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What to do about a root canal...

Discussion in 'The New Monster Thread' started by Jennie747, Apr 21, 2012.

  1. Jack Kruse

    Jack Kruse Administrator

    Fara the panorex burns out the bone around the central incisors so do not assume he has that bad of periodontal disease around the distal end of that lateral incisor.......
  2. Jack Kruse

    Jack Kruse Administrator

    JanSz also seems to have advanced cervical DJD and DDD without collapse.........and his bone density looks excellent for his age. He also could have Eagle Syndrome because of the length of his styloid process.......its calcified and has a lot of DJD around it.
  3. vwaggs

    vwaggs New Member

    I have a newly crowned tooth that now hurts and I am afraid my dentist will say I need a root canal. I clench my teeth and have cracked several over the years despite using a nightguard. Has anyone had success with regular dentist using more holistic approaches because the patient asks for it? What exactly do I even ask for? It is my last molar on the bottom right side. Thanks for any help you can give!!
  4. Jack Kruse

    Jack Kruse Administrator

    you need an occlusal adjustment first......demand it.
  5. vwaggs

    vwaggs New Member

    Thanks Dr. K! What about a root canal? What options should I ask for instead? Pull the tooth? Have them fill it with different material?
  6. Fara

    Fara New Member

    Vicki, did you have the same symptoms while you were in a temporary, or did the pain start after the permanent crown was cemented? Defintely DO NOT "Pull" your tooth.
  7. vwaggs

    vwaggs New Member

    I was fine for about 2 months after the permanent crown was put on. No issues until about a week ago.
  8. Fara

    Fara New Member

    From your earlier posts... It sounds like you very hard on your teeth, clenching. And mentioned you had cracked a few teeth before. Was this tooth broken badly before the crown was placed? What are our symptoms? Are you wearing your night guard?
  9. Joann

    Joann New Member

    Fara, why you ask about symptoms if while with temporary or after crown?

    since that happened to me I'm curious. fine with temporary, then felt awful with crown to the point took crown off and the dentist put a crown had no metal.

    still felt not right ....that was 2 yrs ago. now I m with an infection.
  10. Fara

    Fara New Member


    If the tooth is ok during the temp phase and sensitive with the perm crown, it could be due to the type off cement used, and it may just take a little time for the tooth to calm down. Or it may require something as small a bite adjustment as Dr. kruse mentioned.

    But if the crown was seated two months ago and sensitive now, then it is very likely that Vicki will need a root canal. The nerve becomes inflammed and cannot heal. it is not all that uncommon for the tooth to be aymptomatic prior to the crown preparation, or after perm crown is cemented and all of a sudden months, or years later it starts acting up.
  11. vwaggs

    vwaggs New Member

    Fara I have the crown because of the crack. It was actually in Feb when I had the crown put on. I wear my night guard every night. Xrays showed nothing wrong today. I am wondering if my night guard isn't fitting properly because it was fit for my mouth before the crown. I am going to wear a different night guard for my upper teeth and see if that helps. Can you always see the need for a root canal on an xray or could it be too early?
  12. Joann

    Joann New Member

    oh, I see. Thanks for reply.
  13. Fara

    Fara New Member


    It depends on your symptoms. And it also could take some time for things to show up on X-rays.

    Having a proper fitting NG is key to see if your symptoms go away.

    If I may suggest, look for a Neuromuscular dentist in your area. One. Who is trained in correcting your bite so you don't clench or grind anymore. NG help, but you still continue grinding with a NG. With an orthotic made based on principals of optimized jaw position, you can eliminate your grinding/clenching.

    You also mentioned you are a clincher. Usually clinchers have cervical issues that contribute to their clenching. This is something that a neuromuscular dentist can help with.
  14. vwaggs

    vwaggs New Member

    That is very interesting! What kind of cervical issues? I assumed it was all stress related. I used to go to the chiropractor 3 times a week because I have no curve in my neck. Lifting weights has helped my pain and strengthened all the muscles in the area.
  15. Fara

