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Dental Health (Expert Forum)
Temporary crown and dull ache
Answered by
Jerome Bogin, D.D.S. - Dental
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.
Temporary crown and dull ache
by elizabeth c., Jun 28, 2007 12:00AM
I had my rear molar prepped for a crown 9 days ago. The tooth had a fracture on the cusp and I had the crown done as a preventative measure. A few days after the prep I noticed a dull ache that seemed to flare up after eating or in the night when I would grind my teeth on my night guard. I stopped using the night guard and now I have no pain at night only in the morning after breakfast but the pain is not severe-just mild and nagging-one 200mg. advil lasts me the whole day. I have no sensitivity to hot, cold or biting...and it seems to throb a bit when I am active-walking or working in the garden.
I'm kind of upset because the dentist did not keep the tools cool while she worked (I smelled fire!) and I have read that this is critical to avoid nerve irritation during the procedure. My question is threefold. One is: What is your best guess as to what is wrong with my tooth? Two is: What is the likelihood that this tooth is going to heal on it's own? Three is: Is it not the current standard of care to keep the instruments and the tooth cool during such intense drilling? My dentist attended NYU and I hate to think she would not be up to snuff on the latest techniques- Did she she make a mistake? I hope you can set my mind at east..I really appreciate your time..
Thank you
elizabeth
I'm kind of upset because the dentist did not keep the tools cool while she worked (I smelled fire!) and I have read that this is critical to avoid nerve irritation during the procedure. My question is threefold. One is: What is your best guess as to what is wrong with my tooth? Two is: What is the likelihood that this tooth is going to heal on it's own? Three is: Is it not the current standard of care to keep the instruments and the tooth cool during such intense drilling? My dentist attended NYU and I hate to think she would not be up to snuff on the latest techniques- Did she she make a mistake? I hope you can set my mind at east..I really appreciate your time..
Thank you
elizabeth
Doctor's Answer
by Jerome Bogin, D.D.S. , Jun 28, 2007 12:00AM
, Jun 28, 2007 12:00AM
I am on the faculty at NYUCD so hope your dentist is up on her techniques.I will try to answer your questions the best I can with out seeing you. It sounds like the nerve might be inflammed and that can go either of two ways-it is reversible and no root canal therapy is necessary or irreversible and the rct is needed. I would suggest that the temp be removed to test the vitality of the nerve.I am assuming that you mean that there was no water when she was preping the tooth. I would not be happy if the entire tooth was preped without water. You can do some touching up of the prep dry and I do not think that would cause a problem. When the temp is removed without anesthesia the tooth should be sensitive to temperature changes. I hope I have helped you somewhat.
elizabeth