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Dentist Question - Crown related (1 Viewer)

C

cubd8

Footballguy
This summer, the tooth in the top right became extremely sensitive to cold. After dealing with it for a period of time, my dentist shaved the tooth down and put a crown over it - this was in early September.

Since then, nothing has changed. I was expecting that my sensitivity to cold would no longer be an issue, but the problem is as bad as it was previously. 

I scheduled an appointment with my dentist for tomorrow morning so they could take a look at what's going on.

Any ideas? Is is possible that the crown isn't properly sealed? Could the nerve in my tooth be inflamed to the point where a root canal needs to take place? If so, how does this work knowing that the crown is needed still to protect the tooth.

Anyways, I'm asking to see if anyone has any theories or has gone through something similar before.

 
Probably needed a root canal and your dentist took a conservative approach which I applaud him for.

Root canals can be done through crowns, no problem. Done all the time.

 
Dentist said:
Probably needed a root canal and your dentist took a conservative approach which I applaud him for.

Root canals can be done through crowns, no problem. Done all the time.
Click to expand...
How about a solid gold crown?   You got some gold on hand to melt down to fill that hole?

 
Dentist said:
Probably needed a root canal and your dentist took a conservative approach which I applaud him for.

Root canals can be done through crowns, no problem. Done all the time.
Click to expand...
Would I need a new crown?

Do they drill through the crown?

Is this the best of my options?

Thanks!

 
cubd8 said:
Would I need a new crown?

Do they drill through the crown?

Is this the best of my options?

Thanks!
Click to expand...
i had a RC through the crown.  no issues.  you just need your regular dds to permanently seal the drill holes.

 
cubd8 said:
Is this easier (for a nervous patient like myself) than a standard root canal?
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I had my first root canal 2 months ago and it was on a tooth that has a crown.  My dentist referred me to an endodontist and he drilled a hole in middle of crown.  I was very nervous but honestly felt no pain at all after he numbed me up.  I had to go back to my dentist who sealed up the hole a few days later.

 
Don't Noonan said:
I had my first root canal 2 months ago and it was on a tooth that has a crown.  My dentist referred me to an endodontist and he drilled a hole in middle of crown.  I was very nervous but honestly felt no pain at all after he numbed me up.  I had to go back to my dentist who sealed up the hole a few days later.
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I wish I was an endodontist, I'm awesome at root canals and if I were a specialist I could charge 30 percent more.  

 
My dentist actually will be doing this work, if that's what he determines (root canal seems to be the most likely scenario)....Should I be concerned that he's doing it vs. more of a specialist? As far as I know, he does root canal's, etc. all the time.

 
James Daulton said:
Just one more area DD and i are in lockstep. Walk through a decent office park, see any porches in the parking lot?  Then you know there are dentist in the building. 
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The chiropractor in building across the hall bought a bmw 650i and now patients accuse me of driving that.  Don't they know who I am? 

As an aside that's the number one reason I would never buy a luxury car, but also it's well known dentistry is a 100k+ a year job, why the shock and rage over them driving a decent ride? 

 
cubd8 said:
My dentist actually will be doing this work, if that's what he determines (root canal seems to be the most likely scenario)....Should I be concerned that he's doing it vs. more of a specialist? As far as I know, he does root canal's, etc. all the time.
Click to expand...
If that's the case you'll be fine. Many general dentists are great at root canals. 

 
Dentist said:
The chiropractor in building across the hall bought a bmw 650i and now patients accuse me of driving that.  Don't they know who I am? 

As an aside that's the number one reason I would never buy a luxury car, but also it's well known dentistry is a 100k+ a year job, why the shock and rage over them driving a decent ride? 
Click to expand...
As you know, in dentistry you're kind of caught in the middle.  Everyone respects the hard work and intelligence needed to become a dentist, yet the majority of what we pay comes out of pocket so we feel the pinch and need to #####.  You're like a doctor that we have to pay sticker prices to.  

 
True.   I do think that as a dentist (especially one in a free standing building where people look at the cars,  that you're making a huge mistake buying a "notable" ride.

You'd be better off buying the nice ride for your wife and driving a modest vehicle.   Spend money where people can't see it... vacations, home, or even better not spending it at all and then leaving like a fart in the wind when you are 55 while people wonder why he quit so young

 
NutterButter said:
You kidding me?  Is this how they do things in KC.   You have a beautiful gold crown with a big chunk of white amalgam in the middle.  That's going to look terrible. 
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amalgam is a silver material,  not white.

Also generally speaking a tooth with a gold crown generally isn't in an esthetic zone, unless cubd8 is black and has one of those gold front teeth, in which case the access is still on the side of the tooth you don't see.

 
Dentist said:
The chiropractor in building across the hall bought a bmw 650i and now patients accuse me of driving that.  Don't they know who I am? 

As an aside that's the number one reason I would never buy a luxury car, but also it's well known dentistry is a 100k+ a year job, why the shock and rage over them driving a decent ride? 
Click to expand...
Yeah Chiropractic treatment is a bigger scam than dentistry for sure.  You go to a chiropractor, they fix you up a few times, then they do so much damage to you over the next few months you have no choice but to keep coming back. 