    Fara New Member

    It is not all stress related. It has to do with how the first two vertebras (C1 andC2) are supporting the skull or lack there of. An A/O (Atlas orthogonal) chiropractor can help.
  16. kjgraffin@yahoo.com

    kjgraffin@yahoo.com New Member

    I had all of my amalgam fillings removed a couple of months ago because they were pulling away from the teeth. I had them for probably 20-25 years. Ever since my first one was replaced I have had sensitivity to cold in it. I was trying to give the tooth time to settle down by not chewing on that side and not drinking anything cold, but this weekend I had a really cold glass of water (not realizing how cold it was before drinking it) and now I am miserable. My whole mouth aches. So I went back to the dentist and it isn't the tooth I thought it was. It is the one behind it that is causing the pain. So now I've been given the option of a root canal or extraction. The tooth never bothered me until I had the tooth in front of it re-filled. I'm really confused as to what I should do. On one hand I just want the pain to go away but on the other, I really don't want to lose my tooth.

    Any thoughts?
  17. castillonewsom

    castillonewsom New Member

    Dental implant is the best alternate option for root canal and you can go with this treatment. With this treatment, you will get artificial teeth instead of broken teeth and you will get permanent solution.
  18. Joann

    Joann New Member

    Its so difficult making decisions about teeth since it is usually a permanent result!

    seems pains travels all over in the mouth. I just had a root canal redone. I don't know if it was the shots or the draining of swelling on my palate but I had excruciating pain for 30 minutes all over one side up and down. while examining the root canal tooth x ray showed the tooth next to it has a filing real close to nerve. he did a sensitivity test by touching it with something very cold ....it stung. now the specialist thinks I should have a root canal in that tooth too.

    I would have said ..when replacing fillings the hole gets bigger and therefor could be closer to the nerve.. but its tooth next to it which makes me suspicious of what is going on when it comes to teeth. maybe try some anti sensitivity tooth paste on tooth. Get a second opinion. I don't know if an implant is better than root canal. implant is titanium inside gum, root canal with crown has metal inside usually or I have one without metal. make sure root canal dentist is a specialist i think. (there was decay on tooth under crown in mine)

    hope this helps making your decision, Good Luck!
  19. LisaLearning

    LisaLearning Silver

    Bumping this old thread since I was searching about some dental issues.

    Jan, I am wowed that your teeth are more heavily restored than mine! I don't have any implants, but quite a few root treated teeth, and a lot of crowns. I have spent a lot of time trying to look after my teeth well, and this is the awful result, which I am sure is partly due to formerly terrible diet, but my husband (who also ate the same rubbish and who does the bare minimum with his teeth, just brushing 2x a day) has only two tiny composite fillings, sigh.

    Now one of my premolar crowns has been leaking at the margin and I have enough decay (sadly below the bone line) that it looks like I will need to have it extracted and replaced with either a bridge or an implant.

    Regarding the bridge choice, I am concerned that not putting any pressure on the bone in that area will lead to bone loss and possibly affect adjacent teeth, both of which are miraculously not root treated (but the adjacent molar is already crowned).

    Regarding the possibility of an implant, I'm concerned about metal and just drilling something into the bone (maybe this is just irrational however, because people end up with metal pins of all sort in all sorts of places in the body, without ill effect, I think).

    I'm also considering getting some of my crowns replaced in Poland. A friend's partner is Polish, and they always have their dentistry done when they are visiting her family, because (they tell me) the dental education is excellent in Poland now, and very up-to-date and better than here in England, and much much cheaper.

    I'm originally from the US, and very much came to England worried about the legendary Big Book of British Smiles, and still don't know how I feel about UK dentistry. I paid £1300 (approx $2000!) from a fancy Harley St dentist (who did some graduate training at a dental school in Chicago, which I hoped meant he was up to date and knew what he was doing) several years ago for a porcelain on metal crown where the porcelain doesn't even cover the lingual side of the crown and so I am really not sure doing things here is the best choice anyway. I don't know how to find someone who really knows what they are doing to do the work, and I hoped that finding someone who had some US education (and charged a lot!) could be a decent proxy for skilled work, but that did not seem to work.

    Lastly, if I do an implant, is titanium the best choice? I keep hearing about zirconium and I wonder if there is a non-metal remotely as strong (or not as brittle) as non-metal.
  20. Janette Layne

    Janette Layne Status Nominal AFU

    I am due for implants & had a root canal about six months ago that is still painful but nothing is showing up on the X-Ray. I would like a consultation. How do I arrange that?

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