Sensitive and Pain after Filling
Added: December 31, 2007 - 4:47 AM
By: Patient Email Withheld, Falls Church, DC
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Provide Cost Estimate:
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X-rays Available:
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Case Summary
Filling
Teeth: 30
Last Full Mouth X-Ray: 3 weeks ago
Last Cleaning: 3 weeks ago
Case Description
I had a filling done on a cavity 3 weeks ago. Cavity was so deep it just escaped a root canal. For 2 weeks, there was sensitivity that vanished fairly fast. Then a few days ago I had continuous pain/sensitivity for a few hours. It subsided to being very sensitive - so I have been managing by adjusting the temperature of food, avoiding biting on that side etc. Today morning there was continuous pain/sensitivity for an hour. ===================================================== Thanks very much for your replies. Based on that, I went to see a dentist. He did a radiograph and found that the cavity was far enough removed from the nerve (1.2mm) to not warrant a root canal. He said that the pulp chamber was inflamed (not infected). He wasn't sure about how it would progress - the pain might get better, might get worse, might go away and come back etc.
I am using Arnica Montana 6X which has been very effective in reducing sensitivity and pain. Also doing salt water gargling, oil pulling, as well as using Sensodyne.
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Reply: Sensitive and Pain after Filling
added: December 31, 2007 - 5:43 AM
Cost Estimate: $
No Estimate at this time. Additional information required.
Dear Sir or Madam,I am sorry to hear that you are not feeling well. Occasionally, even after removing most of the bacteria from a cavity, the tooth can still become infected. Prolonged, throbbing sensitivity to hot and cold is pathonomic for a pulpal infection. In essence, the bacteria have traveled through the outer layers of the tooth into the pulp causing inflammation. The treatment is always a root canal. In Fall Church, I believe there is a great endodontist (specialist in root canals): Dr. Richard Pollack.Wishing you the best of luck.Neal KravitzOrthodontist, South Riding VA.nealkravitz@gmail.com
Reply: Sensitive and Pain after Filling
added: December 31, 2007 - 6:56 AM
Cost Estimate: $$3000-3200
See your dentist so he can check it out. An xray should be taken. It might not show the need for Root canal treatment, but your discription of what''''s taking place does. Your dentist tried to avoid the need for the Root Canal, but when the decay is so deep it gets beyond his control. After the root canal, the tooth will need a foundation and a crown.Root canal $1300foundation $ 400crown $1325Please be advised that without a clinical exam and xray I can''''t determine your exact needs. Good luck
Reply: Sensitive and Pain after Filling
added: January 01, 2008 - 6:34 PM
Cost Estimate: $
No Estimate at this time. Additional information required.
It''''s entirely possible that the nerve was, in fact, irreversibly affected and will require a root canal (and subsequent crown) for a comfortable outcome. You could try to replace the filling w/a temporary material that tends to be more soothing to the tooth, but the potential benefit may be negated by the repeated treatment. In general, if you are experiencing spontaneous pain or extended (more than a minute or so) sensitivity to temperature, it''''s likely that a root canal is indicated.All the best
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