 
Doctor Detroit said:
Yeah Chiropractic treatment is a bigger scam than dentistry for sure.  You go to a chiropractor, they fix you up a few times, then they do so much damage to you over the next few months you have no choice but to keep coming back. 
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Yea, my good friend's wife is a chiropractor who went to some 2-year part-time chiropractor school and now thinks she is a doctor.  Her previous educational experience is culinary school.

 
So, I had my root canal today. My regular dentist did refer me to an endodontist. Overall, and it's only been about 4 hours, things are going well. 

They numbed me up good, and I don't think there was nearly as much drilling as I would have guessed. Overall it took just over 1 hour and I don't need to go back for any additional sessions. I do have to go to my regular dentist for a permanent crown to be put on the crown.

I did ask, but I'm still not confident...Can I eat/drink normally? They did say to not (or use less) that side of my mouth, but if I do use it some, will that cause an issue? Can I drink anything I want? I'm now nervous about messing anything up between now and my dentist appointment a week from Friday.

 
I assume they put a temporary filler in there.  It's been more than an hour.  You should be fine as long as you don't eat Bit-O-Honey, the dentists' friend.

Just use some common sense.

 
@Dentist

Didn't want to start a new thread, my crown came out after less than 2 months, fire my dentist?  I had a temp crown from them that lasted long than this.  Also, I know they had an assistant that seemed was inexperienced design and cement it.  Realistically,  did this a big deal, I go in 10 am today.  

 
They should entirely cover this cost.  I wouldn't accept any less.  My dentist guaranteed mine for either one or two years (can't remember which).  That was about seven or eight years ago.

 
FatUncleJerryBuss said:
@Dentist

Didn't want to start a new thread, my crown came out after less than 2 months, fire my dentist?  I had a temp crown from them that lasted long than this.  Also, I know they had an assistant that seemed was inexperienced design and cement it.  Realistically,  did this a big deal, I go in 10 am today.  
Click to expand...
Sometimes you get a bad batch of adhesive.  This has happened to me before.  But I also don't have assistants doing that much of my work.

 
FatUncleJerryBuss said:
@Dentist

Didn't want to start a new thread, my crown came out after less than 2 months, fire my dentist?  I had a temp crown from them that lasted long than this.  Also, I know they had an assistant that seemed was inexperienced design and cement it.  Realistically,  did this a big deal, I go in 10 am today.  
Click to expand...
Wait.  An assistant put the crown on?  My dentist did mine.  The lady from the place where the crown was made was there, but he did all the work.  

Is that usual?

 
Mrs. Rannous said:
Wait.  An assistant put the crown on?  My dentist did mine.  The lady from the place where the crown was made was there, but he did all the work.  

Is that usual?
Click to expand...
It's only usual if the dentist is too drunk / waiting for the coco puff to kick in. ;)  

 
I got a question

Rear-most tooth (have already had my wisdom teeth removed, so the next one in line).  I am a grinder and this particular tooth had a decent valley 'ground' in.  Didn't bother me other than food being caught in it.  Dentist recommended we take action before it does start bothering me, made a convincing argument that I agreed to.

So tooth was ground down, temp cap put on.  Temp cap was a little 'raised' but after a week or so it evened out (probably ground something down).  No pain during this time.  10 days later (maybe a week before my scheduled appointment) temp cap came off when I was flossing that night (was my fault).  Once the temp cap was off tooth was very sensitive to everything, cold/water/food.  Next morning I called, and an hour later I was in the chair with the permanent cap installed.

I am 48-72 hours later and that tooth is fairly sensitive and hurts pretty bad at times.  To push down on it is no pain at moment, but is sensitive to cold, and at other times can be sensitive to pressure.  Certainly not intolerable but not a state I want to stay in permanently.

At what point do I call?  Should I wait and see if it subsides?  Is this likely to be a root canal?

 
wilked said:
I got a question

Rear-most tooth (have already had my wisdom teeth removed, so the next one in line).  I am a grinder and this particular tooth had a decent valley 'ground' in.  Didn't bother me other than food being caught in it.  Dentist recommended we take action before it does start bothering me, made a convincing argument that I agreed to.

So tooth was ground down, temp cap put on.  Temp cap was a little 'raised' but after a week or so it evened out (probably ground something down).  No pain during this time.  10 days later (maybe a week before my scheduled appointment) temp cap came off when I was flossing that night (was my fault).  Once the temp cap was off tooth was very sensitive to everything, cold/water/food.  Next morning I called, and an hour later I was in the chair with the permanent cap installed.

I am 48-72 hours later and that tooth is fairly sensitive and hurts pretty bad at times.  To push down on it is no pain at moment, but is sensitive to cold, and at other times can be sensitive to pressure.  Certainly not intolerable but not a state I want to stay in permanently.

At what point do I call?  Should I wait and see if it subsides?  Is this likely to be a root canal?
Click to expand...
use sensitive tooth toothpaste,  call if it doesn't settle down in another 48 hours to ck. bite.   odds of RCT running about 40/60 right now

 
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