal right now"? Hey, I didn't have time to do the research or think about it so I asked, "What do you think"? He said that if I wanted to wait he could drill through the crown. That's the route I chose. Two weeks later:

1) It's ungodly hot and cold sensitive. REALLY cold sensitive.
2) I now need to have a hole put through an $800 crown.
3) I need a $600 root canal (or more-I don't know)

Gee, wish I would't have went in the first place. But, based on what you've just read, should I wait and see if it gets better on it's own or schedule a rct so he can make another boat payment?

Thanks for letting me vent. Dentists are better than Med Dr.s They don't make you cough.

BB

by Jerome Bogin, D.D.S. , Dec 03, 2006 12:00AM
You do have a sense of humor! At this point you pretty much have only two choices, either do the RCT or wait. I would tend to think you should wait a couple of weeks and try to avoid the cold. This will hopefully reduce the inflammation of the nerve which we dentists call a pulpitis. At times this is reversible which means the sensitivity will abate or irreversible which will lead to doing the RCT.I think the doctor will make the boat payment whether the RCT is done or not done.
Member Comments (3)

by mike1105, Dec 03, 2006 12:00AM
1. the crown should not have been permanently cemented on a tooth that was still symptomatic.
2. If it is going to be cemented, it should be cemeted with a temporary, possibly medicated cement so it may a) help the tooth calm down and/or b) make it easy to remove if the crown needs to be redone. It is my opinion that you should not have to pay for a remake of the crown. the dentist should not have permanently cemented it in  the first place. He should remove the old one (most likely it will need to be cut off), have the root canal done, restore the access holoe and then make you a new crown.

regarding a root canal-- i would get an opinion on the tooth from an endodontist (root canal specialist). I'd go to one on your own--ie not someone you are referred to by the dentist who did the crown. this way you'll get an unbiased opinion (hopefully). If the crown ws poorly made, such may be the cause of your symptoms.

by HurtingBrownsFan, Dec 03, 2006 12:00AM
Thanks for the info. Today it felt better and maybe I just "scared myself". I'll wait another week and see if it continues to improve. Thanks!!!!

BB
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