Sensitivity to cold stimulus is the sign of pulpitis, which may be classified as reversible or irreversible. Pain lasting more than 10 seconds after cold stimulus suggests irreversible pulpitis, in which condition root canal treatment is indicated. However, in the condition as reversible pulpitis, occlusal interference is the most common culprit. Subtle occlusal interference introduced by molar crwon is difficult to detect. The common mistake is that articulating paper placed between teeth and ask the patient to close his or her jaw. This method generally fails to mark occlusal interference. If you close your jaw and clench teeth hard, if the crowned tooth feel pressure or pain, there is generally occlusal interference present. Additionally, if you place a cotton roll between crowned tooth and opposing tooth, if you feel pressure or pain, occlusal interference is generally present. You can compare the crowned tooth and other natural teeth. Other natural teeth generally do'nt give you similar results.
Ruling out occlusal interference, and I feel we can, as does my Dentist, what would be your next most likely scenario? Thanks!
Based on the information provided, it appears that you develop thermal sensitivity after a new restoration, which is a temporary or final crown. In dentistry, we tend to use the term " final", instead of permanent, because nothing is permanent other than tax and death. The most common culprit of thermal sensitivity after new restoration is occlusal interference, if there is no carious lesion or periodontal pathology present. Other than thermal sensitivity, occlusal interference may induce a variety of other symptoms,such as, hurt when chewing, gum pain or discomfort, jaw bone aching, sensitivity to touch, masticatory muscle pain which may manifest as headache, tmj tightness or pain, and stuffy ear or pressure. Going back to your restorative dentist to have more meticulous occlusal adjustment is advised. Root canal treatment does eliminate the problem of thermal sensitivity, however, other problems associated with occlusal interference may persist after rct.